Oral health care among nursing home residents in Avon
Identifieur interne : 001E31 ( Istex/Corpus ); précédent : 001E30; suivant : 001E32Oral health care among nursing home residents in Avon
Auteurs : Heather Frenkel ; Ian Harvey ; Robert G. NewcombeSource :
- Gerodontology [ 0734-0664 ] ; 2000-07.
English descriptors
- KwdEn :
- Average score, Buccal, Buccal surfaces, Calculus, Calculus deposits, Care assistants, Carers, Caries, Clinical examination, Community dent, Community dent health, Dent, Dent assoc, Dental attendance, Dental care, Dental consultation, Dental disease, Dental diseases, Dental eare, Dental health, Dental plaque, Dental services, Dentate, Dentate subjects, Denture, Denture hygiene, Denture plaque, Denture plaque score, Denture wearers, Denturerelated stomatitis, Dentures buccal surface mucosal surface, Elderly people, Food debris, Gerodontology, Gerodontology association, Gingivitis, Gingivitis scores, Great majority, Health dent, High levels, Loose food debris, Natural teeth, Nursing home, Nursing home residents, Nursing homes, Older adults, Oral health, Oral health care, Oral hygiene, Partial dentures, Plaque, Plaque coverage, Root caries, Stomatitis, Tooth surface.
- Teeft :
- Average score, Buccal, Buccal surfaces, Calculus, Calculus deposits, Care assistants, Carers, Caries, Clinical examination, Community dent, Community dent health, Dent, Dent assoc, Dental attendance, Dental care, Dental consultation, Dental disease, Dental diseases, Dental eare, Dental health, Dental plaque, Dental services, Dentate, Dentate subjects, Denture, Denture hygiene, Denture plaque, Denture plaque score, Denture wearers, Denturerelated stomatitis, Dentures buccal surface mucosal surface, Elderly people, Food debris, Gerodontology, Gerodontology association, Gingivitis, Gingivitis scores, Great majority, Health dent, High levels, Loose food debris, Natural teeth, Nursing home, Nursing home residents, Nursing homes, Older adults, Oral health, Oral health care, Oral hygiene, Partial dentures, Plaque, Plaque coverage, Root caries, Stomatitis, Tooth surface.
Abstract
Objective: To assess personal oral health care standards among frail, elderly and infirm nursing home residents prior to developing and evaluating a health promotion intervention.
Url:
DOI: 10.1111/j.1741-2358.2000.00033.x
Links to Exploration step
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<affiliation>Address for correspondence: Dr. Heather Frenkel, University of Bristol Dental Hospital and School, Lower Maudlin Street, Bristol BS1 2LY, UK. Tel +44 (0) 117 923 0050; Fax +44 (0) 117 928 4780; E‐mail: h.frenkel@bristol.ac.uk</affiliation>
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<profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
<p><hi rend="bold">Objective: </hi>
To assess personal oral health care standards among frail, elderly and infirm nursing home residents prior to developing and evaluating a health promotion intervention.</p>
<p><hi rend="bold">Design: </hi>
Descriptive survey, interview and clinical data.</p>
<p><hi rend="bold">Setting: </hi>
22 randomly selected nursing homes in the Bristol area.</p>
<p><hi rend="bold">Method: </hi>
412 residents with denture(s) and/or natural teeth, and giving informed consent to the study were interviewed about dental attendance and current dental problems. A clinical examination assessed levels of oral and denture hygiene, denture‐related stomatitis, gingivitis, calculus and root caries.</p>
<p><hi rend="bold">Results: </hi>
Less than half the subjects (mean age 84.5 years) were ambulant. Over 70% had not seen a dentist for over 5 years, and 22% reported a current dental problem. Among denture wearers, 82% were unable to clean their dentures; staff cleaned dentures for 64%. Denture‐related stomatitis affected 33%, and unhygienic dentures were worn by 95% of subjects. Among dentate subjects (mean number of teeth 11.6), 75% were unable to clean their teeth yet none received regular assistance. On average, two‐thirds of each tooth surface were covered in plaque. Gingivitis was moderately severe. Calculus was present in 82% of subjects and root caries in 63% of subjects.</p>
<p><hi rend="bold">Conclusions: </hi>
Most residents required help with oral health care but many did not receive it. Residents' levels of plaque and associated dental disease were high. Staff did not effectively perform oral health care appropriate to residents' needs. Further research to evaluate an oral health care training programme for care staff is planned.</p>
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<titleGroup><title type="main" sort="GERODONTOLOGY">Gerodontology</title>
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<correspondenceTo>Address for correspondence: Dr. Heather Frenkel, University of Bristol Dental Hospital and School, Lower Maudlin Street, Bristol BS1 2LY, UK. Tel +44 (0) 117 923 0050; Fax +44 (0) 117 928 4780; E‐mail: <email>h.frenkel@bristol.ac.uk</email>
