Gerodontology最新文献

{"title":"Undergraduate Geriatric Dentistry Education in Thailand: A Survey Study.","authors":"Jirakate Madiloggovit-Lower, Worakarn Suwannavesh, Ronald L Ettinger, Thomas A Lower, Matana Kettratad-Pruksapong","doi":"10.1111/ger.70031","DOIUrl":"10.1111/ger.70031","url":null,"abstract":"<p><strong>Objective: </strong>Thailand is experiencing rapid demographic aging and currently ranks third globally in population aging. Despite national initiatives such as the National Oral Health Plan for Senior Citizens (2015-2022), variability persists in undergraduate geriatric dentistry education across Thai dental schools. This study surveyed current curricular practices and clinical training opportunities in geriatric dentistry across Thai dental schools.</p><p><strong>Methods: </strong>A structured questionnaire was developed and distributed electronically to all 18 accredited dental schools in Thailand. The questionnaire collected information on institutional characteristics and details on geriatric dentistry curricula, including topics such as teaching methods, clinical training and funding sources. Responses were collected using the Qualtrics software platform. Ethical approval for this study was obtained from the Thammasat University Ethics Board.</p><p><strong>Results: </strong>Twelve dental schools completed the survey, yielding a response rate of 66.7%. All responding institutions included geriatric dentistry in their undergraduate curricula, though the methods of delivery varied considerably. Approximately 66.7% offered dedicated didactic courses, whereas the remainder integrated geriatric topics within broader coursework. The most commonly taught topics included oral tissue changes associated with aging, drug-induced dental diseases and systemic medical problems. However, topics such as the restorative management of older adults with psychological or neurological conditions were less frequently included. Most of the schools reported delivering clinical exposure for their students; however, these activities ranged from annual oral health screenings to compulsory clinical rotations at remote or primary care units or nursing homes.</p><p><strong>Conclusion: </strong>Thai dental schools widely recognise the importance of geriatric dentistry education; however, the extent and depth of curricular implementation vary considerably. Establishing standardised national guidelines and expanding clinical training opportunities are essential to adequately prepare future dental professionals to meet the complex oral health needs of older adults.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"183-189"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145667905","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 the Letter to the Editor on \"Effect of Oral Screen Training After Stroke - A Randomised Controlled Trial\".","authors":"Jesper Dalum","doi":"10.1111/ger.70042","DOIUrl":"10.1111/ger.70042","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"278-279"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899612","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 Frailty and Social Frailty Among Older Japanese.","authors":"Isi Susanti, Hazem Abbas, Kenji Takeuchi, Jun Aida, Ken Osaka","doi":"10.1111/ger.70056","DOIUrl":"10.1111/ger.70056","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between oral frailty (OF) and social frailty (SF) among independent community-dwelling older adults in Japan.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using data from the 2022 wave of the Japan Gerontological Evaluation Study (JAGES) including 19,319 functionally independent older adults aged ≥ 65 years. Oral frailty was used as an exposure variable in four ways: (1) a categorical variable (robust = 0, pre-frail = 1, frail ≥ 2), (2) count score (sum of 5 OF components), (3) individual OF components and (4) a combined variable for the four oral functions. SF was measured using the 5-item index (SF-5; robust = 0, pre-frail = 1, frail ≥ 2). Missing data were handled via multiple imputation. Ordered logistic regression models were used after adjusting for sociodemographic and health-related covariates.</p><p><strong>Results: </strong>Participants were 48.4% males and aged 65-104 years. SF prevalence was 28.3% (n = 5466). In the adjusted models, oral frail individuals had higher odds of being socially frail (OR 1.35; 95% CI 1.26-1.45) than the robust group and the highest oral frailty score (score 5) showed the highest odds (OR 2.53; 95% CI 1.50-4.27) for SF. In addition, among OF components, dry mouth had the strongest association (OR 1.29; 95% CI 1.20-1.38), and those with four diminished oral functions were more likely to be socially frail (OR 2.42; 95% CI 1.53-3.82). Overall, a clear gradient-like pattern was observed with more oral frailty linked to higher odds of social frailty.</p><p><strong>Conclusion: </strong>OF and its components were associated with SF among older adults in Japan. These findings might suggest the need for integrated screening and preventive strategies to mitigate social vulnerability linked to oral functional decline.