Dental findings in geriatric populations with diverse medical backgrounds
Identifieur interne : 00A876 ( Main/Exploration ); précédent : 00A875; suivant : 00A877Dental findings in geriatric populations with diverse medical backgrounds
Auteurs : W. J. Loesche [États-Unis] ; J. Abrams ; M. S. Terpenning ; W. A. Bretz ; B. L. Dominguez ; N. S. Grossman ; G. H. Hildebrandt ; S. E. Langmore ; D. E. LopatinSource :
- Oral surgery, oral medicine, oral pathology [ 0030-4220 ] ; 1995.
Descripteurs français
English descriptors
- KwdEn :
- Geriatrics, Health, Human, Review, Tooth.
Abstract
Objective. To determine whether there is a difference in the oral/dental health in older persons with different life styles and medical status. Study design. Survey (cross-sectional study) included four groups : (1) subjects (n = 123) living in a residential retirement home or community dwelling ; (2) subjects (n = 218) seeking dental treatment at a Veterans Affairs Dental Outpatient Clinic ; (3) subjects (n = 132) resident in a VA long-term care facility ; and (4) subjects (n = 81) recently admitted to a VA acute care ward with a diagnosis of cerebral vascular accident or other neurologic problem. Each subject answered questions on medical and dental health and dietary preferences in a comprehensive interview. They were given a comprehensive dental examination that included measurements of stimulated salivary flow and minor salivary gland output. Results. The data from groups 2 and 3 confirmed previous reports that independent living subjects have better oral/dental health than dependent living subjects. The data from groups 1 and 4, obtained from geriatric populations on the opposite ends of the medical health/disease continuum provide new information that suggests that good medical health and good oral/dental health are linked. The subjects in group 1 were very healthy as judged by their longevity ; 54% were ≥80 years and they had low reported prevalence of medical disease. Only 6% were edentulous and the dentate persons were missing 4.5 teeth. In contrast, over 50% of the patients in group 4 were <70 years ; they had an edentulous rate of 49% and among the dentate persons had an average 12 missing and 5 decayed teeth. Conclusions. The medically healthy persons had excellent dental health whereas the sickest persons were either edentulous or had many missing teeth.
Affiliations:
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Le document en format XML
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<term>Santé</term>
<term>Dent</term>
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<front><div type="abstract" xml:lang="en">Objective. To determine whether there is a difference in the oral/dental health in older persons with different life styles and medical status. Study design. Survey (cross-sectional study) included four groups : (1) subjects (n = 123) living in a residential retirement home or community dwelling ; (2) subjects (n = 218) seeking dental treatment at a Veterans Affairs Dental Outpatient Clinic ; (3) subjects (n = 132) resident in a VA long-term care facility ; and (4) subjects (n = 81) recently admitted to a VA acute care ward with a diagnosis of cerebral vascular accident or other neurologic problem. Each subject answered questions on medical and dental health and dietary preferences in a comprehensive interview. They were given a comprehensive dental examination that included measurements of stimulated salivary flow and minor salivary gland output. Results. The data from groups 2 and 3 confirmed previous reports that independent living subjects have better oral/dental health than dependent living subjects. The data from groups 1 and 4, obtained from geriatric populations on the opposite ends of the medical health/disease continuum provide new information that suggests that good medical health and good oral/dental health are linked. The subjects in group 1 were very healthy as judged by their longevity ; 54% were ≥80 years and they had low reported prevalence of medical disease. Only 6% were edentulous and the dentate persons were missing 4.5 teeth. In contrast, over 50% of the patients in group 4 were <70 years ; they had an edentulous rate of 49% and among the dentate persons had an average 12 missing and 5 decayed teeth. Conclusions. The medically healthy persons had excellent dental health whereas the sickest persons were either edentulous or had many missing teeth.</div>
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