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1.
Gerodontology ; 41(3): 385-392, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37792411

RESUMEN

OBJECTIVE: Latin American and Carribean (LAC) are currently experiencing a rapid aging of their population, coupled with a significant burden of oral diseases. Despites this, there is a scarcity of evidence regarding the manner in wich geriatric dentistry is being taught in dental schools across LAC. So, the objective of this study is to investigate the current status of geriatric dentistry education at undergraduate and postgraduate levels in selected LAC dental schools. METHODS: An electronic questionnaire was developed and emailed to all 539 dental schools in 19 LAC countries. The questionnaire recorded activity levels, contents and methodology of geriatric dentistry education as part of dental degree programmes. Reminders by email and telephone calls were used to encourage non-responders to complete the questionnaire. RESULTS: In total, 317 schools from 17 countries responded to the questionnaire (response rate: 58.8%). Geriatric dentistry was taught in 54.6% of the schools at the undergraduate level and in 6.9% at the postgraduate level. Thirty two percent of the schools had a programme director trained in geriatric dentistry. Geriatric dentistry was taught as an independent course in 14.5% of the schools. Dry mouth, periodontal disease, denture-related conditions and prosthodontic management, oral mucosal disease and age-related changes of the orofacial complex were the most frequently covered topics. Clinical teaching of geriatric dentistry was reported by 26.5% of the schools, with 38.0% providing clinical training in outreach facilities. CONCLUSIONS: Geriatric dentistry education remains incipient in LAC, with only one in every four dental school offering it as a standalone course. There is an urgent need to further develop geriatric dentistry education in the continent, including further research to develop a minimum geriatric dentistry curriculum.


Asunto(s)
Curriculum , Odontología Geriátrica , Facultades de Odontología , Odontología Geriátrica/educación , América Latina , Humanos , Encuestas y Cuestionarios , Región del Caribe , Educación en Odontología
2.
Z Gerontol Geriatr ; 57(4): 308-314, 2024 Jul.
Artículo en Alemán | MEDLINE | ID: mdl-37365353

RESUMEN

Due to increasing life expectancy and the associated demographic changes, more and more people are dependent on care. To identify a possible need for dental treatment, chewing function tests as assessment instruments have proven their effectiveness. In this article, the reader is given an overview of existing chewing function tests and their implementation. It is important that a patient with pain should be presented to a dentist immediately, regardless of whether a chewing function test is performed. Furthermore, chewing function tests are not a substitute for routine dental examinations, but they could provide information to (dental) laypersons as to whether an appointment should be arranged in a dental practice or whether a dental consultation is necessary.


Asunto(s)
Evaluación Geriátrica , Masticación , Humanos , Evaluación Geriátrica/métodos , Masticación/fisiología , Anciano , Anciano de 80 o más Años , Masculino , Femenino , Cuidado Dental para Ancianos
3.
J Pak Med Assoc ; 74(9): 1613-1616, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39279063

RESUMEN

Objectives: To measure the effect of geriatric oral health education on the attitude of dentistry students towards the elderly. METHODS: The interventional study was conducted in December 2022 at Sivas, and comprised students of the Faculty of Dentistry, Sivas Cumhuriyet University, Turkiye in their 4th and 5th academic year. A 20-hour training course was delivered over 3 days by faculty members. Baseline and post-intervention difference was assessed using the Kogan's Attitudes Towards Old People Scale. Data was analysed using SPSS 22. RESULTS: Of the 30 students, 18(60%) were females and 12(40%) were males. The overall mean age was 22.93±1.63 years. Besides, 18(60%) students belonged to 5th year and 12(40%) to the 4th year. The mean Kogan Elderly Attitude Scale score at baseline was 184.13±25.55, while post-intervention it was 195.36±22.36. (p<0.05). CONCLUSIONS: Relevant training was found to have a significant impact on the attitude of dentistry students towards the elderly.


