scholarly journals Professional oral health care for preventing nursing home-acquired pneumonia: A cost-effectiveness and value of information analysis

2017 ◽  
Vol 44 (12) ◽  
pp. 1236-1244 ◽  
Author(s):  
Falk Schwendicke ◽  
Michael Stolpe ◽  
Frauke Müller
2013 ◽  
Vol 37 (4) ◽  
pp. 200 ◽  
Author(s):  
So-Young Park ◽  
Nam-In Cho ◽  
Hyun-Jeong Ju ◽  
Sun-Ho Lee ◽  
Hyo-Won Oh ◽  
...  

2020 ◽  
Vol 16 (5) ◽  
pp. 248-250
Author(s):  
Amanda McLaughlin

Amanda McLaughlin considers the importance of oral health care in nursing and residential care homes Aim The reader should be able to understand the importance of introducing and maintaining effective oral health care in nursing and residential care home and nursing home settings. Objectives To have an overview of UK statistics. To understand the implications of poor oral health on overall wellbeing To understand ways in which teams can improve the oral health of the elderly.


2015 ◽  
Vol 4 (1) ◽  
pp. 55-58 ◽  
Author(s):  
HIDEO SHIGEISHI ◽  
MOHAMMAD ZESHAAN RAHMAN ◽  
KOUJI OHTA ◽  
SHIGEHIRO ONO ◽  
MASARU SUGIYAMA ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Nina Beker ◽  
Claar D. van der Maarel-Wierink ◽  
Cees de Baat ◽  
Henne Holstege

Abstract Background Due to improved healthcare, more people reach extreme ages. Oral health in the oldest-old has thus far been poorly described. Here, we investigated self-reported oral health factors, use of professional oral health care, and associations with clinical measures in centenarians considered cognitively healthy. Methods In this observational cohort study, we included 162 (74% female) centenarians from the Dutch 100-plus Study cohort who self-reported to be cognitively healthy, as confirmed by a proxy. Centenarians were questioned about their physical well-being including medication use and their cognitive functioning was evaluated using the Mini-Mental State Examination. Questions regarding oral health included preservation of teeth, oral pain or discomfort, chewing ability, xerostomia, and time since last visit to an oral health care provider. Associations between oral health and clinical measures were investigated with ordinal logistic or linear regression analyses, adjusted for gender, age, and education. Results The majority of the centenarians indicated to have good oral health: 76% felt no oral pain/discomfort, 65% indicated to chew well; while only 18% had symptoms of xerostomia. Of all centenarians, 83% were edentulous and were wearing removable complete maxillary and mandibular dental prostheses, 1% was edentulous with no dental prosthesis, while 16% was dentate with or without removable partial dental prostheses (10 and 6% respectively). Dentate and edentulous centenarians experienced similar levels of oral pain and/or discomfort, chewing ability, xerostomia, and their cognitive functioning was similar. No relationship between cognitive functioning and chewing ability was found. Xerostomia was associated with medication use (p = .001), which mostly regarded medications for cardiovascular diseases, diuretics, anti-coagulants, and antacids. Only 18% of the centenarians visited an oral health care provider during the year prior to the interview, of whom 48% were dentate centenarians. Notably, 49% of the centenarians had not visited an oral health care provider for ≥10 years. Conclusions Most centenarians were edentulous and did not report oral complaints. Less than one-fifth of the centenarians continued to seek regular professional oral health care. Since the proportion of dentates in the oldest-old will increase in the near future, a proactive attitude toward this group is necessary.


2008 ◽  
Vol 87 (6) ◽  
pp. 594-598 ◽  
Author(s):  
A. Ishikawa ◽  
T. Yoneyama ◽  
K. Hirota ◽  
Y. Miyake ◽  
K. Miyatake

Silent aspiration of oropharyngeal pathogenic organisms is a significant risk factor causing pneumonia in the elderly. We hypothesized that regular oral hygiene care will affect the presence of oropharyngeal bacteria. Professional cleaning of the oral cavity and/or the gargling of a disinfectant liquid solution was performed over a five-month period in three facilities for the dependent elderly. Total oropharyngeal bacteria, streptococci, staphylococci, Candida, Pseudomonas, and black-pigmented Bacteroides species were monitored. The levels of these oropharyngeal bacteria decreased or disappeared after weekly professional oral health care, i.e., cleaning of teeth, dentures, tongue, and oral mucous membrane by dental hygienists. After lunch, gargling with povidone iodine was shown to be less effective than professional oral care. These findings indicate that weekly professional mechanical cleaning of the oral cavity, rather than a daily chemical disinfection of the mouth, can be an important strategy to prevent aspiration pneumonia in the dependent elderly.


2014 ◽  
Vol 22 (11) ◽  
pp. 2935-2940 ◽  
Author(s):  
Hirokazu Saito ◽  
Yutaka Watanabe ◽  
Kazumichi Sato ◽  
Hiroaki Ikawa ◽  
Yoshifumi Yoshida ◽  
...  

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