Bianca Lopes de Andrade Martins de Lima, Jeferson Batista Santiago, Maria Eduarda Lemos Avelino, Taciana Emília Leite Vila-Nova, Rayanna Thayse Florêncio Costa, Sandra Lúcia Dantas Moraes
Objective
This study aims to map the existing literature on natural products used as disinfection substances for conventional polymethyl methacrylate (PMMA) and computer-aided design and manufacturing (CAD-CAM) dentures.
Background
Denture wearers are at high risk for denture stomatitis. Natural products have attracted the interest of the scientific community as an alternative to synthetic ones.
Materials and methods
The guiding question “Which natural products have been applied to disinfect complete dentures in conventional PMMA or CAD-CAM PMMA resin?” Searches were conducted in the PubMed/MEDLINE, Embase, Web of Science, and Cochrane databases, and manual searches were performed in reference journals in the area with studies published until December 2023, without language or date restrictions.
Results
A total of 4272 articles were identified, and 46 studies were included after applying the eligibility criteria. Thirty-nine natural products were evaluated. Of the included studies, 43 presented positive findings and three obtained negative findings on the effectiveness of natural products in inhibiting or killing Candida albicans.
Conclusion
Natural products, predominantly sourced from the Plantae kingdom, have demonstrated efficacy in reducing Candida albicans on the surface of conventional PMMA. However, the evidence primarily stems from in vitro studies, underscoring the necessity for additional clinical research to validate their applicability under real microbiological conditions in prosthesis users.
{"title":"Natural products for denture base disinfection: A scoping review","authors":"Bianca Lopes de Andrade Martins de Lima, Jeferson Batista Santiago, Maria Eduarda Lemos Avelino, Taciana Emília Leite Vila-Nova, Rayanna Thayse Florêncio Costa, Sandra Lúcia Dantas Moraes","doi":"10.1111/ger.12783","DOIUrl":"10.1111/ger.12783","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to map the existing literature on natural products used as disinfection substances for conventional polymethyl methacrylate (PMMA) and computer-aided design and manufacturing (CAD-CAM) dentures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Denture wearers are at high risk for denture stomatitis. Natural products have attracted the interest of the scientific community as an alternative to synthetic ones.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and methods</h3>\u0000 \u0000 <p>The guiding question “Which natural products have been applied to disinfect complete dentures in conventional PMMA or CAD-CAM PMMA resin?” Searches were conducted in the PubMed/MEDLINE, Embase, Web of Science, and Cochrane databases, and manual searches were performed in reference journals in the area with studies published until December 2023, without language or date restrictions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 4272 articles were identified, and 46 studies were included after applying the eligibility criteria. Thirty-nine natural products were evaluated. Of the included studies, 43 presented positive findings and three obtained negative findings on the effectiveness of natural products in inhibiting or killing <i>Candida albicans</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Natural products, predominantly sourced from the Plantae kingdom, have demonstrated efficacy in reducing <i>Candida albicans</i> on the surface of conventional PMMA. However, the evidence primarily stems from in vitro studies, underscoring the necessity for additional clinical research to validate their applicability under real microbiological conditions in prosthesis users.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 1","pages":"12-26"},"PeriodicalIF":2.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142580978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ingela Grönbeck Lindén, Marika Wenemark, Pia Andersson, Synneve Dahlin-Ivanoff, Lars Gahnberg, Catharina Hägglin
Objective
To evaluate the validity of the newly developed Oral Hygiene Ability Instrument (OHAI), created to assess the cause of any inability of older adults to perform oral hygiene, and to revise the instrument based on the results.
Background
Good oral hygiene is among the most important prophylactic measures for oral health. This applies especially to older adults, among whom risk factors and physical and cognitive barriers are more common and can hamper oral hygiene.
Methods
The OHAI contains (I) an interview, (II) clinical examination, (III) observation of oral hygiene activities and a summarising part. In the study, 149 older adults in three groups participated: stroke, cognitive disorder and general dental patients. Inclusion criteria were to be ≥65 years old, have at least one tooth and to manage oral hygiene without assistance. For criterion validity, sensitivity and specificity were calculated using eight reference instruments. To determine construct validity, we used known group validity, factor analysis and Rasch analysis.
Results
The criterion and construct validity of the OHAI were found to be acceptable to good. In the stroke group, balance and fine motor skills were assessed to affect oral hygiene most; in the cognitive disorder group, it was balance, coordination, spatial ability and cognitive functions. Analyses revealed that one item had no added value and that some response options were not optimal.
