Vol 21 No. 1
Vol 21 No. 1
Vol 21 No. 1
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
J Bagh College Dentistry <strong>Vol</strong>. <strong>21</strong>(1), 2009 Oral findings and health …<br />
which led to poor diet and malnutrition, another<br />
explanation was that post menopausal hormonal<br />
changes may add to the existing problem. While,<br />
studies carried by Moskona (28) , showed that the<br />
most frequent complaint was pain associated<br />
with wear of denture, other study showed that<br />
dental caries is the most significant problem<br />
facing older patients (29-31) .<br />
The overall prevalence of (O.M.Ls) was<br />
48%, this does not reflect the real prevalence of<br />
(O.M.Ls) among Iraqi elderly due to<br />
unrepresentativeness, however it could be used<br />
as a preliminary indicator to present time, this<br />
finding was slightly higher that reported by (17)<br />
they reported that 45% of elderly have (O.M.Ls).<br />
The main lesion observed was denture<br />
stomititis, while other studies showed that the<br />
varicosities of the tongue and Fordyce granules<br />
were mostly found (32) . This variation in the<br />
results between the present study and the studies<br />
done by others could be explained on the basis of<br />
several factors like: (Environmental factors<br />
affecting the population examined, diet, habit of<br />
using dental services, and lack of objective<br />
diagnostic criteria.)<br />
Our result explained that denture wearing<br />
may contribute in initiation of the lesions or the<br />
denture may alter the host response.<br />
In a logistic regression, there was<br />
considerable unmet dental need with significant<br />
oral disease and poor levels of oral and denture<br />
hygiene in this target group.<br />
REFERENCES<br />
1. Beak JD, Hunt RJ. Oral health status in the United<br />
States: problems of special patients. J Dent Educ<br />
1985; 49 (6):407–25.<br />
2. Gaitz CM, Niederehe G, Wisons NL, eds. Aging<br />
2000. our health care dentistry. <strong>Vol</strong>. ll. New York:<br />
Springer. Verlag 1985: 37–380.<br />
3. Mandel ID. The role of saliva in maintaining oral<br />
dental statis. J Am Dent 1989; 119: 298–304.<br />
4. Ship JA, Chaves FM. Management of systemic<br />
disease and chronic impairments in older adults: oral<br />
health consideration. Ger Dent 2000; 48(5) 557–8.<br />
5. Baum BJ, Ship. Oral disorder. In beck J, editor.<br />
Geriatrics review syllabus–A core curriculum in<br />
geriatric medicine. New York; American Geriatrics<br />
society 1991; P. 332–6.<br />
6. Beck, JD. Epidemiology of dental diseases in<br />
elderly. Gerodontology 1984; 3: 5–15.<br />
7. Morse DR, Esposito Jv, Schoor Rs, Wolloams FL,<br />
Furst ML. A review of aging of dental components<br />
and retrospective radiographic study of aging of the<br />
dental pulp and dentin normal health. Quintessence<br />
Int 1991; 22: 711.<br />
8. Kochari D, Gedalia I, Anois j. Effect of conditioning<br />
with fluoride and phosphoric acid on enamel<br />
surfaces as evaluated by scanning electron<br />
microscopy and fluoride incorporation. J Dent Res<br />
1975; 4: 304.<br />
9. Holm Pedersen P, Vigild M, Nitschke I, Berley DD.<br />
Dental care for aging populations in Denmark,<br />
Sweden, <strong>No</strong>rway, United Kingdom and Germany. J<br />
Dent Educ 2005; Sep: 69 (9): 987–97.<br />
10. Doln TA, Tchison AK, Huynh TN. Access to dental<br />
care among older adults in the United States. J Dent<br />
Educ 2005; Sep; 69 (9): 961–74.<br />
11. Bailey R, Gueldner S, Ledikwe J, Smiciklas wright<br />
H. The oral health of older adult an interdisciplinary<br />
mandate. J Gerontol Nurs 2005; Jul: 31 (7):11–7.<br />
12. Locker D, Gibson B. Discrepancies between self–<br />
ratings of and satisfaction with oral health in two<br />
older adult populations. Community Dent Oral<br />
Epidemiol 2005; Aug: 33 (4): 280–8.<br />
13. Shah N. Need for gerodontology education.<br />
Gerodontology 2005; Jun: 22 (2):104–5.<br />
14. Berkey DB, Bery RG, Ethinger RL, Meskin LH.<br />
Research review of oral health status and service use<br />
among institutionalized older adults in the United<br />
States and Canada. Spec care Dentist 1991; 11: 131–<br />
6.<br />
15. Beck JD, Hunt RJ. Oral health status in the United<br />
States, problems of special patients. J Dent Educ<br />
1985; 49 (6): 407–25.<br />
16. Gift Hc, cherry Peppers G, Oldakowski RJ. Oral<br />
health status and related behaviors of nursing home<br />
residents 1995.Gerodentology 1997;14–98 99.<br />
17. Centers for Disease control and prevention, National<br />
center for Health statistics. Third national health and<br />
nutrition examination survey (1988-1994). Available<br />
at<br />
http//www.cdc.gov/nchs/abuntmajor/nhanes/nh3data.htm.<br />
Accessed March 26,<br />
2001.<br />
18. Avcu N, Ozbek M, kurtoglu E, Kansu O, Kansu H.<br />
Oral finding and health status among hospitalized<br />
patients with physical disabilities, aged 60 or above.<br />
Arch Gerontol Geriatr 2005;Jul–Aug: 41 (1): 69–79.<br />
19. Mahvash NAVAZesh. How can oral health care<br />
providers determine if patients have dry mouth. J<br />
Am Dent Assoc 134; 5:613–8.<br />
20. Locker D, Matear D, Stephens M, Jokoris A. Oral<br />
health related quality of life of a population of<br />
medically compromised elderly people. Community<br />
dent health 2002; Jun: 19 (2): 90–7.<br />
<strong>21</strong>. Chiqppelli F, Bauer J, Speckman S, Prolo P,<br />
Edgoton M, Armenian C, Dickmoyer J, Harper S.<br />
Dental needs of the elderly in the <strong>21</strong>st century.<br />
22. Pajukoski H, Meurman JH, Snellman Grohn S,<br />
Keiranen S, Sulkava R. Salivary flow and<br />
composition in elderly patients referred to an acute<br />
care. Oral Surg Oral Med Oral pathol oral Radiol<br />
Endod 1997; Sep: 83 (3): 265–71.<br />
23. Locker D. Xerostomia in older adults; a longitudinal<br />
study. Gerodontology 1995; June: 12 (1) 18–25.<br />
24. Narhi TO. Prevalence of subjective feelings of dry<br />
mouth in the elderly. J Dent Res 1994; Jan: 73 (1):<br />
20–5.<br />
25. Rhodus NL, Brown J. The association of<br />
Xerostomia and inadequate intake in older adults. J<br />
Am Diet Assoc 1990; Dec: 90(12): 1688–92.<br />
26. Pajukoski H, Meurman JH, Halunen p, sulkave R.<br />
Prevalence of subjective dry mouth and burning<br />
mouth in hospitalized elderly patients and out<br />
patients in relation to saliva, medication, and<br />
systemic disease. Oral Surg Oral Med Oral Pathol<br />
Oral Radiol Endod 2001; 92: 641 - 9<br />
Oral diagnosis 255