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Acknowledgements The author would like to thank the co-authors of the ECG/EuGMS expert opinion document (in alphabetical order): Dr Justyna Hajto-Bryk, Professor Stefania Maggi, Dr Gerry McKenna, Professor Frauke Műller, Professor Mirko Petrovic, Professor Regina Elisabeth Roller-Wirnsberger, Professor Martin Schimmel, Professor Marija Tamulaitienè, and Professor Jacques Vanobbergen. geriatric oral health campaigns for the public. Finally, the document stressed the need for direct citizen involvement in actions related to oral health. Well informed citizens may guide decision-makers in enacting legislation for oral health promotion in frail older people and coverage by state or social security. Given that the major chronic oral conditions, such as caries, periodontal disease, tooth loss, and many oral lesions are largely preventable and share common risk factors with chronic general diseases [4], it is imperative for healthcare, welfare, and educational authorities, public health planners and citizen organizations, to support the above ECG/EuGMS recommendations aiming to improve oral health and quality of life in older people. Conflict of interest The author declares no conflict of interest with any financial organization regarding the material discussed in this document. AE Kossioni Associate Professor, Division of Gerodontology, Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Greece Leader of the Task & Finish Group on Gerodontology by the European College of Gerodontology and the European Geriatric Medicine Society References 1. 2. 3. 4. 5. 6. 7. Strayer MS. Perceived barriers to oral health care among the homebound. Spec Care Dent. 1995;15(3):113-118. [Full text links] [PubMed] Google Scholar (41) Scopus (21) Borreani E, Wright D, Scambler S, Gallagher JE. Minimising barriers to dental care in older people. BMC Oral Health. 2008; 8:7. doi: 10.1186/1472- 6831-8-7. [Full text links] [Free PMC Article] [PubMed] Google Scholar (53) Scopus (34) Kossioni AE. Is Europe prepared to meet the oral health needs of older people? Gerodontology. 2012;29(2): e1230-1240. doi: 10.1111/j.1741- 2358.2010.00445.x. [Full text links] [PubMed] Google Scholar (17) Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2005;33(2):81-92. doi: 10.1111/j.1600-0528.2004.00219.x. [Full text links] [PubMed] Google Scholar (919) Scopus (395) Kossioni AE. Current status and trends in oral health in the community- dwelling older adults- A global perspective. Oral Health Prev Dent. 2013;11(4):331-340. doi: 10.3290/j.ohpd.a30171. [Full text links] [PubMed] Google Scholar (13) Scopus (7) Aida J, Kondo K, Yamamoto T, et al. Oral health and cancer, cardiovascular, and respiratory mortality of Japanese. J Dent Res. 2011;90(9):1129-1135. doi: 10.1177/0022034511414423. [Full text links] [PubMed] Google Scholar (42) Scopus (21) Pace CC, McCullough GH. The association between oral microorganisms 8. 9. 10. 11. 12. and aspiration pneumonia in the institutionalized elderly: review and recommendations. Dysphagia 2010; 25(4): 307-322. doi: 10.1007/s00455- 010-9298-9. Review. [Full text links] [PubMed] Google Scholar (152) Scopus(70) Ramsay SE, Papachristou E, Watt RG, et al. Influence of poor oral health on physical frailty: a population-based cohort study of older British men. J Am Geriatr Soc. 2017:1-7. doi: 10.1111/jgs.15175. [Full text links] [PubMed] Google Scholar (1) Kossioni AE, Hajto-Br yk J, Maggi S, et al. An expert opinion from the European College of Gerodontology and the European Geriatric Medicine Society: European policy recommendations on oral health in older adults. J Am Geriatr Soc. 2018;66:609-613. doi: 10.1111/jgs.15191. [Full text links] [PubMed] Google Scholar (1) Kossioni A, McKenna G, Müller F, Schimmel M, Vanobbergen J. Higher education in Gerodontology in European Universities. BMC Oral Health. 2017;17(1):71. doi: 10.1186/s12903-017-0362-9 [Full text links] [Free PMC Article] [PubMed] Google Scholar (2) Scopus (2) Gil-Montoya JA, de Mello AL, Cardenas CB, Lopez IG. Oral health protocol for the dependent institutionalized elderly. Geriatr Nurs. 2006;27(2):95–101. doi: 10.1016/j.gerinurse.2005.12.003 [Full text links] [PubMed] Google Scholar (81) Scopus (36) Janssens B, De Visschere L, van der Putten GJ et al. Effect of an oral healthcare protocol in nursing homes on care staffs’ knowledge and attitude towards oral health care: A cluster-randomised controlled trial. Gerodontology. 2016;33(2):275-286. doi: 10.1111/ger.12164 [Full text links] [PubMed] Google Scholar (8) Scopus (4) DOI: 10.25241/stomaeduj.2018.5(1).edit.2 Stomatology Edu Journal 7