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Integrated versus incidental dental care in nursing homes
P F M Gerritsen1, A van der Bilt, M S Cune
1Department for Oral-Maxillofacial Surgery and Special Dental Care, UMC Utrecht, Netherlands.
Summary
Integrated dental care in nursing homes significantly improves resident oral health outcomes and reduces treatment needs compared to incidental care. This approach offers better denture use and less soft tissue pathology for elderly individuals.
Area of Science:
- Geriatric dentistry
- Oral health services research
- Long-term care policy
Background:
- Nursing home residents often have complex oral health needs.
- Traditional incidental dental care is provided reactively.
- Integrated dental care models are emerging in Dutch nursing homes.
Purpose of the Study:
- To compare the costs and oral health outcomes of integrated versus incidental dental care.
- To evaluate the effectiveness of structural dental presence in nursing homes.
Main Methods:
- Comparative study in two Dutch nursing homes with 175 and 120 residents.
- Assessment of oral status and treatment needs.
- Analysis of dental work and laboratory costs per resident per year.
Main Results:
- Integrated care: €229 (dental) + €143 (lab) per resident/year; 2.2 hours/year/resident.
- Incidental care: €15 (dental) + €20 (lab) per resident/year; 0.1 hours/year/resident.
- Higher prevalence of no oral treatment need (55.6% vs 13.1%) with integrated care.
Conclusions:
- Integrated dental care leads to better oral health outcomes in nursing home residents.
- Improved denture status and reduced soft tissue pathology observed with integrated care.
- Integrated care demonstrates a higher need for preventive and restorative services, despite lower overall treatment requirements.
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