Both groups displayed poor oral health, with the objective and subjective oral health being poorer among the home care recipients than among nursing home residents – in terms of objective poor oral health, the prevalence was close to 90% compared to approximately 50%.

 

Oral cleanliness was poorer among the home care recipients than in the other group, indicating that the quality of the oral hygiene procedure is affected by the ones who perform it – the nursing home residents are probably taken care of by staff trained in oral care. The subjective oral health, that is, the oral health-related quality of life, was inferior in the group living in a home care setting – a fact most likely related to the poorer oral health status.

 

The authors stress the need of interventions to improve oral health and dental care, both in nursing home and home care settings, in particular the latter. Education of both formal and informal caregivers could be one approach to improve health among care-dependent elderly individuals.