Serveur d'exploration sur le patient édenté

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Oral Functional Limitation among Dentate Adults

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Oral Functional Limitation among Dentate Adults

Auteurs : Ulrich Foerster [États-Unis] ; Gregg H. Gilbert [États-Unis] ; R. Paul Duncan [États-Unis]

Source :

RBID : ISTEX:801E2E5A55980F80F4ED0AAACC0DCB05041702C3

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English descriptors

Abstract

Objectives: The purpose of this study was to measure the prevalence of oral functional limitation in adults and to identify clinical and sociodemographic factors associated with that limitation. Methods: The Florida Dental Care Study is a longitudinal study of risk factors for changes in oral health. Subjects (n=873) with at least one tooth who were 45 years old or older participated in a baseline in‐person interview and dental examination. Subjects were queried about oral functional limitations. Results: Twenty‐three percent of subjects reported difficulty chewing one or more foods using a five‐item chewing index, and 10 percent reported difficulty speaking or pronouncing words because of problems with the mouth. The covariates in a multiple logistic regression identified as being significantly associated with chewing difficulty were fewer pairs of occluding anterior teeth, fewer pairs of occluding posterior teeth, more posterior teeth that are root tips, more anterior teeth that are mobile, reporting tooth pain, reporting bad breath, having but not wearing prosthetic appliances, reporting dry mouth, and being female. Having fewer anterior teeth, reporting a sore and/or broken denture, reporting unattractive teeth, and being black were significantly associated with speaking difficulty/difficulty pronouncing words because of problems with the teeth, mouth, or dentures. Conclusion: The findings in this study suggest a significant prevalence of oral functional limitation in dentate adults. Certain clinical and sociodemographic factors were strongly and independently associated with its presence.

Url:
DOI: 10.1111/j.1752-7325.1998.tb02995.x

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ISTEX:801E2E5A55980F80F4ED0AAACC0DCB05041702C3

