Development of a consensus on a standard for oral health care in care-dependent older people: an e-Delphi study

Nattida Charadram, Sabrina Maniewicz, Stefania Maggi, Mirko Petrovic, A Kossioni, Murali Srinivasan, Martin Schimmel, Philippe Mojon, Frauke Müller* (Corresponding Author), e-Delphi working group

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Background: Poor oral health is widespread in care-dependent older people, but no consensus for a minimum standard of oral health care exists yet.Objectives: This study aimed to obtain a consensus on oral health policy, access to dental care, oral hygiene measures and training levels.Methods: The e-Delphi approach was applied to a selected panel of interdisciplinary experts.Data analysis was based on three measurements:1. >70% of experts’ opinion fall into category “agree or strongly agree”, 2. median score on the 5-point Likert scale > 4, 3. 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 regularlyclean interproximal spaces and oral mucosa. Dentures should be rinsed after meals and thoroughly cleaned twice/day. The use of denture cleansing tablets was considered necessary. Dentures should be removed before sleeping and stored dry. High concentration fluoride toothpaste (5000 ppm) should applied daily in older people with high caries risk. A shortreport 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 was imperative.Conclusions: Using the e-Delphi method, healthcare professionals from different backgrounds and different countries agreed on certain cardinal recommendations for a standard in oral health care for care-dependent older people.
Original languageEnglish
JournalGerodontology
Publication statusAccepted/In press - 12 Sep 2020

Keywords

  • e-Delphi study
  • Oral health
  • Oral hygiene
  • Oral health care training
  • Geriatric oral care
  • Institutionalised older adults
  • Care dependent older adults

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    Charadram, N., Maniewicz, S., Maggi, S., Petrovic, M., Kossioni, A., Srinivasan, M., Schimmel, M., Mojon, P., Müller, F., & e-Delphi working group (Accepted/In press). Development of a consensus on a standard for oral health care in care-dependent older people: an e-Delphi study. Gerodontology.