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Werdiningsih M, Ramadhani A, Samnieng P, John J, Adiatman M. Indonesian dentists' views on providing oral health care for older adults. Gerodontology 2024. [PMID: 39250676 DOI: 10.1111/ger.12790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/21/2024] [Indexed: 09/11/2024]
Abstract
BACKGROUND With demographic changes in aging populations, dentists require special care protocols to treat older adults with diverse and complex oral health needs and problems. Knowledge, positive attitudes, and sufficient practice experience are essential components for promptly treating older adults. However, many dentists encounter multiple barriers influencing their willingness to provide care for older adults. This study assessed Indonesian dentists' knowledge, attitudes, and practices (KAP) in providing oral health care (OHC) for older adults, including their willingness and barriers. METHODS A cross-sectional survey was conducted with 392 dentists employing an online questionnaire between April and June 2022. The respondents' KAP was categorised utilising a modified Blooms' cut-off point of ≥60%. Data were analysed using descriptive statistics, the x2 test, and logistic regression. RESULTS Most dentists demonstrated adequate knowledge (62.2%), a positive attitude (95.4%), sufficient practice experience (91.6%), and a high willingness (98%) to provide OHC services for older adults. However, 91.4% encountered barriers primarily related to interpersonal communication, disease complexity and polypharmacy, and patient functional status. Significant associations were found between dentists' attitudes toward practices and willingness to attend geriatric dentistry training with knowledge. CONCLUSION Implementation of continuing professional development (CPD) in geriatric dentistry, the inclusion of geriatric dentistry into the undergraduate curriculum, and enhancing clinic accessibility for older adults may improve dentists' preparedness and benefit the future provision of OHC for older adults in Indonesia.
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Affiliation(s)
- Monika Werdiningsih
- Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
| | - Atik Ramadhani
- Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
| | - Patcharaphol Samnieng
- Department of Preventive Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
| | - Jacob John
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Melissa Adiatman
- Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
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Okereke UP, Offurum C, Eze VA, Okpechukwu CP, Ifedibar WC, Akaji EA. Geriatric oral health neglect: calculus on the attached gingiva: a case report. Ann Med Surg (Lond) 2024; 86:4295-4299. [PMID: 38989208 PMCID: PMC11230770 DOI: 10.1097/ms9.0000000000002230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2024] [Accepted: 05/19/2024] [Indexed: 07/12/2024] Open
Abstract
Introduction and importance Aging exerts various effects on and causes changes to the oral tissues. It is often difficult to distinguish between what is caused by the physiological process of aging itself and what is caused by the individual's lifestyle or diseases. The elderly face peculiar health challenges and require special dental care. It is therefore vital that greater attention be given to the oral health needs of this rapidly population. In this article, the authors present the case of an elderly female patient with a rare case of calculus on the attached gingiva. Case presentation A 90-year-old retired teacher with a history of hypertension, presented with a small, painless, grayish-brown growth on her attached gingiva, noticed by her daughter-in-law. Examination revealed signs of gingivitis and significant dental issues including missing teeth, fractures, and calculus buildup. Diagnosis of chronic generalized marginal gingivitis and calculus deposition was made, and scaling and polishing were performed. Perforation of the attached gingiva was observed during scaling thus exposing the root, which facilitated the calculus accumulation. Post-procedure care included medication and oral hygiene instructions. Follow-up after 1 week showed satisfactory healing, but subsequent assessment at 3 months revealed plaque accumulation, with the patient declining further treatment. Clinical discussion The patient shows relative neglect in oral healthcare given the subpar oral health features she exhibited and decline of further treatment options presented to her. This is common in the population as some abnormal oral presentations and features are perceived as normal in the population, which can be attributed to poor knowledge of oral health practices, which affects the illness seeking behaviour of individual. Conclusion Calculus deposition in the oral cavity requires a hard surface for formation, and proper oral hygiene practices are essential to mitigate its adverse effects, particularly among the elderly who may require additional attention due to their unique physiological changes.
