Oral Status of Elderly Patients In Long Stay Centers: A Systematic Review

Abstract Background Elderly patients who spend long periods hospitalized or those who are in a situation of institutionalization represent a risk group in this regard, as many of them suffer a degree of dependence and need help to perform the basic tasks of personal care. It is therefore important to learn more of the oral health status of this group of patients in order to make a proper assessment of the situation and to develop protocols for its management. The purpose of the study was to conduct a systematic review to ascertain the oral health status of elderly patients admitted to institutions or hospitalized for a long period of time. Methods a systematic review of the literature published in two different databases (PubMed, Embase and Cochrane Library) was carried out, with 12 different combinations of keywords based on the following selection criteria: studies published in the last 5 years, in English and/or Spanish and/or Portuguese, with samples of ≥ 30 patients, performed in patients older than 65 years, admitted to any type of institution and/or hospital center for at least 7 days and in which the state of hard and/or soft tissues of the oral cavity were evaluated in some way. The selected articles were subjected to a thorough analysis. Results The search strategy covered 1,014 articles: 689 from Pubmed and 325 from Cochrane Library. After applying the eligibility criteria, five articles were selected for our review. The level of evidence of the articles was3, a sample of 773 patients most of them were women with an average age older than 70 years old. Conclusions the oral health of patients aged more than 65 is worse than that of the rest population. Long hospital stays or being institutionalized in a residence makes this group susceptible to a worsening of their oral health status. It is necessary to develop protocols for the oral health care of these patients, accompanied by training programs for the personnel responsible.

Download Full-text

Oral Status of elderly patients in long stay centres: A systematic review

10.21203/rs.2.23435/v2 ◽

2020 ◽

Author(s):

Juan Antonio Ruiz-Roca ◽

Dora Martin-Fuentes ◽

Yolanda Martinez-Beneyto ◽

Ricardo Elias Oñate-Sanchez

Keyword(s):

Systematic Review ◽

Health Status ◽

Oral Health ◽

Elderly Patients ◽

Soft Tissues ◽

Oral Health Status ◽

Cochrane Library ◽

Eligibility Criteria ◽

Level Of Evidence ◽

Hospital Stays

Abstract Background: Elderly patients who spend long periods hospitalized or those who are in a situation of institutionalization represent a risk group in this regard, as many of them suffer a degree of dependence and need help to perform the basic tasks of personal care. It is therefore important to learn more of the oral health status of this group of patients in order to make a proper assessment of the situation and to develop protocols for its management. The purpose of the study was to conduct a systematic review to ascertain the oral health status of elderly patients admitted to institutions or hospitalized for a long period of time.Methods: a systematic review of the literature published in two different databases (PubMed, Embase and Cochrane Library) was carried out, with 12 different combinations of keywords based on the following selection criteria: studies published in the last 5 years, in English and/or Spanish and/or Portuguese, with samples of ≥30 patients, performed in patients older than 65 years, admitted to any type of institution and/or hospital center for at least 7 days and in which the state of hard and/or soft tissues of the oral cavity were evaluated in some way. The selected articles were subjected to a thorough analysis.Results: The search strategy covered 1,014 articles: 689 from Pubmed and 325 from Cochrane Library. After applying the eligibility criteria, five articles were selected for our review. The level of evidence of the articles was3, a sample of 773 patients most of them were women with an average age older than 70 years old.Conclusions: the oral health of patients aged more than 65 is worse than that of the rest population. Long hospital stays or being institutionalized in a residence makes this group susceptible to a worsening of their oral health status. It is necessary to develop protocols for the oral health care of these patients, accompanied by training programs for the personnel responsible.

