0476/2018 - Does non-institutionalized elders have a better oral health status compared to institutionalized ones? A systematic review and meta-analysis. Idosos não-institucionalizados apresentam melhor saúde bucal comparado aos idosos institucionalizados? Uma revisão Sistemática e Meta-Análise.
Esta revisão sistemática comparou o estado de saúde bucal entre idosos institucionalizados e não institucionalizados. As seguintes bases de dados eletrônicas foram pesquisadas: PubMed (Medline), Scopus, Web of Science, Lilacs e Cochrane Library, de forma abrangente e irrestrita. Pesquisas eletrônicas recuperaram 1687 artigos, que foram analisados com relação aos respectivos critérios de elegibilidade. Após a leitura de títulos e resumos, cinco estudos foram incluídos e analisados quanto à qualidade metodológica. A condição bucal de idosos institucionalizados e não-institucionalizados foi comparada por meio de meta-análise. Os artigos incluídos envolveram um delineamento transversal, que investigou 1936 indivíduos acima de 60 anos, sendo 999 institucionalizados e 937 não institucionalizados. Investigou-se a prevalência de edentulismo, a experiência de cárie e a condição periodontal. A meta-análise revelou que idosos institucionalizados possuem maior prevalência de edentulismo (OR=2,28, IC95%=1,68-3,07), maior número de dentes cariados (DM=0,88, IC95%=0,71-1,05) e de dentes perdidos (DM=4.58, IC95%=1,89-7,27). A condição periodontal ruim não diferiu significativamente entre os grupos. Comparados aos não institucionalizados, os idosos institucionalizados tem pior experiência de cárie.
Palavras-chave:
Institucionalização; Casas para os idosos; Cárie dentária; Perda dentária.
Abstract:
This systematic review compared the oral health status between institutionalized and non-institutionalized elders. The following electronic databases were searched: PubMed (Medline), Scopus, Web of Science, Lilacs and Cochrane Library, in a comprehensive and unrestricted manner. Electronic searches retrieved 1687 articles, which were analyzed with regards to respective eligibility criteria. After reading titles and abstracts, five studies were included and analyzed with respect their methodological quality. Oral status of institutionalized and non-institutionalized elderly was compared through meta-analysis. Included articles involved a cross-sectional design, which investigated 1936 individuals aged 60 years and over, being 999 Institutionalized and 937 non-institutionalized elders. Studies have investigated the prevalence of edentulous individuals, the dental caries experience and the periodontal status. Meta-analysis revealed that institutionalized elderly have greater prevalence of edentulous (OR=2.28, 95%CI=1.68-3.07) and higher number of decayed teeth (MD=0.88, 95%CI=0.71-1.05) and missed teeth (MD=4.58, 95%CI=1.89-7.27). Poor periodontal status did not differ significantly between groups. Compared to non-institutionalized, institutionalized elders have worse dental caries experience.
Keywords:
Institutionalization; Homes for the aged; Dental caries; Tooth loss.
Idosos não-institucionalizados apresentam melhor saúde bucal comparado aos idosos institucionalizados? Uma revisão Sistemática e Meta-Análise.
Resumo (abstract):
This systematic review compared the oral health status between institutionalized and non-institutionalized elders. The following electronic databases were searched: PubMed (Medline), Scopus, Web of Science, Lilacs and Cochrane Library, in a comprehensive and unrestricted manner. Electronic searches retrieved 1687 articles, which were analyzed with regards to respective eligibility criteria. After reading titles and abstracts, five studies were included and analyzed with respect their methodological quality. Oral status of institutionalized and non-institutionalized elderly was compared through meta-analysis. Included articles involved a cross-sectional design, which investigated 1936 individuals aged 60 years and over, being 999 Institutionalized and 937 non-institutionalized elders. Studies have investigated the prevalence of edentulous individuals, the dental caries experience and the periodontal status. Meta-analysis revealed that institutionalized elderly have greater prevalence of edentulous (OR=2.28, 95%CI=1.68-3.07) and higher number of decayed teeth (MD=0.88, 95%CI=0.71-1.05) and missed teeth (MD=4.58, 95%CI=1.89-7.27). Poor periodontal status did not differ significantly between groups. Compared to non-institutionalized, institutionalized elders have worse dental caries experience.
Palavras-chave (keywords):
Institutionalization; Homes for the aged; Dental caries; Tooth loss.
Silva e Farias, I.P, Sousa, S. A., Almeida, L. F. D., Santiago, B.M., Pereira, A. C., Cavalcanti, Y. W.. Does non-institutionalized elders have a better oral health status compared to institutionalized ones? A systematic review and meta-analysis.. Cien Saude Colet [periódico na internet] (2018/out). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/does-noninstitutionalized-elders-have-a-better-oral-health-status-compared-to-institutionalized-ones-a-systematic-review-and-metaanalysis/17009?id=17009