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Affiliation(s)
| | | | - Victor Anezi Eze
- Faculty of Dentistry, College of Medicine, University of Nigeria
| | | | - Wisdom Chisom Ifedibar
- Department of Preventive Dentistry, Faculty of Dentistry, University of Nigeria, Enugu Campus, Nsukka
| | - Ezi Abigail Akaji
- Department of Preventive Dentistry, Faculty of Dentistry, University of Nigeria, Enugu Campus, Nsukka
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Senthilvadevel N, Ky J, Ng M, Zhao T, Aria M, D'Aniello L, Lim MAW, Canfora F, Fortuna G, McCullough M, Yap T, Paolini R, Celentano A. Evaluating global research trends in special needs dentistry: A systematic bibliometrix analysis. Clin Exp Dent Res 2024; 10:e896. [PMID: 38881256 PMCID: PMC11180849 DOI: 10.1002/cre2.896] [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: 09/21/2023] [Revised: 04/11/2024] [Accepted: 04/24/2024] [Indexed: 06/18/2024] Open
Abstract
OBJECTIVES Special needs dentistry (SND) is a vast and fragmented field of study. This comprehensive bibliometric analysis aimed to evaluate the scope of SND, including the existing knowledge base, distribution structure, quantitative relationships, and research trends. MATERIAL AND METHODS A systematic search was conducted on March 10, 2022, using the Web of Science Core Collection database, covering the period from 1985 to 2021, focusing on studies reporting on special needs populations in a dentally relevant context. Records were title-screened and analyzed for key bibliometric indicators. RESULTS Among 48,374 articles, 13,869 underwent bibliometric analysis. Peak SND research occurred during 1985-1997. United States led in productivity, trailed by Brazil and Japan. University of Sao Paulo excelled in Brazil, University of Washington and University of North Carolina in the United States. The Journal of Dental Research was the most productive source of research and also had the highest number of citations, followed by Community Dentistry and Oral Epidemiology. Keyword analysis revealed that "elderly", "caries", and "epidemiology" were the most commonly used author keywords. CONCLUSIONS This study represents the first bibliometric analysis of SND literature. It emphasizes the need for increased collaboration between institutions and authors. Furthermore, it suggests focusing on research input from non-dental disciplines and populations with rarer intellectual or developmental conditions.
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Affiliation(s)
| | - Jimmy Ky
- Melbourne Dental SchoolThe University of MelbourneCarltonVictoriaAustralia
| | - Matthew Ng
- Melbourne Dental SchoolThe University of MelbourneCarltonVictoriaAustralia
| | - Tong Zhao
- Melbourne Dental SchoolThe University of MelbourneCarltonVictoriaAustralia
| | - Massimo Aria
- Department of Economics and StatisticsUniversity of Naples Federico IINaplesItaly
| | - Luca D'Aniello
- Department of Social SciencesUniversity of Naples Federico IINaplesItaly
| | - Mathew A. W. Lim
- Melbourne Dental SchoolThe University of MelbourneCarltonVictoriaAustralia
| | - Federica Canfora
- Department of Neuroscience, Reproductive Sciences and DentistryUniversity of Naples Federico IINaplesItaly
| | - Giulio Fortuna
- Department of Oral Medicine, Glasgow Dental Hospital and SchoolUniversity of GlasgowGlasgowUK
| | - Michael McCullough
- Melbourne Dental SchoolThe University of MelbourneCarltonVictoriaAustralia
| | - Tami Yap
- Melbourne Dental SchoolThe University of MelbourneCarltonVictoriaAustralia
| | - Rita Paolini
- Melbourne Dental SchoolThe University of MelbourneCarltonVictoriaAustralia
| | - Antonio Celentano
- Melbourne Dental SchoolThe University of MelbourneCarltonVictoriaAustralia
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Cross sectional study on the competence and confidence of dental students and graduates in the management of medically compromised patients and acute medical emergencies. PLoS One 2023; 18:e0281801. [PMID: 36791139 PMCID: PMC9931094 DOI: 10.1371/journal.pone.0281801] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 02/01/2023] [Indexed: 02/16/2023] Open
Abstract
A rapidly aging population means many people have multiple health issues leading to an increased risk of acute medical emergencies. The objective of this study was to evaluate how essential experiential learning is in developing dental graduates' ability to manage medically compromised patients. Three hundred and twenty-seven students and graduates were invited to participate in an online survey to rate their confidence in managing medically compromised patients and acute medical emergencies using a 5-point Likert scale. Competence of knowledge was evaluated using 30 multiple choice questions (MCQs) across six domains. The respondents were also asked whether a theory-only training adequately prepared them to manage medically compromised patients, or whether it must be supplemented with clinical training. Two-hundred and sixty-four responses were