Oral Health for an Ageing Population

Evidence, Policy, Practice and Evaluation

Häftad, Engelska, 2025

AvKakuhiro Fukai,Japan; Kanagawa Dental University) Fukai, Kakuhiro (Fukai Institute of Health Science in Misato City, Saitama

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Enables readers to understand practical solutions to reduce oral disease and improve oral health in a growing aging population Oral Health for an Ageing Population offers global evidence and practical solutions to enable dental clinicians and policymakers implement effective policies and practices compatible with local needs and resources. The text clearly interprets evidence into knowledge, knowledge into policy, and policy into practice in the context of dental and general health care provision, offering international perspectives and specific examples of implemented global policies. Specific sample topics covered in Oral Health for an Ageing Population include: Burden of global aging and how to achieve oral health among the elderly (including detailed recommendations for integrated clinical and community initiatives)Sustainable development goals, common risk factor approach, life course approach, non-communicable diseases, and frailty preventionImplementing effective health policy at the international and national level and improving attitudes and awareness among the general public regarding oral healthLearning from the experience of Japan, the UK, and other countries, plus recommendations for future research, policy, and practiceWritten by a leading expert in dental geriatrics, Oral Health for an Ageing Population is based on decades of experience dealing with oral health and general health issues arising in an aging society. It provides extensive reviews of the relevant empirical evidence and practical implementation proposals for dentists, dental hygienists, other healthcare professionals, and policymakers.

Produktinformation

Utgivningsdatum2025-02-06
Mått178 x 252 x 13 mm
Vikt454 g
FormatHäftad
SpråkEngelska
Antal sidor208
FörlagJohn Wiley and Sons Ltd
ISBN9781119541264

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Odontologi inom Medicin

The Author Kakuhiro Fukai, D.D.S., Ph.D. is director of the Fukai Institute of Health Science in Misato City, Saitama, Japan. He is also chair of the FDI Oral Health for an Ageing Population Task Team, visiting professor at Kanagawa Dental University, visiting researcher at Japan’s National Institute of Public Health, and vice president of the Japanese Society for Oral Health. He also maintains a private dental practice alongside his research activities.

