Rapid Oral Health Deterioration in Older People—A Narrative Review from a Socio-Economic Perspective

Poor oral health is a common morbidity in old age with older adults less likely to attend dental care and more likely to have dental disease; this situation is exacerbated by older adults retaining more teeth often with complex restorations. Evidence suggests that some older adults experience rapid...

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Main Authors: Linda Slack-Smith, Gina Arena, Lydia See
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/6/2396
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author Linda Slack-Smith
Gina Arena
Lydia See
author_facet Linda Slack-Smith
Gina Arena
Lydia See
author_sort Linda Slack-Smith
collection DOAJ
description Poor oral health is a common morbidity in old age with older adults less likely to attend dental care and more likely to have dental disease; this situation is exacerbated by older adults retaining more teeth often with complex restorations. Evidence suggests that some older adults experience rapid oral health deterioration (ROHD). While more clinical and population level evidence is needed, current evidence suggests upstream changes addressing disadvantage through the social determinants of health (SDH) may impact broader disorders such as ROHD, often occurring as older adults become dependent. The aim of this paper is to conduct a narrative review to explore the social determinants of ROHD in older adults. The social determinants of health are important in understanding oral health including ROHD. This includes the important influence of the economic determinants. We explored the SDH as relevant to oral health and ROHD including using a framework based on that of the Fisher-Owens conceptual model (for children) but adapted for older adults. Better understanding of these relationships is likely to assist in future prevention and care.
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spelling doaj.art-5b46214f830f46768196702b6d3523552023-11-17T11:52:17ZengMDPI AGJournal of Clinical Medicine2077-03832023-03-01126239610.3390/jcm12062396Rapid Oral Health Deterioration in Older People—A Narrative Review from a Socio-Economic PerspectiveLinda Slack-Smith0Gina Arena1Lydia See2School of Population and Global Health M431, The University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, AustraliaSchool of Population and Global Health M431, The University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, AustraliaSchool of Dentistry, The University of Queensland, 288 Herston Road, Herston, QLD 4006, AustraliaPoor oral health is a common morbidity in old age with older adults less likely to attend dental care and more likely to have dental disease; this situation is exacerbated by older adults retaining more teeth often with complex restorations. Evidence suggests that some older adults experience rapid oral health deterioration (ROHD). While more clinical and population level evidence is needed, current evidence suggests upstream changes addressing disadvantage through the social determinants of health (SDH) may impact broader disorders such as ROHD, often occurring as older adults become dependent. The aim of this paper is to conduct a narrative review to explore the social determinants of ROHD in older adults. The social determinants of health are important in understanding oral health including ROHD. This includes the important influence of the economic determinants. We explored the SDH as relevant to oral health and ROHD including using a framework based on that of the Fisher-Owens conceptual model (for children) but adapted for older adults. Better understanding of these relationships is likely to assist in future prevention and care.https://www.mdpi.com/2077-0383/12/6/2396oral diseaseolder adultsrapid oral health deteriorationsocial determinants of health
spellingShingle Linda Slack-Smith
Gina Arena
Lydia See
Rapid Oral Health Deterioration in Older People—A Narrative Review from a Socio-Economic Perspective
Journal of Clinical Medicine
oral disease
older adults
rapid oral health deterioration
social determinants of health
title Rapid Oral Health Deterioration in Older People—A Narrative Review from a Socio-Economic Perspective
title_full Rapid Oral Health Deterioration in Older People—A Narrative Review from a Socio-Economic Perspective
title_fullStr Rapid Oral Health Deterioration in Older People—A Narrative Review from a Socio-Economic Perspective
title_full_unstemmed Rapid Oral Health Deterioration in Older People—A Narrative Review from a Socio-Economic Perspective
title_short Rapid Oral Health Deterioration in Older People—A Narrative Review from a Socio-Economic Perspective
title_sort rapid oral health deterioration in older people a narrative review from a socio economic perspective
topic oral disease
older adults
rapid oral health deterioration
social determinants of health
url https://www.mdpi.com/2077-0383/12/6/2396
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