collected from 75 undergraduates (UG), 96 junior dental officers (JDO) and 93 senior dental officers (SDO). The UG reported that they infrequently managed medically compromised patients, whereas both the JDO and SDO reported having frequent encounters with these patients. The mean confidence scale in the management of medically compromised patients were 2.62, 3.50 and 3.69 (out of 5), respectively. In contrast, their confidence scale in the management of acute medical emergencies was 2.05, 2.33 and 2.50 (out of 5), respectively. The MCQ scores were 25.51, 26.44 and 26.86 out of 30, respectively. The outcomes of the JDO and SDO were significantly better than the UG (t-tests, p<0.05). All three groups responded that a theory-only training in dental school did not adequately prepare them to manage medically compromised patients. Both the JDO and SDO felt that their clinical work experience better prepared them to manage these patients. Experiential learning from "real-life" clinical experience is an essential component in developing graduates' confidence and competence in the management of medically compromised patients. A dental curriculum with theory-only training in this aspect is inadequate.
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Awareness and Attitudes of Dental Students toward Older Adults in Indonesia. Dent J (Basel) 2022; 10:dj10100183. [PMID: 36285993 PMCID: PMC9600138 DOI: 10.3390/dj10100183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 09/23/2022] [Accepted: 09/26/2022] [Indexed: 11/28/2022] Open
Abstract
In this study, we aimed to analyse the awareness and attitudes of dental students (DS) toward older adults (OAs) in Indonesia. Compromised oral health (OH) among OAs is a significant public health problem that is a global health burden. Furthermore, appropriate education can provide DS with information about strategic and efficient treatments for OAs. An online invitation was provided to every dental student in Indonesia in the third to sixth year of study to answer a web-based questionnaire as a part of a survey on awareness and attitudes (14 questions) towards OAs. From 1288 valid forms submitted, it was evident that most students (87%) expressed a positive attitude toward OAs. Female students showed a more positive attitude compared to males, with an odds ratio of 1.539 (p = 0.036), and students who had a connection to an older adult demonstrated a more positive attitude than those who did not (OR = 2.076; p < 0.001). The majority of the DS (98%) were conscious of the importance of geriatrics in dentistry, with female students showing more awareness than their male counterparts (OR = 2.553; p = 0.033). Positive awareness and attitudes must be accompanied by knowledge so that DS can offer appropriate and effective oral care to geriatric patients.
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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: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [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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Kang KL, Kang MS, So JS, Ko SM, Ha SR, Hwang JY, Lee SG, Lee SG, Kho HS. The teaching of geriatric dentistry in South Korean dental schools. Gerodontology 2022; 40:238-243. [PMID: 35876153 DOI: 10.1111/ger.12647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/13/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The purpose of this study was to investigate the curriculum of geriatric dentistry for undergraduates in Korean dental schools. BACKGROUND For development purposes, it was necessary to compare geriatric dentistry education programmes in South Korea to programmes in the United States and Europe. METHODS The most recent curriculum and related information on geriatric dentistry at the undergraduate level in all 11 dental schools in South Korea were collected by both official letter and e-mail. A symposium for gathering expert opinions to improve geriatric dentistry education in South Korea was also held. The collected data were analysed, and the expert opinions at the symposium were summarised. RESULTS Six of 11 schools had a didactic course as compulsory and three schools as elective. The course was usually conducted as a form of integrated lectures, and the level of standardisation of lecture content was very low. There were no topics for older people who cannot access dental clinics due to functional frailty or disability. No dental school-affiliated hospitals had an independent department for geriatric dentistry. No schools provided clinical teaching for geriatric dentistry. There were no outreach programmes for geriatric dentistry. CONCLUSIONS The educational curriculum for geriatric dentistry in South Korea was insufficient to cope with social and demographic changes. Curriculum content should include clinical practice education and needs to be focused on frail and dependent older adult patients. An essential educational curriculum and core competency for geriatric dentistry should be prepared.
