Reitsema, K. (Kataya) (2017) Mondgezondheid van kwetsbare ouderen; een inventarisatie in drie woonzorglocaties. thesis, Dentistry.
Full text available on request.Abstract
Oral health in care-dependent elderly: an inventory in three residential care homes. INTRODUCTION The aim of this study was to investigate the oral status, oral health, degree of frailty, degree of visit of a dentist and need and/or necessity for treatment of frail elderly in residential care homes in Groningen and Hoogezand. Elderly, who live in a residential care home, have to take care of their own dental insurance, visits to a dentist and keeping up there oral health. The search request was: what is the oral status of, and how many oral problems are seen in the mouths of mentally competent elderly, who live in a residential care home? Also the degree of visit of a dentist, need and/or necessity for treatment were investigated. MATERIALS AND METHODS The degree of frailty was determined by using the Groningen Frailty Indicator (GFI). During an oral screening the investigators payed attention to the oral status (edentulous (wearing a dental prosthesis), oral hygiene, oral problems; teeth with caries lesions, teeth with pockets ≥ 5 mm, demolished teeth and fit of the dental prosthesis. The investigators also decided if there was a need for treatment. Elderly were asked if they had any problems which require treatment and when they last visited a dentist. RESULTS All of the elderly were frail, depending on the GFI. 56,3% wore a dental prosthesis, about one third had one or more remaining teeth and about 11% had a dental supported prosthesis in the lower jaw (and a conventional dental prosthesis in the upper jaw). The oral health of the elderly wasn’t good. Periodontal problems (±35%), caries lesions (±70%) and demolished teeth (±83%) were seen. A statistically significant difference was found between the oral hygiene of the different oral statuses (p=0.013). 73,6% of the elderly is not going to a dentist regularly. The need for treatment is very high, 67,6%. However, the necessity for treatment was only 35,3%. A statistically significant difference was found between the need and necessity for treatment. Elderly with a higher GFI score visited a dentist less regularly compared with elderly who scored a lower GFI, this difference isn’t statistically significant (p=0.274). Also no statistically significant difference was found according to oral health between elderly who visited the dentist regularly or not. CONCLUSION Depending on the GFI all of the investigated elderly were frail. Caries, periodontal problems and demolished teeth were common. The need for treatment, was high, the necessity for treatment was much lower. Most elderly are not visiting a dentist regularly. A difference, however not statistically significant, was found between oral health and the GFI score, the GFI score and either or not a regular visit of the dentist and oral health and either or not a regular visit of the dentist.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Tams, dr. J. and Hoeksema, dr. A.R. and Visser, dr. A. |
| Faculty: | Medical Sciences |
| Date Deposited: | 19 Nov 2021 13:44 |
| Last Modified: | 19 Nov 2021 13:44 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2807 |
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