Caries incidence and increments in community‐living older adults with and without dementia

Chalmers, Jane; Carter, Knute D.; Spencer, A. John

doi:10.1111/j.1741-2358.2002.00080.x

Cited by 115 publications

(173 citation statements)

References 42 publications

(2 reference statements)

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“…The main oral manifestations found in AD were periodontal disease, denture stomatitis and caries, data corroborated by several authors [18][19] . The use of ill-fitting and worn dentures, the presence of mucosal lesions are also extremely common and described in the literature [20][21] .…”

Section: Discussionsupporting

confidence: 72%

Evaluation of oral conditions in patients with neurodegenerative diseases treated in geriatric centers

Frota

Holanda

Sousa

et al. 2016

RGO, Rev. Gaúch. Odontol.

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Objective To compare the general clinical conditions and oral alterations, and also evaluate the prosthesis, in subjects diagnosed with Alzheimer's disease (AD) or Parkinson's disease (PD), attended at two geriatric centers in the city of Fortaleza -Ceará. Methods RESUMO ObjetivoComparar as condições sistêmicas e orais, além de avaliar as próteses removíveis, associadas aos portadores de Doença Alzheimer e Doença Parkinson, atendidos em dois centros geriátricos situados no município de Fortaleza -Ceará. MétodosForam analisados 70 pacientes (entre 57 à 91 anos) com Doença Alzheimer e Doença Parkinson, por meio de avaliação de prontuários neurológicos e exame clinico oral. Tendo sido observadas variáveis de sexo, idade, raça, comorbidades, condições orais e protéticas. Um total de 20 pacientes idosos sem doenças neurológicas consistiu no Grupo Controle. Foi utilizado teste exato de Fischer como análise estatística. ResultadosEm ambos os grupos estudados, a Hipertensão arterial foi a comorbidade mais frequente. Quanto ao exame oral, no grupo com Doença Alzheimer, foi observado que 54.2% apresentou doença periodontal, 34.2% doença cárie. Achados semelhantes foram encontrados em pacientes com Doença Parkinson (31,4%; 22,8% -respectivamente). Entretanto, não foi observada diferença entre os grupos estudados, quanto as manifestações sistêmicas e orais nos dois centros geriátricos (p>0.05). Foi identificado que mais da metade dos pacientes avaliados nesse estudo (57,7%), utilizavam alguma prótese removível, sendo que 86,5% dessas apresentavam-se mal adaptadas, com algum tipo de defeito, principalmente nos idosos Institucionalizados (p= 0.034). Verificou-se, também, diferença estatística na presença de estomatite protética, entre os grupos demência e grupo controle (p= 0.0213). ConclusãoIdosos portadores de Doença Alzheimer e Doença Parkinson tem deficiente saúde bucal, assim como aqueles sem as doenças neurodegenerativas. No entanto, apresentam mais imperfeições e patologias associadas ao uso de próteses removíveis. Evaluation of oral conditions in patients with neurodegenerative diseases treated in geriatric centersAvaliação das condições orais em pacientes com doenças neurodegenerativas atendidos em centros geriátricos

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Section: Discussionsupporting

confidence: 72%

Evaluation of oral conditions in patients with neurodegenerative diseases treated in geriatric centers

Frota

Holanda

Sousa

et al. 2016

RGO, Rev. Gaúch. Odontol.

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“…Due to loss of cognitive skills, physical disability, self-neglect, and lack of social support and resources for regular dental care, special-needs elders experience more oral disease and conditions compared to healthy, independent elders [1][2][3]. Compared to age-and gendermatched elders, demented patients may have poorer oral hygiene, and experience a high incidence of caries, may differ from that in general elderly population.…”