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Affiliation(s)
- Kyung Lhi Kang
- Department of Periodontology, School of Dentistry, Kyung Hee University, Seoul, South Korea
| | - Myoung Sheen Kang
- Department of Humanities in Dentistry & Research Institute of Oral Science, Gangneung-Wonju National University, Gangneung, South Korea
| | | | | | - Seung-Ryong Ha
- Department of Prosthodontics, School of Dentistry, Dankook University, Cheonan, South Korea
| | - Ji-Young Hwang
- Public Health Department, Seoul Dental Hospital for the Disabled, Seoul, South Korea
| | | | | | - Hong-Seop Kho
- Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, South Korea.,Institute of Aging, Seoul National University, Seoul, South Korea.,The Korean Academy of Geriatric Dentistry (KAGD), Uiwang-si, South Korea
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Nilsson A, Young L, Glass B, Lee A. Gerodontology in the dental school curriculum: A scoping review. Gerodontology 2021; 38:325-337. [PMID: 33977554 DOI: 10.1111/ger.12555] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 02/26/2021] [Accepted: 04/18/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To explore the current status of gerodontology in the undergraduate dental curriculum. BACKGROUND Internationally, there is recognition for the need to include gerodontology in dental education due to accelerating numbers of older dentate people. There is wide variation in the content and method of delivery of gerodontology in undergraduate curricula of dental schools. METHODS A scoping review framework was chosen to identify existing gaps and key concepts in the research on current undergraduate gerodontology education. Arksey and O'Malley's framework was used with the qualitative data analysis software NVivo to identify comparable information on geriatric dental education. RESULTS Five themes were highlighted in the studies including (1) gerodontology curriculum content, (2) attitudes, skills and knowledge of undergraduate dental students, (3) didactic teaching, (4) elective and compulsory teaching, and (5) extra-mural learning. The review found large variations in methodologies, presentation of data and findings. All studies emphasised a need for greater inclusion of gerodontology content in the undergraduate dental curriculum. CONCLUSION The review found limited research reporting on the educational outcomes of gerodontology in dental curricula with a lack of comprehensive information to inform gerodontology content in dental schools. This review has highlighted the need for national and international guidelines to ensure mandatory inclusion of sufficient and specific gerodontology training to prepare graduates for a growing dentate frail and care-dependent population.
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Affiliation(s)
| | - Louise Young
- James Cook University, Townsville, QLD, Australia
| | | | - Andrew Lee
- James Cook University, Townsville, QLD, Australia
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Limpuangthip N, Komin O, Tatiyapongpaiboon T. Moving toward a competency-based curriculum: Analyzing patients' information and students' evaluation in geriatric dentistry. J Dent Educ 2021; 85:1329-1339. [PMID: 33864255 DOI: 10.1002/jdd.12616] [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: 02/21/2021] [Revised: 03/19/2021] [Accepted: 04/01/2021] [Indexed: 11/08/2022]
Abstract
OBJECTIVE There is no core competency for geriatric dentistry and special patient care (GSP) in Thailand. Therefore, GSP program was developed as a knowledge-based curriculum. This study aimed to describe the development and architecture of the GSP curriculum by analyzing patients' information and students' evaluation to move toward a competency-based curriculum. Comparisons with the original GSP curriculum and future direction are discussed. METHODS Development and architecture of the GSP curriculum were described. Information of 130 patients attending the GSP clinic, and those who participated in a maintenance recall was analyzed. Students' evaluation was performed using a 21-item questionnaire within seven domains based on the ASEAN University Network-Quality Assurance (AUN-QA) checklist. The responses were made using a five-point ordinal scale ranging from totally agree to totally disagree. RESULTS Only 50% of the patients attended a maintenance recall. Among the recalled patients, 74.2% reported emerging problems. The AUN-QA questionnaire responses indicated that students mostly agreed with the program specification, teaching and learning approach, students' assessment methods, student quality, and support domains. The modified curriculum was developed based on the patients' information and students' evaluation. The original and modified GSP curricula were compared. CONCLUSIONS Information analysis of the patients and students' evaluation are essential to move a knowledge-based curriculum for geriatric and special patient care dentistry toward a competency-based curriculum that is appropriate for patients' condition and serves students' requirements. Oral health care in elderly and special care patients requires a multidisciplinary approach, and should encompass oral disease problems, behavior, and social context.
