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Arroyo Bote S, Bennasar Verges C, Ribas-Perez D, Rodriguez Menacho D, Villalva Hernandez-Franch P, Barbero Navarro I, Castaño Séiquer A. Complications Arising from Dental Trauma Incurred from Falls Involving Geriatric Patients: A Case Report. Diagnostics (Basel) 2023; 13:3021. [PMID: 37835764 PMCID: PMC10571958 DOI: 10.3390/diagnostics13193021] [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: 08/15/2023] [Revised: 09/14/2023] [Accepted: 09/19/2023] [Indexed: 10/15/2023] Open
Abstract
Elderly patients have a high incidence of falls that result in facial injuries. Many cases present with dental crown fractures and soft-tissue lacerations. The initial diagnosis is especially important in this type of dental trauma, since an initial error can result in the failure to establish the correct treatment from the very beginning, worsening the prognosis, which, in the worst case, can compromise the teeth affected by the trauma. Case report: We present the case of a patient, a 79-year-old woman, who suffered an accidental fall. The patient was examined by a dentist in the emergency room. She was diagnosed with a simple crown fracture of the right upper central incisor and right upper lateral incisor without any pulpal involvement and with laceration of the lower lip. Months later, she had an episode of inflammation in the lower lip, and she developed edema and pain. An X-ray of the lower lip revealed a radiopaque mass compatible with a fragment of dental tissue due to the inclusion of remnants of the dental tissue resulting from the previous accident fall. Conclusions: The population of geriatric patients is steadily increasing in our society, and a higher frequency of falls has been observed in this age group, affecting the maxillofacial region, with consequent dental trauma on many occasions. Therefore, as professionals, we must pay special attention to the prevention and treatment of this problem, insisting on the importance of routine investigation in the emergency visit for dental trauma, which includes a meticulous examination of the soft tissues accompanied by a radiographic examination, when the inclusion of foreign bodies is suspected.
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Affiliation(s)
| | | | - David Ribas-Perez
- Department of Stomatology, University of Seville, 41001 Seville, Spain
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Henshaw MM, Karpas S. Oral Health Disparities and Inequities in Older Adults. Clin Geriatr Med 2023; 39:207-223. [PMID: 37045529 DOI: 10.1016/j.cger.2023.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
Abstract
The number of individuals 65 and older living in the United States is increasing substantially and becoming more racially and ethnically diverse. This shift will affect the demographics of the patient population seeking dental care. It will also impact the future treatment needs of older adults. In older adults, similar to the general adult population, oral health disparities continue to exist related to race, ethnicity, gender, and socioeconomic level. Dental practitioners must understand these changes in order to meet the challenges of providing oral health care to the increasing numbers of diverse, medically compromised, and cognitively impaired older adults.
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Affiliation(s)
- Michelle M Henshaw
- Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine, 560 Harrison Avenue, Suite 301, Boston, MA 02118, USA.
| | - Steven Karpas
- Department of General Dentistry, Boston University Henry M. Goldman School of Dental Medicine, 635 Albany Street, Boston, MA 02118, USA
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Multicenter Randomized Controlled Trial Comparing the Contribution of Proxabrushes with Regular Toothbrushes and Only Regular Toothbrushes to the Oral Health of Thai Elderly. Int J Dent 2022; 2022:5323092. [PMID: 35401752 PMCID: PMC8989556 DOI: 10.1155/2022/5323092] [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: 09/11/2021] [Revised: 01/30/2022] [Accepted: 03/08/2022] [Indexed: 11/17/2022] Open
Abstract
Objective The aim of this two-group experimental study was to explore the effects of proxabrush on Thai elderly oral health. Design and Setting. Multicenter randomized controlled trial, parallel grouped, open label, blocked randomization was used at each province to allocate treatment. The study was conducted at public hospitals in 16 provinces in Thailand between November 2019 and January 2020. Methods Participants in the test group used proxabrushes and regular toothbrushes, and participants in the control group used only regular toothbrushes for 6 weeks. Plaque accumulation, gingival status, and oral healthcare data were collected at baseline and at 6-week follow-up. Clinical oral health examiner was blinded to group assignment. Randomization was computer-generated, with allocation concealment by opaque sequentially number sealed envelopes. Data