An Expert Opinion from the European College of Gerodontology and the European Geriatric Medicine Society: European Policy Recommendations on Oral Health in Older Adults
An Expert Opinion from the European College of Gerodontology and the European Geriatric Medicine Society: European Policy Recommendations on Oral Health in Older Adults
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DOI：
10.1111/jgs.15191
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发表时间：
2018-03-01
影响因子：
6.3
通讯作者：
Mueller, Frauke
中科院分区：
文献类型：
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作者：
Kossioni, Anastassia E.;Hajto-Bryk, Justyna;Mueller, Frauke
这是一份关于欧洲老年人口腔健康政策建议的专家意见书，特别关注虚弱和护理依赖者，欧洲老年医学院（ECG）和欧洲老年医学会（EUGMS）老年医学任务和完成小组已经开发。老年人的口腔健康往往很差。常见的口腔疾病，如龋齿、牙周病、假牙相关疾病、唾液分泌不足和口腔癌前和癌前疾病，可能导致牙齿脱落、疼痛、局部和全身感染、口腔功能受损和生活质量低下。虽然大多数口腔疾病是可以预防或治疗的，但老年人的口腔问题仍然普遍存在，而且在很大程度上诊断不足，因为虚弱的人往往由于一些障碍和误解而得不到常规的牙科护理。这些障碍包括与人有关的问题，缺乏专业支持，以及缺乏有效的口腔健康政策。确定了三个主要行动领域：卫生保健提供者的教育、卫生政策行动计划以及公民赋权和参与。建议非牙科医疗服务提供者在老年口腔健康中的定义能力列表，以及机构环境中居民的口腔健康促进和疾病预防协议。口腔健康评估应纳入一般健康评估，口腔保健应纳入公共医疗保健覆盖范围，并应确保获得牙科保健。
This is an expert opinion paper on oral health policy recommendations for older adults in Europe, with particular focus on frail and care-dependent persons, that the European College of Gerodontology (ECG) and the European Geriatric Medicine Society (EUGMS) Task and Finish Group on Gerodontology has developed. Oral health in older adults is often poor. Common oral diseases such as caries, periodontal disease, denture-related conditions, hyposalivation, and oral pre- and cancerous conditions may lead to tooth loss, pain, local and systemic infection, impaired oral function, and poor quality of life. Although the majority of oral diseases can be prevented or treated, oral problems in older adults remain prevalent and largely underdiagnosed, because frail persons often do not receive routine dental care, due to a number of barriers and misconceptions. These hindrances include person-related issues, lack of professional support, and lack of effective oral health policies. Three major areas for action are identified: education for healthcare providers, health policy action plans, and citizen empowerment and involvement. A list of defined competencies in geriatric oral health for non-dental healthcare providers is suggested, as well as an oral health promotion and disease prevention protocol for residents in institutional settings. Oral health assessment should be incorporated into general health assessments, oral health care should be integrated into public healthcare coverage, and access to dental care should be ensured.See related editorial by