Relationship between maintenance of occlusal support achieved by home‐visit dental treatment and prognosis in home‐care patients—a preliminary study

Aim To determine whether occlusal maintenance and reconstruction by dental intervention is associated with the prognosis of older home‐care patients. Methods The study participants were 289 older home‐care patients (101 males, mean age 82.2 ± 7.7 years) who received visiting dental treatment from de...

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Veröffentlicht in:Geriatrics & gerontology international 2022-11, Vol.22 (11), p.976-981
Hauptverfasser: Kikutani, Takeshi, Takahashi, Noriaki, Tohara, Takashi, Furuya, Hiroyasu, Tanaka, Kumi, Hobo, Kimiko, Isoda, Tomoko, Fukui, Tomoko
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container_title Geriatrics & gerontology international
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creator Kikutani, Takeshi
Takahashi, Noriaki
Tohara, Takashi
Furuya, Hiroyasu
Tanaka, Kumi
Hobo, Kimiko
Isoda, Tomoko
Fukui, Tomoko
description Aim To determine whether occlusal maintenance and reconstruction by dental intervention is associated with the prognosis of older home‐care patients. Methods The study participants were 289 older home‐care patients (101 males, mean age 82.2 ± 7.7 years) who received visiting dental treatment from dental clinics in the region between 2012 and 2018. The participants were followed up for 1000 days after receiving the necessary dental treatment in a home‐visit setting. The participants were divided into three groups: those with natural tooth occlusion, those whose molar occlusion was maintained or reconstructed by dentures, and those whose occlusion was not reconstructed. Factors associated with prognosis were determined using the Cox proportional hazard model, with occlusal status, comorbidities, the activity of daily living, and residence status as explanatory variables. Results In the overall population, occlusal status (hazard ratio [HR] of those with occlusal disintegration versus those with natural tooth occlusion: 2.1, confidence interval [95% CI]: 1.18–3.82) and age (HR: 2.28, 95% CI: 1.44–3.61) were identified as significant factors. In the group of participants aged
doi_str_mv 10.1111/ggi.14482
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Methods The study participants were 289 older home‐care patients (101 males, mean age 82.2 ± 7.7 years) who received visiting dental treatment from dental clinics in the region between 2012 and 2018. The participants were followed up for 1000 days after receiving the necessary dental treatment in a home‐visit setting. The participants were divided into three groups: those with natural tooth occlusion, those whose molar occlusion was maintained or reconstructed by dentures, and those whose occlusion was not reconstructed. Factors associated with prognosis were determined using the Cox proportional hazard model, with occlusal status, comorbidities, the activity of daily living, and residence status as explanatory variables. Results In the overall population, occlusal status (hazard ratio [HR] of those with occlusal disintegration versus those with natural tooth occlusion: 2.1, confidence interval [95% CI]: 1.18–3.82) and age (HR: 2.28, 95% CI: 1.44–3.61) were identified as significant factors. In the group of participants aged &lt;85 years, only occlusal status (HR of those with occlusal disintegration versus those with natural tooth occlusion: 3.4, 95% CI: 1.34–8.68) was a significant factor. In the group of participants aged ≥85 years, occlusal status was not significantly associated with prognosis. Conclusions The maintenance and acquisition of occlusal support achieved by dental treatment contribute to improved prognosis in older patients younger than 85 years requiring home nursing care. Geriatr Gerontol Int 2022; 22: 976–981.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/ggi.14482</identifier><identifier>PMID: 36127817</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley &amp; Sons Australia, Ltd</publisher><subject>Aged ; Aged, 80 and over ; Dental Care ; denture ; Dentures ; Home Care Services ; Home health care ; home‐visit dental treatment ; House Calls ; Humans ; Male ; occlusal support ; older adults ; Older people ; Original ; Original : Social Research, Planning and Practice ; Prognosis ; Proportional Hazards Models</subject><ispartof>Geriatrics &amp; gerontology international, 2022-11, Vol.22 (11), p.976-981</ispartof><rights>2022 The Authors. published by John Wiley &amp; Sons Australia, Ltd on behalf of Japan Geriatrics Society.</rights><rights>2022 The Authors. Geriatrics &amp; Gerontology International published by John Wiley &amp; Sons Australia, Ltd on behalf of Japan Geriatrics Society.