{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T22:59:29Z","timestamp":1793660369150,"version":"4.5.1"},"reference-count":59,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Dent. Med."],"abstract":"<jats:p>Oral health is essential for the overall well-being of aging adults, yet significant disparities persist in the United States, contributing to malnutrition, reduced quality of life, and social isolation. Despite advancements in preventive dentistry, older adults continue to face substantial oral health challenges. This study reviewed the current state of oral health among aging adults in the United States, analyzing national health surveys and existing preventive dentistry protocols to assess their effectiveness. National data indicated that a high percentage of older adults experience tooth loss, periodontal disease, and root caries. Results indicated that almost 40% of adults aged 65 and older have lost a significant number of teeth, and a large proportion of the aging adult population has suffered from high rates of caries and periodontal disease. Socioeconomic factors were found to significantly influence access to dental care. Key barriers included low income, inadequate insurance, and low oral health literacy exacerbating disparities. The study proposes a multifaceted approach to improve oral health equity, including policy changes, community-based preventive programs, enhanced geriatric dentistry education, and the integration of oral health into primary care. Addressing these disparities is needed to improve both oral and overall health outcomes for the growing elderly population in the United States.<\/jats:p>","DOI":"10.3389\/fdmed.2025.1522892","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T01:40:40Z","timestamp":1743471640000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":23,"title":["Addressing disparities in oral health access and outcomes for aging adults in the United States"],"prefix":"10.3389","volume":"6","author":[{"given":"Adam","family":"Lowenstein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mabi L.","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athena S.","family":"Papas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1111\/jgs.13190","article-title":"Tooth loss associated with physical and cognitive decline in older adults","volume":"63","author":"Tsakos","year":"2015","journal-title":"J Am Geriatr Soc"},{"key":"B2","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1002\/gps.4396","article-title":"Association between tooth loss and dementia among older people: a meta-analysis","volume":"31","author":"Shen","year":"2016","journal-title":"Int J Geriatr Psychiatry"},{"key":"B3","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1111\/j.1741-2358.1984.tb00366.x","article-title":"Oral health status of the elderly, with dietary and nutritional considerations","volume":"3","author":"Papas","year":"1984","journal-title":"Gerodontology"},{"key":"B4","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1111\/j.1754-4505.1987.tb01558.x","article-title":"Nutrition and preventive needs of older adults","volume":"7","author":"Papas","year":"1987","journal-title":"Spec Care Dentist"},{"key":"B5","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1111\/j.1749-6632.1989.tb20976.x","article-title":"Longitudinal relationships between nutrition and oral health","volume":"561","author":"Papas","year":"1989","journal-title":"Ann N Y Acad Sci"},{"key":"B6","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1159\/000417075","article-title":"Nutrition and the oral health of the elderly","volume":"59","author":"Palmer","year":"1989","journal-title":"World Rev Nutr Diet"},{"key":"B7","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1007\/bf01623233","article-title":"Tooth loss and skeletal bone density in healthy postmenopausal women","volume":"4","author":"Krall","year":"1994","journal-title":"Osteoporos Int"},{"key":"B8","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1111\/j.1754-4505.1998.tb01355.x","article-title":"Relationships among education, dentate status, and diet in adults","volume":"18","author":"Papas","year":"1998","journal-title":"Spec Care Dentist"},{"key":"B9","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1111\/j.1754-4505.1998.tb01354.x","article-title":"The effects of denture status on nutrition","volume":"18","author":"Papas","year":"1998","journal-title":"Spec Care Dentist"},{"key":"B10","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1590\/0103-6440201300117","article-title":"Is there a relationship between periodontal disease and causes of death? 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