Asunto(s)
Actitud del Personal de Salud , Educación en Odontología , Estudiantes de Odontología , Humanos , Estudiantes de Odontología/psicología , Estudiantes de Odontología/estadística & datos numéricos , Femenino , Masculino , Educación en Odontología/métodos , Adulto Joven , Odontología Geriátrica/educación , Turquía , Salud Bucal/educación , Anciano
4.
J Evid Based Dent Pract ; 24(1S): 101958, 2024 01.
Artículo en Inglés | MEDLINE | ID: mdl-38401948

RESUMEN

As the proportion of older adults in the world population increases, there is an increasing need to provide adequate dental care for this very heterogeneous group of individuals. The relationship between oral and systemic health, the impact of medication on oral health, and the influence of accessibility to dental care and other social and environmental factors shape the provision of dental care for older adults more than in children, younger, and middle-aged adults. However, while dental care for older adults is shaped by these factors and is often different from the care for other adults, what matters to older dental patients does not differ from what matters to dental patients in general. The four dimensions of oral health-related quality of life (OHRQoL)-Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact-capture dental patients' suffering from oral disorders. OHRQoL questionnaires can be used to assess this impact and to achieve results that are compatible with adults in general. More than in other age groups, cognitive impairments or dementia limit the usefulness of questionnaires or interviews for oral health impact assessment. In these situations, family members or caregivers can assess the patient's oral health impact, and oral health care providers need to rely more on physical oral health characteristics for clinical decision-making than in other dental patients. While the tools to measure oral health impact change, the targets for dental care stay the same. Prevention and reduction of functional, painful, aesthetical, and broader psychosocial impact related to oral disorders are the central tasks for geriatric dentistry as they are for dentistry in general. The aim of the manuscript is to highlight the importance of patient-reported outcome measures in geriatric dentistry, addressing challenges and opportunities for their application.


Asunto(s)
Odontología Geriátrica , Calidad de Vida , Persona de Mediana Edad , Niño , Humanos , Anciano , Salud Bucal , Medición de Resultados Informados por el Paciente
5.
Gerodontology ; 40(2): 238-243, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35876153

RESUMEN

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.


Asunto(s)
Odontología Geriátrica , Facultades de Odontología , Humanos , Estados Unidos , Anciano , Odontología Geriátrica/educación , Educación en Odontología , Curriculum , Escolaridad , Encuestas y Cuestionarios
6.
Gerodontology ; 39(4): 348-353, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34580910

RESUMEN

BACKGROUND AND OBJECTIVE: In Canada, the COVID-19 pandemic was associated with significant morbidity and mortality in older adults, particularly those in long-term care (LTC). Access to oral health services was limited during the pandemic due to public health restrictions. The aim of this paper was to describe the impact of the pandemic on the clinical education and service of the University of British Columbia (UBC) Geriatric Dentistry Program (GDP), which provides care to LTC residents. METHODS: Data were collected from UBC GDP AxiUm dental software records, including number of dental appointments in 2019 and 2020. Data on revenue in 2019 and 2020 based on clinical production were collected through financial summary reports. Data on the number of educational rotations were collected from summary reports from scheduling software. RESULTS: In 2020, significant reductions in clinical service, revenue, and productivity were observed in the UBC GDP relative to 2019. The number of GDP appointments for June-December 2020 was lower by 68%. The clinical productivity reduced by 67% for the same period. Expenses were slightly reduced. The overall number of LTC clinical rotations for students were only slightly lower for undergraduate students in 2020 than in 2019, and it increased for graduate students. CONCLUSION: The COVID-19 pandemic and associated public health restrictions had a negative impact on the clinical service and productivity of the UBC GDP in 2020 relative to 2019. However, clinical educational rotations to LTC were slightly increased in 2020 relative to 2019. Dental care for LTC residents can be provided if rigorous administrative controls, engineering controls and personal protective equipment are employed.


Asunto(s)
COVID-19 , Odontología Geriátrica , Humanos , Anciano , Odontología Geriátrica/educación , COVID-19/epidemiología , Pandemias , Cuidados a Largo Plazo , Atención a la Salud , Colombia Británica/epidemiología
7.
Eur J Dent Educ ; 26(3): 523-538, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34826171

RESUMEN

INTRODUCTION: The study surveys the present state of undergraduate dental education in gerodontology in Germany and highlights changes between 2004 and 2019. MATERIALS AND METHODS: In 2019, questionnaires were emailed to the department heads of all German dental schools. Data were analysed descriptively and compared to existing data from 2004, 2009 and 2014. RESULTS: Thirty-nine (86.7%) out of forty-five responding department heads stated to teach aspects of gerodontology in traditional core subject lecture series. Overall, 15 (55.6%) out of 27 responding dental university schools are offering special education in gerodontology (dedicated lecture series and/or practical training). A stronger focus on non-dental topics has been observed over the years. DISCUSSION: The 15-year observation period in Germany shows that teaching gerodontology should be mandatory. There is a lack of specialists in gerodontology at the dental schools, although specialisation has been possible for many years in the German professional association. Students should be sure that, as in other subjects, they are well trained for the very heterogeneous patient group of seniors. The financial and personnel prerequisites for the universities need to be established. CONCLUSION: Inclusion of gerodontology in the national syllabus is a decisive factor for the integration of the subject into undergraduate courses. The recommendations of the European College of Gerodontology (2009) and of the German Association of Gerodontology (DGAZ) regarding didactical and practical teaching should be implemented in the respective compulsory syllabus to prepare current undergraduate dental students for the demographic challenges of tomorrow.


