Oral Health Among the Elderly: A Cross Sectional study of the PERSIAN Guilan Cohort

Abstract Introduction The oral health of the elderly is a critical component of overall health and well-being, yet it remains an underexplored area, particularly in developing countries. This study aims to assess the oral health among the elderly in the Prospective Epidemiological Research Studies o...

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Main Authors: Maryam Rabiei, Amir Ghaderi, Saba Masoudirad, Saman Maroufizadeh, Mehrnaz Asgharnezhad, Mohammadreza Naghipour, Farahnaz Joukar, Fariborz Mansour-Ghanaei
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-06519-9
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author Maryam Rabiei
Amir Ghaderi
Saba Masoudirad
Saman Maroufizadeh
Mehrnaz Asgharnezhad
Mohammadreza Naghipour
Farahnaz Joukar
Fariborz Mansour-Ghanaei
author_facet Maryam Rabiei
Amir Ghaderi
Saba Masoudirad
Saman Maroufizadeh
Mehrnaz Asgharnezhad
Mohammadreza Naghipour
Farahnaz Joukar
Fariborz Mansour-Ghanaei
author_sort Maryam Rabiei
collection DOAJ
description Abstract Introduction The oral health of the elderly is a critical component of overall health and well-being, yet it remains an underexplored area, particularly in developing countries. This study aims to assess the oral health among the elderly in the Prospective Epidemiological Research Studies of the Iranian Adults (PERSIAN) Guilan Cohort Study (PGCS) population. Methods A cross-sectional study was conducted within the PGCS, involving 1985 elderly participants. Data collection included oral examinations to determine the DMFT (Decayed, Missing, Filled Teeth) index and an assessment of oral hygiene practices. Demographic, and clinical characteristics were recorded. The data was analyzed using SPSS version 16, and GraphPad Prism version 8.1.0 software, and a significance level of 0.05 was considered. Results The mean age of the participants was 65.05 ± 3.07 years, with a higher proportion of females (53.9%). The average DMFT index was 19.87 ± 9.32. The multivariate linear regression analysis identified several significant predictors of DMFT index, including gender, marital status, education, employment status, socioeconomic status (SES), body mass index (BMI), cigarette smoking, alcohol use, tooth brushing frequency, and the use of dental floss (P < 0.05). 42.2% of the variance in the DMFT index influenced by demographic and clinical characteristics. Conclusion The study highlights the significant impact of age, gender, education, employment, physical activity, substance use, and oral hygiene practices on the oral health of the elderly in the PGCS population, underscoring the urgent need for targeted public health interventions to address modifiable risk factors and improve geriatric oral care in aging societies.
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spelling doaj-art-a6e9aa5bc2eb4ed1a83bf0149a7923ee2025-08-20T03:41:57ZengBMCBMC Oral Health1472-68312025-07-0125111110.1186/s12903-025-06519-9Oral Health Among the Elderly: A Cross Sectional study of the PERSIAN Guilan CohortMaryam Rabiei0Amir Ghaderi1Saba Masoudirad2Saman Maroufizadeh3Mehrnaz Asgharnezhad4Mohammadreza Naghipour5Farahnaz Joukar6Fariborz Mansour-Ghanaei7Department of Oral and Maxillofacial Medicine, Faculty of Dentistry, Guilan University of Medical SciencesDepartment of Oral and Maxillofacial Medicine, Faculty of Dentistry, Guilan University of Medical SciencesDepartment of Oral and Maxillofacial Medicine, Faculty of Dentistry, Guilan University of Medical SciencesDepartment of Biostatistics, School of Health, Guilan University of Medical SciencesGastrointestinal and Liver Diseases Research Center, Guilan University of Medical SciencesGastrointestinal and Liver Diseases Research Center, Guilan University of Medical SciencesGastrointestinal and Liver Diseases Research Center, Guilan University of Medical SciencesGastrointestinal and Liver Diseases Research Center, Guilan University of Medical SciencesAbstract Introduction The oral health of the elderly is a critical component of overall health and well-being, yet it remains an underexplored area, particularly in developing countries. This study aims to assess the oral health among the elderly in the Prospective Epidemiological Research Studies of the Iranian Adults (PERSIAN) Guilan Cohort Study (PGCS) population. Methods A cross-sectional study was conducted within the PGCS, involving 1985 elderly participants. Data collection included oral examinations to determine the DMFT (Decayed, Missing, Filled Teeth) index and an assessment of oral hygiene practices. Demographic, and clinical characteristics were recorded. The data was analyzed using SPSS version 16, and GraphPad Prism version 8.1.0 software, and a significance level of 0.05 was considered. Results The mean age of the participants was 65.05 ± 3.07 years, with a higher proportion of females (53.9%). The average DMFT index was 19.87 ± 9.32. The multivariate linear regression analysis identified several significant predictors of DMFT index, including gender, marital status, education, employment status, socioeconomic status (SES), body mass index (BMI), cigarette smoking, alcohol use, tooth brushing frequency, and the use of dental floss (P < 0.05). 42.2% of the variance in the DMFT index influenced by demographic and clinical characteristics. Conclusion The study highlights the significant impact of age, gender, education, employment, physical activity, substance use, and oral hygiene practices on the oral health of the elderly in the PGCS population, underscoring the urgent need for targeted public health interventions to address modifiable risk factors and improve geriatric oral care in aging societies.https://doi.org/10.1186/s12903-025-06519-9Oral HealthElderlyDMFT IndexDental CariesOral Hygiene Practices
spellingShingle Maryam Rabiei
Amir Ghaderi
Saba Masoudirad
Saman Maroufizadeh
Mehrnaz Asgharnezhad
Mohammadreza Naghipour
Farahnaz Joukar
Fariborz Mansour-Ghanaei
Oral Health Among the Elderly: A Cross Sectional study of the PERSIAN Guilan Cohort
BMC Oral Health
Oral Health
Elderly
DMFT Index
Dental Caries
Oral Hygiene Practices
title Oral Health Among the Elderly: A Cross Sectional study of the PERSIAN Guilan Cohort
title_full Oral Health Among the Elderly: A Cross Sectional study of the PERSIAN Guilan Cohort
title_fullStr Oral Health Among the Elderly: A Cross Sectional study of the PERSIAN Guilan Cohort
title_full_unstemmed Oral Health Among the Elderly: A Cross Sectional study of the PERSIAN Guilan Cohort
title_short Oral Health Among the Elderly: A Cross Sectional study of the PERSIAN Guilan Cohort
title_sort oral health among the elderly a cross sectional study of the persian guilan cohort
topic Oral Health
Elderly
DMFT Index
Dental Caries
Oral Hygiene Practices
url https://doi.org/10.1186/s12903-025-06519-9
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