Oral healthcare is an integral part of overall health and well-being, and it is a significant and increasing challenge as people grow frail. Incidence of caries and gingivitis among residents of long-term care facilities are on the rise, and daily oral hygiene is often difficult for patients who are frail or in need of assistance. Oral Healthcare and the Frail Elder: A Clinical Perspective provides dentists, dental hygienists, and other healthcare professionals with comprehensive, practical instruction on managing the multifaceted oral healthcare needs of frail elders. By discussing background information and relevant literature, the book provides a holistic approach to clinical issues such as oral pain, dry mouth, and periodontal disease.
Edited by experts in the field, Oral Healthcare and the Frail Elder enhances clinical application with thorough reviews of pertinent social and ethical issues, access to care issues, and the practicalities for overcoming these in order to provide high-quality oral healthcare to an aging population.
About the Author
Michael I. MacEntee, PhD, LDS(I), Dip. Prosth., FRCD(C) isProfessor of Prosthodontics and Dental Geriatrics at the Universityof British Columbia. He established the ELDERS (Elders' Link withDental Education, Research and Service) Group with colleagues atUBC to provide administrative structure to the service needs of ouraging population and to the educational needs of dentists anddental students within an overall context of research. His researchaddresses oral health and quality of life in old age, with aparticular focus on frailty and the psychosocial impact of oralprostheses.
Frauke Müller, Dr. med. dent. habil., is Professorand Chair of Gerodontology and Removable Prosthodontics at theUniversity of Geneva, Switzerland.
Chris Wyatt, BSc, DMD, MSc, Dip Pros, FRCDC, is AssociateProfessor and Chair of Prosthodontics & DentalGeriatrics at the University of British Columbia. He is alsoDirector of the Geriatric Dentistry Program.
Table of Contents
Contributor List vii
Preface: The challenge of frailty xv
1 Theories and significance of oral health in frailty Joanie Sims-Gould Mario A. Brondani S. Ross Bryant Michael I. MacEntee 3
2 Ethical considerations for the oral healthcare of frail elders Mary E. McNally Shafik Dharamsi S. Ross Bryant Michael I. MacEntee 13
3 Oral pain and movement disorders in aging Pierre J. Blanchet Barry Sessle Gilles Lavigne 31
4 Dry mouth and medications W. Murray Thomson Kazunori Ikebe June M. Tordoff A. John Campbell 51
5 Dietary consequences of oral health in frail elders Paula Moynihan Jane Bradbury Frauke Müller 73
6 Management of periodontal and gingival diseases and other oral disorders in frail elders with cardiovascular disease or diabetes Jim Yuan Lai H.C. Tenenbaum Michael B. Goldberg 95
7 Oral health, dysphagia, and aspiration pneumonia Marcia Carr Lynda McKeown Michael I. MacEntee 111
8 Periodontal diseases in frail elders G. Rutger Persson 127
9 Caries and frail elders Chris Wyatt Athena S. Papas Michael I. MacEntee 147
10 Contexts of body image and social interactions among frail elders Leeann Donnelly Laura Hurd Clarke Alison Phinney Michael I. MacEntee 161
11 Communications and education for palliative care Ronald L. Ettinger Shiva Khatami Michael I. MacEntee 173
12 Prevention of oral diseases for a dependent population Heather Frenkel Debora C. Matthews Ina Nitschke 187
13 Prosthodontics, endodontics, and other restorative care for frail elders George Zarb Shane N. White Nico H.J. Creugers Frauke Müller Michael I. MacEntee 211
14 Ethnocultural diversity Stella Kwan Rodrigo Mariño H. Asuman Kiyak Victor Minichiello Michael I. MacEntee 237
15 Palliative care and complications of cancer therapy Martin Schimmel Michael A. Wiseman Stephen T. Sonis Frauke Müller 255
16 A framework for assessing the outcome of oral healthcare in long-term care facilities Matana Kettratad-Pruksapong Arminée Kazanjian B. Lynn Beattie Michael I. MacEntee 273
Appendix: Qualify assessment worksheets Matana Kettratad-Pruksapong Arminée Kazanjian B. Lynn Beattie Michael I. MacEntee 285