Skip to main content

Domiciliary Dental Care and Supporting Access to Dental Services

  • Chapter
  • First Online:
Oral Health and Dental Care in the Ageing Population

Part of the book series: BDJ Clinician’s Guides ((BDJCG))

  • 532 Accesses

Abstract

Domiciliary dental care (DDC) is an essential part of dentistry for older people confined to their home or residential setting. Demand for DDC is increasing due to an ageing population that is increasingly dentate. The provision of dental care at home requires significant preparation before the visit to ensure safe and effective delivery of care. This must include an individual risk assessment of the home environment to ensure patient and staff safety. In addition, appropriate training is required for the whole dental team to develop the knowledge and skills to perform this care. Whilst DDC is essential for providing care for patients who cannot access dentistry in a dental surgery, the range of treatments provided will be limited. Future commissioning of DDC, including appropriate use of the dental skills mix, will need to reflect the changing demographics of the older population.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
eBook
USD 84.99
Price excludes VAT (USA)
Softcover Book
USD 109.99
Price excludes VAT (USA)
Hardcover Book
USD 109.99
Price excludes VAT (USA)

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Notes

  1. 1.

    Or other appropriate individuals in the devolved nations.

  2. 2.

    There are two types of LPA: An LPA for Property and Financial Affairs covers decisions about money and property. An LPA for Health and Welfare covers decisions about health and personal welfare. Clinicians need to clarify whether or which type is present and contact the named LPA as appropriate.

References

  1. Lewis D, Fiske J. Domiciliary oral healthcare. Dent Update. 2011;38(4):231–44.

    Article  PubMed  Google Scholar 

  2. van de Rijt LJM, Stoop CC, Weijenberg RAF, de Vries R, Feast AR, Sampson EL, et al. The influence of oral health factors on the quality of life in older people: a systematic review. Heyn PC, editor. The Gerontologist. 2020;60(5):e378–94.

    Article  PubMed  Google Scholar 

  3. Emanuel R, Mintz A. The decline of domiciliary dentistry. BDJ In Pract. 2021;34(8):12–3.

    Article  Google Scholar 

  4. Bots-VantSpijker PC, Bruers JJM, Bots CP, Vanobbergen JNO, De Visschere LMJ, de Baat C, et al. Opinions of dentists on the barriers in providing oral health care to community-dwelling frail older people: a questionnaire survey. Gerodontology. 2016;33(2):268–74.

    Article  PubMed  Google Scholar 

  5. Geddis-Regan AR. The impact of age and deprivation on NHS payment claims for domiciliary dental care in England. Community Dent Health. 2018;35:223–7.

    PubMed  Google Scholar 

  6. Stephens C, Mays N, Issa R, Perkins L, Scott R. Elder abuse in the UK: out of the shadows and on to the agenda. BMJ. 2021;375:n2828.

    Article  PubMed  Google Scholar 

  7. Pal AD, Farrar A. Domiciliary dental care: considerations and challenges. Dent Update. 2021;48(9):783–90.

    Article  Google Scholar 

  8. Kerr E, Watson S, McMullan J, Srinivasan M, McKenna GJ. General dentists’ attitudes and perceived barriers in providing domiciliary dental care to older adults in long-term care facilities or their homes in Northern Ireland: a descriptive qualitative study. Gerodontology. 2021; https://doi.org/10.1111/ger.12565.

  9. Göstemeyer G, Baker SR, Schwendicke F. Barriers and facilitators for provision of oral health care in dependent older people: a systematic review. Clin Oral Invest. 2019;23(3):979–93.

    Article  Google Scholar 

  10. Iliffe S, Davies SL, Gordon AL, Schneider J, Dening T, Bowman C, et al. Provision of NHS generalist and specialist services to care homes in England: review of surveys. Prim Health Care Res Dev. 2016;17(02):122–37.

    Article  PubMed  Google Scholar 

  11. Stevens A, Crealey GE, Murray AM. Provision of domiciliary dental care in north and West Belfast. Prim Dent Care. 2008;15(3):105–11.

    Article  PubMed  Google Scholar 

  12. Sweeney MP, Manton S, Kennedy C, Macpherson LMD, Turner S. Provision of domiciliary dental care by Scottish dentists: a national survey. Br Dent J. 2007;202(9):E23.

