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Geriatric dentistry

Amrita Mukherjee, Alicia A Livinski, Joseph Millum, Steffany Chamut, Shahdokht Boroumand, Timothy J Iafolla, Margo R Adesanya, Bruce A Dye
BACKGROUND: Ethics in health care and research is based on the fundamental principle of informed consent. However, informed consent in geriatric dentistry is not well documented. Poor health, cognitive decline, and the passive nature of many geriatric patients complicate this issue. METHODS: The authors completed this systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The authors searched the PubMed (MEDLINE), Web of Science, PsycINFO, and Cochrane Library databases...
January 5, 2017: Journal of the American Dental Association
Martin Schimmel, Frauke Müller, Valérie Suter, Daniel Buser
In the developed world, the large birth cohorts of the so-called baby boomer generation have arrived in medical and dental practices. Often, elderly patients are 'young-old' baby boomers in whom partial edentulism is the predominant indication for implant therapy. However, the generation 85+ years of age represents a new challenge for the dental profession, as their lives are frequently dominated by dependency, multimorbidity and frailty. In geriatric implant dentistry, treatment planning is highly individualized, as interindividual differences become more pronounced with age...
February 2017: Periodontology 2000
Kristina M Hash, Marla Berg-Weger, Daniel B Stewart, David P Elliott
This study was conducted to determine the level and types of participation of social workers in the activities of the Geriatric Education Centers (GECs). Through an online survey of GECs, the level of participation of social work professionals was compared with those in dentistry, nursing, medicine, and pharmacy, during the years 2010 to 2014. Thirty-one percent (14) of the 45 GECs completed the survey. The results found increases in participation for both social workers and nurses for both GEC activities and involvement in leadership positions within the centers...
November 29, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
Enrique Fernández, Héctor Monardes, Carlos Díaz, Fernando Fuentes, Paula Padilla
No abstract text is available yet for this article.
October 15, 2016: Revista Española de Geriatría y Gerontología
Ira B Lamster
The world's population is aging, and it has been estimated that by 2050, the number of people 65 years of age and older will reach 1.5 billion. The aging population will be affected by noncommunicable chronic diseases, including diabetes mellitus, cardiovascular disease and cognitive impairment. This important demographic shift includes a reduction in tooth loss/edentulism, particularly in older adults of the developed countries in North America, western Europe and north-east Asia. Therefore, in the future, dental providers will be required to care for an expanded number of older adults who have retained teeth and are medically complex...
October 2016: Periodontology 2000
Ahmed Qannam, Ibrahim O Bello
INTRODUCTION: The increased life expectancy being observed worldwide necessitates careful planning for future geriatric oral health care needs, which should be based on epidemiologic surveys to identify these needs. We aimed to survey the range of lesions diagnosed in soft-tissue biopsies of patients over age 60 over a 30-year period in a Saudi Arabian teaching hospital. METHODS: The histopathology records of geriatric patients with complete demographic data who were diagnosed between 1984 and 2013 at the College of Dentistry, King Saud University, were reviewed...
April 2016: Saudi Dental Journal
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
Preetika Chandna, Nikhil Srivastava, Sabika Ali
Remineralizing agents represent the new frontier in dentistry. They may be classified as fluoride agents, calcium and phosphate based agents, herbal agents or combinations. The modes of delivery of remineralizing agents may be as dentifrices, mouth rinses, lozenges or chewing gums. The applications of remineralizing agents may be extrapolated to virtually every branch of dentistry ranging from pediatric to geriatric dentistry.
June 6, 2016: Current Clinical Pharmacology
Kamal Shigli, Neha Agrawal, Chandrasekharan Nair, Suresh Sajjan, Pradnya Kakodkar, Mamata Hebbal
AIM: Though different teaching learning media have been employed in the instruction of geriatric dentistry, their efficacy has not been adequately evaluated. This study was conducted with the aim to determine the efficacy of a PowerPoint presentation in teaching gerodontology. MATERIALS AND METHODS: This is a prospective follow-up study using a pre- and post-intervention assessment. A pilot study was conducted on the final year students to check the feasibility of the study...
April 2016: Journal of Indian Prosthodontic Society
Christie M Hogue, Allen D Andrade, Jorge G Ruiz, Gretchen Gibson
PURPOSE/OBJECTIVES: The healthcare workforce is challenged with preparing for the increasing number of older persons and complexities of their healthcare needs. Fellowship trained geriatric dentists are charged with the task of addressing the dental needs of this vastly growing cohort.The purpose of this study is to formulate a set of competencies for Geriatric Dental Fellowship Training Programs. METHODS: The Delphi technique-a series of three rounds of anonymous questionnaires to obtain the opinions of experts without bringing them together...
July 2016: Special Care in Dentistry
Paul Glassman
The aging of the baby boomers in the 21st century is creating unprecedented numbers of vulnerable older adults. The increase in people keeping their teeth and their increasingly complex conditions all point to more people with more complex needs. Although these demographic shifts are providing unparalleled challenges for our health care system, they also bring new opportunities to develop and implement innovative systems for reaching and maintaining the oral health of older Americans.
July 2015: Journal of the California Dental Association
Lydia Hearn, Linda Slack-Smith
The limited access to oral care for older people living in residential aged care facilities (RACFs) has been noted repeatedly in the literature. The aim of this study was to explore RACF staff perspectives on how to engage dental professionals in the provision of oral care for RACF residents. Semi-structured interviews were conducted with 30 staff from six purposively selected RACFs located in high socioeconomic areas to gain understanding of the multidimensional issues that influenced the engagement of dental professionals from a carer perspective...
