R W Rosa1, J Samot2, C Helmer3, G Pourtau4, V Dupuis2, J-C Fricain5, A Georget6, J-F Dartigues7, E Arrivé8. 1. Université de Bordeaux, ISPED, centre Inserm U1219-épidémiologie-biostatistique, Bordeaux, France. 2. Université de Bordeaux, UFR d'odontologie, Bordeaux, France; Centre hospitalier universitaire de Bordeaux, pôle de médecine et chirurgie bucco-dentaire, Bordeaux, France. 3. Inserm U1219, centre Inserm épidémiologie et biostatistique, université de Bordeaux, Bordeaux, France. 4. Université de Bordeaux, UFR d'odontologie, Bordeaux, France. 5. Université de Bordeaux, UFR d'odontologie, Bordeaux, France; Centre hospitalier universitaire de Bordeaux, pôle de médecine et chirurgie bucco-dentaire, Bordeaux, France; Inserm U1026, centre Inserm bioingénierie tissulaire, université de Bordeaux, Bordeaux, France. 6. Centre hospitalier universitaire de Bordeaux, pôle de santé publique, unité de soutien méthodologique à la recherche clinique et épidémiologique (USMR), Bordeaux, France. 7. Université de Bordeaux, ISPED, centre Inserm U1219-épidémiologie-biostatistique, Bordeaux, France; Inserm U1219, centre Inserm épidémiologie et biostatistique, université de Bordeaux, Bordeaux, France; Centre hospitalier universitaire de Bordeaux, pôle de santé publique, unité de soutien méthodologique à la recherche clinique et épidémiologique (USMR), Bordeaux, France. 8. Université de Bordeaux, UFR d'odontologie, Bordeaux, France; Centre hospitalier universitaire de Bordeaux, pôle de médecine et chirurgie bucco-dentaire, Bordeaux, France; Inserm U1219, centre Inserm épidémiologie et biostatistique, université de Bordeaux, Bordeaux, France.
Abstract
BACKGROUND: Older persons comprise a growing proportion of the European population and may have a distinct epidemiological oral profile requiring specific preventive and curative care poorly documented. The objectives of this study were to assess the oral health status of people ≥90 years of age in France, to compare their perceived and observed oral care needs and to investigate the oral problems associated with a low oral health-related quality-of-life (OHRQoL). METHODS: An oral cross-sectional study was performed during the 25th follow-up of a cohort of older persons being followed up prospectively for screening of dementia over a 15-year period in Gironde and Dordogne, France. Clinical oral indices were determined by oral examinations conducted at the participants' place of living. Cohen's Kappa coefficient was used to assess the agreement between perceived and observed oral care needs. Oral problems associated with a low OHRQoL, measured with the Geriatric Oral Health Assessment Index (GOHAI<50) were investigated with logistic regression. Odds ratios (OR) were estimated with their 95% confidence intervals (CI). RESULTS: Data from 90 persons were analysed (76% female; median age=93 years; 20% living in an institution). Plaque and calculus were present in 93% and 58% respectively, of the 74 dentate participants. The mean number of decayed, missing, and filled teeth was 26.5 (±5.3); 66% of the participants had at least one untreated decayed tooth. Among the 85 participants with tooth loss not replaced by a fixed denture, two thirds had a removable dental prosthesis; 84% of these prostheses were considered to be maladapted. Among the 39 participants who felt unable to consult a dentist (43%), lack of transportation was the most frequently cited reason. Although 88% of the participants needed oral care, only 26% perceived that they had such a need (Kappa=0.06). Oral problems associated with a GOHAI<50 were the absence of posterior occluding teeth (OR=7.15; 95%CI=1.53-33.35; P=0.012), feeling of dry mouth (OR=11.94; 95%CI=3.21-44.39; P=0.0002) and oral pain (OR=9.06; 95%CI=1.91-69.00; P=0.033). CONCLUSIONS: Persons ≥90 years of age have considerable preventive and curative dental care needs that impact their quality-of-life but they are rarely aware and lack transportation. NCT04065828.
BACKGROUND: Older persons comprise a growing proportion of the European population and may have a distinct epidemiological oral profile requiring specific preventive and curative care poorly documented. The objectives of this study were to assess the oral health status of people ≥90 years of age in France, to compare their perceived and observed oral care needs and to investigate the oral problems associated with a low oral health-related quality-of-life (OHRQoL). METHODS: An oral cross-sectional study was performed during the 25th follow-up of a cohort of older persons being followed up prospectively for screening of dementia over a 15-year period in Gironde and Dordogne, France. Clinical oral indices were determined by oral examinations conducted at the participants' place of living. Cohen's Kappa coefficient was used to assess the agreement between perceived and observed oral care needs. Oral problems associated with a low OHRQoL, measured with the Geriatric Oral Health Assessment Index (GOHAI<50) were investigated with logistic regression. Odds ratios (OR) were estimated with their 95% confidence intervals (CI). RESULTS: Data from 90 persons were analysed (76% female; median age=93 years; 20% living in an institution). Plaque and calculus were present in 93% and 58% respectively, of the 74 dentate participants. The mean number of decayed, missing, and filled teeth was 26.5 (±5.3); 66% of the participants had at least one untreated decayed tooth. Among the 85 participants with tooth loss not replaced by a fixed denture, two thirds had a removable dental prosthesis; 84% of these prostheses were considered to be maladapted. Among the 39 participants who felt unable to consult a dentist (43%), lack of transportation was the most frequently cited reason. Although 88% of the participants needed oral care, only 26% perceived that they had such a need (Kappa=0.06). Oral problems associated with a GOHAI<50 were the absence of posterior occluding teeth (OR=7.15; 95%CI=1.53-33.35; P=0.012), feeling of dry mouth (OR=11.94; 95%CI=3.21-44.39; P=0.0002) and oral pain (OR=9.06; 95%CI=1.91-69.00; P=0.033). CONCLUSIONS:Persons ≥90 years of age have considerable preventive and curative dental care needs that impact their quality-of-life but they are rarely aware and lack transportation. NCT04065828.
Keywords:
Cross-sectional study; Elders; France; Oral health; Quality-of-life; Qualité de vie; Santé buccodentaire; Sujet âgé de 80 ans ou plus; Études transversales
Authors: Stefano Cianetti; Chiara Valenti; Massimiliano Orso; Giuseppe Lomurno; Michele Nardone; Anna Palma Lomurno; Stefano Pagano; Guido Lombardo Journal: Int J Environ Res Public Health Date: 2021-11-24 Impact factor: 3.390
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