OHRQoL Flashcards
4 aspects of human rights
- Accessibility to services
- Non-discrimination
- Physical access
- Economic
- Information
- Acceptability of health facilities/ goods/ services
- Ethics
- Culturally appropriate
- Availability
- Facilities
- Effective public health
- Preventative programme
- Goods and services
- Good quality service
- Restructured to meet needs of older people
- Robust and routine evidence
sustainable development and economics
- Significant proportion of the population will be older
- Older people contribute through food production and raising future generations
- Development enhances an equitable society, well-being and productivity
- Development needs to be inclusive
- Economics
- Minimise expenditure whilst maximising contributions
- Flawed models based on old age being 65
- Minimise expenditure whilst maximising contributions
- Older people contribute to economy through consumption
- Greater proportion of wealth in UK
- Older people are an investment not a cost
biological Vs chronological age
- Depends on factors influencing person on where they are on the biological scale
- Biological model may be better than chronological model for old age
- Some factors are changeable (behaviours, lifestyle, personal characteristics)
- and some are non-changeable (physical environment, genetics, socio-economic status – can change but increasingly harder)
defining oral health
- multifaceted and includes the ability to speak, smile, smell, taste, touch, chew, swallow, and convey a range of emotions through facial expressions with confidence and without pain, discomfort, and disease of the craniofacial complex.
basis of patient centred care
very few diseases have an absolute cure – most can be treated
change in clinician perspective – how does opt want to live their life
Oral health related quality of life
- Multidimensional construct
- Subjective
- Individualised
“A multidimensional construct that reflects (among other things) people’s comfort when eating, sleeping and engaging in social interaction; their self esteem; and their satisfaction with respect to their oral health”
oral health related quality of life measures
- geriatic/general oral health
- dental impact profile
- oral health impacts profile (long and short)
geriatric/general oral health measure QoL covers
Chewing, eating, social contacts, appearance, pain, worry, self-consciousness
dental impact oral health QoL measures
Appearance, eating, speech, confidence, happiness, social life, relationships
oral health impacts QoL measures
Functional limitation, pain, psychological discomfort, physical disability, psychological disability, social disability and handicap
what is the value of OHRQoL
aids:
clinical practice and policy
- Assessment on entry to care homes
- FiCTION trial
- Caries management
- Strategic targeting/public health interventions
Research and service
- Surveys
- Clinical trials
- Cost utility analysis
- Health services research
- Population surveys
The Influence of Oral Health Factors on the Quality of Life in Older People: A systematic review
- natural dentition
No clear consensus on being edentulous on OHQoL
- More teeth you have the better OHQoL
- Also, the more missing teeth you have the more negatively impacted your OHQoL is
Want to keep anterior teeth/fill anterior spaces for improved OHQoL
Occluding pairs – very important for all ages – the more pairs the more positive OHQoL
- Key to find, store and maintain occluding pairs for function
The Influence of Oral Health Factors on the Quality of Life in Older People: A systematic review
- caries
No clear consensus – so many variables to measure caries
- Carious lesions (active)
- Restored teeth
- Root caries
Would think caries would have a negative impact but when merge all the data together = no consensus
The Influence of Oral Health Factors on the Quality of Life in Older People: A systematic review
- periodontal
Too many variables to produce a statistical significance overall
But (like caries) if you look at each domain individually then can see negative impact
The Influence of Oral Health Factors on the Quality of Life in Older People: A systematic review
- prosthetic
RPD - mixed
Poor dentures negative impact of OHQoL
- Ulcer, bad breath, non-functional
Fixed better than Removable
Implant retained prostheses = better OHQoL