Abstract
Background In Japan's super-aging society, it is required to establish a home dental service provision system. It is necessary to analyze the current state of visiting dentistry. Methods A cross-sectional survey was conducted using a self-administered postal mail questionnaire distributed to all members of the Iwate Dental Association. We analyzed the implementation status of dental care at home/nursing facilities, the number of dental clinic staff, and the contents of dental home care. Correspondence analysis, item response theory, and zero-inflated model were used for the analysis. Results Of the 354 dental clinics, 187 (52.8%) performed visiting dental care and 195 (55.1%) implemented dental care in a nursing home. Visit dentistry was mainly performed by part-time workers. Denture treatment and oral care were common treatments for dental home care. Conclusion More than half of the dental clinics did not offer visiting dentistry. In order to fully provide dental visiting services, infrastructure development is necessary. Specifically, human resources are most important, even if they are part-time workers.
Highlights
One dentist needs to care for 400 old people, and one dental clinic needs to care for 512 old people. e average number of dentists at one dental office was 1.28. e majority of the clinics have only one dentist
We analyzed the contents of home dental care and the relation between the home dental care and the number of dental staff
Dental clinics that visit both homes and nursing homes may be able to handle a variety of dental treatments
Summary
In Japan’s super-aging society, it is required to establish a home dental service provision system. It is necessary to analyze the current state of visiting dentistry. We analyzed the implementation status of dental care at home/nursing facilities, the number of dental clinic staff, and the contents of dental home care. Of the 354 dental clinics, 187 (52.8%) performed visiting dental care and 195 (55.1%) implemented dental care in a nursing home. Visit dentistry was mainly performed by parttime workers. Denture treatment and oral care were common treatments for dental home care. More than half of the dental clinics did not offer visiting dentistry. In order to fully provide dental visiting services, infrastructure development is necessary. Human resources are most important, even if they are part-time workers
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