Abstract
The percentages of elderly individuals within their respective populations are increasing worldwide due to an increase in life expectancy and the falling fertility rates, but there continues to be a high variability in different world regions. The fact that multimorbidity, frailty, and care-dependency tend to increase with ageing means nevertheless that many will spend their last years living with disease and disability. Maintaining physical and mental well-being and high quality of life as well as building supportive environments for elderly citizens have become important goals for physicians and healthcare administrators. Oral health is an important, although neglected, element composing the general framework of overall health and well-being of elderly individuals. Oral health in older people, which tends to be quite poor, is linked to many physical and psychosocial functions such as chewing, biting, swallowing, tasting, speaking and communicating, smiling, appearance, aesthetics, and self-esteem, and it is an important part of the socialisation process. The most vulnerable, frail, and care-dependent persons tend to have higher rates of dental caries, periodontal disease, severe tooth loss, xerostomia, and oral cancer. Although most chronic oral diseases are largely preventable and treatable, various factors preclude keeping teeth and mouth healthy during old age. These include: care-dependency, socio-economic considerations, limited access to dental care and to professional assistance, as well as poor oral hygiene practices. Educational interventions addressing healthcare providers’ knowledge about oral health, appropriate oral health policy action plans, as well as citizen empowerment and involvement can each and all promote oral health in old age. From this perspective, the role of interprofessional collaborative healthcare teams and particularly of non-dental healthcare providers in promoting oral health can be considered crucial.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
WHO. World report on ageing and health. Geneva: World Health Organization; 2015.
United Nations, Department of Economic and Social Affairs, Population Division. World population prospects 2019: highlights (ST/ESA/SER.A/423).
Eurostat. Key figures on Europe, 2019 edition, European Union; 2019. https://ec.europa.eu/eurostat/documents/3217494/10164469/KS-EI-19-001-EN-N.pdf/33ab6c0c-a0c6-5294-3948-b1fb9973d096.
European Commission, Directorate-General for Economic and Financial Affairs. The 2018 ageing report. Underlying assumptions and projection methodologies. https://ec.europa.eu/info/sites/info/files/economy-finance/ip065_en.pdf.
United Nations, Department of Economic and Social Affairs, Population Division. World population ageing 2019: highlights (ST/ESA/SER.A/430).
WHO. Life expectancy and Healthy life expectancy. Data by country. http://apps.who.int/gho/data/node.main.688?lang=en.
WHO. Healthy life expectancy (HALE) at birth. https://www.who.int/data/gho/indicator-metadata-registry/imr-details/66.
WHO. Healthy life expectancy (HALE). Data by WHO region. http://apps.who.int/gho/data/view.main.HALEXREGv?lang=en)%20are.
Beard JR, Officer A, de Carvalho IA, Sadana R, Pot AM, Michel JP, Lloyd-Sherlock P, Epping-Jordan JE, Peeters GMEEG, Mahanani WR, Thiyagarajan JA, Chatterji S. The world report on ageing and health: a policy framework for healthy ageing. Lancet. 2016;387:2145–54.
OECD/European Union. Health at a glance: Europe 2018: state of health in the EU cycle, OECD Publishing, Paris/European Union, Brussels; 2018. https://doi.org/10.1787/health_glance_eur-2018-en.
Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. Int Dent J. 2016;66(6):322–4.
Kossioni AE, Kossionis GE, Polychronopoulou A. Oral health status of elderly hospitalised psychiatric patients. Gerodontology. 2012;29(4):272–83.
Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, Listl S, Celeste RK, Guarnizo-Herreño CC, Kearns C, Benzian H, Allison P, Watt RG. Oral diseases: a global public health challenge. Lancet. 2019;394:249–60.
Kassebaum NJ, Smith AGC, Bernabé E, Fleming TD, Reynolds AE, Vos T, Murray CJL, Marcenes W, GBD 2015 Oral Health Collaborators. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;96(4):380–7.
Kossioni AE, Hajto-Bryk J, Janssens B, Maggi S, Marchini L, McKenna G, Müller F, Petrovic M, Roller-Wirnsberger RE, Schimmel M, van der Putten GJ, Vanobbergen J, Zarzecka J. Practical guidelines for physicians in promoting oral health in frail older adults. J Am Med Dir Assoc. 2018;19(12):1039–46.
Kossioni AE. Current status and trends in oral health in community dwelling older adults: a global perspective. Oral Health Prev Dent. 2013;11(4):331–40.
Bernabé E, Sheiham A. Age, period and cohort trends in caries of permanent teeth in four developed countries. Am J Public Health. 2014;104:e115–21.
Tonetti MS, Bottenberg P, Conrads G, Eickholz P, Heasman P, Huysmans MC, López R, Madianos P, Müller F, Needleman I, Nyvad B, Preshaw PM, Pretty I, Renvert S, Schwendicke F, Trombelli L, van der Putten GJ, Vanobbergen J, West N, Young A, Paris S. 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 boundaries between caries and periodontal diseases. J Clin Periodontol. 2017;44 Suppl 18:S135–44.
De Visschere L, Janssens B, De Reu G, Duyck J, Vanobbergen J. An oral health survey of vulnerable older people in Belgium. Clin Oral Investig. 2016;20(8):1903–12.
