Gerodontology最新文献

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Root caries in older adults: A co-citation network analysis (1980-2023). 老年人的龋齿:联合引用网络分析(1980-2023)。
IF 2 3区 医学
Gerodontology Pub Date : 2024-03-27 DOI: 10.1111/ger.12745
Wen-Song Su, Ching-Yi Chang
{"title":"Root caries in older adults: A co-citation network analysis (1980-2023).","authors":"Wen-Song Su, Ching-Yi Chang","doi":"10.1111/ger.12745","DOIUrl":"https://doi.org/10.1111/ger.12745","url":null,"abstract":"<p><strong>Background: </strong>Root caries affect the oral health and quality of life of older adults. This study examines the breadth of global research on this topic, aiming to clarify its expansive scope and to shed light on pertinent trends for new researchers in the field.</p><p><strong>Objective: </strong>To identify key advances in root caries research as highlighted in high-quality articles from the Social Science Citation Index (SSCI) as well as to explore emerging trends and perspectives.</p><p><strong>Materials and methods: </strong>Using the Web of Science (WoS) database, we conducted a comprehensive review of articles related to root caries in older adults. Our focus was on finding high-quality SSCI articles, identifying major contributors, journals and research trends and exploring areas such as dentistry, oral surgery and medicine for potential future research.</p><p><strong>Results: </strong>Our analysis included 192 articles, each of which was subjected to bibliometric and VOS viewer evaluations. The results revealed a concentration of studies in dentistry, oral surgery and medicine, with gaps identified in areas like anthropology, biochemistry, molecular biology and chemistry. A notable deficiency was found in root caries management.</p><p><strong>Conclusion: </strong>We discuss research gaps and propose future directions based on our findings, emphasising interdisciplinary research approaches.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305389","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
Amitriptyline effectiveness in burning mouth syndrome: An in-depth case series analysis. 阿米替林对灼口综合征的疗效:深入病例系列分析
IF 2 3区 医学
Gerodontology Pub Date : 2024-03-21 DOI: 10.1111/ger.12750
Douglas Rodrigues Gonçalves, Leonardo Monteiro Botelho, Vinícius Coelho Carrard, Marco Antônio Trevizani Martins, Fernanda Visioli
{"title":"Amitriptyline effectiveness in burning mouth syndrome: An in-depth case series analysis.","authors":"Douglas Rodrigues Gonçalves, Leonardo Monteiro Botelho, Vinícius Coelho Carrard, Marco Antônio Trevizani Martins, Fernanda Visioli","doi":"10.1111/ger.12750","DOIUrl":"https://doi.org/10.1111/ger.12750","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the effectiveness of amitriptyline (AMT), and to identify the determinants of the treatment's effectiveness in patients diagnosed with burning mouth syndrome (BMS).</p><p><strong>Background: </strong>Treatment of BMS is challenging and no established treatment protocol is available. AMT may be an important treatment option, cout not all patients benefit from this drug. Studies assessing factors related to treatment response are valuable in improving decision-making.</p><p><strong>Materials and methods: </strong>This case series study examined the medical records of all patients diagnosed with BMS at an oral medicine unit in a university hospital from 2008 to 2022. The patients were divided into responders to AMT and non-responders to AMT. Data on demographic information, comorbidities, medications, types of symptoms and oral subsites affected were collected. Descriptive and bivariate analyses were conducted to assess the association between the independent variables and the outcome, using the Chi-squared test (P < .05).</p><p><strong>Results: </strong>Three hundred and fourty-nine patients reported a burning mouth sensation, 50 of them (14.3%) being diagnosed with primary BMS. Of these, 35 were treated with AMT, and 26 (74.2%) responded significantly to AMT. All males responded to AMT, whereas only 67.9% of females responded. The mean dose of AMT among responders was 29.8 ± 12.3 mg, with most patients achieving a response with 25 mg (61.5% of patients), followed by 50 mg (23%). The concomitant use of an anticonvulsant resulted in non-response.</p><p><strong>Conclusions: </strong>AMT may be effective in BMS management for most patients.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140184216","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
Dentition and weight status in community-dwelling older adults. 社区老年人的牙齿和体重状况。
IF 2 3区 医学
Gerodontology Pub Date : 2024-03-11 DOI: 10.1111/ger.12747
Rena Zelig, Amy Lyon, Riva Touger-Decker, Steven R Singer, Hamed Samavat
