Gerodontology[JOURNAL]
Sun
200 papers
Prevalence and Associations of Xerostomia in Older Adults in Southern Brazil.
Mascarenhas MK, Cademartori MG, Borges RDC … +4 more , Gonzalez MC, Bielemann RM, Thomson WM, Demarco FF
Gerodontology · 2025 Sep · PMID 39822100 · Publisher ↗
OBJECTIVES: This study investigated the prevalence and associations of xerostomia in older adults in southern Brazil. METHODS: A cross-sectional study was carried out in Pelotas, Brazil, during 2014. A representative sam...
OBJECTIVES: This study investigated the prevalence and associations of xerostomia in older adults in southern Brazil. METHODS: A cross-sectional study was carried out in Pelotas, Brazil, during 2014. A representative sample of the city's older adult population (60+) was selected. The dependent variable was self-reported feeling of dry mouth in the past 6 months. Covariates included socio-economic status, schooling, gender, age, tobacco and alcohol consumption, polypharmacy, hypertension, diabetes, arthritis, depression, dentition status and use of removable dental prostheses. Descriptive analysis was carried out, and Poisson regression was used to obtain prevalence ratios and 95% confidence intervals. Analyses used STATA 15.1. RESULTS: Most of the 1451 participants were female (63.3%). The prevalence of xerostomia was 36.7% (95% CI 34.3-39.1). Adjusted analysis showed that xerostomia was significantly more common among females (PR 1.44, 95% CI 1.22-1.74), those with less schooling (PR 1.31, 95% CI 1.10-1.51), those exposed to polypharmacy (PR 1.22, 95% CI 1.05-1.37), people with arthritis (PR 1.42, 95% CI 1.23-1.61) and those with depression symptoms (PR 1.45, 95% CI 1.23-1.70). CONCLUSION: Xerostomia is common among older adults. Health workers need to pay attention to its associated factors for early identification and promotion of appropriate interventions, particularly the rational use of medicines.
Integrating Dental Professionals Into Aged Care With Focus on Australia: A Scoping Review.
West K, Saunders J, Slack-Smith L
Gerodontology · 2025 Jun · PMID 39800348 · Full text
OBJECTIVES: To summarise the current evidence on the involvement of dental hygienists (DHs) in residential aged care facilities (RACFs) with respect to the feasibility of integration improved oral health for residents wi...
OBJECTIVES: To summarise the current evidence on the involvement of dental hygienists (DHs) in residential aged care facilities (RACFs) with respect to the feasibility of integration improved oral health for residents with dementia and multidisciplinary collaboration. BACKGROUND: The oral health of RACF residents with dementia is reported to be poor. However, little is known about how DHs can be integrated into RACFs to improve oral health, particularly as part of a multidisciplinary team. METHOD: A scoping review was undertaken in accordance with the Joanna Briggs Institute (JBI) method. Multiple databases were searched for peer-reviewed articles and grey literature that included a DH working in a RACF with dementia patients, or as part of a multidisciplinary team. Data were charted using a modified version of the JBI source of evidence template. RESULTS: Fifty-eight studies were identified for inclusion. Integration strategies were categorised as support-focused or service-focused, but there was little evaluation of their feasibility. Five key facilitators to multidisciplinary collaboration were identified: using multiple strategies; clearly defining roles; changes to existing administrative systems; fostering multidisciplinary collaboration skills; and encouraging innovation. However, no examples of collaboration within RACFs were identified. CONCLUSION: There has been limited effort in multidisciplinary collaboration or integration of DHs into RACFs with some evidence that both support-focused and service-focused strategies can improve the oral health of residents with dementia.
Health-Related Behaviour Clusters and Functional Dentition in Older People.
Alobaidi F, Heidari E, Sabbah W
Gerodontology · 2025 Sep · PMID 39777740 · Full text
OBJECTIVES: To identify different clusters of health-related behaviours and examine whether these clusters are associated with maintaining 20 or more teeth. BACKGROUND: Engaging in risky behaviours impacts tooth loss, pa...
