Providing Oral Healthcare to Older Patients—Do We Have What It Takes?

Mata, Cristiane da; Allen, Patrick

doi:10.3390/ijerph20136234

Cited by 3 publications

(1 citation statement)

References 48 publications

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“…One limitation is that other medical professionals are unfamiliar with geriatric dentistry [43]. Sharing knowledge of geriatric dentistry, including the deterioration of oral function due to aging, not only among geriatric dentists but also by other dental and medical professionals would be required [44].…”

Section: Discussionmentioning

confidence: 99%

Oral Hypofunction and Risk of Weight Change among Independent Older Adults

Shiota,

Kusama,

Takeuchi

et al. 2023

Nutrients

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Oral health is essential for nutritional status; however, little is known about its association with weight change. This study aimed to investigate whether the risk of weight change differs according to the presence of each important component of oral hypofunction (fewer remaining teeth, low chewing efficiency, swallowing problems, and xerostomia) among independent older adults. This was a three-year follow-up cohort study based on self-reported questionnaires. The participants were independent older adults aged ≥65 from the Japan Gerontological Evaluation Study (JAGES). We used >5% weight loss/gain during follow-up as the outcome variables, and the number of remaining teeth (≥20/10–19/0–9), the presence of chewing difficulty, swallowing problems, and xerostomia (yes/no) as the exposure variables. We fitted the Poisson regression model, including possible confounders to estimate the risk ratios (RRs) and 95% confidence intervals (CIs). For weight loss, RRs were significantly higher among those with 0–9 remaining teeth (RR = 1.17; 95% CI = 1.11–1.23), chewing difficulty (RR = 1.12; 95% CI = 1.07–1.16), and xerostomia (RR = 1.11; 95% CI = 1.06–1.16), but there was no significant association with swallowing problems (RR = 1.01; 95% CI = 0.97–1.06). For weight gain, we also found similar associations with oral hypofunction. Oral hypofunction among older adults could have non-negligible health impacts on nutritional status.

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Section: Discussionmentioning

confidence: 99%

Oral Hypofunction and Risk of Weight Change among Independent Older Adults

Shiota,

Kusama,

Takeuchi

et al. 2023

Nutrients

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Anatomical and surgical considerations for fixed implant-supported prostheses in edentulous elderly patients

Santos,

Sant’Ana,

Fernandes

2024

MOJGG

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Total edentulism can lead to changes in the anatomy of jaws over the years in elderly subjects. Therefore, the dental surgeon must comprehend the anatomical variations and surgical peculiarities of elderly total edentulous subjects requiring oral rehabilitation with fixed implant-supported prostheses. This article aims to discuss the different approaches and anatomical considerations to perform a precise dental implant placement for full-arch fixed implant-supported prostheses.

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Dentitions of Long-Term Care Residents: Tooth Types, Roles in Occlusion and Association with Dementia

Tervonen,

Julkunen,

Saarela

et al. 2024

Healthcare

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Background/Objectives: Many older adults living in long-term care (LTC) environments have varying numbers of retained natural teeth. The objective of this study was to assess the disease findings based on tooth type and estimate the role of tooth types in occlusion. Methods: We conducted clinical oral examinations of 276 LTC residents. The disease findings were analyzed for each tooth type and to determine their associations with dementia. Results: In total, 67.8% of the participants had molar teeth. Premolars/canines were often present as residual roots and had caries. Deepened periodontal pockets and higher plaque index (PI) values for molars had odds ratios of 2.5 (95% confidence interval [CI] of 1.59–3.91) and 1.61 (95% CI of 1.29–2.02), respectively. Participants with dementia were more likely to have incisors and premolars/canines in the form of root remnants and higher PI scores for all tooth types (p ≤ 0.01), as well as more deepened periodontal pockets in all teeth (p = 0.029), than those without dementia. The median number of remaining molars per participant was 3 out of a maximum of 12 (95% CI 3.4–4.0); thus, they often lacked occlusal contact. Conclusions: The LTC residents’ molars were more prone to periodontal problems, whereas their premolars/canines often had caries or were present in the form of root remnants, especially in the participants with dementia. People’s teeth should be treated in an easy-to-maintain way before they move into LTC to enable daily oral hygiene measures and maintain oral health.

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Providing Oral Healthcare to Older Patients—Do We Have What It Takes?

Cited by 3 publications

References 48 publications

Oral Hypofunction and Risk of Weight Change among Independent Older Adults

Oral Hypofunction and Risk of Weight Change among Independent Older Adults

Anatomical and surgical considerations for fixed implant-supported prostheses in edentulous elderly patients

Dentitions of Long-Term Care Residents: Tooth Types, Roles in Occlusion and Association with Dementia

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