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

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

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Publication Article, review peer-reviewed scientific
Title Oral health and dental care of older persons : A systematic map of systematic reviews.
Author Ástvaldsdóttir, Álfheiður ; Boström, Anne-Marie ; Davidson, Thomas ; Gabre, Pia ; Gahnberg, Lars ; Sandborgh Englund, Gunilla ; Skott, Pia ; Ståhlnacke, Katri ; Tranaeus, Sofia ; Wilhelmsson, Hanna ; Wårdh, Inger ; Östlund, Pernilla ; Nilsson, Mikael
Date 2018
English 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.
DOI https://doi.org/10.1111/ger.12368 (link to publisher's fulltext.)
Publisher Wiley
Host/Issue Gerodontology;4
ISSN 0734-0664
Page 290-304
Language eng (iso)
Subject geriatric dentistry
knowledge gaps
older persons
oral health
person-centred care
systematic reviews gerodontology
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/26707 Permalink to this page
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