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<titleGroup><title type="main">Oral health care among nursing home residents in Avon</title>
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<keywordGroup xml:lang="en"><keyword xml:id="k1">dental care for the aged</keyword>
<keyword xml:id="k2">nursing home residents</keyword>
<keyword xml:id="k3">oral health</keyword>
<keyword xml:id="k4">denture hygiene</keyword>
<keyword xml:id="k5">denture stomatitis</keyword>
<keyword xml:id="k6">oral hygiene</keyword>
<keyword xml:id="k7">dental caries</keyword>
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<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<p><b>Objective: </b>
To assess personal oral health care standards among frail, elderly and infirm nursing home residents prior to developing and evaluating a health promotion intervention.</p>
<p><b>Design: </b>
Descriptive survey, interview and clinical data.</p>
<p><b>Setting: </b>
22 randomly selected nursing homes in the Bristol area.</p>
<p><b>Method: </b>
412 residents with denture(s) and/or natural teeth, and giving informed consent to the study were interviewed about dental attendance and current dental problems. A clinical examination assessed levels of oral and denture hygiene, denture‐related stomatitis, gingivitis, calculus and root caries.</p>
<p><b>Results: </b>
Less than half the subjects (mean age 84.5 years) were ambulant. Over 70% had not seen a dentist for over 5 years, and 22% reported a current dental problem. Among denture wearers, 82% were unable to clean their dentures; staff cleaned dentures for 64%. Denture‐related stomatitis affected 33%, and unhygienic dentures were worn by 95% of subjects. Among dentate subjects (mean number of teeth 11.6), 75% were unable to clean their teeth yet none received regular assistance. On average, two‐thirds of each tooth surface were covered in plaque. Gingivitis was moderately severe. Calculus was present in 82% of subjects and root caries in 63% of subjects.</p>
<p><b>Conclusions: </b>
Most residents required help with oral health care but many did not receive it. Residents' levels of plaque and associated dental disease were high. Staff did not effectively perform oral health care appropriate to residents' needs. Further research to evaluate an oral health care training programme for care staff is planned.</p>
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<affiliation>Department of Oral and Dental Science, University of Bristol Dental Hospital, Bristol BS1 2LY, UK</affiliation>
<affiliation>E-mail: h.frenkel@bristol.ac.uk</affiliation>
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<name type="personal"><namePart type="given">Robert G.</namePart>
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<abstract>Objective: To assess personal oral health care standards among frail, elderly and infirm nursing home residents prior to developing and evaluating a health promotion intervention.</abstract>
<abstract>Design: Descriptive survey, interview and clinical data.</abstract>
<abstract>Setting: 22 randomly selected nursing homes in the Bristol area.</abstract>
<abstract>Method: 412 residents with denture(s) and/or natural teeth, and giving informed consent to the study were interviewed about dental attendance and current dental problems. A clinical examination assessed levels of oral and denture hygiene, denture‐related stomatitis, gingivitis, calculus and root caries.</abstract>
<abstract>Results: Less than half the subjects (mean age 84.5 years) were ambulant. Over 70% had not seen a dentist for over 5 years, and 22% reported a current dental problem. Among denture wearers, 82% were unable to clean their dentures; staff cleaned dentures for 64%. Denture‐related stomatitis affected 33%, and unhygienic dentures were worn by 95% of subjects. Among dentate subjects (mean number of teeth 11.6), 75% were unable to clean their teeth yet none received regular assistance. On average, two‐thirds of each tooth surface were covered in plaque. Gingivitis was moderately severe. Calculus was present in 82% of subjects and root caries in 63% of subjects.</abstract>
<abstract>Conclusions: Most residents required help with oral health care but many did not receive it. Residents' levels of plaque and associated dental disease were high. Staff did not effectively perform oral health care appropriate to residents' needs. Further research to evaluate an oral health care training programme for care staff is planned.</abstract>
<subject lang="en"><genre>keywords</genre>
<topic>dental care for the aged</topic>
<topic>nursing home residents</topic>
<topic>oral health</topic>
<topic>denture hygiene</topic>
<topic>denture stomatitis</topic>
<topic>oral hygiene</topic>
<topic>dental caries</topic>
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