The orodental status of a group of elderly in-patients: a preliminary assessment.

OBJECTIVE

To provide a preliminary assessment of the orodental status and dental treatment requirements of a group of elderly in-patients.

DESIGN

Cross-sectional.

SETTING

Acute Care of the Elderly and Stroke Rehabilitation units at teaching hospitals in Merseyside.

SUBJECT

150 patients aged 58 to 94 years, in which a history could be validated at interview.

INTERVENTION

Questionnaire administered by dentist and clinical examination.

MAIN OUTCOME MEASURES

Registration with a dentist, prosthetic status and difficulties with dentures, denture hygiene and identification marking, dental treatment needs and evidence of mucosal pathology.

RESULTS

Only 27% of patients claimed registration with a dentist. Three quarters of the patients were edentulous and 66 patients wore full dentures; 18 had no prostheses. Difficulties were experienced by one quarter of patients with upper dentures, compared with a half of lower denture wearers. Of the dentures available for inspection, 61% had removable soft debris, 66% were left out at night and 75% were cleaned by the patient, whilst on the ward. No dentures had evidence of identification marking. Of the 39 partially dentate patients, 75% required interventive dental treatment. Denture stomatitis was diagnosed in 29% of patients and 19 had evidence of benign mucosal pathology.

CONCLUSIONS

The orodental status of this group of elderly in-patients was poor, with a high proportion being edentulous. Few were registered with a dentist and denture hygiene was inadequate. Lack of identification marking is a matter of concern. Closer liaison between hospital staff responsible for elderly in-patients is required, to improve the orodental health and quality of life of this medically compromised group of patients.