J Korean Acad Oral Health.  2020 Sep;44(3):166-172. 10.11149/jkaoh.2020.44.3.166.

Preliminary study for the development of a visiting oral health care intervention program for the elderly based on community healthcare

• Jang JH
• Cho JW
• Kim YJ
• Ki JY
• Jo KS
• Kim JR
• Park JE
• Kim DH

• KMID: 2506665
• DOI: http://doi.org/10.11149/jkaoh.2020.44.3.166

Abstract

Objectives
We evaluated the level of oral health status and oral health behavior in the elderly prior to their participation in a visiting oral health care intervention program as part of a community healthcare project in Cheonan city, South Korea.
Methods
The oral hygiene conditions, oral health behaviors, and oral senility of 64 elderly people subject to community care were measured during the period January 1 to February 15, 2020 using dental health surveys and questionnaire-based interviews conducted in line with World Health Organization standard criteria.
Results
The systematic disease retention rate of the elderly in this study was 90.6%, followed by hypertention (70.7%), and diabetes (51.7%). Scores were 1.69 out of 5 for subjective health evaluation, 1.8 out of 5 for subjective awareness of oral health, and the number of natural teeth was 14.9 per person (average mean for elderly people 18.38-19.34). During the day, 94.9% practiced brushing, after dinner 58.9%, and before bedtime 26.8%, which shows a diminished rate of practice. The percentage of participants dissatisfied with dental treatment was high at 67.2%, and the six measures of oral sensitivity, masticatory discomfort, pronunciation discomfort, and tongue pressure, presented less than average scores.
Conclusions
The level of oral health and oral health behavior of the elderly prior to the visiting oral health care community intervention program, was very poor. Therefore, the results of this study suggest that there is a need to develop a more systematic and thorough strategy to activate visiting community oral health care intervention programs.

Keyword

Community healthcare; Dental care for aged; Dental health surveys; Dental plaque index; Oral hygiene

Reference

1. Korean Statistical Information Service. Service. Results of population projections, 2019. Retrieved from http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01#SelectStatsBoxDiv.

2. Jeong KH, Oh YH, Lee YK, Oh M, Kang E, Kim GR, et al. Analysis of the survey of living conditions and welfare needs of Korean older persons: 2017. Korea Institute for Health and Social Affairs;Sejong, Korea: Publication No. 11-1352000-0000672-12. November 2017.

3. Ministry of Health and Welfare. Community integrated care basic plan. Retrieved March 11, 2019 from http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID 04&MENU_ID=0403&CONT_SEQ=346683, 2018.

4. Community care promotion committee. 2018. Community-friendly integrated care system for older persons. November 20, 2018. Ministry of Health and Welfare, Ministry of the Interior and Safety, Ministry of Land, Infrastructure and Transport;Sejong, Korea:

5. Kim HN. 2018. Demand and willing to pay for oral hygiene in long-term home care service[Master's thesis]. Yonsei University;Wonju: DOI: 10.11149/jkaoh.2018.42.4.204.

6. Yun HK, Lee JH, Lee SH. 2014; Partial denture prosthesis implant and necessity there of in Korean elderly: analysis of the data from the 5th National Health Nutrition Survey (2010-2012). J Digit Conv. 12:467–479. DOI: 10.14400/JDC.2014.12.6.467.

7. Jun YM, Kang KJ. 2019; Communitycare key words and social network analysis based on big data. Korean J Fam Welf. 24:251–269. DOI: 10.13049/kfwa.2019.24.2.7.

8. Lee CY, Park YJ, Park KH, Ji SY, Kim HJ. 2018; The Preliminary study for development of occupational therapy model focused on improving living functions within the community care system. J Korean Soc Community Occup Ther. 8:1–12. DOI: 10.18598/kcbot.2018.8.3.01.

9. Kwag JM, Park II, Son MK. 2017; Suggestion for understanding and activation of the nursing home dentist system. Oral Biol Res. 41:127–133. DOI: 10.21851/obr.41.03.201709.127.

10. Ko SM, Kwag J, Kim NH, So JS, Lee SG, Han DH, et al. 2016; The role of part-time dentists in elderly care facilities. J Korean Acad Geriatr Dent. 12:22–27. DOI: 10.1016/j.joms.2016.01.004. PMID: 26851313.

11. Cho KS, Jang JH. 2010; Clinical predictors related to oral health in elderly for visiting health care. J Korean Soc Dent Hyg. 10:983–990. DOI: 10.1186/s12903-018-0487-5. PMID: 29439734. PMCID: PMC5811961.

