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Updated: May 31, 2026

The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
08:36

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Published on: July 28, 2022

Staging in Gerodontology: A Framework.

Falk Schwendicke1, Gerry McKenna2, Murali Srinivasan3,4

  • 1Department of Conservative Dentistry, Periodontology and Digital Dentistry, LMU University Hospital, LMU Munich, Munich, Germany.

Gerodontology
|May 29, 2026
PubMed
Summary
This summary is machine-generated.

A new framework for staging older adults' oral health was developed to systematically assess their needs. This approach helps clinicians and policymakers provide better care and improve health surveillance for this population.

Keywords:
case complexityfrailtygeriatric dentistryhyposalivationnutritionolder adultsoral health caresocio‐economic statustreatment planningxerostomia

Related Experiment Videos

Last Updated: May 31, 2026

The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
08:36

The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living

Published on: July 28, 2022

Area of Science:

  • Gerontology
  • Dental Public Health
  • Oral Medicine

Background:

  • Assessing and describing the oral health status and care needs of older adults presents significant challenges.
  • A comprehensive, systematic, and reproducible framework is needed for evaluating older adults' oral health.
  • This includes general and oral function, disease, and various risk factors influencing care complexity and needs.

Purpose of the Study:

  • To develop a framework for evaluating and reporting older adults' oral health.
  • To capture general and oral function, disease, and risk factors.
  • To inform clinical management, education, research, surveillance, and health services.

Main Methods:

  • Conducted eight reviews to identify risk factors for oral health deterioration in older adults.
  • Incorporated existing systematic reviews into framework development.
  • Utilized a 2.5-day workshop with 31 international researchers and stakeholders, implementing a structured consensus process with a 75% agreement threshold.

Main Results:

  • Developed a case definition based on staging and grading for oral health in older adults.
  • Staging encompasses person-level (clinical frailty), function-level (oral function, tooth loss), and disease-level (caries, periodontal disease) domains.
  • The framework reflects current health, function, care complexity, and deterioration risk.

Conclusions:

  • Oral health staging in older adults enables systematic case classification for appropriate care planning.
  • Staging, combined with grading, can capture overall health status and care needs for surveillance, research, and education.
  • Future steps include validation, dissemination, and implementation of the developed framework.