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Methods The study participants were 289 older home‐care patients (101 males, mean age 82.2 ± 7.7 years) who received visiting dental treatment from dental clinics in the region between 2012 and 2018. The participants were followed up for 1000 days after receiving the necessary dental treatment in a home‐visit setting. The participants were divided into three groups: those with natural tooth occlusion, those whose molar occlusion was maintained or reconstructed by dentures, and those whose occlusion was not reconstructed. Factors associated with prognosis were determined using the Cox proportional hazard model, with occlusal status, comorbidities, the activity of daily living, and residence status as explanatory variables. Results In the overall population, occlusal status (hazard ratio [HR] of those with occlusal disintegration versus those with natural tooth occlusion: 2.1, confidence interval [95% CI]: 1.18–3.82) and age (HR: 2.28, 95% CI: 1.44–3.61) were identified as significant factors. In the group of participants aged &lt;85 years, only occlusal status (HR of those with occlusal disintegration versus those with natural tooth occlusion: 3.4, 95% CI: 1.34–8.68) was a significant factor. In the group of participants aged ≥85 years, occlusal status was not significantly associated with prognosis. Conclusions The maintenance and acquisition of occlusal support achieved by dental treatment contribute to improved prognosis in older patients younger than 85 years requiring home nursing care. 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Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Geriatrics &amp; gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kikutani, Takeshi</au><au>Takahashi, Noriaki</au><au>Tohara, Takashi</au><au>Furuya, Hiroyasu</au><au>Tanaka, Kumi</au><au>Hobo, Kimiko</au><au>Isoda, Tomoko</au><au>Fukui, Tomoko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between maintenance of occlusal support achieved by home‐visit dental treatment and prognosis in home‐care patients—a preliminary study</atitle><jtitle>Geriatrics &amp; gerontology international</jtitle><addtitle>Geriatr Gerontol Int</addtitle><date>2022-11</date><risdate>2022</risdate><volume>22</volume><issue>11</issue><spage>976</spage><epage>981</epage><pages>976-981</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim To determine whether occlusal maintenance and reconstruction by dental intervention is associated with the prognosis of older home‐care patients. Methods The study participants were 289 older home‐care patients (101 males, mean age 82.2 ± 7.7 years) who received visiting dental treatment from dental clinics in the region between 2012 and 2018. The participants were followed up for 1000 days after receiving the necessary dental treatment in a home‐visit setting. The participants were divided into three groups: those with natural tooth occlusion, those whose molar occlusion was maintained or reconstructed by dentures, and those whose occlusion was not reconstructed. Factors associated with prognosis were determined using the Cox proportional hazard model, with occlusal status, comorbidities, the activity of daily living, and residence status as explanatory variables. Results In the overall population, occlusal status (hazard ratio [HR] of those with occlusal disintegration versus those with natural tooth occlusion: 2.1, confidence interval [95% CI]: 1.18–3.82) and age (HR: 2.28, 95% CI: 1.44–3.61) were identified as significant factors. In the group of participants aged &lt;85 years, only occlusal status (HR of those with occlusal disintegration versus those with natural tooth occlusion: 3.4, 95% CI: 1.34–8.68) was a significant factor. In the group of participants aged ≥85 years, occlusal status was not significantly associated with prognosis. Conclusions The maintenance and acquisition of occlusal support achieved by dental treatment contribute to improved prognosis in older patients younger than 85 years requiring home nursing care. Geriatr Gerontol Int 2022; 22: 976–981.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>36127817</pmid><doi>10.1111/ggi.14482</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1912-2628</orcidid><orcidid>https://orcid.org/0000-0003-3815-5545</orcidid><orcidid>https://orcid.org/0000-0002-0740-9939</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley-Blackwell Journals; MEDLINE
subjects Aged
Aged, 80 and over
Dental Care
denture
Dentures
Home Care Services
Home health care
home‐visit dental treatment
House Calls
Humans
Male
occlusal support
older adults
Older people
Original
Original : Social Research, Planning and Practice
Prognosis
Proportional Hazards Models
title Relationship between maintenance of occlusal support achieved by home‐visit dental treatment and prognosis in home‐care patients—a preliminary study
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