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Turton B, Alqunaybit G, Tembhe A, Qari A, Rawal K, Mandel E, Calabrese J, Henshaw M. Estimation of Oral Disease Burden among Older Adults in LTC: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:248. [PMID: 38541250 PMCID: PMC10970488 DOI: 10.3390/ijerph21030248] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Revised: 02/11/2024] [Accepted: 02/15/2024] [Indexed: 07/23/2024]
Abstract
Oral health is an essential part of healthy aging and very little data exists around the disease burden for older adults in a long-term care setting. The aim of this scoping review was to estimate the disease burden of dental caries, periodontal disease, and tooth loss among older adults in Long-Term Care (LTC). This scoping review was conducted in accordance with the Joanna Briggs Institute methodology. A detailed strategy was used to conduct a comprehensive search of electronic databases: PubMed, Embase, and Dentistry and Oral Sciences Source (DOSS). The Rayyan AI platform was used to screen abstracts for assessment by one of five co-investigators. Results indicate that only one in three might have a functional dentition upon entry into LTC, and among those who are dentate, most might expect to develop at least one new coronal and one new root caries lesion each year. There is a need to better document the disease experiences of this group to tailor approaches to care that might reduce the avoidable suffering as a result of dental caries and periodontal disease.
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Affiliation(s)
- Bathsheba Turton
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
| | - Gheed Alqunaybit
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
| | - Amrita Tembhe
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
| | - Alaa Qari
- Faculty of Dentistry, Umm Al-Qura University, Makkah 02131, Saudi Arabia;
| | - Kadambari Rawal
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
| | - Ernest Mandel
- Hebrew Seniorlife, Harvard Medical School, Boston, MA 02131, USA;
| | - Joseph Calabrese
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
| | - Michelle Henshaw
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA; (G.A.); (A.T.); (K.R.); (J.C.); (M.H.)
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Desai JP, Nair RU. Oral Health Factors Related to Rapid Oral Health Deterioration among Older Adults: A Narrative Review. J Clin Med 2023; 12:jcm12093202. [PMID: 37176641 PMCID: PMC10179735 DOI: 10.3390/jcm12093202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 04/11/2023] [Accepted: 04/24/2023] [Indexed: 05/15/2023] Open
Abstract
Older adults who face systemic health issues and lack adequate social support are at risk for oral health deterioration. How rapidly such changes take place depends on the severity of their medical condition and their ability to access oral health services in a timely manner. The management of dental caries and periodontal disease in this cohort is made complex by the interaction of local and host factors such as the presence of dry mouth, involvement of root surfaces, and altered wound healing. in addition to enhanced maintenance needs to avoid recurrence or progression. Tooth replacement can be beneficial in restoring oral function, allowing patients to enjoy a healthy and nutritious diet but requires careful consideration to avoid further damage to remaining dental units. Establishing a dental home for the older adult can facilitate routine surveillance, disease prevention, and patient/caregiver education to achieve oral health goals commensurate with overall health. This narrative review details oral health factors that are related to rapid oral health deterioration among older adults.
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Affiliation(s)
- Jhanvi P Desai
- Department of Preventive and Community Dentistry, The University of Iowa College of Dentistry and Dental Clinics, Iowa City, IA 52242, USA
| | - Rohit U Nair
- Department of Preventive and Community Dentistry, The University of Iowa College of Dentistry and Dental Clinics, Iowa City, IA 52242, USA
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Bulgarelli AF, Santos CM, Tôrres LHN, Childs CA, Souza FLR, Gehrke GH, Marchini L. What influences dental students' attitudes regarding the treatment of older adults? A scoping review. J Dent Educ 2023. [PMID: 36928643 DOI: 10.1002/jdd.13193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 01/04/2023] [Accepted: 01/28/2023] [Indexed: 03/18/2023]
Abstract
PURPOSE The aim of this study is to investigate the literature to evaluate dental students' attitudes regarding the treatment of older adults. METHODS A scoping review was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses/PRISMA guidelines to identify articles from four electronic databases: MEDLINE via the PubMed interface, Embase, Cumulative Index to Nursing and Allied Health Literature, and AgeLine. Gray literature searches were also performed in Scopus, Web of Science, and ProQuest Dissertations and Theses-Health and Medicine. RESULTS Eleven articles were assessed. The majority (72, 72%) were published between 2011 and 2020, evidencing various contexts of dental students, such as different countries and cultures, and levels of education. The most commonly used tool/instrument to survey dental students' attitudes was the Aging Semantic Differential Scale. Student age, race, and marital status did not seem to interfere with dental students' attitudes regarding the treatment of older adults. CONCLUSIONS Dental students tend to have a positive attitude toward older people. In this context, female students, students who interact with older people, and clinical students have more positive attitudes than male and nonclinical students.
