scholarly journals Reasons and risk indicators tor tooth loss in the Polish cross-sectional gerodontological study

2019 ◽  
pp. 531-547

ABSTRACT INTRODUCTION. The number of teeth in the elderly is the most essential epidemiological data in gerodontological studies. It depends mainly on two medical causes in the form of caries and periodontitis, as well as many risk factors and indicators for tooth preservation and loss. The goals of the cross-sectional study among the residents of Wrocław and Oława aged 65-74 have been to assess the number of preserved teeth, severe tooth loss and edentulism in a 30-year trend and in relation to current European regional data. In addition, the most important risk indicators for tooth preservation and loss in the assessed population will be determined. MATERIAL AND METHODS. After applying the two-tier stratification method from a group of 1,200 people, 387 volunteered for the study. The examination was conducted in dental offices in Wrocław and Oława, it consisted from clinical and anamnestic parts. The average number of preserved teeth in the entire group was 13.07 (median 15), there were 21.2% persons with functional dentition, 21.4% with severe tooth loss and 14.2% with edentulism. The main direct reason of tooth loss was caries and its complications, which concerned 81.9% of the teeth removed, on average over 12 teeth in the examined person. RESULTS. Referring the results of the obtained study to previous observations can be seen, that in the 30-year trend for Wrocław in people aged 65 to 74 years, the average number of teeth as well as the percentage of edentulism have improved, but they are still worse than the results of regional European studies. The main risk indicators of earlier loss of teeth by seniors in Lower Silesia are low income, past incorrect pro-health behaviours towards the oral cavity as well as current smoking and history of cardiovascular incidence.

Author(s):  
Man Ye ◽  
Shi-hao Chen ◽  
Xu-ting Li ◽  
Jin Huang ◽  
Ran-ran Mei ◽  
...  

Abstract OBJECTIVE: To assess the current status of disease-related knowledge and to analyze the relationship among the general condition, illness perception, and psychological status of patients with COVID-19. METHODS: A hospital-based cross-sectional study was conducted on 118 patients using convenience sampling. The general questionnaire, disease-related knowledge questionnaire of COVID-19, Revised Illness Perception Questionnaire (IPQ-R), and Profile of Mood States (POMS) were used to measure the current status of participants. RESULTS: The overall average score of the disease-related knowledge of patients with COVID-19 was (79.19 ± 14.25), the self-care situation was positively correlated with knowledge of prevention and control (r=0.265, P=0.004) and total score of disease-related knowledge (r= 0.206, P= 0.025); the degree of anxiety was negatively correlated with the knowledge of diagnosis and treatment (r= -0.182, P= 0.049). The score of disease-related knowledge was negatively correlated with negative cognition (volatility, consequences, emotional statements) and negative emotions (tension, fatigue, depression) (P<0.05); positively correlated with positive cognition (disease coherence) and positive emotion (self-esteem) (P<0.05). CONCLUSION It was recommended that we should pay more attention to the elderly and low-income groups, and increase the knowledge about diagnosis and treatment of COVID-19 and self-care in the future health education for patients.


2011 ◽  
Vol 24 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Itamar S. Santos ◽  
Márcia Scazufca ◽  
Paulo A. Lotufo ◽  
Paulo R. Menezes ◽  
Isabela M. Benseñor

ABSTRACTBackground: Anemia and dementia are common diseases among the elderly, but conflicting data are available regarding an association between these two conditions. We analyzed data from the São Paulo Ageing & Health Study to address the relationship between anemia and dementia.Methods: This cross-sectional observational study included participants aged 65 years and older from a deprived area of the borough of Butantan, São Paulo, Brazil. Data about demographics, education, income, and cognitive and daily life function were collected, as well as blood samples. Anemia and dementia were defined according to WHO and DSM-IV criteria, respectively.Results: Of the 2267 subjects meeting the inclusion criteria, 2072 agreed to participate in the study; of whom 1948 had a valid total blood count and were included in the analysis. Anemia was diagnosed in 203 (10.2%) participants and dementia in 99 (5.1%). The frequency of anemia was higher in patients with dementia according to univariate analysis (odds ratio (OR) = 2.00, 95% confidence interval (CI) = 1.17–3.41, p = 0.01), but this association was not present after adjusting for age (OR = 1.33, 95% CI = 0.76–2.33, p = 0.32). Further multivariate adjustment did not change the results.Conclusion: Although anemia and dementia are frequent disorders in older people, we found their relationship to be mediated exclusively by aging in this low-income population from São Paulo.


