The Quality of Life Related to Oral Health Among The Elderly Based on Pathological Lesions in Soft Tissues

  • Nurfianti Nurfianti Department of Oral Medicine, Faculty of Dentistry, Universitas YARSI, Jakarta, Postal Code 10510, Indonesia
  • Putri Ayu Nurhadizah Dental Study Program, Faculty of Dentistry, Universitas YARSI, Jakarta, Postal Code 10510, Indonesia
  • Ahmad Ronal Department of Oral Medicine, Faculty of Dentistry, Universitas YARSI, Jakarta, Postal Code 10510, Indonesia
  • Audiawati Audiawati Department of Oral Medicine, Faculty of Dentistry, Universitas YARSI, Jakarta, Postal Code 10510, Indonesia
  • Siti Nur Riani Department of Islamic Studies, Faculty of Dentistry, Universitas YARSI, Jakarta, Postal Code 10510, Indonesia
  • Faezah Rokhani Oral Pathology and Oral Medicine Department, Faculty of Dentistry, Universiti Sains Islam Malaysia, Kuala Lumpur, Postal Code 55100, Malaysia
  • Aspalilah Alias Department of Basic Sciences and Oral Biology, Faculty of Dentistry, Universiti Sains Islam Malaysia, Kuala Lumpur, Postal Code 55100, Malaysia
Keywords: Elderly, Oral health, Pahological lesions, Quality of life, Soft tissues

Abstract

Background: Oral health plays an important role in overall health and quality of life among the elderly. The presence of soft tissue lesions in the oral cavity, particularly in this vulnerable population, warrants attention due to its potential association with systemic health conditions and overall quality of life. Maintaining a high quality of life is crucial, as it is closely linked to health status, life satisfaction, and overall well-being. This study aimed to examine oral health–related quality of life among the elderly, with particular focus on the presence of pathological soft tissue lesions.

Method: A cross-sectional study was conducted using a purposive sampling technique. Data collection included demographic information, administration of the Oral Health Impact Profile (OHIP-14) questionnaire, and comprehensive intraoral examinations to identify pathological lesions. The Mann–Whitney U test was used to compare quality-of-life scores between elderly individuals with and without pathological lesions.

Results: Among the 94 subjects examined, 36 were found to have pathological lesions, while none of the 58 (p=0.024, p<0.05) showed a difference in the quality of life between elderly individuals with and without pathological lesions.

Conclusion: There is a significant difference in oral health–related quality of life among the elderly, which is influenced by the presence of pathological soft tissue lesions.

References

Aging and Health. World Health Organization. 1 October 2022. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.

Ishak, Nor H., et al. "Diabetes self-care and its associated factors among elderly diabetes in primary care." J Taibah Univ Med Sci. 2017;12(6):504–511.

Mahdani, Fatma Yasmin, et al. "Prevalence of oral normal variance in healthy elderly patients: a descriptive study on oral pseudo-lesions." Int Arch Otorhinolaryngol. 2022;26(4): e671–e675.

Gil-Montoya, José Antonio, et al. "Oral health in the elderly patient and its impact on general well-being: a non systematic review." Clin Interv Aging. 2015; 10:461–467.

Seftiani, Lily. "The Relationship between the Quality of Life of the Elderly and Hypertension in the Working Area of the Perumnas II Health Center, Sungai Beliung Village, West Pontianak District." ProNers. 2017;4(1).

Algra, Yne, et al. "The association between malnutrition and oral health in older people: A systematic review." Nutrients. 2021;13(10):3584.

Al-Maweri, Sadeq Ali, et al. "Oral mucosal lesions in elderly dental patients in Sana’a, Yemen." J Int Soc Prev Community Dent. 2015;5(Suppl 1): S12–S19.

Atif, Saira, et al. "Determining the relationship among stress, xerostomia, salivary flow rate, and the quality of life of undergraduate dental students." J Taibah Univ Med Sci. 2021;16(1):9–15.

Rohini, S., Herald J. Sherlin, and Gifrina Jayaraj. "Prevalence of oral mucosal lesions among elderly population in Chennai: a survey." J Oral Med Oral Surg. 2020;26(1):10.

Patil, Santosh, Bharti Doni, and Sneha Maheshwari. "Prevalence and distribution of oral mucosal lesions in a geriatric Indian population." Can Geriatr J. 2015;18(1):11.

Ratnawidya, Wahyuning, et al. "Indonesian short version of the oral health impact profile (OHIP-14)." J Int Dent Med Res. 2018;11(3):1065–1071.

Campos, Lucas Arrais, et al. "Use of oral health impact profile-14 (OHIP-14) in different contexts. What is being measured? Int J Environ Res Public Health. 2021;18(24):13412.

Andesty, Dina, Fariani Syahrul, and D. Epidemiologi. "The relationship between social interaction and the quality of life of elderly people in the integrated service unit (UPTD) Griya Werdha, Surabaya city in 2017." Indones J Public Health. 2018;13(2):169–180.

Langkir, Angelia, Damajanti HC Pangemanan, and Christy N. Mintjelungan. "Description Of Traumatic Lesions Of The Oral Mucosa In Elderly Users Of Removable Partial Definition Dentures In The Minahasa Regency's Nursing Home." e-GiGi. 2015;3(1).

Pentenero, Monica, et al. "Chronic mechanical trauma/irritation and oral carcinoma: A systematic review showing low evidence to support an association." Oral Dis. 2022;28(8):2110–2118.

Cueto, Alfredo, et al. "Prevalence of oral mucosal lesions in an elderly population in the city of Valparaiso, Chile." Gerodontology. 2013;30(3):201–206.

Clarin, Giofanny, Erna Herawati, and Wahyu Hidayat. "Prevalence of Angular Cheilitis in the Elderly: A Rapid Review." Dentika Dent J. 2023;26(1):1–11.

Radwan-Oczko, Małgorzata et al. “Prevalence and Characteristic of Oral Mucosa Lesions.” Symmetry. 2022;14:307.

Published
2025-11-21