Oral Conditions, Occlusal Pairs, and Masticatory Function of Institutionalized Older People in Cali Colombia, 2019
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Dec 31, 2022
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Abstract
Background: There is an increase in the population of older adults in the world, which turns this group into a main target for public health and, in general, for health sciences. Purpose: To characterize the oral conditions of the older residents in a geriatric care site in Cali, Colombia, year 2019. Methods: A descriptive study with an observational, cross-sectional design about the oral health status of 97 patients who lived in a geriatric care facility was conducted. The data collected from each participant included sociodemographic information, as well as presence of edentulous areas, occlusal pairs, use of dental prostheses, soft tissue injuries, root caries, and oral hygiene. Prior to the assessment, observers’ calibration was measured with the Cohen's Kappa Index. Data underwent descriptive and inferential analysis (Kruskal Wallis’ H test, with p= 0.05). Results: The population of institutionalized adults included in this study presented an average of 8 occlusal pairs. Likewise, 70 % of the participants had no occlusal pairs and a diminished masticatory function, Thirty nine percent of them did not have a functional dentition and there was a total absence of functionality among 25 %. All the patients presented edentulous areas with there was a high prevalence of complete edentulism. Conclusions: Understanding oral health differences from a public health perspective and generating interventions based on the primary health care perspective is key to improving the oral status of institutionalized older adults.
Keywords
Cali, Colombia, dental prosthetics, dental public health, dentistry, edentulous arch, geriatric dentistry, occlusal pairs, oral diseases, oral health, root cavity, soft tissue injuries, toothless mouth, dental care for the elder, elder, gerodontology, health of the elderanciano, atención odontológica al anciano, arcada edéntula, boca desdentada, Cali, Colombia, caries radicular, enfermedades bucales, lesiones tejidos blandos, odontología, odontología geriátrica, pares oclusales, prótesis dental, salud bucal, salud del anciano, salud pública bucal, gerodontologíaassistência odontológica para idosos, arco edêntulo, boca desdentada, Cáli, Colômbia, cárie radicular, doenças bucais, idoso, lesões de tecidos moles, odontologia, odontologia geriátrica, pares oclusais, prótese dental, saúde bucal, saúde bucal pública, saúde do idoso, gerodontologia
References
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26. McHugh ML. Interrater reliability: the kappa statistic. Biochem Med (Zagreb). 2012; 22(3): 276-82
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30. Papadiochou S, Polyzois G. Hygiene practices in removable prosthodontics: A systematic review. Int J Dent Hyg. 2018 May; 16(2): 179-201. https://doi.org/10.1111/idh.12323
31. Osmari D, Fraga S, Braun KO, Unfer B. Behaviour of the elderly with regard to hygiene procedures for and maintenance of removable dentures. Oral Health Prev Dent. 2016; 14(1):21-26. https://doi.org/10.3290/j.ohpd.a34051
32. Lynge Pedersen AM, Nauntofte B, Smidt D, Torpet LA. Oral mucosal lesions in older people: relation to salivary secretion, systemic diseases and medications. Oral Dis. 2015 Sep; 21(6): 721-729. https://doi.org/10.1111/odi.12337
33. Kassebaum NJ, Smith AGC, Bernabe E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017; 96(4): 380-387.
34. Shin HS. Association between the number of teeth and hypertension in a study based on 13,561 participants. J Periodontol. 2018 Apr; 89(4): 397-406. https://doi.org/10.1002/JPER.17-0413
35. Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, Meinow B, Fratiglioni L. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011 Sep; 10(4): 430-439. https://doi.org/10.1016/j.arr.2011.03.003
36. Watanabe Y, Hirano H, Arai H, Morishita S, Ohara Y, Edahiro A, Murakami M, Shimada H, Kikutani T, Suzuki T. Relationship between frailty and oral function in community-dwelling elderly adults. J Am Geriatr Soc. 2017 Jan; 65(1): 66-76. https://doi.org/10.1111/jgs.14355
