Serveur d'exploration sur le patient édenté

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Discontinued dental attendance among elderly people in Sweden

Identifieur interne : 006843 ( Ncbi/Merge ); précédent : 006842; suivant : 006844

Discontinued dental attendance among elderly people in Sweden

Auteurs : Ingela Grönbeck-Linden [Suède] ; Catharina H Gglin [Suède] ; Anita Petersson [Suède] ; Per O. Linander [Suède] ; Lars Gahnberg [Suède]

Source :

RBID : PMC:4916796

Abstract

Aim:

Our objective was to study the loss of dental attendance and a possible age trend among patients aged ≥65 years in Sweden. Regular dental check-ups are considered to be an important factor in maintaining oral health. Approximately 80% of the adult population in Sweden are enrolled in a regular check-up system; however, dental practitioners often find that older patients attend fewer check-ups. Old people may naturally lose contact with dental services as they move to special housing or die. In this systematic study, these factors were investigated and used as exclusion criteria.

Materials and Methods:

Data were collected for all patients (n = 4759) aged 65 or older from the electronic journal system in 3 large public dental clinics in 3 communities. Their dental records for the years 2004–2009 were studied longitudinally by 1 person at each clinic; 1111 patients were excluded (patients died during study period, wanted emergency care only, obtained special dental care allowance, moved from the community or moved to special housing, or left the clinic for another caregiver). The statistical analyses were performed using the Statistical Package for the Social Sciences version 21 (IBM).

Results:

Of the 3648 patients (1690 men and 1958 women) included in the study, 13% lost contact with their dental service over the course of the study (10% of those were aged 65–79 and 21% ≥80). The decrease in regular dental contact had a statistically significant association with increasing age (P < 0.001).

Conclusion:

A considerable number of older people living independently or with moderate supportive care in their own homes lost contact with dental service despite enrolment in a recall system.


