Oral status, cognitive and functional capacity versus oral treatment need in nursing home residents: a comparison between assessments by dental and ward staff.
OBJECTIVE
The aim of this study was to study the relationships between cognitive and functional capacity versus oral health and treatment need and to compare oral status assessments and oral treatment need, assessed by nurses and dental professionals, respectively.


METHODS
Cross-sectional survey.


METHODS
Nursing home.


METHODS
One hundred and ninety-two nursing home residents were examined in 1997.


METHODS
Cognitive and functional capacity in different groups of residents regarding oral health and treatment need, measured by a comprehensive assessment with the Resident Assessment Instrument (RAI) and dental status in a separate examination protocol, recorded by a dentist.


RESULTS
There was a significant correlation between being dentate and having need of oral treatment. Those who were able to chew also had significantly better cognitive and functional capacity. Oral treatment need was identified most often by the dentist, intermediately by the RAI assessment and least frequently by the residents themselves.


CONCLUSIONS
Being dentate and having a loss of cognitive and functional capacity is predictive of oral treatment need among nursing home residents. Enhanced interaction between nurses and dental professionals needs to be promoted for better awareness of preventive measures and better regular oral care for frail and dependent elderly persons.
Nordenram
G
G
Department of Geriatric Dentistry, Institution of Odontology, Karolinska Institutet, Stockholm, Sweden. gunilla.nordenram@ofa.ki.se
Ljunggren
G
G
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D016009:Chi-Square Distribution; D003071:Cognition / Q000502:physiology*; D003430:Cross-Sectional Studies; D003815:Dentists; D003817:Dentition; D003824:Denture, Complete; D003829:Denture, Partial; D005260:Female; D006801:Humans; D008297:Male; D008409:Mastication / Q000502:physiology; D009059:Mouth Diseases / Q000145:classification* / Q000628:therapy; D020380:Needs Assessment; D009735:Nursing Homes; D009740:Nursing Staff; D009909:Oral Health; D009910:Oral Hygiene; D013223:Statistics as Topic; D018709:Statistics, Nonparametric; D013548:Sweden; D014076:Tooth Diseases / Q000145:classification* / Q000628:therapy