Developing pathways for oral care in elders: challenges in care for the dentate the subject?
Identifieur interne : 005C98 ( Istex/Corpus ); précédent : 005C97; suivant : 005C99Developing pathways for oral care in elders: challenges in care for the dentate the subject?
Auteurs : Angus WallsSource :
- Gerodontology [ 0734-0664 ] ; 2014-02.
Abstract
This paper reviews potential age‐associated risk factors for satisfactory oral function and oral disease to inform the development of care pathways for the older person.
Url:
DOI: 10.1111/ger.12087
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Objective
<p>This paper reviews potential age‐associated risk factors for satisfactory oral function and oral disease to inform the development of care pathways for the older person.</p>
Background
<p>Alterations in dental status or both physical and biological change associated with age can impact on oral disease and oral function.</p>
Materials and Methods
<p>Older people tend to have fewer teeth and some are edentulous. Physical and biological changes in bodily function with age can also affect oral health care either directly or indirectly.</p>
Results
<p>Reductions in chewing ability impact on the foods people choose to eat because of perceived difficulty with chewing, with a potentially deleterious affect on dietary quality. This is worse in people with xerostomia where chewing and swallowing are impaired anyway. Change in the cell‐mediated inflammatory response impacts on gingival and periodontal disease manifestation and progression. Sarcopenia makes the physical act of toothbrushing more challenging. Caries remains a clinical problem that affects both the crowns and the roots of teeth. Coronal lesions tend to be around existing restorations where there is no evidence base about care/prevention.</p>
Conclusion
<p>The physical and clinical changes that occur with ageing require an altered pattern of care for older people which is adjusted to their disease risk and encourage diversity of foods consumption.</p></abstract><textClass><keywords><term xml:id="ger12087-kwd-0001">ageing</term><term xml:id="ger12087-kwd-0002">oral health</term><term xml:id="ger12087-kwd-0003">age changes</term><term xml:id="ger12087-kwd-0004">gerodontology</term><term xml:id="ger12087-kwd-0005">caries</term><term xml:id="ger12087-kwd-0006">periodontal disease</term><term xml:id="ger12087-kwd-0007">nutrition</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="ger12087" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1741-2358</doi><issn type="print">0734-0664</issn><issn type="electronic">1741-2358</issn><idGroup><id type="product" value="GER"></id></idGroup><titleGroup><title sort="GERODONTOLOGY" type="main">Gerodontology</title><title type="short">Gerodontology</title></titleGroup></publicationMeta><publicationMeta level="part" position="10"><doi origin="wiley">10.1111/ger.2014.31.issue-s1</doi><titleGroup>
<title type="specialIssueTitle">Developing Pathways for Oral Care in Elders</title>
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Published by John Wiley & Sons Ltd</copyright><eventGroup><event date="2013-09-17" type="manuscriptAccepted"></event><event agent="SPS" date="2013-09-26" type="xmlCreated"></event><event agent="SPS" date="2014-01-20" type="xmlCorrected"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.2.9 mode:FullText" date="2014-01-21"></event><event type="firstOnline" date="2014-01-21"></event><event type="publishedOnlineFinalForm" date="2014-01-21"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-07"></event></eventGroup><numberingGroup><numbering type="pageFirst">25</numbering><numbering type="pageLast">30</numbering></numberingGroup><correspondenceTo><lineatedText><line><i>Correspondence to:</i></line><line>Angus Walls, Edinburgh Dental Institute, 4th Floor, Lauriston Building, Lauriston Place, Edinburgh EH3 9HA, UK.</line><line>Tel.: +44 131 5364975</line><line>Fax: +44 131 5364971</line><line>E‐mail: <email>angus.walls@ed.ac.uk</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="ger12087-cit-1001"><i>doi:</i> <accessionId ref="info:doi/10.1111/ger.12087">10.1111/ger.12087</accessionId> <articleTitle>Developing pathways for oral care in elders: challenges in care for the dentate the subject?</articleTitle></citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:GER.GER12087.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Developing pathways for oral care in elders: challenges in care for the dentate the subject?