Oral and Dental Status, Oral Health-Related Quality of Life and Associated Factors among Institutionalized Elderly in Southeast Iran-A Cross Sectional Study

Shirin Saravani, Hamideh Kadeh, Shahram Arbabi
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Abstract

Introduction: The incidence of oral and dental lesions increases with age, which can negatively affect the quality of life.The aim of this study was to evaluate the oral and dental status, oral health-related quality of life (OHRQoL), and the associated factors in a population of institutionalized elderly in Southeast Iran. Methods: This cross-sectional study was conducted on 90 institutionalized elderly who were 60 years old or older. Oral examinations were carried out using mirror and probe under proper light. In addition to recording oral lesions, the dental status of the elderly was determined according to the WHO’s criteria. The geriatric oral health assessment index (GOHAI) questionnaire was used to determine OHRQoL. Factors such as age, gender, education, smoking, systemic disease, and the use of denture were recorded for each participant. Data were analyzed by appropriate statistical tests using SPSS software. Results: Forty three percent of the participants had oral conditions. Fissured tongue was the most common oral lesion. The prevalence of oral lesions in females was more than twice that of males (P 0.05). The mean GOHAI in the elderly was 42.8±9.7. Smoking and the presence of oral lesions significantly decreased OHRQoL (P<0.05). Conclusion: The oral and dental status and consequently OHRQol of the elderly were relatively poor. The need for planning to promote the oral and dental health care aiming at improving the quality of life should be emphasized in this region.
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伊朗东南部机构老年人口腔和牙齿状况、口腔健康相关生活质量及相关因素的横断面研究
口腔和牙齿病变的发病率随着年龄的增长而增加,这可能会对生活质量产生负面影响。本研究的目的是评估伊朗东南部机构老年人的口腔和牙齿状况、口腔健康相关生活质量(OHRQoL)及其相关因素。方法:对90名60岁及以上住院老人进行横断面研究。在适当的光线下,用镜子和探针进行口腔检查。除了记录口腔病变外,还根据世界卫生组织的标准确定老年人的牙齿状况。采用老年口腔健康评估指数(GOHAI)问卷确定OHRQoL。记录每位参与者的年龄、性别、教育程度、吸烟、全身性疾病和使用假牙等因素。数据采用SPSS软件进行相应的统计检验。结果:43%的参与者有口腔疾病。舌裂是最常见的口腔病变。女性口腔病变患病率是男性的2倍多(P < 0.05)。老年人平均GOHAI为42.8±9.7。吸烟和口腔病变显著降低OHRQoL (P<0.05)。结论:老年人口腔及牙齿健康状况较差,从而影响其生活质量。应强调在该地区需要规划促进旨在改善生活质量的口腔和牙齿保健。
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