Oral health assessment is the first step in helping to maintain a resident’s oral health.

This does not take the place of a comprehensive dental examination but is used to identify whether an older person has oral health problems and is in need of a dental referral.

An oral health assessment does not take very long to do. It can be easily done at the same time as other general health assessments. It should take place on admission to residential aged care and thereafter on a regular basis and when clinically indicated.

Two types of oral health assessment tools are available

1. The six-question oral health assessment tool

The six-question oral health assessment tool is recommended for older people who can reliably self-report. It does not require a clinical assessment. The six oral health questions can be easily integrated into general health assessment and documentation.

A ‘yes’ to any of the questions 2-6 indicates a dental referral is required.

1. Do you have any of your own natural teeth?
2. Have you had pain in your mouth while chewing?
3. Have you lost any fillings or do you need a dental visit for any other reason?
4. Have you avoided laughing or smiling because of problems with your teeth, mouth or dentures?
5. Have you had to interrupt meals because of problems with your teeth, mouth or dentures?
6. Have you had difficulty relaxing because of problems with your teeth, mouth or dentures?

2. Oral health assessment tool (OHAT)

A clinical assessment of oral health status is recommended for frail older people.

The Oral Health Assessment Tool (50KB PDF) consists of a visual inspection using eight categories of oral health:

• lips
• tongue
• gums and oral tissue
• saliva
• natural teeth
• dentures
• oral cleanliness
• dental pain.

The eight oral health categories are assessed as healthy, changes or unhealthy. A healthy or changes assessment can be managed by oral health care planning. An unhealthy assessment indicates the need for a dental referral

The Oral Health Self-learning Quiz (1MB PDF) and the oral health assessment demonstration (below) give an overview of the common oral health conditions experienced by older people. They provide helpful hints on oral health assessment preparation, how to manage changed behaviours, offer advice on medication considerations, and show how to remove/reinsert dentures.