The oral health of individuals with dementia in nursing homes

Adam, Helen; Preston, Antony

doi:10.1111/j.1741-2358.2006.00118.x

Cited by 102 publications

(138 citation statements)

References 29 publications

(43 reference statements)

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“…Seven studies specified the dementia subtype: Alzheimer’s disease, vascular dementia, and other types of dementia, such as Lewy bodies [30, 35, 36, 38, 42, 51, 52]. Three studies divided the group according to dementia severity [26, 28, 41]. Four studies were about nursing home residents (Table 2), without separate data about older people with and without dementia [29, 56–58].…”

Section: Resultsmentioning

confidence: 99%

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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%

“…In addition to dementia diagnosis, measurements for cognitive status were used, such as the Abbreviated Mental Test (AMT) [28, 67], Mini-Mental State Examination (MMSE) [68], or Minimum Data Set Cognitive Score (MDS-COGS) [33, 69]. Additionally, functional measures (e.g., Activities of Daily Living) were used.…”

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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“…DMFT values ranged from 30.0 in Britain (38) to 0.92 in India (37). Average DMFT scores in countries with more Western life-stylesVEurope, Australia, the United States, and IsraelVwere generally higher than 20 (Table 1).…”

Section: Dental Cariesmentioning

confidence: 98%

A Systematic Review and Meta-Analysis of the Association Between Poor Oral Health and Severe Mental Illness

Kisely

Baghaie

Lalloo

et al. 2015

Psychosomatic Medicine

169

200

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“…Study by Adam & Preston 16 determined that the decrease or loss of functional motor skills is a risk factor for oral diseases. It was shown the impairment of oral health due to several changes, often resulting from loss of cognitive and motor skills, related to age or illness.…”

Section: Discussionmentioning

confidence: 99%

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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The oral health of individuals with dementia in nursing homes

Abstract: For individuals resident in nursing homes, moderate to severe dementia might have a deleterious effect on oral health. Further work in this area is required.

Cited by 102 publications

References 29 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

A Systematic Review and Meta-Analysis of the Association Between Poor Oral Health and Severe Mental Illness

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

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