Oral infections and orofacial pain in Alzheimer's disease: case report and review

Siqueira, Sílvia Regina Dowgan Tesseroli de; Rolim, Thaís de Souza; Teixeira, Manoel Jacobsen; Nitrini, Ricardo; Anghinah, Renato; Siqueira, José Tadeu Tesseroli de

doi:10.1590/s1980-57642010dn40200012

Cited by 6 publications

(5 citation statements)

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“…Although dental hard tissues can be an important source of orofacial pain, only seven of the included studies published data about the presence of orofacial pain [15, 19, 28, 33, 34, 44, 74]. The presence of reported dental pain in older people with dementia varied between 7.4 and 21.7 %.…”

Section: Resultsmentioning

confidence: 99%

Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues

et al. 2016

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ObjectiveThe aim of this review was to provide a systematic overview including a quality assessment of studies about oral health and orofacial pain in older people with dementia, compared to older people without dementia.MethodsA systematic literature search was performed in PubMed, CINAHL, and the Cochrane Library. The following search terms were used: dementia and oral health or stomatognathic disease. The quality assessment of the included articles was performed using the Newcastle-Ottawa Scale (NOS).ResultsThe search yielded 527 articles, of which 37 were included for the quality assessment and quantitative overview. The median NOS score of the included studies was 5, and the mean was 4.9 (SD 2.2). The heterogeneity between the studies was considered too large to perform a meta-analysis. An equivalent prevalence of orofacial pain, number of teeth present, decayed missing filled teeth index, edentulousness percentage, and denture use was found for both groups. However, the presence of caries and retained roots was higher in older people with dementia than in those without.ConclusionsOlder people with dementia have worse oral health, with more retained roots and coronal and root caries, when compared to older people without dementia. Little research focused on orofacial pain in older people with dementia.Clinical relevanceThe current state of oral health in older people with dementia could be improved with oral care education of caretakers and regular professional dental care.

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Section: Resultsmentioning

confidence: 99%

Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues

et al. 2016

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“…Improved treatment of pain in people with dementia has been associated with positive outcomes, such as improvements in behaviour and activities of daily life (Buffum et al. , 2007), improvements in cognition and depressive symptoms (de Siqueira et al. , 2010) and increased social interaction (Chibnall et al.…”

Section: Resultsmentioning

confidence: 99%

Pain and dementia: an overview of the literature

McAuliffe¹,

Brown²,

Fetherstonhaugh³

2012

Int J Older People Nursing

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This paper discusses how pain and its undertreatment impacts upon older people with dementia. It outlines how the contributing factors to the underassessment of pain are numerous and includes dementia-related factors (such as loss of communication ability) and health professional-related factors (such as inappropriate or non-application of a pain-assessment tool and deficit knowledge regarding pain mechanisms and/or dementia). Pharmacological and non-pharmacological treatment options for pain are noted as important but are not the focus of this paper.

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“…Recently, evidence has shown a new path for researches, relating periodontal infections to the perpetuation and aggravation of symptoms of AD 8,21,22 . Besides, dental infections are potential causes of orofacial pain as well as masticatory dysfunctions such as TMD, with are also important co-morbidities 23,24 . In this study, after the dental treatment, there was a clear evidence of pain relief (less orofacial complaints, myofascial pain, PI and periodontal infections).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of patients with Alzheimer's disease before and after dental treatment

Rolim

Fabri

Nitrini

et al. 2014

Arq. Neuro-Psiquiatr.

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Oral infections may play a role in Alzheimer's disease (AD). Objective: To describe the orofacial pain, dental characteristics and associated factors in patients with Alzheimer's Disease that underwent dental treatment. Method: 29 patients with mild AD diagnosed by a neurologist were included. They fulfilled the Mini Mental State Exam and Pfeffer's questionnaire. A dentist performed a complete evaluation: clinical questionnaire; research diagnostic criteria for temporomandibular disorders; McGill pain questionnaire; oral health impact profile; decayed, missing and filled teeth index; and complete periodontal investigation. The protocol was applied before and after the dental treatment. Periodontal treatments (scaling), extractions and topic nystatin were the most frequent. Results: There was a reduction in pain frequency (p=0.014), mandibular functional limitations (p=0.011) and periodontal indexes (p,0.05), and an improvement in quality of life (p=0.009) and functional impairment due to cognitive compromise (p,0.001) after the dental treatment. Orofacial complaints and intensity of pain also diminished. Conclusion: The dental treatment contributed to reduce co-morbidities associated with AD and should be routinely included in the assessment of these patients.Keywords: Alzheimer's disease, oral infections, orofacial pain, periodontal disease, dental treatment. RESUMOInfecções orais podem ter um papel na doença de Alzheimer (DA). Objetivo: Descrever as características orofaciais, dor, odontológicas e fatores associados em doentes com DA submetidos a tratamento dentário. Método: 29 doentes diagnosticados com DA por neurologista foram avaliados através do Mini Exame do Estado Mental e questionário Pfeffer. O exame odontológico foi realizado antes e depois do tratamento dentário e incluiu: questionário clínico; critérios diagnósticos de pesquisa para disfunção temporomandibular; questionário de dor McGill; protocolo de impacto de saúde oral; dentes cariados, perdidos e obturados; e avaliação periodontal. Os procedimentos mais frequentes foram raspagem periodontal, exodontias e prescrição de nistatina tópica. Resultados: Houve uma redução na frequência de dor (p=0,014), limitações mandibulares (p=0,011), índices periodontais (p,0.05), e melhora na qualidade de vida (p=0,009) e no comprometimento funcional e cognitivo (p,0,001) após o tratamento dentário. Queixas orofaciais e intensidade de dor também diminuíram. Conclusão: O tratamento dentário contribuiu para reduzir comorbidades associadas à DA e deveria ser incluído na rotina de avaliação desses pacientes.Palavras-chave: doença de Alzheimer, infecções orais, dor orofacial, doença periodontal, tratamento dentário.In the last century the world population got older, and since then there has been a growing interest in maintaining health and an active and functional life in the third age. The frequency of elderly people with chronic diseases is high (20%-35%), and many of them are fragile (2%-10%) 1 .Neurodegenerative diseases cause severe morbidity, and among ...

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Oral infections and orofacial pain in Alzheimer's disease: case report and review

Cited by 6 publications

References 46 publications

Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues

Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues

Pain and dementia: an overview of the literature

Evaluation of patients with Alzheimer's disease before and after dental treatment

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