Evidence map›Paper›PMID 37069568›Full record

ArticleBMC oral health2023

Dental care for older adults in home health care services - practices, perceived knowledge and challenges among Norwegian dentists and dental hygienists.

Marte-Mari Uhlen-Strand, Ewa Alicja Szyszko Hovden, Falk Schwendicke, Vibeke Elise Ansteinsson, Ibrahimu Mdala, Rasa Skudutyte-Rysstad

Open access · goldAbstract read
In one paragraph

Article in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
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  4. Article
  5. Article
  6. Reliability and Diagnostic Performance of Digital Versus Clinical Assessment of Oral Hygiene and Gingival Health in Older Community-dwelling Adults.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Marte-Mari Uhlen-StrandOral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway. martemariu@viken.no.
Ewa Alicja Szyszko HovdenOral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway.
Falk SchwendickeCharité - Universitätsmedizin Berlin, Berlin, Germany.
Vibeke Elise AnsteinssonOral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway.
Ibrahimu MdalaOral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway.
Rasa Skudutyte-RysstadOral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway.
Charité - Universitätsmedizin Berlin · DEUniversity of Oslo · NOUniversity of South-Eastern Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProviding dental services to dependent older adults might be challenging because of physical and cognitive decline. The present study aimed to explore current practices, knowledge, and experienced challenges related to the treatment of older adults in home health care services (HHCS) among dentists and dental hygienists in Norway.

methodsAn electronic questionnaire survey was distributed to Norwegian dentists and dental hygienists, inquiring about background characteristics, current practices, self-perceived knowledge, and challenges when providing oral health care for older HHCS patients.

resultsFour hundred and sixty-six dentists and 244 dental hygienists treating older HHCS patients responded to the survey. The majority were female (n=620; 87.3%) and worked in the public dental service (PDS) (n=639; 90%). When older HHCS adults attended the dental practice, the treatments provided were most frequently aimed at relieving acute oral problems, although dental hygienists reported to focus on improving oral health more often than dentists. Dentists reported to have more self-perceived knowledge than dental hygienists regarding patients with complex treatment needs, cognitive or physical impairment. Exploratory Factor Analysis (EFA) was carried out on the 16 items related to challenges, three factors were extracted and Structural Equation Models (SEMs) were performed. Challenges related to dental care for older HHCS adults were related to time, practical organization and communication. Variation within these categories was associated with sex, graduation year and country, as well as time used per patient and work sector, but not with professional status.

conclusionsThe results indicate that dental care for older HHCS patients is time-demanding and more often aimed at relieving symptoms than improving oral health. A substantial proportion of dentists and dental hygienists in Norway lack confidence when providing dental care for frail elderly.

Indexed as

Dental HygienistsDentistsAgedAttitude of Health PersonnelDental CareFemaleHumansMaleOral HealthSurveys and QuestionnairesDental careHome health careOlder adultsOral health

Identifiers

PMID37069568
PMCPMC10111733
OpenAlexW4366199803

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.