Conclusion
The OHAI proved to be valid for the group it is intended for, with only minor revisions needed, resulting in a 32-item instrument. The OHAI could be a valuable person-centred tool in prophylactic work with older adults with failing oral hygiene.
{"title":"Validity of the Oral Hygiene Ability Instrument (OHAI)","authors":"Ingela Grönbeck Lindén, Marika Wenemark, Pia Andersson, Synneve Dahlin-Ivanoff, Lars Gahnberg, Catharina Hägglin","doi":"10.1111/ger.12796","DOIUrl":"10.1111/ger.12796","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the validity of the newly developed Oral Hygiene Ability Instrument (OHAI), created to assess the cause of any inability of older adults to perform oral hygiene, and to revise the instrument based on the results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Good oral hygiene is among the most important prophylactic measures for oral health. This applies especially to older adults, among whom risk factors and physical and cognitive barriers are more common and can hamper oral hygiene.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The OHAI contains (I) an interview, (II) clinical examination, (III) observation of oral hygiene activities and a summarising part. In the study, 149 older adults in three groups participated: stroke, cognitive disorder and general dental patients. Inclusion criteria were to be ≥65 years old, have at least one tooth and to manage oral hygiene without assistance. For criterion validity, sensitivity and specificity were calculated using eight reference instruments. To determine construct validity, we used known group validity, factor analysis and Rasch analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The criterion and construct validity of the OHAI were found to be acceptable to good. In the stroke group, <i>balance</i> and <i>fine motor skills</i> were assessed to affect oral hygiene most; in the cognitive disorder group, it was <i>balance</i>, <i>coordination</i>, <i>spatial ability</i> and <i>cognitive functions.</i> Analyses revealed that one item had no added value and that some response options were not optimal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The OHAI proved to be valid for the group it is intended for, with only minor revisions needed, resulting in a 32-item instrument. The OHAI could be a valuable person-centred tool in prophylactic work with older adults with failing oral hygiene.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 3","pages":"329-341"},"PeriodicalIF":1.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.12796","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lara T. Friedlander, Payman Hamadani, Nicholas P. Chandler, Ben K. Daniel
Objectives
This study explored the attitudes of New Zealand (NZ) general dental practitioners (GDPs) towards older adults living within the community and the barriers and difficulties caring for their oral health needs.
Background
Adults are living longer and retaining teeth. Their dentitions are complex and alongside their dental needs, older adults often experience age-related systemic disease or decline. Ageism and stereotypical views of older adults impedes access to dental care. While there is some understanding of older adults and ageism from the perspective of dental students, there is a paucity of knowledge about dentists' management of this patient demographic.
Materials and methods
A mixed-methods survey questionnaire collected quantitative and qualitative data. Quantitative data were analysed descriptively followed by bivariate analysis. Qualitative data responses to open-ended questions were analysed thematically.
Results
A total of 382 GDPs participated (response rate of 24%) and demonstrated positive attitudes and low levels of ageism towards older adults who they enjoyed treating. Confidence was positively related to clinical experience, and most dentists had engaged in gerodontology updates. Barriers to care for older adults were perceived to be beyond their control and mostly related to cost, chronic disease or age-related change. Consent processes could create difficulty and so collaboration with family or caregivers was important.
Conclusion
The GDPs displayed positive attitudes and confidence towards older adults who are a rewarding patient cohort. Gerodontology education during training and following graduation is critical to enhance oral health outcomes for older patients.
