PMID- 25252592
OWN - NLM
STAT- MEDLINE
DCOM- 20160128
LR  - 20181202
IS  - 1502-3850 (Electronic)
IS  - 0001-6357 (Linking)
VI  - 73
IP  - 2
DP  - 2015 Feb
TI  - Oral health and apraxia among institutionalized elderly people--a pilot study.
PG  - 150-5
LID - 10.3109/00016357.2014.961956 [doi]
AB  - OBJECTIVE: Poor oral hygiene and dental health are very common among the 
      institutionalized elderly. The purpose of this study was to evaluate the 
      association of apraxia with oral hygiene and/or health. MATERIALS AND METHODS: 
      Ninety-two residents of 13 long-term care homes in southwest Germany participated 
      in the study. For each participant, ideomotor apraxia scoring (AS) was conducted 
      and demographic variables were collected. Participants underwent a comprehensive 
      dental examination to assess the oral health indices gingival bleeding index 
      (GBI), community periodontal index of treatment needs (CPITN) and denture hygiene 
      index (DHI). Statistical comparison of dental indices among apraxic and 
      non-apraxic individuals (cut-off < 45) was performed by use of t-tests. In 
      addition, linear regression models were constructed with the dental indices as 
      dependent variables. Each model was fitted with the dichotomized variable AS 
      (pathologic or healthy) and adjusted for age and sex. RESULTS: Mean (SD) GBI of 
      48.5 (25.9), CPITN of 2.9 (0.7) and DHI of 82.6 (14.6) were observed among the 
      participants. Statistical analysis revealed AS was significantly associated with 
      all oral health indicators (p < 0.05). Linear regression models showed apraxia is 
      a predictor of GBI (p = 0.002) and CPITN (p = 0.027), but not of denture hygiene 
      (p = 0.916). CONCLUSIONS: Although this pilot investigation has limitations, the 
      results suggest the presence of apraxia should be considered when planning oral 
      healthcare strategies. Further research with larger samples is encouraged to 
      confirm these relationships.
FAU - Zenthofer, Andreas
AU  - Zenthofer A
AD  - Department of Prosthodontics, Dental School.
FAU - Navratil, Sabrina D
AU  - Navratil SD
FAU - Rammelsberg, Peter
AU  - Rammelsberg P
FAU - Cabrera, Tomas
AU  - Cabrera T
FAU - Gorenc, Lina
AU  - Gorenc L
FAU - Urbanowitsch, Nadja
AU  - Urbanowitsch N
FAU - Wetzel, Petra
AU  - Wetzel P
FAU - Schroder, Johannes
AU  - Schroder J
FAU - Hassel, Alexander J
AU  - Hassel AJ
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140925
PL  - Sweden
TA  - Acta Odontol Scand
JT  - Acta odontologica Scandinavica
JID - 0370344
SB  - IM
MH  - Activities of Daily Living
MH  - Aged
MH  - Aged, 80 and over
MH  - Apraxias/*physiopathology
MH  - Cognition/physiology
MH  - Dental Plaque Index
MH  - Dentures
MH  - Female
MH  - Gingivitis/classification
MH  - Health Status Indicators
MH  - Humans
MH  - *Institutionalization
MH  - Long-Term Care
MH  - Male
MH  - Middle Aged
MH  - *Oral Health
MH  - *Oral Hygiene
MH  - Periodontal Index
MH  - Periodontitis/classification
MH  - Pilot Projects
MH  - Prospective Studies
OTO - NOTNLM
OT  - CPITN
OT  - GBI
OT  - apraxia
OT  - elderly
OT  - oral health
EDAT- 2014/09/26 06:00
MHDA- 2016/01/29 06:00
CRDT- 2014/09/26 06:00
PHST- 2014/09/26 06:00 [entrez]
PHST- 2014/09/26 06:00 [pubmed]
PHST- 2016/01/29 06:00 [medline]
AID - 10.3109/00016357.2014.961956 [doi]
PST - ppublish
SO  - Acta Odontol Scand. 2015 Feb;73(2):150-5. doi: 10.3109/00016357.2014.961956. Epub 
      2014 Sep 25.