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Updated: Dec 18, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Does non-institutionalized elders have a better oral health status compared to institutionalized ones? A systematic
Ilky Pollansky Silva E Farias1, Simone Alves de Sousa1, Leopoldina de Fátima Dantas de Almeida1
1Departamento de Clínica e Odontologia Social, Centro de Ciências da Saúde, Universidade Federal da Paraíba. yuri@ccs.ufpb.br.
Abstract:
This systematic review compared the oral health status between institutionalized and non-institutionalized elders. The following electronic databases were searched: PubMed (Medline), Scopus, Web of Science, Lilacs and Cochrane Library, in a comprehensive and unrestricted manner. Electronic searches retrieved 1687 articles, which were analyzed with regards to respective eligibility criteria. After reading titles and abstracts, five studies were included and analyzed with respect their methodological quality. Oral status of institutionalized and non-institutionalized elderly was compared through meta-analysis. Included articles involved a cross-sectional design, which investigated 1936 individuals aged 60 years and over, being 999 Institutionalized and 937 non-institutionalized elders. Studies have investigated the prevalence of edentulous individuals, the dental caries experience and the periodontal status. Meta-analysis revealed that institutionalized elderly have greater prevalence of edentulous (OR = 2.28, 95%CI = 1.68-3.07) and higher number of decayed teeth (MD = 0.88, 95%CI = 0.71-1.05) and missed teeth (MD = 4.58, 95%CI = 1.89-7.27). Poor periodontal status did not differ significantly between groups. Compared to non-institutionalized, institutionalized elders have worse dental caries experience.
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