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Mulatu Y, Mehdi M, Abaynew Y. Association between oral hygiene knowledge and practices among older dental patients attending private dental clinics in Addis Ababa, Ethiopia. BDJ Open 2024; 10:59. [PMID: 39013868 PMCID: PMC11252320 DOI: 10.1038/s41405-024-00243-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 07/03/2024] [Accepted: 07/04/2024] [Indexed: 07/18/2024] Open
Abstract
BACKGROUND Ensuring optimal oral hygiene is crucial for preserving the well-being of hard and soft tissues within the oral system. A lack of proper oral hygiene can have a detrimental impact on an individual's health, leading to conditions such as caries and periodontitis. Therefore, this study investigated the association between the knowledge and practices of older patients in oral hygiene in Addis Ababa, Ethiopia. METHODS A facility-based cross-sectional study was carried out on 111 older patients who presented at purposively selected dental clinics in Addis Ababa. A convenience sampling method was used to recruit study participants. The data were collected using a pretested structured questionnaire. The questionnaire included information related to the patient's knowledge and practices related to oral hygiene. The data were analyzed using SPSS version 23. Descriptive statistics were used to analyze the data. Multivariate logistic regression was performed to investigate the associations between independent and dependent variables. Adjusted odds ratios with 95% confidence intervals (95% CIs) were estimated, and variables with a p value < 0.05 in the multivariate analysis were considered significant. RESULTS The median age of the study participants was 70.31 years (65-100). Inadequate oral hygiene knowledge was found in 53.15% of the participants, while more than three-quarters (83.78%) of the older participants practiced poor oral hygiene. Older patients with good oral hygiene knowledge were 7.6 times more likely to practice good oral hygiene practices (AOR, 7.6; 95% CI (2.05-27.9)). CONCLUSIONS Poor oral health is significantly associated with various health problems, particularly in older people. This study examined the relationship between oral health knowledge and practices in older dental patients and revealed insufficient knowledge and practices among participants. The results showed a notable link between oral health knowledge and practices in this demographic group, highlighting the need for support to improve oral health status. Organizations should increase awareness among older patients to improve their oral health status.
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Affiliation(s)
| | - Mohammed Mehdi
- Biochemistry Department, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Yeshewas Abaynew
- School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
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De Caro C, Spagnuolo R, Quirino A, Mazza E, Carrabetta F, Maurotti S, Cosco C, Bennardo F, Roberti R, Russo E, Giudice A, Pujia A, Doldo P, Matera G, Marascio N. Gut Microbiota Profile Changes in Patients with Inflammatory Bowel Disease and Non-Alcoholic Fatty Liver Disease: A Metagenomic Study. Int J Mol Sci 2024; 25:5453. [PMID: 38791490 PMCID: PMC11121796 DOI: 10.3390/ijms25105453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Revised: 05/08/2024] [Accepted: 05/10/2024] [Indexed: 05/26/2024] Open
Abstract
Gut microbiota imbalances have a significant role in the pathogenesis of Inflammatory Bowel Disease (IBD) and Non-Alcoholic Fatty Liver Disease (NAFLD). Herein, we compared gut microbial composition in patients diagnosed with either IBD or NAFLD or a combination of both. Seventy-four participants were stratified into four groups: IBD-NAFLD, IBD-only, NAFLD-only patients, and healthy controls (CTRLs). The 16S rRNA was sequenced by Next-Generation Sequencing. Bioinformatics and statistical analysis were performed. Bacterial α-diversity showed a significant lower value when the IBD-only group was compared to the other groups and particularly against the IBD-NAFLD group. β-diversity also showed a significant difference among groups. The higher Bacteroidetes/Firmicutes ratio was found only when comparing IBD groups and CTRLs. Comparing the IBD-only group with the IBD-NAFLD group, a decrease in differential abundance of Subdoligranulum, Parabacteroides, and Fusicatenibacter was found. Comparing the NAFLD-only with the IBD-NAFLD groups, there was a higher abundance of Alistipes, Odoribacter, Sutterella, and Lachnospira. An inverse relationship in the comparison between the IBD-only group and the other groups was shown. For the first time, the singularity of the gut microbial composition in IBD and NAFLD patients has been shown, implying a potential microbial signature mainly influenced by gut inflammation.
