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

Lilian L. Peters¹  Arjan Vissink²  Gerry M. Raghoebar²  Mieke H. Bakker²  Anita Visser³ 

[1]Department of General Practice & Elderly Care Medicine, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, the Netherlands

[2]Epidemiologist/Researcher, Midwifery Science, AVAG, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Institute, 1081BT, Amsterdam, the Netherlands

[3]Department of Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB, Groningen, the Netherlands

[4]Department of Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB, Groningen, the Netherlands

[5]Department of Gerodontology, Center for Dentistry and oral Hygiene, University Medical Center Groningen, University of Groningen, 9700 RB, Groningen, the Netherlands

关键词: Community-dwelling elderly;    Edentulous;    Healthy ageing;    Natural dentition;    Oral health;   

DOI  :  10.1186/s12877-021-02427-z

来源: Springer

【 摘 要 】

BackgroundCross-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.MethodsThis 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.ResultsAt 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.ConclusionsIt 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).

【 授权许可】

CC BY