Gerodontology最新文献

{"title":"The Impact of Periodontitis on Oral Health Outcomes in Older Adults: A Systematic Review","authors":"Lewis Winning,&nbsp;Kristina Bertl,&nbsp;Ioannis Polyzois,&nbsp;Yvonne Van der Waal,&nbsp;Rawan Kahatab,&nbsp;Peter Harrison,&nbsp;Gerry McKenna","doi":"10.1111/ger.70048","DOIUrl":"10.1111/ger.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To systematically review the impact of periodontitis on clinical oral health outcomes and oral health-related quality of life (OHRQoL) in older adults (≥ 60 years).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Global evidence shows that severe periodontitis prevalence peaks in the 60s, yet how periodontitis relates specifically to oral health outcomes in older adults has not been comprehensively synthesised. Prior reviews in mixed-age populations demonstrate strong links with tooth loss but less consistent associations with OHRQoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This systematic review followed PRISMA guidelines and was registered on PROSPERO (CRD420251010568). Searches of PubMed, MEDLINE, Embase, Scopus, and Cochrane Library (to May 2025) identified studies of adults ≥ 60 years with periodontitis reporting oral health outcomes or OHRQoL. Two reviewers independently screened studies, extracted data, and assessed risk of bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-three studies met inclusion criteria: 18 longitudinal studies on clinical outcomes and 25 cross-sectional studies on OHRQoL. Clinical studies consistently demonstrated that deeper baseline periodontal pockets, greater clinical attachment loss, and higher CPI/CPITN scores predicted adverse outcomes over 18 months to 12 years follow-up, including tooth loss, further attachment loss, and functional decline. OHRQoL studies showed inconsistent findings, with roughly equal numbers reporting significant associations versus no relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In adults ≥ 60 years, periodontitis consistently predicts tooth loss and continued periodontal breakdown, whereas OHRQoL associations are inconsistent and appear mediated primarily through downstream consequences such as tooth loss and functional impairment, though direct effects may occur in advanced disease. These findings emphasise the importance of periodontal prevention and management in older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"318-338"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989091","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":"Staging and Grading in Gerodontology—An Introduction","authors":"W. Murray Thomson,&nbsp;Gerry McKenna,&nbsp;Murali Srinivasan,&nbsp;Frauke Müller,&nbsp;Falk Schwendicke","doi":"10.1111/ger.70060","DOIUrl":"10.1111/ger.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Gerodontology lacks a unified framework to describe case complexity and assess the multidimensional determinants shaping oral health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An international initiative developed an evidence-based case definition for staging and grading older adults' oral health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Staging includes three domains: person, oral function (clinical and subjective), and oral disease (caries, periodontal disease, mucosal conditions) level staging. Grading incorporates risk factors at the oral, systemic, and social levels, including caries and periodontal risk, prosthetic maintenance, xerostomia, multimorbidity/polypharmacy, care dependency, nutritional status, socioeconomic position, and social support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This framework integrates biological, functional, systemic, and social factors within a single structure and reached strong international consensus. It offers a common language for clinical care, research, education, and policy. Further work should evaluate its feasibility, validity, and responsiveness. Companion papers in this issue provide the detailed staging and grading criteria.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"285-286"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041903","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":"The Impact of Nutritional Status on Oral Health Outcomes and Management in Older Adults: A Systematic Review and Meta-Analysis","authors":"Kittipit Srisanoi,&nbsp;Ines Wnuk,&nbsp;Sabrina Maniewicz,&nbsp;Gerry McKenna,&nbsp;Frauke Müller,&nbsp;Claudio Leles,&nbsp;Piero Papi,&nbsp;Jayne Woodside,&nbsp;Murali Srinivasan","doi":"10.1111/ger.70030","DOIUrl":"10.1111/ger.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This systematic review and meta-analysis evaluated the relationship between nutritional status and the oral health of older adults (aged 75 years or older). The PECO focus question was, ‘What is the occurrence, association and impact of nutritional state on the oral health outcomes and its management in older adults?’