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Comparison of clinical oral disease ...

Watkins, Catherine Ann.

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Comparison of clinical oral disease measures and perceived oral health status among community-dwelling older adults.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Comparison of clinical oral disease measures and perceived oral health status among community-dwelling older adults./
Author:	Watkins, Catherine Ann.
Description:	276 p.
Notes:	Source: Dissertation Abstracts International, Volume: 58-12, Section: B, page: 6469.
Contained By:	Dissertation Abstracts International58-12B.
Subject:	Health Sciences, Dentistry. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9818438
ISBN:	0591697920

Comparison of clinical oral disease measures and perceived oral health status among community-dwelling older adults.
Watkins, Catherine Ann.

Comparison of clinical oral disease measures and perceived oral health status among community-dwelling older adults. - 276 p.

Source: Dissertation Abstracts International, Volume: 58-12, Section: B, page: 6469.

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 1997.

The provision of dental care has been assumed to contribute to the quality of life through the elimination of consequences of dental disease. Over the past decade there has been substantial effort in developing instruments to measure the impact of oral health on the quality of life. Previous studies among older adults have found weak or conflicting associations between clinical measures of oral disease and self-perceptions of oral status. The goal of this project is to investigate the relationship between clinical oral disease and function measures and perceived oral health status in the community-based elderly population of the Piedmont 65+ Dental Study. These relationships were evaluated both cross-sectionally (N = 810) and over a three year period (N = 352). The majority of elders felt their oral status was better than others their age, reported a current need for dental treatment, and had no perceived change in their oral health or appearance over a three-year period. The absence of oral symptoms was equivalent to having positive oral perceptions. In general, the more obvious dental variables (eating difficulty, discomfort, missing teeth, and root fragments) were more important in the negative perception models than more subtle measures of decay and periodontal disease. These findings suggest that interventions, which improve eating ability, decrease sensitivity, and replace missing teeth could alter the negative perceptions. A negative perception of mouth health, but not mouth appearance, was strongly associated with perception of dental treatment need. Findings from this study support the use of temporal comparison transition questions when measuring change in oral status perception among older adults. Elders perceiving a good change had resolution of acute conditions. Elders with a bad change were more likely to have poor chewing ability, pain symptoms, incident root fragments, and missing anterior teeth. These findings indicate that certain incident dental events may trigger changes in oral status perception. However, incident events did not dominate the associations with perception change. Certain baseline variables were included in addition to or in exclusion of some sentinel events. The next step is to investigate the impact of oral status perception on dental utilization among older adults.

ISBN: 0591697920Subjects--Topical Terms:

1019378
Health Sciences, Dentistry.

Comparison of clinical oral disease measures and perceived oral health status among community-dwelling older adults.
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