Gerodontology最新文献

{"title":"Prevalence of Oral Mucosal Lesions in Finnish Adults-Findings From the Healthy Finland Survey.","authors":"Mirjami J Rintala, Heidi E Tuominen, Hanna K Laine, Anna L Suominen, Ulla Harjunmaa, Jaana Rautava","doi":"10.1111/ger.70133","DOIUrl":"https://doi.org/10.1111/ger.70133","url":null,"abstract":"<p><strong>Objectives: </strong>Oral mucosal lesions (OMLs) are abnormal findings of the oral mucosa. OMLs can be a localized disease due to trauma or infections, a manifestation of systemic or dermatological disease, or a sign of neoplasia. The aim of this study was to assess the prevalence of OMLs among Finnish adults.</p><p><strong>Methods: </strong>Dentist-nurse teams performed clinical oral health examinations among a nationally representative sample of Finnish adults. Sociodemographic characteristics recorded included age and sex.</p><p><strong>Results: </strong>1798 participants (48.1% men, mean age 50.9 years, range 20-91 years) were clinically examined (51.6% participation rate) in 2023. The prevalence estimate of OMLs in the Finnish population was 33.2% (95% CI: 26.8, 40.3) and 6.1% (95% CI: 2.8, 9.4) had more than one OML. The most common finding was an unspecific benign ulcer. The prevalence estimate of oral cancer suspect lesions was 0.2% (95% CI: 0.04, 0.4), red lesions 0.5% (95% CI: 0.2, 1.3) and white lesions 5.7% (95% CI: 4.5, 7.2). There was a higher prevalence of oral cancer suspect or white/red lesions in men than women (age-adjusted OR 2.8 (95% CI: 1.7, 4.9)). Benign single lesions were more common in the older population.</p><p><strong>Conclusions: </strong>One-third of the Finnish adult population presented with at least one OML. Since neoplasia needs to be ruled out with every OML, this underlines the importance of investigating oral mucosa as a part of every oral/dental examination.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227584","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":"Minimal-Burden Prosthodontics: Simple Care and Comprehensive Risk Assessment in Older Adults.","authors":"Pedro Molinero-Mourelle, Martin Schimmel, Seyed Ali Mosaddad","doi":"10.1111/ger.70132","DOIUrl":"https://doi.org/10.1111/ger.70132","url":null,"abstract":"<p><strong>Background: </strong>Older adults represent a growing population in whom oral health impairment may affect comfort, nutrition, dignity, social participation, and quality of life. Conventional prosthodontic approaches, often guided by comprehensive rehabilitation, technical refinement, and long-term restorative ideals, require assessment of present and foreseeable functional, cognitive, and maintenance needs.</p><p><strong>Objective: </strong>This commentary discusses minimal-burden prosthodontics as an application of established gerodontology principles to independent and semi-dependent community-dwelling older adults.</p><p><strong>Discussion: </strong>The concept does not imply that prosthodontic care can be burden-free. All prostheses carry biological, functional, temporal, psychological, and maintenance-related costs, and no prosthesis is permanent. These burdens should be explicitly identified, minimized, and justified by meaningful benefit. Building on rational dental care, geriatric dental assessment, the Seattle Care Pathway, minimal intervention dentistry, and patient-priorities-aligned care, comprehensive risk assessment should precede rehabilitation and establish a feasible maintenance plan. Proportional care serves as the ethical principle, prosthodontic sufficiency as the clinical objective, and contingency planning as a practical requirement if later frailty, cognitive decline, or loss of support makes treatment unmaintainable. Homebound patients require explicit arrangements for access and follow-up.</p><p><strong>Conclusion: </strong>When the patient's main wish is to eat comfortably and enjoy daily life, the goal should be the simplest suitable care that achieves that wish.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227430","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":"Missing Teeth in Older Adults in Myanmar: Evidence From the First National Oral Health Survey.","authors":"Kaung Myat Thwin, Prathip Phantumvanit, Hideo Miyazaki, Hiroshi Ogawa","doi":"10.1111/ger.70131","DOIUrl":"https://doi.org/10.1111/ger.70131","url":null,"abstract":"<p><strong>Background: </strong>National data on missing teeth, functional dentition, and prosthodontic coverage among older adults in Myanmar remain limited. This study assessed the prevalence of missing teeth and non-functional dentition, identified their associated factors, and evaluated prosthodontic coverage.</p><p><strong>Methods: </strong>This cross-sectional study was a secondary analysis of Myanmar national oral health survey 2016-2017 data, including 1260 adults aged 60-74 years. The number of missing teeth was calculated by combining WHO codes 4 and 5. Functional dentition was defined as ≥ 20 natural teeth. Linear regression and modified Poisson regression with robust variance estimation were used.</p><p><strong>Results: </strong>The mean number of missing teeth was 9.9 (SD 8.7), 46.8% had a non-functional dentition, and only 6.8% had any denture. After adjustment, participants aged 70-74 years (B: 3.78, 95% CI: 2.68-4.88) and poor self-rated oral health (B: 3.45, 95% CI: 2.54-4.36) were associated with more missing teeth and higher prevalence of a non-functional dentition (aPR: 1.53, 95% CI: 1.33-1.78 and aPR: 1.50, 95% CI: 1.33-1.70, respectively). Never having visited a dentist was associated with a greater burden of both dependent variables. Chewing tobacco use, toothpaste use, and oral pain or discomfort were associated with fewer missing teeth and lower prevalence of a non-functional dentition.