Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan; Division of Regional Community Development, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan.
Int Dent J. 2022 Aug;72(4S):S5-S11. doi: 10.1016/j.identj.2022.06.012.
The total years lived with disability among older people, and the concomitant burden of tooth loss in ageing societies have increased. This study is an overview of the burden of oral diseases and access to oral care in an ageing society.
We selected key issues related to the burden of oral diseases and access to oral care and reviewed the relevant literature.
The rising number of older people with teeth increases their oral health care needs. To improve access to oral care, affordability of care is a great concern with respect to universal health coverage. In addition, accessibility is a crucial issue, particularly for vulnerable older adults. To improve oral care access, attempts to integrate oral health care into general care are being made in ageing countries. For this purpose, provision of professional oral care at home through domiciliary visits and provision of daily oral health care by non-dental professional caregivers are important. Oral health care for older people reduces general diseases such as pneumonia and malnutrition, which in turn could reduce further healthcare costs.
To address the growing burden of oral care in ageing societies, special provision of oral health care to vulnerable older people, and integration of oral care with primary care will be required.
老年人的伤残总年数以及老龄化社会中牙齿缺失的相关负担增加。本研究概述了老龄化社会中口腔疾病的负担和口腔护理的可及性。
我们选择了与口腔疾病负担和口腔护理可及性相关的关键问题，并回顾了相关文献。
越来越多的老年人有牙齿，这增加了他们的口腔卫生保健需求。为了改善口腔护理的可及性，全民健康覆盖的可负担性是一个重要问题。此外，可及性是一个关键问题，特别是对弱势老年人而言。为了改善口腔护理的可及性，老龄化国家正在尝试将口腔健康护理纳入常规护理。为此，通过家访为居家老年人提供专业的口腔护理，以及由非牙科专业护理人员提供日常口腔卫生护理是很重要的。老年人的口腔护理可以减少肺炎和营养不良等一般性疾病，从而降低进一步的医疗保健成本。
为了应对老龄化社会中口腔护理负担的增加，需要为弱势老年人特别提供口腔健康护理，并将口腔护理与初级保健相结合。
