Oral health care among nursing home residents in Avon.
OBJECTIVE
To assess personal oral health care standards among frail, elderly and infirm nursing home residents prior to developing and evaluating a health promotion intervention.


METHODS
Descriptive survey, interview and clinical data.


METHODS
22 randomly selected nursing homes in the Bristol area.


METHODS
412 residents with denture(s) and/or natural teeth, and giving informed consent to the study were interviewed about dental attendance and current dental problems. A clinical examination assessed levels of oral and denture hygiene, denture-related stomatitis, gingivitis, calculus and root caries.


RESULTS
Less than half the subjects (mean age 84.5 years) were ambulant. Over 70% had not seen a dentist for over 5 years, and 22% reported a current dental problem. Among denture wearers, 82% were unable to clean their dentures; staff cleaned dentures for 64%. Denture-related stomatitis affected 33%, and unhygienic dentures were worn by 95% of subjects. Among dentate subjects (mean number of teeth 11.6), 75% were unable to clean their teeth yet none received regular assistance. On average, two-thirds of each tooth surface were covered in plaque. Gingivitis was moderately severe. Calculus was present in 82% of subjects and root caries in 63% of subjects.


CONCLUSIONS
Most residents required help with oral health care but many did not receive it. Residents' levels of plaque and associated dental disease were high. Staff did not effectively perform oral health care appropriate to residents' needs. Further research to evaluate an oral health care training programme for care staff is planned.
Frenkel
H
H
Department of Oral and Dental Science, University of Bristol Dental Hospital, Bristol BS1 2LY, UK. h.frenkel@bristol.ac.uk
Harvey
I
I
Newcombe
R G
RG
D000368:Aged; D000369:Aged, 80 and over; D003728:Dental Calculus / Q000453:epidemiology; D016321:Dental Care for Aged / Q000592:standards* / Q000706:statistics & numerical data; D003731:Dental Caries / Q000453:epidemiology; D003773:Dental Plaque / Q000453:epidemiology; D003824:Denture, Complete / Q000009:adverse effects; D004739:England / Q000453:epidemiology; D005260:Female; D016330:Frail Elderly / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D020380:Needs Assessment; D009735:Nursing Homes; D009910:Oral Hygiene; D013282:Stomatitis, Denture / Q000453:epidemiology / Q000209:etiology