Papers by Luc De Visschere
Nederlands Tijdschrift Voor Tandheelkunde, Dec 6, 2019
The realisation that oral care for elder patients is very desirable and also necessary is only a ... more The realisation that oral care for elder patients is very desirable and also necessary is only a few decades old. The earliest research was carried out in 1978. In the Netherlands and Flanders, research on oral care for the elderly began a few years later: the first doctoral degree in the field of gerodontology was awarded at the University of Nijmegen in 1989, after which more followed. In 2005, the BENECOMO was established, a Belgian-Dutch consortium in which geriatric dentists and specialists in healthcare for the elderly cooperate closely in research. A consequence of the cooperation has been, among other things, that gerodontology is now a broad professional field, which takes into consideration the importance of biomedical, psychological and social factors and a multidisciplinary approach, aiming at prevention.
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Community Dentistry and Oral Epidemiology, Jul 30, 2013
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Er bestaan verschillende vormen van tabaksgebruik, waarvan ‘het roken van sigaretten’ het meest v... more Er bestaan verschillende vormen van tabaksgebruik, waarvan ‘het roken van sigaretten’ het meest verspreid is. In Belgie rookt bijna een op vier. Er is een sociale gradient waarneembaar, waarbij de hoogst opgeleiden minder roken in vergelijking met de laagst opgeleiden. Het gebruik van tabak in welke vorm ook is de belangrijkste te vermijden doodsoorzaak, met longkanker als de belangrijkste aandoening. Daarom dient elke deugdelijke algemeen tandarts tabaksgebruik standaard op te nemen in de anamnese van elke patient. Het inwinnen van informatie omtrent het gedrag is belangrijk om samen met andere zorgverleners bij de patient en zijn omgeving aan gezondheidspromotie te doen in een gemeenschappelijke risicobenadering. Zo wordt in Belgie rookstopbegeleiding georganiseerd door (huis)artsen en erkende tabacologen of rookstopconsulenten. Daarnaast moet er door de zorgverleners regionaal en internationaal blijvend samengewerkt worden om de bevolking zo breed mogelijk voor te lichten over de schadelijke gevolgen van tabaksgebruik.
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Nederlands Tijdschrift Voor Tandheelkunde, Dec 1, 2019
In onze maatschappij hebben ‘alle’ kwetsbare ouderen fundamenteel recht op kwalitatieve en toegan... more In onze maatschappij hebben ‘alle’ kwetsbare ouderen fundamenteel recht op kwalitatieve en toegankelijke mond(gezondheids)zorg. De mondhygiene en mondzorg van ouderen in zorginstellingen in Nederland, Belgie (Vlaanderen) en Europa baart echter grote zorgen. Juist nu dient de overheid dringende en strategische beslissingen te nemen om dit confronterende probleem op te lossen. Het aanbod zorgverleners daalt, de financiele middelen nemen af en de doelgroep neemt juist toe door vergrijzing. Wat zijn mogelijke oplossingen?
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Innovation in Aging, Jul 1, 2022
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International Dental Journal, Dec 1, 2018
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Gerodontology, May 30, 2023
BackgroundThe oral health of care‐dependent older people living in residential care facilities is... more BackgroundThe oral health of care‐dependent older people living in residential care facilities is generally suboptimal. To facilitate adequate daily oral care and timely referral to a dental professional, studies emphasise the need for sustainable, structured oral healthcare policies in aged care organisations. The effect of such interventions is often limited or uncertain owing to a lack of understanding of how effective the integration and implementation of the policy has been within the facilities. This study reports on the development of a method to adequately implement an oral healthcare policy in long‐term care organisations for older adults.Materials and methodsAn intervention mapping protocol was used to develop a theory‐ and practise‐based methodology. This step‐by‐step approach combined findings from a literature review, experiences from earlier projects and behaviour change theories in a multilevel programme.ResultsIntervention mapping yielded a systematic programme for implementing an oral healthcare policy in aged care organisations. The Oral Health Care Track or “De Mondzorglijn” comprises seven phases, each subdivided into several tasks. The programme's implementation is guided by oral healthcare coaches.ConclusionBy using intervention mapping, it was possible to combine behaviour change theories, information derived from needs assessment and earlier experiences into a comprehensive programme to improve the oral health and quality of life of older residents in residential care facilities. Further research is needed to evaluate the use of coaches in the implementation of the Oral Health Care Track.
