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Abstract
Background. The number of older people with dementia and a natural dentition is growing. Recently, a systematic review concerning the oral health of older people with dementia with the focus on diseases of oral hard tissues was published.
Objective. To provide a comprehensive literature overview following a systematic approach of the level of oral hygiene and oral health status in older people with dementia with focus on oral soft tissues.
Methods. A literature search was conducted in the databases PubMed, CINAHL, and the Cochrane Library. The following search terms were used: dementia and oral health or stomatognathic disease. A critical appraisal of the included studies was performed with the Newcastle-Ottawa scale (NOS) and Delphi list.
Results. The searches yielded 549 unique articles, of which 36 were included for critical appraisal and data extraction. The included studies suggest that older people with dementia had high scores for gingival bleeding, periodontitis, plaque, and assistance for oral care. In addition, candidiasis, stomatitis, and reduced salivary flow were frequently present in older people with dementia.
Conclusions. The studies included in the current systematic review suggest that older people with dementia have high levels of plaque and many oral health problems related to oral soft tissues, such as gingival bleeding, periodontal pockets, stomatitis, mucosal lesions, and reduced salivary flow.
Scientific rationale for study. With the aging of the population, a higher prevalence of dementia and an increase in oral health problems can be expected. It is of interest to have an overview of the prevalence of oral problems in people with dementia.
Principal findings. Older people with dementia have multiple oral health problems related to oral soft tissues, such as gingival bleeding, periodontal pockets, mucosal lesions, and reduced salivary flow.
Practical implications. The oral health and hygiene of older people with dementia is not sufficient and could be improved with oral care education of formal and informal caregivers and regular professional dental care to people with dementia.
Objective. To provide a comprehensive literature overview following a systematic approach of the level of oral hygiene and oral health status in older people with dementia with focus on oral soft tissues.
Methods. A literature search was conducted in the databases PubMed, CINAHL, and the Cochrane Library. The following search terms were used: dementia and oral health or stomatognathic disease. A critical appraisal of the included studies was performed with the Newcastle-Ottawa scale (NOS) and Delphi list.
Results. The searches yielded 549 unique articles, of which 36 were included for critical appraisal and data extraction. The included studies suggest that older people with dementia had high scores for gingival bleeding, periodontitis, plaque, and assistance for oral care. In addition, candidiasis, stomatitis, and reduced salivary flow were frequently present in older people with dementia.
Conclusions. The studies included in the current systematic review suggest that older people with dementia have high levels of plaque and many oral health problems related to oral soft tissues, such as gingival bleeding, periodontal pockets, stomatitis, mucosal lesions, and reduced salivary flow.
Scientific rationale for study. With the aging of the population, a higher prevalence of dementia and an increase in oral health problems can be expected. It is of interest to have an overview of the prevalence of oral problems in people with dementia.
Principal findings. Older people with dementia have multiple oral health problems related to oral soft tissues, such as gingival bleeding, periodontal pockets, mucosal lesions, and reduced salivary flow.
Practical implications. The oral health and hygiene of older people with dementia is not sufficient and could be improved with oral care education of formal and informal caregivers and regular professional dental care to people with dementia.
| Original language | English |
|---|---|
| Pages (from-to) | 93-108 |
| Number of pages | 16 |
| Journal | Clinical Oral Investigations |
| Volume | 22 |
| Issue number | 1 |
| Early online date | 15 Nov 2017 |
| DOIs | |
| Publication status | Published - Jan 2018 |
Bibliographical note
cited By 0; Article in PressFunding
We thank Dr. Knute Carter, College of Public Health, University of Iowa in the United States of America, Dr. Chen, the University of North Carolina in the United States of America, Dr. Del Brutto, Universidad Espíritu Santo in Ecuador, Dr. Fjeld, University of Oslo in Norway, Dr. Gil Montoya of the University of Granada in Spain, Dr. Hoben from the University of Alberta in Canada, Dr. Hoeksema of the University of Groningen in the Netherlands, Dr. Hege Kersten, associated professor at the University of Oslo and head of research at Telemark Hospital Trust in Norway, Dr. Lee, Boston College in the United States of America, Prof. Dr. Pivetta Roque, Fluminense Federal University in Brazil, and Dr. Skoog, University of Gothenburg in Sweden for their responses to our requests for additional information about their articles. Funding The work was supported by Alzheimer Nederland, Amstelring, Fonds NutsOhra, Roomsch Catholijk Oude Armen Kantoor (RCOAK), Stichting Beroepsopleiding Huisartsen (SBOH), and Stichting Henriëtte Hofje.
| Funders | Funder number |
|---|---|
| Alzheimer Nederland, Amstelring | |
| Roomsch Catholijk Oude Armen Kantoor | |
| Stichting Henriëtte Hofje | |
| Fonds NutsOhra | |
| Stichting Beroepsopleiding Huisarts |
Keywords
- Aged
- Dementia
- Elderly
- Gerodontology
- Older people
- Oral health
- Oral hygiene
- Stomatognathic disease
VU Research Profile
- Human Health and Life Sciences
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