Oral health and quality of life of the geriatric patient: contexts of autonomy.

Gonçalo Abrantes; Patrícia Couto; Nélio Veiga

doi:10.17126/joralres.2022.013

Gonçalo Abrantes Universidade Católica Portuguesa, Faculty of Dental Medicine, Viseu, Portugal. http://orcid.org/0000-0002-7934-9410
Patrícia Couto Universidade Católica Portuguesa, Faculty of Dental Medicine, Viseu, Portugal. | Universidade Católica Portuguesa, Faculty of Dental Medicine, Centre for Interdisciplinary Research in Health (CIIS), Viseu, Portugal. http://orcid.org/0000-0002-0512-9757
Nélio Veiga Universidade Católica Portuguesa, Faculty of Dental Medicine, Viseu, Portugal. | Universidade Católica Portuguesa, Faculty of Dental Medicine, Centre for Interdisciplinary Research in Health (CIIS), Viseu, Portugal. http://orcid.org/0000-0001-6288-0435

DOI: https://doi.org/10.17126/joralres.2022.013

Abstract

Background: The state of oral health plays an important role in the concept of frailty among the elderly, as they tend to suffer from poor oral health conditions.
Objective: The aim of our systematic review is to study the impact of oral health on the quality of life of the geriatric patient in different contexts of autonomy.
Material and Methods: A systematic literature review was carried out of which the selection of articles, with publication date between 2008 and 2020 was conducted through computer platforms. The studies were analyzed and evaluated respecting the previously established inclusion criteria. The review corpus consisted of 16 articles, which presented methodological quality.
Results: Oral health has an impact on the quality of life of the elderly, both in the context of institutionalization and at a community level. Oral health has an effect on the quality of life of the elderly, namely in the dimensions of physical pain, physical disability, psychological discomfort, functional limitation, psychological and social disability. The higher the level of dependency the lower the oral health which has the greatest impact on quality of life. The presence of periodontitis, dental caries, edentulism, oral lesions and unsuitable dental prostheses result in a worse perception of quality of life.
Conclusion: The evidence found in this study reveals that the state of oral health among the elderly influences their quality of life, regardless of the context of autonomy, indicating the need for oral health policies aimed at this specific population.

References

[1]. Varela A, Eleutério A, Elias I, Porfírio A, Pereira A, Lopes, M, Oliveira M, Festas N, Ferreira PS. Estratégia Nacional Para o Envelhecimento Ativo e Saudável. DGS. 2017.

[2]. Neto NS, Luft LR, Trentin MS, Silva SO. Condições de saúde bucal do idoso: revisão de literatura. Rev Bras Ciências do Envelhec Hum. 2007; 22; 4(1):48-56.

[3]. Gil-Montoya JA, de Mello AL, Barrios R, Gonzalez-Moles MA, Bravo M. Oral health in the elderly patient and its impact on general well-being: a nonsystematic review. Clin Interv Aging. 2015;10:461-7. doi: 10.2147/CIA.S54630. PMID: 25709420; PMCID: PMC4334280.

[4]. WHO. Constitution of the World Health Organization. Geneva, Switzerland: World Health Organization; 2006 Available at: http://www.who.int/governance/eb/who_constitution_en.pdf.

[5]. Whitehead M. The concepts and principles of equity and health. Int J Health Serv. 1992;22(3):429-45. doi: 10.2190/986L-LHQ6-2VTE-YRRN. PMID: 1644507.

[6]. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90(11):1264-70. doi: 10.1177/0022034511399918. PMID: 21422477; PMCID: PMC3318061.

[7]. Direção-Geral da Saúde. Programa Nacional de Promoção da Saúde Oral. Lisboa: Direção-Geral da Saúde; 2019.

[8]. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8(5):336-41. doi: 10.1016/j.ijsu.2010.02.007. Erratum in: Int J Surg. 2010;8(8):658. PMID: 20171303.

[9]. Zini A, Sgan-Cohen HD. The effect of oral health on quality of life in an underprivileged homebound and non-homebound elderly population in Jerusalem. J Am Geriatr Soc. 2008;56(1):99-104. doi: 10.1111/j.1532-5415.2007.01498.x. PMID: 18005351.

[10]. Haikal DS, Paula AM, Martins AM, Moreira AN, Ferreira EF. Autopercepção da saúde bucal e impacto na qualidade de vida do idoso: uma abordagem quanti-qualitativa [Self-perception of oral health and impact on quality of life among the elderly: a quantitative-qualitative approach]. Cien Saude Colet. 2011;16(7):3317-29. doi: 10.1590/s1413-81232011000800031. PMID: 21808919.

[11]. Dahl KE, Wang NJ, Holst D, Ohrn K. Oral health-related quality of life among adults 68-77 years old in Nord-Trøndelag, Norway. Int J Dent Hyg. 2011;9(1):87-92. doi: 10.1111/j.1601-5037.2010.00445.x. PMID: 21226856.

[12]. Silva DD, Held RB, Torres SV, Sousa Mda L, Neri AL, Antunes JL. Self-perceived oral health and associated factors among the elderly in Campinas, Southeastern Brazil, 2008-2009. Rev Saude Publica. 2011;45(6):1145-53. doi: 10.1590/s0034-89102011005000068. PMID: 21953025.

