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A 5-year follow-up of occlusal status and radiographic findings in mandibular condyles of the elderly.

https://arctichealth.org/en/permalink/ahliterature187416
Source
Int J Prosthodont. 2002 Nov-Dec;15(6):539-43
Publication Type
Article
Author
Kaija Hiltunen
Miira M Vehkalahti
Jaakko S Peltola
Anja Ainamo
Author Affiliation
Department of Prosthodontics, Institute of Dentistry, University of Helsinki, Finland. kaija.hiltunen@helsinki.fi
Source
Int J Prosthodont. 2002 Nov-Dec;15(6):539-43
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Aged, 80 and over
Chi-Square Distribution
Confidence Intervals
Dentition
Denture, Partial, Fixed
Dentures
Dislocations - classification - radiography
Female
Finland
Follow-Up Studies
Humans
Jaw, Edentulous, Partially - classification - rehabilitation
Logistic Models
Male
Mandibular Condyle - radiography
Odds Ratio
Osteoarthritis - classification - radiography
Osteosclerosis - classification - radiography
Radiography, Panoramic
Risk factors
Sex Factors
Temporomandibular Joint Disorders - classification - radiography
Abstract
The aim of the present 5-year follow-up was to clarify the nature of occlusal support status and radiographic changes in condyles of the elderly, and the association between these two variables.
The present study is part of a comprehensive medical survey of a random sample born in 1904, 1909, and 1914. A total of 364 subjects living in Helsinki participated in the dental part of the examination during 1990 to 1991, and after 5 years a total of 103 were reexamined. Comprehensive data on occlusal support status were available for 94 subjects, and radiographic data were available for 88 subjects. Occlusal support status was assessed on the basis of the Eichner index, radiographic changes were assessed from panoramic radiographs, and symptoms of temporomandibular disorders were assessed using Helkimo's anamnestic index.
The most frequent radiographic finding in the mandibular joint was flattening of the articular surface of the condyle associated with osteoarthrosis, found at baseline in 17% and during follow-up in 13% of the subjects. During the 5-year follow-up, Eichner index for natural dentition remained unaltered in 94% of the subjects and in 85% of the subjects when removable dentures were included. There were no radiographic changes in 92% of the cases. No differences based on age or gender were found. A logistic regression model revealed associations between the selected baseline factors. The odds ratio for baseline Helkimo's anamnestic index was 4.1, 5.7 for Eichner index with the support of removable dentures, and 356 for radiographic findings.
Radiographic changes in condyles of elderly people were small during the 5-year follow-up, but baseline radiographic findings, Helkimo's anamnestic index, and Eichner index with removable dentures were risk factors for radiographic findings at the end of the follow-up.
PubMed ID
12475158 View in PubMed
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A 5-year follow-up of signs and symptoms of TMD and radiographic findings in the elderly.

https://arctichealth.org/en/permalink/ahliterature182090
Source
Int J Prosthodont. 2003 Nov-Dec;16(6):631-4
Publication Type
Article
Author
Kaija Hiltunen
Jaakko S Peltola
Miira M Vehkalahti
Timo Närhi
Anja Ainamo
Author Affiliation
Department of Prosthodontics, Institute of Dentistry, University of Helsinki, Finland. kaija.hiltunen@helsinki.fi
Source
Int J Prosthodont. 2003 Nov-Dec;16(6):631-4
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Chi-Square Distribution
Cohort Studies
Female
Finland
Follow-Up Studies
Humans
Male
Mandibular Condyle - physiopathology - radiography
Radiography, Panoramic
Range of Motion, Articular - physiology
Sex Factors
Temporomandibular Joint - physiopathology - radiography
Temporomandibular Joint Disorders - classification - physiopathology - radiography
Abstract
The aim was to clarify the associations among subjective symptoms, clinical signs of temporomandibular disorders (TMD), and radiographic findings in the mandibular condyles of elderly people during a 5-year follow-up.
As part of a comprehensive medical survey of a random sample born in 1904, 1909, and 1914 (Helsinki Aging Study), 364 subjects living in Helsinki participated in the dental part of the examination during 1990 and 1991; after 5 years, 103 of these were reexamined. Comprehensive data on TMD were available for 94 subjects, and radiographic data were available for 88. TMD were assessed by Helkimo's anamnestic and clinical indices, and radiographic status was assessed by panoramic radiographs.
During the 5-year follow-up, reported anamnestic symptoms of TMD for men changed little (9%); among women, the change from baseline was 42%. When the unchanged indices were compared, the gender difference was obvious. At baseline, 5% of the women, but no men, had severe signs (clinical index III) of TMD. At the end of follow-up, none showed severe signs. Comparison of radiographic findings between baseline and follow-up showed no differences, nor did differences appear in associations between radiographic findings and anamnestic or clinical indices.
During the 5-year follow-up, signs and symptoms of TMD in these elderly individuals became milder or vanished. The radiographic status of the condyles remained stable, and no association appeared between radiographic findings and signs and symptoms of TMD.
PubMed ID
14714843 View in PubMed
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Dentition, nutritional status and adequacy of dietary intake among older residents in assisted living facilities.

https://arctichealth.org/en/permalink/ahliterature282533
Source
Gerodontology. 2016 Jun;33(2):225-32
Publication Type
Article
Date
Jun-2016
Author
Riitta K T Saarela
Eeva Lindroos
Helena Soini
Kaija Hiltunen
Seija Muurinen
Merja H Suominen
Kaisu H Pitkälä
Source
Gerodontology. 2016 Jun;33(2):225-32
Date
Jun-2016
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Assisted Living Facilities
Cross-Sectional Studies
Dentition
Diet
Female
Finland - epidemiology
Homes for the Aged
Humans
Male
Malnutrition - diagnosis - epidemiology
Nutritional Status
Abstract
We examined the relationships between dentition, nutritional status and dietary intakes of energy, protein and micronutrients among older people in assisted living facilities in Helsinki.
Poor dentition is associated with malnutrition. Less is known about how dentition is associated with detailed nutrient intakes in institutionalised older people.
This cross-sectional study assessed 343 participants (mean age 83 years). Dentition was assessed by trained ward nurses and divided into edentulous participants without dentures (group 1), edentulous participants with removable dentures (group 2) and those with any natural teeth (group 3). Nutritional status was assessed by Mini Nutritional Assessment (MNA). The energy, protein and nutrient intakes were calculated from detailed 1-day food diaries and compared with the recommendations of the Finnish National Nutrition Council as a measure of dietary adequacy. Assessment included also participants' cognitive and functional status.
Of the participants, 8.2, 39.1 and 52.8% were in groups 1, 2 and 3, respectively. Altogether 22% were malnourished according to MNA. Group 1 had the poorest nutritional status. A large proportion of participants consumed less than the recommended amounts of energy, protein or micronutrients. Half of the participants consumed
PubMed ID
25163661 View in PubMed
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