Url:
DOI: 10.4103/2231-0762.183101
PubMed: 27382538
PubMed Central: 4916796

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PMC:4916796

Le document en format XML

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<title>Aim:</title>
<p>Our objective was to study the loss of dental attendance and a possible age trend among patients aged ≥65 years in Sweden. Regular dental check-ups are considered to be an important factor in maintaining oral health. Approximately 80% of the adult population in Sweden are enrolled in a regular check-up system; however, dental practitioners often find that older patients attend fewer check-ups. Old people may naturally lose contact with dental services as they move to special housing or die. In this systematic study, these factors were investigated and used as exclusion criteria.</p>
</sec>
<sec id="st2">
<title>Materials and Methods:</title>
<p>Data were collected for all patients (
<italic>n</italic>
= 4759) aged 65 or older from the electronic journal system in 3 large public dental clinics in 3 communities. Their dental records for the years 2004–2009 were studied longitudinally by 1 person at each clinic; 1111 patients were excluded (patients died during study period, wanted emergency care only, obtained special dental care allowance, moved from the community or moved to special housing, or left the clinic for another caregiver). The statistical analyses were performed using the Statistical Package for the Social Sciences version 21 (IBM).</p>
</sec>
<sec id="st3">
<title>Results:</title>
<p>Of the 3648 patients (1690 men and 1958 women) included in the study, 13% lost contact with their dental service over the course of the study (10% of those were aged 65–79 and 21% ≥80). The decrease in regular dental contact had a statistically significant association with increasing age (
<italic>P</italic>
< 0.001).</p>
</sec>
<sec id="st4">
<title>Conclusion:</title>
<p>A considerable number of older people living independently or with moderate supportive care in their own homes lost contact with dental service despite enrolment in a recall system.</p>
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<name sortKey="Norderyd, O" uniqKey="Norderyd O">O Norderyd</name>
</author>
<author>
<name sortKey="Koch, G" uniqKey="Koch G">G Koch</name>
</author>
<author>
<name sortKey="Papias, A" uniqKey="Papias A">A Papias</name>
</author>
<author>
<name sortKey="Kohler, Aa" uniqKey="Kohler A">AA Köhler</name>
</author>
<author>
<name sortKey="Helkimo, An" uniqKey="Helkimo A">AN Helkimo</name>
</author>
<author>
<name sortKey="Brahm, Co" uniqKey="Brahm C">CO Brahm</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Mcgrath, C" uniqKey="Mcgrath C">C McGrath</name>
</author>
<author>
<name sortKey="Bedi, R" uniqKey="Bedi R">R Bedi</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Rouxel, P" uniqKey="Rouxel P">P Rouxel</name>
</author>
<author>
<name sortKey="Tsakos, G" uniqKey="Tsakos G">G Tsakos</name>
</author>
<author>
<name sortKey="Chandola, T" uniqKey="Chandola T">T Chandola</name>
</author>
<author>
<name sortKey="Watt, Rg" uniqKey="Watt R">RG Watt</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Int Soc Prev Community Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">J Int Soc Prev Community Dent</journal-id>
<journal-id journal-id-type="publisher-id">JISPCD</journal-id>
<journal-title-group>
<journal-title>Journal of International Society of Preventive & Community Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">2231-0762</issn>
<issn pub-type="epub">2250-1002</issn>
<publisher>
<publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27382538</article-id>
<article-id pub-id-type="pmc">4916796</article-id>
<article-id pub-id-type="publisher-id">JISPCD-6-224</article-id>
<article-id pub-id-type="doi">10.4103/2231-0762.183101</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Discontinued dental attendance among elderly people in Sweden</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Grönbeck-Linden</surname>
<given-names>Ingela</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hägglin</surname>
<given-names>Catharina</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Petersson</surname>
<given-names>Anita</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Linander</surname>
<given-names>Per O.</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gahnberg</surname>
<given-names>Lars</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff2">2</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
Department of Gerodontology, Public Dental Service, Region Vãstra Götaland, Gothenburg, Sweden</aff>
<aff id="aff2">
<label>2</label>
Department of Behavioural and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, The University of Gothenburg, Gothenburg, Sweden</aff>
<author-notes>
<corresp id="cor1">
<bold>Corresponding author</bold>
(email:
<email xlink:href="lars.gahnberg@vgregion.se">lars.gahnberg@vgregion.se</email>
) Prof. Lars Gahnberg, Department of Behavioural and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, The University of Gothenberg, Box 450, SE 405 30, Gothenburg, Sweden.</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>May-Jun</season>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>5</month>
<year>2016</year>
</pub-date>
<volume>6</volume>
<issue>3</issue>
<fpage>224</fpage>
<lpage>229</lpage>
<history>
<date date-type="received">
<day>16</day>
<month>3</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>06</day>
<month>5</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright: © 2016 Journal of International Society of Preventive and Community Dentistry</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0">
<license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.</license-p>
</license>
</permissions>
<abstract>
<sec id="st1">
<title>Aim:</title>
<p>Our objective was to study the loss of dental attendance and a possible age trend among patients aged ≥65 years in Sweden. Regular dental check-ups are considered to be an important factor in maintaining oral health. Approximately 80% of the adult population in Sweden are enrolled in a regular check-up system; however, dental practitioners often find that older patients attend fewer check-ups. Old people may naturally lose contact with dental services as they move to special housing or die. In this systematic study, these factors were investigated and used as exclusion criteria.</p>
</sec>
<sec id="st2">
<title>Materials and Methods:</title>
<p>Data were collected for all patients (
<italic>n</italic>
= 4759) aged 65 or older from the electronic journal system in 3 large public dental clinics in 3 communities. Their dental records for the years 2004–2009 were studied longitudinally by 1 person at each clinic; 1111 patients were excluded (patients died during study period, wanted emergency care only, obtained special dental care allowance, moved from the community or moved to special housing, or left the clinic for another caregiver). The statistical analyses were performed using the Statistical Package for the Social Sciences version 21 (IBM).</p>
</sec>
<sec id="st3">
<title>Results:</title>
<p>Of the 3648 patients (1690 men and 1958 women) included in the study, 13% lost contact with their dental service over the course of the study (10% of those were aged 65–79 and 21% ≥80). The decrease in regular dental contact had a statistically significant association with increasing age (
<italic>P</italic>
< 0.001).</p>
</sec>
<sec id="st4">
<title>Conclusion:</title>
<p>A considerable number of older people living independently or with moderate supportive care in their own homes lost contact with dental service despite enrolment in a recall system.</p>
</sec>
</abstract>
<kwd-group>
<kwd>
<italic>Dental attendance</italic>
</kwd>
<kwd>
<italic>dental care for aged</italic>
</kwd>
<kwd>
<italic>frail elderly</italic>
</kwd>
<kwd>
<italic>public dental service</italic>
</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Suède</li>
</country>
</list>
<tree>
<country name="Suède">
<noRegion>
<name sortKey="Gronbeck Linden, Ingela" sort="Gronbeck Linden, Ingela" uniqKey="Gronbeck Linden I" first="Ingela" last="Grönbeck-Linden">Ingela Grönbeck-Linden</name>
</noRegion>
<name sortKey="Gahnberg, Lars" sort="Gahnberg, Lars" uniqKey="Gahnberg L" first="Lars" last="Gahnberg">Lars Gahnberg</name>
<name sortKey="Gahnberg, Lars" sort="Gahnberg, Lars" uniqKey="Gahnberg L" first="Lars" last="Gahnberg">Lars Gahnberg</name>
<name sortKey="Gronbeck Linden, Ingela" sort="Gronbeck Linden, Ingela" uniqKey="Gronbeck Linden I" first="Ingela" last="Grönbeck-Linden">Ingela Grönbeck-Linden</name>
<name sortKey="H Gglin, Catharina" sort="H Gglin, Catharina" uniqKey="H Gglin C" first="Catharina" last="H Gglin">Catharina H Gglin</name>
<name sortKey="H Gglin, Catharina" sort="H Gglin, Catharina" uniqKey="H Gglin C" first="Catharina" last="H Gglin">Catharina H Gglin</name>
<name sortKey="Linander, Per O" sort="Linander, Per O" uniqKey="Linander P" first="Per O." last="Linander">Per O. Linander</name>
<name sortKey="Petersson, Anita" sort="Petersson, Anita" uniqKey="Petersson A" first="Anita" last="Petersson">Anita Petersson</name>
</country>
</tree>
</affiliations>
</record>

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