Impaired Dentition

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Impaired Dentition Nursing Care Plan and Diagnosis

The nursing diagnosis Impaired Dentition is defined as a disruption in tooth development or eruption patterns or structural integrity of the teeth. This is a nursing care plan guide for  Impaired Dentition where you can learn about the goals, related factors, and nursing interventions for the nursing diagnosis.

Dentition is the characteristic arrangement, kind, and number of teeth inside the mouth. A person can have impaired dentition due to many reasons. One example is that if a person has missing or damaged teeth or dentures that do not fit will have impaired dentition. Dentition can affect a person’s quality of life in terms of appearance, self-esteem, enjoyment from food, dental pain and infections, and overall health status. Since the teeth serve a major role in the process of digestion, studies revealed the relationship between dentition status and dietary habits. Most foods people with poor dentition statust stay away from are the ones found to be protective against cardiovascular diseases, stroke, metabolic syndrome, and some cancers. People with tooth loss often choose easier-to-eat foods that contain saturated fat and refined carbohydrates than high-fiber fruits and vegetables. The relationship between oral health and overall health plays a big part in one’s life. Proper oral health measures are vital to prevent tooth loss especially in older adults, who are also at great risk for systemic problems related to impaired dentition.

Related Factors for Impaired Dentition

Here are some factors that may be related to the nursing diagnosis Impaired Dentition:

  • Inadequate oral hygiene
  • Barriers to self-care
  • Continuous vomiting
  • Dietary habits
  • Economic factors
  • Excessive use of coffee, tea, and red wine
  • Excessive use of tobacco
  • Extreme use of abrasive cleaning agents
  • Extreme intake of fluorides
  • Genetic disposition
  • Lack of access to profssional care
  • Lack of knowledge regarding dental health
  • Nutritional deficits
  • Selected prescription medications
  • Sensitivity to heat or cold

Defining Characteristics of Impaired Dentition

The following are the signs and symptoms common to the nursing diagnosis of Impaired Dentition. Use them under the nursing assessment of your nursing care plan:

  • Absense of teeth
  • Abraded teeth
  • Crown caries
  • Root caries
  • Discoloration of the tooth enamel
  • Erosion of the enamel
  • Excessive plaque or calculus
  • Halitosis
  • Loose teeth
  • Malocclusion
  • Misalignement of tooth
  • Missing teeth
  • Toothache

Goals and Outcomes

The following are the common goals and expected outcomes for Impaired Dentition nursing diagnosis:

  • Patient displays ability to care for own teeth and mouth freely and individually as evidenced by daily routine of brushing and flossing, and using mouthwash and fluoridation properly.
  • Pateint performs daily denture cleaning and care.
  • Patient exhibits clean teeth, healthy gums, and mouth with pleasant odor upon examination.
  • Patient gets regular dental checkups as feasible.

Nursing Assessment for Impaired Dentition

The following are the nursing assessment cues for Impaired Dentition. Use the guide below to formulate your assessment findings.

AssessmentRationale
Assess the patient’s oral hygiene practices.Oral hygiene information provides direction on possible etiological factors and guidance for subsequent education.
Assess the teeth, gums, mucous membranes, and tongie for color, moisture, texture, irritation, and infection. Use a moist, padded tongue blade to gently pull back the cheeks, lips, and gums.A tongue blade should be used to expose areas of oral cavity for inspection.
Assess the patient’s nutritional status.Poor food choices contribute to dentition problems. Poor dentition can affect food consumption with people with loss of teeth consuming fewer foods rich in fiber such as fruits and vegetables.
Assess the fit of dental appliances.Evaluation may suggest possible causes and guide patient education.
Assess the mouth for dryness and breath for odor.A typical flow of saliva is vital in keeping the teeth clean. Halitosis can be due to dryness of the mouth, dentition, or any medical condition.
Assess the patient’s ability to complete regular oral care.Patients may need assistance in completing oral care.
Asses for financial problems to maintaining improves dental hygiene.Patients may be to proud to ask for assistance or may be unaware of community services available to them.
Assess for any complaints of toothache.Dental caries and abscess development is common and painful, requiring dental assessment and evaluation.
Assess to what extent “fear of dentists” plays a role in avoidance of dental care.Patients may have unwanted experience in the past regarding dental checkups and may be expecting the dental appointment to be uncomfortable. Providing accurate information may help reduce fear.

Nursing Interventions for Impaired Dentition

The following are the therapeutic nursing interventions for Impaired Dentition nursing diagnosis:

Nursing InterventionsRationale
Provide a mouth care routine including toothbrushing at regular intervals with a soft-bristle toothbrush and fluoride toothpaste.

  • Brushing teeth in an up-and-down manner
  • Brushing of teeth at least twice a day
  • Including the gums and tongie in oral care
  • Replacing the toothbrush as bristles wear down
  • Advise an ultrasonic toothbrush as an alternative for patients with dexterity problems
Cleaning of teeth with a toothbrush and fluoride-containg toothpaste prevents the build-up of plaque.
Teach gentle flossing teeth with unwaxed dental floss.Flossing promotes gum health and prevents build-up of plaque.
Instruct the patient to rinse the mouth with warm saline or an antiplaque mouth rinse.These measures help promote oral hygiene.
Teach that dentures should be removed and cleaned every night.regular cleaning of dentures will prevent mucosal irritation.
Assist the patient in performing oral hygiene every after meal and as often as needed.Regular brushing of teeth especially every after meals is vital to prevent build-up of bacteria.
Encourage to avoid high-sugar foods.High sugar foods may cause tooth decay and promotes good oral health and healing.
Apply lubricant to lips and oral mucosa as necessary.Lubrication promotes comfort and prevents dryness and cracking.
Instruct patient to obtain regular dental checkups and followups.Regular dnetal checkups identify dental problems early.
Educate patient about the importanc of oral hygiene.Right knowledge helps prevent possible dental problems.
Educate patient about the importance of maintaining healthy diet despite dentition problems.Adequate nutritions is vital to healthy teeth and body.
Educate the patient regarding the importance of dental checkups and followups.Checkups help identify dental problems early.

See Also

You may also like the following posts and care plans:

References and Sources

The following are the recommended sources for Impaired Dentition nursing diagnosis:

  • Ackley, B. J., Ladwig, G. B., Msn, R. N., Makic, M. B. F., Martinez-Kratz, M., & Zanotti, M. (2019). Nursing Diagnosis Handbook E-Book: An Evidence-Based Guide to Planning Care. Mosby. [Link]
  • Carpenito-Moyet, L. J. (2006). Handbook of nursing diagnosis. Lippincott Williams & Wilkins. [Link]
  • Sahyoun, N. R., Lin, C. L., & Krall, E. (2003). Nutritional status of the older adult is associated with dentition status. Journal of the American Dietetic Association103(1), 61-66. [Link]
  • Urden, L. D., Stacy, K. M., & Lough, M. E. (2006). Thelan’s critical care nursing: diagnosis and management (pp. 918-966). Maryland Heights, MO: Mosby.
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Gil Wayne graduated in 2008 with a bachelor of science in nursing and during the same year, earned his license to practice as a registered nurse. His drive for educating people stemmed from working as a community health nurse where he conducted first aid training and health seminars and workshops to teachers, community members, and local groups. Wanting to reach a bigger audience in teaching, he is now a writer and contributor for Nurseslabs since 2012 while working part-time as a nurse instructor. His goal is to expand his horizon in nursing-related topics, as he wants to guide the next generation of nurses to achieve their goals and empower the nursing profession.

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