Geriatric Health Experts Validate Oral Neglect Timelines for the Institutionalized Elderly

Sharon M. Casey, Ralph V. Katz, Shulamite Huang, Barbara J. Smith

Research output: Contribution to journalArticlepeer-review


The purpose of this follow-up Delphi survey was to have an expert panel of 31 academic geriatric physicians, geriatric nurses, and medical directors of nursing homes evaluate the original timeline set to avoid oral neglect of nursing home residents. The Oral Neglect in Institutionalized Elderly (ONiIE) timelines defined oral neglect as having occurred when >7 days for acute oral diseases/conditions or >34 days for chronic oral disease/conditions had passed between initial diagnosis and offering access to dental care to the long-term care (LTC) nursing home resident. The results of this follow-up Delphi survey validated those originally defined ONiIE timelines as 90% of this panel agreed with the original timelines. This ONiIE definition adds a broad-based validation for the ONiIE timelines for setting an oral health standard of care for institutionalized elderly residents of nursing homes and should now be used to protect the vulnerable elderly residing in LTC nursing homes.

Original languageEnglish (US)
Pages (from-to)1250-1257
Number of pages8
JournalJournal of Applied Gerontology
Issue number11
StatePublished - Nov 1 2020


  • elderly
  • neglect
  • oral health
  • vulnerable

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology


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