Tooth loss, chewing efficiency and cognitive impairment in geriatric patients

Elsig, Fanny; Schimmel, Martín; Duvernay, Elena; Giannelli, Sandra Véronique; C, Graf; Carlier, Sabrina; Herrmann, Françoís; Michel, Jean‐Pierre; Gold, Gabriel; Zekry, Dina; Müller, Frauke

doi:10.1111/ger.12079

Cited by 96 publications

(119 citation statements)

References 54 publications

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“…Several qualitative reviews already stated the importance of good oral health in older people with dementia [75–83]. This review summarizes that the number of teeth present is comparable between older people with dementia and cognitively intact older people [14, 15, 25, 39, 43, 51, 52, 58]. The number of teeth present was the most commonly used measure for dental health, presumably because of its simplicity.…”

Section: Discussionmentioning

confidence: 98%

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: Discussionmentioning

confidence: 98%

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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“…The association between systemic health conditions and oral health has been examined in many studies [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] . Individuals with systemic health condition such as obesity, diabetes, hypertension, and hypercholesterolemia were found to have higher risk of developing periodontal disease than those without systemic health conditions [5][6][7][8][9][10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

“…Individuals with systemic health condition such as obesity, diabetes, hypertension, and hypercholesterolemia were found to have higher risk of developing periodontal disease than those without systemic health conditions [5][6][7][8][9][10][11][12] . In addition, obesity was associated with tooth loss among elderly aged 70 years and over 1 [13][14][15] . Longitudinal studies also revealed a causal relationship that people with obesity were more likely to develop periodontal disease 16,17) .…”

Section: Introductionmentioning

confidence: 99%

Association between Systemic Health Conditions and Self-Reported Oral Health in Korean Elderly

Choi

Lyu²,

Patton

et al. 2017

J Dent Hyg Sci

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Systemic health conditions increase with advancing age, and may be linked to poor self-reported oral health. The purpose of this study was to evaluate the association between systemic health conditions and poor self-reported oral health among Korean elderly. The study used a nationally representative sample of Koreans (2012 Korea National Health and Nutrition Examination Survey) aged 65∼98 years (n=1,595). Systemic health conditions in this population were assessed by the presence of one or more of the following conditions: obesity, hypertension, diabetes, and hypercholesterolemia. The relative risk of poor self-reported oral health according to the occurrence of systemic health conditions was estimated by multivariate logistic regression after controlling for several potential confounders (i.e., socio-demographic factors, oral health behaviors, health behaviors, and psychological factors). After adjustment for these confounders, the relative risk of having poor self-reported oral health was greater among the elderly with one or more systemic health conditions than in those without a systemic health condition. The odds ratio of having poor self-reported oral health according to the occurrence of systemic health conditions was 1.51 (95% confidence interval, 1.08∼2.12). Among the Korean elderly, perception of poor oral health was associated with the presence of one or more systemic health conditions. Future studies are needed to examine the detailed causal relation between systemic health conditions and poor oral health longitudinally.

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“…1 Loss of teeth, and its subsequent decrease in masticatory ability and efficiency, is one of the most frequent conditions affecting quality of life in numerous ways, 2,3 even resulting in cognitive impairment in older adults. 4 Given the above, some authors 5,6 point out that the restoration of an adequate masticatory function is one of the main goals in dentistry as it improves dietary, systemic, mental and physical functions of the human body. The use of removable prostheses is still a viable and widely used treatment.…”

Section: Introductionmentioning

confidence: 99%

Influence of adaptation of removable partial denture on masticatory performance.

2016

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Abstract:Objective: To compare the masticatory performance (MP) of patients with old removable partial denture (RPD), recently inserted RPD and already adapted RPD by means of the simple sieve test. Material and Methods: Twenty-nine adult (>18 years old) volunteer patients were recruited, with lower and upper RPD, excluding total edentulous subjects in the upper and lower jaw, with temporomandibular disorders, severe periodontal disease, mental disability or systemic disease compromising the masticatory or nervous system. Dentures were designed and fabricated by an expert operator. MP was evaluated in old RPD (MP1), recently inserted RPD (MP2) and adapted RPD (MP3). The simple sieve test used was Edlund-Lamm in percentage of MP, using Optosil® Comfort condensation silicone tablets, with standard sizes (5.0x20mm). In each phase, the patient chewed the tablet with 20 masticatory strokes. The crushed fragments were dried at 80°C for 60 minutes and weighed on an analytical scale. A multiple vibration sieve analysis was performed, using sieves with opening sizes of 2.8mm and 1.4mm. Shapiro-Wilk test and Anova test with Bonferroni correction were performed. Results: It was observed that MP1 presented a mean of 8.40% (SD±5.59), MP2 a mean of 8.56% (SD±5.56), and MP3 a mean of 18.26% (SD±8.12). There was a significant difference (p<0.05) between the MP1-MP3 groups, as well as between the MP2-MP3 (p<0.05). Conclusion: There is a significant increase in MP thirty days after the insertion of RPD, checkups, and adjustments performed by the dentist.

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Tooth loss, chewing efficiency and cognitive impairment in geriatric patients

Abstract: Chewing efficiency seems stronger associated with cognitive impairment than the number of teeth. Hence, in a more holistic approach for the geriatric assessment, the dental examination may be complemented by a chewing efficiency test.

Cited by 96 publications

References 54 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

Association between Systemic Health Conditions and Self-Reported Oral Health in Korean Elderly

Influence of adaptation of removable partial denture on masticatory performance.

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