Removable prosthesis hygiene in elders with Parkinson's disease

Ribeiro, Giselle Rodrigues; Campos, Camila Heitor; Garcia, Renata Cunha Matheus Rodrigues

doi:10.1111/scd.12251

Cited by 6 publications

(9 citation statements)

References 34 publications

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“…A combination of mechanical hygiene through brushing with chemical agents is a good choice for patients with dentures (24). Chemical agents with potential for bacterial growth inhibition are 1% sodium hypochlorite, vinegar and chlorhexidine digluconate and may be considered suitable products for cleaning dental prostheses (25).…”

Section: Discussionmentioning

confidence: 99%

“…Chemical agents with potential for bacterial growth inhibition are 1% sodium hypochlorite, vinegar and chlorhexidine digluconate and may be considered suitable products for cleaning dental prostheses (25). Immersion in sodium hypochlorite for 10 minutes once a week does not appear to impair the acrylic alloys of a denture (24). The use of chemical agents might be a good strategy for denture cleansing to be performed by patient or a caregiver, as a part of an oral health program.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study

Brantes¹,

Azevedo²,

Rozza-De-Menezes³

et al. 2019

Med Oral

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Background To evaluate the frequency of maxillary dentures-related lesions and the possible associated risk factors. Material and Methods Ninety-seven participants were selected, and a complete anamnesis, physical examination and tests of occlusion vertical dimension (OVD), retention and stability of the denture, biofilm quantification, cytopathology, sialometry, pH analysis and buffer capacity of the saliva were performed. Statistical analyses were performed with the Pearson’s chi-square, Mann-Whitney tests, and Pearson’s coefficient ( p <0.05). Results In 78% of the participants at least one denture-related lesion was found. Denture-associated stomatitis (63%), inflammatory fibrous hyperplasia (19%) and traumatic ulceration (11%) were the 3 most frequent lesions. The habit of night use of the denture was considered an independent risk factor for the development of oral lesions [OR=3.0 (95% CI 1.09-8.56); p <0.05]. Furthermore, the longest period of use of the same denture and biofilm also had statistically significant relation to oral lesions. The biofilm seems to be more related to the prevalence of oral lesions according to the multiple logistic regression [OR=1.3 (95% CI: 1.01-1.83) p <0.05]. The lack of a dentures’ cleaning solution and detrition of the prothesis were independent risk factors for denture-associated stomatitis. Male gender, loss of OVD and bad buffer capacity were risk factors for angular cheilitis. Fractures of the base and repair of broken dentures were risk factors for traumatic ulcers. Conclusions These results show a high frequency of denture-related lesions. Besides, participants hygiene habits and poor quality of the dentures were the main factors for the development of these lesions. Key words: Complete denture, oral health, oral hygiene, oral lesion, saliva.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study

Brantes¹,

Azevedo²,

Rozza-De-Menezes³

et al. 2019

Med Oral

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“…Although, authors Ribeiro, et al have observed, that patients with PD have had more biofilm accumulation on their prostheses, compared to non-PD patients. During their research, results were more apparent on the maxillary prosthesis [14]. Also, Fukoka, et al used video fluorography, which led them to…”

