Oral health status of newly admitted residents living in residential aged care

Cockrell, Deborah; Naganathan, Vasi; Stanaway, Fiona; Wright, F. A. C.

doi:10.1111/adj.12864

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…The prevalence of untreated decay and/or gum diseases, associated with an unsatisfactory oral cleanliness of older people living in residential aged care facilities, is frequently reported in the literature. 6,12,[19][20][21][22][23][24] There is, however, little reported on what type of dental treatments people in residential care require. 10,11,22,25 The Reach-OHT service found that diagnosis of dental diseases and treatment planning with adjunct preventive therapy were the predominant combination of treatments required.…”

Section: Discussionmentioning

confidence: 99%

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Provision of domiciliary dental service to residential aged care facilities: A 3‐year descriptive summary

Wright

Naganathan

Stanaway

et al. 2023

Special Care in Dentistry

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AimThis cross‐sectional descriptive study described the oral health status and types of domiciliary dental treatment received by residents living in residential care after an oral health assessment (OHAT).MethodsTwenty‐one facilities were recruited where consenting participants received OHAT followed by a referral for further domiciliary dental treatments. Data were captured and stored as Reach‐OHT database where 2017–2019 data were analyzed.ResultOverall, 88% of residents consented. 69.1% were referred for treatment after completion of OHAT. More than half had one or more caries; 40% showed sign of periodontal disease; a higher proportion of dentate participants had an unsatisfactory level of oral cleanliness. Of those received domiciliary dental treatment, diagnostic and preventive service was the combination most frequently provided. These comprised an average of 71.9% of total treatment provided across the 3‐year period.ConclusionThis study contributes to the understanding and knowledge around the provision of domiciliary dental services in residential care. A large number of older people in residential care can be assessed and treated through a domiciliary service pathway. As the vast majority of services provided were diagnostic, preventive, and restorative care, the feasibility of utilizing the skillset of the entire dental team should be explored.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Provision of domiciliary dental service to residential aged care facilities: A 3‐year descriptive summary

Wright

Naganathan

Stanaway

et al. 2023

Special Care in Dentistry

Self Cite

View full text Add to dashboard Cite

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“…

Dental professionals globally are experiencing the effects of an increasing population of frail, and care-dependent patients who are retaining their teeth into older age. [1][2][3][4][5][6] As the restorative cycle tends to move dentition into more complex restorative management, the older patient is more likely to have prosthodontics that are also increasingly difficult to manage if they are frail and care-dependent. 7

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confidence: 99%

Australian dental school academics' perceptions of gerodontology education in the undergraduate curriculum

Nilsson,

Young,

Evans

et al. 2023

Eur J Dental Education

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IntroductionAustralia's rapidly growing population of dentate, frail, care‐dependent older people require graduates skilled in managing the health needs of this patient group. The perceptions of academics teaching gerodontology may inform future dental curricula recommendations. This study explored the perceptions of gerodontology education amongst Australian dental school academics.Materials and MethodsAll nine Australian dental schools providing entry‐to‐practice dentistry programs were invited to participate in semi‐structured interviews. Academics from six dentistry programs took part, and the data were analysed using a thematic approach.ResultsThe three main themes identified from interviews included ‘clinical exposure’, ‘organisational levers’, and ‘sociological barriers’. The attitudes of students, as well as society and health professionals, were seen as strongly influential in preparing the workforce for managing the oral health of older people. The themes inter‐linked with a knock‐on effect where societal attitudes and organisational levers impact on the ability to successfully support students' preparation for gerodontology practice. Limited resources were barriers to achieving ideal learning and teaching and continued upon graduation as oral health care for older people was perceived as undervalued and under‐resourced.ConclusionThere has been a continued cycle of failure in healthcare schemes and advocacy for the improvement of oral health for older people which has contributed to the inadequate preparation of dental graduates for managing frail and care‐dependent older people. Organisational, societal, and political change is needed to support the education of dental students in this area to ensure graduate dentists are competent to manage the oral care needs of this growing population.

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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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Oral health status of newly admitted residents living in residential aged care

Cited by 4 publications

References 12 publications

Provision of domiciliary dental service to residential aged care facilities: A 3‐year descriptive summary

Provision of domiciliary dental service to residential aged care facilities: A 3‐year descriptive summary

Australian dental school academics' perceptions of gerodontology education in the undergraduate curriculum

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

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