Müller F, Shimazaki Y, Kahabuka F, Schimmel M. Oral health for an ageing population: the importance of a natural dentition in older adults. Int Dent J. 2017;67(Suppl 2):7–13.
Marchini L, Ettinger R, Hartshorn J. Personalized dental caries management for frail older adults and persons with special needs. Dent Clin North Am. 2019;63(4):631–51.
Kossioni AE, Hajto-Bryk J, Maggi S, McKenna G, Petrovic M, Roller-Wirnsberger RE, Schimmel M, Tamulaitienè M, Vanobbergen J, Müller F. An expert opinion from the European College of Gerodontology and the European Geriatric Medicine Society: European policy recommendations on oral health in older adults. J Am Geriatr Soc. 2018;66(3):609–13.
Manski RJ, Goodman HS, Reid BC, Macek MD. Dental insurance visits and expenditures among older adults. Am J Public Health. 2004;94(5):759–64.
Borreani E, Wright D, Scambler S, Gallagher JE. Minimising barriers to dental care in older people. BMC Oral Health. 2008;8:7.
Mathur MR, Williams DM, Reddy KS, Watt RG. Universal health coverage: a unique policy opportunity for oral health. J Dent Res. 2015;94(3 Suppl):3S–5S.
Kossioni A, McKenna G, MĂĽller F, Schimmel M, Vanobbergen J. Higher education in gerodontology in European universities. BMC Oral Health. 2017;17(1):71.
Marchini L, Ettinger R, Chen X, Kossioni A, Tan H, Tada S, Ikebe K, Dosumu EB, Oginni FO, Akeredolu PA, Butali A, Donnelly L, Brondani M, Fritzsch B, Adeola HA. Geriatric dentistry education and context in a selection of countries in 5 continents. Spec Care Dentist. 2018;38(3):123–32.
Ettinger RL, Goettsche ZS, Qian F. Curriculum content in geriatric dentistry in USA dental schools. Gerodontology. 2018;35(1):11–7.
Kossioni AE. Is Europe prepared to meet the oral health needs of older people? Gerodontology. 2012;29(2):e1230–40.
Bots-VantSpijker PC, Vanobbergen JN, Schols JM, Schaub RM, Bots CP, de Baat C. Barriers of delivering oral health care to older people experienced by dentists: a systematic literature review. Community Dent Oral Epidemiol. 2014;42(2):113–21.
Kossioni AE, Ioannidou K, Kalyva D, Marchini L, Hartshorn J, Kaufman L, Smith B, Barlow PB. Translation and validation of the Greek version of an ageism scale for dental students (ASDS_Gr). Gerodontology. 2019;36(3):251–7.
Janssens B, De Visschere L, van der Putten GJ, de Lugt-Lustig K, Schols JM, Vanobbergen J. Effect of an oral healthcare protocol in nursing homes on care staffs’ knowledge and attitude towards oral health care: a cluster-randomised controlled trial. Gerodontology. 2016;33(2):275–86.
Listl S. Income-related inequalities in dental service utilization by Europeans aged 50+. J Dent Res. 2011;90(6):717–23.
Watt RG, Daly B, Allison P, Macpherson LMD, Venturelli R, Listl S, Weyant RJ, Mathur MR, Guarnizo-Herreño CC, Celeste RK, Peres MA, Kearns C, Benzian H. Ending the neglect of global oral health: time for radical action. Lancet. 2019;394(10194):261–72.
World Health Organization Department of Human Resources for Health. Framework for action on interprofessional education & collaborative practice. Geneva: WHO; 2010. https://www.who.int/hrh/resources/framework_action/en/
Kossioni AE, Marchini L, Childs C. Dental participation in geriatric interprofessional education courses: a systematic review. Eur J Dent Educ. 2018;22(3):e530–41.
Mezey M, Mitty E, Burger SG, McCallion P. Healthcare professional training: a comparison of geriatric competencies. J Am Geriatr Soc. 2008;56:1724–9.
Hummel J, Phillips KE, Holt B, et al. Oral health: an essential component of primary care. White paper. Qualis Health: Seattle; 2015. http://www.niioh.org/sites/default/files/Oral_Health_white_paper_final.pdf
FDI World Dental Federation. Universal oral health coverage. Oral health for all. Geneva: FDI; 2019. https://www.fdiworlddental.org/sites/default/files/media/resources/fact_sheet-2019-universal_health_coverage.pdf
Guideline: sugars intake for adults and children. Geneva: World Health Organization; 2015. https://apps.who.int/iris/bitstream/handle/10665/149782/9789241549028_eng.pdf?sequence=1.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Kossioni, A., Maggi, S. (2020). Introduction to Gerodontology: Demography, Epidemiology, and Access to Dental Care. In: Kossioni, A. (eds) Gerodontology Essentials for Health Care Professionals. Practical Issues in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-030-41468-9_1
Download citation
DOI: https://doi.org/10.1007/978-3-030-41468-9_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-41467-2
Online ISBN: 978-3-030-41468-9
eBook Packages: MedicineMedicine (R0)