目的：本研究探讨了新西兰（NZ）全科牙医对生活在社区中的老年人的态度，以及照顾他们口腔健康需求的障碍和困难：本研究探讨了新西兰（NZ）全科牙医（GDPs）对生活在社区内的老年人的态度，以及满足他们口腔健康需求的障碍和困难：背景：成年人寿命越来越长，牙齿也越来越多。背景：老年人的寿命越来越长，牙齿也越来越多。他们的牙科情况很复杂，除了牙科需求外，老年人还经常会出现与年龄有关的全身性疾病或衰退。年龄歧视和对老年人的刻板印象阻碍了他们获得牙科保健。虽然从牙科学生的角度来看，他们对老年人和年龄歧视有一定的了解，但对牙科医生如何管理这一患者群体却知之甚少：混合方法调查问卷收集了定量和定性数据。对定量数据进行描述性分析，然后进行双变量分析。对开放式问题的定性数据回答进行了专题分析：共有 382 名 GDP 参与了调查（回复率为 24%），他们对自己喜欢治疗的老年人表现出积极的态度和较低的年龄歧视。自信心与临床经验呈正相关，大多数牙医都参加过老年牙科的更新培训。老年人在接受治疗时遇到的障碍是他们无法控制的，主要与费用、慢性疾病或与年龄有关的变化有关。同意程序可能会造成困难，因此与家人或护理人员的合作非常重要：GDPs 对老年人表现出了积极的态度和信心，老年人是一个有价值的患者群体。培训期间和毕业后的老年口腔医学教育对于提高老年患者的口腔健康水平至关重要。
{"title":"Dentists' perceptions of providing care to community-dwelling older people","authors":"Lara T. Friedlander, Payman Hamadani, Nicholas P. Chandler, Ben K. Daniel","doi":"10.1111/ger.12795","DOIUrl":"10.1111/ger.12795","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study explored the attitudes of New Zealand (NZ) general dental practitioners (GDPs) towards older adults living within the community and the barriers and difficulties caring for their oral health needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adults are living longer and retaining teeth. Their dentitions are complex and alongside their dental needs, older adults often experience age-related systemic disease or decline. Ageism and stereotypical views of older adults impedes access to dental care. While there is some understanding of older adults and ageism from the perspective of dental students, there is a paucity of knowledge about dentists' management of this patient demographic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and methods</h3>\u0000 \u0000 <p>A mixed-methods survey questionnaire collected quantitative and qualitative data. Quantitative data were analysed descriptively followed by bivariate analysis. Qualitative data responses to open-ended questions were analysed thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 382 GDPs participated (response rate of 24%) and demonstrated positive attitudes and low levels of ageism towards older adults who they enjoyed treating. Confidence was positively related to clinical experience, and most dentists had engaged in gerodontology updates. Barriers to care for older adults were perceived to be beyond their control and mostly related to cost, chronic disease or age-related change. Consent processes could create difficulty and so collaboration with family or caregivers was important.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The GDPs displayed positive attitudes and confidence towards older adults who are a rewarding patient cohort. Gerodontology education during training and following graduation is critical to enhance oral health outcomes for older patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 3","pages":"321-328"},"PeriodicalIF":1.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wisam Kamil, Estie Kruger, Gillian Jean, Marc Tennant
Objectives
Limited access to oral health services contributes to poor oral health in institutionalised older adults. The objective of this study was to map and analyse the distribution of residential age-care facilities (RACFs) in relation to dental practices across Australia.
Methods
Age-care data were sourced from the Australian Institute of Health and Welfare. The data were categorised according to the Australian Bureau of Statistics remoteness index in each state and territory, defined by a geographic coordinate system. The structure of remoteness area data was integrated into RACF data using a geographic information system. Buffer analysis in QGIS was employed to calculate the buffer distance surrounding RACFs by identifying dental practices relative to a measuring distance.
Results
In total, Australia had 2718 RACFs and 7379 dental practices (both private 95.5% and public 4.5%). In all States, more than a third of metropolitan RACFs were within accessible reach of a private practice (ranging from 37% of RACFs in NSW to 55% in WA). However, proximity to public clinics was low, ranging from only 4% (WA) to 9% (QLD). More than one-fifth of metropolitan RACFs in NSW, QLD, WA and ACT (ranging from 20% to 24%) were not within accessible proximity of either a public or private dental clinic/practice. While more than 70% of RACFs in regional and remote Australia are reasonably close to dental practices, areas with inadequate access exist, with the highest percentage recorded in WA (6%).
Conclusion
Ensuring an equitable distribution of dental practices relative to RACFs is crucial in bridging the service access gap in underserved areas.