OBJECTIVES: To identify different clusters of health-related behaviours and examine whether these clusters are associated with maintaining 20 or more teeth. BACKGROUND: Engaging in risky behaviours impacts tooth loss, particularly among older adults. Maintaining 20 teeth is a challenge for this age group. The co-occurrence of health-risk behaviours is common and has been linked to an increased risk of multiple chronic diseases, including tooth loss. MATERIAL AND METHODS: A cross-sectional analysis of wave 7 of the English Longitudinal Study of Ageing (ELSA) was conducted. Functional dentition was self-reported as having 20 or more teeth. Four health-related behaviours (smoking, alcohol intake, fruit and vegetable consumption, and physical activity) were analysed to investigate their association with functional dentition. Demographic characteristics (sex, age, ethnicity) and socioeconomic factors (education, wealth) were included as covariates. Latent Class Analysis (LCA) was conducted using four dichotomised behaviour variables to identify clusters of behaviours. Logistic regression modelling was used to examine the association between clusters of health-related behaviours and functional dentition. The model was adjusted for demographic and socioeconomic factors. RESULTS: A total of 7783 participants were included. The LCA model identified three clusters: (1) risky, (2) moderate and (3) healthy. In the fully adjusted logistic regression model, the odds of having a functional dentition were 1.42 higher among those in the moderate cluster (95% CI: 1.23, 1.65), and 1.70 higher among those in the healthy cluster (95% CI: 1.39, 2.09) than for participants in the risky cluster. CONCLUSION: Risky behaviours tend to cluster among older adults. Engaging in multiple risky behaviours is associated with having fewer than 20 teeth. Initiatives and public health campaigns that focus on these clustering patterns, as well as the underlying factors, could benefit both oral and general health.
Quality of Life and Oral Function in Patients With Jaw Defects Following Oral Tumour Surgery.
Kosaka T, Tsuji M, Kida M … +4 more , Fushida S, Akema S, Hasegawa D, Ikebe K
Gerodontology · 2025 Sep · PMID 39729624 · Publisher ↗
OBJECTIVES: To evaluate various oral functions in patients with jaw defects after oral tumour surgery and to clarify factors associated with their quality of life (QoL). BACKGROUND: In patients with jaw defects, oral fun...
OBJECTIVES: To evaluate various oral functions in patients with jaw defects after oral tumour surgery and to clarify factors associated with their quality of life (QoL). BACKGROUND: In patients with jaw defects, oral function and QoL are severely impaired. No studies have evaluated oral functions of patients with jaw defects and examined their relationships with QoL. MATERIALS AND METHODS: The study participants were 72 patients (mean age: 70.7 ± 10.1 years, range 48-93 years) who underwent prosthetic treatment with a removable denture to treat a jaw defect following oral tumour surgery. Masticatory performance, maximum bite force, oral dryness, tongue pressure, and tongue-lip motor function (oral diadochokinesis, /pa/, /ta/, /ka/ syllables) were evaluated after prosthetic treatment. The Japanese version of the EORTC QLQ-H&N 35 was used to assess QoL. From the QoL assessment, the "Pain", "Swallowing", "Sense", "Speech", "Social eating", and "Social contact" scales were extracted. Multiple regression analysis was conducted using each QoL scale as the dependent variable and oral functions as explanatory variables. RESULTS: In the multiple regression model for "Swallowing", the oral diadochokinesis /ta/ was a significant explanatory variable. In the model for "Sense", tongue pressure was a significant explanatory variable. In the model for "Speech", age was a significant explanatory variable. In the model for "Social contact", tongue pressure was the significant explanatory variable. CONCLUSION: In patients with jaw defects following oral tumour surgery, lower tongue pressure is associated with poorer QoL in a wider range of ways than other oral functions are.
Impact of Subjective Masticatory Difficulty on Malnutrition and Frailty in Community-Dwelling Older Adults.
Won CW, Shin SY, Kim M … +10 more , Ko MJ, Seo S, So JS, Jung HI, Kho HS, Kang KL, Ha SR, Kim NH, Linton JL, Kang JH
Gerodontology · 2025 Sep · PMID 39697036 · Publisher ↗
OBJECTIVES: This study evaluated the impact of masticatory difficulty on the development and progression of malnutrition, frailty, sarcopenia, and disability in community-dwelling adults, using data from the Korean Frail...
