{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:03:28Z","timestamp":1790813008463,"version":"4.1.0"},"reference-count":94,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>Oral health in older adults is a critical component of overall well-being requiring integrated, interdisciplinary approaches to address its complex interplay of medical, functional, and psychosocial challenges. The aim of this is to examine strategies to enhance interdisciplinary collaboration among dental professionals, physicians, nurses, nutritionists, and caregivers to improve oral health outcomes in aging populations. Older adults commonly face dental problems such as periodontal disease which can be exacerbated by polypharmacy, systemic diseases, and barriers to accessing care. These multifaceted needs necessitate coordinated efforts across dentistry, geriatric medicine, nursing, and social support systems. Strategies of effective interdisciplinary care include: (1) Medical-dental integration, enabling physicians to screen for oral health issues during routine assessments; (2) Nursing and caregiver engagement in daily oral hygiene support and early problem identification; (3) Nutritional interventions tailored to address chewing difficulties and prevent malnutrition; (4) Social support systems to improve access to affordable care; and (5) Technology-driven solutions such as tele-dentistry to enhance communication, early detection, and care coordination. Despite these opportunities, systemic barriers persist, including fragmented healthcare systems, financial constraints, workforce shortages, cultural biases, and technological gaps. Progress requires commitment from policymakers, healthcare institutions, and health care professionals to prioritize geriatric oral health as a public health imperative. In conclusion, interdisciplinary collaboration enhances older adults\u2019 oral-systemic health via cross-sector policies and healthcare workforce education. Implementing these strategies can mitigate oral health disparities, reduce the burden of chronic diseases, and improve quality of life for aging populations through holistic, patient-centered care.<\/jats:p>","DOI":"10.3390\/geriatrics11010022","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T08:51:09Z","timestamp":1771491069000},"page":"22","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Interdisciplinary Strategies for Improving Oral Health in Older Adults: A Comprehensive Review"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0589-2996","authenticated-orcid":false,"given":"Joanna Cheuk Yan","family":"Hui","sequence":"first","affiliation":[{"name":"Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2035-9873","authenticated-orcid":false,"given":"Lindsey Lingxi","family":"Hu","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6210-9293","authenticated-orcid":false,"given":"Alice Kit Ying","family":"Chan","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8167-0430","authenticated-orcid":false,"given":"Chun Hung","family":"Chu","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0140-6736(19)31146-8","article-title":"Oral diseases: A global public health challenge","volume":"394","author":"Peres","year":"2019","journal-title":"Lancet"},{"key":"ref_2","unstructured":"The World Health Organization (2003). The World Health Report 2003: SHAPING the Future, The World Health Organization."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1038\/s41405-024-00262-z","article-title":"Healthy ageing and oral health: Priority, policy and public health","volume":"10","author":"Patel","year":"2024","journal-title":"BDJ Open"},{"key":"ref_4","unstructured":"Kaur, M. (2023). Social Prescription in Dentistry: The Perspective of Community Partners, McGill University."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Chan, A.K.Y., Tsang, Y.C., Jiang, C.M., Leung, K.C.M., Lo, E.C.M., and Chu, C.H. (2023). Integration of oral health into general health services for older adults. Geriatrics, 8.","DOI":"10.3390\/geriatrics8010020"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"BSR20181773","DOI":"10.1042\/BSR20181773","article-title":"The relationship between tooth loss and mortality from all causes, cardiovascular diseases, and coronary heart disease in the general population: Systematic review and dose\u2014Response meta-analysis of prospective cohort studies","volume":"39","author":"Peng","year":"2019","journal-title":"Biosci. Rep."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1818","DOI":"10.1001\/jama.2015.13766","article-title":"Trends in prescription drug use among adults in the United States from 1999\u20132012","volume":"314","author":"Kantor","year":"2015","journal-title":"JAMA"},{"key":"ref_8","first-page":"989","article-title":"Polypharmacy among adults aged 65 years and older in the United States: 1988\u20132010","volume":"70","author":"Charlesworth","year":"2015","journal-title":"J. Gerontol. Ser. A Biomed. Sci. Med. Sci."