Interventions for edentate elders – what is the evidence?
Identifieur interne : 001F03 ( Main/Exploration ); précédent : 001F02; suivant : 001F04Interventions for edentate elders – what is the evidence?
Auteurs : Frauke Müller [Suisse]Source :
- Gerodontology [ 0734-0664 ] ; 2014-02.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Bouche édentée.
- Humains, Implants dentaires, Norme de soins, Odontologie factuelle, Overdenture, Personne âgée fragile, Prothèse dentaire implanto-portée, Soins dentaires pour personnes âgées, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- chemical : Dental Implants.
- rehabilitation : Mouth, Edentulous.
- Aged, Dental Care for Aged, Dental Prosthesis, Implant-Supported, Denture, Overlay, Evidence-Based Dentistry, Frail Elderly, Humans, Standard of Care.
Abstract
Demographic developments indicate an increasing proportion of elderly persons in the population as well as longer life expectancies. Furthermore, the prevalence of edentulism is decreasing, and natural teeth are being retained until later in life. Geriatric patients are more frequently fragile with multiple co‐morbidities, including frequent medication‐related side effects such as xerostomia. Cognitive impairment also increases with age and presents a considerable challenge to oral hygiene and dental treatment. Edentulous patients present a particular challenge, as muscle skill and the ability to adapt to a new denture diminish with age. Duplication techniques reduce the adaptation of replacement dentures, and implants are increasingly used to stabilise lower complete dentures, significantly improving chewing efficiency and preventing peri‐implant bone loss. Implant overdentures may reverse some of the functional, psychological and psychosocial effects of tooth loss and thus increase the oral health‐related quality of life until late in life. Evidence from RCTs exists on the 10‐year survival of implants and implant overdentures, but few studies have investigated the problems and survival rates when the patient loses autonomy. The standard of care in geriatric patients has to be adapted to the patient's motivation, functional and cognitive impairment, and medical condition as well as his/her socio‐economic context.
Url:
DOI: 10.1111/ger.12083
Affiliations:
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for edentate elders – what is the evidence?</title><author><name sortKey="Muller, Frauke" sort="Muller, Frauke" uniqKey="Muller F" first="Frauke" last="Müller">Frauke Müller</name><affiliation wicri:level="4"><country xml:lang="fr">Suisse</country><wicri:regionArea>Division of Gerodontology and Removable Prosthodontics, University of Geneva, Geneva</wicri:regionArea><orgName type="university">Université de Genève</orgName><placeName><settlement type="city">Genève</settlement><region nuts="3" type="region">Canton de Genève</region></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Internal Medicine, Rehabilitation and Geriatrics, University Hospitals Geneva, Geneva</wicri:regionArea><wicri:noRegion>Geneva</wicri:noRegion></affiliation><affiliation></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Suisse</country></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Gerodontology</title><title level="j" type="sub">Developing Pathways for Oral Care in Elders</title><title level="j" type="alt">GERODONTOLOGY</title><idno type="ISSN">0734-0664</idno><idno type="eISSN">1741-2358</idno><imprint><biblScope unit="vol">31</biblScope><biblScope unit="page" from="44">44</biblScope><biblScope unit="page" to="51">51</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2014-02">2014-02</date></imprint><idno type="ISSN">0734-0664</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0734-0664</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Dental Care for Aged</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Overlay</term><term>Evidence-Based Dentistry</term><term>Frail Elderly</term><term>Humans</term><term>Mouth, Edentulous (rehabilitation)</term><term>Standard of Care</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Bouche édentée (rééducation et réadaptation)</term><term>Humains</term><term>Implants dentaires</term><term>Norme de soins</term><term>Odontologie factuelle</term><term>Overdenture</term><term>Personne âgée fragile</term><term>Prothèse dentaire implanto-portée</term><term>Soins dentaires pour personnes âgées</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Bouche édentée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Dental Care for Aged</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Overlay</term><term>Evidence-Based Dentistry</term><term>Frail Elderly</term><term>Humans</term><term>Standard of Care</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Implants dentaires</term><term>Norme de soins</term><term>Odontologie factuelle</term><term>Overdenture</term><term>Personne âgée fragile</term><term>Prothèse dentaire implanto-portée</term><term>Soins dentaires pour personnes âgées</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Demographic developments indicate an increasing proportion of elderly persons in the population as well as longer life expectancies. Furthermore, the prevalence of edentulism is decreasing, and natural teeth are being retained until later in life. Geriatric patients are more frequently fragile with multiple co‐morbidities, including frequent medication‐related side effects such as xerostomia. Cognitive impairment also increases with age and presents a considerable challenge to oral hygiene and dental treatment. Edentulous patients present a particular challenge, as muscle skill and the ability to adapt to a new denture diminish with age. Duplication techniques reduce the adaptation of replacement dentures, and implants are increasingly used to stabilise lower complete dentures, significantly improving chewing efficiency and preventing peri‐implant bone loss. Implant overdentures may reverse some of the functional, psychological and psychosocial effects of tooth loss and thus increase the oral health‐related quality of life until late in life. Evidence from RCTs exists on the 10‐year survival of implants and implant overdentures, but few studies have investigated the problems and survival rates when the patient loses autonomy. The standard of care in geriatric patients has to be adapted to the patient's motivation, functional and cognitive impairment, and medical condition as well as his/her socio‐economic context.</div></front></TEI><affiliations><list><country><li>Suisse</li></country><region><li>Canton de Genève</li></region><settlement><li>Genève</li></settlement><orgName><li>Université de Genève</li></orgName></list><tree><country name="Suisse"><region name="Canton de Genève"><name sortKey="Muller, Frauke" sort="Muller, Frauke" uniqKey="Muller F" first="Frauke" last="Müller">Frauke Müller</name></region><name sortKey="Muller, Frauke" sort="Muller, Frauke" uniqKey="Muller F" first="Frauke" last="Müller">Frauke Müller</name><name sortKey="Muller, Frauke" sort="Muller, Frauke" uniqKey="Muller F" first="Frauke" last="Müller">Frauke Müller</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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