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老年口腔健康的障碍:一个多方面的公共卫生问题。

Barriers to Geriatric Oral Health: A Multifaceted Public Health Issue.

作者信息

Murali Athira, Muddappa Sapna C, Rajan Rakesh R, Joseph Asha, Ravi Arjun B

机构信息

Department of Conservative Dentistry and Endodontics, Amrita Vishwa Vidyapeetham, Amrita School of Dentistry, Kochi, IND.

出版信息

Cureus. 2025 Aug 8;17(8):e89604. doi: 10.7759/cureus.89604. eCollection 2025 Aug.

Abstract

Oral health is important for the overall health of an individual, particularly older adults. However, a number of obstacles frequently prevent older people from receiving timely and appropriate dental care. These obstacles are intricate and multifaceted, involving systemic diseases, cognitive elements, and psychological, financial, and educational issues. Dementia and Alzheimer's disease are examples of cognitive impairments that can make it difficult for an elderly person to seek or cooperate with dental treatment. Additional psychological factors that decrease care-seeking behaviour include anxiety, fear of dental treatments, depression, and a general lack of motivation. Financial constraints are major deterrents, such as low income and no dental insurance. Furthermore, polypharmacy and multimorbidity not only make treatment planning more difficult, but they also deprive oral health of priority. The problem is made worse by systemic healthcare barriers like inadequate referral systems, a lack of geriatric-focused dentists, and poor integration between dental and medical services. Neglect is also exacerbated by older adults' and their caregivers' perceived lack of need for dental care. A comprehensive, multidisciplinary strategy is needed to address these issues, one that incorporates training dental professionals in geriatric care, better public health regulations, caregiver education, and the creation of easily accessible, reasonably priced services. Improving the general and oral health of the elderly requires an understanding of and commitment to removing these obstacles.

摘要

口腔健康对个人的整体健康很重要,尤其是对老年人而言。然而,一些障碍经常阻碍老年人获得及时、适当的牙科护理。这些障碍错综复杂、涉及多方面,包括全身性疾病、认知因素以及心理、经济和教育问题。痴呆症和阿尔茨海默病等认知障碍就是例子,它们会使老年人难以寻求牙科治疗或在治疗中进行配合。其他减少就医行为的心理因素包括焦虑、对牙科治疗的恐惧、抑郁以及普遍缺乏动力。经济限制是主要阻碍因素,比如低收入和没有牙科保险。此外,多种药物治疗和多种疾病并存不仅使治疗计划更加困难,还使口腔健康得不到优先重视。像转诊系统不完善、缺乏专注于老年病的牙医以及牙科与医疗服务之间整合不佳等系统性医疗障碍,使问题更加严重。老年人及其护理人员认为不需要牙科护理,这也加剧了忽视问题。需要一种全面的、多学科的策略来解决这些问题,该策略包括对牙科专业人员进行老年病护理培训、更好的公共卫生法规、护理人员教育以及创建易于获得且价格合理的服务。改善老年人的总体健康和口腔健康需要了解并致力于消除这些障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d80c/12414252/e757ba79a6b3/cureus-0017-00000089604-i01.jpg

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