Clinicians’ view on the management of oral health in Parkinson’s disease patients: a qualitative study

Merel C. Verhoeff; Magdalini Thymi; Arnoud N. Brandwijk; Mark S. Heres; Michail Koutris; Henk W. Berendse; Karin D. van Dijk; Frank Lobbezoo

doi:10.1038/s41405-023-00144-w

Clinicians’ view on the management of oral health in Parkinson’s disease patients: a qualitative study

Merel C. Verhoeff^*
, Magdalini Thymi
, Arnoud N. Brandwijk
, Mark S. Heres
, Michail Koutris
, Henk W. Berendse
, Karin D. van Dijk
, Frank Lobbezoo

^*Corresponding author for this work

Orofacial Pain and Dysfunction

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Background: due to numerous motor and non-motor symptoms, dental treatment in patients with Parkinson’s Disease (PD) can be challenging. Knowledge regarding optimal management of oral health in PD patients is lacking. Aim: to gain a deeper understanding of the experiences of dentists regarding oral health care for PD patients in the Netherlands. Material and method: semi-structured interviews were conducted with (specialized) dentists working with PD patients. A thematic analysis was performed using a framework-based approach. Results: ten dentists were interviewed. They reported that dental care in PD patients requires 1) adaptation of timing and length of treatments and consultations, and 2) intensifying preventive measures. Dentists experienced the organization as bureaucratic and difficult. Moreover, differences between being institutionalized or living at home were present. Education and research are needed to improve PD patients’ oral health. The experience level and affinity for treating PD patients positively influences confidence levels of the practitioner. Finally, points of improvement were suggested. Conclusion: managing oral health in PD patients is challenging, and interdisciplinary collaboration is needed to overcome difficulties. Reducing the bureaucratic burden and improving knowledge could help and stimulate oral health care providers to treat PD patients more effectively and, consequently, improve their oral health.

Original language	English
Article number	20
Pages (from-to)	1-8
Number of pages	8
Journal	BDJ Open
Volume	9
DOIs	https://doi.org/10.1038/s41405-023-00144-w
Publication status	Published - 12 May 2023

Bibliographical note

Funding Information:
MT reports Grants from Sunstar Suisse SA, grants from TKI Health Holland, outside the submitted work. FL reports Grants and Other from Sunstar Suisse SA, grants from SomnoMed, grants from Vivisol-ResMed, grants from Health Holland/TKI, grants from NWO, outside the submitted work. This study was approved by the Ethics Committee of ACTA (Reference number 2021-33650). From dentists willing to participate, written informed consent was obtained.

Publisher Copyright:
© 2023, The Author(s).

Funding

MT reports Grants from Sunstar Suisse SA, grants from TKI Health Holland, outside the submitted work. FL reports Grants and Other from Sunstar Suisse SA, grants from SomnoMed, grants from Vivisol-ResMed, grants from Health Holland/TKI, grants from NWO, outside the submitted work. This study was approved by the Ethics Committee of ACTA (Reference number 2021-33650). From dentists willing to participate, written informed consent was obtained.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 4 Quality Education

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10.1038/s41405-023-00144-w

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Cite this

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title = "Clinicians{\textquoteright} view on the management of oral health in Parkinson{\textquoteright}s disease patients: a qualitative study",

abstract = "Background: due to numerous motor and non-motor symptoms, dental treatment in patients with Parkinson{\textquoteright}s Disease (PD) can be challenging. Knowledge regarding optimal management of oral health in PD patients is lacking. Aim: to gain a deeper understanding of the experiences of dentists regarding oral health care for PD patients in the Netherlands. Material and method: semi-structured interviews were conducted with (specialized) dentists working with PD patients. A thematic analysis was performed using a framework-based approach. Results: ten dentists were interviewed. They reported that dental care in PD patients requires 1) adaptation of timing and length of treatments and consultations, and 2) intensifying preventive measures. Dentists experienced the organization as bureaucratic and difficult. Moreover, differences between being institutionalized or living at home were present. Education and research are needed to improve PD patients{\textquoteright} oral health. The experience level and affinity for treating PD patients positively influences confidence levels of the practitioner. Finally, points of improvement were suggested. Conclusion: managing oral health in PD patients is challenging, and interdisciplinary collaboration is needed to overcome difficulties. Reducing the bureaucratic burden and improving knowledge could help and stimulate oral health care providers to treat PD patients more effectively and, consequently, improve their oral health.",

