Keywords
Quality of life
Oral health
Aged
Chronic diseases
Aging
Dental prosthesis
Drug utilization
Mouth, edentulous
How to Cite
Abstract
Aim: To evaluate the impact of xerostomia, edentulism, use of dental prosthesis, and presence of chronic diseases on quality of life in relation to oral health in institutionalized elderly individuals. Methods: This is a cross-sectional study. A questionnaire was administered containing the following instruments: Oral Health Impact Profile (OHIP-14), which measures the quality of life related to oral health; the Summated Xerostomia Inventory questionnaire (SXI-PL) for evaluation of xerostomia, sociodemographic data, clinical description, and patient-reported factors was assessed (edentulism, use of dental prostheses, and chronic diseases). Results: Most elderly individuals did not have any teeth in their mouths and used dental prosthesis. The impact on quality of life, considering the mean of the OHIP-14 scores, was positive in 58.3% of the elderly. Those who used a dental prosthesis were three times more likely to have their oral health negatively impacted (OR=3.09; 95%CI =1.17 8.11), compared to those who did not use, and individuals with xerostomia were more likely to have their oral health negatively impacted (OR=1.57; 95%CI=1.25-1.98) compared to those without xerostomia. There was no difference in the quality of life of individuals with and without chronic diseases. Conclusions: The feeling of dry mouth and use of dental prostheses negatively impacted the quality of life in relation to oral health of the elderly.
References
Kyu HH, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018 Nov;392(10159):1859-922. doi: 10.1016/S0140-6736(18)32335-3.
Makovski TT, Schmitz S, Zeegers MP, Stranges S, van den Akker M. Multimorbidity and quality of life: Systematic literature review and meta-analysis. Ageing Res Ver. 2019 Aug;53:100903. doi: 10.1016/j.arr.2019.04.005.
Alves LC, Andrade FCD, Corona LP, Santos JLF, Duarte YADO. Inequalities in life expectancy with frailty among brazilian older adults: a multistate approach. Innov Aging. 2019 Sep;3(4):igz032. doi: 10.1093/geroni/igz032.
Schmidt MI, Duncan BB, E Silva GA, Menezes AM, Monteiro CA, Barreto SM, et al. Chronic non-communicable diseases in Brazil: Burden and current challenges. Lancet. 2011 Jun;377(9781):1949-61. doi: 10.1016/S0140-6736(11)60135-9.
Souza JGS, Costa Oliveira BE, Martins AMEDBL. Contextual and individual determinants of oral health-related quality of life in older Brazilians. Qual Life Res 2017 May;26(5):1295-302. doi: 10.1007/s11136-016-1447-7.
Sumida DH, Nakamune ACMS, Gonçalves A, Chaves Neto AH, Casatti CA, Silva CA, et al. Anais 8o Congresso da FOA - UNESP. Arch Heal Investig 2018;7(Spec Iss). doi:10.21270/archi. v7i0.3910.
Thomson WM. Measuring change in dry-mouth symptoms over time using the Xerostomia Inventory. Gerodontology. 2007 Mar;24(1):30-5. doi: 10.1111/j.1741-2358.2007.00137.x.
Frydrych AM. Dry mouth: Xerostomia and salivary gland hypofunction. Aust Fam Physician. 2016 Jul;45(7):488-92.
Ohara Y, Hirano H, Yoshida H, Obuchi S, Ihara K, Fujiwara Y, et al. Prevalence and factors associated with xerostomia and hyposalivation among community-dwelling older people in Japan. Gerodontology. 2016 Mar;33(1):20-7. doi: 10.1111/ger.12101.
Abrão ALP, Santana CM, Bezerra ACB, Amorim RFB, Silva MB, Mota LMH, et al. What rheumatologists should know about orofacial manifestations of autoimmune rheumatic diseases. Rev Bras Reumatol. 2016 Feb;S0482-5004(16)00021-8. doi: 10.1016/j.rbr.2015.08.011.
Dziechciaż M, Filip R. Biological psychological and social determinants of old age: bio-psycho-social aspects of human aging. Ann Agric Environ Med. 2014;21(4):835-8. doi: 10.5604/12321966.1129943.
