{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T01:09:50Z","timestamp":1788829790287,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Several age\u2010related changes contribute to deteriorating oral health and risk of tooth loss, with negative effects on oral function and physical and psychological well\u2010being. To improve these aspects, fixed oral rehabilitation can be offered and has been indicated to also positively impact biopsychosocial parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore how older adults with poor oral function experience their life situation, before, during, and after fixed oral rehabilitation, and their involvement in this therapeutic process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A qualitative interview study with explorative design included eight older adults from a large intervention study of oral rehabilitation, all \u2265\u200965\u2009years with an Eichner index &lt;B2. Data were analysed with manifest content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our findings suggest that the participants had developed coping strategies regarding eating habits and experienced social detachment and emotional loneliness prior to the rehabilitation. During the oral rehabilitation, the person\u2010centred approach by the dental team was highly valued, suggesting the need for individualized, tailored support. After completing the oral rehabilitation, a sense of relief, self\u2010worth, satisfaction, and self\u2010mastery were emphasised by the participants in addition to the obvious improvement in chewing ability. An unexpected finding following the oral rehabilitation was the participants' lack of post\u2010care initiatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This qualitative study emphasises the impact of poor oral health in older adults, also concerning their emotional well\u2010being, before oral rehabilitation. To improve older persons' oral health and function late in life, we suggest a tailored person\u2010centred approach during their oral rehabilitation, but also structured referral and dental care strategies post oral rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trail Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      identifier: NCT06783426.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70283","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T01:05:52Z","timestamp":1788829552000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences of Fixed Oral Rehabilitation in Older Persons \u2014 Motivation, Procedural Strains and Rewarding Improvements"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0616-8912","authenticated-orcid":false,"given":"L.","family":"Hedberg","sequence":"first","affiliation":[{"name":"Public Dental Services  Stockholm Sweden"},{"name":"Academic Center for Geriatric Dentistry  Stockholm Sweden"},{"name":"Department of Dental Medicine Karolinska Institutet  Huddinge Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6227-4064","authenticated-orcid":false,"given":"C.","family":"Elleby","sequence":"additional","affiliation":[{"name":"Public Dental Services  Stockholm Sweden"},{"name":"Academic Center for Geriatric Dentistry  Stockholm Sweden"},{"name":"Department of Dental Medicine Karolinska Institutet  Huddinge Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Trulsson","sequence":"additional","affiliation":[{"name":"Academic Center for Geriatric Dentistry  Stockholm Sweden"},{"name":"Department of Dental Medicine Karolinska Institutet  Huddinge Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3729-3524","authenticated-orcid":false,"given":"A.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Academic Center for Geriatric Dentistry  Stockholm Sweden"},{"name":"Department of Dental Medicine Karolinska Institutet  Huddinge Sweden"},{"name":"Department of Conservative Dentistry and Endodontics, Dr. D. Y. Patil Dental College &amp; Hospital Dr. D. Y. Patil Vidyapeeth (Deemed To Be University)  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3926-8656","authenticated-orcid":false,"given":"U.","family":"Ekman","sequence":"additional","affiliation":[{"name":"Women's Health and Allied Health Professionals Theme, Medical Unit Allied Health Professionals Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Cronfalk Seiger","sequence":"additional","affiliation":[{"name":"Academic Center for Geriatric Dentistry  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8108-9865","authenticated-orcid":false,"given":"P.","family":"Skott","sequence":"additional","affiliation":[{"name":"Public