Gerodontology最新文献_第3页

Number of teeth and functional disability in community-dwelling older adults. 居住在社区的老年人的牙齿数量和功能障碍。

IF 2 3区医学

Gerodontology Pub Date : 2024-07-10 DOI: 10.1111/ger.12775

Takamasa Komiyama, Takashi Ohi, Yoshitada Miyoshi, Mana Kogure, Naoki Nakaya, Atsushi Hozawa, Ichiro Tsuji, Makoto Watanabe, Yoshinori Hattori

{"title":"Number of teeth and functional disability in community-dwelling older adults.","authors":"Takamasa Komiyama, Takashi Ohi, Yoshitada Miyoshi, Mana Kogure, Naoki Nakaya, Atsushi Hozawa, Ichiro Tsuji, Makoto Watanabe, Yoshinori Hattori","doi":"10.1111/ger.12775","DOIUrl":"https://doi.org/10.1111/ger.12775","url":null,"abstract":"Introduction: This study determined whether tooth loss was associated with the development of functional disability and estimated the population attributable fraction (PAF) of functional disability due to tooth loss, along with risk factors for functional disability such as physical function and cognitive impairment.Methods: The participants were 838 community-dwelling older adults aged ≥70 years living in the Tsurugaya district in Japan in 2003. The exposure variable was the number of remaining teeth (counted by trained dentists). Other variables were age, sex, depressive symptoms, cognitive impairment, educational attainment, physical function and social support. The Cox proportional hazards model was applied to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) of the incidence of functional disability for each risk factor, such as tooth loss. The functional disability PAF due to tooth loss was estimated, and risk factors for functional disability were identified.Results: In total, 619 (73.9%) participants developed functional disability during follow-up. A multivariable model showed that those with <20 teeth (HR, 1.28; 95% CI, 1.08-1.53) were more likely to develop functional disability than those with 20 teeth or more. PAF estimation for functional disability was shown to have decreasing values in the following order: age, female sex, tooth loss and reduced physical function.Conclusions: Tooth loss was associated with the development of functional disability in community-dwelling older Japanese adults. While retaining teeth may be a potential strategy for avoiding functional disability, clinical studies on the effect of dental treatment on preventing functional disability are warranted.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579405","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}

引用次数: 0

Validity assessment of oral health promotion activities targeting the older population for community care in South Korea: A Delphi study. 韩国针对老年人口腔健康促进活动的有效性评估：德尔菲研究。

IF 2 3区医学

Gerodontology Pub Date : 2024-07-10 DOI: 10.1111/ger.12768

Jin-Sun Choi, Soo-Myoung Bae, Bo-Mi Shin, Hyo-Jin Lee, Hye-Young Yoon, Sun-Jung Shin

{"title":"Validity assessment of oral health promotion activities targeting the older population for community care in South Korea: A Delphi study.","authors":"Jin-Sun Choi, Soo-Myoung Bae, Bo-Mi Shin, Hyo-Jin Lee, Hye-Young Yoon, Sun-Jung Shin","doi":"10.1111/ger.12768","DOIUrl":"https://doi.org/10.1111/ger.12768","url":null,"abstract":"Objective: The purpose of this study was to establish an oral health activity assessment tool for older people and evaluate its validity.Background: To provide reasonable and efficient oral health promotion services with limited medical resources, a tool including categories and items of oral health promotion activities for older people should be prepared.Materials and methods: The tool initially consisted of 76 items on oral health promotion activities for older people classified into assessment-performance-evaluation stages. Topics for each stage included general and oral health, daily health, oral health status, behaviour, and awareness. In addition, two Delphi surveys were conducted on 10 experts who met the selection criteria, and the final items were derived based on the review opinions.Results: As a result of the first and second Delphi surveys, the content validity for all items was ≥0.60 and the content validity index was ≥0.80. In the first survey, the degree of convergence in some items was 0-0.88. After modifying the contents according to expert opinions, the degree of convergence was improved from 0 to 0.50 in the second survey. The degree of agreement ranged from 0.75 to 1.00, indicating that experts agreed. Finally, a total of 65 items were derived.Conclusion: A 65-item tool was derived through two Delphi surveys for the assessment of oral health activities for older people. The use of the tool developed in this study would likely contribute to better prevention of oral diseases and the promotion of oral health among older people.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579407","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}