</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive literature search was performed across MEDLINE (PubMed), Embase and the Cochrane Library. Publications up to April 2025 were considered, yielding 3324 records for initial screening. Quality assessment of the included studies predominantly revealed a low to moderate risk of bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighty-three studies were included for data analysis. Meta-analyses demonstrated that older adults at risk of malnutrition had fewer teeth (SMD = −0.29; 95% CI: −0.46, −0.11; <i>p</i> = 0.002). Those with &lt; 20 teeth and who were not rehabilitated with dentures were more likely to be malnourished (OR = 4.00; 95% CI: 1.21, 13.18; <i>p</i> = 0.02). Malnutrition was associated with self-reported chewing problems (OR = 2.38; 95% CI: 1.74, 3.26; <i>p</i> &lt; 0.0001), swallowing problems (OR = 3.18; 95% CI: 2.20, 4.61; <i>p</i> &lt; 0.0001) or dry mouth (OR = 2.35; 95% CI: 1.91, 2.88; <i>p</i> &lt; 0.0001). Conversely, those with oral pain showed lower odds of malnutrition risk (OR = 0.68; 95% CI: 0.52, 0.89; <i>p</i> = 0.005).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Fewer teeth, existing chewing or swallowing problems, dry mouth and the absence of removable dentures where needed, were associated with malnutrition in care-dependent older adults. The current lack of longitudinal studies and proof of causality for malnutrition affecting oral health outcomes underscores the need for further research to better clarify the complex relationship between oral health and nutrition in older populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>PROSPERO Registration: CRD420251003549.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"420-455"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145660279","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":"Grading in Gerodontology: A Framework","authors":"Falk Schwendicke,&nbsp;Gerry McKenna,&nbsp;Frauke Müller,&nbsp;Azize Bell,&nbsp;Najla Chebib,&nbsp;Cristiane Da Mata,&nbsp;Helena Dujic,&nbsp;Jennifer Gallagher,&nbsp;Barbara Janssens,&nbsp;Danielle M. Layton,&nbsp;Manabu Kanazawa,&nbsp;Anastassia Kossioni,&nbsp;Sabrina Maniewicz,&nbsp;Koichiro Matsuo,&nbsp;Pedro Molinero Mourelle,&nbsp;Annika Neri,&nbsp;Takahiro Ono,&nbsp;Sungkrit Pojmonpiti,&nbsp;Foteini Spyraki,&nbsp;Kittipit Srisanoi,&nbsp;Saif S. Syed,&nbsp;Sayaka Tada,&nbsp;Georgios Tsakos,&nbsp;Terry R. Walton,&nbsp;W. Murray Thomson,&nbsp;Jean-Philippe Haesler,&nbsp;Sophie Dartevelle,&nbsp;Murali Srinivasan","doi":"10.1111/ger.70051","DOIUrl":"10.1111/ger.70051","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Understanding and anticipating oral health deterioration in older adults requires more than describing their current oral and general health. Risk factors arising from oral, systemic and social domains strongly influence disease progression, care complexity and the ability to maintain function over time. We aimed to establish a framework for staging and grading oral health and disease in older adults, with grading systematically assessing and describing determinants of oral health deterioration. The developed framework is intended to support care planning, education, research and health-service policy.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Eight reviews examining oral, systemic and social risk factors for worsening oral health in older adults informed framework development. Additional existing reviews were also considered. A 2.5-day international workshop involving 31 experts from 13 countries was conducted, during which structured subgroup discussions and Delphi-style anonymous voting were used to refine and agree on the framework. Consensus was predefined at 75% agreement, and that was subsequently reached for all statements in a single voting round. The current paper presents the grading aspect of the developed framework; it should be used jointly with the paper on staging oral health in older adults.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Grading encompasses three levels of risk factors: (1) oral-level factors such as dental caries risk, periodontitis risk and risks associated with the maintenance of existing dental prostheses; (2) systemic-level factors including xerostomia, multimorbidity, polypharmacy and nutritional aspects and (3) social-level factors such as social status and social support. Together, these domains reflect the likelihood of oral health deterioration, the intensity and frequency of required supportive care and the potential complexity of clinical management. Grading complements staging—which describes the current oral health status—by identifying the underlying risks shaping each older adult's oral health trajectory.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Grading provides a structured, evidence-based method for assessing risk and care complexity in older adults. When combined with staging, it should enable clinicians, caregivers and policymakers to classify cases comprehensively, tailor preventive and supportive interventions, and inform resource planning, surveillance, research and education. Future work should focus on validating, disseminating and implem","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"296-305"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.70051","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147963280","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":"Associations Between Multimorbidity, Polypharmacy and Oral Conditions in Older Adults: A Systematic Review and Meta-Analysis","authors":"Kittipit Srisanoi,&nbsp;Sabrina Maniewicz,&nbsp;Claudio Rodrigues Leles,&nbsp;Gerry McKenna,&nbsp;Frauke Müller,&nbsp;Murali Srinivasan","doi":"10.1111/ger.70065","DOIUrl":"10.1111/ger.