Dental treatment needs of homebound and nursing home patients

Strayer, Michael S.; Ibrahim, Maged F.

doi:10.1111/j.1600-0528.1991.tb00137.x

Cited by 14 publications

(11 citation statements)

References 8 publications

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“…Former works have published that elderly population who are medically compromised have increased plaque levels compared with normal healthy adults (16,31,32). Consequently, there is a higher potential for the incidence of caries in such adults (33)(34)(35)(36). Moreover, currently recommended standard fluoridated toothpastes show a fluoride content of 1100-2500 ppm F (12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

High‐fluoride toothpaste: a multicenter randomized controlled trial in adults

Srinivasan

Schimmel

Riesen

et al. 2013

Comm Dent Oral Epid

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ObjectiveThe aim of this single – blind, multicenter, parallel, randomized controlled trial was to evaluate the effectiveness of the application of a high-fluoride toothpaste on root caries in adults.MethodsAdult patients (n = 130, ♂ = 74, ♀ = 56; mean age ± SD: 56.9 ± 12.9) from three participating centers, diagnosed with root caries, were randomly allocated into two groups: Test (n = 64, ♂ = 37, ♀ = 27; lesions = 144; mean age: 59.0 ± 12.1; intervention: high-fluoride toothpaste with 5000 ppm F), and Control (n = 66, ♂ = 37, ♀ = 29; lesions = 160; mean age: 54.8 ± 13.5; intervention: regular-fluoride toothpaste with 1350 ppm F) groups. Clinical examinations and surface hardness scoring of the carious lesions were performed for each subject at specified time intervals (T0 – at baseline before intervention, T1 – at 3 months and T2 – at 6 months after intervention). Mean surface hardness scores (HS) were calculated for each patient. Statistical analyses comprised of two-way analysis of variance and post hoc comparisons using the Bonferroni–Dunn correction.ResultsAt T0, there was no statistical difference between the two groups with regard to gender (P = 0.0682, unpaired t-test), or age (P = 0.9786, chi-squared test), and for the overall HS (Test group: HS = 3.4 ± 0.61; Control group: HS = 3.4 ± 0.66; P = 0.8757, unpaired t-test). The anova revealed significantly better HS for the test group than for the control groups (T1: Test group: HS = 2.9 ± 0.67; Control group: HS = 3.1 ± 0.75; T2: Test group: HS = 2.4 ± 0.81; Control group: HS = 2.8 ± 0.79; P < 0.0001). However, the interaction term time-point*group was not significant.ConclusionsThe application of a high-fluoride containing dentifrice (5000 ppm F) in adults, twice daily, significantly improves the surface hardness of otherwise untreated root caries lesions when compared with the use of regular fluoride containing (1350 ppm F) toothpastes.

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Section: Discussionmentioning

confidence: 99%

High‐fluoride toothpaste: a multicenter randomized controlled trial in adults

Srinivasan

Schimmel

Riesen

et al. 2013

Comm Dent Oral Epid

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“…The term ‘oral health care’ includes daily oral hygiene support, eating and drinking support and support to receive dental treatment. Although the oral health status of community‐dwelling homebound elderly are known to be poor (Strayer & Ibrahim, 1991; Kaneko et al ., 1992; Kiyak et al ., 1993; Strayer, 1993; Knabe & Kram, 1997; Satoh et al ., 1998), the situation of support for oral health care is not known. Thus independence of daily oral hygiene was surveyed to assess the situation of oral health care.…”

Section: Discussionmentioning

confidence: 99%

Oral health care status of homebound elderly in Japan

Morishita

Takaesu

Miyatake³

et al. 2001

J of Oral Rehabilitation

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We examined the present conditions of oral health care in order to contribute towards an effective system to provide oral health care for homebound elderly in Japan. A questionnaire was mailed to homebound elderly subjects (n=908) and returned by mail. A 73.6% response was achieved. The questionnaire was designed to elicit information with respect to the general condition of the subjects and independence of oral health care. About 70% of the subjects were chair- or bed-bound. Among all subjects, 37.6% required partial or full assistance on toothbrushing, 55.6% on cleaning dentures and 46.7% on eating. The degree of oral health care tended to be poor for chair- or bed-bound elderly compared with independent or house-bound elderly. Homebound elderly with lower Activities of Daily Living Scale (ADL) required more support for oral health care compared with elderly with higher ADL.

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“…Irregular dental attendance and delays in obtaining treatment or appropriate preventive advice can lead to crisis management for pain relief and extraction rather than restorative care 14 . Previous studies have suggested that regular oral health assessment by dental personnel provides a mechanism for ‘opportunistic identification’ of residents who have not been receiving regular dental care, who have oral and/or dental problems, and/or who are at risk of poor oral health 19–21 . Additionally, it has been recommended that home care staff could be trained to recognise indicators of poor oral health including the ability to speak, smile or eat without pain or discomfort 19–21 .…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have suggested that regular oral health assessment by dental personnel provides a mechanism for ‘opportunistic identification’ of residents who have not been receiving regular dental care, who have oral and/or dental problems, and/or who are at risk of poor oral health 19–21 . Additionally, it has been recommended that home care staff could be trained to recognise indicators of poor oral health including the ability to speak, smile or eat without pain or discomfort 19–21 . An oral health assessment form can be a useful tool both in residential homes and for individuals living at home requiring/receiving domiciliary services 22–23 .…”

Section: Discussionmentioning

confidence: 99%

“…As domiciliary dental services are often demand led and provided only on request, it is not surprising, although still disappointing, that some home managers are unaware of them, particularly as the dental status of elderly people in residential homes tend to be poor 19–20 . One way of addressing such needs is through health promotion that facilitates the healthier choices by providing adequate information on which to base decisions.…”

Section: Discussionmentioning

confidence: 99%

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