引用次数: 0

Caregivers' knowledge, attitudes and behaviour towards the daily oral care of bedridden patients in Chiang Rai, Thailand 泰国清莱府护理人员对卧床病人日常口腔护理的认识、态度和行为

IF 2 3区医学

Gerodontology Pub Date : 2024-06-22 DOI: 10.1111/ger.12772

Komkham Pattanaporn, Ariyaporn Kaewduangsaeng, Ilada Panich, Narudee Limpaphan, Wanatchaporn Lakboon, Mario Brondani

{"title":"Caregivers' knowledge, attitudes and behaviour towards the daily oral care of bedridden patients in Chiang Rai, Thailand","authors":"Komkham Pattanaporn, Ariyaporn Kaewduangsaeng, Ilada Panich, Narudee Limpaphan, Wanatchaporn Lakboon, Mario Brondani","doi":"10.1111/ger.12772","DOIUrl":"https://doi.org/10.1111/ger.12772","url":null,"abstract":"ObjectivesThe objectives of this study are to explore caregivers' knowledge, attitudes and behaviours towards oral care for bedridden patients and to examine the relationship among those three variables.MethodsParticipants were 24 caregivers from Muang District, Chiang Rai Province, Thailand, who agreed to be part of the study. Data were collected in January 2020 via a 24‐item questionnaire covering knowledge such as understanding what can cause and prevent oral problems, attitudes such as feelings towards providing oral care and behaviours such as actions taken to clean the patient's mouth. Caregivers were also interviewed using a semi‐structured guide to further explore their oral health care knowledge, attitudes and behaviours. Descriptive analysis and Chi‐square correlation were used to analyse quantitative data. Thematic analysis was used to explore the interview data.ResultsThe caregivers' roles were all informal, with an average age of 54.2 years and almost all were female (91.7%). They cared for bedridden patients who were on average 14 years older, comprised mostly of their parents (54.1%) and were partially dentate (79.2%); half were males. Although most caregivers (87.5%) did consider sugar as likely causing tooth decay, one in three did not think that fluoride toothpaste could help to prevent dental decay. None of the edentulous patients and 42.1% of the partially dentate patients had their mouths cleaned by their caregivers daily. Knowledge was not associated with the oral health care behaviour of the caregiver (P = .43). Financial constraints, limited knowledge and personal beliefs contributed to caregivers' behaviour towards oral health care for their bedridden patients.ConclusionsKnowledge remains unassociated with behaviour. Caregiver education and support are needed to maintain good oral health care practices for bedridden patients.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"41 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141510431","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}

引用次数: 0

A comparative analysis of oral hygiene in nursing homes with and without a structured oral healthcare programme 有和没有结构化口腔保健计划的疗养院口腔卫生比较分析

IF 2 3区医学

Gerodontology Pub Date : 2024-06-22 DOI: 10.1111/ger.12773

Lynn E. Janssens, Emma Temmerman, Jonas Maertens, Luc De Visschere, Mirko Petrovic, Barbara E. Janssens

{"title":"A comparative analysis of oral hygiene in nursing homes with and without a structured oral healthcare programme","authors":"Lynn E. Janssens, Emma Temmerman, Jonas Maertens, Luc De Visschere, Mirko Petrovic, Barbara E. Janssens","doi":"10.1111/ger.12773","DOIUrl":"https://doi.org/10.1111/ger.12773","url":null,"abstract":"ObjectiveThe objective of this study is to compare the oral hygiene (dental and denture plaque) among residents in nursing homes that have implemented an oral healthcare programme (Gerodent) with that of residents in nursing homes that provide standard oral care.BackgroundGerodent is a comprehensive oral healthcare programme introduced in 2010, which includes mobile on‐site professional oral care. Sixty‐two nursing homes have actively implemented Gerodent between 8 and 12 years preceding this study.MethodsA cross‐sectional study compared a cluster random sample of Gerodent nursing home residents to residents of matched control nursing homes. Residents' dental (Turesky Index) and denture plaque (Augsburger & Elahi Index) scores were collected as primary outcome variables. Data on tongue plaque, oral hygiene aids and demographic characteristics were recorded. Data were collected between 2020 and 2023. Generalised estimating equations were used to compare the oral hygiene between both study groups.ResultsResidents in the Gerodent group (n = 171) had significantly lower mean dental and denture plaque scores than their counterparts in the non‐Gerodent group (n = 159; dental plaque 1.68 vs. 2.71; RR 0.32; 95% CI: 0.23–0.44; and denture plaque 1.60 vs. 2.21; RR 0.55; 95% CI: 0.42–0.72). While basic oral hygiene aids were available to most residents in both groups, denture brushes were more common in the Gerodent group.ConclusionResidents in Gerodent nursing homes had significantly better oral hygiene than those older people residing in non‐Gerodent nursing homes, although plaque scores were insufficient to prevent oral conditions. Oral health professionals need to work with and provide ongoing support in long‐term care facilities to further improve oral hygiene.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"142 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141510429","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}