OBJECTIVES: This study evaluated the impact of masticatory difficulty on the development and progression of malnutrition, frailty, sarcopenia, and disability in community-dwelling adults, using data from the Korean Frailty and Aging Cohort Study. METHODS: Participants were categorised by presence of masticatory difficulty. The Fried frailty phenotype, mini-nutritional assessments, and diagnostic criteria proposed by Asian Working Group on Sarcopenia were adopted to diagnose frailty, malnutrition, and sarcopenia respectively. Physical disabilities were measured using the Korean activities of daily living (ADL) and Korean instrumental activities of daily living (IADL) scales. RESULTS: A total of, 3010 participants were initially enrolled, 2864 participants remained in the study after 2 years, reflecting a 95.1% retention compliance. At baseline, the prevalence of frailty (28.0% vs. 18.1%), malnutrition (1.5% vs. 0.8%), IADL disability (10.1% vs. 7.7%), and ADL disability (10.8% vs. 8.0%) was higher among those experiencing masticatory difficulty than in those without. After 2 years, baseline masticatory difficulty was associated with the incidence of malnutrition (OR, 2.62; 95% CI, 0.99-6.90; p = 0.042) after full adjustment for confounders. However, no associations were found between baseline masticatory difficulty and the incidence of frailty, sarcopenia or physical disability over 2 years after adjustment. Additionally, masticatory difficulty did not affect the persistence or remission of malnutrition, frailty, sarcopenia, IADL disability, and ADL disability in individuals who already had these conditions at baseline. CONCLUSION: Restoring chewing function and masticatory satisfaction improves not only oral health but also contributes to overall health and promotes healthy aging in older individuals.
Nutrition, Chewing Ability and Quality of Life in Older Adults With Implant Overdentures: A Prospective Clinical Study.
Küçük C, Sabuncular G, Bayram F … +3 more , Aktaç Ş, Evren B, Güneş FE
Gerodontology · 2025 Sep · PMID 39661753 · Publisher ↗
OBJECTIVES: To evaluate the changes in nutritional status, chewing ability and oral health-related quality of life in edentulous individuals who have initially been rehabilitated with immediate complete dentures (CD) whi...
OBJECTIVES: To evaluate the changes in nutritional status, chewing ability and oral health-related quality of life in edentulous individuals who have initially been rehabilitated with immediate complete dentures (CD) which are then transformed to implant-supported overdentures (IOD) after a period of osseointegration. BACKGROUND: Compared to those with conventional dentures, individuals with IODs exhibit improved patient-reported outcomes, chewing capacity and biting force. While prior research highlights differences in nutritional markers between these groups, there is limited investigation into intra-individual changes in nutritional status, chewing ability and oral health-related quality of life during the transition from CDs to IODs. MATERIALS AND METHODS: Edentulous individuals aged 50 years or older and needing oral rehabilitation with IODs were eligible for this prospective study. The primary outcome measure was the nutritional status as measured by the Mini Nutritional Assessment (MNA). The Oral Health Impact Profile (OHIP-14) questionnaire and chewing ability questionnaire represented secondary outcome measures. These measures were assessed at baseline (T0), 3-month follow-up after application of the CD (T1), and 3- and 6-month follow-up after the CD had been transformed to IOD (T2 and T3). Statistical analyses used repeated measures ANOVA or the Friedman test for OHIP-14 and MNA scores, with logistic regression used for malnutrition risk. RESULTS: Thirty-five participants were included in the final analysis. MNA scores significantly worsened from the baseline to the 3-month follow-up after the application of the CD. There was no significant change in nutritional status between baseline and the IOD 3- and 6-month follow-up appointment. IODs led to significant improvements in the OHIP total score at both the 3- and 6-month follow-ups (p < 0.001, W = 0.60) with a strong effect size. Difficulty in chewing decreased significantly, affecting 91.4% of participants at baseline, which reduced to 51.4% (18/35) by the 6th month. CONCLUSION: Implant-supported overdentures do not influence nutritional status, but they improve chewing ability and oral-health related quality of life in older adults.
Effect of Oral Screen Training After Stroke-A Randomised Controlled Trial.
Dalum J, Skott P, Åkesson E … +7 more , Persson E, Karlsson Å, Häbel H, Seiger Å, McAllister A, Johansson K, Sandborgh-Englund G
Gerodontology · 2025 Sep · PMID 39636679 · Full text
OBJECTIVE: To assess the effects of oral screen training in patients with dysphagia post-stroke. BACKGROUND: Oral screen training has been identified as an effective method for improving orofacial and oropharyngeal motor...