analysis compared plaque and gingival indices between the test and control groups. Results A total of 510 elderly with at least 20 natural teeth and interdental spaces were randomized (test n = 255; control n = 255), and 35 were excluded from analysis because of early drop out leaving 239 in the test group and 236 in the control group. A sample of 475 aged between 60 and 91 years participated in the study; 158 (33.3%) were males and 317 (66.7%) were females. The results revealed that, compared to baseline knowledge, attitude and practice were improved at follow-up for both the test and control groups (p < 0.05). At follow-up, the independent-samples t-test compares the test group plaque index mean of 0.49 (SD 0.44) to the control group mean of 0.60 (SD 0.56); a mean difference of 0.11 (95% CI 0.02 to 0.20) obtained demonstrated statistical significance (p = 0.014), and comparing the test group gingival index mean of 0.52 (SD 0.50) to the control group mean of 0.65 (SD 0.60), a mean difference of 0.13 (95% CI 0.03 to 0.23) obtained demonstrated statistical significance (p = 012). At follow-up, the test group had lower plaque accumulation and better gingival status than the control group. Gender, medical problems, educational level, occupation, and age were not different between the test and control groups. A combination of daily proxabrush and regular toothbrush use yielded significant benefits over regular tooth-brushing alone. Conclusions In conclusion, proxabrush has been found to be an effective interdental cleaning aid among Thai elderly. This trial is registered with TCTR20220127004.
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Potential educational and workforce strategies to meet the oral health challenges of an increasingly older population: a qualitative study. BDJ Open 2022; 8:6. [PMID: 35273157 PMCID: PMC8907390 DOI: 10.1038/s41405-022-00098-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 01/25/2022] [Accepted: 02/03/2022] [Indexed: 11/08/2022] Open
Abstract
INTRODUCTION The demographic shift in the age profile of the UK is well established. Older people have more complex requirements to maintain their oral health. OBJECTIVES This research explored Gerodontology with influential and recognised UK experts in Dental Public Health, Dental Education and Gerodontology. Three main topics were explored: the dental challenges associated with the ageing population, the role of dental care professionals (DCPs) and the training of undergraduate dental professionals. METHODS Quantitative data from the literature were used to develop a topic guide for semi-structured interviews with a purposeful sample of nine participants. Initial analysis of the qualitative data was undertaken using NVivo V12 software and themes were identified. Final themes and subthemes were confirmed after a series of remote round table discussions. RESULTS Four themes and 14 subthemes were identified. These included disagreements and agreements, the challenges of providing dental care to the older adult population, and the delivery of dental care by the dental team and finally education. All participants had significant concerns about the oral and dental challenges of the older population. CONCLUSIONS The themes that emerged were complex and overlapping. Better utilisation of all members of the dental workforce was reported to be an essential approach, as was reorientation of existing care models with a focus on prevention. Regarding undergraduate education, the consensus was that the training was not adequate for both current and future needs.
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Aldhuwayhi S, Shaikh SA, Thakare AA, Mustafa MZ, Mallineni SK. Remote Management of Prosthodontic Emergencies in the Geriatric Population During the Pandemic Outbreak of COVID-19. Front Med (Lausanne) 2021; 8:648675. [PMID: 34395459 PMCID: PMC8355538 DOI: 10.3389/fmed.2021.648675] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 05/31/2021] [Indexed: 12/23/2022] Open
Abstract
The global pandemic outbreak of coronavirus disease 2019 (COVID-19) has put the world in a panic situation. It has been evident that the geriatric population is more susceptible to acquire this infection. Thus, due to this ongoing crisis, geriatric individuals cannot visit a dental operatory, and there is the possibility of their dental needs and emergencies to remain unattended. Partial or complete edentulism is very prevalent among the geriatric population, and prosthodontic management of these patients is essential for their well-being. However, the prosthesis can lead to various emergencies of the oral and its supporting structures. There are currently no available recommendations to address these prosthodontic emergencies in geriatric individuals during this pandemic period. Hence, the aims of this minireview were to discuss the common prosthodontic emergencies in the geriatric population and provide recommendations to manage these issues during the COVID-19 pandemic outbreak.
