Gerodontology[JOURNAL]
Sun
200 papers
The Development and Validation of the Partial Denture Experience Questionnaire (P-DEQ): Reliability and Validity.
Gibson BJ, Martin N, El-Dhuwaib B … +4 more , McKenna G, Clifford S, Lomax A, Baker SR
Gerodontology · 2026 Mar · PMID 41787633 · Publisher ↗
INTRODUCTION: This paper describes the development and preliminary validation of the Partial Denture Experience Questionnaire (P-DEQ), a new, condition-specific instrument designed to measure the multifaceted impacts of...
INTRODUCTION: This paper describes the development and preliminary validation of the Partial Denture Experience Questionnaire (P-DEQ), a new, condition-specific instrument designed to measure the multifaceted impacts of living with removable dentures. METHODS: The P-DEQ was developed using a multi-phase, mixed-methods design. Item generation was informed by qualitative interviews (n = 20) with denture wearers in the UK and guided by the World Health Organisation's International Classification of Functioning, Disability and Health (ICF) framework. A 34-item scale, with five core sub-scales (Body Function, Emotional Function, Daily Abilities, Social Impacts and Participation Restrictions) and a separate 'My Denture' sub-scale, was tested in a cross-sectional study with online panels from the UK (n-224) and US (n-224). Reliability, item-total correlations, item impacts and sub-scale correlations were assessed. RESULTS: The P-DEQ sub-scales demonstrated good to excellent reliability (Cronbach's α = 0.71-0.88) across both samples. Sub-scale-to-total score correlations were high and significant, with the Emotional Function (r = 0.92) and Social Participation (r = 0.92) sub-scales showing particularly strong relationships in the UK sample. Most item-total correlations exceeded the 0.4 threshold, supporting the instrument's underlying coherence. Item impact scores varied widely; items concerning psychosocial worries (e.g., the denture breaking) and functional limitations (e.g., avoiding certain foods) registered the highest impact. In contrast, items reflecting potential benefits of the denture, such as improved appearance, had lower impact scores. Furthermore, the 'My Denture' sub-scale, measuring personal appraisal of the prosthesis, was significantly correlated with the total P-DEQ score (r = -0.50 UK; r = -0.55 US), indicating that a more favourable personal evaluation of a denture was associated with fewer negative impacts. CONCLUSIONS: The P-DEQ demonstrates promising reliability and content validity for assessing the complex experience of living with a removable denture. The instrument is sensitive to the nuanced, often ambivalent, emotional states of wearers. Whilst this initial validation is based on cross-sectional data, longitudinal testing is required for item reduction and to fully establish the P-DEQ as a robust measure that can detect change over time.
Masticatory Efficiency and Quality of Life in Maxillectomized Older Adults Rehabilitated With Obturator Prostheses.
Soares DS, Vieira-Silva IF, de Arruda JAA … +4 more , Corrêa RO, Moreira AN, Dos Santos EG, Moreno A
Gerodontology · 2026 Feb · PMID 41741146 · Publisher ↗
OBJECTIVE: This study evaluated muscle electrical activity, bite force, quality of life, and satisfaction in individuals with maxillectomy rehabilitated with complete obturator prostheses (COP). BACKGROUND: Most patients...
OBJECTIVE: This study evaluated muscle electrical activity, bite force, quality of life, and satisfaction in individuals with maxillectomy rehabilitated with complete obturator prostheses (COP). BACKGROUND: Most patients undergoing maxillectomy and rehabilitated with COP experience masticatory and functional limitations. MATERIALS AND METHODS: This pre-post interventional study included 11 individuals (mean age: 64 years) who had undergone maxillectomy and were rehabilitated with COP designed to prosthetically restore the palate and improve oropharyngeal function. Electromyography, mouth opening angle, and bite force were assessed at 60, 120, and 180 days after COP installation. The University of Washington Quality of Life (UWQOL) questionnaire and the Obturator Functional Scale (OFS) were administered at baseline and at the same follow-up intervals. Electromyography of facial muscles was performed at rest and during mastication of hard and soft foods. Maximum bite force was recorded at the central incisors and first molars. Data were analysed descriptively and analytically. RESULTS: Bite force values increased significantly over the 180-day period, while muscle electrical activity remained stable throughout COP wear. The appearance, swallowing, speech, and chewing domains significantly influenced COP performance. The OFS indicated improvements in liquid swallowing, reduction of nasal speech, and greater voice clarity in public settings. Most significant changes were accompanied by moderate to large effect sizes, supporting their practical relevance. CONCLUSION: COP effectively improved patients' quality of life and functional outcomes following maxillectomy.
