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Yu J, Zhu H, Zhang Y, Wang D, Guo H, Liu X. Research hotspots and trends of oral health in older adults from 2013 to 2023: A bibliometric and visual analysis. Heliyon 2024; 10:e25243. [PMID: 38322931 PMCID: PMC10845922 DOI: 10.1016/j.heliyon.2024.e25243] [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: 10/07/2023] [Revised: 01/20/2024] [Accepted: 01/23/2024] [Indexed: 02/08/2024] Open
Abstract
Background Oral health problems seriously affect the quality of life of older adults. It is of great significance to investigate the statuses of oral health in older adults. The study aimed to analyze the current status, hotspots and frontiers of global oral health research in older adults through bibliometrics to provide references and guidance for future research in this field. Methods Literature on oral health in older adults from 2013 to 2023 was retrieved from the Web of Science Core Collection (WoSCC) database. CiteSpace 6.2.R4 was used for bibliometric and visual analysis, including journal and co-cited journal, country/region, institution, author, co-cited references, and keyword analysis. Results A total of 1430 publications related to oral health in older adults were included. The number of publications has gradually increased over the past decade. The most widely published and cited journal was Gerodontology. The most prominent contribution came from the United States of America, and the University of London and Hirohiko Hirano were the most prolific institution and author, respectively. The current research hotspots were summarized as oral hygiene interventions, oral health-related quality of life and oral health issues in older adults. Cohort studies of oral health, the relationship between oral health and frailty, and the correlation between oral health and nutritional status may be emerging research trends. Conclusions This study systematically analyzed the hotspots and frontiers of oral health in older adults and called for increased collaboration among countries, institutions, and authors. In addition, oral hygiene interventions for older adults, oral health-related quality of life, oral health issues, cohort studies of oral health, and the relationship between oral health and frailty or nutritional status may be the focus of future research.
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Affiliation(s)
- Jianjiao Yu
- Department of Nursing, Shaanxi Provincial People's Hospital, 710068, Xi'an, Shaanxi, China
- School of Nursing, Xi'an Jiaotong University, 710061, Xi'an, Shaanxi, China
| | - Huolan Zhu
- Department of Geriatrics, Shaanxi Provincial People's Hospital, 710068, Xi'an, Shaanxi, China
- Shaanxi Provincial Clinical Research Center for Geriatric Medicine, Shaanxi Provincial People's Hospital, 710068, Xi'an, Shaanxi, China
| | - Yulian Zhang
- Director's Office, Shaanxi Provincial People's Hospital, 710068, Xi'an, Shaanxi, China
| | - Dan Wang
- Department of Nursing, Shaanxi Provincial People's Hospital, 710068, Xi'an, Shaanxi, China
| | - Hua Guo
- Department of Nursing, Shaanxi Provincial People's Hospital, 710068, Xi'an, Shaanxi, China
| | - Xiaomei Liu
- Department of Nursing, Shaanxi Provincial People's Hospital, 710068, Xi'an, Shaanxi, China
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Chan AKY, Tsang YC, Lai EHH, Chu CH. Tooth Wear in Older Adults: A Review of Clinical Studies. Geriatrics (Basel) 2024; 9:12. [PMID: 38247987 PMCID: PMC10801519 DOI: 10.3390/geriatrics9010012] [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: 11/18/2023] [Revised: 01/09/2024] [Accepted: 01/11/2024] [Indexed: 01/23/2024] Open
Abstract
INTRODUCTION Tooth wear is a prevalent dental condition among older adults, leading to pain and adversely affecting aesthetics, functionality, and their overall quality of life. This review aims to update the information on tooth wear in older adults from the past five years and to provide guidance on the clinical management of tooth wear in older adults. METHODS A literature search was conducted in three electronic databases, Scopus, Pubmed, and Embase, for English publications from January 2019 to December 2023 on clinical studies with participants aged 65 or above on tooth wear. A total of 307 articles were retrieved and 14 articles were finally included as references for this study. RESULTS This review highlights the common causes of tooth wear and various risk factors, such as medical conditions, hyposalivation, dietary habits, oral hygiene practices, parafunctional habits, and occlusal factors, associated with tooth wear. It is crucial for oral health care professionals to diagnose and manage tooth wear at an early stage through a risk assessment and a clinical examination to avoid complex restorative procedures. Tooth wear management should prioritize prevention, aiming to control etiological and risk factors while employing non-restorative treatments. Restorative intervention, if indicated, should be simple, minimally invasive, and cost-effective. Tooth wear progression should be monitored regularly to determine if a further intervention is needed. CONCLUSION Since the clinical studies on tooth wear in older adults over the past five years are limited and mainly cross-sectional, more interventional clinical studies are warranted to provide more clinical guidance on tooth wear management in older adults.
