scholarly journals Diet and Oral Health Coaching Methods and Models for the Independent Elderly

2020 ◽  
Vol 10 (11) ◽  
pp. 4021
Author(s):  
Maria Antoniadou ◽  
Theodoros Varzakas
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Health Coaching ◽  
Oral Diseases ◽  
Patient Centered ◽  
Coaching Methods ◽  
Health Related ◽  
Treatment Plans ◽  
And Function ◽  
Independent Elderly

Health-related behavior based on diet is an important determinant of oral health in independent elderly. Aging impairs senses, mastication, oral status, and function, causing nutritional needs and diet insufficiencies that contribute to a vicious circle of impairment. But the present needs of independent older adults suggest that health research and oral health care should shift from disease management and therapy to integral customized and personal treatment plans, including lifestyle, psychological, nutritional, and oral health coaching approaches. In this paper health coaching approaches in medical and dental settings are valued as to their effectiveness for older adults. Furthermore, coaching approaches for seniors are discussed and coaching models for better senior patient-dentist cooperation on the diet issue are suggested. Diet and oral health coaching is proven to be a modern senior patient-centered approach that needs to be incorporated at all relevant settings. It should aim to empower older adults in co-management of their oral diseases or bad diet habits affecting their oral health. This can be carried out through an incorporated educational plan for dentists either at the postgraduate or professional level since advantages seem to enhance the quality of life of the independent elderly.

scholarly journals Evaluating Mechanisms of Change in an Oral Hygiene Improvement Trial With Older Adults

2021 ◽  
Author(s):  
Jean Schensul ◽  
Susan Reisine ◽  
Apoorva Salvi ◽  
Toan Ha ◽  
James Grady ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Locus Of Control ◽  
Low Income ◽  
Oral Hygiene ◽  
Perceived Risk ◽  
Mechanisms Of Change ◽  
Oral Diseases ◽  
Counseling Intervention ◽  
Group Randomized Trial

Abstract Objectives. This paper examines the relationship between theoretically-driven mediators and clinical outcomes of a group randomized trial to improve oral health and hygiene of older adults in subsidized housing were compared. Methods. Six low-income senior residences were paired and randomized into two groups. The first received a face to face counseling intervention (AMI) and the second, a peer-facilitated health campaign (three oral health fairs) both based on Fishbein’s Integrated Model. 331 participants were recruited at baseline and 306 completed the post-assessment one month after intervention. Clinical outcome s were Gingival Index (GI) and Plaque score (PS), collected by calibrated dental hygienists. Surveys obtained data on patient background characteristics, and ten oral health beliefs, attitudes, norms and behaviors. GLMM assessed the effects of time, intervention arm, moderators and mediators and intervention by time interactions. Results. Baseline moderators were similar. Both outcomes improved significantly. GI scores changed from baseline mean of 0.38 (sd=.032) to .26 (sd=.025) and PS scores changed from baseline mean of 71.4 (sd=18%) to 59.1% (sd=21%). Fears, intentionality, norms, worries, flossing and sugar consumption improved significantly in both interventions from baseline to post intervention. Self-efficacy, perceived risk of oral health problems, locus of control and brushing improved significantly only in the counseling intervention. Mechanisms predicting GI improvement were intentionality, locus of control, brushing and flossing in association with the counseling intervention. Mechanisms predicting PS improvement were worries about oral hygiene self-management and fear of oral diseases in association with the AMI intervention. In the trimmed final models, only locus of control (predicting GI) and fears of oral diseases (predicting PS) were significant. Conclusions. GI and PS improved more in response to the counseling intervention than the campaign. The counseling intervention had a greater impact on mechanisms of change than the campaign. Locus of control, a key concept in oral hygiene interventions including the IM was the main contributing mechanism for GI. Fear, an emotional response drove improvement in PS reinforcing the importance of cognitive/emotional mechanisms in oral hygiene interventions. Improvements in mediators across both interventions suggest a closer examination of the campaign intervention impact on outcomes over time. Trial Registration: Clinicaltrials.gov NCT02419144, first posted April 17, 2015

scholarly journals Impact of Seniors Centers on oral health-related quality of life of older adults

