Oral health and dental care of older persons—A systematic map of systematic reviews

Ástvaldsdóttir, Álfheiður; Boström, Anne‐Marie; Davidson, Thomas; Gabre, Pia; Gahnberg, Lars; Sandborgh‐Englund, Gunilla; Skott, Pia; Ståhlnacke, Katri; Tranæus, Sofia; Wilhelmsson, Hanna; Wårdh, Inger; Östlund, Pernilla; Nilsson, Mikael

doi:10.1111/ger.12368

Cited by 89 publications

(92 citation statements)

References 60 publications

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“…Regarding oral health, the increasing number of elderly people who retain their natural teeth presents a challenge in preventive and restorative dental care [10]. Continuous collection of data such as those from national oral health surveys are able to illustrate oral health development with a significant increase in relevant data pertaining to the elderly population.…”

Section: Introductionmentioning

confidence: 99%

Oral health of centenarians and supercentenarians

et al. 2020

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There are many studies on the homebound and institutionalized elderly; however, few studies focus on centenarians and supercentenarians, i.e., people aged 100 and 110 years, respectively. Due to the demographic changes, the population of centenarians is set to increase more than that of other age groups. Therefore, this article aims to review the available literature regarding how oral health might display in this age group and highlight aspects necessitating further research. Oral health, oral healthrelated quality of life, saliva, and the oral microbiome were emphasized in this study. Most papers relevant to the research questions were excluded because the mean age of participants was <100 years. Only two papers were found on centenarians' oral health status and saliva and no studies were found focusing on the oral health-related quality of life or oral microbiome. The reviewed studies demonstrate that centenarians presented with good oral mucosal conditions, dental conditions, and general health. The present literature is insufficient to come to a definite conclusion regarding how aging affects the oral health of centenarians and supercentenarians. The limited available research indicates that centenarians display better oral health than other individuals in their respective birth cohorts.

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Section: Introductionmentioning

confidence: 99%

Oral health of centenarians and supercentenarians

et al. 2020

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“…Caregivers might therefore perceive a conflict between respecting a patient's autonomy and the provision of good care. Furthermore, as a patient's general health worsens, less importance is often placed on their dental health [4,13].…”

Section: Introductionmentioning

confidence: 99%

Which factors influence the oral health of nursing-home residents with cognitive and motor impairments?

et al. 2020

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Background There is limited information available about the oral and denture hygiene and oral health of nursing-home residents with cognitive and motor impairments. Aims The purpose of this study was to identify factors influencing the oral and denture hygiene and oral health of nursinghome residents with cognitive and motor impairments. Methods The study was performed in nine nursing-homes in Germany. Sociodemographic and general data were collected for all participants (n = 150). The Clinical Dementia Rating (CDR) was used to identify the presence of dementia, and the Apraxia Screening Test (AST) was used to identify motor impairment. A comprehensive dental examination was also performed. This included the documentation of dental and denture status and the number of decayed, missing and filled teeth (DMFT). In addition, dental and denture hygiene were assessed using the Plaque Index (PI) and the Denture Hygiene Index (DHI). Univariate and multivariate regression models were used to analyse possible factors affecting the dependent target variables. Results In multivariate regression analysis, the factors that most strongly influenced greater PI were a lower number of medications taken (p = 0.018), poorer general health (p = 0.013) and the presence of dementia (p < 0.010). A more advanced age (p = 0.036) and longer nursing-home stay (p = 0.048) had a negative effect on the DHI. Furthermore, gender (p = 0.037, in favour of women), poorer general health (p = 0.003), presence of dementia (p = 0.003), and the absence of natural teeth (p = 0.028) influenced poorer oral health. The factors most strongly influenced greater number of missing teeth were a more advanced age (p = 0.021) and longer nursing-home stay (p = 0.015). In terms of fewer filled teeth, a shorter nursing-home stay (p = 0.002) was the factor most strongly influenced this. Conclusions Poorer general health and the presence of apraxia and cognitive impairment are the main determinants for poorer oral hygiene and oral health among nursing-home residents. A longer nursing-home stay also seems to be relevant for oral health and denture hygiene.

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“…A 2006 systematic review revealed that temporomandibular disorder, poor oral health, dissatisfaction with teeth and mouth, and oral dryness diminished oral health-related quality of life, which was low among people without teeth 13) .…”

Section: Introductionmentioning

confidence: 99%

Relationships between Depression, Oral Dryness, and Oral Health-Related Quality of Life among Elderly in Korea

et al. 2019

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Background: This study aimed to analyze correlations between depression, cognitive function, oral health state, ability to perform activities of daily living, oral dryness symptoms, and oral health-related quality of life, and determine factors influencing the latter. Methods: This was a cross-sectional study based on questionnaires completed by 260 participants with suspected dementia, residing in South Korea. Psychiatrists, psychiatric nurses, and dental hygienists visited clinics in the participating regions for examination and questionnaire administration. General characteristics, the geriatric depression scale, ability to perform activities of daily living, cognitive function, oral health state, and oral health-related quality of life were analyzed. Independent t-tests, one-way analysis of variance (ANOVA), correlation analysis and multiple regression analysis were conducted, identifying factors affecting oral health-related quality of life. Data analysis was performed using SPSS ver. 20.0 (IBM Corp., USA), and the significance was set at p＜0.05. Results: Approximately 65.0% of participants were female, 63.5% were in their 70s, and 90.0% had health insurance. About 21.5%, 42.0%, and 36.5% were normal, slightly impaired, and had dementia, respectively. High cognitive impairment was associated with poor oral health. Sex, education levels, marital status, and living arrangements influenced oral health-related quality of life. According to the regression analysis, geriatric depression and oral dryness affected the Geriatric Oral Health Assessment Index scores. Conclusion: In conclusion, oral dryness and depression levels among elders influenced oral health-related quality of life. The results showed that to enhance elders' oral health-related quality of life, it is essential to not only improve their oral health state, but also relieve oral health problems, especially oral dryness, and take into consideration their psychological aspects.

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Oral health and dental care of older persons—A systematic map of systematic reviews

Abstract: There is an urgent need for further research and evidence-based knowledge within most domains in geriatric dentistry and in other fields related to oral health and dental care for older persons striving for multi-disciplinary research programmes.

Cited by 89 publications

References 60 publications

Oral health of centenarians and supercentenarians

Oral health of centenarians and supercentenarians

Which factors influence the oral health of nursing-home residents with cognitive and motor impairments?

Relationships between Depression, Oral Dryness, and Oral Health-Related Quality of Life among Elderly in Korea

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