The shortened dental arch: prevalence and normative treatment needs in a sample of older Canadian adults.
Identifieur interne : 010C63 ( Main/Exploration ); précédent : 010C62; suivant : 010C64The shortened dental arch: prevalence and normative treatment needs in a sample of older Canadian adults.
Auteurs : R J Hawkins [Canada]Source :
- Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry [ 0275-1879 ]
Descripteurs français
- KwdFr :
- Appareils de prothèse dentaire (), Arcade dentaire (anatomopathologie), Besoins et demandes de services de santé (), Canada (épidémiologie), Enquêtes de santé dentaire, Humains, Maisons de repos, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (épidémiologie), Prévalence, Résidences pour personnes âgées, Soins dentaires pour personnes âgées (), Soins dentaires pour personnes âgées (utilisation), Sujet âgé.
- MESH :
- anatomopathologie : Arcade dentaire.
- utilisation : Soins dentaires pour personnes âgées.
- épidémiologie : Canada, Mâchoire partiellement édentée.
- Appareils de prothèse dentaire, Besoins et demandes de services de santé, Enquêtes de santé dentaire, Humains, Maisons de repos, Mâchoire partiellement édentée, Prévalence, Résidences pour personnes âgées, Soins dentaires pour personnes âgées, Sujet âgé.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Aged, Canada (epidemiology), Dental Arch (pathology), Dental Care for Aged (statistics & numerical data), Dental Care for Aged (utilization), Dental Health Surveys, Dentures (statistics & numerical data), Health Services Needs and Demand (statistics & numerical data), Housing for the Elderly, Humans, Jaw, Edentulous, Partially (epidemiology), Jaw, Edentulous, Partially (therapy), Nursing Homes, Prevalence.
- MESH :
- geographic , epidemiology : Canada.
- epidemiology : Jaw, Edentulous, Partially.
- pathology : Dental Arch.
- statistics & numerical data : Dental Care for Aged, Dentures, Health Services Needs and Demand.
- therapy : Jaw, Edentulous, Partially.
- utilization : Dental Care for Aged.
- Aged, Dental Health Surveys, Housing for the Elderly, Humans, Nursing Homes, Prevalence.
Abstract
The concept of the shortened dental arch (SDA) was used to classify the dentition status and normative treatment needs of older adults. From 1982 to 1992, a descriptive survey was conducted in North York, Canada, of 1531 dentate adults aged 65 and over; 69% were nursing home residents. Based on the SDA concept, a "good" guadrant was defined as one which contained all premolar and anterior teeth. A "good" arch was defined as one which had two "good" quadrants. Only 6.3% of nursing home subjects and 7.5% of independently living subjects were classified as having "good" upper and lower arches; these subjects were considered to have a "functional dentition" by the criteria of the SDA concept. For subjects of both residence types, a higher percentage had a "good" lower arch (20%, 30%) as compared with a "good" upper arch (9%, 13%), and a higher proportion of non-denture wearers had "good" arches and quadrants compared with denture wearers. The most common reason for failure to meet SDA criteria was due to the loss of one or more upper premolar teeth; loss of lower canines was least frequently the reason. For subjects of both residence types, normative need for tooth extraction and prosthetic care was significantly associated with having no "good" arches. This was found for both denture wearers and non-denture wearers. Among non-denture wearers of both residence types, the need for urgent care was significantly associated with having no "good" arches.
PubMed: 10483453
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">The concept of the shortened dental arch (SDA) was used to classify the dentition status and normative treatment needs of older adults. From 1982 to 1992, a descriptive survey was conducted in North York, Canada, of 1531 dentate adults aged 65 and over; 69% were nursing home residents. Based on the SDA concept, a "good" guadrant was defined as one which contained all premolar and anterior teeth. A "good" arch was defined as one which had two "good" quadrants. Only 6.3% of nursing home subjects and 7.5% of independently living subjects were classified as having "good" upper and lower arches; these subjects were considered to have a "functional dentition" by the criteria of the SDA concept. For subjects of both residence types, a higher percentage had a "good" lower arch (20%, 30%) as compared with a "good" upper arch (9%, 13%), and a higher proportion of non-denture wearers had "good" arches and quadrants compared with denture wearers. The most common reason for failure to meet SDA criteria was due to the loss of one or more upper premolar teeth; loss of lower canines was least frequently the reason. For subjects of both residence types, normative need for tooth extraction and prosthetic care was significantly associated with having no "good" arches. This was found for both denture wearers and non-denture wearers. Among non-denture wearers of both residence types, the need for urgent care was significantly associated with having no "good" arches.</div>
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