Oral health status of older people in residential homes in Saudi Arabia

DOI: 10.4236/ojst.2012.24053   PDF   HTML     4,205 Downloads   7,003 Views   Citations


The aim of the study was to de-termine the oral health status and treatment needs of elderly residents of residential homes in Riyadh, Saudi Arabia. Methods: Among 129 elderly residents, 83 (51 males, and 32 females) of them were interviewed and clini-cally examined according to WHO criteria by two calibrated dentists. Results: The mean age of the subjects was 72 ± 8.5. Male subjects had a higher smoking rate than females. Among elderly subjects below 74 years old, 20.8% had a functional dentition (> or = 20), while only 6.7% for those aged greater or equal to 75 years (p = 0.0004). Mean number of the sound teeth in all subjects was 6.7 ± 8.5. The mean number of DMFT was 18.6 ± 12.6. The missing component was the highest (16 ± 13) for both genders. The mean number of decayed roots was 2.75 ± 3.95 in males and 0.63 ± 1.96 in females. Overall, males had more sound and decayed teeth and less filled and missed teeth than females. There was no significant difference between males and females in periodontal problems except the calculus scores. The majority of subjects in need for tooth extraction were male subjects. With no gender difference 63% were in need for restorations, 40% needed upper and lower full dentures. Need for partial dentures was 38% upper and 48% lower. Conclusion: The oral health of the institutionalized elderly population in Saudi Arabia is generally poor and their treatment needs are high.

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Al-Shehri, S. (2012) Oral health status of older people in residential homes in Saudi Arabia. Open Journal of Stomatology, 2, 307-313. doi: 10.4236/ojst.2012.24053.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Stubbs C. and Riordan P.J. (2002) Dental screening of older adults living in residential aged care facilities in Perth. Australian Dental Journal, 47, 321-326. doi:10.1111/j.1834-7819.2002.tb00545.x
[2] United Nations Population Division (2003) World population prospects: The 2002 revision. United Nations, New York.
[3] World Health Organization (2002) Active ageing: A policy framework. WHO, Geneva.
[4] Central Intelligence Agency (2011) The world factbook. Saudi Arabia. https://www.cia.gov/library/publications/the-world-factbook/geos/sa.html
[5] World Health Organization (WHO) (2012) WHO Oral Health Country/Area Profile. Saudi Arabia. http://www.fluentfactory.com/mboxmail
[6] Al-Shammary, A.R., Guile, E. and El-Backly, M. (1981) An oral health survey of Saudi Arabia. Phase I (Riyadh). King Abdul Aziz City for Science and Technology Riyadh, Riyadh.
[7] AL-Zahrani, A. (2005) Dental health status among a sample of elderly dental patients in Riyadh, Saudi Arabia. Saudi Dental Journal, 17, 74-82.
[8] Saub, R. and Evans, R.W. (2001) Dental needs of elderly hostel residents in inner Melbourne. Australian Dental Journal, 46, 198-202. doi:10.1111/j.1834-7819.2001.tb00282.x
[9] World Health Organization (1997) Oral health surveys— basic methods. 4th Edition, WHO, Geneva, 21-52.
[10] Schou, L. (1995) Oral health, oral health care, and oral health promotion among older adults: Social and behavioral dimensions. In: Cohen, L.K. and Gift, H.C., eds. Disease Prevention and Oral Health Promotion, Munksgaard, Copenhagen, 213-270.
[11] Morita, M., Kimura, T., Kanegae, M., et al. (1994) Reasons for extraction of permanent teeth in Japan. Community Dentistry and Oral Epidemiology, 22, 303-306. doi:10.1111/j.1600-0528.1994.tb02056.x
[12] Shimazaki, Y., Soh, I., Koga, T., et al. (2003) Risk factors for tooth loss in the institutionalised elderly; a six- year cohort study. Community Dental Health, 20, 123- 127.
[13] Jette, A.M., Feldman, H.A. and Tennstedt, S.L. (1993) Tobacco use: A modifiable risk factor for dental disease among the elderly. American Journal of Public Health, 83, 1271-1276. doi:10.2105/AJPH.83.9.1271
[14] Morita, I., Nakagaki, H., Toyama, A., et al. (2006) Behavioral factors to include in guidelines for lifelong oral healthiness: An observational study in Japanese adults. BMC Oral Health, 6, 15. doi:10.1186/1472-6831-6-15
[15] Unluer, S., Gokalp, S. and Dogan, B. (2007) Oral health status of the elderly in a residential home in Turkey. Gerodontology, 24, 22-29. doi:10.1111/j.1741-2358.2007.00136.x
[16] Mack, F., Mundt, T., Mojon, P., et al. (2003) Study of health in Pomerania (SHIP): Relationship among socioeconomic and general health factors and dental status among elderly adults in Pomerania. Quintessence International, 34, 772-778.
[17] Christensen, L.B., Petersen, P.E., Krustrup, U., et al. (2003) Self-reported oral hygiene practices among adults in Denmark. Community Dent Health, 20, 229-235.
[18] Spanish Geriatric Oral Health Research Group (2001) Oral health issues of Spanish adults aged 65 and over. International Dental Journal, 51, 228-234.
[19] Thomas, S., Raja, R.V., Kutty, R., et al. (1994) Pattern of caries experience among an elderly population in South India. International Dental Journal, 44, 617-622.
[20] Wang, H.-Y., Petersen, P.E., Bian, J.-Y., et al. (2002) The second national survey of oral health status of children and adults in China. International Dental Journal, 52, 283-290. doi:10.1111/j.1875-595X.2002.tb00632.x
[21] Kalsbeek, H., Truin, G.J., Burgersdijk, R., et al. (1991) Tooth loss and dental caries in Dutch adults. Community Dentistry and Oral Epidemiology, 19, 201-204. doi:10.1111/j.1600-0528.1991.tb00146.x
[22] Soh, G., Chong, Y.H. and Ong, G. (1992) Dental state and needs for episodic care of institutionalized elderly in an Asian community. Social Science & Medicine, 34, 415-418. doi:10.1016/0277-9536(92)90301-6
[23] Peltola, P., Vehkalahti, M.M. and Wuolijoki-Saaristo, K. (2007) Oral health and treatment needs of the long-term hospitalised elderly. Gerodontology, 21, 93-99. doi:10.1111/j.1741-2358.2004.00012.x
[24] Petersen, P.E., Razanamihaja, N. and Poulsen, V.J. (2004) Surveillance of oral health among children and adults in Madagascar. WHO, Geneva.
[25] Hamalainen, P., Meurman, J.H., Keskinen, M., et al. (2004) Changes in dental status over 10 years in 80-year- old people: A prospective cohort study. Community Dentistry and Oral Epidemiology, 32, 374-384. doi:10.1111/j.1600-0528.2004.00178.x
[26] Frenkel, H., Harvey, I. and Newcombe, R. (2000) Oral health care in nursing home residents in Avon. Gerodontology, 17, 33-38. doi:10.1111/j.1741-2358.2000.00033.x
[27] Karkazis, H.C. and Kossini, A.E. (1993) Oral health status, treatment needs and demands of an elderly population in Athens. European Journal of Prosthodontics and Restorative Dentistry, 1, 157-163.
[28] Pajukoski, H., Meurman, J.H., Snellman-Gr?hn, S., et al. (1999) Oral health in hospitalized and non-hospitalized community-dwelling elderly patients. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 88, 437-443. doi:10.1016/S1079-2104(99)70058-2

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