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Development of a European consensus from dentists, dental hygienists and physicians on a standard for oral health care in care‐dependent older people: An e‐Delphi study


Charadram, Nattida; Maniewicz, Sabrina; Maggi, Stefania; Petrovic, Mirko; Kossioni, Anastassia; et al; Siukosaari, Päivi; e-Delphi working group (2021). Development of a European consensus from dentists, dental hygienists and physicians on a standard for oral health care in care‐dependent older people: An e‐Delphi study. Gerodontology, 38(1):41-56.

Abstract

Objectives: This study aimed to obtain a consensus on oral health policy, access to dental care, oral hygiene measures and training levels.

Background: Poor oral health is widespread in care-dependent older people, but no consensus for a minimum standard of oral health care exists yet.

Methods: The e-Delphi approach was applied to a selected panel of interdisciplinary experts. Data analysis was based on three measurements: (a) ≥70% of experts' opinion fall into category "agree or strongly agree," (b) median score on the 5-point Likert scale ≥4, (c) interquartile range ≤1.

Results: A total of 31 experts from 17 European countries participated in this survey. Agreement was achieved for a compulsory dental examination when an elder is admitted to a long-term care (LTC) facility. Older people should brush their teeth twice/day and regularly clean interproximal spaces and oral mucosa. Dentures should be rinsed after meals and cleaned twice/day. The use of denture cleansing tablets was considered necessary. Dentures should be removed before sleeping and stored dry. A 5000 ppm fluoride toothpaste should be applied daily in elder with high caries risk. A short report on the oral health status of the elder should be included in the geriatric assessment. All experts concluded that the knowledge and the training in oral health care for caregivers and family members of care-dependent older people were imperative.

Conclusions: Using the e-Delphi method, multidisciplinary healthcare professionals from different countries agreed on certain cardinal recommendations for a standard oral health care for care-dependent older people.

Keywords: care-dependent older adults; e-Delphi study; geriatric oral care; institutionalised older adults.

Abstract

Objectives: This study aimed to obtain a consensus on oral health policy, access to dental care, oral hygiene measures and training levels.

Background: Poor oral health is widespread in care-dependent older people, but no consensus for a minimum standard of oral health care exists yet.

Methods: The e-Delphi approach was applied to a selected panel of interdisciplinary experts. Data analysis was based on three measurements: (a) ≥70% of experts' opinion fall into category "agree or strongly agree," (b) median score on the 5-point Likert scale ≥4, (c) interquartile range ≤1.

Results: A total of 31 experts from 17 European countries participated in this survey. Agreement was achieved for a compulsory dental examination when an elder is admitted to a long-term care (LTC) facility. Older people should brush their teeth twice/day and regularly clean interproximal spaces and oral mucosa. Dentures should be rinsed after meals and cleaned twice/day. The use of denture cleansing tablets was considered necessary. Dentures should be removed before sleeping and stored dry. A 5000 ppm fluoride toothpaste should be applied daily in elder with high caries risk. A short report on the oral health status of the elder should be included in the geriatric assessment. All experts concluded that the knowledge and the training in oral health care for caregivers and family members of care-dependent older people were imperative.

Conclusions: Using the e-Delphi method, multidisciplinary healthcare professionals from different countries agreed on certain cardinal recommendations for a standard oral health care for care-dependent older people.

Keywords: care-dependent older adults; e-Delphi study; geriatric oral care; institutionalised older adults.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Klinik für Allgemein-, Behinderten- und Seniorenzahnmedizin
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > General Dentistry
Health Sciences > Geriatrics and Gerontology
Uncontrolled Keywords:Geriatrics and Gerontology, General Dentistry
Language:English
Date:1 March 2021
Deposited On:06 Jan 2021 15:10
Last Modified:16 Feb 2021 02:11
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0734-0664
Additional Information:e-Delphi working group: Roy L Soiza, Predrag Erceg, Jurate Macijauskiene, Sofia Duque, Adalsteinn Gudmundsson, Sandra De Breucker, Gabriel Gold, Soulis George, Tomasz Kostka, Nicola Veronese, Jukka Meurman, Alexander Schembri, Inger Wårdh, Päivi Siukosaari, Barbara Janssens, Närhi Timo, Vassiliki Anastassiadou, Marysette Folliguet, Joke Duyck, Gerry McKenna, Jacqueline Boss, Vigita Gapšienė, Yvonne Nyblom, Eimear Mithen, Marketa Harantova, Anne-Claire van der Lans
OA Status:Closed
Publisher DOI:https://doi.org/10.1111/ger.12501
PubMed ID:33073408

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