Asunto(s)
Educación en Odontología , Odontología Geriátrica , Curriculum , Odontología Geriátrica/educación , Alemania , Humanos , Estudiantes , Encuestas y Cuestionarios , Enseñanza
8.
Gerodontology ; 38(2): 174-178, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33169864

RESUMEN

OBJECTIVES: To evaluate the impacts of restrictions to the provision of dental services for dependent older patients due to the COVID-19 pandemic. METHODS: Data were gathered on the number of dependent older patients treated, emergency treatment provided and the revenues generated by a specialised clinic for geriatric dentistry during the current pandemic period and compared with the recorded clinical activity from the preceding year. Hypothetical projections were generated for the remainder of the current year based on the assumption that restrictions due to COVID-19 would remain. RESULTS: A significant decrease in the total number of dependent older patients treated was recorded during the periods of January-March 2020 (P = .026) and April-May 2020 (P = .001) when compared to 2019. According to projections, by December 2020 the clinic will be providing 81.14% less clinical activity compared to 2019 (P < .0001), including a complete cessation of domiciliary services. Despite decreases in expenditure, revenues generated by the clinic have decreased significantly due to reduced clinical activity during January-March 2020 (P = .268) and April-May 2020 (P = .010) compared to 2019, and would decline further by 899.61% by December 2020. CONCLUSIONS: The restrictions implemented to prevent the spread of COVID-19 have resulted in a significant reduction in oral healthcare provision for dependent older adults. Within this clinic, dedicated to dependent older adults, clinical activity is projected to reduce by 81% by the end of 2020 with associated reductions in revenue generation. Given the importance of oral healthcare delivery for this patient group, this may have significant and lasting impacts.


Asunto(s)
COVID-19 , Pandemias , Anciano , Atención a la Salud , Odontología Geriátrica , Humanos , SARS-CoV-2
9.
Gerodontology ; 37(4): 395-410, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32748444

RESUMEN

OBJECTIVE: This work aimed at describing mobile dental services provided by both the private sector and the universities in Switzerland to dependent elderly people. It also aimed at presenting the views of both sectors on the current status of these services. BACKGROUND: As people age and become more care-dependent, their oral health requirements increase, as access to dental care decreases. METHOD: A survey was sent to practitioners who potentially provided a mobile dental service (n = 253). Five interviews were conducted with six individuals who have a leading role in Geriatric dentistry in the four universities in Switzerland that provide dental training. RESULTS: The private sector provides a mobile dental service to the elderly mainly through the use of portable equipment, while university services are provided by different models. The interviewees discussed the reasons as to why these services were set up. They discussed the challenges associated with treating dependent elderly patients, which often makes work in this field hard and unattractive. Both sectors see the need for better collaboration with other professionals. CONCLUSION: The private sector in Switzerland provides a mobile dental service to elderly people mostly through the use of portable equipment, while university services are provided in a variable configuration of models. Better collaboration is required to improve dental care and service delivery to dependent elders. There is a potential for improvement of these services, in order to meet the demand of an ageing population, catering for both the institutionalised elders and those living at home.


Asunto(s)
Odontología Geriátrica , Salud Bucal , Anciano , Envejecimiento , Humanos , Suiza
10.
Gerodontology ; 37(2): 110-131, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32022304

