Impact on the Quality of Life of Older Adults Who Use Inadequate Dental Prostheses: A Cross-Sectional Study

Abstract Objective: To investigate the impact of inadequate prostheses on older adult's quality of life at the Integrated Health Center for Older Adults in the northeastern city of Brazil. Material and Methods: A cross-sectional study involving 147 older adults aged 60-90 years old in João Pessoa, Brazil. Interviews and oral examinations were carried out to collect demographic characteristics (age and gender) and clinical dental measures (use of inadequate upper and/or lower dental prosthesis) and Oral Health Impact Profile (OHIP-14 Questionnaire). The Pearson Chi-square and Fisher's exact tests were used to evaluate the association between the OHIP-14 dimensions and the use of unsatisfactory prostheses (p<0.05). Results: The sample consisted of 90.5% of women being a mean age of 69.86 (± 6.60) years. Individuals with inadequate prostheses had a higher impact on quality of life, with a predominant prevalence ratio for developing physical pain (PRR = 3.52; CI = 4.69-2.65), psychological discomfort (PRR = 5.0; CI = 5.85-4.26) and psychological inability (PRR = 1.71; CI = 2.56-1.14). Conclusion: The use of inadequate prostheses had a negative impact on the quality of life of the older adult population. Therefore, services, which provide health care for older adults, should overcome this reality by providing broad access to oral rehabilitation that is appropriate to the needs of each individual.

Impacto da prótese dentária total removível na qualidade de vida de idosos em Grupos de convivência de Belo Horizonte- MG / The impact of removable complete dental prostheses on the quality of life among individuals in elderly support Groups in the city of Belo Horizonte- MG, Brasil

Resultados de um recente estudo epidemiológico nacional de saúde bucal revelaram um alto percentual de idosos edêntulos, muitos destes, necessitando de reabilitação protética. O objetivo deste estudo foi avaliar o impacto da reabilitação com próteses totais removíveis na qualidade de vida de idosos, independentes, que participavam de atividades sociais. O universo de estudo foi constituído por idosos que participavam dos Grupos de Convivência conveniados com a Prefeitura de Belo Horizonte (Brasil) em 2004. O cálculo amostral foi feito pelo método de proporção (intervalo de confiança de 95%, erro a de 0,05 e um percentual de impacto de 80%). Depois de ajustado para uma população finita, o tamanho da amostra foi determinado em 245 indivíduos (n=245), proporcionalmente dividido pelas 9 regionais administrativas da cidade...

Results from a recent national epidemiological survey regarding oral health reveal high percentages of elderly with missing teeth, many of whom require prosthetic rehabilitation. The aim of the present study was to assess the impact of removable complete prosthesis rehabilitation on the quality of life of independent elderly individuals who participate in social activities. The present study’s sample was made up of elderly individuals who participated in support Groups sponsored by the City of Belo Horizonte (Brazil) in 2004. The sample calculation was determined by the proportion method (a 95% confidence interval, a α error of 0.05, and an 80% impact proportion). After adjusting to a finite population, the sample size was determined at n = 245, proportionately distributed among the nine administrative districts of the city. Individuals were interviewed at the location of the support Group meetings by a single researcher using the Geriatric Oral Health Assessment Index (GOHAI)...

Saúde bucal de idosos restritos ao domicílio: estudo descritivo de uma demanda interdisciplinar / Oral health of residence restricted elders: descriptive study of an interdisciplinary demand

No município de Londrina, a proporção de pessoas acima de 60 anos em 2002 era de 9,35%, enquanto que a média nacional, neste mesmo ano, foi de 8,52%. Do total dessa população, estima-se que 15% apresentam problemas de saúde que dificultam seu deslocamento para atendimento médico-odontológico. Somadas a essa dificuldade, a baixa renda familiar para a utilização dos serviços odontológicos privados e a falta de prioridade nos serviços públicos os coloca em uma condição de abandono. Foram selecionados 43 idosos, moradores do Conjunto Habitacional Ruy Viermond Carnascialli, e então submetidos a uma entrevista e exame clínico odontológico em seus domicílios. Foi observado que 79,1% referiram a última visita a um dentista há mais de cinco anos, e apenas 55,8% reconhecem a necessidade de um atendimento odontológico. No exame clínico, observou-se que 79,1% dos idosos já haviam perdido todos os seus dentes no arco superior e 65,1% no arco inferior, necessitando usar próteses. Quanto ao tempo de uso de uma mesma prótese, foi encontrada a média de 15 anos, sendo que ao considerar o estado geral de conservação, 67,8% das próteses superiores e 82,4% das inferiores tiveram indicação de substituição. O índice de dentes cariados, perdidos ou obturados encontrado foi de 29,7, com a média de 2,3 dentes hígidos presentes por idoso. Devido às precárias condições encontradas, serão necessários estudos considerando a restrição ao domicílio e suas implicações, como fatores de risco para a má condição e manutenção da saúde bucal em idosos.

In the city of Londrina, State of Paraná, Brazil, the proportion of people aged over 60 years in 2002 was of 9.35%, whereas the national average in the same year was 8.52%. Fifteen percent have health problems that hinder their search for health medical and dentalservices. Besides this difficulty, the low family income to afford private dental assistance and the lack of priority in public services place them in a condition of abandonment. Forty-three elders, selected in a convenience sample, were interviewed and underwent clinical dental exams in their homes. It was observed that 79.1% reported their last visit to a dentist more than 5 years ago, and barely 55.8% recognized theneed for dental treatment. In the clinical exam, 79.1% of the elders had already lost all teeth in the upper arch and 65.1% in the lower arch, and needed to use prosthesis. Concerning time of use of the same prosthesis, it was found an average of 15 years, and considering the general state of conservation, 67.8% of the upper prosthesis and 82.4% of the lower ones should be replaced. The index of decayed, lost or filled teeth was of 29.7, with an average of 2.3 teeth with no treatments or problems. Due to the precariousconditions found, more studies on the restraint to residence and its implications are needed, as risk factorsfor bad condition and maintenance of mouth health among elders.