{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T07:12:16Z","timestamp":1766733136573,"version":"build-2065373602"},"reference-count":34,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Coordination for the Improvement of Higher Education Personnel\u2014Brazil (Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior\u2014CAPES)","award":["001","260003\/000577\/2023"],"award-info":[{"award-number":["001","260003\/000577\/2023"]}]},{"name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado do Rio de Janeiro\u2014FAPERJ","award":["001","260003\/000577\/2023"],"award-info":[{"award-number":["001","260003\/000577\/2023"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: The global increase in the population older than 80 years has led to a paradigm shift centered in the hospital environment, with the inclusion of domiciliary oral health actions improving quality of life. This review evaluates the effects of domiciliary dental care and oral health promotion in nursing homes of older adults. Methods: Seven databases were searched without date restrictions from 15 September to 21 November 2024. A manual search was also performed in the reference lists of the included articles. This research included studies evaluating older adults aged \u226580 years, regardless of sex, who received domiciliary dental care associated or not with oral health promotion, evaluating periodontal condition, dental caries, and the dental and denture plaque index. Regarding data collection and analysis, a risk of bias assessment was performed using RoB 2.0 and RoB 1.0, according to the study design. The level of evidence was assessed using the GRADE tool. Results: Of the 2415 studies found, 5 met the eligibility criteria. After quality assessment, one randomized clinical trial presented a moderate risk of bias, and one presented a low risk. Also, two non-randomized studies presented a high risk and one a low risk. The certainty of evidence was classified as low for all outcomes assessed. One study demonstrated a reduction in the caries level of participants. Regarding periodontal and gingival conditions, although the occurrence of deep pockets (greater than 3.5 mm) decreased over time, there was no significant difference between the control and intervention groups. The level of dental and denture plaque showed a slight reduction. Conclusion: There is limited evidence that domiciliary dental care in nursing homes for older adults can lead to a reduction in caries levels and that oral health programs can reduce dental and denture plaque in evaluations conducted over periods of up to two years. Although the results show a limited magnitude, this does not diminish the importance of promoting domiciliary oral health care.<\/jats:p>","DOI":"10.3390\/ijerph22050683","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T11:47:41Z","timestamp":1745581661000},"page":"683","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Impact of Domiciliary Dental Care and Oral Health Promotion in Nursing Homes of Older Adults: A Systematic Review"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4572-1074","authenticated-orcid":false,"given":"Cibelle Cristina Oliveira dos","family":"Santos","sequence":"first","affiliation":[{"name":"Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo 28625650, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izabelle Muller Lessa","family":"Miranda","sequence":"additional","affiliation":[{"name":"Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo 28625650, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Thuller","sequence":"additional","affiliation":[{"name":"Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo 28625650, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karoline Reis","family":"Silva","sequence":"additional","affiliation":[{"name":"Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo 28625650, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2115-6958","authenticated-orcid":false,"given":"Leonardo Santos","family":"Antunes","sequence":"additional","affiliation":[{"name":"Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo 28625650, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda Signorelli","family":"Calazans","sequence":"additional","affiliation":[{"name":"Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo 28625650, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7592-1785","authenticated-orcid":false,"given":"Bruna Lavinas Sayed","family":"Picciani","sequence":"additional","affiliation":[{"name":"Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo 28625650, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,25]]},"reference":[{"unstructured":"World Health Organization (2024). Ageing, WHO. Available online: https:\/\/www.who.int\/health-topics\/ageing#tab=tab_1.","key":"ref_1"},{"unstructured":"World Health Organization (2024). Oral Health, WHO. Available online: https:\/\/www.who.int\/health-topics\/oral-health\/#tab=tab_1.","key":"ref_2"},{"key":"ref_3","first-page":"1","article-title":"Impact of poor oral health on community-dwelling seniors: A scoping review","volume":"14","author":"Badewy","year":"2021","journal-title":"Health Serv. Insights"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"103607","DOI":"10.1016\/j.jdent.2021.103607","article-title":"Home care recipients have poorer oral health than nursing home residents: Results from two German studies","volume":"107","author":"Czwikla","year":"2021","journal-title":"J. Dent."},{"key":"ref_5","first-page":"221","article-title":"Condi\u00e7\u00f5es de sa\u00fade bucal em idosos: Uma revis\u00e3o da realidade brasileira","volume":"10","author":"Barbosa","year":"2011","journal-title":"Odontol. Cl\u00edn.-Cient."},{"key":"ref_6","first-page":"e220038","article-title":"Sa\u00fade bucal de pessoas idosas domiciliadas acompanhadas na aten\u00e7\u00e3o prim\u00e1ria: Estudo transversal","volume":"24","author":"Oliveira","year":"2021","journal-title":"Rev. Bras. Geriatr. Gerontol."},{"doi-asserted-by":"crossref","unstructured":"Koyama, S., Aida, J., Kondo, K., Yamamoto, T., Saito, M., Ohtsuka, R., Nakade, M., and Osaka, K. (2016). Does poor dental health predict becoming homebound among older Japanese?. BMC Oral Health, 16.","key":"ref_7","DOI":"10.1186\/s12903-016-0209-9"},{"key":"ref_8","first-page":"33","article-title":"A necessidade da odontologia domiciliar e cuidados bucais em idosos dependentes","volume":"2","author":"Miranda","year":"2018","journal-title":"Rev. Ci\u00eanc. Odontol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1111\/j.1600-0528.2011.00631.x","article-title":"Preference for dentist\u2019s home visits among older people","volume":"40","author":"Komulainen","year":"2012","journal-title":"Community Dent. Oral Epidemiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1111\/ger.12659","article-title":"Oral health-related quality of life among home-dwelling older people with and without domiciliary care","volume":"40","author":"Salmi","year":"2023","journal-title":"Gerodontology"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/ger.12649","article-title":"Oral health and oral health-related quality of life among older adults receiving home health care services: A scoping review","volume":"40","author":"Henni","year":"2023","journal-title":"Gerodontology"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1111\/scd.12403","article-title":"Oral health assessment in domiciliary care service planning of older people","volume":"39","author":"Salmi","year":"2019","journal-title":"Spec. Care Dent."