Cultural Adaptation and Validation of the Oral Frailty Index-8 for Turkish Older Adults.
Kayhan Kocak FO, Sözen Gencer N, Çavdar S
Gerodontology · 2026 Feb · PMID 41738145 · Publisher ↗
INTRODUCTION: Oral frailty, a multidimensional decline in oral function involving chewing, swallowing, and oral behaviours, is a recognised precursor of dysphagia, malnutrition, and physical frailty. The Oral Frailty Ind...
INTRODUCTION: Oral frailty, a multidimensional decline in oral function involving chewing, swallowing, and oral behaviours, is a recognised precursor of dysphagia, malnutrition, and physical frailty. The Oral Frailty Index-8 (OFI-8) is a brief self-report screening tool for assessing oral frailty. This study's aim is to adapt the OFI-8 into Turkish (OFI-8-TR) and evaluate its psychometric properties among older adults. METHODS: A cross-sectional study was conducted in 341 adults aged ≥ 65 years attending a geriatrics outpatient clinic. Internal consistency (KR-20), test-retest reliability (ICC), and construct validity (convergent, known-groups, and confirmatory factor analyses) were evaluated. Comparator measures included the FRAIL (Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight) scale, Clinical Frailty Scale (CFS), Eating Assessment Tool-10 (EAT-10), Functional Oral Intake Scale (FOIS), and Mini Nutritional Assessment-Short Form (MNA-SF). RESULTS: The OFI-8-TR showed acceptable internal consistency (KR-20 = 0.62) and excellent test-retest reliability (ICC = 0.898). Confirmatory factor analysis supported a one-factor model (Comparative Fit Index (CFI) = 0.93, Goodness-of-Fit Index (GFI) = 0.95, adjusted Goodness-of-Fit Index (AGFI) = 0.91). Convergent validity was confirmed through strong correlations with the EAT-10 (r = 0.63) and FOIS (r = -0.62), and moderate correlations with FRAIL, CFS, and MNA-SF in the expected directions. Known-groups validity showed significantly higher scores among participants with malnutrition or risk of malnutrition. CONCLUSIONS: The OFI-8-TR is a valid and reliable instrument for assessing oral frailty and identifying swallowing-related and nutritional vulnerability in older adults. Its brevity and multidimensional structure make it a practical screening tool for routine geriatric assessments to support early identification of swallowing- and nutrition-related vulnerability.
Using the Intervention Mapping Protocol to Design an Oral Health Promotion Intervention for Frail Home-Dwelling Older Persons in Belgium.
Baele E, Hoste N, Vleeschauwer A … +4 more , Mertens F, Pype P, Janssens B, Poppe L
Gerodontology · 2026 Feb · PMID 41725528 · Publisher ↗
OBJECTIVE: To present an overview of the development process of an evidence- and theory-based multi-level oral health promotion intervention targeting frail, home-dwelling older persons. BACKGROUND: Good oral health is v...
OBJECTIVE: To present an overview of the development process of an evidence- and theory-based multi-level oral health promotion intervention targeting frail, home-dwelling older persons. BACKGROUND: Good oral health is vital for healthy ageing, but frail, home-dwelling older persons are disproportionately affected by poor oral health. Multi-level evidence- and theory-based approaches to target frail, home-dwelling older persons and increase access to dental care are recommended. MATERIALS AND METHODS: This oral health promotion programme for frail, home-dwelling older persons was developed using the six-step, theory- and evidence-based Intervention Mapping protocol. It was guided by a literature review and exploratory research involving frail, home-dwelling older persons, informal caregivers, oral health professionals, general practitioners and pharmacists. The sixth step, the evaluation plan, was further informed by the Medical Research Council framework guidelines. RESULTS: Applying the six-step Intervention Mapping protocol resulted in a needs assessment to gain a general understanding of the problem (Step 1), setting programme goals (Steps 1 and 2) and creating matrices of change objectives (Step 2). Theoretical methods were chosen and turned into practical applications (Step 3), leading to programme components (Step 4) for frail, home-dwelling older persons, informal caregivers, general practitioners, pharmacists and oral health professionals. An implementation (Step 5) and evaluation plan (Step 6) were also developed. CONCLUSION: After pilot testing, a feasibility study will refine the design before a larger effectiveness assessment. Future developers can use our detailed example to create a theory- and evidence-based intervention programme targeting oral health.
Xerostomia and Oral Health-Related Quality of Life in Chilean Older Adults Living in Long-Term Care Facilities.