</title><title type="shortAuthors">A. Walls</title></titleGroup><creators><creator affiliationRef="#ger12087-aff-0001" creatorRole="author" xml:id="ger12087-cr-0001"><personName><givenNames>Angus</givenNames> <familyName>Walls</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="GB" type="organization" xml:id="ger12087-aff-0001"><orgDiv>Edinburgh Dental Institute</orgDiv> <orgName>University of Edinburgh</orgName> <address><city>Edinburgh</city> <country>UK</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="ger12087-kwd-0001">ageing</keyword><keyword xml:id="ger12087-kwd-0002">oral health</keyword><keyword xml:id="ger12087-kwd-0003">age changes</keyword><keyword xml:id="ger12087-kwd-0004">gerodontology</keyword><keyword xml:id="ger12087-kwd-0005">caries</keyword><keyword xml:id="ger12087-kwd-0006">periodontal disease</keyword><keyword xml:id="ger12087-kwd-0007">nutrition</keyword></keywordGroup><abstractGroup><abstract type="main" xml:id="ger12087-abs-0001"><section xml:id="ger12087-sec-0001"><title type="main">Objective</title><p>This paper reviews potential age‐associated risk factors for satisfactory oral function and oral disease to inform the development of care pathways for the older person.</p></section><section xml:id="ger12087-sec-0002"><title type="main">Background</title><p>Alterations in dental status or both physical and biological change associated with age can impact on oral disease and oral function.</p></section><section xml:id="ger12087-sec-0003"><title type="main">Materials and Methods</title><p>Older people tend to have fewer teeth and some are edentulous. Physical and biological changes in bodily function with age can also affect oral health care either directly or indirectly.</p></section><section xml:id="ger12087-sec-0004"><title type="main">Results</title><p>Reductions in chewing ability impact on the foods people choose to eat because of perceived difficulty with chewing, with a potentially deleterious affect on dietary quality. This is worse in people with xerostomia where chewing and swallowing are impaired anyway. Change in the cell‐mediated inflammatory response impacts on gingival and periodontal disease manifestation and progression. Sarcopenia makes the physical act of toothbrushing more challenging. Caries remains a clinical problem that affects both the crowns and the roots of teeth. Coronal lesions tend to be around existing restorations where there is no evidence base about care/prevention.</p></section><section xml:id="ger12087-sec-0005"><title type="main">Conclusion</title><p>The physical and clinical changes that occur with ageing require an altered pattern of care for older people which is adjusted to their disease risk and encourage diversity of foods consumption.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Developing pathways for oral care in elders: challenges in care for the dentate the subject?</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Developing pathways for oral care in elders: challenges in care for the dentate the subject?</title></titleInfo><name type="personal"><namePart type="given">Angus</namePart><namePart type="family">Walls</namePart><affiliation>Edinburgh Dental Institute, University of Edinburgh, Edinburgh, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-02</dateIssued><dateCreated encoding="w3cdtf">2013-09-26</dateCreated><dateValid encoding="w3cdtf">2013-09-17</dateValid><edition>doi: 10.1111/ger.12087 Developing pathways for oral care in elders: challenges in care for the dentate the subject?</edition><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>This paper reviews potential age‐associated risk factors for satisfactory oral function and oral disease to inform the development of care pathways for the older person.</abstract><abstract>Alterations in dental status or both physical and biological change associated with age can impact on oral disease and oral function.</abstract><abstract>Older people tend to have fewer teeth and some are edentulous. Physical and biological changes in bodily function with age can also affect oral health care either directly or indirectly.</abstract><abstract>Reductions in chewing ability impact on the foods people choose to eat because of perceived difficulty with chewing, with a potentially deleterious affect on dietary quality. This is worse in people with xerostomia where chewing and swallowing are impaired anyway. Change in the cell‐mediated inflammatory response impacts on gingival and periodontal disease manifestation and progression. Sarcopenia makes the physical act of toothbrushing more challenging. Caries remains a clinical problem that affects both the crowns and the roots of teeth. 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