Evidence map›Paper›PMID 42816864›Full record

SynthesisBMC oral health2026

Evolving aspects of oral care in older adults: a systematic review and Meta-synthesis.

Arash Neshati, Noosha Farzaie Ardejanie, Samaneh Naeimi, Marzieh Pashmforosh, Zahra Askari, Alireza Rafi

Abstract readSystematic Review
In one paragraph

Synthesis in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Arash NeshatiOperating Room Technology Department, Behbahan Faculty of Medical Sciences, Behbahan, Iran.ORCID http://orcid.org/0009-0006-8291-4368
Noosha Farzaie ArdejanieFaculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0003-1119-830X
Samaneh NaeimiMSc of Psychiatric Nursing, Abadan University of Medical Sciences, Abadan, Iran.ORCID http://orcid.org/0000-0002-5321-1130
Marzieh PashmforoshBehbahan Faculty of Medical Sciences, Behbahan, Iran.ORCID http://orcid.org/0000-0002-6697-3396
Zahra AskariDepartment of Medical Emergencies, Sirjan School of Medical Sciences, Sirjan, Iran.ORCID http://orcid.org/0000-0002-7485-782X
Alireza RafiBehbahan Faculty of Medical Sciences, Behbahan, Iran. alirezarafi72@gmail.com.ORCID http://orcid.org/0000-0001-5442-2741

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global aging population has heightened the need for comprehensive oral care in older adults, yet evolving aspects such as preventive strategies, technological advancements, and interdisciplinary approaches remain underexplored. This systematic review and qualitative meta-synthesis aimed to synthesize qualitative evidence on perceptions, experiences, barriers, facilitators, and impacts of oral care in older adults, guided by the Socio-Ecological Model.

methodsFollowing PRISMA and ENTREQ guidelines, a systematic search was conducted in MEDLINE (PubMed), Embase, CINAHL, PsycINFO, Scopus, and Web of Science for qualitative studies published from January 2000 to December 2025. Eligibility criteria were defined using the SPIDER framework, focusing on older adults (aged ≥ 60) and stakeholders. Two reviewers independently screened records, extracted data, and appraised quality using CASP. Thematic synthesis was performed using NVivo to generate higher-order themes.

resultsFrom 1,416 records, 49 studies were included, involving diverse participants from multiple countries. Four overarching themes emerged: [1] Meaning-Making and Beliefs Surrounding Oral Health (e.g., cognitive biases, links to general health, responsibility); [2] Barriers to Accessing and Maintaining Oral Care (e.g., financial, physical, systemic); [3] Facilitators, Strategies, and Ethical Considerations in Oral Care Delivery (e.g., interprofessional collaboration, education, autonomy); and [4] Oral Health as a Determinant of Quality of Life and Human Dignity (e.g., functional, psychosocial, broader implications). A conceptual model illustrated the cyclical evolution of oral care.

conclusionsOral health in older adults is influenced by multifaceted perceptions and systemic factors, impacting well-being. Findings advocate for interprofessional models, policy reforms, and education to address gaps and promote equitable, holistic care. Future research should explore digital interventions and multilingual syntheses.

Indexed as

Dental Care for AgedOral HealthAgedHumansDental Care for AgedMeta-synthesisOlder AdultsOral HealthSystematic Review

Identifiers

PMID42816864
PMCPMC13629102

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.