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Updated: Nov 19, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
'Caries disease among an elderly population-A 10-year longitudinal study'
Kristina Edman1,2,3, Anders Holmlund4,5, Ola Norderyd6,7,8
1Oral and Maxillofacial Surgery, Department of Surgical Sciences, Medical Faculty, Uppsala University, Uppsala, Sweden.
Dental caries prevalence remained stable in elderly individuals over 10 years. Poor oral hygiene, including infrequent toothbrushing and interproximal cleaning, significantly increased caries risk.
Area of Science:
- Gerontology
- Dental Public Health
- Epidemiology
Background:
- Dental caries remains a significant oral health concern for the elderly population.
- Maintaining oral health in older adults is crucial for overall well-being and quality of life.
Purpose of the Study:
- To determine the prevalence of dental caries in an elderly population.
- To identify socioeconomic and socio-behavioral risk factors associated with dental caries in this demographic.
Main Methods:
- A longitudinal study involving 273 individuals aged 65 and 75 in 2008.
- Data collected via questionnaire and clinical examination 10 years apart.
- Analysis of dental caries prevalence and associated risk factors.
Main Results:
- The prevalence of dental caries lesions remained stable over the 10-year study period.
- Approximately 25% of participants had active caries lesions.
- Inadequate oral hygiene (brushing ≤ once daily, infrequent interproximal cleaning) and need for homecare were significant risk factors.
Conclusions:
- Good oral health, characterized by stable dental caries prevalence, is achievable in the elderly population.
- Inadequate oral hygiene practices are strongly linked to increased dental caries risk in older adults.
- Collaboration between dental services and community healthcare is vital for promoting oral health in the elderly.
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