Dental Care for Geriatric and Special Needs Populations

Chávez, Elisa M.; Wong, Lynne M.; Subar, Paul; Young, Douglas A.; Wong, Allen

doi:10.1016/j.cden.2017.11.005

Cited by 34 publications

(50 citation statements)

References 32 publications

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“…Older adults with limited economic resources as well as adults with disabilities experience high rates of edentulism, untreated caries and periodontal disease and associated detrimental effects on general health and oral health‐related quality of life . Most studies have conducted research on oral health status indicators, such as caries rates, prevalence of periodontal disease or tooth loss.…”

Section: Introductionmentioning

confidence: 99%

Gingivitis and plaque scores among residents of low‐income senior housing

Reisine

Schensul

et al. 2019

Gerodontology

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Objectives The purpose of this paper is to present Gingival Index (GI) and Plaque Scores (PS) of older and disabled adults living in low‐income senior housing and their association with sociodemographic, health status and oral health behaviours. Methods Participants were recruited from six low‐income senior housing residences in Connecticut. Primary outcome measures were Gingival Index (GI) and Plaque Scores (PS). Surveys assessed sociodemographic characteristic, beliefs and behaviours. Logistic regression analysis was used to model the binary outcomes of probability of unfavourable GI status (>=0.34) and unfavourable PS (>=74%) against variables including demographic characteristics, oral hygiene behaviours and health status. Results 331 participants volunteered for the study. Mean baseline GI was 0.38 (SD: 0.3), and mean PS was 71.7% (SD: 18%). Logistic regression showed that males were more likely to have higher GI and plaque scores than females. Those with less formal education were more likely to have worse GI scores and high PS compared to those with college educations. Those with lower incomes and those who rated their oral health poor/fair were more likely to have higher PS. Conclusion Participants had remarkably good gingival health regardless of relatively high PS. Males and less educated individuals should receive special attention when implementing oral hygiene interventions because of their relatively poor oral hygiene status.

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Section: Introductionmentioning

confidence: 99%

Gingivitis and plaque scores among residents of low‐income senior housing

Reisine

Schensul

et al. 2019

Gerodontology

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“…4 The effect of aging on oral health is thought to be associated with one's overall health and well-being, with acute and chronic systemic diseases having both a direct and indirect impact on oral health. 5 Few studies have investigated the association of oral health and well-being in geriatrics in large national samples. 6 Some evidence exists for the relationship between poor oral health, malnutrition, and consequently, poor quality of life.…”

Section: Introductionmentioning

confidence: 99%

Oral health as a gateway to overall health and well‐being: Surveillance of the geriatric population in the United States

Hung

Moffat

Gill

et al. 2019

Special Care in Dentistry

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Aims Little evidence exists to confirm that better oral health is associated with better overall health and well‐being. The present study aimed to examine the impact of oral health on the overall health of the population greater than 65‐year old in the entire United States. Methods and results Data from National Health and Nutrition Examination Survey (NHANES) 2015–2016 were used. Variables included demographics and perceptions of oral health and overall health and well‐being. Weighted prevalence estimates were calculated using mean, standard deviation, and percentage as appropriate. Chi‐square tests and logistic regressions were performed to examine the association of oral health with physical health, mental health, general health, and systemic disease conditions. Analyses showed statistically significant relationships between oral health, physical, mental and general health, energy levels, work limitation, depression, and appetite. Out of the 10 systemic diseases being investigated, six of them were directly related to oral health outcome. Conclusion This study provided strong empirical evidence that oral health is directly associated with different disease conditions and contributes largely to an individual's general health, particularly in the elderly. In the current landscape of patient‐centered and value‐based care, addressing the oral health needs of the elderly, who generally find themselves with limited access to care, should be a priority.

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“…Dental care for patients with special needs (PNEs) covers a diverse group of people with one or more health conditions, whether chronic or acute, requiring specialized and individualized clinical management (1). One of the great challenges for adequate outpatient care is to make the patient to collaborate, which in many cases does not happen due to fear and anxiety.…”

Section: Introductionmentioning

confidence: 99%

“…One of the great challenges for adequate outpatient care is to make the patient to collaborate, which in many cases does not happen due to fear and anxiety. In addition, the patient may not be able to develop emotional control of these factors or may not have full intellectual development, and their capacity for understanding and cooperation may be affected (1). The first option is to apply methods of psychological conditioning, however, they may not be sufficient for adequate dental treatment.…”

Section: Introductionmentioning

confidence: 99%

Contribution of benzodiazepines in dental care of patients with special needs

et al. 2019

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Background: Conscious sedation in dental treatment of patients with special needs (PNEs) has the purpose of controlling events such as anxiety and fear, as well as promoting muscle relaxation and mastery of uncoordinated movements. Benzodiazepines (BZDs) are among the most used drugs due to their anxiolytic, hypnotic and sedative properties. The objective of this investigation is to demonstrate a study on the contribution of conscious sedation with BZD in PNEs. Material and Methods: The study included 40 PNEs, non-collaborators, submitted to conscious oral sedation with Midazolam (0.5 mg/kg) for dental treatment, receiving vital signs monitoring in the pre, trans and postoperative periods. Results: Male patients were more frequent with 70% of the cases, with a mean age of 18 years. As for medical diagnosis, autism and mental deficiency were the most prevalent. The most performed procedures were restoration (32%) and exodontia (30%). There was a statistically significant reduction in systolic and diastolic blood pressure parameters (p<0.05) in the transoperative and postoperative periods when compared to the preoperative period. Conscious sedation with BZDs resulted in 83% positive responses. Conclusions: The results demonstrate that this technique is safe and effective, and can be used in outpatient care for PNEs. However, the risk/benefit ratio should be correctly evaluated.

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Dental Care for Geriatric and Special Needs Populations

Cited by 34 publications

References 32 publications

Gingivitis and plaque scores among residents of low‐income senior housing

Gingivitis and plaque scores among residents of low‐income senior housing

Oral health as a gateway to overall health and well‐being: Surveillance of the geriatric population in the United States

Contribution of benzodiazepines in dental care of patients with special needs

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