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Affiliation(s)
- Carmen De Caro
- Health Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (C.D.C.); (A.Q.); (F.C.); (F.B.); (R.R.); (E.R.); (A.G.); (G.M.); (N.M.)
| | - Rocco Spagnuolo
- Health Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (C.D.C.); (A.Q.); (F.C.); (F.B.); (R.R.); (E.R.); (A.G.); (G.M.); (N.M.)
| | - Angela Quirino
- Health Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (C.D.C.); (A.Q.); (F.C.); (F.B.); (R.R.); (E.R.); (A.G.); (G.M.); (N.M.)
| | - Elisa Mazza
- Experimental and Clinical Medicine Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (E.M.); (S.M.); (P.D.)
| | - Federico Carrabetta
- Health Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (C.D.C.); (A.Q.); (F.C.); (F.B.); (R.R.); (E.R.); (A.G.); (G.M.); (N.M.)
| | - Samantha Maurotti
- Experimental and Clinical Medicine Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (E.M.); (S.M.); (P.D.)
| | - Cristina Cosco
- Unit of Gastroenterology and Operative Endoscopy, University Hospital “Renato Dulbecco” of Catanzaro, 88100 Catanzaro, Italy;
| | - Francesco Bennardo
- Health Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (C.D.C.); (A.Q.); (F.C.); (F.B.); (R.R.); (E.R.); (A.G.); (G.M.); (N.M.)
| | - Roberta Roberti
- Health Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (C.D.C.); (A.Q.); (F.C.); (F.B.); (R.R.); (E.R.); (A.G.); (G.M.); (N.M.)
| | - Emilio Russo
- Health Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (C.D.C.); (A.Q.); (F.C.); (F.B.); (R.R.); (E.R.); (A.G.); (G.M.); (N.M.)
| | - Amerigo Giudice
- Health Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (C.D.C.); (A.Q.); (F.C.); (F.B.); (R.R.); (E.R.); (A.G.); (G.M.); (N.M.)
| | - Arturo Pujia
- Medical and Surgical Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy;
| | - Patrizia Doldo
- Experimental and Clinical Medicine Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (E.M.); (S.M.); (P.D.)
| | - Giovanni Matera
- Health Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (C.D.C.); (A.Q.); (F.C.); (F.B.); (R.R.); (E.R.); (A.G.); (G.M.); (N.M.)
| | - Nadia Marascio
- Health Sciences Department, University “Magna Graecia” of Catanzaro, 88100 Catanzaro, Italy; (C.D.C.); (A.Q.); (F.C.); (F.B.); (R.R.); (E.R.); (A.G.); (G.M.); (N.M.)
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Bakker MH, de Smit MJ, Valentijn A, Visser A. Oral health assessment in institutionalized elderly: a scoping review. BMC Oral Health 2024; 24:272. [PMID: 38402181 PMCID: PMC10893687 DOI: 10.1186/s12903-024-04025-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 02/14/2024] [Indexed: 02/26/2024] Open
Abstract
When elderly become frail and in need for complex care, they can no longer live independently at home and may be admitted to nursing homes. Various studies have shown that oral health in this population is remarkably poor, which may lead to distressing situations and impacts quality of life. A variety of definitions or descriptions for oral health is used. Without a uniform parameter, it is impossible to determine whether oral health in institutionalized elderly is actually improving or deteriorating over time, as well as the effect of (preventive) interventions. In search for an adequate and clinically applicable parameter to determine oral health in this specific patient group, this scoping review aims to give an overview of the currently used parameters for determining oral health in institutionalized elderly. Ninety different parameters were identified, and 50 parameters were solely used by one study. Only 4 parameters were frequently used (in > 20 studies). The relevance of these parameters for this specific patient group is discussed. To aid the planning and commissioning of future research and patient care, there is an urgent need for an adequate and uniform parameter for oral health determination in institutionalized elderly.
