The Effects of Dental Status and Chewing Efficiency on the Oral-Health-Related Quality of Life of Nursing-Home Residents

Andreas Zenthöfer,1 Judith Ehret,1 Melania Zajac,1 Samuel Kilian,2 Peter Rammelsberg,1 Anna-Luisa Klotz1 1University of Heidelberg, Dental School, Department of Prosthodontics, Heidelberg 69120, Germany; 2University of Heidelberg, Institute of Medical Biometry and Informatics, Heidelberg 69...

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Autores principales:	Zenthöfer A, Ehret J, Zajac M, Kilian S, Rammelsberg P, Klotz AL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	chewing efficiency two-colour chewing-gum test dental prostheses ohrqol sc-gohai bmi Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/7979ed95c18842de8d959f31854cca21
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spelling	oai:doaj.org-article:7979ed95c18842de8d959f31854cca212021-12-02T11:08:59ZThe Effects of Dental Status and Chewing Efficiency on the Oral-Health-Related Quality of Life of Nursing-Home Residents1178-1998https://doaj.org/article/7979ed95c18842de8d959f31854cca212020-11-01T00:00:00Zhttps://www.dovepress.com/the-effects-of-dental-status-and-chewing-efficiency-on-the-oral-health-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Andreas Zenthöfer,1 Judith Ehret,1 Melania Zajac,1 Samuel Kilian,2 Peter Rammelsberg,1 Anna-Luisa Klotz1 1University of Heidelberg, Dental School, Department of Prosthodontics, Heidelberg 69120, Germany; 2University of Heidelberg, Institute of Medical Biometry and Informatics, Heidelberg 69120, GermanyCorrespondence: Priv.-Doz. Dr. Anna-Luisa KlotzUniversity of Heidelberg, Dental School, Department of Prosthodontics, INF 400, Heidelberg 69120, GermanyTel + 49 6221 56 8799Fax +49 6221 56-5371Email anna-luisa.klotz@med.uni-heidelberg.deObjective: The aim of this study was to evaluate the effects of dental status and chewing efficiency on the oral-health-related quality of life (OHRQoL) of nursing-home residents.Materials and Methods: The study was conducted in nine nursing homes. All eligible participants were included, and general and medical data, information about nutritional status and their dental and prosthetic status were collected. Chewing efficiency was assessed by means of a two-colour mixing-ability test. The simple count version of the Geriatric Oral Health Assessment Index (SC-GOHAI) was used to evaluate participants’ OHRQoL, and the Mini-Mental State Examination to classify the presence of cognitive impairment. Univariate and multivariate regression models were used to analyse data.Results: The mean age of the participants was 82.1 (± 9.8) years and most participants suffered from at least very mild cognitive impairment. OHRQoL for all participants (n = 143) and denture wearers only (n = 105) was substantially associated with the type of prosthesis, the presence of natural teeth, the number of functional occluding pairs and dental and denture-related (if applicable) treatment needs. Furthermore, in both model’s univariate analysis showed that chewing efficiency also affected OHRQoL. In contrast, multivariate analysis of all participants revealed that only a higher number of functional occluding pairs (C: 0.250; p < 0.001), fewer dental treatment needs (C: − 1.733; p = 0.019) and a better nutritional status (C: − 1.298; p = 0.048) were relevant for better OHRQoL. For denture wearers, a higher number of functional occluding pairs (C: 0.192; p = 0.011), a better denture condition (C: − 2.194; p= 0.003) and a higher body mass index (BMI) (C: 0.145; p = 0.006) were the main variables associated with better OHRQoL among participants.Conclusion: Good oral health and oral function, including chewing efficiency, are associated with a high OHRQoL of nursing-home residents. However, few dental treatment needs, well-fitting dentures without treatment needs and a high number of functional occluding pairs seem to be the principal variables for an acceptable OHRQoL of nursing-home residents.Keywords: chewing efficiency, two-colour chewing-gum test, dental prostheses, OHRQoL, SC-GOHAI, BMIZenthöfer AEhret JZajac MKilian SRammelsberg PKlotz ALDove Medical Pressarticlechewing efficiencytwo-colour chewing-gum testdental prosthesesohrqolsc-gohaibmiGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 2155-2164 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	chewing efficiency two-colour chewing-gum test dental prostheses ohrqol sc-gohai bmi Geriatrics RC952-954.6