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"11S","DOI":"10.14219\/jada.archive.2008.0347","article-title":"The effect of saliva on dental caries","volume":"139","author":"Stookey","year":"2008","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"S15","DOI":"10.14219\/jada.archive.2007.0358","article-title":"Dry mouth and its effects on the oral health of elderly people","volume":"138","author":"Turner","year":"2007","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.jormas.2019.02.004","article-title":"Quality of life related to oral health and its impact in adults","volume":"120","author":"Spanemberg","year":"2019","journal-title":"J. Stomatol. Oral Maxillofac. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1016\/j.identj.2022.06.012","article-title":"Burden of oral diseases and access to oral care in an Ageing Society","volume":"72","author":"Aida","year":"2022","journal-title":"Int. Dent. J."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"S103","DOI":"10.1370\/afm.2929","article-title":"Why are family doctors still not addressing oral health?","volume":"21","author":"Romano","year":"2023","journal-title":"Ann. Fam. Med."},{"key":"ref_14","first-page":"31","article-title":"Knowledge of oral health of nursing staff caring for disadvantaged older people","volume":"6","author":"Reigle","year":"2016","journal-title":"J. Nurs. Educ. Pract."},{"key":"ref_15","unstructured":"Department of Health, Hong Kong SAR Government (2025, October 30). Oral Health Survey 2021, Available online: https:\/\/www.toothclub.gov.hk\/en\/en_pdf\/Oral_Health_Survey_2021\/Oral_Health_Survey_2021_Report_EN.pdf."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e244165","DOI":"10.1001\/jamahealthforum.2024.4165","article-title":"Dental coverage and care when transitioning from Medicaid to Medicare","volume":"5","author":"Elani","year":"2024","journal-title":"JAMA Health Forum"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Lowenstein, A., Singh, M.L., and Papas, A.S. (2025). Addressing disparities in oral health access and outcomes for aging adults in the United States. Front. Dent. Med., 6.","DOI":"10.3389\/fdmed.2025.1522892"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1146\/annurev-publhealth-040119-094318","article-title":"Disparities in access to oral health care","volume":"41","author":"Northridge","year":"2020","journal-title":"Annu. Rev. Public Health"},{"key":"ref_19","unstructured":"The World Health Organization (2015). Tracking Universal Health Coverage: First Global Monitoring Report, The World Health Organization."},{"key":"ref_20","unstructured":"World Health Organization (2015). World Report on Ageing and Health, World Health Organization. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789241565042."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Slack-Smith, L., Arena, G., and See, L. (2023). Rapid Oral Health Deterioration in Older People\u2014A narrative review from a socio-economic perspective. J. Clin. Med., 12.","DOI":"10.3390\/jcm12062396"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1111\/j.1754-4505.2008.00045.x","article-title":"Oral health, general health, and quality of life in older people","volume":"28","author":"Kandelman","year":"2008","journal-title":"Spec. Care Dent."},{"key":"ref_23","first-page":"646","article-title":"A review of the risks and relationships between oral health and chronic diseases","volume":"116","author":"Fryer","year":"2024","journal-title":"J. Natl. Med. Assoc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1111\/jcpe.13189","article-title":"Periodontitis and cardiovascular diseases: Consensus report","volume":"47","author":"Sanz","year":"2020","journal-title":"J. Clin. Periodontol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1007\/s00125-011-2342-y","article-title":"Periodontitis and diabetes: A two-way relationship","volume":"55","author":"Preshaw","year":"2012","journal-title":"Diabetologia"},{"key":"ref_26","first-page":"e88964","article-title":"Impact of systemic medications on oral health: A cross-sectional study among geriatric patients","volume":"17","author":"Avina","year":"2025","journal-title":"Cureus"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Chan, A.K.Y., Tamrakar, M., Jiang, C.M., Lo, E.C.M., Leung, K.C.M., and Chu, C.-H. (2021). Common medical and dental problems of older adults: A narrative review. Geriatrics, 6.","DOI":"10.3390\/geriatrics6030076"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1111\/jan.15769","article-title":"Improving oral hygiene for better cognitive health: Interrelationships of oral hygiene habits, oral health status, and cognitive function in older adults","volume":"80","author":"Yang","year":"2024","journal-title":"J. Adv. Nurs."