</p><p><strong>Conclusion: </strong>Missing teeth and a non-functional dentition were common among Myanmar older adults, with extremely low prosthodontic coverage. These findings highlight the need to strengthen primary oral healthcare, with greater emphasis on prevention, early care, and access to affordable prosthodontic services.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192623","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":"Supplementary Use of an Intraoral Scanner in an Older Patient With Microstomia After Maxillary Cancer Resection.","authors":"Pedro Molinero-Mourelle, Seyed Ali Mosaddad, Patrick Zimmermann, Martin Schimmel","doi":"10.1111/ger.70128","DOIUrl":"https://doi.org/10.1111/ger.70128","url":null,"abstract":"<p><strong>Objective: </strong>To describe how digital technologies can compensate for potential errors during impression procedures in an older patient following maxillary cancer resection.</p><p><strong>Background: </strong>Maxillary defects after oncologic resection in older adults cause functional and aesthetic impairment. Rehabilitation must consider anatomical alterations, systemic conditions, and patient-related constraints that may limit surgical or implant-based options. Intraoral scanning may serve as a supplementary tool to improve the accuracy of intraoral records in such cases.</p><p><strong>Materials and methods: </strong>A 72-year-old female patient with adenoid-cystic carcinoma of the maxilla underwent left hemimaxillectomy and microvascular reconstruction. She presented with impaired mastication and microstomia. Following clinical assessment, a maxillary removable partial denture was planned and fabricated using a combined conventional-digital workflow adapted to anatomical and functional limitations.</p><p><strong>Result: </strong>The prosthesis provided satisfactory retention, stability, and function, improving mastication and aesthetics. No biological or mechanical complications were observed during follow-up.</p><p><strong>Conclusion: </strong>Intraoral scanning can serve as a useful supplementary tool to verify and correct discrepancies in conventional impressions, particularly in older patients with anatomical and functional limitations following maxillary cancer resection.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181033","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":"Treatment of Oral Mucosa Self-Injury in Older Patient With Neurological Disorder: Case Report.","authors":"Gustavo de Almeida Logar, Ananda Beatriz Dos Santos Kurak, Gabriele Daudt Neves Beppu, Izadora Duarte, Graziela Ávila Galhano, Paulo Sergio da Silva Santos","doi":"10.1111/ger.70129","DOIUrl":"https://doi.org/10.1111/ger.70129","url":null,"abstract":"<p><strong>Objective: </strong>To describe the management of oral self-injury in an older patient with neurological impairment using a digitally fabricated mouthguard.</p><p><strong>Background: </strong>Oral self-injury may be challenging in patients with neurological conditions.</p><p><strong>Materials and methods: </strong>An acrylic resin mouthguard was fabricated from intraoral scans for an 82-year-old bedridden woman. Photobiomodulation and oral hygiene measures were also used.</p><p><strong>Results: </strong>The lesion healed, and recurrent trauma was prevented.</p><p><strong>Conclusion: </strong>Intraoral scanning enabled comfortable fabrication of the oral device.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147934","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":"Mediating Effect of Protein Intake on the Association Between Number of Remaining Teeth and Functional Decline.","authors":"Urara Taguchi, Sachiko Ono, Minami Sugimoto, Jun Aida, Hiroyuki Hikichi, Satoshi Sasaki, Ichiro Kawachi, Kazuto Hoshi","doi":"10.1111/ger.70127","DOIUrl":"https://doi.org/10.1111/ger.70127","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether protein intake mediates the association between the number of remaining teeth and functional decline in older Japanese adults.</p><p><strong>Introduction: </strong>Tooth loss has been associated with reduced protein intake and functional decline in older adults. However, whether protein intake mediates this association remains unclear.</p><p><strong>Methods: </strong>We conducted a 6-year longitudinal study using data from a cohort of community-dwelling older adults. Participants aged ≥ 65 years were included. Exposure was the number of teeth (≥ 20, 10-19, and 0-9). The primary outcome was either functional decline or death, and the secondary outcome was weight change. Protein intake was measured using a diet history questionnaire. We used mediation analysis to examine the direct and indirect effects of the number of remaining teeth via protein intake on the outcomes.</p><p><strong>Results: </strong>Among 1400 eligible participants, the mean ages were 76.3, 76.6, and 78.9 years for groups with ≥ 20, 10-19, and 0-9 teeth, respectively. Protein intake did not mediate the association between the number of teeth and functional decline. In contrast, protein intake showed an indirect association between the number of remaining teeth and weight loss, particularly in individuals with 10-19 teeth than those with ≥ 20 teeth (indirect effect: -0.09% [-0.20, -0.01]).</p><p><strong>Conclusions: </strong>Although protein intake did not mediate the association between the number of remaining teeth and functional decline, it mediated the association between the number of remaining teeth and weight loss. Interventions targeting oral health and protein intake may prevent weight loss in older adults.