The Prevention, Diagnosis, and Treatment of Rapid Oral Health Deterioration (ROHD) among Older Adults.

The world's population is aging. Older adults are at risk for multiple chronic medical problems as they age. The management of these diseases requires these people to take a variety of medications, which may have undesired side effects.

Demographics and social determinants of oral health for baby boomers.

Objective: Age cohorts such as the baby boomers are influenced by historical experiences and the socio-dental events during their lifespan. These events/experiences have impacted their health behavior and consequently, their systemic and oral health. As the baby boomer population is aging, and the majority of them are retaining some of their natural teeth for longer, only fewer are becoming edentulous.

Treatment of an edentulous patient over 23 years showing the influence of systemic health on oral health and quality of life.

This case history follows the treatment of a 61-year-old edentulous woman over a period of 23 years. The patient was wearing complete dentures for 25 years prior to treatment, was in pain, and having difficulty eating. Many treatments were tried, including multiple soft liners, hydroxyapatite to improve her mandibular ridge, and finally an implant-supported-overdenture.

Are Root-Supported Overdentures Still an Alternative to Implant-Supported Overdentures? A Scoping Review.

Purpose: To compare the outcomes of prosthodontic treatment for subjects wearing a complete maxillary denture opposing a root-supported mandibular overdenture (RSO) or an implant-supported mandibular overdenture (ISO).

Methods: A literature search was performed in seven electronic databases: MEDLINE via PubMed interface, Embase, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, and AgeLine. The search terms were developed by the primary investigators and the health sciences librarian, who then started with PubMed and adapted the original search strategy for the other databases.

Global Perspectives of Oral Health Policies and Oral Healthcare Schemes for Older Adult Populations.

The aim of this study was to present a concise summary of the oral health policies and oral healthcare schemes for older adult populations in a number of selected countries around the world. In this paper, the current and planned national/regional oral health policies and oral healthcare schemes of nine countries (Australia, Brazil, China including Hong Kong, India, Japan, Switzerland, Thailand, the United Kingdom, and the United States) are reported. Barriers and challenges in oral health promotion in terms of devising oral health policies, implementing oral health schemes, and educating the future dental workforce are discussed.

Geriatric Dentistry Curriculum in Six Continents.

The purpose of this study was to examine the presence of geriatric dentistry (GD) in the curricula of worldwide dental schools, and to identify and compare their curriculum content. Eighty-three dental schools (16.4% response rate), from 24 countries, in six continents, completed a 25-item online questionnaire, to assess their GD curriculum, and were included in the study.

Cohort differences among aging populations: An update.

Background: The US population is aging. Most older adults are retaining their natural teeth for longer, and fewer are becoming edentulous.

Methods: Among people 65 years and older, there is greater heterogeneity than at any other time in the life cycle because these cohorts are influenced by historical experiences and the sociodental events during their life spans.

Longitudinal Assessment of Denture Maintenance Needs in an Overdenture Population.

Purpose: To evaluate the longitudinal denture maintenance needs of a tooth-supported overdenture population.

Materials And Methods: This prospective cohort study was composed of patients who had received tooth-supported overdentures from 1974 to 1994 in the Department of Prosthodontics, University of Iowa. There were 272 persons with 662 abutments who fulfilled the inclusion criteria.

Curriculum content in geriatric dentistry in USA dental schools.

Objectives: The aim of this study was to re-examine the teaching of geriatric dentistry in the USA dental schools, to identify curriculum content and compare the findings to previous reports.

Methods: All dental schools in the United States were contacted via email with a questionnaire to assess the teaching of geriatric dentistry. Non-responding schools were sent a minimum of three reminder emails to complete the survey.

Postdoctoral Teaching of Geriatric Dentistry in U.S. Dental Schools.

The aim of this study was to determine the number and size of postdoctoral teaching programs in geriatric dentistry in U.S. dental schools and other health professions educational institutions and those programs with Health Resources and Services Administration (HRSA) funding.

Predoctoral Teaching of Geriatric Dentistry in U.S. Dental Schools.

The aim of this study was to assess the current teaching of geriatric dentistry in U.S. dental schools and compare the findings to previous reports.