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Affiliation(s)
- Sami Aldhuwayhi
- Department of Prosthodontics, College of Dentistry, Majmaah University, Al-Majmaah, Saudi Arabia
| | - Saquib Ahmed Shaikh
- Department of Prosthodontics, College of Dentistry, Majmaah University, Al-Majmaah, Saudi Arabia
| | - Amar Ashok Thakare
- Department of Prosthodontics, College of Dentistry, Majmaah University, Al-Majmaah, Saudi Arabia
| | | | - Sreekanth Kumar Mallineni
- Department of Preventive Dental Science, College of Dentistry, Majmaah University, Al-Majmaah, Saudi Arabia.,Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, India
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Abstract
The number of individuals 65 and older living in the United States is increasing substantially and becoming more racially and ethnically diverse. This shift will affect the demographics of the patient population seeking dental care. It will also impact the future treatment needs of older adults. In older adults, similar to the general adult population, oral health disparities continue to exist related to race, ethnicity, gender, and socioeconomic level. Dental practitioners must understand these changes in order to meet the challenges of providing oral health care to the increasing numbers of diverse, medically compromised, and cognitively impaired older adults.
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Affiliation(s)
- Michelle M Henshaw
- Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine, 560 Harrison Avenue, Suite 301, Boston, MA 02118, USA.
| | - Steven Karpas
- Department of General Dentistry, Boston University Henry M. Goldman School of Dental Medicine, 635 Albany Street, Boston, MA 02118, USA
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Attard N, Schembri A, Caruana C, Agius AM, Gainza-Cirauqui ML. Undergraduate students' evaluation and reflections on a gerodontology programme. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2018; 22:e624-e633. [PMID: 29808601 DOI: 10.1111/eje.12367] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/03/2018] [Indexed: 06/08/2023]
Abstract
INTRODUCTION Many societies have observed a steady increase of many older adults living longer due to advancements in health and standard of living. The dental team requires specialised training in gerodontology to better prepare for the future needs of the elderly patients. It is the aim of this study to report the undergraduate students' activities and perspectives on their work experience in a geriatric residence. MATERIALS AND METHODS An anonymous online questionnaire on the theoretical and practical aspects of training was sent to students in dentistry and dental hygiene (DH) undergraduate courses. Students were also invited to discuss their experiences. Data of clinical treatment performed by the students were collected. The number of clinical hours of student exposure to patients was measured. RESULTS Completion of the questionnaire was high (90%). Both DH and dentistry students have in excess of 100 hours/y of clinical practice. Overall students rate their experience as a positive one that enriches patients' well-being. However they identify barriers to oral health and experience challenges related to their clinical work and level of competence (Kruskal-Wallis Test P < .05). CONCLUSIONS study participants were strongly motivated towards the management of frail older adults and cognisant of the barriers and constraints of achieving a reasonable level of oral health. Gerodontology programmes should be adaptable in order to create the appropriate environment and address socio-emotional challenges experienced by students.
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Affiliation(s)
- N Attard
- Department of Oral Rehabilitation and Community Care, Faculty of Dental Surgery, Universirty of Malta, Msida, Malta
| | - A Schembri
- Department of Oral Rehabilitation and Community Care, Faculty of Dental Surgery, Universirty of Malta, Msida, Malta
| | - C Caruana
- Department of Oral Rehabilitation and Community Care, Faculty of Dental Surgery, Universirty of Malta, Msida, Malta
| | - A-M Agius
- Department of Oral Rehabilitation and Community Care, Faculty of Dental Surgery, Universirty of Malta, Msida, Malta
| | - M L Gainza-Cirauqui
- Department of Dental Surgery, Faculty of Dental Surgery, Universirty of Malta, Msida, Malta
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Ettinger RL, Goettsche ZS, Qian F. Curriculum content in geriatric dentistry in USA dental schools. Gerodontology 2017; 35:11-17. [PMID: 29063645 DOI: 10.1111/ger.12305] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2017] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The aim of this study was to re-examine the teaching of geriatric dentistry in the USA dental schools, to identify curriculum content and compare the findings to previous reports. METHODS All dental schools in the United States were contacted via email with a questionnaire to assess the teaching of geriatric dentistry. Non-responding schools were sent a minimum of three reminder emails to complete the survey. A statistical analysis was performed. Descriptive statistics were conducted to profile the variables of interest. Bivariate analysis was performed to explore if any of the variables were related using Fisher's exact test, non-parametric Wilcoxon rank-sum test and the Kruskal-Wallis test. RESULTS Fifty-six of the 67 dental schools completed the questionnaire. Geriatric dentistry was taught in all dental schools; for 92.8%, the course was compulsory. We found that 62.5% were teaching it as an independent course, 25% as an organised series of lectures and 8.9% as occasional lectures in parts of other courses. Clinically, 84.2% have some form of compulsory education in geriatric dentistry. Public schools were marginally associated with an increased interest in expanding the geriatric dentistry curriculum (P = .078). No differences were found between these variables and school location. CONCLUSIONS Geriatric dentistry is now required in 92.8% of dental schools. The teaching of traditional topics has not changed much; however, the number of gerontological topics has increased. Clinical teaching needs to be expanded, as in only 57.1% of schools was it a requirement. The ageing imperative will require research to determine the impact of teaching on services to the geriatric community.
