The pathway from cognitive impairment to caries in older adults

Chen, Xi; Xie, Xian-Jin; Yu, Lixi

doi:10.1016/j.adaj.2018.07.015

Cited by 13 publications

(19 citation statements)

References 55 publications

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“…Evidence shows that oral self‐care function plays a critical role in oral health deterioration in PWCI . These findings suggest that oral self‐care and other DRF should be considered during clinical treatment planning.…”

Section: Discussionmentioning

confidence: 91%

“…32 Evidence shows that oral self-care function plays a critical role in oral health deterioration in PWCI. 12,40,41,50 Second, it was a secondary analysis using the data of a cross-sectional study, and the design limits us from determining the temporal relationship between cognition impairment, DRF decline and oral health. Therefore, the causal relationships between cognitive, functional and oral health measures remain unknown.…”

Section: Discussionmentioning

confidence: 99%

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The oral health status of residents with different cognitive and dental‐related functions in three North Carolina assisted living facilities

Chen

D’Souza

2019

Gerodontology

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Introduction The aim of the study was to describe the oral health status of persons with different cognition and dental‐related functions (DRFs). Methods The present study was a secondary analysis of data collected for a cross‐sectional study of residents in three assisted living facilities in North Carolina. The participants were aged 50 years or older, had normal to severely impaired cognition and spoke English. Upon obtaining informed consent, an oral assessment was completed by a trained geriatric dentist. A research team member who was blind to the oral examination outcomes then used the Minimum Data Set Cognition Scale to assess participants’ cognition and the dental activities test to evaluate oral self‐care and other DRFs. Descriptive statistics were used to describe the demographic, cognitive, functional and oral health status of the study participants. The impacts of cognitive and functional status on oral health measures were examined using simple linear regression models, negative binomial and zero‐inflated negative binomial models. Results A total of 91 long‐term residents from three long‐term care facilities participated in the study. Oral hygiene and gingival health were significantly associated with cognition (P = 0.056 and P = 0.017, respectively) and DRFs (P = 0.013 and P = 0.008, respectively). Residents with poor cognitive and dental‐related function also presented with poor oral hygiene and gingival health. Conclusion The study results suggest that oral hygiene and gingival health were significantly associated with cognition and DRFs.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

The oral health status of residents with different cognitive and dental‐related functions in three North Carolina assisted living facilities

Chen

D’Souza

2019

Gerodontology

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“…Previous studies have reported that patients with cognitive impairment generally find it difficult to maintain good oral hygiene and are more susceptible to oral diseases . Many individuals with cognitive impairment experience oral diseases such as dental caries and periodontal diseases, which lead to tooth loss . Conversely, oral health can also affect cognitive functioning in older adults.…”

Section: Discussionmentioning

confidence: 99%

“…Many patients with cognitive impairment experience difficulties in managing their ADL, which may be a factor that complicates oral health management . In a population‐based study on elderly participants that analysed ADL and cognitive function using Cox proportional hazards regression models controlled for other covariates such as age and sex, it was concluded that ADL disability was a strong risk factor for dementia .…”

Section: Discussionmentioning

confidence: 99%

“…Decreased oral health in individuals with cognitive impairment is strongly related to a lower quality of life . Patients with cognitive impairment have a decreased ability to manage their oral health, and therefore, they are exposed to a higher risk of dental caries and gingival disorders . Moreover, it is difficult for patients with cognitive impairment to receive dental treatments when such problems arise, which may contribute to deteriorating oral health .…”

Section: Introductionmentioning

confidence: 99%

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Association of oral health and activities of daily living with cognitive impairment

2019

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Objectives This study compared the oral health status between elderly individuals with and without cognitive impairment and explored the association of oral health and activities of daily living (ADL) with cognitive impairment. Methods We conducted convenience sampling on patients aged more than 65 years and analysed data from 630 participants. Data were collected and analysed via a survey evaluating general characteristics, oral health behaviour, subjective oral health status, Oral Health Impact Profile (OHIP‐14), Geriatric Oral Health Assessment Index (GOHAI) and ADL. Results The path analysis and regression analysis of the association of oral health and ADL with cognitive impairment showed that the OHIP‐14 was not significantly associated with cognitive impairment, whereas the GOHAI and ADL had significant associations with cognitive impairment. A 1‐point increase in the GOHAI was associated with a 0.024‐point increase in the cognitive impairment score, and a 1‐point increase in the ADL was associated with a 0.006‐point decrease in the cognitive impairment score (normal = 0, cognitive impairment = 1). Conclusions Poor oral health and ADL were associated with cognitive impairment. Therefore, oral hygiene management is important in maintaining oral health in elderly individuals with cognitive impairment.

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Personalized Dental Caries Management for Frail Older Adults and Persons with Special Needs

Marchini

Ettinger

Hartshorn

2019

Dental Clinics of North America

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The pathway from cognitive impairment to caries in older adults

Cited by 13 publications

References 55 publications

The oral health status of residents with different cognitive and dental‐related functions in three North Carolina assisted living facilities

The oral health status of residents with different cognitive and dental‐related functions in three North Carolina assisted living facilities

Association of oral health and activities of daily living with cognitive impairment

Personalized Dental Caries Management for Frail Older Adults and Persons with Special Needs

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