Oral Health Care for Older Adults: Implications for U.S. Nursing Homes: A Structured Narrative Review.

Abstract

Oral health in long-term care facilities, particularly in U.S. nursing homes, is an increasing concern as the older adult population continues to grow. Poor oral health among older adults is associated with adverse physical and psychosocial outcomes, yet oral care remains underprioritized in institutional settings. This structured narrative review synthesizes literature on oral health care for older adults, focusing on workforce roles and organizational practices relevant to U.S. nursing homes. Literature was identified through searches of electronic databases, including PubMed, ProQuest, and PsycINFO. The included studies examine oral health care practices, training programs, and organizational factors influencing care delivery with implications for U.S. nursing home care. Findings indicate persistent gaps in oral care for older adults due to barriers such as limited staff training, organizational constraints, and insufficient institutional prioritization. These factors align with broader social and structural determinants shaping access to and quality of oral care. Several studies highlight the potential benefits of integrating oral health education into health professional training and nursing home practice, although reported effects were mixed. Overall, the review highlights the importance of targeted staff education, organizational support, and improved funding and resources in enhancing oral health care delivery in U.S. nursing home care contexts.