Gerodontology最新文献

{"title":"Unmet Dental Care Needs Among Older Koreans.","authors":"Mina Kim, Kyeongmin Jang","doi":"10.1111/ger.70116","DOIUrl":"https://doi.org/10.1111/ger.70116","url":null,"abstract":"<p><strong>Objective: </strong>To examine predisposing characteristics, enabling resources, need-related factors, and health behaviour or service-use indicators associated with unmet dental care needs among Korean adults aged ≥ 65 years, using Andersen's Behavioural Model of Health Services Use as an organizing framework.</p><p><strong>Current knowledge: </strong>Previous Korea National Health and Nutrition Examination Survey (KNHANES)-based studies have identified socioeconomic, geographic, and oral health-related correlates of unmet dental care needs among older adults. However, the joint contributions of these factors have received less attention within an explicitly theory-based framework of healthcare access.</p><p><strong>Materials and methods: </strong>This cross-sectional study analysed data from 1737 adults aged ≥ 65 years who participated in the 2023 Korea National Health and Nutrition Examination Survey. Unmet dental care needs were defined as reporting a need for dental care that was not received in the previous year. Weighted descriptive estimates, Rao-Scott adjusted tests, and complex-sample multivariable logistic regression were used.</p><p><strong>Results: </strong>The weighted prevalence of unmet dental care needs was 23.2% (95% CI: 21.0-25.4). Rural residence (aOR = 1.43, 95% CI: 1.06-1.95), no oral examination in the past year (aOR = 2.70, 95% CI: 1.99-3.66), living alone (aOR = 1.54, 95% CI: 1.09-2.17), chewing difficulty (aOR = 2.19, 95% CI: 1.58-3.05), very poor self-rated oral health (aOR = 4.09 vs. very good, 95% CI: 1.47-8.81), and Medical Aid coverage (aOR = 2.80 vs. community-based insurance, 95% CI: 1.40-5.61) were associated with higher odds of unmet dental care needs.</p><p><strong>Conclusion: </strong>Unmet dental care needs remain common among Korean older adults and are associated with enabling resources, oral health needs, and preventive service use. Targeted rural outreach, care navigation for socially vulnerable older adults, and stronger linkage between preventive examinations and subsequent dental care may help address these multidimensional access barriers.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712023","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":"Social Capital and Dental Service Utilisation Among Japanese Older Adults: A Multilevel Longitudinal Study Using the Japan Gerontological Evaluation Study (JAGES) Data.","authors":"Pemmika Intato, Yusuke Matsuyama, Sakura Kiuchi, Miho Ishimaru, Eiko Yoshida-Kohno, Fadli Alwi, Jun Aida","doi":"10.1111/ger.70114","DOIUrl":"https://doi.org/10.1111/ger.70114","url":null,"abstract":"<p><strong>Introduction: </strong>Social capital is an important social determinant of health linked to oral health and health-related behaviours. Several studies assessed its association with dental service utilisation; however, findings remain inconsistent. This study aimed to examine the association between individual- and community-level social capital and dental service utilisation within the past 12 months among Japanese older adults.</p><p><strong>Methods: </strong>This longitudinal study utilised self-report data from the Japan Gerontological Evaluation Study in 2019 and 2022. Individual-level civic participation, social cohesion, and reciprocity were assessed and aggregated to community-level using factor analysis. The outcome was dental service utilisation (preventive, treatment, and overall dental visits). Multilevel Poisson regression analysis was used to examine their associations.</p><p><strong>Results: </strong>The mean age of 11,642 participants from 48 municipalities was 73.8 years (range: 65-95), and 51.4% were female. Participation in three or more civic groups was associated with 22%, 12%, and 16% higher likelihood of preventive (prevalence ratio [PR] = 1.22, 95% confidence interval [CI] = 1.15-1.30), treatment (PR = 1.12, 95% CI = 1.06-1.18), and overall visits (PR = 1.16, 95% CI = 1.10-1.22), respectively. Higher community-level civic participation was positively associated with preventive (PR for the highest tertile group = 1.20, 95% CI = 1.02-1.42), treatment (PR = 1.11, 95% CI = 1.02-1.21), and overall visits (PR = 1.13, 95% CI = 1.03-1.24).</p><p><strong>Conclusion: </strong>Individual- and community-level civic participation was positively associated with dental visits. Promoting civic participation could improve utilisation of dental care by older adults.