Preface ix1 Global ageing and health 11.1 Introduction 11.2 Changes in the world population and longevity 21.3 Causes of death and determinants of life expectancy 51.4 Ageing and decline in the functions of daily living 111.5 Average life expectancy (LE) and healthy life expectancy (HLE) 121.5.1 The gap between LE and HLE 121.5.2 Prolonging HLE 131.5.3 Measuring HLE around the world 14Japanese indicators of HLE 14European indicators of HLE 15US indicators of HLE 15WHO indicators of HLE 161.6 Strategy for healthy ageing: how to achieve healthy ageing? 161.7 Ageing society and social security 181.8 Oral health and ageing 181.8.1 Oral health in an ageing society 181.8.2 Oral health and HLE 191.9 Challenges of general health and oral health in an ageing society 211.10 Conclusion 23References 232 Achieving oral health among older adults: Community and clinical approaches 262.1 Introduction 272.2 Oral health in older adults 272.3 Frailty and level of dependency in older adults 292.4 Deterioration of oral health function 292.5 Nutrition and oral health for older adults 332.6 Assessment of oral health of older adults 352.6.1 Nutrition and diet 352.6.2 Assessment of residential environment, family, exercise, health literacy, social activity and economic situation 352.6.3 Assessment of oral function 362.6.4 General health and lifestyle factors 362.6.5 Diseases and medications 372.6.6 Level of consciousness and cognitive function 372.6.7 Vital signs 372.6.8 Activities of daily living and posture 382.6.9 Muscle strength and paralysis 382.6.10 Breathing and vocal capacity 382.6.11 Assessment of the oral environment 382.6.11.1 Dental plaque and tongue coating 392.6.11.2 Dry mouth and saliva flow 392.6.11.3 Halitosis 392.6.11.4 Level of independence in performance of daily oral cleaning 392.6.11.5 Assessment of teeth, dentures, gums, mucous membranes, jawbones and jaw joints 402.6.11.6 Comprehensive assessment of the oral environment 402.6.11.7 Assessment of integrated oral function 402.6.11.8 Assessment of mastication 402.6.11.9 Observation of the act of eating 402.6.11.10 Assessment of consumable foods 412.6.11.11 Chewing and grinding ability 412.6.11.12 Food mixing ability 412.6.11.13 Ability to form boluses (salivary masses) 412.6.11.14 Assessment of swallowing function 412.7 Dementia and oral healthcare in dental clinics 432.7.1 The effect of dental maintenance on the delay and prevention of dementia onset 432.7.2 Does tooth loss prevention and prevention of oral function decline at dental clinics help delay or prevent the onset of dementia? 432.7.3 What barriers must be overcome in order to prevent dental disease and decline of oral health function in people with cognitive decline? 442.7.4 How should dental treatment and maintenance plans be adjusted for people with different levels of cognitive decline? 442.7.4.1 Mild 452.7.4.2 Moderate 452.7.4.3 Severe 452.8 Oral healthcare systems: community-based and clinical-based approach 462.9 Conclusion 47References 483 The link between systemic health and oral health 523.1 Introduction 533.2 Life expectancy and HLE 543.2.1 Determinants of average life expectancy and age-specific survival rates 543.2.2 Ageing and daily living functions 553.3 Scientific evidence and health policy 563.4 Evidence linking dental care and oral health to prolonged HLE 573.4.1 Conceptual pathway of oral health and HLE 573.4.2 The association of tooth loss and chewing function with life expectancy 573.4.3 Oral health and the leading causes of death 613.4.3.1 Diabetes mellitus 623.4.3.2 Cardiovascular disease 623.4.3.3 Cancer 633.4.3.4 Chronic obstructive pulmonary disease and respiratory disease 633.4.3.5 Risk factors of metabolic syndrome and other NCDs 643.4.4 Oral health and the leading causes of long-term care dependence 643.4.4.1 Oral health and long-term care dependence 643.4.4.2 Frailty and oral health 653.4.4.3 Cerebrovascular disease and oral health 653.4.4.4 Falls and joint disease, and oral health 663.4.4.5 Dementia and oral health 663.4.5 Oral health and health promoting factors 693.4.6 Social determinants of health 713.4.7 Effects of dental care and dental management on general health 723.4.7.1 Dental prosthesis and longevity 723.4.7.2 Dental maintenance and general health 733.4.7.3 Dental care and general health promotion 743.5 Conclusion 80References 804 Universal health coverage and effective health policy: Lessons from Japan 914.1 Introduction 924.2 Evidence-based and effective health policy 924.2.1 Evidence-based health policy 924.2.2 Effective health policy 944.2.3 Public health framework for a healthy ageing population 954.3 The global challenge of UHC 974.3.1 