Gerodontology最新文献

{"title":"Diary Dates","authors":"","doi":"10.1111/ger.12815","DOIUrl":"https://doi.org/10.1111/ger.12815","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 1","pages":"145"},"PeriodicalIF":2.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521987","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":"Lateral periodontal cyst in an interdental molar site: Novel presentation in a geriatric patient","authors":"John K. Brooks,&nbsp;Natalie Portillo,&nbsp;Arsalan K. Bhatti,&nbsp;Azin Parsa,&nbsp;John R. Basile","doi":"10.1111/ger.12759","DOIUrl":"https://doi.org/10.1111/ger.12759","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This report describes an unusual case of a lateral periodontal cyst (LPC) residing between the roots of a mandibular first and second molar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The LPC is a developmental odontogenic cyst, the majority situated along the lateral roots of the mandibular canines and premolars. The occurrence of an LPC solely confined to the molar region is extremely rare. Limited information regarding the LPC has appeared in the geriatric literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient Presentation</h3>\u0000 \u0000 <p>A unilocular cyst-like lesion was incidentally discovered on extraoral and intraoral radiographic examinations involving a 68-year-old patient. It was initially considered an infected odontogenic keratocyst or unicystic ameloblastoma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Histologic examination of the excised specimen revealed a thin cuboidal epithelial lining with focal nodular thickenings and underlying fibrovascular connective tissue wall. The lesion was diagnosed as an LPC. At a 6-month follow-up, the patient has remained asymptomatic and exhibited radiographic osseous regeneration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The LPC should be added to the differential diagnosis of developmental odontogenic cysts found in the inter-molar region. A preoperative cone beam computed tomography scan may be helpful to optimise the surgical approach. Timely removal of any suspected cystic lesion, particularly in the context of infection in an older patient, may reduce postoperative sequelae and rule out malignancy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 1","pages":"124-128"},"PeriodicalIF":2.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521988","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":"Medication-related osteonecrosis of the jaw in an older patient with multiple myeloma","authors":"Larissa Couto de Freitas,&nbsp;Vanessa Silvestre de Aquino Silva,&nbsp;Marta Miyazawa,&nbsp;Carine Ervolino de Oliveira,&nbsp;Felipe Fornias Sperandio,&nbsp;João Adolfo Costa Hanemann","doi":"10.1111/ger.12758","DOIUrl":"https://doi.org/10.1111/ger.12758","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This article reports a case of medication-related osteonecrosis of the jaw (MRONJ) associated with multiple myeloma (MM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bisphosphonates (BPs) are constantly used as part of the treatment for MM. The main adverse effects of bisphosphonates are renal insufficiency and medication-related osteonecrosis of the jaw (MRONJ).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A 67-year-old female with a previous diagnosis of MM and undergoing current receiving intravenous injections of pamidronate underwent a tooth extraction and subsequently developed MRONJ.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>MRONJ was managed with clindamycin, surgical removal of bony sequestrum and curettage. At 3 years of follow-up, the patient was asymptomatic with no clinical changes and panoramic radiography without evidence of recurrence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Management of patients under antiresorptive drugs who require invasive dental procedures is challenging. Therefore, interprofessional collaboration, especially between the general practitioner and oncologist and/or haematologist, is essential to reach the best clinical approach and reduce the risk of MRONJ.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 1","pages":"119-123"},"PeriodicalIF":2.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521823","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":"An exuberant case of uremic stomatitis in an older adult","authors":"Maria Fernanda Ponce,&nbsp;Gerardo Gilligan,&nbsp;Bruno Augusto Benevenuto de Andrade,&nbsp;José Alcides Almeida de Arruda","doi":"10.1111/ger.12791","DOIUrl":"https://doi.org/10.1111/ger.12791","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To report the case of an older adult with uremic stomatitis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Uremic stomatitis is a rare condition, with only 57 cases documented in the literature. Gerodontologists may be unfamiliar with this condition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A 71-year-old male patient, undergoing oncological treatment and with chronic kidney disease (CKD), presented with an asymptomatic, exuberant tongue lesion which had persisted for 3 months. The lesion was characterised by a white-yellowish plaque with a rough, warty surface covering the entire dorsum and lateral borders of the tongue. Blood tests revealed relatively high urea (130 mg/dL) and creatinine (2.22 mg/dL) levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Clinical, biochemical and histopathological data were consistent with uremic stomatitis. The patient passed away shortly after diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This report documents the fifth case of uremic stomatitis in older adults in their 70s. Prompt diagnosis of this condition in individuals with CKD is critically important because it can alleviate symptoms, improve quality of life and extend survival.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 1","pages":"129-132"},"PeriodicalIF":2.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521989","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 an initial presentation of granulomatosis with polyangiitis in an older adult","authors":"José Alcides Almeida de Arruda,&nbsp;Victor Zanetti Drumond,&nbsp;Maria Danielle Fontes,&nbsp;José Victor Lemos Ventura,&nbsp;Jefferson R. Tenório,&nbsp;Bruno Augusto Benevenuto de Andrade","doi":"10.1111/ger.12797","DOIUrl":"https://doi.org/10.1111/ger.12797","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe a rare case of granulomatosis with polyangiitis (GPA) in an older adult in light of the existing literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>GPA is a potentially life-threatening multisystem necrotising vasculitis, characterised by a spectrum of oral mucosal lesions that present diagnostic challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A 76-year-old female patient presented with asymptomatic granular and haemorrhage swelling (“strawberry” gingivitis) affecting the upper and lower anterior and posterior gingivae. Cytoplasmic antineutrophil cytoplasmic antibody (ANCA) was positive. Concurrent kidney lesions were diagnosed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Histopathological examination revealed a pseudoepitheliomatous proliferation with perivascular inflammation and a dense eosinophilic infiltrate. After a 5-year follow-up, the patient showed no signs of recurrence. A literature review performed using PubMed, Web of Science and Scopus identified 22 documented cases of GPA-related oral lesions in older adults, with equal sex distribution and 63.6% occurring in the seventh decade of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Early recognition and diagnosis of “strawberry” gingivitis in older adults with GPA are crucial, as these oral manifestations may be the initial presentation of the disease.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 1","pages":"133-141"},"PeriodicalIF":2.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521990","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":"Correction to Proof of Concept Design for a Toothbrush With On-Board Vacuum to Reduce Oral Aspirates.","authors":"","doi":"10.1111/ger.12816","DOIUrl":"https://doi.org/10.1111/ger.12816","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491637","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":"Self-Reported Items That Predict the Risk of Oral Health Deterioration and the Need for Dental Referral in Older People: A Systematic Review.","authors":"M H S de Jong, C D van der Maarel-Wierink, J C F Ket, K Jerković-Ćosić, F R Rozema","doi":"10.1111/ger.12812","DOIUrl":"https://doi.org/10.1111/ger.12812","url":null,"abstract":"<p><strong>Background: </strong>Detecting deterioration in frail oral community-dwelling older people's oral health may be delayed as a consequence of decreased visits to oral health care professionals. Older people are becoming increasingly dependent on medical care and visit other healthcare professionals, highlighting the importance of interprofessional collaboration. There is a need for an easy-to-use, time- and cost-efficient oral health assessment tool for non-oral healthcare professionals. This systematic review aimed to identify self-reported items that predict the risk of oral health deterioration in older people to inform such a tool.</p><p><strong>Method: </strong>The OVID/Medline, Embase, EBSCO/CINAHL, and Web of Science databases were systematically searched. An additional reference check was performed to ensure that no records were missing. The primary outcome was predictive value, defined as the probability of a specific question or self-reported item predicting the risk of oral health deterioration or the need for dental referral. When available, the data were presented as sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV).</p><p><strong>Results: </strong>The initial search resulted in 2471 records. Eleven articles met the inclusion criteria and were analysed. A high predictive value for oral health deterioration was observed for the self-reported items: \"Are you generally pleased with your mouth and teeth?\" (specificity: 93.0%), \"Would you say your mouth health is generally good?\" (specificity: 95.2%), \"Does your mouth feel dry?\" (specificity: 82.7%), and \"Do you have regular dental checkups?\" (sensitivity: 90.0%-100%); and \"Do you have tooth and/or mouth problems that make it hard to eat?\" (specificity: 92.0).</p><p><strong>Conclusion: </strong>A screening tool for use by non-oral health professionals, that consists of 2-4 highly predictive self-reported items, such as dry mouth, satisfaction with oral health, recent dental visits and food consumption problems, could be used for early detection and timely referral of older people at risk of oral health deterioration.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398938","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":"Implementation and Acceptance of Oral Health Assessment Tools in Residential Aged Care Facilities: A Scoping Review.","authors":"Lyndal Pritchard, Kelly-Jean Burden, William Carlson-Jones, Nicole Stormon, Loc Do","doi":"10.1111/ger.12811","DOIUrl":"https://doi.org/10.1111/ger.12811","url":null,"abstract":"<p><strong>Background: </strong>The global ageing population has increased demand for healthcare services in residential aged care (RAC), with oral health recognised as crucial for overall well-being. Despite this, the implementation of oral health assessment tools in RAC faces significant challenges.</p><p><strong>Objective: </strong>This scoping review explored the implementation and acceptance of oral health assessment tools in RAC facilities, identifying key barriers and facilitators influencing their adoption by non-dental healthcare professionals.</p><p><strong>Methods: </strong>Five databases were searched, including Web of Science, Scopus, Embase, Medline OVID and CINAHL, with a focus on oral health assessment tools utilised by non-dental healthcare professionals in residential aged care. The review adhered to the Joanna Briggs Institute (JBI) Methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review guidelines, with data extraction guided by the Promoting Action on Research Implementation in Health Services framework, focusing on evidence, context and facilitation.</p><p><strong>Results: </strong>The review included 26 studies on the implementation of oral health assessment tools in residential aged care facilities, highlighting diverse barriers and facilitators impacting tool adoption by non-dental professionals. Key barriers included insufficient training, high staff turnover and inconsistent prioritisation of oral health across facilities. In contrast, facilitators involved targeted in-service training and the presence of oral health champions to support tool usage. Despite the variety of tools identified, none of the studies employed an implementation science framework.</p><p><strong>Conclusions: </strong>There is a need to incorporate implementation science to enhance the sustainability and effectiveness of oral health assessment tools in RAC settings. Addressing the identified barriers and using facilitators could improve the adoption and integration of oral health assessment tools, ultimately enhancing residents' oral health and well-being.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398936","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":"Systematic Reviews on the Management of Xerostomia and Hyposalivation-An Umbrella Review.","authors":"Daniele Bet Conte, Maria Eduarda Marquezzan, Luana Roberta Schneider, Ana Paula Maihack Gauer, Luciano Cattapan, Vanessa da Silva Corralo, Sinval Adalberto Rodrigues-Junior","doi":"10.1111/ger.12809","DOIUrl":"https://doi.org/10.1111/ger.12809","url":null,"abstract":"<p><strong>Introduction: </strong>Dry mouth is moderately prevalent in the older population. Pharmacological and non-pharmacological alternatives have been assessed to manage its manifestation. This umbrella review synthesised the evidence on approaches to managing xerostomia and hyposalivation.</p><p><strong>Material and methods: </strong>We searched for systematic reviews of interventions to manage dry mouth in Cochrane Database of Systematic Reviews, EMBASE, PubMed, Prospero and DARE databases (up to September 2023). References were managed and selected by reading titles and abstracts using Rayyan QCRI. Selection of studies, data extraction and methodological quality assessment (AMSTAR 2) were conducted independently, in duplicate. Data were extracted to a previously tested form that included information about dry mouth causes, interventions, outcomes and findings.</p><p><strong>Results: </strong>There were 3323 records. At the end of the selection process, 48 studies were included and had data extracted. Only three high-quality systematic reviews were found to support methods for managing dry mouth. Limited evidence suggests that topical therapies offer significant palliative or stimulating effects for relieving dry mouth symptoms. Furthermore, low-quality evidence indicates a slight increase in saliva production with acupuncture, dry mouth prevention with amifostine, and saliva stimulation using pilocarpine in patients who have undergone head and neck radiotherapy.</p><p><strong>Conclusion: </strong>Salivary substitutes and stimulants mostly acted as moisturisers and some as saliva stimulants, with short-term effect. More than 80% of the reviews were appraised as 'critically low' quality. Well-designed and well-reported systematic reviews are still needed to increase the level of evidence on dry mouth management methods.</p><p><strong>Protocol registration: </strong>Prospero Registration CRD42022325854.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004187","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":"Prevalence and Associations of Xerostomia in Older Adults in Southern Brazil.","authors":"Miguel Konradt Mascarenhas, Mariana G Cademartori, Rafaela do Carmo Borges, Maria Cristina Gonzalez, Renata M Bielemann, William Murray Thomson, Flávio Fernando Demarco","doi":"10.1111/ger.12808","DOIUrl":"https://doi.org/10.1111/ger.12808","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the prevalence and associations of xerostomia in older adults in southern Brazil.</p><p><strong>Methods: </strong>A cross-sectional study was carried out in Pelotas, Brazil, during 2014. A representative sample of the city's older adult population (60+) was selected. The dependent variable was self-reported feeling of dry mouth in the past 6 months. Covariates included socio-economic status, schooling, gender, age, tobacco and alcohol consumption, polypharmacy, hypertension, diabetes, arthritis, depression, dentition status and use of removable dental prostheses. Descriptive analysis was carried out, and Poisson regression was used to obtain prevalence ratios and 95% confidence intervals. Analyses used STATA 15.1.</p><p><strong>Results: </strong>Most of the 1451 participants were female (63.3%). The prevalence of xerostomia was 36.7% (95% CI 34.3-39.1). Adjusted analysis showed that xerostomia was significantly more common among females (PR 1.44, 95% CI 1.22-1.74), those with less schooling (PR 1.31, 95% CI 1.10-1.51), those exposed to polypharmacy (PR 1.22, 95% CI 1.05-1.37), people with arthritis (PR 1.42, 95% CI 1.23-1.61) and those with depression symptoms (PR 1.45, 95% CI 1.23-1.70).</p><p><strong>Conclusion: </strong>Xerostomia is common among older adults. Health workers need to pay attention to its associated factors for early identification and promotion of appropriate interventions, particularly the rational use of medicines.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004186","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}