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Affiliation(s)
- M H Bakker
- Department of Gerodontology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands.
| | - M J de Smit
- Department of Gerodontology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands
| | - A Valentijn
- Department of Gerodontology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands
| | - A Visser
- Department of Gerodontology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands
- Department of Gerodontology, College of Dental Sciences, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
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Turton B, Alqunaybit G, Tembhe A, Qari A, Rawal K, Mandel E, Calabrese J, Henshaw M. Estimation of Oral Disease Burden among Older Adults in LTC: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:248. [PMID: 38541250 PMCID: PMC10970488 DOI: 10.3390/ijerph21030248] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Revised: 02/11/2024] [Accepted: 02/15/2024] [Indexed: 07/23/2024]
Abstract
Oral health is an essential part of healthy aging and very little data exists around the disease burden for older adults in a long-term care setting. The aim of this scoping review was to estimate the disease burden of dental caries, periodontal disease, and tooth loss among older adults in Long-Term Care (LTC). This scoping review was conducted in accordance with the Joanna Briggs Institute methodology. A detailed strategy was used to conduct a comprehensive search of electronic databases: PubMed, Embase, and Dentistry and Oral Sciences Source (DOSS). The Rayyan AI platform was used to screen abstracts for assessment by one of five co-investigators. Results indicate that only one in three might have a functional dentition upon entry into LTC, and among those who are dentate, most might expect to develop at least one new coronal and one new root caries lesion each year. There is a need to better document the disease experiences of this group to tailor approaches to care that might reduce the avoidable suffering as a result of dental caries and periodontal disease.
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Affiliation(s)
- Bathsheba Turton
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
| | - Gheed Alqunaybit
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
| | - Amrita Tembhe
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
| | - Alaa Qari
- Faculty of Dentistry, Umm Al-Qura University, Makkah 02131, Saudi Arabia;
| | - Kadambari Rawal
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
| | - Ernest Mandel
- Hebrew Seniorlife, Harvard Medical School, Boston, MA 02131, USA;
| | - Joseph Calabrese
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
| | - Michelle Henshaw
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
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Alsultan M, Srivastava S, Javed MQ, Khan M, Ulfat H. Influence of Root Canal Treatment on Oral-Health-Related Quality of Life (OHRQoL) in Saudi Patients: A Cross-Sectional Study. Cureus 2023; 15:e45035. [PMID: 37829939 PMCID: PMC10566411 DOI: 10.7759/cureus.45035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/11/2023] [Indexed: 10/14/2023] Open
Abstract
Objective This cross-sectional study aimed to assess the influence of root canal treatment on the oral-health-related quality of life (OHRQoL) of patients in the Kingdom of Saudi Arabia (KSA). The data on KSA's population are significantly limited, highlighting the significance of additional research to be carried out in this particular field. Methods The study was conducted at the dental clinics of the College of Dentistry, Qassim University, from January to June 2022. A total of 112 patients who had undergone endodontic therapy (ET) for teeth with irreversible pulpitis were included. Demographic data and treatment procedures were recorded. The patients' responses to the OHIP-14 questionnaire were analyzed to assess their OHRQoL. The scores were converted into qualitative categories (good, moderate, poor) for classification. Results The majority of patients (59.8%) reported a good OHRQoL after ET. Physical pain was the only variable where more than 50% of patients reported experiencing pain. Older age and smoking status were significantly associated with a poorer OHRQoL. However, no significant gender differences in OHRQoL were observed. Conclusion ET had a positive impact on the OHRQoL of patients in Saudi Arabia. The study highlights the importance of considering patient-centered outcomes, such as OHRQoL, in assessing the success of root canal treatment. Further research with longitudinal designs and randomized controlled trials is needed to better understand the long-term effects of root canal treatment on patients' OHRQoL and to compare them with other dental treatments.
