IADR Abstract Archives
Edentulism And Denture Needs Of Home-Bound And Institutionalized Elderly
Objectives: To determine tooth loss, denture wear, and denture treatment needs in the home-bound and institutionalized elderly.
Methods: Participants ≥60 years old, either nursing home residents or home-bound (cared for by a home medical team), were recruited. Clinical oral examination and denture assessment for retention, stability, and occlusion were done. Prevalences of tooth loss and denture wear were reported. Univariable logistic regressions were performed to identify groups of elderly more likely to wear dentures.
Results: 170 participants were recruited (62 home-bound, 108 nursing home residents; 52.4% female; mean age 79.5). 7.6% were cognitively impaired and a majority (80.6%) required assistance with at least one activity of daily living (ADL). Mean number of teeth present was 6.4. 43.5% of participants were completely edentulous, 45.3% had 1-19 remaining teeth, and 11.2% had ≥20 remaining teeth.
67.1% of participants did not wear dentures. 37 wore both upper and lower dentures, while 19 wore only upper dentures. Majority of the dentures (79.6%) were complete dentures. 48.2% of upper dentures and 54.1% of lower dentures were unsatisfactory, requiring repair (n=11), reline (n=13), and replacement (n=23). Denture stomatitis was reported for 21.4% of upper denture wearers and 8.1% of lower denture wearers.
Participants were more likely to wear an upper denture if they were ≥80 years old (OR=4.37, p=0.012), had 3-6 missing anterior teeth (OR=6.04, p=0.019), or had ≥9 missing teeth overall (OR=5.74, p=0.022). Participants with more teeth were less likely to wear a lower denture (1-19: OR=0.03, p<0.001; 20-28: OR<0.01, p<0.001). The odds of wearing a lower denture was 84% more with every increase in number of missing teeth (OR=1.84, p=0.008). No significant difference in denture wear was found when comparing cognitive status and need for assistance with ADL.
Conclusions: Despite the high prevalence of edentulism among the home-bound and institutionalized elderly, the majority did not wear dentures. Half of dentures examined required modification or replacement. Elderly with more missing teeth were more likely to wear a denture.
Methods: Participants ≥60 years old, either nursing home residents or home-bound (cared for by a home medical team), were recruited. Clinical oral examination and denture assessment for retention, stability, and occlusion were done. Prevalences of tooth loss and denture wear were reported. Univariable logistic regressions were performed to identify groups of elderly more likely to wear dentures.
Results: 170 participants were recruited (62 home-bound, 108 nursing home residents; 52.4% female; mean age 79.5). 7.6% were cognitively impaired and a majority (80.6%) required assistance with at least one activity of daily living (ADL). Mean number of teeth present was 6.4. 43.5% of participants were completely edentulous, 45.3% had 1-19 remaining teeth, and 11.2% had ≥20 remaining teeth.
67.1% of participants did not wear dentures. 37 wore both upper and lower dentures, while 19 wore only upper dentures. Majority of the dentures (79.6%) were complete dentures. 48.2% of upper dentures and 54.1% of lower dentures were unsatisfactory, requiring repair (n=11), reline (n=13), and replacement (n=23). Denture stomatitis was reported for 21.4% of upper denture wearers and 8.1% of lower denture wearers.
Participants were more likely to wear an upper denture if they were ≥80 years old (OR=4.37, p=0.012), had 3-6 missing anterior teeth (OR=6.04, p=0.019), or had ≥9 missing teeth overall (OR=5.74, p=0.022). Participants with more teeth were less likely to wear a lower denture (1-19: OR=0.03, p<0.001; 20-28: OR<0.01, p<0.001). The odds of wearing a lower denture was 84% more with every increase in number of missing teeth (OR=1.84, p=0.008). No significant difference in denture wear was found when comparing cognitive status and need for assistance with ADL.
Conclusions: Despite the high prevalence of edentulism among the home-bound and institutionalized elderly, the majority did not wear dentures. Half of dentures examined required modification or replacement. Elderly with more missing teeth were more likely to wear a denture.