Silva ME, Villaça EL, Magalhães CS, Ferreira EF. [Impact of tooth loss in quality of life]. Cien Saude Colet. 2010 May;15(3):841-50. Portuguese. doi: 10.1590/s1413-81232010000300027.
Choi JH, Kim MJ, Kho HS. Oral health-related quality of life and associated factors in patients with xerostomia. Int J Dent Hyg. 2021 Aug;19(3):313-22. doi: 10.1111/idh.12528.
Mendes MSS, Chester LN, Fernandes dos Santos JF, Chen X, Caplan DJ, Marchini L. Self‐perceived oral health among institutionalized older adults in Taubate, Brazil. Spec Care Dent. 2020 Jan;40(1):49-54. doi: 10.1111/scd.12430.
Malta M, Cardoso LO, Bastos FI, Magnanini MMF, Silva CMFP. STROBE Initiative: subsidies for Reporting Observational Studies. Rev Saude Publica. 2010 Jun;44(3):559-65. doi: 10.1590/s0034-89102010000300021.
Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997 Aug;25(4):284-90. doi: 10.1111/j.1600-0528.1997.tb00941.x.
De Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the Oral Health Impact Profile - Short form. Community Dent Oral Epidemiol. 2005 Aug;33(4):307-14. doi: 10.1111/j.1600-0528.2005.00225.x.
Thomson WM, Chalmers JM, Spencer AJ, Williams SM. The Xerostomia Inventory: a multi-item approach to measuring dry mouth. Community Dent Health. 1999 Mar;16(1):12-7.
Niklander S, Veas L, Barrera C, Fuentes F, Chiappini G, Marshall M. Risk factors, hyposalivation and impact of xerostomia on oral health-related quality of life. Braz Oral Res. 2017 Jan;31:e14. doi: 10.1590/1807-3107BOR-2017.vol31.0014.
Benn AML, Broadbent JM, Thomson WM. Occurrence and impact of xerostomia among dentate adult New Zealanders: Findings from a national survey. Aust Dent J. 2015 Sep;60(3):362-7. doi: 10.1111/adj.12238.
Muñoz C, Martínez A, Flores M, Catalán A. Relationship Between Xerostomia and Hyposalivation in Senior Chilean People. Rev Clin Period Implantol Rehabil Oral. 2019;12(3):123-6. doi:10.4067/s0719-01072019000300123.
Anil S, Vellappally S, Hashem M, Preethanath RS, Patil S, Samaranayake LP. Xerostomia in geriatric patients: a burgeoning global concern. J Investig Clin Dent. 2016 Feb;7(1):5-12. doi: 10.1111/jicd.12120.
Barbe AG. Medication-induced xerostomia and hyposalivation in the elderly: culprits, complications, and management. Drugs Aging. 2018 Oct;35(10):877-85. doi: 10.1007/s40266-018-0588-5.
Gibson B, Periyakaruppiah K, Thornhill MH, Baker SR, Robinson PG. Measuring the symptomatic, physical, emotional and social impacts of dry mouth: a qualitative study. Gerodontology. 2020 Jun;37(2):132-42. doi: 10.1111/ger.12433.
van der Putten GJ, Brand HS, Schols JMGA, de Baat C. The diagnostic suitability of a xerostomia questionnaire and the association between xerostomia, hyposalivation and medication use in a group of nursing home residents. Clin Oral Investig. 2011 Apr;15(2):185-92. doi: 10.1007/s00784-010-0382-1.
Wong FMF, Ng YTY, Keung Leung W. Oral health and its associated factors among older institutionalized residents—a systematic review. Int J Environ Res Public Health. 2019 Oct;16(21):4132. doi: 10.3390/ijerph16214132.
Gueiros LA, Soares MSM, Leão JC. Impact of ageing and drug consumption on oral health. Gerodontology. 2009 Dec;26(4):297-301. doi: 10.1111/j.1741-2358.2009.00284.x.
Baker SR, Pankhurst CL, Robinson PG. Utility of two oral health-related quality-of-life measures in patients with xerostomia. Community Dent Oral Epidemiol. 2006 Oct;34(5):351-62. doi: 10.1111/j.1600-0528.2006.00285.x.
