title: Oral disease experience of older adults seeking oral health services.
abstract: OBJECTIVE
  The objective of this investigation was to describe the dental disease (dental caries and alveolar bone loss) experience in a sample of community-dwelling older adults who regularly utilize dental services in New York City.
  
  
  BACKGROUND
  Public financing for dental care directed at older adults in the United States is minimal. Improved preventive methods, primarily the use of fluorides, have resulted in declines in tooth loss, and concomitant increase in risk for dental diseases among older adults. While the oral disease burden in institutionalized elderly and those unable to access services is well-documented, the dental care needs of older adults who access dental services are not well documented.
  
  
  METHODS
  Radiographic and record review were used to determine prevalence of dental caries, alveolar bone loss, frequency of service utilization, and medical status in this cross-sectional investigation of a sample of older adults (N = 200) using dental services at Columbia University College of Dental Medicine.
  
  
  RESULTS
  Only 9% of the sample was completely edentulous, the mean DMFT was 19.9 and mean alveolar bone loss was 3.6 mm. Missing and Decayed Teeth accounted for 57.8% and 6.5% of the total caries burden respectively. Missing Teeth and alveolar bone loss increased with increasing age, but there was no increase in Decayed Teeth.
  
  
  CONCLUSIONS
  While access to and utilization of dental services may result in improved tooth retention, older adults who use dental services continue to have dental care needs, especially periodontal care needs.
authors.affiliation: Division of Community Health, College of Dental Medicine, Columbia University, New York City, NY 10032, USA. philip.sussex@nmhs.govt.nz
authors.forename: Kavita P
authors.initials: KP
authors.lastname: Ahluwalia
authors.forename: Bin
authors.initials: B
authors.lastname: Cheng
authors.forename: Philip K
authors.initials: PK
authors.lastname: Josephs
authors.forename: Evanthia
authors.initials: E
authors.lastname: Lalla
authors.forename: Ira B
authors.initials: IB
authors.lastname: Lamster
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016301:Alveolar Bone Loss / Q000453:epidemiology*; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D004245:DMF Index; D003729:Dental Care / Q000706:statistics & numerical data*; D003731:Dental Caries / Q000453:epidemiology*; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006304:Health Status; D006801:Humans; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data; D009066:Mouth, Edentulous / Q000453:epidemiology; D020380:Needs Assessment / Q000706:statistics & numerical data; D009519:New York City / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D015995:Prevalence; D012189:Retrospective Studies; D017213:Root Caries / Q000453:epidemiology; D012737:Sex Factors; D016388:Tooth Loss / Q000453:epidemiology; D014481:United States / Q000453:epidemiology