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Gerodontology. 2018 Dec;35(4):290-304. doi: 10.1111/ger.12368. Epub 2018 Aug 20.

Oral health and dental care of older persons-A systematic map of systematic reviews.

Author information

1
Department of Dental Medicine, Karolinska institutet, Stockholm, Sweden.
2
Division of nursing, Department of Neurobiology, Care Sciences and Society, Karolinska institutet, Huddinge, Sweden.
3
Theme Aging, Karolinska University Hospital, Huddinge, Sweden.
4
Department of nursing, Western Norway University of Applied Sciences, Haugesund, Norway.
5
Division of health Care Analysis, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
6
Health Technology Assessment-Odontology (HTA-O), Faculty of Odontology, Malmö University, Malmö, Sweden.
7
Department of Preventive Dentistry, Public Dental Health, Uppsala County Council, Uppsala, Sweden.
8
Department of Cariology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
9
Department of Preventive Dentistry, Public Dental Service, Region Västra Götaland, Sweden.
10
Department of Behavioral and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
11
Academic Center of Geriatric Dentistry, Karolinska institutet, Stockholm, Sweden.
12
Public Dental Services, Region Örebro County, Sweden.
13
Faculty of Health and Medicine, Örebro University, Örebro, Sweden.
14
University Library, Malmö University, Malmö, Sweden.

Abstract

OBJECTIVES:

To examine the current knowledge on oral health status and dental care of older persons through a systematic mapping of systematic reviews of low or moderate risk of bias.

BACKGROUND:

Geriatric dentistry covers all aspects of oral health and oral care of older persons. Oral health is part of general health and contributes to a person's physical, psychological and social wellbeing.

METHODS:

A literature search was performed in three different databases (PubMed, The Cochrane Library and Cinahl) within 12 domains: Dental caries, periodontitis, Orofacial pain and temporomandibular joint (TMJ) pain, mucosal lesions, oral motor function, dry mouth, halitosis, interaction between oral status and other medical conditions, ability to interrelate and communicate, quality of life, ethics and organisation of dental care for older persons. Systematic reviews were identified and scrutinised, highlighting scientific knowledge and knowledge gaps.

RESULTS:

We included 32 systematic reviews of which 14 were judged to be of low/moderate risk of bias. Most of the domains lack systematic reviews with low or moderate risk of bias. In two of the domains evidence was identified; in institutionalised people aged 65 or older, effective oral hygiene can prevent pneumonia. Furthermore, there is an evidence of a relationship between malnutrition (protein energy-related malnutrition, PEM) and poor appetite and edentulousness.

CONCLUSIONS:

There is an urgent need for further research and evidence-based knowledge within most domains in geriatric dentistry and in other fields related to oral health and dental care for older persons striving for multi-disciplinary research programmes.

KEYWORDS:

geriatric dentistry; knowledge gaps; older persons; oral health; person-centred care; systematic reviews gerodontology

PMID:
30129220
DOI:
10.1111/ger.12368
[Indexed for MEDLINE]

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