引用次数: 0

Association of oral frailty with medical expenditure in older Japanese adults: The study of late-stage older adults in Tottori (START Tottori). 日本老年人口腔虚弱与医疗支出的关系：鸟取县晚期老年人研究》（START Tottori）。

IF 2 3区医学

Gerodontology Pub Date : 2024-06-17 DOI: 10.1111/ger.12771

Eri Arai, Yutaka Watanabe, Sayuri Nakagawa, Yuki Ohara, Masanori Iwasaki, Hirohiko Hirano, Kazunori Ikebe, Takahiro Ono, Katsuya Iijima, Akira Adachi, Takao Watanabe, Yutaka Yamazaki

{"title":"Association of oral frailty with medical expenditure in older Japanese adults: The study of late-stage older adults in Tottori (START Tottori).","authors":"Eri Arai, Yutaka Watanabe, Sayuri Nakagawa, Yuki Ohara, Masanori Iwasaki, Hirohiko Hirano, Kazunori Ikebe, Takahiro Ono, Katsuya Iijima, Akira Adachi, Takao Watanabe, Yutaka Yamazaki","doi":"10.1111/ger.12771","DOIUrl":"https://doi.org/10.1111/ger.12771","url":null,"abstract":"Objects: This study aimed to determine the association between annual medical expenses and oral frailty in later-stage older adults (aged ≥ 75 years). No studies have investigated the association between medical costs and oral frailty, which would elucidate the association between oral frailty and the deterioration of mental and overall physical function.Materials and methods: In this cross-sectional study, 2190 adults (860 men and 1330 women aged 75-94 years) covered by the Medical System for the Elderly and residing in Tottori Prefecture, Japan, between April 2016 and March 2019, were included. Participants were classified into three groups: healthy, pre-orally frail or orally frail, based on dental health screening findings. The medical and dental expenses over the years, number of days of consultations and comorbidities were obtained from the Japanese Health Insurance Claims Database.Results: The number of days of medical and dental consultations and annual medical expenses for outpatient care differed among the three study groups. A significant association was observed between oral frailty and high annual expenses for outpatient medical and dental care. Oral frailty was associated with higher medical expenses in participants with poor masticatory function. Higher and lower dental expenses were associated with subjective poor masticatory function and subjective impairment of swallowing function respectively.Conclusion: Medical and dental expenses for orally frail older adults are high, indicating that oral frailty may be related to the occurrence and severity of diseases other than oral health issues. Future studies should examine the mechanism by which oral weakness affects physical and mental functions.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418568","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}

引用次数: 0

Associations of sex, age, and number of remaining teeth with performance on oral hypofunction tests. 性别、年龄和剩余牙齿数量与口腔功能低下测试成绩的关系。

IF 2 3区医学

Gerodontology Pub Date : 2024-06-14 DOI: 10.1111/ger.12770

Mieko Okamoto, Mitsuyoshi Yoshida, Kazuhiro Tsuga, Koichiro Matsuo, Kazunori Ikebe, Takayuki Ueda, Shunsuke Minakuchi

