Intra‐oral findings and general health conditions among institutionalized and non‐institutionalized elderly in Greece
- 4 October 2005
- journal article
- Published by Wiley in Journal of Oral Pathology & Medicine
- Vol. 34 (10), 577-582
- https://doi.org/10.1111/j.1600-0714.2005.00356.x
Abstract
The aim of the study was to record the findings from intra-oral examination and the general health conditions encountered in a group of Greek individuals 65 years of age or older.The study subjects were derived from the elderly attending 12 randomly selected community centres located in Athens and neighbouring municipalities, consisting the non-institutionalized study group and from the elderly living in three ecclesiastical nursing homes, consisting the institutionalized study group. The research data comprised information from the subjects' interviews, self-defined health status, medical records and intra-oral examination on the following variables: sex, age, general health condition, dentate or not, use of dentures and oral conditions. Fisher's exact two-sided test was used for statistical analysis.Overall, 316 patients were examined; 120 male (38%), 196 female (62%), mean age 78 years (range: 65-99). Of those, 150 were non-institutionalized (59 male, 91 female) and 166 institutionalized (61 male and 105 female). The vast majority (90%) of the patients had at least one general health problem, for which they were taking daily medication. Twenty-three different medical conditions were recorded. The most frequent medical problems were hypertension (56%), cardiovascular problems (41%), depression/anxiety (39%), arthritis (18.5%) and visual problems (16%). The vast majority of the study patients (79%) were edentulous, while 33% were not wearing or using their dentures. Almost half of them (47%) had at least one oral condition. Twenty-seven different oral conditions were recorded. The most frequent oral findings were denture-induced stomatitis (17.2%), dry mouth (14.6%), atrophy of tongue papillae (10.5%), fissured tongue (9.8%) and haemangioma (6.8%). No cases of malignant lesions were observed.The present study confirms that in this particular age group, general health problems are frequent, variable, coexistent, necessitating the daily administration of multiple medications, while oral examination by a specialist is an essential part of the multidisciplinary medical care in this group of individuals.Keywords
This publication has 32 references indexed in Scilit:
- Drug effects on salivary glands: dry mouthOral Diseases, 2003
- The implications of visual impairment in an elderly population in recognizing oral disease and maintaining oral healthSpecial Care in Dentistry, 2001
- Xerostomia and HyposalivationDrugs & Aging, 1999
- Oral mucosal lesions and oral hygiene habits in the home‐living elderlyJournal of Oral Rehabilitation, 1997
- Denture stomatitis — a review of the aetiology, diagnosis and managementAustralian Dental Journal, 1992
- Oral mucosal health and disease in institutionalized elderly in BrazilCommunity Dentistry and Oral Epidemiology, 1991
- Oral pathology and prostheses—are they related? Investigations in an elderly populationJournal of Oral Rehabilitation, 1989
- Oral health concerns of an elderly population in EnglandCommunity Dentistry and Oral Epidemiology, 1988
- Oral cancer and precancer as diseases of the agedCommunity Dentistry and Oral Epidemiology, 1978