Gerodontology · 2026
Coronal and Root Caries in Older Adults: Associated Factors, Quality of Life Impact, and Treatment-A Scoping Review.
СтатьяScoping ReviewНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Dujic Helena, Heck Katrin, Schwärzler Julia, da Mata Cristiane, Tada Sayaka, Schwendicke Falk
Аннотация
BACKGROUND: Dental caries remains one of the most common chronic diseases affecting older adults worldwide. As edentulism decreases and more natural teeth are retained into old age, the number of susceptible tooth surfaces increases. Age-related factors such as polypharmacy, cognitive decline, and reduced oral hygiene skills, together with systemic and social factors, increase the risk of caries. Although the literature is extensive, the evidence for diagnosis and management remains fragmented and lacking clinical integration.
OBJECTIVE: This scoping review aimed to assess and map current evidence on caries diagnostics and management in adults aged 60 years and older, focusing on diagnostic indices, associated factors, treatment strategies and outcomes, as well as oral health-related quality of life (OHRQoL).
METHODS: A comprehensive search of MEDLINE, Embase, and the Cochrane Library identified 533 studies published between 2000 and 2025. Eligible studies included data on caries occurrence, incidence, increment, factors associated with caries, treatment, and OHRQoL in older adults.
RESULTS: Most studies focused on caries occurrence and associated factors, with DMFT being the most common index. Reported caries proportions varied widely across studies (0.1%-100%). Seventy-five distinct variables were identified covering multiple domains, with older age, sex, and lower education being the most frequently cited. Only seven studies reported using risk assessment tools. Treatment strategies were less frequently addressed and often lacked feasibility or outcome metrics. OHRQoL was reported in 98 studies, mostly using GOHAI and OHIP.
CONCLUSION: Current evidence focuses largely on epidemiological endpoints. Future studies should prioritize patient-relevant outcomes and include frail and dependent populations.
TRIAL REGISTRATION: PROSPERO: CRD420251004339.
OBJECTIVE: This scoping review aimed to assess and map current evidence on caries diagnostics and management in adults aged 60 years and older, focusing on diagnostic indices, associated factors, treatment strategies and outcomes, as well as oral health-related quality of life (OHRQoL).
METHODS: A comprehensive search of MEDLINE, Embase, and the Cochrane Library identified 533 studies published between 2000 and 2025. Eligible studies included data on caries occurrence, incidence, increment, factors associated with caries, treatment, and OHRQoL in older adults.
RESULTS: Most studies focused on caries occurrence and associated factors, with DMFT being the most common index. Reported caries proportions varied widely across studies (0.1%-100%). Seventy-five distinct variables were identified covering multiple domains, with older age, sex, and lower education being the most frequently cited. Only seven studies reported using risk assessment tools. Treatment strategies were less frequently addressed and often lacked feasibility or outcome metrics. OHRQoL was reported in 98 studies, mostly using GOHAI and OHIP.
CONCLUSION: Current evidence focuses largely on epidemiological endpoints. Future studies should prioritize patient-relevant outcomes and include frail and dependent populations.
TRIAL REGISTRATION: PROSPERO: CRD420251004339.