RESUMO
OBJECTIVES: To describe a one-year follow-up study of an oral health care programme in special nursing homes for citizens with severe behavioural disorders. METHODS: An oral health care programme for residents (n = 264) at special nursing homes, which included an initial oral examination, subsequent dental treatment based on the principles of realistic treatment need and visits by a hygienist every three months, was evaluated one year after implementation. RESULTS: The follow-up data revealed a significant decrease in the mean number of teeth with primary decay and periodontal treatment need. Also less calculus and visible plaque were present. Regarding denture related conditions, a decrease was found in the presence of traumatic ulcers, denture stomatitis and the need for prosthodontic treatment. Finally, an improvement in denture hygiene was observed. A high rate of participation in the programme was obtained. CONCLUSION: Professional dental intervention has an effect on oral health indicators even when introduced to rather unapproachable recipients of dental care services.
Assuntos
Assistência Odontológica para a Pessoa com Deficiência/estatística & dados numéricos , Transtornos Mentais , Adulto , Idoso , Idoso de 80 Anos ou mais , Índice CPO , Dinamarca , Serviços de Saúde Bucal/estatística & dados numéricos , Índice de Placa Dentária , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Casas de Saúde , Índice de Higiene Oral , Avaliação de Resultados em Cuidados de Saúde , Aceitação pelo Paciente de Cuidados de Saúde , Índice Periodontal , Avaliação de Programas e Projetos de Saúde , Estomatite sob Prótese/prevenção & controleRESUMO
The purpose of the study was to assess oral health and treatment needs among elderly in psychiatric institutions in a Danish county. The study serves as baseline for the evaluation of a newly established oral health care program in the county. The study population comprised the residents in eight institutions (n = 407). Two thirds of the residents were edentulous, 34% of the dentate had one or more root remnants, and 55% had untreated decay. The dentate with regular dental visiting habits had significantly less untreated decay than the irregular users. The oral hygiene was poor, but was not related to whether or not the elderly were assisted in daily oral hygiene. The evaluation of the program will show to what extent treatment takes place, and whether or not oral hygiene improves.