Skip to main content
Top
Published in: BMC Oral Health 1/2020

01-12-2020 | Care | Research article

Self-reported oral health problems and the ability to organize dental care of community-dwelling elderly aged ≥75 years

Authors: M. H. Bakker, A. Vissink, S. L. W. Spoorenberg, K. Wynia, A. Visser

Published in: BMC Oral Health | Issue 1/2020

Login to get access

Abstract

Background

It is unclear how many community-dwelling elderly (≥75 years) experience oral health problems (e.g. pain, dry mouth, chewing problems) and how they manage their dental care needs. This study aimed to assess self-reported oral health problems in elderly who are frail or have complex care needs, and their ability to organize dental care when reporting oral pain.

Methods

Three thousand five hundred thirty-three community-dwelling elderly participating in the “Embrace” project were asked to complete questionnaires regarding oral status and oral health problems. Frailty was assessed with the Groningen Frailty Indicator (GFI). Intermed for Elderly Self-Assessment (IM-E-SA) was used to determine complexity of care needs. Next, elderly who reported oral pain were interviewed about their oral pain complaints, their need for dental care, and their ability to organize and receive dental care. For statistical analyses Chi2-tests and the one-way ANOVA were used.

Results

One thousand six hundred twenty-two elderly (45.9%) completed the questionnaires. Dry mouth (11.7%) and oral pain (6.2%) were most frequently reported. Among the elderly reporting oral pain, most were registered at a local dentist and could go there when needed (84.3%). Robust elderly visited the dentist independently (87%), frail (55.6%) and complex (26.9%) elderly more often required assistance from caregivers.

Conclusions

Dry mouth and oral pain are most reported oral health problems among community-dwelling elderly. Elderly with complex care needs report most oral health problems. In case an elderly seeks dental treatment to alleviate an oral pain complaint, most elderly in this study were able to organize dental care and transport to the dentist. Frail and complex elderly often need assistance from caregivers to visit the dentist. Therefore caretakers should keep in mind that when frailty progresses, visiting a dentist may become more and more difficult and the risk for poor oral health increases.
Literature
7.
go back to reference Müller F, Naharro M, Carlsson GE. What are the prevalence and incidence of tooth loss in the adult and elderly population in Europe? Clin Oral Implants Res. 2007;18(Suppl.3):2–14.CrossRef Müller F, Naharro M, Carlsson GE. What are the prevalence and incidence of tooth loss in the adult and elderly population in Europe? Clin Oral Implants Res. 2007;18(Suppl.3):2–14.CrossRef
22.
25.
go back to reference Deveraj CG, Eswar P. Reasons for use and non-use of dental services among people visiting a dental college hospital in India: a descriptive cross-sectional study. Eur J Dent. 2012;6(4):422–7.CrossRef Deveraj CG, Eswar P. Reasons for use and non-use of dental services among people visiting a dental college hospital in India: a descriptive cross-sectional study. Eur J Dent. 2012;6(4):422–7.CrossRef
28.
go back to reference Bakker MH, Vissink A, Spoorenberg SLW, Jager-Wittenaar H, Wynia K, Visser A. Are edentulousness, oral health problems and poor health-related quality of life associated with malnutrition in community-dwelling elderly (ages 75 years and over)? A cross-sectional study. Nutrients. 2018;10(12):E1965. https://doi.org/10.3390/nu10121965.CrossRefPubMed Bakker MH, Vissink A, Spoorenberg SLW, Jager-Wittenaar H, Wynia K, Visser A. Are edentulousness, oral health problems and poor health-related quality of life associated with malnutrition in community-dwelling elderly (ages 75 years and over)? A cross-sectional study. Nutrients. 2018;10(12):E1965. https://​doi.​org/​10.​3390/​nu10121965.CrossRefPubMed
30.
go back to reference Wan KY, McMillan AS, Wong MC. Orofacial pain symptoms and associated disability and psychosocial impact in community-dwelling and institutionalized elderly in Hong Kong. Community Dent Health. 2012;29(1):110–6.PubMed Wan KY, McMillan AS, Wong MC. Orofacial pain symptoms and associated disability and psychosocial impact in community-dwelling and institutionalized elderly in Hong Kong. Community Dent Health. 2012;29(1):110–6.PubMed
Metadata
Title
Self-reported oral health problems and the ability to organize dental care of community-dwelling elderly aged ≥75 years
Authors
M. H. Bakker
A. Vissink
S. L. W. Spoorenberg
K. Wynia
A. Visser
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Care
Published in
BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-01175-7

Other articles of this Issue 1/2020

BMC Oral Health 1/2020 Go to the issue