Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues.

Autor: Delwel S; Faculty of Behavioral and Movement Sciences, Department of Clinical Neuropsychology, VU University, Amsterdam, The Netherlands. s.delwel@vu.nl.; Faculty of Dentistry, Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, MOVE Research Institute Amsterdam, Amsterdam, The Netherlands. s.delwel@vu.nl., Binnekade TT; Faculty of Behavioral and Movement Sciences, Department of Clinical Neuropsychology, VU University, Amsterdam, The Netherlands., Perez RS; Department of Anesthesiology, EMGO+ Institute for Health and Care Research, VU University Medical Centre Amsterdam, Amsterdam, The Netherlands., Hertogh CM; Faculty of Medicine, Department of Elderly Care Medicine, VU University Medical Centre Amsterdam, Amsterdam, The Netherlands., Scherder EJ; Faculty of Behavioral and Movement Sciences, Department of Clinical Neuropsychology, VU University, Amsterdam, The Netherlands., Lobbezoo F; Faculty of Dentistry, Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, MOVE Research Institute Amsterdam, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Clinical oral investigations [Clin Oral Investig] 2017 Jan; Vol. 21 (1), pp. 17-32. Date of Electronic Publication: 2016 Sep 08.
DOI: 10.1007/s00784-016-1934-9
Abstrakt: Objective: The 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.
Methods: A 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).
Results: The 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.
Conclusions: Older 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 Relevance: The current state of oral health in older people with dementia could be improved with oral care education of caretakers and regular professional dental care.
Competing Interests: Compliance with ethical standardsConflict of interestThe authors declare that they have no conflict of interest.FundingThe work was supported by Alzheimer Nederland, Amstelring, Fonds NutsOhra, Roomsch Catholijk Oude Armen Kantoor (RCOAK), Stichting Beroepsopleiding Huisartsen (SBOH), and Stichting Henriëtte Hofje.Ethical approvalThis article does not contain any studies with human participants or animals performed by any of the authors.Informed consentFor this type of study, formal consent is not required.
Databáze: MEDLINE
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