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This systematic review and meta-analysis evaluated the relationship between multimorbidity and polypharmacy on the oral health in older adults (aged 75 years or older). The PECO focus question set for this study was, ‘What is the occurrence, association and impact of multimorbidity and polypharmacy on the oral conditions and its management in older adults?’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Electronic searches of MEDLINE (PubMed), Embase, and the Cochrane Library were conducted using the PECO (Population Exposure Comparison Outcome) framework. About 3433 studies published until April of 2025 were screened. Risk of bias was assessed using the Newcastle–Ottawa Scale. All eligible studies were descriptively analysed; studies that provided sufficient information were meta-analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-three studies [21 cross-sectional and 2 cohort studies] were included. Polypharmacy showed a significant association with dry mouth, as demonstrated by the pooled analysis (OR = 2.05; 95% CI: 1.31–3.22), along with consistent findings linking a higher number of medications to dry mouth and hyposalivation. Poor oral health assessment tool (OHAT) scores were also consistently associated with polypharmacy. In contrast, findings regarding multimorbidity/comorbidity were not consistently associated with dry mouth or with poor OHAT scores. Both exposures showed inconsistent associations with number of teeth, edentulism, and oral function. Quality assessment indicated that the included studies were predominantly at low risk of bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Polypharmacy may impact on dry mouth and hyposalivation in older adults, potentially independent of multimorbidity. However, the impact of multimorbidity and polypharmacy on other oral conditions remains unclear. Further high-quality evidence, particularly from longitudinal studies, is needed to clarify these relationships and establish causal associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>PROSPERO Registration: CRD420251003698</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"403-419"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.70065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147963325","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":"Older Adults' Social Relationships and Dental Visits: A Systematic Review and Meta-Analysis","authors":"Eiko Yoshida-Kohno,&nbsp;Kenji Fueki,&nbsp;Jun Aida","doi":"10.1111/ger.70040","DOIUrl":"10.1111/ger.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Weak social relationships are associated with high rates of tooth loss in older adults. To explore the mechanisms connecting social relationships and tooth loss, we systematically assessed the current evidence for the association between social relationships and dental care utilisation in this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a comprehensive literature search of five electronic databases for relevant studies published between 1966 and 2024. We included observational studies assessing the structural, functional and/or both combined components of social relationships as exposures and dental care utilisation as outcomes in adults aged 60+. The risk of bias was assessed using the Newcastle-Ottawa Scale. To assess whether weak social relationships are associated with low dental care utilisation, an average odds ratio (OR) and corresponding 95% confidence interval were generated using a meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighteen studies were included in the review, and 12 (35,097 participants) in the meta-analysis. The average OR was 0.81 (0.69, 0.94), indicating a 19% lower probability of utilising dental care for those with weaker social relationships.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This review suggests that weak social relationships are a significant factor associated with low dental care utilisation among older adults, highlighting a potential for public health interventions that address social isolation and loneliness. To guide future interventions, a better understanding of the specific components and time-dependency of this association is needed (PROSPERO [CRD42023417845]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Protocol Registration</h3>\u0000 \u0000 <p>The review protocol was registered with PROSPERO (CRD42023417845)</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"508-516"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145862687","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 Systematic Review and Meta-Analysis of the Global Prevalence of Dry Mouth in Older Adults","authors":"Porawit Kamnoedboon,&nbsp;Foteini Spyraki,&nbsp;W. Murray Thomson,&nbsp;Murali Srinivasan","doi":"10.1111/ger.70076","DOIUrl":"10.1111/ger.70076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study is to update prevalence estimates for xerostomia and salivary gland hypofunction (SGH) among older adults through a