Editorial

Don’t overlook oral health in older people’s care

Many people now struggle to access dental care and this can be challenging for people living with disabilities and those in long-term care settings. Good oral health is fundamental for older people’s physical health, dignity, overall well-being and even intimate relationships. However oral care is frequently overlooked and undervalued, nurses should ensure they follow best practices and set a high standard

For older people, poor oral care can lead to numerous health issues, nurses should ensure that best practices become the standard, not the exception

Poor oral care can lead to a number of health issues in older people including malnutrition, dehydration, distress, impaired communication and social withdrawal
Poor oral care can lead to a number of health issues in older people including malnutrition, dehydration, distress, impaired communication and social withdrawal Picture: iStock

In recent years, NHS dentistry has faced intense scrutiny, with many struggling to access essential dental care. This challenge is particularly acute for people living with disabilities and those in long-term care settings. Why is this important? Because it reinforces the urgent need for proactive oral care – something that has always been critical but is now more vital than ever.

Many of us have experienced dental pain and understand its debilitating effects—poorly managed pain, inability to concentrate, mood disturbances, bad breath and sleep deprivation.

‘Unfortunately, oral care is often deprioritised in favour of more immediate health concerns’

Good oral health is fundamental not only for our physical health, but also for maintaining dignity, overall well-being and even intimate relationships. Yet, despite its importance, oral care is frequently overlooked and undervalued across all care settings, not just in long-term care.

Many resources have highlighted the need for improved oral care among older people

For older adults, poor oral care can lead to numerous health issues, including tooth decay, malnutrition, dehydration, aspiration pneumonia, infections, pain, distress, impaired communication and social withdrawal. Unfortunately, oral care is often deprioritised in favour of more immediate health concerns, which is unacceptable given its profound effect on overall health and quality of life.

Many resources have highlighted the need for improved oral care among older people

Several key documents in recent years have underscored the need for improved oral care among older people, providing guidelines and strategies for better oral health management. Notable resources include:

Despite these resources, poor oral care remains a widespread issue. We must ensure that best practices become the standard, not the exception, across all care settings. I encourage everyone to explore these resources and consider how you can drive positive change in your workplace.


Zena Aldridge, consultant editor Nursing Older People

Zena Aldridge, consultant editor Nursing Older People

Have you tried RCNi Plus yet?

RCNi Plus offers unlimited access to RCNi Learning, Nursing Older People, Nursing Standard, our other specialist journals and RCNi Revalidation Portfolio to store your CPD for revalidation. Use the discount code TRIALPLUS to get it half price for three months. Click here for more details

Jobs