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.
- Tonetti MS Faculty of Dentistry, University of Hong Kong, Hong Kong, China.
- Bottenberg P Free University of Brussels, Brussels, Belgium.
- Conrads G Division of Oral Microbiology and Immunology, Department of Conservative Dentistry, Periodontology and Preventive Dentistry, RWTH University Hospital Aachen, Aachen, Germany.
- Eickholz P Department of Periodontology, Johann Wolfgang Goethe-University, Frankfurt, Germany.
- Heasman P Department of Restorative Dentistry, University of Newcastle, Newcastle, UK.
- Huysmans MC Department of Oral Function and Prosthetic Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands.
- López R Section of Periodontology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
- Madianos P Department of Periodontology, National and Kapodistrian University of Athens, Athens, Greece.
- Müller F Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
- Needleman I International Centre for Evidence-Based Oral Health, Unit of Periodontology, UCL Eastman Dental Institute, London, UK.
- Nyvad B Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
- Preshaw PM Department of Restorative Dentistry, University of Newcastle, Newcastle, UK.
- Pretty I Division of Dentistry, University of Manchester, Manchester, UK.
- Renvert S Department of Periodontology, Kristianstad University, Kristianstad, Sweden.
- Schwendicke F Department of Operative Dentistry, Charitè - Universitätsmedizin Berlin, Berlin, Germany.
- Trombelli L Research Center for the Study of Periodontal and Peri-implant Diseases, University of Ferrara, Ferrara, Italy.
- van der Putten GJ Department of Oral Function and Prosthetic Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands.
- Vanobbergen J Community Dentistry and Oral Public Health, Ghent University, Ghent, Belgium.
- West N Department of Oral and Dental Sciences, University of Bristol, Bristol, UK.
- Young A Department of Cariology and Gerodontology, Faculty of Dentistry, University of Oslo, Oslo, Norway.
- Paris S Department of Operative Dentistry, Charitè - Universitätsmedizin Berlin, Berlin, Germany.
- 2017-03-08
Published in:
- Journal of clinical periodontology. - 2017
ageing
dental caries
dependency
epidemiology
frailty
gerodontology
masticatory dysfunction
nutrition
older people
periodontal diseases
periodontitis
public health
root caries
senescence
tooth loss
Age Factors
Aged
Dental Caries
Health Promotion
Healthy Aging
Humans
Middle Aged
Oral Health
Periodontal Diseases
English
BACKGROUND
Over the last two decades, progress in prevention and treatment of caries and periodontal diseases has been translated to better oral health and improved tooth retention in the adult population. The ageing population and the increasing expectations of good oral health-related quality of life in older age pose formidable challenges to clinical care and healthcare systems.
AIMS
The objective of this workshop was to critically review scientific evidence and develop specific recommendations to: (i) prevent tooth loss and retain oral function through prevention and treatment of caries and periodontal diseases later in life and (ii) increase awareness of the health benefits of oral health as an essential component of healthy ageing.
METHODS
Discussions were initiated by three systematic reviews covering aspects of epidemiology of caries and periodontal diseases in elders, the impact of senescence on caries and periodontal diseases and the effectiveness of interventions. Recommendations were developed based on evidence from the systematic reviews and expert opinion.
RESULTS
Key messages included: (i) the ageing population, trends in risk factors and improved tooth retention point towards an expected increase in the total burden of disease posed by caries and periodontal diseases in the older population; (ii) specific surveillance is required to monitor changes in oral health in the older population; (iii) senescence impacts oral health including periodontitis and possibly caries susceptibility; (iv) evidence indicates that caries and periodontal diseases can be prevented and treated also in older adults; (v) oral health and functional tooth retention later in life provides benefits both in terms of oral and general quality of life and in terms of preventing physical decline and dependency by fostering a healthy diet; (vi) oral healthcare professionals and individuals should not base decisions impacting tooth retention on chronological age but on level of dependency, life expectancy, frailty, comfort and quality of life; and (vii) health policy should remove barriers to oral health care for vulnerable elders.
CONCLUSIONS
Consensus was reached on specific actionable priorities for public health officials, oral healthcare professionals, educators and workforce planners, caregivers and relatives as well as for the public and ageing patients. Some priorities have major implications for policymakers as health systems need to adapt to the challenge by systemwide changes to enable (promote) tooth retention later in life and management of deteriorating oral health in increasingly dependent elders.
Over the last two decades, progress in prevention and treatment of caries and periodontal diseases has been translated to better oral health and improved tooth retention in the adult population. The ageing population and the increasing expectations of good oral health-related quality of life in older age pose formidable challenges to clinical care and healthcare systems.
AIMS
The objective of this workshop was to critically review scientific evidence and develop specific recommendations to: (i) prevent tooth loss and retain oral function through prevention and treatment of caries and periodontal diseases later in life and (ii) increase awareness of the health benefits of oral health as an essential component of healthy ageing.
METHODS
Discussions were initiated by three systematic reviews covering aspects of epidemiology of caries and periodontal diseases in elders, the impact of senescence on caries and periodontal diseases and the effectiveness of interventions. Recommendations were developed based on evidence from the systematic reviews and expert opinion.
RESULTS
Key messages included: (i) the ageing population, trends in risk factors and improved tooth retention point towards an expected increase in the total burden of disease posed by caries and periodontal diseases in the older population; (ii) specific surveillance is required to monitor changes in oral health in the older population; (iii) senescence impacts oral health including periodontitis and possibly caries susceptibility; (iv) evidence indicates that caries and periodontal diseases can be prevented and treated also in older adults; (v) oral health and functional tooth retention later in life provides benefits both in terms of oral and general quality of life and in terms of preventing physical decline and dependency by fostering a healthy diet; (vi) oral healthcare professionals and individuals should not base decisions impacting tooth retention on chronological age but on level of dependency, life expectancy, frailty, comfort and quality of life; and (vii) health policy should remove barriers to oral health care for vulnerable elders.
CONCLUSIONS
Consensus was reached on specific actionable priorities for public health officials, oral healthcare professionals, educators and workforce planners, caregivers and relatives as well as for the public and ageing patients. Some priorities have major implications for policymakers as health systems need to adapt to the challenge by systemwide changes to enable (promote) tooth retention later in life and management of deteriorating oral health in increasingly dependent elders.
- Language
-
- English
- Open access status
- bronze
- Identifiers
-
- DOI 10.1111/jcpe.12681
- PMID 28266112
- Persistent URL
- https://folia.unifr.ch/global/documents/134062
Statistics
Document views: 5
File downloads:
- fulltext.pdf: 0