e-GIGI ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 217
Author(s):  
Dwita N. Halim ◽  
Vonny N. S. Wowor ◽  
Dinar A. Wicaksono

Abstract: Tooth loss which is often found among elderly may cause problems in mastication. Chewing efficiency may decrease if the elderly do not replace the function of the missing teeth by using dentures. This can further affect their nutritional intake and nutritional status. This study was aimed to explore scientific information regarding differences in elderly nutritional status of removable denture wearers and non-denture wearers. This was a literature review study by searching data on three databases, namely Pubmed, ScienceDirect, and Google Scholar using keywords and a combination of boolean operators. After being selected based on inclusion and exclusion criteria, a critical appraisal was performed, and 10 literatures were obtained consisting of cross-sectional, cohort, and randomized controlled trial design studies. The results showed that the percentage of the elderly with normal nutritional status was higher in denture wearers than in non-denture wearers. There was an increase in nutritional status based on MNA and MNA-SF scores in the elderly after wearing removable dentures. Among elderly, the nutritional status of denture wearers was relatively at risk of malnutrition, while of non-denture wearers was at risk of malnutrition and experienced malnutrition. In conclusion, risk of malnutrition and the occurrence of malnutrition are greater in non-denture wearer elderly.Keywords: nutritional status; elderly; tooth loss; denture wearers; removable dentures  Abstrak: Kehilangan gigi yang banyak ditemukan pada lansia dapat menyebabkan timbulnya gangguan dalam pengunyahan. Efisiensi kunyah dapat menurun bila lansia tidak menggantikan fungsi gigi asli yang hilang dengan menggunakan gigi tiruan. Hal tersebut dapat berpengaruh terhadap asupan nutrisi dan status gizi lansia. Penelitian ini bertujuan untuk menelaah mengenai perbedaan status gizi pada lansia pengguna dan bukan pengguna gigi tiruan lepasan. Jenis penelitian ialah suatu literature review dengan pencarian data pada tiga database yaitu Pubmed, ScienceDirect, dan Google Scholar menggunakan kata kunci dan kombinasi boolean operator. Setelah diseleksi berdasarkan kriteria inklusi dan eksklusi, dilakukan critical appraisal, dan didapatkan 10 literatur dengan desain studi cross sectional, cohort, dan randomized controlled trial. Hasil penelitian mendapatkan persentase lansia dengan status gizi normal lebih besar ditemukan pada lansia pengguna gigi tiruan daripada lansia bukan pengguna gigi tiruan. Terdapat peningkatan status gizi berdasarkan skor MNA dan MNA-SF pada lansia setelah pemakaian gigi tiruan lepasan. Status gizi lansia pengguna gigi tiruan relatif berisiko malnutrisi, sedangkan pada lansia bukan pengguna gigi tiruan berisiko malnutrisi dan mengalami malnutrisi. Simpulan penelitian ini ialah risiko malnutrisi dan terjadinya malnutrisi lebih besar ditemukan pada lansia bukan pengguna gigi tiruan.Kata kunci: status gizi, lansia; kehilangan gigi; pengguna gigi tiruan; gigi tiruan lepasan


2014 ◽  
Vol 10 (4) ◽  
pp. 1024-1027 ◽  
Author(s):  
Shoukat Ali Baig ◽  
Maroof Hassan ◽  
Syed Mustajab Ahmed ◽  
Wardah Moazzam ◽  
Ailya Inayat

2019 ◽  
Vol 42 (2) ◽  
pp. 239-246 ◽  
Author(s):  
Xiao Li ◽  
Le Cai ◽  
Wen-long Cui ◽  
Xu-ming Wang ◽  
Hui-fang Li ◽  
...  

