Oral Health Status and Treatment Needs of Elderly in Phitsanulok
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Abstract
Oral health is an important part of overall wellbeing of elderly in Thailand. Studies in many countries show that oral health status of elderly is poor and there is an urgent need to improve. Assessment of the oral health status and the needs of older people will aid in the organization of a prevention-oriented oral health care program to improve the quality of life of elderly. The purpose of this study was to describe the oral health status and dental treatment needs of an elderly population. The subjects were elderly people (60-92 years old), who live in Phitsanulok, Thailand. A total of 612 participants (158 males and 454 females, mean age 68.8±5.9) agreed to join the study. The oral examination was performed by one dentist to detect periodontal status The Community Periodontal Index: (CPI) and dental caries status ware reported as decayed, missing, or filled teeth (DMFT), followed those recommendation by the World Health Organization. In addition, prosthetic status and treatment needs were classified according to WHO criteria and also recorded. Information on self-perceived oral health problems, oral function and oral health behavior was obtained via questionnaires. The results showed that, thirty percent of subjects had no natural teeth. The mean DMFT score was 18.9±8.3 (DT=2.0±2.8, MT=16.3±8.3, FT=0.7±2.2) teeth per person. The mean number of DMFT and MT significantly increased with age, with MT dominating in the DMFT index (p<0.05). Thirty-five percent of subjects needed dental fillings and 20 % required tooth extractions. The percentage of elderly with shallow (4-6mm) and deep (>6 mm) periodontal pockets were 9.6 and 26.6 respectively. Half (49.9%) of all subject needed periodontal treatment. Forty-eight percent of subjects need both upper and lower jaw partial dentures, 8.5 % needed complete dentures.
The top five of self-perceived oral problems of elderly were: dental caries; gum disease; halitosis; difficulty in chewing hard food and tooth sensitivity. The oral health status of elderly examined in this study was poor due to high levels of tooth loss, caries experience and prevalence of periodontal pockets. Dental care, especially prosthetic care, should be focused upon. Thus, oral health program that emphasizes prevention should be considered of particular important for elderly.
Keywords: Oral health, DMFT, CPI, elderly, Treatment Need
References
Cassolato, S. F., & Turnbull, R. S. (2003), Xerostomia: clinical aspects and treatment. Gerodontology, 20, 64–77.
Copeland, L. B., Krall, E. A., Brown, L. J., Garcia, R. I., & Streckfus, C. F. (2004). Predictors of tooth loss in two US adult populations. J Public Health Dent, 64(1), 31-37.
De Marchi, R. J, Hilgert, J. B., Hugo, F. N., Dos Santos, C. M., Martins, A. B., & Padilha, D. M. (2012). Four-year incidence and predictors of tooth loss among older adults in a southern Brazilian city. Community Dent Oral Epidemiol, 40, 396–405.
Dental Health Divisions, Department of Health. (2012). Report of the sixth national oral health survey in Thailand in 2011-2012. Nonthaburi: Ministry of Public Health; 2012. Retrieved from http://www.anamai.ecgates.com/news/download.php?type=6
Fure, S., & Zickert. I. (1997). Incidence of tooth loss and dental caries in 60-, 70- and 80-year-old Swedish individuals. Community Dent Oral Epidemiol, 25(2), 137-142.
Henriksen, B. M., Ambjørnsen, E., & Axéll, T. (2014). Dental caries among the elderly in Norway. Acta Odontol Scand, 62(2), 75-81.
Krall, E., Hayes, C., & Garcia, R. (1998). How dentition status and masticatory function affect nutrient intake. J Am Dent Assoc, 129(9), 1261-1269.
Locker, D. (2003), Dental status, xerostomia and the oral health-related quality of life of an elderly institutionalized population. Spec. Care Dent., 23, 86–93.
Locker, D. (1988), Measuring oral health: a conceptual framework. Community Dent Health, 5, 5-13.
Marcenes, W., Steele, J. G., Sheiham, A., & Walls, A. W. (2003). The relationship between dental status, food selection, nutrient intake, nutritional status, and body mass index in older people. Cad Saude Publica, 19(3), 809-816.
National Statistic Office. (2014). The 2014 survey of the older persons in Thailand. Statistical Forecasting Bureau National Statistical Office, The Government Complex. Retrieved from http://service.nso.go.th/nso/nsopublish/themes/files/elderlyworkFullReport57-1.pdf
Natto, Z. S., Aladmawy, M., Alasqah, M., & Papas, A. (2014). Factors contributing to tooth loss among the elderly: A cross sectional study. Singapore Dental Journal, 35, 17-22.
Nordenram, G., Ryd-Kjellen, E., Johansson, G., Nordstrom, G., & Winblad, B. (1996). Alzheimer's disease, oral function and nutritional status. Gerodontology, 13(1), 9-16.
Paulander, J., Axelsson, P. J., Lindhe, J., & Wennstrom, L. (2004). Intra-oral pattern of tooth and periodontal bone loss between the age of 50 and 60 years. A longitudinal prospective study Acta Odontol Scand, 62, 214–222.
Peter, S. (2006). Indices in dental epidermiology. In P. Soben (Ed.), Essentials of preventive and community dentistry (pp. 127-240). New Delhi: Arya.
Petersen, P. E. (2003). The World Oral Health Report 2003: continuous improvement of oral health in the 21st century-the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemol, 31(suppl 1), 3-23.
Petersen, P. E., & Yamamoto, T. (2005). Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol, 33(2), 81-92.
Shimazaki, Y., Soh, I., Koga, T., Miyazaki, H., & Takehara, T. (2003). Risk factors for tooth loss in the institutionalised elderly; a six-year cohort study. Community Dent Health, 20(2), 123-7.
Soh, G., Chong, Y. H., & Ong, G. (1992). Dental state and needs for episodic care of institutionalized elderly in an Asian community. Social Science & Medicine, 34, 415-418.
Slade, G. D., & Spencer, A. J. (1994). Development and evaluation of the Oral Health Impact Profile. Community Dent Health, 11(1), 3-11.
Walls, A. W., Steele, J. G., Sheiham, A., Marcenes, W., & Moynihan, P. J. (2000). Oral health and nutrition in older people. J Public Health Dent, 60(4), 304-307.
Warren, J. J., Watkins, C. A., Cowen, H. J., Hand, J. S., Levy, S. M., & Kuthy, R. A. (2002). Tooth loss in the very old: 13–15-year incidence among elderly Iowans. Community Dent Oral Epidemiol, 30, 29–37
World Health Organization. (2013). Oral health survey: basic methods (5th ed.). Geneva: WHO; 2013.