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Órgano Oficial de la Asociación Dental Mexicana

2010, Number 3

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Rev ADM 2010; 67 (3)

Dental care needs of senior citizens as determined using the GOHAI

Esquivel HRI, Jiménez FJ

Language: Spanish
References: 22
Page: 127-132
PDF size: 149.03 Kb.


ABSTRACT

The Geriatric Oral Health Assessment Index (GOHAI) was designed to detect the oral health care needs of the geriatric population and is characterized by its high sensitivity and ease of application, factors which enable prompt attention to be given.
Objetive. To determine the relationship between the self-perception of oral health problems and the actual clinical assessment of a group of senior citizens, using the GOHAI.
Method and materials. A cross-sectional, prospective and associative study of a group of 96 elderly volunteers at a rest home in the borough of Tlalnepantla in Mexico State. We applied two instruments, the GOHAI Oral Health Survey and the WHO Oral Health Survey.
Results. The average age of those in the group was 67 years, with 84.4% of them women. The DMFT index for the group was 20.2 (though higher in women), and increased with age (p ‹ 0.05). At the age of 65, subjects had an average of 20 teeth. The rate of edentulism was 18.75%. Due to the presence of caries, 37.5% needed dental care, while 79.2% required repair work or new dentures, either partial or total. Some 92.7% of the group obtained values below the established GOHAI cutoff point of 57; however, scores were higher amongst those who had received dental treatment within the previous 12 months or who had a higher academic level. Those who had lower DMFT and more teeth achieved a significantly higher average GOHAI score.
Conclusions. As an instrument, the GOHAI has proved to be highly sensitive to clinical variables and is therefore one that allows care needs to be detected more easily. Furthermore, its implementation does not require the involvement of trained personnel.


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