Oral disorders and chronic systemic diseases in very old adults living in institutions.

Gerardo Maupome, Christina M. Gullion, B. Alex White, Christopher C L Wyatt, P. Michele Williams

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

This study evaluated whether oral disorders were associated with chronic systemic diseases in 532 Canadian adults who are old and very old and living in institutions. A brief oral examination documented tooth retention, caries, and periodontal and gingival health. Medical records provided information about chronic systemic conditions. A history of stroke was associated with a higher experience of caries, a higher ratio of decayed-to-present teeth, and more gingival and periodontal problems. Participants with high blood pressure, osteoporosis, or diabetes were more likely to be edentulous or to have fewer teeth than participants who did not have these conditions. Participants who had arthritis retained more teeth with age. Participants who had more diseases also tended to have poorer gingival or periodontal conditions, fewer teeth, and higher risk of edentulousness. The associations between systemic diseases and more severe oral disorders may be direct or may be mediated by underlying factors such as health behaviors.

Original languageEnglish (US)
Pages (from-to)199-208
Number of pages10
JournalSpecial care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
Volume23
Issue number6
StatePublished - Nov 2003
Externally publishedYes

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Tooth
Chronic Disease
Oral Diagnosis
Health Behavior
Osteoporosis
Arthritis
Medical Records
Stroke
Hypertension
Health

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

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