Download Full-text

Oral Status of elderly patients in long stay centres: A systematic review

10.21203/rs.2.23435/v1 ◽

2020 ◽

Author(s):

Juan Antonio Ruiz-Roca ◽

Dora Martin-Fuentes ◽

Yolanda Martinez-Beneyto ◽

Ricardo Elias Oñate-Sanchez

Keyword(s):

Systematic Review ◽

Health Status ◽

Oral Health ◽

Elderly Patients ◽

Soft Tissues ◽

Oral Health Status ◽

Cochrane Library ◽

Eligibility Criteria ◽

Level Of Evidence

Abstract Background: Elderly patients who spend long periods hospitalized or those who are in a situation of institutionalization represent a risk group in this regard, as many of them suffer a degree of dependence and need help to perform the basic tasks of personal care. It is therefore important to learn more of the oral health status of this group of patients in order to make a proper assessment of the situation and to develop protocols for its management.The purpose of the study was to conduct a systematic review to ascertain the oral health status of elderly patients admitted to institutions or hospitalized for a long period of time. Methods: a systematic review of the literature published in two different databases (PubMed, Embase and Cochrane Library) was carried out, with 12 different combinations of keywords based on the following selection criteria: studies published in the last 5 years, in English and/or Spanish and/or Portuguese, with samples of ≥30 patients, performed in patients older than 65 years, admitted to any type of institution and/or hospital center for at least 7 days and in which the state of hard and/or soft tissues of the oral cavity were evaluated in some way. The selected articles were subjected to a thorough analysis. Results: The search strategy covered1 , 014 articles: 689 from Pubmed and 325 from Cochrane Library. After applying the eligibility criteria, fivearticles were selected for our review. The level of evidence of the articles was3, a sample of 773 patients most of them were women with an average age older than 70 years old. Conclusions: the oral health of patients aged more than 65 is worse than that of the rest population. Long hospital stays or being institutionalized in a residence makes this group susceptible to a worsening of their oral health status. It is necessary to develop protocols for the oral health care of these patients, accompanied by training programs for the personnel responsible. Key words: “elderly inpatients”, “elderly hospitalized patients”, “long term hospitalization”, “long term inpatients”, “oral health”, “oral status”.

Download Full-text

Oral Status of Elderly Patients in Long-Term Care Facilities: A Systematic Review

10.21203/rs.2.23435/v3 ◽

2020 ◽

Author(s):

Juan Antonio Ruiz-Roca ◽

Dora Martin-Fuentes ◽

Yolanda Martinez-Beneyto ◽

Ricardo Elias Oñate-Sanchez

Keyword(s):

Systematic Review ◽

Health Status ◽

Oral Health ◽

Elderly Patients ◽

Soft Tissues ◽

Oral Health Status ◽

Cochrane Library ◽

Level Of Evidence ◽

Term Care

Abstract Background: elderly patients who spend long periods hospitalised or those who are in a situation of institutionalisation represent a risk group in this regard, since many of them suffer a degree of dependence and need help to perform the basic personal care tasks. It is therefore important to learn more about the oral health status of this group of patients in order to make a proper assessment of the situation as well as to develop protocols for its management. The purpose of this study was to conduct a systematic review to ascertain the oral health status of elderly patients institutionalised or hospitalised for a long period of time.Methods: a systematic review of the literature published in three different databases (PubMed, Embase and Cochrane Library) was conducted, with 12 different combinations of keywords based on the following selection criteria: studies published in the last 5 years, in English and/or Spanish and/or Portuguese, with samples of ≥30 patients, performed in patients older than 65 years, admitted to any type of institution and/or care centre for at least 7 days and in which the state of hard and/or soft tissues of the oral cavity were assessed in some way. The selected articles were subjected to a thorough analysis.Results: The search strategy covered 1,014 articles: 689 from Pubmed and 325 from Cochrane Library. After applying the eligibility criteria, five articles were selected for our review. The level of evidence of the articles was3, with a sample consisting of 773 patients in which most of them were women with an average age older than 70 years old.Conclusions: the oral health of patients aged more than 65 is worse than that of the rest of the population. Long-term in hospitals or being institutionalised in a retirement home makes this group susceptible to a worsening of their oral health status. It is necessary to develop protocols for the oral health care of these patients, accompanied by training programmes for the personnel.