Dental Services  Stockholm Sweden"},{"name":"Academic Center for Geriatric Dentistry  Stockholm Sweden"},{"name":"Department of Dental Medicine Karolinska Institutet  Huddinge Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","first-page":"139","article-title":"The Voice of the Elderly in Accepting Alternative Perspectives on Oral Health","volume":"27","author":"Brondani M.","year":"2010","journal-title":"Community Dental Health"},{"issue":"2","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1111\/ger.12515","article-title":"Masticatory Ability in Older Individuals: A Qualitative Interview Study","volume":"38","author":"Elgestad Stjernfeldt P.","year":"2021","journal-title":"Gerodontology"},{"issue":"2","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1111\/j.1741-2358.2008.00239.x","article-title":"A Qualitative Study of Trends in Patient Preferences for the Management of the Partially Dentate State","volume":"26","author":"Cronin M.","year":"2009","journal-title":"Gerodontology"},{"issue":"2","key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1016\/j.identj.2024.11.022","article-title":"Global and Regional Patterns in Edentulism (1990\u20102021) With Predictions to 2040","volume":"75","author":"Chen H. M.","year":"2025","journal-title":"International Dental Journal"},{"key":"e_1_2_12_6_1","volume-title":"Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030 [Internet]","author":"World Health Organization"},{"issue":"6","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1111\/j.1467-9450.2007.00610.x","article-title":"Natural Teeth and Cognitive Function in Humans","volume":"48","author":"Bergdahl M.","year":"2007","journal-title":"Scandinavian Journal of Psychology"},{"issue":"4","key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1111\/joor.70138","article-title":"Tooth Loss as a Risk Factor of Declining Intrinsic Capacity Domains in Later Life: Evidence From NHANES 2009\u20102014","volume":"53","author":"Dibello V.","year":"2026","journal-title":"Journal of Oral Rehabilitation"},{"issue":"6","key":"e_1_2_12_9_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jnha.2025.100554","article-title":"Is Poor Chewing Ability a Risk Factor for Malnutrition? A Six\u2010Year Longitudinal Study of Older Adults in Sweden","volume":"29","author":"Lexomboon D.","year":"2025","journal-title":"Journal of Nutrition, Health and Aging"},{"issue":"6","key":"e_1_2_12_10_1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.1754-4505.2005.tb01403.x","article-title":"The Perceptions of Homeless People in Stockholm Concerning Oral Health and Consequences of Dental Treatment: A Qualitative Study","volume":"25","author":"De Palma P.","year":"2005","journal-title":"Special Care in Dentistry"},{"issue":"2","key":"e_1_2_12_11_1","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1038\/sj.bdj.4809551","article-title":"The Emotional Effects of Tooth Loss in Edentulous People","volume":"184","author":"Fiske J.","year":"1998","journal-title":"British Dental Journal"},{"issue":"1","key":"e_1_2_12_12_1","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/joor.70078","article-title":"Identification of Important and Relevant Functioning\u2010Based Outcomes for Persons With an Oral Health Condition From the Patient's Perspective","volume":"53","author":"Lenherr C.","year":"2026","journal-title":"Journal of Oral Rehabilitation"},{"issue":"3","key":"e_1_2_12_13_1","doi-asserted-by":"crossref","first-page":"937","DOI":"10.3109\/00016357.2012.734421","article-title":"Qualitative Studies of Patients' Perceptions of Loss of Teeth, the Edentulous State and Prosthetic Rehabilitation: A Systematic Review With Meta\u2010Synthesis","volume":"71","author":"Nordenram G.","year":"2013","journal-title":"Acta Odontologica Scandinavica"},{"key":"e_1_2_12_14_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/cdoe.70019","article-title":"Dental Shame: A Call for Understanding and Addressing the Role of Shame in Oral Health","volume":"54","author":"Folker L.","year":"2025","journal-title":"Community Dentistry and Oral Epidemiology"},{"key":"e_1_2_12_15_1","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1111\/ger.70078","article-title":"Functional Outcomes of Prosthetic Rehabilitation in Older Adults With Tooth Loss: A Systematic Review and Meta\u2010Analysis","volume":"43","author":"Molinero\u2010Mourelle P.","year":"2026","journal-title":"Gerodontology"},{"issue":"9","key":"e_1_2_12_16_1","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1016\/j.jdent.2009.05.028","article-title":"A