[Study for improvement of oral health among the elderly. Present status of dental care service at elderly homes].

Since the dental environment at a living place could potentially become a factor causing a need for dental care, all 33 elderly homes (27 of which responded to the survey) in Tokyo were investigated for the purpose of identifying the present status of dental care service and the problems existing at these homes. The following are the obtained conclusions. 1. The rate of homes with dental care facilities is as low as 19.2%, and cooperation by dental care institutions, including house calls, is ensured only at the low rate of 11.1%. As a result, usually patients visit the dental institutions. 2. The involvement of the dental staff, including part-time, was 44.4%, less than half of the homes surveyed. The homes wishing to employ or receive service from dental staff accounted for 76.9%. The homes also expected them to be engaged in the activities of overall oral hygiene, including not only dental treatment, but also participation in the planning of oral hygienic management. However, 23.1% of the respondents did not wish to employ any dental staff or receive any such service. 3. Specific programs for the guidance and management of oral hygiene were not observed. Homes that conducted dental examination periodically and those that carried out activities related to oral hygiene during Dental Health Week were also lacking. In addition, the homes which had assigned personnel responsibility for oral hygiene represented only 12.0%.(ABSTRACT TRUNCATED AT 250 WORDS)