Rodríguez-Oria F, Bravo Riveros F, Barrios Neira P … +5 more , Letelier Albornoz MI, Achondo Laage B, Riffo Acuña T, Celis Sersen A, Ortuño Borroto D
Gerodontology · 2026 Feb · PMID 41725034 · Publisher ↗
BACKGROUND: Xerostomia, or the subjective sensation of dry mouth, is highly prevalent among older adults, particularly those living in long-term care facilities (LTCFs). This condition can impair essential oral functions...
BACKGROUND: Xerostomia, or the subjective sensation of dry mouth, is highly prevalent among older adults, particularly those living in long-term care facilities (LTCFs). This condition can impair essential oral functions such as chewing, swallowing and speaking, and has been consistently associated with reduced oral health-related quality of life (OHRQoL). Despite its clinical relevance, no previous studies have evaluated the impact of xerostomia on OHRQoL in Chilean older adults living in LTCFs-a population characterized by high levels of frailty, polypharmacy and poor oral health. OBJECTIVE: To describe the association between xerostomia and oral health-related quality of life among older adults living in LTCFs in Chile. MATERIALS AND METHODS: We conducted a cross-sectional study in 11 LTCFs in Santiago, Chile, including 102 adults aged 60 and over. Xerostomia was assessed using the Spanish version of the Xerostomia Inventory (XI) and OHRQoL was measured using the validated OHIP-14Sp questionnaire. Clinical oral health status was evaluated following WHO criteria, including DMFT index, prosthesis use and occlusal support (Eichner Index). Linear regression and negative binomial models were used to assess the association between xerostomia and OHRQoL, adjusting for potential confounders. RESULTS: Xerostomia was reported by 55.9% of participants and was significantly more common in women than in men (70% vs. 38%, p = 0.043). Participants with xerostomia had higher OHIP-14 scores (median: 9 vs. 2; p < 0.0001), and a strong positive correlation was observed between XI and OHIP-14 scores (slope = 0.44; R = 0.327). In adjusted negative binomial regression models, greater xerostomia severity was associated with worse oral health-related quality of life, with higher Xerostomia Inventory scores associated with increased OHIP-14 scores (IRR = 1.05; 95% CI: 1.03-1.08). CONCLUSION: Xerostomia was highly prevalent among older adults living in urban LTCFs and associated with impaired OHRQoL. These findings underscore the need for systematic screening, prevention and management strategies for xerostomia in LTCFs to improve the well-being of this vulnerable population.
Oral Frailty and Social Frailty Among Older Japanese.
Susanti I, Abbas H, Takeuchi K … +2 more , Aida J, Osaka K
Gerodontology · 2026 Jun · PMID 41700826 · Full text
OBJECTIVE: To examine the association between oral frailty (OF) and social frailty (SF) among independent community-dwelling older adults in Japan. METHODS: A cross-sectional study was conducted using data from the 2022...
OBJECTIVE: To examine the association between oral frailty (OF) and social frailty (SF) among independent community-dwelling older adults in Japan. METHODS: A cross-sectional study was conducted using data from the 2022 wave of the Japan Gerontological Evaluation Study (JAGES) including 19,319 functionally independent older adults aged ≥ 65 years. Oral frailty was used as an exposure variable in four ways: (1) a categorical variable (robust = 0, pre-frail = 1, frail ≥ 2), (2) count score (sum of 5 OF components), (3) individual OF components and (4) a combined variable for the four oral functions. SF was measured using the 5-item index (SF-5; robust = 0, pre-frail = 1, frail ≥ 2). Missing data were handled via multiple imputation. Ordered logistic regression models were used after adjusting for sociodemographic and health-related covariates. RESULTS: Participants were 48.4% males and aged 65-104 years. SF prevalence was 28.3% (n = 5466). In the adjusted models, oral frail individuals had higher odds of being socially frail (OR 1.35; 95% CI 1.26-1.45) than the robust group and the highest oral frailty score (score 5) showed the highest odds (OR 2.53; 95% CI 1.50-4.27) for SF. In addition, among OF components, dry mouth had the strongest association (OR 1.29; 95% CI 1.20-1.38), and those with four diminished oral functions were more likely to be socially frail (OR 2.42; 95% CI 1.53-3.82). Overall, a clear gradient-like pattern was observed with more oral frailty linked to higher odds of social frailty. CONCLUSION: OF and its components were associated with SF among older adults in Japan. These findings might suggest the need for integrated screening and preventive strategies to mitigate social vulnerability linked to oral functional decline.
Patients' Experiences With Complete Tooth Loss and Conventional Complete Dentures Use: A Phenomenological Study.