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Affiliation(s)
- Nareudee Limpuangthip
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Orapin Komin
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
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Haresaku S, Umezaki Y, Egashira R, Naito T, Kubota K, Iino H, Aoki H, Nakashima F. Comparison of attitudes, awareness, and perceptions regarding oral healthcare between dental and nursing students before and after oral healthcare education. BMC Oral Health 2021; 21:188. [PMID: 33845813 PMCID: PMC8040009 DOI: 10.1186/s12903-021-01554-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 04/06/2021] [Indexed: 01/29/2023] Open
Abstract
Background Oral healthcare education for health professional students is important to promote collaborative oral healthcare practice among health professionals. The purpose of this follow-up, cross-sectional study was to investigate attitudes, awareness, and perceptions regarding oral healthcare among dental and nursing students and to compare them both between baseline and the completion of the education programme and between dental and nursing students to identify problems with oral healthcare programmes in dental education. Method The subjects included 88 dental and 119 nursing students. The dental students participated in geriatric and preventive dentistry courses for oral healthcare education. The nursing students participated in independent oral healthcare courses comprising 45 h of training with case-based learning and were taught and instructed by multiple health professionals, including dentists. Questionnaires were distributed to the participants to compare attitudes, awareness, and perceptions regarding oral healthcare between baseline and the completion of the education programme and between dental and nursing students. A chi-square test, Wilcoxon signed-rank test, and Mann–Whitney U test were used to compare the data. Result and Conclusion The data of 48 (28 male and 20 female) dental students and 103 (9 male and 94 female) nursing students who completed the questionnaires both at baseline and after the education programme were used for the comparisons. After the education programme, more than 90% of the students were interested in oral healthcare practice; hoped to practise oral healthcare post-qualification; and perceived oral healthcare to be effective for preventing dental caries, periodontal diseases, and aspiration pneumonia. These attitudes and perceptions were statistically significantly improved after the education. However, the level of awareness of oral healthcare and the level of perception of the importance of collaboration with healthcare workers in oral healthcare practice after education were lower in the dental students than in the nursing students. Multi-professional oral healthcare education with case-based learning has the potential to improve awareness of oral healthcare and perceptions of the importance of collaborative oral healthcare practice. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-021-01554-8.
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Affiliation(s)
- Satoru Haresaku
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan.
| | - Yojiro Umezaki
- Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Rui Egashira
- Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Toru Naito
- Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Keiko Kubota
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Hidechika Iino
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Hisae Aoki
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
| | - Fuyuko Nakashima
- Department of Nursing, Fukuoka Nursing College, 2-15-1 Tamura, Sawara-ku, Fukuoka, 814-0193, Japan
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Shigli K, Nayak SS, Jirge V, Srinagesh J, Murthy V, Gali S. Current status of gerodontology curriculum in India and other parts of the world: A narrative review. Gerodontology 2020; 37:110-131. [DOI: 10.1111/ger.12461] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2018] [Revised: 12/23/2019] [Accepted: 01/05/2020] [Indexed: 12/13/2022]
Affiliation(s)
- Kamal Shigli
- Department of Prosthodontics D.Y. Patil Dental School Lohegaon Pune Maharashtra India
| | | | - Vasanti Jirge
- Department of Oral Medicine and Radiology KLE VK Institute of Dental Sciences Belgavi Karnataka India
| | | | - Varsha Murthy
- Department of Prosthodontics Sri Venkateshwaraa Dental College Pondicherry India
| | - Sivaranjani Gali
- Department of Prosthodontics Faculty of Dental Sciences M.S. Ramaiah University of Applied Sciences Bangalore India
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12
