Department of Oral Pathology and Periodontology, Medical Faculty, University of Rijeka, Kresimirova, Rijeka, Croatia.
J Oral Rehabil. 2010 Feb;37(2):93-9. doi: 10.1111/j.1365-2842.2009.02027.x. Epub 2009 Dec 1.
The aims of this study were to determine the prevalence of oral sensorial complaints, salivary flow rate and oral mucosal lesions in the institutionalized and non-institutionalized elderly. The study included 280 institutionalized and 61 non- institutionalized elderly people. Dry mouth, burning mouth sensations, taste disturbances, salivary flow rate and oral mucosal lesions were assessed and compared between groups. A greater number of the institutionalized elderly had dry mouth (P = 0.001) and taste disturbance (P = 0.035) compared to non-institutionalized elderly. The institutionalized elderly also had significantly lower salivary flow rate (P < 0.0001). Positive correlation was found between salivary flow rate and perception of dry mouth in the institutionalized elderly (r(s) = 0.26; P < 0.05), as well as in the non-institutionalized elderly (r(s) = 0.35; P < 0.05). Moreover, positive correlation was observed between salivary flow rate and the sensation of burning mouth in the institutionalized elderly (r(s) = 0.13; P < 0.05) and non-institutionalized elderly (r(s) = 0.31; P < 0.05). The number of institutionalized elderly people with oral mucosal diseases was higher compared with non-institutionalized ones (P = 0.01). The most common oral mucosal lesions in both groups were related to wearing dentures. It can be concluded that the institutionalized elderly are significantly affected with oral sensorial complaints, including dry mouth and taste disturbance, as well as decreased salivary flow rate and oral mucosal diseases compared with the non-institutionalized elderly.
本研究旨在确定口腔感觉异常、唾液流率和口腔黏膜病变在机构化和非机构化老年人中的流行情况。研究纳入了 280 名机构化和 61 名非机构化老年人。评估并比较了两组人群的口干、烧灼感、味觉障碍、唾液流率和口腔黏膜病变。与非机构化老年人相比，更多的机构化老年人存在口干（P = 0.001）和味觉障碍（P = 0.035）。机构化老年人的唾液流率也显著较低（P < 0.0001）。机构化老年人的唾液流率与口干感觉之间存在正相关（r(s) = 0.26；P < 0.05），非机构化老年人之间也存在正相关（r(s) = 0.35；P < 0.05）。此外，机构化老年人的唾液流率与烧灼感之间也存在正相关（r(s) = 0.13；P < 0.05），而非机构化老年人之间也存在正相关（r(s) = 0.31；P < 0.05）。与非机构化老年人相比，机构化老年人的口腔黏膜疾病患者数量更高（P = 0.01）。两组最常见的口腔黏膜病变都与戴义齿有关。可以得出结论，与非机构化老年人相比，机构化老年人的口腔感觉异常（包括口干和味觉障碍）、唾液流率降低以及口腔黏膜疾病更为明显。