OBJECTIVE: To assess the effects of oral screen training in patients with dysphagia post-stroke. BACKGROUND: Oral screen training has been identified as an effective method for improving orofacial and oropharyngeal motor functions. However, the evidence supporting a positive transfer effect on swallowing capacity post-primary stroke rehabilitation is still unclear. The aim of this randomised controlled trial was to investigate the effect of a 12-week oral screen training programme using a prefabricated oral screen, with swallowing capacity as the primary outcome. MATERIALS AND METHODS: In a randomised trial, stroke survivors with residual dysphagia post-rehabilitation were randomised into intervention group (n = 12) and control group (n = 12). The intervention group underwent 12 weeks of oral screen training. The main outcome was swallowing capacity, with lip force as a training indicator. Secondary outcomes were assessed by the Eating Assessment Tool, Masticatory performance, Nordic Orofacial Test-Screening, Life Satisfaction Questionnaire and the Edmonton Symptom Assessment System. RESULTS: At the 3-month follow-up, the group that trained with an oral screen showed a significantly greater increase in lip force than the control group (mean lip force increase 10.2 N vs. 3.1 N; p = 0.02). There was no significant improvement in swallowing capacity (mean increase 0.7 mL/min vs. 0.8 mL/min; p = 0.43), or in any of the secondary variables in the intervention group relative to the control group. CONCLUSION: The findings from this study showed that oral screen training initiated after completion of regular rehabilitation post-stroke can increase lip force. However, there was no indication of any transfer effect on swallowing capacity. TRIAL REGISTRATION: Clinicaltrial.gov identifier: NCT03167892.
Efficacy of a 3-Month Oral Function Management Protocol Incorporating Provision of Dietary Advice for Older Outpatients: A Randomised Controlled Trial.
Hori A, Ohta M, Horibe Y … +2 more , Ryu M, Ueda T
Gerodontology · 2025 Sep · PMID 39636631 · Publisher ↗
OBJECTIVE: This study aimed to examine the effects of an oral hypofunction management protocol incorporating oral function training and provision of dietary advice for 3 months on the nutritional status and oral function...
OBJECTIVE: This study aimed to examine the effects of an oral hypofunction management protocol incorporating oral function training and provision of dietary advice for 3 months on the nutritional status and oral function of older patients diagnosed with oral hypofunction. BACKGROUND: Oral hypofunction is associated with poor nutritional status, emphasising the need for management protocols incorporating provision of nutritional guidance and dietary advice. However, the efficacy of such protocols remains unclear. MATERIALS AND METHODS: This quasi-randomised controlled clinical trial included 80 patients (age ≥ 65 years) diagnosed with oral hypofunction who were divided into two groups (intervention and control). The intervention group was provided with dietary advice and instructed to perform daily oral function training. The patients' nutritional status and oral function were evaluated every 1.5 months. Intergroup and intragroup comparisons were made. RESULTS: The intervention group exhibited a significant increase in the mean Mini Nutritional Assessment score over the study period (baseline: 25.4 ± 3.2; after 3 months: 26.3 ± 3.0), whereas no significant difference was observed in the control group (baseline: 26.4 ± 2.4; after 3 months: 26.4 ± 2.7). The mean number of symptoms of poor oral function was 4.0 ± 1.0 and 3.9 ± 0.9 at baseline and 2.8 ± 1.3 and 3.0 ± 1.3 after 3 months in the intervention and control groups, respectively, with a significant difference within the groups. CONCLUSION: Management protocols incorporating provision of nutritional advice effectively improved the oral function and nutritional status of older patients with oral hypofunction.
Professor Frauke Müller-An Appreciation.
Thomson WM
Gerodontology · 2024 Dec · PMID 39636624 · Publisher ↗
Abstract loading — click title to view on PubMed.
Knowledge and Experiences of Oral Health Care and Periodontitis of Caregivers of Older Adults With Cognitive Impairment.
Prieto D, Palacios M, Wainstein V … +4 more , Ortuño D, Mora S, Chaparro A, Pascual A
Gerodontology · 2025 Sep · PMID 39601251 · Publisher ↗
BACKGROUND AND OBJECTIVES: There is limited evidence on knowledge of related health among healthcare personnel who care for older adults. The objective of this study was to investigate the knowledge and experience of ora...
BACKGROUND AND OBJECTIVES: There is limited evidence on knowledge of related health among healthcare personnel who care for older adults. The objective of this study was to investigate the knowledge and experience of oral health care among family members and medical staff responsible for older adults with varying degrees of cognitive impairment and Alzheimer's disease. MATERIALS AND METHODS: This qualitative study explored the experiences and knowledge of 30 family members and medical staff through in-depth, semi-structured interviews. The interviews were recorded using both audio and video formats: digital platforms were used for immediate family members, while formal caregivers were interviewed in person. Researchers transcribed and analysed the recordings, categorising the answers to identify emerging topics until reaching saturation. RESULTS: The core emerging themes among the direct family members were: (1) Lack of knowledge about oral health; (2) Oral hygiene role for the patients; (3) Consequences of a poor oral care; and (4) Recommendations for a better oral health care. For the formal caregivers the emerging themes were: (1) Lack of knowledge and experiences about oral health; (2) Deficient oral hygiene of residents; (3) Impact on quality of life; and (4) Suggestions for improving oral health. CONCLUSION: Despite recognising the significance of oral health, direct family members and formal caregivers of older adults with cognitive impairment or dementia still need additional tools to effectively carry out necessary hygiene techniques and care.