目的：获得口腔保健服务的机会有限是导致机构养老的老年人口腔健康状况不佳的原因之一。本研究旨在绘制并分析澳大利亚各地老年护理机构（RACF）与牙科诊所的分布关系：方法：老年护理数据来源于澳大利亚健康与福利研究所（Australian Institute of Health and Welfare）。数据根据澳大利亚统计局在各州和地区的偏远指数进行分类，并通过地理坐标系统进行定义。利用地理信息系统将偏远地区数据的结构整合到 RACF 数据中。利用QGIS中的缓冲区分析法，通过识别牙科诊所与测量距离的相对值，计算出RACF周围的缓冲距离：结果：澳大利亚共有 2718 个 RACF 和 7379 个牙科诊所（其中私立诊所占 95.5%，公立诊所占 4.5%）。在所有各州中，超过三分之一的大都市区域牙科诊所与私人诊所近在咫尺（从新南威尔士州37%的区域牙科诊所到西澳大利亚州55%的区域牙科诊所不等）。然而，与公立诊所的距离却很近，从 4%（西澳大利亚州）到 9%（昆士兰州）不等。在新南威尔士州、昆士兰州、西澳大利亚州和首都地区，超过五分之一的大都市地区牙科诊所和诊所（从20%到24%不等）附近没有公立或私立牙科诊所/诊所。虽然澳大利亚地区和偏远地区70%以上的区域牙科诊所与牙科诊所距离较近，但仍有一些地区的牙科诊所与牙科诊所距离不足，其中西澳大利亚州的比例最高（6%）：结论：确保牙科诊所与区域牙科诊所的公平分布，对于缩小服务不足地区的服务差距至关重要。
{"title":"Distribution of Australian dental practices in relation to residential aged care facilities: A geographic analysis","authors":"Wisam Kamil, Estie Kruger, Gillian Jean, Marc Tennant","doi":"10.1111/ger.12792","DOIUrl":"10.1111/ger.12792","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Limited access to oral health services contributes to poor oral health in institutionalised older adults. The objective of this study was to map and analyse the distribution of residential age-care facilities (RACFs) in relation to dental practices across Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Age-care data were sourced from the Australian Institute of Health and Welfare. The data were categorised according to the Australian Bureau of Statistics remoteness index in each state and territory, defined by a geographic coordinate system. The structure of remoteness area data was integrated into RACF data using a geographic information system. Buffer analysis in QGIS was employed to calculate the buffer distance surrounding RACFs by identifying dental practices relative to a measuring distance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, Australia had 2718 RACFs and 7379 dental practices (both private 95.5% and public 4.5%). In all States, more than a third of metropolitan RACFs were within accessible reach of a private practice (ranging from 37% of RACFs in NSW to 55% in WA). However, proximity to public clinics was low, ranging from only 4% (WA) to 9% (QLD). More than one-fifth of metropolitan RACFs in NSW, QLD, WA and ACT (ranging from 20% to 24%) were not within accessible proximity of either a public or private dental clinic/practice. While more than 70% of RACFs in regional and remote Australia are reasonably close to dental practices, areas with inadequate access exist, with the highest percentage recorded in WA (6%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Ensuring an equitable distribution of dental practices relative to RACFs is crucial in bridging the service access gap in underserved areas.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 2","pages":"277-282"},"PeriodicalIF":2.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rashida N. Simons, Jerome A. Lindeboom, Jacco G. Tuk, Jan de Lange
Objective
The purpose of this study was to investigate the effect of coronectomy on postoperative quality of life in older adults.
Background
Coronectomy is an alternative to complete surgical removal of a mandibular third molar that lies close to the inferior alveolar nerve.
Materials and Methods
This prospective study included patients >60 years old who had an indication for coronectomy of a mandibular third molar. Patients were asked to complete the Dutch version of the Oral Health Impact Profile-14 (OHIP-14) daily during the first postoperative week. Postoperative pain, swelling, limited mouth opening, chewing ability and infection were also recorded. Furthermore, the effect of the impaction pattern, state of eruption, presence of preoperative pathology, patient health status according to the American Society of Anaesthesiologists score, gender, smoking on the postoperative OHIP-14 and pain scores were investigated.
Results
Thirty patients (16 males, 14 females) with a mean age of 71.2 (SD 8.3, range 60–91) years were included in the study. OHIP-14 and pain scores were highest on the first postoperative day and gradually declined during the first postoperative week. Patients who underwent coronectomy of a fully impacted mandibular third molar had significantly higher OHIP-14 scores on the first postoperative day than those who underwent coronectomy on a (partially) erupted mandibular third molar. We did not observe any postoperative complications up to 1 year after the surgery.
Conclusion
Mandibular third molar coronectomy seems to present a valid treatment option in older adults.
