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Perspectives of community-dwelling older adults with dementia and their carers regarding their oral health practices and care: rapid review

AIM: To review evidence on oral health practices, beliefs/views and experiences of community-dwelling older adults living with dementia, including their carers. MATERIALS AND METHODS: A search of key terms across six databases including Pubmed, Web of Science and OVID (Embase, MEDLINE [R] and PsycIN...

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Autores principales: KC, S., Aulakh, M., Curtis, S., Scambler, S., Gallagher, J. E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608883/
https://www.ncbi.nlm.nih.gov/pubmed/34811365
http://dx.doi.org/10.1038/s41405-021-00091-4
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author KC, S.
Aulakh, M.
Curtis, S.
Scambler, S.
Gallagher, J. E.
author_facet KC, S.
Aulakh, M.
Curtis, S.
Scambler, S.
Gallagher, J. E.
author_sort KC, S.
collection PubMed
description AIM: To review evidence on oral health practices, beliefs/views and experiences of community-dwelling older adults living with dementia, including their carers. MATERIALS AND METHODS: A search of key terms across six databases including Pubmed, Web of Science and OVID (Embase, MEDLINE [R] and PsycINFO) and Google Scholar was conducted, supplemented by reference screening. The Mixed Methods Appraisal Tool (MMAT) 2018 was used to assess the methodological quality. RESULTS: Eighteen studies reported across 19 papers were included in the review. Papers largely focused on normative needs (n = 13), whilst also reporting oral health-related experiences (n = 2), practices (n = 7), and beliefs/views (n = 9), of community dwellers with dementia. Generally, people living with dementia presented with poor oral and dental health, the exception being one study where dental care was integrated with memory clinic services. Maintenance of oral health focused only on toothbrushing. Overall, people living with dementia have reduced capacity for self-performed oral hygiene and high reliance on caregivers. There was a paucity of evidence on their perceptions of oral health and quality of life, the findings of which were equivocal, with weak evidence suggesting possible difficulty in identifying and communicating their needs. Experiences of accessing dental care, when explored, appear to be system dependent. CONCLUSION: There was limited research evidence on oral health-related practices, beliefs/views and experiences of people with dementia. Recommendations for future research are presented.
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spelling pubmed-86088832021-12-01 Perspectives of community-dwelling older adults with dementia and their carers regarding their oral health practices and care: rapid review KC, S. Aulakh, M. Curtis, S. Scambler, S. Gallagher, J. E. BDJ Open Article AIM: To review evidence on oral health practices, beliefs/views and experiences of community-dwelling older adults living with dementia, including their carers. MATERIALS AND METHODS: A search of key terms across six databases including Pubmed, Web of Science and OVID (Embase, MEDLINE [R] and PsycINFO) and Google Scholar was conducted, supplemented by reference screening. The Mixed Methods Appraisal Tool (MMAT) 2018 was used to assess the methodological quality. RESULTS: Eighteen studies reported across 19 papers were included in the review. Papers largely focused on normative needs (n = 13), whilst also reporting oral health-related experiences (n = 2), practices (n = 7), and beliefs/views (n = 9), of community dwellers with dementia. Generally, people living with dementia presented with poor oral and dental health, the exception being one study where dental care was integrated with memory clinic services. Maintenance of oral health focused only on toothbrushing. Overall, people living with dementia have reduced capacity for self-performed oral hygiene and high reliance on caregivers. There was a paucity of evidence on their perceptions of oral health and quality of life, the findings of which were equivocal, with weak evidence suggesting possible difficulty in identifying and communicating their needs. Experiences of accessing dental care, when explored, appear to be system dependent. CONCLUSION: There was limited research evidence on oral health-related practices, beliefs/views and experiences of people with dementia. Recommendations for future research are presented. Nature Publishing Group UK 2021-11-22 /pmc/articles/PMC8608883/ /pubmed/34811365 http://dx.doi.org/10.1038/s41405-021-00091-4 Text en © The Author(s) 2021, corrected publication 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as 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. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
KC, S.
Aulakh, M.
Curtis, S.
Scambler, S.
Gallagher, J. E.
Perspectives of community-dwelling older adults with dementia and their carers regarding their oral health practices and care: rapid review
title Perspectives of community-dwelling older adults with dementia and their carers regarding their oral health practices and care: rapid review
title_full Perspectives of community-dwelling older adults with dementia and their carers regarding their oral health practices and care: rapid review
title_fullStr Perspectives of community-dwelling older adults with dementia and their carers regarding their oral health practices and care: rapid review
title_full_unstemmed Perspectives of community-dwelling older adults with dementia and their carers regarding their oral health practices and care: rapid review
title_short Perspectives of community-dwelling older adults with dementia and their carers regarding their oral health practices and care: rapid review
title_sort perspectives of community-dwelling older adults with dementia and their carers regarding their oral health practices and care: rapid review
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608883/
https://www.ncbi.nlm.nih.gov/pubmed/34811365
http://dx.doi.org/10.1038/s41405-021-00091-4
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