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J Bagh College Dentistry Vol. 21(1), 2009 Oral findings and health … which led to poor diet and malnutrition, another explanation was that post menopausal hormonal changes may add to the existing problem. While, studies carried by Moskona (28) , showed that the most frequent complaint was pain associated with wear of denture, other study showed that dental caries is the most significant problem facing older patients (29-31) . The overall prevalence of (O.M.Ls) was 48%, this does not reflect the real prevalence of (O.M.Ls) among Iraqi elderly due to unrepresentativeness, however it could be used as a preliminary indicator to present time, this finding was slightly higher that reported by (17) they reported that 45% of elderly have (O.M.Ls). The main lesion observed was denture stomititis, while other studies showed that the varicosities of the tongue and Fordyce granules were mostly found (32) . This variation in the results between the present study and the studies done by others could be explained on the basis of several factors like: (Environmental factors affecting the population examined, diet, habit of using dental services, and lack of objective diagnostic criteria.) Our result explained that denture wearing may contribute in initiation of the lesions or the denture may alter the host response. In a logistic regression, there was considerable unmet dental need with significant oral disease and poor levels of oral and denture hygiene in this target group. REFERENCES 1. Beak JD, Hunt RJ. Oral health status in the United States: problems of special patients. J Dent Educ 1985; 49 (6):407–25. 2. Gaitz CM, Niederehe G, Wisons NL, eds. Aging 2000. our health care dentistry. Vol. ll. New York: Springer. Verlag 1985: 37–380. 3. Mandel ID. The role of saliva in maintaining oral dental statis. J Am Dent 1989; 119: 298–304. 4. Ship JA, Chaves FM. 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Oral health status and related behaviors of nursing home residents 1995.Gerodentology 1997;14–98 99. 17. Centers for Disease control and prevention, National center for Health statistics. Third national health and nutrition examination survey (1988-1994). Available at http//www.cdc.gov/nchs/abuntmajor/nhanes/nh3data.htm. Accessed March 26, 2001. 18. Avcu N, Ozbek M, kurtoglu E, Kansu O, Kansu H. Oral finding and health status among hospitalized patients with physical disabilities, aged 60 or above. Arch Gerontol Geriatr 2005;Jul–Aug: 41 (1): 69–79. 19. Mahvash NAVAZesh. How can oral health care providers determine if patients have dry mouth. J Am Dent Assoc 134; 5:613–8. 20. Locker D, Matear D, Stephens M, Jokoris A. Oral health related quality of life of a population of medically compromised elderly people. Community dent health 2002; Jun: 19 (2): 90–7. 21. Chiqppelli F, Bauer J, Speckman S, Prolo P, Edgoton M, Armenian C, Dickmoyer J, Harper S. Dental needs of the elderly in the 21st century. 22. Pajukoski H, Meurman JH, Snellman Grohn S, Keiranen S, Sulkava R. Salivary flow and composition in elderly patients referred to an acute care. Oral Surg Oral Med Oral pathol oral Radiol Endod 1997; Sep: 83 (3): 265–71. 23. Locker D. Xerostomia in older adults; a longitudinal study. Gerodontology 1995; June: 12 (1) 18–25. 24. Narhi TO. Prevalence of subjective feelings of dry mouth in the elderly. J Dent Res 1994; Jan: 73 (1): 20–5. 25. Rhodus NL, Brown J. The association of Xerostomia and inadequate intake in older adults. J Am Diet Assoc 1990; Dec: 90(12): 1688–92. 26. Pajukoski H, Meurman JH, Halunen p, sulkave R. Prevalence of subjective dry mouth and burning mouth in hospitalized elderly patients and out patients in relation to saliva, medication, and systemic disease. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92: 641 - 9 Oral diagnosis 255
J Bagh College Dentistry Vol. 21(1), 2009 Oral findings and health … 27. Berydahl M, Bergdahl J. Burning mouth syndrome: Prevalence and associated factors. J Oral Pathol Med 1999; Sep: 28(8) 350–4. 28. Moskona D, Kaplan I. Oral health and treatment needs in non–institutionalized elderly population: experience of a dental school associated geriatric clinic. Gerodontology 1995; Dec: 12(12): 95–8. 29. Saunders RHJr, Meyerowitz C. Dental Caries in older adults. Dent Clin North Am 2005; Apr: 49 (2): 293–308. 30. Anusavice KJ. Dental Caries: Risk assessment and treatment solutions for an elderly population. Compend Contin Educ Dent 2002; Oct: 23 (10 Suppl): 10–20. 31. Ra OA, Sequeira P, Peter SR, Jeev A. Oral health status of the institutionalized elderly in Mangalora, India. J Dent Res 1999; Ap–Jun; 10 (2) 55-61. 32. Taiyeb ATB, Razak IA, Raga, Latifah RJ, Zain RB. An eqidemiological survey of oral mucosal lesions among elderly. Gerodontology 1995; Jul: 12 (1): 37– 40. Oral diagnosis 356
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