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1111\/jphd.12644","article-title":"Associations between disability type and untreated dental decay among community dwelling US adults","volume":"84","author":"Singh","year":"2024","journal-title":"J. Public Health Dent."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Gao, S.S., Chu, C.H., and Young, F.Y.F. (2020). Oral health and care for elderly people with Alzheimer\u2019s disease. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17165713"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.1086\/430603","article-title":"Geriatric oral health and pneumonia risk","volume":"40","author":"Terpenning","year":"2005","journal-title":"Clin. Infect. Dis."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1046\/j.1532-5415.2002.50106.x","article-title":"Oral care reduces pneumonia in older patients in nursing homes","volume":"50","author":"Yoneyama","year":"2002","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_33","first-page":"CD012416","article-title":"Oral care measures for preventing nursing home-acquired pneumonia","volume":"9","author":"Cao","year":"2018","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Azzolino, D., Passarelli, P.C., De Angelis, P., Piccirillo, G.B., D\u2019Addona, A., and Cesari, M. (2019). Poor oral health as a determinant of malnutrition and sarcopenia. Nutrients, 11.","DOI":"10.3390\/nu11122898"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Algra, Y., Haverkort, E., Kok, W., van Etten-Jamaludin, F., van Schoot, L., Hollaar, V., Naumann, E., de van der Schueren, M., and Jerkovi\u0107-\u0106osi\u0107, K. (2021). The association between malnutrition and oral health in older people: A systematic review. Nutrients, 13.","DOI":"10.3390\/nu13103584"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"14931","DOI":"10.1038\/s41598-025-98718-1","article-title":"The interconnection of oral and systemic health","volume":"15","author":"Christidis","year":"2025","journal-title":"Sci. Rep."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e2333310","DOI":"10.1001\/jamanetworkopen.2023.33310","article-title":"The absence of dental care in Medicare and health inequities","volume":"6","author":"Dye","year":"2023","journal-title":"JAMA Network Open"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Tabrizi, M., and Lee, W.-C. (2023). Linking current dental education to gerontological education to meet the oral health needs of growing aging populations. Front. Oral Health, 4.","DOI":"10.3389\/froh.2023.1232489"},{"key":"ref_39","first-page":"377","article-title":"Interdisciplinary education and health care in geriatric dental medicine","volume":"65","author":"Mara","year":"2021","journal-title":"Dent. Clin."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"406","DOI":"10.18043\/ncm.78.6.406","article-title":"Integrating oral health and primary care in the changing health care landscape","volume":"78","author":"Atchison","year":"2017","journal-title":"North Carol. Med. J."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1111\/j.1834-7819.2005.tb00360.x","article-title":"The oral health assessment tool\u2014Validity and Reliability","volume":"50","author":"Chalmers","year":"2005","journal-title":"Aust. Dent. J."},{"key":"ref_42","unstructured":"Australian Institute of Health and Welfare (AIHW) (2009). Oral Health Assessment Tool (OHAT), AIHW. Available online: https:\/\/www.nice.org.uk\/Media\/Default\/Oral%20health%20toolkit\/Oral_health_assessment_tool.pdf."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Li, S., Williams, K.S., Medam, J.K., Patel, J.S., Gonzalez, T., and Thyvalikakath, T.P. (2022). Retrospective study of the reasons and time involved for dental providers\u2019 medical consults. Front. Digit. Health, 4.","DOI":"10.3389\/fdgth.2022.838538"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"26","DOI":"10.56766\/ntms.1528563","article-title":"Medication-Related Osteonecrosis of the Jaw: Risk Factors, management and prevention in Dental Practices","volume":"6","author":"Alawawda","year":"2025","journal-title":"New Trends Med. Sci."