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Spec Care Dentist. 2013 Sep-Oct;33(5):218-26. doi: 10.1111/j.1754-4505.2012.00316.x. Epub 2012 Dec 5.

Oral health status and needs of homebound elderly in an urban home-based primary care service.

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1
Department of Epidemiology & Health Promotion, NYU College of Dentistry, NY, USA.

Abstract

OBJECTIVES:

This study assessed the oral health status, dental utilization and dental needs of the homebound elderly (HBE) care patients within the Mount Sinai Visiting Doctor program.

METHODS:

Of the 334 eligible patients, 57% agreed to participate and 95.4% completed the clinical examinations, the Dental Utilization and Needs survey and Geriatric Oral Health Assessment Index conducted in each subject's home by a trained research team.

RESULTS:

Among 75% who were dentate subjects, 40% needed restorative dental care, 45.6% needed dental extractions, and 33% complained of current oral pain. Overall, 92.0% needed some type of dental care and 96% stated that they had not seen a dentist since they became homebound (mean number of years in program = 3.2 ± 2.58).

CONCLUSION:

Findings show the oral health status of these homebound elderly was poor and their quality of life was significantly affected by the lack of basic dental care.

KEYWORDS:

Oral health; dental examination; dental needs; dental services utilization; homebound elderly; oral health status

[Indexed for MEDLINE]

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