Gerodontology最新文献

{"title":"Is BMI a Mediator in the Association Between Subjective Masticatory Function and Functional Disability? Findings From the Shizuoka Kokuho Database Study.","authors":"Yoko Sato, Chie Tokuda, Seiichiro Yamamoto, Yasuharu Tabara","doi":"10.1111/ger.70103","DOIUrl":"https://doi.org/10.1111/ger.70103","url":null,"abstract":"<p><strong>Background: </strong>Poor subjective masticatory function (SMF) and abnormal body mass index (BMI) have been shown to be associated with functional decline in later life. Oral dysfunction can precede weight loss and frailty, and BMI often shows a U-shaped association with disability. However, whether BMI is on the pathway from SMF to disability remains unclear.</p><p><strong>Objectives: </strong>To examine whether BMI mediates the association between poor SMF and incident functional disability.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study using the Shizuoka Kokuho Database of health checkups, medical claims and long-term care insurance data in Shizuoka Prefecture, Japan. Residents aged ≥ 65 years who attended health checkups, excluding those with prior long-term care certification, were eligible. SMF was assessed at the baseline checkup, BMI at the subsequent checkup and the outcome was new long-term care certification. Time-to-event mediation models estimated total, natural direct and natural indirect effects. Sensitivity analyses used BMI category transition as the mediator.</p><p><strong>Results: </strong>Among 169,319 participants, 22.1% reported poor SMF. Poor SMF was associated with a higher risk of disability (hazard ratio [HR] 1.07; 95% confidence interval [CI] 1.03, 1.11). Low and high BMI were each associated with disability; only the low-BMI pathway contributed to mediation. The proportion mediated was 11.1% (95% CI 4.6, 46.4). Findings were consistent in sensitivity analyses using BMI transition.</p><p><strong>Conclusions: </strong>Poor SMF was associated with a higher risk of functional disability, partly accounted for by low BMI. Preventing low BMI among older adults with impaired mastication-together with oral-function care-may help to preserve independence.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368012","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":"Experiences of Complete Removable Denture Use Among Edentulous Older Adults and Their Family Members: A Qualitative Study in Public Primary Care.","authors":"Alfredo Von Marttens, Randall Von Marttens, María Isabel Von Marttens, Mishell Chirinos, Eduardo Fernández, Javier Basualdo, Victor Beltran","doi":"10.1111/ger.70102","DOIUrl":"https://doi.org/10.1111/ger.70102","url":null,"abstract":"<p><strong>Objective: </strong>To explore how edentulous older adults and their family members experienced the use of complete removable dentures and to examine the meanings they attributed to this rehabilitation in relation to daily life, social participation and perceived quality of life.</p><p><strong>Background: </strong>Complete removable dentures remain the most common treatment for complete edentulism in public services. Although previous research has extensively documented clinical performance and patient-reported outcomes, less is known about how older adults and their families experience denture use in everyday life. Understanding these experiential and relational dimensions is important for informing more patient-centred prosthetic care.</p><p><strong>Methods: </strong>This interpretive qualitative study was conducted in a public primary healthcare centre in Santiago, Chile. Semi-structured interviews were undertaken with 50 edentulous adults aged 60 years or older who had received complete removable dentures, and with 36 family members involved in their everyday support. In addition, one focus group was conducted with a purposive subset of older adults to deepen themes identified in the interviews. Audio-recorded data were transcribed verbatim and analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Four interpretive themes were developed. Complete removable dentures were often experienced as a form of visible recovery, restoring appearance, confidence and ease of communication. At the same time, this recovery remained fragile when denture instability, particularly in the mandible, affected eating, speaking and social interaction. Many participants described daily adaptation through dietary restriction, vigilance and avoidance of potentially embarrassing situations. Family members played an important role by providing practical assistance, emotional support and help in managing meals, routines, and follow-up needs.</p><p><strong>Conclusions: </strong>For edentulous older adults, complete removable dentures were experienced as more than a technical replacement for missing teeth. While they often improved self-presentation and confidence, their functional limitations frequently sustained social and emotional burden. These findings support prosthetic care models that incorporate follow-up, family involvement and attention to psychosocial adaptation.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301597","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":"Screening Oral Hypofunction With the OF-5: Promise, Overlap and Clinical Transportability.","authors":"Carlos M Ardila, Anny Marcela Vivares-Builes, Eliana Pineda-Vélez","doi":"10.1111/ger.70099","DOIUrl":"https://doi.org/10.1111/ger.70099","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148250547","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":"Response to Clinical Validity of the Oral Frailty Five-Item Checklist (OF-5) for the Diagnosis of Oral Hypofunction.","authors":"Junichi Furuya, Tomohiro Tabata, Masatsugu Teraoka, Mana Hirayama, Kai Koyanagi, Housei Suzuki, Yukiko Hatanaka","doi":"10.1111/ger.70101","DOIUrl":"https://doi.org/10.1111/ger.70101","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148250580","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":"Documenting Oral Health-Related Life Experiences to Promote Positive Intergenerational Interactions.","authors":"Jacob John, Ahmad Auzaei Zolkharnain, Shani Ann Mani, Marc Tennant, Hong Wei Han, Murali Srinivasan","doi":"10.1111/ger.70100","DOIUrl":"10.1111/ger.70100","url":null,"abstract":"<p><strong>Background: </strong>With the global rise in ageing populations, dental education must prepare students to care for older adults with empathy and competence. Ageism, defined as negative bias towards older individuals, can hinder quality care and meaningful dentist-patient relationships.