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Affiliation(s)
- Alexandre F Bulgarelli
- Department of Preventive and Social Dentistry, Faculty of Dentistry, Postgraduate Program in Dentistry, the Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Camila M Santos
- Department of Preventive and Social Dentistry, Faculty of Dentistry, Postgraduate Program in Dentistry, the Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Luísa H N Tôrres
- Departament of Stomatology, Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | - Christopher A Childs
- Hardin Library for the Health Sciences, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA
| | - Fernanda L R Souza
- Departament of Stomatology, Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | - Gabriela Hammes Gehrke
- Department of Preventive and Social Dentistry, Faculty of Dentistry, Postgraduate Program in Dentistry, the Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Leonardo Marchini
- Department of Comprehensive Care, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio, USA
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Rawal K, Calabrese J. Current oral health services and the divergent needs of the baby boom cohorts. SPECIAL CARE IN DENTISTRY 2023; 43:336-345. [PMID: 36690918 DOI: 10.1111/scd.12824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 12/28/2022] [Accepted: 12/30/2022] [Indexed: 01/25/2023]
Abstract
The two cohorts of Baby Boomers, the Early (born between 1945 and 1955) and the Late (born between 1956 and 1964), have some subtle yet distinct differences when it comes to their oral health and oral health related behaviors. Unlike their predecessors, the Baby Boomer cohorts are retaining more teeth, as there is a sharp fall in edentulous rates in this population. The oral health care community is now facing unparalleled challenges in providing and maintaining the oral health of this unique cohort who are keeping their teeth longer, have multiple comorbidities, and are living longer than previous generations. This paper draws from the latest studies, scientific data and research to describe a realistic picture of the oral health services available to and utilized by the Baby Boomers. The factors affecting utilization, their rising needs, demands, expectations, and areas where improvement is needed for the Baby Boomer are also reported here.
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Affiliation(s)
- Kadambari Rawal
- Department of General Dentistry, Henry M Goldman School of Dental Medicine, Boston University, Boston, Massachusetts, USA.,Department of Medicine, Hebrew Senior Life, Boston, Massachusetts, USA
| | - Joseph Calabrese
- Department of General Dentistry, Henry M Goldman School of Dental Medicine, Boston University, Boston, Massachusetts, USA.,Department of Medicine, Hebrew Senior Life, Boston, Massachusetts, USA.,Boston Medical Center, One Boston Medical Center Place, Boston, Massachusetts, USA
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Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry. J Prosthet Dent 2022; 128:248-330. [PMID: 36096911 DOI: 10.1016/j.prosdent.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Revised: 07/15/2022] [Accepted: 07/15/2022] [Indexed: 11/23/2022]
Abstract
The Scientific Investigation Committee of the American Academy of Restorative Dentistry offers this review of the 2021 dental literature in restorative dentistry to inform busy dentists regarding noteworthy scientific and clinical progress over the past year. Each member of the committee brings discipline-specific expertise to coverage of this broad topical area. Specific subject areas addressed, in order of the appearance in this report, include COVID-19 and the dental profession (new); prosthodontics; periodontics, alveolar bone, and peri-implant tissues; implant dentistry; dental materials and therapeutics; occlusion and temporomandibular disorders; sleep-related breathing disorders; oral medicine and oral and maxillofacial surgery; and dental caries and cariology. The authors focused their efforts on reporting information likely to influence daily dental treatment decisions with an emphasis on future trends in dentistry. With the tremendous volume of dentistry and related literature being published daily, this review cannot possibly be comprehensive. Rather, its purpose is to update interested readers and provide important resource material for those interested in pursuing greater details on their own. It remains our intent to assist colleagues in negotiating the extensive volume of important information being published annually. It is our hope that readers find this work useful in successfully managing the patients and dental problems they encounter.
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Chávez EM, Kossioni A, Fukai K. Policies Supporting Oral Health in Ageing Populations Are Needed Worldwide. Int Dent J 2022; 72:S27-S38. [PMID: 36031323 PMCID: PMC9437798 DOI: 10.1016/j.identj.2022.06.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 06/19/2022] [Accepted: 06/20/2022] [Indexed: 12/19/2022] Open
Abstract
This literature review examines the need to develop appropriate policies specific to the oral health needs of older people that are individualised, cost-effective, and sustainable. Poor oral health and impaired oral function negatively affect the health and quality of life of older adults. Developing care systems that aim to meet patients' normative needs as well as their perceived needs and expectations is one factor in successful delivery of appropriate dental care. Cost is another significant driver of utilisation, and many older adults worldwide lack adequate resources for dental care. Failure to address these issues results in poor outcomes and increased costs of dental and medical care. Disease prevention and control at early stages can preserve public and private financial resources as well as quality of life and well-being for older adults at any stage of life.
