How do changes in oral health and chewing efficiency affect the changes of oral-health-related quality of life of nursing-home residents in the short term?

Objective: To evaluate how changes in oral health and chewing efficiency affect the changes in oral-health-related quality of life (OHRQoL) of nursing-home residents over six months. Methods: The study was conducted in nine nursing homes. Sociodemographic and general data were collected for all elig...

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Hauptverfasser: Zenthöfer, Andreas (VerfasserIn) , Ehret, Judith (VerfasserIn) , Zajac, Melania (VerfasserIn) , Kilian, Samuel (VerfasserIn) , Kostunov, Jana (VerfasserIn) , Rammelsberg, Peter (VerfasserIn) , Klotz, Anna-Luisa (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 11 May 2021
In: Clinical interventions in aging
Year: 2021, Jahrgang: 16, Pages: 789-798
ISSN:1178-1998
DOI:10.2147/CIA.S303197
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.2147/CIA.S303197
Verlag, lizenzpflichtig, Volltext: https://www.dovepress.com/how-do-changes-in-oral-health-and-chewing-efficiency-affect-the-change-peer-reviewed-fulltext-article-CIA
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Verfasserangaben:Andreas Zenthoefer, Judith Ehret, Melania Zajac, Samuel Kilian, Jana Kostunov, Peter Rannnnelsberg, Anna-Luisa Klotz

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520 |a Objective: To evaluate how changes in oral health and chewing efficiency affect the changes in oral-health-related quality of life (OHRQoL) of nursing-home residents over six months. Methods: The study was conducted in nine nursing homes. Sociodemographic and general data were collected for all eligible individuals (n = 150). Of these, 114 participants (mean age 82.0 [+/- 9.5] years, 77.2% women) were available for the following tests at baseline and six months later: a comprehensive examination of dental and general health, a two-colour mixing-ability test (to assess chewing efficiency), the Geriatric Oral Health Assessment Index (GOHAI; to evaluate the OHRQoL), and the Mini Mental State Examination (MMSE; to diagnose the presence and severity of dementia). Univariate and multivariate linear regression models were compiled to analyse possible factors affecting OHRQoL. Results: For the final analysis, 108 participants were available. For the study cohort as a whole, a decrease in the number of functional occluding pairs (C: 0.195; p = 0.034) and an increase in dental-treatment needs (C: -1.968; p = 0.056) had the greatest negative effects on OHRQoL as expressed by the GOHAI score. For denture wearers, a deterioration of denture condition (C: -2.946; p = 0.003) was the most important predictor for a decline in OHRQoL. Conclusion: A short-term decline in oral health and function affects the OHRQoL of nursing-home residents. The most important dental variables in this regard are the number of functional occluding pairs and dental and denture-related treatment needs. 
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