Browsing by Subject "seniors"

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    How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement
    (Karger, 2020) Paris, Sebastian; Banerjee, Avijit; Bottenberg, Peter; Breschi, Lorenzo; Campus, Guglielmo; Doméjean, Sophie; Ekstrand, Kim; Giacaman, Rodrigo A.; Haak, Rainer; Hannig, Matthias; Hickel, Reinhard; Juric, Hrvoje; Lussi, Adrian; Machiulskiene, Vita; Manton, David; Jablonski-Momeni, Anahita; Santamaria, Ruth; Schwendicke, Falk; Splieth, Christian H.; Tassery, Hervé; Zandona, Andrea; Zero, Domenick; Zimmer, Stefan; Opdam, Niek; Cariology, Operative Dentistry and Dental Public Health, School of Dentistry
    Aim: To provide recommendations for dental clinicians for the management of dental caries in older adults with special emphasis on root caries lesions. Methods: A consensus workshop followed by a Delphi consensus process were conducted with an expert panel nominated by ORCA, EFCD, and DGZ boards. Based on a systematic review of the literature, as well as non-systematic literature search, recommendations for clinicians were developed and consented in a two-stage Delphi process. Results: Demographic and epidemiologic changes will significantly increase the need of management of older adults and root caries in the future. Ageing is associated with a decline of intrinsic capacities and an increased risk of general diseases. As oral and systemic health are linked, bidirectional consequences of diseases and interventions need to be considered. Caries prevention and treatment in older adults must respond to the patient’s individual abilities for self-care and cooperation and often involves the support of caregivers. Systemic interventions may involve dietary counselling, oral hygiene instruction, the use of fluoridated toothpastes, and the stimulation of salivary flow. Local interventions to manage root lesions may comprise local biofilm control, application of highly fluoridated toothpastes or varnishes as well as antimicrobial agents. Restorative treatment is often compromised by the accessibility of such root caries lesions as well as the ability of the senior patient to cooperate. If optimum restorative treatment is impossible or inappropriate, long-term stabilization, e.g., by using glass-ionomer cements, and palliative treatments that aim to maintain oral function as long and as well as possible may be the treatment of choice for the individual.
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    Silver Hoosiers - Health and Aging Research Lab
    (Office of the Vice Chancellor for Research, 2010-04-09) Liu, Chiung-ju
    Facing the challenge of an entire nation growing older rapidly, the mission of the Silver Hoosiers-Health and Aging Research Lab is to promote health and independence in seniors. Located in the Department of Occupational Therapy within the School of Health and Rehabilitation Sciences, this lab is led by Dr. Chiung-ju (CJ) Liu, a gerontologist, and collaborates from other schools including the School of Nursing and the School of Informatics. The poster will showcase the research conducted at the Silver Hoosiers-Health and Aging Research Lab. The lab research foci include 1) health literacy and comprehension, 2) muscle strength training and physical disability, and 3) systematic review and evidence-based practice. Dr. Liu’s health literacy work focuses on increasing accessibility of complex written health information (i.e. cancer prevention and instructions of medical devices) to seniors through the application of text cohesion and multimedia. The lab is equipped with sophisticated eye-tracking technology to study information processing load. Dr. Liu’s muscle strength training work examines the effects of progressive resistance strength training on physical functioning in older adults via meta-analysis. Additionally, Dr. Liu is in partnership with the American Occupational Therapy Association in reviewing the effects of environmental approaches on improving daily function in older adults with low vision. The aim of her review work is to provide the best research evidence to guide clinical practice. The impact of gaining is multidimensional. The lab welcomes collaborators interested in aging-related issues that share the same view of the lab’s mission.