Preventive oral health intervention among old home care clients

Nihtilä, Annamari; Tuuliainen, Eveliina; Komulainen, Kaija; Autonen-Honkonen, Kirsi; Nykänen, Irma; Hartikainen, Sirpa; Ahonen, Riitta; Tiihonen, Miia; Suominen, Anna Liisa

doi:10.1093/ageing/afx020

Cited by 37 publications

(57 citation statements)

References 13 publications

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“…Registering a daily oral health treatment plan into the patient information system seems to improve daily oral health care during home visits. Nihtilä et al (2017) reported similar results [16]. When oral hygiene is registered into the daily treatment plan, the nurses make time for it.…”

Section: Discussionmentioning

confidence: 86%

Perceptions of older people’s oral health care among nurses working in geriatric home care

Aro

Laitala

Syrjälä

et al. 2018

Acta Odontologica Scandinavica

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Section: Discussionmentioning

confidence: 86%

Perceptions of older people’s oral health care among nurses working in geriatric home care

Aro

Laitala

Syrjälä

et al. 2018

Acta Odontologica Scandinavica

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“…Furthermore, adding oral hygiene protocols to the daily care routine has been shown to increase caregivers' motivation and willingness to support residents with their oral care, as well as improved oral health of senior residents 47,48. In previous study, we have also shown that a tailored oral health intervention can significantly reduce the number of plaque‐covered teeth and improve denture hygiene among older home care clients 49. Moreover, for older people living in regular day care centres and assisted living homes, adherence to daily oral hygiene routines helped them maintain their sense of autonomy and self‐worth 3.…”

Section: Discussionmentioning

confidence: 89%

The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients

Tuuliainen

Nihtilä

Komulainen

et al. 2019

Scandinavian Caring Sciences

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The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients Background: Increasing numbers of frail elderly people living at home but dependent on supportive care will face complex oral health challenges. Objectives: To investigate the associations of frailty status with oral cleaning habits and oral hygiene taking into account the effects of preventive oral health intervention among home care clients aged 75 or over. Methods: Data were gathered by interviews and clinical oral examinations at baseline and after a 6-month follow-up. Frailty status was evaluated at baseline using the abbreviated comprehensive geriatric assessment (aCGA) scale, which consists of 15 questions from three different domains: cognitive status, functional status and depression. A total of 231 home care clients completed the aCGA at baseline and the interview and clinical oral examination both at baseline and after the follow-up. Results: Using the aCGA classification with at least one score in the ≥2 domain, 62% of clients were classified as frail at baseline. They had poorer oral cleaning habits and hygiene, and they had lost more teeth than nonfrail participants. Multivariate analysis showed that being frail at baseline was statistically significantly associated with a lower frequency of toothbrushing and denture cleaning (OR = 0.4, 95% CI = 0.1-0.9 and OR = 0.3, 95% CI = 0.1-0.8) at baseline, but not after the follow-up. Membership in the intervention group was associated with better oral cleaning at the follow-up. However, among the frail participants, toothbrushing frequency was still significantly lower and oral hygiene poorer than among the nonfrail group. Conclusions: Oral cleaning habits of frail elderly people were slightly improved as a result of external support, which had a positive effect on oral hygiene. Individual preventive actions in the context of oral health and hygiene should be integrated into the daily care plan of home care clients with the first signs of frailty.

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“…2 Impaired cognitive function and dementia have been reported to be associated with various aspects of oral health state in both cross-sectional and longitudinal studies. [3][4][5][6][7][8][9][10][11] Maintaining oral health is an important integral component of general health, and previous studies have indicated it is a significant contributor to an individual's quality of life. 12 Pain, tooth loss and oral diseases (such as dental caries and periodontal disease) are common consequences of poor oral health.…”

Section: Introductionmentioning

confidence: 99%

Oral health and cognitive status in the Concord Health and Ageing in Men Project: A cross‐sectional study in community‐dwelling older Australian men

et al. 2020

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Background: Several studies have examined the relationship between cognition and oral health in older populations. To further understand this relationship, we examined the associations between cognitive function, chewing capacity and the number of teeth present in community-dwelling older males in Australia. Methods: Data were obtained from cross-sectional analysis of fourth wave of the Concord Health and Ageing in Men Project (CHAMP). Participants were 369 community-dwelling males aged 78 years or over. Cognitive function was measured utilising the Mini-Mental State Examination (MMSE). Chewing capacity was determined on ability to chew food items of different textures, and oral health data were collected. Ordinal regression was used to analyse associations between MMSE (four categories) and chewing capacity and number of natural teeth present. Results: Overall, 67.5% of participants reported that they could chew all 11 listed food items. Participants with fewer than 20 teeth were statistically significantly more likely to have cognitive impairment (unadjusted odds ratio (OR) 1.87; 95% confidence interval (CI) 1.25-2.79, adjusted OR 1.62; 95% CI 1.07-2.43). Participants with limited chewing capacity were also more likely to have cognitive impairment (unadjusted OR 1.91; 95% CI 1.25-2.94, adjusted OR 1.61; 95% CI 1.03-2.49). Conclusions: This study suggests either that older men with fewer than 20 natural teeth and those with limited chewing capacity are more likely to have an associated cognitive impairment or that those with cognitive impairment are more likely to have fewer teeth and limited chewing capacity. Further longitudinal studies should clarify these relationships.

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Preventive oral health intervention among old home care clients

Cited by 37 publications

References 13 publications

Perceptions of older people’s oral health care among nurses working in geriatric home care

Perceptions of older people’s oral health care among nurses working in geriatric home care

The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients

Oral health and cognitive status in the Concord Health and Ageing in Men Project: A cross‐sectional study in community‐dwelling older Australian men

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