Effect of Receiving Dental Treatment on mortality among nursing facility residents
Aim To assess the association between receipt of different types of dental procedures and mortality among nursing home residents. Methods and Results Between June 2006 and March 2008, 535 nursing home residents received a health screening assessment and were offered comprehensive dental care. Death...
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Veröffentlicht in: | Special care in dentistry 2022-01, Vol.42 (1), p.3-8 |
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creator | Caplan, Daniel J. Ghazal, Tariq S. Cowen, Howard J. |
description | Aim
To assess the association between receipt of different types of dental procedures and mortality among nursing home residents.
Methods and Results
Between June 2006 and March 2008, 535 nursing home residents received a health screening assessment and were offered comprehensive dental care. Death certificate data were obtained in September 2013 and multivariable regression models were generated to assess the effect of dental procedures delivered after the screening assessment on mortality, adjusting for demographic and health‐related covariates. Residents had a mean age of 85.2 years at baseline and approximately 30% were edentulous. About two‐thirds received at least one dental procedure, and about 88% had died, between the screening date and the end of follow‐up. Among dentate residents, after adjustment for relevant covariates, for each one‐unit increase in the number of intervals during which they received at least one preventive dental procedure there was a 13% decrease in mortality (HR = 0.87, 95% CI = 0.78‐0.98) at any given time, while for prosthetic dental procedures there was a 16% decrease in mortality (HR = 0.84, 95% CI = 0.72‐0.97). Among edentulous residents, only prosthetic procedures were analyzed, and they were not significantly associated with mortality.
Conclusion
Among dentate institutionalized elderly, receipt of preventive or prosthetic dental procedures was associated with decreased mortality. |
doi_str_mv | 10.1111/scd.12641 |
format | Article |
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To assess the association between receipt of different types of dental procedures and mortality among nursing home residents.
Methods and Results
Between June 2006 and March 2008, 535 nursing home residents received a health screening assessment and were offered comprehensive dental care. Death certificate data were obtained in September 2013 and multivariable regression models were generated to assess the effect of dental procedures delivered after the screening assessment on mortality, adjusting for demographic and health‐related covariates. Residents had a mean age of 85.2 years at baseline and approximately 30% were edentulous. About two‐thirds received at least one dental procedure, and about 88% had died, between the screening date and the end of follow‐up. Among dentate residents, after adjustment for relevant covariates, for each one‐unit increase in the number of intervals during which they received at least one preventive dental procedure there was a 13% decrease in mortality (HR = 0.87, 95% CI = 0.78‐0.98) at any given time, while for prosthetic dental procedures there was a 16% decrease in mortality (HR = 0.84, 95% CI = 0.72‐0.97). Among edentulous residents, only prosthetic procedures were analyzed, and they were not significantly associated with mortality.
Conclusion
Among dentate institutionalized elderly, receipt of preventive or prosthetic dental procedures was associated with decreased mortality.</description><identifier>ISSN: 0275-1879</identifier><identifier>EISSN: 1754-4505</identifier><identifier>DOI: 10.1111/scd.12641</identifier><identifier>PMID: 34403522</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Aged, 80 and over ; Dental Care ; Edentulous ; Humans ; institutionalization ; Medical screening ; Mortality ; Mouth, Edentulous ; Nursing Homes ; older adults ; Prostheses ; Regression analysis</subject><ispartof>Special care in dentistry, 2022-01, Vol.42 (1), p.3-8</ispartof><rights>2021 Special Care Dentistry Association and Wiley Periodicals LLC</rights><rights>2021 Special Care Dentistry Association and Wiley Periodicals LLC.</rights><rights>2022 Special Care Dentistry Association and Wiley Periodicals LLC</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3131-82ba392cee2b8b0026535578da977d2c3c4c59c0a2b71f0808af6fe55eb38ce53</cites><orcidid>0000-0003-3718-1426</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fscd.12641$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fscd.12641$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34403522$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Caplan, Daniel J.</creatorcontrib><creatorcontrib>Ghazal, Tariq S.</creatorcontrib><creatorcontrib>Cowen, Howard J.</creatorcontrib><title>Effect of Receiving Dental Treatment on mortality among nursing facility residents</title><title>Special care in dentistry</title><addtitle>Spec Care Dentist</addtitle><description>Aim
To assess the association between receipt of different types of dental procedures and mortality among nursing home residents.
Methods and Results
Between June 2006 and March 2008, 535 nursing home residents received a health screening assessment and were offered comprehensive dental care. Death certificate data were obtained in September 2013 and multivariable regression models were generated to assess the effect of dental procedures delivered after the screening assessment on mortality, adjusting for demographic and health‐related covariates. Residents had a mean age of 85.2 years at baseline and approximately 30% were edentulous. About two‐thirds received at least one dental procedure, and about 88% had died, between the screening date and the end of follow‐up. Among dentate residents, after adjustment for relevant covariates, for each one‐unit increase in the number of intervals during which they received at least one preventive dental procedure there was a 13% decrease in mortality (HR = 0.87, 95% CI = 0.78‐0.98) at any given time, while for prosthetic dental procedures there was a 16% decrease in mortality (HR = 0.84, 95% CI = 0.72‐0.97). Among edentulous residents, only prosthetic procedures were analyzed, and they were not significantly associated with mortality.
