Oral Health in Nursing Homes: What We Know and What We Need to Know

Sifuentes, Andriana M Foiles; Lapane, Kate L.

doi:10.14283/jnhrs.2020.1

Cited by 12 publications

(13 citation statements)

References 21 publications

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“…From the analysis of correlations with responses to the Fox’s questionnaire, we obtained correlations that can be used clinically in the care of seniors. Research by other authors indicates the need to develop a questionnaire for assessing oral complaints that can be performed by nursing staff [ 8 , 24 ]. In our opinion, in times of an ageing population a shortage of medical professionals, and rising costs of treatment and care, nursing staff should be trained in the use of the mirror test to screen senior patients for dry mouth and associated symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the shortage of personnel and the insufficient training of the carers of elderly in the prevention of oral diseases in Poland most residents of nursing homes are at increased risk for these diseases and their consequences [ 3 , 6 , 8 , 9 ]. Lack of or inadequate oral care increases the risk of focal pathologies, for example: pneumonia, cardiovascular disease, diabetes, stroke, osteoporosis, kidney disease, gastrointestinal disease [ 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship—The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth

Michalak

Polak-Szlósarczyk

Dyduch-Dudek

et al. 2022

IJERPH

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The purpose of this article was to evaluate reported oral and mucosal complaints among seniors residing in institutionalized 24-h care of the Municipal Center for Older and Dependent People (MHCOD) and the 3-month rehabilitation program of the Daily Medical Care House (DMCH). We evaluated the feasibility of using the dental mirror slidding test to assess dry mouth of seniors. Patients underwent a questionnaire, and clinical examination. The Visual Analogue Scale (VAS) was used to assess pain, Fox’s questionnaire and Challacombe’s scale with Clinical Oral Dryness Score to assess dryness of the mouth, dental mirror slidding test to assess buccal mucosal resistance. Dryness, mucosal burning, impaired taste, food intake are symptoms associated with seniors, and their frequency does not depend on the type of care. The incidence of mucosal burning (Mdn = 4.0, IQR = 4.75, p = 0.032) and difficulty in using dental prosthetics (Mdn = 3.0, IQR = 4.00, p = 0.010) increase with the length of stay at MHCOD. Seniors are at risk of side effects of polypharmacy, which cause dryness (p = 0.036), complaints of lack of saliva (p = 0.009)and taste disorders (p = 0.041. Seniors with higher levels of dry mouth are more likely to exhibit mucosal burning (p = 0.026) and difficulty in taking food (p = 0.037). The implementation of the dental mirror slidding test in the scope of the primary care of geriatric examination should be discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship—The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth

Michalak

Polak-Szlósarczyk

Dyduch-Dudek

et al. 2022

IJERPH

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“…18 It is well documented that residents of nursing facilities often have poor oral health. [19][20][21] Several oral health intervention studies have been conducted in conjunction with nursing facility care staff but have produced varying results on improving resident oral health. 22,23 It is suggested that the main barriers to providing residents with appropriate oral care include high staff turnover, understaffing, lack of time and lack of oral care knowledge, education, and training.…”

Section: Oral Hygiene Aidsmentioning

confidence: 99%

Dental innovations which will influence the oral health care of baby boomers

Hartshorn

Nair

2023

Special Care in Dentistry

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From the widespread use of smartphones and tablets to the multitude of applications available, older adults are showing an interest in utilizing technology to maintain their independence and to improve their quality of life. As technology continues to advance and be incorporated into many day-to-day activities, the baby boom generation will see these changes affecting the way they access and utilize dental services. Innovative toothbrushes and chemotherapeutics are continuing to be developed and utilized by many older adults. Within the dental office, older adults are seeing greater application of technology in every day dental procedures. These include the use of teledentistry, artificial intelligence (AI), innovative restorative materials, digitization of fixed and removable prosthodontics, cone beam computed tomography (CBCT) scans to guide dental implant placement and endodontic procedures. There is also new technology to aid in cancer detection and shielding during cancer treatment. Improved communication between the medical and dental fields has become increasingly necessary to facilitate effective patient care and a few innovative healthcare systems have begun to consolidate these services. Overall, the baby boom generation will continue to see dental innovations that will change the way they experience everyday life and dental services.

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“…Oral health problems in older persons are prevalent in the United States 1,2 . Nearly 96% of older persons have had a cavity, 1 in 6 had untreated tooth decay, and about two‐thirds of older persons have gum disease 1,3 .…”

Section: Introductionmentioning

confidence: 99%

Oral conditions and other symptoms among older persons in long‐term care facilities during the end of life

Chung

Chen

Zhang

et al. 2022

Special Care in Dentistry

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Aims: The purpose was to examine the association between oral conditions and other symptoms in long‐term care facilities during the last days of life.Methods: A retrospective case‐control study approach was used in this study, with the Minimum Data Set (MDS, ver. 3.0 2015) that was maintained and administrated by the Centers for Medicare and Medicaid Services (CMS). Residents with oral conditions (n = 4304) were selected with any oral conditions (e.g., ulcers, inflamed/bleeding gums, mouth/facial pain). The control cases (n = 12 912) were selected using propensity analysis.Results: Oral conditions had significant impacts on depression, poor appetite, pain, shortness of breath, and constipation. Although no statistically significant differences in trouble sleeping, vomiting, internal bleeding, and dehydration were found between the cases with oral conditions and the control, more residents with oral conditions reported trouble sleeping and dehydration compared to the control.Conclusions: It is important to provide preventive and proactive intervention for oral conditions, not only to minimize the negative effects of oral conditions on other symptoms in long‐term care facilities, but also to share philanthropic support with people who might be suffering other symptoms due to oral conditions at the end of life.

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Oral Health in Nursing Homes: What We Know and What We Need to Know

Cited by 12 publications

References 21 publications

Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship—The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth

Oral and Mucosal Complaints among Institutionalized Care Seniors in Malopolska Voivodeship—The Utility of the Mirror Sliding Test in an Assessment of Dry Mouth

Dental innovations which will influence the oral health care of baby boomers

Oral conditions and other symptoms among older persons in long‐term care facilities during the end of life

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