VHA Office of Dentistry, Oral Health Quality Group, Washington, DC, USA.
VHA Office of Dentistry, Oral Health Quality Group, Washington, DC, USA; Boston University Henry M. Goldman School of Dental Medicine, Boston, MA, USA.
Int Dent J. 2022 Aug;72(4S):S39-S43. doi: 10.1016/j.identj.2022.06.011.
Effective treatment produces improved outcomes from the patient and clinician perspectives. The focus of this article is effective dental care for ageing patients. This concept must be embraced through research, education and, finally, clinical care.
Older adults often carry a higher burden of health and socioeconomic issues that limit their participation in clinical trials. This leaves providers to extrapolate care decisions from research in other age groups. However, electronic health records allow researchers to converge extensive medical, pharmacologic, and dental data, thereby including older patients in research questions.
Dental and medical educators are tasked with teaching skills specific to ageing patients. This requires teaching and active use of concepts such as whole health and patient-centred outcomes.
For ageing patients, effective care is precision care (the right care to the right patient at the right time). Clinicians must be trained and then actively participate in the interdisciplinary approach to assure good oral health for all older patients.
从患者和临床医生的角度来看，有效的治疗会产生更好的结果。本文的重点是为老年患者提供有效的牙科护理。这一概念必须通过研究、教育，最终通过临床护理来实现。
老年人通常面临更多的健康和社会经济问题，这些问题限制了他们参与临床试验。这使得提供者只能从其他年龄组的研究中推断护理决策。然而，电子健康记录使研究人员能够汇聚广泛的医疗、药理学和牙科数据，从而将老年患者纳入研究问题中。
牙科和医学教育者的任务是教授针对老年患者的特定技能。这需要教授并积极使用整体健康和以患者为中心的结果等概念。
对于老年患者，有效的护理是精准护理（在正确的时间为正确的患者提供正确的护理）。临床医生必须接受培训，然后积极参与跨学科方法，以确保所有老年患者都有良好的口腔健康。