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Affiliation(s)
- Alice Kit Ying Chan
- Faculty of Dentistry, The University of Hong Kong, Hong Kong 99907, China; (A.K.Y.C.); (Y.C.T.)
| | - Yiu Cheung Tsang
- Faculty of Dentistry, The University of Hong Kong, Hong Kong 99907, China; (A.K.Y.C.); (Y.C.T.)
| | - Eddie Hsiang-Hua Lai
- Faculty of Dentistry, The University of Hong Kong, Hong Kong 99907, China; (A.K.Y.C.); (Y.C.T.)
- School of Dentistry, College of Medicine, National Taiwan University, Taipei 103247, Taiwan
- Department of Dentistry, National Taiwan University Hospital, Taipei 103247, Taiwan
- Department of Oral Health, Ministry of Health and Welfare, Taipei 103247, Taiwan
| | - Chun Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong 99907, China; (A.K.Y.C.); (Y.C.T.)
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Tepox-Puga SM, Rocha-Ortiz JA, Medina-Solís CE, Castrejón-Pérez RC, Sánchez-García S, Borges-Yáñez SA. Prevalence, and Risk Indicators of Coronal and Root Caries in Mexican Older Adults in Nursing Homes. Clin Cosmet Investig Dent 2023; 15:333-347. [PMID: 38107875 PMCID: PMC10723588 DOI: 10.2147/ccide.s439342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 11/30/2023] [Indexed: 12/19/2023] Open
Abstract
Background Several factors are associated with coronal and root caries in older persons. The purpose of this study was to determine the experience, prevalence, and risk indicators (socioeconomic, sociodemographic, and dental variables) of coronal and root caries in older persons residing in nursing homes in Mexico. Methods A cross-sectional study was carried out in 227 dentate participants with natural teeth. Convenience sample, where all dentate residents were invited to participate. The dependent variables were coronal caries and root caries, which were determined through an oral clinical examination. The independent variables were sociodemographic factors, location, type of center, surfaces free of dental biofilm and calculus, surfaces with recession, retainers in contact with surfaces with recession, xerostomia, smoking, and the previous use of dental services. The binary logistic regression model was used in the analysis. Results The mean age of the participants in this study was 77.7±8.8 years, and 69.2% were women. Moreover, 71.8% live in long-term care facilities, and 48.0% live in Mexico City. The prevalence of coronal and root caries was found to be 67.8% and 50.7%, respectively. Being male and living in Mexico City were risk indicators for coronal caries, and with a 1% increase in surfaces with no biofilm, the risk decreased by 2%. Being widowed, having government or no social security, denture retainers, and coronal caries were risk indicators for root caries, while the utilization of dental services indicated lower risk. Conclusion Several variables that differ in nature were found to be risk indicators for coronal and root caries. Coronal caries increases the risk of root caries. Prevention should be aimed at identifying persons at higher risk, and dental care should be improved for persons living in long-term care institutions.
