Exploring ageism and elderly care in dentistry: A comprehensive scoping review

Abstract

Objectives: This scoping review aims to investigate the perceptions of dental professionals regarding aging and geriatric dentistry, as well as to identify studies focused on ageism in dental care.

Data: The review followed guidelines from the Joanna Briggs Institute and PRISMA-ScR. A systematic search was conducted in the databases, covering the period from 2019 to 2024.

Sources: PubMed, Scopus, and Web of Science were searched.

Study selection: Articles focusing on ageism or oral health in the elderly were included, while those with methodological flaws, duplicates, or unrelated content were excluded.

Conclusions: A total of 28 articles were included in the final analysis. The results reveal significant cultural differences in how ageism impacts dental care, with many dental professionals unprepared to treat elderly patients with physical and cognitive limitations. Geriatric dentistry remains underrepresented in dental curricula in some countries, leading to a shortage of specialized professionals. This review underscores the need for further research on the perspectives of practicing dentists and elderly patients to improve care and address the barriers caused by ageism.

Clinical significance: The review emphasizes the critical need to address ageism in dental care to enhance the quality of treatment for elderly patients. Effective strategies to counteract age-related biases can lead to improved clinical outcomes and more equitable care for all age groups.

Keywords: Ageism; Dental care; Geriatric dentistry; Health Services; Oral health.