Interventions to improve oral health of older people: A scoping review

Rossi, Jesús Gómez; Hertrampf, Katrin; Abraham, Jens; Gaßmann, Georg; Meyer, Gabriele; Göstemeyer, Gerd; Schwendicke, Falk

doi:10.1016/j.jdent.2020.103451

Cited by 16 publications

(10 citation statements)

References 85 publications

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“…Oral health education provided to caregivers is important, it includes improving the knowledge about oral health, dental hygiene, oral health, denture care, dental check-ups. One study evaluating such interventions demonstrates that postintervention caretakers had improved knowledge about oral health oral hygiene, denture care, use of fluorides and importance of regular dental check-ups [ 116 , 117 , 118 , 119 ].…”

Section: Methods To Improve Oral Health Among Elderlymentioning

confidence: 99%

“…After the intervention, this proportion increased to 21% ( n = 28). In the control group, 20 participants (19%) reported the same problems (mainly decreased dexterity) in daily hygiene during both examinations [ 117 ]. Table 2 depicts the main findings of systematic reviews that analyzed the impact of certain interventions for improving oral health among the elderly.…”

Section: Methods To Improve Oral Health Among Elderlymentioning

confidence: 99%

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Oral Health among Elderly, Impact on Life Quality, Access of Elderly Patients to Oral Health Services and Methods to Improve Oral Health: A Narrative Review

Janto

Iurcov

Daina

et al. 2022

JPM

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Dental health is often neglected among the elderly because of the numerous comorbidities in this population, such as cardiovascular diseases. However, dental health influences general health and quality of life by impacting both the general health and the psychological state of the individual. The present review highlights the main dental comorbidities in the elderly population, their impact on the quality of life, the barriers towards access to dental care in the elderly and methods to improve their dental health. Information related to dental care and its importance must be provided both to older individuals and their caregivers in order to detect dental pathology and treat it adequately. Ensuring dental health involves the whole society of elders, caregivers, dental care providers, the public sector, health policymakers, and the private sector.

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Section: Methods To Improve Oral Health Among Elderlymentioning

confidence: 99%

Section: Methods To Improve Oral Health Among Elderlymentioning

confidence: 99%

Oral Health among Elderly, Impact on Life Quality, Access of Elderly Patients to Oral Health Services and Methods to Improve Oral Health: A Narrative Review

Janto

Iurcov

Daina

et al. 2022

JPM

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“…For instance, interventions such as improving the knowledge and awareness of oral health benefit older adults to protect their natural teeth. In fact, in a previous review study that summarized the current evidence on interventions for improving oral health, the results supported that educational interventions, professional oral healthcare, and restorative treatment can improve oral health among older adults [36]. However, from the preventive perspective, nursing home staff and clinicians need to adopt strategies to prevent older adults from losing their teeth.…”

Section: Discussionmentioning

confidence: 98%

The association between the number of teeth and frailty among older nursing home residents: a cross-sectional study of the CLHLS survey

et al. 2022

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Background Given that few studies have explored the association between oral health and frailty among older nursing home residents, the purpose of this study was to assess the association between oral health (i.e., the number of teeth and oral behaviors) and frailty in this population using the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Methods This was a national cross-sectional study derived from the seventh wave of CLHLS in 2018, consisting of 365 older nursing home residents aged 65 years or older. The frailty index was constructed based on 32 variables consisting of self-rated health status, anxiety, depression, ADL and IADL. Oral health was measured through the number of natural teeth and tooth brushing behavior. Multiple logistic regression was used to identify this association between the number of teeth, oral health behaviors, and frailty. Results The mean age of this sample was 87.6 (SD = 9.5), with 154 (42.2%) males. The prevalence of frailty and edentulism was 71.2% and 33.4%, respectively. Multiple logistic regression analysis found that the likelihood of frailty decreased with an increased number of teeth, with an OR of 0.94 (95% CI: 0.91–0.98). Compared with participants with edentulism, older adults with 1 to 20 teeth had a lower likelihood of frailty (OR = 0.39, 95% CI: 0.17–0.88); these results were also found in older adults with more than 20 teeth (OR = 0.20, 0.07–0.57). Additionally, older adults who brush their teeth regularly have a lower likelihood of frailty than those who never brush their teeth (OR = 0.37, 95% CI: 0.13–0.99). Conclusion Older nursing home residents who maintain their natural teeth can help lower the risk of frailty, and regular toothbrushing also contributes to decreasing the risk of frailty. Our study emphasizes the importance of oral health, and cohort studies with large-scale samples to address this important issue are warranted in the future.

