‘Not on the radar’: dentists' perspectives on the oral health care of dependent older people
Abstract
Objectives: We explored the following research questions: (i) what challenges do dentists face when providing oral health care to dependent older adults; and (ii) to overcome those challenges, what recommendations would dentists providing care give those planning and implementing oral health policy and services for dependent older adults? Background: The dentate older population is steadily increasing, and about half will end up in residential care, where dental caries rates over time are at least twice as great as those observed elsewhere. Materials and methods: A qualitative study was used, with semi‐structured interviews conducted by a single interviewer. Dental examiners in a recent national survey of oral health in dependent older people in New Zealand were interviewed about their experiences and perspectives of that. Results: The challenges participants identified stemmed from three areas – the patient, the care facility and the oral health sector. To address those challenges, the participants recommended actions at the patient, system and sector levels. Each of the challenges and recommendations had a number of subthemes. Overall, the dentists felt that it is a very complex situation urgently requiring policy development, cross‐sectoral collaboration and upskilling of the dental profession, carers, the private sector and the State to ensure a care environment which supports achieving and maintaining oral health among frail elders. Conclusions: Urgent attention to frail older New Zealanders’ oral health is needed. Such attention needs to focus on not only the narrow dental clinical preventive and therapeutic implications of those needs, but also on the broader health system and policy development challenges.
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Recruitment and retention of dental and non-dental staff were considered challenging, mostly due to limited number of professionals interested in working in primary integrated clinics and shortage of dentists in rural and remote regions.
“Moreover, recruitment and retention of dental and non-dental staff were considered challenging, mostly due to the limited number of professionals interested in working in primary integrated clinics and shortage of dentists in rural and remote regions.”
From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [48]
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Barriers and facilitators in the integration of oral health into primary care: a scoping review
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- Authors
- Smith, M. B., & Thomson, W. M.
- Affiliations
- University of Otago (NZ)
- Corresponding author
- Thomson, William Murray
- Venue
- Gerodontology
- Publisher
- Wiley
- Published
- 2016-05-16
- Volume
- 34
- Issue
- 1
- Pages
- 90-100
- ISSN
- 0734-0664 (ISSN-L)
- 1741-2358
- OpenAlex
- W2396681692
- Cited by
- 33
- References
- 25
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 4 · 2022: 4 · 2021: 4 · 2020: 3 · 2019: 2 · 2017: 3 · 2016: 2
- FWCI
- 3.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gerodontology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Health
- University of Otago
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- oral care, dependent elderly, frail elderly, residential care, dentists' perspectives, dental caries, oral health policy, intersectoral collaboration, care environment, New Zealand
- MeSH terms
- Aged, Attitude of Health Personnel, Dentists, Health Policy, Humans, Interviews as Topic, New Zealand, Residential Facilities, Dental Care for Aged, Qualitative Research
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