http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-2.xsd
Fully updated reference to clinical knowledge and strategies for effective oral healthcare in frail older adults Taking an evidence-based approach, with theoretical and clinical knowledge underpinned by the literature, Oral Healthcare and the Frail Elder provides a comprehensive reference to management strategies for dental diseases as noncommunicable diseases in older populations. The book presents a global perspective with current guidance for clinicians, addressing the particular challenges of providing dental care for people who are confronting frailty in old age. Reflecting the numerous developments in the discipline since the previous edition was published, this Second Edition has been thoroughly updated throughout with 15 new chapters. The first section covers background information, including demographics, social considerations, and factors affecting oral health in this population. The second half of the book is devoted to clinical management strategies. Some of the new topics discussed in this edition of Oral Healthcare and the Frail Elder include: Theories and significance of oral health in frailty and oral health-related quality of life, and the influence of the life-course on oral health How sugar, tobacco, and alcohol initiate and sustain oral diseases, as with other noncommunicable diseases, into old age Mitigation of dental caries, periodontitis, gingivitis, mucositis, and other non-communicable diseases of the mouth Infection control, communications and tele-dentistry, mobile dental services, and strategies to appraise the usefulness of community-based oral healthcare programs With an emphasis on population and public health in the context of non-communicable disease, the Second Edition of Oral Healthcare and the Frail Elder is an important resource for clinicians dealing with the geriatric population, including dentists, dental hygienists, dental therapists, denturists and dental technicians, nurses, and geriatricians.
Foreword -- Preface -- List of Contributors -- 1 Demography of Aging and Frailty, and the Epidemiology of Oral Conditions 1 W. Murray Thomson, Moira B. Smith, Fernando Neves Hugo, and Philippe Mojon -- Demography of Aging and Frailty -- The Aging Population -- Conceptualizing Aging -- Multimorbidity -- Frailty -- Oral Frailty -- Importance of the Life-Course -- Epidemiology of Oral Conditions in Older People -- Edentulism and Incremental Tooth Loss -- Dental Caries -- Periodontitis -- Oral Mucosal Lesions -- Dry Mouth -- Muscular and Joint Disorders -- Conclusion -- References -- 2 Challenges with Noncommunicable Diseases and Frailty 16 Michael I. MacEntee, Paul Allison, Denise Laronde, and Bruce Wallace -- Noncommunicable Disease -- Frailty -- Noncommunicable Diseases of the Mouth -- Dental Caries -- Periodontal Disease -- Tooth Loss -- Oral Cancers -- Risks for Noncommunicable Diseases of the Mouth -- Sugar -- Tobacco -- Alcohol -- Aging -- Immune System and Oxidative Stress -- Other Risks -- Social Determinants -- Conclusion -- References -- 3 Theoretical Perspectives on Frailty, Oral Health- Related Quality of Life, and Well- Being in Old Age 37 Michael I. MacEntee, Dominique Niesten, Mario A. Brondani, and Maha M. Al-Sahan -- Health -- International Classification of Functioning -- Oral Health -- Comfort, Well-Being, and Quality of Life -- The Myth of Measurement -- Frailty -- Oral Frailty -- Managing Ill-Health and Frailty -- A Metatheory -- A Clinical Scenario -- Conclusion -- References -- 4 Communities and Frail Elders 54 C. Peter Owen, Michael I. MacEntee, Rodrigo Marino, Victor Minichiello, and Gladys Meriting