Abstract

BackgroundThis study aimed to determine the present oral health status of the rural Kenyan elderly population and to investigate whether oral health status is associated with the perceived general health.MethodsA total of 131 individuals aged 65 years and over in Mbita Constituency, Homa Bay County in Kenya were randomly selected and visited at home. The home visit study, which was conducted from 2014 to 2016, included oral examination by a dentist and administration of a self-reporting questionnaire. The number of teeth present and functional tooth unit (FTU) points were calculated using the dental chart. Perceived general health, subjective masticatory ability, and self-reported periodontal symptoms were collected using a questionnaire sheet. Fisher’s exact test and nonparametric test were used to determine the difference in percentage and means. The odds ratio of good general health based on the participants’ masticatory satisfaction was calculated by logistic analysis.ResultsSatisfactory mastication was dependent on the number of teeth present, FTU points, and self-reported “gum bleeding” and “tooth mobility”. Furthermore, satisfactory mastication was associated with perceived general health status independent of sex and age. The adjusted odds ratio of good perceived general health was 2.29 (95% confidence interval 1.05–4.99) for participants who had the subjective masticatory ability.ConclusionAmong the Kenyan elderly population, satisfactory mastication was related to the number of teeth present, FTU points, and self-reported periodontal symptoms. Furthermore, satisfactory mastication was associated with perceived general health status independently.

Highlights

  • Good oral health status in the elderly should be one of the priority health issues in the aging society because of its impact on general health

  • Satisfactory mastication was dependent on traditional extraction, number of teeth present, functional tooth unit (FTU) points, and self-reported periodontal symptoms

  • Our study showed that traditional extraction was inversely associated with the participants’ masticatory satisfaction

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Summary

Introduction

Good oral health status in the elderly should be one of the priority health issues in the aging society because of its impact on general health. Impaired dentitions due to extensive tooth loss without prosthodontic care have been shown to affect the dietary selection and lead to difficulty in chewing hard foods [1,2,3,4,5,6,7] These conditions could lead to an increase in the risk of low protein [8, 9], low energy intake [10, 11], and frailty [12]. This study aimed to determine the present oral health status of the rural Kenyan elderly population and to investigate whether oral health status is associated with the perceived general health

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