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. 2022 Oct 20;19(20):13618.
doi: 10.3390/ijerph192013618.

Relationship between Oral Health Status and Oropharyngeal Dysphagia in Older People: A Systematic Review

Noemie Drancourt  1   2 , Nada El Osta  1 , Nicolas Decerle  1   2 , Martine Hennequin  1   2
Affiliations

Relationship between Oral Health Status and Oropharyngeal Dysphagia in Older People: A Systematic Review

Noemie Drancourt et al. Int J Environ Res Public Health. .

Abstract

The purpose of this review is to investigate the relationship between oral health status and oropharyngeal dysphagia (OD) in older people and to collect a list of oral health indicators that can enable carers and health professionals to screen for risk of dysphagia in older people during oral examinations. A systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol (PRISMA-P 2015) guidelines. The analysis methods and inclusion criteria were documented in a protocol published in the Prospective International Register of Systematic Reviews (PROSPERO) under the registration number CRD42020140458. A total of 19 articles published between 2002 and 2020 were retained by the search criteria for the qualitative synthesis. Eighteen studies demonstrated at least one positive association between an oral health component (dental, salivary and/or muscular) and dysphagia. This review highlights that oral health and OD are associated but was not able to determine causality. The lack of scientific evidence could be explained by the observational approach of the majority of the studies and the irrelevant choice of oral health indicators. A relationship may exist between oral health and dysphagia, but this review highlights the lack of valid and standardized oral health indicators that would be needed to assess the impact of oral health on the overall health status of individuals.

Keywords: dental status; hyposalivation; older people; oral health; oral motricity; oropharyngeal dysphagia; xerostomia.

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Conflict of interest statement

The authors declare that they have no conflicting interests.

Figures

Figure 1
Figure 1
Flow chart for inclusions.
See this image and copyright information in PMC

References

    1. Baijens L.W., Clavé P., Cras P., Ekberg O., Forster A., Kolb G.F., Leners J.-C., Masiero S., Mateos-Nozal J., Ortega O., et al. European Society for Swallowing Disorders—European Union Geriatric Medicine Society White Paper: Oropharyngeal Dysphagia as a Geriatric Syndrome. Clin. Interv. Aging. 2016;11:1403–1428. doi: 10.2147/CIA.S107750. - DOI - PMC - PubMed
    1. Clarfield A.M. Geriatrics: The Diseases of Old Age and Their Treatment. BMJ. 2007;334:1225. doi: 10.1136/bmj.39237.488356.94. - DOI
    1. Serra-Prat M., Hinojosa G., López D., Juan M., Fabré E., Voss D.S., Calvo M., Marta V., Ribó L., Palomera E., et al. Prevalence of Oropharyngeal Dysphagia and Impaired Safety and Efficacy of Swallow in Independently Living Older Persons. J. Am. Geriatr. Soc. 2011;59:186–187. doi: 10.1111/j.1532-5415.2010.03227.x. - DOI - PubMed
    1. Cabré M., Serra-Prat M., Force L., Almirall J., Palomera E., Clavé P. Oropharyngeal Dysphagia Is a Risk Factor for Readmission for Pneumonia in the Very Elderly Persons: Observational Prospective Study. J. Gerontol. A Biol. Sci. Med. Sci. 2014;69:330–337. doi: 10.1093/gerona/glt099. - DOI - PubMed
    1. Carrión S., Cabré M., Monteis R., Roca M., Palomera E., Serra-Prat M., Rofes L., Clavé P. Oropharyngeal Dysphagia Is a Prevalent Risk Factor for Malnutrition in a Cohort of Older Patients Admitted with an Acute Disease to a General Hospital. Clin. Nutr. Edinb. Scotl. 2015;34:436–442. doi: 10.1016/j.clnu.2014.04.014. - DOI - PubMed

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