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  • 1
    Electronic Resource
    Electronic Resource
    Changes in dental status over 10 years in 80-year-old people: a prospective cohort study (2004)
    Oxford, UK : Munksgaard International Publishers
    Community dentistry and oral epidemiology 32 (2004), S. 0 
    Details
    ISSN: 1600-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Abstract –  Objectives:  The aim of the present study was to follow-up the condition of the teeth over a sufficiently long period.Methods:  Dental examinations were a part of a multidisciplinary 10-year cohort study on the elderly. These examinations were made in 1990 (n = 226), 1995 (n = 90) and 2000 (n = 65) for the entire population born in 1910 and living in Jyväskylä, Finland. The subjects were divided into two categories, dentate (one tooth or more) and edentulous.Results: The results showed that men had more intact teeth and lower DMF scores than women, but the differences diminished during the follow-up period. The number of remaining and filled teeth of those women who took part in all three phases of the present study was higher than that of those who died during the follow-up. In men the DMF scores showed the opposite trend. The most significant deterioration during the 10-year follow-up was found in the number of teeth and DMF scores in men and in the number of remaining and filled teeth in women.Conclusion:  Among men, in particular, significant changes in oral health status could be seen even between 80 and 90 years of age. Hence, regardless of advanced age, a subject should be motivated by the oral health care team to seek regular dental treatment.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1600-0528.2004.00178.x
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  • 2
    Electronic Resource
    Electronic Resource
    Oral health and reduction in respiratory capacity in a cohort of community-dwelling elderly people: a population-based 5-year follow-up study (2004)
    Oxford, UK : Blackwell Publishing Ltd
    Gerodontology 21 (2004), S. 0 
    Details
    ISSN: 1741-2358
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objectives:  Several anaerobic bacteria originating in periodontal pockets have been isolated from infected lungs and pharyngeal microflora. Increased bacterial load in lungs is known to be a risk factor for decline in forced expiratory volume during the first second. The aim was to evaluate both cross-sectionally and longitudinally the association between oral health status and forced expiratory volume during the first second (FEV1) in older residents of the city of Jyväskylä, Finland.Design:  Cross-sectional and prospective cohort study over a 5-year follow-up.Setting:  Research laboratory of the University of Jyväskylä.Participants:  In 1990 dental status and FEV1 were examined in 203 80-year-old people, of whom 88 survivors were retested 5 years later.Main outcome measures:  Primary: dental status and FEV1. Secondary: existence of pulmonary diseases, height, handgrip strength, smoking, and length of education.Results:  Participants were regrouped into three categories according to their baseline oral health status. At baseline, men with complete prostheses had the lowest FEV1. Five years later the greatest reduction in FEV1 was seen in subjects with poor periodontal status or complete prostheses (−9.4%) while those with healthy periodontal status showed no reduction in FEV1 values (+1.0%, p = 0.006).Conclusions:  Periodontal infections and complete prostheses may be reservoirs for pathogens which may be harmful and partly explain the observed reduction in FEV1 during ageing.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1741-2358.2004.00029.x
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  • 3
    Electronic Resource
    Electronic Resource
    Oral infections as predictors of mortality (2005)
    Oxford, UK : Blackwell Publishing Ltd
    Gerodontology 22 (2005), S. 0 
    Details
    ISSN: 1741-2358
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective:  Oral infections may increase the levels of cytokines in the blood which, in turn, are associated with early mortality in the elderly. We investigated the possible association between oral infections and mortality.Design:  Prospective cohort study over a 5-year follow-up.Setting:  Research laboratory.Participants:  A cohort born in 1910 (n = 94) was examined in the year 1995. Five years later mortality data were obtained from the population register for 49 deceased subjects.Main outcome measures:  Urgent need of dental treatment, lifetime, erythrocyte sedimentation rate (ESR).Results:  The multivariate analysis adjusted for general health and lifestyle factors showed that the risk for death of subjects in urgent need of dental treatments was 3.9 times higher than that of the other subjects. Among men ESR correlated significantly with urgent need of dental treatment.Conclusions:  Oral infections among frail elderly people may be a sign of early mortality.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1741-2358.2005.00064.x
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  • 4
    Electronic Resource
    Electronic Resource
    Oral health status and change in handgrip strength over a 5-year period in 80-year-old people (2004)
    Oxford, UK : Blackwell Publishing Ltd
    Gerodontology 21 (2004), S. 0 
    Details
    ISSN: 1741-2358
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective:  The number of remaining teeth may indicate the extent of life-long exposure to inflammation, a known risk factor for muscle loss and consequent disability. The aim was to study dental health status as a risk factor for muscle strength loss in very old people.Design:  Cross-sectional and prospective cohort study over a 5-year follow-up.Setting:  Research laboratory.Participants:  One hundred and ninety-three 80-year-old people participated in the baseline examinations. Five years later, 79 survivors were retested.Main outcome measures:  Number of remaining teeth, presence of periodontitis and handgrip strength.Results:  At baseline, grip strength of men correlated positively with number of teeth but not with the presence of periodontitis. In women, the cross-sectional associations were not statistically significant. In the prospective analyses, the presence of periodontitis at baseline showed a clear association with a steeper decline in handgrip over the 5-year follow-up in both sexes. The values adjusted for gender, height, weight, number of chronic conditions and physical activity were −28.3% (SE 5.7) among those with periodontitis vs. −11.9% (SE 3.1, p = 0.015) among those with healthy gingiva. No association between the number of teeth at baseline and change in grip strength over 5 years was observed.Conclusions:  The presence of oral inflammation may lead to loss in muscle strength increasing the risk of disability. Therefore, good dental care throughout the life span may decrease risk of disability in old age.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1741-2358.2004.00022.x
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    Paper (German National Licenses)
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