Download Full-text

Oral status of older people in medium to long-stay health and social care setting: a systematic review

BMC Geriatrics ◽

10.1186/s12877-021-02302-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Juan Antonio Ruiz-Roca ◽

Dora Martín Fuentes ◽

Francisco J. Gómez García ◽

Yolanda Martínez-Beneyto

Keyword(s):

Systematic Review ◽

Health Status ◽

Oral Health ◽

Older People ◽

Soft Tissues ◽

Oral Health Status ◽

Cochrane Library ◽

Eligibility Criteria ◽

Level Of Evidence ◽

Health And Social Care

Abstract Background Older patients who spend long periods hospitalized or those who are in a situation of institutionalization represent a risk group in this regard, as many of them suffer a degree of dependence and need help to perform the basic tasks of personal care. It is therefore important to learn more of the oral health status of this group of patients in order to make a proper assessment of the situation and to develop protocols for its management. The purpose of the study was to conduct a systematic review to ascertain the oral health status of older people patients admitted to institutions or hospitalized for a long period of time. Methods a systematic review of the literature published in two different databases (PubMed, Embase and Cochrane Library) was carried out, with 12 different combinations of keywords based on the following selection criteria: studies published in the last 5 years, in English and/or Spanish and/or Portuguese, with samples of ≥30 patients, performed in patients older than 65 years, admitted to any type of institution and/or hospital center for at least 7 days and in which the state of hard and/or soft tissues of the oral cavity were evaluated in some way. The selected articles were subjected to a thorough analysis. Results The search strategy covered 1.014 articles: 689 from Pubmed and 325 from Cochrane Library. After applying the eligibility criteria, five articles were selected for our review. The level of evidence of the articles was, a sample of 773 patients most of them were women with an average age older than 70 years old. Conclusions The oral health of patients aged more than 65 is worse than that of the rest population. Long hospital stays or being institutionalized in a residence makes this group susceptible to a worsening of their oral health status. It is necessary to develop protocols for the oral health care of these patients, accompanied by training programs for the personnel responsible.

Download Full-text

Does non-institutionalized elders have a better oral health status compared to institutionalized ones? A systematic review and meta-analysis

Ciência & Saúde Coletiva ◽

10.1590/1413-81232020256.18252018 ◽

2020 ◽

Vol 25 (6) ◽

pp. 2177-2192 ◽

Cited By ~ 3

Author(s):

Ilky Pollansky Silva e Farias ◽

Simone Alves de Sousa ◽

Leopoldina de Fátima Dantas de Almeida ◽

Bianca Marques Santiago ◽

Antonio Carlos Pereira ◽

...

Keyword(s):

Systematic Review ◽

Health Status ◽

Oral Health ◽

Dental Caries ◽

Meta Analysis ◽

Oral Health Status ◽

Cochrane Library ◽

Caries Experience ◽

Institutionalized Elderly ◽

Periodontal Status

Abstract This systematic review compared the oral health status between institutionalized and non-institutionalized elders. The following electronic databases were searched: PubMed (Medline), Scopus, Web of Science, Lilacs and Cochrane Library, in a comprehensive and unrestricted manner. Electronic searches retrieved 1687 articles, which were analyzed with regards to respective eligibility criteria. After reading titles and abstracts, five studies were included and analyzed with respect their methodological quality. Oral status of institutionalized and non-institutionalized elderly was compared through meta-analysis. Included articles involved a cross-sectional design, which investigated 1936 individuals aged 60 years and over, being 999 Institutionalized and 937 non-institutionalized elders. Studies have investigated the prevalence of edentulous individuals, the dental caries experience and the periodontal status. Meta-analysis revealed that institutionalized elderly have greater prevalence of edentulous (OR = 2.28, 95%CI = 1.68-3.07) and higher number of decayed teeth (MD = 0.88, 95%CI = 0.71-1.05) and missed teeth (MD = 4.58, 95%CI = 1.89-7.27). Poor periodontal status did not differ significantly between groups. Compared to non-institutionalized, institutionalized elders have worse dental caries experience.

Download Full-text

Oral Health Status among Migrants from Middle- and Low-Income Countries to Europe: A Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182212203 ◽

2021 ◽

Vol 18 (22) ◽

pp. 12203

Author(s):

Dorina Lauritano ◽

Giulia Moreo ◽

Francesco Carinci ◽

Vincenzo Campanella ◽

Fedora Della Della Vella ◽

...