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Affiliation(s)
- Ronald L Ettinger
- Department of Prosthodontics and Dows Institute for Dental Research, College of Dentistry and Dental Clinics, University of Iowa, Iowa City, IA, USA
| | - Zachary S Goettsche
- Department of Endodontics, College of Dentistry and Dental Clinics, University of Iowa, Iowa City, IA, USA
| | - Fang Qian
- Department of Preventive and Community Dentistry, College of Dentistry and Dental Clinics, University of Iowa, Iowa City, IA, USA
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Ettinger RL, Goettsche ZS, Qian F. Predoctoral Teaching of Geriatric Dentistry in U.S. Dental Schools. J Dent Educ 2017; 81:921-928. [PMID: 28765436 DOI: 10.21815/jde.017.043] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Accepted: 02/07/2017] [Indexed: 11/20/2022]
Abstract
The aim of this study was to assess the current teaching of geriatric dentistry in U.S. dental schools and compare the findings to previous reports. Academic deans at all 67 U.S. dental schools were contacted in November 2015 via email, asking them to complete a questionnaire about the teaching of geriatric dentistry or gerodontology at their institution. Questionnaires were received from 56 of the 67 schools (84% response rate). The results showed that geriatric dentistry was taught in all responding schools; for 92.8% of the respondents, the instruction was compulsory. Among the responding schools, 62.5% were teaching it as an independent course, 25% as an organized series of lectures, and 8.9% as occasional lectures in parts of other courses. In addition, 57.1% had some form of compulsory clinical education in geriatric dentistry. Public schools, as opposed to private schools, were marginally associated with an increased interest in expanding geriatric dentistry teaching (p=0.078). No differences were found between any teaching variables and school location. This study found that the form of education in geriatric dentistry in U.S. dental schools differed in many ways, but the teaching of geriatric dentistry had increased among all respondents and had been increasing for over 30 years. Future research is needed to determine the impact of this teaching on services to the geriatric community.
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Affiliation(s)
- Ronald L Ettinger
- Dr. Ettinger is Professor Emeritus, Department of Prosthodontics and Dows Institute for Dental Research, University of Iowa College of Dentistry & Dental Clinics; Dr. Goettsche is a graduate student, Department of Endodontics, University of Iowa College of Dentistry & Dental Clinics; and Dr. Qian is Senior Research Associate, Department of Preventive and Community Dentistry, University of Iowa College of Dentistry & Dental Clinics.