{"title":"Dentition and weight status in community-dwelling older adults.","authors":"Rena Zelig, Amy Lyon, Riva Touger-Decker, Steven R Singer, Hamed Samavat","doi":"10.1111/ger.12747","DOIUrl":"https://doi.org/10.1111/ger.12747","url":null,"abstract":"<p><strong>Background/objective: </strong>Tooth loss is common among older adults and can affect dietary intake and weight status. This study investigated associations between dentition status and body mass index (BMI) in older adults.</p><p><strong>Materials and methods: </strong>This was a cross-sectional study of data from a convenience sample of older adults (65-89 years) treated at an urban U.S. dental school clinic. Clinical and demographic data were obtained from electronic health records. Dentition status was determined based on data from odontograms. Multinomial logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (CI) of having a non-normal weight status for each measure of dentition status, after adjusting for covariates.</p><p><strong>Results: </strong>Patients (n = 1765) were 54.1% female, 51.5% White, 41.6% African American and 22.5% Hispanic/Latino. The median (interquartile range [IQR]) age was 71 (67.0-75.0) years; the mean (±SD) BMI was 28.5 (±5.7) kg/m<sup>2</sup> ; 72.5% were overweight or obese. The median (IQR) number of remaining teeth was 20.0 (13.0-24.0); the median numbers of anterior and posterior occluding pairs of teeth were 5.0 (2.0-6.0) and 2.0 (0.0-5.0), respectively; and 44.9% had a functional dentition (≥21 teeth). Having a higher number of remaining teeth and more posterior occluding pairs were associated with lower odds of obesity (OR = 0.980, 95% CI = 0.964, 0.997, p = .022 and OR = 0.931, 95% CI = 0.885, 0.980, p = .006, respectively). Lack of a functional dentition was associated with higher odds of obesity (OR = 1.400, 95% CI = 1.078, 1.818, p = .012), after controlling for covariates.</p><p><strong>Conclusion: </strong>Older adults with tooth loss - especially loss of posterior occlusion and lack of a functional dentition - were more likely to be obese than of normal weight.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101423","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
Fabrication of complete dentures for an older patient with mobility impairment in three appointments: A dental technique 为一名行动不便的老年患者制作全口假牙,预约三次:牙科技术
IF 2 3区 医学
Gerodontology Pub Date : 2024-02-29 DOI: 10.1111/ger.12731
Dimokritos Papalexopoulos, Panagiotis Tsirogiannis, Nikitas Sykaras
{"title":"Fabrication of complete dentures for an older patient with mobility impairment in three appointments: A dental technique","authors":"Dimokritos Papalexopoulos,&nbsp;Panagiotis Tsirogiannis,&nbsp;Nikitas Sykaras","doi":"10.1111/ger.12731","DOIUrl":"10.1111/ger.12731","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe the clinical procedures of complete denture set fabrication in three appointments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Simplified approaches have proven not to be inferior to conventional ones in terms of quality, patient satisfaction and masticatory ability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>The patient was a 77-year-old edentulous adult with mobility impairment seeking dental rehabilitation in a small number of appointments due to commuting difficulties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A set of complete dentures was delivered within three appointments. The second appointment was dedicated to set-up trial due to the patient's aesthetic demands.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Under certain circumstances and after a thorough study of each case, dental clinicians may propose the fabrication of complete dentures in a three-appointment protocol incorporating a set-up trial session.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"41 2","pages":"305-309"},"PeriodicalIF":2.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.12731","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996036","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}
引用次数: 0
Diary Dates 日记日期
IF 2 3区 医学
Gerodontology Pub Date : 2024-02-13 DOI: 10.1111/ger.12743
{"title":"Diary Dates","authors":"","doi":"10.1111/ger.12743","DOIUrl":"https://doi.org/10.1111/ger.12743","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"41 1","pages":"182"},"PeriodicalIF":2.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139727651","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
Masticatory function and mortality among older adults living in long-term care facilities in Brazil. 巴西长期护理机构中老年人的咀嚼功能和死亡率。
IF 2 3区 医学
Gerodontology Pub Date : 2024-02-12 DOI: 10.1111/ger.12744