Abdulkader E, Hovey R
Gerodontology · 2026 Jun · PMID 41689377 · Full text
OBJECTIVE: To explore the in-depth experiences of individuals who have lived with edentulism and have long-term experience with conventional complete dentures. BACKGROUND: With the global rise in ageing populations, comp...
OBJECTIVE: To explore the in-depth experiences of individuals who have lived with edentulism and have long-term experience with conventional complete dentures. BACKGROUND: With the global rise in ageing populations, complete tooth loss (edentulism) and the subsequent use of dental prostheses have become increasingly common. Understanding the lived experiences of edentulous patients treated with conventional dentures is essential for dental professionals to provide personalised and empathetic care. METHODS: This qualitative study employed an interpretive phenomenological analysis (IPA) approach. Completely edentulous participants with long-term experience of using conventional complete dentures were recruited. Data were collected through semi-structured, face-to-face interviews that were audio-recorded and transcribed verbatim. Thematic analysis was used to identify key patterns and meanings across the participants' narratives. RESULTS: Twelve participants expressed varied emotional and functional responses to edentulism. Some attributed their tooth loss to dental professionals, whereas others held themselves or their families responsible. Edentulism significantly affected oral function and social engagement. While several participants developed coping strategies to address the discomfort and limitations of conventional dentures, others perceived the dentures as beneficial, citing enhanced self-image and improved chewing ability. Two main themes emerged: the long experience of tooth loss and experience of conventional complete dentures. CONCLUSION: This study contributes important insights for completely edentulous patients, conventional denture wearers and oral health practitioners into the complex emotional and functional dimensions of edentulism and denture use. The findings emphasise the value of patient-centred care approaches that account for individual coping strategies, personal narratives and long-term experiences with prosthetic rehabilitation.
A Qualitative Evidence Synthesis to Explore Relationship-Centred Dental Care for Older People Living in Care Homes.
Pritchett R, Exley C, Carroll C … +1 more , Wassall RR
Gerodontology · 2026 Feb · PMID 41630511 · Publisher ↗
BACKGROUND: Patient groups and policymakers are calling for the implementation of relationship-centred, co-ordinated care for vulnerable older people. Relationship-centred care highlights the significance of strong, qual...
BACKGROUND: Patient groups and policymakers are calling for the implementation of relationship-centred, co-ordinated care for vulnerable older people. Relationship-centred care highlights the significance of strong, quality relationships among residents, their families and the broader healthcare team. The present work performed a qualitative evidence synthesis to explore issues relating to the provision of relationship-centred dental care for older people living in care homes, as perceived by care home staff, dental professionals, family and residents. This builds on the existing evidence base and outlines areas for improvement of dental care provision within residential care homes. METHODS: A 'best fit' framework synthesis of primary research was used to understand how and why current dental care might or might not be relationship-centred. A palliative healthcare-focused conceptual framework for relationship-centred care was used as the basis for the synthesis. The review focuses on qualitative primary research studies exploring dental care for care-home residents. RESULTS: Of 235 unique citations, fifteen qualitative primary research papers were included. The synthesis identified supporting evidence for all five of the broad a priori themes from the relationship-centred care coding framework: Relationship-centred care, Integration within the wider health and social care systems, Digital inclusion, Workforce support and Parity of esteem. Relationships between themes were articulated. CONCLUSIONS: This 'best-fit' framework synthesis found that care home staff identified numerous barriers to providing relationship-centred dental care for older residents. Dentists, families and residents were underrepresented, highlighting the need for further research into their perspectives. By acknowledging the complexity of dental care and addressing issues such as integration, workforce support, digital services and parity of esteem, the synthesis suggests that applying organisational change research may help improve oral health outcomes in care homes.
Potential Applications of Nano Silver Fluoride in the Prevention of Dental Caries in Older Adults: A Scoping Review.
Pico JA, Manich VG, Agudo RC … +2 more , Marqués GJ, Olmos B
Gerodontology · 2026 Feb · PMID 41630510 · Publisher ↗
BACKGROUND: Dental caries remains highly prevalent in older adults and represents a growing public health concern due to increased tooth retention, polypharmacy, hyposalivation and functional limitations. Silver diamine...