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Tahani B, Khademi A, Fathollahi S. Status of geriatric education and meeting the standards of facilities in dental schools. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2019; 8:163. [PMID: 31544128 PMCID: PMC6745891 DOI: 10.4103/jehp.jehp_220_19] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/20/2019] [Accepted: 06/07/2019] [Indexed: 06/10/2023]
Abstract
CONTEXT Information, specific tendencies, and skills are needed to provide oral care for the elderly population, and these skills should be learned in dental schools. AIMS The aim of the study was to assess the status of geriatric dentistry education and meeting the standards of facilities in dental schools in Iran. SETTINGS AND DESIGN In this cross-sectional study, sampling was done by census method, and all the 18 dental schools with a history of ≥6 years of establishment were selected. MATERIALS AND METHODS A checklist was prepared in two sections, including geriatric dentistry education (existence of specific education module, considered time, specific department, specific faculty members, continuing courses for dentists, relationship with geriatric nursing houses, referral system, and specific clinics) and facilities and was distributed among dental schools. The collected data were input into SPSS (Version 20.0. Armonk, NY: IBM Corp) and analyzed descriptively. RESULTS After a regular follow-up, 11 dental schools returned the completed checklists. Eight (72%) of them had specific geriatric dentistry education module. Only one (9%) had specific faculty member, continuing educational course, mobile clinic, and regular connection with geriatric nursing houses. None of the dental schools had specific department, specific clinic for delivering care, and a referral system from hospitals to the schools. There were no dental schools with a special transportation system for the elderly and the staff to accompany the patients without attendants. CONCLUSION The status of geriatric dental education in Iran seems not adequate. Furthermore, dental schools are not equipped with necessary facilities for delivering care to the elderly.
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Affiliation(s)
- Bahareh Tahani
- Department of Oral Public Health, Dental Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Abbasali Khademi
- Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Sadaf Fathollahi
- Dental Students Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
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13
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Del Rosario Ruiz Núñez M, Finkler M, Castro RG, Carcereri DL, Ferreira de Mello ALS. Teaching undergraduate geriatric dentistry in five South America countries. Gerodontology 2019; 36:180-187. [PMID: 30821854 DOI: 10.1111/ger.12400] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Revised: 01/13/2019] [Accepted: 02/09/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This study aimed to qualitatively analyse undergraduate geriatric dentistry (GD) teaching characteristics identified by geriatric dentistry teachers and senior students in five South American countries. BACKGROUND GD involves the knowledge and skills required to provide oral health care for older people. METHODS Exploratory-descriptive research with a qualitative approach developed in the undergraduate context of public universities in Chile, Argentina, Brazil, Colombia and Peru. Nine dental schools were intentionally selected. The participants were GD module teachers (20) and their senior students (30). Data were collected through open interviews via Skype® conducted between May and August 2015 and were analysed using a content analysis technique with ATLAS.ti® software, resulting in four categories. RESULTS GD modules are theoretical or a theoretical-practical mix. Most teachers are prosthodontists without specific training in GD. Their motivations to teach GD are related to personal, family, professional and social reasons. Humanity, sensitivity and knowledge of older people are considered fundamental characteristics of a GD teacher. CONCLUSIONS Students' first contact with an older person usually occurs during clinical activities. The participants mentioned insufficient hours for GD modules in the curricula and exclusively theoretical modules that do not allow students to learn typical specificities of older people. In the context of this study, the undergraduate GD teaching-learning process presented some weaknesses regarding educational methods, professor training and the interaction between older people and students. Diversification of learning scenarios and GD professor training are highly recommended.
