Oral hygiene and the need for treatment of the dependent institutionalised elderly (original) (raw)
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Gerodontology, 1995
The purpose of this study is to report oral and dental findings in a population of independent geriatric patients, who were treated at the Geriatric Dental Clinic, School of Dental Medieine, Tel Aviv University. The study group consisted of 221 patients, 31.2% males and 68.8% females. The mean age was 75.3 years. Ofthe patients, 75% were edentulous. The most frequent complaint was pain associated with wear of dentures, and the most frequent mucosal lesion was traumatic ulcer (51 %). Most dentures were of poor quality (77%). The mean denture age was 9.7 years, increasing as the patient's age inereased. Denture hygiene was good in 59%, fair in 11% and poor in 30%. The mean number of visits at the Geriatric Clinic was 5.5 per patient.
(Lack of) oral hygiene care for hospitalized elderly patients
2021
OBJECTIVE to analyze the oral hygiene care for hospitalized elderly patients provided by the nursing staff. METHOD this is a qualitative, exploratory-descriptive study carried out in a university hospital, with the participation of 35 professionals from the nursing staff. Data collection was carried out through semi-structured interviews, explored through thematic content analysis. RESULTS two categories emerged: The oral hygiene of hospitalized elderly patients as an extension of body care and Barriers in (lack of) care with the oral hygiene of hospitalized elderly patients, with two subcategories: The oral hygiene and dental prosthesis technique performed divergently; Care hampered by deficit of materials and human resources. FINAL CONSIDERATIONS this study showed weaknesses in the oral hygiene care of hospitalized elderly patients, promoting reflections on the practice informed in data and management actions, allowing recommendations of care standards for the nursing staff.
Oral hygiene of elderly people in long-term care institutions ? a cross-sectional study
Gerodontology, 2006
Oral hygiene of elderly people in long-term care institutions -a cross-sectional study Objective: The aim of this cross-sectional study was to assess the level of oral hygiene in elderly people living in long-term care institutions and to investigate the relationship between institutional and individual characteristics, and the observed oral cleanliness. Materials and methods: Clinical outcome variables, denture plaque and dental plaque were gathered from 359 older people (14%) living in 19 nursing homes. Additional data were collected by a questionnaire filled out by all health care workers employed in the nursing homes. Results: Only 128 (36%) residents had teeth present in one or both dental arches. About half of the residents (47%) wore complete dentures. The mean dental plaque score was 2.17 (maximum possible score ¼ 3) and the mean denture plaque score was 2.13 (maximum possible score ¼ 4). Significantly more plaque was observed on the mucosal surface of the denture with a mean plaque score of 2.33 vs. 1.93 on the buccal surface (p < 0.001). In the multiple analyses only the degree of dependency on an individual level was found to be significantly correlated with the outcome dental plaque (odds ratio: 3.09) and only the management of the institution with denture plaque (odds ratio: 0.43). Conclusion: Oral hygiene was poor, both for dentures and remaining teeth in residents in long-term care institutions and only the degree of dependency of the residents and the management of the institutions was associated with the presence of dental plaque and denture plaque respectively.
A Review: Oral Care in the Elderly
PARIPEX INDIAN JOURNAL OF RESEARCH, 2023
Dentists and patient care staff have to adapt to the growing and changing group of elderly patients and develop new concepts for their oral care. In general, dental care for elderly and very elderly people should be according to their daily lives. One of the most important conditions for healthy aging is to preserve a natural, healthy and functional oral and dental structure as much as possible. Poor oral hygiene can lead to tooth decay, gingivitis, periodontitis, tooth loss, halitosis (bad breath), fungal infections, dry mouth and gum disease. These problems impair the elderly person's functions such as chewing, speaking, swallowing and tasting and may affect their nutritional habits. Good mechanical and chemical oral hygiene can overcome these problems, especially prevent pneumonia, which can develop due to poor oral hygiene. In the elderly, oral motivation and dental plaque control are very important The use of a toothbrush is the most important factor for oral hygiene. The use of fluoride toothpaste is essential for daily oral hygiene. The correct use of dental floss and interdental brushes should be demonstrated by health professionals. In addition, solutions containing antiseptics such as chlorhexidine or triclosan support oral care by reducing the amount of bacteria in the mouth. Daily cleaning of prostheses is very important for oral hygiene. This article is for the elderly oral dental health care and recommendations will be discussed.