BACKGROUND: Dental caries remains highly prevalent in older adults and represents a growing public health concern due to increased tooth retention, polypharmacy, hyposalivation and functional limitations. Silver diamine fluoride (SDF) is widely used for caries arrest in this population but causes undesirable tooth staining. Nano Silver Fluoride (NSF) has emerged as a potential alternative, combining antimicrobial and remineralizing properties with improved aesthetics. However, its applicability in geriatric dentistry remains unclear. OBJECTIVE: This scoping review aimed to identify and map existing evidence on the use of Nano Silver Fluoride for the prevention or management of dental caries in older adults. METHODS: The review followed the PRISMA-ScR guidelines framework. A systematic search was conducted in PubMed, Scopus, Web of Science, Cochrane Library, and SciELO for articles published between January 2020 and December 2024. Studies were eligible if they involved human participants aged ≥ 60 years, evaluated NSF for caries prevention or treatment and were published in English, Spanish or Portuguese. In vitro studies, animal models, case reports, reviews, and studies on children or young adults only were excluded. RESULTS: A total of 157 records were identified; 14 full-text articles were assessed. None met the inclusion criteria, as all clinical studies involving NSF were conducted in paediatric or young adult populations, lacked older adult participants, or were laboratory-based. No clinical trials, observational studies, or reviews evaluating NSF in older adults were found. DISCUSSION: This scoping review reveals a complete absence of clinical evidence regarding the use of Nano Silver Fluoride in adults aged 60 years or older. Although NSF has shown promising results in younger populations and is chemically related to SDF, its effectiveness and safety in geriatric dentistry remain unknown. High-quality clinical studies in older adults are urgently needed.
Subject: Comment on 'Effect of Oral Screen Training After Stroke-A Randomised Controlled Trial' by Dalum et al. (2025), DOI: 10.1111/ger.12803.
Hägg M
Gerodontology · 2026 Jun · PMID 41589388 · Publisher ↗
Abstract loading — click title to view on PubMed.
Age Differences in Oral Function and Unmet Dental Care Among Korean Adults.
Son EG
Gerodontology · 2026 Jun · PMID 41574455 · Publisher ↗
BACKGROUND: Unmet dental care is a key indicator of oral health inequality and is associated with oral functional decline and frailty in later life. Because oral function may influence dental care utilisation across age...
BACKGROUND: Unmet dental care is a key indicator of oral health inequality and is associated with oral functional decline and frailty in later life. Because oral function may influence dental care utilisation across age groups, age-stratified evaluation is warranted. This study examined age-specific factors associated with unmet dental care among Korean adults. METHODS: This cross-sectional study analysed pooled data from the 2022 and 2024 Korean Community Health Surveys (n = 463,513). Participants aged ≥ 40 years were stratified into ≤ 64 and ≥ 65 age groups. Unmet dental care was defined as self-reported inability to receive needed dental treatment in the past year. Survey-weighted Poisson regression was used to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs). RESULTS: The prevalence of unmet dental care was 16.1% (95% CI: 15.8-16.4) among adults aged ≤ 64 years and 14.6% (95% CI: 14.1-15.1) among those aged ≥ 65 years. Following these prevalence estimates, age-specific associations were identified. Among adults aged ≤ 64 years, higher education and economic activity were associated with a higher prevalence of unmet dental care, whereas physical activity and toothbrushing after lunch were associated with a lower prevalence. Among adults aged ≥ 65 years, female sex and toothbrushing after lunch were associated with a lower prevalence, while living with a spouse was associated with a higher prevalence. Poor subjective oral health and chewing difficulty were associated with unmet dental care in both age groups. A significant interaction between subjective oral health status and chewing difficulty was observed only in the ≤ 64 age group. CONCLUSION: Determinants of unmet dental care differ by age group, underscoring the need for age-tailored oral health strategies that incorporate oral functional assessment into community-based care.
Parkinson's Disease and Salivary Issues: A Survey.
van Dijk BDM, Verhoeff MC, van der Aa N … +1 more , Lobbezoo F
Gerodontology · 2026 Jun · PMID 41546443 · Full text
BACKGROUND: Salivary dysfunction, including xerostomia and drooling, is common in Parkinson's disease and further impairs oral health and quality of life, which are already compromised in this population. Their effective...
