Geriatric Dentistry: Caring for Our Aging Population -- Copyright -- Contents -- List of Contributors -- Dedication -- Introduction -- About the Companion Website -- PART 1 Underlying Principles of Aging -- Chapter 1 Aging: Implications for the Oral Cavity -- Aging of the US population -- Trends in oral health in older adults -- Oral health disparities in older adults -- Functional status and oral health -- Xerostomia, medications, and oral health -- Cognitive function and oral health -- Clinical and policy implications -- References -- Chapter 2 Palliative Care Dentistry -- Introduction -- Mucositis and stomatitis -- Nutrition -- Dysphagia -- Nausea and vomiting -- Delirium -- Xerostomia and salivary gland hypofunction -- Candidiasis -- Cancer and quality of life -- Herpes and palliative care -- Depression and the oral cavity -- Caries prevention -- Taste disorders -- Treatment planning -- References -- PART 2 Clinical Practice -- Chapter 3 Living Arrangements for the Elderly: Independent Living, Shared Housing, Board and Care Facilities, Assisted Living, Continuous Care Communities, and Nursing Homes -- Introduction -- Independent living/age in place -- Congregate housing/retirement communities -- Assisted living -- Board and care home -- Continuing care retirement communities -- Nursing homes -- Long-term care insurance -- Conclusion -- References -- Chapter 4 Palmore's Facts on Aging Quiz: Healthcare Providers' Perceptions of Facts and Myths of Aging -- Introduction -- Tests of knowledge about older adults -- Scores of recent dental graduates on the FAQ1 -- What is the relationship between results of tests of knowledge about older adults and good care? -- Summary -- References -- Chapter 5 The Senior-Friendly Office -- Introduction -- Sensory impairments -- Mobility -- Electronic health records -- Conclusion -- References.

PART 3 Decision Making and Treatment Planning -- Chapter 6 Geriatric Patient Assessment -- Introduction -- Communication status -- Physical status -- Mobility status -- Mental status -- Nutritional status -- Social support -- Medical status -- Summary -- References -- Chapter 7 Treatment Planning and Oral Rehabilitation for the Geriatric Dental Patient -- Introduction -- Diagnostic studies to facilitate planning and treatment -- Planning for dental treatment in the older adult -- Treatment planning: issues and approaches -- Treatment planning: important goals -- Implant restorations for the elderly -- Treatment planning: important goals -- Conclusion -- References -- Chapter 8 Informed Consent for the Geriatric Dental Patient -- Informed consent -- Background -- Informed consent for geriatric patients -- References -- Chapter 9 Evidence-Based Decision Making in a Geriatric Practice -- Introduction -- The process -- Sources of evidence -- Critical appraisal of the evidence -- Implementation of an evidence-based geriatric dentistry practice -- EBDM in practice -- Conclusion -- References -- PART 4 Common Geriatric Oral Conditions and their Clinical Implications -- Chapter 10 Root Caries -- Introduction -- Prevalence and risk factors -- Caries risk assessment -- Pathologic factors versus protective factors -- Clinical decision making -- References -- Chapter 11 Periodontal Disease -- Introduction -- Epidemiology of periodontal disease -- The role of periodontal disease in oral health/overall health -- Senescence of tissue -- Identifying periodontal disease -- Cancer, cancer therapy, and periodontal disease -- Cognitive functioning -- Dexterity/functional issues -- Osteoporosis -- Menopausal status -- Implants and periodontal disease -- Aspiration pneumonia -- Diet and nutritional changes -- Psychologic considerations -- References.