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Affiliation(s)
- Montaha Alsultan
- Department of Conservative Dentistry, College of Dentistry, Qassim University, Buraidah, SAU
| | - Swati Srivastava
- Department of Conservative Dentistry, College of Dentistry, Qassim University, Buraidah, SAU
| | - Muhammad Qasim Javed
- Department of Conservative Dental Sciences, College of Dentistry, Qassim University, Buraidah, SAU
| | - Mansoor Khan
- Department of Operative Dentistry, Foundation University College of Dentistry, Foundation University, Rawalpindi, PAK
| | - Hamza Ulfat
- Department of Operative Dentistry, Heavy Industries Taxila Education City-Institute of Medical Sciences (HITEC-IMS) Dental College, Taxila, PAK
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Sun X, Meng L, Chen Y, Wang J, Wang Q. Efficacy and risk factors of traditional denture restoration versus biofunctional complete denture restoration system. Am J Transl Res 2023; 15:4755-4762. [PMID: 37560251 PMCID: PMC10408514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 01/17/2023] [Indexed: 08/11/2023]
Abstract
OBJECTIVE This study was designed to determine the efficacy of a traditional complete denture and a biofunctional prosthetic system of a complete denture, and risk factors affecting their efficacy. METHODS A retrospective analysis was performed on 95 patients with total dentition loss admitted to our hospital from January 2015 to June 2022. Among them, 45 patients who received traditional dentures were assigned to a control group, and the other 50 who received a biofunctional prosthetic system with complete dentures were assigned to an observation group. The clinical efficacy was compared between the two groups before and after treatment, and the masticatory function indexes and comfort scores of the two groups were also compared. Logistics regression analysis was conducted to analyze the risk factors affecting the efficacy of patients. RESULTS The observation group showed a higher total effective rate than the control group (P<0.05). After treatment, the observation group showed notably higher masticatory efficiency and absorbance of masticatory substances than the control group (P<0.05). In addition, the denture tenderness point in the observation group was notably lower than that in the control group (P<0.05). After treatment, the observation group had notably higher scores in General Comfort Questionnaire than the control group (P<0.05). Moreover, according to Logistics regression analysis, older age, dentition loss caused by tooth defect, smoking history and traditional denture restoration were independent risk factors for ineffective treatment. CONCLUSION The biofunctional prosthetic system of complete dentures can better improve the masticatory function and enhance the comfort of patients with total dentition loss, and with good efficacy.
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Affiliation(s)
- Xiaolin Sun
- Department of Stomotology, Zhongshan Affiliated Hospital of Dalian UniversityNo. 6 Jiefang Street, Zhongshan District, Dalian 116001, Liaoning, China
| | - Lin Meng
- Department of Stomotology, Zhongshan Affiliated Hospital of Dalian UniversityNo. 6 Jiefang Street, Zhongshan District, Dalian 116001, Liaoning, China
| | - Yingying Chen
- Department of Stomotology, Zhongshan Affiliated Hospital of Dalian UniversityNo. 6 Jiefang Street, Zhongshan District, Dalian 116001, Liaoning, China
| | - Junjun Wang
- Department of Pathology, Zhongshan Affiliated Hospital of Dalian UniversityNo. 6 Jiefang Street, Zhongshan District, Dalian 116001, Liaoning, China
| | - Qiuxu Wang
- Department of Stomotology, Zhongshan Affiliated Hospital of Dalian UniversityNo. 6 Jiefang Street, Zhongshan District, Dalian 116001, Liaoning, China
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Janssens L, Petrauskiene E, Tsakos G, Janssens B. Clinical and Subjective Oral Health Status of Care Home Residents in Europe: A Systematic Review. J Am Med Dir Assoc 2023; 24:1013-1019.e40. [PMID: 37105236 DOI: 10.1016/j.jamda.2023.03.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 03/13/2023] [Accepted: 03/14/2023] [Indexed: 04/29/2023]
Abstract
OBJECTIVE Several studies demonstrated the poor oral health of care home residents in Europe but there is no systematic overview of the relevant literature. The objective of this study was to systematically review the evidence on the clinical and subjective oral health outcomes of care home residents in Europe. DESIGN The study design is a systematic review. METHODS AND PARTICIPANTS All included publications presented data on clinical and/or subjective oral health outcomes in care home residents in Europe with no restrictions for language or study design. MEDLINE, Embase, and CINAHL were searched, including publications from January 2010 onward. Data extraction and quality assessment (Qualsyst tool) was performed by 2 researchers independently. Findings were synthesized narratively, lack in data homogeneity restricted the relevance of a meta-analysis. RESULTS Eighty-three papers from 18 countries were included in the systematic review, with a sample size ranging from 39 to 92,827 participants. Their mean age was older than 80 years. The residents had few natural teeth, with fewer than a third a functional natural dentition. Removable dentures were present in half to 80% of residents. A high prevalence of dental caries was reported. Oral hygiene was insufficient, for both natural teeth and removable dentures. Few residents had a healthy periodontium. Clinical treatment needs were found in most residents. Perceived treatment needs were high with at least one-third of care home residents reporting a need for care due to poor oral health. A fifth to half of the residents reported negative impacts of their oral condition on their everyday lives. CONCLUSION AND IMPLICATIONS This systematic review clearly highlights the poor oral health and high burden of oral conditions among care home residents across Europe, irrespective of country or health care system. There is need for substantial policy actions to improve oral health in care homes.