[13]. Cornejo M, Pérez G, de Lima KC, Casals-Peidro E, Borrell C. Oral Health-Related Quality of Life in institutionalized elderly in Barcelona (Spain). Med Oral Patol Oral Cir Bucal. 2013 Mar 1;18(2):e285-92. doi: 10.4317/medoral.18280. PMID: 23385501; PMCID: PMC3613882.

[14]. Cornejo M, Pérez G, de Lima KC, Casals-Peidro E, Borrell C. Oral Health-Related Quality of Life in institutionalized elderly in Barcelona (Spain). Med Oral Patol Oral Cir Bucal. 2013;18(2):e285-92. doi: 10.4317/medoral.18280. PMID: 23385501; PMCID: PMC3613882.

[15]. Moriya S, Tei K, Yamazaki Y, Hata H, Kitagawa Y, Inoue N, Miura H. Relationships between higher-level functional capacity and dental health behaviors in community-dwelling older adults. Gerodontology. 2013;30(2):133-40. doi: 10.1111/j.1741-2358.2012.00654.x. PMID: 22512354.

[16]. Mestriner SF, de Almeida ASQ, de Mesquita LP, Bulgarelli AF, Junior WM. Oral health conditions and quality of life of elderly users of the Unified National Health System. RGO, Rev Gaúch Odontol.; 62(4): 389-394.

[17]. Porter J, Ntouva A, Read A, Murdoch M, Ola D, Tsakos G. The impact of oral health on the quality of life of nursing home residents. Health Qual Life Outcomes. 2015;13:102. doi: 10.1186/s12955-015-0300-y. PMID: 26169066; PMCID: PMC4501060.

[18]. Nunes Falcão LM, de Araújo Soares Nuto S, Pimentel Gomes Fernandes Vieira-Meyer A,, Rodrigues Nogueira CM y Vieira de Lima Saintrain, Maria. Autopercepção de saúde bucal em idosos: estudo de base domiciliar. Rev. Bras. Geriatr. Gerontol., Rio de Janeiro. 2017; 20(1): 7-19.

[19]. Saliba TA, Ortega MM, Goya KK, Moimaz SAS, Garbin CAS. Influence of oral health on the quality of life of institutionalized and noninstitutionalized elderly people. Dent Res J (Isfahan). 2018;15(4):256-263. PMID: 30123302; PMCID: PMC6073941.

[20]. Li XL, Liu MY, Cheng L, Zhu HF, Cui D. [Impact of oral health promotion project on periodontal condition and life quality of the elderly in long-term care institutions]. Shanghai Kou Qiang Yi Xue. 2018;27(3):285-288. Chinese. PMID: 30411125.

[21]. Echeverria MS, Wünsch IS, Langlois CO, Cascaes AM, Ribeiro Silva AE. Oral health-related quality of life in older adults-Longitudinal study. Gerodontology. 2019;36(2):118-124. doi: 10.1111/ger.12387. PMID: 30565315.

[22]. Sheng X, Xiao X, Song X, Qiao L, Zhang X, Zhong H. Correlation between oral health and quality of life among the elderly in Southwest China from 2013 to 2015. Medicine (Baltimore). 2018;97(21):e10777. doi: 10.1097/MD.0000000000010777. PMID: 29794757; PMCID: PMC6392902.

[23]. Wong FMF, Ng YTY, Leung WK. Oral Health and Its Associated Factors Among Older Institutionalized Residents-A Systematic Review. Int J Environ Res Public Health. 2019; 16(21):4132. doi: 10.3390/ijerph16214132. PMID: 31717812

[24]. Foger D, Sá LM, Velasco SRM, Santos PSS, Bastos RS. Functional capacity and oral health–related quality of life in elderly. Int J Clin Dent 2019;12(4):317-326.

[25]. Chiesi F, Grazzini M, Innocenti M, Giammarco B, Simoncini E, Garamella G, Zanobini P, Perra C, Baggiani L, Lorini C, Bonaccorsi G. Older People Living in Nursing Homes: An Oral Health Screening Survey in Florence, Italy. Int J Environ Res Public Health. 2019;16(18):3492. doi: 10.3390/ijerph16183492. PMID: 31546837; PMCID: PMC6765962.

[26]. Melo P, Marques S, Silva OM. Portuguese self-reported oral-hygiene habits and oral status. Int Dent J. 2017;67(3):139-147. doi: 10.1111/idj.12273. PMID: 27981568.

[27]. Dahl KE, Wang NJ, Skau I, Ohrn K. Oral health-related quality of life and associated factors in Norwegian adults. Acta Odontol Scand. 2011;69(4):208-14. doi: 10.3109/00016357.2010.549502. PMID: 21247228.

[28]. Portella FF, Rocha AW, Haddad DC, Fortes CB, Hugo FN, Padilha DM, Samuel SM. Oral hygiene caregivers' educational programme improves oral health conditions in institutionalised independent and functional elderly. Gerodontology. 2015;32(1):28-34. doi: 10.1111/ger.12049. PMID: 23489328.

[29]. Lamster IB, Asadourian L, Del Carmen T, Friedman PK. The aging mouth: differentiating normal aging from disease. Periodontol 2000. 2016;72(1):96-107. doi: 10.1111/prd.12131. PMID: 27501493.

[30]. Pronych GJ, Brown EJ, Horsch K, Mercer K. Oral health coordinators in long-term care--a pilot study. Spec Care Dentist. 2010;30(2):59-65. doi: 10.1111/j.1754-4505.2010.00123.x. PMID: 20415802.