Oral Health Status and Treatment Needs of Elderly Residents in a Singapore Nursing Home

Thean, Hilary; Wong, Mun Loke; Koh, Gerald Choon‐Huat; Wong, Adeline S. M.

doi:10.47102/annals-acadmedsg.v38n3p282

Cited by 10 publications

(9 citation statements)

References 5 publications

(6 reference statements)

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“…Another measure used for dental status was the presence and number of teeth. This measure was used in 21 studies [5,27,40,45,57,71,[76][77][78][79][80][81][82][83][84][85][86][87][88][89][90]. In some studies it was combined with counting the number of functional occluding pairs that had static contacts [27,40,69,77,79,91].…”

Section: Masticatory Functionmentioning

confidence: 99%

“…Some studies assessed dental status by the presence of decay only, by either reporting a root caries index [39,50,74,86,93] or counting the number of teeth with root and/or coronal caries [35, 51, 56, 72, 75, 76, 83-85, 90, 94, 95]. Another method for assessment of dental status was dental treatment need [27,29,46,56,84,92]. The method differed for every study:…”

Section: Masticatory Functionmentioning

confidence: 99%

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Oral health assessment in institutionalized elderly: a scoping review

Bakker,

de Smit,

Valentijn

et al. 2024

BMC Oral Health

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When elderly become frail and in need for complex care, they can no longer live independently at home and may be admitted to nursing homes. Various studies have shown that oral health in this population is remarkably poor, which may lead to distressing situations and impacts quality of life. A variety of definitions or descriptions for oral health is used. Without a uniform parameter, it is impossible to determine whether oral health in institutionalized elderly is actually improving or deteriorating over time, as well as the effect of (preventive) interventions. In search for an adequate and clinically applicable parameter to determine oral health in this specific patient group, this scoping review aims to give an overview of the currently used parameters for determining oral health in institutionalized elderly. Ninety different parameters were identified, and 50 parameters were solely used by one study. Only 4 parameters were frequently used (in > 20 studies). The relevance of these parameters for this specific patient group is discussed. To aid the planning and commissioning of future research and patient care, there is an urgent need for an adequate and uniform parameter for oral health determination in institutionalized elderly.

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Section: Masticatory Functionmentioning

confidence: 99%

Section: Masticatory Functionmentioning

confidence: 99%

Oral health assessment in institutionalized elderly: a scoping review

Bakker,

de Smit,

Valentijn

et al. 2024

BMC Oral Health

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show abstract

“…As for dependent older adults, there is only one article reporting the dental status and dental treatment needs of residents in a nursing home in Singapore surveyed in 2006 31 . It demonstrated that the residents had a high prevalence of poor oral hygiene, untreated tooth decay and ill‐fitting and poorly maintained dentures.…”

Section: Oral Health Status Of Older Populationmentioning

confidence: 99%

Addressing the overlooked: Integrating oral healthcare in a geriatric care system: Insights from Singapore

Tada,

Lee,

Tay

2023

Comm Dent Oral Epid

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Oral health of the older population has long been overlooked in global healthcare agenda. Limited access to oral healthcare for dependent older adults results in poor oral health, negatively impacting their quality of life, nutrition and overall well‐being. Especially for nations experiencing rapid ageing population, efforts must be urgently made to integrate oral healthcare services into the current healthcare system and policy. Singapore stands out as one of the most rapidly ageing nations in Southeast Asia, achieving remarkable progress in the healthcare field, as well as advancements in social modernization and economic growth. It now faces the growing burden of the dependent older population and is required to respond to the complex challenges associated with providing holistic eldercare services and ensuring the well‐being of its ageing population. This narrative review offers an overview of Singapore's current healthcare policy and system development for the older population, with a specific focus on oral healthcare. The goal is to shed light on this underexplored area, highlighting the challenges that need to be tackled to improve the accessibility of oral health services for dependent older adults.

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“…However, previous studies reported that local dentists felt there is a great need for oral healthcare provision for seniors in NHs in Singapore, but the access to professional OHC is very limited. 15,16 In this context, groups of volunteer dentists have initiated free on-site services within NHs; however, these efforts also seem limited. Hence, there is a crucial need to identify barriers in the existing healthcare system that impede the OHC provision for dependent seniors and to deepen the understanding about the consequences of these barriers.…”

Section: Introductionmentioning

confidence: 99%

“…Presently, there is scarce data about the oral health status of seniors in NHs in Singapore. However, previous studies reported that local dentists felt there is a great need for oral healthcare provision for seniors in NHs in Singapore, but the access to professional OHC is very limited 15,16 . In this context, groups of volunteer dentists have initiated free on‐site services within NHs; however, these efforts also seem limited.…”

Section: Introductionmentioning

confidence: 99%

Dentists' perspectives on structural and system barriers hindering oral healthcare provision in residential care facilities

Koh,

Tada,

Lee

et al. 2024

Comm Dent Oral Epid

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ObjectivesOral healthcare service is not well integrated with existing healthcare policy in nursing homes (NHs) globally. This qualitative study aimed to identify dentists' perspectives on structural and system barriers that hinder oral healthcare (OHC) provision to seniors in NHs in Singapore and to understand the consequences of these barriers.MethodsNineteen dentists (8 males and 11 females, 36.0 [IQR: 32.0–48.5] years old) were recruited through combination of purposive and snowball sampling. Four focus group discussions were conducted via teleconferencing, and each discussion had 4–5 anonymised participants. Sessions lasted 90–120 min and were audio‐recorded and transcribed verbatim. Thematic analysis was conducted on data collected using NVivo software (Version12, QRS International).ResultsParticipants agreed that the current OHC system for seniors in NHs is not well developed. The challenges dentists faced were categorised in three themes: [1] general oral healthcare system level; [2] local nursing home setting level; and [3] geriatric oral healthcare education level. These challenges are complexly intertwined and have contributed to several consequences such as a shortage of dentists in NHs and their diminished motivation to serve. It has also limited the quality of dental service they are able to provide in NHs, contributing to the current poor access of dental services for seniors in NHs.ConclusionsDentists in Singapore face many structural and systemic barriers in providing OHC to seniors in NHs, some of which are unique to the local context. Newfound understanding of these barriers and its consequences will be helpful in developing strategic approaches to overcome these challenges.

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Oral Health Status and Treatment Needs of Elderly Residents in a Singapore Nursing Home

Cited by 10 publications

References 5 publications

Oral health assessment in institutionalized elderly: a scoping review

Oral health assessment in institutionalized elderly: a scoping review

Addressing the overlooked: Integrating oral healthcare in a geriatric care system: Insights from Singapore

Dentists' perspectives on structural and system barriers hindering oral healthcare provision in residential care facilities

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