Oral mucosal lesions among institutionalized elderly in Denmark

Area of Science:

• Geriatric Medicine
• Oral Health
• Public Health

Background:

• Oral mucosal lesions are a significant concern in institutionalized elderly populations.
• Prevalence studies are crucial for understanding and managing oral health issues in this demographic.

Purpose of the Study:

• To determine the prevalence of oral mucosal lesions in institutionalized elderly individuals.
• To identify factors associated with oral mucosal lesions, particularly denture stomatitis.

Main Methods:

• A cross-sectional study involving 685 elderly individuals from nursing homes and hospital long-term care facilities in Denmark.
• Assessment of oral mucosal conditions, denture hygiene, and wearing habits.

Main Results:

• Approximately half of the participants exhibited oral mucosal pathologies.
• Denture stomatitis was the most prevalent condition (about one-third), strongly linked to poor denture hygiene (54% vs. 7%).
• Denture stomatitis prevalence was also associated with nighttime denture use and denture age.

Conclusions:

• Poor denture hygiene is a primary risk factor for denture stomatitis in institutionalized elderly.
• Improving denture hygiene practices and promoting daytime denture use can likely reduce the prevalence and severity of denture stomatitis.