Edentulousness, Denture Wear and Denture Needs of the Elderly in Rural South India
Identifieur interne : 002E65 ( Pmc/Curation ); précédent : 002E64; suivant : 002E66Edentulousness, Denture Wear and Denture Needs of the Elderly in Rural South India
Auteurs : P. Ariga [Inde] ; A. Bridgitte [Inde] ; V. Rangarajan [Inde] ; J M Philip [Inde]Source :
- Iranian Journal of Public Health [ 2251-6085 ] ; 2012.
Abstract
The objectives of this study were to evaluate the prevalence of edentulousness, patient’s perception on dietary changes resulting from tooth loss and to identify the disparity between actual and patient perceived need to replace missing teeth in an elderly rural population in south India.
A cross sectional study using the systematic cluster sampling method was used to select the study sample of 150 elderly men and women. Data were collected using questionnaires and oral examination. The data were statistically analyzed using chi square test and pearson correlation.
15.6% of the rural elderly were completely edentulous and 54.7% were partially edentulous. Observed differences in distribution between the sampled elderly age groups were found to be statistically significant. Although 70.3% of the evaluated elderly actually required prosthodontic treatment, only 14.4% perceived the need to replace missing teeth. A small percentage of the elderly (18%) perceived a severe change in their diets due to tooth loss. Thirty three percent of them perceived a moderate change and 28% felt that there were no dietary changes because of tooth loss.
It is essential to identify feasible strategies to provide primary dental health education and treatment to all rural elderly in the future. We suggest community dental health services as a general health need of the elderly rather than a special health need of the community.
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PubMed: 23113208
PubMed Central: 3469015
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<author><name sortKey="Ariga, P" sort="Ariga, P" uniqKey="Ariga P" first="P" last="Ariga">P. Ariga</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ijph-41-40">Sundaram Medical Foundation, Chennai, India</nlm:aff>
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<author><name sortKey="Bridgitte, A" sort="Bridgitte, A" uniqKey="Bridgitte A" first="A" last="Bridgitte">A. Bridgitte</name>
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<author><name sortKey="Rangarajan, V" sort="Rangarajan, V" uniqKey="Rangarajan V" first="V" last="Rangarajan">V. Rangarajan</name>
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<author><name sortKey="Philip, J M" sort="Philip, J M" uniqKey="Philip J" first="J M" last="Philip">J M Philip</name>
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<author><name sortKey="Ariga, P" sort="Ariga, P" uniqKey="Ariga P" first="P" last="Ariga">P. Ariga</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ijph-41-40">Sundaram Medical Foundation, Chennai, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Sundaram Medical Foundation, Chennai</wicri:regionArea>
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</author>
<author><name sortKey="Bridgitte, A" sort="Bridgitte, A" uniqKey="Bridgitte A" first="A" last="Bridgitte">A. Bridgitte</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ijph-41-40">Sundaram Medical Foundation, Chennai, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Sundaram Medical Foundation, Chennai</wicri:regionArea>
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<author><name sortKey="Rangarajan, V" sort="Rangarajan, V" uniqKey="Rangarajan V" first="V" last="Rangarajan">V. Rangarajan</name>
<affiliation wicri:level="1"><nlm:aff id="af1-ijph-41-40">Sundaram Medical Foundation, Chennai, India</nlm:aff>
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<author><name sortKey="Philip, J M" sort="Philip, J M" uniqKey="Philip J" first="J M" last="Philip">J M Philip</name>
<affiliation wicri:level="1"><nlm:aff id="af2-ijph-41-40">Dept. of Prosthodontics and Implantology, Saveetha Dental College and Hospitals, Chennai, India</nlm:aff>
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<series><title level="j">Iranian Journal of Public Health</title>
<idno type="ISSN">2251-6085</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Background:</title>
<p>The objectives of this study were to evaluate the prevalence of edentulousness, patient’s perception on dietary changes resulting from tooth loss and to identify the disparity between actual and patient perceived need to replace missing teeth in an elderly rural population in south India.</p>
</sec>
<sec><title>Methods:</title>
