Factors Associated with Denture Non-use in Older Adults Requiring Long-Term Care |
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| Institution: | 1. Removable Prosthodontics, Nihon University Graduate School of Dentistry at Matsudo, Chiba, Japan;2. Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan;3. The Tokyo Metropolitan Support Center for Preventative Long-term and Frail Elderly Care, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan;4. Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, Chiba, Japan;5. Gerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Sapporo, Japan;6. Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan;1. Department of Health Promotion System Sciences, Division of Health Sciences, Graduate School of Medicine, Osaka University;2. Department of Clinical Thanatology and Geriatric Behavioral Science, Graduate School of Human Sciences, Osaka University;3. Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology;4. Department of Geriatric and General Medicine, Graduate School of Medicine, Osaka University;5. Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Graduate School of Dentistry, Osaka University;6. Center for Supercentenarian Medical Research, Keio University School of Medicine, Tokyo, Japan;1. Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany;2. Faculty II – Institute of Psychology, Developmental Psychology and Clinical Psychology of the Lifespan, University of Siegen, Adolf-Reichwein-Str. 2a, 57068 Siegen, Germany;3. Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center, Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany;4. Institute of General Practice, Medical Faculty, Kiel University, Christian-Albrechts-Platz 4, 24118 Kiel, Germany;5. Institute of General Practice, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany;6. Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Theodor Kutzer-Ufer 1 – 3, 68167 Mannheim, Germany;7. Institute of General Practice, Medical Faculty, Heinrich-Heine-University Düsseldorf, Universitätsstraße 1, 40225 Düsseldorf, Germany;8. Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Ritterstraße 26, 04109 Leipzig, Germany;9. Department of Psychiatry, Technical University of Munich, Arcisstraße 21, 80333 Munich, Germany;10. Department of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany;11. German Center for Neurodegenerative Diseases (DZNE), Venusberg-Campus 1/99, 53127 Bonn, Germany;1. Department of Physical Therapy and Assistive Technology, School of Biomedical Science and Engineering, National Yang Ming Chiao Tung University, Taipei, Taiwan;2. Institute of Sports Sciences, University of Taipei, Taipei, Taiwan;3. Section of Endocrinology and Metabolism, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan;4. Faculty of Medicine, National Yang Ming Chiao Tung University School of Medicine, Taipei, Taiwan;1. Clinical Gerontology Department, CHU Bordeaux, 33000, Bordeaux, France;2. Department of Dentistry and Oral Health, CHU of Bordeaux, Bordeaux, France;3. Department of Oral Public Health, UFR of Odontology, Bordeaux University, Bordeaux, France;4. Handicap, Activité, Cognition, Santé, U1219 Bordeaux, Population, Health, INSERM, Bordeaux, France;6. CRMSB, UMR 5536, CNRS/Bordeaux University, Bordeaux, France;1. Falls, Balance and Injury Research Centre, Neuroscience Research Australia, UNSW, Sydney, NSW, Australia;2. Prince of Wales Clinical School, Medicine, UNSW, Sydney, NSW, Australia;3. School of Public Health and Community Medicine, Medicine, UNSW, Sydney, NSW, Australia;4. Neuropsychiatric Institute, Prince of Wales Hospital, Randwick, NSW, Australia;5. Centre for Healthy Brain Ageing, School of Psychiatry, Medicine, University of New South Wales, Sydney, Australia;1. Department of Neurology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, South Korea;2. Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK;3. Clinical Research Management Team, Ilsan hospital, National Health Insurance Service, Goyang-shi, South Korea;4. Department of Neurology, Dementia Center, Ilsan hospital, National Health Insurance Service, Goyang-shi, South Korea |
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| Abstract: | BackgroundEvidence suggests that denture non-use is significantly associated with activities of daily living, oral function, and cognitive decline. Few studies have focused on the possibility that the indications for denture use may differ depending on the cognitive and physical functions in older adults requiring long-term care.ObjectivesThe aim of this study was to elucidate the factors associated with denture non-use in older adults requiring long-term care.MethodsThis cross-sectional study comprised 201 older adults (45 men and 156 women; average age = 86.2 ± 7.1 years) requiring long-term care in Japan. Those who did not require denture treatment were classified by dentists into denture-use and denture non-use groups. The severity of dementia was assessed using the Clinical Dementia Rating scale. Multiple logistic regression analyses were conducted to detect the factors significantly associated with denture non-use.ResultsThe proportion of participants without dentures was 58.2%. Multiple logistic regression analyses revealed that a moderate dementia (odds ratio OR], 4.44; 95% confidence interval CI] 1.18–16.71, p=0.027) and rinsing ability (OR 3.00; 95% CI 1.12–8.06; p=0.030) were significant factors related to the non-use of dentures.ConclusionSeverity of dementia and rinsing ability were significantly associated with non-use of dentures. These findings indicate the necessity of evaluating oral and cognitive functions while planning denture treatment in older adults requiring long-term care. |
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