{"title":"Associations of sex, age, and number of remaining teeth with performance on oral hypofunction tests.","authors":"Mieko Okamoto, Mitsuyoshi Yoshida, Kazuhiro Tsuga, Koichiro Matsuo, Kazunori Ikebe, Takayuki Ueda, Shunsuke Minakuchi","doi":"10.1111/ger.12770","DOIUrl":"https://doi.org/10.1111/ger.12770","url":null,"abstract":"Introduction: Oral hypofunction comprises seven aspects of oral condition, including oral hygiene, oral dryness, bite strength, tongue-lip motor function, tongue pressure, masticatory function, and swallowing function. Each of these seven has a single diagnostic criterion; however, the use of a single indicator without consideration of sex, age, or other factors is controversial. The purpose of this study was to evaluate the association between the oral hypofunction test and sex, age, and number of remaining teeth.Methods: The study was conducted at 12 facilities by the members of the Japanese Society of Geriatric Dentistry during April to December 2019. The participants comprised 181 healthy older adults aged 65 years and over (56.9% female; age range 65-95 years) who regularly visited these facilities. All tests of oral function and oral status available in Japan were performed on the participants, and the association between these tests and sex, age, and number of remaining teeth was examined.Results: Sex differences were observed in masticatory function, bite force, lip closure force, jaw-opening force, oral diadochokinesis \"ka,\" and tongue coating index (p < .05). In men, age was weakly (r = 0.20-0.40) associated with masticatory function, jaw-opening force, maximum tongue pressure, oral diadochokinesis, and swallowing function. In women, the number of remaining teeth, masticatory function, jaw-opening force, and oral diadochokinesis \"ta\" and \"ka\" was also weakly associated with age.Conclusions: Performance on the oral hypofunction test differs by sex, age, and number of remaining teeth. This means that the current single criterion for evaluation requires caution in its interpretation.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141316989","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}

引用次数: 0

A multi-faceted construct to guide geriatric dental education: Findings from a scoping review with consultation. 指导老年口腔医学教育的多层面结构：通过咨询进行范围界定审查的结果。

IF 2 3区医学

Gerodontology Pub Date : 2024-06-14 DOI: 10.1111/ger.12769

Alicia C Brandt, Lorelei Lingard, Cecilia S Dong

{"title":"A multi-faceted construct to guide geriatric dental education: Findings from a scoping review with consultation.","authors":"Alicia C Brandt, Lorelei Lingard, Cecilia S Dong","doi":"10.1111/ger.12769","DOIUrl":"https://doi.org/10.1111/ger.12769","url":null,"abstract":"Background and objectives: Older adults report unmet oral health care needs and barriers in access to care, due in part to provider attitudes and discomfort towards treating older patients. Our study asked: What is known from the literature about the use of undergraduate dentistry programmes to influence dental students' attitudes, perceptions and comfort towards treating geriatric patients? And how can interdisciplinary care facilitate the ability of dentists to work with geriatric patients?Materials and methods: A scoping review and stakeholder consultation followed established methodological guidelines. Four databases and two grey literature sources were searched. Two researchers independently selected articles using predefined inclusion criteria. Pertinent information was inputted into an iteratively developed extraction table. NVivo 12 was used to organise the extracted data into themes. Key findings were confirmed through stakeholder consultation.Results: Sixty-eight articles were included in the scoping review. Five key themes emerged: (1) Curricular targets; (2) Intervention components; (3) Dentist and patient factors; (4) The role of interdisciplinary care; and (5) Post-graduation insights on knowledge-seeking patterns. Stakeholder consultations involved 19 participants from Southwestern Ontario and generally confirmed our findings.Conclusions: Inconsistent reporting of multiple intervention dimensions constrains our ability to strengthen this knowledge. Future interventions and their reporting could be improved by adopting \"willingness to treat\" as an overarching, multi-faceted concept which encompasses knowledge on ageing, attitudes towards older patients, perceived competence and empathy. Stakeholder interviews complemented these findings.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141316988","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}

引用次数: 0

Responsiveness to amitriptyline in burning mouth syndrome. 灼口综合征患者对阿米替林的反应性。

IF 2 3区医学

Gerodontology Pub Date : 2024-06-05 DOI: 10.1111/ger.12767

Takahiko Nagamine

引用次数: 0

Reply to the letter to the editor. 回复致编辑的信。

IF 2 3区医学

Gerodontology Pub Date : 2024-06-05 DOI: 10.1111/ger.12766

Fernanda Visioli

引用次数: 0

Diary Dates 日记日期

IF 2 3区医学

Gerodontology Pub Date : 2024-05-19 DOI: 10.1111/ger.12760

引用次数: 0