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Affiliation(s)
- Lynn Janssens
- ELOHA (Equal Lifelong Oral Health for All) Research Group, Gerodontology, Oral Health Sciences, Ghent University, Ghent, Belgium.
| | - Egle Petrauskiene
- UCL Research Department of Epidemiology and Public Health, University College London, London, United Kingdom
| | - Georgios Tsakos
- UCL Research Department of Epidemiology and Public Health, University College London, London, United Kingdom
| | - Barbara Janssens
- ELOHA (Equal Lifelong Oral Health for All) Research Group, Gerodontology, Oral Health Sciences, Ghent University, Ghent, Belgium
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Jepsen K, Tietmann C, Martin C, Kutschera E, Jäger A, Wüllenweber P, Gaveglio L, Cardaropoli D, Sanz-Sánchez I, Fimmers R, Jepsen S. Synergy of Regenerative Periodontal Surgery and Orthodontics Improves Quality of Life of Patients with Stage IV Periodontitis: 24-Month Outcomes of a Multicenter RCT. Bioengineering (Basel) 2023; 10:695. [PMID: 37370626 PMCID: PMC10295428 DOI: 10.3390/bioengineering10060695] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 05/15/2023] [Accepted: 06/01/2023] [Indexed: 06/29/2023] Open
Abstract
In stage IV periodontitis patients with pathologic tooth migration (PTM), interdisciplinary treatment includes regenerative periodontal surgery (RPS) with an application of biomaterials and orthodontic therapy (OT) to restore function, esthetics and thereby quality of life (QoL). In a 24-month randomized trial we explored the synergy between regenerative medicine and biomechanical force application. The following methods were used: Forty-three patients had been randomized to a combined treatment comprising RPS and subsequent OT starting either 4 weeks (early OT) or 6 months (late OT) post-operatively. Clinical periodontal parameters and oral health-related QoL (GOHAI) were recorded up to 24 months. We obtained the following results: Mean clinical attachment gain (∆CAL ± SD) was significantly higher with early OT (5.96 ± 2.1 mm) versus late OT (4.65 ± 1.76 mm) (p = 0.034). Pocket closure (PPD ≤ 4 mm) was obtained in 91% of defects with early OT compared to 90% with late OT. GOHAI-scores decreased significantly from 26.1 ± 7.5 to 9.6 ± 4.7 (early OT) and 25.1 ± 7.1 to 12.7 ± 5.6 (late OT). Inconclusion, teeth severely compromised by intrabony defects and PTM can be treated successfully by RPS followed by early OT with the advantage of an overall reduced treatment time. As a result of the combined periodontal-orthodontic therapy, the oral health-related QoL of patients was significantly improved. Early stimulation of wound healing with orthodontic forces had a favorable impact on the outcomes of regenerative periodontal surgery.
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Affiliation(s)
- Karin Jepsen
- Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Welschnonnenstrasse 17, 53111 Bonn, Germany; (C.T.)
| | - Christina Tietmann
- Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Welschnonnenstrasse 17, 53111 Bonn, Germany; (C.T.)