<p>A cross sectional study using the systematic cluster sampling method was used to select the study sample of 150 elderly men and women. Data were collected using questionnaires and oral examination. The data were statistically analyzed using chi square test and pearson correlation.</p>
</sec>
<sec><title>Results:</title>
<p>15.6% of the rural elderly were completely edentulous and 54.7% were partially edentulous. Observed differences in distribution between the sampled elderly age groups were found to be statistically significant. Although 70.3% of the evaluated elderly actually required prosthodontic treatment, only 14.4% perceived the need to replace missing teeth. A small percentage of the elderly (18%) perceived a severe change in their diets due to tooth loss. Thirty three percent of them perceived a moderate change and 28% felt that there were no dietary changes because of tooth loss.</p>
</sec>
<sec><title>Conclusions:</title>
<p>It is essential to identify feasible strategies to provide primary dental health education and treatment to all rural elderly in the future. We suggest community dental health services as a general health need of the elderly rather than a special health need of the community.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Iran J Public Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Iran. J. Public Health</journal-id>
<journal-id journal-id-type="publisher-id">IJPH</journal-id>
<journal-title-group><journal-title>Iranian Journal of Public Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">2251-6085</issn>
<issn pub-type="epub">2251-6093</issn>
<publisher><publisher-name>Tehran University of Medical Sciences</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23113208</article-id>
<article-id pub-id-type="pmc">3469015</article-id>
<article-id pub-id-type="publisher-id">ijph-41-40</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Edentulousness, Denture Wear and Denture Needs of the Elderly in Rural South India</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Ariga</surname>
<given-names>P</given-names>
</name>
<xref ref-type="aff" rid="af1-ijph-41-40"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bridgitte</surname>
<given-names>A</given-names>
</name>
<xref ref-type="aff" rid="af1-ijph-41-40"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rangarajan</surname>
<given-names>V</given-names>
</name>
<xref ref-type="aff" rid="af1-ijph-41-40"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Philip</surname>
<given-names>J M</given-names>
</name>
<xref ref-type="aff" rid="af2-ijph-41-40"><sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c1-ijph-41-40"><sup>*</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-ijph-41-40"><label>1</label>
Sundaram Medical Foundation, Chennai, India</aff>
<aff id="af2-ijph-41-40"><label>2</label>
Dept. of Prosthodontics and Implantology, Saveetha Dental College and Hospitals, Chennai, India</aff>
<author-notes><corresp id="c1-ijph-41-40"><label>*</label>
Corresponding Author:, E-mail address: <email>jacobmphilip@yahoo.co.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>31</day>
<month>7</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="collection"><year>2012</year>
</pub-date>
<volume>41</volume>
<issue>7</issue>
<fpage>40</fpage>
<lpage>43</lpage>
<history><date date-type="received"><day>22</day>
<month>2</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>11</day>
<month>6</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>Copyright © Iranian Public Health Association & Tehran University of Medical Sciences</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.</license-p>
</license>
</permissions>
<abstract><sec><title>Background:</title>
<p>The objectives of this study were to evaluate the prevalence of edentulousness, patient’s perception on dietary changes resulting from tooth loss and to identify the disparity between actual and patient perceived need to replace missing teeth in an elderly rural population in south India.</p>
</sec>
<sec><title>Methods:</title>
<p>A cross sectional study using the systematic cluster sampling method was used to select the study sample of 150 elderly men and women. Data were collected using questionnaires and oral examination. The data were statistically analyzed using chi square test and pearson correlation.</p>
</sec>
<sec><title>Results:</title>
