Gerodontology最新文献

{"title":"Oral Health Needs and Expectations in a Palliative Care Unit-A Qualitative Study.","authors":"K Gambetta-Tessini, M J Torre Silva, R J De Marchi, V Vera Riquelme, S León","doi":"10.1111/ger.70035","DOIUrl":"10.1111/ger.70035","url":null,"abstract":"<p><strong>Introduction: </strong>The World Health Organization (WHO) defines palliative care as a people-centred health service aiming at improving the quality of life of patients and their families when facing life-threatening illnesses. Oral health plays a significant role in the overall quality of life of these patients; yet, it is often overlooked. This study aims to explore the perceptions of patients, families and healthcare professionals on oral health and the need for oral health care in a palliative care unit (PCU).</p><p><strong>Methods: </strong>This qualitative study employed a grounded theory approach. Semi-structured individual interviews were conducted in the PCU at Hospital Base of Valdivia in Chile. Data were transcribed, analysed and categorised through open and axial coding, allowing the identification and organisation of key concepts into thematic categories.</p><p><strong>Results: </strong>A total of 15 interviews were conducted, involving seven healthcare professionals, four caregivers and four patients. Five thematic categories emerged from the analysis: (i) barriers to dental care, (ii) interdisciplinary team in palliative care, (iii) oral health training in palliative care professionals, (iv) oral health as part of general health and (v) strengths in dental care.</p><p><strong>Conclusion: </strong>Participants recognised the importance of oral health for improving the quality of life within the palliative care setting. The integration of dental professionals into the interdisciplinary health team was identified as a critical yet challenging necessity.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"190-197"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145767816","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}

{"title":"Handheld Mobile Dental Radiography in Geriatric Care.","authors":"Carlos M Ardila, Anny Marcela Vivares-Builes, Eliana Pineda-Vélez","doi":"10.1111/ger.70037","DOIUrl":"10.1111/ger.70037","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"276-277"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145862736","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}

{"title":"Immersive Technologies in Geriatric Oral Health: Opportunities or Prejudices?","authors":"Amirul Faiz Luai, Muhammad Aiman Mohd Nizar, Ahmad Azhar Misran, Tanti Irawati Rosli, Mohd Fairuz Shiratuddin","doi":"10.1111/ger.70073","DOIUrl":"10.1111/ger.70073","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"133-136"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147480615","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}

{"title":"Dental Factors Associated With Oropharyngeal Dysphagia in Institutionalised Older Adults: A Systematic Review.","authors":"Raquel Soncini de Morais, Juliana Balbinot Hilgert, Fernando Neves Hugo, Rafaela Soares Rech","doi":"10.1111/ger.70034","DOIUrl":"10.1111/ger.70034","url":null,"abstract":"<p><strong>Background: </strong>Aging is associated with a decline in physiological functions. Dysphagia, a disorder among older adults, impairs feeding and is related to morphological and functional changes in the stomatognathic system, which worsen with age-related physiological decline, particularly among institutionalised older adults.</p><p><strong>Objective: </strong>To systematically review the association between oral health conditions, dental status, xerostomia, and dysphagia among institutionalised older adults.</p><p><strong>Methods: </strong>This systematic review followed PRISMA guidelines and included a search of PubMed/MEDLINE and Embase for observational and randomised clinical trial studies published up to December 2024, with an update in January 2025.</p><p><strong>Results: </strong>From 1761 identified articles, 44 were reviewed, and 11 met the inclusion criteria. These studies employed subjective measures such as dysphagia questionnaires, the Eating Assessment Tool-10 (EAT-10), the Dysphagia Risk Evaluation Protocol (PARD), and interviews using the Minimum Data Set for Nursing Home Resident Assessment (MDS-NH). Objective assessments included clinical evaluations, indirect and direct swallowing tests, and video analyses of feeding behaviour. Findings indicate that older individuals with fewer functional teeth, absent occlusal pairs, compromised natural teeth, gingivitis, or dental caries have a higher risk of dysphagia. In contrast, occlusal contact, natural teeth, or well-fitted dentures are associated with reduced swallowing difficulties. Neither denture use alone nor oral hygiene showed a direct association with dysphagia. However, severe xerostomia and reduced salivary flow were associated with a higher risk of dysphagia.</p><p><strong>Conclusion: </strong>Dysphagia is associated with poor oral health and xerostomia in institutionalised older adults, though further research is needed to clarify these relationships.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"159-171"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145780970","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}