Minimally invasive approaches for implant-supported overdentures in the atrophied mandible.
Bacher H, Kasaliyska M, Arnold C … +2 more , Hey J, Schweyen R
Gerodontology · 2025 Jun · PMID 39601240 · Full text
OBJECTIVES: The study compares three minimally invasive approaches for the retention of implant supported mandibular complete dentures, particularly focusing on patient satisfaction. BACKGROUND: The McGill Consensus Stat...
OBJECTIVES: The study compares three minimally invasive approaches for the retention of implant supported mandibular complete dentures, particularly focusing on patient satisfaction. BACKGROUND: The McGill Consensus Statement recommends restoration of the edentulous mandible with an overdenture retained on two implants. Alternatively, less invasive treatment concepts with shorter treatment times have been developed for critical cases. MATERIAL AND METHODS: Thirty-nine patients (with a total of 78 implants) with advanced mandibular bone atrophy were randomly assigned to three groups: "single standard implant-retained overdentures" (SSO) and "mini-implant-retained overdentures" (MO), which was further subdivided into "two mini-implant-retained overdentures" (TMO) and "four mini-implant-retained overdentures" (FMO). The technical and biological parameters and oral health-related quality of life were evaluated over a 10-year period. Data were analysed for group comparisons and longitudinal trend analysis. RESULTS: Sixteen patients (42%) dropped out during the study period. At the time of follow-up, 98.4% of the implants were in situ. The first need for technical intervention occurred after 3.8 ± 1.1, 4.2 ± 0.9, and 4.6 ± 1.3 years in the TMO, SSO, and FMO groups, respectively. Attachment exchange (39%) was the most frequently performed intervention in all groups. Healthy peri-implant and mucosal conditions were observed in 74% and 40% of patients after 1 and 10 years, respectively. The OHIP-G14 score was 22.6 before implantation, 7.6 at 1 year (effect size [ES]: 1.1), and 5.4 at 10 years (ES: 2.3). CONCLUSION: Irrespective of the minimal concept selected, complete mandibular dentures retained on implants improved the subjective perception of the quality of life. Application of these alternative minimal concepts may be practical in clinical practice.
Dentists' perceptions of providing care to community-dwelling older people.
Friedlander LT, Hamadani P, Chandler NP … +1 more , Daniel BK
Gerodontology · 2025 Sep · PMID 39503248 · Publisher ↗
OBJECTIVES: This study explored the attitudes of New Zealand (NZ) general dental practitioners (GDPs) towards older adults living within the community and the barriers and difficulties caring for their oral health needs....
OBJECTIVES: This study explored the attitudes of New Zealand (NZ) general dental practitioners (GDPs) towards older adults living within the community and the barriers and difficulties caring for their oral health needs. BACKGROUND: Adults are living longer and retaining teeth. Their dentitions are complex and alongside their dental needs, older adults often experience age-related systemic disease or decline. Ageism and stereotypical views of older adults impedes access to dental care. While there is some understanding of older adults and ageism from the perspective of dental students, there is a paucity of knowledge about dentists' management of this patient demographic. MATERIALS AND METHODS: A mixed-methods survey questionnaire collected quantitative and qualitative data. Quantitative data were analysed descriptively followed by bivariate analysis. Qualitative data responses to open-ended questions were analysed thematically. RESULTS: A total of 382 GDPs participated (response rate of 24%) and demonstrated positive attitudes and low levels of ageism towards older adults who they enjoyed treating. Confidence was positively related to clinical experience, and most dentists had engaged in gerodontology updates. Barriers to care for older adults were perceived to be beyond their control and mostly related to cost, chronic disease or age-related change. Consent processes could create difficulty and so collaboration with family or caregivers was important. CONCLUSION: The GDPs displayed positive attitudes and confidence towards older adults who are a rewarding patient cohort. Gerodontology education during training and following graduation is critical to enhance oral health outcomes for older patients.
Natural products for denture base disinfection: A scoping review.
de Lima BLAM, Santiago JB, Avelino MEL … +3 more , Vila-Nova TEL, Costa RTF, Moraes SLD
Gerodontology · 2025 Mar · PMID 39503240 · Publisher ↗
OBJECTIVE: This study aims to map the existing literature on natural products used as disinfection substances for conventional polymethyl methacrylate (PMMA) and computer-aided design and manufacturing (CAD-CAM) dentures...