BACKGROUND: Salivary dysfunction, including xerostomia and drooling, is common in Parkinson's disease and further impairs oral health and quality of life, which are already compromised in this population. Their effective management demands deeper insight into the complexity of salivary dysfunction. OBJECTIVE: To examine the occurrence and associations of xerostomia and drooling complaints in individuals with Parkinson's disease. METHODS: 111 individuals with Parkinson's disease (69.9 ± 7.7 years; 46.8% female) participated in an online survey. The questionnaire used validated scales (e.g., Xerostomia Inventory) and original questions. After descriptive analyses, multiple linear regression analyses identified factors (e.g., severity of motor impairment) associated with severity of xerostomia and drooling. RESULTS: Xerostomia (64.9%) and drooling (27.0%) were common, with 18.0% of the individuals experiencing both concurrently. Xerostomia was associated with the presence of jaw symptoms (B = 4.63; 95% CI 1.86-7.40), chewing gum usage (B = 1.27; 95% CI 0.52-2.02), swallowing difficulties (B = 0.41; 95% CI 0.04-0.78) and taste alterations (B = 0.15; 95% CI 0.00-0.30). Drooling was associated with the severity of motor impairment (B = 0.40; 95% CI 0.18-0.60) and with swallowing difficulties (B = 0.64; 95% CI 0.14-1.15). CONCLUSIONS: Xerostomia and drooling complaints frequently co-occur in individuals with Parkinson's disease. To prevent further deterioration of the oral health-related quality of life, a comprehensive evaluation of the underlying aetiology of salivary issues in people with Parkinson's disease is crucial to assist in determining suitable treatment.
The Impact of Periodontitis on Oral Health Outcomes in Older Adults: A Systematic Review.
Winning L, Bertl K, Polyzois I … +4 more , Van der Waal Y, Kahatab R, Harrison P, McKenna G
Gerodontology · 2026 Jan · PMID 41542786 · Publisher ↗
OBJECTIVE: To systematically review the impact of periodontitis on clinical oral health outcomes and oral health-related quality of life (OHRQoL) in older adults (≥ 60 years). BACKGROUND: Global evidence shows that sever...
OBJECTIVE: To systematically review the impact of periodontitis on clinical oral health outcomes and oral health-related quality of life (OHRQoL) in older adults (≥ 60 years). BACKGROUND: Global evidence shows that severe periodontitis prevalence peaks in the 60s, yet how periodontitis relates specifically to oral health outcomes in older adults has not been comprehensively synthesised. Prior reviews in mixed-age populations demonstrate strong links with tooth loss but less consistent associations with OHRQoL. METHODS: This systematic review followed PRISMA guidelines and was registered on PROSPERO (CRD420251010568). Searches of PubMed, MEDLINE, Embase, Scopus, and Cochrane Library (to May 2025) identified studies of adults ≥ 60 years with periodontitis reporting oral health outcomes or OHRQoL. Two reviewers independently screened studies, extracted data, and assessed risk of bias. RESULTS: Forty-three studies met inclusion criteria: 18 longitudinal studies on clinical outcomes and 25 cross-sectional studies on OHRQoL. Clinical studies consistently demonstrated that deeper baseline periodontal pockets, greater clinical attachment loss, and higher CPI/CPITN scores predicted adverse outcomes over 18 months to 12 years follow-up, including tooth loss, further attachment loss, and functional decline. OHRQoL studies showed inconsistent findings, with roughly equal numbers reporting significant associations versus no relationship. CONCLUSIONS: In adults ≥ 60 years, periodontitis consistently predicts tooth loss and continued periodontal breakdown, whereas OHRQoL associations are inconsistent and appear mediated primarily through downstream consequences such as tooth loss and functional impairment, though direct effects may occur in advanced disease. These findings emphasise the importance of periodontal prevention and management in older adults.
Effective Treatment With Olanzapine for Burning Mouth Syndrome With Denture Intolerance in an Older Patient: A Case Report.
Watanabe M, Inokoshi M, Maeda C … +5 more , Takao C, Tominaga R, Kimura Y, Nagamine T, Toyofuku A
Gerodontology · 2026 Jun · PMID 41531393 · Full text
INTRODUCTION: Burning mouth syndrome (BMS) is occasionally accompanied by denture intolerance. CASE PRESENTATION: An 80-year-old woman with complaints of residual and relapsed intraoral pain and denture intolerance due t...
INTRODUCTION: Burning mouth syndrome (BMS) is occasionally accompanied by denture intolerance. CASE PRESENTATION: An 80-year-old woman with complaints of residual and relapsed intraoral pain and denture intolerance due to BMS was improved by olanzapine without severe adverse events, and her eating ability was successfully restored. CONCLUSION: This case suggests that olanzapine may be an optional treatment for denture intolerance as well as BMS pain in older adult patients.
A Cross-Sectional Survey on Preparedness for Geriatric Dentistry: Knowledge, Attitudes, Practices and Barriers Among Dental Practitioners in Malaysia.
Senin NAH, Radzi NAM, Anwar DS
Gerodontology · 2026 Jan · PMID 41531386 · Publisher ↗
BACKGROUND: As populations age globally, effective geriatric oral health interventions require a workforce equipped with the necessary knowledge, attitudes and skills. In Malaysia, geriatric dentistry is not yet a recogn...