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"252-260"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146213002","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":"Co-Existence of Divergent Oral Care Approaches in Danish Aged Care: A Qualitative Study.","authors":"Linnea Eisemann de Almeida, Louise Folker, Christina Andersen, Astrid Pernille Jespersen, Esben Boeskov Øzhayat","doi":"10.1111/ger.70041","DOIUrl":"10.1111/ger.70041","url":null,"abstract":"<p><strong>Introduction: </strong>Care approaches to oral health are shaped by the perspectives of both aged care and dental care professionals. This study provides a new and comprehensive understanding of how these two professional groups conceptualise and address oral care for care-dependent older adults.</p><p><strong>Material and methods: </strong>Researchers conducted 13 focus group discussions with 4-6 participants each in two Danish municipalities within the Lifelong Oral Health research project: nine with aged care staff and four with managers from aged care and dental care. Two semi-structured interviews were conducted with dental care staff. The research was guided by a qualitative methodological framework using inductive thematic analysis to explore participants' experiences and perspectives.</p><p><strong>Results: </strong>Aged care and dental care staff held varying perspectives on four distinct care approaches: (1) knowledge of oral health; (2) prioritisation of oral health; (3) care practice in relation to oral health; (4) handling refusal of oral care. In contrast to dental care staff, aged care staff had rudimentary oral health knowledge and prioritised other care tasks over oral care. Aged care staff took a rehabilitative approach to oral care, whereas dental care staff favoured a compensatory approach. Aged care staff stated that the right to self-determination overruled the duty of care presented by dental care staff when patients refused oral care. These differences affected daily oral care practices and collaboration between both staff groups, who both endorsed better collaboration.</p><p><strong>Conclusion: </strong>Divergent care approaches to oral care between aged care and dental care staff can hinder good oral health in care-dependent older adults. To enhance oral health in older adults, this article identifies four divergent approaches and explores how they challenge inter-professional collaboration.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"211-220"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899409","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":"Consideration of Oral Health Within Guidelines and Policy Documents Focused on Nutritional Status and Dietary Intake for Older Adults in Care Homes in the UK: A Scoping Review.","authors":"Sachi Makino, Jayne Woodside, Aziza Sallam, Noleen McCorry, Michelle Harvey, Anja Heilmann, Caroline Lappin, Clare McEvoy, Gary Mitchell, Sinead Watson, Ciaran O'Neill, Georgios Tsakos, Paul Brocklehurst, Gerry McKenna","doi":"10.1111/ger.70032","DOIUrl":"10.1111/ger.70032","url":null,"abstract":"<p><strong>Introduction: </strong>Older care home residents are particularly vulnerable to both malnutrition and chronic dental diseases, such as caries and periodontal disease. While high-sugar oral nutritional supplements and fortified foods are commonly used to prevent undernutrition, excessive sugar intake increases the risk of dental caries. Despite the well-established interplay between nutrition and oral health, existing guidelines and policy documents tend to address these aspects separately, resulting in fragmented care. This study aims to examine how oral health is considered within guidelines and policy documents focused on nutritional status and dietary intake for care home residents in the United Kingdom.</p><p><strong>Methods: </strong>A scoping review was conducted using Arksey and O'Malley's framework. A systematic search identified UK and Irish based guidelines and policy documents addressing both nutrition and oral health in care homes. Documents exclusively covering either nutrition or oral health were excluded. Data were extracted, reviewed and analysed thematically.</p><p><strong>Results: </strong>Twelve documents were included: five nutritional documents incorporating oral health and seven oral health documents referencing dietary intake. Nutritional documents acknowledged sugar-related oral health risks but lacked practical caries prevention strategies. Oral health documents emphasised sugar restriction and hygiene but provided limited guidance on balancing nutritional adequacy with oral health preservation.</p><p><strong>Conclusion: </strong>Current guidelines and policy documents insufficiently integrate oral health and nutrition, resulting in fragmented care. Future policies should adopt an interdisciplinary approach, incorporating evidence-based dietary and oral health strategies to improve care home residents' well-being.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"137-158"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145849399","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":"'Letting Sleeping Dogs Lie' or Taking Action on Oral Care? A Qualitative Study With Informal Caregivers of Frail Home-Dwelling Older Persons.","authors":"Ellen Baele, Aster De Vleeschauwer, Fien Mertens, Natalie Hoste, Louise Poppe, Peter Pype, Barbara Janssens","doi":"10.1111/ger.70044","DOIUrl":"10.1111/ger.70044","url":null,"abstract":"<p><strong>Objective: </strong>To explore informal caregivers' perspectives concerning support in oral care for frail home-dwelling older persons (FHOPs), while identifying their needs and barriers at the IC-FHOP as well as the IC-healthcare professional level.