Dementia and oral health among subjects aged 75 years or older

Syrjälä, Anna-Maija; Ylöstalo, Pekka; Ruoppi, Piia; Komulainen, Kaija; Hartikainen, Sirpa; Sulkava, Raimo; Knuuttila, Matti

doi:10.1111/j.1741-2358.2010.00396.x

Cited by 125 publications

(172 citation statements)

References 25 publications

Supporting

Mentioning

155

Contrasting

Unclassified

Order By: Relevance

“…Age-related, mostly chronic pathologies, as well as physiological ageing, will also have to be considered in preventive oral healthcare in this vulnerable population. Institutionalised elderly people, especially those with cognitive impairment, generally have more a compromised oral health, including fewer teeth, than their peers who live independently 3,11 . When assistance is necessary for performing the ADL, oral hygiene is often neglected.…”

Section: Oral Health In Old Agementioning

confidence: 99%

Oral health for an ageing population: the importance of a natural dentition in older adults

Müller

Shimazaki

Kahabuka

et al. 2017

International Dental Journal

119

View full text Add to dashboard Cite

Despite progress in dentistry, tooth loss in old age is still a reality, even more so in long-term-care residents. However, recent trends indicate that natural teeth are lost later in life. Functional decline and age-related pathologies have to be considered in oral health care for this vulnerable population. Retaining and restoring teeth and oral function in elders is important. Tooth loss significantly impairs masticatory performance, which cannot be fully restored by prosthodontic means. Hence an unconscious change in food intake occurs, often involving malnutrition and withdrawal from common meals. Poor oral appearance and bad breath may further impede social activities. Although a chewing activity may be beneficial for cognitive function, natural teeth can present a considerable risk for fragile elders, in whom aspiration of biofilm can lead to pneumonia and death. The presence of natural teeth is also correlated with higher life expectancy, but socio-economic confounding factors have to be considered. When evaluating oral health in the elderly population, standards and priorities for reporting oral health outcome measures have to be defined. Anatomical indicators such as the number of natural teeth or the presence of prostheses might be one option for reporting. However, functional indicators such as masticatory performance and patient-centred outcome measures may be more relevant. In conclusion, there is an overwhelming body of evidence that maintaining a healthy natural dentition in old age is beneficial from a structural, functional and psycho-social point of view.

show abstract

Section: Oral Health In Old Agementioning

confidence: 99%

Oral health for an ageing population: the importance of a natural dentition in older adults

Müller

Shimazaki

Kahabuka

et al. 2017

International Dental Journal

119

View full text Add to dashboard Cite

show abstract

“…A study from Finland reported that patients diagnosed with dementia by a geriatrician, but excluding AD, had an increased likelihood of periodontal infections (Syrjala et al 2012); however, the number of dentate individuals studied was small and periodontal infection was equated with the presence of pocketing of 4 mm. A further recent European study of 152 dentate 70-year-old subjects in Denmark found that those with periodontal inflammation had lower scores in tests of cognitive function (Kamer et al 2012).…”

Section: Commentmentioning

confidence: 99%

Periodontal systemic associations: review of the evidence

Linden

Lyons

Scannapieco

2013

Journal of Periodontology

289

147

View full text Add to dashboard Cite

Linden GJ, Lyons A, Scannapieco FA. Periodontal systemic associations: review of the evidence. AbstractAim: To critically appraise recent research into associations between periodontal disease and systemic diseases and conditions specifically respiratory disease, chronic kidney disease, rheumatoid arthritis, cognitive impairment, obesity, metabolic syndrome and cancer. Methods: A MEDLINE literature search of papers published between 2002 and April 2012 was conducted. Studies that included periodontitis as an exposure were identified. Cross-sectional epidemiological investigations on large samples, prospective studies and systematic reviews formed the basis of the narrative review. A threshold set for the identification of periodontitis was used to identify those studies that contributed to the conclusions of the review. Results: Many of the investigations were cross-sectional secondary analyses of existing data sets in particular the NHANES studies. There were a small number of systematic reviews and prospective studies. There was substantial variability in the definitions of exposure to periodontitis. A small number of studies met the threshold set for periodontitis and supported associations; however, in some of the chronic diseases there were no such studies. There was strong evidence from randomized controlled trials that interventions, which improve oral hygiene have positive effects on the prevention of nosocomial pneumonias. Conclusions: There was substantial heterogeneity in the definitions used to identify periodontitis and very few studies met a stringent threshold for periodontitis. Published evidence supports modest associations between periodontitis and some, although not all, of the diseases and conditions reviewed. There is a need to reach a consensus on what constitutes periodontitis for future studies of putative associations with systemic diseases.

show abstract

“…They were conducted in 5 different countries across Europe [10,12] , North [26] and South America [27] , and Asia [11] , and were published between 1994 and 2015 ( Table 1 ). The population sample ranged from 42 patients in the study by Ship and Puckett [26] to 409 patients in the study by Gil-Montoya et al [12] 2 of the studies were cross-sectional [10,11] , 2 were case-control [12,27], and one was a longitudinal observational study [26] .…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…In the previous years, there has been an increase in the publication of literature in order to investigate the possible association between PD and AD, with heterogeneous results [10][11][12] . Despite the existence of numerous narrative reviews [8,9,[13][14][15][16] , the use of subjective and non-standardized methods may have led to bias [17] .…”

Section: Introductionmentioning

confidence: 99%

Is Periodontal Disease Associated with Alzheimer's Disease? A Systematic Review with Meta-Analysis

et al. 2017

View full text Add to dashboard Cite

Background: In the last decade, several observational studies have suggested that there exists an association between periodontal disease (PD) and Alzheimer's disease (AD). The aim of this systematic review was to investigate whether or not this link exists. Summary: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guideline for systematic review was used and registered at PROSPERO (CRD42016035377). The search strategy included using electronic databases and by hand searching articles published up to January 2016. MEDLINE via PubMed, EMBASE and Web of Science were searched by 2 independent reviewers. Observational studies including patients meeting criteria for both AD and PD were eligible to be included in the analysis. Quality assessment of selected studies was performed by the Newcastle-Ottawa Scale. From a total of 550 titles and abstracts, 5 studies were included (2 cross-sectional, 2 case-control and one cohort study) in the review. A fixed effects meta-analysis showed that the presence of PD is associated with the presence of AD (OR 1.69, 95% CI 1.21-2.35). When only severe forms of PD were evaluated, a significant association was also observed (OR 2.98, 95% CI 1.58-5.62). Key Messages: In the present review, a significant association was observed between PD and AD. Further studies should be carried out in order to investigate the direction of the association and factors that may confound it.

show abstract

Dementia and oral health among subjects aged 75 years or older

Abstract: Among the elderly aged 75 years or older, patients with Alzheimer's disease or other types of dementia are at increased risk of poor oral health and poor oral hygiene.

Cited by 125 publications

References 25 publications

Oral health for an ageing population: the importance of a natural dentition in older adults

Oral health for an ageing population: the importance of a natural dentition in older adults

Periodontal systemic associations: review of the evidence

Is Periodontal Disease Associated with Alzheimer's Disease? A Systematic Review with Meta-Analysis

Contact Info

Product

Resources

About