TMD and GOHAI indices of Brazilian institutionalised and community-dwelling elderly

dc.contributor.authorAbud, Maria Carolina
dc.contributor.authorFernandes dos Santos, Jarbas Francisco [UNESP]
dc.contributor.authorPrisco da Cunha, Vicente de Paula
dc.contributor.authorMarchini, Leonardo [UNESP]
dc.contributor.institutionUniv Vale Paraiba
dc.contributor.institutionUniv Taubate
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-20T15:32:51Z
dc.date.available2014-05-20T15:32:51Z
dc.date.issued2009-03-01
dc.description.abstractConsidering the controversy in the literature regarding several aspects of temporomandibular dysfunction (TMD) in elderly populations and the absence of reliable data on elderly Brazilians in this field, this study consisted of an evaluation of TMD prevalence and the self-perception of oral health among institutionalised and community-dwelling elderly in Sao JosE dos Campos, Brazil.Two hundred and fifteen community-dwelling and 185 institutionalised elderly people were evaluated by the Helkimo anamnestic (Ai) and clinical dysfunction (Di) indices and answered a questionnaire using the Geriatric Oral Health Assessment Index (GOHAI).The major prevalence of TMD symptoms was for the Ai0 (symptom-free) group (69.5%), while the major prevalence of clinical signs was for the DiI (mild) group (56%). Women presented a higher AiII classification than men (chi(2) test, p = 0.049). Community-dwelling elderly presented a significantly lower Ai0 classification than the institutionalised ones (Two ratios equality test, p < 0.001). There was no relationship between the institutionalised status and the clinical dysfunction index for Di0 and DiIII classification (Two ratios equality test, p = 0.194 and 0.535 respectively). The institutionalised elderly presented greater (One-way anova = 0.005) self-perception of oral health (33.45) than did the community-dwelling group (32.66). There were only weak Pearson's correlations among the anamnestic (-33.0%) or clinical (-14.7%) findings by the TMD and GOHAI indices. Symptom-free (Ai0) institutionalised elderly presented better scores in all GOHAI dimensions and elderly representing an absence of clinical TMD signs (Di0) presented higher GOHAI physical dimension scores in both groups.The prevalence of TMD symptoms among this sample of elderly individuals was relatively low, self-perception of oral health was reasonable and a weak, inverse correlation was found between TMD signs and symptoms and elderly self-perception of oral health measured by the GOHAI index.en
dc.description.affiliationUniv Vale Paraiba, Sch Dent, SJCampos, Brazil
dc.description.affiliationUniv Taubate, Sch Dent, Taubate, Brazil
dc.description.affiliationState Univ São Paulo UNESP, SJCampos, Brazil
dc.description.affiliationUnespState Univ São Paulo UNESP, SJCampos, Brazil
dc.format.extent34-39
dc.identifierhttp://dx.doi.org/10.1111/j.1741-2358.2008.00250.x
dc.identifier.citationGerodontology. Malden: Wiley-blackwell, v. 26, n. 1, p. 34-39, 2009.
dc.identifier.doi10.1111/j.1741-2358.2008.00250.x
dc.identifier.issn0734-0664
dc.identifier.urihttp://hdl.handle.net/11449/41645
dc.identifier.wosWOS:000263756500006
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofGerodontology
dc.relation.ispartofjcr1.439
dc.relation.ispartofsjr0,627
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjecttemporomandibular dysfunctionen
dc.subjectHelkimo indexen
dc.subjectGOHAIen
dc.subjectinstitutionalised elderlyen
dc.subjectcommunity-dwelling elderlyen
dc.titleTMD and GOHAI indices of Brazilian institutionalised and community-dwelling elderlyen
dc.typeArtigo
dcterms.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dcterms.rightsHolderWiley-blackwell

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