Oral Health Factors Related to Rapid Oral Health Deterioration Among Older Adults: A Narrative Review

Overview

Journal J Clin Med

Specialty General Medicine

Date 2023 May 13

PMID 37176641

Authors

Jhanvi P Desai

Rohit U Nair

Affiliations

Soon will be listed here.

Abstract

Older adults who face systemic health issues and lack adequate social support are at risk for oral health deterioration. How rapidly such changes take place depends on the severity of their medical condition and their ability to access oral health services in a timely manner. The management of dental caries and periodontal disease in this cohort is made complex by the interaction of local and host factors such as the presence of dry mouth, involvement of root surfaces, and altered wound healing. in addition to enhanced maintenance needs to avoid recurrence or progression. Tooth replacement can be beneficial in restoring oral function, allowing patients to enjoy a healthy and nutritious diet but requires careful consideration to avoid further damage to remaining dental units. Establishing a dental home for the older adult can facilitate routine surveillance, disease prevention, and patient/caregiver education to achieve oral health goals commensurate with overall health. This narrative review details oral health factors that are related to rapid oral health deterioration among older adults.

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References

Quandt S, Savoca M, Leng X, Chen H, Bell R, Gilbert G . Dry mouth and dietary quality in older adults in north Carolina. J Am Geriatr Soc. 2011; 59(3):439-45. PMC: 3096847. DOI: 10.1111/j.1532-5415.2010.03309.x. View

Marshall T, Marchini L, Cowen H, Hartshorn J, Holloway J, Straub-Morarend C . Critical Thinking Theory to Practice: Using the Expert's Thought Process as Guide for Learning and Assessment. J Dent Educ. 2017; 81(8):978-985. DOI: 10.21815/JDE.017.045. View

Coll P, Lindsay A, Meng J, Gopalakrishna A, Raghavendra S, Bysani P . The Prevention of Infections in Older Adults: Oral Health. J Am Geriatr Soc. 2019; 68(2):411-416. DOI: 10.1111/jgs.16154. View

Liu B, Dion M, Jurasic M, Gibson G, Jones J . Xerostomia and salivary hypofunction in vulnerable elders: prevalence and etiology. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 114(1):52-60. DOI: 10.1016/j.oooo.2011.11.014. View

Carreiro A, Dias K, Lopes A, Resende C, Martins A . Periodontal Conditions of Abutments and Non-Abutments in Removable Partial Dentures over 7 Years of Use. J Prosthodont. 2016; 26(8):644-649. DOI: 10.1111/jopr.12449. View

Lopez R, Smith P, Gostemeyer G, Schwendicke F . Ageing, dental caries and periodontal diseases. J Clin Periodontol. 2017; 44 Suppl 18:S145-S152. DOI: 10.1111/jcpe.12683. View

Hartshorn J, Cowen H, Comnick C . Cluster randomized control trial of nursing home residents' oral hygiene following the Mouth Care Matters education program for certified nursing assistants. Spec Care Dentist. 2021; 41(3):372-380. PMC: 8248067. DOI: 10.1111/scd.12577. View

VanderWalde N, Fleming M, Weiss J, Chera B . Treatment of older patients with head and neck cancer: a review. Oncologist. 2013; 18(5):568-78. PMC: 3662848. DOI: 10.1634/theoncologist.2012-0427. View

Tan H, Peres K, Peres M . Retention of Teeth and Oral Health-Related Quality of Life. J Dent Res. 2016; 95(12):1350-1357. DOI: 10.1177/0022034516657992. View

10.

Delwel S, Binnekade T, Perez R, Hertogh C, Scherder E, Lobbezoo F . Oral hygiene and oral health in older people with dementia: a comprehensive review with focus on oral soft tissues. Clin Oral Investig. 2017; 22(1):93-108. PMC: 5748411. DOI: 10.1007/s00784-017-2264-2. View

11.

Eke P, Wei L, Borgnakke W, Thornton-Evans G, Zhang X, Lu H . Periodontitis prevalence in adults ≥ 65 years of age, in the USA. Periodontol 2000. 2016; 72(1):76-95. PMC: 8223257. DOI: 10.1111/prd.12145. View

12.

Li Q, Chalmers J, Czernichow S, Neal B, Taylor B, Zoungas S . Oral disease and subsequent cardiovascular disease in people with type 2 diabetes: a prospective cohort study based on the Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified-Release Controlled Evaluation (ADVANCE) trial. Diabetologia. 2010; 53(11):2320-7. PMC: 4170775. DOI: 10.1007/s00125-010-1862-1. View

13.

Kassebaum N, Bernabe E, Dahiya M, Bhandari B, Murray C, Marcenes W . Global Burden of Severe Tooth Loss: A Systematic Review and Meta-analysis. J Dent Res. 2014; 93(7 Suppl):20S-28S. PMC: 4293725. DOI: 10.1177/0022034514537828. View

14.

Dolan T, Atchison K, Huynh T . Access to dental care among older adults in the United States. J Dent Educ. 2005; 69(9):961-74. View

15.

Randall D, Wilson Westmark N, Neville B . Common Oral Lesions. Am Fam Physician. 2022; 105(4):369-376. View

16.

Craig T, Johnsen D, Hartshorn J, Cowen H, Ashida S, Thompson L . Teaching rapid oral health deterioration risk assessment: A 5-year report. J Dent Educ. 2020; 84(10):1159-1165. DOI: 10.1002/jdd.12309. View

17.

Zhang J, Leung K, Sardana D, Wong M, Lo E . Risk predictors of dental root caries: A systematic review. J Dent. 2019; 89:103166. DOI: 10.1016/j.jdent.2019.07.004. View

18.

Salmi A, Komulainen K, Nihtila A, Tiihonen M, Nykanen I, Hartikainen S . Eating problems among old home care clients. Clin Exp Dent Res. 2022; 8(4):959-968. PMC: 9382049. DOI: 10.1002/cre2.585. View

19.

Tonetti M, Bottenberg P, Conrads G, Eickholz P, Heasman P, Huysmans M . Dental caries and periodontal diseases in the ageing population: call to action to protect and enhance oral health and well-being as an essential component of healthy ageing - Consensus report of group 4 of the joint EFP/ORCA workshop on the.... J Clin Periodontol. 2017; 44 Suppl 18:S135-S144. DOI: 10.1111/jcpe.12681. View

20.

Noble J, Scarmeas N, Papapanou P . Poor oral health as a chronic, potentially modifiable dementia risk factor: review of the literature. Curr Neurol Neurosci Rep. 2013; 13(10):384. PMC: 6526728. DOI: 10.1007/s11910-013-0384-x. View