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This study will help describe the state of oral health of very old people (over 90).
In 2011, according to the French National Institute for Statistics and Economic Research, people aged 85 and over accounted for about 3% of the total population. This proportion will increase sharply due to longer life expectancy on the baby boom generation and is expected to reach 7.5% of the total population in 2050.
This very old population has specific health, related to the presence of co-morbidities and co-medications, but also to a frequent state of dependence.
These general health problems and their treatment can create or accentuate oral problems or complicate their management. Thus, very old people are more likely to have some oral diseases although there is no epidemiological data in France. Conversely, oral problems can have repercussions in terms of quality of life, social relations and nutrition, and are factors of risk or aggravating actual or potential systemic disorders.
This very elderly population is therefore likely to present new challenges of dental care that it is important to document.
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| Measure | Description | Time Frame |
|---|---|---|
| State of the mouth and teeth | Number of decayed, absent and closed teeth | Inclusion visit |
| Masticatory ability | Number of functional units | Inclusion visit |
| Root caries index | Root caries index (RCI) - RCI is based on the requirement that gingival recession must occur before root caries surface lesion begin, therefore only teeth with gum recession are examined.
The root caries index is calculated for an individual using the formula • RCI= (R-D) +(R-F) x 100 (R-D) +(R-F) +(R-N) R-N =Recession present surface normal or sound R-D =Recession present with decay root surface R-F= Recession present with a filled root surface. | Inclusion visit |
| Hygiene index | Hygiene index (OHI-S, Simplified Oral Hygiene Index ; from 0 to 3) | Inclusion visit |
| Oral pain | Presence of oral pain yes/no | Inclusion visit |
| Oral lesions | Presence and nature of oral lesions according to the International Classification of Diseases applied to odontology and stomatology of the World Health Organization | Inclusion visit |
| Hyposalivation / xerostomia |
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Inclusion Criteria:
Exclusion Criteria:
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This is an ancillary study of the PAQUID cohort, of a cross-sectional nature, descriptive in a representative sample of very elderly people (≥90 years) in the Gironde and Dordogne, monocentric, with home collection.
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| Name | Affiliation | Role |
|---|---|---|
| Elise ARRIVE, Dr | University Hospital, Bordeaux | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35689206 | Derived | Khoury C, Samot J, Helmer C, Rosa RW, Georget A, Dartigues JF, Arrive E. The association between oral health and nutritional status in older adults: a cross-sectional study. BMC Geriatr. 2022 Jun 10;22(1):499. doi: 10.1186/s12877-022-03133-0. | |
| 32111348 | Derived | Rosa RW, Samot J, Helmer C, Pourtau G, Dupuis V, Fricain JC, Georget A, Dartigues JF, Arrive E. Important oral care needs of older French people: A cross-sectional study. Rev Epidemiol Sante Publique. 2020 Apr;68(2):83-90. doi: 10.1016/j.respe.2020.01.135. Epub 2020 Feb 25. |
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Presence of hyposalivation / xerostomia (Xerostomia Inventory, XI, 11 items questionary)
| Inclusion visit |