Qualitative Study on Patient Perspectives of How Conventional and Implant\u2010Supported Dentures Affect Eating","volume":"37","author":"Hyland R.","year":"2009","journal-title":"Journal of Dentistry"},{"issue":"7","key":"e_1_2_12_17_1","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1111\/j.1600-051X.2012.01893.x","article-title":"Dental Implants From the Patients Perspective: Transition From Tooth Loss, Through Amputation to Implants \u2010 Negative and Positive Trajectories","volume":"39","author":"Johannsen A.","year":"2012","journal-title":"Journal of Clinical Periodontology"},{"issue":"6","key":"e_1_2_12_18_1","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1034\/j.1600-0722.2002.21394.x","article-title":"Edentulousness and Oral Rehabilitation: Experiences From the Patients' Perspective","volume":"110","author":"Trulsson U.","year":"2002","journal-title":"European Journal of Oral Sciences"},{"issue":"1","key":"e_1_2_12_19_1","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1186\/s12903-021-01654-5","article-title":"Cognitive Changes and Neural Correlates After Oral Rehabilitation Procedures in Older Adults: A Protocol for an Interventional Study","volume":"21","author":"Hedberg L.","year":"2021","journal-title":"BMC Oral Health"},{"issue":"12","key":"e_1_2_12_20_1","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1111\/joor.13584","article-title":"White Matter Abnormalities Mediate the Association Between Masticatory Dysfunction and Cognition Among Older Adults","volume":"50","author":"Hedberg L.","year":"2023","journal-title":"Journal of Oral Rehabilitation"},{"key":"e_1_2_12_21_1","unstructured":"K.Eichner Uber eine Gruppeneinteilung der Luckengebisse fur die Prothetik Deutche Zahnarztliche Zeitschrift 1955; 10: 1831\u20131834."},{"issue":"6","key":"e_1_2_12_22_1","first-page":"521","article-title":"Validation of the Eichner Index in Relation to Occlusal Force and Masticatory Performance","volume":"23","author":"Ikebe K.","year":"2010","journal-title":"International Journal of Prosthodontics"},{"issue":"3","key":"e_1_2_12_23_1","first-page":"189","article-title":"\u201cMini\u2010Mental State\u201d: A Practical Method for Grading the Cognitive State of Patients for the Clinician","volume":"12","author":"Folstein M. F.","year":"1975","journal-title":"Journal of Psychiatric Research"},{"issue":"2","key":"e_1_2_12_24_1","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","article-title":"Qualitative Content Analysis in Nursing Research: Concepts, Procedures and Measures to Achieve Trustworthiness","volume":"24","author":"Graneheim U. H.","year":"2004","journal-title":"Nurse Education Today"},{"issue":"1","key":"e_1_2_12_25_1","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1186\/s12903-018-0661-9","article-title":"Person\u2010Centered Care Model in Dentistry","volume":"18","author":"Lee H.","year":"2018","journal-title":"BMC Oral Health"},{"issue":"4","key":"e_1_2_12_26_1","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.ejcnurse.2011.06.008","article-title":"Person\u2010Centered Care\u2010Ready for Prime Time","volume":"10","author":"Ekman I.","year":"2011","journal-title":"European Journal of Cardiovascular Nursing"},{"key":"e_1_2_12_27_1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.nedt.2017.06.002","article-title":"Methodological Challenges in Qualitative Content Analysis: A Discussion Paper","volume":"56","author":"Graneheim U. H.","year":"2017","journal-title":"Nurse Education Today"},{"issue":"7","key":"e_1_2_12_28_1","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1038\/sj.bdj.2015.248","article-title":"Person\u2010Centred Care in Dentistry\u2010The Patients' Perspective","volume":"218","author":"Mills I.","year":"2015","journal-title":"British Dental Journal"},{"issue":"1","key":"e_1_2_12_29_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1111\/j.1601-5037.2008.00328.x","article-title":"Older Peoples' Perceptions of Oral Health: 'it's Just Not That Simple'","volume":"7","author":"McKenzie\u2010Green B.","year":"2009","journal-title":"International Journal of Dental Hygiene"},{"issue":"1","key":"e_1_2_12_30_1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/j.1365-2702.2004.00926.x","article-title":"Beyond Person\u2010Centred Care: A New Vision for Gerontological Nursing","volume":"13","author":"Nolan M. R.","year":"2004","journal-title":"Journal of Clinical