IMPACT OF EDENTULISM ON THE QUALITY OF LIFE OF ELDERLY PEOPLE
Keywords:
edentulism, dental care for aged, oral health, tooth lossAbstract
Objective
The purpose of this study was to determine the impact of edentulism on the qua!ity of life of institutionalized and non-institutionalized e/der!y people in the city of Recife, Brazi/.
Methods
A cross-sectiona! study was made of individuais aged 60 years and over. To determine the size of the samp!e, a 50% prevalence of edentu!ism in the population was presumed. A confidence leve! of 95% and estimated errar of 5% were adopted. The Epi lnfo program determined that a samp!e size of 217 e/der!y persons shou!d be used proportiona!ly stratified, in the first phase, between the institutionalized and the non-institutionalized. ln the second phase, each group was proportionally stratified according to the number living in each o/d peop/e's home and those not !iving in such institutions.
Results
Altogether 198 individuais took part in the study, of whom 11 7 (59. 10%) be!onged to the non-institutionalized group. There was a !oss of 8.76% of the samp/e at the end of the study. The data was co//ected by means of a clinica/ examination performed by two preca!ibrated examiners. The percentage of edentulism among the institutionalized e!derly was 59.30% and amongst those non-institutionalized, it was 51.30%. When the individuais in both groups were asked whether any problems with their mouth, teeth or prosthesis over the past six months had impacted on their daily tives, 40.00% replied that they had.
Conclusion
The resu!ts demonstrated a substantia! preva!ence of limitation of function among the study population, particularly amongst those resident in o/d people's homes, indicating the need to adopt strategies for promoting general and oral health, targeted at the elderly.
Downloads
References
Instituto Brasileiro de Geografia e Estatística. Síntese de Indicadores Sociais 2000; 2001. 5:271-99.
Silvestre JA, Kalache A, Ramos LR, Veras RP. O envelhecimento populacional brasileiro e o setor da saúde. Arq Geriatr Gerontol. 1996; p.81-9.
Instituto Brasileiro de Geografia e Estatística. Censo Demográfico 2000 [homepage on the Internet]. [acesso 2003 mar]. Disponível em: http:www. ibge.gov.br
Caldas AF Jr, Marcenes W, Sheiham A. Reasons for tooth extraction in a Brazilian population. lnt Dent J. 2000; 50(5):267-73.
Prefeitura da Cidade do Recife. Secretaria de Saúde. Plano Municipal de Saúde. 1998 - 2001. Recife: PCR; 1998.
Golds, L. The prosthetic treatment in the presence of gross resorption of the mandibular alveolar ridge. J Dent. 1985; 13(2):91-101.
Mello ALSF, Padilha DMP. Instituições geriátricas e negligência odontológica. Fac Odontol PUCRS. 2000; 41(1):44-8.
Duguid ZA, Singh M, Martuscelli G, Matthew S, Mallick S, Harrington DP, et ai. Prevalence of coronal and root caries in two high-risk groups. JDR. 2002; 81:342.
Locker D. Measuring oral health: a conceptual framework. Comm Dental Health. 1988; 5:5-13.
O.Organização Mundial da Saúde. Levantamentos básicos em saúde bucal: manual de instruções. 4. ed. Genebra: OMS; 1999.
Randolph WM, Ostir GV, Markides KS. Prevalence of tooth loss and dental service use in older Mexican Americans. J Am Geriatr Soe. 2001; 49(5):585-9
Lafuente PJ, Aguado FLM, Leyva CL. La salud oral em um grupo de ancianos institucionalizados. Arch Odonto Estomatol. 2000;16(4):231-7.
Saliba CA, Saliba NA, Marcelino G, et ai. Saúde bucal dos idosos: uma realidade ignorada. Rev APCD. 1999; 53(4):279-82.
Coelho Filho JM, Ramos LR. Epidemiologia do envelhecimento no Nordeste do Brasil: resultados de inquérito Domiciliar. Rev Saúde Pública. 1999; 33(5);445-53.
Moriguchi Y. Aspectos geriátricos no atendimento odontológico. Odont Mod. 1992; 19:11-3.
Celebic A, Knezovic-Zlataric D. A comparison of patient's satisfaction between complete and partial removable denture wearers. J Dent. 2003; 31(7):445-51.
Rodrigues Garcia RC; Oliveira VM; Dei Bel Cury AA. Effect of new dentures on interocclusal distance during speech. lnt J Prosthodont. 2003; 16(5):533-7.
Seifert E, Runte C, Riebandt M, Lamprecht-Dinnesen A, Bollmann F. Can dental prostheses influence vocal parameters? J Prosthet Dent. 1999; 81(5):579-85.
Scarsellone JM, Rochet AP, Wolfaardt JF. The influence of dentures on nasalance values in speech. Cleft Palate Craniofac J. 1999; 36(1):51-6.
Thompson WM. Socio-economic and behavioural risk factors for tooth losse from age 18 to 26 among participants in the Dunedin multidisciplinary health and development study. Caries Res. 2000; 34(5):113-22.