Thokoane -- What Is a Community? -- Culture and Ethnicity -- Culture and Acculturation -- Ethnicity -- Communities of Elders -- Barriers to Equitable Healthcare -- Agism -- Racism -- Migration -- Equitable Healthcare and Cultural Competence -- Health Advocacy -- Conclusion -- References -- 5 Oral Healthcare Policy, Equity, Economics, and Political Action for Aging Populations 68 F.A. Clive Wright, Michael I. MacEntee, Joke Duyck, Moira B. Smith, Bruce Wallace, and C. Peter Owen -- Purpose of Policy -- Categories of Public Health Policy -- Uniqueness of Health Policy -- Forming Health Policy -- Equality and Equity -- Agism -- Adopting Health Policy -- Financial Policies -- Analyzing and Assessing Health Policy -- Global Strategy on Oral Health -- The Challenge -- Promoting Oral Healthcare Policies -- Oral Healthcare Workforce -- Pyramid of Primary Oral Healthcare -- Conclusion -- References -- 6 The Influence of the Mouth and Mouthcare on the Body-Image and Social Interactions of Frail Elders 87 Leeann Donnelly, Laura Hurd, Alison Phinney, and Michael I. MacEntee -- Body-Image and Oral Health -- Social Isolation, Loneliness, and Depression -- Clinical Implications -- Oral Health and Social Interactions -- Clinical Script -- Conclusion -- References -- 7 Ethical and Moral Considerations for Oral Healthcare of Frail Elders 96 Michael I. MacEntee, Mario A. Brondani, Nico Creugers, Shafik Dharamsi, and Mary E. McNally -- Healthcare Ethics -- Frailty -- Ethical Theory and Principles in Healthcare -- Patient-Centered Care, Care Ethics, Narrative Ethics, and Feminism -- Moral Distress -- Moral Injury -- Surrogate Decision-Makers -- Ethical Dilemmas -- Socially Responsible Care -- Universal Health Coverage -- Professional Responsibilities -- Elder Abuse -- Reporting Abuse -- Identifying and Managing Elder Abuse -- An Ethical Framework -- Clinical Context -- Clinical Scripts -- Complexities -- References -- 8 Educating a Workforce for Dental Geriatrics 115 Matana Kettratad-Pruksapong, Shiva Khatami, Linda Slack-Smith, Jirakate Madiloggovit-Lower, Leonardo Marchini, C. Peter Owen, and Michael I. MacEntee -- Teaching and Learning Dental Geriatrics -- Exposure to Frailty -- Postgraduate Education -- Cultivating Clinical Reasoning -- Promoting Compassion -- Healthcare-Teams -- Conclusion -- References -- 9 Chronic Orofacial Pain and Movement Disorders in Old Age and Frailty 125 Pierre J. Blanchet, Limor Avivi-Arber, Barry J. Sessle, and Gilles J. Lavigne -- Assessing Pain -- Age-Related Changes in Processing Pain -- Mechanisms of Processing and Modulating Pain -- Afferent Nerve Fibers -- Pain Processing and Modulation -- Pain-Related Sensorimotor and Other Functions of the CNS -- Orofacial Pain -- Temporomandibular Disorder (TMD) Pain -- Management of TMD Pain -- Lesion or Disease of the Cranial Nerves -- Trigeminal Neuralgia -- Other Trigeminal Neuropathic Pain -- Postherpetic Neuralgia -- Idiopathic Orofacial Pain Conditions -- Burning Mouth Syndrome -- Persistent Idiopathic (Atypical) Facial Pain -- Persistent Idiopathic Dentoalveolar Pain (Atypical Odontalgia) -- Movement Disorders and Orofacial Pain -- Oromandibular Dystonia -- Management of Oromandibular Dystonia -- Oral Dyskinesia -- Management of Oral Dyskinesia -- Stereotypies -- Management of Stereotypies -- Bruxism -- Management of Bruxism -- Parkinson Disease -- Management of Parkinson Disease -- Conclusion -- References -- 10 Nutritional Consequences of Oral Health in Frail Elders 143 Paula Moynihan, Kazunori Ikebe, and Rena Zelig -- Changing Nutritional Needs of Frail Elders -- Energy Requirements -- Protein -- Micronutrients -- Vitamins -- Minerals -- Hydration -- Malnutrition/Undernutrition in Elders -- Malnutrition/Undernutrition Prevalence in Facility and Community Settings -- Reasons for Malnutrition -- Consequences of Malnutrition -- Assessing Malnutrition in Older People -- Interventions for Patients with, or at Risk of, Malnutrition/Undernutrition -- Diet and Oral Health in Frail Elders -- Diet and Dental Caries in Frail Elders -- Oral Function and Nutrition -- Importance of Oral Health in Preventing Frailty -- Impact of Prosthodontics on Diet -- Wearing Dentures -- Dentures and Eating-Related Quality of Life -- Dietary Advice with Tooth Loss -- References -- 11 Dry Mouth and Medications 160 W. Murray Thomson and Chao Shu Yao -- The Salivary System -- Nerve Supply -- The Role of Saliva -- What Is Dry Mouth? -- How Do We Measure Dry Mouth? -- Prevalence and Impact of Dry Mouth -- Medications and Dry Mouth -- Managing and Preventing Dry Mouth -- Conclusion -- References -- 12 Dementia, Sleep Apnea, and Dysphagia 180 Michael I. MacEntee, Fernanda Almeida, B. Lynn Beattie, Najla Chebib, and Frauke M|ller -- Dementia -- Diagnostic Challenges -- Care-Resistant Behavior -- Preparing for the Worst -- Home Care and Prophylaxis -- Sleep and Aging -- Common Sleep Disorders in Old Age -- Insomnia -- Restless Legs Syndrome (RLS) and Periodic Limb Movements in Sleep -- REM Sleep Behavior Disorder -- Sleep-Disordered Breathing -- OSA and Complete Dentures -- Swallowing, Dysphagia, and Pneumonia -- Swallowing -- Oral Phases -- Pharyngeal and Esophageal Phases -- Dysphagia -- Aspiration -- Pneumonia -- Controversy -- References -- 13 A Framework for Assessing Oral Healthcare Programs in Residential Care Facilities 200 Matana Kettratad-Pruksapong, Joke Duyck, Michael I. MacEntee, Arminee Kazanjian, and B. Lynn Beattie -- Challenges -- Healthcare Accountability -- Quality of Care-Assessment -- Program Evaluation -- Meaningful Outcomes in Residential Care -- Residential Facilities -- Conclusion -- References -- 14.1 Mitigating the Effects of Harmful Commodities on Dental Caries and Periodontal Diseases: Section 1: Dental Caries 208 Alan A. Deutsch, W. Murray Thomson, and Michael I. MacEntee -- Caries Through the Life-Course -- Caries Risk -- Risk Assessment -- Prevention and Management -- Dietary Sugars -- Saliva -- Fluorides -- Oral Hygiene -- Conclusion -- References -- 14.2 Mitigating the Effects of Harmful Commodities on Dental Caries and Periodontal Diseases: Section 2: Periodontitis and Gingivitis 217 Jim Yuan Lai,.
Howard C. Tenenbaum, Michael B. Goldberg, and Elaine Cardoso -- Periodontitis as a Noncommunicable Disease -- Pathogenesis -- Mitigation and Management -- Periodontitis and Other Noncommunicable Diseases -- Diabetes -- Managing Periodontal Conditions for Frail Elders with Diabetes -- Hypoglycemic Emergency -- Cardiovascular Diseases -- Epinephrine and Cardiovascular Disease -- Treatment Sessions -- Anticoagulants and Postsurgical Bleeding -- Conclusion -- References -- 15 Treatment Planning, and Integrating Oral and General Healthcare 226 C. Peter Owen, Joke Duyck, Barbara Janssens, David MacDonald, Chao Shu Yao, Alan A. Deutsch, and Michael I. MacEntee -- Integrating Oral and General Health -- Integrated Care -- Assessing the Need for Care -- Age -- General Health -- Communications -- Social and Financial Status -- Environment -- Mobility -- Cooperation -- Clinical Assessment--Screens -- Screening by Dental Personnel -- Screening by Nondental Personnel -- Radiography -- Planning Protocols -- Infections -- Contamination -- Control -- Waste Management -- Disinfecting Environmental Surfaces and Fomites -- Conclusion -- References -- 16 Care and Management of Frail and