| | - Zachary S Goettsche
- Dr. Ettinger is Professor Emeritus, Department of Prosthodontics and Dows Institute for Dental Research, University of Iowa College of Dentistry & Dental Clinics; Dr. Goettsche is a graduate student, Department of Endodontics, University of Iowa College of Dentistry & Dental Clinics; and Dr. Qian is Senior Research Associate, Department of Preventive and Community Dentistry, University of Iowa College of Dentistry & Dental Clinics
| | - Fang Qian
- Dr. Ettinger is Professor Emeritus, Department of Prosthodontics and Dows Institute for Dental Research, University of Iowa College of Dentistry & Dental Clinics; Dr. Goettsche is a graduate student, Department of Endodontics, University of Iowa College of Dentistry & Dental Clinics; and Dr. Qian is Senior Research Associate, Department of Preventive and Community Dentistry, University of Iowa College of Dentistry & Dental Clinics
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Olofsson H, Ulander EL, Gustafson Y, Hörnsten C. Association between socioeconomic and health factors and edentulism in people aged 65 and older – a population-based survey. Scand J Public Health 2017; 46:690-698. [DOI: 10.1177/1403494817717406] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aims: To study edentulism and use of dental services in a population-based sample of people aged 65 years and older from northern Sweden and western Finland. Methods: In 2010, people aged 65, 70, 75 and 80 years who were living in one of 32 municipalities in northern Sweden and western Finland were invited to answer a questionnaire as part of the Gerontological Regional Database (GERDA) study ( n = 6099). The questionnaire contained items related to socioeconomic status, general health and edentulism. Results: The prevalence of edentulism was 34.9% in Finland, compared with 20.6% in Sweden ( p < 0.001), 31.9% in rural areas, compared with 20.9% in urban areas ( p < 0.001), and 25% overall. The prevalence of edentulism rose from 17.8% in 65-year-olds, 23.8% in 70-year-olds, 33.5% in 75-year-olds and 37.3% in 80-year-olds ( p < 0.001), and was 23.8% in women, compared with 27% in men ( p < 0.001). In multivariate models, edentulism was associated with lower educational level (odds ratio (OR) 2.87, 95% confidence interval (CI) 2.31–3.58), low income level (OR 1.7, CI 1.09–1.47), residence in a rural area (OR 1.43, CI 1.23–1.66), male sex (OR 1.30, CI 1.12–1.52), dependence in instrumental activities of daily living (OR 1.48, CI 1.25–1.74), social isolation (OR 1.52, CI 1.17–1.98) and poor self-experienced health (OR 1.38, CI 1.17–1.62). Conclusions: One-quarter of the total sample was edentulous, with a higher prevalence of edentulism in Finland than in Sweden and in rural than in urban areas. Edentulism was associated with socioeconomic, psychological and health-related factors. These findings could be used to inform preventive measures and identify people aged 65 years and older who are in need of oral care.
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Affiliation(s)
- Hanna Olofsson
- Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Sweden
| | - Eva Lena Ulander
- Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Sweden
| | - Yngve Gustafson
- Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Sweden
| | - Carl Hörnsten
- Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Sweden
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Brown LF, Ford PJ, Symons AL. Periodontal disease and the special needs patient. Periodontol 2000 2017; 74:182-193. [DOI: 10.1111/prd.12198] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/01/2016] [Indexed: 12/22/2022]
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Adebayo B, Durey A, Slack-Smith LM. Role of information and communication technology in promoting oral health at residential aged care facilities. Aust J Prim Health 2017; 23:216-222. [DOI: 10.1071/py15168] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Accepted: 02/06/2017] [Indexed: 11/23/2022]
Abstract
Information and communication technology (ICT) can provide knowledge and clinical support to those working in residential aged care facilities (RACFs). This paper aims to: (1) review literature on ICT targeted at residents, staff and external providers in RACFs including general practitioners, dental and allied health professionals on improving residents’ oral health; (2) identify barriers and enablers to using ICT in promoting oral health at RACFs; and (3) investigate evidence of effectiveness of these approaches in promoting oral health. Findings from this narrative literature review indicate that ICT is not widely used in RACFs, with barriers to usage identified as limited training for staff, difficulties accessing the Internet, limited computer literacy particularly in older staff, cost and competing work demands. Residents also faced barriers including impaired cognitive and psychosocial functioning, limited computer literacy and Internet use. Findings suggest that more education and training in ICT to upskill staff and residents is needed to effectively promote oral health through this medium.
