The importance of geriatric dentistry in the context of gerontology: - - PowerPoint PPT Presentation

▶
the importance of geriatric dentistry in the context
SMART_READER_LITE
LIVE PREVIEW

The importance of geriatric dentistry in the context of gerontology: - - PowerPoint PPT Presentation

Jan 22, 2024 1.48k likes •1.84k views

Brazil The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil Alexandre Franco Miranda Theme: Improving Health and Health Care Services for the Elderly - Oral

slide-1
SLIDE 1

Alexandre Franco Miranda

The importance of geriatric dentistry in the context

  • f gerontology: home care and hospital services -

the reality of a service in Brazil

Brazil

slide-2
SLIDE 2

Theme: Improving Health and Health Care Services for the Elderly

  • Oral health in patients with Alzheimer‘s
  • Advanced stages of Alzheimer´s
  • Home care and Hospital services
  • Gerontology and Dentistry

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-3
SLIDE 3

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

  • No conflicts of interest;
  • All images have been authorized by signing an informed consent ;
  • All images used have the technical and scientific purpose;
  • Experience of more than 10 years dedicated to home and hospital dental

care (ICU and surgical center) in patients with Alzheimer's disease for health and quality of life – GERONTOLOGY;

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-4
SLIDE 4

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

The present study, EXPERIENCE REPORT, aims to address the

behaviors, clinical techniques, management, adaptation and evaluation of the knowledge of health professionals about the appropriateness of the oral environment conducted in patients suffering from neurodegenerative diseases (Alzheimer's) in Brasilia, Brazil.

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-5
SLIDE 5

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

* Health promotion * Quality of life * Biopsychosocial interference * Family participation * Interdisciplinary planning

Oral health

Dentist

Gerontology context

Alzheimer´s disease

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-6
SLIDE 6

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Brazil

Age pyramidal

Data: Brazilian Institute of Geography and Statistics www.ibge.gov.br LAST DEMOGRAPHYC SENSE, 2010

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-7
SLIDE 7

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Brazil

Epidemiology

Increased life expectancy (average): 73 years

Men - 69 years Women - 77 years

2025: 2 children / 6 old people 2050: 1 child / 5 old people

Data: Brazilian Institute of Geography and Statistics www.ibge.gov.br LAST DEMOGRAPHYC SENSE, 2010

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-8
SLIDE 8

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Aging in Brazil

* Increased number of specific diseases; * Need for multidisciplinary action (health professionals and FAMILY); * Increase in public financial support (social programs, health, ...); * Training, professional skills and differentiation (Geriatric dentistry) - NEED OF BRAZIL

Especially home and hospital fragile elderly

ALZHEIMER´S DISEASE

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-9
SLIDE 9

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Geriatrics and Gerontology Interactions

  • Vascular (brain) diseases
  • Heart Diseases
  • Pulmonary Diseases
  • Diabetes
  • Cancer
  • Osteoporosis
  • Alzheimer's
  • Vascular Dementia
  • Parkinson
  • Rheumatoid Arthritis
  • Orofacial Pain

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-10
SLIDE 10

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Geriatrics and Gerontology Interactions

ALZHEIMER´S DISEASE 2009 2004 2014

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-11
SLIDE 11

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home dentistry

“Adaptation of the dentist to the context and reality of the frail elderly patient”

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-12
SLIDE 12

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home dentistry

The proper treatment planning is of great importance because only the essential procedures should be performed at the individual residence - elimination of inflammatory processes, infections and pain.

THE GERONTOLOGY PLANNING WITH OTHER HEALTH PROFESSIONALS AND FAMILY PATIENT IS VERY IMPORTANT

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-13
SLIDE 13

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home dentistry

Restoration – Adequacy of the

  • ral cavity

Training of family members and caregivers to promote oral health; Adaptation

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-14
SLIDE 14

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

“The importance of elderly oral health in hospital”

Hospital dentistry

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-15
SLIDE 15

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Hospital dentistry

"... elderly patients have a higher prevalence of hospital admissions due to pulmonary problems (PNEUMONIA) and require specific care ...."

Terpenning et al.,2001; Benatti & Montenegro, 2010

"... severe patients, intubated and mechanically ventilated at higher risk of lung infection..."

Mojon, 2002; Oliveira et al., 2007

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-16
SLIDE 16

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home and Hospital dentistry

ALZHEIMER´S DISEASE The difficulty for the promotion of oral health

Patients in advanced stages of Alzheimer's disease are not employees and depends

  • n other professionals to promote oral health - there is a lack of professional training to

assist these patients.

Friedlander, 2006; Miranda et,al, 2010

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-17
SLIDE 17

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home and Hospital dentistry

ALZHEIMER´S DISEASE The difficulty for the promotion of oral health

Intensive Care Unit

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-18
SLIDE 18

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home and Hospital dentistry

ALZHEIMER´S DISEASE The difficulty for the promotion of oral health “Auxiliary means” “Facilitators” to access the oral cavity Professional ability Correct use

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-19
SLIDE 19

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home and Hospital dentistry

ALZHEIMER´S DISEASE The difficulty for the promotion of oral health “Auxiliary means” “Facilitators” to access to the oral cavity

Intensive Care Unit Home care

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-20
SLIDE 20

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home and Hospital dentistry

ALZHEIMER´S DISEASE The difficulty for the promotion of oral health CASE 1

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-21
SLIDE 21

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home and Hospital dentistry

ALZHEIMER´S DISEASE The difficulty for the promotion of oral health

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-22
SLIDE 22

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home and Hospital dentistry

ALZHEIMER´S DISEASE The difficulty for the promotion of oral health CASE 2

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-23
SLIDE 23

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Home and Hospital dentistry

ALZHEIMER´S DISEASE The difficulty for the promotion of oral health

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-24
SLIDE 24

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

ALZHEIMER´S DISEASE

The importance of geriatric dentistry in the context of gerontology: home care and hospital services – QUALITY OF LIFE

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-25
SLIDE 25

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Conclusions

* Need for a higher number of trained dentists for these types of calls with an interdisciplinary planning; * Need for greater integration of oral health into the context of geriatrics and gerontology; * Need for more scientific articles on this topic; * Greater disclosure of such health assistance to frail elderly with Alzheimer's; * Geriatric dentistry is important to the elderly patients health and quality of life with essential services that exist in all the world.

Alexandre Franco Miranda, Catholic University of Brasilia, Brazil

slide-26
SLIDE 26

Thank you so much!

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

slide-27
SLIDE 27

The importance of geriatric dentistry in the context of gerontology: home care and hospital services - the reality of a service in Brazil

Alexandre Franco Miranda

Coordinator and Professor of Geriatric Dentistry, Special Patients (Special Groups) and Clinical Dentistry for Special Patients Catholic University of Brasilia (UCB), Brazil Home and Hospital services in Dentistry (Surgical center / Intensive Care Unit) Specialist in Gerontology Brazilian Society of Geriatrics and Gerontology

+ 55 61 81369896 + 55 61 33569612 + 55 61 30376530 alexandrefmiranda@hotmail.com