Osteoporotic Elders with Special Emphasis on Minor Oral Surgery 245 Michael M. Bornstein and Pedro Molinero-Mourelle, Minor Oral Surgery for Elders--General Considerations -- Local Anesthesia -- Sedation and General Anesthesia -- Presurgical Considerations -- The Osteoporotic Patient -- Antiresorptive Therapy -- Respiratory Conditions -- Cardiovascular Diseases -- Antibiotic Prophylaxis -- Antiplatelet and Anticoagulant Drugs -- Diabetes Mellitus -- Psychological Disorders -- Cancer -- Recommendations and Conclusion -- References -- 17 Oral Rehabilitation of the Frail Elder 260 C. Peter Owen, Shane White, Gerald McKenna, Sabrina Maniewicz, Nico Creugers, Michael I. MacEntee, and Frauke M|ller -- Endodontic Rehabilitation -- Epidemiology and Diagnosis -- Endodontic Outcomes -- Patient Considerations -- Technical Challenges -- Restoring Endodontically Treated Teeth -- Structurally Weak Teeth -- Partial Tooth-Loss -- Shortened Dental Arch -- Resin-Bonded Fixed Dental Prostheses -- Metal-Ceramic Prostheses -- Fiber-Reinforced Composite -- Removable Dental Prostheses -- Tooth-Supported Overdentures -- Complete Tooth-Loss -- Mucosa-Borne Complete Dentures -- Relining Removable Dentures -- Duplicating Dentures -- Labeling Removable Dentures -- Implant-Supported Prostheses -- Dental Restorations and Prostheses -- Digitally Constructed Prostheses -- Cross-Infection During Dental Treatment -- Denture Hygiene -- Sleep Apnea and Denture Use -- Conclusion -- References -- 18 Integrating Oral Health in Palliative Medicine 286 Martin Schimmel, Frauke M|ller, Chao Shu Yao, Stephen Sonis, and Michael Wiseman -- Dentistry in Palliative Care -- Oral Health in Palliative Care -- Therapies -- Radiation Therapy -- Chemotherapy -- Immunotherapy and Targeted Therapy -- Oral Health and Terminal Illness -- Oral Mucositis -- Treating Oral Mucositis -- Scoring Mucositis -- Preventing and Treating Mucositis -- Oral Hygiene and Dental Caries -- Dry Mouth -- Fungal Infections -- Taste Disorders and Dysphagia -- Nausea and Vomiting -- Dentistry -- Conclusion -- References -- 19 Mobile Dental Services 303 Murali Srinivasan, Barbara Janssens, David MacDonald, and Frauke M|ller -- Preferences of Frail Elders -- Service Models -- Fixed Dental Clinics -- Mobile Dental Clinics -- Mobile Equipment -- Portable Domiciliary Care -- Mobile Clinic in a Vehicle -- Lighting Mobile Clinics -- Setting-up Mobile Dental Services -- A Mobile Clinic -- Equipment and Instruments -- Organization -- Costs -- Scope of Mobile Services -- Cost-Effectiveness -- Challenges -- Mitigating Challenges -- Setting-up Mobile Equipment -- Conclusion -- References -- 20 Communications and Teledentistry 316 Chris Wyatt, Mario A. Brondani, Leeann Donnelly, Nicholas Tong, and Shunhau To -- Introduction -- Principles of Communication -- Person-Centered Communication -- Communication Strategies -- Institutional Communication -- Community Dental Clinic Communication -- Interprofessional Communication -- Medical and Dental Records -- Teledentistry -- Teledentistry Referrals -- Conclusion -- References -- 21 Oral Healthcare for Frail Elders in Low- Income Communities 329 C. Peter Owen, Matana Kettratad-Pruksapong, Matshediso Mothopi-Peri, Frankie Hon Ching So, F.A. Clive Wright, and Michael I. MacEntee -- Global Expenditures on Health -- Appropriatech -- Responses to Constrained Resources -- Australia and New Zealand -- Canadian Indigenous Communities -- Hong Kong -- South Africa -- Thailand -- Conclusion -- References -- 22 Summary 340 Michael I. MacEntee -- Index.
edited by Michael I. MacEntee, Frauke M|ller, C. Peter Owen, W. Murray Thomson.
Includes bibliographical references and index.