scholarly journals A study on Oral Health Assessment Index (GOHAI) and life satisfaction of the state of oral health project of the elderly in Jeonbuk Korea

2019 ◽  
Vol 24 (1) ◽  
pp. 159-168 ◽  
Author(s):  
Annie Karoline Bezerra de Medeiros ◽  
Fernanda Pinheiro Barbosa ◽  
Grasiela Piuvezam ◽  
Adriana da Fonte Porto Carreiro ◽  
Kenio Costa Lima

Abstract This article aims to analyze the prevalence and associated factors of TMJ alterations in elderly institutionalized. An cross-sectional study of 1192 elderly institutionalized in Brazil was undertaken. Intra and extra-oral exams were performed and the TMJ was evaluated based on the Oral Health Assessment Form of the WHO (1997). Demographic data and elderly dependence were also collected. The self-perception of the elderly regarding oral health was measured using the Geriatric Oral Health Assessment Index - GOHAI. Data analysis was performed using the Chi-squared test and robust Poisson regression (level of significance of 5%). The prevalence of TMJ alteration was low compared to adults and was only associated with the state of dependence of the elderly individual (independent had 45.4% more alterations than dependent individuals), gender (women had 47.4% more alterations), self-perception of oral health (who evaluated negatively had 65.6% more alterations) and the need of upper dentures (who needed some kind of upper dentures had 45.8% more alterations than those who did not). Despite being low, the presence of alterations in the TMJ was more frequent in elderly independent, women, who evaluated negatively oral health and need some kind of upper dentures.


10.3823/2338 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Carmem Silvia Laureano Dalle Piagge ◽  
Karoline De Lima Alves ◽  
Luípa Michele Silva ◽  
Adriana Maria Moreira Alexandre ◽  
Mariana De Lacerda Siqueira Brasileiro ◽  
...  

Background: For aging healthy, the prevention and maintenance of oral health is essential in the general health of the individual. Objective: Thus, we sought to evaluate the elderly's perception of themselves, associating this information with their reported quality of life. Methods: This is an exploratory descriptive study with a quantitative approach. It was held in the Family Health Units in the city of João Pessoa-Paraiba-Brazil, in 2015. The Geriatric Oral Health Assessment Index questionnaire was used to assess the Socio Dental Indicator. Results: Were 258 elderly, mostly female, married, who perceive their oral health positively, although they report having suffered limitations, being them physical, psychological, pain or discomfort. Conclusion: In the face of the evidence, measures are suggested to minimize the gaps, adopting more public policies aimed at the health of the elderly. These measures will ensure better conditions of service and development of projects with the aim of providing ageing with quality of life, to this age group. The results of this study may contribute to educational actions aimed at improving the care of the elderly.


2006 ◽  
Vol 6 (4) ◽  
pp. 405-410 ◽  
Author(s):  
Silvio Rocha Corrêa da Silva ◽  
Fernanda Lopez Rosell ◽  
Aylton Valsecki Júnior

OBJETIVOS: avaliar a percepção das condições de saúde bucal de um grupo de gestantes, através da aplicação do índice General Oral Health Assessment Index (GOHAI). MÉTODOS: participaram do estudo 53 gestantes que freqüentavam uma Unidade Básica de Saúde em Araraquara, São Paulo. Foi aplicado um questionário contendo questões do índice GOHAI, questões sobre a autopercepção das condições bucais e sobre as características sócio-demográficas. Por meio dos testes não-paramétricos Mann-Whitney e Kruskall-Wallis, foram determinados a associação das variáveis sociais e de autopercepção com o índice GOHAI. RESULTADOS: a percepção das condições bucais, medida pelo índice GOHAI, foi positiva e apresentou um valor médio de 31,6. Os dados subjetivos mostram que apenas 12,0% das gestantes classificaram sua condição bucal como "ruim", a maioria declarou nenhum problema dentário, embora 58,7% tenha relatado distúrbios gengivais. As questões como dor e/ou desconforto foram as mais percebidas pelas gestantes. CONCLUSÕES: as gestantes fizeram uma avaliação positiva de sua condição bucal, estando o índice GOHAI associado a variáveis relacionadas à autopercepção. Tal índice pode ser aplicado em grupos populacionais como as gestantes, possibilitando medidas educativas e/ou preventivas direcionadas às suas reais necessidades.