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Inchingolo, F., Inchingolo, A.M., Piras, F., Ferrante, L., Mancini, A., Palermo, A., Inchingolo, A.D., and Dipalma, G. (2024). Management of patients receiving anticoagulation therapy in dental practice: A systematic review. Healthcare, 12.","DOI":"10.3390\/healthcare12151537"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Bell, V., Rodrigues, A.R., Antoniadou, M., Peponis, M., Varzakas, T., and Fernandes, T. (2023). An update on drug\u2014Nutrient interactions and dental decay in older adults. Nutrients, 15.","DOI":"10.3390\/nu15234900"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1093\/geront\/35.6.814","article-title":"An instrument to assess the oral health status of nursing home residents","volume":"35","author":"Bird","year":"1995","journal-title":"Gerontologist"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e029869","DOI":"10.1136\/bmjopen-2019-029869","article-title":"Knowledge, attitude and self-efficacy of elderly caregivers in Chinese nursing homes: A cross-sectional study in Liaoning Province","volume":"9","author":"Zhang","year":"2019","journal-title":"BMJ Open"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"S25","DOI":"10.1093\/geront\/gnt145","article-title":"Changing the culture of mouth care: Mouth care without a battle","volume":"54","author":"Zimmerman","year":"2014","journal-title":"Gerontologist"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"493","DOI":"10.14219\/jada.archive.2007.0201","article-title":"The relationship between nutrition and systemic and oral well-being in older people","volume":"138","author":"Moynihan","year":"2007","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Azimi, S., Bennamoun, B., Mehdizadeh, M., Vignarajan, J., Xiao, D., Huang, B., Spallek, H., Irving, M., Kruger, E., and Tennant, M. (2025). Teledentistry improves access to oral care: A cluster randomised controlled trial. Healthcare, 13.","DOI":"10.3390\/healthcare13182282"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Drafta, S., Macris, A., and Petre, A.E. (2025). Innovations on the horizon: Teledentistry, artificial intelligence, and hybrid models to improve oral health for vulnerable communities. Front. Oral Health, 6.","DOI":"10.3389\/froh.2025.1649715"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Li, S., Rajapuri, A.S., Felix Gomez, G.G., Schleyer, T., Mendonca, E.A., and Thyvalikakath, T.P. (2022). How do dental clinicians obtain up-to-date patient medical histories? Modeling strengths, drawbacks, and proposals for improvements. Front. Digit. Health, 4.","DOI":"10.3389\/fdgth.2022.847080"},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Besimo, C.E., Zitzmann, N.U., and Joda, T. (2020). Digital oral medicine for the elderly. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17072171"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"S27","DOI":"10.1016\/j.identj.2022.06.014","article-title":"Policies supporting oral health in ageing populations are needed worldwide","volume":"72","author":"Kossioni","year":"2022","journal-title":"Int. Dent. J."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1080\/13561820.2020.1825354","article-title":"Diabetes mellitus and periodontal disease: The call for interprofessional education and interprofessional collaborative care\u2014A systematic review of the literature","volume":"36","author":"Siddiqi","year":"2022","journal-title":"J. Interprofessional Care"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1007\/s41999-021-00547-8","article-title":"Oral hygiene and health-related quality of life in institutionalized older people","volume":"13","author":"Saarela","year":"2022","journal-title":"Eur. Geriatr. Med."},{"key":"ref_58","first-page":"e21","article-title":"Integrated care: A position paper of the WHO European Office for Integrated Health Care Services","volume":"1","year":"2001","journal-title":"Int. J. Integr. Care"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/ger.12525","article-title":"Barriers and facilitators to integrate oral health care for older adults in general (Basic) care in East Netherlands. Part 2 functional integration","volume":"38","author":"Niesten","year":"2021","journal-title":"Gerodontology"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1001\/journalofethics.2016.18.9.pfor1-1609","article-title":"Overcoming historical separation between oral and general health care: Interprofessional collaboration for promoting health equity","volume":"18","author":"Simon","year":"2016","journal-title":"AMA J. Ethics"},{"key":"ref_61","unstructured":"Atchison, K.A., Rozier, R.G., and Weintraub, J.A. (2025, December 10). Integration of oral health and primary care: Communication, coordination and referral. NAM Perspect. 2018, Discussion Paper. Available online: https:\/\/nam.edu\/perspectives\/integration-of-oral-health-and-primary-care-communication-coordination-and-referral\/."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1377\/hlthaff.2021.01899","article-title":"Dental Services Use: Medicare beneficiaries experience Immediate and Long-term reductions after enrollment: Study examines dental services use by Medicare beneficiaries","volume":"42","author":"Simon","year":"2023","journal-title":"Health Aff."