{"title":"Mandibular third molar coronectomy in older adults and its effects on oral health-related quality of life","authors":"Rashida N. Simons, Jerome A. Lindeboom, Jacco G. Tuk, Jan de Lange","doi":"10.1111/ger.12794","DOIUrl":"10.1111/ger.12794","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The purpose of this study was to investigate the effect of coronectomy on postoperative quality of life in older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Coronectomy is an alternative to complete surgical removal of a mandibular third molar that lies close to the inferior alveolar nerve.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This prospective study included patients >60 years old who had an indication for coronectomy of a mandibular third molar. Patients were asked to complete the Dutch version of the Oral Health Impact Profile-14 (OHIP-14) daily during the first postoperative week. Postoperative pain, swelling, limited mouth opening, chewing ability and infection were also recorded. Furthermore, the effect of the impaction pattern, state of eruption, presence of preoperative pathology, patient health status according to the American Society of Anaesthesiologists score, gender, smoking on the postoperative OHIP-14 and pain scores were investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty patients (16 males, 14 females) with a mean age of 71.2 (SD 8.3, range 60–91) years were included in the study. OHIP-14 and pain scores were highest on the first postoperative day and gradually declined during the first postoperative week. Patients who underwent coronectomy of a fully impacted mandibular third molar had significantly higher OHIP-14 scores on the first postoperative day than those who underwent coronectomy on a (partially) erupted mandibular third molar. We did not observe any postoperative complications up to 1 year after the surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Mandibular third molar coronectomy seems to present a valid treatment option in older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 2","pages":"269-276"},"PeriodicalIF":2.0,"publicationDate":"2024-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.12794","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142498594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamal Shigli, Sushma Nayak, Vasanti Lagali-Jirge, Jayashri Tamanna Nerali, Deepti Vadavi, Fadekemi Olufunmilayo Oginni, Rashmi A. Kusurkar
Background
The increasing geriatric population in India needs special attention from the oral health workforce. This study explores dental teachers' perceptions of the status of geriatric dentistry in the dental curriculum and the challenges of implementing geriatric dentistry curriculum in the present dental training sector in India from the trainers' (teachers) perspective.
Methods
We utilised a qualitative approach, and four focus group discussions were conducted with/among various levels of academic teachers—Heads of Departments (n = 8), Board of Study members (n = 7), Deans (n = 5), Lecturers and Associate professors (n = 8). All discussions were audio-taped and transcribed. Data was analysed thematically, and coding was done using an inductive approach. Consensus on themes was achieved through deliberations.
Results
Three themes were identified—Unique challenges in managing geriatric patients (bordering on Dental care, Attitude, Awareness, Social issues and dependency on family); Current issues with provision of geriatric care (Curricular concerns—Teachers' training, Students' training, Instructional content, timing of delivery; Students' and trainers' attitudes; Infrastructural issues) and Strategies for advancement (Sensitisation of policymakers, Collaboration with other agencies, Modification in course design, Improved educational strategies and Shift in patient care delivery).
Conclusion
Trainers perceived a strong need to develop geriatric competencies among dental students. A geriatric dentistry curriculum based on local needs could ensure the success and sustenance of change. Introducing specialisation in geriatric dentistry would ensure quality oral care for the rising geriatric population. Innovative teaching strategies, interdisciplinary training and the use of newer technologies could aid in improved teaching of geriatric dentistry.
{"title":"Dental teachers' perceptions about the status of geriatric dentistry in the dental curriculum: A qualitative exploration in the Indian context","authors":"Kamal Shigli, Sushma Nayak, Vasanti Lagali-Jirge, Jayashri Tamanna Nerali, Deepti Vadavi, Fadekemi Olufunmilayo Oginni, Rashmi A. Kusurkar","doi":"10.1111/ger.12793","DOIUrl":"10.1111/ger.12793","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The increasing geriatric population in India needs special attention from the oral health workforce. This study explores dental teachers' perceptions of the status of geriatric dentistry in the dental curriculum and the challenges of implementing geriatric dentistry curriculum in the present dental training sector in India from the trainers' (teachers) perspective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We utilised a qualitative approach, and four focus group discussions were conducted with/among various levels of academic teachers—Heads of Departments (<i>n</i> = 8), Board of Study members (<i>n</i> = 7), Deans (<i>n</i> = 5), Lecturers and Associate professors (<i>n</i> = 8). All discussions were audio-taped and transcribed. Data was analysed thematically, and coding was done using an inductive approach. Consensus on themes was achieved through deliberations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three themes were identified—Unique challenges in managing geriatric patients (bordering on Dental care, Attitude, Awareness, Social issues and dependency on family); Current issues with provision of geriatric care (Curricular concerns—Teachers' training, Students' training, Instructional content, timing of delivery; Students' and trainers' attitudes; Infrastructural issues) and Strategies for advancement (Sensitisation of policymakers, Collaboration with other agencies, Modification in course design, Improved educational strategies and Shift in patient care delivery).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Trainers perceived a strong need to develop geriatric competencies among dental students. A geriatric dentistry curriculum based on local needs could ensure the success and sustenance of change. Introducing specialisation in geriatric dentistry would ensure quality oral care for the rising geriatric population. Innovative teaching strategies, interdisciplinary training and the use of newer technologies could aid in improved teaching of geriatric dentistry.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 2","pages":"256-268"},"PeriodicalIF":2.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142462753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Monika Werdiningsih, Atik Ramadhani, Patcharaphol Samnieng, Jacob John, Melissa Adiatman
Background
With demographic changes in aging populations, dentists require special care protocols to treat older adults with diverse and complex oral health needs and problems. Knowledge, positive attitudes, and sufficient practice experience are essential components for promptly treating older adults. However, many dentists encounter multiple barriers influencing their willingness to provide care for older adults. This study assessed Indonesian dentists' knowledge, attitudes, and practices (KAP) in providing oral health care (OHC) for older adults, including their willingness and barriers.
