Oral Status and Care Needs of People Aged 90 and Over (PAQUIDENT25)

Oral Status and Care Needs of People Aged 90 and Over in Gironde and Dordogne

This study will help describe the state of oral health of very old people (over 90).

Study Overview

• Status: Completed
• Conditions: Oral Health; Morbidity

Detailed Description

In 2011, according to the French National Institute for Statistics and Economic Research, people aged 85 and over accounted for about 3% of the total population. This proportion will increase sharply due to longer life expectancy on the baby boom generation and is expected to reach 7.5% of the total population in 2050.

This very old population has specific health, related to the presence of co-morbidities and co-medications, but also to a frequent state of dependence.

These general health problems and their treatment can create or accentuate oral problems or complicate their management. Thus, very old people are more likely to have some oral diseases although there is no epidemiological data in France. Conversely, oral problems can have repercussions in terms of quality of life, social relations and nutrition, and are factors of risk or aggravating actual or potential systemic disorders.

This very elderly population is therefore likely to present new challenges of dental care that it is important to document.

• Study Type: Observational
• Enrollment (Actual): 180

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 90 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

This is an ancillary study of the PAQUID cohort, of a cross-sectional nature, descriptive in a representative sample of very elderly people (≥90 years) in the Gironde and Dordogne, monocentric, with home collection.

Description

Inclusion Criteria:

• Patients over 90 years old
• Follow-up in 2013-2014 as part of the PAQUID cohort
• Participation Agreement

Exclusion Criteria:

• Inability to give informed consent and refusal of legal guardian.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
State of the mouth and teeth	Number of decayed, absent and closed teeth	Inclusion visit
Masticatory ability	Number of functional units	Inclusion visit
Root caries index	Root caries index (RCI) - RCI is based on the requirement that gingival recession must occur before root caries surface lesion begin, therefore only teeth with gum recession are examined.; 4 surfaces of root are examined (mesial, distal, lingual, and buccal or labial); A judgment of no gum recession is made if CEJ (cement enamel junction) cannot be visualized. The root caries index is calculated for an individual using the formula • RCI= (R-D) +(R-F) x 100 (R-D) +(R-F) +(R-N) R-N =Recession present surface normal or sound R-D =Recession present with decay root surface R-F= Recession present with a filled root surface.	Inclusion visit
Hygiene index	Hygiene index (OHI-S, Simplified Oral Hygiene Index ; from 0 to 3)	Inclusion visit
Oral pain	Presence of oral pain yes/no	Inclusion visit
Oral lesions	Presence and nature of oral lesions according to the International Classification of Diseases applied to odontology and stomatology of the World Health Organization	Inclusion visit
Hyposalivation / xerostomia	Presence of hyposalivation / xerostomia (Xerostomia Inventory, XI, 11 items questionary)	Inclusion visit

Collaborators and Investigators

• Sponsor: University Hospital, Bordeaux
• Investigators: Principal Investigator: Elise ARRIVE, Dr, University Hospital, Bordeaux

Publications and helpful links

General Publications

• Khoury C, Samot J, Helmer C, Rosa RW, Georget A, Dartigues JF, Arrive E. The association between oral health and nutritional status in older adults: a cross-sectional study. BMC Geriatr. 2022 Jun 10;22(1):499. doi: 10.1186/s12877-022-03133-0.
• Rosa RW, Samot J, Helmer C, Pourtau G, Dupuis V, Fricain JC, Georget A, Dartigues JF, Arrive E. Important oral care needs of older French people: A cross-sectional study. Rev Epidemiol Sante Publique. 2020 Apr;68(2):83-90. doi: 10.1016/j.respe.2020.01.135. Epub 2020 Feb 25.

Study record dates

Study Major Dates

• Study Start (Actual): February 11, 2014
• Primary Completion (Actual): December 5, 2014
• Study Completion (Actual): December 5, 2014

Study Registration Dates

• First Submitted: August 12, 2019
• First Submitted That Met QC Criteria: August 21, 2019
• First Posted (Actual): August 22, 2019

Study Record Updates

• Last Update Posted (Actual): August 28, 2019
• Last Update Submitted That Met QC Criteria: August 26, 2019
• Last Verified: August 1, 2019

More Information

Terms related to this study

• Other Study ID Numbers: CHU BX 2013/04

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO