The residual dentition among New Zealanders in aged residential care

Abstract

Background Descriptions of the older population's dentition status are usually limited to indicators such as the edentulous proportion, the mean number of restored and missing teeth, and the proportion with a functional dentition, with very few reports describing in detail the nature of the residual dentition. Objectives This study described the residual dentition among older New Zealanders living in residential aged care facilities. Material and Methods Using national data from the Older People's Oral Health Survey, we determined the residual dentition arrangement and Kennedy classification for each dental arch. Individuals were categorised according to their maxillary‐mandibular dental configuration. Data were weighted to make the estimates generalisable to the source population. Results Among the dentate 45% of the 987 clinically examined participants, the most prevalent configuration was maxillary tooth‐bounded saddles against a partially dentate lower (24.7%; 95% CI: 20.4, 29.7). More younger participants generally had less tooth loss experience and had higher prevalence of Kennedy Classes II, III and IV. There were few sex differences, although more females had a fully dentate arch. Marked ethnic differences were observed: Māori were up to eight times as likely to have only mandibular anterior teeth remaining. Upper dentures were worn more than their lower counterpart. Age, sex and ethnic characteristics were associated with particular residual teeth configurations. Conclusions Having various degrees of tooth loss was the norm, with the upper tooth‐bounded saddles against any partially dentate lower combination most common, and limited to females. An edentulous maxilla opposed by some standing teeth was observed in over one‐quarter of the population, and most common among Māori and those who were older. Maxillary prostheses were much more common than mandibular ones. Caring for dentate older people in aged residential care is likely to be complicated by the wide range of dentition configurations.

Effect and Nursing Satisfaction of Bedside Nursing Combined with Detail Nursing in Clinical Nursing of Gastroenterology Department

“…The team leaders need to supervise the work of primary nurses to correct deficiencies. For the department leaders, they should supervise the daily work of primary nursing, conduct a check-up system to comprehensively grasp the causes of clinical adverse events, analyze the risk factors affecting the quality of care, and fundamentally ensure the smooth development of nursing services [ 18 , 20 , 21 ]. This study showed that the incidence of clinical adverse events in the research group was significantly lower than that in the reference group, suggesting that the combined nursing intervention can effectively improve the responsibility consciousness of nursing staff and reduce the incidence of clinical adverse events.…”

Knowledge of nursing graduates on oral health care for older people in the long‐term care

“…The studies by Thomson et al 6 . (2018) and Hyland et al 5 . (2019) suggested that the dental caries and treatment needs were very high, even though there is a decline in edentulism.…”

“…A recent national survey 5 conducted among 987 elderly residents in 120 residential homes in New Zealand suggested that almost 45% (n = 443) of participants (65+) were dentate. The studies by Thomson et al 6 (2018) and Hyland et al 5 (2019) suggested that the dental caries and treatment needs were very high, even though there is a decline in edentulism.…”

“…A recent national survey 5 conducted among 987 elderly residents in 120 residential homes in New Zealand suggested that almost 45% (n = 443) of participants (65+) were dentate. The studies by Thomson et al 6 (2018) and Hyland et al 5 (2019) suggested that the dental caries and treatment needs were very high, even though there is a decline in edentulism. The same national data suggested that the treatment needs were higher for older adults with moderately and severely impaired cognitive function compared to unimpaired population.…”

“…Dentistry has been very successful in treating and preventing dental caries and periodontal disease resulting in an increased number of dentate older adults entering long‐term care. A recent national survey 5 conducted among 987 elderly residents in 120 residential homes in New Zealand suggested that almost 45% ( n = 443) of participants (65+) were dentate. The studies by Thomson et al 6 .…”