March 2017

Volume 34, Issue 1

Directly observed daily mouth care provided to care home residents in one area of Kent, UK

Authors: A. Zander D. Boniface
doi: 10.1922/CDH_3956Zander05


Objective: To gather accurate data on the daily mouth care provided in care homes including tooth brushing, oral health assessment, and recording of care provided. Basic research design: Direct observation and notes review. Clinical setting: Both nursing and ‘regular’ care homes. Participants: 365 Residents living in 16 care homes and their carers underwent observation, notes review or data collection in some form. Main outcome measures: Provision of mouth morning care. Results: Of 161 residents observed, most (93, 58%) did not have their teeth/dentures brushed. If performed, brushing was often carried out by the resident themselves (36 cases, 53%), rather than by a carer (32 cases, 44%). Carers used a toothbrush to clean inside a resident’s mouth in just 7 cases (4.3% of all personal care routines observed). Smaller care homes were no more likely to brush residents teeth than larger care homes, and nursing homes were no more likely to brush teeth than other care homes. Of the 309 sets of notes available for review, 41 (13%) contained a dedicated oral health needs assessment, and 109 (35%) contained a daily oral care chart in some form. Mouth care was often recorded inaccurately (15% of cases). Conclusions: This is the first observational study in the UK to assess oral care actually provided to residents by carers in care homes. The findings reveal a substantially different picture of daily mouth care than was previously understood and suggest that many of the nation’s care home residents may not be receiving adequate, or any, oral health care. Key words: older people, care home, mouth care, dental, oral, England


Other articles in this issue

Article Pages Access
Editorial 3-3 Download
The oral health of people with learning disabilities - a user-friendly questionnaire survey 4-7 Download
Sugar before bed: a simple dietary risk factor for caries experience 8-13 Download
Measuring oral health impact among care home residents in Wales 14-18 Download
Access to urgent dental care: a scoping review 19-26 Download
Urinary fluoride excretion in preschool children after intake of fluoridated milk and use of fluoride-containing toothpaste 27-31 Download
Directly observed daily mouth care provided to care home residents in one area of Kent, UK 32-36 Download
Association between sense of coherence and oral health-related quality of life among toddlers 37-40 Download
Tobacco use in late adolescence among rural Sri Lankans 41-45 Download
Dental caries experience among Albanian pre-school children: a national survey 46-49 Download
A model for oral health gradients in children: using structural equation modeling 50-55 Download
Using the simplified case mix tool (sCMT) to identify cost in special care dental services to support commissioning 56-59 Download
Oral health and oral health behaviours of five-year-old children in the Charedi Orthodox Jewish Community in North London, UK 60-64 Download


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.