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Updated: Nov 25, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Exploring Associations between Oral Health and Frailty in Community-Dwelling Older People
B Everaars1, K Jerković-Ćosić, N Bleijenberg
1B. Everaars, University of Applied Sciences Utrecht, Research Group Innovations in Preventive Care, Heidelberglaan 7, 3512 CS, Utrecht, The Netherlands, Email: babette.everaars@hu.nl, Telephone: 0614317567.
Dental emergency visits and self-reported oral health issues are linked to frailty in older adults. Recognizing these connections is crucial for healthcare professionals to improve patient care and outcomes.
Area of Science:
- Gerontology
- Oral Health
- Public Health
Background:
- Frail older adults face increased oral health risks due to factors like polypharmacy and reduced self-care.
- Oral health issues can negatively impact frailty levels in older individuals.
Purpose of the Study:
- To investigate the relationship between oral health status and frailty in community-dwelling older adults.
- To explore associations using two distinct frailty assessment methods.
Main Methods:
- Cross-sectional study conducted in a Dutch Primary Healthcare Center.
- Utilized Electronic Medical Record (EMR) data and the Groningen Frailty Indicator (GFI) for frailty assessment.
- Collected data on dental care utilization, oral health status, and self-reported oral problems.
Main Results:
- Over 1,200 older adults participated; 53% were at risk for frailty and 19% were frail (GFI).
- Dental emergency visits, experiencing oral problems, and dietary adaptations were significantly associated with frailty.
- Specific odds ratios indicated increased risk for frailty with dental issues and dietary changes.
Conclusions:
- A dental emergency visit and self-reported oral problems are independently associated with frailty.
- Healthcare professionals should consider oral health assessments in frail older populations.
- These findings highlight the bidirectional relationship between oral health and frailty.
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