Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 1.736
5-Year Impact Factor – 2.135
Index Copernicus  – 168.52
MEiN – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
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Advances in Clinical and Experimental Medicine

2019, vol. 28, nr 9, September, p. 1209–1216

doi: 10.17219/acem/104601

Publication type: original article

Language: English

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Does oral dryness influence quality of life? Current perspectives in elderly dental care

Katarzyna Skośkiewicz-Malinowska1,A,B,C,D,F, Barbara Malicka1,A,B,D,F, Marek Ziętek2,A,D,E,F, Urszula Kaczmarek1,A,D,E,F

1 Department of Conservative Dentistry and Pedodontics, Wroclaw Medical University, Poland

2 Department of Periodontology, Wroclaw Medical University, Poland

Abstract

Background. The oral condition can functionally, socially and psychologically influence the quality of life. Oral dryness often occurs in the elderly due to the presence of systemic diseases and medications, which favors the development of many lesions and complaints, including dental caries, candidiasis, retention of full removable denture, taste disturbance and it enforces a change in nutrition.
Objectives. The aim of this study was to assess the impact of oral dryness on oral health-related quality of life in older subjects.
Material and Methods. Five hundred subjects of both genders, aged 65 and over (mean 74.4 ±7.4) were involved in the study. Oral dryness was evaluated clinically with use of the Challacombe scale (CODS, Clinical Oral Dryness Score). The oral health-related quality of life was assessed by the Oral Health Impact Profile scale (OHIP-14).
Results. Oral dryness occurred in 32.8% of subjects, most often on a mild level (29.6%). The average value of the OHIP-14 scale was 8.01 ±13.59. The regression analysis demonstrated a significant association between oral dryness and two domains of the OHIP-14 scale, i.e. functional limitation (p < 0.01) and psychological disability (p < 0.05).
Conclusion. Oral dryness is substantially related to the oral health-related quality of life, which indicates the necessity of monitoring oral dryness as part of routine dental care.

Key words

oral dryness, Oral Health Impact Profile, elderly, OHIP-14

References (40)