</p><p><strong>Objective: </strong>This study aimed to explore whether documenting and narrating oral health-related life experiences of older adults could promote positive intergenerational attitudes and enhance empathy among dental students.</p><p><strong>Methods: </strong>A reflective qualitative study was conducted among 3rd-year dental students enrolled in a Social and Behavioural Sciences module. A subgroup of students participated in an enhanced learning session that involved biographical interviews with older adults, focusing on their oral health journeys and related life stories. Students documented these narratives and produced reflective essays. Thematic analysis of the essays was performed to identify key domains of learning and professional development.</p><p><strong>Results: </strong>Engagement with older adults' life stories fostered greater understanding of the psychosocial dimensions of ageing and oral health. Thematic analysis revealed enhanced empathy, improved communication skills and increased cultural sensitivity. Students recognized the importance of preparation, clear communication and digital tools for engagement. They also identified barriers such as financial constraints and access inequalities, demonstrating growing social awareness for older patients.</p><p><strong>Conclusion: </strong>Documenting and reflecting on oral health-related life experiences provided dental students with meaningful intergenerational learning opportunities that strengthened empathy, cultural sensitivity and readiness for geriatric dental care. Narrative-based reflection represents a valuable pedagogical tool to reduce ageist perceptions and promote inclusive care within dental education.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148224564","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":"Perspectives on Future Assisted Oral Care Among Community-Dwelling Older Adults Receiving Municipal Home Care: A Qualitative Study.","authors":"Isabelle Johansson, Irene Eriksson, Cristina Joy Torgé, Birgitta Jönsson","doi":"10.1111/ger.70097","DOIUrl":"https://doi.org/10.1111/ger.70097","url":null,"abstract":"<p><strong>Objective: </strong>To explore community-dwelling older adults' expectations and perceptions of future needs and requests concerning assisted oral care from healthcare professionals in event of greater need for care.</p><p><strong>Background: </strong>Older adults with care needs often require support with oral care from care professionals, yet cognitive impairments may hinder their ability to express needs and preferences.</p><p><strong>Materials and methods: </strong>A qualitative study with an inductive approach and purposive sample was conducted. Eighteen community-dwelling older adults (≥ 65 years) receiving municipal home healthcare or home help services in southwest Sweden were interviewed individually. Information on oral health, oral care and anticipated future need for assisted oral care was gathered. Interviews were audio-recorded, transcribed verbatim, and analysed using qualitative content analysis. Ethical approval was obtained, and the study adhered to the COREQ checklist.</p><p><strong>Results: </strong>The analysis generated an overall theme: 'Tensions between thoughts, envisioned standards and anticipated practicalities in future assisted oral care' and three subthemes 'Oral self-care is the last stronghold of independence, with staff support considered under specific conditions', 'Sensitive dialogue enables access to assisted oral care' and 'Tough but necessary to accept assisted oral care'.</p><p><strong>Conclusion: </strong>There are tensions in community-dwelling older adults' expectations of assisted oral care. A desire for independence and delayed assistance contrasts with the need for early communication before health decline impairs decision-making to ensure autonomy and person-centred care.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148198407","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":"Perspectives and Experiences of Dentists on the Provision of Oral Healthcare to Frail Older Adults in General Dental Practices.","authors":"Ellen Dekkers, Brigitte Amelia Francisca Maria van Dam, Joost Cornelis Lambertus den Boer, Dagmar Else Slot, Jan Josef Mathieu Bruers","doi":"10.1111/ger.70098","DOIUrl":"https://doi.org/10.1111/ger.70098","url":null,"abstract":"<p><strong>Background: </strong>Population ageing has increased the number of frail older adults living independently and retaining their natural dentition. To support oral healthcare professionals in caring for this patient group, the Royal Dutch Dental Association published the practice guideline Care for Frail Older Adults in the Dental Practice. However, little is known about how oral healthcare is currently provided in daily practice.</p><p><strong>Objective: </strong>To explore general dental practitioners' (GDPs) experiences in providing oral healthcare to community-dwelling frail older adults, and to examine whether they were familiar with the practice guideline.