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148677952","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 Staging and Grading in Gerodontology: From Frameworks to Clinical Practice.","authors":"Satya Ranjan Misra, Rupsa Das","doi":"10.1111/ger.70112","DOIUrl":"https://doi.org/10.1111/ger.70112","url":null,"abstract":"<p><p>The recently proposed consensus frameworks for staging and grading in gerodontology represent an important advance toward multidimensional assessment of oral health in older adults. While staging characterises current oral health status by integrating disease burden, oral function, frailty, and care dependency, grading complements this approach by estimating future vulnerability based on oral, systemic, behavioural, and social determinants. Together, these frameworks provide a more comprehensive foundation for personalised, risk-informed geriatric oral healthcare. This correspondence discusses their complementary roles, highlights alignment with contemporary healthy ageing initiatives including the World Health Organisation's Integrated Care for Older People (ICOPE) framework and considers opportunities for integration into comprehensive geriatric assessment. We further discuss key implementation challenges related to clinical feasibility, interdisciplinary collaboration, and adaptation across diverse healthcare systems, particularly in low- and middle-income countries. Finally, we propose pragmatic implementation strategies, including tiered assessment pathways, to facilitate routine clinical adoption. Successful validation and implementation of these complementary frameworks have the potential to strengthen person-centred care, improve interdisciplinary communication, and advance equitable oral healthcare for ageing populations worldwide.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648549","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 Staging and Grading in Gerodontology: From Frameworks to Clinical Practice.","authors":"Falk Schwendicke, Frauke Müller, Gerry McKenna, Murali Srinivasan","doi":"10.1111/ger.70113","DOIUrl":"https://doi.org/10.1111/ger.70113","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Health-Related Quality of Life by Age and Gender: A Cross-Sectional Study of Home-Dwelling Older Adults.","authors":"Jessica Friberg, Susanna Nordin, Susanne Lindqvist, Anne Wissendorff Ekdahl, Riccardo LoMartire","doi":"10.1111/ger.70111","DOIUrl":"https://doi.org/10.1111/ger.70111","url":null,"abstract":"<p><strong>Objectives: </strong>Oral health-related quality of life (OHRQoL) reflects the impact of oral health on daily activities. Understanding how OHRQoL varies by age and gender among older adults remains limited and inconsistent. This study aimed to investigate differences in OHRQoL by age and gender among home-dwelling older adults.</p><p><strong>Methods: </strong>A stratified random sample (2%) of individuals aged 65-85 years from a Swedish region was selected by gender and age (N = 1344). Data collection included self-reported oral health measurements and health behaviours complemented by socioeconomic factors from the national register. OHRQoL was assessed by the validated 9-item Oral Impact on Daily Performance (OIDP) instrument. Beta-binomial regression models were used to analyse the proportion of affected OIDP items across gender- and age groups adjusted for smoking status, income, general health status, toothbrushing frequency and dental care type. The estimates are reported as proportion ratios (PRs) with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>The response rate was 62.1% (n = 834), and 32.9% (n = 270) reported impaired OHRQoL. The unadjusted model showed no overall gender difference in the proportion of affected OIDP items. In the adjusted model, women in all older age groups (70-74 years: PRs = 0.53 [0.35-0.81]; 75-79: PRs = 0.65 [0.44-0.96]; 80-85: PRs = 0.49 [0.31-0.77]), and men aged 75-79 years (PRs = 0.55 [0.34-0.88]) reported a lower OIDP burden than those aged 65-69 years. Poorer self-reported general health, lower income and use of public or nonregular dental care were associated with higher OIDP burden.</p><p><strong>Conclusion: </strong>OHRQoL varied by gender, age, income, self-perceived health and dental care regularity in this sample. Lower OIDP burden was observed among older participants, particularly women. These findings underscore the complexity of OHRQoL and suggest age- and gender differences in how older adults perceive, interpret and report oral health impacts.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591205","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":"Trends in Dental Treatment Patterns Among Older Adults in the Era of Long-Term Care Insurance in Korea: An Analysis of the NHIS-Senior Database.","authors":"You-Bin Yim, Ji-Eun Jeon","doi":"10.1111/ger.70106","DOIUrl":"https://doi.org/10.1111/ger.70106","url":null,"abstract":"<p><strong>Objectives: </strong>To compare dental utilization and treatment patterns among LTCI recipients and non-recipients over the 5-year period following the expansion of national dental coverage in South Korea.</p><p><strong>Methods: </strong>Using the National Health Insurance Service-Senior 2.0 database (2015-2019), we performed propensity score matching (1:3) to balance sociodemographic covariates between LTCI recipients (n = 170,407) and non-recipients (n = 486,788). Annual dental utilization rates, frequency of visits, and seven individual dental treatment types were compared using the compound annual growth rate (CAGR).