  1. World Report on Ageing and Health. WHO, 2015. http://apps.who.int/iris/bitstream/10665/186463/1/9789240694811_eng.pdf?ua=1 Accessed on June 23, 2018.
  2. Ferrucci L, Guralnik JM, Studenski S, Fried LP, Cutler GB Jr, Walston JD. Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: a consensus report. J Am Geriatr Soc. 2004 Apr;52(4):625–634.
  3. Vissink A, Spijkervet FK, Van Nieuw Amerongen A. Aging and saliva: A review of the literature. Spec Care Dentist. 1996;16:95–103.
  4. Gupta A, Epstein JB, Sroussi H. Hyposalivation in elderly patients. J Can Dent Assoc. 2006;72:841–846.
  5. Razak PA, Richard KMJ, Thankachan RP, Hafiz KAA, Kunar KN, Sameer KM. Geriatric oral health: A review article. J Int Oral Health. 2014;6:110–116.
  6. Kaczmarek U. Xerostomia – aetiology, prevalence and diagnosis – on the basis of literature [in Polish]. Czas Stomat. 2007;60(1):20–31.
  7. Malicka B, Kaczmarek U, Skośkiewicz-Malinowska K. Prevalence of xerostomia and the salivary flow rate in diabetic patients. Adv Clin Exp Med. 2014;23(2):225–233.
  8. Henson BS, Inglehart MR, Eisbruch A, Ship JA. Preserved salivary output and xerostomia-related quality of life in head and neck cancer patients receiving parotid-sparing radiotherapy. Oral Oncol. 2001;37:84–93.
  9. Ship JA, Pillemer SR, Baum BJ. Xerostomia and the geriatric patient. J Am Geriatr Soc. 2002;50:535–543.
  10. Wagner M, Rietz C, Kaspar R, et al. Quality of life of the very old: Survey on quality of life and subjective well-being of the very old in North Rhine-Westphalia (NRW80+). Z Gerontol Geriatr. 2018;51(2):193–199.
  11. Lima MG, Barros MB, César CL, Goldbaum M, Carandina L, Ciconelli RM. Health related quality of life among the elderly: A population-based study using SF-36 survey. Cad Saude Publica. 2009;25(10):2159–2167.
  12. Conrad I, Matschinger H, Riedel-Heller S, von Gottberg C, Kilian R.The psychometric properties of the German version of the WHOQOL-OLD in the German population aged 60 and older. Health Qual Life Outcomes. 2014;5(12):105–108.
  13. Locker D. Concepts of oral health, disease and the quality of life. In: Measuring oral health and quality of life. GD Slade. Chapell Hill eds., University of North Carolina. Dental Ecolog. 1997;11–24.
  14. Inglehart MR. Oral health and quality of life. Pocket dentistry. https://pocketdentistry.com/2-oral-health-and-quality-of-life/Dostęp: 15.12. 2017
  15. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health. 1994;11:3–11.
  16. Skośkiewicz-Malinowska K, Kaczmarek U, Ziętek M, Malicka B. Validation of the Polish version of the oral health impact profile-14. Adv Clin Exp Med. 2015;24:129–137.
  17. The Challacombe scale of clinical oral dryness https://www.dentalhealth.org. 15.12.2017.
  18. Jager DHJ, Bots CP, Forouzanfar T, Brand HS. Clinical oral dryness score: Evaluation of a new screening method for oral dryness. Odontology. 2018;22. doi:10.1007/s10266-018-0339-4
  19. Fox PC, van der Ven F, Sonie BC, Weiffenbach JM, Baum BJ. Xerostomia: evaluation of symptoms with increasing significance. Jam Dent Assoc. 1985;110:519–525.
  20. Guggenheimer J, Moore PA. Xerostomia: etiology, recognition and treatment. J Am Dent Assoc. 2003;134:61–69.
  21. Navazesh M. How can oral health care providers determine if patients have dry mouth? J Am Dent Assoc. 2003;134:613–618.
  22. Millsop JW, Wang EA, Fazel N. Etiology, evaluation, and management of xerostomia. Clin Dermatol. 2017;35:468–476.
  23. Rayman S, Dincer E, Almas K. Xerostomia. Diagnosis and management in dental practice. N Y State Dent J. 2010;76:24–27.
  24. National Institute of Dental and Crianiofacial Research. Tooth Loss in Seniors (Age 65 and Over) https://www.nidcr.nih.gov/DataStatistics/FindDataByTopic/ToothLoss/ToothLossSeniors65andOlder.htm
  25. Tyrovolas S, Koyanagi A, Panagiotakos DB, Haro JM, Kassebaum NJ, Kotsakis GA. Population prevalence of edentulism and its association with depression and self-rated health. Sci Rep. 2016;6:37083.
  26. Müller F, Shimazaki Y, Kahabuka F, Schimmel M. Oral health for an ageing population: The importance of a natural dentition in older adults. Int Dent J. 2017;67(Suppl 2):7–13.
  27. Kamińska-Pikiewicz K, Bachanek T, Chałas R. The incidence of oral dryness in people over 65 years living in Lublin. Curr Issues Pharm Med Sci. 2015;28:250–253.
  28. Benn AM, Broadbent JM, Thomson WM. Occurrence and impact of xero­stomia among dentate adult New Zealanders: findings from a national survey. Aust Dent J. 2015;60(3):362–367.
  29. 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;16(31):e14. doi:10.1590/1807-3107BOR-2017.vol31.0014
  30. Bharateesh JV, Kokila G. Association of root caries with oral habits in older individuals attending a rural health centre of a dental hospital in India. J Clin Diagn Res. 2014;8(11):ZC80–ZC82.
  31. So JS, Chung SC, Kho HS, Kim YK, Chung JW. Dry mouth among the elderly in Korea: a survey of prevalence, severity, and associated factors. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:475–483.
  32. Ahmad MS, Bhayat A, Zafar MS, Al-Samadani KH. The impact of hyposalivation on quality of life (QoL) and oral health in the aging population of Al Madinah Al Munawarrah. Int J Environ Res Public Health. 2017;14(4).pii: E445. doi: 10.3390/ijerph14040445.
  33. Mortazavi H, Baharvand M, Movahhedian A, Mohammadi M, Khodadoustan A. Xerostomia due to systemic disease: A review of 20 conditions and mechanism. Ann Med Health Sci Res. 2014;4(4):503–510.
  34. Tan ECK, Lexomboon D, Sandborgh-Englund G, Haasum Y, Johnell K. Medications that cause dry mouth as an adverse effect in older people: A systematic review and metaanalysis. J Am Geriatr Soc. 2018;66(1):76–84.
  35. Bogucki ZA, Napadłek P, Dąbrowa T. A clinical evaluation denture adhesives used by patients with xerostomia. Medicine (Baltimore). 2015;94(7):e545–546.
  36. Sáez-Prado B1, Haya-Fernández MC, Sanz-García MT. Oral health and quality of life in the municipal senior citizen’s social clubs for people over 65 of Valencia, Spain. Med Oral Patol Oral Cir Bucal. 2016;21(6):e672–678.
  37. Motallebnejad M, Mehdizadeh S, Najafi N, Sayyadi F. The evaluation of oral health-related factors on the quality of life of the elderly in Babol. Contemp Clin Dent. 2015;6(3):313–317.
  38. 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;56:78–83.
  39. Locker D. Dental status, xerostomia and the oral health-related quality of life of an elderly institutionalized population. Spec Care Dentist. 2003;23(3):86–93.
  40. Ikebe K, Matsuda K, Morii K, et al. Impact of dry mouth and hyposalivation on oral health-related quality of life of elderly Japanese. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(2):216–222.
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