Gerodontology最新文献

{"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}

{"title":"Integrating Dental Professionals Into Aged Care With Focus on Australia: A Scoping Review.","authors":"Kelsey West, Julie Saunders, Linda Slack-Smith","doi":"10.1111/ger.12784","DOIUrl":"https://doi.org/10.1111/ger.12784","url":null,"abstract":"<p><strong>Objectives: </strong>To summarise the current evidence on the involvement of dental hygienists (DHs) in residential aged care facilities (RACFs) with respect to the feasibility of integration improved oral health for residents with dementia and multidisciplinary collaboration.</p><p><strong>Background: </strong>The oral health of RACF residents with dementia is reported to be poor. However, little is known about how DHs can be integrated into RACFs to improve oral health, particularly as part of a multidisciplinary team.</p><p><strong>Method: </strong>A scoping review was undertaken in accordance with the Joanna Briggs Institute (JBI) method. Multiple databases were searched for peer-reviewed articles and grey literature that included a DH working in a RACF with dementia patients, or as part of a multidisciplinary team. Data were charted using a modified version of the JBI source of evidence template.</p><p><strong>Results: </strong>Fifty-eight studies were identified for inclusion. Integration strategies were categorised as support-focused or service-focused, but there was little evaluation of their feasibility. Five key facilitators to multidisciplinary collaboration were identified: using multiple strategies; clearly defining roles; changes to existing administrative systems; fostering multidisciplinary collaboration skills; and encouraging innovation. However, no examples of collaboration within RACFs were identified.</p><p><strong>Conclusion: </strong>There has been limited effort in multidisciplinary collaboration or integration of DHs into RACFs with some evidence that both support-focused and service-focused strategies can improve the oral health of residents with dementia.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970406","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":"Health-Related Behaviour Clusters and Functional Dentition in Older People.","authors":"Fatimah Alobaidi, Ellie Heidari, Wael Sabbah","doi":"10.1111/ger.12807","DOIUrl":"https://doi.org/10.1111/ger.12807","url":null,"abstract":"<p><strong>Objectives: </strong>To identify different clusters of health-related behaviours and examine whether these clusters are associated with maintaining 20 or more teeth.</p><p><strong>Background: </strong>Engaging in risky behaviours impacts tooth loss, particularly among older adults. Maintaining 20 teeth is a challenge for this age group. The co-occurrence of health-risk behaviours is common and has been linked to an increased risk of multiple chronic diseases, including tooth loss.</p><p><strong>Material and methods: </strong>A cross-sectional analysis of wave 7 of the English Longitudinal Study of Ageing (ELSA) was conducted. Functional dentition was self-reported as having 20 or more teeth. Four health-related behaviours (smoking, alcohol intake, fruit and vegetable consumption, and physical activity) were analysed to investigate their association with functional dentition. Demographic characteristics (sex, age, ethnicity) and socioeconomic factors (education, wealth) were included as covariates. Latent Class Analysis (LCA) was conducted using four dichotomised behaviour variables to identify clusters of behaviours. Logistic regression modelling was used to examine the association between clusters of health-related behaviours and functional dentition. The model was adjusted for demographic and socioeconomic factors.</p><p><strong>Results: </strong>A total of 7783 participants were included. The LCA model identified three clusters: (1) risky, (2) moderate and (3) healthy. In the fully adjusted logistic regression model, the odds of having a functional dentition were 1.42 higher among those in the moderate cluster (95% CI: 1.23, 1.65), and 1.70 higher among those in the healthy cluster (95% CI: 1.39, 2.09) than for participants in the risky cluster.</p><p><strong>Conclusion: </strong>Risky behaviours tend to cluster among older adults. Engaging in multiple risky behaviours is associated with having fewer than 20 teeth. Initiatives and public health campaigns that focus on these clustering patterns, as well as the underlying factors, could benefit both oral and general health.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947529","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":"Quality of Life and Oral Function in Patients With Jaw Defects Following Oral Tumour Surgery.","authors":"Takayuki Kosaka, Manami Tsuji, Momoyo Kida, Shuri Fushida, Suzuna Akema, Daisuke Hasegawa, Kazunori Ikebe","doi":"10.1111/ger.12800","DOIUrl":"https://doi.org/10.1111/ger.12800","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate various oral functions in patients with jaw defects after oral tumour surgery and to clarify factors associated with their quality of life (QoL).</p><p><strong>Background: </strong>In patients with jaw defects, oral function and QoL are severely impaired. No studies have evaluated oral functions of patients with jaw defects and examined their relationships with QoL.</p><p><strong>Materials and methods: </strong>The study participants were 72 patients (mean age: 70.7 ± 10.1 years, range 48-93 years) who underwent prosthetic treatment with a removable denture to treat a jaw defect following oral tumour surgery. Masticatory performance, maximum bite force, oral dryness, tongue pressure, and tongue-lip motor function (oral diadochokinesis, /pa/, /ta/, /ka/ syllables) were evaluated after prosthetic treatment. The Japanese version of the EORTC QLQ-H&N 35 was used to assess QoL. From the QoL assessment, the \"Pain\", \"Swallowing\", \"Sense\", \"Speech\", \"Social eating\", and \"Social contact\" scales were extracted. Multiple regression analysis was conducted using each QoL scale as the dependent variable and oral functions as explanatory variables.</p><p><strong>Results: </strong>In the multiple regression model for \"Swallowing\", the oral diadochokinesis /ta/ was a significant explanatory variable. In the model for \"Sense\", tongue pressure was a significant explanatory variable. In the model for \"Speech\", age was a significant explanatory variable. In the model for \"Social contact\", tongue pressure was the significant explanatory variable.</p><p><strong>Conclusion: </strong>In patients with jaw defects following oral tumour surgery, lower tongue pressure is associated with poorer QoL in a wider range of ways than other oral functions are.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893508","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":"Diary Dates","authors":"","doi":"10.1111/ger.12804","DOIUrl":"10.1111/ger.12804","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"41 4","pages":"586"},"PeriodicalIF":2.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893661","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}