{"title":"Patients' Experiences With Complete Tooth Loss and Conventional Complete Dentures Use: A Phenomenological Study.","authors":"Entisar Abdulkader, Richard Hovey","doi":"10.1111/ger.70057","DOIUrl":"10.1111/ger.70057","url":null,"abstract":"<p><strong>Objective: </strong>To explore the in-depth experiences of individuals who have lived with edentulism and have long-term experience with conventional complete dentures.</p><p><strong>Background: </strong>With the global rise in ageing populations, complete tooth loss (edentulism) and the subsequent use of dental prostheses have become increasingly common. Understanding the lived experiences of edentulous patients treated with conventional dentures is essential for dental professionals to provide personalised and empathetic care.</p><p><strong>Methods: </strong>This qualitative study employed an interpretive phenomenological analysis (IPA) approach. Completely edentulous participants with long-term experience of using conventional complete dentures were recruited. Data were collected through semi-structured, face-to-face interviews that were audio-recorded and transcribed verbatim. Thematic analysis was used to identify key patterns and meanings across the participants' narratives.</p><p><strong>Results: </strong>Twelve participants expressed varied emotional and functional responses to edentulism. Some attributed their tooth loss to dental professionals, whereas others held themselves or their families responsible. Edentulism significantly affected oral function and social engagement. While several participants developed coping strategies to address the discomfort and limitations of conventional dentures, others perceived the dentures as beneficial, citing enhanced self-image and improved chewing ability. Two main themes emerged: the long experience of tooth loss and experience of conventional complete dentures.</p><p><strong>Conclusion: </strong>This study contributes important insights for completely edentulous patients, conventional denture wearers and oral health practitioners into the complex emotional and functional dimensions of edentulism and denture use. The findings emphasise the value of patient-centred care approaches that account for individual coping strategies, personal narratives and long-term experiences with prosthetic rehabilitation.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"261-271"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146194768","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}

{"title":"Subject: Comment on 'Effect of Oral Screen Training After Stroke-A Randomised Controlled Trial' by Dalum et al. (2025), DOI: 10.1111/ger.12803.","authors":"Mary Hägg","doi":"10.1111/ger.70047","DOIUrl":"10.1111/ger.70047","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"280-281"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146051730","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}

{"title":"Age Differences in Oral Function and Unmet Dental Care Among Korean Adults.","authors":"Eun Gyo Son","doi":"10.1111/ger.70050","DOIUrl":"10.1111/ger.70050","url":null,"abstract":"<p><strong>Background: </strong>Unmet dental care is a key indicator of oral health inequality and is associated with oral functional decline and frailty in later life. Because oral function may influence dental care utilisation across age groups, age-stratified evaluation is warranted. This study examined age-specific factors associated with unmet dental care among Korean adults.</p><p><strong>Methods: </strong>This cross-sectional study analysed pooled data from the 2022 and 2024 Korean Community Health Surveys (n = 463,513). Participants aged ≥ 40 years were stratified into ≤ 64 and ≥ 65 age groups. Unmet dental care was defined as self-reported inability to receive needed dental treatment in the past year. Survey-weighted Poisson regression was used to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs).</p><p><strong>Results: </strong>The prevalence of unmet dental care was 16.1% (95% CI: 15.8-16.4) among adults aged ≤ 64 years and 14.6% (95% CI: 14.1-15.1) among those aged ≥ 65 years. Following these prevalence estimates, age-specific associations were identified. Among adults aged ≤ 64 years, higher education and economic activity were associated with a higher prevalence of unmet dental care, whereas physical activity and toothbrushing after lunch were associated with a lower prevalence. Among adults aged ≥ 65 years, female sex and toothbrushing after lunch were associated with a lower prevalence, while living with a spouse was associated with a higher prevalence. Poor subjective oral health and chewing difficulty were associated with unmet dental care in both age groups. A significant interaction between subjective oral health status and chewing difficulty was observed only in the ≤ 64 age group.</p><p><strong>Conclusion: </strong>Determinants of unmet dental care differ by age group, underscoring the need for age-tailored oral health strategies that incorporate oral functional assessment into community-based care.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"245-251"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146029297","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}

{"title":"Oral Healthcare Experiences and Needs of Older Adults in Residential Care Facilities: A Qualitative Exploration of Care Managers' Perception in the Indian Context.","authors":"Kamal Shigli, Sushma Nayak, Vasanti Lagali-Jirge, Vineetha Karuveettil","doi":"10.1111/ger.70026","DOIUrl":"10.1111/ger.70026","url":null,"abstract":"<p><strong>Introduction: </strong>Improved dental services have increased the retention of natural teeth and prostheses, creating complex oral care needs among older adults. Care managers are key in overseeing residents' oral health; their perceptions can inform strategies to improve geriatric oral health in residential aged care facilities (RACFs).</p><p><strong>Objective: </strong>To explore care managers' perceptions of the oral healthcare experiences and needs of older adults in RACFs.</p><p><strong>Methods: </strong>A descriptive qualitative study, grounded in a constructivist paradigm, was conducted using the Socio-Ecological Model to guide data collection and analysis at individual, interpersonal, organisational, community and policy levels. Ten care managers were purposively sampled and interviewed online using a semi-structured guide. Data were analysed using reflexive thematic analysis following Braun and Clarke's framework.</p><p><strong>Results: </strong>Participants (n = 10; age 28-59 years; mean age 41.7; 5 males, 5 females) were from urban and semi-urban areas of western India. Five themes were identified: (1) A Moral Duty to Care-Personal Beliefs and Emotional Drivers of Oral Health Practice; (2) Navigating Relational Complexities-Care Amidst Resistance, Trust and Support; (3) Systemic Gaps and Adaptive Practices in Resource-Limited Settings; (4) Disconnected Services and the Social Devaluation of Residents' Oral Health; and (5) Calls for Oral Health Care Delivery/Systemic Reforms-Embedding Oral Health in Aged Care Policy.</p><p><strong>Conclusion: </strong>Care managers perceived residents' oral health as often being deprioritized in RACFs due to competing general health demands. An interdisciplinary care team, including a dentist, stronger policy support, and targeted training for care managers and staff, was strongly recommended to improve older adults' oral health outcomes in residential settings.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"172-182"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145388682","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}

