Acta clinica Croatica, Vol. 55. No. 3., 2016.
Original scientific paper
https://doi.org/10.20471/acc.2016.55.03.06
Salivary flow rate, oral yeast colonization and dental status in institutionalized and non-institutionalized elderly
Irena Glažar
orcid.org/0000-0002-9066-2395
; Department of Oral Pathology and Periodontology, School of Dental Medicine, University of Rijeka, Rijeka, Croatia
Miranda Muhvić Urek
; Department of Oral Pathology and Periodontology, School of Dental Medicine, University of Rijeka, Rijeka, Croatia
Davor Kuiš
; Department of Oral Pathology and Periodontology, School of Dental Medicine, University of Rijeka, Rijeka, Croatia
Jelena Prpić
; Department of Oral Pathology and Periodontology, School of Dental Medicine, University of Rijeka, Rijeka, Croatia
Ivana Mišković
; Department of Oral Pathology and Periodontology, School of Dental Medicine, University of Rijeka, Rijeka, Croatia
Daniela Kovačević Pavičić
; Department of Prosthodontics, School of Dental Medicine, University of Rijeka, Rijeka, Croatia
Sonja Pezelj-Ribarić
; Department of Oral Pathology and Periodontology, School of Dental Medicine, University of Rijeka, Rijeka, Croatia
Abstract
Elderly people, especially those institutionalized in long-term care facilities, are at risk of various oral diseases. The aim of the study was to determine the incidence of hyposalivation and colonization/oral fungal infection of oral cavity with yeasts, as well as dental status in institutionalized and non-institutionalized elderly. The study included 280 institutionalized and 61 non-institutionalized elderly people. Salivary flow rate, oral colonization with yeasts/oral infection and dental status were assessed and compared between the groups. The institutionalized elderly had a significantly lower salivary flow rate (p=0.035). Oral colonization with yeasts was more frequently found in institutionalized elderly (p<0.001) as compared with non-institutionalized elderly. A negative correlation was found between decreased salivary flow rate and oral yeast colonization and oral fungal infection in both the institutionalized (rs=-0.58; p<0.05) and non-institutionalized (rs=-0.52; p<0.05) groups. A significant difference in DMFT index was observed between the two groups (p<0.001). A negative correlation between decreased salivary flow rate and dental status was found in both the institutionalized (rs=-0.22; p<0.05) and non-institutionalized (rs=-0.56; p<0.05) groups. The results revealed a significantly higher level of hyposalivation and oral yeast colonization and poorer dental status in the institutionalized group as compared with the non-institutionalized group of elderly people.
Keywords
Elderly; Xerostomia; Yeasts; Mouth diseases; DMF index
Hrčak ID:
172404
URI
Publication date:
9.11.2016.
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