Tooth loss as a predictor of shortened longevity: exploring the hypothesis.

Many factors contribute to human tooth loss, including oral hygiene practices, trauma, smoking, health status, socio-economic status and individual preferences. Loss of teeth impairs quality-of-life measures, including the eating of most foods that require full masticatory function. A recent study of centenarians found that at age 65-74 years, those who lived to be 100 had a lower rate of edentulism than did younger members of their birth cohort at ages 65-74 years.

The aging mouth: differentiating normal aging from disease.

Aging is the physiologic change that occurs over time. In humans, this change occurs at different rates and are related to lifestyle, environment and genetics. It can be challenging to differentiate normal aging from disease.

Oral health disparity in older adults: dental decay and tooth loss.

Progress has been made in reducing dental caries and edentulism in older adults, but disparities continue to exist related to race, ethnicity, socioeconomic level, and sex. Lack of training in treating medically complex patients, economic factors including absence of coverage for oral health services in Medicare and as a required service for adults in Medicaid, and attitudinal issues on the part of patients, caregivers, and providers contribute to barriers to care for older adults. In addition to the impact of oral health on overall health, oral health impacts quality of life and social and employment opportunities.

An oral health study of centenarians and children of centenarians.

Objectives: To determine whether oral health is better in centenarians than in a published birth cohort-matched sample and to compare oral health in centenarian offspring with a case-controlled reference sample.

Design: Observational cross-sectional study.

Setting: New England Centenarian Study (NECS).

Xerostomia: the "invisible" oral health condition.

Xerostomia, or dry mouth, is perhaps one of the most underappreciated, underdiagnosed, and undermanaged oral health conditions. Recognition of a xerostomic condition is important because it can significantly affect the overall quality of life and contribute to diminishing oral health in a number of ways. This article will provide an overview of the etiology of xerostomia, the sequelae of the condition, and suggestions for pharmacological and non-pharmacological management of the condition to improve a patient's quality of life.

Taking dentistry to the geriatric patient: a home visit model.

Frail, medically complex elders comprise an increasing dentally underserved population. The "demographic imperative" clearly shows that the number of elders is growing-from a current estimate of 40 million to a projection of 87 million in 2050. Oral health is a critical component of overall health and is increasingly recognized as critical to quality of life.

Xerostomia: the "invisible" oral health condition.

Xerostomia, or dry mouth, is perhaps one of the most underappreciated, underdiagnosed, and undermanaged oral health conditions. Recognition of a xerostomic condition is important because it can significantly affect the overall quality of life and contribute to diminishing oral health in a number of ways. This article will provide an overview of the etiology of xerostomia, the sequelae of the condition, and suggestions for pharmacological and nonpharmacological management of the condition to improve a patient's quality of life.

Mentoring: leadership, learning, legacy.

As the dental profession develops over the next few decades, there will be identifiable changes in the demography of the profession. Enrollment trends reflect a growing number of women in dental schools and in the dental profession. There is an increasing number of dentists--men and women--from countries and cultures outside of the United States.