I In nt tr ro od du uc ct ti io on n E dentulism, or complete tooth loss, is prevalent worldwide among older people. 1 Earlier studies have shown that edentulism affects the health and the overall quality of life of the elderly. 2 Complete and partial tooth loss is associated with reduction in physical, psychological and social function, and the ability to chew. It also increases disability. 3 The edentulous elderly tend to consume fewer than two-thirds of the recommended nutri-P Pr re ev va al le en nc ce e a an nd d A As ss so oc ci ia at te ed d F Fa ac ct to or rs s o of f E Ed de en nt tu ul li is sm m a am mo on ng g E El ld de er rl ly y M Mu us sl li im ms s i in n K Ko ot ta a B Bh ha ar ru u, , K Ke el la an nt ta an n, , M Ma al la ay ys si ia a A Ab bs st tr ra ac ct t O Ob bj je ec ct ti iv ve e: : T To o d de et te er rm mi in ne e t th he e p pr re ev va al le en nc ce e o of f e ed de en nt tu ul li is sm m a an nd d i it ts s a as ss so oc ci ia at te ed d f fa ac c--t to or rs s a am mo on ng g e el ld de er rl ly y M Mu us sl li im ms s i in n K Ko ot ta a B Bh ha ar ru u, , K Ke el la an nt ta an n, , M Ma al la ay ys si ia a. . S St tu ud dy y d de es si ig gn n: : A A c cr ro os ss s--s se ec ct ti io on na al l s st tu ud dy y w wa as s c co on nd du uc ct te ed d w wi it th h 5 50 06 6 r ra an nd do om ml ly y s se el le ec ct te ed d c co om mm mu un ni it ty y--d dw we el ll li in ng g e el ld de er rl ly y p pa at ti ie en nt ts s a ag ge ed d 6 60 0 y ye ea ar rs s a an nd d o ol ld de er r i in n t th he e d di is s--t tr ri ic ct t o of f B Ba ad da an ng g, , K Ko ot ta a B Bh ha ar ru u, , K Ke el la an nt ta an n. . T Th he e p pa ar rt ti ic ci ip pa an nt ts s w wh ho o c co on ns se en nt te ed d w we er re e i in nt te er rv vi ie ew we ed d f fo or r s so oc ci io od de em mo og gr ra ap ph hi ic c i in nf fo or rm ma at ti io on n a an nd d f fo ol ll lo ow we ed d b by y a an n o or ra al l e ex xa am mi i--n na at ti io on n t to o r re ec co or rd d e ed de en nt tu ul li is sm m. . R Re es su ul lt ts s: : T Th he e p pr re ev va al le en nc ce e o of f e ed de en nt tu ul li is sm m w wa as s 5 55 5. .9 9% % ( (9 95 5% % C CI I= =5 51 1. .6 67 7, , 6 60 0. .5 50 0) ). . M Mu ul lt ti ip pl le e l lo og gi is st ti ic c r re eg gr re es ss si io on n a an na al ly ys se es s s sh ho ow we ed d t th ha at t o ol ld de er r a ag ge e g gr ro ou up ps s o of f t th he e e el ld de er r--l ly y, , 7 70 0--7 79 9 y ye ea ar rs s a an nd d 8 80 0 y ye ea ar rs s a an nd d o ol ld de er r, , w we er re e m mo or re e l li ik ke el ly y t to o b be e e ed de en nt tu ul lo ou us s, , w wi it th h a an n o od dd ds s r ra at ti io o ( (O OR R) ) o of f 1 1. .9 9 ( (9 95 5% % c co on nf fi id de en nc ce e i in nt te er rv va al l [ [C CI I] ] = =1 1. .2 2, , 3 3. .1 1) ) a an nd d O OR R= =4 4. .0 0 ( (9 95 5% % C CI I= =2 2. .0 0, , 8 8. .1 1) ) r re es sp pe ec ct ti iv ve el ly y, , c co om mp pa ar re ed d t to o t th he e y yo ou un ng ge er r e el ld de er rl ly y 6 60 0--...

Objective: To assess the perceptions of caregivers towards oral healthcare services received by elders in Malaysian nursing homes and to identify challenges and suggestions for improvement. Background: Caregivers play an important role in the oral health care of elders in nursing homes. Methods: This study employed a qualitative approach using the nominal group technique (NGT) to obtain caregivers' feedback in nursing homes in Malaysia. Data were manually transcribed, summarised into keywords/key phrases, and ranked using weighted scores. Results: In total, 36 caregivers (21 from government and 15 from private nursing homes) participated in the NGT sessions. Overall, caregivers were satisfied with the low treatment cost, the quality of treatment, and the availability of dental visits to nursing homes. Caregivers were dissatisfied with the frequency of dental visits, long waiting times at government dental clinics, and inadequate denture hygiene education for elders in nursing homes. The challenges faced by caregivers were elders' poor oral health knowledge and attitude and lack of elders' trust of caregivers to look after their oral health. Suggestions for improvement were to increase the frequency of dental visits to nursing homes, provide oral health education to elders and caregivers, and give treatment priority to elders at dental clinics. Conclusion: Despite being satisfied with the basic oral healthcare services received by elders in Malaysian nursing homes, caregivers raised some issues that required further attention. Suggestions for improvement include policy changes in nursing home dental visits and treatment priority for elders at government dental clinics.