Conference Report
2
XI Conference Report Dentistry 2000 - Talking Heads - Birmingham, UK - 6th April 2000 The British Society of Gerodontology and BDA Community Dental Services Group held a joint partner meeting as part of Dentistry 2000 at the NEC in Birmingham on 6th April 2000. The session was on the future development of oral care for older people and was chaired by Dr Janet Clarke, Clinical Director of the CDS in Birmingham. Professor Anthea Tinker, who is Professor of Social Gerontology at Age Concern Institute of Gerodontology at Kings College, London gave the first presentation on the Future Picture of the Population. Professor Tinker described the ageing population and its effect on health and social services. The problems and implications of the increasing number of old older people in the population, the changing values, attitudes and expectations were discussed and the schemes necessary to provide for these were illustrated. Dr Gerry Bennett who is a Consultant Physician at St Bartholomew's and the Royal London School of Medicine and Dentistry followed with his presentation on older people and the relevance of illness. Dr Bennett covered the areas of mortality; morbidity; lack of money; medication; mobility and mental state. He also described the effects of the more specific conditions to old age such as stroke, Parkinson's disease and Alzheimer's disease. Dr Janice Fiske who is Senior Lecturer and Honorary Consultant in Special Care Dentistry in the Department of Sedation and Special Care Dentistry at Guys, Kings and St Thomas' Dental Institute presented the fmal session on pragmatic and practical prevention for older people. She gave an overview of the changes in dental status of older people and the importance of prevention of oral disease. Dr Fiske also warned of the result of advances in restorative techniques, which has led to the need for increased maintenance and self care in the older dentition. This has implications for realistic treatment planning and consideration of the long-term effects of advanced restorative care on the dentition. This extremely successful meeting with over 50 participants ended with a discussion panel. The opportunity for delegates to attend the exhibition and see the latest in materials, equipment and technology made this a very beneficial and unique event. Recommended reading: Hearing the Voice of People with Dementia. Jessica Kingsley, 1996. Debbie Lewis, Hon. Secretary BSG BOOK REVIEW Oral Health in the Elderly in Spain Baciero, G R, Goiriena de Gandarias, F J, Perez, L M Published by Ediciones Eguia, S.L. ISDN: 84-87778-17-8 National Book Catalogue Number: B1 -1195-98 This book describes the results of an epidemiological survey conducted amongst 3,582 institutionalised older people in Spain. Spain is not unique in having a steady increase in the number of active persons aged sixty-five years and over. The authors note, however, that whilst Spain is the European leader in the growth of this sector of the population there remains a lack of data regarding the oral health status of those who are institutionalised. The description of the survey design, data collection methods and statistical analysis is clear and transparent. In developing the survey protocol the authors sensibly adopt the WHO definition of health, emphasising mental and social well-being in addition to the merely physical. This has guided their data collection, which includes both clinical measures of disease status and subjective impact measures. The key finding from the survey is that more than 50% were edentulous. Little restorative care had been provided. The dentate were judged to have periodontal treatment needs, although the prevalence of deep pockets was low. The poor quality of the dentures is noted, although the difference between normative and lay assessments of quality is noted. The elderly tended to assess their dentures more positively. Appropriate recommendations for interventions are proposed: periodontal treatment needs can be largely met by professions complementary to dentistry, oral health education programmes are proposed for both the elderly and their carers. These programmes should incorporate factors such as comfort, food choice and social relationships. More contentious is the reliance upon normative definitions of need to support a proposed programme of denture replacement. Sensibly, the authors note the need for further research into the costs of such a proposal. This research would be enriched by a further exploration of this population's own definition of their need for denture replacement. This report is primarily descriptive, offering substantial scope for further analysis. Nonetheless, this comprehensive report provides a much-needed source of information on the oral health of an overiooked community. Dr Ray Croucher, Senior Lecturer in Dental Public Health Department of Adult Oral, St Bartholomew's and the Royal London School of Medicine and Dentistry, London. UK. Volume 17, No. 1
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Transcript of Conference Report
XI
Conference ReportDentistry 2000 - Talking Heads - Birmingham, UK - 6th April 2000
The British Society of Gerodontology and BDACommunity Dental Services Group held a jointpartner meeting as part of Dentistry 2000 at the NECin Birmingham on 6th April 2000.