- Private Practice for Periodontology, Krefelder Strasse 73, 52070 Aachen, Germany
| | - Conchita Martin
- BIOCRAN Research Group, University Complutense of Madrid, 28040 Madrid, Spain
| | - Eric Kutschera
- Department of Orthodontics, University of Bonn, Welschnonnenstrasse 17, 53111 Bonn, Germany
| | - Andreas Jäger
- Department of Orthodontics, University of Bonn, Welschnonnenstrasse 17, 53111 Bonn, Germany
| | - Peter Wüllenweber
- Private Practice for Orthodontics, Theaterstraße 98-102, 52062 Aachen, Germany
| | - Lorena Gaveglio
- Private Practice, Corso Galileo Ferraris 148, 10129 Turino, Italy
| | | | | | - Rolf Fimmers
- Institute for Medical Biometry, Informatics and Epidemiology, University of Bonn, 53127 Bonn, Germany
| | - Søren Jepsen
- Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Welschnonnenstrasse 17, 53111 Bonn, Germany; (C.T.)
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Zhang J, Weng Y, Qiao M, Chen W, Zhang L. Research status, hotspots and trends on oral care research in the elderly published from 2002 to 2022: A bibliometric analysis - A review article. Nurs Open 2023. [PMID: 37247336 DOI: 10.1002/nop2.1798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 12/15/2022] [Accepted: 04/20/2023] [Indexed: 05/31/2023] Open
Abstract
AIMS The aim of this study was to analyse the status, hotspots and trends of research on oral care for the elderly in mainland China in the past 20 years through bibliometrics, which aims to provide new ideas and targets for future clinical work and research. DESIGN Bibliometric analysis. METHODS Relevant literature was retrieved from China National Knowledge Infrastructure, Wanfang, China Science and Technology Journal Database, Web of Science and PubMed. NoteExpress, Co-Occurrence and CiteSpace were used to analyse bibliometric features in terms of year of publication, journal of publication, authors, institution and keywords. RESULTS A total of 716 related articles were obtained. The number of publications shows an increasing trend over time, only 2017-2021; 309 papers were published, accounting for 43.2% of the total number of publications. A total of 238 articles were published in Science Citation Index journals or Chinese core journals, accounting for 33.2% of the total number of articles. The study of oral health-related quality of life in the elderly is a hot research topic. There is a lack of research on the elderly living in elderly care facilities.
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Affiliation(s)
- Jingwen Zhang
- Nursing Education & Research Department, The First Affiliated Hospital of Naval Medical University, Shanghai, China
| | - Yanqiu Weng
- Nursing Education & Research Department, The First Affiliated Hospital of Naval Medical University, Shanghai, China
- Shanghai Geriatric Nursing Management Quality Control Center, Shanghai, China
| | - Mengting Qiao
- Nursing Education & Research Department, The First Affiliated Hospital of Naval Medical University, Shanghai, China
| | - Wenyao Chen
- Nursing Education & Research Department, The First Affiliated Hospital of Naval Medical University, Shanghai, China
- Shanghai Geriatric Nursing Management Quality Control Center, Shanghai, China
| | - Lingjuan Zhang
- Nursing Education & Research Department, The First Affiliated Hospital of Naval Medical University, Shanghai, China
- Shanghai Geriatric Nursing Management Quality Control Center, Shanghai, China
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Stoica AM, Kovacs-Ivacson CA, Stoica OE, Beresescu L, Monea M. Clinical and Pathological Manifestation of the Oral Mucosa in Institutionalized Children from Romania. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15564. [PMID: 36497639 PMCID: PMC9740787 DOI: 10.3390/ijerph192315564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 11/20/2022] [Accepted: 11/22/2022] [Indexed: 06/17/2023]
Abstract
Institutionalized children, regardless of their age, are prone to psychiatric disorders, compared to those who live in two-parent families, due to the unfavorable physical and psychological conditions in which they develop. Unpropitious psychological conditions affect the child's general health and induce local manifestations that can be found in the oral cavity, affecting both soft tissues and teeth. Therefore, the purpose of our study was to assess and diagnose a series of pathological manifestations of the oral mucosa associated with poor living conditions or closely related to psychological stress. The clinical examination was performed by 4 specialist dentists, who consulted 150 children representing the study group and 52 children representing the control group, all having ages between 14 and 18 years old and meeting the same inclusion criteria. From the control group, 62.5% presented plaque-induced gingivitis (26.6% girls, 35.8% boys), 26.6% presented mucosal lesions produced by lip and cheek biting (23.3% girls, 35.8% boys), and 11.7% presented geographic tongue (6.6% girls, 5% boys), herpes simplex eruptions (3.3% girls, 4.2% boys) and oral ulcerations (12.5% girls, 10.8% boys). Morsicatio buccarul is a chronic, self-mutilating habit, currently becoming one of the most common tics encountered among institutionalized children. Furthermore, these children do not benefit from constant support and guidance to perform their dental hygiene, so the incidence of gingivitis induced by bacterial plaque and calculus is very high.