OBJECTIVE: This study aims to map the existing literature on natural products used as disinfection substances for conventional polymethyl methacrylate (PMMA) and computer-aided design and manufacturing (CAD-CAM) dentures. BACKGROUND: Denture wearers are at high risk for denture stomatitis. Natural products have attracted the interest of the scientific community as an alternative to synthetic ones. MATERIALS AND METHODS: The guiding question "Which natural products have been applied to disinfect complete dentures in conventional PMMA or CAD-CAM PMMA resin?" Searches were conducted in the PubMed/MEDLINE, Embase, Web of Science, and Cochrane databases, and manual searches were performed in reference journals in the area with studies published until December 2023, without language or date restrictions. RESULTS: A total of 4272 articles were identified, and 46 studies were included after applying the eligibility criteria. Thirty-nine natural products were evaluated. Of the included studies, 43 presented positive findings and three obtained negative findings on the effectiveness of natural products in inhibiting or killing Candida albicans. CONCLUSION: Natural products, predominantly sourced from the Plantae kingdom, have demonstrated efficacy in reducing Candida albicans on the surface of conventional PMMA. However, the evidence primarily stems from in vitro studies, underscoring the necessity for additional clinical research to validate their applicability under real microbiological conditions in prosthesis users.
Validity of the Oral Hygiene Ability Instrument (OHAI).
Lindén IG, Wenemark M, Andersson P … +3 more , Dahlin-Ivanoff S, Gahnberg L, Hägglin C
Gerodontology · 2025 Sep · PMID 39503235 · Full text
OBJECTIVE: To evaluate the validity of the newly developed Oral Hygiene Ability Instrument (OHAI), created to assess the cause of any inability of older adults to perform oral hygiene, and to revise the instrument based...
OBJECTIVE: To evaluate the validity of the newly developed Oral Hygiene Ability Instrument (OHAI), created to assess the cause of any inability of older adults to perform oral hygiene, and to revise the instrument based on the results. BACKGROUND: Good oral hygiene is among the most important prophylactic measures for oral health. This applies especially to older adults, among whom risk factors and physical and cognitive barriers are more common and can hamper oral hygiene. METHODS: The OHAI contains (I) an interview, (II) clinical examination, (III) observation of oral hygiene activities and a summarising part. In the study, 149 older adults in three groups participated: stroke, cognitive disorder and general dental patients. Inclusion criteria were to be ≥65 years old, have at least one tooth and to manage oral hygiene without assistance. For criterion validity, sensitivity and specificity were calculated using eight reference instruments. To determine construct validity, we used known group validity, factor analysis and Rasch analysis. RESULTS: The criterion and construct validity of the OHAI were found to be acceptable to good. In the stroke group, balance and fine motor skills were assessed to affect oral hygiene most; in the cognitive disorder group, it was balance, coordination, spatial ability and cognitive functions. Analyses revealed that one item had no added value and that some response options were not optimal. CONCLUSION: The OHAI proved to be valid for the group it is intended for, with only minor revisions needed, resulting in a 32-item instrument. The OHAI could be a valuable person-centred tool in prophylactic work with older adults with failing oral hygiene.
Distribution of Australian dental practices in relation to residential aged care facilities: A geographic analysis.
Kamil W, Kruger E, Jean G … +1 more , Tennant M
Gerodontology · 2025 Jun · PMID 39482834 · Publisher ↗
OBJECTIVES: Limited access to oral health services contributes to poor oral health in institutionalised older adults. The objective of this study was to map and analyse the distribution of residential age-care facilities...
OBJECTIVES: Limited access to oral health services contributes to poor oral health in institutionalised older adults. The objective of this study was to map and analyse the distribution of residential age-care facilities (RACFs) in relation to dental practices across Australia. METHODS: Age-care data were sourced from the Australian Institute of Health and Welfare. The data were categorised according to the Australian Bureau of Statistics remoteness index in each state and territory, defined by a geographic coordinate system. The structure of remoteness area data was integrated into RACF data using a geographic information system. Buffer analysis in QGIS was employed to calculate the buffer distance surrounding RACFs by identifying dental practices relative to a measuring distance. RESULTS: In total, Australia had 2718 RACFs and 7379 dental practices (both private 95.5% and public 4.5%). In all States, more than a third of metropolitan RACFs were within accessible reach of a private practice (ranging from 37% of RACFs in NSW to 55% in WA). However, proximity to public clinics was low, ranging from only 4% (WA) to 9% (QLD). More than one-fifth of metropolitan RACFs in NSW, QLD, WA and ACT (ranging from 20% to 24%) were not within accessible proximity of either a public or private dental clinic/practice. While more than 70% of RACFs in regional and remote Australia are reasonably close to dental practices, areas with inadequate access exist, with the highest percentage recorded in WA (6%). CONCLUSION: Ensuring an equitable distribution of dental practices relative to RACFs is crucial in bridging the service access gap in underserved areas.
