Friedman Paula K, Kaufman Laura B, Karpas Steven L
Department of General Dentistry, Boston University Goldman School of Dental Medicine, 72 East Concord Street, Boston, MA 02118, USA.
Department of General Dentistry, Boston University Goldman School of Dental Medicine, 72 East Concord Street, Boston, MA 02118, USA; Section of Geriatrics, Boston Medical Center, Boston, MA 02118, USA.
Dent Clin North Am. 2014 Oct;58(4):757-70. doi: 10.1016/j.cden.2014.06.004. Epub 2014 Jul 25.
Progress has been made in reducing dental caries and edentulism in older adults, but disparities continue to exist related to race, ethnicity, socioeconomic level, and sex. Lack of training in treating medically complex patients, economic factors including absence of coverage for oral health services in Medicare and as a required service for adults in Medicaid, and attitudinal issues on the part of patients, caregivers, and providers contribute to barriers to care for older adults. In addition to the impact of oral health on overall health, oral health impacts quality of life and social and employment opportunities.
在减少老年人龋齿和无牙状况方面已取得进展，但在种族、族裔、社会经济水平和性别方面的差异仍然存在。在治疗患有复杂疾病的患者方面缺乏培训、经济因素（包括医疗保险中缺乏口腔健康服务覆盖以及医疗补助计划中未将其作为成年人的必需服务）以及患者、护理人员和提供者的态度问题导致了老年人获得护理的障碍。除了口腔健康对整体健康的影响外，口腔健康还影响生活质量以及社会和就业机会。
