Oral healthcare systems for an ageing population: concepts and challenges

Ghezzi, Elisa M.; Kobayashi, Keita; Park, Deok-Young; Srisilapanan, Patcharawan

doi:10.1111/idj.12343

Cited by 20 publications

(18 citation statements)

References 23 publications

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“…12 Similar results were obtained in the distribution of systemic diseases. 1,11,16,19 Hypertension, dyslipidemia, and diabetes mellitus were the three most common systemic diseases in dental patients ≥ 60 years of age. In addition, stroke was significantly more common in men than women, whereas thyroid diseases were more frequent in women than men.…”

Section: Discussionmentioning

confidence: 99%

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Medical Conditions and Oral Diseases in Elderly Thai Dental Patients in Lower Northern Thailand Patients in Lower Northern Thailan

Kaomongkolgit¹,

Daroonpan²,

Palasuk³

et al. 2019

J Dent Indones

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The World Health Organization (WHO) aims to strengthen oral health promotion and disease prevention around the globe. The prevalence and association of systemic diseases and oral diseases has been reported. Objectives: The objectives of this study were to investigate prevalence of medical conditions and oral diseases in elderly Thai dental patients. Methods: Three hundred dental records of patient aged 60 years old and older were retrospectively reviewed. Data were analyzed using Pearson's Chi-square and Fisher›s exact test with the significant level at p < 0.05. Results: All of them were Thai of 142 males (47.3%) and 158 females (52.7%). Their age ranged between 60 and 85 years old with an average age of 66.1 ± 5.4 years old. Two third of patients had the history of systemic diseases (66.3%) and hypertension (10.3%) was the predominant one. Eighty-nine percent of patients had oral health problems. Fifteen percent were currently on antiplatelet and anticoagulant drugs, and 15.4% had the history of drug allergy. The most prevalent oral diseases were tooth loss (87.7%) followed by periodontal diseases (80.0%), tooth wear (66.0%), dental caries (65.3%) and pulp diseases (54.0%). The prevalence of oral mucosal lesions, temporomandibular disorder and orofacial pain were 23.7%, 1.6% and 1.6%, respectively. Conclusion: The present study provides the information of medical conditions and oral diseases in a group of older Thai dental patients in the lower northern Thailand.

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Section: Discussionmentioning

confidence: 99%

“…The growing numbers of elderly challenge health authorities in many countries. 1 General health and oral health conditions directly influence the quality of life and lifestyle of the elderly. 2 Although systemic diseases can occur at any age, they are more common in older adults.…”

Section: Introductionmentioning

confidence: 99%

Medical Conditions and Oral Diseases in Elderly Thai Dental Patients in Lower Northern Thailand Patients in Lower Northern Thailan

Kaomongkolgit¹,

Daroonpan²,

Palasuk³

et al. 2019

J Dent Indones

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“…Especially in the geriatric population, age-related degenerative changes, risk of chronic diseases, physical weakness, functional dependency, cognitive impairment, and behavioural problems act as contributing factors in the development of oral health problems [7]. Furthermore, polypharmacy, lack of dexterity, multiple systemic conditions such as diabetes, dementia, and obesity put the older adults at a high risk of oral diseases [8].…”

Section: Introductionmentioning

confidence: 99%

The development and psychometric properties of oral health assessment instruments used by non-dental professionals for nursing home residents: a systematic review

