International Journal of Experimental Dental Science

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VOLUME 8 , ISSUE 1 ( January-June, 2019 ) > List of Articles


Prosthodontic, Periodontal, and Other Common Needs of Older Adults Seeking Treatment at a Canadian Dental School: A 30-year Comparison

Vincent Torresyap, Jay Hoover, Chandima Karunanayake, Josh Rae, Ken Tomchuck

Keywords : Canadian dental school, Older adults, Periodontics, Prosthodontics, Treatment needs

Citation Information : Torresyap V, Hoover J, Karunanayake C, Rae J, Tomchuck K. Prosthodontic, Periodontal, and Other Common Needs of Older Adults Seeking Treatment at a Canadian Dental School: A 30-year Comparison. Int J Experiment Dent Sci 2019; 8 (1):1-5.

DOI: 10.5005/jp-journals-10029-1186

License: CC BY-NC 4.0

Published Online: 01-03-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Aims and objectives: To assess the needs of older adults over the age of 65 currently attending a university-based dental clinic and to compare the findings with a similar study done at the same locale, approximately 30 years ago. Materials and methods: Electronic records of patients aged 65 years and over, accepted for treatment at the clinic during the period 2015 and 2016 were reviewed and the following information obtained: gender, marital status, habits such as smoking, health history, current medication, chief complaint, missing teeth, and the treatment needs. Hard tissue abnormalities were recorded if the chart contained a recent panoramic radiograph. The findings were compared to those obtained from patients over 65 years of age, at this institution almost three decades ago. Results: Older patients seeking care at this university dental clinic required less need for removable complete, and partial dentures and periodontal surgical procedures but more fixed prosthesis than a similarly aged cohort of patients visiting this same institution nearly 30 years ago. Conclusion: Practicing dentists must be cognizant of the changing trends in needs in this increasing population group. Further, dental school curriculums must reflect the current realities in oral needs among older adults, integrating innovative changes in education utilizing an interdisciplinary approach.

  1. Statistics Canada. Population Projections for Canada, Provinces and Territories 2009–2036. Catalogue no. 91-520-X, 2010. Available from:
  2. Canada's population estimates: Age and sex, July 1, 2015. Available from:
  3. UN Department of Economic and Social Affairs, Population Division. World Population Ageing, 2007. Available from:
  4. Report on the Findings of the Oral Health Component of the Canadian Health Measures Survey 2007–2009, 2010. Available from:
  5. Kiyak HA, Reichmuth M. Barriers to and enablers of older adults’ use of dental services. J Dent Educ 2005;69(9):975–986.
  6. Damiano PC, Warren JJ. A profile of patients in six dental school clinics and implications for the future. J Dent Educ 1995;59(12):1084–1090.
  7. Ettinger PL, Beck JD. Geriatric dental curriculum and the needs of the elderly. Spec Care Dentist 1984;4(5):207–213. DOI: 10.1111/j.1754-4505.1984.tb00189.x.
  8. Hoover JN, McDermott RE. Dental treatment needs of elderly patients seen at a university teaching clinic. Am J Dent 1990;3(5):213–216.
  9. D’Souza DSJ. Oral health care needs in the geriatric population. In: Mandeep Singh V, ed. Emerging Trends in Oral Health Sciences and Dentistry. InTech; 2015. pp. 305–314. Available from:
  10. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO global oral health Program. Comm Dent Oral Epidemiol 2005;33(2):81–92. DOI: 10.1111/j.1600-0528.2004.00219.x.
  11. McNally ME, Matthews DC, Clovis JB, et al. The oral health of ageing baby boomers: a comparison of adults aged 45-64 and those 65 years and older. Gerodontology 2012;31(2):123–135. DOI: 10.1111/ger.12022. Available from
  12. Ott Lynn R, Longnecker M. An Introduction to Statistical Methods and Data Analysis, 6th ed., Brooks/Cole, Cengage Learning; 2010. pp. 507–513.
  13. A day in the life: How do older Canadians spend their time? Available from:
  14. Lundegren N. Oral health and self-perceived oral treatment need of adults in Sweden. Swed Dent J Suppl 2012;(223):10–76.
  15. McDermott R, Hoover JN. Self-reported medical conditions and drug use among elderly dental patients. J Can Dent Assoc (Tor) 1990;56(3):219–221.
  16. Dickinson A, Blatman J, El-Dash N, et al. Consumer usage and reasons for using dietary supplements: Report of a series of surveys. J Am Coll Nutr 2014;33(2):176–182. DOI: 10.1080/07315724.2013.875423.
  17. Canadian Community Health Survey, Cycle 2.2, Nutrition (2004). A Guide to Accessing and Interpreting the Data (Catalogue H164-20/2006E-PDF). Available from:
  18. Radimer K, Bindewald B, Hughes J, et al. Dietary supplement use by US adults: data from the national health and nutrition examination survey, 1999–2000. Am J Epidemiol 2004;160(4):339–449. DOI: 10.1093/aje/kwh207.
  19. Fitzgerald J, Epstein JB, Donaldson M, et al. Outpatient medication use and implications for dental care: guidance for contemporary dental practice. J Can Dent Assoc 2015;81:f10.
  20. Kaira LS, Dabral E. Prevalence of complete edentulism among Udaipur population of India. The Saudi Journal for Dental Research 2014;5(2):139–145. DOI: 10.1016/j.ksujds.2013.09.002.
  21. Felton D. Edentulism and comorbid factors. J Prosthodont 2009;18(2):88–96. DOI: 10.1111/j.1532-849X.2009.00437.x.
  22. Gil-Montoya JA, Ferreira de Mello AL, Barrios R, et al. Oral health in the elderly patient and its impact on general well-being: a nonsystematic review. Clin Interv Aging 2015;10:461–467. DOI: 10.2147/CIA.S54630.
  23. Kassebaum NJ, Bernabé E, Dahiya M, et al. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res 2014;93(7 Suppl 1):205–285. DOI: 10.1177/0022034514537828.
  24. Barnes GP, Tollefsbol RG, Parker WA, et al. Care needs of the elderly treated at a dental school. Gerondontology 1986;5(2):129–134. DOI: 10.1111/j.1741-2358.1986.tb00060.x.
  25. Lamster IB, Eaves K. A model for dental Practice in the 21st century. Am J Public Health 2011;101(10):1825–1830. DOI: 10.2105/AJPH.2011.300234.
  26. Walsh LJ. Minimal intervention management of the older patient. Br Dent J 2017;223(3):151–161. DOI: 10.1038/sj.bdj.2017.660.
  27. Stein PS, Aalboe JA, Savage MW, et al. Strategies for communicating with older dental patients. J Am Dent Assoc 2014;145(2):159–164. DOI: 10.14219/jada.2013.28.
  28. León S, Giacaman RA. Reality and challenges of the oral health for older adults in chile and the role of a new discipline: geriatric Dentistry. Rev Med Chil 2016;144(4):496–502. DOI: 10.4067/S0034-98872016000400011.
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