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Oral health status and need for oral care of care-dependent indwelling elderly: from admission to death

OBJECTIVES: The objective of this study is to assess oral health and oral status of elderly patients newly admitted to a nursing home from admission until death. MATERIALS AND METHODS: Oral health, oral status, need for dental care, cooperation with dental treatment, and given dental care were asses...

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Autores principales: Hoeksema, Arie R., Peters, Lilian L., Raghoebar, Gerry M., Meijer, Henny J. A., Vissink, Arjan, Visser, Anita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5559562/
https://www.ncbi.nlm.nih.gov/pubmed/27896484
http://dx.doi.org/10.1007/s00784-016-2011-0
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author Hoeksema, Arie R.
Peters, Lilian L.
Raghoebar, Gerry M.
Meijer, Henny J. A.
Vissink, Arjan
Visser, Anita
author_facet Hoeksema, Arie R.
Peters, Lilian L.
Raghoebar, Gerry M.
Meijer, Henny J. A.
Vissink, Arjan
Visser, Anita
author_sort Hoeksema, Arie R.
collection PubMed
description OBJECTIVES: The objective of this study is to assess oral health and oral status of elderly patients newly admitted to a nursing home from admission until death. MATERIALS AND METHODS: Oral health, oral status, need for dental care, cooperation with dental treatment, and given dental care were assessed by two geriatric dentists in all new long-stay patients (n = 725) admitted to a nursing home between January 2009 and December 2013. All patients were followed from admission until death or until they left the nursing home. RESULTS: At admission, dementia patients were significantly older than somatic patients; median [IQR] ages were, respectively, 85 [79–89] and 81 [76–87] (p = 0.001). In addition, edentulous patients were significantly older than patients with remaining teeth, 83 [79–89] versus 80 [74–86] (p = 0.001) years. Thirty percent of the admitted patients died within 12 months after admission. A small minority (20%) of the patients had their own teeth. In this group, poor oral hygiene (72%), caries (70%), and broken teeth (62%) were frequently observed. Edentulous patients were significantly more cooperative with treatment than patients with remaining teeth (64 versus 27%). Finally, significantly less professional dental care was given to edentulous patients when compared to patients with remaining teeth (median 90 [IQR 60–180] versus 165 [75–375] min). CONCLUSION: When compared to edentulous elderly patients, patients with remaining teeth were younger at admittance, were more often non-cooperative, and had a poorer oral health and higher need for dental care. CLINICAL RELEVANCE: It is important that health care workers ensure adequate oral health and dental care to frail elderly, especially for elderly with remaining teeth.
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spelling pubmed-55595622017-08-31 Oral health status and need for oral care of care-dependent indwelling elderly: from admission to death Hoeksema, Arie R. Peters, Lilian L. Raghoebar, Gerry M. Meijer, Henny J. A. Vissink, Arjan Visser, Anita Clin Oral Investig Original Article OBJECTIVES: The objective of this study is to assess oral health and oral status of elderly patients newly admitted to a nursing home from admission until death. MATERIALS AND METHODS: Oral health, oral status, need for dental care, cooperation with dental treatment, and given dental care were assessed by two geriatric dentists in all new long-stay patients (n = 725) admitted to a nursing home between January 2009 and December 2013. All patients were followed from admission until death or until they left the nursing home. RESULTS: At admission, dementia patients were significantly older than somatic patients; median [IQR] ages were, respectively, 85 [79–89] and 81 [76–87] (p = 0.001). In addition, edentulous patients were significantly older than patients with remaining teeth, 83 [79–89] versus 80 [74–86] (p = 0.001) years. Thirty percent of the admitted patients died within 12 months after admission. A small minority (20%) of the patients had their own teeth. In this group, poor oral hygiene (72%), caries (70%), and broken teeth (62%) were frequently observed. Edentulous patients were significantly more cooperative with treatment than patients with remaining teeth (64 versus 27%). Finally, significantly less professional dental care was given to edentulous patients when compared to patients with remaining teeth (median 90 [IQR 60–180] versus 165 [75–375] min). CONCLUSION: When compared to edentulous elderly patients, patients with remaining teeth were younger at admittance, were more often non-cooperative, and had a poorer oral health and higher need for dental care. CLINICAL RELEVANCE: It is important that health care workers ensure adequate oral health and dental care to frail elderly, especially for elderly with remaining teeth. Springer Berlin Heidelberg 2016-11-28 2017 /pmc/articles/PMC5559562/ /pubmed/27896484 http://dx.doi.org/10.1007/s00784-016-2011-0 Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Hoeksema, Arie R.
Peters, Lilian L.
Raghoebar, Gerry M.
Meijer, Henny J. A.
Vissink, Arjan
Visser, Anita
Oral health status and need for oral care of care-dependent indwelling elderly: from admission to death
title Oral health status and need for oral care of care-dependent indwelling elderly: from admission to death
title_full Oral health status and need for oral care of care-dependent indwelling elderly: from admission to death
title_fullStr Oral health status and need for oral care of care-dependent indwelling elderly: from admission to death
title_full_unstemmed Oral health status and need for oral care of care-dependent indwelling elderly: from admission to death
title_short Oral health status and need for oral care of care-dependent indwelling elderly: from admission to death
title_sort oral health status and need for oral care of care-dependent indwelling elderly: from admission to death
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5559562/
https://www.ncbi.nlm.nih.gov/pubmed/27896484
http://dx.doi.org/10.1007/s00784-016-2011-0
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