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January 20, 2026European Journal Of Dental Education3 citationsOpen Access

Competences for Providing Oral Health Care to Care‐Dependent Older Adults—Defining Learning Objectives for the German Undergraduate Dental Curriculum Through a Delphi Study

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AHAnna‐Lena HillebrechtABAnna Greta BarbeSKSusanne Krämer

Key Points

  • The study aims to establish learning objectives for future dentists to effectively address the oral health needs of care-dependent older adults.
  • Conducted a Delphi study with dental education experts in Germany.
  • Mapped learning objectives from international special care dentistry guidelines to the German dental curriculum.
  • Ranked and refined 43 learning objectives through expert consensus.
  • Established a framework of six competence areas vital for addressing oral health in dependent older adults.
  • Developed a graduate profile with 21 key learning objectives targeting the oral health needs of dependent older adults.
  • Achieved consensus among experts on the importance of these competencies for future dental education.

Abstract

ABSTRACT Background/Aim One of the largest unmet dental care needs in Germany concerns dependent older people (DOP). The aim of this Delphi study was to define learning objectives (LOs) for the dental curriculum, specifying the skills, abilities, and attitudes necessary to enable and motivate future dentists to provide oral health care to DOP. Method LOs from international guidelines for special care dentistry and gerodontology were mapped and aligned with the current guidelines of the German dental curriculum. Based on this alignment, comprehensive LOs were formulated and ranked through a Delphi process. The target group consisted of dental education experts from German universities (14 in first round/12 in second round), all of whom had expertise in gerodontology or special care dentistry. Results A framework consisting of six competence areas was established: (1) Care dependency in older individuals, (2) Access & barriers to oral health, (3) Legal aspects, (4) Communication, (5) Effects of medical and functional condition on oral health, (6) Clinical management of DOP. The participants agreed on a total of 43 LOs. After refinement, a graduate profile for dental students in Germany with 21 LOs with a focus on the oral health of DOP was developed. Discussion The results of this study can be used to provide standardised education about dental care of DOP in Germany. By implementing the LOs and the graduate profile to the undergraduate dental curriculum, students should be prepared for the requirements of dental care for DOP after graduation.

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Cite This Study

Hillebrecht et al. (2026) studied this question.

synapsesocial.com/papers/696f1b189e64f732b51ef1dchttps://doi.org/10.1111/eje.70094
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