},{"unstructured":"Bronzato, P.C. (2014). O Impacto da Sa\u00fade Bucal na Qualidade de Vida dos Idosos. [Bachelor\u2019s thesis, Faculdade de Odontologia de Ara\u00e7atuba, Universidade Estadual Paulista J\u00falio de Mesquita Filho].","key":"ref_13"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan\u2014A Web and Mobile App for Systematic Reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst. Rev."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"l4898","DOI":"10.1136\/bmj.l4898","article-title":"RoB 2: A revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne","year":"2019","journal-title":"BMJ"},{"unstructured":"Higgins, J.P.T., and Green, S. (2011). Cochrane Handbook for Systematic Reviews of Interventions, The Cochrane Collaboration. Available online: www.handbook.cochrane.org.","key":"ref_17"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.1136\/bmj.328.7454.1490","article-title":"GRADE Working Group. Grading quality of evidence and strength of recommendations","volume":"328","author":"Atkins","year":"2004","journal-title":"BMJ"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1111\/scs.13247","article-title":"Use of oral health care services among older home care clients in the context of an intervention study","volume":"38","author":"Tuuliainen","year":"2024","journal-title":"Scand. J. Caring Sci."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1111\/ger.12067","article-title":"Oral health intervention among community-dwelling older people: A randomized 2-year intervention study","volume":"32","author":"Komulainen","year":"2015","journal-title":"Gerodontology"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"130","DOI":"10.2334\/josnusd.23-0344","article-title":"Association between oral health and nutritional status among older patients requiring long-term care who received home-visit dental care","volume":"66","author":"Fukuyama","year":"2024","journal-title":"J. Oral Sci."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1111\/j.1600-0528.2011.00653.x","article-title":"Oral status, oral hygiene habits and caries risk factors in home-dwelling elderly dependent on moderate or substantial supportive care for daily living","volume":"40","author":"Gabre","year":"2012","journal-title":"Community Dent. Oral Epidemiol."},{"key":"ref_23","first-page":"e96","article-title":"Effect evaluation of a supervised versus non-supervised implementation of an oral health care guideline in nursing homes: A cluster randomised controlled clinical trial","volume":"29","author":"Schols","year":"2012","journal-title":"Gerodontology"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1093\/ageing\/afx020","article-title":"Preventive oral health intervention among old home care clients","volume":"46","author":"Tuuliainen","year":"2017","journal-title":"Age Ageing"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1111\/j.1600-0528.2011.00610.x","article-title":"Evaluation of the implementation of an \u2019oral hygiene protocol\u2019 in nursing homes: A 5-year longitudinal study","volume":"39","author":"Schols","year":"2011","journal-title":"Community Dent. Oral Epidemiol."},{"doi-asserted-by":"crossref","unstructured":"Janssens, B., Vanobbergen, J., Petrovic, M., Jacquet, W., Schols, J.M., and De Visschere, L. (2018). The impact of a preventive and curative oral healthcare program on the prevalence and incidence of oral health problems in nursing home residents. PLoS ONE, 13.","key":"ref_26","DOI":"10.1371\/journal.pone.0198910"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1111\/cdoe.12335","article-title":"Long-term success of oral health intervention among care-dependent institutionalized seniors: Findings from a controlled clinical trial","volume":"46","author":"Schwindling","year":"2017","journal-title":"Community Dent. Oral Epidemiol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.gerinurse.2019.12.004","article-title":"The oral health quality of life for seniors in residential facilities who have direct access to care as compared to those without access","volume":"41","author":"Riggs","year":"2020","journal-title":"Geriatr. Nurs."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"E3","DOI":"10.1038\/bdj.2007.569","article-title":"The effect of a domiciliary denture service on oral health related quality of life: A randomised controlled trial","volume":"203","author":"Pearson","year":"2007","journal-title":"Br. Dent. J."},{"key":"ref_30","first-page":"2285","article-title":"Increasing dependency of older people in nursing homes is associated with need for dental treatments","volume":"10","author":"Rammelsberg","year":"2014","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref_31","first-page":"253","article-title":"Oral Health and Hygiene and Association of Functional Ability: A Cross-Sectional Study Among Old Home Care Clients","volume":"18","author":"Tuuliainen","year":"2020","journal-title":"Oral Health Prev. Dent."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1111\/scs.12801","article-title":"The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients","volume":"34","author":"Tuuliainen","year":"2020","journal-title":"Scand. J. Caring Sci."},{"key":"ref_33","first-page":"27","article-title":"The Role of the Dentist in Home Care for the Older People: A Narrative Review of the Literature","volume":"12","author":"Genaro","year":"2024","journal-title":"J. Dent."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1007\/s00784-019-02812-4","article-title":"Barriers and facilitators for provision of oral health care in dependent older people: A systematic review","volume":"23","author":"Baker","year":"2019","journal-title":"Clin. Oral Investig."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/5\/683\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:21:55Z","timestamp":1760030515000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/5\/683"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,25]]},"references-count":34,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,5]]}},"alternative-id":["ijerph22050683"],"URL":"https:\/\/doi.org\/10.3390\/ijerph22050683","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2025,4,25]]}}}