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Rita A Jablonski, Ann M Kolanowski, Andres Azuero, Vicki Winstead, Corteza Jones-Townsend, Maria L Geisinger
OBJECTIVES: The purpose of this study was to test the efficacy of MOUTh (Managing Oral Hygiene Using Threat Reduction), a nonpharmacologic, relationship-based intervention vs. control on 2 primary outcomes for nursing home (NH) residents with dementia who resisted mouth care: (i) reduction in the occurrence and intensity of care-resistant behaviours (CRBs) and (ii) improvement in oral health. Two secondary outcomes were also examined: (i) the duration of mouth care and (ii) the completion of oral hygiene activities...
July 13, 2018: Gerodontology
Minn N Yoon, Carla Ickert, Susan E Slaughter, Christina Lengyel, Natalie Carrier, Heather Keller
OBJECTIVE: To describe the oral health and oral prosthetic status of long-term care residents in four Canadian provinces. BACKGROUND: Oral health can have significant impact on the health and quality of life of older adults. Seniors in long-term care are highly dependent on care staff for basic activities of daily living and are at risk for poor oral health. MATERIALS AND METHODS: Five hundred and fifty-nine randomly selected residents were examined from thirty-two long-term care homes in Alberta, Manitoba, Ontario and New Brunswick, Canada...
July 11, 2018: Gerodontology
Fernanda G Salum, Francisco de Assis Carvalho Medella-Junior, Maria A Zancanaro Figueiredo, Karen Cherubini
OBJECTIVE: To perform a literature review addressing the therapeutic strategies for salivary hypofunction. BACKGROUND: Qualitative and quantitative salivary dysfunctions predispose to changes in the oral mucosa and teeth, cause impairment to oral functions and negative impact on quality of life. MATERIALS AND METHODS: A MEDLINE/PubMed search was conducted using the terms "Xerostomia" AND, "Saliva Artificial" OR, "Citric Acid," "Malic Acid," "Chewing Gum," "Acupuncture" OR, "Pilocarpine" OR, "Bethanechol" OR, "Cevimeline" OR, "Hyperbaric Oxygen Therapy" OR, "Stem Cell Therapy" OR "Genetic Therapy" and their Mesh Terms...
June 29, 2018: Gerodontology
Rafael Aiello Bomfim, Antonio Carlos Frias, Andreia Morales Cascaes, Antonio Carlos Pereira
INTRODUCTION: The objective of the present study was to evaluate the association of socioeconomic status (SES) as a latent variable on oral health-related quality of life (OHRQoL) using four definitions of functional dentition (FD) for elderly people. METHODS: Four sets of multilevel generalised structural equation models (GSEM) were used: (i) WHO Functional Dentition (FDWHO); (ii) Well-distributed teeth (WDT); (iii) FDclass5 ; and (iv) FDclass6 . The indirect effects of SES on OHRQoL were measured in 5951 elderly participants in the São Paulo Oral Health 2015 (SBSP-15) survey...
June 29, 2018: Gerodontology
Shunsuke Minakuchi, Kazuhiro Tsuga, Kazunori Ikebe, Takayuki Ueda, Fumiyo Tamura, Kan Nagao, Junichi Furuya, Koichiro Matsuo, Ken Yamamoto, Manabu Kanazawa, Yutaka Watanabe, Hirohiko Hirano, Takeshi Kikutani, Kaoru Sakurai
BACKGROUND: There is growing international interest in identifying the effects of ageing on oral health and on appropriate strategies for managing oral disorders. The Japanese Society of Gerodontology (JSG), as the official representative of researchers and clinicians interested in geriatric dentistry in Japan, makes several recommendations on the concept of "oral hypofunction." AIMS: This study proposes diagnostic criteria and management strategies to reduce the risk of oral hypofunction among older people...
June 8, 2018: Gerodontology
Cassiane Wigner Brochier, Fernando Neves Hugo, Rafaela Soares Rech, Alexandre Baumgarten, Juliana Balbinot Hilgert
OBJECTIVE: The study evaluated the association of the sociodemographic, behavioural variables and the oral conditions with the presence of oropharyngeal dysphagia in long-term care older persons. BACKGROUND: Due to the influence of ageing, swallowing may be altered both in people with natural teeth and in those who have dentures or tooth loss. MATERIALS AND METHODS: This cross-sectional study evaluated 115 individuals older than 60 years, living in long-term care institutions of the State of Rio Grande do Sul in 2016...
June 7, 2018: Gerodontology
Eijiro Yamaga, Yusuke Sato, Shunsuke Minakuchi
OBJECTIVE: To test a previously described conceptual framework of oral health in edentulous elders using an intervention study that included complete denture replacement. Confirmatory factor analysis (CFA) was also conducted to substantiate construct validity. BACKGROUND DATA: To date, the model proposed by Locker has been tested on edentulous elders using structural equation model (SEM) analysis. However, cross-sectional designs and the Short-Form Oral Health Impact Profile (OHIP-14) cannot adequately express cause-effect relationships and distribution in edentulous patients...
