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Influence of visual acuity, manual dexterity and handgrip strength on oral and denture hygiene ability of non‐frail older people: Development of the Gerostomatological Assessment Battery


Nitschke, Ina; Altan, Aylin; Roth‐Kreissl, Marion; Sobotta, Bernhard A J; Jockusch, Julia (2024). Influence of visual acuity, manual dexterity and handgrip strength on oral and denture hygiene ability of non‐frail older people: Development of the Gerostomatological Assessment Battery. Journal of Oral Rehabilitation, 51(2):343-358.

Abstract

Background: Due to the heterogeneity of older people, it is difficult to identify reliable factors influencing oral health.
Objective: The aim was to illustrate the influence of visual acuity, manual dexterity, and handgrip strength on the oral and denture hygiene ability of older non‐frail people.MethodsIn a cross‐sectional study, conducted at a specialized dental clinic, at baseline, all participants received professional prophylaxis and instruction on daily oral and denture hygiene regimes for a 6‐week intervention period. Data on the Quigley and Hein modified plaque index (QHI), respectively, the Denture Hygiene Index (DHI), visual acuity, manual dexterity and handgrip strength in non‐frail participants (≥ 65 years) were collected. Recruitment was done within the clinic's patient clientele and within the staff (control cohort).ResultsWomen showed significantly better manual dexterity than men (Mann–Whitney U, p = .01), while women's mean handgrip strength was significantly lower (Mann–Whitney U, p < .01). Manual dexterity (Mann–Whitney U, p = .003) and handgrip strength (Mann–Whitney U, p = .052) were associated with age. However, visual acuity, manual dexterity and handgrip strength had no influence on oral or denture hygiene.
Conclusion: Visual acuity, manual dexterity and handgrip strength have no influence on oral and denture hygiene ability in older non‐frail people. Further studies should investigate whether these factors also have no influence on oral and denture hygiene in vulnerable older patients. Therefore, an assessment tool for the evaluation of potential influencing factors of oral and denture hygiene is proposed in a dental context. This Gerostomatological Assessment Battery (G‐AB) can be used as a helpful tool to check the individual cognitive function and comprehension, dental therapy approaches and their individual adaption.

Abstract

Background: Due to the heterogeneity of older people, it is difficult to identify reliable factors influencing oral health.
Objective: The aim was to illustrate the influence of visual acuity, manual dexterity, and handgrip strength on the oral and denture hygiene ability of older non‐frail people.MethodsIn a cross‐sectional study, conducted at a specialized dental clinic, at baseline, all participants received professional prophylaxis and instruction on daily oral and denture hygiene regimes for a 6‐week intervention period. Data on the Quigley and Hein modified plaque index (QHI), respectively, the Denture Hygiene Index (DHI), visual acuity, manual dexterity and handgrip strength in non‐frail participants (≥ 65 years) were collected. Recruitment was done within the clinic's patient clientele and within the staff (control cohort).ResultsWomen showed significantly better manual dexterity than men (Mann–Whitney U, p = .01), while women's mean handgrip strength was significantly lower (Mann–Whitney U, p < .01). Manual dexterity (Mann–Whitney U, p = .003) and handgrip strength (Mann–Whitney U, p = .052) were associated with age. However, visual acuity, manual dexterity and handgrip strength had no influence on oral or denture hygiene.
Conclusion: Visual acuity, manual dexterity and handgrip strength have no influence on oral and denture hygiene ability in older non‐frail people. Further studies should investigate whether these factors also have no influence on oral and denture hygiene in vulnerable older patients. Therefore, an assessment tool for the evaluation of potential influencing factors of oral and denture hygiene is proposed in a dental context. This Gerostomatological Assessment Battery (G‐AB) can be used as a helpful tool to check the individual cognitive function and comprehension, dental therapy approaches and their individual adaption.

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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 > General Dentistry
Uncontrolled Keywords:General Dentistry
Language:English
Date:1 February 2024
Deposited On:29 Dec 2023 11:34
Last Modified:30 Apr 2024 01:45
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0305-182X
OA Status:Hybrid
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1111/joor.13610
Related URLs: (Publisher)
PubMed ID:37882653
  • Content: Published Version
  • Language: English
  • Licence: Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)