• Loke ST Klinik Kesihatan Luyang, Kata Kinabalu, Sabah
  • Jalil NA Klinik Pergigian, Hospital Queen­ Elizabeth, Kata Kinabalu Sabah
  • Giam EW Klinik Pergigian Hospital Tawau, Sabah
  • Lee SHC Klinik Kesihatan Luyang, Kata Kinabalu, Sabah



Oral health, treatment needs, institutionalized elderly, Sabah


The main objective of the study was to determine the oral health status and possible factors influencing oral hygiene hi the institutionalized elderly in Sabah. A cross sectional study in all four institutions for the elderly in Sabah was conducted using oral examination and interview/questionnaires. Qualitative assessment using Focus Group Discussion was carried out in the caregivers of the institutions. Plaque score was used to assess oral hygiene status. A total of94.0% of inmates were above 55 years old. There were 13.4 % non-respondents in the total sample of 284. Of the non-respondents, 42.4 % had mental disorders and this was statistically significant. Of those who responded 34.6% had good, 33.3% fair and 32.1% poor oral hygiene. 33.5% were completely edentulous, 86.4% had gingivitis which required scaling, 22.0% had decayed teeth and 54.9% required extraction. Gingivitis, decayed teeth and number of teeth for extraction were significantly associated with poor oral hygiene. 14.2% had at least one type of oral disease. Dental abscess was the most common muco-cutaneous lesion found. Mental disorders showed a trend towards poor oral hygiene and this was statistically significant. Although 40.8% had physical handicap, 23.3% visual impairment and 8.2% hearing impairment, there was no significant association with oral hygiene status. In conclusion, oral health status of the population is poor and treatment needs are high. Although there was high objective need for oral care (88.6%), perceived need was low (32.0%).


1. Genco RJ. Current view of risk factors for periodontal diseases. J Periodontol 1996; 67(10 Suppl):1041-1049.

2. Zambon JJ, Grossi SG, M:Chtei EE, et al. Cigarette smoking increases the risk for subgingival infection with periodontal pathogens. J Periodontol 1996; 67(suppl): 1050-1054.

3. Schwartz M. The oral health of the long-term care patient. Annals of long term care: Clinical care and aging 2000; 8(12):41-46.

4. Schou L, Wight C, Clemson N, Douglas S, Clark C. Oral health promotion for institutionalised elderly. Community Dent Oral Epidemiol 1989;17(1): 2-6.

5. Jokstad A, Ambjornsen E, Eide KE. Oral Health in institutionalized elderly people in 1993 compared with in 1980. Acta Odontol Scand 1996 54(5): 303-308.

6. Persson RE, Truelove EL, LeResche L, Robinovitch MR. Therapeutic effects of daily or weekly chlorhexidine rinsing all oral health of a geriatric population. Oral Surg Oral Med Oral Pathol 1991;72(2):184-191.

7. Ambjornsen E, Rise J. The effect of verbal information and demonstration on denture hygiene in elderly people. Acta Odontol Scand 1985;43(1): 19-24.

8. Information and Documentation System Unit. June 1999. Annual Report 1998. Health Management Information System (Dental Subsystem). Ministry of Health Malaysia.

9. Narhi T.O, Ainamo A, Meurman J.P. Salivary yeast, saliva and oral mucosa in the elderly. J Dent Res Dent 1993;72(6):1009-1914.

10. Argyriadou S, Melissopoulou H, Krania E, Karagiannidou A, Vlachonicolis I, Lionis C. Dementia and depression: two frequent disorders of the aged in primary health care in Greece. Family Practice 2001;1(18):87-91.

11. Cronin-Stubbs D, Mendes de Leon C, Beckett L, Field T, Glynn R, Evans D. Six-year effect of depressive symptoms on the course of physical disability in community-living older adults. Archives Int Med 2000;20(160).

12. Yamaga T, Komoda Y, Soga K, Ono M, Asada T, ltosaka N, Nokubi T. Root surface caries of denture wearers in middle­ aged and elderly people. J Osaka Univ Dent Sch 1994 Dec;34:65-71.

13. Bostrom L, Bergstrom J, Dahlen G, Linder L. Smoking and subgingival microflora in periodontal disease. J of Clin Periodontol 2001 ;28(3):212-219.




How to Cite

Loke ST, Jalil NA, Giam EW, & Lee SHC. (2003). THE PREVALENCE OF ORAL DISEASES AND TREATMENT NEEDS IN THE INSTITUTIONALIZED ELDERLY IN SABAH . Malaysian Journal of Public Health Medicine, 3(1), 30–35.