NANDA- NDx Impaired Dentition Definition: Disruption in tooth development/eruption patterns or structural integrity of Care Plans individual teeth Good oral health can affect a person's quality of life syndrome, and some cancers. Similarly, many people with through such aspects as appearance, self-esteem, enjoy- tooth loss choose easier-to-eat foods containing more ment from food, absence from dental pain and infections, saturated fat and refined carbohydrates, putting them at and overall improved health status. Recent studies have great health risk. Oral health measures to prevent dental Diagnosis ( examined the relationship between dentition status and caries and tooth loss need to be addressed throughout dietary habits. It has been shown that many of the foods one's life, especially among older adults, who are at the avoided by people with poor dentition status (e.g., greatest risk for systemic health problems related to high-fiber fruits, vegetables) are the ones found to be pro- impaired dentition. tective against cardiovascular disease, stroke, metabolic Nursing
Common Related Factors Defining Characteristics Insufficient oral hygiene Dental or root caries Barriers to self-care Erosion of enamel Insufficient knowledge of dental health Excessive oral plaque or calculus Insufficient dietary habits Halitosis Economic factors/lack of access to professional care Loose tooth Habitual use of staining substance (e.g., coffee, tea, wine, Malocclusion tobacco) Missing teeth/absence of teeth Chronic vomiting Tooth fracture Excessive use of abrasive oral cleaning agents Enamel discoloration Excessive intake of fluoride Tooth misalignment Genetic predisposition Toothache Pharmaceutical agent Abraded teeth Oral temperature sensitivity Malnutrition
Common Expected Outcomes
Patient demonstrates ability to care for own teeth and mouth independently as evidenced by a regular routine of brush- ing and flossing, and using mouthwash and fluoridation appropriately. Upon examination, patient has clean teeth, healthy gums, and mouth with pleasant odor. Patient performs regular and complete denture cleaning and care. Patient obtains regular dental checkups as feasible.
NOc Outcomes Self-Care: Oral Hygiene; Oral Health NiC Interventions Oral Health Promotion; Oral Health Restoration; Oral Heath Maintenance; Nutrition Management
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Ongoing Assessment Actions/Interventions Rationales Assess the patient's oral hygiene practices. Information provides direction on possible etiological factors and guidance for subsequent education. Long-standing habits may be difficult to break. Assess the status of teeth (color, presence of debris), gums, A systematic inspection should be performed using a tongue mucous membranes, and tongue (color, moisture, texture, blade to expose areas of oral cavity.Early assessment facili irritation, presence of infection). Use a moist, padded tates prompt treatment. Specific manifestations direct tongue blade to gently pull back the cheeks, lips, and gums. interventions. Use adequate lighting. Assess the patient's nutritional status. Dental health is closely related to nutritional status, and poor food choices can be a contributing cause for dentition problems. Likewise, poor dentition can affect nutrient consumption, with people with loss of teeth consuming fewer fruits and vegetables but more saturated fat. These dietary changes put the patient at increased risk for sys- temic diseases. QSEN: Patient-centered care. Assess the mouth for dryness and breath for