Gerodontology最新文献_第4页

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}

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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

Determining the most appropriate socioeconomic status indicator for describing inequalities in dental visits by Japanese older people. 确定最适合描述日本老年人牙科就诊不平等现象的社会经济地位指标。

IF 2 3区医学

Gerodontology Pub Date : 2024-05-08 DOI: 10.1111/ger.12755

Hiroo Morohoshi, Yusuke Matsuyama, Takashi Zaitsu, Akiko Oshiro, Katsunori Kondo, Jun Aida

{"title":"Determining the most appropriate socioeconomic status indicator for describing inequalities in dental visits by Japanese older people.","authors":"Hiroo Morohoshi, Yusuke Matsuyama, Takashi Zaitsu, Akiko Oshiro, Katsunori Kondo, Jun Aida","doi":"10.1111/ger.12755","DOIUrl":"https://doi.org/10.1111/ger.12755","url":null,"abstract":"Objectives: This study examined the association between various socioeconomic status (SES) indicators and dental visits among older Japanese.Background: When examining health inequalities, an adequate indicator of SES should be applied. In older adults, wealth and pensions are considered more appropriate indicators of SES than education and income, but few studies have examined.Methods: This cross-sectional study used data from 12 391 individuals aged 65 years or older from the 2016 Japan Gerontological Evaluation Study (JAGES). The Slope Index of Inequality (SII) and the Relative Index of Inequality (RII) were applied to examine the association of education, income, wealth and pensions with dental visits for treatment and check-up adjusting for covariates.Results: The mean age of the participants was 74.0 ± 6.2 years. In the previous year, 56.3% of participants had visited a dentist for a check-up, and 65.9% had visited for treatment. Inequalities in dental treatment visits were observed for wealth, pensions and income rather than education. Income was not significantly associated with check-up visits. Wealth showed the largest association with dental visits for treatment [(SII 0.09, 95% CI 0.06 to 0.13), (RII 1.14, 95% CI 1.09 to 1.21)] and check-up [(SII 0.08, 95% CI 0.05 to 0.12), (RII 1.16, 95% CI 1.09 to 1.23)].Conclusion: When measuring inequalities in access to dental care among the older population, wealth and pensions could be important indicators of SES.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891774","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

Food insecurity and its relationship to mental health and oral health in older adults. 粮食不安全及其与老年人心理健康和口腔健康的关系。

IF 2 3区医学

Gerodontology Pub Date : 2024-05-08 DOI: 10.1111/ger.12757

Jane J Lee, Lloyd A Mancl, Eunjung Kim, Donald L Chi

{"title":"Food insecurity and its relationship to mental health and oral health in older adults.","authors":"Jane J Lee, Lloyd A Mancl, Eunjung Kim, Donald L Chi","doi":"10.1111/ger.12757","DOIUrl":"https://doi.org/10.1111/ger.12757","url":null,"abstract":"Background and objectives: Poor oral health disproportionately affects low-income older adults, for whom food insecurity and poor mental health may affect dental health. We explored the associations between food insecurity, mental health, and dental health. Furthermore, we examined whether mental health impacted the associations between food insecurity and dental health.Materials and methods: We conducted a cross-sectional study with a convenience sample of 226 older adults (aged 50+), employing survey and dental screening data. Participants were recruited from seven community-based organisations in Washington State, USA. We calculated descriptive statistics and conducted Chi-square tests, t tests, and logistic regression analyses to assess the associations between aspects of dental health (untreated decay, gum disease, and unmet dental needs), mental health (depression and cognitive function), and food insecurity.Results: In our sample, food insecurity was observed in 28.4%, 40.6% had untreated decay, 31.6% gum disease, and 42.5% unmet dental needs. Food insecurity was associated with a higher occurrence of untreated decay and unmet dental needs. Participants experiencing food insecurity had higher odds of gum disease (aOR = 2.3; 95% CI: 1.1, 5.2) and unmet dental needs (aOR = 3.2; 95% CI:1.4, 7.6). Greater gum disease due to food insecurity was observed among individuals with lower levels of cognitive impairment.Conclusion: Food insecurity is associated with poorer oral health among older adults and cognitive function may modify this relationship. These findings underscore the importance of addressing both food insecurity and cognitive impairment as integral components of efforts to improve the oral health of older adults.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891775","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

Acceptability of teledentistry use among residents and staff in aged residential care facilities in the Otago region of New Zealand. 新西兰奥塔哥地区老年寄宿护理机构的居民和员工对远程牙科治疗的接受程度。

IF 2 3区医学

Gerodontology Pub Date : 2024-05-07 DOI: 10.1111/ger.12752

Beatrice Ming Ming Ng, Ariyapala Samaranayaka, Graeme Ting, Moira Smith

{"title":"Acceptability of teledentistry use among residents and staff in aged residential care facilities in the Otago region of New Zealand.","authors":"Beatrice Ming Ming Ng, Ariyapala Samaranayaka, Graeme Ting, Moira Smith","doi":"10.1111/ger.12752","DOIUrl":"https://doi.org/10.1111/ger.12752","url":null,"abstract":"Objectives: To assess ARC residents' and staff perceptions of the benefits of, and comfort with, teledentistry use in ARC facilities in the Otago region of NZ, and identify end-user-level factors associated with its use.Background: Difficulty in accessing oral healthcare services is a key barrier to aged residential care (ARC) residents' oral health and well-being. Teledentistry offers a possible solution, yet studies on its acceptability in ARCs are sparse, especially in New Zealand (NZ). This study assessed ARC residents' and staff perceptions of the benefits of, and comfort with, teledentistry use in ARC facilities in the Otago region of NZ and identified end-user-level factors associated with its use.Materials and methods: Rest home-level residents and care staff in ARC facilities in the Otago region of NZ were surveyed to assess their awareness of teledentistry, perceptions of benefit and comfort using teledentistry, and end-user-level factors associated with the feasibility of using it in ARCs.Results: One hundred residents and 77 care staff from 14 facilities participated. Three-quarters of resident participants thought that teledentistry was beneficial. Three in five resident participants were comfortable receiving remote dental consultations and care advice through teledentistry. Acceptability, as measured by perceived benefits and comfort, was lower among older participants. Staff participants were receptive to teledentistry use for residents and were comfortable facilitating remote dental consultations and care through teledentistry. No staff participants disagreed with the potential benefits of teledentistry for ARC residents.Conclusion: Teledentistry would likely be acceptable to residents and staff in ARC facilities in NZ, contributing to residents' improved access to oral health care and improved oral health and well-being.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862800","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