Methods
A cross-sectional survey was conducted with 392 dentists employing an online questionnaire between April and June 2022. The respondents' KAP was categorised utilising a modified Blooms' cut-off point of ≥60%. Data were analysed using descriptive statistics, the x2 test, and logistic regression.
Results
Most dentists demonstrated adequate knowledge (62.2%), a positive attitude (95.4%), sufficient practice experience (91.6%), and a high willingness (98%) to provide OHC services for older adults. However, 91.4% encountered barriers primarily related to interpersonal communication, disease complexity and polypharmacy, and patient functional status. Significant associations were found between dentists' attitudes toward practices and willingness to attend geriatric dentistry training with knowledge.
Conclusion
Implementation of continuing professional development (CPD) in geriatric dentistry, the inclusion of geriatric dentistry into the undergraduate curriculum, and enhancing clinic accessibility for older adults may improve dentists' preparedness and benefit the future provision of OHC for older adults in Indonesia.
背景随着人口老龄化的变化，牙科医生需要特殊的护理方案来治疗有各种复杂口腔健康需求和问题的老年人。知识、积极的态度和足够的实践经验是及时治疗老年人的基本要素。然而，许多牙医在为老年人提供医疗服务时会遇到多种障碍。本研究评估了印尼牙医在为老年人提供口腔保健（OHC）方面的知识、态度和实践（KAP），包括他们的意愿和障碍。方法：2022 年 4 月至 6 月期间，我们采用在线问卷对 392 名牙医进行了横断面调查。受访者的 KAP 采用修正的布卢姆斯截断点进行分类，即≥60%。结果大多数牙医对为老年人提供口腔保健服务有足够的认识（62.2%）、积极的态度（95.4%）、足够的实践经验（91.6%）和高度的意愿（98%）。然而，91.4%的人遇到的障碍主要与人际沟通、疾病的复杂性和多药治疗以及患者的功能状况有关。结论在老年牙科方面实施持续专业发展（CPD），将老年牙科纳入本科课程，以及提高老年人就诊的便利性，可以改善牙医的准备情况，有利于将来在印度尼西亚为老年人提供口腔保健服务。
{"title":"Indonesian dentists' views on providing oral health care for older adults","authors":"Monika Werdiningsih, Atik Ramadhani, Patcharaphol Samnieng, Jacob John, Melissa Adiatman","doi":"10.1111/ger.12790","DOIUrl":"10.1111/ger.12790","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>With demographic changes in aging populations, dentists require special care protocols to treat older adults with diverse and complex oral health needs and problems. Knowledge, positive attitudes, and sufficient practice experience are essential components for promptly treating older adults. However, many dentists encounter multiple barriers influencing their willingness to provide care for older adults. This study assessed Indonesian dentists' knowledge, attitudes, and practices (KAP) in providing oral health care (OHC) for older adults, including their willingness and barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted with 392 dentists employing an online questionnaire between April and June 2022. The respondents' KAP was categorised utilising a modified Blooms' cut-off point of ≥60%. Data were analysed using descriptive statistics, the <i>x</i><sup>2</sup> test, and logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most dentists demonstrated adequate knowledge (62.2%), a positive attitude (95.4%), sufficient practice experience (91.6%), and a high willingness (98%) to provide OHC services for older adults. However, 91.4% encountered barriers primarily related to interpersonal communication, disease complexity and polypharmacy, and patient functional status. Significant associations were found between dentists' attitudes toward practices and willingness to attend geriatric dentistry training with knowledge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Implementation of continuing professional development (CPD) in geriatric dentistry, the inclusion of geriatric dentistry into the undergraduate curriculum, and enhancing clinic accessibility for older adults may improve dentists' preparedness and benefit the future provision of OHC for older adults in Indonesia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 2","pages":"246-255"},"PeriodicalIF":2.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lauren Gritzer, Hend Alqaderi, Anshul Puli, Michael Friedman, Subin Jeong, Narjes Bencheikh, Sophie Kim, Yen Dinh, Jason Outlaw, Brian Swann
Objectives
Evaluate oral health care access and utilisation, while identifying the specific oral health needs of the Native American Elders within the Wampanoag Tribe of Gay Head (WTGH) on Martha's Vineyard Island.
