ArticleSpecial 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
Exploring Oral Care in Long-Term Care Homes: An Institutional Ethnography.
Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Geriatric Oral Health in the United States: Current Status and Challenges.Geriatrics (Basel, Switzerland) · 2026Review
- Integrating social science into oral health and dental research: a narrative review.Frontiers in oral health · 2025Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsOral health of long-term care (LTC) residents remains a concern despite many years of evidence-based interventions. This study aimed to explore the social organization of care contributing to poor oral health of residents in LTC homes. MATERIALS AND
methodsInstitutional ethnography (IE) was used from the healthcare aide (HCA) standpoint. The oral care provided by HCAs in the LTC homes was explored through observations and interviews that focused on HCAs' interactions with institutional texts. Data analysis included text-work-text (TWT) mappings to illustrate how oral care was socially organized.
resultsHCAs determined how and when to provide oral care for residents. Standardized assessments designed by the regulatory health authority to assist LTC homes in complying with care standards were insufficiently detailed to guide the oral care provided by HCAs. HCAs lacked knowledge about oral care beyond tooth-brushing and denture care.
conclusionsIn the absence of effective institutional texts, HCAs used their discretion, relying on their personal experiences, to inform the oral care provided for residents. This study helps to understand the organizational factors that contribute to poor oral health and offers alternative intervention strategies.
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Registered trials
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