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Abstract

With a global aging population, the oral hygiene of elderly individuals in institutional settings requires unique management. Maintaining adequate denture hygiene is a critical aspect of their overall well-being, while neglecting denture hygiene can lead to various oral health issues, malnutrition, and further impacting their overall health. Objective: This paper aims to provide a preliminary overview of denture hygiene care among the elderly using an ordered logistics model. Methods: Data was obtained from 174 participants in two government institutional homes in Malaysia. The Principle Components Analysis (PCA) was used to identify significant variables and an ordered logistic model showed the relationships between these variables and denture hygiene. Results: PCA identified three significant variables: calf circumference, age, and appetite. The ordered logistic model shows that lower calf circumference, lower age groups and severe loss of appetite, all were associated with significantly poorer denture hygiene. The model’s fitting and goodness-of-fit was also assesed and found to be satisfactory. Conclusion: Poor denture hygiene is prevelant among institutionalized elderly. Addressing these issues is crucial for caregivers and healthcare providers to enhance the well-being of the aging population. This research provides a foundation for future interventions to improve denture hygiene and, by extension, overall health and quality of life for institutionalized elderly individuals.

References

1. Escourrou E, Laurent S, Leroux J, Oustric S, Gardette V. The shift from old age to very old age: An analysis of the perception of aging among older people. BMC Prim Care. 2022; 23(1):3.

2. Tsakos G, Brocklehurst PR, Watson S, Verey A, Goulden N, Jenkins A, Hoare Z, et al. Improving the oral health of older people in care homes (TOPIC): A protocol for a feasibility study. Pilot Feasibility Stud. 2021; 7(1):138.

3. Razak PA, Richard KM, Thankachan RP, Hafiz KA, Kumar KN, Sameer KM. Geriatric oral health: A review article. J Int Oral Health. 2014; 6(6):110-6.

4. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2005; 33(2):81-92.

5. Shahzad HB, Awais F, Raza NUH, Majeed HA, Shahbaz M, Kazmi F. Daily impacts of missing teeth in adult population in Lahore, Pakistan. J Pak Dent Assoc. 2021; 30(3):157-16.

6. Shahzad H, Awais F, Shirazi R, Abdul Majeed H, Rafique A. The impact of dental caries on oral health related quality of life amongst adult population in Lahore, Pakistan. Makara J Health Res. 2020; 24(1):1-7.

7. Hickson M. Malnutrition and ageing. Postgrad Med J. 2006; 82(963):2-8.

8. Campbell SD, Cooper L, Craddock H, Hyde TP, Nattress B, Pavitt SH, Seymour DW. Removable partial dentures: The clinical need for innovation. J Prosthet Dent. 2017; 118(3):273-80.

9. Bakker MH, Vissink A, Spoorenberg SLW, Jager-Wittenaar H, Wynia K, Visser A. Are edentulousness, oral health problems and poor health-related quality of life associated with malnutrition in community-dwelling elderly (aged 75 years and over)? A cross-sectional study. Nutrients. 2018; 10(12):1965.

10. Taylor M, Masood M, Mnatzaganian G. Longevity of complete dentures: A systematic review and meta-analysis. J Prosthet Dent. 2021; 125(4):611-9.

11. Mathey MF, Siebelink E, de Graaf C, Van Staveren WA. Flavor enhancement of food improves dietary intake and nutritional status of elderly nursing home residents. J Gerontol A Biol Sci Med Sci. 2001; 56(4):M200-5.

12. Ahmad WMAW, Ghazali FMM, Yaqoob MA, Rohim RAA, Hasan R. Study on correlating factors that affect the health status among obesity in elderly: A preliminary study. Int J Sci Technol Res. 2020; 9(1):340-43.

13. Koistinen S, Ståhlnacke K, Olai L, Ehrenberg A, Carlsson E. Older people’s experiences of oral health and assisted daily oral care in short-term facilities. BMC Geriatr. 2021; 21(1):388.

14. Wong FMF, Ng YTY, Leung WK. oral health and its associated factors among older institutionalized residents-A systematic review. Int J Environ Res Public Health. 2019; 16(21):4132.

15. Shaheen SS, Kulkarni S, Doshi D, Reddy S, Reddy P. Oral health status and treatment need among institutionalized elderly in India. Indian J Dent Res. 2015; 26(5):493-9.

16. Farias IPSE, Sousa SA, Almeida LFD, Santiago BM, Pereira AC, Cavalcanti YW. Does noninstitutionalized elders have a better oral health status compared to institutionalized ones? A systematic review and meta-analysis. Cien Saude Colet. 2020; 25(6):2177-92.

