Proposal for a Conceptual Framework for the Development of Geriatric Dentistry

Area of Science:

• Geriatric Dentistry
• Oral Health
• Public Health Policy

Background:

• Global demographic shifts show a rising older adult population.
• Epidemiologic transitions lead to more retained teeth and increased patient expectations for oral health.
• Traditional geriatric dentistry, focused on prosthetics, requires reorientation to incorporate geriatric and gerontologic principles.

Purpose of the Study:

• To propose a new conceptual framework for advancing geriatric dentistry as a clinical specialty.
• To establish four core concepts as structural pillars for the future of geriatric dentistry.
• To address the specific needs of older adults in low- and middle-income countries.

Main Methods:

• Review of scientific evidence and academic experience.
• Development of a conceptual framework based on proposed core principles.
• Consideration of global disparities in oral healthcare access and outcomes.

Main Results:

• Four foundational concepts proposed: minimal intervention dentistry, oral functionality, patient-centered care, and interdisciplinary teamwork.
• The framework aims to enhance oral care access for older adults, including those facing physical or social barriers.
• Implementation requires adjustments in clinical guidelines and public health policies.

Conclusions:

• The proposed framework offers a holistic approach to geriatric dentistry, moving beyond traditional prosthetic focus.
• Adoption of these concepts will improve oral health-related quality of life and well-being for the aging population.
• Significant implications exist for dental education and specialist training programs worldwide.