General health, healthcare costs and dental care use of elderly with a natural dentition, implant-retained overdenture or conventional denture:an 8-year cohort of Dutch elderly (aged 75 and over)
BACKGROUND: Cross-sectional studies have shown that elderly with a natural dentition have better general health than edentulous elderly, but this has not been confirmed in studies with longitudinal design. METHODS: This prospective longitudinal study with a follow-up of 8 years aimed to assess differences in general health, healthcare costs and dental care use between elderly with a natural dentition and edentulous elderly wearing implant-retained or conventional dentures. Based on data of all national insurance claims for dental and medical care from Dutch elderly (aged ≥75 years) general hea... Mehr ...
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Dokumenttyp: | Artikel |
Erscheinungsdatum: | 2021 |
Reihe/Periodikum: | Bakker , M H , Vissink , A , Raghoebar , G M , Peters , L L & Visser , A 2021 , ' General health, healthcare costs and dental care use of elderly with a natural dentition, implant-retained overdenture or conventional denture : an 8-year cohort of Dutch elderly (aged 75 and over) ' , BMC Geriatrics , vol. 21 , no. 1 , 477 . https://doi.org/10.1186/s12877-021-02427-z |
Schlagwörter: | Community-dwelling elderly / Edentulous / Healthy ageing / Natural dentition / Oral health / QUALITY-OF-LIFE / ORAL-HEALTH / TOOTH LOSS / EDENTULOUS PATIENTS / POPULATION / PREVALENCE / DISEASES |
Sprache: | Englisch |
Permalink: | https://search.fid-benelux.de/Record/base-26671681 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | https://hdl.handle.net/11370/c1ae397d-6711-4036-aaaf-73ffe6c0429b |
BACKGROUND: Cross-sectional studies have shown that elderly with a natural dentition have better general health than edentulous elderly, but this has not been confirmed in studies with longitudinal design. METHODS: This prospective longitudinal study with a follow-up of 8 years aimed to assess differences in general health, healthcare costs and dental care use between elderly with a natural dentition and edentulous elderly wearing implant-retained or conventional dentures. Based on data of all national insurance claims for dental and medical care from Dutch elderly (aged ≥75 years) general health outcomes (chronic conditions, medication use), healthcare costs and dental care use could be assessed of three groups of elderly, viz. elderly with a natural dentition, elderly with conventional dentures and elderly with implant-retained overdentures. RESULTS: At baseline (2009), a total of 168,122 elderly could be included (143,199 natural dentition, 18,420 conventional dentures, 6503 implant-retained overdentures). Here we showed that after 8 years follow-up elderly with a natural dentition had more favorable general health outcomes (fewer chronic conditions, less medication use), lower healthcare costs and lower dental costs - but higher dental care use - than edentulous elderly. At baseline the general health of elderly with an implant-retained overdentures resembled the profile of elderly with a natural dentition, but over time their general health problems became comparable to elderly with conventional dentures. CONCLUSIONS: It was concluded that elderly with a natural dentition had significant better health and lower healthcare costs compared to edentulous elderly (with or without dental implants).