37. Castrejón-Pérez RC, Borges-Yáñez SA, Gutiérrez-Robledo LM, Avila-Funes JA. Oral health conditions and frailty in Mexican community-dwelling elderly: a cross sectional analysis. BMC Public Health. 2012 Sep 12; 12: 773. https://doi.org/10.1186/1471-2458-12-773
38. Asakawa M, Takeshita T, Furuta M, Kageyama S, Takeuchi K, Hata J, Ninomiya T, Yamashita Y. Tongue Microbiota and oral health status in community-dwelling elderly adults. mSphere. 2018 Aug 15; 3(4): e00332-18. https://doi.org/10.1128/mSphere.00332-18
39. Kiesswetter E, Hengeveld LM, Keijser BJ, Volkert D, Visser M. Oral health determinants of incident malnutrition in community-dwelling older adults. J Dent. 2019 Jun; 85: 73-80. https://doi.org/10.1016/j.jdent.2019.05.017
40. De Marchi RJ, Hugo FN, Hilgert JB, Padilha DM. Association between number of teeth, edentulism and use of dentures with percentage body fat in south Brazilian community-dwelling older people. Gerodontology. 2012 Jun; 29(2): e69-76. https://doi.org/10.1111/j.1741-2358.2010.00411.x
41. Gupta A, Keuskamp D. Use and misuse of mixed methods in population oral health research: A scoping review. Community Dent Health. 2018 May 30; 35(2): 109-118. https://doi.org/10.1922/CDH_4250Gupta10
42. Gutiérrez Quiceno B, Luis Alejandro Gómez Barrera LA. Una revisión de alcance de la ciencia de la complejidad en odontología. Hipotesis de Dent. 2021; 12: 109-117
43. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res. 2014 Jul; 93(7 Suppl):20S-28S. https://doi.org/10.1177/0022034514537828
44. World Health Organization (WHO). Active ageing: a policy framework. Geneva, Switzerland: WHO; 2015
45. Holstein MB, Minkler M. Self, society, and the "new gerontology". Gerontologist. 2003 Dec; 43(6): 787-96. https://doi.org/10.1093/geront/43.6.787
46. Quiceno Gutiérrez B, Perdomo A. El reto del ejercicio odontológico en el marco de la pandemia y futuro post COVID-19: Una Reflexión Desde La Salud Pública. Salutem Scientia Spiritus. 2020; 6(1)
47. Roberto LL, Crespo TS, Monteiro-Junior RS, Martins AMEBL, De Paula AMB, Ferreira EF, Haikal DS. Sociodemographic determinants of edentulism in the elderly population: A systematic review and meta-analysis. Gerodontology. 2019 Dec; 36(4): 325-337. https://doi.org/10.1111/ger.12430
48. Peltzer K, Hewlett S, Yawson AE, Moynihan P, Preet R, Wu F, Guo G, Arokiasamy P, Snodgrass JJ, Chatterji S, Engelstad ME, Kowal P. Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. Int J Environ Res Public Health. 2014 Oct 30; 11(11): 11308-11324. https://doi.org/10.3390/ijerph111111308
2. Organización Mundial de la Salud (OMS). Envejecimiento y salud. Ginebra, Suiza: OMS; 2021
3. Chackiel J. El envejecimiento de la población latinoamericana: ¿hacia una relación de dependencia favorable? In: Centro Latinoamericano y Caribeño de Demografía (CELADE). Encuentro Latinoamericano y Caribeño sobre las Personas de Edad; documentos de seminario técnico. Santiago, Chile: CELADE; 1999
4. Departamento Administrativo Nacional de Estadística (DANE). Censo nacional poblacional y vivienda Colombia. Bogota, Colombia: DANE; 2018
5. Ministerio de Salud y Protección Social (Minsalud). Envejecimiento demografico en Colombia 1951-2020 Dinámica Demográfica y estructuras poblacionales. Bogota, Colombia: Minsalud, Oficina de Promoción Social; 2013.
6. Organización Panamericana de salud (OPS/OMS). Decada de Envejecimiento Saludable 2020-2030. Washington D. C., Estados Unidos: OPS/OMS; 2020
7. Krout JA. Senior centers and services for the frail elderly. J Aging Soc Policy. 1995; 7(2): 59-76. https://doi.org/10.1300/j031v07n02_05
8. Pardasani M, Berkman C. New York City Senior Centers: Who Participates and Why? J Appl Gerontol. 2021 Sep; 40(9): 985-996. https://doi.org/10.1177/0733464820917304
9. Taylor-Harris D, Zhan HJ. The third-age African American seniors: benefits of participating in senior multipurpose facilities. J Gerontol Soc Work. 2011 May; 54(4): 351-71. https://doi.org/10.1080/01634372.2010.539588
10. Ministerio de Salud y Protección Social (Minsalud). Orientaciones para la prevención, contención y mitigación del Coronavirus (COVID-19) en centros de protección o larga estancia para personas mayores. Bogota, Colombia: Minsalud, Oficina de Promoción Social; 2013.
11. Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes. 2010 Nov 5; 8:126. https://doi.org/10.1186/1477-7525-8-126
12. Araujo de Lina CS, Silveira Moreira R. Factors associated with the presence of teeth in the adult and elderly Xukuru Indigenous Population in Ororubá; 2010. http://dx.doi.org/10.5772/59415
13. Ástvaldsdóttir Á, Boström AM, Davidson T, Gabre P, Gahnberg L, Sandborgh Englund G, Skott P, Ståhlnacke K, Tranaeus S, Wilhelmsson H, Wårdh I, Östlund P, Nilsson M. Oral health and dental care of older persons-A systematic map of systematic reviews. Gerodontology. 2018 Dec; 35(4): 290-304. https://doi.org/10.1111/ger.12368
14. Budtz-Jørgensen E, Chung JP, Rapin CH. Nutrition and oral health. Best Pract Res Clin Gastroenterol. 2001 Dec; 15(6): 885-896. https://doi.org/10.1053/bega.2001.0247
15. Gutiérrez Quiceno B, Calzada Gutiérrez MT, Fandiño-Losada A. Cultural adaptation and validation of the Geriatric Oral Health Assessment Index - GOHAI - Colombian version. Colomb Med (Cali). 2019 Jun 30; 50(2): 102-114. https://doi.org/10.25100/cm.v50i2.3999
16. Machado Luz FW, Silva AER, Perroni AP, Goettems ML, Boscato N. Impact of Seniors Centers on oral health-related quality of life of older adults. Rev Saude Publica. 2020 Jan 20; 54:07. https://doi.org/10.11606/s1518-8787.2020054001648
17. García-Alpízar B, Capote-Valladares M, Morales-Montes-de-Oca T. Prótesis totales y lesiones bucales en adultos mayores institucionalizados. Rev Finlay. 2012; 2(1):12
18. Bustilos-Ramirez L, Arellano-Gámez LA, Zambrano-Vergara R, Manoochehri-González A. Caries dental y lesiones bucales en adultos mayores institucionalizados en Merida- Venezuela. Rev Odontol de los Andes. 2015; 10(2): 19-24.
19. Rodas Avallaneda CP, Angarita Diaz MP, Nemocón Ramirez LF, Pinzón Castro LA, Robayo Herrera YT, González Sanchez R. Estado bucodental de adultos mayores Institucionalizado mediante un programa público en Villavicencio, durante el primer semestre de 2014. Rev Invest Andina. 2014; 18(33): 1625-1646.
20. Ministerio de Salud y Protección Social (Minsalud). IV estudio nacional de salud bucal (ENSAB). Bogotá, Colombia; 2014.
21. Ministerio de Salud y Protección Social, Departamento Administrativo de Ciencia Tecnología e Innovación (Colciencias), Universidad del Valle, Universidad de Caldas. Encuesta SABE Colombia: situación de salud, bienestar y envejecimiento en Colombia. Bogotá: Pregraf; 2016.
22. Díaz Cárdenas S, Arrieta Vergara K, Ramos Martinez K. Impacto de la Salud Oral en la Calidad de Vida de Adultos Mayores. Rev Clin Med Fam. 2012; 5(1): 9-16.
23. Charyeva OO, Altynbekov KD, Nysanova BZ. Kennedy classification and treatment options: a study of partially edentulous patients being treated in a specialized prosthetic clinic. J Prosthodont. 2012 Apr; 21(3): 177-180. https://doi.org/10.1111/j.1532-849X.2011.00809.x
24. Ekstrand KR, Gimenez T, Ferreira FR, Mendes FM, Braga MM. The International Caries Detection and Assessment System - ICDAS: A Systematic Review. Caries Res. 2018; 52(5): 406-419. https://doi.org/10.1159/000486429
25. Arendorf TM, Walker DM. Denture stomatitis: a review. J Oral Rehabil. 1987 May; 14(3): 217-227. https://doi.org/10.1111/j.1365-2842.1987.tb00713.x
26. McHugh ML. Interrater reliability: the kappa statistic. Biochem Med (Zagreb). 2012; 22(3): 276-82
27. Bermúdez W, Concha Sanchez S, Camargo Lemos D. Perfil orofacial de las personas mayores institucionalizadas de la ciudad de Bucaramanga y su área Metropolitana. Ustasalud. 2003; 2(1): 13-19. https://doi.org/https://doi.org/10.15332/us.v2i1.1849
28. The Glossary of Prosthodontic Terms: Ninth Edition. J Prosthet Dent. 2017 May; 117(5S): e1-e105. https://doi.org/10.1016/j.prosdent.2016.12.001
29. Chiu CT, Malhotra R, Tan SM, Lim J, Chan A, Teoh KH, Gan ST, Saito Y. Dental health status of community-dwelling older Singaporeans: findings from a nationally representative survey. Gerodontology. 2017 Mar; 34(1): 57-67. https://doi.org/10.1111/ger.12218
30. Papadiochou S, Polyzois G. Hygiene practices in removable prosthodontics: A systematic review. Int J Dent Hyg. 2018 May; 16(2): 179-201. https://doi.org/10.1111/idh.12323
31. Osmari D, Fraga S, Braun KO, Unfer B. Behaviour of the elderly with regard to hygiene procedures for and maintenance of removable dentures. Oral Health Prev Dent. 2016; 14(1):21-26. https://doi.org/10.3290/j.ohpd.a34051
32. Lynge Pedersen AM, Nauntofte B, Smidt D, Torpet LA. Oral mucosal lesions in older people: relation to salivary secretion, systemic diseases and medications. Oral Dis. 2015 Sep; 21(6): 721-729. https://doi.org/10.1111/odi.12337
