FullText URL Gerodontology_34_1_129.pdf
Author Kobayashi, Naoki| Soga, Yoshihiko| Maekawa, Kyoko| Kanda, Yuko| Kobayashi, Eiko| Inoue, Hisako| Kanao, Ayana| Himuro, Yumiko| Fujiwara, Yumi|
Abstract OBJECTIVE: This study was performed to determine the prevalence of oral health conditions unnoticed by doctors and ward staff that may increase risk of incidents and/or accidents in hospitalised patients with moderate-severe dementia. BACKGROUND DATA DISCUSSING THE PRESENT STATUS OF THE FIELD: Dementia patients may not recognise risks in the mouth, such as tooth mobility or ill-fitting dental prostheses and/or dentures. In addition to the risk of choking, injury by sharp edges of collapsed teeth or prosthodontics could pose risks. However, many previous publications were limited to case reports or series. MATERIALS AND METHODS: Ninety-two consecutive hospitalised dementia patients (M: 52, F: 40, median age: 82.5 years, range: 62-99 years, from 2011 to 2014), referred for dentistry for dysphagia rehabilitation, were enrolled in this study. Participants referred for dental treatment with dental problems detected by ward staff were excluded. All participants had a Global Clinical Dementia Rating Score >2. Their dental records were evaluated retrospectively for issues that may cause incidents and/or accidents. RESULTS: Problems in the mouth, for example tooth stumps, dental caries, and ill-fitting dentures, were detected in 51.1% of participants (47/92). Furthermore, 23.9% (22/92) showed risk factors that could lead to incidents and/or accidents, for example falling out of teeth and/or prosthodontics or injury by sharp edges of teeth and/or prosthodontics. CONCLUSIONS: Hospitalised moderate-severe dementia patients had a high prevalence of oral health conditions unnoticed by doctors and ward staff that may increase risk of incidents and/or accidents.
Keywords dementia hospital care mouth risk management
Note This is an Accepted Manuscript of an article published by John Wiley
Published Date 2017-03
Publication Title Gerodontology
Volume volume34
Issue issue1
Publisher John Wiley
Start Page 129
End Page 134
ISSN 0734-0664
NCID AA10450927
Content Type Journal Article
language 英語
OAI-PMH Set 岡山大学
File Version author
PubMed ID 27207609
DOI 10.1111/ger.12235
Web of Sience KeyUT 000394951200016
Related Url isVersionOf https://doi.org/10.1111/ger.12235