The session was on the future development of oralcare for older people and was chaired by Dr JanetClarke, Clinical Director of the CDS in Birmingham.
Professor Anthea Tinker, who is Professor of SocialGerontology at Age Concern Institute ofGerodontology at Kings College, London gave thefirst presentation on the Future Picture of thePopulation. Professor Tinker described the ageingpopulation and its effect on health and social services.The problems and implications of the increasingnumber of old older people in the population, thechanging values, attitudes and expectations werediscussed and the schemes necessary to provide forthese were illustrated.
Dr Gerry Bennett who is a Consultant Physician atSt Bartholomew's and the Royal London School ofMedicine and Dentistry followed with hispresentation on older people and the relevance ofillness. Dr Bennett covered the areas of mortality;morbidity; lack of money; medication; mobility and
mental state. He also described the effects of the morespecific conditions to old age such as stroke,Parkinson's disease and Alzheimer's disease.
Dr Janice Fiske who is Senior Lecturer andHonorary Consultant in Special Care Dentistry in theDepartment of Sedation and Special Care Dentistryat Guys, Kings and St Thomas' Dental Institutepresented the fmal session on pragmatic and practicalprevention for older people. She gave an overviewof the changes in dental status of older people andthe importance of prevention of oral disease. Dr Fiskealso warned of the result of advances in restorativetechniques, which has led to the need for increasedmaintenance and self care in the older dentition. Thishas implications for realistic treatment planning andconsideration of the long-term effects of advancedrestorative care on the dentition.
This extremely successful meeting with over 50participants ended with a discussion panel. Theopportunity for delegates to attend the exhibition andsee the latest in materials, equipment and technologymade this a very beneficial and unique event.
Recommended reading: Hearing the Voice ofPeople with Dementia. Jessica Kingsley, 1996.
Debbie Lewis, Hon. Secretary BSG
BOOK REVIEW
Oral Health in the Elderly in Spain Baciero, G R, Goiriena de Gandarias, F J, Perez, L M
Published by Ediciones Eguia, S.L.
ISDN: 84-87778-17-8 National Book Catalogue Number: B1 -1195-98
This book describes the results of an epidemiologicalsurvey conducted amongst 3,582 institutionalisedolder people in Spain. Spain is not unique in havinga steady increase in the number of active persons agedsixty-five years and over. The authors note, however,that whilst Spain is the European leader in the growthof this sector of the population there remains a lackof data regarding the oral health status of those whoare institutionalised.
The description of the survey design, data collectionmethods and statistical analysis is clear andtransparent. In developing the survey protocol theauthors sensibly adopt the WHO definition of health,emphasising mental and social well-being in additionto the merely physical. This has guided their datacollection, which includes both clinical measures ofdisease status and subjective impact measures.
The key finding from the survey is that more than50% were edentulous. Little restorative care had beenprovided. The dentate were judged to haveperiodontal treatment needs, although the prevalenceof deep pockets was low. The poor quality of thedentures is noted, although the difference betweennormative and lay assessments of quality is noted.
The elderly tended to assess their dentures morepositively.
Appropriate recommendations for interventions areproposed: periodontal treatment needs can be largelymet by professions complementary to dentistry, oralhealth education programmes are proposed for boththe elderly and their carers. These programmesshould incorporate factors such as comfort, foodchoice and social relationships. More contentious isthe reliance upon normative definitions of need tosupport a proposed programme of denturereplacement. Sensibly, the authors note the need forfurther research into the costs of such a proposal. Thisresearch would be enriched by a further explorationof this population's own definition of their need fordenture replacement.
This report is primarily descriptive, offeringsubstantial scope for further analysis. Nonetheless,this comprehensive report provides a much-neededsource of information on the oral health of anoveriooked community.Dr Ray Croucher, Senior Lecturer in Dental PublicHealth Department of Adult Oral, St Bartholomew'sand the Royal London School of Medicine andDentistry, London. UK.
Volume 17, No. 1
