Liza J M van de Rijt1, Celine C Stoop1, Roxane A F Weijenberg1, Ralph de Vries2, Alexandra R Feast3, Elizabeth L Sampson3,4, Frank Lobbezoo1. 1. Faculty of Dentistry, Department of Orofacial Pain & Dysfunction, Academic Centre of Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands. 2. Medical Library, Vrije Universiteit Amsterdam, The Netherlands. 3. Marie Curie Palliative Care Research Department, Division of Psychiatry, University College Londen, UK. 4. Barnet Enfield and Haringey Mental Health Trust Liaison Psychiatry Team, North Middlesex University Hospital, London, UK.
Abstract
BACKGROUND AND OBJECTIVES: The number of people aged 65 years or older is growing substantially. As a result of increased health burden and tooth retention, more oral health problems are expected in this age group. A poor oral health-related quality of life (OHQoL) can compromise a person's psychological state, social relationships, personal beliefs, and physical health. The aim of this systematic review was to identify oral health factors associated with OHQoL in people aged 65 years or older and to give a comprehensive overview of the body of literature for each oral health factor separately. RESEARCH DESIGN AND METHODS: A comprehensive search was performed in five databases. The following terms were used as index terms or free-text words: "Oral Health," "Quality of Life," "Older People." Two researchers independently assessed studies for eligibility based on predefined criteria. RESULTS: Of 3,702 references retrieved from the databases, 68 studies were eligible and included (9 randomized clinical trials, 6 cohort studies, and 53 cross-sectional studies). All results were reported descriptively. OHQoL in people aged 65 years or older is positively associated with higher number of teeth, higher number of occluding pairs, implant-retained overdentures, and the shortened dental arch concept and negatively associated with xerostomia, orofacial pain, and poor chewing ability. In the current literature, there is no consensus on the association between edentulism, caries, and periodontal conditions and OHQoL. DISCUSSION AND IMPLICATIONS: Having a functional dentition (either natural or prosthetic) is important for a good OHQoL, whereas painful or functional complaints are associated with impaired OHQoL.
BACKGROUND AND OBJECTIVES: The number of people aged 65 years or older is growing substantially. As a result of increased health burden and tooth retention, more oral health problems are expected in this age group. A poor oral health-related quality of life (OHQoL) can compromise a person's psychological state, social relationships, personal beliefs, and physical health. The aim of this systematic review was to identify oral health factors associated with OHQoL in people aged 65 years or older and to give a comprehensive overview of the body of literature for each oral health factor separately. RESEARCH DESIGN AND METHODS: A comprehensive search was performed in five databases. The following terms were used as index terms or free-text words: "Oral Health," "Quality of Life," "Older People." Two researchers independently assessed studies for eligibility based on predefined criteria. RESULTS: Of 3,702 references retrieved from the databases, 68 studies were eligible and included (9 randomized clinical trials, 6 cohort studies, and 53 cross-sectional studies). All results were reported descriptively. OHQoL in people aged 65 years or older is positively associated with higher number of teeth, higher number of occluding pairs, implant-retained overdentures, and the shortened dental arch concept and negatively associated with xerostomia, orofacial pain, and poor chewing ability. In the current literature, there is no consensus on the association between edentulism, caries, and periodontal conditions and OHQoL. DISCUSSION AND IMPLICATIONS: Having a functional dentition (either natural or prosthetic) is important for a good OHQoL, whereas painful or functional complaints are associated with impaired OHQoL.
Authors: Liza J M van de Rijt; Alexandra R Feast; Victoria Vickerstaff; Elizabeth L Sampson; Frank Lobbezoo Journal: Gerodontology Date: 2021-01-31 Impact factor: 2.750
Authors: Johana Alejandra Moreno-Drada; Alex Junio Silva da Cruz; Matheus Luis Soares de Faria; Luís Otávio Miranda Cota; Maria Auxiliadora Parreiras Martins; Isabela Almeida Pordeus; Mauro Henrique Nogueira Guimarães de Abreu Journal: Int J Environ Res Public Health Date: 2021-04-02 Impact factor: 3.390
Authors: Anna Freiberg; Andreas Wienke; Lena Bauer; Andreas Niedermaier; Amand Führer Journal: Int J Environ Res Public Health Date: 2020-04-13 Impact factor: 3.390