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. 2017 Jan;21(1):17-32.
doi: 10.1007/s00784-016-1934-9. Epub 2016 Sep 8.

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

Suzanne Delwel  1   2 , Tarik T Binnekade  3 , Roberto S G M Perez  4 , Cees M P M Hertogh  5 , Erik J A Scherder  3 , Frank Lobbezoo  6
Affiliations

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

Suzanne Delwel et al. Clin Oral Investig. 2017 Jan.

Abstract

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.

Keywords: Aged; Dementia; Elderly; Facial pain; Gerodontology; Oral health; Stomatognathic disease.

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Conflict of interest statement

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.

Figures

Fig. 1
Fig. 1
Flow chart of the literature search
See this image and copyright information in PMC

References

    1. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century—the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003;31:3–24. doi: 10.1046/j..2003.com122.x. - DOI - PubMed
    1. Rodríguez-Rodero S, Fernández-Morera JL, Menéndez-Torre E, et al. Aging genetics and aging. Aging Dis. 2011;2:186–195. - PMC - PubMed
    1. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2005;33:81–92. doi: 10.1111/j.1600-0528.2004.00219.x. - DOI - PubMed
    1. Petersen PE, Bourgeois D, Bratthall D, Ogawa H (2005) Oral health information systems—towards measuring progress in oral health promotion and disease prevention. Bull World Health Organ 83:686–693 - PMC - PubMed
    1. Bauer JG (2001) The index of ADOH: concept of measuring oral self-care functioning in the elderly. Spec Care Dentist 21:63–67 - PubMed

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