Background
Elders, particularly the WTGH face notable issues in obtaining oral health care. This study addressed the oral health gaps within the WTGH Elders through a comprehensive community needs assessment.
Methods
Employing a mixed-methods approach, qualitative concept mapping interviews with stakeholders and tribe members, a quantitative survey was conducted, and deidentified billing codes were analysed.
Results
Concept mapping revealed limited availability of services, accessibility and transportation, insurance challenges, lack of a centralised database, tribal/national policy and health-related self-sufficiency. Quantitative data indicated that 65% of Elders faced challenges in accessing oral health care, and 48% reported experiencing an oral health issue in the last 12 months. Additionally, 23% did not receive oral health care during this period, with a significant portion having previously utilised services at the Martha's Vineyard Hospital Oral Health Clinic.
Conclusion
Establishing a formal relationship between the WTGH and an academic institution for creating a portable oral health clinic supervised by faculty and developing a structured referral system is essential. This initiative aims to dismantle barriers to oral health care, improve access, and meet the oral health needs among Elders while offering valuable educational experiences for students regarding diverse patient populations and access-to-care factors.
目标：评估口腔保健的获得和利用情况，同时确定玛莎葡萄园岛 Wampanoag Tribe of Gay Head (WTGH) 印第安老人的具体口腔保健需求：背景：老年人，尤其是 WTGH 的老年人在获得口腔保健方面面临着明显的问题。本研究通过全面的社区需求评估来解决 WTGH 老人口腔健康方面的差距：方法：采用混合方法，对利益相关者和部落成员进行定性概念绘图访谈，开展定量调查，并对去标识化账单代码进行分析：概念图显示了服务的有限可用性、可及性和交通、保险挑战、中央数据库的缺乏、部落/国家政策以及与健康相关的自给自足。定量数据显示，65% 的长者在获得口腔保健方面面临挑战，48% 的长者报告在过去 12 个月中遇到过口腔健康问题。此外，23% 的长者在此期间没有接受过口腔保健服务，其中很大一部分长者曾在玛莎葡萄园医院口腔保健诊所接受过服务：结论：在WTGH和学术机构之间建立正式关系，以创建一个由教师监督的便携式口腔健康诊所，并开发一个结构化的转诊系统，这一点至关重要。这一举措旨在消除口腔保健方面的障碍，改善就医途径，满足老年人的口腔保健需求，同时为学生提供有关不同患者群体和就医因素的宝贵教育经验。
{"title":"Oral health needs of Wampanoag elders on Martha's Vineyard: A comprehensive assessment","authors":"Lauren Gritzer, Hend Alqaderi, Anshul Puli, Michael Friedman, Subin Jeong, Narjes Bencheikh, Sophie Kim, Yen Dinh, Jason Outlaw, Brian Swann","doi":"10.1111/ger.12788","DOIUrl":"10.1111/ger.12788","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Evaluate oral health care access and utilisation, while identifying the specific oral health needs of the Native American Elders within the Wampanoag Tribe of Gay Head (WTGH) on Martha's Vineyard Island.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Elders, particularly the WTGH face notable issues in obtaining oral health care. This study addressed the oral health gaps within the WTGH Elders through a comprehensive community needs assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Employing a mixed-methods approach, qualitative concept mapping interviews with stakeholders and tribe members, a quantitative survey was conducted, and deidentified billing codes were analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Concept mapping revealed limited availability of services, accessibility and transportation, insurance challenges, lack of a centralised database, tribal/national policy and health-related self-sufficiency. Quantitative data indicated that 65% of Elders faced challenges in accessing oral health care, and 48% reported experiencing an oral health issue in the last 12 months. Additionally, 23% did not receive oral health care during this period, with a significant portion having previously utilised services at the Martha's Vineyard Hospital Oral Health Clinic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Establishing a formal relationship between the WTGH and an academic institution for creating a portable oral health clinic supervised by faculty and developing a structured referral system is essential. This initiative aims to dismantle barriers to oral health care, improve access, and meet the oral health needs among Elders while offering valuable educational experiences for students regarding diverse patient populations and access-to-care factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 2","pages":"233-245"},"PeriodicalIF":2.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.12788","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To propose an alternative treatment for burning mouth syndrome (BMS).
Background
BMS is a serious condition that negatively affects the physical and emotional health of the elderly. Pharmacological interventions are not always appropriate in this population and may have significant side effects.
