Supporting data for "oral health care in older adults"

The global older adult population is expected to surge to 1.5 billion, 1 in 6 among the population, by 2050. Literature reviews showed that oral and general health were interrelated. Diabetes, hypertension, rheumatoid arthritis, Alzheimer’s disease, Parkinson’s disease and depression make older adults more vulnerable to oral diseases such as dental caries, periodontal diseases, tooth wear, xerostomia and tooth loss. Poor oral health was associated with nutritional intake, several systematic diseases, morbidity and mortality. Improving oral health of older adults will be the foremost public health issue in the coming decade.A systematic review was performed to update the current global caries status of older adults. According to the thirty-nine included studies, the globe prevalence of dental caries was still high in older adults and half of them had untreated caries. Fluoride is well known on caries management in children and adolescents. Another systematic review was conducted to assess the clinical efficacy of professionally-applied fluoride therapy to prevent and arrest caries in older adults. Based on the findings of seven included clinical trials, 5% sodium fluoride varnish and 1.23% acidulated phosphate fluoride gel prevented root caries whereas 38% silver diamine fluoride (SDF) solution prevented and arrested root caries in older adults. Meta-analysis found a decrease in the number of new root caries by 0.55 (95% CI: 0.32-0.78; p

全球老年人口预计将在2050年激增至15亿，占总人口的六分之一。文献综述表明，口腔健康与整体健康密切相关。糖尿病、高血压、类风湿性关节炎、阿尔茨海默病、帕金森病和抑郁症使得老年人更容易受到龋齿、牙周病、牙齿磨损、口干舌燥和牙齿脱落等口腔疾病的影响。不良的口腔健康与营养摄入、多种系统性疾病、发病率和死亡率相关。改善老年人的口腔健康将成为未来十年最重要的公共卫生问题。一项系统综述被实施，以更新当前全球老年人龋齿状况。根据包括的39项研究，全球老年人中龋齿的患病率仍然较高，其中一半的人患有未治疗的龋齿。氟化物在儿童和青少年龋齿管理中众所周知。另一项系统综述被进行，以评估专业应用氟化物疗法在预防老年人口腔龋齿方面的临床疗效。基于包括的7项临床试验的结果，5%氟化钠漆和1.23%酸化磷酸氟凝胶可以预防根龋，而38%的银氨氟溶液可以预防和控制老年人的根龋。Meta分析发现，新根龋的数量减少了0.55（95% CI：0.32-0.78；p