Opinions of Dentists and Directors of Nursing Concerning Dental Care Provision for Adelaide Nursing Homes

Chalmers, Jane; Hodge, Chris; Fuss, Janet; Spencer, A. John; Carter, Knute D.; Mathew, Rebecca

doi:10.1111/j.1834-7819.2001.tb00292.x

Cited by 53 publications

(80 citation statements)

References 13 publications

(21 reference statements)

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“…A great majority of the patients who received care in this clinic were low-income elderly and those with special-needs. Due to lack of resources for dental care, physical/ mental disability, lack of social support and transportation, neglect and other reasons, special-needs elders experience more difficulties in accessing necessary dental care than their healthy, independent counterparts [20][21][22][23][24]. Consequently, these individuals usually presented to the study clinic with poor oral health, including multiple infected or unrestorable teeth.…”

Section: Discussionmentioning

confidence: 99%

Tooth loss patterns in older adults with special needs: a Minnesota cohort

Chen

Clark

2011

Int J Oral Sci

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This study was conducted to detail tooth loss patterns in older adults with special needs. A total of 491 elderly subjects with special needs were retrospectively selected and followed during 10/1999-12/2006. Medical, dental, cognitive, and functional assessments were abstracted from dental records and used to predict risk of tooth loss. Tooth loss events were recorded for subjects during follow-up. Chi-squared tests were used to study the association between tooth loss and the selected risk factors. Logistic, poisson, and negative binomial regressions were developed to study tooth loss patterns. Overall, 27% of the subjects lost at least one tooth during follow-up. Fourteen subjects had tooth loss events per 100 person-years. Tooth loss pattern did not differ significantly among different special-needs subgroups (i.e. community-dwelling vs. long-term care, physically disabled vs. functionally independent). Special-needs subjects with three or more active dental conditions at arrival had more than twice the risk of losing teeth than those without any existing conditions. After adjusting other factors, the number of carious teeth or retained roots at arrival was a significant predictor of tooth loss for older adults with special needs (P=0.001). These findings indicate that appropriately managing active caries and associated conditions is important to prevent tooth loss for older adults with special needs.

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Section: Discussionmentioning

confidence: 99%

Tooth loss patterns in older adults with special needs: a Minnesota cohort

Chen

Clark

2011

Int J Oral Sci

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“…This is similar to the amount of care reported by Adelaide dentists. 13 It is unlikely that much preventive care is being provided given the small amount of time spent in homes, with only emergency and symptomatic treatment likely to be provided. This is despite the majority of dentists indicating that residents required regular 6-12 monthly examinations.…”

Section: Discussionmentioning

confidence: 99%

“…12 A number of significant barriers to the provision of adequate dental care for residents of aged care facilities have been identified by dentists and RACF staff, particularly the lack of portable equipment, difficult working conditions in RACFs, apathy of residents and staff, uncooperative administrators, residents' behavioural and communication problems and perceived lack of training in geriatric dentistry. 11,[13][14][15][16][17] Financial considerations are also known to affect the decision to provide treatment for residents. Carers often have limited knowledge and education in oral hygiene care and dental disease, and this impacts on their ability to provide adequate care to residents.…”

Section: Introductionmentioning

confidence: 99%

Dental service provision in Victorian residential aged care facilities

Hopcraft

Morgan

Satur

et al. 2008

Australian Dental Journal

103

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Background: The Australian population is ageing, and a growing proportion of elderly Australians are now living in residential aged care facilities (RACFs). These residents are at high risk of developing dental diseases, have more teeth present now than at any time in the past 50 years and often have difficulty maintaining adequate oral hygiene. Traditionally, dental service provision has been problematic and sporadic for these residents. Methods: A postal survey of a random sample of Victorian general dentists and Directors of Nursing (DONs) of Victorian RACFs was undertaken in 2006 to ascertain the participation of dentists in the provision of dental care and to identify factors impacting on the organization and provision of dental care for residents. Results: The response rate for dentists was 57.3 per cent, and for DONs 64.4 per cent. Half of the dentists reported that they had provided care to residents of aged care facilities in the past 12 months, and they spent an average of one hour per month providing care. Overall, dentists were concerned with their level of undergraduate education and training in various aspects of dentistry for residents of aged care facilities. DONs reported significant difficulty obtaining adequate dental care for their residents. Common problems identified by both dentists and DONs included a preference for dentists to treat residents in their own practice, dentists not willing to go to RACFs and a lack of portable dental equipment for dentists to use. Conclusions: There were low levels of interest and participation from Victorian dentists in providing dental care for residents of aged care facilities. Dentists had a strong preference for treating patients at their own practice, and there were a number of significant barriers that appeared to impact on the provision of dental care in RACFs.

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“…[21][22][23] Poor oral health outcomes are evident in older age groups and are concentrated in the frail aged and those in residential care. 24 Traditional models of provision of dental services have failed to meet their oral health needs, 25 however a number of relatively simple interventions that have the potential to protect oral health are available.…”

Section: Targeted Programs For Specific Population Groupsmentioning

confidence: 99%