Quelles réponses aux besoins en santé bucco-dentaire des personnes âgées en institution ?

Abstract

The poor oral health of the institutionalized elderly is often underestimated, despite the seriousness of the complications it causes. This descriptive cross-sectional study aims to evaluate the oral health needs of a representative sample of residents of institutions for the elderly in the Limousin and Poitou-Charentes regions. This study assessed clinical indicators of need for dental prevention or treatment for 756 residents in 152 establishments (563 women and 193 men, mean age 83+/-9 years), noting the level of oral hygiene and access to treatment at each center. Directors and staff were also asked for suggestions to improve the situation. At least one indicator of need for prevention or treatment was found for 86% of residents, and 91% of this group was not currently receiving treatment. Staff suggestions confirmed the high level of need reported. Caregivers in institutions for the elderly must receive training in the provision of oral hygiene measures, oral examinations should be performed routinely on admission to each establishment, and treatment networks should be developed to meet the oral health needs of the institutionalized elderly.