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Community Dent Oral Epidemiol. 2001 Dec;29(6):464-70.

Relationship between oral hygiene practices and oral status in dentate elderly people living in residential homes.

Author information

1
Dental Department, Principal Health Centre, Civic Close, St Albans, Hertfordshire, AL1 3LA, UK.

Abstract

OBJECTIVES:

To investigate the relationship between the oral hygiene practices of dentate elderly people living in residential homes, their requests for assistance and their oral health status.

METHODS:

164 people (81.2+/-7.4 years) participated in an interview and oral examination, and provided a stimulated saliva sample.

RESULTS:

The mean number of coronal decayed surfaces (CDS) was 2.4+/-5.9, stimulated salivary levels (log(10)cfu/ml) of mutans streptococci, lactobacilli and yeasts were 1.6+/-2.1, 3.0+/-2.2, 2.1+/-1.7, respectively, and 53% had root decayed surfaces (RDS). Plaque (PI) and gingival (GI) Indices were 2.3+/-0.7 and 1.6+/-0.4 and denture debris scores (DDS) were high. 31% of the population cleaned their mouths twice daily without requesting help and they had significantly fewer yeasts, RDS, restorations on root surfaces, lower PI, GI (P<0.005) and DDS (P<0.0001) than the 69% who cleaned less often. 50% of those who cleaned less frequently requested assistance with oral hygiene but only 5% said that their carers supported them. Those residents who requested help had significantly higher levels of yeasts, lactobacilli (P<0.001), retained roots, DDS, RDS (P<0.005), PI and GI (P<0.0001).

CONCLUSION:

The elderly residents' perceived need for assistance with oral hygiene was related directly to oral hygiene status and to clinical indicators of mucosal and dental diseases.

[Indexed for MEDLINE]

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