title: Provision of dental care in aged care facilities, NSW, Australia - part 1 as perceived by the directors of nursing (care providers).
abstract: OBJECTIVE
  To ascertain the Directors of Nursing (DONs) perception of the provision of dental care and the difficulties in oral health maintenance for residents in New South Wales (NSW) aged care facilities (ACFs).
  
  
  BACKGROUND
  There were no specific figures relating to DONs' perceptions of oral health needs and dental care nor obstructions to dental care of residents.
  
  
  METHODS
  A total of 414 questionnaires, encoded for confidentiality, were posted to all DONs of ACFs in NSW and the data analysed.
  
  
  RESULTS
  Questionnaires were returned from 255 ACFs (response rate 61.6%) representing 16 861 residents with a male-to-female ratio of 1:3.45. Of these residents, 48% had a dental assessment on admission by qualified dental staff. In 74.2% of facilities, no regular visits by dental staff took place, and 58.6% considered the perceived unwillingness of dental professionals to visit residents a barrier to good oral health. DONs reported that 53.6% of residents had dentures only, while 18.3% had natural teeth only. The most frequent difficulties reported by staff were residents' use of abusive language (78.2%) and residents refusing to open mouth (60.9%).
  
  
  CONCLUSIONS
  Lack of involvement of dental professionals in admission assessment and in ongoing programmes was of concern to DONs in ACFs.
authors.affiliation: Faculty of Dentistry, The University of Sydney, Sydney, NSW, Australia. bettine.webb@sydney.edu.au
authors.forename: Bettine C
authors.initials: BC
authors.lastname: Webb
authors.forename: Terry
authors.initials: T
authors.lastname: Whittle
authors.forename: Eli
authors.initials: E
authors.lastname: Schwarz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D016321:Dental Care for Aged / Q000451:nursing / Q000706:statistics & numerical data*; D003797:Dental Staff / Q000706:statistics & numerical data; D003815:Dentists / Q000523:psychology; D003778:Dentures / Q000706:statistics & numerical data; D005260:Female; D015577:Geriatric Assessment / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000706:statistics & numerical data; D009517:New South Wales; D009718:Nurse Administrators / Q000523:psychology; D009909:Oral Health; D009910:Oral Hygiene; D011795:Surveys and Questionnaires; D055815:Young Adult