scholarly journals Oral Health as a Predictor of Physical Frailty among Rural Community-Dwelling Elderly in an Agricultural County of Taiwan: A Cross-Sectional Study

Author(s):  
Ya-Wen Kuo ◽  
Mei-Yen Chen ◽  
Li-Ching Chang ◽  
Jiann-Der Lee

We conducted a cross-sectional study to clarify the relationship between oral health and physical frailty (PF). A sample of 903 community-dwelling individuals aged ≥ 65 years were enrolled from random communities in Chiayi County. The self-perceived oral health (SPOH) and oral health assessment tool (OHAT), which consists of eight items, was used for the evaluation of their oral health status. PF was assessed based on the Study of Osteoporotic Fracture index. Overall, 14.6% of the participants had PF. In an adjusted model, restricted food types (odds ratio (OR) = 1.59, 95% confidence interval (CI): 1.2–2.09, p = 0.001), self-reported dental status (OR = 1.61, 95% CI: 1.2–2.15, p = 0.001), number of teeth (OR = 0.98, 95% CI: 0.96–0.99, p = 0.006), frequency of tooth cleaning (OR = 0.83, 95% CI: 0.68–1.0, p = 0.049), OHAT score (OR = 1.09, 95% CI: 1.02–1.17, p < 0.017), and saliva items of OHAT (OR = 1.52, 95% CI: 1.11–2.1, p = 0.010) were significantly associated with PF. SPOH is a crucial indicator of PF; longitudinal analyses are necessary to understand the underlying pathway of risk factors for frailty onset.

Author(s):  
Kitty Jieyi Chen ◽  
Ni Zhou ◽  
Biao Xu ◽  
Yuexiao Li ◽  
Shinan Zhang ◽  
...  

Background: The aim of this cross-sectional study was to investigate the oral health status of Hani 12-year-old children in Yunnan, a province in Southwest China. Method: This study employed a multistage sampling method to recruit children from local primary schools. Two calibrated dentists examined the status of dental caries, gingival bleeding and dental fluorosis by adopting the diagnosis criteria recommended by the World Health Organization. A self-administrated questionnaire was distributed. The chi-square test and multivariate logistic regression were conducted. Results: This study invited 480 Hani children, and recruited 413 children (52% boys) (response rate: 86%). The dental caries prevalence was 52%, and the caries experience associated with the mean (standard deviation) decayed, missing and filled teeth (DMFT) score was 1.10 (1.46). Gingival bleeding was diagnosed in 252 children (61%), and dental fluorosis was found in two children (0.5%). The results of the regression model indicated the prevalence of dental caries were associated with sugary snacking habits (p = 0.002). The prevalence of gingival bleeding was related to the mother’s education level as well as the child’s monthly pocket money (p < 0.05). Conclusion: Dental caries and gingival bleeding were prevalent among 12-year-old Hani children in the Yunnan province in China. Dental fluorosis was uncommon.


2020 ◽  
pp. 1-9
Author(s):  
Alessandro de Sire ◽  
Marco Invernizzi ◽  
Martina Ferrillo ◽  
Francesca Gimigliano ◽  
Alessio Baricich ◽  
...  

BACKGROUND: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease affecting upper and lower motor neurons. The current practice of caring for patients affected by ALS involves a multidisciplinary team without any indication about oral health care. OBJECTIVE: We sought to investigate the functional status and oral health in patients with ALS to define a specific multidisciplinary management. METHODS: In this cross-sectional study, we included patients affected by ALS, evaluating their functional status, using the Revised ALS Functional Rating Scale (ALSFRS-R) and their oral health status through specific parameters, including Brief Oral Health Status Examination (BOHSE), Winkel Tongue Coating Index (WTCI), and Oral Food Debris Index (OFDI). RESULTS: All 37 patients (mean age: 61.19±11.56 years) showed a poor oral status, independent from the functional status and strictly correlated to the severity of sialorrhea (p = 0.01). OFDI index was negatively correlated with the ALSFRS-R upper limb (p = 0.03). Patients with bulbar onset had significantly lower ability to perform adequate tongue movements in terms of protrusion (p = 0.006) and lateralization (p <  0.001). Significant negative correlations between survival rate and BOHSE (p = 0.03) was found. CONCLUSIONS: Taken together, our findings showed that a poor oral health status might be correlated to a worse functional status and survival time. Thus, an adequate oral health care and rehabilitation should be considered as crucial in the multidisciplinary management of patients with ALS.