RESUMEN

BACKGROUND: The current rise in the world's geriatric population has placed additional demands on dental professionals, as the management of geriatric patients requires distinct competencies. AIM: To review and perform a content analysis of the gerodontology undergraduate curriculum worldwide. DATA SOURCES: A search was carried out in PubMed, Web of Science, ERIC and EMBASE databases for the period-July 2008 till May 2019, using MeSH terms. A search for websites of Indian universities was also done, and undergraduate curricula were screened. STUDY ELIGIBILITY CRITERIA: The study included articles related to the undergraduate curriculum, which contained training in geriatric dentistry. Articles in foreign languages and those related to dental hygienists were excluded. RESULTS: A total of 218 articles were obtained, of which 19 met the inclusion criteria. A total of 301 colleges taught gerodontology. Amongst them, 50 colleges had a gerodontology department. Clinical training and outreach experience were provided in 175 and 73 colleges, respectively. There are no reports on the status of gerodontology in Asian countries (excluding Japan). In India, gerodontology is not taught as a separate subject. However, few gerodontology-related topics are covered in clinical subjects. CONCLUSIONS: There seems to be a wide variation in the content of gerodontology curriculum taught worldwide. Other than the European and American regions, gerodontology is yet to develop in other parts of the world. In India, a robust training programme is required to address the lack of dental care providers for the geriatric population using guidelines established by ECG and ADEA.


Asunto(s)
Educación en Odontología , Odontología Geriátrica , Anciano , Curriculum , Humanos , India , Japón , Estados Unidos
11.
BMC Oral Health ; 20(1): 185, 2020 07 02.
Artículo en Inglés | MEDLINE | ID: mdl-32615975

RESUMEN

BACKGROUND: It is unclear how many community-dwelling elderly (≥75 years) experience oral health problems (e.g. pain, dry mouth, chewing problems) and how they manage their dental care needs. This study aimed to assess self-reported oral health problems in elderly who are frail or have complex care needs, and their ability to organize dental care when reporting oral pain. METHODS: Three thousand five hundred thirty-three community-dwelling elderly participating in the "Embrace" project were asked to complete questionnaires regarding oral status and oral health problems. Frailty was assessed with the Groningen Frailty Indicator (GFI). Intermed for Elderly Self-Assessment (IM-E-SA) was used to determine complexity of care needs. Next, elderly who reported oral pain were interviewed about their oral pain complaints, their need for dental care, and their ability to organize and receive dental care. For statistical analyses Chi2-tests and the one-way ANOVA were used. RESULTS: One thousand six hundred twenty-two elderly (45.9%) completed the questionnaires. Dry mouth (11.7%) and oral pain (6.2%) were most frequently reported. Among the elderly reporting oral pain, most were registered at a local dentist and could go there when needed (84.3%). Robust elderly visited the dentist independently (87%), frail (55.6%) and complex (26.9%) elderly more often required assistance from caregivers. CONCLUSIONS: Dry mouth and oral pain are most reported oral health problems among community-dwelling elderly. Elderly with complex care needs report most oral health problems. In case an elderly seeks dental treatment to alleviate an oral pain complaint, most elderly in this study were able to organize dental care and transport to the dentist. Frail and complex elderly often need assistance from caregivers to visit the dentist. Therefore caretakers should keep in mind that when frailty progresses, visiting a dentist may become more and more difficult and the risk for poor oral health increases.


Asunto(s)
Cuidado Dental para Ancianos/estadística & datos numéricos , Atención Odontológica/estadística & datos numéricos , Salud Bucal , Anciano , Anciano de 80 o más Años , Estudios Transversales , Encuestas de Salud Bucal , Femenino , Anciano Frágil , Evaluación Geriátrica , Servicios de Salud para Ancianos , Humanos , Vida Independiente , Autoinforme
12.
J Oral Rehabil ; 46(1): 23-32, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30281826

RESUMEN

BACKGROUND: The number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self-care decreases and the risk of oral health problems and orofacial pain increases. OBJECTIVES: To examine and compare the presence of orofacial pain and its potential causes in older people with Mild Cognitive Impairment (MCI) or dementia. METHODS: In this cross-sectional observational study, the presence of orofacial pain and its potential causes was studied in 348 participants with MCI or dementia with all levels of cognitive impairment in two outpatient memory clinics and ten nursing homes. RESULTS: Orofacial pain was reported by 25.7% of the 179 participants who were considered to present a reliable pain self-report (Mini-Mental State Examination score ≥14 points), while it could not be determined in people with more severe cognitive impairment. The oral health examination of the 348 participants indicated that potential painful conditions, such as coronal caries, root caries, tooth root remnants or ulcers were present in 50.3%. There was a significant correlation between the level of cognitive impairment and the number of teeth, r = 0.185, P = 0.003, teeth with coronal caries, r = -0.238, P < 0.001, and the number of tooth root remnants, r = -0.229, P = 0.004, after adjusting for age. CONCLUSIONS: This study indicated that orofacial pain and its potential causes were frequently present in participants with MCI or dementia. Therefore, a regular oral examination by (oral) healthcare providers in people with MCI or dementia remains imperative, even if no pain is reported.


