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Provision of Oral Health Care by Dentists to Community-Dwelling Older Patients

BACKGROUND: Research into oral health care for older people has shown that dental care in general decreases with increasing age and frailty and, therefore, oral health care provision may be complex. The aim of this study is to identify the oral health care dentists provide to community-dwelling olde...

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Autores principales: Bots-VantSpijker, Pieternella C., van der Maarel-Wierink, Claar D., Schols, Jos M.G.A., Bruers, Josef J.M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275299/
https://www.ncbi.nlm.nih.gov/pubmed/34281699
http://dx.doi.org/10.1016/j.identj.2021.05.012
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author Bots-VantSpijker, Pieternella C.
van der Maarel-Wierink, Claar D.
Schols, Jos M.G.A.
Bruers, Josef J.M.
author_facet Bots-VantSpijker, Pieternella C.
van der Maarel-Wierink, Claar D.
Schols, Jos M.G.A.
Bruers, Josef J.M.
author_sort Bots-VantSpijker, Pieternella C.
collection PubMed
description BACKGROUND: Research into oral health care for older people has shown that dental care in general decreases with increasing age and frailty and, therefore, oral health care provision may be complex. The aim of this study is to identify the oral health care dentists provide to community-dwelling older people and which barriers they experience in doing this. METHODS: In this cross-sectional study, a representative sample of dentists in the Netherlands was asked to prospectively select one older patient and describe this patient using a specially developed registration form; the patient was requested to fill out a questionnaire. The relationship between experienced barriers in providing oral health care to older patients and characteristics of the dentists and the patients was studied by means univariate and multivariate logistic regression analysis. RESULTS: In total, 923 dentists were asked to participate in the study. Data were available for 39.4% dentist–patient pairs. In most cases (87.4%), oral health care was focussed on conservation of the dentition. In all, 14.0% of the dentists experienced barriers in providing oral health care for older people. Some patient factors increase the risk of experiencing barriers, eg, the more difficult behaviour of older patients and the greater disease burden. CONCLUSIONS: Oral health care was mostly focussed on conservation of the dentition, and dentists especially experience barriers in oral health provision to older patients if they are already frail.
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spelling pubmed-92752992022-08-02 Provision of Oral Health Care by Dentists to Community-Dwelling Older Patients Bots-VantSpijker, Pieternella C. van der Maarel-Wierink, Claar D. Schols, Jos M.G.A. Bruers, Josef J.M. Int Dent J Scientific Research Report BACKGROUND: Research into oral health care for older people has shown that dental care in general decreases with increasing age and frailty and, therefore, oral health care provision may be complex. The aim of this study is to identify the oral health care dentists provide to community-dwelling older people and which barriers they experience in doing this. METHODS: In this cross-sectional study, a representative sample of dentists in the Netherlands was asked to prospectively select one older patient and describe this patient using a specially developed registration form; the patient was requested to fill out a questionnaire. The relationship between experienced barriers in providing oral health care to older patients and characteristics of the dentists and the patients was studied by means univariate and multivariate logistic regression analysis. RESULTS: In total, 923 dentists were asked to participate in the study. Data were available for 39.4% dentist–patient pairs. In most cases (87.4%), oral health care was focussed on conservation of the dentition. In all, 14.0% of the dentists experienced barriers in providing oral health care for older people. Some patient factors increase the risk of experiencing barriers, eg, the more difficult behaviour of older patients and the greater disease burden. CONCLUSIONS: Oral health care was mostly focussed on conservation of the dentition, and dentists especially experience barriers in oral health provision to older patients if they are already frail. Elsevier 2021-07-17 /pmc/articles/PMC9275299/ /pubmed/34281699 http://dx.doi.org/10.1016/j.identj.2021.05.012 Text en © 2021 Published by Elsevier Inc. on behalf of FDI World Dental Federation. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Scientific Research Report
Bots-VantSpijker, Pieternella C.
van der Maarel-Wierink, Claar D.
Schols, Jos M.G.A.
Bruers, Josef J.M.
Provision of Oral Health Care by Dentists to Community-Dwelling Older Patients
title Provision of Oral Health Care by Dentists to Community-Dwelling Older Patients
title_full Provision of Oral Health Care by Dentists to Community-Dwelling Older Patients
title_fullStr Provision of Oral Health Care by Dentists to Community-Dwelling Older Patients
title_full_unstemmed Provision of Oral Health Care by Dentists to Community-Dwelling Older Patients
title_short Provision of Oral Health Care by Dentists to Community-Dwelling Older Patients
title_sort provision of oral health care by dentists to community-dwelling older patients
topic Scientific Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275299/
https://www.ncbi.nlm.nih.gov/pubmed/34281699
http://dx.doi.org/10.1016/j.identj.2021.05.012
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