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Affiliation(s)
- Alexandra Mihaela Stoica
- Department of Odontology and Oral Pathology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mures, 540139 Târgu Mures, Romania
| | - Csinszka Andrea Kovacs-Ivacson
- Department of Odontology and Oral Pathology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mures, 540139 Târgu Mures, Romania
| | - Oana Elena Stoica
- Department of Pedodontics, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mures, 540139 Târgu Mures, Romania
| | - Liana Beresescu
- Department of Preventive and Community Dentistry, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mures, 540139 Târgu Mures, Romania
| | - Monica Monea
- Department of Odontology and Oral Pathology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mures, 540139 Târgu Mures, Romania
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Chen L, Gu L, Li X, Chen W, Zhang L. Translation, cross-cultural adaptation, and validation of the Chinese version of self-efficacy and attitudes for providing Mouth Care scale. PLoS One 2022; 17:e0271800. [PMID: 35867694 PMCID: PMC9307152 DOI: 10.1371/journal.pone.0271800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Accepted: 07/08/2022] [Indexed: 11/19/2022] Open
Abstract
Background
In recent years, oral care for older people has received extensive attention in long-term care facilities. The Self-Efficacy for Providing Mouth Care (SE-PMC) and Attitudes for Providing Mouth Care (A-PMC) scale evaluated the self-efficacy and attitude of nursing staff while providing oral care. However, whether this scale is valid and reliable for Chinese nursing staff in China remains unverified. This study aims to translate the English version of SE-PMC and A-PMC into Chinese and determine their reliability and validity.
Methods
After obtaining the author’s consent, the procedure for a double-back translation and cross-cultural adaptation was conducted to develop the Chinese version of SE-PMC and A-PMC. The validity and reliability of the Chinese version of SE-PMC and A-PMC were evaluated in a cross-sectional observational study with 852 nurses from 42 Geriatric Care Facilities (GCFs). Exploratory factor analysis (EFA) (n = 427) and confirmatory factor analysis (CFA) (n = 425) were conducted to test the construct validity and quality of the factor structures. We applied the item discrimination test and homogeneity test for item analysis. Cronbach’s alpha coefficient and split-half coefficient were adopted to evaluate internal consistency.
Results
The Chinese version of SE-PMC (11 items, 3 factors) and A-PMC (11 items, 2 factors) included 22 items, reflecting adequate construct validity and reliability. In addition, test-retest reliability was 0.809 for SE-PMC and 0.811 for A-PMC, evincing good stability. The Cronbach’s α coefficient of SE-PMC was 0.831, with each factor ranging from 0.793~0.906. The Cronbach’s α coefficient of the A-PMC was 0.768, with each factor ranging from 0.814~0.824. Item-Content Validity Index (I-CVI) of SE-PMC and A-PMC ranged from 0.84 ~1.00 and 0.82~1.00, respectively.
Conclusion
The Chinese version of SE-PMC and A-PMC was validated as a reliable assessment tool to evaluate the self-efficacy and attitude of nursing staff in GCFs for providing oral care in China.