June 1, 2018: Gerodontology
Leorik P Silva, Marianna S Serpa, Ana Paula V Sobral, José Alcides A Arruda, Leni Verônica O Silva, Mariana S Noronha, Camila O Kato, Ricardo A Mesquita, Lauren F Schuch, Ana Paula N Gomes, Ana Carolina U Vasconcelos, Lélia B Souza
OBJECTIVE: The aim of this study was to investigate the frequency and some characteristics of odontogenic tumours, odontogenic cysts and non-odontogenic cysts in an elderly population (≥60 years). BACKGROUND: Few studies describe the distribution of oral lesions in older people. MATERIALS AND METHODS: A retrospective descriptive cross-sectional study was performed. Biopsy records were obtained from the archives of four Brazilian referral centres between 2000 and 2016...
June 1, 2018: Gerodontology
Thuy Anh Vu Pham, Tam Quang Nguyen
OBJECTIVE: To determine the oral health status and treatment needs of elderly residents in Vietnamese nursing homes. METHODS: This study was conducted among 360 men and 431 women with a mean age of 72.9 ± 9.1 years in three nursing homes in Ho Chi Minh City. Demographic information on education, duration of stay, chronic diseases, tooth brushing and tobacco use were obtained from medical records and a questionnaire. The oral health of participants was clinically assessed by a dental examiner using WHO criteria...
June 1, 2018: Gerodontology
Lisdrianto Hanindriyo, Elastria Widita, Rini Widyaningrum, Bambang Priyono, Dewi Agustina
OBJECTIVE: To assess the possible effects of residential characteristics on the association between oral hygiene and body mass index (BMI) of elderly people in Indonesia. METHODS: This cross-sectional study involved 186 participants (87 males, 99 females) aged ≥60 years who were randomly recruited from 8 community health stations for the elderly people. Dentition status, oral hygiene index (OHI), probing pocket depth (PPD) and clinical attachment level (CAL) were assessed in accordance with WHO guidelines...
May 28, 2018: Gerodontology
Hae-Yun Hwang, Jun-Seon Choi, Hee-Eun Kim
OBJECTIVE: To evaluate whether masticatory efficiency is associated with dynamic postural balance. BACKGROUND: Masticatory dysfunction can cause deterioration of general health due to nutritional imbalances, thereby negatively affecting postural balance. However, few studies have investigated the association between masticatory efficiency and postural balance. MATERIALS AND METHODS: The masticatory efficiency of 74 participants was evaluated by calculating mixing ability index (MAI) using a wax cube...
May 28, 2018: Gerodontology
Carolina N F Arruda, Marcela M Salles, Maurício M Badaró, Danilo B Sorgini, Viviane C Oliveira, Ana P Macedo, Cláudia H Silva-Lovato, Helena F O Paranhos
PURPOSE: To verify whether 0.1% and 0.2% sodium hypochlorite (NaOCl), and 8% Ricinus communis (RC) were able to remove denture biofilm without causing deleterious effects to acrylic resin. BACKGROUND: Previous data show that denture cleansers are effective in reducing biofilm; however, they can change acrylic resin properties. METHODS: In a crossover trial, 47 denture wearers brushed and soaked their dentures (20 min/14 d): control, 0.85% saline; SH1, 0...
May 23, 2018: Gerodontology
Raquel Conceição Ferreira, Talita Xavier Gonçalves, Anna Rachel Dos Santos Soares, Luísa Rodrigues de Abreu Carvalho, Fernanda Lamounier Campos, Marco Túlio de Freitas Ribeiro, Andrea Maria Eleutério de Barros Lima Martins, Efigênia Ferreira E Ferreira
OBJECTIVE: To analyse the frequency of dependence on others for oral hygiene and its association with hand deformities, frailty and dependence on others for basic activities of daily living (BADL) among elders with a history of leprosy. BACKGROUND: Dependence on others for oral hygiene has not been considered in multifunctional geriatric assessments. MATERIAL AND METHODS: Edentulous elders with a history of leprosy who used complete dentures and resided in a former leprosy colony were classified as independent or partially/completely dependent on others for brushing their dentures or rinsing and for BADL, and as frail or robust...
