Radiographic evaluation of the dental condition of elderly people treated at a Brazilian public university

Francisco Ivison Rodrigues Limeira Daniela Pita de Melo Daliana Queiroga de Castro Gomes Sérgio d'Ávila Lins Bezerra Cavalcanti Patrícia Meira Bento About the authors


AIM: To assess the dental status of elderly patients examined in the clinical dentistry course of a Brazilian public university. METHODS: An observational and descriptive study based on the analysis of panoramic radiographs. The sample consisted of 60 elderly patients who met the inclusion criteria. Two observers who had been trained in appropriate conditions performed the radiographic analysis. Data were stored in a specific form, recorded in a database and analyzed using descriptive statistics (measures of central tendency and variability) and inferential statistics (Mann-Whitney U test, Kruskal-Wallis test, Chi-square analysis and calculation of the Cramer's V coefficient). RESULTS: Most patients had at least one tooth in the oral cavity (71.7%), while 28.3% were totally edentulous, an average of 10.5 teeth per individual. The average number of teeth was 11.36 in males and 9.89 in females. The number of healthy teeth was 328 (5.47 per patient). In this study, 88.3% of the subjects had periodontal bone loss, with prevalence of moderate (35.0%) and severe (28.3%) bone loss. CONCLUSIONS: Given the high incidence of edentulous individuals, the high number of restored teeth and poor periodontal conditions, it is concluded that the overall oral health status of the evaluated elderly subjects is poor.