Huang YC, Chu CL, Ho CS, Lan SJ, Chen WY, Liang YW, et al. Factors affecting institutionalized older peoples’ self-perceived dry mouth. Qual Life Res. 2015 Mar;24(3):685-91. doi: 10.1007/s11136-014-0792-7.
Herrmann G, Müller K, Behr M, Hahnel S. Xerostomie und ihr Einfluss auf die mundgesundheitsbezogene Lebensqualität [Xerostomia and its impact on oral health-related quality of life]. Z Gerontol Geriatr. 2017 Feb;50(2):145-50. German. doi: 10.1007/s00391-015-0968-y.
Fornari, CB, Bergonci D, Stein CB, Agostini BA, Rigo L Prevalence of xerostomia and its association with systemic diseases and medications in the elderly: a cross-sectional study. São Paulo Med J. 2021 Jul-Aug;139(4):380-7. doi: 10.1590/1516-3180.2020.0616.R3.1902021.
Kingston A, Robinson L, Booth H, Knapp M, Jagger C. Projections of multi-morbidity in the older population in England to 2035: estimates from the Population Ageing and Care Simulation (PACSim) model. Age Ageing. 2018 May;47(3):374-80. doi: 10.1093/ageing/afx201.
Lynge Pedersen A, Nauntofte B, Smidt D, Torpet L. Oral mucosal lesions in older people: relation to salivary secretion, systemic diseases and medications. Oral Dis. 2015 Sep;21(6):721-9. doi: 10.1111/odi.12337.
Chong JL, Low LL, Matchar DB, Malhotra R, Lee KH, Thumboo J, et al. Do healthcare needs-based population segments predict outcomes among the elderly? Findings from a prospective cohort study in an urbanized low-income community. BMC Geriatr. 2020 Feb;20(1):78. doi: 10.1186/s12877-020-1480-9.
Lee H-J, Yun J. Health-related quality of life in South Korean community-dwelling older adults with multimorbidity: a convergent parallel mixed-methods approach. Qual Life Res. 2020 Mar;29(3):721-32. doi: 10.1007/s11136-019-02360-0.
Zheng DD, McCollister KE, Christ SL, Lam BL, Feaster DJ, Lee DJ. Chronic condition patterns in the US population and their association with health related quality of life. Prev Med. 2020 Jul;136:106102. doi: 10.1016/j.ypmed.2020.106102.
Masood M, Newton T, Bakri NN, Khalid T, Masood Y. The relationship between oral health and oral health related quality of life among elderly people in United Kingdom. J Dent. 2017 Jan;56:78-83. doi: 10.1016/j.jdent.2016.11.002.
Yen YY, Lee HE, Wu YM, Lan SJ, Wang WC, Du JK, et al. Impact of removable dentures on oral health-related quality of life among elderly adults in Taiwan. BMC Oral Health. 2015 Jan;15:1. doi: 10.1186/1472-6831-15-1.
Paredes-Rodríguez VM, Torrijos-Gómez G, González-Serrano J, López-Pintor-Muñoz RM, López-Bermejo MA, Hernández-Vallejo G. Quality of life and oral health in elderly. J Clin Exp Dent. 2016 Dec;8(5):e590-6. doi:10.4317/jced.53317.
Felton DA. Edentulism and comorbid factors. J Prosthodont. 2009 Feb;18(2):88-96. doi: 10.1111/j.1532-849X.2009.00437.x.
Brazilian Ministry of Health. [SB Brazil 2010: National Research on Oral Health: main results]. Brasília: Ministry of Health; 2012 [cited 2022 Jan 10]. Available from: http://189.28.128.100/dab/docs/portaldab/publicacoes/pesquisa_saude_bucal.pdf. Portuguese.
Sun X, Zhai JJ, Liao J, Teng MH, Tian A, Liang X. Masticatory efficiency and oral health-related quality of life with implant-retained mandibular overdentures. Saudi Med J. 2014 Oct;35(10):1195-202.
Kwon SR, Lee S, Oyoyo U, Wiafe S, De Guia S, Pedersen C, et al. Oral health knowledge and oral health related quality of life of older adults. Clin Exp Dent Res. 2021 Apr;7(2):211-8. doi: 10.1002/cre2.350.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2022 Larissa Steilmann Demarchi, Mayara Trapp Vogel, Gabrielle Haubert, Lilian Rigo
Downloads
