Functional capacity for oral hygiene in institutionalized elderly: relationship between cognition, manual dexterity and oral Health indicators

• Grant number: 11/21758-3
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: March 01, 2012
• End date: February 28, 2014
• Field of knowledge: Health Sciences - Dentistry - Social and Preventive Dentistry
• Principal Investigator: Andréia Affonso Barretto Montandon
• Grantee: Natasha Fragiacomo Ferreira Ramos
• Host Institution: Faculdade de Odontologia (FOAr). Universidade Estadual Paulista (UNESP). Campus de Araraquara. Araraquara , SP, Brazil

Abstract

Considering the aging population worldwide, the institutionalization of these has increased and the functional and psychosocial problems are multidimensional acquired, which could compromise the quality of oral hygiene self-care. Reliable methods of measurement of capacity and function are important to enable the professional to know the degree of commitment and need for help in the institutionalized elderly in the process of oral hygiene. The goal is to apply the index Activities of Daily Oral Hygiene (ADOH) in 150 institutionalized elderly correlated with measures of cognition, functional ability, and manual dexterity, and measures plaque index (PI), prosthesis hygiene index (HPI), number of teeth present and socio-demographic variables. The Adho will be applied to a group of elderly with natural teeth and nonusers of prosthesis (Group 1) and another group with teeth or not, users of removable partial dentures or complete. To evaluate their content, ADOH parameters will be compared to measure cognitive ability (Mini-Mental State Examination), functional capacity to perform activities of daily living (Barthel), and manual dexterity (Box and Block). Reproducibility is tested in a group of 20 elderly patients with an interval between examinations of 12 to 14 days. Will use the concordance coefficient Kendall, associations between the indexes will be judged by the Spearman correlation coefficient, the evaluation between the two groups regarding Adho be performed by the Mann-Whitney test and between more than two groups using the Kruskal-Wallis. (AU).