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Shigli K, Agrawal N, Nair C, Sajjan S, Kakodkar P, Hebbal M. Use of PowerPoint presentation as a teaching tool for undergraduate students in the subject of gerodontology. J Indian Prosthodont Soc 2016; 16:187-92. [PMID: 27141170 PMCID: PMC4837778 DOI: 10.4103/0972-4052.167940] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIM Though different teaching learning media have been employed in the instruction of geriatric dentistry, their efficacy has not been adequately evaluated. This study was conducted with the aim to determine the efficacy of a PowerPoint presentation in teaching gerodontology. MATERIALS AND METHODS This is a prospective follow-up study using a pre- and post-intervention assessment. A pilot study was conducted on the final year students to check the feasibility of the study. A convenience sampling procedure was used. All interns (n = 80) of the Modern Dental College and Research Centre, Indore, India were invited to participate. Interns completed a 24-item questionnaire documenting their current knowledge on gerodontology. One week after a 30 min PowerPoint presentation on gerodontology, the same interns completed the same questionnaire again, providing an indication of the efficacy of the learning tool. Paired t-test and McNemar test were employed for statistical analysis. RESULTS A statistically significant difference was observed in pre- and post-intervention scores (P < 0.05). CONCLUSION The results of this study indicated that PowerPoint presentation can be used as an effective tool for improving the knowledge regarding gerodontology.
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Affiliation(s)
- Kamal Shigli
- Department of Prosthodontics, Bharati Vidyapeeth Deemed University Dental College and Hospital, Sangli, Maharashtra, India
| | - Neha Agrawal
- Department of Periodontics and Community Dentistry, Dr. Z A Dental College, AMU, Aligarh, Uttar Pradesh, India
| | - Chandrasekharan Nair
- Department of Prosthodontics, AECS Maaruti College of Dental Sciences and Research Center, Bengaluru, Karnataka, India
| | - Suresh Sajjan
- Department of Prosthodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
| | - Pradnya Kakodkar
- Department of Public Health Dentistry, Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune, Maharashtra, India
| | - Mamata Hebbal
- Department of Preventive and Community Dentistry, K.L.E.V.K. Institute of Dental Sciences, Belgaum, Karnataka, India
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Bharti R, Chandra A, Tikku AP, Arya D, Gupta R. Oral care needs, barriers and challenges among elderly in India. J Indian Prosthodont Soc 2016; 15:17-22. [PMID: 26929481 PMCID: PMC4762292 DOI: 10.4103/0972-4052.155044] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Objective: This paper presents an approach to the assessment of oral health needs of elderly and barriers to receive oral care in the life course. Background: The dental needs of the elderly are changing and growing day by day. The management of older patients requires not only an understanding of the medical and dental aspects of ageing but also provide them good oral health service. In the life course of elderly there are many hurdles to receive proper oral care. The use of an assessment of oral health need will be essential in the development of care pathways to the elderly. Methods: The proportion of older people is growing faster than that of any other age group. There is no sound database regarding the oral disease burden and treatment needs of the elderly in India. Physical and biological barriers with age can also affect oral health care either directly or indirectly. Conclusion: Oral care guidelines designed to assist elderly should consider not only prevention and treatment modalities but also the means of implementing such therapies in varying settings and utilizing the whole dental team.
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Affiliation(s)
- Ramesh Bharti
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Anil Chandra
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Aseem Prakash Tikku
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Deeksha Arya
- Department of Prosthodontics and Dental Material Sciences, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Richa Gupta
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
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Hogue CM, Andrade AD, Ruiz JG, Gibson G. Core Competencies in Geriatric Dentistry Fellowship Programs: a Delphi Study. SPECIAL CARE IN DENTISTRY 2016; 36:217-22. [DOI: 10.1111/scd.12158] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Christie M. Hogue
- Staff Dentist and Investigator, Geriatric Research Education and Clinical Center (GRECC), Bruce W. Carter Veteran Affairs Medical Center; Miami Florida
| | - Allen D. Andrade
- Assistant Professor, Brookdale Department of Geriatrics and Palliative Medicine, Staff Physician & Investigator, Geriatric Research Education & Clinical Center, James J. Peters Veteran Affairs Medical Center; New York, New York
| | - Jorge G. Ruiz
- Staff Dentist and Investigator, Geriatric Research Education and Clinical Center (GRECC), Bruce W. Carter Veteran Affairs Medical Center; Miami Florida
- Associate Director for Education/Evaluation, Geriatric Research and Clinical Center (GRECC); Director, E-learning and Multimedia Research, Bruce W. Carter Veteran Affairs Medical Center, Director, Jackson Memorial Hospital, University of Miami Geriatric Medicine Fellowship Program; Associate Professor, Clinical Medicine, University of the Miami Miller School of Medicine; Miami Florida
| | - Gretchen Gibson
- Director, Oral Health Quality Group, Veterans Affairs Office of Dentistry; Fayetteville Arkansas
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Dandakeri S, Dandekeri S, Rai BG, Suvarna N, Ragher M, Prabhu R. India's baby boomers: In driving need for dental care. J Pharm Bioallied Sci 2015; 7:S438-42. [PMID: 26538894 PMCID: PMC4606636 DOI: 10.4103/0975-7406.163493] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
The present paper aims to review the literature on increasing health care challenges and needs of a growing Indian geriatric population. It also focuses on the need to overcome the shortfalls in its current oral health status in elderly. This review is based on a PubMed database search engine published in the period from 1990 to 2010 in various dental journals. Different strategies are designed to provide better facilities and easy access of these facilities not only to elderly living in the city but to the one's in rural areas. It is emphasized that geriatric dentistry should be included in the educational systems to help resolve problems of oral health care for the elderly in India.
