title: Effects of integrated dental care on oral treatment needs in residents of nursing homes older than 70 years.
abstract: OBJECTIVE
  To determine effects of integrated dental care in older nursing home residents.
  
  
  METHODS
  In three nursing homes offering integrated dental care, we studied the oral treatment need of 355 residents older than 70 years. To determine effects of integrated care, we discriminated between short-stay residents (≤6 months) and long-term residents (>6 months).
  
  
  RESULTS
  Treatment need, determined intraorally by two dentists, remains high among short-stay residents (78%) and long-term residents (67%). The association between treatment need and length of stay was not significantly affected by indication for stay (somatic vs. psychogeriatric). All dentate residents needed oral treatment, except one long-term resident. However, among edentulous residents, particularly with a psychogeriatric indication for stay, treatment need appeared to reduce significantly in time, from 74% to 57%.
  
  
  CONCLUSIONS
  Despite integrated dental care, oral treatment need remains in virtually all dentate residents and more than half of edentulous residents.
authors: Department of Oral-Maxillofacial Surgery and Special Dental Care, UMC Utrecht.
authors: Paul
authors: P
authors: Gerritsen
authors: Marco
authors: M
authors: Cune
authors: Andries
authors: A
authors: van der Bilt
authors: Jan
authors: J
authors: Abbink
authors: Cornelis
authors: C
authors: de Putter
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016321:Dental Care for Aged / Q000458:organization & administration*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009426:Netherlands; D009735:Nursing Homes
keywords: de ntal treatment; geriatric dentistry; nursing home residents