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“…This could provide useful information for the design of future interventions that would be most effective for improving dental care provision in nursing homes. Furthermore, the implementation of tools for the assessment of dental care needs and clear pathways for the organization of dental care in the nursing home and, where necessary, at a practice, could help to increase dental care utilization [35][36][37].…”

Section: Discussionmentioning

confidence: 99%

Contacts with general practitioners, dentists, and medical specialists among nursing home residents: a cross-sectional study in 44 German nursing homes

Czwikla

Schmidt

Schulz

et al. 2022

BMC Health Serv Res

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Background Nursing home residents have high medical care needs. Their medical care utilization is, however, lower compared to community-dwelling elderly and varies widely among nursing homes. This study quantified the utilization of general practitioners (GPs), dentists, and medical specialists among nursing homes and residents, and investigated whether dentist utilization is associated with individual and nursing home characteristics. Methods Forty-four nursing homes invited 2124 residents to participate in a cross-sectional study. For 10 medical specialties, data on contacts in nursing homes, practices, and by telephone in the last 12 months were assessed at individual and nursing home level. The proportion of nursing homes and residents with any form of contact, and the median number and interquartile range (IQR) of contacts among individuals with contact were determined. Using multilevel logistic regression, associations between the probability of individual dental care utilization and sex, age, LTC grade, years of residence, sponsorship, number of nursing home beds, and transport and medical escort services for consultations at a practice were investigated. Results The proportion of nursing homes with any form of contact with physicians ranged from 100% for GPs, dentists, and urologists to 76.7% for gynecologists and orthopedists. Among the nursing homes, 442 residents participated (20.8% response). The proportion of residents with any contact varied from 97.8% for GPs, 38.5% for neurologists/psychiatrists, and 32.3% for dentists to 3.0% for gynecologists. Only for GPs, neurologists/psychiatrists, dentists, otorhinolaryngologists, urologists, and dermatologists, the proportion was higher for nursing home contacts than for practice and telephone contacts. Among residents with any contact, the median number of contacts was highest for GPs (11.0 [IQR 7.0-16.0]), urologists (4.0 [IQR 2.0-7.0]), and neurologists/psychiatrists (3.0 [IQR 2.0-5.0]). Dentist utilization varied widely among nursing homes (median odds ratio 2.5) and was associated with higher age. Conclusions Almost all residents had regular contact to GPs, but only one third had contact with dentists. Lower proportions with contact were found for medical specialists, except for neurologists/psychiatrists. Reasons for the large variations in dental care utilization among nursing homes should be identified. Trial registration DRKS00012383 [2017/12/06].

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Interventions to improve oral health of older people: A scoping review

Cited by 16 publications

References 85 publications

Oral Health among Elderly, Impact on Life Quality, Access of Elderly Patients to Oral Health Services and Methods to Improve Oral Health: A Narrative Review

Oral Health among Elderly, Impact on Life Quality, Access of Elderly Patients to Oral Health Services and Methods to Improve Oral Health: A Narrative Review

The association between the number of teeth and frailty among older nursing home residents: a cross-sectional study of the CLHLS survey

Contacts with general practitioners, dentists, and medical specialists among nursing home residents: a cross-sectional study in 44 German nursing homes

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