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note = "Funding Information: MT reports Grants from Sunstar Suisse SA, grants from TKI Health Holland, outside the submitted work. FL reports Grants and Other from Sunstar Suisse SA, grants from SomnoMed, grants from Vivisol-ResMed, grants from Health Holland/TKI, grants from NWO, outside the submitted work. This study was approved by the Ethics Committee of ACTA (Reference number 2021-33650). From dentists willing to participate, written informed consent was obtained. Publisher Copyright: {\textcopyright} 2023, The Author(s).",

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month = may,

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doi = "10.1038/s41405-023-00144-w",

language = "English",

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journal = "BDJ Open",

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AU - Thymi, Magdalini

AU - Brandwijk, Arnoud N.

AU - Heres, Mark S.

AU - Koutris, Michail

AU - Berendse, Henk W.

AU - van Dijk, Karin D.

AU - Lobbezoo, Frank

N1 - Funding Information: MT reports Grants from Sunstar Suisse SA, grants from TKI Health Holland, outside the submitted work. FL reports Grants and Other from Sunstar Suisse SA, grants from SomnoMed, grants from Vivisol-ResMed, grants from Health Holland/TKI, grants from NWO, outside the submitted work. This study was approved by the Ethics Committee of ACTA (Reference number 2021-33650). From dentists willing to participate, written informed consent was obtained. Publisher Copyright: © 2023, The Author(s).

PY - 2023/5/12

Y1 - 2023/5/12

N2 - Background: due to numerous motor and non-motor symptoms, dental treatment in patients with Parkinson’s Disease (PD) can be challenging. Knowledge regarding optimal management of oral health in PD patients is lacking. Aim: to gain a deeper understanding of the experiences of dentists regarding oral health care for PD patients in the Netherlands. Material and method: semi-structured interviews were conducted with (specialized) dentists working with PD patients. A thematic analysis was performed using a framework-based approach. Results: ten dentists were interviewed. They reported that dental care in PD patients requires 1) adaptation of timing and length of treatments and consultations, and 2) intensifying preventive measures. Dentists experienced the organization as bureaucratic and difficult. Moreover, differences between being institutionalized or living at home were present. Education and research are needed to improve PD patients’ oral health. The experience level and affinity for treating PD patients positively influences confidence levels of the practitioner. Finally, points of improvement were suggested. Conclusion: managing oral health in PD patients is challenging, and interdisciplinary collaboration is needed to overcome difficulties. Reducing the bureaucratic burden and improving knowledge could help and stimulate oral health care providers to treat PD patients more effectively and, consequently, improve their oral health.

AB - Background: due to numerous motor and non-motor symptoms, dental treatment in patients with Parkinson’s Disease (PD) can be challenging. Knowledge regarding optimal management of oral health in PD patients is lacking. Aim: to gain a deeper understanding of the experiences of dentists regarding oral health care for PD patients in the Netherlands. Material and method: semi-structured interviews were conducted with (specialized) dentists working with PD patients. A thematic analysis was performed using a framework-based approach. Results: ten dentists were interviewed. They reported that dental care in PD patients requires 1) adaptation of timing and length of treatments and consultations, and 2) intensifying preventive measures. Dentists experienced the organization as bureaucratic and difficult. Moreover, differences between being institutionalized or living at home were present. Education and research are needed to improve PD patients’ oral health. The experience level and affinity for treating PD patients positively influences confidence levels of the practitioner. Finally, points of improvement were suggested. Conclusion: managing oral health in PD patients is challenging, and interdisciplinary collaboration is needed to overcome difficulties. Reducing the bureaucratic burden and improving knowledge could help and stimulate oral health care providers to treat PD patients more effectively and, consequently, improve their oral health.

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Clinicians’ view on the management of oral health in Parkinson’s disease patients: a qualitative study

Abstract

Bibliographical note

Funding

UN SDGs

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Persistent URL (handle)

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