Centre for Education and Research on Ageing, Department of Geriatric Medicine, Concord Repatriation General Hospital, Sydney Local Health District, Concord, Australia.
Concord Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Spec Care Dentist. 2024 May-Jun;44(3):787-796. doi: 10.1111/scd.12912. Epub 2023 Aug 7.
This cross-sectional descriptive study described the oral health status and types of domiciliary dental treatment received by residents living in residential care after an oral health assessment (OHAT).
Twenty-one facilities were recruited where consenting participants received OHAT followed by a referral for further domiciliary dental treatments. Data were captured and stored as Reach-OHT database where 2017-2019 data were analyzed.
Overall, 88% of residents consented. 69.1% were referred for treatment after completion of OHAT. More than half had one or more caries; 40% showed sign of periodontal disease; a higher proportion of dentate participants had an unsatisfactory level of oral cleanliness. Of those received domiciliary dental treatment, diagnostic and preventive service was the combination most frequently provided. These comprised an average of 71.9% of total treatment provided across the 3-year period.
This study contributes to the understanding and knowledge around the provision of domiciliary dental services in residential care. A large number of older people in residential care can be assessed and treated through a domiciliary service pathway. As the vast majority of services provided were diagnostic, preventive, and restorative care, the feasibility of utilizing the skillset of the entire dental team should be explored.
本横断面描述性研究通过口腔健康评估（OHAT）描述了居住在养老院的居民的口腔健康状况和接受的家庭牙科治疗类型。
招募了 21 家机构，同意的参与者接受 OHAT 后，将被转介进行进一步的家庭牙科治疗。数据被捕获并存储在 Reach-OHT 数据库中，分析了 2017-2019 年的数据。
总体而言，88%的居民同意参加。OHAT 完成后，69.1%的人被转介接受治疗。超过一半的人有一个或多个龋齿；40%的人有牙周病迹象；更多有牙的参与者口腔清洁度不令人满意。在接受家庭牙科治疗的人中，诊断和预防服务是最常提供的组合。在 3 年期间，这些服务平均占总治疗的 71.9%。
本研究有助于了解和认识养老院家庭牙科服务的提供情况。通过家庭服务途径，可以评估和治疗大量居住在养老院的老年人。由于提供的服务绝大多数是诊断性、预防性和修复性护理，因此应该探索利用整个牙科团队的技能的可行性。
