scholarly journals Evaluation of salivary flow, level of anxiety, and quality of life among elderly patients rehabilitated with removable prostheses

2020 ◽  
Author(s):  
Lisiane Bannwart ◽  
Daniela dos Santos ◽  
Cristina Aparecida ◽  
Nathaly Moreno ◽  
Clóvis Neto ◽  
...  

Abstract Background: Complete or partial edentulous patients have difficulties performing functional tasks such as eating, chewing, and speaking, and this may affect their quality of life. The successful rehabilitation of these patients depends on emotional and psychosocial factors and on patients’ expectation regarding rehabilitation.Objectives: To examine the effect of complete or partial removable prostheses on quality of life, salivary flow, and anxiety level of wearers. Methods: Total and partial bimaxillary edentulous patients who needed rehabilitation by complete or partial removable prostheses were selected. The quality of life, salivary flow, and level of anxiety of patients were assessed using the following questionnaires: Geriatric Oral Health Assessment Index, Visual Analog Scale for xerostomia, and Anxiety Inventory. The questionnaires were used at three time points: three months before the insertion of the prostheses, at the time of insertion, and three months after the insertion of the prostheses.Results: Our study cohort included more women (62.5%) than men (37.5%), with an average age of 65.25 years. The insertion of removable prostheses significantly influenced the quality of life, anxiety level, and salivary flow of its wearers, while decreasing the sensation of xerostomia.Conclusions: It was deduced that the insertion of complete or partial removable prostheses influences the quality of life, anxiety level, and salivary flow of its wearers.

Author(s):  
Lajana Shrestha ◽  
Sirjana Dahal

Introduction: Complete loss of teeth, though not life threatening, does have a significant impact on an individual, resulting in functional, psychological, and social limitations, affecting the quality of life and general health. Oral health related quality of life describes the outcomes of oral health conditions and therapy to those conditions. Objective: Geriatric Oral Health Assessment Index questionnaire (GOHAI) consists of 12 items that have an impact on quality of life of the older population, such as functional limitation, psycho-social limitation, and self-medication administered for dental pain. The study aimed to assess the effects of complete edentulousness before prosthodontic rehabilitation using GOHAI. Methods: Descriptive cross-sectional questionnaire study was done among 35 completely edentulous patients prior to prosthodontic rehabilitation using standardised GOHAI questionnaire consisting of 12 items and the twelfth item was eliminated due to its irrelevancy in the study group. Results: The mean age of the participants was 64.86±8.28 years with the mean duration of edentulousness of 4.02±5.4 years. The ability to swallow comfortably had highest mean GOHAI score (2.80±0.47) followed by use of medication to relieve pain and discomfort around the mouth. The least mean GOHAI score was found in trouble biting or chewing any kinds of food, such as firm meat or apples (1.26±0.56). However, the psychosocial impairment due to problems associated with complete edentulousness was less. Conclusion: Complete edentulousness was associated with impairment in physical functions like trouble in biting and chewing, with a need to limit the kinds and amount of food.


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.


2013 ◽  
Vol 14 (6) ◽  
pp. 1173-1177 ◽  
Author(s):  
Mohammed Nadeem Ahmed Bijle ◽  
Vittal Das Shetty

ABSTRACT Aim To assess and compare the quality of life and oral health status among institutionalized elderly in Pune. Materials and methods A cross-sectional, quantitative exploratory study was conducted in persons 60 years of age in an institutionalized elderly home. The GOHAI questionnaire was completed by a single examiner, who interviewed the patients in their local language. The oral examination was carried out according to WHO oral health survey using the DMFT-index, community periodontal index (CPI), periodontal loss of attachment (PLA), prosthetic use, and needs according to criteria established by the WHO by a calibrated examiner. Descriptive analysis was carried out using absolute and relative frequencies of the qualitative variables and means with respective standard deviations for the quantitative variables. The Student's t-test was applied to compare groups. Results Out of the total 110 individuals interviewed for the study, 64% were males and 36% were females. Individuals with up to 20 missing teeth and individuals with more than 20 missing teeth were 20 and 80% respectively. Based on the prosthetic need, 66% individuals needed replacement of teeth by dentures in one or both arches while 34% did not need any replacement by complete denture. The mean value for physical dimension was 5.40 whereas for psychosocial dimension, pain/discomfort and behavioral dimension were 8.02, 4.58 and 7.32. Conclusion The quality of life was found to be more favorable in individuals with less than 20 teeth missing. The quality of life among complete denture wearers in both the arches was better as compared to the quality of life among nondenture wearers. Prosthetic replacement by complete denture helps the individuals to maintain better oral health. Clinical significance The data obtained from the present study may serve as a reference point for comparisons of the magnitude of quality-of-life indicators relating to oral health. How to cite this article Shetty VD, Bijle MNA, Patil S. The Relationship between prosthetic status and the Geriatric Oral Health Assessment Index in a Group of Institutionalized elderly of an Indian City: A cross-sectional study. J Contemp Dent Pract 2013;14(6):1173-1177.


2014 ◽  
Vol 16 (2) ◽  
pp. 92-98 ◽  
Author(s):  
John N. Ratchford ◽  
Regina Brock-Simmons ◽  
Amanda Augsburger ◽  
Sonya U. Steele ◽  
Kristie Mohn ◽  
...  