<p>15.6% of the rural elderly were completely edentulous and 54.7% were partially edentulous. Observed differences in distribution between the sampled elderly age groups were found to be statistically significant. Although 70.3% of the evaluated elderly actually required prosthodontic treatment, only 14.4% perceived the need to replace missing teeth. A small percentage of the elderly (18%) perceived a severe change in their diets due to tooth loss. Thirty three percent of them perceived a moderate change and 28% felt that there were no dietary changes because of tooth loss.</p>
</sec>
<sec><title>Conclusions:</title>
<p>It is essential to identify feasible strategies to provide primary dental health education and treatment to all rural elderly in the future. We suggest community dental health services as a general health need of the elderly rather than a special health need of the community.</p>
</sec>
</abstract>
<kwd-group><kwd>Edentulousness</kwd>
<kwd>Denture Wear</kwd>
<kwd>Denture Need</kwd>
<kwd>India</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><table-wrap id="t1-ijph-41-40" position="float"><label>Table 1:</label>
<caption><p>Distribution of edentulousness among the rural elderly according to age</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th align="left" valign="top" rowspan="1" colspan="1"><bold>Age (Yr)</bold>
</th>
<th align="center" valign="top" rowspan="1" colspan="1"><bold>Completely edentulous</bold>
</th>
<th align="center" valign="top" rowspan="1" colspan="1"><bold>Partially edentulous</bold>
</th>
<th align="center" valign="top" rowspan="1" colspan="1"><bold>All teeth present</bold>
</th>
<th align="center" valign="top" rowspan="1" colspan="1"><bold>Total</bold>
</th>
</tr>
</thead>
<tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">60–70</td>
<td align="center" valign="top" rowspan="1" colspan="1">12<break></break>
13.5%</td>
<td align="center" valign="top" rowspan="1" colspan="1">50<break></break>
56.2%</td>
<td align="center" valign="top" rowspan="1" colspan="1">27<break></break>
30.3%</td>
<td align="center" valign="top" rowspan="1" colspan="1">89<break></break>
100.0%</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">>70</td>
<td align="center" valign="top" rowspan="1" colspan="1">8<break></break>
20.5%</td>
<td align="center" valign="top" rowspan="1" colspan="1">20<break></break>
51.3%</td>
<td align="center" valign="top" rowspan="1" colspan="1">11<break></break>
28.2%</td>
<td align="center" valign="top" rowspan="1" colspan="1">39<break></break>
100.0%</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Total</td>
<td align="center" valign="top" rowspan="1" colspan="1">20<break></break>
15.6%</td>
<td align="center" valign="top" rowspan="1" colspan="1">70<break></break>
54.7%</td>
<td align="center" valign="top" rowspan="1" colspan="1">38<break></break>
29.7%</td>
<td align="center" valign="top" rowspan="1" colspan="1">128<break></break>
100.0%</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t2-ijph-41-40" position="float"><label>Table 2:</label>
<caption><p>Distribution of edentulousness among the rural elderly according to gender</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th align="left" valign="top" rowspan="1" colspan="1"><bold>Gender</bold>
</th>
<th align="left" valign="top" rowspan="1" colspan="1"><bold>Completely edentulous</bold>
</th>
<th align="left" valign="top" rowspan="1" colspan="1"><bold>Partially edentulous</bold>
</th>
<th align="left" valign="top" rowspan="1" colspan="1"><bold>All teeth present</bold>
</th>
<th align="left" valign="top" rowspan="1" colspan="1"><bold>Total</bold>
</th>
</tr>
</thead>
<tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Male</td>
<td align="left" valign="top" rowspan="1" colspan="1">12<break></break>
19.0%</td>
<td align="left" valign="top" rowspan="1" colspan="1">34<break></break>
54.0%</td>
<td align="left" valign="top" rowspan="1" colspan="1">17<break></break>
27.0%</td>
<td align="left" valign="top" rowspan="1" colspan="1">63<break></break>
100%</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Female</td>
<td align="left" valign="top" rowspan="1" colspan="1">8<break></break>
12.3%</td>
<td align="left" valign="top" rowspan="1" colspan="1">36<break></break>
55.4%</td>
<td align="left" valign="top" rowspan="1" colspan="1">21<break></break>
32.3%</td>
<td align="left" valign="top" rowspan="1" colspan="1">65<break></break>
100.0%</td>
</tr>
<tr><td align="left" valign="top" rowspan="1" colspan="1">Total</td>
<td align="left" valign="top" rowspan="1" colspan="1">20<break></break>
15.6%</td>
<td align="left" valign="top" rowspan="1" colspan="1">70<break></break>
54.7%</td>
<td align="left" valign="top" rowspan="1" colspan="1">38<break></break>
29.7%</td>
<td align="left" valign="top" rowspan="1" colspan="1">128<break></break>
100.0%</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
</record>
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