Background: There is limited information available about the oral and denture hygiene and oral health of nursing-home residents with cognitive and motor impairments.
Aims: The purpose of this study was to identify factors influencing the oral and denture hygiene and oral health of nursing-home residents with cognitive and motor impairments.
Methods: The study was performed in nine nursing-homes in Germany. Sociodemographic and general data were collected for all participants (n = 150). The Clinical Dementia Rating (CDR) was used to identify the presence of dementia, and the Apraxia Screening Test (AST) was used to identify motor impairment. A comprehensive dental examination was also performed. This included the documentation of dental and denture status and the number of decayed, missing and filled teeth (DMFT). In addition, dental and denture hygiene were assessed using the Plaque Index (PI) and the Denture Hygiene Index (DHI). Univariate and multivariate regression models were used to analyse possible factors affecting the dependent target variables.
Results: In multivariate regression analysis, the factors that most strongly influenced greater PI were a lower number of medications taken (p = 0.018), poorer general health (p = 0.013) and the presence of dementia (p < 0.010). A more advanced age (p = 0.036) and longer nursing-home stay (p = 0.048) had a negative effect on the DHI. Furthermore, gender (p = 0.037, in favour of women), poorer general health (p = 0.003), presence of dementia (p = 0.003), and the absence of natural teeth (p = 0.028) influenced poorer oral health. The factors most strongly influenced greater number of missing teeth were a more advanced age (p = 0.021) and longer nursing-home stay (p = 0.015). In terms of fewer filled teeth, a shorter nursing-home stay (p = 0.002) was the factor most strongly influenced this.
Conclusions: Poorer general health and the presence of apraxia and cognitive impairment are the main determinants for poorer oral hygiene and oral health among nursing-home residents. A longer nursing-home stay also seems to be relevant for oral health and denture hygiene.
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http://dx.doi.org/10.1007/s40520-020-01503-5 | DOI Listing |
Dent Med Probl
December 2024
Department of Fixed and Removable Prosthodontics, National Research Center, Cairo, Egypt.
Photodiagnosis Photodyn Ther
December 2024
Department of Fixed Prosthodontics and Orofacial Function, Graduate School of Dentistry, Osaka University, Suita, Japan.
Interest in ultraviolet (UV) light devices for disinfection has increased due to pandemic concerns, but their efficacy in denture disinfection is underexplored. This study evaluated seven-enclosed type portable UV irradiation devices (devices A-G). Among these, devices A, B, and C used bulb light sources, while devices D, E, F, and G utilized LED (light-emitting diode) light sources.
View Article and Find Full Text PDFClin Cosmet Investig Dent
December 2024
Department of Dental Technology, Makerere University, Kampala, Uganda.
Background: Globally, there is growing concern regarding mouth sores, occlusion, cost, ridge resorption, and retention, in the delivery of removable complete dentures fabrication services brought about by the aging of the population and poor oral healthcare. The therapy for edentulous patients can be realized through the use of conventional removable complete dentures, implant-supported prostheses, and computer-aided design/computer-aided manufacturing (CAD/CAM). In Uganda, the therapy for edentulous patients has predominantly been realized through the use of conventional removable complete dentures.
View Article and Find Full Text PDFCureus
November 2024
Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.
Individuals with intellectual and developmental disabilities (IDD) often face numerous barriers to dental care, leading to higher rates of untreated caries and periodontal disease. This editorial explores the challenges associated with dental care for individuals with intellectual disabilities and suggests methods to enhance their dental care. Preventive dental care is crucial for maintaining health.
View Article and Find Full Text PDFJ Prosthet Dent
November 2024
Professor and Chair, Department of Prosthodontics, School of Dental Medicine, Pittsburgh, PA. Electronic address:
Statement Of Problem: Denture wearers are susceptible to diseases related to denture hygiene and are more prone to develop systemic disease because of poor understanding and awareness of the impact of edentulism on general health.
Purpose: The purpose of this clinical study was to evaluate the effectiveness of traditional chairside practice and WhatsApp in improving patient knowledge of denture care and their awareness of the impact of edentulism on general health.
Material And Methods: Sixty-two participants who attended the Polyclinic Kulliyyah of Dentistry, IIUM Kuantan in 2022 for removable prosthesis fabrication were recruited.
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