Asunto(s)
Disfunción Cognitiva/complicaciones , Demencia/complicaciones , Atención Dental para Enfermos Crónicos , Dolor Facial/etiología , Evaluación Geriátrica , Salud Bucal , Enfermedades Dentales/complicaciones , Anciano , Anciano de 80 o más Años , Estudios Transversales , Cuidado Dental para Ancianos , Caries Dental , Ingestión de Alimentos , Dolor Facial/diagnóstico , Dolor Facial/fisiopatología , Femenino , Humanos , Masculino , Casas de Salud , Enfermedades Dentales/diagnóstico , Enfermedades Dentales/fisiopatología
13.
Gerodontology ; 36(2): 180-187, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30821854

RESUMEN

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.


Asunto(s)
Curriculum , Odontología Geriátrica , Anciano , Anciano de 80 o más Años , Argentina , Brasil , Chile , Humanos , Estudiantes
14.
Br J Community Nurs ; 24(5): 233-235, 2019 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-31059299

RESUMEN

Good oral health is an essential part of ageing well. Good mouth care enables people to eat, speak and socialise without pain or embarrassment and contributes hugely to quality of life and general health. Community-dwelling older adults may find access to dental services difficult, and increasing co-morbidities can make self-care a challenge. Older adults are at increased risk of dental disease, and general health complications can make access to dental services and treatment planning difficult. Further, they may find lengthy dental procedures overwhelming. Therefore, there is a need to prevent the decline in oral health in order to maintain general health.


Asunto(s)
Cuidado Dental para Ancianos , Accesibilidad a los Servicios de Salud , Servicios de Salud para Ancianos , Anciano , Enfermería en Salud Comunitaria , Humanos , Medicina Estatal , Reino Unido
15.
Gerodontology ; 40(2): 147, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-37198103
16.
Gerodontology ; 35(1): 11-17, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29063645

RESUMEN

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.


Asunto(s)
Curriculum , Odontología Geriátrica/educación , Facultades de Odontología/estadística & datos numéricos , Curriculum/estadística & datos numéricos , Humanos , Encuestas y Cuestionarios , Estados Unidos
17.
Gerodontology ; 35(4): 290-304, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30129220

RESUMEN

OBJECTIVES: To examine the current knowledge on oral health status and dental care of older persons through a systematic mapping of systematic reviews of low or moderate risk of bias. BACKGROUND: Geriatric dentistry covers all aspects of oral health and oral care of older persons. Oral health is part of general health and contributes to a person's physical, psychological and social wellbeing. METHODS: A literature search was performed in three different databases (PubMed, The Cochrane Library and Cinahl) within 12 domains: Dental caries, periodontitis, Orofacial pain and temporomandibular joint (TMJ) pain, mucosal lesions, oral motor function, dry mouth, halitosis, interaction between oral status and other medical conditions, ability to interrelate and communicate, quality of life, ethics and organisation of dental care for older persons. Systematic reviews were identified and scrutinised, highlighting scientific knowledge and knowledge gaps. RESULTS: We included 32 systematic reviews of which 14 were judged to be of low/moderate risk of bias. Most of the domains lack systematic reviews with low or moderate risk of bias. In two of the domains evidence was identified; in institutionalised people aged 65 or older, effective oral hygiene can prevent pneumonia. Furthermore, there is an evidence of a relationship between malnutrition (protein energy-related malnutrition, PEM) and poor appetite and edentulousness. CONCLUSIONS: There is an urgent need for further research and evidence-based knowledge within most domains in geriatric dentistry and in other fields related to oral health and dental care for older persons striving for multi-disciplinary research programmes.


Asunto(s)
Cuidado Dental para Ancianos , Odontología Geriátrica , Salud Bucal , Anciano , Humanos , Higiene Bucal , Revisiones Sistemáticas como Asunto
18.
Gerodontology ; 35(4): 317-324, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29882364

RESUMEN

BACKGROUND: There is growing international interest in identifying the effects of ageing on oral health and on appropriate strategies for managing oral disorders. The Japanese Society of Gerodontology (JSG), as the official representative of researchers and clinicians interested in geriatric dentistry in Japan, makes several recommendations on the concept of "oral hypofunction." AIMS: This study proposes diagnostic criteria and management strategies to reduce the risk of oral hypofunction among older people. CONCEPTUAL FRAMEWORK: We define oral hypofunction as a presentation of 7 oral signs or symptoms: oral uncleanness; oral dryness; decline in occlusal force; decline in motor function of tongue and lips; decline in tongue pressure; decline in chewing function; and decline in swallowing function. The criteria of each symptom were determined based on the data of previous studies, and oral hypofunction was diagnosed if the criteria for 3 or more signs or symptoms were met. CONCLUSIONS: We recommend that more evidence should be gathered from clinical studies and trials to clarify our diagnostic criteria and management strategies.