</p><p><strong>Background: </strong>FHOPs' oral health is a global concern. Health determinants ranging from the individual up to the public policy level shape oral health. Informal caregivers' perspectives on these topics are underexamined for oral health, despite their key role in supporting FHOPs and connecting them to professional care.</p><p><strong>Materials and methods: </strong>Semi-structured interviews were conducted with informal caregivers of older adults from urban and rural areas in Flanders (Belgium), with a Groningen Frailty Index equal to or greater than 4. Interviews were recorded, transcribed, and analysed using a reflexive thematic approach.</p><p><strong>Results: </strong>The sample comprised 19 informal caregivers (ICs) aged 53-87 years. Four themes were identified: (1) When words matter: the (un)spoken role of oral care in informal caregiving, (2) Balancing care and independence: the role of ICs in FHOPs' daily oral care, (3) Between necessity and accessibility: the role of ICs in FHOPs' dental visits, and (4) Ensuring oral health together: the collaboration with professionals. ICs' oral care involvement varied, influenced by knowledge, confidence, and support.</p><p><strong>Conclusion: </strong>This study emphasises the vital role of ICs in supporting FHOPs' oral care, yet they often lack role clarity, confidence, and guidance. Enhancing education and support for both ICs and healthcare professionals is essential to promote person-centred oral care and collaboration.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"221-233"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911034","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":"Effective Treatment With Olanzapine for Burning Mouth Syndrome With Denture Intolerance in an Older Patient: A Case Report.","authors":"Motoko Watanabe, Masanao Inokoshi, Chizuko Maeda, Chihiro Takao, Risa Tominaga, Yasuyuki Kimura, Takahiko Nagamine, Akira Toyofuku","doi":"10.1111/ger.70045","DOIUrl":"10.1111/ger.70045","url":null,"abstract":"<p><strong>Introduction: </strong>Burning mouth syndrome (BMS) is occasionally accompanied by denture intolerance.</p><p><strong>Case presentation: </strong>An 80-year-old woman with complaints of residual and relapsed intraoral pain and denture intolerance due to BMS was improved by olanzapine without severe adverse events, and her eating ability was successfully restored.</p><p><strong>Conclusion: </strong>This case suggests that olanzapine may be an optional treatment for denture intolerance as well as BMS pain in older adult patients.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"272-275"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965609","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":"Deploying Oral Health Therapists in Aged Residential Care in New Zealand: A Pilot Study.","authors":"Moira B Smith, Sarah Majeed, Rachel Holden, Shennae Bartlett, Ngaire Kerse, Noor Nazahiah Bakri, Keiko Oda, W Murray Thomson","doi":"10.1111/ger.70087","DOIUrl":"https://doi.org/10.1111/ger.70087","url":null,"abstract":"<p><strong>Background: </strong>The proportion of older New Zealanders entering aged residential care facilities with at least some of their natural dentition remaining is steadily increasing, and high dental caries increments are evident in that setting, with important implications for quality of life.</p><p><strong>Objective: </strong>To determine the effectiveness of a clinical intervention in aged residential care delivered by oral health therapists.</p><p><strong>Methods: </strong>Two care homes were purposively selected, with 85 and 60 residents (respectively), from all care levels (rest home, hospital, dementia and psychogeriatric). Two clinical examinations (baseline and follow-up at 3 months) were undertaken by oral health therapists. In the intervention, residents-along with their family members and/or carer if appropriate-received personalised oral care advice, including (but not limited to) recommendations on tooth brushing, interdental cleaning, denture care and hygiene, and dietary advice, as needed. Outcomes assessed were plaque score, calculus score, gingival appearance, food debris score, tooth mobility and oral odour.</p><p><strong>Results: </strong>In total, 78 residents participated. Just over one-quarter were edentulous; most of the remainder were partially dentate in both arches, with a minority having an edentulous maxilla opposing a partially dentate mandible. Approximately one in eight residents was subsequently lost to follow-up. Mean plaque score worsened, although the effect size was small. There was a moderate improvement in mean calculus score, along with small improvements in gingival appearance and mean food debris score, but there was no improvement in tooth mobility. The proportion with an unpleasant oral odour increased, from one in 14 to one in nine.</p><p><strong>Conclusion: </strong>Deploying oral health therapists in the care home setting to assist staff in caring for residents is possible, but obtaining meaningful improvement in clinical measures remains a challenge.