Improving the oral health of frail and functionally dependent elderly

Australian Dental Journal
A LewisP King

Abstract

The Australian Government endorsed a national evidence based oral health model when it introduced the first Nursing Home Oral and Dental Health Plan in 2010. Called Better Oral Health in Residential Care, it promotes a multidisciplinary approach with doctors, nurses, care workers and dental professionals sharing responsibility for the four key processes of oral health screening, oral health care planning, daily oral hygiene and access to dental treatment. Frail and dependent residents are most conveniently treated on-site, hence an aged care/dental partnership is encouraged to facilitate the use of portable dental equipment in the delivery of dental care. Currently, few dentists provide services to residential aged care facilities (RACFs), with loss of clinical time in practice, difficulty in providing clinical care in a non-dental environment and lack of referral pathways from the RACFs to the dentists contributing to the problem. The need to establish a model of care involving dental hygienists/oral health therapists in RACFs has merit. Minimal intervention treatment using glass ionomer cement (GIC) and silver fluoride is ideal in aged care. However, GIC has limitation in dry mouths with low pH caused by polypharmacy or disea...Continue Reading

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May 27, 2016·Australasian Journal on Ageing·Adrienne LewisGill Harvey
Aug 25, 2015·Australian Dental Journal·D J EpasingheM F Burrow
Feb 16, 2017·Age and Ageing·Annamari NihtiläAnna Liisa Suominen
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Oct 13, 2019·British Dental Journal·Tanya L Cerajewska, Nicola X West
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Feb 25, 2020·Nursing Open·Tiffany Patterson NorrieAjesh George
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Apr 30, 2021·PloS One·Maria Vieira de Lima SaintrainAnya Pimentel Gomes Fernandes Vieira-Meyer
May 13, 2021·Gerodontology·Angie NilssonAndrew Lee

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