Background: This study was undertaken to determine how frequently patients receiving natalizumab for multiple sclerosis (MS) experience recrudescence of their MS symptoms at the end of the dosing cycle. Methods: One hundred consecutive MS patients receiving natalizumab completed a survey evaluating changes in symptoms during the natalizumab dosing cycle. Ninety-one patients also completed questionnaires at two time points: the first week after natalizumab infusion and the last week of the dosing cycle. These included the Multiple Sclerosis Quality of Life–54 (MSQOL-54), Fatigue Visual Analog Scale (VAS), Fatigue Severity Scale (FSS), and Beck Depression Inventory–II (BDI-II). Results: End of dosing interval (EDI) symptoms were reported as currently being experienced by 57% of respondents. An additional 10% reported that they previously experienced that phenomenon, but not currently, and 33% reported never experiencing this. In those with EDI symptoms, they began to occur a median of 21 days after infusion and improved again a median of 1 day after infusion. The most common symptoms reported were fatigue, weakness, walking impairment, and cognitive difficulties. No specific demographic or disease characteristics were associated with this phenomenon. In the subgroup with EDI symptoms, the MSQOL-54, Fatigue VAS, FSS, and BDI-II scores were all significantly worse in the last week of the dosing cycle when compared with the first week. No difference was seen in these scores between first and last week in the subgroup not experiencing symptom recrudescence. Conclusions: Recrudescence of fatigue, weakness, walking impairment, or cognitive difficulties at the end of the dosing cycle occurs in about two-thirds of MS patients receiving natalizumab.


Author(s):  
Fateme Pakize ◽  
Mahsa Mehryari ◽  
Mohammad Hajimirzamohammad ◽  
Ali Bijani ◽  
Seyed Reza Hosseini ◽  
...  

Background and purpose: Type 2 diabetes mellitus (T2DM) is the most common form of diabetes, and a metabolic disorder affecting patients' general health in various ways. The present study aimed to evaluate the oral health-related quality of life (OHRQoL) among older adults of Amirkola, Northern Iran. Materials and Methods: A case-control study was conducted with a sample of 500 elderly people (250 with T2DM and 250 healthy controls) who answered geriatric oral health assessment index (GOHAI) questionnaire and a questionnaire evaluating xerostomia. Then, all participants underwent clinical dental examinations. The obtained data were then analyzed by t-test, chi-square test, and Pearson's correlation coefficient, and p < 0.05 was considered significant. Results: The prevalence of xerostomia was not statistically significant between the T2DM patients and control groups (p < 0.079). Greater number of patients suffering T2DM reported xerostomia according to the records; however, the correlation between this disorder and periodontal disease index (PDI), Plaque index (PI), oral health index-simplified (OHI-S), and geriatric oral health assessment index (GOHAI) in the subjects of the two study groups was not significant (p < 0.0001). Conclusion: In the present study, there was no significant relationship between GOHAI and periodontal indices, demonstrating no difference in the OHRQoL of elderly patients with T2DM and older healthy adults.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 593-594
Author(s):  
Piedad Suarez ◽  
Jennifer Ailshire ◽  
Margarita Osuna

Abstract Despite its importance for health and wellbeing, oral health quality of life (OHQoL) has received little attention in lower-income countries, such as Colombia. This study describes the prevalence of older adults’ OHQoL and variability by socioeconomic status. We use data from the 2015 SABE-Colombia (N=18,700), a nationally representative survey of community-dwelling Colombians ages 60 and older. We used the Simple Count Geriatric Oral Health Assessment Index (SC-GOHAI), a self-reported measure of frequent oral health problems such as chewing, swallowing, and speaking designed to assess OHQoL. The scale ranges from 0-12; higher scores indicate worse OHQoL. About 69% of older Colombians reported at least one OHQoL problem. The most common issues were difficulty chewing hard food and speaking. High education and income were associated with better OHQoL and smoking were associated with worse OHQoL. Oral health may therefore reflect another dimension of social and health inequality for older Colombians.


Author(s):  
Petri K. M. Purola ◽  
Janika E. Nättinen ◽  
Matti U. I. Ojamo ◽  
Seppo V. P. Koskinen ◽  
Harri A. Rissanen ◽  
...  

Abstract Purpose To study the prevalence and incidence of the most common eye diseases and their relation to health-related quality of life (HRQoL), depression, psychological distress, and visual impairment in the aging population of Finland. Methods Our study was based on two nationwide health surveys conducted in 2000 and 2011. Eye disease status data were obtained from 7379 and 5710 individuals aged 30 + years, of whom 4620 partook in both time points. Both surveys included identical indicators of HRQoL (EuroQol-5 Dimension [EQ-5D], 15D), depression (Beck Depression Inventory [BDI]), psychological distress (General Health Questionnaire-12 [GHQ-12]), visual acuity, and self-reported eye diseases. We assessed the impact of known eye diseases on these factors, adjusted for age, gender, and co-morbidities. Results Prevalence of self-reported eye diseases was 3.1/2.7% for glaucoma, 8.1/11.4% for cataract, and 3.4/3.8% for retinal degeneration in 2000 and 2011, and the average incidence between 2000 and 2011 was 22, 109, and 35 /year/10,000 individuals, respectively. These eye diseases were associated with a significant decrease in EQ-5D and 15D index scores in both time points. BDI and GHQ-12 scores were also worsened, with some variation between different eye diseases. Impaired vision was, however, the strongest determinant of declined HRQoL. During the 11-year follow-up the effect of eye diseases on HRQoL and mental health diminished. Conclusion Declined HRQoL associated with eye diseases is more related to impaired vision than the awareness of the disease itself, and this declining effect diminished during the follow-up. Therefore, information directed to the public on the risks and prevention of blindness can and should be strengthened to prevent the deleterious effects of visual impairment.


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