Dental status and its correlation with polypharmacy and multimorbidity in a Swiss nursing home population: a cross-sectional study

ObjectiveTo assess the correlation between oral health status in terms of present teeth, implants, removable prostheses, and polypharmacy and/or multimorbidity in three Swiss nursing homes with affiliated or integrated dental care.MethodsA cross-sectional study was conducted in three Swiss geriatric nursing homes with integrated dental care. Dental information consisted of the number of teeth, root remnants, implants, and presence of removable dental prostheses. Furthermore, the medical history was assessed in terms of diagnosed medical conditions and prescribed medication. Age, dental status, polypharmacy, and multimorbidity were compared and correlated using t-tests and Pearson correlation coefficients.ResultsOne hundred eighty patients with a mean age of 85.5 +/- 7.4 years were included of which a portion of 62% presented with multimorbidity and 92% with polypharmacy. The mean number of remaining teeth and remnant roots were 14.1 +/- 9.9 and 1.0 +/- 3.1, respectively. Edentulous individuals comprised 14%, and over 75% of the population did not have implants. Over 50% of the included patients wore removable dental prostheses. A negative correlation with statistical significance (p = 0.001) between age and tooth loss (r = - 0.27) was observed. Finally, there was a non-statistically correlation between a higher number of remnant roots and specific medications linked to salivary dysfunction; specifically antihypertensive medication and central nervous system stimulants.ConclusionThe presence of a poor oral health status was associated with polypharmacy and multimorbidity among the study population.

Automated summary

This study aimed to assess the correlation between oral health status and polypharmacy and/or multimorbidity in three Swiss nursing homes with integrated dental care. The findings showed that patients with poor oral health status had a higher prevalence of multimorbidity and polypharmacy. Age was negatively correlated with tooth loss, while a higher number of remnant roots was associated with specific medications linked to salivary dysfunction (e.g., antihypertensive drugs and central nervous system stimulants).