{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:47:50Z","timestamp":1777924070834,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T00:00:00Z","timestamp":1524441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001504","name":"Ministry of Health, New Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001504","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate clinical oral disease and its association with cognitive function and dependency among older New Zealanders in residential aged care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>National survey of oral health in aged residential care throughout New Zealand. We classified residents into 1 of 3 levels of care: \u201clow dependency care (or assisted living)\u201d; \u201chigh dependency care\u201d; or \u201cspecialist dementia care\/psychogeriatric care.\u201d The Abbreviated Mental Test characterised cognitive function as \u201cunimpaired\u201d (scores of 7\u201010), \u201cmoderately impaired\u201d (4\u20106) or \u201cseverely impaired\u201d (0\u20103). Intra\u2010oral examinations were conducted, along with a computer\u2010assisted personal interview.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most of the 987 clinically examined participants were either at low or high dependency care level, with another 1 in 6 in psychogeriatric care. Almost half overall had severely impaired cognitive function. Just under half of the sample had 1 or more natural teeth remaining. Negative binomial regression modelling showed that the number of carious teeth was lower among women and higher among those who were older, those with more teeth and in those with severely impaired cognitive function. Oral debris scores (representing plaque biofilm and other soft deposits on teeth) were higher in men, those with more teeth, and in those with severely impaired cognitive function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Impaired cognitive function is a risk indicator for both dental caries and oral debris in aged residential care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ger.12337","type":"journal-article","created":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T09:24:34Z","timestamp":1524475474000},"page":"185-191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Oral status, cognitive function and dependency among New Zealand nursing home residents"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0588-6843","authenticated-orcid":false,"given":"William M.","family":"Thomson","sequence":"first","affiliation":[{"name":"Faculty of Dentistry Sir John Walsh Research Institute University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moira B.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Public Health Faculty of Medicine Wellington School of Medicine University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine Anna","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Department of Public Health Faculty of Medicine Wellington School of Medicine University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ngaire M.","family":"Kerse","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Peri","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barry","family":"Gribben","sequence":"additional","affiliation":[{"name":"CBG Health Research Ltd  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12085"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/375407"},{"key":"e_1_2_8_4_1","volume-title":"Our Oral Health: Key Findings of the 2009 New Zealand Oral Health Survey","author":"Ministry of Health","year":"2010"},{"key":"e_1_2_8_5_1","volume-title":"Our Older People's Oral Health. 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