Evidence map›Paper›PMID 39141260›Full record

ArticleOdontology2025

A prospective cohort study on factors related to dental care and continuation of care for older adults receiving home medical care.

Kumi Tanaka, Takeshi Kikutani, Noriaki Takahashi, Takashi Tohara, Hiroyasu Furuya, Yoko Ichikawa, Yuka Komagata, Arato Mizukoshi, Maiko Ozeki, Fumiyo Tamura and 1 more

Abstract read
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Article in Odontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Kumi TanakaThe Nippon Dental University, Tama Oral Rehabilitation Clinic, 4-44-19 Higashi-cho, Koganei-city, Tokyo, 184-0011, Japan.ORCID http://orcid.org/0000-0002-1912-2628
Takeshi KikutaniThe Nippon Dental University, Tama Oral Rehabilitation Clinic, 4-44-19 Higashi-cho, Koganei-city, Tokyo, 184-0011, Japan. kikutani@tky.ndu.ac.jp.ORCID http://orcid.org/0000-0003-3815-5545
Noriaki TakahashiThe Nippon Dental University, Tama Oral Rehabilitation Clinic, 4-44-19 Higashi-cho, Koganei-city, Tokyo, 184-0011, Japan.ORCID http://orcid.org/0000-0001-8735-2794
Takashi ToharaThe Nippon Dental University, Tama Oral Rehabilitation Clinic, 4-44-19 Higashi-cho, Koganei-city, Tokyo, 184-0011, Japan.ORCID http://orcid.org/0000-0002-3003-9737
Hiroyasu FuruyaThe Nippon Dental University, Tama Oral Rehabilitation Clinic, 4-44-19 Higashi-cho, Koganei-city, Tokyo, 184-0011, Japan.ORCID http://orcid.org/0000-0002-0740-9939
Yoko IchikawaThe Nippon Dental University, Tama Oral Rehabilitation Clinic, 4-44-19 Higashi-cho, Koganei-city, Tokyo, 184-0011, Japan.ORCID http://orcid.org/0000-0003-1598-675X
Yuka KomagataThe Nippon Dental University, Tama Oral Rehabilitation Clinic, 4-44-19 Higashi-cho, Koganei-city, Tokyo, 184-0011, Japan.ORCID http://orcid.org/0009-0007-2089-3503
Arato MizukoshiThe Nippon Dental University, Tama Oral Rehabilitation Clinic, 4-44-19 Higashi-cho, Koganei-city, Tokyo, 184-0011, Japan.ORCID http://orcid.org/0009-0006-3878-7891
Maiko OzekiThe Nippon Dental University, Tama Oral Rehabilitation Clinic, 4-44-19 Higashi-cho, Koganei-city, Tokyo, 184-0011, Japan.ORCID http://orcid.org/0009-0009-9552-0167
Fumiyo TamuraThe Nippon Dental University, Tama Oral Rehabilitation Clinic, 4-44-19 Higashi-cho, Koganei-city, Tokyo, 184-0011, Japan.ORCID http://orcid.org/0000-0002-3618-752X
Tomokazu TominagaKoganei Family Clinic, Tokyo, Japan.

Funding

This work was supported by JSPS KAKENHI 20K18813
6 · The paper itself

Abstract

Information on the effects of dental treatment must be identified and factors that hinder the continuation of dental treatment must be identified to provide appropriate domiciliary dental care (DDC). This study aimed to clarify the treatment outcomes of DDC for older adults and the factors that impede the continuation of such care. This prospective study was conducted at a Japanese clinic specializing in dental care for older adults. The functional status, nutritional status, oral assessment, details of the dental treatment, and outcomes after 6 months of older adults receiving DDC were surveyed. The Oral Health Assessment Tool (OHAT) was used for oral assessment. Cox proportional hazards analysis was used to analyze the factors at the first visit that were associated with treatment continuation. A total of 72 participants (mean age, 85.8 ± 6.9) were included. Twenty-three participants (31.9%) could not continue treatment after 6 months. The most frequently performed procedures were oral care and dysphagia rehabilitation, followed by prosthetic treatment, then tooth extraction. The percentage of participants with teeth that required extraction after 6 months and the total OHAT score decreased significantly. The Barthel Index, Mini Nutritional Assessment Short-Form, and rinsing ability were significantly associated with treatment continuation. Furthermore, instrumental activities of daily living (ADL) and the OHAT "tongue" sub-item were correlated with treatment continuation. In conclusion, DDC improved the oral health status of older adults after 6 months. Factors that impeded treatment continuation were decreased ADL, decreased nutritional status, difficulty in rinsing, and changes in the tongue such as tongue coating.

Indexed as

Dental Care for AgedHome Care ServicesActivities of Daily LivingAgedAged, 80 and overFemaleHumansJapanMaleNutritional StatusOral HealthProspective StudiesDental treatmentDomiciliary dental careHome medical careOlder adults

Identifiers

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Registered trials

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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.