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Marchini L, Ettinger R, Chen X, Kossioni A, Tan H, Tada S, Ikebe K, Dosumu EB, Oginni FO, Akeredolu PA, Butali A, Donnelly L, Brondani M, Fritzsch B, Adeola HA. Geriatric dentistry education and context in a selection of countries in 5 continents. SPECIAL CARE IN DENTISTRY 2018; 38:123-132. [DOI: 10.1111/scd.12281] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Affiliation(s)
- Leonardo Marchini
- Department of Preventive and Community Dentistry; University of Iowa College of Dentistry and Dental Clinics; Iowa City United States of America
| | - Ronald Ettinger
- Department of Prosthodontics; University of Iowa College of Dentistry and Dental Clinics; Iowa City United States of America
| | - Xi Chen
- Department of Preventive and Community Dentistry; University of Iowa College of Dentistry and Dental Clinics; Iowa City United States of America
| | - Anastassia Kossioni
- Division of Gerodontology; Faculty of Dentistry; National and Kapodistrian University of Athens; Greece
| | - Haiping Tan
- Australian Research Centre for Population Oral Health; Adelaide Dental School; The University of Adelaide; Adelaide Australia
| | - Sayaka Tada
- Division of Preventive Dentistry; Department of Oral Health Dentistry; Niigata University Graduate School of Medical and Dental Science; Niigata Japan
| | - Kazunori Ikebe
- Department of Prosthodontics; Gerodontology and Oral Rehabilitation Osaka University Graduate School of Dentistry; Osaka Japan
| | - Elizabeth Bosede Dosumu
- Department of Periodontology & Community Dentistry; Faculty of Dentistry; University of Ibadan; Ibadan Nigeria
| | - Fadekemi O. Oginni
- Department of Oral and Maxillofacial Surgery; Faculty of Dentistry; Obafemi Awolowo University; Ile-Ife Nigeria
| | | | - Azeez Butali
- Department of Oral Pathology; Radiology and Medicine College of Dentistry, University of Iowa,; USA
| | - Leeann Donnelly
- Department of Oral Biological & Medical Sciences; University of British Columbia; Vancouver Canada
| | - Mario Brondani
- Department of Oral Health Sciences; University of British Columbia; Vancouver Canada
| | - Bernd Fritzsch
- Director, Center of Aging & Aging Mind and Brain Initiative, Department of Biology, College of Liberal Arts and Science; University of Iowa
| | - Henry A. Adeola
- Division of Dermatology, Department of Medicine, Faculty of Health Sciences and Groote Schuur Hospital; University of Cape Town; Cape Town South Africa
- Department of Oral and Maxillofacial Pathology; Faculty of Dentistry; University of the Western Cape at Tygerberg Hospital; Cape Town South Africa
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15
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Kossioni A, McKenna G, Müller F, Schimmel M, Vanobbergen J. Higher education in Gerodontology in European Universities. BMC Oral Health 2017; 17:71. [PMID: 28351394 PMCID: PMC5371193 DOI: 10.1186/s12903-017-0362-9] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Accepted: 03/11/2017] [Indexed: 11/27/2022] Open
Abstract
Background The rapid aging of the European population and the subsequent increase in the oral care needs in older adults necessitates adequate training of dental professionals in Gerodontology (Geriatric Dentistry). This study was designed to investigate the current status of Gerodontology teaching amongst European dental schools at the undergraduate, postgraduate and continuing education levels. Methods An electronic questionnaire was developed by a panel of experts and emailed to the Deans or other contact persons of 216 dental schools across 39 European countries. The questionnaire recorded activity levels, contents and methodology of Gerodontology teaching as part of dental education programs. Repeated e-mail reminders and telephone calls were used to encourage non-responders to complete the questionnaire. Results A total of 123 responses from 29 countries were received (response rate: 56.9%). Gerodontology was taught in 86.2% of schools at the undergraduate level, in 30.9% at the postgraduate level and in 30.1% at the continuing education level. A total of 43.9% of the responding schools had a dedicated Gerodontology program director. Gerodontology was taught as an independent subject in 37.4% of the respondent schools. Medical problems in old age, salivary impairment and prosthodontic management were the most commonly covered topics in Gerodontology teaching. Clinical teaching took place in 64.2% of the respondent schools, with 26.8% offering clinical training in outreach facilities. Conclusions The vast majority of European dental schools currently teach Gerodontology at the undergraduate level. More training opportunities in oral care of frail elders should be offered, and more emphasis should be placed on interdisciplinary and interprofessional training, educational collaborations, and the use of modern technologies. Dedicated postgraduate Gerodontology courses need to be developed to create a significant number of specialized dentists and trained academics. Electronic supplementary material The online version of this article (doi:10.1186/s12903-017-0362-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Anastassia Kossioni
- Division of Gerodontology, Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Thivon 2 Goudi, Athens, 11527, Greece.