33. Kassebaum NJ, Smith AGC, Bernabe E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017; 96(4): 380-387.
34. Shin HS. Association between the number of teeth and hypertension in a study based on 13,561 participants. J Periodontol. 2018 Apr; 89(4): 397-406. https://doi.org/10.1002/JPER.17-0413
35. Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, Meinow B, Fratiglioni L. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011 Sep; 10(4): 430-439. https://doi.org/10.1016/j.arr.2011.03.003
36. Watanabe Y, Hirano H, Arai H, Morishita S, Ohara Y, Edahiro A, Murakami M, Shimada H, Kikutani T, Suzuki T. Relationship between frailty and oral function in community-dwelling elderly adults. J Am Geriatr Soc. 2017 Jan; 65(1): 66-76. https://doi.org/10.1111/jgs.14355
37. Castrejón-Pérez RC, Borges-Yáñez SA, Gutiérrez-Robledo LM, Avila-Funes JA. Oral health conditions and frailty in Mexican community-dwelling elderly: a cross sectional analysis. BMC Public Health. 2012 Sep 12; 12: 773. https://doi.org/10.1186/1471-2458-12-773
38. Asakawa M, Takeshita T, Furuta M, Kageyama S, Takeuchi K, Hata J, Ninomiya T, Yamashita Y. Tongue Microbiota and oral health status in community-dwelling elderly adults. mSphere. 2018 Aug 15; 3(4): e00332-18. https://doi.org/10.1128/mSphere.00332-18
39. Kiesswetter E, Hengeveld LM, Keijser BJ, Volkert D, Visser M. Oral health determinants of incident malnutrition in community-dwelling older adults. J Dent. 2019 Jun; 85: 73-80. https://doi.org/10.1016/j.jdent.2019.05.017
40. De Marchi RJ, Hugo FN, Hilgert JB, Padilha DM. Association between number of teeth, edentulism and use of dentures with percentage body fat in south Brazilian community-dwelling older people. Gerodontology. 2012 Jun; 29(2): e69-76. https://doi.org/10.1111/j.1741-2358.2010.00411.x
41. Gupta A, Keuskamp D. Use and misuse of mixed methods in population oral health research: A scoping review. Community Dent Health. 2018 May 30; 35(2): 109-118. https://doi.org/10.1922/CDH_4250Gupta10
42. Gutiérrez Quiceno B, Luis Alejandro Gómez Barrera LA. Una revisión de alcance de la ciencia de la complejidad en odontología. Hipotesis de Dent. 2021; 12: 109-117
43. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res. 2014 Jul; 93(7 Suppl):20S-28S. https://doi.org/10.1177/0022034514537828
44. World Health Organization (WHO). Active ageing: a policy framework. Geneva, Switzerland: WHO; 2015
45. Holstein MB, Minkler M. Self, society, and the "new gerontology". Gerontologist. 2003 Dec; 43(6): 787-96. https://doi.org/10.1093/geront/43.6.787
46. Quiceno Gutiérrez B, Perdomo A. El reto del ejercicio odontológico en el marco de la pandemia y futuro post COVID-19: Una Reflexión Desde La Salud Pública. Salutem Scientia Spiritus. 2020; 6(1)
47. Roberto LL, Crespo TS, Monteiro-Junior RS, Martins AMEBL, De Paula AMB, Ferreira EF, Haikal DS. Sociodemographic determinants of edentulism in the elderly population: A systematic review and meta-analysis. Gerodontology. 2019 Dec; 36(4): 325-337. https://doi.org/10.1111/ger.12430
48. Peltzer K, Hewlett S, Yawson AE, Moynihan P, Preet R, Wu F, Guo G, Arokiasamy P, Snodgrass JJ, Chatterji S, Engelstad ME, Kowal P. Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. Int J Environ Res Public Health. 2014 Oct 30; 11(11): 11308-11324. https://doi.org/10.3390/ijerph111111308
How to Cite
Ordóñez Realpe, M. A., Benavidez Palacios, C. A., Gómez Córdoba, C. Y., Calzada Gutiérrez, M. T., & Gutiérrez Quiceno, B. (2022). Oral Conditions, Occlusal Pairs, and Masticatory Function of Institutionalized Older People in Cali Colombia, 2019. Universitas Odontologica, 41. https://doi.org/10.11144/Javeriana.uo41.ocop
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Thematic dossier: Aging and Dentistry
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