Sammanfattning
The elderly population in developed countries is increasing rapidly, but despite improvements in
medical care, age is still associated with reduced function, frailty and increased susceptibility to
morbidity. Several studies show correlations between general health and dental health, thus an
increased need for knowledge of the dental health among frail elderly is warranted. In this rewiev
article, we discuss efforts that may improve oral health of the elderly population described in
relevant literature the past 10 years. The article focuses on transferability to Norwegian conditions,
feasibility and economical aspects. We looked at three different categories on how to improve oral
health among elders; 1. initiatives / programs executed of non-dental healthcare personel, 2. helping
aides and 3. dental cleaning executed of dentists/dental hygienists. Several efforts showed positive
outcomes. An interesting finding is the positive effect on oral health by using an exercise program in
various oral muscles, which showed improved bite force, salivation and swallowing ability. These
findings indicate that cooperation with physiotherapist is useful in institutions and nursing homes for
elders. Among dental aides, one study showed that application of chlorhexidine varnish, Duraphat®
varnish and silver diamine fluoride (SDF) on root surfaces, gave a significant reduction in the
development of new rootcaries lesions. The use of electric toothbrushes in nursing homes may also
be a valuable resource, especially in those who need help to dental care. Frequent dental care
performed by a dentist or a dental hygienist shows good results. These measurements are
dependent on the financial resources of institutions for the elderly and / or private economy, as well
as how these needs are prioritized. There are few solid randomized controlled studies on the effort to
improve oral health in frail elderly. Thus, more extensive clinical studies are necessary.