Clinical and Subjective Oral Health Status of Care Home Residents in Europe: A Systematic Review

Janssens, Lynn; Petrauskiene, Egle; Tsakos, Georgios; Janssens, Barbara

doi:10.1016/j.jamda.2023.03.021

Cited by 9 publications

(2 citation statements)

References 93 publications

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“…The 5th Oral Health Study in Germany found that older people in need of care received significantly less dental care than older people who do not require personal care [ 15 ]. Contrary to international findings [ 16 ], in Germany, the oral health of older people in HBC is worse than that of nursing home residents. This is primarily due to the fact that the dental care providers can visit in the inpatient settings through special contracts between long-term care facilities and dental practice [ 17 ].…”

Section: Introductioncontrasting

confidence: 80%

“…Henni and colleagues [ 18 ] highlighted the scarcity of evidence on the OHRQoL of older people in HBC. This study contributes to filling that knowledge gap by affirming that this group, particularly those perceiving their dental health negatively and require assistance in OHC is at risk of poor OHRQoL, a phenomenon well-documented among nursing home residents [ 16 , 20 ]. Germany shows a discrepancy in oral health between inpatient and outpatient settings: older people requiring outpatient care tend to have poorer oral health than those living in nursing homes.…”

Section: Discussionmentioning

confidence: 91%

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Assessing oral health-related quality of life among older people in home-based care - survey results of the InSEMaP study in Germany

Koenig,

Porzelt,

Behrens-Potratz

et al. 2024

BMC Oral Health

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Background Older people receiving home-based care (HBC) often face barriers to access preventive oral health care (OHC) and dental treatments. Leading to deterioration of their oral healthcare. It is further deteriorated by factors such as increasing burden of systemic diseases, medicinal side effects, limited mobility, financial constraints and lack of professional OHC at home. Older people also struggle to maintain necessary daily oral hygiene, leading to malnutrition, weight loss, and a risk of a further health degradation. This cross-sectional survey aimed to investigate the oral health-related quality of life (OHRQoL) and their associated factors in HBC recipients. Methods 5,280 older people (≥ 60 years) living in Hamburg, who were in need of care and insured with statutory health insurance DAK-Gesundheit received the questionnaire, which included the German version of the Oral Health Impact Profile (OHIP G-14) and, the EQ-5D health-related quality of life (HRQoL) measure as well as further questions regarding the extent of informal social support, subjective oral health status, oral health behaviour, subjective cognitive status, and socio-demographic variables. Results The participants (n = 1,622) had a median age of 83.2 years, with 72.0% of the sample being female. Nearly two thirds of the sample reported that their independence or abilities were significantly impaired (care level 2). Regarding oral health impacts, 40.0% of the participants reported experiencing at least one of the fourteen possible prevalent impacts of the OHIP-G14 fairly often or very often. A multivariate regression model on the severity of oral health impacts revealed, that a better HRQoL, a positive perception of one’s own dental status, fewer visits to dental practices, and no need for support in OHC were associated with better OHRQoL. Conversely, respondents with a negative perception of their oral health status, more frequent visits to a dental practice, a need for support in OHC, and subjective memory impairment showed poorer OHRQoL. Conclusions The results highlight the risk for poor oral health among older people in HBC. We conclude that there is an urgent need to prioritise oral health, especially as poor oral health can further compromise the systemic wellbeing of these already care dependent population.

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Section: Introductioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 91%

Assessing oral health-related quality of life among older people in home-based care - survey results of the InSEMaP study in Germany

Koenig,

Porzelt,

Behrens-Potratz

et al. 2024

BMC Oral Health

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Cost-effectiveness-analysis of oral health remotivation and reinstruction in nursing homes in a cluster-randomized controlled trial

Nordblom,

Hertrampf,

Habig

et al. 2025

Journal of Dentistry

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The Association Between Cognitive Function and Oral Health in Home Dwellers and Nursing Home Residents: The HUNT Study

Asante,

Eldholm,

Kolberg

et al. 2024

Comm Dent Oral Epid

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ObjectivesTo evaluate the relationships of cognitive function and care dependency with oral health in a Norwegian older adult population.MethodsThis cross‐sectional study included 2623 participants aged 70 and older from the fourth wave of the Trøndelag health study (HUNT4 70+) and the city of Trondheim (Trondheim 70+). Neurocognitive disorders (NCDs) were diagnosed by clinical experts according to the DSM‐5 framework. Care dependency referred to nursing home residency. Oral health was assessed by using the Revised Oral Assessment Guide—Jönköping (ROAG‐J). Individuals were considered as ‘having oral problem’ if the score was two or three in at least one of the nine ROAG‐J items. Poisson regression was used to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs).ResultsThe prevalence of having oral problems was 19% higher in participants with NCDs than those with normal cognitive function after adjusting for potential confounders (PR 1.19, 95% CI: 1.09–1.29). Further analysis showed a higher prevalence of having oral problems for home dwellers with NCDs (PR 1.23, 95% CI: 1.13–1.33) and nursing home residents (PR 1.32, 95% CI: 1.20–1.45) compared to home dwellers with normal cognitive function.ConclusionsNCDs were associated with an increased prevalence of oral problems in this Norwegian older adult population. The study suggests the need for increasing oral care for home dwellers with NCDs and nursing home residents.

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Clinical and Subjective Oral Health Status of Care Home Residents in Europe: A Systematic Review

Cited by 9 publications

References 93 publications

Assessing oral health-related quality of life among older people in home-based care - survey results of the InSEMaP study in Germany

Assessing oral health-related quality of life among older people in home-based care - survey results of the InSEMaP study in Germany

Cost-effectiveness-analysis of oral health remotivation and reinstruction in nursing homes in a cluster-randomized controlled trial

The Association Between Cognitive Function and Oral Health in Home Dwellers and Nursing Home Residents: The HUNT Study

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