Mandibular third molar coronectomy in older adults and its effects on oral health-related quality of life.
Simons RN, Lindeboom JA, Tuk JG … +1 more , de Lange J
Gerodontology · 2025 Jun · PMID 39462459 · Full text
OBJECTIVE: The purpose of this study was to investigate the effect of coronectomy on postoperative quality of life in older adults. BACKGROUND: Coronectomy is an alternative to complete surgical removal of a mandibular t...
OBJECTIVE: The purpose of this study was to investigate the effect of coronectomy on postoperative quality of life in older adults. BACKGROUND: Coronectomy is an alternative to complete surgical removal of a mandibular third molar that lies close to the inferior alveolar nerve. MATERIALS AND METHODS: This prospective study included patients >60 years old who had an indication for coronectomy of a mandibular third molar. Patients were asked to complete the Dutch version of the Oral Health Impact Profile-14 (OHIP-14) daily during the first postoperative week. Postoperative pain, swelling, limited mouth opening, chewing ability and infection were also recorded. Furthermore, the effect of the impaction pattern, state of eruption, presence of preoperative pathology, patient health status according to the American Society of Anaesthesiologists score, gender, smoking on the postoperative OHIP-14 and pain scores were investigated. RESULTS: Thirty patients (16 males, 14 females) with a mean age of 71.2 (SD 8.3, range 60-91) years were included in the study. OHIP-14 and pain scores were highest on the first postoperative day and gradually declined during the first postoperative week. Patients who underwent coronectomy of a fully impacted mandibular third molar had significantly higher OHIP-14 scores on the first postoperative day than those who underwent coronectomy on a (partially) erupted mandibular third molar. We did not observe any postoperative complications up to 1 year after the surgery. CONCLUSION: Mandibular third molar coronectomy seems to present a valid treatment option in older adults.
Dental teachers' perceptions about the status of geriatric dentistry in the dental curriculum: A qualitative exploration in the Indian context.
Shigli K, Nayak S, Lagali-Jirge V … +4 more , Nerali JT, Vadavi D, Oginni FO, Kusurkar RA
Gerodontology · 2025 Jun · PMID 39428127 · Publisher ↗
BACKGROUND: The increasing geriatric population in India needs special attention from the oral health workforce. This study explores dental teachers' perceptions of the status of geriatric dentistry in the dental curricu...
BACKGROUND: The increasing geriatric population in India needs special attention from the oral health workforce. This study explores dental teachers' perceptions of the status of geriatric dentistry in the dental curriculum and the challenges of implementing geriatric dentistry curriculum in the present dental training sector in India from the trainers' (teachers) perspective. METHODS: We utilised a qualitative approach, and four focus group discussions were conducted with/among various levels of academic teachers-Heads of Departments (n = 8), Board of Study members (n = 7), Deans (n = 5), Lecturers and Associate professors (n = 8). All discussions were audio-taped and transcribed. Data was analysed thematically, and coding was done using an inductive approach. Consensus on themes was achieved through deliberations. RESULTS: Three themes were identified-Unique challenges in managing geriatric patients (bordering on Dental care, Attitude, Awareness, Social issues and dependency on family); Current issues with provision of geriatric care (Curricular concerns-Teachers' training, Students' training, Instructional content, timing of delivery; Students' and trainers' attitudes; Infrastructural issues) and Strategies for advancement (Sensitisation of policymakers, Collaboration with other agencies, Modification in course design, Improved educational strategies and Shift in patient care delivery). CONCLUSION: Trainers perceived a strong need to develop geriatric competencies among dental students. A geriatric dentistry curriculum based on local needs could ensure the success and sustenance of change. Introducing specialisation in geriatric dentistry would ensure quality oral care for the rising geriatric population. Innovative teaching strategies, interdisciplinary training and the use of newer technologies could aid in improved teaching of geriatric dentistry.
Indonesian dentists' views on providing oral health care for older adults.
