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Oral Rehabilitation and Multidisciplinary Team Approach in Older Adult: A Narrative Review
Mineka Yoshikawa1, Azusa Haruta1, Yutaro Takahashi1
1Department of Advanced Prosthodontics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima City 734-8553, Japan.
Integrating oral care, nutrition, and rehabilitation in older adults significantly improves oral function and overall health. This triadic, interprofessional approach addresses complex needs for better geriatric outcomes.
Area of Science:
- Geriatric Medicine
- Interprofessional Healthcare
- Oral Health
Background:
- Oral frailty and hypofunction in older adults are linked to poor nutrition, physical decline, and impaired swallowing.
- Isolated interventions are insufficient due to the complex biological, psychological, and social factors involved.
- Multidisciplinary approaches integrating oral care, nutrition, and rehabilitation show promise.
Purpose of the Study:
- To review evidence on multifaceted interprofessional interventions for oral frailty and hypofunction in older adults.
- To synthesize findings from studies across various care settings.
Main Methods:
- A narrative review of 15 studies identified through PubMed and Web of Science (2000-2025).
- Studies focused on oral, nutritional, or physical outcomes in older adults following interprofessional interventions.
- Data were integrated using narrative synthesis due to heterogeneity.
Main Results:
- Educational interventions improved oral hygiene and caregiver awareness.
- Rehabilitation and multidomain programs enhanced tongue pressure, swallowing, mastication, and daily activities.
- Nutrition support reduced aspiration risk and improved oral function.
- Community and home-care programs facilitated oral intake resumption, with 69% of tube-fed patients resuming oral intake in one study.
Conclusions:
- A triadic, interprofessional approach is recommended for geriatric care.
- Integrated oral, nutritional, and rehabilitative interventions consistently improve oral function in older adults.
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