Tooth loss and caries prevalence in very old Swedish people: the relationship to cognitive function and functional ability

Avlund, Kirsten; Holm‐Pedersen, Poul; Morse, Donald R.; Viitanen, Matti; Winblad, Bengt

doi:10.1046/j.1741-2358.2003.00003.x

Cited by 108 publications

(122 citation statements)

References 53 publications

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“…Additionally, they are not limited by their association with the socio-economic and education levels, lifestyle, and smoking history; they are also related to diverse physical conditions such as the presence of cardiopulmonary diseases. It has been reported that there is an association between most oral problems and lower cognitive function (Avlund et al, 2004). However, the results of our study alone cannot confirm whether the presence of tooth and other oral problems resulted in malnutrition and consequently impairment in cognitive function, whether cognitive impairment was caused by other factors that led to tooth and oral problems, or whether cognitive impairment resulted in changes in the lifestyle that induced tooth and oral problems.…”

Section: Discussioncontrasting

confidence: 82%

Nutritional risk and cognitive impairment in the elderly

Lee¹,

Cheong²,

Kim³

et al. 2009

Archives of Gerontology and Geriatrics

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Section: Discussioncontrasting

confidence: 82%

Nutritional risk and cognitive impairment in the elderly

Lee¹,

Cheong²,

Kim³

et al. 2009

Archives of Gerontology and Geriatrics

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“…The health professionals involved in the assessment of them are looking for strategies beyond the treatment of AD for secondary morbidities to improve daily life activities, and in this context the oral health of these patients is one big issue. They have severe oral infections that cause several types of impairment 6,18,19,20 . Recently, evidence has shown a new path for researches, relating periodontal infections to the perpetuation and aggravation of symptoms of AD 8,21,22 .…”

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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“…Although they can affect the quality of life of elderly with dementia, the oral health is often neglected and the oral care is considered complicated. Indeed, the behavior disorders (agitation, aggression), the lack of cooperation even the opposition, the loss of autonomy, the disturbance of the physical marks are so many brakes in the access to healthcare dental [12][13][14][15][16][17][18][19][20][21][22][23][24][25].…”

mentioning

confidence: 99%

Oral Health in a Cognitive and Behavioral Unit

Pasca¹,

Rapp²,

Saidlitz³

et al. 2017

JDODT

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care project, ethical aspect. The professionals have skills and specific training. A structured and adapted program of activities is suggested in an objective limiting the expression of the behavior disorders and if possible to decrease the use of the sedative psychotropic and the setting. At the same time, the objectives in units of following and readaptation care are maintained. Nonmedical practices are proposed to these patients: psychomotricity, ergo therapy, orthophony, art-therapy… [8][9][10][11].The general clinical context is taken into account because symptoms associated as pains, discomfort, under nutrition, dehydration; infections can deteriorate behavioral disorders in dementia. Although they can affect the quality of life of elderly with dementia, the oral health is often neglected and the oral care is considered complicated. Indeed, the behavior disorders (agitation, aggression), the lack of cooperation even the opposition, the loss of autonomy, the disturbance of the physical marks are so many brakes in the access to healthcare dental [12][13][14][15][16][17][18][19][20][21][22][23][24][25].The Pole Geriatrics-Gerontology of the Toulouse University Hospital became aware of this fact and the oral health is a part of the global care of the hospitalized patients. ObjectiveThe main objective was to observe oral status of patients affected by Alzheimer's diseases and dementia (ADD) with intrusive behavior disorders. The secondary objective is to propose an adapted oral care. MethodsA cross-sectional study of the oral status was made by a clinical observation and a data collection on group of patients hospitalized in the CBU of Toulouse (Gérontopôle -Toulouse University Hospital). 138 patients were able to be examined.Considering the cognitive diseases, the consent was not able to be collected. The general, geriatric data were raised on computerized medical record. The oral status is systematically realized within the framework of a global health check-up.

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Tooth loss and caries prevalence in very old Swedish people: the relationship to cognitive function and functional ability

Abstract: This study revealed associations between the cognitive and functional status of the individual and aspects of oral health, that may contribute to a deeper understanding of the background of oral health status in older adults.

Cited by 108 publications

References 53 publications

Nutritional risk and cognitive impairment in the elderly

Nutritional risk and cognitive impairment in the elderly

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

Oral Health in a Cognitive and Behavioral Unit

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