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1002\/j.0022-0337.2016.80.5.tb06111.x","article-title":"Changes in dental students\u2019 attitudes about treating underserved populations: A longitudinal study","volume":"80","author":"Major","year":"2016","journal-title":"J. Dent. Educ."},{"key":"ref_64","first-page":"e89604","article-title":"Barriers to geriatric oral health: A multifaceted public health issue","volume":"17","author":"Murali","year":"2025","journal-title":"Cureus"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1111\/jrh.12500","article-title":"Rural-urban differences in dental service utilization and dental service procedures received among US adults: Results from the 2016 Medical Expenditure Panel Survey","volume":"37","author":"Luo","year":"2021","journal-title":"J. Rural. Health"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"1001277","DOI":"10.37349\/emed.2025.1001277","article-title":"Overcoming challenges to integration of oral health into geriatric primary care","volume":"6","author":"Varela","year":"2025","journal-title":"Explor. Med."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"26","DOI":"10.5694\/mja15.00740","article-title":"\u201cSorry, I\u2019m not a dentist\u201d: Perspectives of rural GPs on oral health in the bush","volume":"204","author":"Barnett","year":"2016","journal-title":"Med. J. Aust."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1111\/jgs.15191","article-title":"An expert opinion from the European College of Gerodontology and the European Geriatric Medicine Society: European policy recommendations on oral health in older adults","volume":"66","author":"Kossioni","year":"2018","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1177\/00220345231165011","article-title":"Integrating oral health into primary care: Perspectives for older adults","volume":"102","author":"Nelson","year":"2023","journal-title":"J. Dent. Res."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1111\/ger.12784","article-title":"Integrating dental professionals into aged care with focus on australia: A scoping review","volume":"42","author":"West","year":"2025","journal-title":"Gerodontology"},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"Niesten, D., van Mourik, K., and van der Sanden, W. (2013). The impact of frailty on oral care behavior of older people: A qualitative study. BMC Oral Health, 13.","DOI":"10.1186\/1472-6831-13-61"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"43","DOI":"10.2147\/JHL.S363657","article-title":"Science-informed health policies for oral and systemic health","volume":"15","author":"Slavkin","year":"2023","journal-title":"J. Healthc. Leadersh."},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"Chan, A.K.Y., Tamrakar, M., Leung, K.C.M., Jiang, C.M., Lo, E.C.M., and Chu, C.-H. (2021). Oral health care of older adults in Hong Kong. Geriatrics, 6.","DOI":"10.3390\/geriatrics6040097"},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Anyikwa, C.L., and Ogwo, C.E. (2025). Enhancing oral health outcomes through public health policy reform. Front. Oral Health, 6.","DOI":"10.3389\/froh.2025.1604465"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"103964","DOI":"10.1016\/j.identj.2025.103964","article-title":"Electronic health records in dentistry: Relevance, challenges and policy directions","volume":"75","author":"Schwendicke","year":"2025","journal-title":"Int. Dent. J."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"e65211","DOI":"10.2196\/65211","article-title":"Teledentistry for improving access to, and quality of oral health care: Overview of systematic reviews and meta-analyses","volume":"27","author":"Talla","year":"2025","journal-title":"J. Med. Internet Res."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1111\/jphd.12397","article-title":"The integration of oral health-related best practice recommendations in the management of patients with diabetes: A cross-sectional survey of primary care physicians","volume":"81","author":"Ahern","year":"2021","journal-title":"J. Public Health Dent."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1016\/j.gerinurse.2021.04.012","article-title":"Barriers and facilitators of oral health care experienced by nursing home staff","volume":"42","author":"Schuller","year":"2021","journal-title":"Geriatr. Nurs."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1002\/cre2.264","article-title":"Pneumonia prevention effects of perioperative oral management in approximately 25,000 patients following cancer surgery","volume":"6","author":"Kurasawa","year":"2020","journal-title":"Clin. Exp. Dent. Res."