Reflections on changes in geriatric dentistry.

Area of Science:

• Geriatric Dentistry
• Dental Education
• Public Health

Background:

• Dental education for older adults has seen substantial changes over the past two decades.
• The University of Iowa's program exemplifies this evolution.
• Addressing the oral health needs of the elderly population is a growing concern.

Purpose of the Study:

• To review the development of geriatric dental education in the US and at the University of Iowa.
• To identify factors influencing curriculum changes in geriatric dental education.
• To suggest applications from the University of Iowa's experience for other institutions.

Main Methods:

• A review of geriatric dental education programs over the last twenty years.
• Analysis of the University of Iowa's program evolution.
• Identification and discussion of influencing factors on curriculum development.

Main Results:

• The University of Iowa's program transformed from an elective to a required didactic and clinical program.
• The program now includes a special care clinic and a mobile unit serving nursing homes.
• Comprehensive dental care is provided to nursing home residents.

Conclusions:

• Geriatric dental education requires comprehensive didactic and clinical components.
• Mobile units and special care clinics are effective in delivering care to underserved elderly populations.
• The University of Iowa's model offers valuable insights for other dental schools developing geriatric programs.