1. 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
- Author
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Charadram, N., Maniewicz, S., Maggi, S., Petrovic, M., Kossioni, A., Srinivasan, M., Schimmel, M., Mojon, P., Müller, F., Soiza, R. L., Erceg, P., Macijauskiene, J., Duque, S., Gudmundsson, A., De Breucker, S., Gold, G., George, S., Kostka, T., Veronese, N., Meurman, J., Schembri, A., Wårdh, I., Siukosaari, P., Janssens, B., Timo, N., Anastassiadou, V., Folliguet, M., Duyck, J., McKenna, G., Boss, J., Gapšienė, V., Nyblom, Y., Mithen, E., Harantova, M., van der Lans, A. -C., e-Delphi working group, Charadram, N., Maniewicz, S., Maggi, S., Petrovic, M., Kossioni, A., Srinivasan, M., Schimmel, M., Mojon, P., Müller, F., Soiza, R.L., Erceg, P., Macijauskiene, J., Duque, S., Gudmundsson, A., De Breucker, S., Gold, G., George, S., Kostka, T., Veronese, N., Meurman, J., Schembri, A., Wårdh, I., Siukosaari, P., Janssens, B., Timo, N., Anastassiadou, V., Folliguet, M., Duyck, J., McKenna, G., Boss, J., Gapšienė, V., Nyblom, Y., Mithen, E., Harantova, M., van der Lans, A.-C., e-Delphi working group, and Gold, Gabriel
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care-dependent older adult ,e-Delphi study ,Institutionalised older adults ,Delphi Technique ,Dentists ,Delphi method ,geriatric oral care ,Oral Health ,0302 clinical medicine ,80 and over ,Medicine ,030212 general & internal medicine ,610 Medicine & health ,Aged, 80 and over ,institutionalised older adults ,Care-dependent older adults ,E-Delphi study ,Reference Standards ,ddc:617.6 ,care-dependent older adults ,Aged ,Consensus ,Delivery of Health Care ,Dental Hygienists ,Europe ,Humans ,Physicians ,medicine.medical_specialty ,Oral hygiene ,Removable prosthodontics ,03 medical and health sciences ,stomatognathic system ,SDG 3 - Good Health and Well-being ,General Dentistry ,business.industry ,Conflict of interest ,030206 dentistry ,Focus group ,stomatognathic diseases ,Geriatric oral care ,Family medicine ,ddc:618.97 ,Oral health care ,Geriatrics and Gerontology ,business ,Older people - Abstract
ObjectivesThis study aimed to obtain a consensus on oral health policy, access to dental care, oral hygiene measures and training levels.BackgroundPoor oral health is widespread in care-dependent older people, but no consensus for a minimum standard of oral health care exists yet.MethodsThe 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.ResultsA 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.ConclusionsUsing 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.
- Published
- 2020