Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants and Study Design
2.2. Preoperative Oral Screening Method
2.2.1. Tooth Mobility
2.2.2. Isolated Tooth
2.2.3. Severe Dental Caries
2.2.4. Tooth Pain
2.2.5. Inadaptation of Denture
2.2.6. Gingival Inflammation
2.2.7. Oral Dryness
2.2.8. Poor Oral Hygiene
2.3. Statistical Analysis
3. Results
3.1. Participants’ Characteristics
3.2. Comparison of Variables among the Three Groups by Age Group
3.3. Oral Management Necessity during the Perioperative Period
3.4. Factors Associated with Oral Management Necessity during the Perioperative Period
3.5. Post-Hoc Analysis
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Category | 0 = Healthy | 1 = Changes | 2 = Unhealthy |
---|---|---|---|
Gums and tissues | Pink, moist, smooth, no bleeding | Dry, shiny, rough, red, swollen, one ulcer/sore spot under dentures | Swollen, bleeding, ulcers, white/red patches, generalized redness under dentures |
Saliva | Moist tissues, watery and free-flowing saliva | Dry, sticky tissues, little saliva present, resident thinks they have a dry mouth | Tissues parched and red, very little/no saliva present, saliva is thick, resident thinks they have a dry mouth |
Oral cleanliness | Clean and no food particles or tartar in mouth or dentures | Food particles/tartar/plaque in 1or 2 areas of the mouth or on a small area of dentures or halitosis (bad breath) | Food particles/tartar/plaque in most areas of the mouth or on most dentures or severe halitosis (bad breath) |
Variable | Total (n = 1081) | Male (n = 329) | Female (n = 752) | |
---|---|---|---|---|
Age (years) | 55.9 ± 17.5 | 59.6 ± 17.8 | 54.3 ± 17.1 | |
Age group | <65 | 680 (63) | 170 (52) | 510 (68) |
65–74 | 225 (21) | 90 (27) | 135 (18) | |
≥75 | 176 (16) | 69 (21) | 107 (14) | |
Clinical department | Gynecology | 410 (38) | 0 (0) | 410 (55) |
Dermatology | 132 (12) | 73 (22) | 59 (7.8) | |
Neurosurgery | 2 (0.2) | 2 (0.6) | 0 (0) | |
Orthopedic Surgery | 333 (31) | 161 (49) | 172 (23) | |
Plastic Surgery | 72 (6.7) | 22 (6.7) | 50 (6.6) | |
Ophthalmology | 131 (12) | 71 (22) | 60 (8.0) | |
General Surgery | 1 (0.1) | 0 (0) | 1 (0.1) |
Variables | Total (n = 1081) | Age Group | p Value * | |||
---|---|---|---|---|---|---|
<65 (n = 680) | 65–74 (n = 225) | ≥75 (n = 176) | ||||
Sex | Male | 329 (30) | 170 (25) | 90 (40) | 69 (39) | <0.001 |
Female | 752 (70) | 510 (75) | 135 (60) | 107 (61) | ||
Family dentist | Have | 767 (71) | 457 (67) | 174 (77) | 136 (77) | 0.002 |
No | 314 (29) | 223 (33) | 51 (23) | 40 (23) | ||
Tooth mobility | Have | 95 (8.8) | 34 (5.0) | 36 (16) | 25 (14) | <0.001 |
Isolated tooth | Have | 125 (12) | 54 (7.9) | 35 (16) | 36 (21) | <0.001 |
Severe dental caries | Have | 101 (9.3) | 51 (7.5) | 24 (11) | 26 (15) | 0.009 |
Tooth pain | Have | 52 (4.8) | 33 (4.9) | 14 (6.2) | 5 (2.8) | 0.290 |
Inadaptation of denture | Have | 52 (4.8) | 14 (2.1) | 23 (10) | 15 (8.5) | <0.001 |
Gingival inflammation | Have | 112 (10) | 64 (9.4) | 28 (12) | 20 (11) | 0.386 |
