Association of oral frailty with falls in long-term care residents.

Purpose: We investigated the relationship between oral frailty (OFr) and falls among long-term care residents.

Methods: Residents (N = 254, mean age 84 y, 79% women) participated in this longitudinal cohort study in 2018-2021. OFr was defined by six signs.

Dentitions of Long-Term Care Residents: Tooth Types, Roles in Occlusion and Association with Dementia.

Many older adults living in long-term care (LTC) environments have varying numbers of retained natural teeth. The objective of this study was to assess the disease findings based on tooth type and estimate the role of tooth types in occlusion. We conducted clinical oral examinations of 276 LTC residents.

Relationship between oral frailty, health-related quality of life, and survival among long-term care residents.

Purpose: We evaluated oral frailty (OFr) and its association with health-related quality of life (HRQoL), energy and protein intake, and survival among older long-term care residents.

Methods: This cross-sectional study with a 3-year follow-up for survival assessed 349 residents in long-term care facilities (73% female, mean age 82 years). We defined OFr with six signs (dry mouth, food residue on oral surfaces, unclear speech, inability to keep mouth open or pain expression during the clinical oral examination, diet pureed/soft) and OFr severity was categorized as Group 1, (mild) = 0-1 signs, Group 2 (moderate) = 2-4 signs, and Group 3 (severe) = 5-6 signs.

Association of medication use with falls and mortality among long-term care residents: a longitudinal cohort study.

Background: Falls in long-term care are common. The aim of our study was to explore how medication use is associated with incidence of falls, related consequences, and all-cause mortality among long-term care residents.

Methods: Five hundred thirty two long-term care residents aged 65 years or older participated in this longitudinal cohort study in 2018-2021.

Relationship of occlusal status with health-related quality of life among older adults in long-term care facilities.

Background: Loss of teeth is common among residents in long-term care facilities (LTCF). To maintain occlusal support, lost teeth may be replaced with removable dentures.

Objectives: The relationship of occlusal status with health-related quality of life (HRQoL) was evaluated.

Home-Applied Dual-Light Photodynamic Therapy in the Treatment of Stable Chronic Periodontitis (HOPE-CP)-Three-Month Interim Results.

A single-site, randomized clinical trial was designed to determine the efficacy of regular home use of Lumoral dual-light antibacterial aPDT in periodontitis patients. For the study, 200 patients were randomized to receive non-surgical periodontal treatment (NSPT), including standardized hygiene instructions and electric toothbrush, scaling and root planing, or NSPT with adjunctive Lumoral treatment. A complete clinical intraoral examination was conducted in the beginning, at three months, and at six months.

Oral disease burden of dentate older adults living in long-term care facilities: FINORAL study.

Background: A growing number of older adults have natural teeth and are at high risk of oral diseases, which are induced by oral bacterial accumulation and proceed unnoticed and quietly. Our aim was (1) to examine the association of oral disease burden (ODB) with health and functioning among dentate long-term care residents, and (2) to find easily detectable signs for nurses to identify residents' poor oral health.

Methods: In this cross-sectional observational study dentists examined 209 residents' oral status, and nurses assessed residents for their functioning and nutrition in long-term care facilities in Helsinki, Finland.

Relationship between Fried's frailty phenotype and oral frailty in long-term care residents.

Background: oral frailty (OFr) may be called a syndrome lacking a consensus on its definition.

Objective: the aim was to prove the relationship between OFr to the phenotype of frailty, general health and nutrition in long-term care.

Design: the FINnish ORAL Health Study in Long-Term Care study is a cross-sectional clinical research comprising findings on oral and general health and nutrition.

Oral hygiene and health-related quality of life in institutionalized older people.

Purpose: We evaluated the level of oral hygiene and its association with oral health status and need for oral treatment among older residents in long-term care facilities. In addition, the association between oral hygiene level and health-related quality of life (HRQoL) was explored.

Methods: This cross-sectional study assessed 231 dentate residents in long-term care facilities (71% female, mean age 81 years, 70% had dementia).

Survey of health care personnel's attitudes toward oral hygiene in long-term care facilities in Finland.

Aim: To survey long-term residences' health care personnel's opinions and attitudes toward maintenance of older adults' daily oral hygiene.

Methods And Results: The survey was directed to the health care personnel of three long-term care facilities in Helsinki, Finland. We analyzed the survey responses focusing on opinions and attitudes toward older adults' daily oral hygiene.

Burden of Oral Symptoms and Its Associations With Nutrition, Well-Being, and Survival Among Nursing Home Residents.

Objectives: To explore how oral problems, chewing problems, dry mouth, and swallowing difficulties cluster and whether their burden is associated with nutritional status, eating habits, gastrointestinal symptoms, psychological well-being, and mortality among institutionalized residents.

Design: Cross-sectional study with 1-year mortality.

Setting And Participants: 3123 residents living in assisted facilities and nursing homes in Helsinki, Finland.

Changes in malnutrition and quality of nutritional care among aged residents in all nursing homes and assisted living facilities in Helsinki 2003-2011.

Background: While nutritional problems have been recognized as common in institutional settings for several decades, less is known about how nutritional care and nutrition has changed in these settings over time.

Objectives: To describe and compare the nutritional problems and nutritional care of residents in all nursing homes (NH) in 2003 and 2011 and residents in all assisted living facilities (ALF) in 2007 and 2011, in Helsinki, Finland.

Methods: We combined four cross-sectional datasets of (1) residents from all NHs in 2003 (N=1987), (2) residents from all ALFs in 2007 (N=1377), (3) residents from all NHs in 2011 (N=1576) and (4) residents from all ALFs in 2011 (N=1585).

Dentition, nutritional status and adequacy of dietary intake among older residents in assisted living facilities.

Objective: We examined the relationships between dentition, nutritional status and dietary intakes of energy, protein and micronutrients among older people in assisted living facilities in Helsinki.

Background: Poor dentition is associated with malnutrition. Less is known about how dentition is associated with detailed nutrient intakes in institutionalised older people.

Vision impairment and nutritional status among older assisted living residents.

Vision impairment is common among older persons. It is a risk factor for disability, and it may be associated with nutritional status via decline in functional status. However, only few studies have examined the relationship between vision impairment and nutritional status, which was investigated in this cross-sectional study.

Oral hygiene and associated factors among frail older assisted living residents.

The aim of this study was to determine the associations of older assisted living residents' tooth brushing habits with health and nutritional status. We assessed the tooth brushing habits, nutritional status, oral health, use of dental services, and morbidity of 1,447 assisted living residents in the Helsinki metropolitan area of Finland. Of the residents, 17% did not clean or had not cleaned their teeth and/or dentures daily.