Oral health status and needs of homebound elderly in an urban home‐based primary care service

Gluzman, Rima; Meeker, H.; Agarwal, Paras; Patel, Shilpa; Gluck, George M.; Espinoza, Lucas Enrique; Ornstein, Katherine; Soriano, Theresa; Katz, Ralph V.

doi:10.1111/j.1754-4505.2012.00316.x

Cited by 26 publications

(55 citation statements)

References 53 publications

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“…Specifically, of the 62 evaluated full or partial dentures, 25.8% had damaged dentures (e.g., missing tooth or clasp; fractured, chipped, or cracked denture; denture with signs of insufficient repair), and 67.7% had compromised occlusion (≥1 missing teeth or signs of excessive occlusal wear). Further details on dental assessment of participants are provided elsewhere …”

Section: Resultsmentioning

confidence: 99%

Significant Unmet Oral Health Needs of Homebound Elderly Adults

Ornstein

DeCherrie

Gluzman

et al. 2014

J American Geriatrics Society

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Objectives Older adults with serious illness are increasingly becoming homebound. By nature of their homebound status they lack access to basic services including dental care. We conducted a study to assess the oral health status, dental utilization and dental needs of the homebound elderly and to determine whether medical diagnoses or demographic factors influenced perceived oral health. Design Cross-sectional analysis Methods A total of 125 homebound patients received a comprehensive clinical examination in their home by a trained dental research team and completed a dental utilization and needs survey as well as the Geriatric Oral Health Assessment Index (GOHAI). Results Patients who reported a high level of unmet oral health needs were more likely to be non-white, although this effect was not significant in multivariate analysis. Individual medical diagnoses and the presence of multiple comorbidities were not associated with unmet oral health needs. Conclusions The oral health status of the homebound elderly regardless of their medical diagnoses was poor. High unmet oral health needs combined with strong desire to receive dental care suggests there is an imperative need to improve access to dental care for this growing population. In addition to improving awareness among geriatricians and primary care providers who care for the homebound, the medical community must partner with the dental community to develop home-based programs for older adults.

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Section: Resultsmentioning

confidence: 99%

Significant Unmet Oral Health Needs of Homebound Elderly Adults

Ornstein

DeCherrie

Gluzman

et al. 2014

J American Geriatrics Society

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“…Many oral health problems (e.g., xerostomia, oral candidiasis, mouth pain and infection) could also be managed at bedside. This team approach is particular helpful for individuals in hospice and those who are terminally ill and home bound because they lack access to necessary oral health care . It will also reduce the need to transfer them to dental offices, minimizing their stress and that of their caregivers and the potential disruption of homeostasis resulting from the transfer.…”

Section: Interdisciplinary Collaboration In Oral Health Care For Oldementioning

confidence: 99%

Oral Health Care for Older Adults with Serious Illness: When and How?

Chen

Kistler

2015

J American Geriatrics Society

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Older adults with serious illness are particularly vulnerable to oral disease due to worsened overall health, progressive functional loss and polypharmacy. Meanwhile, inability to communicate oral health needs, increased functional disability and psychological distress also hamper timely oral health care and lead to prolonged suffering and compromised quality of life. While many seriously-ill older adults with poor oral health receive no oral health care prior to death, unnecessary treatment is also common. In response to these issues, a new oral health care model is proposed to better address the oral health needs of older adults with serious illness. This model aims to promote comfort, maintain oral function and improve quality of life. End-of-life oral health trajectories and stage-appropriate oral health care strategies are also introduced to guide the care of these vulnerable individuals.

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“…The prevalence of elderly who lacked dental care ranged from approximately 17% in France (Herr et al, 2013) to >63% in institutionalized elderly in Spain (Cornejo et al, 2013), 82% in nursing home residents in Canada , and >90% in homebound elderly in the USA (Gluzman et al, 2013). Poor oral health in the elderly is associated with malnutrition, cognitive decline, and a higher risk for cardiovascular disease and infectious respiratory diseases, including pneumonia (Adachi et al, 2007;Awano et al, 2008;Juthani-Mehta et al, 2013).…”

Section: Introductionmentioning

confidence: 98%