Werdiningsih M, Ramadhani A, Samnieng P … +2 more , John J, Adiatman M
Gerodontology · 2025 Jun · PMID 39250676 · Publisher ↗
BACKGROUND: With demographic changes in aging populations, dentists require special care protocols to treat older adults with diverse and complex oral health needs and problems. Knowledge, positive attitudes, and suffici...
BACKGROUND: With demographic changes in aging populations, dentists require special care protocols to treat older adults with diverse and complex oral health needs and problems. Knowledge, positive attitudes, and sufficient practice experience are essential components for promptly treating older adults. However, many dentists encounter multiple barriers influencing their willingness to provide care for older adults. This study assessed Indonesian dentists' knowledge, attitudes, and practices (KAP) in providing oral health care (OHC) for older adults, including their willingness and barriers. METHODS: A cross-sectional survey was conducted with 392 dentists employing an online questionnaire between April and June 2022. The respondents' KAP was categorised utilising a modified Blooms' cut-off point of ≥60%. Data were analysed using descriptive statistics, the x test, and logistic regression. RESULTS: Most dentists demonstrated adequate knowledge (62.2%), a positive attitude (95.4%), sufficient practice experience (91.6%), and a high willingness (98%) to provide OHC services for older adults. However, 91.4% encountered barriers primarily related to interpersonal communication, disease complexity and polypharmacy, and patient functional status. Significant associations were found between dentists' attitudes toward practices and willingness to attend geriatric dentistry training with knowledge. CONCLUSION: Implementation of continuing professional development (CPD) in geriatric dentistry, the inclusion of geriatric dentistry into the undergraduate curriculum, and enhancing clinic accessibility for older adults may improve dentists' preparedness and benefit the future provision of OHC for older adults in Indonesia.
Effect of eye movement desensitization and reprocessing therapy in a patient with anxiety and burning mouth syndrome.
Magne H
Gerodontology · 2024 Sep · PMID 39190681 · Publisher ↗
OBJECTIVE: To propose an alternative treatment for burning mouth syndrome (BMS). BACKGROUND: BMS is a serious condition that negatively affects the physical and emotional health of the elderly. Pharmacological interventi...
OBJECTIVE: To propose an alternative treatment for burning mouth syndrome (BMS). BACKGROUND: BMS is a serious condition that negatively affects the physical and emotional health of the elderly. Pharmacological interventions are not always appropriate in this population and may have significant side effects. MATERIALS AND METHODS: We present the case of an 86-year-old woman who has been suffering from BMS for 30 years and has been experiencing impaired quality of life, particularly sleep disturbances. Because standard pharmaceutical medications failed to alleviate the patient's pain, we proposed EMDR as an alternative therapeutic approach. Baseline measures included depressive symptoms, anxiety symptoms, daytime and nighttime pain and sleep quality. To anticipate anxious thoughts associated with pain, seven 45-min EMDR sessions were conducted. RESULTS: Therapy resulted in reduced anxiety symptoms (-30%), improved pain control (-10% daytime, -60% nighttime) and improved sleep quality (+50%). This positive effect lasted for 4 months, and no serious negative effects were observed. CONCLUSION: EMDR therapy may help older adults with BMS improve their pain and psychological management.
Glandular odontogenic cyst misdiagnosed and treated as a periapical inflammatory lesion for 6 years in an older adult.
de Arruda JAA, Leite VA, de Oliveira LB … +6 more , Louredo BVR, Penafort PVM, Alves FA, Vargas PA, Simonato LE, Tomo S
Gerodontology · 2024 Sep · PMID 39190677 · Publisher ↗
OBJECTIVES: To document the case of a patient who underwent several endodontic treatments due to a glandular odontogenic cyst misdiagnosed as an inflammatory periapical lesion. BACKGROUND: Glandular odontogenic cysts beh...
OBJECTIVES: To document the case of a patient who underwent several endodontic treatments due to a glandular odontogenic cyst misdiagnosed as an inflammatory periapical lesion. BACKGROUND: Glandular odontogenic cysts behave more aggressively, while others have an indolent course. There is limited information on this cyst in the gerodontologic literature. MATERIALS AND METHODS: A 76-year-old male patient presented with an asymptomatic expansive lesion in the anterior mandible resistant to several endodontic treatments. Cone-beam computed tomography revealed a multilocular osteolytic lesion measuring 6.0 × 4.0 cm, with cortical bone perforation. RESULTS: Histopathological analysis of a biopsy specimen was consistent with glandular odontogenic cyst. The patient underwent marginal mandibulectomy with preservation of the base of the mandible. CONCLUSION: A strict diagnostic process is important to avoid unwanted consequences, particularly in the geriatric population.
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