2016 ◽  
Vol 16 (3) ◽  
pp. 455-461
Author(s):  
Min-Jeong Cho ◽  
Eun-Kyung Jung ◽  
Hae-Eun Shin ◽  
Ah Ra Shin ◽  
Hwa-Young Jo ◽  
...  

Author(s):  
Р.А. Розов ◽  
М.Ю. Кабанов ◽  
В.Н. Трезубов

Были обследованы 408 пациентов (151 мужчина и 257 женщин) 54-85 лет (средний возраст 73,9±4,9 года) с помощью клинических (опрос, осмотр, пальпация, перкуссия, аускультация), социологических («GOHAI»), параклинических (определение эффективности жевания, чистоты речи, исследование дефицита массы тела, ортопантомография, КТ) методов. Все пожилые пациенты были с двумя патологическими состояниями - декомпенсированным зубным рядом и полной потерей зубов. У 322 человек рабочий синдромологический диагноз - декомпенсированный зубной ряд - относился к 167 нижним челюстям, 65 верхним челюстям и у 90 человек - и к верхним, и к нижним челюстям (всего 412 зубных рядов). Эффективность жевания у контингента беззубых также была невысокой, несмотря на наличие у большинства из них съемных зубных протезов. Согласно гериатрическому показателю здоровья полости рта («GOHAI»), ответы обследуемых колебались от 7 до 25 баллов (в среднем 18,23±4,19 балла), что относилось к низкому уровню. Общими синдромами пациентов оказались грубые, уродующие, старящие изменения внешнего вида лица, значительное нарушение эстетических норм. Не менее важны инвалидизирующие факторы почти полного отсутствия способности к жеванию, звукообразования, речи, затруднённого проглатывания пищи. В силу явных морфофункциональных и психосоциальных нарушений, социальной дезадаптации, сопровождающих эти заболевания, таких пациентов следовало бы считать инвалидами для повышения доступности геронтостоматологической реабилитации и включения их в программу государственных гарантий оказания стоматологической ортопедической помощи. Необходимо также ввести квотирование имплантационного зубного протезирования для пациентов пожилого и старческого возраста, которое по своей результативности и эффективности вписывается в систему адекватной реабилитации указанного контингента лиц и является мерой профилактики инвалидности. We examined 408 patients (151 male, 257 female) in an age range from 54 to 85 years (mean age 73,9±4,9) performing clinical (anamnesis, visual analysis, palpation, percussion, auscultation) sociological (GOHAI), additional (chewing efficiency evaluation, phonetic analysis, weight deficit of body calculation, OPG, CBCT) assessment. Among 322 of examined subjects working syndromological diagnosis was «decompensated dentition» related to lower jaw in 167 cases, 65 to upper jaw, 90 to both upper and lower jaws (altogether 412 dental arches). Chewing efficiency among edentulous patients was low considering that majority of patients had dentures. Score range for Geriartric General Oral Health Assessment Index (GOHAI) was from 7 to 25 points (mean 18,23±4,19) which is attributed as low level. General syndromes among patients were rough, disfiguring, ageing changes in facial appearance, major alteration of aesthetic norms. Equally important or even more was incapacitation impact of total loss of proper mastication, speech problems, phonetic alteration, problematic food swallowing. In our research we highlighted two pathological conditions among elderly and senile age groups: decompensated dentition, and fully edentulous jaws. Taking into consideration suffering of the patients due to morphological functional and psychosocial disabling conditions, accompanying these diseases, we might consider this group of patients as handicapped and that could lead to the need to introduction of setting quotas of implant prosthetics treatment of the elderly and senile patients. The result, efficacy and efficiency of such rehabilitation are considered in compliance with the system of adequate treatment result for this part of population.