Keyword(s):

Systematic Review ◽

Health Status ◽

Oral Health ◽

Low Income ◽

Dental Health ◽

Cultural Beliefs ◽

Oral Health Status ◽

Low Income Countries ◽

Cochrane Library ◽

Caries Experience

Introduction. Economic inequality, political instability and globalization have contributed to the constant growth of the migration phenomenon in recent years. In particular, a total of 4.2 million people migrated to Europe during 2019 and most of them settled in Germany, France and Italy. Objectives. The objective of this study was to conduct a systematic review of studies analyzing the oral health condition among migrants from middle- and low-income countries to Europe and assessing the eventual association between their sociodemographic and socioeconomic characteristics and oral health status. Materials and Methods. A systematic review was conducted in PubMed, Cochrane Library, Scopus and Science Direct databases. After titles, abstracts and full-text examination, only 27 articles were selected on the basis of inclusion criteria and consequently included for quality assessments and data extraction. Results. Most of the studies reported a higher prevalence of caries experience, a poorer periodontal health and more difficulties in accessing dentalcare services among migrant groups compared with the non-migrant population. Inequalities were mostly associated with ethnic background, economic condition and social grade. Conclusion. Our review demonstrates the lack of dental health among migrants, underlining that their cultural beliefs and their social and economic living conditions could influence their oral health.

Download Full-text

Oral Health Status and Need for Oral Care in an Aging Population: A Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16224558 ◽

2019 ◽

Vol 16 (22) ◽

pp. 4558 ◽

Cited By ~ 6

Author(s):

Dorina Lauritano ◽

Giulia Moreo ◽

Fedora Della Vella ◽

Dario Di Stasio ◽

Francesco Carinci ◽

...

Keyword(s):

Systematic Review ◽

Health Status ◽

Oral Health ◽

Periodontal Disease ◽

Data Extraction ◽

Oral Care ◽

Oral Health Status ◽

Cochrane Library ◽

World Population ◽

People With Dementia

Background. The world population is aging. This phenomenon is accompanied by an increase in the number of elderly with dementia, whose oral hygiene care is a challenge. Objective. This paper presents a literature review of oral health status and the need for oral care in people with dementia, as compared to people without dementia and also of the relationship between periodontal disease and cognitive impairment. Methods. A systematic review was conducted in PubMed, CINAHL, and the Cochrane Library. Fifty-six articles met the inclusion criteria and were consequently included for quality assessment and data extraction. Results. No significant differences were found between both groups with regard to the number of present teeth, DMFT Index, edentulousness/use of denture, and orofacial pain. Coronal/root caries and retained roots were more common in people with dementia than in those without dementia. Most of the participants with dementia presented gingival bleeding or inflammation and they suffered from the periodontal disease more than people without dementia. Conclusions. Poor oral health is a common condition among the elderly with dementia. The education process of caregivers might improve the oral health status of people with dementia. Finally, periodontal disease might contribute to the onset or progression of dementia.

Download Full-text

Oral health status among visually and hearing impaired individuals- A systematic review

Journal of Dental Specialities ◽

10.18231/j.jds.2020.017 ◽

2021 ◽

Vol 8 (2) ◽

pp. 76-89

Author(s):

Shivangi Varshney ◽

Ipseeta Menon ◽

Ritu Gupta ◽

Anubhav Sharma ◽

Vikram Arora ◽

...

Keyword(s):

Systematic Review ◽

Health Status ◽

Oral Health ◽

Social Acceptance ◽

Oral Health Status ◽

Hearing Impaired ◽

Cochrane Library ◽

People’S Attitudes ◽

Blind Individuals ◽

Impaired Children

To review and study the oral health status among visually and hearing-impaired individuals. A literature was performed in main databases like- Pub Med Central, Cochrane Library, Embase and Google Scholar from year 2001 to 2020. This systematic review study was done according to PRISMA guideline. It was found that disabled individuals had poor oral health status as compared to the non-disabled individuals. Blind children experienced more caries than hearing-impaired children in permanent, whereas it was opposite in primary dentition. Braille language and text instructions can be very useful for visually impaired individuals irrespective of the degree of blindness and can help them to maintain oral hygiene. Hearing impaired individuals are taught with actions and visualisations. As a public health personnel, the fact, it is extremely difficult to change people's attitudes rapidly. The sighted must know how to deal with the blind individuals and learn to overcome their own ambiguity, or their undesirable attitudes may be implemented and talk of social acceptance should not be felt in mind.

Download Full-text