2020 ◽  
Vol 54 ◽  
pp. 7
Author(s):  
Fernanda W. Machado Luz ◽  
Alexandre Emídio Ribeiro Silva ◽  
Ana Paula Perroni ◽  
Marília L. Goettems ◽  
Noéli Boscato
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Family Income ◽  
Health Related Quality ◽  
Clinical Factors ◽  
Related Quality ◽  
Health Related ◽  
The Impact

OBJECTIVE: This study evaluated the oral health-related quality of life (OHRQoL) of older adults participating or not in Seniors Centers (SC). METHODS: Two independent samples were compared: older adults who participate in SC (n = 124) and older adults who visited Primary Healthcare Centers (PHC) and do not participate in SC (n = 164). The data collected consisted of sociodemographic (sex, age, educational level, marital status, family income) and psychosocial characteristics—Sense of Coherence (SOC), anxiety and depression using HADS, happiness—, and oral clinical evaluation—use and need of dental prosthesis and decayed (D), missing (M), or filled (F) teeth. The resulting OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14). The Mann-Whitney test was used to assess the associations between the independent variables and the OHIP-14. Poisson regression models were also used in the analyses (α=0.05). RESULTS: In the PHC, of the 270 individuals invited to participate in the study, 164 (60.7%) were interviewed and clinically examined; while in the SC, of the 166 individuals invited to participate in the study, 124 (74.7%) were interviewed and clinically examined. After adjustments for sociodemographic, psychosocial and clinical factors, we found that the impact on OHRQoL was 2.8 times higher (95%CI 2.0–4.2) for older adults who did not participate in SC. CONCLUSION: Older adults who participated in SC showed better perception on OHRQoL, independently of sociodemographic, psychosocial and clinical factors.

Oral health-related knowledge, attitudes and self-efficacy of Australian rural older adults

Gerodontology ◽  
2015 ◽  
Vol 33 (4) ◽  
pp. 530-538 ◽  
Author(s):  
Rodrigo Mariño ◽  
Matthew Hopcraft ◽  
Aghareed Ghanim ◽  
Rachel Tham ◽  
Chee-Wah Khew ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Self Efficacy ◽  
Health Related ◽  
Rural Older Adults

scholarly journals IMMIGRATION, RESILIENCE, AND ORAL-HEALTH-RELATED QUALITY OF LIFE AMONG CHINESE AMERICAN OLDER ADULTS IN HAWAII

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S590-S590
Author(s):  
Bei Wu ◽  
Yaolin Pei ◽  
Wei Zhang
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Status ◽  
Oral Health ◽  
Health Related Quality ◽  
Immigrant Status ◽  
Foreign Born ◽  
Related Quality ◽  
Health Related

Abstract Very few studies have compared oral health status between the US-born and foreign-born immigrant older adults. Using data collected among 430 Chinese older adults age 55+ residing in Hawai’i, we examined the association between immigrant status and oral health related quality of life (OHQoL) and the moderating role of resilience in linking the association. Controlling for some key covariates, our study results show that US-born Chinese immigrant older adults had better OHQoL than their foreign born counterparts. Factors such as higher level of education (graduate degree or higher), better self-reported health status and no significant tooth loss were related to better OHQoL. The association between immigrant status and OHQoL was moderated by resilience. Specially, resilience was positively and significantly associated with OHQoL among U.S.-born older adults but not among the foreign-born ones. Our findings indicate the importance of immigration and resilience in shaping oral health outcomes among older Chinese Americans.

scholarly journals Removable Partial Dentures for Older Adults

2020 ◽  
Vol 9 (3) ◽  
pp. 34-39
Author(s):  
Tim Friel ◽  
Sarah Waia
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Acrylic Resin ◽  
Population Replacement ◽  
Related Quality ◽  
Health Related ◽  
Natural Teeth ◽  
Partially Dentate

Improvements in oral health including increased retention of natural teeth have given rise to a partially dentate older population. Replacement of missing natural teeth is important to improve function, aesthetics and quality of life for this patient group. A variety of options are available to replace missing teeth in partially dentate older adults, including fixed, removable and implant retained prostheses. This article will discuss the provision of removable partial dentures including treatment planning and denture design. When planning removable partial dentures, careful attention must be paid to stabilising the patient prior to delivering any prosthesis. Partial dentures should be designed to minimise the potential for plaque accumulation with carefully designed metal based frameworks. Acrylic resin can also be utilised with attention to detail to minimise the risk of damage to delicate supporting tissues. Removable dentures have the advantage that they can be readily added to in the event of further tooth loss which may be particularly relevant for older adults. Partial dentures which optimise support, retention and stability can function very successfully and significantly improve patients’ oral health related quality of life.