2020 ◽  
Vol 5 (2) ◽  
pp. 1016-1021
Author(s):  
Tanuja Singh ◽  
Tika Ram Ghimire

Introduction: Oral health problems are more chronic and severe. Various instruments have been developed to measure Oral Health Quality of Life. General Oral Health Assessment Index (GOHAI) is a well-established, frequently used questionnaire for measuring OHQoL for geriatric and general population.  Objectives: The objective of the study is to translate the GOHAI in Nepali and to assess its reliability and validity.  Methodology: This study was conducted on the patient attending department of Prosthodontics, Kathmandu University School of Medical Sciences from March 2017 to February 2018. The GOHAI questionnaire was translated into Nepali version from English and back translated. Nepali version of GOHAI was pilot tested on 50 adult population to test the comprehensibility of the questionnaire, and then required alterations were done. The final Nepali version of GOHAI was administered to 301 (aged 20-70 years) adults along with the self-informed questionnaire. Clinical examination was done on the same day by a single examiner using World Health Organization (WHO) criteria. Reliability was analyzed using test-retest, cronbach alpha and split half reliability. For validity, discriminant validity and construct validity were calculated.  Results: Cronbach's alpha was 0.749, which indicated good overall internal consistency and homogeneity. For test-retest, the spearman's rho correlation coefficient between visits ranged from 0.641-0.952 for all twelve questionnaires indicating strong correlation with p-value< 0.001.  Conclusion Nepali version of the GOHAI exhibited acceptable reliability and validity in the people of Kathmandu valley, Nepal. This instrument can be applied to evaluate OHRQoL of different age groups as it was carried out in all the age groups.


2001 ◽  
Vol 35 (4) ◽  
pp. 349-355 ◽  
Author(s):  
Silvio Rocha Corrêa da Silva ◽  
Roberto A Castellanos Fernandes

OBJETIVO: Avaliar a autopercepção das condições de saúde bucal por idosos e analisar os fatores clínicos, subjetivos e sociodemográficos que interferem nessa percepção. MÉTODOS: Participaram do estudo 201 pessoas, dentadas, com 60 anos ou mais, funcionalmente independentes, que freqüentavam um centro de saúde localizado em Araraquara, SP, Brasil. Foi aplicado questionário com questões sobre as características sociodemográficas da amostra, a autopercepção da condição bucal e o índice Geriatric Oral Health Assessment Index (GOHAI). Realizou-se exame clínico para determinar a prevalência das principais doenças bucais. Foram usados testes estatísticos para determinar a associação das variáveis sociodemográficas e clínicas e do índice GOHAI com a autopercepção da condição bucal e a identificação dos preditores da auto-avaliação. RESULTADOS: O exame clínico revelou grande prevalência das principais doenças bucais, apesar de 42,7% das pessoas avaliarem sua condição bucal como regular. As variáveis associadas à auto-avaliação foram: classe social, índice de GOHAI, dentes cariados e indicados para extração. A análise multivariada mostrou que os preditores da auto-avaliação foram o GOHAI, os dentes com extração indicada e o índice Community Periodontal Index and Treatment Needs. Esses preditores explicaram 30% da variabilidade da auto-avaliação. CONCLUSÕES: Concluiu-se que a percepção da saúde bucal teve pouca influência nas condições clínicas, mostrando ser necessário desenvolver ações preventivas e educativas para a população.


2014 ◽  
Vol 18 (2) ◽  
pp. 111-119
Author(s):  
Christopher Montes-Cruz ◽  
Teresa Juárez-Cedillo ◽  
Ángel Cárdenas-Bahena ◽  
Claudia Rabay-Gánem ◽  
Erika Heredia-Ponce ◽  
...  

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