The prevention and management of dental caries over the lifespan requires an understanding of the risk factors for developing dental caries and how these factors change over time. Individuals with intellectual, cognitive or physical impairments, whether acquired or developmental, comprise a unique subset of vulnerable individuals that may be encountered across the age spectrum. The prevention and management of caries in vulnerable individuals is complicated by the need to identify the special accommodations necessary to allow comprehensive caries management.
As an example, those with age-related dementia or those with disease or trauma-related loss of manual dexterity may have an impaired ability to perform the oral self-care or may require special management interventions to successfully prevent caries. The goals of this aac conference are to present the unique set of needs of people with impairments and how these needs can be addressed to advance practices for managing caries. The topics will cover the evidence and necessary research related to caries management.
These strategies must include collaborative efforts among different healthcare providers. Incorporating preventive oral health strategies taught to caregivers will play a critical role in maintaining oral health for a lifetime. Oral health education of family, caregivers, and others, such as nursing home staff, is essential if caries are to be prevented or managed.
The conference presentations will include information and discussions on:
• How the complexity of health, behavior and social needs affects caries risk and management in vulnerable individuals.
• The many challenges to accessing quality health care, such as lack of support, lack of coordination across providers and misaligned payment structures.
• Evidence-based caries management strategies for vulnerable individuals.
• Future research into effective interventions to control dental caries in these populations.
SPEAKER: Dr. Margherita Fontana, University of Michigan
This presentation will provide an overview of the challenges patients with impairments and caregivers face through the lenses of a clinician, parent,Walter E. Washington convention center researcher, educator and advocate. The presentation will focus on how and why this increases caries risk and include evidence or lack of evidence to support this.
SPEAKER: Dr. Karin Weber-Gasparoni, University of Iowa
The presentation will focus on the varied caries related health needs in the aging population (e.g., root caries, secondary caries, etc.) and emphasize on how effective management strategies must pay attention to the individual disability of the patient and the evidence to support those strategies. It will include how successful management must include the expansion of the team managing the oral health of aging individuals.
SPEAKER: Dr. Mark Wolff, University of Pennsylvania
MODERATOR: Dr. Margherita Fontana, University of Michigan
This presentation will emphasize the importance of integrating primary, mental, and oral health care and to foster collaborations between health professionals, scientists from different disciplines, and stakeholders to address the various dimensions of oral health needs of vulnerable populations. Available evidence for this approach for successful caries management will be discussed.
SPEAKER: Dr. Judith Haber, NewYork University Rory Meyers College of Nursing
This presentation will review texture modifications prescribed for dysphagia and changes in nutrient and energy requirement characteristics of both disabilities and aging. The evidence on strategies to address the increased cariogenicity of the modified diets will be reviewed and opportunities for research will be identified.
SPEAKER: Dr. Teresa Marshall, University of Iowa
Public health measures for caries control for vulnerable adults expand beyond the dental office. This presentation will discuss oral health care systems and models for caries management integrating clinical care, research, education, policy, and funding.
SPEAKER: Dr. Elisa Ghezzi, University of Michigan
MODERATOR: Dr. Marcelle Nascimento, University of Florida
This presentation will discuss the evidence from meta-analyses and systematic reviews will be presented on the different treatment options for caries management on vulnerable populations.
SPEAKER: Dr. Falk Schwendicke, Charité Universitätsmedizin Berlin
This presentation will be centered on available clinical evidence of the efficacy of silver diamine fluoride and other silver-containing formulations in managing caries lesions.
SPEAKER: Dr. Margherita Fontana, University of Michigan
This presentation will provide information on the scientific progress and translation efforts to develop effective therapies for repair of damaged salivary glands and restoration of saliva secretion.
SPEAKER: Dr. Sarah Knox, University of California, San Francisco
MODERATOR: Dr. Rebecca Slayton, University of Washington
This presentation will debate approaches to support systems changes based on person-centered care models through interprofessional practices and value-based transformation, and advocacy to expand access to oral health care to vulnerable populations.
SPEAKER: Dr. Michael Monopoli, DentaQuest Partnership
This presentation will provide a brief summary of the state of currently available evidence on the caries management of vulnerable individuals and a prioritized research agenda to address the major gaps.
SPEAKER: Dr. Domenick Zero, Indiana University
MODERATOR: Dr. Sandra Guzmán-Armstrong, University of Iowa
University of Pennsylvania School of Dental Medicine is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
University of Pennsylvania School of Dental Medicine designates this activity for 6.75 continuing education credits.
Participants will need to sign
We will award CE credits elect