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

To explore the effectiveness of oral hygiene care on plaque and gingival status of residents with dementia. Oral hygiene and oral hygiene care has been reported to be poor among the institutionalised elderly with dementia. The severity of oral diseases has been shown to increase with the severity of physical and cognitive impairment related with dementia. Little research has been carried out on plaque and gingival status of elderly with dementia and the impact of disability related with dementia on oral health in residential aged care facilities (RACF). A cross-sectional study of 205 elderly residing in RACF in Perth. Forty-one percent of the residents in RACF had dementia. Sixty percent of the residents with dementia and 75% of the residents with an Activities of Daily Living Oral Health score of D were assisted with oral care. Mean plaques scores and extent of gingival inflammation were higher for residents in the DD and D subgroups and resident with dementia. Residents assisted with brushing had higher mean plaque score and more moderate gingival inflammation. Oral hygiene care status in residents with dementia was poor despite the fact that oral care assistance was being provided.

Philip P ，Rogers C ，Kruger E ，Tennant M ... -  《-》

Caries experience of institutionalized elderly and its association with dementia and functional status.

The aim of this study was to assess the caries experience of the elderly residing in residential aged care facilities in Perth, Western Australia, and its association with dementia and functional status. Oral examinations were conducted in a sample of institutionalized aged persons. This study was carried out over a period of 7 years, between 2002 and 2008. A total of 205 residents were examined. The mean decayed, missing and filled teeth index score was 25.9 for all residents. Residents with dementia did not have significantly different levels of caries experience than those without. The mean number of active caries and retained decayed roots, however, was higher among residents with dementia. There was a significant difference in the mean number of active decay and carious retained roots among residents based on their Activities of Daily Living Oral Health score and their status of assistance received with brushing. Caries experience among the institutionalized elderly is associated with disability, and oral care is lacking among the institutionalized elderly in this study. Appropriate preventive measures (as well as interventional activities) should be undertaken to control oral disease among residential aged care residents.

Philip P ，Rogers C ，Kruger E ，Tennant M ... -  《-》

Oral health in institutionalised elderly people in Oslo, Norway and its relationship with dependence and cognitive impairment.

Investigating oral health's relationship with dependency and cognitive state. Oral hygiene is poor in the institutionalised elderly. There are problems regarding the oral care of residents having poor mobility or cognitive impairment. Cross-sectional study involving 135 participants (mean age 85.7, SD 8.8 years) in two categories: nurses doing tooth cleaning and residents doing tooth cleaning. Those cleaned by nurses were categorised as co-operative or unco-operative. The oral hygiene status, presence of caries, retained roots and denture-related stomatitis were recorded. Of the participants, 70% had only natural teeth. The prevalence of caries was 28%. A significant correlation showed that having more teeth gave a poorer Simplified Oral Hygiene Index (OHI-S) (p = 0.018). The number of retained roots increased with the severity of cognitive impairment (p < 0.05). Significant differences were found between nurses or residents doing the tooth cleaning on the OHI-S (p = 0.05) and percentage of dental plaque (p = 0.003). Unco-operative residents had poorer oral hygiene (p = 0.028), more caries (p = 0.008) and were more often moderate-severe cognitive impaired (p = 0.016). A high percentage of participants had unacceptable oral hygiene. Residents whose teeth were cleaned by the nurses had poorer oral hygiene. Unco-operative residents had the worst oral hygiene and more caries.

Zuluaga DJ ，Ferreira J ，Montoya JA ，Willumsen T ... -  《-》

Oral hygiene and periodontal disease in Victorian nursing homes.

To investigate oral hygiene and periodontal disease in residents of Victoria nursing homes.   The Australian population is ageing with a growing proportion of elderly Australians living in nursing homes. With declining edentulism rates, periodontal disease is becoming more prevalent in this population. A total of 275 dentate residents from 31 Victorian nursing homes had a questionnaire and clinical examination using the Visual Plaque Index and a modified Community Periodontal Index. Self-reported oral hygiene habits of residents were poor, with less than one-third of residents cleaning their teeth twice daily or more. Periodontal health was found to be extremely poor, and the prevalence of 4 mm+ periodontal pockets was 35.6%, with 10.2% having 6 mm+ pockets. Logistic regression found that age, gender, number of teeth present and oral hygiene were all strongly associated with the prevalence of 4 mm+ periodontal pockets. Poor oral hygiene and the presence of significant plaque and calculus were common findings in this study. Periodontal diseases are a significant problem for residents in nursing homes. Addressing this health issue will require improved training for carers and better access to appropriate dental services.

Hopcraft MS ，Morgan MV ，Satur JG ，Wright FA ，Darby IB ... -  《-》

Dental health of Fiji institutionalized elderly (2003).

Comfort AO ，King T ，Moveni M ，Tuisuva J ... -  《-》