Mariana Marinho Davino de Medeiros, Lorena Tavares Gama, Danilo Augusto de Holanda Ferreira, Yuri Wanderley Cavalcanti, Mario Augusto Brondani, Renata Cunha Matheus Rodrigues Garcia
{"title":"Masticatory function and mortality among older adults living in long-term care facilities in Brazil.","authors":"Mariana Marinho Davino de Medeiros, Lorena Tavares Gama, Danilo Augusto de Holanda Ferreira, Yuri Wanderley Cavalcanti, Mario Augusto Brondani, Renata Cunha Matheus Rodrigues Garcia","doi":"10.1111/ger.12744","DOIUrl":"https://doi.org/10.1111/ger.12744","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between mortality and masticatory function in older adults living in long-term care facilities (LTCFs), controlling for demographic and health covariates.</p><p><strong>Background: </strong>Poor oral health has been associated with mortality; however, no previous study investigated whether objective and self-reported poor masticatory function is a predictor of early mortality in LTCFs.</p><p><strong>Materials and methods: </strong>Baseline characteristics of 295 participants were collected, including age, sex, polypharmacy, mobility, activities of daily living, frailty, nutritional status, and objective (masticatory performance - chewing gum) and self-reported masticatory function. The participants were followed-up with for 4 years to record the mortality data. Cox regression models were run to analyse the data (α = .05).</p><p><strong>Results: </strong>During the 4-year follow-up, 124 (42.0%) participants died. Older adults with poor masticatory performance (hazard ratio [HR] = 1.59, 95% confidence interval [95% CI] = 1.07-2.36) and those who self-reported masticatory dysfunction (HR = 1.48, 95% CI = 1.01-2.16) were at higher risk of early death than those with good mastication. However, in a multivariate model including both objective and self-reported masticatory function, only the objective measurement remained associated with early death (HR = 1.52, 95% CI = 1.02-2.27).</p><p><strong>Conclusion: </strong>Poor masticatory performance seems to be associated with early death in older adults living in LTCFs, but they may have shared risk factors accumulated throughout life that were not covered by the study period.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139722252","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
More than a mouth to clean: Case studies of oral health care in an Australian hospital. 不仅仅是清洁口腔:澳大利亚医院口腔保健案例研究。
IF 2 3区 医学
Gerodontology Pub Date : 2024-02-12 DOI: 10.1111/ger.12736
Joanne Murray, Jasmine Paunovic, Sarah C Hunter
{"title":"More than a mouth to clean: Case studies of oral health care in an Australian hospital.","authors":"Joanne Murray, Jasmine Paunovic, Sarah C Hunter","doi":"10.1111/ger.12736","DOIUrl":"https://doi.org/10.1111/ger.12736","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore older patients' oral health status, their opinions about oral health care and their experiences with oral health care while in hospital.</p><p><strong>Background: </strong>Improving older adults' oral health is considered an urgent priority at both the national and international levels, especially for hospitalised older patients who have been found to have poor oral health. However, a one-size-fits-all standardised approach to oral care delivery may not be the answer.</p><p><strong>Materials and methods: </strong>This study was an embedded, multiple-case study, integrating qualitative and quantitative data. Seven patients were recruited from a geriatric ward of an acute hospital in Australia and participated in semi-structured interviews and oral health assessments using the Oral Health Assessment Tool (OHAT) in June-July 2022. Data were analysed descriptively and presented in case summaries.</p><p><strong>Results: </strong>OHAT assessments identified oral health problems in all patients, but not all patients self-reported problems with their mouths. Each patient valued oral health care, but the reasons given varied. Patients had established, individualised oral health care routines, which they brought to hospital.</p><p><strong>Conclusion: </strong>Clinical observations of patient's oral health status might not match the patient's own judgement of their oral health and, if not explicitly addressed, may mask the need for oral health and hygiene intervention. Assessment and care planning needs to incorporate patients' own perceptions of their oral health and existing oral health care routines. Oral health histories may provide a means of facilitating this person-centred oral health care for older patients in hospital.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139722253","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