</p><p><strong>Results: </strong>Dental utilization rates increased in both groups, but a persistent gap of 17% remained (LTCI recipients: 29.5% vs. non-recipients: 46.9% in 2019). Both groups exhibited a shift towards more complex, higher-cost prosthetic treatments, as evidenced by a sharp decline in resin-based dentures and a corresponding increase in metal-based complete dentures and dental implants. However, the absolute utilization rate of dental implants in 2019 was 1.7 times higher in non-recipients than in LTCI recipients (14.4% vs. 8.3%, p < 0.001), indicating persistent disparities in access to complex dental care. Meanwhile, partial denture and extraction rates remained stable without significant differences between the groups. Notably, the continuous decline in endodontic treatments despite stable extraction rates among LTCI recipients suggests potential silent unmet needs.</p><p><strong>Conclusions: </strong>Despite expanded coverage, LTCI recipients face significant, persistent disparities in quantitative and qualitative dental accessibility. The lower utilization of complex care suggests the need for home-visit dental services and prevention-oriented fee structures tailored to the frail older adults within the community integrated care framework.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590834","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":"The Impact of Complete Dentures on Head and Postural Stability in Older Adults: Insights Into Sensory-Motor Integration.","authors":"Vasiliki Savva, Georgios Chalatzogidis, Martha Trapezanidou, Maria Papagiannaki, Fotini Arabatzi, Alexandros Tsouknidas","doi":"10.1111/ger.70110","DOIUrl":"https://doi.org/10.1111/ger.70110","url":null,"abstract":"<p><strong>Objective: </strong>To investigate how complete dentures influence head and standing stability under sensory-challenging conditions, providing insight into sensory-motor integration and dental interventions in geriatric populations.</p><p><strong>Background: </strong>Age-related sensory-motor deficits impair postural control, increasing fall risk among older adults. While stability relies on the integration of visual, vestibular and somatosensory inputs, the contribution of oral sensory feedback and the potential compensatory role of dentures remain insufficiently understood.</p><p><strong>Materials and methods: </strong>Stability was evaluated in 21 edentulous (78.6 ± 5.8 years; with and without dentures) and 18 dentate participants (79.5 ± 3.6 years) using accelerometers and force platforms under varying sensory conditions (firm/foam surface; eyes open/closed; single vs. dual task). Maximal voluntary contraction of dorsiflexors and plantar flexors was also measured to assess lower-limb muscle strength. Groups were comparable in age, anthropometric, and cognitive characteristics, ensuring the validity of between-group comparisons.</p><p><strong>Results: </strong>Postural stability decreased under combined visual and proprioceptive deprivation, with edentulous participants demonstrating markedly greater mediolateral instability than dentate controls. Denture use reduced instability relative to the no-denture condition, particularly in anterior-posterior Center of Pressure (COP) velocity; however, stability remained consistently inferior to that of dentate participants across task conditions. Increases in task complexity (e.g., dual-task and sensory-deprived conditions) were associated with further deterioration in stability measures across all groups, with the largest changes observed in edentulous participants without dentures. No meaningful differences were observed in lower-limb muscle strength between groups.</p><p><strong>Conclusion: </strong>Denture use only partially restored stability in elder edentulous participants. Observed differences were primarily attributed to sensory-motor integration. These findings highlight the impact of compromised oral sensory input on balance and underscore the need for longitudinal studies incorporating standardized denture positioning, extended muscle assessments, and dynamic balance analyses to enhance fall-prevention strategies among older adults.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Aging in Older Adults: Mechanisms, Assessment and Clinical Relevance in Gerodontology: A Narrative Review.","authors":"Sun An","doi":"10.1111/ger.70107","DOIUrl":"https://doi.org/10.1111/ger.70107","url":null,"abstract":"<p><strong>Objective: </strong>This narrative review synthesizes current evidence on oral aging in older adults across three clinically relevant domains: mechanisms, assessment and clinical relevance for gerodontology.</p><p><strong>Background: </strong>Older adults experience a disproportionate burden of oral disease, tooth loss, oral hypofunction and oral frailty. These conditions are often managed as isolated dental problems despite their interconnections with function, nutrition, quality of life and broader geriatric vulnerability.</p><p><strong>Methods: </strong>This narrative review synthesizes current evidence on oral aging in older adults across three clinically relevant domains: biological mechanisms, assessment approaches and relevance to gerodontological care.