I alle nordiske lande er der udfordringer, som begrænser effektiviteten af tandplejesystemerne for skrøbelige ældre. Vigtigst er manglen på forebyggende og terapeutiske ydelser på tandklinikkerne, som regel på grund af manglende kontakt mellem tandplejen og de skrøbelige ældre, samt utilstrækkelig hjælp fra plejepersonalet med den daglige tandpleje.
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