Managing an Ageing Population: Challenging Oral Epidemiology

McKenna, Gerry; Tsakos, Georgios; Burke, Francis; Brocklehurst, Paul

doi:10.1177/2050168420943063

Cited by 19 publications

(11 citation statements)

References 38 publications

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“…Despite international research over many years, oral health among older adults has remained a largely unresolved “wicked” problem (Barrett 1998; McKenna et al 2020). With aging populations on the rise in industrialized societies, this is cause for concern (Thomson and Ma 2014; McKenna et al 2020).…”

Section: Introductionmentioning

confidence: 99%

Rethinking Oral Health in Aging: Ecosocial Theory and Intersectionality

Slack‐Smith

Macdonald

et al. 2023

J Dent Res

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Poor oral health affects the health and well-being of older adults in many ways. Despite years of international research investigating poor oral health among older adults, it has remained a largely unresolved problem. The aim of this article is to explore the combination of 2 key frameworks, ecosocial theory and intersectionality, to guide our exploration and understanding of oral health and aging and help inform research, education, policy, and services. Proposed by Krieger, ecosocial theory is concerned with the symbiotic relationship among embodied biological processes and social, historical, and political contexts. Building on the work of Crenshaw, intersectionality explores how social identities such as race, gender, socioeconomic status, and age interconnect in ways that can enhance privilege or compound discrimination and social disadvantage. Intersectionality offers a layered understanding of how power relations reflected in systems of privilege or oppression influence an individual’s multiple intersecting social identities. Understanding this complexity and the symbiotic relationships offers an opportunity to reconsider how inequities in oral health for older adults can be addressed in research, education, and practice and increase the focus on equity, prevention, interdisciplinary care, and use of innovative technology.

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Section: Introductionmentioning

confidence: 99%

Rethinking Oral Health in Aging: Ecosocial Theory and Intersectionality

Slack‐Smith

Macdonald

et al. 2023

J Dent Res

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“…Epidemiological surveys show that dentin exposure to the oral cavity is becoming common as the population ages 13 . In this sense, there is increasing interest in evaluating the antibiofilm and antibacterial effect of new products on biofilm formation in dentin.…”

Section: Introductionmentioning

confidence: 99%

Effects of BlueM® against Streptococcus mutans biofilm and its virulence gene expression

et al. 2023

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This study evaluated the antimicrobial capacity of BlueM® mouthwash against the bacterium Streptococcus mutans and its influence on gbpA gene expression as well as its cytotoxic effect on fibroblast cells. BlueM® showed antimicrobial activity, with MIC and MBC values of 0.005% and 0.01%, respectively. The MBIC was 6.25% for S. mutans. CFU count and confocal microscopy revealed significant effect of BlueM® on S. mutans biofilm pre-formed on dentin surfaces. Interestingly, the analysis of gbpA gene expression indicated a decrease in gene expression after 15 min of treatment with BlueM® at a concentration of 25%. Moreover, BlueM® exhibited low levels of cytotoxicity. In conclusion, our results showed the antimicrobial effectiveness of BlueM® against S. mutans, its ability to modulate the expression of the gbpA gene and its low cytotoxicity. This study supports the therapeutic potential of BlueM® as an alternative agent for the control of oral biofilm.

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“…The proportion of the elderly retaining their own teeth is increasing, and epidemiological evidence suggests that the burden of caries and periodontal diseases is expected to grow in aging populations, including frail elderly [ 1 ]. Maintaining good oral health is based on adequate oral hygiene and regular access to dental services, with oral health being an important determinant of overall health and wellbeing [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Dental care for older adults in home health care services - practices, perceived knowledge and challenges among Norwegian dentists and dental hygienists

Uhlen-Strand¹,

Schwendicke

Ansteinsson

et al. 2023

BMC Oral Health

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Background Providing dental services to dependent older adults might be challenging because of physical and cognitive decline. The present study aimed to explore current practices, knowledge, and experienced challenges related to the treatment of older adults in home health care services (HHCS) among dentists and dental hygienists in Norway. Methods An electronic questionnaire survey was distributed to Norwegian dentists and dental hygienists, inquiring about background characteristics, current practices, self-perceived knowledge, and challenges when providing oral health care for older HHCS patients. Results Four hundred and sixty-six dentists and 244 dental hygienists treating older HHCS patients responded to the survey. The majority were female (n=620; 87.3%) and worked in the public dental service (PDS) (n=639; 90%). When older HHCS adults attended the dental practice, the treatments provided were most frequently aimed at relieving acute oral problems, although dental hygienists reported to focus on improving oral health more often than dentists. Dentists reported to have more self-perceived knowledge than dental hygienists regarding patients with complex treatment needs, cognitive or physical impairment. Exploratory Factor Analysis (EFA) was carried out on the 16 items related to challenges, three factors were extracted and Structural Equation Models (SEMs) were performed. Challenges related to dental care for older HHCS adults were related to time, practical organization and communication. Variation within these categories was associated with sex, graduation year and country, as well as time used per patient and work sector, but not with professional status. Conclusions The results indicate that dental care for older HHCS patients is time-demanding and more often aimed at relieving symptoms than improving oral health. A substantial proportion of dentists and dental hygienists in Norway lack confidence when providing dental care for frail elderly.

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Managing an Ageing Population: Challenging Oral Epidemiology

Cited by 19 publications

References 38 publications

Rethinking Oral Health in Aging: Ecosocial Theory and Intersectionality

Rethinking Oral Health in Aging: Ecosocial Theory and Intersectionality

Effects of BlueM® against Streptococcus mutans biofilm and its virulence gene expression

Dental care for older adults in home health care services - practices, perceived knowledge and challenges among Norwegian dentists and dental hygienists

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