12. Kim KM, Kim NM, Lee GH, Yoon HS, Park HY, Kim HJ. 2017; A literature study on long term care for the elderly in Korea and Japan. J Korean Soc Dent Hyg. 17:705–719.

13. Petersen PE, Yamamoto T. 2005; Improving the oral health of older people:the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 33:81–92. DOI: 10.1111/j.1600-0528.2004.00219.x. PMID: 15725170.

14. Turesky S, Gilmore ND, Glickman I. 1970; Reduced plaque formation by the chloromethyl analogue of victamine C. J Periodontol. 41:41–43. DOI: 10.1902/jop.1970.41.41.41. PMID: 5264376.

15. Korea Centers for Disease Control & Prevention. Korea National Health & Nurition Examination Survey.

16. Tanaka T, Takahashi K, Hirano H, Kikutani T, Watanabe Y, Ohara Y, et al. 2018; Oral frailty as a risk factor for physical frailty and mortality in community-dwelling elderly. J Gerontol:Med Sci. 73:1661–1667. DOI: 10.1093/gerona/glx225. PMID: 29161342.

17. Ministry of Health and Welfare. 2018. 2018 The survey on the actual conditions of older person in Korea.

18. Ministry of Health and Welfare. 2017. Korea Institute for Health and Social Affairs. 2017 National survey of older Koreans: findings and implications.

19. Jung HI. 2020; Oral health indicators for Korean elderly. J Korean Dent Assoc. 58:45–49.

20. Cho YY. 2018; Relationship between the number of remaining teeth and bone health status among the elderly in Korea. J Korean Soc Dent Hyg. 18:205–215. DOI: 10.13065/jksdh.2018.18.02.205.

21. Lee EK, Lim HJ. 2013; Factors influencing the number of remaining natural teeth in elderly people visiting dental care services. J Korean Soc Dent Hyg. 13:693–700. DOI: 10.13065/iksdh.2013.13.4.693.

22. Jeong JS, Heo SM. 2013; The relationship between oral disease and respiratory disease in the elderly. J Korean Dent Assoc. 51:494–500.

23. Jung ES, Ahn GS. 2018; Relationship between demographic and socioeconomic characteristics of the Korean elderly and unmet dental care needs. J Korean Soc Dent Hyg. 18:911–920. DOI: 10.13065/jksdh.20180078.

24. Gwozdz W, Sousa-Poza A. 2010; Ageing, health and life satisfaction of the oldest old: an analysis for Germany. Soc Indi Res. 97:397–417. DOI: 10.1007/s11205-009-9508-8.

25. Yang F, Gu D, Mitnitski A. 2016; Frailty and life satisfaction in Shanghai older adults: The roles of age and social vulnerability. Arch Gerontol Geriatr. 67:68–73. DOI: 10.1016/j.archger.2016.07.001. PMID: 27434744.

26. Mikami Y, Watanabe Y, Motokawa K, Shirobe M, Motohashi Y, Edahiro A, et al. 2019; Association between decrease in frequency of going out and oral function in older adults living in major urban areas. Geriatr Gerontol Int. 19:792–797. DOI: 10.1111/ggi.13715. PMID: 31267649.

27. Castrejón-Pérez RC, Jiménez-Corona A, Bernabé E, Villa-Romero AR, Arrivé E, Dartigues JF, et al. 2017; Oral disease and 3-year incidence of frailty in Mexican older adults. J Gerontol: Med Sci. 72:951–957. DOI: 10.1093/gerona/glw201. PMID: 28329793.

28. Gu Y, Wu W, Bai J, Chen X, Chen X, Yu L, Zhang Q, et al. 2019; Association between the number of teeth and frailty among Chinese older adults: a nationwide cross-sectional study. BMJ Open. 9:e029929. doi:10.1136/bmjopen-2019-029929. DOI: 10.1136/bmjopen-2019-029929. PMID: 31640996. PMCID: PMC6830605.

29. Jung EJ, Song AH. 2020; Relationship between frailty and oral health among the elderly. J Korean Soc Dent Hyg. 20:347–357. DOI: 10.13065/jksdh.20200032.

30. Shin HE, Eum IS, Cho MJ. 2020; Association between stress and chewing ability of adults older than 65 years. J Korean Soc Dent Hyg. 20:281–290. DOI: 10.13065/jksdh.20200026.