Header

UZH-Logo

Maintenance Infos

Denture-related problems of patients in acute geriatric care


Nitschke, Ina; Frank, Frederick; Müller-Werdan, Ursula; Eckardt-Felmberg, Rahel; Stillhart, Angela (2022). Denture-related problems of patients in acute geriatric care. Zeitschrift für Gerontologie und Geriatrie, 55(4):318-324.

Abstract

Background
With increasing frailty and complaint-oriented utilization of dental care, the prevalence of oral diseases also increases.
Aim
To clarify whether there is a need for dental prosthodontic treatment during residential acute geriatric rehabilitation.
Methods
Within 3 weeks in a hospital for acute geriatric patients, 79 out of 157 newly admitted patients were interviewed as study participants (age: median 79.0 years, range 66–96 years, female 51.9%), dental findings were recorded, treatment needs were determined but X‑rays were not taken.
Results
Of the participants 31.1% had not seen a dentist for more than 1 year and 18.2% were edentulous. The median number of teeth in dentate participants was 16 (range 1–28 teeth); based on all participants, there was a median of 12.0 teeth (range 0–28 teeth). Of the 52 denture wearers (45 upper jaw and 43 lower jaw), 5 each of the maxillary and mandibular dentures could not be assessed because they were not available at the hospital. Moderate denture deficiencies were present in 62.5% of participants wearing upper dentures (mandibular 55.3%).
Conclusion
Dental treatment is needed in this vulnerable patient group. Therefore, the oral cavity should be assessed as part of the geriatric assessment. The available data confirm that the use of validated assessment instruments, such as the mini dental assessment as part of the comprehensive geriatric assessment would be useful. In addition to an oral examination, simple dental treatment should be provided to reduce infections and improve chewing ability. The geriatrician should be informed of the urgency of treatment. The overall rehabilitative approach of acute geriatric treatment would be complete if oral health would not be excluded.

Abstract

Background
With increasing frailty and complaint-oriented utilization of dental care, the prevalence of oral diseases also increases.
Aim
To clarify whether there is a need for dental prosthodontic treatment during residential acute geriatric rehabilitation.
Methods
Within 3 weeks in a hospital for acute geriatric patients, 79 out of 157 newly admitted patients were interviewed as study participants (age: median 79.0 years, range 66–96 years, female 51.9%), dental findings were recorded, treatment needs were determined but X‑rays were not taken.
Results
Of the participants 31.1% had not seen a dentist for more than 1 year and 18.2% were edentulous. The median number of teeth in dentate participants was 16 (range 1–28 teeth); based on all participants, there was a median of 12.0 teeth (range 0–28 teeth). Of the 52 denture wearers (45 upper jaw and 43 lower jaw), 5 each of the maxillary and mandibular dentures could not be assessed because they were not available at the hospital. Moderate denture deficiencies were present in 62.5% of participants wearing upper dentures (mandibular 55.3%).
Conclusion
Dental treatment is needed in this vulnerable patient group. Therefore, the oral cavity should be assessed as part of the geriatric assessment. The available data confirm that the use of validated assessment instruments, such as the mini dental assessment as part of the comprehensive geriatric assessment would be useful. In addition to an oral examination, simple dental treatment should be provided to reduce infections and improve chewing ability. The geriatrician should be informed of the urgency of treatment. The overall rehabilitative approach of acute geriatric treatment would be complete if oral health would not be excluded.

Statistics

Citations

Dimensions.ai Metrics
3 citations in Web of Science®
3 citations in Scopus®
Google Scholar™

Altmetrics

Downloads

33 downloads since deposited on 30 Dec 2021
5 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Klinik für Allgemein-, Behinderten- und Seniorenzahnmedizin
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Issues, Ethics and Legal Aspects
Social Sciences & Humanities > Health (social science)
Health Sciences > Gerontology
Health Sciences > Geriatrics and Gerontology
Uncontrolled Keywords:Geriatrics and Gerontology, Gerontology, Health(social science), Issues, ethics and legal aspects
Language:English
Date:1 July 2022
Deposited On:30 Dec 2021 06:27
Last Modified:26 Feb 2024 02:40
Publisher:Springer
ISSN:0948-6704
OA Status:Hybrid
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.1007/s00391-021-01928-1
PubMed ID:34170352
Project Information:
  • : FunderUniversität Leipzig
  • : Grant ID
  • : Project Title
  • Content: Published Version
  • Language: English
  • Licence: Creative Commons: Attribution 4.0 International (CC BY 4.0)