Serveur d'exploration sur le patient édenté

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Oral Hygiene Status of Institutionalised Dependent Elderly in India – a Cross-Sectional Survey

Identifieur interne : 000C21 ( Pmc/Checkpoint ); précédent : 000C20; suivant : 000C22

Oral Hygiene Status of Institutionalised Dependent Elderly in India – a Cross-Sectional Survey

Auteurs : Sanjeev Khanagar [Inde] ; S. Naganandini ; Vasuda Rajanna ; Sachin Naik ; Rekha Rao [Inde] ; M S Madhuniranjanswamy

Source :

RBID : PMC:4487736

Abstract

Background/Introduction

For various reasons, the care demand from elderly people is low and difficult to determine, whereas their oral hygiene status would need urgent care.

Objective

To assess the oral hygiene status of institutionalized dependent elderly in Bangalore City, India.

Methods

A cross-sectional study of 322 dependent elderly patients was conducted at seven elderly homes of Bangalore City, India. The oral hygiene status recorded includes dental and prosthetic hygiene.

Results

The mean Debris Index and Plaque Index scores of dentate elderly were 2.87±0.22 and 3.17±0.40, respectively, the mean Denture Plaque and Denture Stomatitis scores were 3.15±0.47 and 1.43±0.68, respectively.

Conclusion

The dental hygiene was inadequate. This study emphasizes the care demand and the need for help in oral hygiene procedures for the dependent institutionalized elderly.


Url:
DOI: 10.5770/cgj.18.147
PubMed: 26180560
PubMed Central: 4487736


Affiliations:


Links toward previous steps (curation, corpus...)