    Article  PubMed  Google Scholar 

  13. Othman AA, Yusof Z, Saub R. Malaysian government dentists’ experience, willingness and barriers in providing domiciliary care for elderly people. Gerodontology. 2014;31(2):136–44.

    Article  PubMed  Google Scholar 

  14. Lewis A, Wallace J, Deutsch A, King P. Improving the oral health of frail and functionally dependent elderly. Aust Dent J. 2015;60:95–105.

    Article  PubMed  Google Scholar 

  15. Carson SJ, Edwards M. Barriers to providing dental care for older people: question: what barriers to delivering oral health care to older people are experienced by dentists? Evid Based Dent. 2014;15(1):14–5.

    Article  PubMed  Google Scholar 

  16. Chowdhry N, Aleksejūnienė J, Wyatt C, Bryant R. Dentists’ perceptions of providing care in long-term care facilities. J Can Dent Assoc. 2011;77:b21.

    PubMed  Google Scholar 

  17. Dolan TA, Atchison K, Huynh TN. Access to dental care among older adults in the United States. J Dent Educ. 2005;69(9):961–74.

    Article  PubMed  Google Scholar 

  18. Lupi-Pegurier L, Clerc-Urmes I, Abu-Zaineh M, Paraponaris A, Ventelou B. Density of dental practitioners and access to dental care for the elderly: a multilevel analysis with a view on socio-economic inequality. Health Policy. 2011;103(2–3):160–7.

    Article  PubMed  Google Scholar 

  19. Hearn L, Slack-Smith L. Engaging dental professionals in residential aged-care facilities: staff perspectives regarding access to oral care. Aust J Prim Health. 2016;22(5):445.

    Article  PubMed  Google Scholar 

  20. Barnes H, Thornton P, Campbell SM. Disabled people and employment: a review of research and development work. Bristol: Policy Press; 1998.

    Google Scholar 

  21. Kiyak HA, Reichmuth M. Barriers to and enablers of older adults’ use of dental services. J Dent Educ. 2005;69(9):975–86.

    Article  PubMed  Google Scholar 

  22. Borreani E, Jones K, Wright D, Scambler S, Gallagher JE. Improving access to dental care for older people. Dent Update. 2010;37(5):297–302.

    Article  PubMed  Google Scholar 

  23. Hagman-Gustafsson M-L, Holmén A, Strömberg E, Gabre P, Wårdh I. Who cares for the oral health of dependent elderly and disabled persons living at home? A qualitative study of case managers’ knowledge, attitudes and initiatives. Swed Dent J. 2008;32(2):95–104.

    PubMed  Google Scholar 

  24. Woods N, Whelton H, Kelleher V. Factors influencing the need for dental care amongst the elderly in the Republic of Ireland. Community Dent Health. 2009;26(4):244–9.

    PubMed  Google Scholar 

  25. Public Health England. What is known about the oral health of older people in England And Wales a review of oral health surveys of older people [Internet]. 2015 [cited 2021 Dec 15]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/489756/What_is_known_about_the_oral_health_of_older_people.pdf.

  26. Kossioni AE, Hajto-Bryk J, Maggi S, McKenna G, Petrovic M, Roller-Wirnsberger RE, et al. An expert opinion from the European college of gerodontology and the European geriatric medicine society: European policy recommendations on oral health in older adults. J Am Geriatr Soc. 2018;66(3):609–13.

    Article  PubMed  Google Scholar 

  27. Legge AR. Older patients’ views of oral health care and factors which facilitate or obstruct regular access to dental care-services: a qualitative systematic review. Community Dent Health. 2021;38(3):165–71.

    PubMed  Google Scholar 

  28. Faculty of Dental Surgery of the Royal College of Surgeons. Improving older people’s oral health [Internet]. 2017 [cited 2021 Dec 23]. Available from: https://www.rcseng.ac.uk/-/media/files/rcs/fds/media-gov/fds-improving-older-peoples-oral-health-2017.pdf

  29. Executive summary. Gerodontology. 2005;22(s1):3–5.

    Google Scholar 

  30. Morgan MZ, Johnson IG, Hitchings E, Monaghan NP, Karki AJ. Dentist skill and setting to address dental treatment needs of care home residents in Wales. Gerodontology. 2016;33(4):461–9.

