Oral hygiene care status of elderly with dementia and in residential aged care facilities

Philip, Philcy; Rogers, C; Kruger, Estie; Tennant, Marc

doi:10.1111/j.1741-2358.2011.00472.x

Cited by 51 publications

(66 citation statements)

References 17 publications

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“…The oral soft tissue variables will be reported in a separate review. The division between dental hard and soft tissues is often seen in articles that report oral health in older people with dementia [5, 14–16]. The first review author (SD) extracted the data from the included studies, and the second (TB) and last author (FL) checked the extracted data.…”

Section: Methodsmentioning

confidence: 99%

Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues

et al. 2016

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ObjectiveThe aim of this review was to provide a systematic overview including a quality assessment of studies about oral health and orofacial pain in older people with dementia, compared to older people without dementia.MethodsA systematic literature search was performed in PubMed, CINAHL, and the Cochrane Library. The following search terms were used: dementia and oral health or stomatognathic disease. The quality assessment of the included articles was performed using the Newcastle-Ottawa Scale (NOS).ResultsThe search yielded 527 articles, of which 37 were included for the quality assessment and quantitative overview. The median NOS score of the included studies was 5, and the mean was 4.9 (SD 2.2). The heterogeneity between the studies was considered too large to perform a meta-analysis. An equivalent prevalence of orofacial pain, number of teeth present, decayed missing filled teeth index, edentulousness percentage, and denture use was found for both groups. However, the presence of caries and retained roots was higher in older people with dementia than in those without.ConclusionsOlder people with dementia have worse oral health, with more retained roots and coronal and root caries, when compared to older people without dementia. Little research focused on orofacial pain in older people with dementia.Clinical relevanceThe current state of oral health in older people with dementia could be improved with oral care education of caretakers and regular professional dental care.

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Section: Methodsmentioning

confidence: 99%

Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues

et al. 2016

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“…22, 39, 40 As dementia progresses, the capacity for self-care diminishes. 41 Persons with higher cognition levels are usually more adept at understanding and processing verbal cues than those with lower cognition levels.…”

Section: Discussionmentioning

confidence: 99%

“…19, 20 Persons dependent on others for activities of daily living were also more likely to have poor oral health. 22 Persons with cognitive impairments had higher levels of dental plaque and gingivitis than those without cognitive impairments; 22 persons with both dementia and the need for oral hygiene assistance had the highest amounts of dental plaque and gingivitis. 22 Furthermore, in this population, personality traits, particularly neuroticism, have been associated with the ability to care for oneself 27 and the tendency toward cooperation in personal interactions.…”

Section: Introductionmentioning

confidence: 99%

“…22 Persons with cognitive impairments had higher levels of dental plaque and gingivitis than those without cognitive impairments; 22 persons with both dementia and the need for oral hygiene assistance had the highest amounts of dental plaque and gingivitis. 22 Furthermore, in this population, personality traits, particularly neuroticism, have been associated with the ability to care for oneself 27 and the tendency toward cooperation in personal interactions. 23 A relationship between the personality trait of low agreeableness and aggression/agitation in persons with dementia has been demonstrated in several studies.…”

Section: Introductionmentioning

confidence: 99%

“…The characteristics selected for exploration were based on the literature and variables available in the parent study. These included: demographics (particularly age and education); 19, 20, 27 cognitive function, and overall ability to perform ADLs; 22 behaviors that interfere with mouth care including agitation and passivity; 2, 9, 28–30 and premorbid personality traits. 31 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Profile of Nursing Home Residents with Dementia Who Require Assistance with Mouth Care

Jablonski

Kolanowski

Litaker³

2011

Geriatric Nursing

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The majority of nursing home residents require assistance with activities of daily living, including oral care. Poor oral health is common in the nursing home because residents are not given appropriate assistance to support this aspect of their care. The purpose of this study was to describe the demographic, functional and behavioral profile of nursing home residents with dementia who require verbal or physical assistance with mouth care. Residents who required verbal support to complete mouth care exhibited higher levels of physical function, higher levels of cognitive functioning in the domains of language and executive function, lower levels of passivity, and higher scores for the personality trait of openness than residents who required physical assistance. Best practices for implementing verbal and physical assistance during mouth care to persons with dementia are presented based on these profiles.

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Exploring residential care aide experiences with oral malodour in long‐term care

Dhami

Donnelly

2020

Nursing Open

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Aim To determine what experiences do residential care aides (RCAs) have with individuals living with oral malodour in a long‐term care (LTC) facility? Design Study investigation was done using an interpretive qualitative approach paired with a social constructivism interpretive framework. Methods The study was conducted in May of 2015 through face‐to‐face interviews with RCAs, which were recorded and transcribed verbatim, observations of RCAs in their work environment, as well as RCA personal logs of their daily experiences with odour during caregiving. Thereafter, data were analysed and coded for emerging themes. Results Five major themes were identified after grouping the codes: 1) attitudes and behaviours when caring for residents with malodour; 2)RCA knowledge of oral malodour; 3) level of job satisfaction among RCAs that care for residents with malodour; 4) culture and malodour; and 5) challenges of care giving compounded by malodour. These themes depict the overall experiences of study participants.

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Oral hygiene care status of elderly with dementia and in residential aged care facilities

Abstract: Oral hygiene care status in residents with dementia was poor despite the fact that oral care assistance was being provided.

Cited by 51 publications

References 17 publications

Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues

Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues

Profile of Nursing Home Residents with Dementia Who Require Assistance with Mouth Care

Exploring residential care aide experiences with oral malodour in long‐term care

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