TY - JOUR
T1 - Elderly with remaining teeth report less frailty and better quality of life than edentulous elderly
T2 - a cross-sectional study
AU - Hoeksema, A. R.
AU - Spoorenberg, S. L.W.
AU - Peters, L. L.
AU - Meijer, H. J.A.
AU - Raghoebar, G. M.
AU - Vissink, A.
AU - Wynia, K.
AU - Visser, A.
PY - 2017/5
Y1 - 2017/5
N2 - Objective: To assess oral status and self-reported oral health in community-living elderly and to determine differences between relevant subgroups of oral status (remaining teeth, edentulous, implant-retained overdentures) and case complexity (robust, frail, complex care needs). Subjects and methods: In this cross-sectional descriptive study, 1325 Dutch community-living elderly (≥75 years of age) were asked to complete validated questionnaires on frailty, activities of daily living (ADL), complexity of care needs, and QoL. Data on oral status, self-reported oral health, dental care, general health, and medication use were assessed. Differences between relevant subgroups were determined. Results: Data of 1026 (77%) elderly (median 80 years, IQR 77–84) were analyzed: 39% had remaining teeth, 51% were edentulous, and 10% had implant-supported overdentures. Elderly with complex care needs (n = 225, 22%) and frail elderly (n = 217, 21%) were more often edentulous and reported more oral problems than robust elderly (n = 584, 57%). Elderly persons with remaining teeth were less frail, had better QoL and ADL, and used fewer medicines than edentulous elderly. Elderly with implant-supported overdentures performed better on frailty and QoL than edentulous elderly with conventional dentures. Conclusion: Community-living elderly commonly suffer from oral health problems, in particular elderly with complex care needs. QoL, ADL, and general health are higher among community-living elderly with remaining teeth and implant-supported overdentures than in edentulous elderly.
AB - Objective: To assess oral status and self-reported oral health in community-living elderly and to determine differences between relevant subgroups of oral status (remaining teeth, edentulous, implant-retained overdentures) and case complexity (robust, frail, complex care needs). Subjects and methods: In this cross-sectional descriptive study, 1325 Dutch community-living elderly (≥75 years of age) were asked to complete validated questionnaires on frailty, activities of daily living (ADL), complexity of care needs, and QoL. Data on oral status, self-reported oral health, dental care, general health, and medication use were assessed. Differences between relevant subgroups were determined. Results: Data of 1026 (77%) elderly (median 80 years, IQR 77–84) were analyzed: 39% had remaining teeth, 51% were edentulous, and 10% had implant-supported overdentures. Elderly with complex care needs (n = 225, 22%) and frail elderly (n = 217, 21%) were more often edentulous and reported more oral problems than robust elderly (n = 584, 57%). Elderly persons with remaining teeth were less frail, had better QoL and ADL, and used fewer medicines than edentulous elderly. Elderly with implant-supported overdentures performed better on frailty and QoL than edentulous elderly with conventional dentures. Conclusion: Community-living elderly commonly suffer from oral health problems, in particular elderly with complex care needs. QoL, ADL, and general health are higher among community-living elderly with remaining teeth and implant-supported overdentures than in edentulous elderly.
KW - dental diseases
KW - geriatric conditions
KW - periodontium
KW - public health
UR - http://www.scopus.com/inward/record.url?scp=85014773928&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/odi.12644
DO - https://doi.org/10.1111/odi.12644
M3 - Article
C2 - 28120363
SN - 1354-523X
VL - 23
SP - 526
EP - 536
JO - Oral diseases
JF - Oral diseases
IS - 4
ER -