2021 ◽  
Vol 12 (1) ◽  
pp. 50
Author(s):  
Gunjan Kumar ◽  
Shilpa Rai ◽  
AlokKumar Sethi ◽  
AkhileshKumar Singh ◽  
RanjanMani Tripathi ◽  
...  

2018 ◽  
Vol 14 (21) ◽  
pp. 248
Author(s):  
Pallavi Pawar ◽  
Nilotpol Kashyap ◽  
Rohit Anand

Aim and Objectives: The aim of the study was to assess the oral health status of 6-12 year old children and their mother’s knowledge, attitude, and practices in Bhilai city. Moreover, this study was also carried out to determine whether mother’s oral health related knowledge, attitude, and practices have a significant influence on the oral health of their children. Materials and Methods: A cross- sectional study was conducted among children (n=600) aged between 6-12 years, attending both government and private schools accompanied with their mothers in Bhilai city. The oral health status of the children was evaluated by using WHO Oral Health Assessment Form (2013). The parents were then asked to fill 25 item based on selfadministered questionnaire. Mother’s knowledge, attitude, and practices were assessed by direct contact with mothers using close ended questionnaire. Statistical Analysis: The data was then entered and analysed using SPSS (Statistical Package for Social Sciences, SPSS Inc., Chicago, IL, USA). Also, p value≤ 0.05 was considered to be statistically significant. Results: The result of the study showed that 90% of mothers had good knowledge, 75% mothers had average attitude, and 51% mothers had high level practices related to oral health. An inverse relationship was found between children’s oral health status and their mother’s knowledge, attitude, and practices about oral health. Thus, the findings were highly significant. Conclusion: Results showed that mother’s oral health related to knowledge, attitude, and practices had a significant impact on oral health status of their children.


2013 ◽  
Author(s):  
Leon Bilder ◽  
Nirit Yavnai ◽  
Avi Zini

Background: Many Long-Term Care (LTC) patients suffer from dental neglect due to difficulties in achieving appropriate dental professional care; although oral health has important influence on the quality of life among them. Dental care of the long term institutionalized adults is often limited to emergency and first aid care and there is insufficient data regarding oral health status in this population.Objectives: To describe the oral health status of the long-term hospitalized adults. Materials and methods: A cross-sectional study including clinical oral examinations was carried out among institutionalized LTC patients aged 18 and older in a geriatric - psychiatric Hospital in Israel. Main outcome measures were: edentulousness, presence of dentures, mucosal findings, number of teeth, number of functional teeth, level of dental hygiene and, dental caries. Results: Subjects’ mean age was 65 years; 31.3% of the patients were edentulous, and only 14% had partial or full dentures. Only 17.2% were caries free. Females had significantly higher number of caries cavitation than men (p=0.044). The number of caries cavitation was higher among patients with higher plaque scores (p<0.001) and when taking Clonex (p=0.018). Number of residual teeth in mouth was higher in the low plaque score group (p<0.001). Carious teeth percentage was higher among the high plaque score group (p<0.001)


2020 ◽  
Vol 27 (33) ◽  
pp. 41876-41884
Author(s):  
Nara Santos Araujo ◽  
Maria das Graças Alonso Oliveira ◽  
Antenor Vieira Borges Neto ◽  
Ynara Bosco de Oliveira Lima Arsati ◽  
Jean Nunes dos Santos ◽  
...  

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