Factor Analysis on Implementation of Domiciliary Dental Care in Metropolitan Tokyo

Hirata, Soichiro; Sakayori, Takaharu; Maki, Yoshinobu; Takano, Naohisa; Ishii, Takeshi

doi:10.2209/tdcpublication.54.67

Cited by 5 publications

(10 citation statements)

References 4 publications

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“…The most frequently selected DDC procedure was removable prosthetic treatment, which is consistent with previous reports from Japan (1) and Britain (9). The trends of DDC services in the present study were incremental oral care and dysphagia rehabilitation.…”

Section: Discussionsupporting

confidence: 91%

“…The patient or family, home-visit care station, and hospital were selected as origins of DDC requests by 94.2%, 56.5%, and 44.2% of respondents. These rates are significantly higher than those reported in a previous study (Hirata et al, J Gerodont 27, 276, 2012) (1). With regard to DDC visiting sites, approximately 90% of respondents reported providing DDC services at a patient's home, which was consistent with the previous report (1).…”

Section: Discussionsupporting

confidence: 87%

“…These rates are significantly higher than those reported in a previous study (Hirata et al, J Gerodont 27, 276, 2012) (1). With regard to DDC visiting sites, approximately 90% of respondents reported providing DDC services at a patient's home, which was consistent with the previous report (1). However, the rates of respondents visiting elder care facilities and hospitals were much higher than those in the previous report.…”

Section: Discussionsupporting

confidence: 81%

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Trends in domiciliary dental care including the need for oral appliances and dental technicians in Japan

Kamijo

Sugimoto

Oki

et al. 2018

Journal of Oral Science

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The need for domiciliary dental care (DDC) for people requiring long-term nursing care is increasing as the super-aged society of Japan grows still older. Dysphagia diagnosis and rehabilitation are becoming more important in DDC; thus, the need for prostheses used for dysphasia rehabilitation is presumed to be increasing. To identify DDC trends in Japan, as well as the need for prostheses and dental technicians for DDC, we sent a selfadministered questionnaire to dentists providing DDC and analyzed responses from 138 dentists (valid response rate, 39.8%). The results showed that 37.7% of respondents reported treating ≥50 patients per month. The most frequently performed procedures were removable prosthetic treatment and oral care, followed by dysphagia rehabilitation. Use of palatal augmentation prostheses was experienced by 54.3% of respondents, and most indicated that the prostheses were effective for improvement of oropharyngeal function. The rates of cooperation with primary care doctors and nursing care professionals were 76.8% and 85.5%, respectively. Only 6.5% of respondents reported accompanying dental technicians to DDC.The present analysis of trends in DDC indicates that oral care and dysphagia rehabilitation have become more frequent and that cooperation with healthcare professionals other than dental technicians has increased in recent DDC.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 81%

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Trends in domiciliary dental care including the need for oral appliances and dental technicians in Japan

Kamijo

Sugimoto

Oki

et al. 2018

Journal of Oral Science

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“…In terms of regional factors, the present study showed that a lack of neighborhood dental clinics providing domiciliary dental care was a barrier to receiving domiciliary dental care. A lack of dentists who supplied domiciliary dental care has also been reported in other countries, particularly as this represents a high‐cost, time‐consuming service, dental equipment suitable for home service was lacking, and dentists were poorly trained for home care …”

Section: Discussionmentioning

confidence: 87%

“…A lack of dentists who supplied domiciliary dental care has also been reported in other countries, particularly as this represents a high-cost, timeconsuming service, dental equipment suitable for home service was lacking, and dentists were poorly trained for home care. 2,[18][19][20] Preserving older adults' oral health is related to retaining their general health. 5,21 Retaining a number of teeth and appropriate use of artificial dentures might help prevent dementia and malnutrition.…”

Section: Discussionmentioning

confidence: 99%

Domiciliary dental care among homebound older adults: A nested case–control study in Japan

Ishimaru

Ono

Morita

et al. 2019

Geriatrics Gerontology Int

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Aim Improving the availability of dental care is essential to maintain older adults’ general health and wellbeing. Domiciliary dental care is a feasible alternative. The present study aimed to investigate factors affecting the use of domiciliary dental care among home‐dwelling dependent older adults. Methods A retrospective nested case–control study was carried out. We identified long‐term care recipients who used home care services between April 2012 and March 2014 using Japan's nationwide long‐term care service claim database. One‐to‐one case–control matching was carried out between those with and without domiciliary dental care, based on sex, age and the time home care service use was started. We carried out multivariable conditional logistic regression analyses to assess various factors associated with using domiciliary dental care. Results We identified 3 377 998 eligible homebound long‐term care beneficiaries aged ≥65 years. Of these, 278 302 (8.2%) received domiciliary dental care. Factors associated with a higher probability of receiving domiciliary dental care were: higher level of care need (odds ratio [OR] 1.99, 95% confidence interval [CI] 1.93–2.06), exemption from out‐of‐pocket payment (OR 1.35, 95% CI 1.32–1.39]), living in a group home (OR 7.93, 95% CI 7.71–8.16), using other domiciliary services such as physician visits (OR 3.15, 95% CI 3.08–3.22) and a large number of dental clinics providing domiciliary dental care in their municipality (OR 1.74, 95% CI 1.70–1.77). Significant barriers to receiving domiciliary dental care were living alone (OR 0.64, 95% CI 0.62–0.66) and dementia (OR 0.89, 95% CI 0.88–0.91). Conclusions Our findings might help to improve the availability of dental care in this population. Geriatr Gerontol Int 2019; 19: 679–683.

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The implementation of domiciliary dental care from a university hospital: A retrospective review of the patients and performed treatments in central Taiwan from 2010 to 2020

Wang

Lee

et al. 2022

Journal of Dental Sciences

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Background/purpose People who suffer with chronic illness, functional impairment, or cognitive impairment are not easily to visit dental clinics. Domiciliary dental care (DDC) can provide the feasible alternative for these clients. In this study, we first reported the DDC services from a university hospital in central Taiwan from 2010 to 2020. Materials and methods This retrospective study collected the DDC data from Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan. The data including age, sex, geographic locations, place of residence, grade of disability, and type of dental treatment for the patients were obtained and analyzed. Results A total of 419 patients (168 females and 251 males) who received dental treatment were included in the study. The average age was 57.4 years old. The total DDC services were up to 2444 visits. The top of place of residence for DDC is patient's home (231/419; 55.13%). Scaling was the most common type of dental treatment for DDC (317/419; 75.67%). The male patients whose age <60 years old had received more DDC (p = 0.002). The profound grade of disability had higher DDC in age <60 years old group (p < 0.001). Conclusion Taken together, this study demonstrates the demographic data of DDC in central Taiwan. The results may be valuable for governmental policy to improve the availability of DDC and in turn to facilitate oral health in this specific group of dental patients.

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Factor Analysis on Implementation of Domiciliary Dental Care in Metropolitan Tokyo

Abstract: The need for domiciliary

Cited by 5 publications

References 4 publications

Trends in domiciliary dental care including the need for oral appliances and dental technicians in Japan

Trends in domiciliary dental care including the need for oral appliances and dental technicians in Japan

Domiciliary dental care among homebound older adults: A nested case–control study in Japan

The implementation of domiciliary dental care from a university hospital: A retrospective review of the patients and performed treatments in central Taiwan from 2010 to 2020

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