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dental caries elderly

Diana Critchlow
Oral disease can have a significant impact on the health and wellbeing of the housebound patient. The aetiology of oral conditions such as dental caries and periodontal disease have been well investigated and there is a solid evidence base in how to best prevent their progress. The Department of Health document Delivering better oral health: an evidence-based toolkit for prevention is a valuable resource that outlines the current best preventative evidence in the form of practical advice for clinicians and patients...
January 2, 2017: British Journal of Community Nursing
José Antonio Gil-Montoya, Inés Sánchez-Lara, Cristobal Carnero-Pardo, Francisco Fornieles-Rubio, Juan Montes, Rocío Barrios, Miguel Angel Gonzalez-Moles, Manuel Bravo
The control of bacterial dental plaque through daily oral hygiene is essential to prevent oral diseases such as caries or periodontal disease, especially in at-risk populations, including the elderly with mild cognitive impairment and dementia. The aim of this study was to determine the association between different levels of cognitive impairment and dementia in an elderly population and their capacity to maintain adequate oral hygiene. A case-control study (elderly with versus without mild cognitive impairment or dementia) was performed in Granada, Spain...
December 26, 2016: Journal of the American Geriatrics Society
Jian Liu, Shan Shan Zhang, Shu Guo Zheng, Tao Xu, Yan Si
OBJECTIVE: To review the current oral health status and oral health care models in China in an effort to provide recommendations for the future implementation of these models. METHODS: A systematic literature review was conducted. The Medline, EMBASE, CNKI and Wanfang databases were searched for English and Chinese articles reporting relevant data from 1949 to the present. Data from three national oral health epidemiology surveys, Chinese government reports and national statistics yearbooks from 2011 to 2015 were also included...
2016: Chinese Journal of Dental Research
Maude Wikström, Kawa L Kareem, Annica Almståhl, Erika Palmgren, Peter Lingström, Inger Wårdh
OBJECTIVE: To study the effect of weekly professional oral hygiene care on the proportion of micro-organisms associated with good oral health, caries, and periodontal and soft tissue diseases in oral biofilms in dentate, dependent elderly residents. BACKGROUND: Assisted oral hygiene care reduces the plaque score and number of micro-organisms in the oral biofilms in elderly residents. Less is known about the effect on the quality/composition of the remaining oral flora...
December 18, 2016: Gerodontology
Wen Zhang, Colman McGrath, Edward C M Lo
PURPOSE: The purpose of this clinical research was to analyze the effectiveness of DIAGNOdent in detecting root caries without dental scaling. MATERIALS AND METHODS: The status of 750 exposed, unfilled root surfaces was assessed by visual-tactile examination and DIAGNOdent before and after root scaling. The sensitivity and specificity of different cut-off DIAGNOdent values in diagnosing root caries with reference to visual-tactile criteria were evaluated on those root surfaces without visible plaque/calculus...
2016: Oral Health & Preventive Dentistry
Arie R Hoeksema, Lilian L Peters, Gerry M Raghoebar, Henny J A Meijer, Arjan Vissink, Anita Visser
OBJECTIVES: The objective of this study is to assess oral health and oral status of elderly patients newly admitted to a nursing home from admission until death. MATERIALS AND METHODS: Oral health, oral status, need for dental care, cooperation with dental treatment, and given dental care were assessed by two geriatric dentists in all new long-stay patients (n = 725) admitted to a nursing home between January 2009 and December 2013. All patients were followed from admission until death or until they left the nursing home...
November 28, 2016: Clinical Oral Investigations
Mohd Masood, Tim Newton, Noor Nazahiah Bakri, Taimur Khalid, Yaghma Masood
OBJECTIVES: To identify the determinants of OHRQoL among older people in the United Kingdom. METHODS: A subset of elderly (≥65year) participants from the UK Adult Dental Health Survey 2009 data was used. OHRQoL was assessed by means of the OHIP-14 additive score. The number of missing teeth; presence of active caries, dental pain, root caries, tooth wear, periodontal pockets>4mm, loss of attachment>9mm; having PUFA>0 (presence of severely decayed teeth with visible pulpal involvement, ulceration caused by dislocated tooth fragments, fistula and abscess); and wearing a denture were used as predictor variables...