UHC for older persons 974.3.1.1 What is UHC? 974.3.1.2 The three dimensions and two components of the WHO’s UHC report 974.3.2 Access to dental care for older adults 984.3.3 How does the WHO monitor progress towards UHC? 984.3.3.1 UHC and inequality 984.3.3.2 UHC and financial hardship 994.3.4 UHC, SDGs and oral health 994.3.4.1 The role of dental care in UHC 1004.3.5 Achieving healthy longevity by implementing UHC 1004.4 Japan’s public healthcare system 1014.4.1 Challenges faced by Japan in a super-ageing society 1014.4.2 Japan’s current health policy framework for a sustainable social security system 1034.4.3 How oral health and cooperative medical and dental care contribute to healthy longevity 1044.4.4 Japan’s public health system and UHC system: a brief history 1054.4.5 The medical care insurance system in Japan 1064.4.6 Dental care and public health: the role of Japan’s medical/dental care fee schedule 1084.4.7 Japan’s National Health Insurance system 1094.4.8 How the medical fee system works 1094.4.9 Medical fee revisions as the bridge between medical/dental care and public health 1104.4.10 Long-term care insurance in Japan 1114.4.11 Establishing a comprehensive community care system for the prevention of long-term care dependence 1144.4.12 Long-term care prevention 1164.4.13 Proposal for improving home dental care provision 1174.4.14 Provision of dental care under the Comprehensive Community Medical and Long-Term Care Fund 1184.4.15 Dental examination and treatment in Japan 1194.4.16 Using the Comprehensive Community Medical and Long-Term Care Fund to promote home dental care 1204.4.17 Health services and dental examinations for the late stage older adults (75 years and older) 1224.4.18 Dental check-ups to slow oral function decline 1224.4.19 The role of dental care and oral health in dementia policies and measures in Japan 1234.4.19.1 Comprehensive plan to promote dementia measures (New Orange Plan) 1244.4.19.2 The role of dental and oral health in dementia prevention 1244.4.20 The Metabolic Syndrome Screening System and oral health 1254.4.21 Public health policy for NCD prevention 1254.4.22 Japan’s 8020 Campaign 1274.4.22.1 History of the 8020 Campaign 1284.4.22.2 Expanding the role of the 8020 Campaign 1314.4.22.3 Effects of the 8020 Campaign on public health 1314.5 Conclusion 132References 1335 Lessons from the United Kingdom, Europe, North America and Australia 1375.1 Introduction 1385.2 Medical health insurance systems 1385.2.1 Tax revenue model (government-funded) 1385.2.1.1 UK 1385.2.1.2 Sweden 1465.2.1.3 Australia 1475.2.1.4 Canada 1485.2.2 Social insurance model (funded via compulsory premiums) 1485.2.2.1 France 1485.2.2.2 Germany 1495.2.3 Mixed model (tax revenue and social insurance model) (government and insurer-funded) 1495.2.3.1 USA 1495.2.4 Discussion 1515.3 Long-term care system 1515.3.1 Background 1515.3.2 UK 1525.3.3 Germany 1545.3.4 France 1545.3.5 Sweden 1555.3.6 USA 1565.4 Conclusion 157References 1576 Health policy in Asia: Overview and vision 1616.1 Introduction 1626.2 Rapidly declining birth rate and accelerated ageing in Asia 1626.3 Funding sources of health insurance systems 1636.4 Medical health insurance systems in Asian countries 1666.4.1 China 1666.4.1.1 Urban employee basic medical insurance system 1666.4.1.2 (Former) basic medical insurance system for urban residents 1666.4.1.3 (Former) new rural co-operative medical care system (NRCMCS) 1666.4.2 India 1666.4.2.1 Central government health scheme (CGHS) 1666.4.2.2 Employees’ state insurance scheme (ESIS) 1736.4.2.3 Rashtriya swasthya bima yojana (RSBY) 1736.4.3 Indonesia 1736.4.4 South Korea 1736.4.5 Malaysia 1736.4.6 Philippines 1746.4.7 Singapore 1746.4.7.1 Medisave 1746.4.7.2 MediShield 1746.4.7.3 Medifund 1756.4.8 Thailand 1756.4.8.1 Civil servant medical benefit scheme (CSMBS) 1756.4.8.2 Invalidity benefits of the social security scheme (SSS) 1756.4.8.3 Universal coverage (UC) 1756.4.8.4 Vietnam 1766.5 Long-term care system in Asia 1766.5.1 What is long-term care? 1766.5.2 Ageing in the Asia-Pacific region 1766.5.3 Increased demand for long-term care: older people living alone 1766.5.4 Long-term care labour supply 1776.5.5 Provision of long-term care: nursing homes 1776.5.6 Ageing in place 1776.5.7 Toward a sustainable long-term care system 1786.6 Conclusion 178References 1797 Conclusion: Deploying oral health policy to reduce health injustice in an ageing world 1827.1 Global ageing and health 1827.2 A rights-based and sustainable oral health monitoring system 1837.3 Evidence-based and effective health policy 1847.4 Oral health for healthy ageing 1857.5 Concluding remarks 186References 186Index 187