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Affiliation(s)
| | | | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico
| | - Roberto Carlos Castrejón-Pérez
- Department of Geriatric Clinical and Epidemiological Research, National Institute of Geriatrics, National Institutes of Health, México City, México
| | - Sergio Sánchez-García
- Epidemiological and Health Services Research Unit, Aging Area, National Medical Center “Siglo XXI”, Mexican Institute of Social Security, Ciudad de Mexico, Mexico
| | - Socorro Aída Borges-Yáñez
- Department of Dental Public Health, Graduate and Research Division, Dental School, National Autonomous University of Mexico, University City, México City, Mexico
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Salih MA, Ali RW, Nasir EF. Linking the demographic, socio-economic and oral health status to oral health-related quality of life of the sudanese older adults: a cross sectional study. BMC Oral Health 2023; 23:371. [PMID: 37291534 PMCID: PMC10251693 DOI: 10.1186/s12903-023-03089-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 05/30/2023] [Indexed: 06/10/2023] Open
Abstract
BACKGROUND Oral Health-Related Quality of Life (OHRQoL) is an important measure of patients' needs and progress. Identifying the links between clinical and non-clinical factors with OHRQoL in a specific population will facilitate the development of effective preventive strategies. The aim of the study was to assess the OHRQoL of Sudanese older adults, and to identify the possible relations between clinical and non-clinical predictors with OHRQoL using Wilson and Cleary model. METHODS This cross-sectional study was conducted among older adults attending the out-patient clinics in Khartoum State's Health Care Centers, Sudan. OHRQoL was assessed using the Geriatric Oral Health Assessment Index (GOHAI). Two modifications of Wilson and Cleary's conceptual model were tested using structural equations modeling including: oral health status, symptom status, perceived difficulty of chewing, oral health perceptions, and OHRQoL. RESULTS 249 older adults participated in the study. Their mean age was 68.24 (± 6.7) years. The mean GOHAI score was 53.96 (± 6.31) and trouble biting/chewing was the most commonly reported negative impact. Wilson and Cleary models showed that pain, Perceived Difficulty Chewing (PDC), and Perceived Oral Health had a direct effect on OHRQoL. In model 1, age and gender had direct effects on oral health status, while education had direct effects on OHRQoL. In model 2, poor oral health status is associated indirectly with poor OHRQoL. CONCLUSIONS The OHRQoL of the studied Sudanese older adults was relatively good. The study partially confirmed Wilson and Cleary model as Oral Health Status was related directly to PDC and indirectly to OHRQoL through functional status.
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Affiliation(s)
- Mayson Ahmed Salih
- Department of Prosthetic Dentistry, Faculty of Dentistry, University of Science and Technology, P.O. Box 30, Omdurman, Sudan
| | - Raouf Wahab Ali
- Faculty of Dentistry, University of Science and Technology, P.O. Box 30, Omdurman, Sudan
| | - Elwalid Fadul Nasir
- Preventive Dentistry Department, College of Dentistry, King Faisal University, Alahsa, KSA Saudi Arabia
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Jun NR, Kim JH, Park JT, Jang JH. Association of Number of Teeth with ADL/IADL in Korean Middle-Aged and Older Adults: An Analysis of the 7th Korean Longitudinal Study of Aging. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12840. [PMID: 36232142 PMCID: PMC9566546 DOI: 10.3390/ijerph191912840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 10/04/2022] [Accepted: 10/05/2022] [Indexed: 06/16/2023]
Abstract
We determined the association between the number of natural and implant teeth with activities of daily living (ADL) and instrumental ADL (IADL) levels in middle-aged and older adults aged ≥ 55 years. We included 6,925 participants, who underwent a computer-assisted personal interview in the 7th Korean Longitudinal Study of Aging. After controlling for general characteristics, the associations between the number of natural and implant teeth with ADL and IADL levels were examined using multiple regression analysis. The participants had 21.2 natural teeth and 1.08 implant teeth on average. The ADL and IADL levels were 0.61 and 1.56, 0.40 and 1.16, and 1.10 and 0.31 in participants with ≤ 9, 10-19, and ≥ 20 teeth, respectively. There was no significant association between ADL and the number of natural and implant teeth (p > 0.05). However, a one-unit increase in IADL score was associated with a reduced number of natural (β = -0.031, p < 0.001) and implant (β = -0.194, p = 0.006) teeth. Difficulties regarding IADL were associated with fewer natural and implant teeth, suggesting that maintaining and managing the number of teeth is critical to promoting the health of middle-aged and older adults.
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Affiliation(s)
- Nu-Ri Jun
- Department of Public Health, Graduate School, Dankook University, Cheonan-si 31116, Korea
| | - Jae-Hyun Kim
- Department of Public Health, Graduate School, Dankook University, Cheonan-si 31116, Korea
- Department of Health Administration, College of Health Science, Dankook University, Cheonan-si 31116, Korea
| | - Jong-Tae Park
- Department of Oral Anatomy, College of Dentistry, Dankook University, Cheonan-si 31116, Korea
| | - Jong-Hwa Jang
- Department of Public Health, Graduate School, Dankook University, Cheonan-si 31116, Korea
- Department of Dental Hygiene, College of Health Science, Dankook University, Cheonan-si 31116, Korea
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