Dental Care for Older Adults

Int J Environ Res Public Health. 2022 Dec 23;20(1):214. doi: 10.3390/ijerph20010214.

Abstract

There is a global increase in the older population. Unfortunately, dental conditions in the older population can sometimes be poor as a result of worsened physical conditions and the cumulative damage caused by dental diseases in the past. Many suffer from oral diseases such as dental caries and periodontal disease but receive no regular dental care. Oral conditions and systemic problems are interrelated. Chronic medical problems and polypharmacy are common among them. These conditions may lead to xerostomia with or without a decrease in saliva output. Additionally, many older adults have deteriorated masticatory function associated with physical health issues such as frailty. Preventive measures are crucial to stop oral diseases from progressing and the replacement of missing teeth is needed when masticatory function is impaired. Older adults also suffer a higher risk of oral cancer because of their less resilient but more permeable oral mucosa. With the increasing need for elderly dental care, dentists should equip themselves with knowledge and skills in geriatric dentistry. They should help older adults to develop and maintain the functional ability that enables well-being in older age. This communication article aims to discuss the relevant medical conditions, common dental diseases, and dental care for older adults.

Keywords: masticatory function; medical conditions; older adult; replacement of missing teeth; silver diamine fluoride; xerostomia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Dental Care
  • Dental Caries*
  • Humans
  • Mouth Diseases* / epidemiology
  • Oral Health
  • Periodontal Diseases* / epidemiology

Grants and funding

This study was supported by The University of Hong Kong Seed Fund for Basic Research #201910159256.