{"title":"Exploring Perimenopausal and Menopausal Women's Oral Health Perceptions and Practices in Australia-A Qualitative Study.","authors":"Namitha Thomas, Kath Peters, Kate O'Reilly, Mariana S Sousa, Ajesh George","doi":"10.1111/ger.70039","DOIUrl":"10.1111/ger.70039","url":null,"abstract":"<p><strong>Objective: </strong>To explore the perceptions and practices of women in peri/menopause towards oral healthcare in Australia.</p><p><strong>Background: </strong>Hormonal changes associated with peri/menopause create a period where women may be more prone to developing oral health problems, which can significantly impact their quality of life. While healthcare providers are capable of addressing women's oral health needs across various life stages, limited evidence exists on the management of oral health by women in peri/menopause and the role of non-dental healthcare providers in promoting oral health.</p><p><strong>Materials and methods: </strong>Seventeen semi-structured interviews were conducted with Australian women in peri/menopause using maximum variation and snowball sampling. A hybrid thematic analysis was used to construct themes and subthemes.</p><p><strong>Results: </strong>Women who self-identified as being in peri/menopause with an age range of 43-59 years and residing across different Australian states participated in the study. Dry mouth was the most commonly reported oral health issue by participants, followed by tooth sensitivity, tooth decay, gum problems, and bad breath. Participants reported that these oral health problems impacted their mental health, lifestyle, and dietary choices. Barriers such as cost, lack of awareness of the impact of peri/menopause on oral health, systemic illness, carer responsibilities, and limited support from healthcare providers, including dentists, restricted participants in accessing oral healthcare. Women suggested that raising awareness, providing cost-effective dental services, and oral health promotion through their health care providers are needed to overcome the oral health challenges women face in peri/menopause.</p><p><strong>Conclusion: </strong>Women undergoing peri/menopause may experience greater susceptibility to oral health problems and encounter a range of challenges in managing their oral healthcare. These findings underscore the need for clinically informed, patient-centred strategies, including proactive screening, tailored preventive guidance, and improved access to care to support oral health during this transitional stage.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"198-210"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145888987","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}

{"title":"Parkinson's Disease and Salivary Issues: A Survey.","authors":"Beau D M van Dijk, Merel C Verhoeff, Niels van der Aa, Frank Lobbezoo","doi":"10.1111/ger.70049","DOIUrl":"10.1111/ger.70049","url":null,"abstract":"<p><strong>Background: </strong>Salivary dysfunction, including xerostomia and drooling, is common in Parkinson's disease and further impairs oral health and quality of life, which are already compromised in this population. Their effective management demands deeper insight into the complexity of salivary dysfunction.</p><p><strong>Objective: </strong>To examine the occurrence and associations of xerostomia and drooling complaints in individuals with Parkinson's disease.</p><p><strong>Methods: </strong>111 individuals with Parkinson's disease (69.9 ± 7.7 years; 46.8% female) participated in an online survey. The questionnaire used validated scales (e.g., Xerostomia Inventory) and original questions. After descriptive analyses, multiple linear regression analyses identified factors (e.g., severity of motor impairment) associated with severity of xerostomia and drooling.</p><p><strong>Results: </strong>Xerostomia (64.9%) and drooling (27.0%) were common, with 18.0% of the individuals experiencing both concurrently. Xerostomia was associated with the presence of jaw symptoms (B = 4.63; 95% CI 1.86-7.40), chewing gum usage (B = 1.27; 95% CI 0.52-2.02), swallowing difficulties (B = 0.41; 95% CI 0.04-0.78) and taste alterations (B = 0.15; 95% CI 0.00-0.30). Drooling was associated with the severity of motor impairment (B = 0.40; 95% CI 0.18-0.60) and with swallowing difficulties (B = 0.64; 95% CI 0.14-1.15).</p><p><strong>Conclusions: </strong>Xerostomia and drooling complaints frequently co-occur in individuals with Parkinson's disease. To prevent further deterioration of the oral health-related quality of life, a comprehensive evaluation of the underlying aetiology of salivary issues in people with Parkinson's disease is crucial to assist in determining suitable treatment.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"234-244"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989035","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}