BACKGROUND: As populations age globally, effective geriatric oral health interventions require a workforce equipped with the necessary knowledge, attitudes and skills. In Malaysia, geriatric dentistry is not yet a recognised speciality and training opportunities remain limited within undergraduate curricula and continuing professional development. OBJECTIVES: To assess the knowledge, attitudes, practices (KAP) and perceived barriers of dental practitioners in providing care for older adults, as baseline evidence for developing educational interventions. METHODS: A cross-sectional survey was conducted among 260 dental practitioners from the Ministry of Health in Selangor, Malaysia. A validated self-administered questionnaire assessed knowledge, attitudes, practices and barriers across domains such as treatment complexity, polypharmacy, functional status and time demands. Preparedness was defined as the combined score of the KAP domains. Descriptive and inferential analyses, including modified Poisson regression, were conducted. RESULTS: Respondents were mainly female (91.2%) and over half were aged 32 or older (51.9%). Most practitioners demonstrated good knowledge (96.2%), while attitudes were moderate (68.1%). The mean barrier score was 3.8 (±0.4), with the most frequently reported obstacles being disease complexity, polypharmacy and functional limitations of older adults. Modified Poisson regression revealed that higher knowledge (PR = 3.68, p < 0.05) was significantly associated with greater recognition of barriers, suggesting heightened awareness but not necessarily preparedness. CONCLUSION: Despite strong knowledge levels, moderate attitudes and recognition of significant barriers, this highlights the urgent need for structured educational interventions in geriatric dentistry. Integrating geriatric-focused modules into undergraduate curricula, expanding continuing professional development and fostering interprofessional learning are critical to preparing a competent workforce for ageing populations.
Romanticising the Last Tooth: Symbolism and Strategy in Prosthodontics.
Wimalarathna A
Gerodontology · 2026 Jan · PMID 41527411 · Publisher ↗
BACKGROUND: The final remaining tooth in an otherwise edentulous mouth embodies a unique intersection of biology, psychology, and identity. Beyond its limited functional role, it serves as a powerful symbol of continuity...
BACKGROUND: The final remaining tooth in an otherwise edentulous mouth embodies a unique intersection of biology, psychology, and identity. Beyond its limited functional role, it serves as a powerful symbol of continuity and selfhood, making its extraction an emotionally charged event for many patients. OBJECTIVE: This narrative review explores the concept of 'Romanticising the Last Tooth', emphasising its psychosocial and clinical significance within geriatric and prosthodontic practice. METHODS: The discussion integrates evidence on emotional attachment, bone preservation, proprioception, and overdenture strategies to illustrate how the final tooth can influence both treatment planning and patient adaptation. RESULTS: Ethical dilemmas surrounding tooth retention and patient autonomy are examined, highlighting the need for empathy driven, shared decision making to guide clinicians. Recent literature emphasises advances in implant-supported rehabilitation, digital workflows, and biomaterials in full-arch prosthetic management, which can influence decisions regarding the last tooth. CONCLUSIONS: The R.O.M.A.N.T.I.C. framework (Retain Or Move Ahead: Navigating the Tooth In Context) is introduced, offering structured parameters for deciding whether to preserve or extract the last tooth. This approach underscores a broader vision of prosthodontics one that harmonises technical precision with human understanding to restore not only function but dignity and confidence in the ageing patient.
Bibliometric Analysis of Research Trends and Knowledge Structure in Oral Frailty.
Li B, Wang H, Song C … +2 more , Liu L, Zhou J
Gerodontology · 2026 Jan · PMID 41496527 · Publisher ↗
OBJECTIVE: This study aimed to construct a knowledge map of oral frailty research to visualise current research status and hotspots, thereby facilitating further advances and innovations in this field. METHODS: We retrie...
OBJECTIVE: This study aimed to construct a knowledge map of oral frailty research to visualise current research status and hotspots, thereby facilitating further advances and innovations in this field. METHODS: We retrieved relevant literature published between January 1, 2010 and January 1, 2025, from the China National Knowledge Infrastructure (CNKI) and Web of Science (WOS) databases. Bibliometric analysis was conducted using CiteSpace software to examine publication trends, geographical distribution, journal sources, keyword co-occurrence and citation patterns. RESULTS: The analysis included 83 Chinese and 596 English publications. The annual publication count exhibited a fluctuating upward trend, with Japan producing the highest number of studies, followed by China. International research primarily focused on the association between older oral health and systemic health outcomes, whereas Chinese studies emphasised oral health issues and their determinants in ageing populations. The research paradigm transitioned from conceptual frameworks to clinical applications and multidimensional intervention strategies. CONCLUSION: This study systematically outlined current progress in oral frailty research, highlighting its connections with frailty syndrome and malnutrition. Future research should prioritise in-depth needs assessment, integrate international best practices, promote interdisciplinary collaboration and develop personalised oral health interventions to improve geriatric oral health outcomes.