Oral dryness | Have | 7 (0.6) | 3 (0.4) | 2 (0.9) | 2 (1.1) | 0.520 |
Poor oral hygiene | Have | 254 (24) | 140 (21) | 56 (25) | 58 (33) | 0.002 |
Variables | Oral Management Necessity | p Value * | ||
---|---|---|---|---|
Necessity (n = 188) | Not Need (n = 893) | |||
Age group | <65 | 84 (45) | 596 (67) | <0.001 |
65–74 | 56 (30) | 169 (19) | ||
≥75 | 48 (25) | 128 (14) | ||
Sex | Male | 86 (46) | 243 (27) | <0.001 |
Female | 102 (54) | 650 (73) | ||
Family dentist | Have | 120 (64) | 647 (72) | 0.018 |
No | 68 (36) | 246 (28) | ||
Tooth mobility | Have | 74 (39) | 21 (2.4) | <0.001 |
Isolated tooth | Have | 62 (33) | 63 (7.1) | <0.001 |
Severe dental caries | Have | 58 (31) | 43 (4.8) | <0.001 |
Tooth pain | Have | 23 (12) | 29 (3.2) | <0.001 |
Inadaptation of denture | Have | 21 (11) | 31 (3.5) | <0.001 |
Gingival inflammation | Have | 78 (42) | 34 (3.8) | <0.001 |
Oral dryness | Have | 5 (2.7) | 2 (0.2) | <0.001 |
Poor oral hygiene | Have | 122 (65) | 132 (15) | <0.001 |
Variables | Odds Ratio | 95% Cl | p Value | |
Age group | <65 | 1 (reference) | ||
65–74 | 1.931 | 1.122–3.323 | 0.017 | |
≥75 | 2.049 | 1.150–3.649 | 0.015 | |
Sex | Male | 1 (reference) | ||
Female | 0.669 | 0.421–1.063 | 0.089 | |
Family dentist | Have | 1 (reference) | ||
No | 1.193 | 0.727–1.959 | 0.485 | |
Tooth mobility | Have | 21.476 | 11.462–40.239 | <0.001 |
Isolated tooth | Have | 1.531 | 0.825–2.840 | 0.177 |
Severe dental caries | Have | 2.940 | 1.557–5.553 | 0.001 |
Tooth pain | Have | 3.014 | 1.250–7.265 | 0.014 |
Inadaptation of denture | Have | 1.487 | 0.655–3.376 | 0.343 |
Gingival inflammation | Have | 8.011 | 4.472–14.350 | <0.001 |
Oral dryness | Have | 8.584 | 1.031–71.436 | 0.047 |
Poor oral hygiene | Have | 4.462 | 2.754–7.229 | <0.001 |
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Kai, N.; Tsukamoto, Y.; Urabe, K.; Tani, A.; Inai, Y.; Okadome, A.; Kashiwazaki, H.; Mizutani, S.; Wada, N. Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening. Int. J. Environ. Res. Public Health 2021, 18, 12236. https://doi.org/10.3390/ijerph182212236
Kai N, Tsukamoto Y, Urabe K, Tani A, Inai Y, Okadome A, Kashiwazaki H, Mizutani S, Wada N. Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening. International Journal of Environmental Research and Public Health. 2021; 18(22):12236. https://doi.org/10.3390/ijerph182212236
Chicago/Turabian StyleKai, Nanami, Yoko Tsukamoto, Kaoru Urabe, Asuka Tani, Yuko Inai, Asako Okadome, Haruhiko Kashiwazaki, Shinsuke Mizutani, and Naohisa Wada. 2021. "Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening" International Journal of Environmental Research and Public Health 18, no. 22: 12236. https://doi.org/10.3390/ijerph182212236
APA StyleKai, N., Tsukamoto, Y., Urabe, K., Tani, A., Inai, Y., Okadome, A., Kashiwazaki, H., Mizutani, S., & Wada, N. (2021). Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening. International Journal of Environmental Research and Public Health, 18(22), 12236. https://doi.org/10.3390/ijerph182212236