</p><p><strong>Methods: </strong>A qualitative study was conducted using semi-structured interviews with 11 GDPs between June and November 2024. Interviews were audio-recorded, transcribed verbatim and analysed thematically.</p><p><strong>Results: </strong>Oral healthcare for frail older adults required additional attention, effort and coordination from GDPs and the entire dental team. GDPs emphasised the importance of long-term patient relationships, continuity of care, and the role of the dental team in prevention and early detection of decline. Barriers included time constraints, limited opportunities for referral and limited collaboration within primary care. Few GDPs provided home visits due to time or logistical constraints. Most GDPs were unfamiliar with the guideline.</p><p><strong>Conclusion: </strong>Providing oral healthcare to frail older adults requires additional effort and coordination within the dental team, and attention to interprofessional collaboration. While GDPs strive to deliver patient-centred and preventive care, practical, organisational and guideline-related barriers remain. These findings underscore opportunities for professional bodies and policymakers to support guideline dissemination, facilitate interprofessional collaboration, and ensure care for this vulnerable patient group.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148198649","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":"Developing and Validating a Nursing-Applied Oral Health Risk Assessment Tool for Care-Dependent Older German Adults: A Two-Panel Delphi Study.","authors":"Anna-Lena Hillebrecht, Sarah Funck, Elmar Ludwig, Ramona Waterkotte, Anna Greta Barbe","doi":"10.1111/ger.70096","DOIUrl":"https://doi.org/10.1111/ger.70096","url":null,"abstract":"<p><strong>Introduction: </strong>Implementation of oral health assessment tools in residential care for older adults remains challenging. We aimed to establish the content validity and practice relevance of the Mouth-related Risk Assessment for Professional Nursing (Mu-RAP), a nursing-applied instrument designed to identify oral health risks in care-dependent older adults.</p><p><strong>Methods: </strong>This sequential, two-panel Delphi study (with two rounds per panel) was conducted between May 2025 and February 2026. In Phase 1, a dentist panel of gerodontology experts (Round 1: n = 26; Round 2: n = 27) evaluated conceptual completeness and item relevance (numeric rating scales, qualitative feedback). In Phase 2, a heterogeneous nursing panel (Round 1: n = 66; Round 2: n = 35) assessed item relevance, clarity and feasibility for routine care (Likert-type scales, structured comments). Consensus thresholds were predefined (dentist panel ≥ 60% agreement; nursing panel ≥ 75%).</p><p><strong>Results: </strong>Agreement for the refined 13-item instrument was high across both panels. In the first nursing round, 12 of 13 items reached the predefined relevance threshold. Two items were rephrased and achieved strong agreement in Round 2 (91.4% and 85.7%). Feasibility was rated as high (median usability rating 9/10) and 93.9% of participants would integrate Mu-RAP into routine care.</p><p><strong>Conclusion: </strong>The Mu-RAP achieved strong interprofessional consensus on its content validity, clarity and practical applicability. It may provide a framework for early identification of oral health risks in care-dependent older adults.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148143055","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 Needs and Expectations in a Palliative Care Unit-A Qualitative Study.","authors":"K Gambetta-Tessini, M J Torre Silva, R J De Marchi, V Vera Riquelme, S León","doi":"10.1111/ger.70035","DOIUrl":"10.1111/ger.70035","url":null,"abstract":"<p><strong>Introduction: </strong>The World Health Organization (WHO) defines palliative care as a people-centred health service aiming at improving the quality of life of patients and their families when facing life-threatening illnesses. Oral health plays a significant role in the overall quality of life of these patients; yet, it is often overlooked. This study aims to explore the perceptions of patients, families and healthcare professionals on oral health and the need for oral health care in a palliative care unit (PCU).</p><p><strong>Methods: </strong>This qualitative study employed a grounded theory approach. Semi-structured individual interviews were conducted in the PCU at Hospital Base of Valdivia in Chile. Data were transcribed, analysed and categorised through open and axial coding, allowing the identification and organisation of key concepts into thematic categories.</p><p><strong>Results: </strong>A total of 15 interviews were conducted, involving seven healthcare professionals, four caregivers and four patients. Five thematic categories emerged from the analysis: (i) barriers to dental care, (ii) interdisciplinary team in palliative care, (iii) oral health training in palliative care professionals, (iv) oral health as part of general health and (v) strengths in dental care.</p><p><strong>Conclusion: </strong>Participants recognised the importance of oral health for improving the quality of life within the palliative care setting. The integration of dental professionals into the interdisciplinary health team was identified as a critical yet challenging necessity.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"190-197"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145767816","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":"Handheld Mobile Dental Radiography in Geriatric Care.","authors":"Carlos M Ardila, Anny Marcela Vivares-Builes, Eliana Pineda-Vélez","doi":"10.1111/ger.70037","DOIUrl":"10.1111/ger.70037","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"276-277"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145862736","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}