Conclusion
Among dentate institutionalized elderly, receipt of preventive or prosthetic dental procedures was associated with decreased mortality.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Dental Care</subject><subject>Edentulous</subject><subject>Humans</subject><subject>institutionalization</subject><subject>Medical screening</subject><subject>Mortality</subject><subject>Mouth, Edentulous</subject><subject>Nursing Homes</subject><subject>older adults</subject><subject>Prostheses</subject><subject>Regression analysis</subject><issn>0275-1879</issn><issn>1754-4505</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10F1LwzAUBuAgipvTC_-AFLzRi7p8NE17Kdv8gIEw53VI0xPpaJuZtMr-vdmHXgjm5oTDw8vhReiS4DsS3tjr8o7QNCFHaEgET-KEY36MhpgKHpNM5AN05v0KY0YIpadowJIEM07pEC1mxoDuImuiBWioPqv2PZpC26k6WjpQXRP-kW2jxrqwq7pNpBobTNs7v7VG6Wq3duCrMmB_jk6Mqj1cHOYIvT3MlpOneP7y-Dy5n8eaEUbijBaK5VQD0CIrMKYpZ5yLrFS5ECXVTCea5xorWghicIYzZVIDnEPBMg2cjdDNPnft7EcPvpNN5TXUtWrB9l5SnlJOCecs0Os_dGV714brJE1JKvIMi23g7V5pZ713YOTaVY1yG0mw3BYtQ9FyV3SwV4fEvmig_JU_zQYw3oOvqobN_0nydTLdR34D_kuGjA</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Caplan, Daniel J.</creator><creator>Ghazal, Tariq S.</creator><creator>Cowen, Howard J.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3718-1426</orcidid></search><sort><creationdate>202201</creationdate><title>Effect of Receiving Dental Treatment on mortality among nursing facility residents</title><author>Caplan, Daniel J. ; Ghazal, Tariq S. ; Cowen, Howard J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3131-82ba392cee2b8b0026535578da977d2c3c4c59c0a2b71f0808af6fe55eb38ce53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Dental Care</topic><topic>Edentulous</topic><topic>Humans</topic><topic>institutionalization</topic><topic>Medical screening</topic><topic>Mortality</topic><topic>Mouth, Edentulous</topic><topic>Nursing Homes</topic><topic>older adults</topic><topic>Prostheses</topic><topic>Regression analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Caplan, Daniel J.</creatorcontrib><creatorcontrib>Ghazal, Tariq S.</creatorcontrib><creatorcontrib>Cowen, Howard J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Special care in dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Caplan, Daniel J.</au><au>Ghazal, Tariq S.</au><au>Cowen, Howard J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Receiving Dental Treatment on mortality among nursing facility residents</atitle><jtitle>Special care in dentistry</jtitle><addtitle>Spec Care Dentist</addtitle><date>2022-01</date><risdate>2022</risdate><volume>42</volume><issue>1</issue><spage>3</spage><epage>8</epage><pages>3-8</pages><issn>0275-1879</issn><eissn>1754-4505</eissn><abstract>Aim
To assess the association between receipt of different types of dental procedures and mortality among nursing home residents.
Methods and Results
Between June 2006 and March 2008, 535 nursing home residents received a health screening assessment and were offered comprehensive dental care. Death certificate data were obtained in September 2013 and multivariable regression models were generated to assess the effect of dental procedures delivered after the screening assessment on mortality, adjusting for demographic and health‐related covariates. Residents had a mean age of 85.2 years at baseline and approximately 30% were edentulous. About two‐thirds received at least one dental procedure, and about 88% had died, between the screening date and the end of follow‐up. Among dentate residents, after adjustment for relevant covariates, for each one‐unit increase in the number of intervals during which they received at least one preventive dental procedure there was a 13% decrease in mortality (HR = 0.87, 95% CI = 0.78‐0.98) at any given time, while for prosthetic dental procedures there was a 16% decrease in mortality (HR = 0.84, 95% CI = 0.72‐0.97). Among edentulous residents, only prosthetic procedures were analyzed, and they were not significantly associated with mortality.
Conclusion
Among dentate institutionalized elderly, receipt of preventive or prosthetic dental procedures was associated with decreased mortality.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34403522</pmid><doi>10.1111/scd.12641</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-3718-1426</orcidid></addata></record> |
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source | MEDLINE; Wiley Journals |
subjects | Aged Aged, 80 and over Dental Care Edentulous Humans institutionalization Medical screening Mortality Mouth, Edentulous Nursing Homes older adults Prostheses Regression analysis |
title | Effect of Receiving Dental Treatment on mortality among nursing facility residents |
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