Oral health of elderly New Zealanders in aged care an urgent national clinical problem - study

The oral health of frail older New Zealanders has been declared an urgent clinical problem that "is only going to get worse", in an extensive world-first study.

Otago University has surveyed the oral health of 987 people living in aged residential care and found those with dementia, and older men in general, have dirtier and more decayed teeth.

Lead author of the study, Professor Murray Thomson, describes poor oral health as one of the "geriatric giants", that is predominantly caused by the higher rates of cognitive and physical impairments found among older Kiwis.

"Neither the aged care sector nor the dental profession, in most countries, is prepared. Not only do we have more and more older people every year, but more and more people are entering old age with their own teeth, rather than full dentures, as was the situation just a couple of decades ago," Professor Thomson says.

"In some ways, dentistry has been a victim of its success – we have long emphasised the idea of 'teeth for life' without much thought to what happens towards the end of life.

"We also now know that half of those in old age will end up in residential aged care, and that more and more of those will have some form of dementia."

Another alarming finding form the study was that "slow progress" was being made in the area of geriatric oral health.

"It's a very complex situation involving a lot of players – the aged care sector, the Ministry of Health, the dental profession, and the public. An encouraging sign is the inclusion of oral health in New Zealand’s Healthy Ageing Strategy. That’s a starting point, but there is a lot of work to be done," Professor Thomson says.

Of those examined in the study (representative of the more than 14,000 New Zealanders living in aged care), recently published in the journal Gerodontology, about half had severely impaired cognitive function, and more than a third required fillings or extractions.

Those with severely impaired cognitive function had greater numbers of decaying teeth. They also had higher oral debris scores, reflecting poorer daily oral hygiene care.

Professor Thomson says greater rates of tooth decay can lead to dental and facial infections, poorer quality of life, malnutrition and communication difficulties.

The researchers also found that even the most cognitively impaired participants were able to be examined fairly easily, and regular, routine removal of oral debris by carers should not be a difficult task.

"The issue that we currently face is that much of that debris removal is not being done, and this, along with frequent exposure to sugary, over-processed meals and snacks, and poor salivary function, is enabling plaque and dental caries to flourish in aged residential care populations," Professor Thomson says.

For those wanting to improve or maintain their oral health, Professor Thomson has some simple advice: brush twice daily with fluoride toothpaste; clean carefully between the teeth at least two to three times per week; avoid having sweet drinks or snacks between meals (and that includes sugar in tea or coffee – it takes only a couple of days to get used to not having it); and avoid smoking.

"For people who have poor oral health in middle age, it is not going to be any better in old age, and an honest, open conversation with a dentist about the options, which may include complete extraction, may be a very good idea," Professor Thomson says.

Flights delayed, cancelled at Dunedin Airport due to fog

Passengers flying out of Dunedin Airport today are being urged to keep up with airline websites to check if their flights have been delayed or cancelled as a result of fog.

Two Air NZ flights bound for Auckland and Wellington have been cancelled.

Fog is hampering both inbound and outbound flights from the airport.

Air NZ flight 5743 from Christchurch to Dunedin has also been cancelled this morning.

Flight schedule board (file picture). Source: 1 NEWS


Commerce Commission launches investigation into WORLD clothing brand's 'Made in New Zealand' labelling

The Commerce Commission has launched an investigation into New Zealand clothing brand WORLD after receiving nine complaints about the accuracy of the  "Made in NZ" labels on the brand's t-shirts.

The fashion label, headed by Dame Denise L'Estrange-Corbet, has been under fire with accusations they have misled consumers about the origins of their clothing.

A Spinoff investigation on May 7 revealed the WORLD store in Auckland was found to be carrying tags saying "Fabrique En Nouvelle-Zelande" - French for "Made in New Zealand" - while actually being made up of elements manufactured in Bangladesh and China.

"After a preliminary assessment of these complaints, the Commission has opened an investigation," the Commerce Commission said in a statement.

The Commission also reminded all business that "Made In New Zealand" claims must be accurate, able to be substantiated and must not mislead consumers.

"The Fair Trading Act (FTA) prohibits businesses from making false or misleading claims about the country of origin of their products,"  the commission said in a release.

"Symbols such as kiwis or the New Zealand flag can also convey a misleading impression about the origin of the product if, in fact, it is not manufactured or produced in New Zealand."

The commission also offered an explanation on what constituted a product that was "made in New Zealand".

For clothing, where is it changed from fabric into a garment? For food, where were the ingredients grown? For manufacturing, was it substantially manufactured in NZ, where was the primary componentry made and did any substantial stages of manufacture occur overseas?

"For example, if a manufacturing process includes steps taken within New Zealand and overseas, some brands choose to explain this with labelling such as 'Packaged in New Zealand using imported ingredients,'" Commissioner Anna Rawlings said.

WORLD has long claimed its clothes are NZ made but it’s now emerged a small percentage aren’t. Source: 1 NEWS

"For clothing, an accurate claim might say 'Designed in NZ and manufactured in China.'"

WORLD has long claimed its clothes are NZ made but it’s now emerged a small percentage aren’t. Source: 1 NEWS