Dental Pain in Care Homes: Is It a Phenomenon? A Systematic Review of the Literature.
care homes
dementia
dental pain
Journal
Geriatrics (Basel, Switzerland)
ISSN: 2308-3417
Titre abrégé: Geriatrics (Basel)
Pays: Switzerland
ID NLM: 101704019
Informations de publication
Date de publication:
26 Sep 2022
26 Sep 2022
Historique:
received:
26
08
2022
revised:
08
09
2022
accepted:
13
09
2022
entrez:
26
10
2022
pubmed:
27
10
2022
medline:
27
10
2022
Statut:
epublish
Résumé
Evidence suggests that 80% of residents living in nursing homes have moderate to severe pain, could dental causes be an under reported contributory factor. The evidence suggests that this is an under-researched area. Our project aims were to explore and consolidate the current literature and conduct some stakeholder groups with care home managers and dentists. Our stakeholder group will be reported elsewhere. We used the SPIDER framework to set out key search terms. Which included "dementia" OR "cognitively-impaired" OR "carehome residents" AND "dental pain" OR "oralfacial pain" OR "mouth pain" AND "pain assessment" OR "pain identification". A literature search was carried out on 8 and 9 March 2022 in the electronic databases: Cochrane, PubMed, Medline, Dental & Oral Sciences Source, CINAHL, Global Health, SocINDEX, Ovid (Medline) and Scopus. Restrictions were placed on dates and language (2012-2022 and English only). The search yielded 775 papers up to the year 2020. After screening and exclusion, we were left with five papers: four quantitative and one qualitative. This review demonstrates that there has been very little research into oral health and/or dental pain in adults with dementia. Furthermore, the recommendations have yet to be taken forward. Identifying pain in older adults with dementia remains challenging. There is a need to develop an algorithm in conjunction with care home staff and dental practitioners in order to identify and address the pain associated with dental disease in adults with dementia.
Sections du résumé
BACKGROUND
BACKGROUND
Evidence suggests that 80% of residents living in nursing homes have moderate to severe pain, could dental causes be an under reported contributory factor. The evidence suggests that this is an under-researched area. Our project aims were to explore and consolidate the current literature and conduct some stakeholder groups with care home managers and dentists. Our stakeholder group will be reported elsewhere.
METHODS
METHODS
We used the SPIDER framework to set out key search terms. Which included "dementia" OR "cognitively-impaired" OR "carehome residents" AND "dental pain" OR "oralfacial pain" OR "mouth pain" AND "pain assessment" OR "pain identification". A literature search was carried out on 8 and 9 March 2022 in the electronic databases: Cochrane, PubMed, Medline, Dental & Oral Sciences Source, CINAHL, Global Health, SocINDEX, Ovid (Medline) and Scopus. Restrictions were placed on dates and language (2012-2022 and English only).
RESULTS
RESULTS
The search yielded 775 papers up to the year 2020. After screening and exclusion, we were left with five papers: four quantitative and one qualitative.
CONCLUSIONS
CONCLUSIONS
This review demonstrates that there has been very little research into oral health and/or dental pain in adults with dementia. Furthermore, the recommendations have yet to be taken forward. Identifying pain in older adults with dementia remains challenging. There is a need to develop an algorithm in conjunction with care home staff and dental practitioners in order to identify and address the pain associated with dental disease in adults with dementia.
Identifiants
pubmed: 36286206
pii: geriatrics7050103
doi: 10.3390/geriatrics7050103
pmc: PMC9601421
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Subventions
Organisme : University of Plymouth Research Investment
ID : 0000/1
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