Prevalence of oral lesions and chronic non-communicable diseases in a sample of Chilean institutionalized versus non-institutionalized elderly.
AbstractChile is experiencing a process of demographic aging with an increase in the number of elderly people, a percentage of which resides in Long-term Establishments for the Elderly (LEE). However, there is little information on the reality of the elderly in these long-term care facilities, so this study was conducted to compare the epidemiological profile of the prevalent oral pathologies as well as chronic non-communicable diseases (NCDs), of institutionalized versus non-institutionalized elderly subjects. Seventy-six institutionalized and forty-three non-institutionalized subjects were examined intraorally, and their clinical health record, gender and age were obtained, according to inclusion/exclusion criteria. The results indicate that female gender is the most common, with an average age of 78.5 year, with those 80 years old and above comprising the predominant group. The most prevalent oral lesions within the institutionalized group were denture stomatitis and irritative hyperplasia, while in the non-institutionalized these two lesions were found less frequently. As for the presence of xerostomia, there was no difference between the groups. The most common condition in both groups was total maxillary and mandibular edentulous, with the latter variable present more frequently in the institutionalized group (p<0.05). The predominant NCD for both groups were arterial hypertension, arthritis-osteoarthritis and diabetes mellitus (p>0.05), and depression was the most prevalent NCD in the non-institutionalized group (p<0.05). This study provides valuable information on the epidemiology of elderly´s oral lesions and NCDs to inform the decision-making process of public health policies.
2. León S, Giacaman RA. [Reality and challenges of the oral health for older adults in Chile and the role of a new discipline: geriatric dentistry]. Rev Med Chil. 2016;144(4):496–502.
3. Thumala D, Kennedy B, Calvo E, Gonzalez-Billault C, Zitko P, Lillo P, Villagra P, Ibáñez A, Assar R, Andrade M, Slachevsky A. Aging and Health Policies in Chile: New Agendas for Research. Health Systems &Reform. 2007;3(4):253–60.
4. Fuentes-García A, Lera L, Sánchez H, Albala C. Oral health-related quality of life of older people from three South American cities. Gerodontology. 2013;30(1):67–75.
5. Marín PP, Hoyl T, Gac H, Carrasco M, Duery P, Petersen K, Cabezas M, Dussaillant C, Castro S. [Assessment of 1497 Chilean nursing home residents, using the Resource Utilization Group method, RUG T-18]. Rev Med Chil. 2004;132(6):701–6. [PubMed]
6. Villalobos Dintrans P. [Aging and long-term care in Chile: challenges in the OECD context]. Rev Panam Salud Publica. 2017;41:e86.
7. Azócar MJ, Mohor C, Rioja R, Vargas M. Estándares de Calidad para Establecimientos de Larga Estadía para Adultos Mayores Protocolos SENAMA 2016. Santiago, Chile: SENAMA; 2016.
8. Tanasiewicz M, Hildebrandt T, Obersztyn I. Xerostomia of Various Etiologies: A Review of the Literature. Adv Clin Exp Med. 2016;25(1):199–206.
9. Nallaswamy D. Textbook of Prosthodontics. 2nd Ed. India: Jaypee Brothers Medical Publishers; 2017.
10. Espinoza I, Rojas R, Aranda W, Gamonal J. Prevalence of oral mucosal lesions in elderly people in Santiago, Chile. J Oral Pathol Med. 2003;32(10):571–5.
11. Wolff A, Joshi RK, Ekström J, Aframian D, Pedersen AM, Proctor G, Narayana N, Villa A, Sia YW, Aliko A, McGowan R, Kerr AR, Jensen SB, Vissink A, Dawes C. A Guide to Medications Inducing Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea: A Systematic Review Sponsored by the World Workshop on Oral Medicine VI. Drugs R D. 2017;17(1):1–28.
12. World Health Organization. Oral health surveys: basic methods. 5th Ed. FRANCE: WHO; 2013.
13. Robledo-Sierra J, Mattsson U, Svedensten T, Jontell M. The morbidity of oral mucosal lesions in an adult Swedish population. Med Oral Patol Oral Cir Bucal. 2013;18(5):e766–72.
14. Gleiznys A, Zdanavičienė E, Žilinskas J. Candida albicans importance to denture wearers. A literature review. Stomatologija. 2015;17(2):54–66.
15. Madariaga-Venegas F, Fernández-Soto R, Duarte LF, Suarez N, Delgadillo D, Jara JA, Fernández-Ramires R, Urzúa B, Molina-Berríos A. Characterization of a novel antibiofilm effect of nitric oxide-releasing aspirin (NCX-4040) on Candida albicans isolates from denture stomatitis patients. PLoS One. 2017;12(5):e0176755.
16. Glažar I, Muhvić Urek M, Kuiš D, Prpić J, Mišković I, Kovačević Pavičić D, Pezelj-Ribarić S. Salivary Flow Rate, Oral Yeast Colonization and Dental Status in Institutionalized and Non-Institutionalized Elderly. Acta Clin Croat. 2016;55(3):390–5.
17. Morales-Bozo I, Ortega-Pinto A, Rojas Alcayaga G, Aitken Saavedra JP, Salinas Flores O, Lefimil Puente C, Lozano Moraga C, Manríquez Urbina JM, Urzúa Orellana B. Reporte preliminar sobre el efecto de un sustituto salival a base de manzanilla (Matricaria chamomilla) y linaza (Linum usitatissimum) en el alivio de la xerostomía en adultos mayores. Rev Clin Periodoncia Implantol Rehabil Oral. 2015;8(2):144–9.
18. Palomo I, Giacaman R. Envejecimiento : demografía, salud e impacto social. Talca, Chile: Universidad de Talca; 2016.
19. Estrada A, Cardona D, Segura AM, Ordóñez J, Osorio JJ, Chavarriaga LM. Síntomas depresivos en adultos mayores institucionalizados y factores asociados. Univ Psychol. 2013;12(1):81–94.
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