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PMC:4487736

Le document en format XML

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<title>Background/Introduction</title>
<p>For various reasons, the care demand from elderly people is low and difficult to determine, whereas their oral hygiene status would need urgent care.</p>
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<sec>
<title>Objective</title>
<p>To assess the oral hygiene status of institutionalized dependent elderly in Bangalore City, India.</p>
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<title>Methods</title>
<p>A cross-sectional study of 322 dependent elderly patients was conducted at seven elderly homes of Bangalore City, India. The oral hygiene status recorded includes dental and prosthetic hygiene.</p>
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<title>Results</title>
<p>The mean Debris Index and Plaque Index scores of dentate elderly were 2.87±0.22 and 3.17±0.40, respectively, the mean Denture Plaque and Denture Stomatitis scores were 3.15±0.47 and 1.43±0.68, respectively.</p>
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<p>The dental hygiene was inadequate. This study emphasizes the care demand and the need for help in oral hygiene procedures for the dependent institutionalized elderly.</p>
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<journal-id journal-id-type="nlm-ta">Can Geriatr J</journal-id>
<journal-id journal-id-type="iso-abbrev">Can Geriatr J</journal-id>
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<journal-title>Canadian Geriatrics Journal</journal-title>
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<article-id pub-id-type="publisher-id">cgj-18-51</article-id>
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<article-title>Oral Hygiene Status of Institutionalised Dependent Elderly in India – a Cross-Sectional Survey</article-title>
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<contrib contrib-type="author">
<name>
<surname>Khanagar</surname>
<given-names>Sanjeev</given-names>
</name>
<degrees>M.D.S.</degrees>
<xref ref-type="aff" rid="af1-cgj-18-51">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c1-cgj-18-51"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Naganandini</surname>
<given-names>S.</given-names>
</name>
<degrees>M.D.S.</degrees>
<xref ref-type="aff" rid="af2-cgj-18-51">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rajanna</surname>
<given-names>Vasuda</given-names>
</name>
<degrees>M.D.S.</degrees>
<xref ref-type="aff" rid="af3-cgj-18-51">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Naik</surname>
<given-names>Sachin</given-names>
</name>
<degrees>M.D.S.</degrees>
<xref ref-type="aff" rid="af4-cgj-18-51">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rao</surname>
<given-names>Rekha</given-names>
</name>
<degrees>M.D.S.</degrees>
<xref ref-type="aff" rid="af5-cgj-18-51">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Madhuniranjanswamy</surname>
<given-names>M S</given-names>
</name>
<degrees>M.D.S.6</degrees>
</contrib>
</contrib-group>
<aff id="af1-cgj-18-51">
<label>1</label>
Department Of Public Health Dentistry, K.V.G Dental College & Hospital Sullia, D.K, Karnataka, India;</aff>
<aff id="af2-cgj-18-51">
<label>2</label>
Department Of Public Health Dentistry, NIMS, Jaipur;</aff>
<aff id="af3-cgj-18-51">
<label>3</label>
Department Of Public Health Dentistry, The Oxford Dental College, Bangalore;</aff>
<aff id="af4-cgj-18-51">
<label>4</label>
Department Of Public Health Dentistry, S J M Dental College & Hospital, Chitradurga, Karnataka;</aff>
<aff id="af5-cgj-18-51">
<label>5</label>
Department Of Public Health Dentistry, K.L.E Dental College & Hospital, Bangalore, Karnataka, India</aff>
<author-notes>
<corresp id="c1-cgj-18-51">Correspondence to: Sanjeev Khanagar,
<sc>m.d.s.</sc>
, Department of Public Health Dentistry, Kurunji Venkataramana Gowda Dental College and Hospital Sullia, D.K Mangalore, Karnataka, Pin – 574327, India, E-mail:
<email>sanjeev.khanagar76@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="collection">
<month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>6</month>
<year>2015</year>
</pub-date>
<volume>18</volume>
<issue>2</issue>
<fpage>51</fpage>
<lpage>56</lpage>
<permissions>
<copyright-statement>© 2015 Author(s). Published by the Canadian Geriatrics Society.</copyright-statement>
<copyright-year>2015</copyright-year>
<license>
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No-Derivative license (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/2.5/ca/">http://creativecommons.org/licenses/by-nc-nd/2.5/ca/</ext-link>
), which permits unrestricted non-commercial use and distribution, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background/Introduction</title>
<p>For various reasons, the care demand from elderly people is low and difficult to determine, whereas their oral hygiene status would need urgent care.</p>
</sec>
<sec>
<title>Objective</title>
<p>To assess the oral hygiene status of institutionalized dependent elderly in Bangalore City, India.</p>
</sec>
<sec>
<title>Methods</title>
<p>A cross-sectional study of 322 dependent elderly patients was conducted at seven elderly homes of Bangalore City, India. The oral hygiene status recorded includes dental and prosthetic hygiene.</p>
</sec>
<sec>
<title>Results</title>
<p>The mean Debris Index and Plaque Index scores of dentate elderly were 2.87±0.22 and 3.17±0.40, respectively, the mean Denture Plaque and Denture Stomatitis scores were 3.15±0.47 and 1.43±0.68, respectively.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The dental hygiene was inadequate. This study emphasizes the care demand and the need for help in oral hygiene procedures for the dependent institutionalized elderly.</p>
</sec>
</abstract>
<kwd-group>
<kwd>dependent elderly</kwd>
<kwd>institutionalized elderly oral health</kwd>
<kwd>elderly oral hygiene status</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<table-wrap id="t1-cgj-18-51" position="float">
<label>TABLE 1.</label>
<caption>
<p>Distribution of dependent elderly residents according to age</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Age</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>n</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>%</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">65–70</td>
<td valign="top" align="center" rowspan="1" colspan="1">103</td>
<td valign="top" align="center" rowspan="1" colspan="1">31.98</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">71–80</td>
<td valign="top" align="center" rowspan="1" colspan="1">129</td>
<td valign="top" align="center" rowspan="1" colspan="1">40.06</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">81–90</td>
<td valign="top" align="center" rowspan="1" colspan="1">85</td>
<td valign="top" align="center" rowspan="1" colspan="1">26.39</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">> 90</td>
<td valign="top" align="center" rowspan="1" colspan="1">3</td>
<td valign="top" align="center" rowspan="1" colspan="1">1.55</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Total</td>
<td valign="top" align="center" rowspan="1" colspan="1">322</td>
<td valign="top" align="center" rowspan="1" colspan="1">100</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Mean ± SD</td>
<td valign="top" align="center" rowspan="1" colspan="1">76.98±7.33</td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t2-cgj-18-51" position="float">
<label>TABLE 2.</label>
<caption>