2021

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Background Globally, oral health status of the geriatric population residing in nursing homes is poor. The integration of non-dental professionals is vital to monitor oral health, early identification and triaging of oral health problems, and timely referral to dental professionals. The aims of this systematic review were to provide a summary on the development and characteristics of oral health assessment instruments currently used by non-dental professionals for nursing home residents, and to perform a critical appraisal of their psychometric properties. Methods This review was conducted as per the PRISMA guidelines. CINHAL (EBSCO), Medline (Ovid), and EMBASE (Ovid) were searched systematically. Two reviewers independently screened the title, abstract, and full text of the studies as per the eligibility criteria. Studies describing oral health assessment instruments used to assess oral health of nursing home residents by non-dental professionals were included. Using a methodological framework, each instrument was evaluated for purpose, content, and psychometric properties related to validity, reliability, feasibility, generalisability, and responsiveness. Additionally, the reporting quality assessment of each included study was performed according to the SURGE guidelines. Results Out of the 819 screened articles, 10 studies were included in this review. The 10 identified instruments integrated 2 to 12 categories to assess oral health, which was scored on a 2 to 5-point scale. However, the measurement content varied widely, and none were able to comprehensively measure all aspects of oral health. Three measurement approaches were identified: performance- based assessment, direct inspection of the oral health status, and interview measures. Only eight instruments provided quality assessment on the basis of validity, reliability, feasibility and generalisability, whereas three instruments- Brief Oral Health Status Examination, Dental Hygiene Registration, and Oral Health Assessment Tool reported good methodological quality on at least one assessment criteria. Conclusions None of the instruments identified in this review provided a comprehensive assessment of oral health, while three instruments appeared to be valid and reliable. Nonetheless, continuous development of instruments is essential to embrace the complete spectrum of oral health and address the psychometric gaps.

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“…(The Lancet Editorial Board, 2019) These two broad and urgent calls for the need to address accessibility to oral health care has joined recent calls by the World Health Organization, the Federation Dentaire International, and the International Association for Dental Research for vastly improving accessibility to oral health care for the elderly. (Miyazaki, Jones, & Beltran-Aguila, 2017;Ghezzi, Koybayashi, Park, & Sirsilapanan, 2017;Slack-Smith, Hearn, Wilson, & Wright, 2015) The specific need to monitor oral health in elderly individuals is a "matter not only of public health, but also of human rights" (Fukai, Ogawa, & Hescot, 2017;Hyde, Dupuis, Mariri, & Dartevelle, 2017) as it is well recognized now that "oral health is closely related to systemic health" (Dorfer,Benz,Aida,& 3 Campard, 2017) as well as overall quality of life for this expanding demographic. (Shimazaki, Soh, Koga, & Miyazaki, 2004;Zenthofer, Rammelsberg, Cabrera, Schroder, & Hassel, 2014) In fact, the Justice in Aging Organization has praised the fact that the upcoming 2020 U.S.…”

Section: Introductionmentioning

confidence: 99%

Observations from a Delphi Survey of administrators of U.S. nursing homes on oral neglect guidelines: a brief report

Katz¹,

Casey²,

Smith³

et al. 2020

Preprint

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Objective: The goal of this Delphi survey was to obtain the opinion of the chief/head administrators of nationally recognized award-winning Long-Term Care (LTC) nursing homes in the U.S. regarding previously established Oral Neglect in Institutionalized Elderly (ONiIE) timelines.Results: Only two of the 56 invited expert panelists completed Round 1 of this ONiIE Delphi survey, despite the use of several methodologic approaches to facilitate their participation. Despite their impeccable credentials as dedicated, highly accomplished administrators of LTC nursing facilities across the U.S., this pool of potential chief/head LTC administrators panelists (unlike previously surveyed national expert panels of other key stakeholders, such as academic geriatric dentists, physician and nurses) abrogated their professional responsibility to the vulnerable elderly under their care by, essentially, refusing to participate in this survey, i.e., by refusing to ‘voice their opinion’ as one key stakeholder in this much needed discussion.

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Oral healthcare systems for an ageing population: concepts and challenges

Cited by 20 publications

References 23 publications

Medical Conditions and Oral Diseases in Elderly Thai Dental Patients in Lower Northern Thailand Patients in Lower Northern Thailan

Medical Conditions and Oral Diseases in Elderly Thai Dental Patients in Lower Northern Thailand Patients in Lower Northern Thailan

The development and psychometric properties of oral health assessment instruments used by non-dental professionals for nursing home residents: a systematic review

Observations from a Delphi Survey of administrators of U.S. nursing homes on oral neglect guidelines: a brief report

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