January 2017: Journal of Dentistry
Marianne Hiorth
Dental caries: Dental caries and periodontitis were for many decades considered the most important global oral health burden. During the last 40 years when more focus was put on the prevention of dental caries by using products with fluoride, the problem decreased. However, our new lifestyle with more sugar has given rise to concern, and in US the amount of children being diagnosed with dental caries has increased [1]. In addition the increasing amount of elderly in the population using many different types of medicines giving dry mouth has a negative impact of the status of their teeth [2]...
October 13, 2016: Current Drug Delivery
(no author information available yet)
The immediate application of potassium iodide to dental root caries treated with silver diamine fluoride improved the colour of the lesion from black to bright yellow, but this colour change was only short lived.
October 7, 2016: British Dental Journal
Álfheiður Ástvaldsdóttir, Aron Naimi-Akbar, Thomas Davidson, Agneta Brolund, Laura Lintamo, Anna Attergren Granath, Sofia Tranæus, Pernilla Östlund
OBJECTIVES: To evaluate the available evidence that the use of arginine-containing dental care products prevents the development of new caries lesions and the progression of existing lesions. SEARCH METHODS: We performed a systematic literature search of databases including PubMed, the Cochrane Library and EMBASE. SELECTION CRITERIA: We selected randomized controlled trials of treatment with arginine in fluoride-containing dental products measuring dental caries incidence or progression in children, adults and elderly subjects...
2016: Caries Research
Soraya León, Rodrigo A Giacaman
Chile is experiencing one of the fastest aging processes in Latin America. The implications derived from this phenomenon involve many aspects of the society, especially health care. In particular, insufficient oral health coverage in the country limits oral care provision for a population with a high prevalence and severity of oral diseases. These conditions include dental caries, periodontal disease, tooth loss, defective prostheses, oral mucosa lesions and xerostomia, among others, and strongly affect quality of life of the elderly population...
April 2016: Revista Médica de Chile
Tammi O Byrd
UNLABELLED: An alternative approach to controlling dental caries and preventing the associated pain, called atraumatic restorative technique (ART), is described for populations in need, where dental hygienists restore decayed teeth with glass ionomer restorations without prior removal of all decayed tooth structure. BACKGROUND AND PURPOSE: There are populations whose decay needs are not adequately being met within the current oral health care delivery system. These include those in poverty conditions, vulnerable children, and the elderly who are often in long-term care facilities without adequate resources or opportunities for traditional dentistry...
June 2016: Journal of Evidence-based Dental Practice
Konstantinos Mitsakakis, Fabian Stumpf, Oliver Strohmeier, Vanessa Klein, Daniel Mark, Felix Von Stetten, Johannes R Peham, Christopher Herz, Pune Nina Tawakoli, Florian Wegehaupt, Thomas Attin, Nagihan Bostanci, Kai Bao, Georgios N Belibasakis, John P Hays, Gijs Elshout, Robin C Huisman, Stephanie Klein, Andrew P Stubbs, Lutz Doms, Andreas Wolf, Viorel Rusu, Sven Goethel, Thomas Binsl, Alex Michie, Jana Jancovicova, Vladimir Kolar, Michal Kostka, Jiri Smutny, Michal Karpisek, Caroline Estephan, Camille Cocaud, Roland Zengerle
Global healthcare systems are struggling with the enormous burden associated with infectious diseases, as well as the incessant rise of antimicrobial resistance. In order to adequately address these issues, there is an urgent need for rapid and accurate infectious disease diagnostics. The H2020 project DIAGORAS aims at diagnosing oral and respiratory tract infections using a fully integrated, automated and user-friendly platform for physicians' offices, schools, elderly care units, community settings, etc. Oral diseases (periodontitis, dental caries) will be detected via multiplexed, quantitative analysis of salivary markers (bacterial DNA and host response proteins) for early prevention and personalised monitoring...
