Oral health care activities performed by caregivers for institutionalized elderly in Barcelona-Spaincuidadores medoral 18 e641 (original) (raw)

Behaviour of the Elderly with Regard to Hygiene Procedures for and Maintenance of Removable Dentures

Oral health & preventive dentistry, 2015

To assess the behaviour of the elderly with regard to hygiene procedures for and maintenance of removable dentures. 243 elderly people were interviewed using a semi-structured questionnaire, which was applied in the coverage area of Family Health Strategy in Urlandia district in the city of Santa Maria, Brazil. The majority of those interviewed were 60 to 69 years old, with a prevalence of women and incomplete primary school education. In general, the dentures had been worn for more than 10 years and 43.7% of them had been made by a dental prosthetic technician. More than half the study population had not received instructions on hygiene and maintenance of the dentures. This population was not aware of the importance of hygiene and maintenance of the removable dentures. It is worrying that a considerable number of elderly have sought dental prosthetic care from technicians who were not trained to promote and maintain health.

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 survey assessing modes of maintaining denture hygiene among elderly patients

Journal of International Society of Preventive and Community Dentistry, 2014

Objective: To determine the denture hygiene habits in complete denture wearers. Materials and Methods: In this study, a self-administered structured questionnaire was developed to know the attitude of the patients from the Department of Prosthodontics regarding denture hygiene. The study sample consisted of totally 500 subjects, which included 284 (56.8%) males and 216 (43.2%) females. Data were analyzed using SPSS version 15.0 with Chi-square (χ 2) test at P < 0.05. Results: Nearly half of the subjects cleaned their dentures daily once. Participants from the younger age group and who had been wearing dentures since 2 years maintained better frequency of cleaning. The majority of these subjects used water and brush for denture cleansing. After seeing the condition, more than half of the dentures were rated as poor (60%). There was significant difference between all the groups on comparison (P = 0.001). Conclusion: Poor condition of complete dentures seen in the population is mainly due to irregular cleansing habits and also less usage of cleansing solutions. Dentists should give proper instructions regarding maintenance of denture hygiene.

Oral hygiene and the need for treatment of the dependent institutionalised elderly

Gerodontology, 2006

Oral hygiene and the need for treatment of the dependent institutionalised elderly Objective: To assessing the oral hygiene and treatment needs of a geriatric institution in southern France. Background: For various reasons, the care demand from elderly people is low and difficult to determine, whereas their oral status would need long and complicated treatments. Materials and methods: From 2003 to 2004, a cross-sectional study of 321 elderly patients was conducted at several geriatric services of Montpellier, France. The clinical evaluation of dental status was recorded together with medical information. Dental and prosthetic hygiene, status of dentures, caries experience, dependence conditions and treatment needs were evaluated. Results: The prevalence of edentulism was 27%, with no gender difference (23% of the men and 29% of the women). Among them, 16.7% (upper jaw) and 18.1% (lower jaw) were totally edentulous with no denture. The mean number of decayed and missing teeth was 3.7 for men and 2.8 for women and 21.5 for men and 21.0 for women, respectively. The mean number of filled teeth was 0.8 for men and 1.3 for women, with no statistical difference according to gender for the three indexes. Most of the subjects needed prostheses (53%), 45.1% extractions and 30.6% conservative treatments. Only 2.4% did not need any treatment. Conclusion: The prevalence of edentulism was relatively low, while the need for prosthodontic rehabilitation, especially for men, was still very high. The dental hygiene was globally inadequate. This evaluation emphasises the care demand and the need for help in oral hygiene procedures for the dependent institutionalised elderly.

Factors Affecting Older Persons’ Ability to Manage Oral Hygiene: A Qualitative Study

JDR Clinical & Translational Research, 2017

A great challenge for the dental service is to support the growing group of elderly people with preserving good oral health throughout their lives. Limitations in the ability to manage oral hygiene and an increased number of risk factors are often reflected by poor oral health. Thus, the need for individualized support and oral health procedures based on the older person’s condition is significant. Deficiencies in the motor skills needed to manage oral hygiene are well known, but other factors that affect the ability are not well studied. The aim of the present study was to identify factors that may affect an elderly person’s ability to perform oral hygiene self-care, which is the first step to develop a more comprehensive “oral hygiene ability index.” The design of the study was qualitative. Data were collected from 4 focus group interviews with a total of 23 participants. Three of the groups consisted of dental hygienists, occupational therapists, and assistant nurses, all working...

Denture Hygiene Habits among Elderly Patients Wearing Complete Dentures

The Journal of Contemporary Dental Practice, 2013

Objective To determine the denture hygiene habits in complete denture patients according to their age and time of dentures. Methods In this study a self administered structured was developed to know the attitude of the patients regarding denture hygiene in the department of Prosthodontics. The total study sample consisted of 230 subjects including 124 (53.9%) males and 106 (46.1%) females. Data was analyzed using SPSS version 15.0 with chi-square test at p-value <0.05. Results Nearly half of the subjects clean their dentures daily once. Participants from the younger age group and who had been wearing dentures since 2 years maintain better frequency of cleaning. The majority of these subjects used water and brush for denture cleansing. After seeing the condition, half of the dentures were rated as good 50.3%, followed by fair and poor as 29.5 and 20.2% respectively. Clinical significance Poor condition of complete dentures seen in the population is mainly due to irregularly cleans...

The knowledge of healthcare professionals regarding elderly persons' oral care

British Dental Journal, 2006

Objective The aim of this study was to compare the knowledge and views of nursing staff on both acute elderly care and rehabilitation wards regarding elderly persons' oral care with that of carers in nursing homes. Subjects One hundred nurses working on acute, sub-acute and rehabilitation wards for elderly people (Group 1) and 75 carers in nursing homes (Group 2) were surveyed. Design A semi-structured questionnaire. Results Similar percentages of each group of nurses were registered with a dentist (86% and 88% respectively), although more hospitalbased nurses were anxious about dental treatment compared with the nursing home group (40% and 28% respectively). More carers in nursing homes gave regular advice about oral care than the hospitalbased nurses (54% and 43% respectively). Eighteen per cent of each group thought that edentulous individuals did not require regular oral care. Eighty-five per cent of hospital-based nurses and 95% of nursing home carers incorrectly thought that dentures were 'free' on the NHS. Although trends were observed between the two groups, no comparisons were statistically significant (Chi-square; level p < 0.05). Conclusions Deficiencies exist in the knowledge of health care workers both in hospital and in the community setting, although the latter were less knowledgeable but more likely to give advice to older people.

Impact of The Nurses on Maintaining Oral Health in Institutionalized Elderly

2021

Dental and oral care are important for institutionalized elderly because oral diseases can have a negative impact not only onquality of life but also on general health. Maintaining adequate oral hygiene among the institutionalized elderly is most important,especially on patients that need help for basic or additional oral and dental care. Most often responsible for maintaining oral hygiene are the persons responsible for long-term care of the institutionalized elderly - nurses and paramedics. The education of stuff responsible for institutionalized elderly includes the usage of appropriate lectures with adequate audiovisual effects,appropriate presentations and exercises and discussions among the participants. For adequate dental care of the institutionalized elderly, it is necessary for the elderly, as well as the staff responsible for their care, to be highly aware and motivated to pay enough attention to oral health and hygiene, as well as wearing dentures. Oral health programs a...