Risk indicators associated with root caries in independently living older adults

Hayes, Martina; Mata, Cristiane da; Cole, M.; McKenna, Gerald; Burke, Francis; Allen, Patrick

doi:10.1016/j.jdent.2016.05.006

Cited by 74 publications

(60 citation statements)

References 23 publications

(28 reference statements)

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“…This is even more worrying when data from systematic reviews have indicated that, worldwide, there is a peak of dental caries at 70 years of age [Kassebaum et al, 2015], and an increase in tooth loss with advancing age [Kassebaum et al, 2014]. There also seems to be an increase in the prevalence of this dis- [Hayes et al, 2016], and Turkey [Gökalp and Doğan, 2012]. This contrast may be due to the different methodologies used, cultural differences, and types of dental care in different countries.…”

Section: Discussionmentioning

confidence: 99%

“…Despite these characteristics, this type of lesion can be controlled through mechanical biofilm removal and the use of fluoridated toothpastes, particularly those with high fluoride concentration, and topical agents containing fluoride [Kidd et al, 2015;Wierichs and Meyer-Lueckel, 2015;. Different factors have also been associated with the presence of root caries in older people, including biological and socioeconomic characteristics, such as the concomitant presence of coronal caries lesions, educational level, income, and location of the municipality [Manji and Fejerskov, 1990;Mamai-Homata et al, 2012;Hayes et al, 2016]. Therefore, considering the foregoing, dental caries is an important public health problem in older people, which is closely linked to social factors [Petersen and Yamamoto, 2005].…”

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confidence: 99%

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Contextual and Individual Determinants of Root Caries in Older People

Souza

Oliveira²,

Sampaio³

et al. 2018

Caries Res

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The aim of this study was to identify the association of the presence of root caries in older people with contextual and individual determinants using a multilevel model. Data from the National Survey of Oral Health collected in Brazil were used. A sample of older Brazilians (aged 65-74 years) was included and selected through multistage probability cluster sampling, using probability proportional to size. Contextual variables of municipalities and individual variables of older people were included. Descriptive, bivariate, and multilevel analyses were conducted. Of the 3,926 older people included in the study, 934 (21.8%) had at least 1 tooth with root caries. There seemed to be no pattern of involvement between the anterior and posterior teeth in the dental arches. Multilevel analysis showed a higher presence of root caries among older people resident in municipalities that were noncapital cities (OR = 1.50), who were over 70 years of age (odds ratio, OR = 1.22), had nonwhite skin color (OR 1.35), had coronal caries (OR = 5.58), were dissatisfied with their teeth and mouth (OR = 1.47), and had self-perceived dental treatment needs (OR = 1.33). Contextual and individual determinants were associated with the occurrence of root caries in older people. Lesion presence demonstrated a profile of social inequality.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Contextual and Individual Determinants of Root Caries in Older People

Souza

Oliveira²,

Sampaio³

et al. 2018

Caries Res

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show abstract

“…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.…”

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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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“…Toothloss becomes more likely if the patient frequently consumes fermentable sugar in their diet and if the root surfaces of the teeth become exposed through recession of the support tissues. Once again, this is more likely over time and may manifest itself in old age, particularly in patients with chronic periodontal disease and those wearing RPDs to replace missing teeth …”

Section: Prevention Strategies In Older Adultsmentioning

confidence: 99%

“…Once again, this is more likely over time and may manifest itself in old age, particularly in patients with chronic periodontal disease and those wearing RPDs to replace missing teeth. 25,26 A key component to this preventively orientated approach is a shift from "treating" patients to "caring" for patients. This philosophy includes empowering patients to take charge of some elements of their oral health care with appropriately structured and individually tailored advice.…”

Section: Pre Venti On S Tr Ateg Ie S In Older Adultsmentioning

confidence: 99%

Minimal intervention dentistry for partially dentate older adults

2019

Self Cite

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Background Chronic dental and oral diseases, such as dental caries and periodontal disease, continue to be a significant health problem among older adults. Given the rapidly changing profile of the ageing population, and their complex health needs, there is a need to develop new evidence‐based approaches to oral health care. Recently, care philosophies have been developed that take a minimally invasive, functionally oriented, approach to oral health care with a focus on providing a reduced, but healthy, natural dentition which can be maintained with support of better oral hygiene. Method A review of the literature concerning use of minimal intervention dentistry (MID) to manage caries and toothloss in partially dentate older adults was undertaken. Results A variety of chemotherapeutic agents are available to prevent development of root caries and/or arrest root caries lesions, with professionally applied solutions (ie 22 500 NaF, 38% SDF or 40% CHX) every 3 to 6 months demonstrating best outcomes. Application of 38% SDF annually in high‐risk, institutionalised older adults is effective in arresting root caries. Atraumatic restorative treatment can be used successfully to manage active carious lesions and limit the removal of natural tooth tissue. Finally, functionally oriented treatment planning to manage partial toothloss is successful in terms of quality of life impact and cost‐effectiveness. Conclusion Available evidence is somewhat limited and more long‐term studies are need. However, currently available evidence suggests that minimal intervention dentistry can be predictable and cost‐effective in older adults.

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Risk indicators associated with root caries in independently living older adults

Abstract: Identification of risk indicators for root caries in independently living older adults would facilitate dental practitioners to identify those who would benefit most from interventions aimed at prevention.

Cited by 74 publications

References 23 publications

Contextual and Individual Determinants of Root Caries in Older People

Contextual and Individual Determinants of Root Caries in Older People

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

Minimal intervention dentistry for partially dentate older adults

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