References

Alzheimer's Society. How to tell if someone has dental problems. 2020. https://tinyurl.com/yxjnbmk9 (accessed 22 September 2020)

Andersson P, Westergren A, Karlsson S, Rahm H, Renvert IS. Oral health and nutritional status in a group of geriatric rehabilitation patients. Scand J Caring Sci. 2002; 16:(3)311-318 https://doi.org/10.1046/j.1471-6712.2002.00086.x

Archer N, Martin K, Johnston L. Oral conditions in the community patient: part 1. Br J Community Nurs. 2020; 25:(10)490-495 https://doi.org/10.12968/bjcn.2020.25.10.490

Beck J, Garcia R, Heiss G, Vokonas PS, Offenbacher S. Periodontal disease and cardiovascular disease. J Periodontol. 1996; 67:1123-1137 https://doi.org/10.1902/jop.1996.67.10s.1123

Bradbury J, Thomason JM, Jepson NJA, Walls AWG, Allen PF, Moynihan PJ. Nutrition counseling increases fruit and vegetable intake in the edentulous. J Dent Res. 2006; 85:(5)463-468 https://doi.org/10.1177/154405910608500513

Bretz WA, Weyant RJ, Corby PM Systemic inflammatory markers, periodontal diseases, and periodontal infections in an elderly population. J Am Geriatr Soc. 2005; 53:(9)1532-1537 https://doi.org/10.1111/j.1532-5415.2005.53468.x

British Society for Disability and Oral Health. How to find a special care dentist in a local community or hospital dental service. 2020a. https://tinyurl.com/yy338e92 (accessed 22 September 2020)

British Society for Disability and Oral Health. Oral health resources. 2020b. https://tinyurl.com/y6dohv67 (accessed 22 September 2020)

Chee B, Park B, Bartold PM. Periodontitis and type II diabetes: a two-way relationship. Int J Evid Based Healthc. 2013; 11:(4)317-329 https://doi.org/10.1111/1744-1609.12038

Cullinan MP, Ford PJ, Seymour GJ. Periodontal disease and systemic health: current status. Aust Dent J. 2009; 54:(s1)S62-S69 https://doi.org/10.1111/j.1834-7819.2009.01144.x

Delwel S, Bineekade T, Perez R, Hertogh C, Scherder E, Lobbezoo F. Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues. Clin Oral Investig. 2017; 21:(1)17-32 https://doi.org/10.1007/s00784-016-1934-9

Department of Health and Social Care. Improving oral health and dental outcomes: developing the dental public health workforce in England-full report. 2010. https://tinyurl.com/yxbvpbsu (accessed 23 October 2020)

Di Fede O, Panzarella V, Mauceri R, Fusco V, Bedogni A, Lo Muzio L. The dental management of patients at risk of medication-related osteonecrosis of the jaw: new paradigm of primary prevention. BioMed Res Int. 2018; 2018 https://doi.org/10.1155/2018/2684924

Faculty of General Dental Practice UK. Dementia-friendly dentistry. 2017. https://tinyurl.com/y86tdmgd (accessed 22 September 2020)

Health Education England. Mouth care matters: a guide for hospital healthcare professionals. 2016. https://tinyurl.com/y7adwwar (accessed 22 September 2020)

Kane SF. The effects of oral health on systemic health. Gen Dent. 2017; 65:(6)30-34

Kossioni AE. The association of poor oral health parameters with malnutrition in older adults: a review considering the potential implications for cognitive impairment. Nutrients. 2018; 10:(11) https://doi.org/10.3390/nu10111709

Kuyama K, Sun Y, Yamamoto H. Aspiration pneumonia: with special reference to pathological and epidemiological aspects, a review of the literature. Japanese Dent Sci Rev. 2010; 46:(2)102-111 https://doi.org/10.1016/j.jdsr.2009.11.002

Lamster IB, Lalla E, Borgnakke WS, Taylor GW. The relationship between oral health and diabetes mellitus.