systematic review and meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dry mouth is common among older adults but is inconsistently assessed and reported. Xerostomia and SGH represent distinct conditions with different diagnostic approaches, leading to heterogeneity in prevalence estimates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A systematic literature search of Medline (PubMed) and Web of Science was conducted from January 2018 to March 2025. This was supplemented by manual backward citation tracking of the foundational review to identify all eligible pre-2018 epidemiological studies. Only studies utilizing population-representative samples of adults aged 50 years and older with defined diagnostic criteria were included. Risk of bias was formally assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tool for Prevalence Studies. Pooled prevalence estimates were calculated using random-effects meta-analyses. (PROSPERO: CRD420251009592).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 37 studies—encompassing over 1.6 million participants—met the inclusion criteria. The pooled global prevalence of xerostomia among older adults was 21% (95% CI: 19%–23%). For SGH, the pooled prevalence measured via UWS was 12% (95% CI: 4%–24%), whereas SWS yielded a prevalence of 13% (95% CI: 3%–28%). High heterogeneity was observed across all analyses. Differences in diagnostic thresholds and saliva collection methods contributed to the observed variability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This updated meta-analysis confirms that xerostomia affects around one-fifth of older adults, while SGH is less common, depending on the diagnostic criteria used. Future research should focus on improving diagnostic consistency and sample representativeness to enable more consistent and robust estimates, and thereby better guide prevention and care in geriatric oral health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"383-402"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.70076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147963306","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":"The Development and Validation of the Partial Denture Experience Questionnaire (P-DEQ): Reliability and Validity","authors":"Barry J. Gibson,&nbsp;Nicolas Martin,&nbsp;Bilal El-Dhuwaib,&nbsp;Gerry McKenna,&nbsp;Sandra Clifford,&nbsp;Alastair Lomax,&nbsp;Sarah R. Baker","doi":"10.1111/ger.70063","DOIUrl":"10.1111/ger.70063","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This paper describes the development and preliminary validation of the Partial Denture Experience Questionnaire (P-DEQ), a new, condition-specific instrument designed to measure the multifaceted impacts of living with removable dentures.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The P-DEQ was developed using a multi-phase, mixed-methods design. Item generation was informed by qualitative interviews (&lt;i&gt;n&lt;/i&gt; = 20) with denture wearers in the UK and guided by the World Health Organisation's International Classification of Functioning, Disability and Health (ICF) framework. A 34-item scale, with five core sub-scales (Body Function, Emotional Function, Daily Abilities, Social Impacts and Participation Restrictions) and a separate ‘My Denture’ sub-scale, was tested in a cross-sectional study with online panels from the UK (n-224) and US (n-224). Reliability, item-total correlations, item impacts and sub-scale correlations were assessed.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The P-DEQ sub-scales demonstrated good to excellent reliability (Cronbach's α = 0.71–0.88) across both samples. Sub-scale-to-total score correlations were high and significant, with the Emotional Function (&lt;i&gt;r&lt;/i&gt; = 0.92) and Social Participation (&lt;i&gt;r&lt;/i&gt; = 0.92) sub-scales showing particularly strong relationships in the UK sample. Most item-total correlations exceeded the 0.4 threshold, supporting the instrument's underlying coherence. Item impact scores varied widely; items concerning psychosocial worries (e.g., the denture breaking) and functional limitations (e.g., avoiding certain foods) registered the highest impact. In contrast, items reflecting potential benefits of the denture, such as improved appearance, had lower impact scores. Furthermore, the ‘My Denture’ sub-scale, measuring personal appraisal of the prosthesis, was significantly correlated with the total P-DEQ score (&lt;i&gt;r&lt;/i&gt; = −0.50 UK; &lt;i&gt;r&lt;/i&gt; = −0.55 US), indicating that a more favourable personal evaluation of a denture was associated with fewer negative impacts.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The P-DEQ demonstrates promising reliability and content validity for assessing the complex experience of living with a removable denture. The instrument is sensitive to the nuanced, often ambivalent, emotional states of wearers. Whilst this initial validation is based on cross-sectional data, longitudinal testing is required for item reduction and to fully establish the P-DEQ as a robust measure that can detect change over time.