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147813710","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":"A Mediation Analysis of Oral Health, Anthropometric Characteristics and Frailty Among Community-Dwelling Mexican Older Adults.","authors":"Julio M Fernandez Villa, Omar Yaxmehen Bello-Chavolla, Carmen Garcia-Peña, Sergio Sanchez-Garcia","doi":"10.1111/ger.70086","DOIUrl":"https://doi.org/10.1111/ger.70086","url":null,"abstract":"<p><strong>Introduction: </strong>Frailty has been associated with oral health, a broad and heterogeneous construct. Due to its complexity and multi-dimensional nature, clarifying the role of oral health in the development of frailty remains challenging; potential mediating factors are being examined to improve its comprehension. This study aims to examine the relationship between frailty and oral deficits, considering biological age as a potential mediator using samples of Mexicans aged over 60.</p><p><strong>Methods: </strong>This study is a secondary analysis of the Cohort of Obesity, Sarcopenia and Frailty of Older Mexican Adults (COSFOMA), a cohort of Mexican older adults starting at age 60. We analysed pre-pandemic data from 2019, including questionnaires, anthropometric measures, oral health evaluations and physical performance tests. Frailty was assessed using a standard Frailty Index, constructed from health-related deficits. Oral health was evaluated with the New Oral Health Index and the Geriatric Oral Health Assessment Index (GOHAI). Accelerated aging was estimated using AnthropoAge. Associations between frailty, oral health and biological aging were examined using generalised linear models (GLMs) with bootstrapped standard errors.</p><p><strong>Results: </strong>The analytical sample comprised 1657 participants. We found that women had higher scores in BMI categories, use of prostheses, while men had higher scores of dental biofilm, gingivitis, caries and number of missing teeth. Values were higher among those with oral health deficits. A sex-stratified sub-analysis was performed; among men, no statistically significant average causal mediation effect (ACME) was found. However, among women, the direct effect of oral health deficits on frailty was not statistically significant, indicating associational evidence about mediation by accelerated aging. The proportion was 51.86%.</p><p><strong>Discussion: </strong>Oral health deficits were associated with frailty, evidence consistent with an indirect pathway through accelerated aging. Among women, this indirect association was primarily observed in aging profiles characterised by disproportionate fat distribution and reduced lean mass. These findings highlight potential pathways linking oral health and frailty that warrant further investigation.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769047","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":"Integrating Oral Health in General Health National Policy Frameworks for Older Adults: Scoping Review.","authors":"Manori Dhanapriyanka, Lyndal Pritchard, Angelique Zamora, Nilesh Torwane, Helena Silveira Schuch, Diep Hong Ha, Irosha Perera, Prasanna Jayasekara, Loc Do","doi":"10.1111/ger.70085","DOIUrl":"https://doi.org/10.1111/ger.70085","url":null,"abstract":"<p><strong>Introduction: </strong>The global rise in population ageing challenges health systems, including oral health, which is integral to overall health and quality of life. Although the World Health Organization advocates integrated care for older adults, evidence on national models integrating oral health into broader health strategies remains limited.</p><p><strong>Aim: </strong>This review aimed to synthesise evidence on approaches that integrate oral health into general health national policy frameworks, focusing on older adults.</p><p><strong>Methods: </strong>A scoping review was conducted using electronic searches of government domains via Google and Google Advanced in English-speaking countries, supplemented by searches of the Analysis and Policy Observatory database. Inclusion criteria were based on Population: older adults; Context: national-level health policy frameworks; Concept: integration of oral health.</p><p><strong>Results: </strong>Of the 2616 documents retrieved from 52 countries, 1964 were screened, and 28 documents with oral health incorporated were included. The focus areas of the included documents were palliative care, mental health, disease prevention, chronic diseases, nutrition, and healthy ageing. Across the 28 included documents, oral health was mentioned in the context of 24, with nine of these referring to it only in the policy context. Oral health appeared under an objective or strategy in five documents, as an activity in three, as an indicator in two, and as a recommendation in nine documents. Oral health stakeholder representation was limited.</p><p><strong>Conclusion: </strong>This review identified that the integration of oral health within broader national health policies targeting older adults remains largely superficial, underscoring the need for deeper and more meaningful integration and intersectoral collaboration.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147768493","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}