Root Caries in Older Adults: A Complex Interplay of Oral Health, Systemic Disease, and Socioeconomic Factors - An Evidence-Based Review
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The global demographic shift toward an aging population has created unique challenges in oral healthcare delivery, with root caries emerging as a significant concern among older adults. The current evidence on root caries prevention and management strategies, the intersection of clinical interventions and public health approaches are reviewed throughout the paper. The effectiveness of preventive protocols, technological innovations, and community-based programs were evaluated through systematic analysis of recent five years of literatures. Our findings demonstrate that successful root caries management requires an integrated approach combining high-concentration fluoride interventions, minimally invasive treatments, and targeted public health programs. For future, developing risk assessment algorithms, teledentistry applications, and specialized preventive protocols could potentially cost-benefit ratios of up to 1:38. Notably, community-based programs incorporating caregiver education and mobile dental services have reduced root caries incidence by 40-65% in various elderly populations. These findings underscore the importance of developing sustainable, evidence-based strategies that address both individual patient care and populationlevel interventions, particularly considering projected increases in the global elderly population to 2 billion by 2050. The review provides a framework for healthcare providers and policymakers to implement comprehensive root caries management programs tailored to aging populations.
Abstract
The global demographic shift toward an aging population has created unique challenges in oral healthcare delivery, with root caries emerging as a significant concern among older adults. The current evidence on root caries prevention and management strategies, the intersection of clinical interventions and public health approaches are reviewed throughout the paper. The effectiveness of preventive protocols, technological innovations, and community-based programs were evaluated through systematic analysis of recent five years of literatures. Our findings demonstrate that successful root caries management requires an integrated approach combining high-concentration fluoride interventions, minimally invasive treatments, and targeted public health programs. For future, developing risk assessment algorithms, teledentistry applications, and specialized preventive protocols could potentially cost-benefit ratios of up to 1:38. Notably, community-based programs incorporating caregiver education and mobile dental services have reduced root caries incidence by 40-65% in various elderly populations. These findings underscore the importance of developing sustainable, evidence-based strategies that address both individual patient care and populationlevel interventions, particularly considering projected increases in the global elderly population to 2 billion by 2050. The review provides a framework for healthcare providers and policymakers to implement comprehensive root caries management programs tailored to aging populations.
참고문헌 (27)
- Anderson M, "Global trends in elderly oral health : A systematic review", J Public Health Dentistry, 83, pp.145~157 (2023)
- Brown R, "Medicationinduced xerostomia in elderly patients", Gerodontology, 38, pp.278~289 (2021)
- Community water fluoridation impact report, "Centers for Disease Control and Prevention", ~, pp.CDC Oral Health Division Annual Review (2023)
- Global Burden of Disease Collaborative Network, "Global burden of disease study 2022", Lancet, 400, pp.2053~2066 (2022)
- Griffin SO, "Root caries prevalence and severity in US adults", J Dental Research, 99, pp.1279~1286 (2020)
- Chen K, "Two-step silver diamine fluoride protocol for root caries management", J Dental Research, 92, pp.412~425 (2023)
- Johnson R, "Systemic disease impact on root caries development", Int J Dentistry, 45, pp.167~178 (2022)
- Kumar P, "Teledentistry applications in geriatric oral health", Digital Health J, 12, pp.289~301 (2023)
- Lee SY, "Risk assessment matrix for root caries management", J Clinical Dentistry, 41, pp.78~92 (2024)
- Martinez A, "Implementing root caries prevention in residential care", Gerodontology, 39, pp.156~169 (2022)
- Park J, "Complex case management in elderly patients with root caries", Clinical Case Reports, 11, pp.234~248 (2023)
- Richardson T, "Longterm outcomes of fluoride protocols in elderly patients", Preventive Dentistry J, 35, pp.345~359 (2023)
- Rodriguez S, "Mobile dental services for elderly care", Community Dental Health, 40, pp.178~192 (2023)
- Smith K, "Gingival recession patterns in aging populations", J Periodontology, 48, pp.721~728 (2021)
- Thompson R, "Adapted oral hygiene protocols for limited dexterity patients", Special Care in Dentistry, 43, pp.167~180 (2023)
- Williams E, "Community health worker impact on elderly oral health", Public Health Dentistry, 83, pp.89~102 (2023)
- Wilson P, "Professional management of root caries", Int Dental J, 73, pp.45~52 (2023)
- Global oral health report 2023, "World Health Organization", ~, pp.WHO Technical Report Series (2023)
- Yamamoto T, "Professional fluoride application protocols", Clinical Preventive Dentistry, 44, pp.234~247 (2022)
- Zhang J, "Salivary factors in elderly patients", Gerodontology, 36, pp.382~388 (2019)
- Ageing and health key facts, "World Health Organization", WHO Global Health Observatory, ~ (2021)
- Thompson R, "Global trends in root caries : A ten-year analysis", J Dental Research, 91, pp.956~968 (2022)
- Economic analysis of oral health interventions, "World Health Organization", WHO Health Economics Planning Division, ~ (2023)
- Lee JH, "Age-related changes in dentin composition and their impact on caries susceptibility", J Dental Research, 92, pp.334~345 (2021)
- Chen K, "Impact of caregiver training on oral health outcomes in residential care settings", Gerodontology, 39, pp.123~135 (2022)
- Lee SY, "Specialized mouth rinse formulations for elderly patients", J Clinical Dentistry, 40, pp.167~179 (2022)
- Zhang L, "Machine learning applications in root caries risk assessment", Digital Dentistry J, 14, pp.278~291 (2023)