Prevalence of orofacial pain in individuals with mild cognitive impairment or dementia: A systematic review and meta-analysis 轻度认知障碍或痴呆症患者口面部疼痛的患病率:系统回顾与荟萃分析。
IF 2 3区 医学
Gerodontology Pub Date : 2024-01-21 DOI: 10.1111/ger.12740
Arthur C. Macedo, Fernando Valentim Bitencourt, André Oliveira Vilela de Faria, Isabella Harb Bizzi, Daniella de Freitas Pereira Ângelo Durço, Claudia Britto Azevedo, Martin Morris, Karen dos Santos Ferreira, Leonardo Cruz De Souza, Ana Miriam Velly
{"title":"Prevalence of orofacial pain in individuals with mild cognitive impairment or dementia: A systematic review and meta-analysis","authors":"Arthur C. Macedo,&nbsp;Fernando Valentim Bitencourt,&nbsp;André Oliveira Vilela de Faria,&nbsp;Isabella Harb Bizzi,&nbsp;Daniella de Freitas Pereira Ângelo Durço,&nbsp;Claudia Britto Azevedo,&nbsp;Martin Morris,&nbsp;Karen dos Santos Ferreira,&nbsp;Leonardo Cruz De Souza,&nbsp;Ana Miriam Velly","doi":"10.1111/ger.12740","DOIUrl":"10.1111/ger.12740","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This systematic review investigated the prevalence of orofacial pain in patients with mild cognitive impairment (MCI) or dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and methods</h3>\u0000 \u0000 <p>The search was conducted in five databases (Medline (Ovid), Embase (Ovid), CINAHL, Scopus and LILACS), in three grey literature sources and in included articles' reference lists. Three independent reviewers performed study selection, quality appraisal and data extraction. The risk of bias was assessed with the National Institutes of Health tool. Prevalence was calculated using the random-effects model. Subgroup analysis and meta-regression were used to explore the heterogeneity of results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The database and grey literature search led to 12 246 results, from which nine studies were included; a further four were selected through citation searching. The total sample comprised 6115 patients with dementia and 84 with MCI. All studies had high risk of bias. The overall estimated pooled prevalence of orofacial pain among dementia participants was 19.0% (95% CI, 11.0%-27.0%; <i>I</i>\u0000 <sup>2</sup>, 97.1%, <i>P</i> &lt; .001). Only one study included MCI participants, among which the prevalence of orofacial pain was 20.5%. Subgroup analysis demonstrated that the different sources of diagnosis might explain the heterogeneity. A higher prevalence of orofacial pain was observed in dementia participants aged over 80 years or living in nursing homes. Meta-regression analysis showed a nonlinear relationship between age and the prevalence of orofacial pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The pooled data from the primary studies revealed that 2 out of 10 patients with dementia have orofacial pain. Further research is needed to clarify the magnitude in individuals with MCI.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"41 3","pages":"335-345"},"PeriodicalIF":2.0,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.12740","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139512375","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}
引用次数: 0
Exploring experiences of living with removable dentures—A scoping review of qualitative literature 探索带活动假牙生活的体验--定性文献范围综述。
IF 2 3区 医学
Gerodontology Pub Date : 2024-01-21 DOI: 10.1111/ger.12735
T Broomhead, SR Baker, N Martin, G McKenna, B El-Dhuwaib, A Alavi, B Gibson
{"title":"Exploring experiences of living with removable dentures—A scoping review of qualitative literature","authors":"T Broomhead,&nbsp;SR Baker,&nbsp;N Martin,&nbsp;G McKenna,&nbsp;B El-Dhuwaib,&nbsp;A Alavi,&nbsp;B Gibson","doi":"10.1111/ger.12735","DOIUrl":"10.1111/ger.12735","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Examine the literature on the experiences of living with removable dentures (complete or partial) to identify any gaps and provide a map for future research.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Increasing proportions of society are living partially dentate with some form of restoration, including removable dentures. Previous studies have reported on the location, materials and usage of these prostheses, along with effects on oral-health-related quality of life (OHRQoL). However, less is known about experiences with removable dentures from a patient-centred perspective.&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;A scoping review of the qualitative literature was undertaken using the framework of Arksey and O'Malley, updated by Levac et al. Literature searches were carried out using Medline and Web of Science. Papers were screened by title and abstract using inclusion and exclusion criteria. Remaining papers were read in full and excluded if they did not meet the required criteria. Nine papers were included in the final review.