| | - Gerry McKenna
- Centre for Public Health, Royal Victoria Hospital, Queens University Belfast, Belfast, Northern Ireland
| | - Frauke Müller
- Department of Gerodontology & Removable Prosthodontics, University of Geneva, Geneva, Switzerland
| | - Martin Schimmel
- Division of Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
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16
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Haresaku S, Mariño R, Naito T, Morgan MV. The opinions and attitudes of dental school academic staff towards oral healthcare education for older adults. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2016; 20:167-173. [PMID: 26083002 DOI: 10.1111/eje.12157] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/19/2015] [Indexed: 06/04/2023]
Abstract
The term 'oral health care for older adults' has various interpretations, and its meaning is not clear among dental school academic staff. Additionally, there are no theoretical or practical stand-alone courses on oral health care for older adults in Japanese dental schools. To improve oral health care education, we investigated the opinions and attitudes toward oral health care education for older adults among academic staff in dental schools. Data were collected in seven dental schools from May to September 2013 via an online questionnaire survey. Five-hundred-fifty-eight academics (428 male, 130 female) participated (response rate 57%). The average number of years since they had completed a university degree was 20.2 (SD 10.2) years. The majority (Over 90%) of participants perceived that oral health care should be provided in nursing facilities, hospitals, and at home. Its treatments and instructions should include, not only methods of keeping good oral hygiene, but also improvement of oral function such as swallowing training and salivary glands massage. The majority (84.2%) suggested oral health care education should be combined as a one-credit, stand-alone course. Findings indicate that dental academics have an understanding the need for a course in oral health care for older adults. Participants supported the need for further development of education in oral health care for older adults' in Japan, as a separate course on its own right. However there were some different views about content by teaching field. The need for a national core program for teaching oral health care education was suggested.
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Affiliation(s)
- S Haresaku
- Department of Preventive and Public Health Dentistry, Fukuoka Dental College, Fukuoka, Japan
- Oral Health Cooperative Research Centre, Melbourne Dental School, University of Melbourne, Melbourne, Vic., Australia
| | - R Mariño
- Oral Health Cooperative Research Centre, Melbourne Dental School, University of Melbourne, Melbourne, Vic., Australia
| | - T Naito
- Section of Geriatric Dentistry, Department of Geriatric Dentistry, Fukuoka Dental College, Fukuoka, Japan
| | - M V Morgan
- Oral Health Cooperative Research Centre, Melbourne Dental School, University of Melbourne, Melbourne, Vic., Australia
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17
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Wolff MS, Schenkel AB, Allen KL. Delivering the evidence--skill mix and education for elder care. Gerodontology 2015; 31 Suppl 1:60-6. [PMID: 24446981 DOI: 10.1111/ger.12088] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/17/2013] [Indexed: 02/02/2023]
Abstract
OBJECTIVES To review the current status of dental curricula on elder care, and the current curricula regarding elder care, and it's effect on altering practitioner behaviors while addressing the needs of a growing North American elder population. BACKGROUND An impending crisis is looming over the oral healthcare of our aging population. At the same moment that life expectancy is being extended through increasingly complex healthcare improvements, the numbers of trained dental providers capable and interested in delivering the needed care is failing to grow at an adequate rate. DISCUSSION The skills necessary to manage these increasingly complex patients require an interprofessional approach capable of delivering care to sicker patients, in a variety of living accommodations, while managing a variety of care givers. The dental skills necessary to treat these elderly are modifications of skills students routinely learn in dental school. As a matter of fact, the skills students acquire to treat an adult patient population may be contrary to the basic skills necessary to manage the elderly dependent adult patient. Teaching students the nuance differences needed to properly diagnose and care for this population is a difficult task that must be taught in a contextual environment. CONCLUSION Significant changes in the teaching of dental management of the elderly are critical within much of the education community. Just as teaching students to care for the pediatric population as general dentists, the clinical education must involve a sufficient number of quality experiences to address issues of both competency, that of the graduate to perform care independently, and attitudes, the actually willingness to treat the elderly.
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Affiliation(s)
- Mark S Wolff
- Department of Cariology and Comprehensive Care, New York University College of Dentistry, New York, NY, USA
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