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Affiliation(s)
- Lan Chen
- Nursing Department, Shanghai General Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Education and Scientific Research Department of Clinical Nursing, Changhai Hospital Affiliated to Naval Medical University, Shanghai, China
| | - Liyan Gu
- Department of Neurology, NO. 905 Hospital of PLA Navy, Shanghai, China
| | - Xianchen Li
- Clinical Research Center, Shanghai General Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Wenyao Chen
- Education and Scientific Research Department of Clinical Nursing, Changhai Hospital Affiliated to Naval Medical University, Shanghai, China
| | - Lingjuan Zhang
- Education and Scientific Research Department of Clinical Nursing, Changhai Hospital Affiliated to Naval Medical University, Shanghai, China
- Shanghai Quality Control Center of Geriatric Care, Shanghai, China
- * E-mail:
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Oral Health among Elderly, Impact on Life Quality, Access of Elderly Patients to Oral Health Services and Methods to Improve Oral Health: A Narrative Review. J Pers Med 2022; 12:jpm12030372. [PMID: 35330372 PMCID: PMC8950250 DOI: 10.3390/jpm12030372] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 02/15/2022] [Accepted: 02/23/2022] [Indexed: 12/24/2022] Open
Abstract
Dental health is often neglected among the elderly because of the numerous comorbidities in this population, such as cardiovascular diseases. However, dental health influences general health and quality of life by impacting both the general health and the psychological state of the individual. The present review highlights the main dental comorbidities in the elderly population, their impact on the quality of life, the barriers towards access to dental care in the elderly and methods to improve their dental health. Information related to dental care and its importance must be provided both to older individuals and their caregivers in order to detect dental pathology and treat it adequately. Ensuring dental health involves the whole society of elders, caregivers, dental care providers, the public sector, health policymakers, and the private sector.
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Iosif L, Preoteasa CT, Preoteasa E, Ispas A, Ilinca R, Murariu-Mǎgureanu C, Amza OE. Oral Health Related Quality of Life and Prosthetic Status among Institutionalized Elderly from the Bucharest Area: A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18126663. [PMID: 34205700 PMCID: PMC8294068 DOI: 10.3390/ijerph18126663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 06/10/2021] [Accepted: 06/17/2021] [Indexed: 11/16/2022]
Abstract
The aim of the study was to assess the oral health related quality of life (OHRQoL) of elderly in care homes, one of Romania’s most vulnerable social categories, to correlate it to sociodemographic, oral health parameters, and prosthodontic status. Therefore, a cross-sectional study was performed on 58 geriatrics divided into 3 age groups, who were clinically examined and answered the oral health impact profile (OHIP-14) questionnaire. Very high rates of complete edentulism in the oldest-old subgroup (bimaxillary in 64.3%; mandibular in 64.3%; maxillary in 85.7%), and alarming frequencies in the other subgroups (middle-old and youngest-old), statistically significant differences between age groups being determined. The OHIP-14 mean score was 14.5. Although not statistically significant, females had higher OHIP-14 scores, also middle-old with single maxillary arch, single mandibular arch, and bimaxillary complete edentulism, whether they wore dentures or not, but especially those without dental prosthetic treatment in the maxilla. A worse OHRQoL was also observed in wearers of bimaxillary complete dentures, in correlation with periodontal disease-related edentulism, in those with tertiary education degree, and those who came from rural areas. There were no statistically significant correlations of OHRQoL with age, total number of edentulous spaces or edentulous spaces with no prosthetic treatment. In conclusion, despite poor oral health and prosthetic status of the institutionalized elderly around Bucharest, the impact on their wellbeing is comparatively moderate.
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Affiliation(s)
- Laura Iosif
- Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, 17-21 Calea Plevnei Street, Sector 5, 010221 Bucharest, Romania; (L.I.); (E.P.); (C.M.-M.)
| | - Cristina Teodora Preoteasa
- Department of Ergonomics and Scientific Research Methodology, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, 17-21 Calea Plevnei Street, Sector 5, 010221 Bucharest, Romania
- Correspondence: (C.T.P.); (A.I.)
| | - Elena Preoteasa
- Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, 17-21 Calea Plevnei Street, Sector 5, 010221 Bucharest, Romania; (L.I.); (E.P.); (C.M.-M.)
| | - Ana Ispas
- Department of Prosthodontics, Faculty of Dental Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy, 32 Clinicilor Street, 400006 Cluj-Napoca, Romania
- Correspondence: (C.T.P.); (A.I.)
| | - Radu Ilinca
- Department of Biophysics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, 17-21 Calea Plevnei Street, Sector 5, 010221 Bucharest, Romania;
| | - Cǎtǎlina Murariu-Mǎgureanu
- Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, 17-21 Calea Plevnei Street, Sector 5, 010221 Bucharest, Romania; (L.I.); (E.P.); (C.M.-M.)
| | - Oana Elena Amza
- Department of Endodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, 17-21 Calea Plevnei Street, Sector 5, 010221 Bucharest, Romania;
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