J Korean Acad Oral Health.  2023 Dec;47(4):222-227. 10.11149/jkaoh.2023.47.4.222.

Case study of a long-term care resident with oral health problem

Affiliations
  • 1Department of Preventive and Public Health Dentistry, Seoul National University School of Dentistry, Seoul, Korea
  • 2Dental Research Institute, Seoul National University School of Dentistry, Seoul, Korea

Abstract

This study aimed to analyze the extent of oral health problems among elderly residents of longterm care facilities who have difficulties accessing care at dental clinics due to physical limitations and other challenges. Seventy-four elderly individuals residing in long-term care facilities in A-gu, Seoul, were screened. From these, we randomly selected three older adults (MMSE-K≥24) who were able to communicate freely in the study. Relevant information was obtained through document review, observational surveys, and one-on-one interviews to identify oral health problems and physical limitations experienced by these older adults. The elderly in long-term care facilities experienced pain and discomfort due to oral problems, and improperly fitting dentures and other prosthetics. These oral problems led to limitations in compromised oral functions and alterations in dietary patterns. Despite the need for customized oral care and treatment, the specific oral health needs of the elderly residents were not met due to barriers that hindered their access to healthcare facilities, such as restricted mobility. To alleviate oral functional limitations in elderly residents of long-term care facilities, interventions, such as necessary treatments and personalized oral care, should be implemented. Establishing a systematic approach, including timely visits to long-term care facilities by dentists and a referral system between facilities and dental services, is crucial to optimizing dental care for elderly individuals living in residential aged care.

Keyword

Case study; Long-term care facilities; Older adult; Oral health problem

Figure

  • Fig. 1 Flow chart of the study population.


Reference

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