Abstract Background This study estimates the prevalence of five chronic non-communicable disease (NCDs) (hypertension, diabetes, CHD, COPD and stroke) and its multimorbidity, and examines the relationship between SES and lifestyle factors and multimorbidity among older adults in rural southwest China. Methods A cross-sectional survey of 4833 consenting adults aged ≥60 years was conducted in 2017. Data on the demographics, smoking, drinking, height, weight, blood pressure and fasting blood glucose were collected. Results Among the participants, the overall prevalence of hypertension, diabetes, stroke, COPD and CHD was 50.6, 10.2, 6.4, 5.4 and 5.5%, respectively, and of multimorbidity was 16.1%. Females had a higher prevalence of hypertension, diabetes and multimorbidity of chronic NCDs, but a lower prevalence of COPD than males (P &lt; 0.05). Older adults with good household assets and access to medical services were less likely to experience multimorbidity, whereas obese and centrally obese participants, current smokers, current drinkers and those with a family history of chronic NCDs had a greater probability of multimorbidity. Conclusions The findings suggest that effective strategies for prevention and control of chronic NCDs and its multimorbidity are urgently needed, especially for low-income, elderly, ethnic minority adults with poor access to medical services.


Cephalalgia ◽  
2008 ◽  
Vol 28 (4) ◽  
pp. 329-333 ◽  
Author(s):  
IM Benseñor ◽  
PA Lotufo ◽  
AC Goulart ◽  
PR Menezes ◽  
M Scazufca

There are scarce data about headache prevalence and its characteristics among elderly people. The aim was to carry out a cross-sectional study to determine the 1-year prevalence of tension-type and migraine headaches in people >65 years old in the city of São Paulo, Brazil. All 1615 people living in the study catchment area who agreed to participate in the study answered a questionnaire based in the International Headache Society criteria. Prevalence (mean and 95% confidence interval) of any type of headache in the last year was 45.6% (43.2, 48.0). Prevalence of tension-type headache in the last year was 33.1% (30.8, 35.4): 28.1% (24.6, 31.6) for men and 36.4% (33.4, 39.4) for women; for migraine headaches, prevalence in the last year was 10.6% (9.1, 12.1): 5.1% (3.4, 6.8) for men and 14.1% (11.9, 16.3) for women. One-year prevalence rates of headaches, and especially of migraine headaches, are very high among the elderly in Brazil.


2017 ◽  
Vol 65 (2) ◽  
pp. 115-120 ◽  
Author(s):  
Manoelito Ferreira SILVA-JUNIOR ◽  
Emílio Prado FONSECA ◽  
Marília Jesus BATISTA ◽  
Maria da Luz Rosário de SOUSA

ABSTRACT Introduction: Although there has been an improvement in the oral health status of the population, tooth loss still aggravates the oral health of adults and is a matter of great relevance to dentistry. Aim: To determine the spatial distribution of tooth loss in adults and correlate this with the Social Exclusion Index and proximity to public dental services. Material and Method: This ecological study was based on epidemiological data of adults from Piracicaba municipality and from the Piracicaba Research and Planning Institute (IPPLAP). Data on dental evaluations were extracted from the Piracicaba epidemiological survey, which was a cross-sectional study with probabilistic sampling of 248 adults aged 20-64 years, representative of adults living in Piracicaba, Brazil. Oral examinations of the DMFT index were in accordance with the World Health Organization codes and criteria and were performed by a single examiner calibrated for this purpose. Data on social exclusion and the municipal health units that have dental services were extracted from IPPLAP. Georeferencing was performed of census tracts selected by draw, and the city health facilities that have dental services. For Spearman correlation analysis (p <0.05), we used the mean value of teeth lost per district, the Social Exclusion Index (IEX), and proximity to public dental service categorized according to radius: <500m, between 500-1000m, and >1000m the census tract. Result: There was a correlation between tooth loss and higher IEX, and r=−0.51 (p=0.01), but no correlation with proximity to public dental services (p=0.42). Conclusion: Tooth loss in adults was distributed according to social exclusion, however, it was unrelated to proximity to the public dental services.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Regina M. Gill ◽  
Saira A. Khan ◽  
Robert T. Jackson ◽  
Marguerite Duane

