A tailored preventive oral health intervention improved the cleanliness of teeth and dentures among elderly home care clients.
In addition, functional ability and cognitive function were strongly associated with better oral hygiene, according to a new study from the University of Eastern Finland. The study is part of a larger intervention study, NutOrMed, and the findings were published in the Age and Aging journal.
The NutOrMed - optimising nutrition, oral health and medication for older home care clients - study was started in 2013, comprising a six-month oral health and nutrition intervention among home care clients aged 75 years or older.
The intervention significantly reduced the number of plaque covered teeth and improved denture hygiene. The reduction in the number of plaque covered teeth was associated with functional ability and cognitive function. Despite the positive effect, nearly half of the teeth in the intervention group had plaque even after the intervention. In the control group, oral health habits deteriorated during the 6-month follow-up.
Oral health markedly affects the quality of life, nutrition and general health in older adults. Cognitive impairment and functional dependency often lead to compromised daily oral hygiene. It is a responsibility of oral care personnel to plan an individualised and realistic preventive regime for elderly home care clients. For clients who need daily help with oral hygiene procedures, support in oral hygiene should be incorporated into the daily care plan carried out by home care nurses.