Oral health conditions of institutionalized older adults and associated factors

Introduction: The growth of the Brazilian older adult population has influenced the increased demand for institutionalization for this public, which usually has poor oral health conditions such as edentulism. Objective: To characterize the oral health conditions and verify the variables related to...

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Main Authors: Raul Anderson Domingues Alves da Silva, Gemakson Mikael Mendes, Jéssica Soares de Sousa, Walda Viana Brigido de Moura, Rômulo Rocha Regis, Ana Karine Macedo Teixeira
Format: Article
Language:English
Published: Faculdade de Medicina do ABC 2022-11-01
Series:ABCS Health Sciences
Subjects:
Online Access:https://www.portalnepas.org.br/abcshs/article/view/1632
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author Raul Anderson Domingues Alves da Silva
Gemakson Mikael Mendes
Jéssica Soares de Sousa
Walda Viana Brigido de Moura
Rômulo Rocha Regis
Ana Karine Macedo Teixeira
author_facet Raul Anderson Domingues Alves da Silva
Gemakson Mikael Mendes
Jéssica Soares de Sousa
Walda Viana Brigido de Moura
Rômulo Rocha Regis
Ana Karine Macedo Teixeira
author_sort Raul Anderson Domingues Alves da Silva
collection DOAJ
description Introduction: The growth of the Brazilian older adult population has influenced the increased demand for institutionalization for this public, which usually has poor oral health conditions such as edentulism. Objective: To characterize the oral health conditions and verify the variables related to the edentulism of institutionalized older adults and verify the relation of the time of institutionalization with oral health. Methods: It was a cross-sectional study conducted with 512 institutionalized older adults in which the sociodemographic profile, general health conditions, and oral health care and conditions were evaluated by clinical exams, consultations of medical records, and structured questionnaires. The data were analyzed in the Statistical Package for Social Sciences using the Pearson Chi-square and Fisher's Exact tests and a logistic regression model using a 95% confidence level. Results: A high DMFT (29.4), high prevalence of complete edentulism (61.3%), high need for maxillary (73.6%), and mandibular oral rehabilitation (56.8%) were observed. Edentulism was associated with older age (p<0.001), lower schooling (p<0.001) and non-retirement (p=0.031). It was found that longer institutionalization time remained associated with edentulism even when adjusted by sociodemographic and general health variables (p=0.013). It was also associated with the absence of brushing (p=0.024) and a lower frequency of tooth, gum, and prosthesis brushing (p<0.001). Conclusion: It is suggested to establish oral health care routines within long-term institutions for the effective maintenance of oral health throughout the institutionalization time.
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spelling doaj.art-a0cfc3e4bcbb4eafb276915a24f771e42022-12-22T04:39:31ZengFaculdade de Medicina do ABCABCS Health Sciences2318-49652357-81142022-11-0110.7322/abcshs.2020186.1632Oral health conditions of institutionalized older adults and associated factorsRaul Anderson Domingues Alves da Silva0Gemakson Mikael Mendes1Jéssica Soares de Sousa2Walda Viana Brigido de Moura3Rômulo Rocha Regis4Ana Karine Macedo Teixeira5Programa de Pós-Graduação em Odontologia, Universidade Federal do Ceará (UFC) – Fortaleza (CE), BrazilEscola Cearense de Saúde Pública (ESP/CE) – Fortaleza (CE), BrazilEscola Cearense de Saúde Pública (ESP/CE) – Fortaleza (CE), BrazilCurso de Graduação em Odontologia, UFC – Fortaleza (CE), BrazilPrograma de Pós-Graduação em Odontologia, Universidade Federal do Ceará (UFC) – Fortaleza (CE), Brazil /Curso de Graduação em Odontologia, UFC – Fortaleza (CE), BrazilPrograma de Pós-Graduação em Odontologia, Universidade Federal do Ceará (UFC) – Fortaleza (CE), Brazil /Curso de Graduação em Odontologia, UFC – Fortaleza (CE), Brazil Introduction: The growth of the Brazilian older adult population has influenced the increased demand for institutionalization for this public, which usually has poor oral health conditions such as edentulism. Objective: To characterize the oral health conditions and verify the variables related to the edentulism of institutionalized older adults and verify the relation of the time of institutionalization with oral health. Methods: It was a cross-sectional study conducted with 512 institutionalized older adults in which the sociodemographic profile, general health conditions, and oral health care and conditions were evaluated by clinical exams, consultations of medical records, and structured questionnaires. The data were analyzed in the Statistical Package for Social Sciences using the Pearson Chi-square and Fisher's Exact tests and a logistic regression model using a 95% confidence level. Results: A high DMFT (29.4), high prevalence of complete edentulism (61.3%), high need for maxillary (73.6%), and mandibular oral rehabilitation (56.8%) were observed. Edentulism was associated with older age (p<0.001), lower schooling (p<0.001) and non-retirement (p=0.031). It was found that longer institutionalization time remained associated with edentulism even when adjusted by sociodemographic and general health variables (p=0.013). It was also associated with the absence of brushing (p=0.024) and a lower frequency of tooth, gum, and prosthesis brushing (p<0.001). Conclusion: It is suggested to establish oral health care routines within long-term institutions for the effective maintenance of oral health throughout the institutionalization time. https://www.portalnepas.org.br/abcshs/article/view/1632agedHomes for the Agedoral healthmouth, edentulous
spellingShingle Raul Anderson Domingues Alves da Silva
Gemakson Mikael Mendes
Jéssica Soares de Sousa
Walda Viana Brigido de Moura
Rômulo Rocha Regis
Ana Karine Macedo Teixeira
Oral health conditions of institutionalized older adults and associated factors
ABCS Health Sciences
aged
Homes for the Aged
oral health
mouth, edentulous
title Oral health conditions of institutionalized older adults and associated factors
title_full Oral health conditions of institutionalized older adults and associated factors
title_fullStr Oral health conditions of institutionalized older adults and associated factors
title_full_unstemmed Oral health conditions of institutionalized older adults and associated factors
title_short Oral health conditions of institutionalized older adults and associated factors
title_sort oral health conditions of institutionalized older adults and associated factors
topic aged
Homes for the Aged
oral health
mouth, edentulous
url https://www.portalnepas.org.br/abcshs/article/view/1632
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