'Letting Sleeping Dogs Lie' or Taking Action on Oral Care? A Qualitative Study With Informal Caregivers of Frail Home-Dwelling Older Persons.
Baele E, De Vleeschauwer A, Mertens F … +4 more , Hoste N, Poppe L, Pype P, Janssens B
Gerodontology · 2026 Jun · PMID 41496517 · Publisher ↗
OBJECTIVE: To explore informal caregivers' perspectives concerning support in oral care for frail home-dwelling older persons (FHOPs), while identifying their needs and barriers at the IC-FHOP as well as the IC-healthcar...
OBJECTIVE: To explore informal caregivers' perspectives concerning support in oral care for frail home-dwelling older persons (FHOPs), while identifying their needs and barriers at the IC-FHOP as well as the IC-healthcare professional level. BACKGROUND: FHOPs' oral health is a global concern. Health determinants ranging from the individual up to the public policy level shape oral health. Informal caregivers' perspectives on these topics are underexamined for oral health, despite their key role in supporting FHOPs and connecting them to professional care. MATERIALS AND METHODS: Semi-structured interviews were conducted with informal caregivers of older adults from urban and rural areas in Flanders (Belgium), with a Groningen Frailty Index equal to or greater than 4. Interviews were recorded, transcribed, and analysed using a reflexive thematic approach. RESULTS: The sample comprised 19 informal caregivers (ICs) aged 53-87 years. Four themes were identified: (1) When words matter: the (un)spoken role of oral care in informal caregiving, (2) Balancing care and independence: the role of ICs in FHOPs' daily oral care, (3) Between necessity and accessibility: the role of ICs in FHOPs' dental visits, and (4) Ensuring oral health together: the collaboration with professionals. ICs' oral care involvement varied, influenced by knowledge, confidence, and support. CONCLUSION: This study emphasises the vital role of ICs in supporting FHOPs' oral care, yet they often lack role clarity, confidence, and guidance. Enhancing education and support for both ICs and healthcare professionals is essential to promote person-centred oral care and collaboration.
Response to the Letter to the Editor on "Effect of Oral Screen Training After Stroke - A Randomised Controlled Trial".
Dalum J
Gerodontology · 2026 Jun · PMID 41489049 · Publisher ↗
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Co-Existence of Divergent Oral Care Approaches in Danish Aged Care: A Qualitative Study.
de Almeida LE, Folker L, Andersen C … +2 more , Jespersen AP, Øzhayat EB
Gerodontology · 2026 Jun · PMID 41489047 · Full text
INTRODUCTION: Care approaches to oral health are shaped by the perspectives of both aged care and dental care professionals. This study provides a new and comprehensive understanding of how these two professional groups...
INTRODUCTION: Care approaches to oral health are shaped by the perspectives of both aged care and dental care professionals. This study provides a new and comprehensive understanding of how these two professional groups conceptualise and address oral care for care-dependent older adults. MATERIAL AND METHODS: Researchers conducted 13 focus group discussions with 4-6 participants each in two Danish municipalities within the Lifelong Oral Health research project: nine with aged care staff and four with managers from aged care and dental care. Two semi-structured interviews were conducted with dental care staff. The research was guided by a qualitative methodological framework using inductive thematic analysis to explore participants' experiences and perspectives. RESULTS: Aged care and dental care staff held varying perspectives on four distinct care approaches: (1) knowledge of oral health; (2) prioritisation of oral health; (3) care practice in relation to oral health; (4) handling refusal of oral care. In contrast to dental care staff, aged care staff had rudimentary oral health knowledge and prioritised other care tasks over oral care. Aged care staff took a rehabilitative approach to oral care, whereas dental care staff favoured a compensatory approach. Aged care staff stated that the right to self-determination overruled the duty of care presented by dental care staff when patients refused oral care. These differences affected daily oral care practices and collaboration between both staff groups, who both endorsed better collaboration. CONCLUSION: Divergent care approaches to oral care between aged care and dental care staff can hinder good oral health in care-dependent older adults. To enhance oral health in older adults, this article identifies four divergent approaches and explores how they challenge inter-professional collaboration.
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