Restorative dentistry for the older patient cohort

Jablonski, Rachael Y.; Barber, M. W.

doi:10.1038/sj.bdj.2015.197

Cited by 19 publications

(33 citation statements)

References 54 publications

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“…Oral health conditions related to ROHD risk factors include but are not limited to the presence of multiple large restorations, removable partial dentures (RPDs), periodontitis, and xerostomia . These conditions are common among older adults in general and, consequently among older adults with Alzheimer's disease, who present with these oral health conditions even before the onset of Alzheimer's disease.…”

Section: Oral Health Status Among Patients With Alzheimer's Diseasementioning

confidence: 99%

“…54 Among older adults with Alzheimer's disease, financial burden can be even more intense, as they have more out-of-pocket health expenses when compared to older adults with no dementia. 5 Oral health conditions related to ROHD risk factors include but are not limited to the presence of multiple large restorations, 55 removable partial dentures (RPDs), 10,56 periodontitis, 57 and xerostomia. 55 These conditions are common among older adults in general and, consequently among older adults with Alzheimer's disease, who present with these oral health conditions even before the onset of Alzheimer's disease.…”

Section: Risk Factors For Rapid Oral Health Deterioration (Rohd)mentioning

confidence: 99%

“…5 Oral health conditions related to ROHD risk factors include but are not limited to the presence of multiple large restorations, 55 removable partial dentures (RPDs), 10,56 periodontitis, 57 and xerostomia. 55 These conditions are common among older adults in general and, consequently among older adults with Alzheimer's disease, who present with these oral health conditions even before the onset of Alzheimer's disease. Poor oral hygiene, mainly due to the above mentioned general health and social support factors, is also a common oral health-related ROHD risk factor among older adults with Alzheimer's disease.…”

Section: Risk Factors For Rapid Oral Health Deterioration (Rohd)mentioning

confidence: 99%

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Oral health care for patients with Alzheimer's disease: An update

Marchini

Ettinger

Caprio

et al. 2019

Special Care in Dentistry

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Alzheimer's disease and related disorders (ADRD) are among the age‐associated chronic conditions that are most challenging to health care systems around the globe, as patients with dementia require full‐time, intensive care for multiple years. Oral health care is negatively impacted by cognitive decline, and consequently poor oral health is common among people with ADRD. Poor oral health status is linked with many undesirable consequences for the well‐being of people with ADRD, from excruciating local pain to life‐threatening conditions, as aspiration pneumonia. In this paper, the authors provide an update on the most current concepts about Alzheimer's disease epidemiology, etiology, and management, current oral health care for patients with Alzheimer's disease, oral health promotion strategies for this population, as well as current research and future direction for improving oral health care for patients with Alzheimer's disease. It concludes that oral health care should be included in the patient's routine health care as early as possible in the progression of Alzheimer's disease for preventing rapid oral health deterioration. Establishing oral hygiene routines and providing dental treatment that is customized to the patients’ individual needs and disease stage are important to achieve good oral health outcomes and prevent quality of life decline.

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Section: Oral Health Status Among Patients With Alzheimer's Diseasementioning

confidence: 99%

Section: Risk Factors For Rapid Oral Health Deterioration (Rohd)mentioning

confidence: 99%

Section: Risk Factors For Rapid Oral Health Deterioration (Rohd)mentioning

confidence: 99%

See 1 more Smart Citation

Oral health care for patients with Alzheimer's disease: An update

Marchini

Ettinger

Caprio

et al. 2019

Special Care in Dentistry

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“…3,23,24 Often a spouse, caregiver, or the patients themselves will not realize when oral hygiene becomes inadequate. 4,20,27 It should be also considered that many of these factors are overlapping for elderly patients, thus further increasing their risk of ROHD as compared to other age groups. 25,26 In addition, many oral conditions more commonly seen among the elderly population can increase patients' risk of ROHD.…”

mentioning

confidence: 99%

A Teaching Tool for Establishing Risk of Oral Health Deterioration in Elderly Patients: Development, Implementation, and Evaluation at a U.S. Dental School

Marchini

Hartshorn

Cowen

et al. 2017

Journal of Dental Education

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The aim of this study was to develop and evaluate a learning strategy using critical thinking to teach dental students how to assess the risk of rapid oral health deterioration (ROHD) among elderly patients. A learning guide was developed using risk factors identified in the literature and the steps that expert faculty members apply in their clinical decision making, summarized in a set of ten steps. A new system of labeling risk was developed for the elderly population, which correlates the level of risk with the amount of disease. Participants in the study were all 91 fourth-year dental students in two subsequent classes who took part in a five-week Geriatrics and Special Needs Clinic rotation in the spring of 2015 and 2016. The students were introduced to the ROHD concept and asked to use the guide in a presentation during their rotation. The students were graded on an A, G, or M scale (Applied concept, Grasped and applied concept, or Missed application of concept). Students were also asked to assess their learning experience, and their answers were thematically grouped and analyzed. For eight of the ten steps, at least 93% of the students were graded A or G. The exceptions were the steps about developing a communications plan, which was missed by 23.1%, and self-assessment, which was missed by 30.8%. Interexaminer agreement on students' applying (A + G grades) versus missing the step was moderate or high on six of ten items. Nearly all the students (98.7%) considered assessing the risk of ROHD an important or very important skill. In this study, a learning strategy to teach dental students how to assess the risk of ROHD among elderly patients was developed and successfully implemented.

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“…KEYWORDS: review, tooth wear, composite resins, survival rate, vertical dimension of occlusion, bruxism, tooth erosion Accepted for publication 10 September 2015 Background There has been a sustained decline in the prevalence of edentulism, with an expected continuation of this projection, especially in Western societies (1,2). Consequently, as more patients retain their teeth, the treatment needs and management approach become more complex (3). This poses new challenges to the Dental Care Professional.…”

mentioning

confidence: 99%

Survival rates of anterior composites in managing tooth wear: systematic review

Ahmed

Murbay

2015

J of Oral Rehabilitation

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The use of composite restorations for patients with tooth wear is considered as a more conservative treatment option. The aim of this study was to systematically review the literature investigating the survival rates of anterior composite restorations when used in managing tooth wear in patients. PubMed and MEDLINE (Ovid) databases were screened for studies from 1995 to 2015. Cross-referencing was used to further identify articles. Article selection and data extraction were performed in duplication. Languages were restricted to English. A quality appraisal of included studies was carried out using the Strength of Recommendation Taxonomy system. Six hundred and sixty-six articles were initially identified from which eight articles were full-text reviewed. Six articles involving five studies were selected for inclusion. Three studies were prospective and two retrospective. Included studies involved placement of 772 direct and indirect anterior composite restorations in 100 patients with follow-up periods between 5 months and 10 years. The survival rates of anterior composites were >90% and 50% at 2.5 and 5 years, respectively. Posterior occlusion was re-established in 91% of patients within 18 months. Meta-analysis could not be performed due to the heterogeneity of included studies. The systematic review's overall strength of recommendation was graded B. There is evidence to support the use of anterior composite restorations at an increased vertical dimension of occlusion in the short/medium-term management of tooth wear. Long-term reporting of outcomes remains limited. Further research is needed with standardised study design, detailed reporting of outcomes and long-term review.

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Restorative dentistry for the older patient cohort

Cited by 19 publications

References 54 publications

Oral health care for patients with Alzheimer's disease: An update

Oral health care for patients with Alzheimer's disease: An update

A Teaching Tool for Establishing Risk of Oral Health Deterioration in Elderly Patients: Development, Implementation, and Evaluation at a U.S. Dental School

Survival rates of anterior composites in managing tooth wear: systematic review

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