May 21, 2018: Gerodontology
Yuko Hayashi, George Taylor, Akihiro Yoshihara, Masanori Iwasaki, Stuart A Gansky, Hideo Miyazaki
INTRODUCTION: This study evaluated the relationship between serum Rheumatoid Factor (RF) levels and tooth loss in a community-dwelling elderly Japanese women. It was hypothesised that women with high baseline RF levels would experience greater tooth loss over 10 years than age-matched women with lower baseline serum RF levels. MATERIALS AND METHODS: The study population consisted of 197 women aged 70 years with ≥12 teeth at baseline. One hundred and twenty-four participants completed a 10-year follow-up and were divided into 2 groups according to their baseline serum RF levels as follows: RF negative (<15 U/mL; n = 114) and RF positive (>15 U/mL; n = 10)...
May 21, 2018: Gerodontology
Hannah Dekker, Engelbert A J M Schulten, Chris M Ten Bruggenkate, Elisabeth Bloemena, Leo van Ruijven, Nathalie Bravenboer
OBJECTIVES: The aim of this study was to investigate whether the extent of mandibular resorption and gender is related to the bone turnover and microarchitecture of the edentulous mandible. PARTICIPANTS AND METHODS: A mandibular bone sample was obtained at canine position from 36 edentulous participants (50% women; mean age: 65 years) during dental implant surgery. All female participants were postmenopausal. Mandibular height, duration of edentulous state and resorption pattern (Cawood classification) were recorded...
May 21, 2018: Gerodontology
Philippe Pierre Hujoel, Margaux Louise A Hujoel, Georgios A Kotsakis
OBJECTIVE: To conduct a systematic review of randomised trials assessing the association between personal oral hygiene and dental caries in the absence of the confounding effects of fluoride. BACKGROUND: Dental caries continues to affect close to 100% of the global population. There is a century-old conflict on whether dental caries is caused by poor oral hygiene or poorly formed teeth (ie, teeth with dental defects). Resolving this conflict is of significant public health importance as these two hypotheses on dental caries aetiology can lead to different prevention strategies...
May 15, 2018: Gerodontology
Yusuke Mihara, Ken-Ichi Matsuda, Kazunori Ikebe, Koudai Hatta, Motoyoshi Fukutake, Kaori Enoki, Taiji Ogawa, Hajime Takeshita, Chisato Inomata, Yasuyuki Gondo, Yukie Masui, Kei Kamide, Ken Sugimoto, Mai Kabayama, Tatsuro Ishizaki, Yasumichi Arai, Yoshinobu Maeda
OBJECTIVE: The purpose of this study was to elucidate the associations between muscle strength and several oral functions in a large cohort of community-dwelling, 82- to 84-year-old community-dwelling Japanese people. BACKGROUND DATA DISCUSSING THE PRESENT STATUS OF THE FIELD: Several studies have examined the relationships between physical performance and oral functions. However, no studies have investigated the associations of muscle strength with various objectively evaluated oral functional parameters in a large cohort of very old adults...
May 15, 2018: Gerodontology
Suzanne Delwel, Roberto S G M Perez, Andrea B Maier, Cees M P M Hertogh, Henrica C W de Vet, Frank Lobbezoo, Erik J A Scherder
OBJECTIVE: The aim of this study was to describe the psychometric evaluation of the Orofacial Pain Scale for Non-Verbal Individuals (OPS-NVI) as a screening tool for orofacial pain in people with dementia. BACKGROUND: The OPS-NVI has recently been developed and needs psychometric evaluation for clinical use in people with dementia. The pain self-report is imperative as a reference standard and can be provided by people with mild-to-moderate cognitive impairment...
April 29, 2018: Gerodontology
William M Thomson, Moira B Smith, Catherine Anna Ferguson, Ngaire M Kerse, Kathryn Peri, Barry Gribben
OBJECTIVES: To investigate clinical oral disease and its association with cognitive function and dependency among older New Zealanders in residential aged care. MATERIAL AND METHODS: National survey of oral health in aged residential care throughout New Zealand. We classified residents into 1 of 3 levels of care: "low dependency care (or assisted living)"; "high dependency care"; or "specialist dementia care/psychogeriatric care." The Abbreviated Mental Test characterised cognitive function as "unimpaired" (scores of 7-10), "moderately impaired" (4-6) or "severely impaired" (0-3)...
April 23, 2018: Gerodontology
Amy R Villarosa, Sally Clark, Ariana C Villarosa, Tiffany Patterson Norrie, Susan Macdonald, Jennifer Anlezark, Ravi Srinivas, Ajesh George
OBJECTIVE: This study aimed to look at the practices and perspectives of residential aged care facility (RACF) care staff regarding the provision of oral health care in RACFs. BACKGROUND: Emphasis has been placed on the provision of adequate oral health care in RACFs through the Better Oral Health in Residential Aged Care programme. Endorsed by the Australian government, this programme provided oral health education and training for aged care staff. However, recent evidence suggests that nearly five years after the implementation of this programme, the provision of oral care in RACFs in NSW remains inadequate...
April 23, 2018: Gerodontology
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