# Oral Rehabilitation and Multidisciplinary Team Approach in Older Adult: A Narrative Review

**Authors:** Mineka Yoshikawa, Azusa Haruta, Yutaro Takahashi, Shion Maruyama, Kazuhiro Tsuga

PMC · DOI: 10.3390/nu18030410 · Nutrients · 2026-01-26

## TL;DR

This review shows that combining oral care, nutrition, and physical rehab improves health in older adults with oral issues.

## Contribution

The paper highlights the effectiveness of multidisciplinary interventions in improving oral and overall health in older adults.

## Key findings

- Educational multidisciplinary interventions improved oral hygiene and caregiver awareness.
- Multidisciplinary programs enhanced swallowing, mastication, and daily living activities.
- Home-care dysphagia rehab enabled 69% of tube-fed patients to resume oral intake.

## Abstract

Background/Objectives: Oral frailty and hypofunction in older adults are strongly associated with declines in nutritional status, physical function, swallowing ability, and overall health. Isolated interventions usually fail to achieve sufficient improvement since these conditions result from interrelated biological, psychological, and social factors. Multidisciplinary approaches combining oral management, nutritional support, and physical rehabilitation have shown promise. This narrative review synthesized evidence from 15 studies examining multifaceted interprofessional interventions across hospitals, communities, long-term care facilities, and home-care settings. Methods: A structured search of PubMed and Web of Science (2000–2025) identified original studies assessing oral, nutritional, or physical outcomes in older adults post-interprofessional interventions. Fifteen eligible studies were extracted; the findings were integrated using narrative synthesis owing to design and outcome heterogeneity. Results: Educational multidisciplinary interventions improved oral hygiene, caregiver awareness, and oral motor function. Multidisciplinary rehabilitation and multidomain programs consistently improved tongue pressure, swallowing function, mastication ability, appetite, body composition, activities of daily living, and oral intake resumption. Nutrition support team-delivered interventions reduced aspiration risks and improved oral environment and swallowing function. Community-based programs using munchy meals and combined exercises enhanced oral and physical functions. Social participation provided psychological benefits. Home-care dysphagia rehabilitation enabled 69% of tube-fed patients to resume oral intake. Conclusions: This narrative review supports a triadic, interprofessional approach in geriatric care, highlighting consistent improvements in oral function through integrated oral, nutritional, and rehabilitative interventions.

## Full-text entities

- **Diseases:** hypofunction (MESH:D000309), frailty (MESH:D000073496), dysphagia (MESH:D003680)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

78 references — full list in the complete paper: https://tomesphere.com/paper/PMC12899029/full.md

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Source: https://tomesphere.com/paper/PMC12899029