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Medical conditions associated with missing teeth and edentulism in the institutionalized elderly.

Identifieur interne : 009D42 ( Ncbi/Checkpoint ); précédent : 009D41; suivant : 009D43

Medical conditions associated with missing teeth and edentulism in the institutionalized elderly.

Auteurs : A A Hamasha ; J S Hand ; S M Levy

Source :

RBID : pubmed:9680923

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English descriptors

Abstract

Several studies have reported the prevalence of medical conditions or investigated the relationships between the oral health status and general health conditions in the elderly. However, the relationship between medical conditions and oral health among the elderly is not well-described. Previous studies have not clearly identified a consistent association between medical conditions and oral health, specifically edentulism and tooth loss. The purpose of this study was to investigate the relationships between medical conditions and oral health, as assessed by edentulism and missing teeth, in an institutionalized elderly population. A systematic sample (n = 175), stratified by age and sex, was drawn from nursing home patients treated by the University of low' as Geriatric Mobile Unit (GMU) team. Data were extracted from GMU dental records, regarding history of medical conditions, medications, dental history, dentate status, and tooth-by-tooth conditions. Mean numbers of missing teeth were significantly higher among those who had a history of atherosclerotic vascular disease, heart failure, ischemic heart disease, and joint disease. Subjects who had a history of atherosclerotic vascular disease, heart failure, ischemic heart disease, and joint disease were more likely to be edentulous than subjects who did not have a history of those diseases. The biological basis for these relationships between dentate status and systemic medical conditions is unclear and warrants further study.

PubMed: 9680923


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pubmed:9680923

Le document en format XML

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<nlm:affiliation>Department of Preventive Dentistry, Jordan University of Science and Technology.</nlm:affiliation>
<wicri:noCountry code="subField">Jordan University of Science and Technology</wicri:noCountry>
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<name sortKey="Hand, J S" sort="Hand, J S" uniqKey="Hand J" first="J S" last="Hand">J S Hand</name>
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<title level="j">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</title>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cardiovascular Diseases (complications)</term>
<term>Cardiovascular Diseases (epidemiology)</term>
<term>Chi-Square Distribution</term>
<term>Dental Care for Aged</term>
<term>Dental Health Surveys</term>
<term>Female</term>
<term>Geriatric Assessment</term>
<term>Humans</term>
<term>Institutionalization</term>
<term>Iowa (epidemiology)</term>
<term>Jaw, Edentulous (complications)</term>
<term>Jaw, Edentulous (epidemiology)</term>
<term>Joint Diseases (complications)</term>
<term>Joint Diseases (epidemiology)</term>
<term>Male</term>
<term>Mouth, Edentulous (complications)</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Nursing Homes</term>
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<term>Tooth Loss (complications)</term>
<term>Tooth Loss (epidemiology)</term>
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<term>Analyse de régression</term>
<term>Bouche édentée ()</term>
<term>Bouche édentée (épidémiologie)</term>
<term>Enquêtes de santé dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Institutionnalisation</term>
<term>Iowa (épidémiologie)</term>
<term>Loi du khi-deux</term>
<term>Maisons de repos</term>
<term>Maladies articulaires ()</term>
<term>Maladies articulaires (épidémiologie)</term>
<term>Maladies cardiovasculaires ()</term>
<term>Maladies cardiovasculaires (épidémiologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (épidémiologie)</term>
<term>Mâle</term>
<term>Perte dentaire ()</term>
<term>Perte dentaire (épidémiologie)</term>
<term>Soins dentaires pour personnes âgées</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Évaluation gériatrique</term>
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<term>Mouth, Edentulous</term>
<term>Tooth Loss</term>
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<term>Bouche édentée</term>
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<term>Mâchoire édentée</term>
<term>Perte dentaire</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Chi-Square Distribution</term>
<term>Dental Care for Aged</term>
<term>Dental Health Surveys</term>
<term>Female</term>
<term>Geriatric Assessment</term>
<term>Humans</term>
<term>Institutionalization</term>
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<term>Nursing Homes</term>
<term>Regression Analysis</term>
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<term>Analyse de régression</term>
<term>Bouche édentée</term>
<term>Enquêtes de santé dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Institutionnalisation</term>
<term>Loi du khi-deux</term>
<term>Maisons de repos</term>
<term>Maladies articulaires</term>
<term>Maladies cardiovasculaires</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Perte dentaire</term>
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<div type="abstract" xml:lang="en">Several studies have reported the prevalence of medical conditions or investigated the relationships between the oral health status and general health conditions in the elderly. However, the relationship between medical conditions and oral health among the elderly is not well-described. Previous studies have not clearly identified a consistent association between medical conditions and oral health, specifically edentulism and tooth loss. The purpose of this study was to investigate the relationships between medical conditions and oral health, as assessed by edentulism and missing teeth, in an institutionalized elderly population. A systematic sample (n = 175), stratified by age and sex, was drawn from nursing home patients treated by the University of low' as Geriatric Mobile Unit (GMU) team. Data were extracted from GMU dental records, regarding history of medical conditions, medications, dental history, dentate status, and tooth-by-tooth conditions. Mean numbers of missing teeth were significantly higher among those who had a history of atherosclerotic vascular disease, heart failure, ischemic heart disease, and joint disease. Subjects who had a history of atherosclerotic vascular disease, heart failure, ischemic heart disease, and joint disease were more likely to be edentulous than subjects who did not have a history of those diseases. The biological basis for these relationships between dentate status and systemic medical conditions is unclear and warrants further study.</div>
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