Morbidity, Oral Health
Conditions
Brief summary
This study will help describe the state of oral health of very old people (over 90).
Detailed description
In 2011, according to the French National Institute for Statistics and Economic Research, people aged 85 and over accounted for about 3% of the total population. This proportion will increase sharply due to longer life expectancy on the baby boom generation and is expected to reach 7.5% of the total population in 2050. This very old population has specific health, related to the presence of co-morbidities and co-medications, but also to a frequent state of dependence. These general health problems and their treatment can create or accentuate oral problems or complicate their management. Thus, very old people are more likely to have some oral diseases although there is no epidemiological data in France. Conversely, oral problems can have repercussions in terms of quality of life, social relations and nutrition, and are factors of risk or aggravating actual or potential systemic disorders. This very elderly population is therefore likely to present new challenges of dental care that it is important to document.
Interventions
None listed
Sponsors
University Hospital, Bordeaux
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
90 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Patients over 90 years old * Follow-up in 2013-2014 as part of the PAQUID cohort * Participation Agreement
Exclusion criteria
* Inability to give informed consent and refusal of legal guardian.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| State of the mouth and teeth | Inclusion visit | Number of decayed, absent and closed teeth |
| Masticatory ability | Inclusion visit | Number of functional units |
| Root caries index | Inclusion visit | Root caries index (RCI) - RCI is based on the requirement that gingival recession must occur before root caries surface lesion begin, therefore only teeth with gum recession are examined. * 4 surfaces of root are examined (mesial, distal, lingual, and buccal or labial) * A judgment of no gum recession is made if CEJ (cement enamel junction) cannot be visualized. The root caries index is calculated for an individual using the formula • RCI= (R-D) +(R-F) x 100 (R-D) +(R-F) +(R-N) R-N =Recession present surface normal or sound R-D =Recession present with decay root surface R-F= Recession present with a filled root surface. |
| Hygiene index | Inclusion visit | Hygiene index (OHI-S, Simplified Oral Hygiene Index ; from 0 to 3) |
| Oral pain | Inclusion visit | Presence of oral pain yes/no |
| Oral lesions | Inclusion visit | Presence and nature of oral lesions according to the International Classification of Diseases applied to odontology and stomatology of the World Health Organization |
| Hyposalivation / xerostomia | Inclusion visit | Presence of hyposalivation / xerostomia (Xerostomia Inventory, XI, 11 items questionary) |
Outcome results
None listed