2018, Number 20
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Rev Tame 2018; 6.7 (20)
Condiciones orales y necesidad de tratamiento periodontal de una población de adultos de 60 años o más. Institucionalizados versus vida libre
Torres-García DA, Llamas OFJ, Téllez GA, Jiménez TH, Luna-Domínguez JH
Language: Spanish
References: 19
Page: 782-786
PDF size: 185.11 Kb.
ABSTRACT
Due to the increase in life expectancy and medical science progress, an exponential growth in the elderly adults is expected. A large part of this population will inhabit a care institution. It is fundamental to know the oral conditions and periodontal treatment needs of this group.
Objectives: To identify and compare the periodontal treatment needs of a sample of institutionalized elderly patients at least 60 years old versus free life.
Materials and methods: Observational study on 84 elderly patients. 44 form the free life group and 40 from the institutionalized group. A survey was conducted. Then a periodontal examination was performed with the WHO probe using the community periodontal index of treatment needs.
Results: The 95% of the group “Free Living” and 89.5% of the institutionalized had a periodontal treatment need of 3 or 4 according to the CPITN. The 22.6% of the patients are diabetic 91.9% of the non-diabetic and the 100% of the diabetic required a 3 or 4 treatment need. The 45.2% of the patients are hypertensive. 91.3% of the non-hypertensive and the 96.3% of the hypertensive require 3 or 4 treatment need. 96.5% of the group within 60 to 75 years old and 90.5% of the group older than 75 years old required the 3 or 4 treatment need. In the institutionalized group a mean of 17.0 teeth present was found. On the Free living group the mean was 12.5 teeth present. On diabetics 13.8, non-Diabetics 14.9 teeth present. Hypertensive 13.5, non-hypertensive 14.3. Within 60 to 75 15.0 and older than 75 14.4 teeth present. The 40% of the patients was edentulous, 60% of the patients still have teeth present.
Conclusion: The periodontal treatment need was high, regardless of if they were institutionalized or living freely.
REFERENCES
Berrio VMI. Envejecimiento de la población: un reto para la salud pública. Rev Colomb Anestesiol. 2012:40:192-4.
Soria G, Perera L. Importancia de la atención odontogeriátrica en el paciente institucionalizado. Odont Act 2013:118;18-22.
Martínez C. Envejecimiento Periodontal y Geriatría. Odont Act. 2014:131;16-22.
Bautista M, Unriza P, Munevar J, Lafaurie G, Valle O, Romero S. (Papel de la enfermedad periodontal en el desarrollo de entidades inflamatorias de etiología autoinmune: implicaciones clínicas y desafíos terapéuticos. Rcreu. 2012:19;84-91.
Andreescu C, Mihai L, Răescu M, Tuculină M, Cumpătă C, Ghergic D. Age influence on periodontal tissues: a histological study. Rom J Morphol Embryol. 2013: 54;811-5.
Jung HY, Kim YG, Jin MU, Cho JH, Lee JM. Relationship of tooth mortality and implant treatment in Type 2 diabetes mellitus patients in Korean adults. J Adv Prosthodont. 2013: 5;51-7.
Ochoa SP, Ospina CA, Colorado KJ, Montoya YP, Saldarriaga AF, Miranda M. Condición periodontal y perdida dental en pacientes diabéticos del Hospital Universitario San Vicente de Paul. Biomédica. 2012: 32;52-9.
Marchetti E, Monaco A, Procaccini L, Mummolo S, Gatto R, Tetè S. Periodontal disease: the influence of metabolic syndrome. Nutr Metab. 2012:9;1-13.
Sánchez-García S, Heredia-Ponce E, Cruz-Hervert P, Juárez-Cedillo T, Cárdenas-Bahena A, García-Peña C.Oral health status in older adults with social security in Mexico City: Latent class analysis. J Clin Exp Dent. 2014: 6;29-35.
Minaya-Sanchez M, Medina-Solis CE, Casanova-Rosado JF, Casanova-Rosado, AJ, Márquez-Corona MDL, Islas-Granillo H, et al. Perdida de dientes y variables del estado periodontal asociadas en hombres policías adultos. Gac Med Mex. 2012: 146; 264-8.
Mummolo S, Ortu E, Necozione S, Monaco A, Marzo G. Relationship between mastication and cognitive function in elderly in L’Aquila. Inl J ClinExp Med. 2014;7:1040-46.
Rojas González C, Segovia Chamorro J, Raccoursier Schwerter V, Godoy Olave J, Lopetegui Buschmann MS. Estado Periodontal y Necesidad de Tratamiento en Pacientes GES 60 Años de Villa Alemana. Rev Clin Periodoncia Implantol Rehabil Oral. 2010; 3;86-9.
Shiau HJ, Reynolds MA. Sex differences in destructive periodontal disease: a systematic review. Journal of Periodontology. 2010; 81;1379-89.
Stanko P, Izakovicova L. Bidirectional association between diabetes mellitus and inflammatory periodontal disease. A review Biomed Pap Med Fav Univ Palacky Olomouc Czech Repub. 2014;158:35-8.
Rivas-Tumanyan S, Campos M, Zevallos JC, Joshipura KJ. Periodontal disease, hypertension and bloody pressure among olders adults in Puerto Rico. Journal of Periodontology 2013; 84:203-11.
Akira T, Mitsuhiro S, Yoshikazu S, Masahiko O, Kaoru Lee, Keiji T, Mikio T, et al. Tooth loss is associated with an increased risk of hypertension in postmenopausal women. Hypertension 2004; 43:1297-300.
Medina-Solís CE, Pontigo-Loyola AP, Pérez-Campos E, Hernández-Cruz P, Ávila-Burgos L, Mendoza-Rodríguez M Edentulism and other variables associated with self-reported health status in Mexican adults. Med Sci Monit. 2014; 20:843-52
Peres MA, Tsakos G, Barbato PR, Silva Da, Peres KG. Tooth loss is associated with increased blood pressure in adults – a multidisciplinary population study. JClinPeriodontol. 2012;39;824-33.
Ayo-Yusuf OA, Ayo-Yusuf IJ. Association of tooth loss with hypertension. S Afr Med J. 2008;98;381-5.