Textbook of Geriatric Dentistry E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 1260

Veröffentlichungsjahr: 2015

Beschreibung

Textbook of Geriatric Dentistry, Third Edition provides a comprehensive review of the aging process and its relevance to oral health and dentistry. Now in full colour, this third edition has been fully revised and updated with new material encompassing recent research and clinical developments within geriatric dentistry. Written in a clear and accessible style, this is an essential guide to geriatric dental practice for undergraduate and postgraduate dentistry students and practicing clinicians alike. 

Key features include:

• Contributions from an international group of expert authors
• Comprehensive coverage of oral healthcare issues in the older adult, from demographics and physiology through to nutrition and pharmacology
• Provides both foundational knowledge and a guide to clinical management
• New chapters including material on orofacial pain, quality of life and treatment planning

Leseprobe

Table of Contents

Cover

Title Page

Copyright

Notes on contributors

Preface Third edition, 2015

Preface Second edition, 1996

Preface First edition, 1986

Chapter 1: Demography – impact of an expanding elderly population

Introduction

Causes and consequences of population aging

Relationship between individual aging and population aging

Population aging and geriatric dentistry

Further reading

Chapter 2: Biological and physiological aspects of aging

What is aging and why does it occur?

Aging of cells: molecular mechanisms of aging

Aging of organ systems

Conclusions

References

Chapter 3: Aging of bone and muscle

Summary

Bone loss in aging

Sarcopenia

References

Chapter 4: Sensory changes and communication in the practitioner–aged patient relationship

The importance of dental communication

Elements of communication

Sensory changes with aging

Memory and learning in old age

Implications of sensory and cognitive declines for the dental practitioner

Nonverbal communication

Communicating with elders who have dementia

Communicating with caregivers of elders with dementia

Cultural differences and cultural competence

Experience with the dental care system

Age-related changes in oral-sensory functions

Conclusions

Further reading

Chapter 5: Aging from a psychological perspective

Background

Historical overview

Cognitive processes and aging

Conclusion

References

Chapter 6: The impact of social and environmental forces on aging*

Introduction

Older adults in the community

The importance of social networks and social support

Social supports and family relations in traditional cultures

Patterns of intergenerational assistance

Interventions to improve social supports

Role changes and productivity in old age

Benefits of volunteering

Adapting to role changes in the later years

Community resources

References

Chapter 7: Clinical assessment of the elderly patient

Introduction

Principles of geriatric medicine

Patient behaviour

Patient assessment

Conclusion

References

Chapter 8: Medical issues in the dental care of older adults

The elderly patient

The medical history

Common medical problems in the elderly with consequences for oral health care delivery

Further reading

Chapter 9: Psychiatric disorders in old age – implications for the dental practitioner

Introduction

Psychiatric and neurological disorders in the elderly

Oral health in patients with psychiatric disorders

Risk factors/indicators for oral diseases in patients with psychiatric conditions

Dental management of patients with psychiatric disorders

Further reading

Chapter 10: Disability in old age – the relationship with oral health

The disablement process

The main pathway to disability

Risk factors for disability

Measures of disability

Functional ability in an older population

Selection due to mortality

Gender differences in the disablement process

The main pathway to oral disability

Consequences of disabilities for use of oral health services

Conclusions

Further reading

Chapter 11: Nutrition and oral health for the older person

Introduction

Nutritional requirements with age

The role of nutrition in the aetiology of major systemic disease that may be of relevance to oral health

Nutrition and oral health

Oral health and foods choice

Taste and smell

Texture

Summary

Further reading

Chapter 12: Pharmacology and aging

Pharmacology and aging: introduction

Medication as an indicator of medical conditions

Current medical conditions and medications as they impact dental care

Oral side effect of medications

Pharmacodynamics as it impacts dental management

Current medical conditions and medications as they impact dental prescribing

Non-compliance to medication use

Conclusion

Further reading

Chapter 13: Preventive oral health care for elderly people

Prevention of plaque induced diseases

Prevention of dental erosion

Prevention of oral mucosal diseases

Prevention of xerostomia and burning mouth

Prevention of oral cancer

Prevention of bone loss

Prevention of temporomandibular dysfunction and myofascial pain

Planning preventive services

Barriers to prevention in older populations

Examples of prevention in practice

Role of the oral health team in promoting healthier lifestyle

Consequences for geriatric preventive services

References

Chapter 14: Treatment planning for the geriatric patient

Geriatric dental practice is different to providing care in traditional practice

Who are the geriatric patients?

Fundamentals of treatment planning for the older adults

The plan

Treatment

Examples of geriatric patient treatment plans

Conclusion

References

Chapter 15: Caries in the older person

Introduction

Epidemiology

Summary

Further reading

Chapter 16: Pathology and treatment of diseases of the pulp

Introduction

Age-related changes in the dentine/pulp complex

Clinical challenges of the aged tooth

Conclusions

References

Chapter 17: Pathology and treatment of gingivitis and periodontitis in the aging individual

Gingivitis and periodontitis

Aging and periodontal disease

Prognosis

Periodontal treatment and prophylaxis

Conclusion

References

Chapter 18: Pathology and treatment of oral mucosal diseases

Functional aspects of normal oral mucosa

Clinical and histological changes occurring in aging oral mucosa

Common diseases of the oral mucosa

References

Chapter 19: Salivary function and disorders in the older adult

Introduction

Formation of saliva

Salivary gland function with aging

Etiology of salivary hypofunction in the older adult

Clinical evaluation

Salivary gland biopsy

Treatment strategies

Further reading

Chapter 20: Oral and maxillofacial surgery for the geriatric patient

Introduction

Anaesthesia

Medical management of common surgical comorbidities

Dentoalveolar surgery in elderly patients

Dental implants in the elderly patient

Biopsies

Key points

References

Chapter 21: Orofacial pain in older adults

Age-related change in pain perception/reporting

Reaction/adaptation to pain in older adults

Dementia

Treatment of pain in the elderly

Common causes of orofacial pain (Table 21.1)

General concepts in pain management for the older patient

Further reading

Chapter 22: Concepts and techniques for oral rehabilitation measures in elderly patients

The concept of opportunistic infections

Screening for dental caries and periodontal disease

Pretherapeutic single tooth prognosis

Treatment goals

Subjective chewing comfort

Treatment planning

Reconstruction of partially dentate patients

Reconstruction of the edentulous patient

Plaque control and denture hygiene

References

Chapter 23: Oral health-related quality of life

What is ‘quality of life?’

Models of health and disease

Oral health-related quality of life and older people

Theoretical framework for measuring oral health

Subjective appraisal of oral health – qualitative methodology

Uses of health status measures

Methodological requirements in health status measurement

Oral health status measurement

Uses to date and remaining problems

Descriptive population studies

Clinical intervention studies

Summary and future directions

References

Chapter 24: Influences on older adults' use of dental services

Introduction and some definitions

Demographic variables

Impact of dentition status and health status

Physical access and mobility

Psychosocial variables as barriers and enablers

Dental provider characteristics that help or hinder utilization

Hope for the future

Research to improve dental service utilization by diverse older adults

Acknowledgements

References

Chapter 25: Oral health care programmes for homebound people, nursing home residents and elderly inpatients

Introduction

Definition of the population

Epidemiology

Oral health status and needs

Oral health programmes

Preventive programmes

Role of the interdisciplinary team

Summary

References

Chapter 26: Clinical management of the cognitively impaired older adult and the terminally ill older patient

Clinical management of the cognitively impaired older adult

Clinical management of the terminally ill older patient

Essential concepts for the dental professional from this chapter

References

Index

End User License Agreement

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