BOOK
Geriatric Dentistry, An Issue of Dental Clinics of North America, E-Book
(2014)
Additional Information
Book Details
Abstract
This issue of Dental Clinics, edited by Lisa A. Thompson and Leonard J. Brennan, focuses on Geriatric Dentistry. Articles include: Our Current Geriatric Population: Demographic and Oral Health Care Utilization; Physiology of Aging of Older Adults: Systemic and Oral Health Considerations; Treatment Planning Considerations in Older Adults; Oral Health Disparity in Older Adults: Dental Decay and Tooth Loss; Oral Health Disparities in Older Adults: Oral bacteria, Inflammation and Aspiration Pneumonia; Salivary Function and Xerostomia and the Implications of Polypharmacy in Elderly; Systemic and Oral Health; Cognitive Impairment in Older Adults and Oral Health considerations: Treatment and Management; Integrating Oral Health into the Interdisciplinary Health Sciences Curriculum; Innovations in Dental Care Delivery for the Older Adult; and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Geriatric Dentistry\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| Contents | vii | ||
| Dental Clinics Of North America\r | x | ||
| Preface\r | xi | ||
| Erratum | xv | ||
| Our Current Geriatric Population | 717 | ||
| Key points | 717 | ||
| Defining old age | 717 | ||
| Living arrangements | 719 | ||
| Demographic trends | 720 | ||
| Need for dental care | 723 | ||
| Dentures | 723 | ||
| Fixed Prosthodontics | 723 | ||
| Operative Dentistry | 723 | ||
| Endodontics | 723 | ||
| Periodontology | 723 | ||
| Dental care utilization | 724 | ||
| Integration with primary care | 724 | ||
| Clinical and chronic disease risk factors identifiable in the dental practice | 726 | ||
| Summary | 726 | ||
| References | 726 | ||
| Physiology of Aging of Older Adults | 729 | ||
| Key points | 729 | ||
| Introduction | 729 | ||
| Physiology of aging | 730 | ||
| Systemic changes associated with oral health | 730 | ||
| Cardiovascular | 730 | ||
| Pulmonary | 731 | ||
| Musculoskeletal | 732 | ||
| Liver | 732 | ||
| Kidney | 732 | ||
| Oral and pharyngeal changes | 732 | ||
| Dentition | 733 | ||
| Enamel | 733 | ||
| Dentin | 733 | ||
| Pulp | 733 | ||
| Cementum | 734 | ||
| Periodontal Apparatus | 734 | ||
| Oral Mucosa | 734 | ||
| Saliva | 735 | ||
| Taste and Smell | 736 | ||
| Mastication, Speech, and Swallowing | 736 | ||
| Summary | 737 | ||
| References | 737 | ||
| Treatment Planning Considerations in Older Adults | 739 | ||
| Key points | 739 | ||
| Introduction | 739 | ||
| Profile of older adults | 740 | ||
| Goals of the treatment-planning process | 740 | ||
| Review of conventional treatment planning | 742 | ||
| Models of geriatric dental treatment planning | 743 | ||
| Decision-making capacity, competency, and informed consent | 746 | ||
| Authors’ case report | 746 | ||
| Presentation and Examination | 746 | ||
| Factors in Assessment | 747 | ||
| Factors in Planning and Implementation | 749 | ||
| Treatment | 749 | ||
| Alternative Treatment Comparisons | 750 | ||
| Summary | 751 | ||
| References | 752 | ||
| Oral Health Disparity in Older Adults | 757 | ||
| Key points | 757 | ||
| Introduction | 757 | ||
| Epidemiology of edentulism and dental decay in older adults | 758 | ||
| Prevalence of untreated dental caries in older adults | 758 | ||
| Future trends | 760 | ||
| Access to dental care for residents in long-term care facilities | 760 | ||
| Long-Term Care Facilities | 760 | ||
| Inadequate supply and geographic maldistribution of dental providers | 761 | ||
| Inadequate Supply of Dentists | 761 | ||
| Maldistribution of Dentists | 762 | ||
| Economics of dental care | 762 | ||
| Obstacles to older adult dental care | 763 | ||
| Social implications of tooth loss and tooth decay in the elderly | 763 | ||
| Impact on Employment | 763 | ||
| Quality of Life | 765 | ||
| Social implications of disparities in access or oral health care for older adults | 765 | ||
| Summary | 767 | ||
| References | 767 | ||
| Oral Health Disparities in Older Adults | 771 | ||
| Key points | 771 | ||
| Introduction | 771 | ||
| Epidemiology | 772 | ||
| Risk factors | 773 | ||
| Pathogenesis | 773 | ||
| Oral health and AP | 775 | ||
| Oral care to prevent AP | 775 | ||
| Tentative guidelines for oral care of dependent, elderly patients to prevent respiratory infection | 776 | ||
| Summary | 777 | ||
| References | 778 | ||
| Oral Implications of Polypharmacy in the Elderly | 783 | ||
| Key points | 783 | ||
| Introduction | 783 | ||
| Changes in the elderly population | 784 | ||
| Age-related effects on the body | 784 | ||
| The elderly and medications | 785 | ||
| Most Common Anticholinergic Medications | 785 | ||
| Side Effects of Medications | 785 | ||
| How Does Anticholinergic Medication Work? | 785 | ||