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Affiliation(s)
- Elisa M Chávez
- University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California, USA.
| | - Anastassia Kossioni
- Dental School, National and Kapodistrian University of Athens, Athens, Greece
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Kamil W, Kruger E, Turlach B, Tennant M. Hospitalization for Oral Health-Related Conditions of the Australian Ageing Population: Two Decades of Analysis. Geriatrics (Basel) 2021; 7:geriatrics7010002. [PMID: 35076481 PMCID: PMC8788296 DOI: 10.3390/geriatrics7010002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2021] [Revised: 12/14/2021] [Accepted: 12/17/2021] [Indexed: 11/16/2022] Open
Abstract
The burden of oral health care increases among older people, with a profound challenge in utilising dental services in primary dental care settings. This study aimed to analyse two decades of nationwide hospital separation patterns due to oral health-related conditions among older people. Ageing population data were obtained from the Australian Bureau of Statistics, including people aged 65 years and older. All principal diagnoses of oral health conditions (ICD-10-AM) were analysed in this study. The hospitalisation data included all separations of older people for the financial years 1998–1999 to 2018–2019. A total of 205,461 hospital separations were recorded for older people over a period of twenty-one years. More than 60% of these separations were collectively attributed to dental caries, disorders of teeth and supporting structures, diseases of the jaws, diseases of the pulp and periapical tissues. However, the average rate of separations per 10,000 people due to dental caries was the highest among the dental conditions (8.68). Furthermore, the remaining oral health-related conditions predict an annual percentage increase in the rate that would compromise their oral health quality of life. Dental caries and its sequela seem to be the leading cause for oral health-related hospital admissions in Australia for people aged 65 and older. This could be an indicator of the inadequacy of disease management in the primary dental care setting.
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Affiliation(s)
- Wisam Kamil
- Department of Anatomy, Physiology and Human Biology, School of Human Sciences, The University of Western Australia, Perth, WA 6009, Australia; (E.K.); (M.T.)
- Correspondence:
| | - Estie Kruger
- Department of Anatomy, Physiology and Human Biology, School of Human Sciences, The University of Western Australia, Perth, WA 6009, Australia; (E.K.); (M.T.)
| | - Berwin Turlach
- Department of Mathematics and Statistics, School of Physics, Math and Computing, The University of Western Australia, Perth, WA 6009, Australia;
| | - Marc Tennant
- Department of Anatomy, Physiology and Human Biology, School of Human Sciences, The University of Western Australia, Perth, WA 6009, Australia; (E.K.); (M.T.)
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Zhao H, Zhang S, Ma J, Sun X. Impact of Oral Hygiene on Prognosis in Patients With Squamous Cell Carcinoma of the Lower Gingiva. Front Surg 2021; 8:711986. [PMID: 34621779 PMCID: PMC8490626 DOI: 10.3389/fsurg.2021.711986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 08/23/2021] [Indexed: 11/22/2022] Open
Abstract
Objective: We aimed to analyze the significance of oral hygiene in patients with squamous cell carcinoma of the lower gingiva. Methods: Oral hygiene was assessed using a questionnaire by calculating the oral health (OH) score and the dental care (DC) score. The association of oral hygiene with clinical pathologic variables, disease free survival (DFS), and overall survival (OS) was analyzed. Results: Four out of 53 non-smokers and 19 out of 90 current or former smokers had an OH score of 6 (statistically significant difference, p = 0.036). Fifteen out of 63 patients with a T3/T4 tumor and 8 out of 80 patients with a T1/T2 tumor had an OH score of 6 (statistically significant difference, p = 0.026). Similar statistically significant findings were noted with respect to the DC scores, smoking status, and tumor stage. Among patients with an OH score of 0–5, the 5-year DFS and OS rates were 55 and 50%, respectively, and among patients with an OH score >5, they were 46 and 43%, respectively (both differences statistically significant, p < 0.05). Among patients with a DC score of 0–2, the 5-year DFS and OS rates were 69 and 51%, respectively and among patients with a DC score >2, they were 50 and 47%, respectively (both differences statistically significant, p < 0.05). Cox model confirmed OH and DC scores as independent factors affecting the DFS and OS. Conclusion: Poor oral hygiene was associated with decreased DFS and OS.
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Affiliation(s)
- Hui Zhao
- Department of Endodontics of East Branch of Jinan Stomatological Hospital, Jinan, China
| | - Shengnan Zhang
- Department of Prosthodontics of East Branch of Jinan Stomatological Hospital, Jinan, China
| | - Jinji Ma
- Department of Orthodontics of Gaoxin Branch of Jinan Stomatological Hospital, Jinan, China
| | - Xiaodong Sun
- Department of Endodontics of Gaoxin Branch of Jinan Stomatological Hospital, Jinan, China
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