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Oral bacteria and clinical variables in dependent individuals at a special facility*

Authors

  • I Wårdh,

    1. I. Wårdh, Department of Oral and Maxillofacial Surgery and Centre for Clinical Research, Uppsala University, Central Hospital, Västerås, Sweden
      M. Wikström, Department of Microbiology, Faculty of Odontology, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden
      S. Sörensen, Mälardalen University, Västerås, Sweden
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  • M Wikström,

    1. I. Wårdh, Department of Oral and Maxillofacial Surgery and Centre for Clinical Research, Uppsala University, Central Hospital, Västerås, Sweden
      M. Wikström, Department of Microbiology, Faculty of Odontology, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden
      S. Sörensen, Mälardalen University, Västerås, Sweden
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  • S Sörensen

    1. I. Wårdh, Department of Oral and Maxillofacial Surgery and Centre for Clinical Research, Uppsala University, Central Hospital, Västerås, Sweden
      M. Wikström, Department of Microbiology, Faculty of Odontology, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden
      S. Sörensen, Mälardalen University, Västerås, Sweden
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  • *

    This study was supported by grants from the Swedish Dental Society and the County of Västmanland (Sweden).

Inger Wårdh
Department of Oral and Maxillofacial Surgery
Central Hospital
Entrance 27, Stage 4
721 89 Västerås
Sweden
Tel.: +4621175440
Fax: +4621175430
E-mail: inger.wardh@tele2.se, inger.wardh@ltvastmanland.se

Abstract:

The oral health of dependent residents at special facilities has often been reported as being poor, but it is difficult to relate oral health to general health and define the need for oral health care. Microbiological analyses of the oral flora have been suggested as a suitable method for evaluating oral health in this group of patients. A study was performed at a nursing facility where 33 individuals participated. The aim was to describe their oral flora in relation to other health variables and to classify the residents on different risk levels. An oral examination of the residents was made at the facility, together with a 3-day food record and an oral microbiological analysis. The analysis classified the residents in different categories according to both acid-producing bacteria and the flora correlated with a reduction in general health. The categories were based on previous studies conducted at the Department of Microbiology (Faculty of Odontology in Göteborg). The present study revealed that the level for acid-producing bacteria was high in 12 individuals and the micriobial level according to decreased general health was high in seven individuals. A high level of acid-producing bacteria was related to functional impairment, which was in turn related to nutritional problems and help with oral hygiene. The microbial level according to the reduction in general health did not significantly correlate with other variables.

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