Nursing"},{"issue":"3","key":"e_1_2_12_31_1","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1111\/clr.12558","article-title":"A Qualitative Analysis on Participants' Perspectives on Oral Implants","volume":"27","author":"Atieh M. A.","year":"2016","journal-title":"Clinical Oral Implants Research"},{"issue":"7","key":"e_1_2_12_32_1","first-page":"109","article-title":"Motivational Interviewing: An Evidence\u2010Based Approach for Use in Medical Practice","volume":"118","author":"Bischof G.","year":"2021","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_12_33_1","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jad.2015.04.033","article-title":"The Association Between Depression and Emotional and Social Loneliness in Older Persons and the Influence of Social Support, Cognitive Functioning and Personality: A Cross\u2010Sectional Study","volume":"182","author":"Peerenboom L.","year":"2015","journal-title":"Journal of Affective Disorders"},{"key":"e_1_2_12_34_1","first-page":"1","article-title":"Psychosocial Implications of Tooth Loss and Dental Rehabilitation in Vulnerable Edentulous Older Adults in Chile: A Qualitative Study","volume":"0","author":"Hausdorf K. D.","year":"2026","journal-title":"Gerodontology"},{"key":"e_1_2_12_35_1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.jad.2023.02.096","article-title":"Emotional and Social Loneliness and Their Unique Links With Social Isolation, Depression and Anxiety","volume":"329","author":"Wolters N. E.","year":"2023","journal-title":"Journal of Affective Disorders"},{"issue":"2","key":"e_1_2_12_36_1","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1111\/joor.70083","article-title":"Association of Depressive Symptoms With Incidence of Edentulous Jaw in Middle\u2010Aged and Older Chinese Adults","volume":"53","author":"Liu Z.","year":"2026","journal-title":"Journal of Oral Rehabilitation"},{"issue":"1","key":"e_1_2_12_37_1","doi-asserted-by":"crossref","DOI":"10.1111\/scd.13079","article-title":"The Impact of Oral Health on Depression: A Systematic Review","volume":"45","author":"Karimi P.","year":"2025","journal-title":"Special Care in Dentistry"},{"issue":"1","key":"e_1_2_12_38_1","first-page":"S2","article-title":"A Systematic Review of Recall Regimen and Maintenance Regimen of Patients With Dental Restorations. Part 1: Tooth\u2010Borne Restorations","volume":"25","author":"Bidra A. S.","year":"2016","journal-title":"Journal of Prosthodontics"},{"issue":"1","key":"e_1_2_12_39_1","first-page":"S16","article-title":"A Systematic Review of Recall Regimen and Maintenance Regimen of Patients With Dental Restorations. Part 2: Implant\u2010Borne Restorations","volume":"25","author":"Bidra A. S.","year":"2016","journal-title":"Journal of Prosthodontics"},{"issue":"12","key":"e_1_2_12_40_1","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.1111\/jcpe.13716","article-title":"Clinical Outcomes of Dental Implants in Patients With and Without History of Periodontitis: A 20\u2010Year Prospective Study","volume":"49","author":"Roccuzzo A.","year":"2022","journal-title":"Journal of Clinical Periodontology"},{"key":"e_1_2_12_41_1","doi-asserted-by":"crossref","first-page":"617","DOI":"10.2147\/PPA.S201054","article-title":"Engaging Patients and Informal Caregivers to Improve Safety and Facilitate Person\u2010 and Family\u2010Centered Care During Transitions From Hospital to Home \u2010 a Qualitative Descriptive Study","volume":"13","author":"Backman C.","year":"2019","journal-title":"Patient Preference and Adherence"},{"issue":"6","key":"e_1_2_12_42_1","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1111\/joim.13784","article-title":"Effectiveness of Integrated Person\u2010Centered Interventions for Older People's Care: Review of Swedish Experiences and Experts' Perspective","volume":"295","author":"Kirvalidze M.","year":"2024","journal-title":"Journal of Internal Medicine"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.70283","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/joor.70283","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.70283","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T01:05:58Z","timestamp":1788829558000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.70283"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":41,"alternative-id":["10.1111\/joor.70283"],"URL":"https:\/\/doi.org\/10.1111\/joor.70283","archive":["Portico"],"relation":{},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]},"assertion":[{"value":"2026-05-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"joor.70283"}}