    Article  PubMed  Google Scholar 

  31. Scottish Government. Oral health improvement plan [Internet]. 2018 [cited 2021 Dec 23]. Available from: https://www.gov.scot/binaries/content/documents/govscot/publications/strategy-plan/2018/01/oral-health-improvement-plan/documents/00530479-pdf/00530479-pdf/govscot%3Adocument/00530479.pdf.

  32. Zaidman B, Awojobi O, Lewis D, Dickinson C, Gallagher JE. Development of a domiciliary dentistry risk assessment form by means of modified e-Delphi study using an expert panel. J Disabil Oral Health. 2021;2021:80–8.

    Google Scholar 

  33. Lewis D. Domiciliary dentistry during and after the COVID-19 pandemic. BDJ In Pract. 2021;34(7):28–9.

    Article  Google Scholar 

  34. Jogezai U, Riches T, Townsend D, Abercrombie C. Introduction of a nomad pro hand held dental x-ray unit for radiography in a special care setting. J Disabil Oral Health. 2017;17(2):78–91.

    Google Scholar 

  35. Allen PF, Da Mata C, Hayes M. Minimal intervention dentistry for partially dentate older adults. Gerodontology. 2019;36(2):92–8.

    Article  PubMed  Google Scholar 

  36. Heidari E, Newton JT, Banerjee A. Minimum intervention oral healthcare for people with dental phobia: a patient management pathway. Br Dent J. 2020;229(7):417–24.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Oliveira BH, Cunha-Cruz J, Rajendra A, Niederman R. Controlling caries in exposed root surfaces with silver diamine fluoride. J Am Dent Assoc. 2018;149(8):671–679.e1.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Health Education England. Advancing dental care - final report [Internet]. 2022. Available from: https://www.hee.nhs.uk/our-work/advancing-dental-care.

  39. Nilsson A, Young L, Glass B, Lee A. Gerodontology in the dental school curriculum: a scoping review. Gerodontology. 2021;38(4):325–37.

    Article  PubMed  Google Scholar 

  40. British Dental Association. Oral healthcare for older people 20–20 vision. 2012.

    Google Scholar 

  41. Residential Oral Care Sheffield (ROCS): domiciliary dental care scheme to improve oral healthcare for patients in care homes [Internet]. 2016 [cited 2021 Dec 15]. Available from: https://www.nice.org.uk/sharedlearning/residential-oral-care-sheffield-rocs-domiciliary-dental-care-scheme-to-improve-oral-healthcare-for-patients-in-care-homes.

  42. NICE. Oral health for adults in care homes. NICE guideline [NG48]; 2016.

    Google Scholar 

  43. McGhay RM. A simple headrest for patients confined to wheelchairs. J Prosthet Dent. 1980;44(3):347–9.

    Article  PubMed  Google Scholar 

  44. Walton G. Wheelchair for single transfer of disabled patients. J Disabil Oral Health 1. 2000;(31).

    Google Scholar 

  45. Dougall A, Fiske J. Access to special care dentistry, part 2. Communication. Br Dent J. 2008;205(1):11–21.

    Article  PubMed  Google Scholar 

  46. Kretsch M, Gresser U. Visiting patients at home: reasons and efficiency of dental house calls. AAR. 2015;04(06):205–11.

    Article  Google Scholar 

  47. Ahmad B. Dental Public Health In Action: barriers to oral healthcare provision for older people in residential and nursing care homes: a mixed method evaluation and strategy development in county Durham, North East England. Commun Dent Health. 2018;35:136–9.

    Google Scholar 

  48. Westgarth D. COVID-19 and community dental services: the challenges ahead. BDJ In Pract. 2020;33(6):14–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Debbie A. Lewis .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lewis, D.A., Mann, J. (2022). Domiciliary Dental Care and Supporting Access to Dental Services. In: Doshi, M., Geddis-Regan, A. (eds) Oral Health and Dental Care in the Ageing Population . BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-031-10224-0_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-10224-0_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-10223-3

  • Online ISBN: 978-3-031-10224-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics