Gerodontology最新文献

{"title":"The Effects of Stroke on Oral Function and Oral Health: A Qualitative Study.","authors":"Esther Cheong, Daniela Aldabe, Nurul Thiyahuddin, Mauro Farella, Carolina Loch","doi":"10.1111/ger.70081","DOIUrl":"https://doi.org/10.1111/ger.70081","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke is the leading cause of adult disability in Aotearoa New Zealand, often resulting in a range of physical and cognitive impairments. The impacts of stroke on oral function and oral health are not well understood from the survivors' perspective, yet the latter are crucial for overall wellbeing. This qualitative study explored the perceived impact of stroke on oral function (biting, chewing, and swallowing) and oral health through the narratives of stroke survivors.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with nine Aotearoa New Zealand-based stroke survivors who experienced an ischaemic or haemorrhagic stroke more than 6 months prior to the interviews. The interviews aimed to explore participants' experiences with oral function and oral health and access to oral care during stroke rehabilitation. Transcripts were analysed using inductive content analysis to identify key categories.</p><p><strong>Results: </strong>Four main categories emerged: (1) challenges in oral care and oral function; (2) the need to improve health services support in post-stroke oral care; (3) barriers to accessing post-stroke oral care; (4) post-stroke oral adaptations and lifestyle changes. Participants experienced a range of challenges in oral function and oral health following stroke. Swallowing difficulties, weakened bite strength, oral sensory changes, and decreased and poor oral hygiene practices emerged as common occurrences. Participants of this study also highlighted the lack of oral health support during inpatient care, emphasising the need for improvement in this area.</p><p><strong>Conclusion: </strong>Stroke impacts oral function and oral health of survivors, revealing gaps in oral health provision and follow-up in current healthcare settings.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689718","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 Care Cards as a Support in the Daily Life of Frail Older Adults: Experiences and Perceptions of Leaders in Municipal and Dental Care Settings.","authors":"Sara Björns, Mersiha Velic, Jessica Persson Kylén","doi":"10.1111/ger.70074","DOIUrl":"https://doi.org/10.1111/ger.70074","url":null,"abstract":"<p><strong>Objective: </strong>To explore the experiences and perceptions of oral care cards among strategic-level leaders within municipal and dental care organisations.</p><p><strong>Background: </strong>Oral health is integral to overall well-being, especially in older adults, who frequently rely on caregiving services. In Sweden, paper-based oral care cards are intended to enhance communication and coordination across municipal and dental care, yet their practical effectiveness remains underexplored. Leaders are crucial for facilitating integrated person-centred care; exploring a strategic-level leadership perspective on these cards is therefore important for developing comprehensive cross-organisational oral health care strategies for ageing populations.</p><p><strong>Materials and methods: </strong>Using a qualitative, exploratory design, data were collected through semi-structured group interviews with leaders in municipal and dental care, as well as with senior researchers in nursing/person-centred care and the oral health domain. In total, 20 participants took part in the interviews. Inductive content analysis was employed.</p><p><strong>Results: </strong>Participants called for a more cohesive, cross-organisational framework to improve the scope and usefulness of oral care cards. Three main categories emerged: (1) the necessity of a dynamic, adaptable process that accommodates changing oral health needs; (2) the importance of integrating oral care cards into existing workflows through coordinated leadership; and (3) the potential of oral care cards to promote reciprocal learning, person-centred care and preventive strategies.</p><p><strong>Conclusion: </strong>Oral care cards hold considerable promise for strengthening oral health among older adults. Long-term sustainability in a digitalising care system likely requires a hybrid approach, where paper-based cards function as low-threshold bedside prompts while key information is mirrored in secure digital infrastructures to enable follow-up, shared access and accountability.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147528203","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":"Clinical Validity of the Oral Frailty Five-Item Checklist (OF-5) for the Diagnosis of Oral Hypofunction.","authors":"Tomohiro Tabata, Yukiko Hatanaka, Masatsugu Teraoka, Mana Hirayama, Kai Koyanagi, Housei Suzuki, Junichi Furuya","doi":"10.1111/ger.70071","DOIUrl":"https://doi.org/10.1111/ger.70071","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to clinically validate the Oral Frailty Five-item Checklist (OF-5) by clarifying the relationship between its score and the diagnosis of oral dysfunction, as well as its association with seven sub-items.</p><p><strong>Background: </strong>Assessing oral frailty is important for preventing frailty in older adults. The recently developed OF-5 is anticipated as a convenient screening tool; however, its relationship with oral hypofunction, assessed through quantitative testing in dental clinics, has not been sufficiently verified.</p><p><strong>Materials & methods: </strong>The study included 421 outpatients aged 65 years or older who underwent their first oral hypofunction test at a university dental hospital. Data on age, sex, OF-5 score, and oral hypofunction test values (oral hygiene, oral dryness, occlusal force, tongue-lip motor function, tongue pressure, masticatory function, and swallowing function) were extracted from medical records and analyzed using multivariate analysis.</p><p><strong>Results: </strong>The age of the participants was 80.9 ± 6.5 (mean ± standard deviation) years, and 254 (60.3%) were female. Logistic regression analysis showed that the OF-5 score was significantly associated with the diagnosis of oral hypofunction (odds ratio: 2.54), with a cutoff value of 2 points. Multiple regression analysis showed significant associations between the OF-5 and all test components except oral hygiene.</p><p><strong>Conclusion: </strong>The OF-5 is a useful screening test for oral hypofunction, involving masticatory, swallowing, and tongue dysfunction and oral dryness. However, there is also a need for dental examination to identify poor oral hygiene, which cannot be detected using the OF-5 test.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503584","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 2","pages":"133-136"},"PeriodicalIF":1.7,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148084853","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":"Factors Influencing Oral Health Literacy in Older People: A Life-Course Perspective.","authors":"Ana Beatriz Silva Lopes, Renato José De Marchi, Valentina Fajreldin, Soraya León, Karen Danke, Fabiola Werlinger, Jorge Gamonal","doi":"10.1111/ger.70068","DOIUrl":"https://doi.org/10.1111/ger.70068","url":null,"abstract":"<p><strong>Introduction: </strong>Oral health literacy (OHL) influences older adults' capacity to obtain, process and apply oral health information for self-care and decision-making. Evidence on OHL in community-dwelling older adults in Chile remains scarce. This study explored the factors shaping OHL among Chilean community-dwelling older adults.</p><p><strong>Methods: </strong>A qualitative exploratory study was conducted using the Grounded Theory approach. Older adults (≥ 65 years) were purposively sampled from three municipalities in Santiago, Chile, representing different levels of social vulnerability. Thirteen in-depth, face-to-face, semi-structured interviews were conducted. The interviews were audio-recorded, transcribed verbatim and analysed iteratively using constant comparison and open, axial and selective coding, categorising the answers to identify emerging topics until reaching saturation. Data triangulation included interviews, field observations and document reviews.</p><p><strong>Results: </strong>Findings emerged into two overarching dimensions shaping OHL across the life course: upstream and downstream factors. Upstream factors included contextual factors, provider-related factors and system-related factors. Downstream factors encompassed individual and behavioural aspects that influenced access to dental care and attention.</p><p><strong>Conclusion: </strong>OHL in older adults is shaped by cumulative life-course experiences across structural, social and individual domains. Addressing OHL requires integrated public policies, professional training in patient-centred communication and community-based strategies targeting social determinants to promote equitable oral health in older age.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147456830","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 Health Status in Older Care Recipients and Family Caregiver Perceptions of Caregiving Burden.","authors":"Sayaka Kishi, Satoshi Yamaguchi, Takamasa Komiyama, Yasue Tanaka, Yohei Igari, Yoshihiko Ito, Yuki Ito, Ittetsu Uchigasaki, Masahiro Kuroda, Masahiro Sato, Daizo Seki, Akinari Daidoji, Ken-Ichiro Komaki, Kenji Narita, Akira Kosuga, Yoshinori Hattori","doi":"10.1111/ger.70069","DOIUrl":"https://doi.org/10.1111/ger.70069","url":null,"abstract":"<p><strong>Aim: </strong>To investigate oral health status, number of teeth, and denture use in older care recipients and their caregivers' perceptions of burden.</p><p><strong>Methods: </strong>This was a cross-sectional survey of home care patients aged ≥ 65 years and their families who use the home-visit dental care service provided by the Sendai Dental Association. The short Japanese version of the Zarit Burden Interview (J-ZBI_8) was used to assess caregiver burden, with a score of ≥ 13 indicating high caregiver burden. Data on the oral and general condition of patients were extracted from home-visit dental treatment records. Oral health status was assessed using the Oral Health Assessment Tool (OHAT) as a median dichotomised ordinal variable (OHAT scores ≥ 5 or < 5). Multiple logistic regression analysis included 'high caregiver burden' as the dependent variable and 'number of teeth present' and 'denture use' as explanatory variables, incorporating an interaction term between 'number of teeth present' and OHAT status (≥ 5) alongside other covariates.</p><p><strong>Results: </strong>A total of 117 individuals were included. 'Number of teeth present' (OR: 1.20; 95% CI: 1.06-1.36) was associated with higher odds of 'high caregiver burden' only in those with 'OHAT score ≥ 5'. 'Denture use' (OR: 4.29; 95% CI: 1.22-15.10) was associated with higher odds of 'high caregiver burden' regardless of oral health status.</p><p><strong>Conclusion: </strong>Older adults with poor oral health and a high number of teeth, or denture users, pose a greater caregiving burden. Dental professionals should recognise these stressors and support caregivers.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147443007","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":"Masticatory Efficiency and Quality of Life in Maxillectomized Older Adults Rehabilitated With Obturator Prostheses.","authors":"Daniel Silva Soares, Isadora França Vieira-Silva, José Alcides Almeida de Arruda, Ricardo de Oliveira Corrêa, Allyson Nogueira Moreira, Emerson Gomes Dos Santos, Amália Moreno","doi":"10.1111/ger.70062","DOIUrl":"https://doi.org/10.1111/ger.70062","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated muscle electrical activity, bite force, quality of life, and satisfaction in individuals with maxillectomy rehabilitated with complete obturator prostheses (COP).</p><p><strong>Background: </strong>Most patients undergoing maxillectomy and rehabilitated with COP experience masticatory and functional limitations.</p><p><strong>Materials and methods: </strong>This pre-post interventional study included 11 individuals (mean age: 64 years) who had undergone maxillectomy and were rehabilitated with COP designed to prosthetically restore the palate and improve oropharyngeal function. Electromyography, mouth opening angle, and bite force were assessed at 60, 120, and 180 days after COP installation. The University of Washington Quality of Life (UWQOL) questionnaire and the Obturator Functional Scale (OFS) were administered at baseline and at the same follow-up intervals. Electromyography of facial muscles was performed at rest and during mastication of hard and soft foods. Maximum bite force was recorded at the central incisors and first molars. Data were analysed descriptively and analytically.</p><p><strong>Results: </strong>Bite force values increased significantly over the 180-day period, while muscle electrical activity remained stable throughout COP wear. The appearance, swallowing, speech, and chewing domains significantly influenced COP performance. The OFS indicated improvements in liquid swallowing, reduction of nasal speech, and greater voice clarity in public settings. Most significant changes were accompanied by moderate to large effect sizes, supporting their practical relevance.</p><p><strong>Conclusion: </strong>COP effectively improved patients' quality of life and functional outcomes following maxillectomy.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147304777","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":"Using the Intervention Mapping Protocol to Design an Oral Health Promotion Intervention for Frail Home-Dwelling Older Persons in Belgium.","authors":"Ellen Baele, Natalie Hoste, Aster De Vleeschauwer, Fien Mertens, Peter Pype, Barbara Janssens, Louise Poppe","doi":"10.1111/ger.70059","DOIUrl":"10.1111/ger.70059","url":null,"abstract":"<p><strong>Objective: </strong>To present an overview of the development process of an evidence- and theory-based multi-level oral health promotion intervention targeting frail, home-dwelling older persons.</p><p><strong>Background: </strong>Good oral health is vital for healthy ageing, but frail, home-dwelling older persons are disproportionately affected by poor oral health. Multi-level evidence- and theory-based approaches to target frail, home-dwelling older persons and increase access to dental care are recommended.</p><p><strong>Materials and methods: </strong>This oral health promotion programme for frail, home-dwelling older persons was developed using the six-step, theory- and evidence-based Intervention Mapping protocol. It was guided by a literature review and exploratory research involving frail, home-dwelling older persons, informal caregivers, oral health professionals, general practitioners and pharmacists. The sixth step, the evaluation plan, was further informed by the Medical Research Council framework guidelines.</p><p><strong>Results: </strong>Applying the six-step Intervention Mapping protocol resulted in a needs assessment to gain a general understanding of the problem (Step 1), setting programme goals (Steps 1 and 2) and creating matrices of change objectives (Step 2). Theoretical methods were chosen and turned into practical applications (Step 3), leading to programme components (Step 4) for frail, home-dwelling older persons, informal caregivers, general practitioners, pharmacists and oral health professionals. An implementation (Step 5) and evaluation plan (Step 6) were also developed.</p><p><strong>Conclusion: </strong>After pilot testing, a feasibility study will refine the design before a larger effectiveness assessment. Future developers can use our detailed example to create a theory- and evidence-based intervention programme targeting oral health.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270711","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 2","pages":"252-260"},"PeriodicalIF":1.7,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148081580","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 2","pages":"261-271"},"PeriodicalIF":1.7,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148078425","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}