<p>Distribution of dependent elderly residents according to gender</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Gender</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>n</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>%</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Male</td>
<td valign="top" align="center" rowspan="1" colspan="1">88</td>
<td valign="top" align="center" rowspan="1" colspan="1">27.32</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Female</td>
<td valign="top" align="center" rowspan="1" colspan="1">234</td>
<td valign="top" align="center" rowspan="1" colspan="1">72.67</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Total</td>
<td valign="top" align="center" rowspan="1" colspan="1">322</td>
<td valign="top" align="center" rowspan="1" colspan="1">100.0</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t3-cgj-18-51" position="float">
<label>TABLE 3.</label>
<caption>
<p>Dependency score of elderly residents according to using Barthel Index</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Index</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Mean Score</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left" rowspan="1" colspan="1">Barthel Index</td>
<td valign="middle" align="center" rowspan="1" colspan="1">20.94±8.76</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t4-cgj-18-51" position="float">
<label>TABLE 4.</label>
<caption>
<p>Distribution of dependent elderly residents according to their dentition status</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="left" rowspan="1" colspan="1"></th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>n</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>%</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Dentate</td>
<td valign="top" align="center" rowspan="1" colspan="1">197</td>
<td valign="top" align="center" rowspan="1" colspan="1">61.18</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Denture wearers</td>
<td valign="top" align="center" rowspan="1" colspan="1">125</td>
<td valign="top" align="center" rowspan="1" colspan="1">38.82</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Total</td>
<td valign="top" align="center" rowspan="1" colspan="1">322</td>
<td valign="top" align="center" rowspan="1" colspan="1">100.0</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t5-cgj-18-51" position="float">
<label>TABLE 5.</label>
<caption>
<p>Debris Index score of dentate elderly residents</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Index</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Mean Score</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Index Score</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Interpretation</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Debris</td>
<td valign="top" align="center" rowspan="1" colspan="1">2.87±0.22</td>
<td valign="top" align="center" rowspan="1" colspan="1">0.0–0.6</td>
<td valign="top" align="center" rowspan="1" colspan="1">good</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1">0.7–1.8</td>
<td valign="top" align="center" rowspan="1" colspan="1">fair</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1">1.9–3.0</td>
<td valign="top" align="center" rowspan="1" colspan="1">poor</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t6-cgj-18-51" position="float">
<label>TABLE 6.</label>
<caption>
<p>Plaque Index score of dentate elderly residents</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Index</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Mean Score</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Index Score</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Interpretation</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Plaque</td>
<td valign="top" align="center" rowspan="1" colspan="1">3.17±0.40</td>
<td valign="top" align="center" rowspan="1" colspan="1">0–1</td>
<td valign="top" align="center" rowspan="1" colspan="1">low</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1">2 or more</td>
<td valign="top" align="center" rowspan="1" colspan="1">high</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t7-cgj-18-51" position="float">
<label>TABLE 7.</label>
<caption>
<p>Denture plaque score of denture-wearing elderly residents</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Index</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Mean Score</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Index Score</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Interpretation</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Denture Plaque</td>
<td valign="top" align="center" rowspan="1" colspan="1">3.15±0.47</td>
<td valign="top" align="center" rowspan="1" colspan="1">0</td>
<td valign="top" align="center" rowspan="1" colspan="1">No plaque</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1">1</td>
<td valign="top" align="center" rowspan="1" colspan="1">Light plaque</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1">2</td>
<td valign="top" align="center" rowspan="1" colspan="1">Moderate plaque</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1">3</td>
<td valign="top" align="center" rowspan="1" colspan="1">Heavy plaque</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1">4</td>
<td valign="top" align="center" rowspan="1" colspan="1">Very heavy plaque</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t8-cgj-18-51" position="float">
<label>TABLE 8.</label>
<caption>
<p>Denture stomatitis score of denture-wearing elderly residents</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Index</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Mean Score</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Index Score</italic>
</th>
<th valign="middle" align="center" rowspan="1" colspan="1">
<italic>Interpretation</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1">Denture Stomatitis</td>
<td valign="top" align="center" rowspan="1" colspan="1">1.43±0.68</td>
<td valign="top" align="center" rowspan="1" colspan="1">0</td>
<td valign="top" align="center" rowspan="1" colspan="1">Stomatitis not present</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1">1</td>
<td valign="top" align="center" rowspan="1" colspan="1">Pin-point erythema</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1">2</td>
<td valign="top" align="center" rowspan="1" colspan="1">Diffuse erythema</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1"></td>
<td valign="top" align="center" rowspan="1" colspan="1">3</td>
<td valign="top" align="center" rowspan="1" colspan="1">Inflammatory papillary hyperplasia</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Inde</li>
</country>
</list>
<tree>
<noCountry>
<name sortKey="Madhuniranjanswamy, M S" sort="Madhuniranjanswamy, M S" uniqKey="Madhuniranjanswamy M" first="M S" last="Madhuniranjanswamy">M S Madhuniranjanswamy</name>
<name sortKey="Naganandini, S" sort="Naganandini, S" uniqKey="Naganandini S" first="S." last="Naganandini">S. Naganandini</name>
<name sortKey="Naik, Sachin" sort="Naik, Sachin" uniqKey="Naik S" first="Sachin" last="Naik">Sachin Naik</name>
<name sortKey="Rajanna, Vasuda" sort="Rajanna, Vasuda" uniqKey="Rajanna V" first="Vasuda" last="Rajanna">Vasuda Rajanna</name>
</noCountry>
<country name="Inde">
<noRegion>
<name sortKey="Khanagar, Sanjeev" sort="Khanagar, Sanjeev" uniqKey="Khanagar S" first="Sanjeev" last="Khanagar">Sanjeev Khanagar</name>
</noRegion>
<name sortKey="Rao, Rekha" sort="Rao, Rekha" uniqKey="Rao R" first="Rekha" last="Rao">Rekha Rao</name>
</country>
</tree>
</affiliations>
</record>

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