Oral health of the elderly with Alzheimer's disease

Ribeiro, Giselle Rodrigues; Costa, José Luiz Riani; Ambrosano, Gláucia María Bovi; Garcia, Renata Cunha Matheus Rodrigues

doi:10.1016/j.oooo.2012.03.028

Cited by 76 publications

(98 citation statements)

References 28 publications

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“…The DMFT index (Table 10) was 19.7 to 26.1 in people without dementia [5, 42], and 14.9 to 28.0 [48, 49] in people with dementia. The lowest DMFT was 14.9, which was derived from a cross-sectional study from Thailand examining older people with dementia without using a control group [49].…”

Section: Resultsmentioning

confidence: 99%

“…The lowest DMFT was 14.9, which was derived from a cross-sectional study from Thailand examining older people with dementia without using a control group [49]. Only five studies compared older people with and without dementia, and just one study found a significant difference between the two groups; DMFT 25.5 in people without and DMFT 28.0 in people with dementia [48]. …”

Section: Resultsmentioning

confidence: 99%

“…Only five studies compared older people with and without dementia, and just one study found a significant difference between the two groups; DMFT 25.5 in people without and DMFT 28.0 in people with dementia [48]. …”

Section: Resultsmentioning

confidence: 99%

“…Studies that compare older people with and without dementia, showed similar, high DMFT scores for both groups [5, 32, 42, 48, 58]. Although the DMFT index gives an indication of the dental caries history as a whole, it does not distinguish between decayed, missing, and filled teeth separately.…”

Section: Discussionmentioning

confidence: 99%

“…The risk of caries increases even further, as a result of decreased submandibular saliva flow rates in people with Alzheimer’s disease [86], and changes in food composition (e.g., more sticky, grinded, and cariogenic food), which are often seen in people with dementia [39, 58]. Furthermore, functional changes in dementia, like declined handgrip and motor skills, play a role in the caries risk [39, 48]. More specifically, the decline in motor coordination might result in more difficulty performing oral care [48] and lower chewing and swallowing efficiency [39].…”

Section: Discussionmentioning

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%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%