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Indicators of oral health in older adults with and without the presence of multimorbidity: a cross-sectional study

Authors Islas-Granillo H, Borges-Yañez SA, Navarrete-Hernández JDJ, Veras-Hernández MA, Casanova-Rosado JF, Minaya-Sánchez M, Casanova-Rosado AJ, Fernández-Barrera MÁ, Medina-Solís CE

Received 30 September 2018

Accepted for publication 5 January 2019

Published 30 January 2019 Volume 2019:14 Pages 219—224

DOI https://doi.org/10.2147/CIA.S170470

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Richard Walker


Horacio Islas-Granillo,1 Socorro Aida Borges-Yañez,2 José de Jesús Navarrete-Hernández,1 Miriam Alejandra Veras-Hernández,1 Juan Fernando Casanova-Rosado,3 Mirna Minaya-Sánchez,3 Alejandro José Casanova-Rosado,3 Miguel Ángel Fernández-Barrera,1 Carlo Eduardo Medina-Solís1,4

1Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico; 2DEPeI Faculty of Dentistry, National Autonomous University of Mexico, Ciudad de Mexico, Mexico; 3Faculty of Dentistry, Autonomous University of Campeche, Campeche, Mexico; 4Advanced Studies and Research Center in Dentistry “Dr Keisaburo Miyata”, Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico

Purpose: The aim of this study was to determine whether there are differences in the distribution of various indicators of oral health among elderly people with and without multimorbidity (ie, two or more chronic diseases).
Subjects and methods: A cross-sectional, comparative study was conducted using a sample of Mexican elderly individuals aged ≥60 years. The average age of the cohort was 79.06±9.78 years, and 69.1% were women. The variables indicating oral health were as follows: functional dentition, edentulism, hyposalivation, xerostomia, root caries and periodontitis. The multimorbidity variable was operationally categorized as follows: 0= subjects with no chronic disease or one chronic disease and 1= subjects with two or more chronic diseases. Questionnaires were used to collect information on various variables regarding general health. Likewise, the participants underwent a clinical oral examination. The analysis was performed using Stata 11.0.
Results: The overall prevalence of multimorbidity was 27.3%. The prevalences of various oral health indicators were as follows: without functional dentition 89.9%; hyposalivation 59.7%; edentulism 38.9% and self-reported xerostomia 25.2%. Dental caries were observed in 95.3% of the subjects, and the prevalence of severe periodontitis was 80%. We found a significant difference only in edentulism; its prevalence was higher among subjects with multimorbidity (55.3% vs 32.7%, P=0.015) than among those without multimorbidity.
Conclusion: The presence of edentulism in this sample of Mexican older adults was higher in subjects with multimorbidity. Multimorbidity and oral diseases constitute a true challenge in elderly people, because they affect quality of life and are associated with high health care costs.

Keywords: older adults, multimorbidity, oral health, edentulism, tooth loss

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