oral health; panoramic radiography; epidemiology

  • 1
    WHO Library Cataloguing in Publication Data. Integrating poverty and gender into health programmes: a sourcebook for health professionals: module on ageing. Geneva: WHO; 2006.
  • 2
    Carvalho JAM, Garcia RA. The aging process in the Brazilian population: a demographic approach. Reports in Public Health. 2003;19:725-33.
  • 3
    Lima-Costa MF, Veras R. Aging and public health. Reports in Public Health. 2003;19:700-1.
  • 4
    Pan American Health Organization. Managerial network of informations for health. Report of situations and trends: demographic and health. Brasília: 2009.
  • 5
    Cardoso EM, Parente RCP, Vettore MV, Rebelo MAB. Oral health conditions of elderly residents in the city of Manaus, Amazonas: estimates by sex. Brazilian Journal of Epidemiology. 2011;14:131-40.
  • 6
    Brazil. Health of Ministry. Department of health care. Department of primary care. SB Brasil 2010. National Survey of Oral Health: preliminary results. Brasília: Health of Ministry; 2011.
  • 7
    Oliveira MC, Schoffen JPF. Oxidative Stress Action in Cellular Aging. Braz Arch Biol Technol. 2010;53:1333-42.
  • 8
    Matos FD, Freitas EV, Py L et al. Diseases of high digestive tract. In: Freitas EV, Py L, Cancado FAX et al. Treaty of Geriatrics and Gerontology. Brasil: Guanabara Koogan, 2006:641-642.
  • 9
    Meloto CB, Rizzatti-Barbosa CM, Gomes SGF, Custodio W. Dental practice implications of systemic diseases affecting the elderly: a literature review. Braz J Oral Sci. 2012;27:1691-1699.
  • 10
    Haikal DS, Paula AMB, Martins AMEBL, Moreira AN, Ferreira EF. Self-perception of oral health and impact on quality of life among the elderly: a quantitative-qualitative approach. Ciência & Saúde Coletiva. 2011;16:3317-3329.
  • 11
    Newton JP. Oral health for older people. Gerodontology. 2006;23:1-2.
  • 12
    Carneiro RMV, Silva DD, Sousa MLS, Wada RS. Oral health of institutionalized elderly in the eastern zone of São Paulo, Brazil, 1999. Reports in Public Health. 2005;21:1709-1716.
  • 13
    Andrade FB, Lebrão ML, Santos JLF, Duarte YAO. Relationship between oral health and frailty in community-dwelling elderly individuals in Brazil. J Am Geriatr Soc. 2013;61:809-814.
  • 14
    Rodrigues SM, Oliveira AC, Vargas AMD, Moreira AN, Ferreira EF. Implications of edentulism on quality of life among elderly. Int J Environ Res Public Health. 2012;9:100-109.
  • 15
    Lemos MMC, Zanin L, Jorge MLR, Flório FM. Oral health conditions and self-perception among edentulous individuals with different prosthetic status. Braz J Oral Sci. 2013;12:5-10.
  • 16
    Viana LRF, Castro CP, Pereira HBW, Pereira, AFV, Lopes FF. Is depression associated with periodontal status in elderly? Braz J Oral Sci. 2013;12:20-22.
  • 17
    Alcântara CM, Dias CA, Rodrigues SM, Reis FA. Comparative study of the oral health status of non-institutionalized elderly from Governador Valadares-MG, with the goal proposed by the World Health Organization, 2010. Physis. 2011;21:1023-1044.
  • 18
    Mastroeni MF, Erzinger GS, Mastroeni SSBS, Silva NN, Marucci MFN. Demographic profile of the elderly in the city of Joinville, Santa Catarina: a household survey. Brazilian Journal of Epidemiology. 2007;10:190-201.
  • 19
    Costa AM, Guimarães MCM, Pedrosa SP, Nóbrega OT, Bezerra ACB. Oral health status of elderly women from the Brazilian Federal District. Ciência & Saúde Coletiva. 2010;15:2207-2213.
  • 20
    American Geriatrics Society. Geriatrics in Brazil: A Big Country with Big Opportunities. J Am Geriatr Soc. 2005;53:2018-2022.
  • 21
    Talwar M, Malik G, Sharma S. Prevalence of dental caries and periodontal disease in the elderly of chandigarh - A hospital based study. J Indian Dent Assoc. 2012;6:78-82.
  • 22
    Simunkoviæ SK, Boras VV, Panduriæ J, Ziliæ IA. Oral health among institutionalized elderly in Zagreb, Croatia. Gerodontology. 2005;22:238-241.
  • 23
    Mack F, Mojon P, Budtz-Jorgensen E, Kocher T, Splieth C, Schwahn C, et al. Caries and periodontal disease of the elderly in Pomerania, Germany: results of the Study of Health in Pomerania. Gerodontology. 2004;21:27-36.
  • 24
    Soikkonen K, Wolf J, Salo T, Tilvis R. Radiographic periodontal attachment loss as an indicator of death risk in the elderly. J Clin Periodontol. 2000;27:87-92.
  • 25
    Karhunen V, Forss H, Goebeler S, Huhtala H, Ilveskoski E, Kajander O, et al. Radiographic assessment of dental health in middle-aged men following sudden cardiac death. J Dent Res. 2006;1:89-93.
  • 26
    Rihs LB, Silva DD, Sousa MLR. Dental caries in an elderly population in Brasil. J Appl Oral Sci. 2009;17:8-12.
  • 27
    Saintrain MVL, Souza EHA, Caldas Júnior AF. Geriatric dentistry in Brazilian universities. Gerodontology. 2006;23:231-236.
  • 28
    Matthews DC, Clovis JB, Brillant MGS, Filiaggi MJ, McNally ME, Kotzer RD et al. Oral health status of long-term care residents - A vulnerable population. J Can Dent Assoc. 2012;78:1-10.

Publication Dates

  • Publication in this collection
    31 Jan 2014
  • Date of issue
    Dec 2013


  • Received
    29 Sept 2013
  • Accepted
    17 Dec 2013
Faculdade de Odontologia de Piracicaba - UNICAMP Avenida Limeira, 901, cep: 13414-903, Piracicaba - São Paulo / Brasil, Tel: +55 (19) 2106-5200 - Piracicaba - SP - Brazil