Section: Resultsmentioning

confidence: 99%

Untitled

2020

Int J Oral Dent Health

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Background: Parkinson's disease is one the most widespread illnesses in the world, affecting up to 1% of the whole population above 60 years. It is also considered the most frequent movement disorder and the second most common degenerative disease of the central nervous system. The main goal of prosthodontists should be to guarantee a good quality of life for patients ill with Parkinson's disease (PD). Methods:The PubMed database was used to search the literature published from January 1, 2015 until February 20, 2020. The aim was: 1) To critically review the literature on dental prosthetic treatments that can be done for patients, who have Parkinson's disease; 2) To analyze what is the best time to assign the treatment; 3) To find out how it affects the patients quality of life. Analysis of literature was performed using the PRISMA analysis protocol. Articles were identified in both PubMed and ScienceDirect databases. In each of the studies, we analyzed information for: Prosthetic dental treatment options for patients with PD, most successful approaches to the treatment and factors ensuring good life-quality afterwards.Results: 15 studies were included in the systematic review, according to inclusion and exclusion criteria. It is suggested, that the best way to restore PD patients' masticatory function, is by using implant-supported fixed prosthesis. Also, removable dentures are a viable restorative option for PD patients, although, reduced biting forces and lower jaw movements need to be taken into consideration. Moreover, before any prosthetic dental treatment, the doctor has to be informed about the patients' medication consumption time, to prevent the occurrence of tremors during the visit. In addition, the most viable treatment plan should always be chosen according to patients' quality of life as one of the main factors. For this reason, it is concluded, that non removable restorations increase the patients' quality of life significantly more than removable ones. Conclusions:Parkinson's disease affects not only mastication, but also swallowing and verbal functions. In order to improve patients' quality of life, these functions need to be rehabilitated by using implant-fixed dental prosthesis as the best option. Because of functional impairment, prosthodontists should pay attention to keeping the patient in vertical sitting position, strictly control salivation, and also assess patients' medication intake time. Moreover, when helping the patients to clearly understand the treatment plan and maintain good oral hygiene, caregivers' assistance is needed. In addition, during aftercare, an electric toothbrush is recommended, since PD patients have trouble sustaining repetitive motions. This is the best way to ensure a successful prosthetic treatment.

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“…Patients report more discomfort (pain, dry mouth, denture issues) as well as chewing difficulties (related to either teeth, denture, or masticatory function) and dysphagia. They have a worse perception of their oral health [3,77], and a decreased oral health-related quality of life [4,48,52,69,71,72,78,79]. Of interest, changes in the oral microbiota are also reported, though the significance and extent of such alterations, as well as their link with PD remain to be determined (causal/correlative/consecutive) [74,[80][81][82].…”

Section: Oral Health Is Poorer In Pdmentioning

confidence: 99%

“…Decline in the quality of the toothbrushing (not necessarily in the frequency [74]) and lack of interdental cleaning reduce the efficacy of plaque control, promoting gingivitis, and initiating or aggravating periodontitis and dental caries. Moreover, such fine movement impairments induce more difficulties in the frequency and quality of prosthesis hygiene, leading to biofilm accumulation [78]. Discomfort with mouthwashes, possibly due to dysphagia and fear of choking, has also been reported [68].…”

Section: Problems Faced In Maintaining Good Oral Care At Homementioning

confidence: 99%

Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye

Auffret

Meuric

Boyer

et al. 2021

JPD

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Despite clinical evidence of poor oral health and hygiene in Parkinson’s disease (PD) patients, the mouth is often overlooked by both patients and the medical community, who generally focus on motor or psychiatric disorders considered more burdensome. Yet, oral health is in a two-way relationship with overall health—a weakened status triggering a decline in the quality of life. Here, we aim at giving a comprehensive overview of oral health disorders in PD, while identifying their etiologies and consequences. The physical (abnormal posture, muscle tone, tremor, and dyskinesia), behavioral (cognitive and neuropsychiatric disorders), and iatrogenic patterns associated with PD have an overall detrimental effect on patients’ oral health, putting them at risk for other disorders (infections, aspiration, pain, malnutrition), reducing their quality of life and increasing their isolation (anxiety, depression, communication issues). Interdisciplinary cooperation for prevention, management and follow-up strategies need to be implemented at an early stage to maintain and improve patients’ overall comfort and condition. Recommendations for practice, including (non-)pharmacological management strategies are discussed, with an emphasis on the neurologists’ role. Of interest, the oral cavity may become a valuable tool for diagnosis and prognosis in the near future (biomarkers). This overlooked but critical issue requires further attention and interdisciplinary research.

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Removable prosthesis hygiene in elders with Parkinson's disease

Abstract: Verbal instruction and positive reinforcement can improve prosthesis hygiene in elders with and without PD.

Cited by 6 publications

References 34 publications

Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study

Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study

Untitled

Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye

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