title: Factors related to receipt of dental care in Eastern Iowa nursing facilities.
abstract: OBJECTIVE
  To assess factors related to nursing facility residents' receipt of dental treatment when it was offered on site.
  
  
  METHODS
  Screening forms that included demographic, general, and dental health information were obtained from residents of 10 nursing facilities in Eastern Iowa, and their dental procedure history for up to 7 years after screening was recorded. Residents were grouped as having received either no procedures; diagnostic procedures only; or nondiagnostic procedures.
  
  
  RESULTS
  Of the 586 residents, the mean age was 83.8 years at screening and 31.3% were edentulous. The odds of receiving nondiagnostic procedures were lower among residents who were older (OR = 0.98, 95%CI 0.96-0.99) or edentulous (OR = 0.31, 95%CI 0.20-0.46), compared to those who received no dental procedures.
  
  
  CONCLUSIONS
  Those who were older or edentulous had lower odds of receiving nondiagnostic dental procedures. Well-designed prospective cohort studies are needed to better evaluate barriers to receipt of dental treatment among the institutionalized elderly.
authors.affiliation: PhD Student, Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa.
authors.forename: Tariq S
authors.initials: TS
authors.lastname: Ghazal
authors.affiliation: Professor and Chair, Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Caplan
authors.affiliation: Professor, Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa.
authors.forename: Howard J
authors.initials: HJ
authors.lastname: Cowen
authors.affiliation: Assistant Professor, Department of Restorative Dentistry, School of Dentistry, University of Detroit Mercy.
authors.forename: Deise
authors.initials: D
authors.lastname: Oliveira
mesh_terms: D000369:Aged, 80 and over; D016321:Dental Care for Aged; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007484:Iowa; D008297:Male; D012866:Skilled Nursing Facilities
keywords: aged; dental care; institutionalization; nursing homes; oral health