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Updated: Jun 14, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
A Comparison of Oral Function in Older In- and Outpatients: An Observational Study
Anna K Eggimann1, Leo Badura2, Rahel Zehnder1,3
1Department of Geriatrics, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland.
Oral function impairment is common in older European adults, affecting both inpatients and outpatients similarly. Low masticatory performance is linked to reduced bite force and fewer eruptive teeth, suggesting simple screening measures.
Area of Science:
- Gerontology
- Oral Health
- Clinical Nutrition
Background:
- Limited data exists on oral function in European older adults.
- Oral function is crucial for overall health and quality of life in aging populations.
Purpose of the Study:
- To assess and compare oral function in older inpatients and outpatients.
- To identify predictors of low masticatory performance in this demographic.
Main Methods:
- Recruited 62 older adults (inpatients and outpatients) from a Swiss tertiary hospital.
- Assessed oral function including eruptive teeth, denture support, bite force, and masticatory performance.
- Used multivariate analysis to identify predictors of low masticatory performance.
Main Results:
- High prevalence of impaired oral function: 63.9% had low masticatory performance, 62.9% low bite force, and 50% few eruptive teeth.
- No significant difference in masticatory performance, eruptive teeth, or bite force between in- and outpatients.
- Maximal bite force and a low number of eruptive teeth were independently associated with low masticatory performance.
Conclusions:
- Impaired oral function is highly prevalent and similar in older European in- and outpatients.
- Maximal bite force and number of eruptive teeth are potential indicators for screening impaired oral function.
- Basic screening including these parameters could help identify older adults needing intervention.
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