17. Palati S, Ramani P, Shrelin HJ, Sukumaran G, Ramasubramanian A, Don KR, Jayaraj G, Santhanam A. Knowledge, attitude and practice survey on the perspective of oral lesions and dental health in geriatric patients residing in old age homes. Indian J Dent Res. 2020; 31(1):22-5.

18. Saarela RKT, Hiltunen K, Kautiainen H, Roitto HM, Mäntylä P, Pitkälä KH. Oral hygiene and health-related quality of life in institutionalized older people. Eur Geriatr Med. 2022; 13(1):213-20.

19. Tuuliainen E, Autonen-Honkonen K, Nihtilä A, Komulainen K, Nykänen I, Hartikainen S, Ahonen R, et al. Oral health and hygiene and association of functional ability: A cross-sectional study among old home care clients. Oral Health Prev Dent. 2020; 18(2):253-62.

20. Scannapieco FA. Poor oral health in the etiology and prevention of aspiration pneumonia. Clin Geriatr Med. 2023; 39(2):257-71.

21. Hu X, Wang S, Zhou R, Tong Y, Xu L. Unpacking the effects of information overload on the purchase intention of electric vehicles. J Consum Behav. 2023; 22(2):468-82.

22. Chapman KW, Lapidus SH, Chupas PJ. Applications of principal component analysis to pair distribution function data. J Appl Crystallogr. 2015; 48(6):1619-26.

23. Enny E, Abdul M, Ruhaya H, Zulkarnain S. Oral hygiene care and nutritional status among institutionalized elderly in Kedah and Kelantan, Malaysia. Malays J Nutr. 2015; 22(2):207-17.

24. Tsai AC, Chou YT, Chang TL, Chang-Lee SN, Tsay SF. A modified Mini Nutritional Assessment without BMI can effectively assess the nutritional status of neuropsychiatric patients. J Clin Nurs. 2009; 18(13):1916-22.

25. Erichson NB, Zheng P, Manohar K, Brunton SL, Kutz JN, Aravkin AY. Sparse principal component analysis via variable projection. SIAM J Appl Math. 2020; 80(2):977-1002.

26. Jolliffe IT, Cadima J. Principal component analysis: A review and recent developments. Philos Trans A Math Phys Eng Sci. 2016; 374(2065):20150202.

27. Mishra SP, Sarkar U, Taraphder S, Datta S, Swain DP, Saikhom R, Panda S, et al. Multivariate statistical data analysis - Principal Component Analysis (PCA). Int J Livest Res. 2017; 7(5):60-78.

28. Ahmad WMAW, Shahzad HB, Adnan MN, Ghazali FMM, Mohamad N, Noor NFM, et al. A variable selection in ordered logistic regression model using decision tree analysis for the classification: A case study of hypertension modelling. Eur J Mol Clin Med. 2022; 10(1):2023.

29. Algra Y, Haverkort E, Kok W, Etten-Jamaludin FV, Schoot LV, Hollaar V, Naumann E, et al. The association between malnutrition and oral health in older people: A systematic review. Nutrients. 2021; 13(10):3584.

30. Kossioni AE. The association of poor oral health parameters with malnutrition in older adults: A review considering the potential implications for cognitive impairment. Nutrients. 2018; 10(11):1709.

31. Tsai AC, Chang TL. Association of dental prosthetic condition with food consumption and the risk of malnutrition and follow-up 4-year mortality risk in elderly Taiwanese. J Nutr Health Aging. 2011; 15(4):265-70.

32. El Osta N, Wehbe A, Sleiman N, Drancourt N, El Osta L, Hennequin M. Dental criteria could alert for malnutrition risk and inappropriate choice of food texture in older subjects with dementia: An analytical cross-sectional study. Int J Environ Res Public Health. 2022; 19(22):15086.

33. Scelza M. Oral health as prerequisite of nutrition status in the elderly. In Martin CR, Preedy VR. Eds. Diet and Nutrition in Dementia and Cognitive Decline. London: Academic Press; 2015. p. 317-24.

34. Robin R, Raj J. A survey of denture hygiene in older patients. J Med Sci Clin Res. 2015; 7(10):897- 900.

35. Baran I, Nalçacı R. Self-reported denture hygiene habits and oral tissue conditions of complete denture wearers. Arch Gerontol Geriatr. 2009; 49(2):237- 41.

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