Section: Introductionmentioning

confidence: 99%

Tooth loss patterns in older adults with special needs: a Minnesota cohort

Chen

Clark

2011

Int J Oral Sci

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This study was conducted to detail tooth loss patterns in older adults with special needs. A total of 491 elderly subjects with special needs were retrospectively selected and followed during 10/1999-12/2006. Medical, dental, cognitive, and functional assessments were abstracted from dental records and used to predict risk of tooth loss. Tooth loss events were recorded for subjects during follow-up. Chi-squared tests were used to study the association between tooth loss and the selected risk factors. Logistic, poisson, and negative binomial regressions were developed to study tooth loss patterns. Overall, 27% of the subjects lost at least one tooth during follow-up. Fourteen subjects had tooth loss events per 100 person-years. Tooth loss pattern did not differ significantly among different special-needs subgroups (i.e. community-dwelling vs. long-term care, physically disabled vs. functionally independent). Special-needs subjects with three or more active dental conditions at arrival had more than twice the risk of losing teeth than those without any existing conditions. After adjusting other factors, the number of carious teeth or retained roots at arrival was a significant predictor of tooth loss for older adults with special needs (P=0.001). These findings indicate that appropriately managing active caries and associated conditions is important to prevent tooth loss for older adults with special needs.

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“…El conservar los dientes naturales, un objetivo altamente deseable, implica al mismo tiempo mayor riesgo de padecer las enfermedades bucales más prevalentes como caries en la corona y raíces de los dientes y enfermedad periodontal 16 . El mayor riesgo se debe principalmente a cambios patológicos relacionados con la edad, como la recesión gingival y modificaciones en el microambiente bucal, los que se asocian, a su vez, a cambios en el biofilm microbiano que se deposita sobre los dientes, el cual muchas veces es difícil de eliminar de la superficie dentaria 17 . Así también, otra situación a considerar es el efecto que tienen los fármacos utilizados para el tratamiento de las enfermedades crónicas, muchos de los cuales tienen propiedades anticolinérgicas, produciendo hipofunción salival o xerostomía en aproximadamente 30% de la población mayor 18 .…”

Section: Envejecimiento Y Salud Bucal En Personas Mayoresunclassified

Realidad y desafíos de la salud bucal de las personas mayores en Chile y el rol de una nueva disciplina: Odontogeriatría

León

Giacaman

2016

Rev. méd. Chile

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Reality and challenges of the oral health for older adults in Chile and the role of a new discipline: geriatric dentistry . A pesar de que estos cambios demográficos tuvieron su momento más dramático en la última parte del siglo XX y durante la primera parte del siglo XXI, se espera que la tendencia continúe e incluso se incremente en el futuro 2 . América Latina, igualmente, se encuentra en medio de esta transformación demográfica de largo alcance. En las décadas pasadas, la natalidad ha caído dramáticamente en casi toda la región y hoy se encuentra cerca, o incluso por debajo, de la tasa de reemplazo de 2,1 en la mayoría de los principales países de la región 3 . Tal es la situación que se estima que algunos países latinoamericanos como Brasil, Chile y México, podrían llegar a tener poblaciones más envejecidas que la de los Estados Unidos de Norteamérica. Es interesante notar que no obstante tanto países desarrollados como aquellos en desarrollo han envejecido o están envejeciendo. Los primeros se convirtieron en sociedades prósperas antes de envejecer, mientras que los segundos están o han envejecido sin alcanzar la prosperidad 3 . Es evidente que envejecer en un contexto social próspero trae aparejadas una serie de ventajas que finalmente repercuten positivamente en la calidad de vida de la población mayor, a diferencia de lo que ocurre cuando el entorno social es limitado y

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Caries incidence and increments in community‐living older adults with and without dementia

Cited by 115 publications

References 42 publications

Evaluation of oral conditions in patients with neurodegenerative diseases treated in geriatric centers

Evaluation of oral conditions in patients with neurodegenerative diseases treated in geriatric centers

Tooth loss patterns in older adults with special needs: a Minnesota cohort

Realidad y desafíos de la salud bucal de las personas mayores en Chile y el rol de una nueva disciplina: Odontogeriatría

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