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Oral Health & Preventive Dentistry

Edited by Jean-Francois Roulet, Poul Erik Petersen, Anton Sculean

Official journal of the World Congress of Minimally Invasive Dentistry

ISSN (print) 1602-1622 • ISSN (online) 1757-9996


Fall 2004
Volume 2 , Issue 3

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The Ralationship between Clinical Dental Status and Oral Impacts in an Elderly Population

Tsakos, Georgios/Marcenes, Wagner/Sheiham, Aubrey

To investigate the relationship between oral health-related quality of life and clinical dental measures in an elderly Greek population. A cross-sectional survey was carried out of adults aged 65 years or older living independently in Athens. Data were collected through clinical examination and interviews. Oral health-related quality of life was assessed through the Oral Impacts on Daily Performance (OIDP) indicator. The sample consisted of 681 participants. Data analysis used non-parametric tests (Mann-Whitney, Kruskal-Wallis and multiple logistic regressions). The response rate was 87.8%. Dentate participants with 110 teeth were 2.05 (1.25, 3.35) times and those with 1120 teeth were 1.81 (1.11, 2.95) times more likely to report oral impacts than subjects with 21 or more teeth. Participants with anterior tooth spaces were 2.86 (1.70, 4.80) times more likely to report oral impacts than those without anterior spaces. Participants with 08 natural occluding pairs (NOPs) were 1.72 (1.14, 2.58) times and those with 03 posterior occluding pairs (POPs) were 1.57 (1.04, 2.36) times more likely to experience oral impacts than subjects with 916 NOPs and 410 POPs respectively. Decayed teeth were not significantly related to the presence of oral impacts. Edentulous participants with inadequate denture adaptation were 2.59 (1.46, 4.59) times, those with inadequate denture retention 2.41 (1.39, 4.17) times and those with denture overextension 2.51 (1.10, 5.74) times more likely to report oral impacts than subjects without the respective denture deficiencies. Clinical indicators of oral health status were significantly related to measures of oral health-related quality of life.

Keywords: oral impacts, quality of life, elderly, dental status, teeth

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