The Extent and Scope of Prosthodontic Practice in Iowa.

Purpose: The purpose of this questionnaire was to ask general dentists in private practice in the state of Iowa about the extent and scope of their prosthodontic practice.

Materials And Methods: A 22-item questionnaire was developed and tested on 5 general dentists. The Iowa Dental Association agreed to electronically distribute the survey to all general practice dentists in their database.

In vitro evaluation of the marginal integrity of CAD/CAM interim crowns.

Statement Of Problem: The accuracy of interim crowns made with computer-aided design and computer-aided manufacturing (CAD/CAM) systems has not been well investigated.

Purpose: The purpose of this in vitro study was to evaluate the marginal integrity of interim crowns made by CAD/CAM compared with that of conventional polymethylmethacrylate (PMMA) crowns.

Material And Methods: A dentoform mandibular left second premolar was prepared for a ceramic crown and scanned for the fabrication of 60 stereolithical resin dies, half of which were scanned to fabricate 15 Telio CAD-CEREC and 15 Paradigm MZ100-E4D-E4D crowns.

Health trends in a geriatric and special needs clinic patient population.

Purpose: To quantify differences and recent changes in health status among patients attending the Geriatric and Special Needs Dentistry (GSND) and Family Dentistry (FAMD) clinics at the University of Iowa College of Dentistry.

Methods: A total of 388 randomly selected records from patients attending the GSND or FAMD clinics from 1996-2000 or from 2006-2010 were reviewed. Univariate and bivariate analyses were conducted, followed by multivariable logistic regression analyses to compare characteristics of patients across clinics.

Group home caregivers' comfort levels regarding physical resistance during oral hygiene care.

The purpose of this study was to investigate perceived comfort levels, behaviors, and barriers reported by group home caregivers who provide oral hygiene measures to consumers with special health care needs (SHCN) who physically resist the care. A 24-item survey was sent to 884 caregivers employed at six care facilities in Iowa. Bivariate analyses and logistic regression models were used to analyze the data (alpha = 0.

Geriatric dentistry content in the curriculum of the dental schools in Chile.

Objective: The purpose of this study was to identify the status of pre-doctoral geriatric dentistry education among all Chilean dental schools.

Background: Chile is one of the most rapidly ageing countries in Latin America. Consequently, specific knowledge and training on the needs of elderly populations need to be emphasised in dental schools.

In vitro assessment of 3 dentifrices containing fluoride in preventing demineralization of overdenture abutments and root surfaces.

Statement Of Problem: Caries development under overdentures has been a continuing problem and requires the daily use of fluoride to prevent demineralization.

Purpose: The purpose of this in vitro study was to compare the effectiveness of dentifrices containing tricalcium phosphate or calcium phosphosilicate in combination with fluoride to prevent the demineralization of overdenture abutments and root surfaces.

Material And Methods: A total of 56 caries-free extracted teeth were prepared as overdenture abutments.

Incidence of attachment loss of canines in an overdenture population.

Statement Of Problem: Caries and periodontal disease are the most common cause of tooth loss in overdenture populations. Longitudinal data on attachment loss in this population have not been well reported.

Purpose: The purpose of this longitudinal study was to measure periodontal attachment loss in overdenture abutments.

Prevention and nonsurgical management of dental caries over the life course for individuals with special health care needs.

Traditional approaches to caries prevention and management are unlikely to result in successful outcomes for individuals with special health care needs. Intensive prevention-oriented and minimally invasive restorative approaches have the greatest potential to address oral health disparities affecting vulnerable populations. This paper introduces readers to oral health-related issues for patients with special health care needs across the life course and outlines clinical strategies to prevent and manage caries in high-risk patients.

Iowa dentists' involvement in care for patients who are homebound.

This study investigated the frequency of Iowa dentists' provision of in-office and out-of-office dental care for people who are homebound, as well as comparing the practice and educational characteristics among dentists who did and did not provide care for patients who were homebound. The authors mailed a survey form to all licensed dentists on the Iowa State Health Professional license database (n = 1,168), excluding pediatric dentists and orthodontists. A second mailing was sent to all nonrespondents four months later, resulting in 638 returned forms for a 54.