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The Influence of Oral Health Factors on the Quality of Life in Older People: A Systematic Review

van de Rijt, LJM; Stoop, CC; Weijenberg, RAF; de Vries, R; Feast, AR; Sampson, EL; Lobbezoo, F; (2020) The Influence of Oral Health Factors on the Quality of Life in Older People: A Systematic Review. The Gerontologist , 60 (5) e378-e394. 10.1093/geront/gnz105. Green open access

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Abstract

Background and Objectives: The number of people aged 65 years or older is growing substantially. As a result of increased health burden and tooth retention, more oral health problems are expected in this age group. A poor oral health-related quality of life (OHQoL) can compromise a person’s psychological state, social relationships, personal beliefs, and physical health. The aim of this systematic review was to identify oral health factors associated with OHQoL in people aged 65 years or older and to give a comprehensive overview of the body of literature for each oral health factor separately. // Research Design and Methods: A comprehensive search was performed in five databases. The following terms were used as index terms or free-text words: “Oral Health,” “Quality of Life,” “Older People.” Two researchers independently assessed studies for eligibility based on predefined criteria. // Results: Of 3,702 references retrieved from the databases, 68 studies were eligible and included (9 randomized clinical trials, 6 cohort studies, and 53 cross-sectional studies). All results were reported descriptively. OHQoL in people aged 65 years or older is positively associated with higher number of teeth, higher number of occluding pairs, implant-retained overdentures, and the shortened dental arch concept and negatively associated with xerostomia, orofacial pain, and poor chewing ability. In the current literature, there is no consensus on the association between edentulism, caries, and periodontal conditions and OHQoL. // Discussion and Implications: Having a functional dentition (either natural or prosthetic) is important for a good OHQoL, whereas painful or functional complaints are associated with impaired OHQoL.

Type: Article
Title: The Influence of Oral Health Factors on the Quality of Life in Older People: A Systematic Review
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/geront/gnz105
Publisher version: https://doi.org/10.1093/geront/gnz105
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: oral health-related quality of life, dental status, dentition
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10083966
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