2016: Studies in Health Technology and Informatics
Aviv Ouanounou
Xerostomia, or dry mouth, is common among elderly people and is typically associated with decreased salivary gland function. Causes of xerostomia in the geriatric population have been attributed to the use of medications, chronic disorders, and radiation therapy to the head and neck region. Patients with chronic xerostomia may have multiple oral and dental consequences such as dental caries, periodontal disease, fungal infections, ill-fitting dentures, and taste alterations. Xerostomia can seriously impact quality of life and may alter speech, eating, and swallowing...
May 2016: Compendium of Continuing Education in Dentistry
R Li, E C M Lo, B Y Liu, M C M Wong, C H Chu
OBJECTIVES: To investigate the effectiveness of silver diammine fluoride (SDF) solution application in arresting dental root caries and to assess the color of arrested caries lesions. METHODS: This study was conducted in elderly centers in Hong Kong. A total of 83 elders with 157 root surfaces with active caries lesion were randomly allocated into 3 groups: Gp1 (placebo control)-annual application of soda water; Gp2-annual application of SDF solution; Gp3-annual application of SDF solution immediately followed by potassium iodide (KI) solution...
August 2016: Journal of Dentistry
Moira B Smith, William Murray Thomson
OBJECTIVES: We explored the following research questions: (i) what challenges do dentists face when providing oral health care to dependent older adults; and (ii) to overcome those challenges, what recommendations would dentists providing care give those planning and implementing oral health policy and services for dependent older adults? BACKGROUND: The dentate older population is steadily increasing, and about half will end up in residential care, where dental caries rates over time are at least twice as great as those observed elsewhere...
May 16, 2016: Gerodontology
S R Miremadi, J Cosyn, B Janssens, H De Bruyn, J Vanobbergen, L De Visschere
OBJECTIVE: To assess the dental treatment backlog and associated costs among institutionalized elderly people using a novel composite index, called the oral health index. BACKGROUND: Despite numerous reports about oral health of old individuals, there is still lack of a systematic and practical method to estimate their treatment need covering all relevant aspects of oral health. In addition, little has been published on associated treatment costs and prediction of such costs...
April 26, 2016: International Journal of Dental Hygiene
Ana Karina Mascarenhas
Good oral health is necessary to overall health and well-being. Most oral diseases, and in particular dental caries, are entirely preventable. However, in 2010, 3.9 billion people were globally affected by oral conditions, and the global prevalence of untreated caries in permanent teeth was 35.3%. The contemporary thinking is that dental caries starts as an infectious disease which then becomes a chronic disease. Public health measures and other caries-preventive approaches have resulted in dramatic reductions in dental caries across populations...
2016: Caries Research
Marisol Tellez, Mark S Wolff
Fluorides and sealants have been shown to reduce caries in populations, making fluoride interventions a large part of the dental public health effort. Although public health programs have traditionally focused on fluoride vehicles delivering less than 1,000 ppm of fluoride, more recent efforts have shifted toward the use of high fluoride vehicles such as varnishes and prescription toothpastes. In the USA, states are developing innovative strategies to increase access to dental services by using primary care medical providers to deliver early preventive services as part of well-child care visits...
2016: Caries Research
Alan Deutsch
An alternate technique of care to prevent, arrest and manage root caries using aqueous silver fluoride followed by stannous fluoride (AgF+SnF2) in aged care is demonstrated by three case studies. With increasing age, the inability to maintain ones own oral care from dementia, illness or frailty and polypharmacy induced salivary gland hypofunction will result in dental caries becoming a progessively greater burden for the elderly. Future generations of elders will live longer and need to maintain many more teeth longer than earlier generations...
March 2016: Special Care in Dentistry
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