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Affiliation(s)
- Savita Dandakeri
- Department of Prosthodontics, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India
| | - Shilpa Dandekeri
- Department of Prosthodontics, A B Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India
| | - B Gunachandra Rai
- Department of Oral Surgery, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India
| | - Nitin Suvarna
- Department of Conservative and Endodontics, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India
| | - Mallikarjuna Ragher
- Department of Prosthodontics, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India
| | - Rachana Prabhu
- Department of Oral and Medicine, Yenepoya Dental College, Yenepoya University, Mangalore, Karnataka, India
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Metz MJ, Miller CJ, Lin WS, Abdel-Azim T, Zandinejad A, Crim GA. Dental student perception and assessment of their clinical knowledge in educating patients about preventive dentistry. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2015; 19:81-86. [PMID: 25040313 DOI: 10.1111/eje.12107] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/29/2014] [Indexed: 06/03/2023]
Abstract
In today's dental school curricula, an increasing amount of time is dedicated to technological advances, and preventive dentistry topics may not be adequately addressed. Freshman (D1) students participated in a new Introduction to Preventive Dentistry course, which consisted of didactic lectures, active learning breakout sessions and case-based studies. The goal of this study was to determine if D1 dental students completing the course had a better knowledge and comfort level with basic preventive dentistry concepts and caries risk assessment than the upcoming graduating senior dental students. Following the completion of the course, D1 students were administered a survey that assessed their comfort level describing preventive dentistry topics to patients. This was immediately followed by an unannounced examination over the same topics. Senior (D4) students, who had not taken a formal course, reported statistically significant higher comfort levels than D1 students. However, the D4s scored significantly lower in all of the examination areas than the D1 students. Higher scores in D1s may have been due to recent exposure to the course material. However, the basic nature of the content-specific questions should be easily answered by novice practitioners educating their patients on oral disease prevention. As the current data shows lower content-specific scores of basic preventive dentistry knowledge amongst graduating D4 students, this may indicate a need for more guidance and education of students during the patient care. This study showed that implementation of a formalised course for D1 students can successfully ameliorate deficiencies in knowledge of preventive dentistry topics.
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Affiliation(s)
- M J Metz
- Department of General Dentistry and Oral Medicine, University of Louisville School of Dentistry, Louisville, KY, USA
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Priyadarshini SR, Sahoo PK, Bhuyan SK, Misra SR, Pati AR. Growing Old is Mandatory But Growing Up is Optional: An Explanation to Geriatrics. J Clin Diagn Res 2014; 8:ZE22-4. [PMID: 25654057 DOI: 10.7860/jcdr/2014/10393.5304] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2014] [Accepted: 09/17/2014] [Indexed: 01/10/2023]
Abstract
Growing old is an inevitable process and aging graciously requires a healthy body where oral cavity occupies an important place. Geriatric dentistry is a specialized multidisciplinary branch of general dentistry designed to provide dental services to elderly patients. The rise in life expectancy has attributed to the substantial reduction in mortality which brought about by improved health care facilities, sanitation, environmental and public health reforms coupled with better hygiene and living conditions. The goal of geriatric treatment is to achieve optimal oral health, thus enhancing overall health. This begins with a concerted effort between the patient and the healthcare and dental teams. When medical problems exist, the physician and other involved healthcare professionals should be consulted, as these diseases can affect the safety and efficacy of various dental treatments. Thus a unified approach should be followed to assist geriatric patients to maintain optimal oral health and a high quality of life. Here in, this article we have reviewed the categories geriatric patients are divided to, various aging theories, changes occurring in various systems with their effects on system along with the various dental effects and age changes in them and treatment needs and strategies' concerning the elderly population.