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Key themes from these papers were: impact of tooth loss and living without teeth, and its impacts in relation to social position, appearance, confidence and function (chewing and speaking); social norms and tooth loss, including attitudes to tooth retention and treatment costs, and changes in intergenerational norms towards dentures; expectations of treatment, including patients being more involved in decision making, viewing the denture as a “gift” and dentures helping to achieve “an ideal”; living with a removable denture (complete or partial), including patient preparedness for a denture, adaptation and impacts on activities and participation; and the dentist-patient relationship, including issues with information and communication, and differing priorities between patients and dentists.&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;Little qualitative research exists on experiences of living with a removable denture. Existing literature demonstrates the importance of dispersed activities in differing social, spatial and temporal contexts when wearing removable dentures. Focusing on processes of positive adaptation to dentures and OHRQoL, rather than deficits, is also required to fully understand patients' experiences. Additionally, more complex technological advances may not always be in the best interest of every patient.&lt;/p&gt;\u0000 ","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"41 3","pages":"314-327"},"PeriodicalIF":2.0,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.12735","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139512373","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}
引用次数: 0
Clinical parameters that affect performance and patient satisfaction of root-retained overdentures: A systematic review of randomised controlled clinical trials 影响根固位覆盖义齿性能和患者满意度的临床参数:随机对照临床试验的系统回顾。
IF 2 3区 医学
Gerodontology Pub Date : 2024-01-21 DOI: 10.1111/ger.12739
Aspasia Pachiou, Panagiotis Karakostas, Panagiotis Roulias, Olga Naka
{"title":"Clinical parameters that affect performance and patient satisfaction of root-retained overdentures: A systematic review of randomised controlled clinical trials","authors":"Aspasia Pachiou,&nbsp;Panagiotis Karakostas,&nbsp;Panagiotis Roulias,&nbsp;Olga Naka","doi":"10.1111/ger.12739","DOIUrl":"10.1111/ger.12739","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate clinical parameters that affect the performance of root-supported overdentures (ROD) and to identify the possible factors that may affect it.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>ROD still serve as an alternative and successful treatment plan nowadays for partially edentulous patients. Nonetheless, there is not yet conclusive evidence about their clinical evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A search strategy was developed following a PIO (Population, Intervention, Outcome) framework including an electronic search in the following databases: PubMed, Cochrane Library and Scopus. The systematic search included only randomised controlled clinical trials (RCTs), published until January 2023 in English language and was performed by two independent reviewers. Quality assessment of the included studies was conducted according to the Cochrane Risk of Bias tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final selection of studies included 11 RCTs. Clinically relevant variables derived from this search were: Complications, with caries being the most frequently reported, periodontal aspects and bone changes around abutment teeth. Additionally, methods and clinical suggestions for the maintenance of these restorations and patient-related outcomes were assessed. According to the risk of bias assessment, nine studies were considered of high risk, whereas only 2 of low risk. A meta-analysis was not feasible.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Within the limitations of this systematic review, ROD remain a viable treatment plan, offering better denture stability and bone preservation around abutment teeth and high patient satisfaction. Thorough oral hygiene and regular follow-ups are of utmost importance. Further well-designed RCTs are necessary for firmer conclusions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"41 3","pages":"328-334"},"PeriodicalIF":2.0,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139512372","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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