Oral health conditions and denture treatment needs in institutionalized elderly people in Japan
Community Dentistry and Oral Epidemiology, 1992
Oral health eonditions, ineluding dental conditions, tempor-omandibular joint (TMJ) conditions, dcntur-c status, and oral hygiene status, were assessed on 1908 institutionalized elderly people 65 yr of age and older at 29 ofthe 30 existing institutions in the city of Kitakyushu, Japan. The percentage of edentulous people was 27'y;i in the 65-74-yr-old group, and increased with age to 56",. in the S5 yr and older group. In dentate persons, Ihe r-nean nun-rber of rer-r-rair-ring teeth and DF teeth wet-e 13.4 arrd 8.6, 9.5 and 6.8. and S.4 arrd 6.5 in the groups aged 65 74 yr old, 75 84 yr-old. and 85 yr arrd older, respectively, 81"n of all the persons examined had no unusual symptoms in their TMJ. A clicking sound was the most frequent symptom (17'Mi). Hygiene of both their teelh and der-itur-es was very poor-. Of all Ihe subjects, 36"An needed new full and/or partial dentur-e(s), and 41% needed onh' repair-. When the institutionalized elderly people were con-rpar-ed aeeording to their general health condition, no clear differences were observed in percentage of edentuloiisrress, mean rurrrrber-of remairring teeth atid DF teeth, arrd TMJ conditions. However-, a higher-le\el of b(-i(h untreated teeth atrd dcntut-e treatmenl needs, and po(-)r-er-oral hygierre, was lound in elderly people havitrg poor general health than was observed irr those with better-health. These findings indicate that dental care systems for institutiorralized elderly people, especially disabled elderly people, should be planned, and that the importance of oral health pr-ograr-t-rs ar-r-rong younger generations should be stressed , because (a) dental care for Ihe elderly becomes more dillrcult with increasing age and (b) dental health care is provided too late for most pec-)ple.
Oral health of aged inpatients
Australasian Journal on Ageing, 2004
The proportion of the population aged 65 years and over in Australia is expected to increase substantially, and more people in this age group are retaining their teeth and will require dental care. The objective of this study was to assess the oral health status of inpatients over the age of 65. Methods: Dental examinations were performed on inpatients at Fremantle Hospital. Standardised assessment forms were used to investigate factors related to medical history, hospital admission and oral health needs. Results: A total of 104 persons were examined, 56% were dentate. The dentate participants had an average decayed, missing and filled (DMF)-index of 21.6 (SD 7.1). All edentulous participants had dentures and the estimated average age of their dentures was 18.1 years. Although the majority of participants (70.2%) were satisfied with their oral health status, 76.6% were professionally assessed to be in need of immediate dental care. Among the edentulous participants, 47.1% needed new dentures. Among all the participants, 75.3% also needed improved oral hygiene. Conclusion: There is a need to fully assess availability, appropriateness and effectiveness of models of oral health care delivery among the older population. This study clearly indicates a current problem and high levels of unmet need. With an increasing ageing population and higher retention levels of natural dentitions, this will result in higher levels of oral disease and need for prevention and care.
Medicina oral, patología oral y cirugía bucal, 2008
The aim of this study is to determine the prevalence of dental caries, periodontal disease and the condition of and need for dental prosthesis in individuals over the age of 64. A cross-sectional, descriptive and observational study was carried out among all the residents in 3 Centres for the Aged in Vigo-Spain. The standardized criteria of the DMFT (Decayed, Missing and Filled Teeth) index and The Community Periodontal Index of Treatment Needs (CPITN) of the World Health Organization (WHO) were used. 459 subjects were examined with a mean age of 83.8 years, 23% were men and 77% were women; 45% fit for everyday life and 23% require intensive care. In the 85 to 89-year-old group, 53% presented both maxillary and mandibular edentulism and 5% have all of their own teeth. 40% of residents wear a maxillary and mandibular prosthesis and 21% do not wear any kind of dental prosthesis; 38% have complete well-adjusted prosthesis, 28% badly-adjusted prosthesis and 18% need replacing. 38% have ...