Le document en format XML

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<term>Affirmative action employer</term>
<term>Anterior teeth</term>
<term>Baseline</term>
<term>Baseline interview</term>
<term>Baylor college</term>
<term>Clinical conditions</term>
<term>Clinical measures</term>
<term>Community dent health</term>
<term>Community dentistry</term>
<term>Dent</term>
<term>Dent educ</term>
<term>Dental arches</term>
<term>Dental bill</term>
<term>Dental care</term>
<term>Dental care recency</term>
<term>Dental disease</term>
<term>Dentate</term>
<term>Dentate adults</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture soreness</term>
<term>Difficulty model</term>
<term>Diverse sample</term>
<term>Equal opportunity</term>
<term>Fdcs</term>
<term>Fewer pairs</term>
<term>Food bolus</term>
<term>Functional limitation</term>
<term>Gilbert</term>
<term>Health care</term>
<term>Health status</term>
<term>High school</term>
<term>Highest level</term>
<term>Inverted scale</term>
<term>Larger odds ratio</term>
<term>Limitation</term>
<term>Limitation subjects</term>
<term>Logistic</term>
<term>Logistic regression</term>
<term>Logistic regression analysis</term>
<term>Logistic regressions</term>
<term>Masticatory performance</term>
<term>Maxillary</term>
<term>Mobile teeth</term>
<term>More foods</term>
<term>More root fragments</term>
<term>More teeth</term>
<term>Multiple measures</term>
<term>Occluding pairs</term>
<term>Older adults</term>
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<term>Oral health</term>
<term>Oral health decrements</term>
<term>Oral pain</term>
<term>Oral rehab</term>
<term>Other studies</term>
<term>Other variables</term>
<term>Periodontal attachment loss</term>
<term>Poor esthetics</term>
<term>Posterior pairs</term>
<term>Posterior teeth</term>
<term>Poverty level</term>
<term>Poverty status</term>
<term>Pronouncing</term>
<term>Pronouncing words</term>
<term>Prosthetic replacement</term>
<term>Public health</term>
<term>Public health dent</term>
<term>Public health dentistry</term>
<term>Public health sciences</term>
<term>Recent difficulty</term>
<term>Regression models</term>
<term>Regression results</term>
<term>Root caries</term>
<term>Root fragments</term>
<term>Root tips</term>
<term>Sample sizes</term>
<term>Severe attachment loss</term>
<term>Sociodemographic characteristics</term>
<term>Sociodemographic factors</term>
<term>Sore denture</term>
<term>Sore gums</term>
<term>Statistical significance</term>
<term>Tissue damage</term>
<term>Tooth pain</term>
<term>Toothache pain</term>
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<term>Abscessed tooth</term>
<term>Affirmative action employer</term>
<term>Anterior teeth</term>
<term>Baseline</term>
<term>Baseline interview</term>
<term>Baylor college</term>
<term>Clinical conditions</term>
<term>Clinical measures</term>
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<term>Community dentistry</term>
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<term>Dentistry</term>
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<term>Denture soreness</term>
<term>Difficulty model</term>
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<term>Fewer pairs</term>
<term>Food bolus</term>
<term>Functional limitation</term>
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<term>Health care</term>
<term>Health status</term>
<term>High school</term>
<term>Highest level</term>
<term>Inverted scale</term>
<term>Larger odds ratio</term>
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<term>Logistic regression</term>
<term>Logistic regression analysis</term>
<term>Logistic regressions</term>
<term>Masticatory performance</term>
<term>Maxillary</term>
<term>Mobile teeth</term>
<term>More foods</term>
<term>More root fragments</term>
<term>More teeth</term>
<term>Multiple measures</term>
<term>Occluding pairs</term>
<term>Older adults</term>
<term>Oral damage</term>
<term>Oral disease</term>
<term>Oral function</term>
<term>Oral health</term>
<term>Oral health decrements</term>
<term>Oral pain</term>
<term>Oral rehab</term>
<term>Other studies</term>
<term>Other variables</term>
<term>Periodontal attachment loss</term>
<term>Poor esthetics</term>
<term>Posterior pairs</term>
<term>Posterior teeth</term>
<term>Poverty level</term>
<term>Poverty status</term>
<term>Pronouncing</term>
<term>Pronouncing words</term>
<term>Prosthetic replacement</term>
<term>Public health</term>
<term>Public health dent</term>
<term>Public health dentistry</term>
<term>Public health sciences</term>
<term>Recent difficulty</term>
<term>Regression models</term>
<term>Regression results</term>
<term>Root caries</term>
<term>Root fragments</term>
<term>Root tips</term>
<term>Sample sizes</term>
<term>Severe attachment loss</term>
<term>Sociodemographic characteristics</term>
<term>Sociodemographic factors</term>
<term>Sore denture</term>
<term>Sore gums</term>
<term>Statistical significance</term>
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<front>
<div type="abstract">Objectives: The purpose of this study was to measure the prevalence of oral functional limitation in adults and to identify clinical and sociodemographic factors associated with that limitation. Methods: The Florida Dental Care Study is a longitudinal study of risk factors for changes in oral health. Subjects (n=873) with at least one tooth who were 45 years old or older participated in a baseline in‐person interview and dental examination. Subjects were queried about oral functional limitations. Results: Twenty‐three percent of subjects reported difficulty chewing one or more foods using a five‐item chewing index, and 10 percent reported difficulty speaking or pronouncing words because of problems with the mouth. The covariates in a multiple logistic regression identified as being significantly associated with chewing difficulty were fewer pairs of occluding anterior teeth, fewer pairs of occluding posterior teeth, more posterior teeth that are root tips, more anterior teeth that are mobile, reporting tooth pain, reporting bad breath, having but not wearing prosthetic appliances, reporting dry mouth, and being female. Having fewer anterior teeth, reporting a sore and/or broken denture, reporting unattractive teeth, and being black were significantly associated with speaking difficulty/difficulty pronouncing words because of problems with the teeth, mouth, or dentures. Conclusion: The findings in this study suggest a significant prevalence of oral functional limitation in dentate adults. Certain clinical and sociodemographic factors were strongly and independently associated with its presence.</div>
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