Association between dental prosthesis need, nutritional status and quality of life of elderly subjects
To determine the effect of prosthesis need on nutritional status and oral health-related quality of life (OHrQoL) in elderly and to check the disparity between prosthesis need and prosthesis want in the Indian elderly.
A total of 946 geriatric participants reporting to a geriatric medicine clinic were recruited in the study. Mini-nutritional assessment (MNA), geriatric oral health assessment (GOHAI) indices, prosthesis need according to WHO criteria, and prosthesis want was recorded along with age, gender, socioeconomic status and posterior occluding pair.
Significant associations exist between prosthesis need and age (p = 0.005), MNA (p = 0.006) and GOHAI (p = 0.000). Prosthesis demand too was influenced by age (p = 0.004), posterior occluding pairs (p = 0.000), MNA (p = 0.012) and GOHAI (p = 0.000). GOHAI was negatively correlated with upper (r = −0.445) and lower prosthesis need (r = −0.460). Participants with some prosthesis need had significantly lower MNA and GOHAI scores as compared to those with no prosthesis need. Though prosthesis need was high (79.7 %), demand was low (39.3 %).
Prosthesis need affects nutritional status and OHrQoL in elderly, and a wide gap exists between need and want of prosthesis.
KeywordsDental prosthesis Elderly Nutritional status Oral health
- 1.Rockville, Maryland: US Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institute of Health. (2000). DHHS oral health in America: A report of the surgeon general. p. 7.Google Scholar
- 9.Mathur, V. P., Jain, V., Pillai, R. S., Kalra, S. (2013). Translation and validation of Hindi version of geriatric oral health assessment index. Gerodontology. doi:10.1111/ger.12099.
- 21.Shetty, V. D., Bijle, M. N. A., & Patil, S. (2013). The relationship between prosthetic status and the geriatric oral health assessment index in a group of institutionalized elderly of an Indian city: A cross-sectional study. Journal of Contemporary Dental Practice, 14(6), 1173–1177.CrossRefPubMedGoogle Scholar
- 31.Bansal, V., Sogi, G. M., & Veeresha, K. L. (2010). Assessment of oral health status and treatment needs of elders associated with elders’ homes of Ambala division, Haryana, India. Indian Journal of Dental Research Official publication of Indian Society for Dental Research, 21(2), 244–247.CrossRefPubMedGoogle Scholar
- 42.Kshetrimayum, N., Reddy, C. V. K., Siddhana, S., Manjunath, M., Rudraswamy, S., & Sulavai, S. (2013). Oral health-related quality of life and nutritional status of institutionalized elderly population aged 60 years and above in Mysore City, India. Gerodontology, 30(2), 119–125.CrossRefPubMedGoogle Scholar
- 45.Soini, H., Muurinen, S., Routasalo, P., Sandelin, E., Savikko, N., Suominen, M., et al. (2006). Oral and nutritional status—Is the MNA a useful tool for dental clinics. Journal of Nutrition, Health & Aging, 10(6), 495–499. discussion 500–501.Google Scholar
- 47.Hollister, M. C., & Anema, M. G. (2004). Health behavior models and oral health: A review. Journal of Dental hygiene JDH American Dental Hygienists Association, 78(3), 6.Google Scholar