Oral assessment and preventive actions within the swedish quality register senior alert: Impact on frail older adults’ oral health in a longitudinal perspective
Artikel i vetenskaplig tidskrift, 2021

Poor oral health is common among older people in nursing homes. To identify and prevent oral health problems among the residents, ROAG-J (Revised Oral Assessment Guide–Jönköping), a risk-assessment instrument, is used by nursing staff routinely, and the outcome is registered in the web-based Swedish quality register Senior Alert. This study aims to investigate the preventive actions registered when oral health problems are identified and the effect of these actions longitudinally. ROAG-J data registered at nursing homes in Sweden during 2011–2016 were obtained from the Senior Alert database. Out of 52,740 residents (≥65 years), 41% had oral health problems, of whom 62% had preventive actions registered. The most common action was “Assistance with cleaning teeth”. Longitudinally, during the five-year observation period, a slight increase in oral health problems assessed with ROAG-J was found. Registered preventive actions, however, led to significant improvement in the subsequent assessment for the ROAG items lips, tongue, and dentures. Standardised risk assessments like ROAG-J provide an opportunity to detect problems early and establish preventive actions. The study, however, indicates a further need for structured education and a continuous follow-up in ROAG-J. Moreover, increased collaboration between nursing and dental care to improve oral health for older residents at nursing homes is needed.

Geriatric nursing

Preventive actions

Oral care

Nursing home


Register study

Oral health

Quality register

Older adults


Lisa Bellander

Göteborgs universitet

Västra Götalandsregionen

Pia Andersson

Högskolan i Kristianstad

Helle Wijk

Sahlgrenska universitetssjukhuset

Göteborgs universitet

Chalmers, Arkitektur och samhällsbyggnadsteknik, Byggnadsdesign

Catharina Hägglin

Västra Götalandsregionen

Göteborgs universitet

International Journal of Environmental Research and Public Health

1661-7827 (ISSN) 1660-4601 (eISSN)

Vol. 18 24 13075


Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi


Gerontologi, medicinsk/hälsovetenskaplig inriktning





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