Elderly with remaining teeth report less frailty and better quality of life than edentulous elderly: a cross-sectional study

Hoeksema, A. R., Spoorenberg, S. L. W., Peters, L. L., Meijer, H. J. A., Raghoebar, G. M., Vissink, A., Wynia, K. & Visser, A., May-2017, In : Oral diseases. 23, 4, p. 526-536 11 p.

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  • Elderly with remaining teeth report less frailty

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ObjectiveTo assess oral status and self-reported oral health in community-living elderly and to determine differences between relevant subgroups of oral status (remaining teeth, edentulous, implant-retained overdentures) and case complexity (robust, frail, complex care needs).

Subjects and methodsIn this cross-sectional descriptive study, 1325 Dutch community-living elderly (75years of age) were asked to complete validated questionnaires on frailty, activities of daily living (ADL), complexity of care needs, and QoL. Data on oral status, self-reported oral health, dental care, general health, and medication use were assessed. Differences between relevant subgroups were determined.

ResultsData of 1026 (77%) elderly (median 80years, IQR 77-84) were analyzed: 39% had remaining teeth, 51% were edentulous, and 10% had implant-supported overdentures. Elderly with complex care needs (n=225, 22%) and frail elderly (n=217, 21%) were more often edentulous and reported more oral problems than robust elderly (n=584, 57%). Elderly persons with remaining teeth were less frail, had better QoL and ADL, and used fewer medicines than edentulous elderly. Elderly with implant-supported overdentures performed better on frailty and QoL than edentulous elderly with conventional dentures.

ConclusionCommunity-living elderly commonly suffer from oral health problems, in particular elderly with complex care needs. QoL, ADL, and general health are higher among community-living elderly with remaining teeth and implant-supported overdentures than in edentulous elderly.

Original languageEnglish
Pages (from-to)526-536
Number of pages11
JournalOral diseases
Issue number4
Publication statusPublished - May-2017


  • geriatric conditions, dental diseases, public health, periodontium, ORAL-HEALTH, PERIODONTAL-DISEASE, ALZHEIMERS-DISEASE, RISK-FACTOR, CARE, INFECTION, PEOPLE, ADULTS, METAANALYSIS
Related Prizes
  1. VMTI publicatie prijs

    Albert Hoeksema (Recipient), Sophie Spoorenberg (Recipient), Lilian L. Peters (Recipient), Hendrikus Meijer (Recipient), Gerry Raghoebar (Recipient), Arjan Vissink (Recipient), Klaske Wynia (Recipient) & Anita Visser (Recipient), 6-Oct-2017


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