&lt;/p&gt;\u0000 ","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"539-557"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.70063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147364747","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":"Coronal and Root Caries in Older Adults: Associated Factors, Quality of Life Impact, and Treatment—A Scoping Review","authors":"Helena Dujic,&nbsp;Katrin Heck,&nbsp;Julia Schwärzler,&nbsp;Cristiane da Mata,&nbsp;Sayaka Tada,&nbsp;Falk Schwendicke","doi":"10.1111/ger.70066","DOIUrl":"10.1111/ger.70066","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dental caries remains one of the most common chronic diseases affecting older adults worldwide. As edentulism decreases and more natural teeth are retained into old age, the number of susceptible tooth surfaces increases. Age-related factors such as polypharmacy, cognitive decline, and reduced oral hygiene skills, together with systemic and social factors, increase the risk of caries. Although the literature is extensive, the evidence for diagnosis and management remains fragmented and lacking clinical integration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This scoping review aimed to assess and map current evidence on caries diagnostics and management in adults aged 60 years and older, focusing on diagnostic indices, associated factors, treatment strategies and outcomes, as well as oral health-related quality of life (OHRQoL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search of MEDLINE, Embase, and the Cochrane Library identified 533 studies published between 2000 and 2025. Eligible studies included data on caries occurrence, incidence, increment, factors associated with caries, treatment, and OHRQoL in older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most studies focused on caries occurrence and associated factors, with DMFT being the most common index. Reported caries proportions varied widely across studies (0.1%–100%). Seventy-five distinct variables were identified covering multiple domains, with older age, sex, and lower education being the most frequently cited. Only seven studies reported using risk assessment tools. Treatment strategies were less frequently addressed and often lacked feasibility or outcome metrics. OHRQoL was reported in 98 studies, mostly using GOHAI and OHIP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Current evidence focuses largely on epidemiological endpoints. Future studies should prioritize patient-relevant outcomes and include frail and dependent populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>PROSPERO: CRD420251004339</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"306-317"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.70066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147941109","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":"Adverse Oral Health in Older Adults With Head and Neck Cancer (And Oral Potentially Malignant Disorders): A Systematic Review","authors":"Ciaran Moore,&nbsp;Niamh Walls,&nbsp;Shaima Abujaber,&nbsp;Amanda Willis,&nbsp;Finbarr Allen,&nbsp;Gerry McKenna","doi":"10.1111/ger.70080","DOIUrl":"10.1111/ger.70080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This systematic review evaluated oral health, including oral health-related quality of life (OHRQoL), in older adults with head and neck cancer (HANC) or oral potentially malignant disorders (OPMDs). The PICO/PECO focus question for this study was: ‘What is the incidence/prevalence of adverse oral health (O) among people aged 60 years or older (P) who have been diagnosed with HANC or an OPMD (E), relative to people aged 60 years or older who have not been diagnosed with HANC or an OPMD, or younger people aged less than 60 years who have been diagnosed with HANC or an OPMD (C)?’</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive literature search was performed across PubMed, OVID Medline, CENTRAL and Embase, guided by the PICO/PECO framework. Publications from 1960 up to April 2025 were considered, yielding 1070 records for initial screening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of eight studies were included for analysis. A narrative review only was presented. Findings from the included studies demonstrated conflicting results. Two cross-sectional studies demonstrated better post-treatment OHRQoL across some domains for older patients with HANC than younger patients; however, this was contradicted by data from two prospective cohort studies which showed no differences in post-treatment OHRQoL between older and younger patients with a history of HANC. Findings from a different prospective cohort study demonstrated a linear relationship between HANC patients' age and the incidence of post-radiotherapy moderate–severe xerostomia. There were no data on oral health consequences among older adults with OPMDs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This systematic review revealed inconclusive findings on the impact of HANC and OPMD on oral health in older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> <b>PROSPERO Registration:</b> CRD420251003419</h3>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"339-354"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.70080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147963312","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}