Materials and Methods
We present the case of an 86-year-old woman who has been suffering from BMS for 30 years and has been experiencing impaired quality of life, particularly sleep disturbances. Because standard pharmaceutical medications failed to alleviate the patient's pain, we proposed EMDR as an alternative therapeutic approach. Baseline measures included depressive symptoms, anxiety symptoms, daytime and nighttime pain and sleep quality. To anticipate anxious thoughts associated with pain, seven 45-min EMDR sessions were conducted.
Results
Therapy resulted in reduced anxiety symptoms (−30%), improved pain control (−10% daytime, −60% nighttime) and improved sleep quality (+50%). This positive effect lasted for 4 months, and no serious negative effects were observed.
Conclusion
EMDR therapy may help older adults with BMS improve their pain and psychological management.
{"title":"Effect of eye movement desensitization and reprocessing therapy in a patient with anxiety and burning mouth syndrome","authors":"Hugues Magne","doi":"10.1111/ger.12738","DOIUrl":"10.1111/ger.12738","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To propose an alternative treatment for burning mouth syndrome (BMS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>BMS is a serious condition that negatively affects the physical and emotional health of the elderly. Pharmacological interventions are not always appropriate in this population and may have significant side effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>We present the case of an 86-year-old woman who has been suffering from BMS for 30 years and has been experiencing impaired quality of life, particularly sleep disturbances. Because standard pharmaceutical medications failed to alleviate the patient's pain, we proposed EMDR as an alternative therapeutic approach. Baseline measures included depressive symptoms, anxiety symptoms, daytime and nighttime pain and sleep quality. To anticipate anxious thoughts associated with pain, seven 45-min EMDR sessions were conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Therapy resulted in reduced anxiety symptoms (−30%), improved pain control (−10% daytime, −60% nighttime) and improved sleep quality (+50%). This positive effect lasted for 4 months, and no serious negative effects were observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>EMDR therapy may help older adults with BMS improve their pain and psychological management.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"41 3","pages":"433-435"},"PeriodicalIF":2.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Alcides Almeida de Arruda, Vitor Augusto Leite, Leandro Benetti de Oliveira, Brendo Vinicius Rodrigues Louredo, Paulo Victor Mendes Penafort, Fábio Abreu Alves, Pablo Agustin Vargas, Luciana Estevam Simonato, Saygo Tomo
Objectives
To document the case of a patient who underwent several endodontic treatments due to a glandular odontogenic cyst misdiagnosed as an inflammatory periapical lesion.
Background
Glandular odontogenic cysts behave more aggressively, while others have an indolent course. There is limited information on this cyst in the gerodontologic literature.
Materials and Methods
A 76-year-old male patient presented with an asymptomatic expansive lesion in the anterior mandible resistant to several endodontic treatments. Cone-beam computed tomography revealed a multilocular osteolytic lesion measuring 6.0 × 4.0 cm, with cortical bone perforation.
Results
Histopathological analysis of a biopsy specimen was consistent with glandular odontogenic cyst. The patient underwent marginal mandibulectomy with preservation of the base of the mandible.
Conclusion
A strict diagnostic process is important to avoid unwanted consequences, particularly in the geriatric population.
{"title":"Glandular odontogenic cyst misdiagnosed and treated as a periapical inflammatory lesion for 6 years in an older adult","authors":"José Alcides Almeida de Arruda, Vitor Augusto Leite, Leandro Benetti de Oliveira, Brendo Vinicius Rodrigues Louredo, Paulo Victor Mendes Penafort, Fábio Abreu Alves, Pablo Agustin Vargas, Luciana Estevam Simonato, Saygo Tomo","doi":"10.1111/ger.12741","DOIUrl":"10.1111/ger.12741","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To document the case of a patient who underwent several endodontic treatments due to a glandular odontogenic cyst misdiagnosed as an inflammatory periapical lesion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Glandular odontogenic cysts behave more aggressively, while others have an indolent course. There is limited information on this cyst in the gerodontologic literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A 76-year-old male patient presented with an asymptomatic expansive lesion in the anterior mandible resistant to several endodontic treatments. Cone-beam computed tomography revealed a multilocular osteolytic lesion measuring 6.0 × 4.0 cm, with cortical bone perforation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Histopathological analysis of a biopsy specimen was consistent with glandular odontogenic cyst. The patient underwent marginal mandibulectomy with preservation of the base of the mandible.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A strict diagnostic process is important to avoid unwanted consequences, particularly in the geriatric population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"41 3","pages":"436-440"},"PeriodicalIF":2.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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