</p><p><strong>Results: </strong>Oral aging reflects interactions among oral dysbiosis, chronic periodontal inflammation, immune dysregulation, cellular senescence, impaired tissue repair and declining oral function. Emerging assessment approaches include salivary biomarkers, oral functional phenotyping, epigenetic clocks and multimodal computational methods; current evidence supports interpreting these measures as tissue-specific and complementary, rather than as direct substitutes for systemic measures. Relevant clinical strategies include periodontal care, prosthetic rehabilitation, oral functional exercise and integrated multidisciplinary care.</p><p><strong>Conclusions: </strong>Oral aging is a multidimensional construct linking biological change, functional decline and geriatric vulnerability. Future progress requires stronger validation of assessment tools, clinically meaningful functional endpoints and greater integration of oral health within aging care.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535791","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":"Periodontitis and Chronic Conditions in Older Adults: A Scoping Review and Evidence Map of Systematic Reviews.","authors":"Manisha Tamrakar, Najith Amarasena, Kym Michelle McCormick, Liana Luzzi, Gloria Mejia","doi":"10.1111/ger.70105","DOIUrl":"10.1111/ger.70105","url":null,"abstract":"<p><strong>Background: </strong>Periodontitis is a prevalent chronic inflammatory condition that frequently co-occurs with systemic chronic diseases. Although older adults experience a high burden of both periodontitis and chronic conditions, the extent to which age-specific evidence has been synthesised remains unclear.</p><p><strong>Objectives: </strong>To map and synthesise existing systematic reviews and meta-analyses examining associations between periodontitis and chronic conditions relevant to older adults and to identify evidence gaps related to age-specific analyses.</p><p><strong>Method: </strong>A scoping review and evidence gap map were conducted in accordance with Joanna Briggs Institute guidance and the PRISMA-ScR checklist. Seven electronic databases were searched, published between 2010 and 2024. Reviews examining associations between periodontitis and chronic conditions prevalent in older adults were included. Age focus and age-stratified analyses were extracted and mapped.</p><p><strong>Results: </strong>Twenty-four studies were included. Across the studies included, periodontitis was generally reported to be associated with chronic conditions. Evidence specific to older adults was limited and mainly concentrated on cognitive impairment and dementia. Most systematic reviews included pooled general adult data without age stratification. Age-specific synthesis was largely absent for several chronic conditions and heterogeneity in disease definitions and sensitivity to confounding was common.</p><p><strong>Conclusion: </strong>Despite evidence suggesting associations between periodontitis and chronic conditions, age-specific evidence particularly for older adults remains limited.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470063","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":"The Effect of an Individualized Oral Health Intervention on Oral Health-Related Behaviours Among Family Caregivers and Care Recipients.","authors":"Shanza Razzaq, Tarja Välimäki, Irma Nykänen, Sohvi Koponen, Roosa-Maria Savela, Ursula Schwab, Anna Liisa Suominen","doi":"10.1111/ger.70104","DOIUrl":"https://doi.org/10.1111/ger.70104","url":null,"abstract":"<p><strong>Objective: </strong>The oral health of institutionalized individuals has been widely studied; however, research on the oral health of older family caregivers and their care recipients is scarce. We aimed to assess the impact of an individually tailored preventive oral health intervention on the oral health-related behaviour of family caregivers and their care recipients.</p><p><strong>Material and methods: </strong>A 6-month randomized controlled trial with a 12-month follow-up was conducted to assess oral health interventions among family caregivers and care recipients aged ≥ 65 years residing in Eastern Finland. Participants were randomly allocated to either an intervention group (family caregivers n = 53, care recipients n = 47) or a control group (family caregivers n = 39, care recipients n = 35). The intervention, provided by a dental hygienist, consisted of personalized guidance for family caregivers, emphasizing oral hygiene and self-care practices. The effects of the intervention on oral health-related behaviours were evaluated using generalized estimating equations.</p><p><strong>Results: </strong>The intervention had a significant effect on using dishwashing liquid, as recommended, for cleaning dentures among family caregivers (OR: 4.3, 95% CI: 1.9-10.1) and their care recipients (OR: 7.2, 95% CI: 2.3-22.7) and on storing dentures in a dry container overnight among family caregivers (OR: 5.5, 95% CI: 2.1-14.0), but not among care recipients. Besides, the intervention showed no significant effect on the frequency of tooth brushing and denture cleaning among family caregivers or their care recipients.</p><p><strong>Conclusion: </strong>Structured guidelines for caregivers can improve oral hygiene practices in vulnerable older adults.</p><p><strong>Trial registration: </strong>clinicaltrials.gov/study/nct04003493.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148411405","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}