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Affiliation(s)
- Smita R Priyadarshini
- Assistant Professor, Department of Oral Medicine and Radiology, Institute of Dental Sciences Bhubaneswar, Odisha, India
| | - Pradyumna Ku Sahoo
- Assistant Professor, Department of Prosthodontics, Institute of Dental Sciences Bhubaneswar, Odisha, India
| | - Sanat Ku Bhuyan
- Professor, Department of Oral Medicine and Radiology, Institute of Dental Sciences Bhubaneswar, Odisha, India
| | - Satya Ranjan Misra
- Associate Professor, Department of Oral Medicine and Radiology, Institute of Dental Sciences Bhubaneswar, Odisha, India
| | - Abhishek Rajan Pati
- Assistant Professor, Department of Oral Medicine and Radiology, Institute of Dental Sciences Bhubaneswar, Odisha, India
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Thomson WM, Ma S. An ageing population poses dental challenges. ACTA ACUST UNITED AC 2014; 35C:3-8. [DOI: 10.1016/j.sdj.2014.10.001] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2014] [Accepted: 10/27/2014] [Indexed: 10/24/2022]
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20
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İlhan B, Çal E, Dündar N, Güneri P, Dağhan Ş. Oral health-related quality of life among institutionalized patients after dental rehabilitation. Geriatr Gerontol Int 2014; 15:1151-7. [DOI: 10.1111/ggi.12413] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/09/2014] [Indexed: 12/19/2022]
Affiliation(s)
- Betül İlhan
- Department of Oral Diagnosis and Radiology; School of Dentistry; Ege University; Bornova-Izmir Turkey
| | - Ebru Çal
- Department of Prosthodontics; School of Dentistry; Ege University; Bornova-Izmir Turkey
| | - Nesrin Dündar
- Department of Oral Diagnosis and Radiology; School of Dentistry; Ege University; Bornova-Izmir Turkey
| | - Pelin Güneri
- Department of Oral Diagnosis and Radiology; School of Dentistry; Ege University; Bornova-Izmir Turkey
| | - Şafak Dağhan
- Department of Public Health Nursing; School of Nursing; Ege University; Bornova-Izmir Turkey
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21
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Fonesca FA, Jones KM, Mendes DC, dos Santos Neto PE, Ferreira RC, Pordeus IA, de Barros Lima Martins AM. The oral health of seniors in Brazil: addressing the consequences of a historic lack of public health dentistry in an unequal society. Gerodontology 2013; 32:18-27. [DOI: 10.1111/ger.12046] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/06/2013] [Indexed: 11/28/2022]
Affiliation(s)
| | - Kimberly M. Jones
- Department of Medical Anthropology; Health Science Studies Graduate Program; Universidade Estadual de Montes Claros (UNIMONTES); Montes Claros Brazil
- Faculdades Integradas do Norte de Minas (FUNORTE); Montes Claros Brazil
| | - Danilo C. Mendes
- Health Science Studies Graduate Program; Universidade Estadual de Montes Claros (UNIMONTES); Montes Claros Brazil
| | - Pedro E. dos Santos Neto
- Department of Dentistry; Universidade Estadual de Montes Claros (UNIMONTES); Montes Claros Brazil
- Department of Medicine; Faculdades Integradas do Norte de Minas (FUNORTE); Montes Claros Brazil
| | - Raquel C. Ferreira
- Department of Community and Preventive Dentistry; Universidade Federal de Minas Gerais (UFMG); Montes Claros Brazil
| | - Isabela A. Pordeus
- Department of Public Health and Epidemiology; Universidade Federal de Minas Gerais (UFMG); Montes Claros Brazil
| | - Andréa M.E. de Barros Lima Martins
- Department of Public Health and Epidemiology; Universidade Estadual de Montes Claros (UNIMONTES); Montes Claros Brazil
- Faculdades Integradas do Norte de Minas (FUNORTE); Montes Claros Brazil
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