Policies Supporting Oral Health in Ageing Populations Are Needed Worldwide

Chávez, Elisa M.; Kossioni, Anastassia; Fukai, Kakuhiro

doi:10.1016/j.identj.2022.06.014

Cited by 21 publications

(24 citation statements)

References 82 publications

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“…These disabilities can cause difficulty with access to dental care due to mobility problems and limited domiciliary dental care provision. [46][47][48] Moreover, the limited dental care coverage reduces accessing dental services. As people age, dental visits decrease but visits with other health care providers increase.…”

Section: Opportunities For and Threats To The Oral Health Of Baby Boo...mentioning

confidence: 99%

Baby boomers in Europe: demography, socioeconomic and health status, and oral health needs

Kossioni

2023

Special Care in Dentistry

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The European countries are aging fast. Baby boomers in Europe constitute a diverse population group with several differences in life events and living conditions. The fiscal effects of the aging of European population have led to changes in policies and legislation that largely affect the lives of baby boomers necessitating an increase in their working lives. Furthermore, reforms are planned in the existing health and long‐term care systems. Although some baby boomers in Europe face chronic medical conditions, the majority perceive their general health as good or very good. However, approximately one quarter have reported unmet needs for medical care, mainly due to cost or long waiting lists with large variability among different countries. The oral health of baby boomers has improved compared to previous generations particularly related to tooth loss. However, older groups in many countries face an increase in dental caries and periodontal disease. Some baby boomers may enter very old age with many natural teeth, functional impairment, limited ability to perform oral hygiene and an increased demand for more complex dental care as well as domiciliary care. However, in contrast to medical care, dental expenses in Europe are mainly financed with out‐of‐pocket payments while domiciliary dental care is rarely provided leading to unmet dental care needs for the most vulnerable individuals. Educational interventions for all healthcare professionals, as well as formal and informal carers and the public are required, and appropriate policies and legislations are needed to promote the oral health of the aging European population.

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Section: Opportunities For and Threats To The Oral Health Of Baby Boo...mentioning

confidence: 99%

Baby boomers in Europe: demography, socioeconomic and health status, and oral health needs

Kossioni

2023

Special Care in Dentistry

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“…Poor oral health conditions such as having less than 20 teeth, and chewing and swallowing difficulties could cause poor nutritional status 1 , leading to physical frailty 2 , and low healthrelated quality of life 3 . Maintaining healthy oral conditions and treatment at an early stage are encouraged in older people 4 .…”

Section: Introductionmentioning

confidence: 99%

Frequency of Going Outdoors and Risk of Poor Oral Health Among Older Japanese Adults: A Longitudinal Cohort From the Japan Gerontological Evaluation Study

Ishimura

Sakaniwa

Shirai

et al. 2024

Journal of Epidemiology

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BackgroundThe association between the frequency of going outdoors and the risk of poor oral health has been reported in several studies; however, the findings have been inconclusive. MethodsWe conducted a three-year longitudinal study of 19,972 Japanese adults aged ≥65 years who reported no poor oral condition at baseline in 2013. The respondents rated their frequency of going outdoors in three categories (≤1, 2-3, or ≥4 times/week), and the oral conditions reported in 2016 included tooth loss, chewing difficulty, swallowing difficulty, dry mouth, and composite outcomes. The associations between the frequency of going outdoors and the risk of poor oral health were examined as relative risk ratios (RR) and 95% confidence intervals (CI) using multivariable Poisson regression, while mediation analysis was performed to investigate indirect effects. ResultsDuring the follow-up, 32.5% of participants developed poor oral health. In the mediation analysis, indirect effects were observed through low instrumental activities of daily living, depressive symptoms, little social network diversity, and underweight.Compared to going outdoors ≥4 times/week, the multivariable RR(95%CI) of composite poor oral health conditions was 1.12 (1.05-1.20) for 2-3 times/week and 1.22 (1.07-1.39) for ≤1 time/week (P-trend<0.001). Similar associations were observed for tooth loss, chewing difficulty, and swallowing difficulty; the corresponding RRs(95%CIs) were 1. 07(0.97-1.19)

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“…Of these, the most seminal event could be regarded as the publication of the International Dental Journal (IDJ) supplement on “Oral Health for an Ageing Population.” 1 This was a landmark compendium highlighting the varied aspects of the effect of ageing on the maxillofacial complex. Written by an internationally renowned group of erudite authors, the articles 2 , 3 , 4 , 5 , 6 describe the burden of oral diseases and access to oral care in an ageing society as well as the decline in oral function with ageing and how these could be mitigated. Furthermore, this unique compilation tackles the thorny question of policy changes required globally to address a glaring health issue 5 that we all will inevitably face within the next few decades.…”

mentioning

confidence: 99%

“…Written by an internationally renowned group of erudite authors, the articles 2 , 3 , 4 , 5 , 6 describe the burden of oral diseases and access to oral care in an ageing society as well as the decline in oral function with ageing and how these could be mitigated. Furthermore, this unique compilation tackles the thorny question of policy changes required globally to address a glaring health issue 5 that we all will inevitably face within the next few decades.…”

mentioning

confidence: 99%