scholarly journals Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults

2015 ◽  
Vol 25 (7) ◽  
pp. 1735-1742 ◽  
Author(s):  
Maria Augusta Bessa Rebelo ◽  
Evangeline Maria Cardoso ◽  
Peter G. Robinson ◽  
Mario Vianna Vettore
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Community Dwelling ◽  
Dental Status ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Community Dwelling Older Adults

scholarly journals Self-reported tooth and implant prognosis evaluation based on radiographic bone loss: a cross sectional study

2020 ◽  
Vol 3 (1) ◽  
pp. 262-268
Author(s):  
Danielle Clark-Perry ◽  
Jaimie Baybrook ◽  
Raisa Catunda ◽  
Liran Levin
Keyword(s):  
Bone Loss ◽  
Cross Sectional Study ◽  
Oral Diseases ◽  
Patient Centered ◽  
Cross Sectional ◽  
Current Trends ◽  
Dental Practitioners ◽  
Treatment Plans ◽  
Dental Professionals ◽  
Prognosis Evaluation

AbstractIntroduction: Tooth prognosis evaluation involves continual assessments to guide patient-centered treatment plans. This means that the tooth prognosis may dictate whether a tooth is restored, extracted, or maintained.Aim of study: The aim of this work was to evaluate current trends in tooth prognosis evaluation based on radiographic bone loss amongst dental practitioners.Material and Methods: A survey including demographic questions and ten radiographs (vertical bitewings or peri-apical) showing bone loss around teeth and implants were distributed to dental practitioners. Practitioners were asked to determine the prognosis of the tooth or implant and suggest a percentage describing the likelihood of the tooth or implant surviving for ten years.Results: One of the ten radiographs provided for assessment was given good to fair prognosis by 100% of the participants. Only three out of the ten radiographs presented had strong suggestions for tooth retention. Recommendation for extraction by dental practitioners varied from 1-66% across the radiographs. Furthermore, practitioners predicted a 0% chance of ten-year survival for many of the teeth.Conclusions: Assessing prognosis based on radiographs only, is insufficient and clinical data provides invaluable information to establishing tooth prognosis. Dental professionals should understand that compromised teeth can outlive dental implants and our role as dental professionals is to prevent and treat oral diseases to preserve the dentition as long as possible.

Factors associated with poor oral health‐related quality of life among non‐institutionalized Brazilian older adults

2021 ◽  
Author(s):  
Carla Fabiana Tenani ◽  
Maria Helena Ribeiro De Checchi ◽  
Inara Pereira da Cunha ◽  
Karine Laura Cortellazzi Mendes ◽  
Gustavo Hermes Soares ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Health Related Quality ◽  
Factors Associated ◽  
Related Quality ◽  
Health Related

scholarly journals Disparities in Access to Oral Health Care

2020 ◽  
Vol 41 (1) ◽  
pp. 513-535 ◽  
Author(s):  
Mary E. Northridge ◽  
Anjali Kumar ◽  
Raghbir Kaur
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Low Income ◽  
Safety Net ◽  
The United States ◽  
Oral Health Care ◽  
Oral Diseases ◽  
Patient Centered ◽  
Obesity And Diabetes ◽  
Centered Care

In the United States, people are more likely to have poor oral health if they are low-income, uninsured, and/or members of racial/ethnic minority, immigrant, or rural populations who have suboptimal access to quality oral health care. As a result, poor oral health serves as the national symbol of social inequality. There is increasing recognition among those in public health that oral diseases such as dental caries and periodontal disease and general health conditions such as obesity and diabetes are closely linked by sharing common risk factors, including excess sugar consumption and tobacco use, as well as underlying infection and inflammatory pathways. Hence, efforts to integrate oral health and primary health care, incorporate interventions at multiple levels to improve access to and quality of services, and create health care teams that provide patient-centered care in both safety net clinics and community settings may narrow the gaps in access to oral health care across the life course.

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