Chapter 12 Endodontic Management of the Aging Patient -- Introduction -- The dental pulp -- Management considerations -- Endodontic therapy of aging patients -- Endodontic treatment -- Regenerative endodontics -- Periodontal considerations -- Conclusion -- References -- Chapter 13 Oral Mucosal Lesions -- Introduction -- Burning mouth syndrome -- Candidiasis (see also Chapter 2) -- Epulis fissuratum (inflammatory fibrous hyperplasia, denture-induced fibrous hyperplasia, denture granuloma) -- Geographic tongue (benign migratory glossitis) -- Hairy tongue -- Herpes simplex (recurrent) -- Herpes zoster (shingles) -- Irritation fibroma -- Leukoplakia -- Lichen planus -- Mucous membrane pemphigoid (cicatricial pemphigoid) -- Papillary hyperplasia -- Pemphigus -- Recurrent aphthous ulcers -- Traumatic ulcerations -- Varices (varix) -- References -- Chapter 14 Xerostomia -- Introduction -- Role of saliva and functions of salivary components -- Defining and recognizing xerostomia and SGH -- Prevalence -- Effect of aging on salivary glands and flow rates -- Etiology of xerostomia and/or SGH -- Treatment modalities -- References -- Chapter 15 Prosthetic Considerations for Frail and Functionally Dependent Older Adults -- Introduction -- The aging population -- Decision making in prosthodontics -- Sociodemographic information -- Health history -- Tips and techniques for treating frail or functionally dependent elders -- Evaluations for prosthodontic rehabilitation -- Systematic evaluation of the dentition -- Designing removable partial dentures for frail and functionally dependent older adults -- Complete dentures -- Overdentures -- New or replacement complete dentures -- Treatment of patients with neuromuscular deficits -- Conclusion -- References -- Chapter 16 Medical Complexities -- Introduction.

Prescription and natural drug use as the window to systemic health -- Polypharmacy -- Tips for maximizing optimal medication compliance -- Systematic review of the medication list -- Emergency drugs for emergency situations -- Drugs that suggest potential risk -- Conclusion: an interdisciplinary approach -- Clinical examples -- Bibliography -- PART 5 Care Delivery -- Chapter 17 Delivery Systems -- NURSING HOMES -- Definitions -- Contracts and affiliation agreements -- Record keeping -- Treatment delivery options -- Patient referrals to outside resources -- Billing -- Summary -- HOME VISITS -- Preparation for the home visit -- The visit -- Record keeping -- Billing/house/extended care facility call -- References -- Chapter 18 Portable Dentistry -- Introduction -- Radiographs -- Suction -- Portable and mobile carts -- Lighting -- Patient chairs (Fig. 18.7a,b) -- Lathe -- Computer equipment -- Wraps and props -- Headrests -- Maintenance and repairs -- Vans -- Sedation -- Level of care -- Inventory control -- Fees -- Opportunity -- Bibliography -- Chapter 19 Promoting Oral Health Care in Long-Term Care Facilities -- Introduction -- Assess strengths and challenges -- Collaborate -- Use personnel effectively -- Apply best practices -- Standards (health promotion ring 1) -- Commitment (health promotion ring 2) -- Caregiver education and training (health promotion ring 3) -- Assessment and clinical care: health promotion ring 4 -- Daily mouth care: health promotion ring 5 -- References -- Chapter 20 Dental Professionals as Part of an Interdisciplinary Team -- Introduction -- THE ORAL HEALTH-OVERALL HEALTH RELATIONSHIP -- Historical retrospective: focal infection theory of disease -- Current understanding: the mouth-body connection -- Oral and system conditions - interrelationships -- INTERPROFESSIONAL CARE -- Dental-medical collaboration.

Dental-rehabilitation collaboration -- Dental-nursing collaboration -- Dental-pharmacy collaboration -- Dental-dietician collaboration -- Dental-social worker collaboration -- Interprofessional geriatric dental care -- Strategies for successful interprofessional consultations -- EXPANSION OF THE DENTAL WORKFORCE -- Access to care for older adults -- The impetus behind the initiative to expand the dental workforce -- Historical perspective -- From planning to action: Minnesota -- Dental workforce expansion status in other states -- Summary -- References -- PART 6 Future Vision -- Chapter 21 Planning for the Future -- Introduction -- The continuum of aging -- Health and social policies for older adults -- "Medically necessary" oral health care -- Expanding the evidence base -- Focus on the future: innovation to improve the oral health of vulnerable elders -- Advancing a policy agenda to improve the oral health of vulnerable elders -- Summary -- References -- Answer Section -- Index.