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European Geriatric Medicine, Sep 1, 2013
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BMJ Open, Jul 1, 2017
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Journal of Gerontological Nursing, Feb 1, 2015
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Nutrition, 2010
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Gerodontology, Jun 20, 2019
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Odontology, Dec 11, 2011
A growing number of older people have teeth, which are vulnerable to oral diseases. To maintain g... more A growing number of older people have teeth, which are vulnerable to oral diseases. To maintain good oral health, an adequate amount of saliva should be secreted and the saliva should possess adequate buffer capacity. The study aim was to investigate the associations of saliva secretion rate and acidity with gender, age, and some medical characteristics in a convenience sample of physically disabled older care home residents. In 20 male and 30 female physically disabled older care home residents with a mean age of 78.1 ± 9.7 years, the resting, chewing-stimulated, and acid-stimulated whole saliva secretion rate and acidity, as well as the main medical diagnosis and the number of medications used, were registered. Resting, chewing-stimulated and acid-stimulated whole saliva secretion rates were lower in women than in men and negatively associated with age and the number of medications used. In female residents, the acidity of acid-stimulated whole saliva was negatively associated with the acid-stimulated whole saliva secretion rate. In residents aged >70 years, the acidity of resting whole saliva was positively associated with age. The acidity of acid-stimulated whole saliva of all residents was positively associated with the number of medications used.
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Special Care in Dentistry, Jun 7, 2018
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Gerodontology, Sep 1, 2006
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Gerodontology, Dec 1, 2006
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Gerodontology, Nov 6, 2022
ObjectivesThe aim of this study was to assess the association between different levels of frailty... more ObjectivesThe aim of this study was to assess the association between different levels of frailty and dental attendance among home‐dwelling older adults, in Belgium.BackgroundWhile many determinants of dental attendance among older adults have been identified, no study has focused on the role of frailty.Materials and MethodsThis was a cross‐sectional study on a random sample of home‐dwelling adults aged 60 and over from two Belgian cities. Data were collected with a structured questionnaire through a participatory peer‐research method. Time since the last dental attendance was the dependent variable. The independent variable was frailty, assessed with the Comprehensive Frailty Assessment Instrument, including physical, psychological, social, and environmental subdomains. Covariates were age, gender, having a partner, educational level, and household income, as well as self‐perceived oral health. Data analysis included descriptive, bivariate (Chi‐Square, ANOVA, and Kruskal–Wallis), and binomial logistic regression analyses.ResultsThe sample consisted of 1329 older adults with a mean age of 72.5 years (SD 8.9, range 60–103). In the low frailty group, 73% attended the dentist in the previous 12 months, while it was 62% and 54% in the medium and high frailty groups, respectively. In the fully adjusted model, the initial gradient in the relationship between overall frailty and dental attendance remained; those in the medium and the high frailty groups were respectively 1.46 (95% CI: 1.09, 1.95) and 1.67 (95% CI: 1.15, 2.43) times more likely to report no dental attendance in the previous year than the low frailty group. Similar associations could be seen in the physical and environmental frailty subdomains.ConclusionFrailty is consistently associated with less favourable dental attendance, independent from age, gender, socioeconomic factors, family composition, and self‐perceived oral health. Once frailty has been detected, good interprofessional communication and care are needed to avoid the drop‐out of older adults from the oral healthcare system.
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Papers by Luc De Visschere