spellingShingle	chewing efficiency two-colour chewing-gum test dental prostheses ohrqol sc-gohai bmi Geriatrics RC952-954.6 Zenthöfer A Ehret J Zajac M Kilian S Rammelsberg P Klotz AL The Effects of Dental Status and Chewing Efficiency on the Oral-Health-Related Quality of Life of Nursing-Home Residents
description	Andreas Zenthöfer,1 Judith Ehret,1 Melania Zajac,1 Samuel Kilian,2 Peter Rammelsberg,1 Anna-Luisa Klotz1 1University of Heidelberg, Dental School, Department of Prosthodontics, Heidelberg 69120, Germany; 2University of Heidelberg, Institute of Medical Biometry and Informatics, Heidelberg 69120, GermanyCorrespondence: Priv.-Doz. Dr. Anna-Luisa KlotzUniversity of Heidelberg, Dental School, Department of Prosthodontics, INF 400, Heidelberg 69120, GermanyTel + 49 6221 56 8799Fax +49 6221 56-5371Email anna-luisa.klotz@med.uni-heidelberg.deObjective: The aim of this study was to evaluate the effects of dental status and chewing efficiency on the oral-health-related quality of life (OHRQoL) of nursing-home residents.Materials and Methods: The study was conducted in nine nursing homes. All eligible participants were included, and general and medical data, information about nutritional status and their dental and prosthetic status were collected. Chewing efficiency was assessed by means of a two-colour mixing-ability test. The simple count version of the Geriatric Oral Health Assessment Index (SC-GOHAI) was used to evaluate participants’ OHRQoL, and the Mini-Mental State Examination to classify the presence of cognitive impairment. Univariate and multivariate regression models were used to analyse data.Results: The mean age of the participants was 82.1 (± 9.8) years and most participants suffered from at least very mild cognitive impairment. OHRQoL for all participants (n = 143) and denture wearers only (n = 105) was substantially associated with the type of prosthesis, the presence of natural teeth, the number of functional occluding pairs and dental and denture-related (if applicable) treatment needs. Furthermore, in both model’s univariate analysis showed that chewing efficiency also affected OHRQoL. In contrast, multivariate analysis of all participants revealed that only a higher number of functional occluding pairs (C: 0.250; p < 0.001), fewer dental treatment needs (C: − 1.733; p = 0.019) and a better nutritional status (C: − 1.298; p = 0.048) were relevant for better OHRQoL. For denture wearers, a higher number of functional occluding pairs (C: 0.192; p = 0.011), a better denture condition (C: − 2.194; p= 0.003) and a higher body mass index (BMI) (C: 0.145; p = 0.006) were the main variables associated with better OHRQoL among participants.Conclusion: Good oral health and oral function, including chewing efficiency, are associated with a high OHRQoL of nursing-home residents. However, few dental treatment needs, well-fitting dentures without treatment needs and a high number of functional occluding pairs seem to be the principal variables for an acceptable OHRQoL of nursing-home residents.Keywords: chewing efficiency, two-colour chewing-gum test, dental prostheses, OHRQoL, SC-GOHAI, BMI
format	article
author	Zenthöfer A Ehret J Zajac M Kilian S Rammelsberg P Klotz AL
author_facet	Zenthöfer A Ehret J Zajac M Kilian S Rammelsberg P Klotz AL
author_sort	Zenthöfer A
title	The Effects of Dental Status and Chewing Efficiency on the Oral-Health-Related Quality of Life of Nursing-Home Residents
title_short	The Effects of Dental Status and Chewing Efficiency on the Oral-Health-Related Quality of Life of Nursing-Home Residents
title_full	The Effects of Dental Status and Chewing Efficiency on the Oral-Health-Related Quality of Life of Nursing-Home Residents
title_fullStr	The Effects of Dental Status and Chewing Efficiency on the Oral-Health-Related Quality of Life of Nursing-Home Residents
title_full_unstemmed	The Effects of Dental Status and Chewing Efficiency on the Oral-Health-Related Quality of Life of Nursing-Home Residents
title_sort	effects of dental status and chewing efficiency on the oral-health-related quality of life of nursing-home residents
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/7979ed95c18842de8d959f31854cca21
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The Effects of Dental Status and Chewing Efficiency on the Oral-Health-Related Quality of Life of Nursing-Home Residents

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