Müller-Richter U, Betz C, Hartmann S, Brands RC. Nutrition management for head and neck cancer patients improves clinical outcome and survival. Nutr Res. 2017; 48:1-8 https://doi.org/10.1016/j.nutres.2017.08.007

Murphy J, Mayor A, Forde E. Identifying and treating older patients with malnutrition in primary care: the MUST screening tool. Br J Gen Pract. 2018; 68:(672)344-345 https://doi.org/10.3399/bjgp18X697853

Murray JJ. Adult dental health surveys: 40 years on. Br Dent J. 2011; 211:(9)407-408 https://doi.org/10.1038/sj.bdj.2011.903

NHS. Find a dentist. 2020. https://tinyurl.com/y72kqfyp (accessed 22 September 2020)

NHS Digital. Adult dental health survey 2009-summary report and thematic series. 2010. https://tinyurl.com/y39nbhpg (accessed 23 October 2020)

National Institute for Health and Care Excellence. Oral health for adults in care homes. 2016. https://tinyurl.com/y56afvd9 (accessed 22 September 2020)

Oral Health Foundation. White paper on optimal care and maintenance of full dentures for oral and general health. 2018. https://tinyurl.com/y69bj63z (accessed 22 June 2020)

Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2005; 33:(2)81-92 https://doi.org/10.1111/j.1600-0528.2004.00219.x

Petti S. Lifestyle risk factors for cancer. Oral Oncol. 2009; 45:(4-5)340-350 https://doi.org/10.1016/j.oraloncology.2008.05.018

Rodrigues HL, Scelza MF, Boaventura GT, Custodio SM, Addison M, Oliveira D. Relation between oral health and nutritional condition in the elderly. J Appl Oral Sci. 2012; 20:(1)38-44 https://doi.org/10.1590/S1678-77572012000100008

Scottish Dental Clinical Effectiveness Programme. Oral health management of patients at risk of MRONJ. 2017. https://tinyurl.com/y3fhducm (accessed 22 September 2020)

Sheiham A, Steele J. Does the condition of the mouth and teeth affect the ability to eat certain foods, nutrient and dietary intake and nutritional status amongst older people?. Public Health Nutr. 2001; 4:797-803 https://doi.org/10.1079/phn2000116

Tada A, Miura H. Association between mastication and cognitive status: a systematic review. Arch Gerontol Geriatr. 2017; 70:44-53 https://doi.org/10.1016/j.archger.2016.12.006

Talwar B, Donnelly R, Skelly R, Donaldson M. Nutritional management in head and neck cancer: United Kingdom multidisciplinary guidelines. J Laryngol Otol. 2016; 130:S32-S40 https://doi.org/10.1017/S0022215116000402

Van Lancker A, Verhaeghe S, Van Hecke A, Vanderwee K, Goossens J, Beeckman D. The association between malnutrition and oral health status in long-term care facilities; a systematic review. Int J Nurs Stud. 2012; 49:(12)1568-1581 https://doi.org/10.1016/j.ijnurstu.2012.04.001

Wardh I, Hallberg LR, Berggren U, Andersson L, Sorensen S. Oral health care-a low priority in nursing. In-depth interviews with nursing staff. Scand J Caring Sci. 2000; 14:(2)137-142

Wiseman M. The treatment of oral problems in the palliative patient. J Can Dent Assoc. 2006; 72:(5)453-458

Oral health
Care of the Older Person

Oral conditions in the community patient: part 2—systemic complications of poor oral health

02 November 2020
Professional
02 November 2020
Volume 25 · Issue 11

Abstract

Oral health has a symbiotic relationship with general health, with oral disease recognised to have an adverse effect on the overall systemic health of a patient. Deterioration in oral health has been shown to have an impact on the severity of chronic systemic diseases, nutrition, hydration and psychological and social wellbeing. Part 1 of this mini-series explored the common oral conditions that community patients may present with, and the role of the nursing team in aiding the prevention, diagnosis and management of these conditions. Following on from that, this article discusses the links between oral and general health, and preservation of a patient's quality of life. This article also aims to support nurses' knowledge on how to assess the oral health needs of patients, support oral care provision, how to access acute and elective dental services and signpost to additional supportive resources.

Poor oral health is recognised to have an adverse effect on the overall health of a person. Therefore, it is important that all health professionals strive to provide holistic patient care, including maintenance of oral health, in order to optimise patient outcomes. This is particularly important within the community, where nursing teams are often responsible for caring for vulnerable and older patients with complex medical histories. The Department of Health and Social Care (DHSC) (2010) highlighted the importance of prioritising oral health within a patient's overall care plan, acknowledging that the level of oral hygiene can act as an indicator of the standard of care a patient is receiving.

Part 1 of this mini-series (Archer et al, 2020) discussed the common oral conditions that community patients may present with, as well as the role of the nursing team in aiding the prevention, diagnosis and management of these conditions. This article explores the complications that can arise with systemic diseases as a result of poor oral health and discusses how community nursing teams can support oral care and therefore prevent these systemic complications.

Register now to continue reading

Thank you for visiting Community Nursing and reading some of our peer-reviewed resources for district and community nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month

Register
Or continue by

Signing in with your registered email address

Oral conditions
Systemic health
Malnutrition
Older adults
Ageing