| Beers criteria | 787 | ||
| Role of saliva | 787 | ||
| Adverse events of salivary hypofunction in the oral cavity | 787 | ||
| Xerostomia | 788 | ||
| Dental Carious Lesions | 788 | ||
| Candidiasis | 788 | ||
| Burning Tongue | 789 | ||
| Tooth Surface Loss | 789 | ||
| Fissuring of the Tongue | 790 | ||
| Difficulty with Swallowing and Speech | 791 | ||
| Mucositis | 791 | ||
| Loss of Taste Perception | 791 | ||
| Overcoming anticholinergic effects | 792 | ||
| Mechanical and gustatory stimulation | 792 | ||
| Xylitol | 792 | ||
| Supersaturated calcium and phosphate | 793 | ||
| Fluoride | 793 | ||
| Salivary substitutes | 793 | ||
| Regular dental care | 793 | ||
| Acknowledgments | 793 | ||
| References | 794 | ||
| Systemic Diseases and Oral Health | 797 | ||
| Key points | 797 | ||
| Introduction | 797 | ||
| DM | 798 | ||
| Systemic Complications of Diabetes | 799 | ||
| Oral Health Implications of Diabetes | 800 | ||
| Drug Interactions and Effects | 801 | ||
| Recommendations for Providing Dental Care to Diabetics | 801 | ||
| Hypertension | 802 | ||
| Systemic Complications of Hypertension | 802 | ||
| Oral Health Implications of Hypertension | 803 | ||
| Drug Interactions and Effects | 803 | ||
| Recommendations for Providing Dental Care to Hypertensive Patients | 804 | ||
| CVDs | 804 | ||
| Oral Health Complications of CVDs | 805 | ||
| Drug Interactions and Effects | 805 | ||
| Recommendations for Providing Dental Care to Patients with CVDs | 806 | ||
| Cerebrovascular disease | 806 | ||
| Systemic Complications of Stroke | 806 | ||
| Oral Health Complications of Stroke | 806 | ||
| Drug Interactions and Effects | 806 | ||
| Recommendations for Providing Dental Care to Patients Affected by Stroke | 807 | ||
| Arthritis | 807 | ||
| Oral Health Implications of Arthritis | 807 | ||
| Drug Interactions and Effects | 807 | ||
| Recommendations for Providing Dental Care to Patients with Arthritis | 807 | ||
| Osteoporosis | 808 | ||
| Oral Health Implications of Osteoporosis | 808 | ||
| Drug Interactions and Effects | 808 | ||
| Recommendations for Providing Dental Care to Patients with Osteoporosis | 808 | ||
| Summary | 809 | ||
| References | 809 | ||
| Cognitive Impairment in Older Adults and Oral Health Considerations | 815 | ||
| Key points | 815 | ||
| Introduction | 815 | ||
| Demographics of cognitive impairment | 816 | ||
| What is a healthy brain and good cognitive health? | 817 | ||
| Cognitive impairment in older adults | 817 | ||
| Reversible Cognitive Impairment | 817 | ||
| Mild Cognitive Impairment | 819 | ||
| Dementia | 820 | ||
| Medical and dental health history | 821 | ||
| Early intervention | 821 | ||
| Older adults do not communicate dental problems | 822 | ||
| Communication and behavioral strategies for the cognitively impaired | 822 | ||
| Treatment planning considerations and rational care for the cognitively impaired | 823 | ||
| The importance of using an interdisciplinary approach in providing dental treatment for the cognitively impaired patient | 824 | ||
| Summary | 824 | ||
| References | 825 | ||
| Integrating Oral Health into the Interdisciplinary Health Sciences Curriculum | 829 | ||
| Key points | 829 | ||
| Introduction | 829 | ||
| Background and significance | 831 | ||
| Oral Health Call-to-Action | 831 | ||
| IPE for Collaborative Practice and Teamwork | 831 | ||
| Connecting Dental and Health Sciences through Innovations | 833 | ||
| Bouvé College | 833 | ||
| Oral Health TIPS | 834 | ||
| Program Overview | 834 | ||
| Approach | 834 | ||
| Adopting competency-based curricula | 835 | ||
| Strengthening educational resources | 835 | ||
| Promoting team-based practice | 835 | ||
| Leveraging educational technologies | 836 | ||
| Designing experiential learning | 836 | ||
| Interprofessional collaborative practice in action | 837 | ||
| Geriatric dental assessment: oral, systemic, capability, autonomy, and reality | 839 | ||
| Oral Examination | 839 | ||
| Systemic Examination | 839 | ||
| Capability | 839 | ||
| Summary | 840 | ||
| Acknowledgments | 840 | ||
| Autonomy | 840 | ||
| Reality | 840 | ||
| Case summary | 840 | ||
| References | 841 | ||
| Innovations in Dental Care Delivery for the Older Adult | 845 | ||
| Key points | 845 | ||
| Introduction | 845 | ||
| Dental and dental hygiene education | 846 | ||
| The practice of dentistry: is there a need to change? | 846 | ||
| New trends in dental education and practice | 847 | ||
| Collaborative practice among dental providers | 848 | ||
| Cross-training and collaborative care | 849 | ||
| Creative dental delivery systems | 850 | ||
| The Group Denture Appointment | 850 | ||
| Placing Theory into Practice | 851 | ||
| Summary | 853 | ||
| References | 853 | ||
| Index | 857 |