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108101","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":"Trends in Denture Insurance Claims and Their Association With Socioeconomic Indicators and Population Aging in Japan.","authors":"Yu Yonezawa, Akiko Asano, Yukinori Kuwajima, Hiroki Sato, Saori Yonezawa, Shigemi Nagai, Takuya Kobayashi","doi":"10.1111/ger.70125","DOIUrl":"https://doi.org/10.1111/ger.70125","url":null,"abstract":"<p><strong>Objectives: </strong>To describe nationwide temporal trends in insurance-covered denture claims in Japan and examine their associations with prefectural socioeconomic indicators and population aging using the National Database of Health Insurance Claims and Specific Health Checkups (NDB).</p><p><strong>Background: </strong>Japan is experiencing rapid population aging while tooth retention among older adults is improving. How these demographic and oral-health changes are reflected in the provision of insurance-covered complete dentures and removable partial dentures (RPDs) remains unclear.</p><p><strong>Materials and methods: </strong>A prefecture-level time-series analysis of NDB dental claims from 2013 to 2018 was conducted. The primary outcome was the annual number of total denture claims per dental clinic. Category-specific claims per clinic were also analysed for resin-base complete dentures and resin-base RPDs replacing 1-4, 5-8, 9-11 or 12-14 missing teeth. Prefectural income per capita, gross domestic product (GDP) per capita, and the proportion of residents aged ≥ 65 years were linked with annual claim data. Temporal trends, Pearson correlations, and category-specific multivariable linear regression models adjusted for calendar year were examined.</p><p><strong>Results: </strong>Total denture claims per clinic declined nationwide during the study period, from an average of 177 to 159 claims per clinic; complete denture claims showed the largest decrease (16%). The proportional share of complete dentures decreased, whereas the share of RPDs replacing 1-4 missing teeth increased. Total denture claims per clinic showed moderate negative correlations with income per capita (r = -0.518) and GDP per capita (r = -0.411), and a weak positive correlation with the proportion of residents aged ≥ 65 years (r = 0.344). In category-specific multivariable models, the proportion of residents aged ≥ 65 years was positively associated with claims in all denture categories, and calendar year was negatively associated with claims.</p><p><strong>Conclusion: </strong>Total insurance-covered denture claims per clinic declined in Japan during 2013-2018, with regional variation and a larger relative contribution of small-span RPD claims. These findings suggest that geriatric denture service planning should account for both population aging and regional socioeconomic context.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108042","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":"Strawberry Gingivitis as a Diagnostic Clue to Granulomatosis With Polyangiitis in an Older Woman: A Case Report.","authors":"Qiyu Chen, Lijuan Shi, Chuanjin Ye, Jie Zhao, Wenlei Wu, Juan Wu","doi":"10.1111/ger.70126","DOIUrl":"10.1111/ger.70126","url":null,"abstract":"<p><strong>Background: </strong>Strawberry gingivitis is a characteristic but under-recognised oral manifestation of granulomatosis with polyangiitis (GPA), with potential for long-term sensory damage often overlooked.</p><p><strong>Case presentation: </strong>A 60-year-old woman with strawberry gingivitis, cough, and hearing loss fulfilled the 2022 ACR/EULAR classification criteria for GPA (score 13), with the diagnosis established through integrated clinical, serological, radiological, and histopathological assessment. Induction therapy resolved the oral lesions, but 18-month follow-up showed bilateral deafness and blindness.</p><p><strong>Conclusions: </strong>Strawberry gingivitis is a highly characteristic, though not pathognomonic, sign of GPA. Even with good short-term control, patients risk progressive sensory damage, emphasising the need for long-term follow-up.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073974","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":"Stimulating Conversation: A Case Report of Extensive Dental Erosions With Medical Use of Amphetamine Salts.","authors":"Madison E Richards, Boomika Mahesh, Daler Tarrazzi, Scarlet Charmelo-Silva","doi":"10.1111/ger.70124","DOIUrl":"https://doi.org/10.1111/ger.70124","url":null,"abstract":"<p><strong>Introduction: </strong>Oral health outcomes have not been described in geriatric patients prescribed amphetamines.</p><p><strong>Case presentation: </strong>A 71-year-old male presented with a chief complaint of disintegrating teeth in the setting of daily prescribed amphetamine salts use. Generalized enamel erosions and exposed dentine discoloration were present. Rehabilitation would be an expensive and time-consuming process.</p><p><strong>Conclusion: </strong>This case highlights potential oral health risks with prescription stimulant use in the geriatric population for dental provider awareness.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982031","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":"Response to Letter 'Polypharmacy and Oral Health in Older Adults: Measure Anticholinergic and Sedative Burden, Not Pill Count Alone'.","authors":"Kittipit Srisanoi, Sabrina Maniewicz, Claudio Leles, Gerry McKenna, Frauke Müller, Murali Srinivasan","doi":"10.1111/ger.70119","DOIUrl":"https://doi.org/10.1111/ger.70119","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976464","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}