The objective of this study was to estimate the prevalence of Metabolic Syndrome (MetS) and its risk components and then compare differences in the risk components among low-income, uninsured Central and South American recent immigrants to the USA. This cross-sectional survey sampled 1,042 adult patients from a medical clinic in metropolitan Washington, DC. The overall prevalence of the MetS was 26.9% estimated using the modified harmonized definition. The most common abnormal metabolic indicator for women was an elevated BMI ≥ 30 kg/m2(36.1%), while, for men, it was an elevated triglyceride level (46.5%). The risk of abnormal MetS indicators increased steadily with increasing BMI. The abnormal indicator combination identifying the most subjects with the MetS included the following: high triglycerides, low HDL cholesterol, and obesity. MetS rates were highest among subjects from El Salvador and Honduras, 31.3% and 28.0%, respectively, and lowest among subjects from Bolivia (21.7%). Dyslipidemia and high BMI increased the likelihood of having the MetS, which is consistent with studies on Mexican Americans in the San Antonio Heart Study and studies within Central and South American countries. This study adds new baseline epidemiological data for largely understudied, low-income, and mostly recent immigrant groups.


2022 ◽  
Vol 13 (1) ◽  
pp. 152-157
Author(s):  
Uttam Majumder ◽  
Iti Baidya ◽  
Avik Kumar Layek ◽  
Sampa Ray Bhattacharya ◽  
Pradip Kumar Ray

Background: With the global increase in cognitive impairment and dementia, the need to investigate into the possible ways that can be used to prevent or delay such occurrence has been growing. Maintenance of dental care and oral hygiene has been promoted as one such aspect. Aims and Objectives: To study the association between cognitive impairment in patients without registered diagnosis of dementia with tooth loss and chewing ability. Materials and Methods: It was a cross-sectional hospital-based study where consenting elderly persons attending Dental outpatient department over 1½ years were included. Data obtained on socio-demographic details, number of tooth loss, number of remaining teeth, subjective chewing ability, cognitive assessment as per mini-mental state examination (MMSE), and Clock Drawing Test were analyzed statistically to check correlational association. Results: In this study 96 eligible elderly persons of mean age of 68.30±6.28 years showed increased cognitive impairment among females (P=0.003), increased age (P=0.009), rural background (P=0.033) and low income groups (P=0.001). Positive correlation was found between chewing capacity (P=0.348), number of remaining teeth (r=0.418) with MMSE scores. Conclusion: Our study population showed positive correlation between impaired cognition and the number of extracted tooth and chewing capacity. With further study on wider and representative population, we hope to project the role of maintaining good oral hygiene and dental care as a possible preventive strategy among many others to combat the increased burden of cognitive impairment.


Author(s):  
Amir Catic ◽  
Adnan Catovic ◽  
Dragutin Komar

ABSTRACT Aging is a process that takes place in every living individual. Every 10th person of the world population is 60 years old or above. Chronic diseases, low income and social status of the elderly, together with physiological changes caused by aging, affect the condition of the stomatognathic system. In the present article many studies are demonstrated considering tooth loss, state of the stomatognathic system and dental appliances as well as different organ changes in elderly through the years in different countries. The team approach of medical and dental experts in treating elderly patients is emphasized as well as different dental treatment options depending on general health factors.


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