November 16, 2015: Australian Journal of Primary Health
Savita Dandakeri, Shilpa Dandekeri, B Gunachandra Rai, Nitin Suvarna, Mallikarjuna Ragher, Rachana Prabhu
The present paper aims to review the literature on increasing health care challenges and needs of a growing Indian geriatric population. It also focuses on the need to overcome the shortfalls in its current oral health status in elderly. This review is based on a PubMed database search engine published in the period from 1990 to 2010 in various dental journals. Different strategies are designed to provide better facilities and easy access of these facilities not only to elderly living in the city but to the one's in rural areas...
August 2015: Journal of Pharmacy & Bioallied Sciences
Katherine J Lee, Ronald L Ettinger, Howard J Cowen, Daniel J Caplan
PURPOSE: To quantify differences and recent changes in health status among patients attending the Geriatric and Special Needs Dentistry (GSND) and Family Dentistry (FAMD) clinics at the University of Iowa College of Dentistry. METHODS: A total of 388 randomly selected records from patients attending the GSND or FAMD clinics from 1996-2000 or from 2006-2010 were reviewed. Univariate and bivariate analyses were conducted, followed by multivariable logistic regression analyses to compare characteristics of patients across clinics...
November 2015: Special Care in Dentistry
Nandita Rani Kothia, Vikram Simha Bommireddy, Talluri Devaki, Narayana Rao Vinnakota, Srinivas Ravoori, Suresh Sanikommu, Srinivas Pachava
BACKGROUND: National oral health policy was conscripted by the Indian Dental Association (IDA) in 1986 and was accepted as an integral part of National Health Policy (NHP) by the Central Council of Health and Family Welfare in one of its conferences in the year 1995. Objectives of this paper were to find out the efforts made or going on towards its execution, its current status and recent oral health-related affairs or programs, if any. METHODS: Literature search was done using the institutional library, web-based search engines like 'Google' and 'PubMed' and also by cross referencing...
September 2015: International Journal of Health Policy and Management
M Lundqvist, T Davidson, S Ordell, O Sjöström, M Zimmerman, P Sjögren
OBJECTIVES: Dental care for elderly nursing home residents is traditionally provided at fixed dental clinics, but domiciliary dental care is an emerging alternative. Longer life expectancy accompanied with increased morbidity, and hospitalisation or dependence on the care of others will contribute to a risk for rapid deterioration of oral health so alternative methods for delivering oral health care to vulnerable individuals for whom access to fixed dental clinics is an obstacle should be considered...
March 2015: Community Dental Health
Martin Schimmel, Panagiotis Christou, Hideo Miyazaki, Demetrios Halazonetis, François R Herrmann, Frauke Müller
OBJECTIVES: Chewing efficiency may be evaluated using cohesive specimen, especially in elderly or dysphagic patients. The aim of this study was to evaluate three two-coloured chewing gums for a colour-mixing ability test and to validate a new purpose built software (ViewGum©). METHODS: Dentate participants (dentate-group) and edentulous patients with mandibular two-implant overdentures (IOD-group) were recruited. First, the dentate-group chewed three different types of two-coloured gum (gum1-gum3) for 5, 10, 20, 30 and 50 chewing cycles...
August 2015: Journal of Dentistry
V V Lobeĭko
The article presents the results of a clinical study on the features of age-related pathology of the salivary glands. 5329 records of patients who were hospitalized at the Department of maxillofacial surgery and dentistry in three years has been studied. We studied the frequency and reasons for referral to a specialized hospital for emergency or routine medical care in connection with the pathology of the salivary glands, the structure of diseases of the salivary glands. It is shown that people of elderly and senile age turn for specialized treatment in the Department of maxillofacial surgery and dentistry more than young and middle-aged people...
2014: Advances in Gerontology, Uspekhi Gerontologii
Janine van Kooten, Suzanne Delwel, Tarik T Binnekade, Martin Smalbrugge, Johannes C van der Wouden, Roberto S G M Perez, Didi Rhebergen, Wouter W A Zuurmond, Max L Stek, Frank Lobbezoo, Cees M P M Hertogh, Erik J A Scherder
BACKGROUND: Pain is a common problem in people with dementia, however the exact prevalence of pain in dementia subtypes, e.g. Alzheimer's Disease (AD), Vascular Dementia (VaD), Frontotemporal Dementia (FTD) and dementia with Lewy Bodies (DLB), is unknown, as is the relation between pain and the different subtypes of dementia. In this study, the prevalence of pain in people with dementia will be investigated per dementia subtype and the relationship between the various subtypes of dementia and the presence of specific types of pain (i...
March 21, 2015: BMC Geriatrics
Isabelle Prêcheur, Marlène Chevalier
A minimal oral treatment aiming a clean and comfortable mouth could be very helpful in malnutrition control of dependent elderly persons. In such a case, it is necessary and generally it is enough to perform dental scaling and/or extractions with anxiolytic premedication (oral or rectal diazepam). Most of times, such minimal dental care can be performed at bedside, avoiding patient's stress and displacement to a dental surgery. The nursing staff can reassure the residents and their families on the absence of dentures, because saliva would be even more important than teeth...
March 2015: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
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