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Updated: Jul 30, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Xerostomia in 75-85-year-olds: A longitudinal population study.
Ann-Katrin Johansson1, Ridwaan Omar2, Berit Mastrovito3
1Department of Clinical Dentistry-Cariology, Faculty of Medicine, University of Bergen, Bergen, Norway.
Xerostomia (dry mouth) significantly increases in older adults from age 75 to 85. This study highlights the growing prevalence and incidence of dry mouth in the elderly population.
Area of Science:
- Gerontology
- Oral Health
- Epidemiology
Background:
- Xerostomia, or dry mouth, presents considerable challenges for the elderly population.
- Understanding the changes in xerostomia over time is crucial for geriatric care.
Purpose of the Study:
- To longitudinally investigate the prevalence, persistence, progression, remission, and incidence of xerostomia.
- To analyze these changes in individuals aged 75 to 85 years.
Main Methods:
- A cohort of 75-year-olds from two Swedish counties were surveyed in 2007 and again at age 85 in 2017.
- Data from 1701 individuals who participated in both surveys were analyzed.
Main Results:
- Self-reported xerostomia prevalence doubled from 6.2% at age 75 to 11.3% at age 85, with higher rates in women.
- Overall xerostomia (frequent or sometimes) increased from 33.4% to 49.0%, particularly at night.
- Protective factors against developing xerostomia at age 75 included good general/oral health, no medications, and good chewing function.
Conclusions:
- Xerostomia prevalence and incidence markedly increase between the ages of 75 and 85.
- Gender and oral health status are significant factors in the development and persistence of xerostomia in older adults.
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