Asunto(s)
Cuidado Dental para Ancianos , Odontología Geriátrica , Salud Bucal , Anciano , Fuerza de la Mordida , Trastornos de Deglución/diagnóstico , Humanos , Japón , Masticación , Higiene Bucal , Sociedades Odontológicas , Xerostomía/diagnóstico
19.
BMC Oral Health ; 18(1): 61, 2018 04 06.
Artículo en Inglés | MEDLINE | ID: mdl-29625597

RESUMEN

BACKGROUND: Across the European Union costs for the treatment of oral disease is expected to rise to €93 Billion by 2020 and be higher than those for stroke and dementia combined. A significant proportion of these costs will relate to the provision of care for older people. Dental caries severity and experience is now a major public health issue in older people and periodontal disease disproportionately affects older adults. Poor oral health impacts on older people's quality of life, their self-esteem, general health and diet. Oral health care service provision for older people is often unavailable or poor, as is the standard of knowledge amongst formal and informal carers. The aim of this discussion paper is to explore some of the approaches that could be taken to improve the level of co-production in the design of healthcare services for older people. MAIN TEXT: People's emotional and practical response to challenges in health and well-being and the responsiveness of systems to their needs is crucial to improve the quality of service provision. This is a particularly important aspect of care for older people as felt, expressed and normative needs may be fundamentally different and vary as they become increasingly dependent. Co-production shifts the design process away from the traditional 'top-down' medical model, where needs assessments are undertaken by someone external to a community and strategies are devised that encourage these communities to become passive recipients of services. Instead, an inductive paradigm of partnership working and shared leadership is actively encouraged to set priorities and ultimately helps improve the translational gap between research, health policy and health-service provision. DISCUSSION: The four methodological approaches discussed in this paper (Priority Setting Partnerships, Discrete Choice Experiments, Core Outcome Sets and Experience Based Co-Design) represent an approach that seeks to better engage with older people and ensure an inductive, co-produced process to the research and design of healthcare services of the future. These methods facilitate partnerships between researchers, healthcare professionals and patients to produce more responsive and appropriate public services for older people.


Asunto(s)
Cuidado Dental para Ancianos/métodos , Prioridad del Paciente , Anciano , Cuidado Dental para Ancianos/organización & administración , Prioridades en Salud , Servicios de Salud para Ancianos/organización & administración , Humanos , Evaluación de Necesidades , Países Bajos , Prioridad del Paciente/psicología , Reino Unido
20.
Eur J Dent Educ ; 22(3): e303-e311, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-29148145

RESUMEN

PURPOSE/OBJECTIVES: In view of the demographic shift, undergraduate dental students should be prepared for growing numbers of older people and their specific needs. The study examines changes in undergraduate dental teaching in Austria, Germany and Switzerland between 2004 and 2014. METHODS: Questionnaires were mailed in 2004, 2009 and 2014 to all deans and all department heads of Austrian (n = 4), German (n = 30) and Swiss (n = 4) dental schools. RESULTS: Response rates were 51% for deans and 47% for heads of department. Gerodontology was taught in 5 German universities, all 3 Swiss and 1 Austrian dental school. Aspects of gerodontology were included in traditional core subjects; however, in a large number of German (88%) and Austrian (50%) universities, dedicated lecture series and seminars are lacking. Changes over time indicate firmly established teaching in Switzerland, minor fluctuations in Austria and reduced dedicated teaching activities in Germany. CONCLUSIONS: Inclusion of gerodontology in the national syllabus is a decisive factor for the integration of the subject into undergraduate courses. The recommendations of the European College of Gerodontology (2009) regarding didactical and practical teaching should be implemented in the respective compulsory syllabus to prepare current undergraduate dental students for the challenges of tomorrow.


Asunto(s)
Curriculum , Educación en Odontología/estadística & datos numéricos , Odontología Geriátrica/educación , Austria , Alemania , Facultades de Odontología , Encuestas y Cuestionarios , Suiza
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