159095 State of the dentition and their impact in the capacity of the elders for the performance of their daily activities

Monday, November 5, 2007

Sergio Sanchez-Garcia , Epidemiology and Health Service Research Unit, Ageing Area., Mexican Institute of Social Security, Mexico, Mexico
Teresa Juarez-Cedillo , Epidemology and Health Services Research Unit. Ageing Area, Mexican Institute of Social Security, Mexico City, Mexico
Hortensia Reyes-Morales , Epidemiology and Health Service Research Unit, Mexican Institute of Social Security, Mexico, Mexico
Javier De la Fuente-Hernández , División de Estudios Profesionales de la Facultad de Odontología, Universidad Nacional Autónoma de México, Mexico, Mexico
Fortino Solórzano-Santos , Departamento de Infectología, Hospital de Pediatría, Mexican Institute of Social Security, Mexico, Mexico
Carmen Garcia-Peña , Epidemology and Health Services Research Unit. Ageing Area, Mexican Institute of Social Security, Mexico City, Mexico
Objective. Our aim was to evaluate the effect of the dental state on the capacity of elderly individuals to carry out their daily activities during the previous 6 months.Material and Methods. We conducted a transversal study in Mexican Institute of Social Security (IMSS)-insured elderly persons residing in southwestern Mexico City. We carried out home interviews to gather sociodemographic data, use of oral health services, problems in effecting daily actions, and their relationship with the dentition state over the past 6 months, utilizing the Oral Impacts on Daily Performance (OIDP) index. Later, three Oral Health professionals trained in determining dentition state according to World Health Organization (WHO) criteria performed a clinical examination on each elderly subject.Results. We studied 540 elderly individuals. The prevalence of elderly persons with problems in carrying out their daily activities was 21.5%. The main problems in daily activities were present in eating (14.4%), speaking (8.7%), in not becoming irritated (5.4%), brushing their teeth (5.0%), and in enjoying contact with people (4.4%). There is a correlation of positive OIDP among number of teeth lost and the decayed missing filled (DMF-T) index (p <0.05) and of negative OIDP in number of functional and filled teeth. Conclusions. Dentition state in the elderly has repercussions in the capacity to carry out daily activities, with quality of life most seriously affected with regard to eating and enjoying food, as well as in correct pronunciation.

Learning Objectives:
Our aim was to evaluate the effect of the dental state on the capacity of elderly individuals to carry out their daily activities during the previous 6 months.

Keywords: Quality of Life, Elderly

Presenting author's disclosure statement:

Any relevant financial relationships? No
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I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.