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"e1230","DOI":"10.1111\/j.1741-2358.2010.00445.x","article-title":"Is Europe prepared to meet the oral health needs of older people?","volume":"29","author":"Kossioni","year":"2012","journal-title":"Gerodontology"},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1111\/j.1741-2358.2009.00296.x","article-title":"European College of Gerodontology: Undergraduate curriculum guidelines in gerodontology","volume":"26","author":"Kossioni","year":"2009","journal-title":"Gerodontology"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.adaj.2020.12.010","article-title":"Examining the association of medical-dental integration with closure of medical care gaps among the elderly population","volume":"152","author":"Mosen","year":"2021","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_83","unstructured":"Pacific Dental Services (PDS) Foundation (2025, December 31). Improving Access to Oral Health Care for All: Pacific Dental Services Foundation Highlights 2024 Achievements. PR Newswire (News Release), 5 February 2025. Available online: https:\/\/www.prnewswire.com\/news-releases\/improving-access-to-oral-health-care-for-all-pacific-dental-services-foundation-highlights-2024-achievements-302368873.html."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.jebdp.2014.02.008","article-title":"Teledentistry: A key component in access to care","volume":"14","author":"Daniel","year":"2014","journal-title":"J. Evid.-Based Dent. Pract."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"e245123","DOI":"10.1001\/jamahealthforum.2024.5123","article-title":"Benefit design and access to dental care among seniors with Medicare Advantage dental benefits","volume":"6","author":"Nasseh","year":"2025","journal-title":"JAMA Health Forum"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1377\/hlthaff.2020.02149","article-title":"Comparing Medicare Advantage and traditional Medicare: A systematic review","volume":"40","author":"Agarwal","year":"2021","journal-title":"Health Aff."},{"key":"ref_87","unstructured":"Simon, L.E., Nasseh, K., and Vujicic, M. (2026, January 06). Medicare Advantage Dental Benefits in 2025: Steady Improvement or More of the same? Health Affairs Forefront 2025. Available online: https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2024.01478."},{"key":"ref_88","unstructured":"United States Congress (2025, December 31). S.939\u2014Medicare Dental, Hearing, and Vision Expansion Act of 2025, Available online: https:\/\/www.congress.gov\/bill\/119th-congress\/senate-bill\/939."},{"key":"ref_89","unstructured":"Burke, G., Christ, A., and Goldberg, J. (2019). Creating an Oral Health Benefit in Medicare: A Statutory Analysis; Issue Brief, Justice in Aging. Available online: https:\/\/www.justiceinaging.org\/wp-content\/uploads\/2019\/01\/Creating-an-Oral-Health-Benefit-in-Medicare-A-Statutory-Analysis.pdf."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.identj.2020.12.026","article-title":"FDI Vision 2030: Delivering optimal oral health for all","volume":"71","author":"Glick","year":"2021","journal-title":"Int. Dent. J."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"S39","DOI":"10.1016\/j.identj.2022.06.011","article-title":"Providing effective dental care for an ageing population","volume":"72","author":"Gibson","year":"2022","journal-title":"Int. Dent. J."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"e65128","DOI":"10.2196\/65128","article-title":"Smartphone-based telemonitoring for better oral health with toothbrushes: 6-month randomized controlled trial","volume":"27","author":"Kim","year":"2025","journal-title":"J. Med. Internet Res."},{"key":"ref_93","doi-asserted-by":"crossref","unstructured":"Jundaeng, J., Chamchong, R., and Nithikathkul, C. (2025). Artificial intelligence-powered innovations in periodontal diagnosis: A new era in dental healthcare. Front. Med. Technol., 6.","DOI":"10.3389\/fmedt.2024.1469852"},{"key":"ref_94","doi-asserted-by":"crossref","unstructured":"Talwar, V., Singh, P., Mukhia, N., Shetty, A., Birur, P., Desai, K.M., Sunkavalli, C., Varma, K.S., Sethuraman, R., and Jawahar, C. (2023). AI-assisted screening of oral potentially malignant disorders using smartphone-based photographic images. Cancers, 15.","DOI":"10.3390\/cancers15164120"}],"container-title":["Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3417\/11\/1\/22\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T09:16:16Z","timestamp":1771492576000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3417\/11\/1\/22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,19]]},"references-count":94,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["geriatrics11010022"],"URL":"https:\/\/doi.org\/10.3390\/geriatrics11010022","relation":{},"ISSN":["2308-3417"],"issn-type":[{"value":"2308-3417","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,19]]}}}