Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia

Suzanne Delwel, Erik J.A. Scherder, Cees de Baat, Tarik T. Binnekade, Johannes C. van der Wouden, Cees M.P.M. Hertogh, Andrea B. Maier, Roberto S.G.M. Perez, Frank Lobbezoo

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

BACKGROUND: The number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self-care decreases and the risk of oral health problems and orofacial pain increases.

OBJECTIVES: To examine and compare the presence of orofacial pain and its potential causes in older people with Mild Cognitive Impairment (MCI) or dementia.

METHODS: In this cross-sectional observational study, the presence of orofacial pain and its potential causes was studied in 348 participants with MCI or dementia with all levels of cognitive impairment in two outpatient memory clinics and ten nursing homes.

RESULTS: Orofacial pain was reported by 25.7% of the 179 participants who were considered to present a reliable pain self-report (Mini-Mental State Examination score ≥14 points), while it could not be determined in people with more severe cognitive impairment. The oral health examination of the 348 participants indicated that potential painful conditions, such as coronal caries, root caries, tooth root remnants or ulcers were present in 50.3%. There was a significant correlation between the level of cognitive impairment and the number of teeth, r = 0.185, P = 0.003, teeth with coronal caries, r = -0.238, P < 0.001, and the number of tooth root remnants, r = -0.229, P = 0.004, after adjusting for age.

CONCLUSIONS: This study indicated that orofacial pain and its potential causes were frequently present in participants with MCI or dementia. Therefore, a regular oral examination by (oral) healthcare providers in people with MCI or dementia remains imperative, even if no pain is reported.

Original languageEnglish
Pages (from-to)23-32
Number of pages10
JournalJournal of Oral Rehabilitation
Volume46
Issue number1
Early online date3 Oct 2018
DOIs
Publication statusPublished - Jan 2019

Fingerprint

Facial Pain
Dementia
Tooth Root
Oral Diagnosis
Oral Health
Tooth
Root Caries
Pain
Dentition
Self Care
Ambulatory Care Facilities
Cognitive Dysfunction
Nursing Homes
Health Personnel
Self Report
Ulcer
Observational Studies
Cross-Sectional Studies

Bibliographical note

© 2018 The Authors. Journal of Oral Rehabilitation Published by John Wiley & Sons Ltd.

Keywords

  • aged
  • cognitive dysfunction
  • facial pain
  • geriatric dentistry
  • oral health
  • toothache

Cite this

Delwel, S., Scherder, E. J. A., de Baat, C., Binnekade, T. T., van der Wouden, J. C., Hertogh, C. M. P. M., ... Lobbezoo, F. (2019). Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia. Journal of Oral Rehabilitation, 46(1), 23-32. https://doi.org/10.1111/joor.12724
Delwel, Suzanne ; Scherder, Erik J.A. ; de Baat, Cees ; Binnekade, Tarik T. ; van der Wouden, Johannes C. ; Hertogh, Cees M.P.M. ; Maier, Andrea B. ; Perez, Roberto S.G.M. ; Lobbezoo, Frank. / Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia. In: Journal of Oral Rehabilitation. 2019 ; Vol. 46, No. 1. pp. 23-32.
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abstract = "BACKGROUND: The number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self-care decreases and the risk of oral health problems and orofacial pain increases.OBJECTIVES: To examine and compare the presence of orofacial pain and its potential causes in older people with Mild Cognitive Impairment (MCI) or dementia.METHODS: In this cross-sectional observational study, the presence of orofacial pain and its potential causes was studied in 348 participants with MCI or dementia with all levels of cognitive impairment in two outpatient memory clinics and ten nursing homes.RESULTS: Orofacial pain was reported by 25.7{\%} of the 179 participants who were considered to present a reliable pain self-report (Mini-Mental State Examination score ≥14 points), while it could not be determined in people with more severe cognitive impairment. The oral health examination of the 348 participants indicated that potential painful conditions, such as coronal caries, root caries, tooth root remnants or ulcers were present in 50.3{\%}. There was a significant correlation between the level of cognitive impairment and the number of teeth, r = 0.185, P = 0.003, teeth with coronal caries, r = -0.238, P < 0.001, and the number of tooth root remnants, r = -0.229, P = 0.004, after adjusting for age.CONCLUSIONS: This study indicated that orofacial pain and its potential causes were frequently present in participants with MCI or dementia. Therefore, a regular oral examination by (oral) healthcare providers in people with MCI or dementia remains imperative, even if no pain is reported.",
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Delwel, S, Scherder, EJA, de Baat, C, Binnekade, TT, van der Wouden, JC, Hertogh, CMPM, Maier, AB, Perez, RSGM & Lobbezoo, F 2019, 'Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia' Journal of Oral Rehabilitation, vol. 46, no. 1, pp. 23-32. https://doi.org/10.1111/joor.12724

Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia. / Delwel, Suzanne; Scherder, Erik J.A.; de Baat, Cees; Binnekade, Tarik T.; van der Wouden, Johannes C.; Hertogh, Cees M.P.M.; Maier, Andrea B.; Perez, Roberto S.G.M.; Lobbezoo, Frank.

In: Journal of Oral Rehabilitation, Vol. 46, No. 1, 01.2019, p. 23-32.

Research output: Contribution to JournalArticleAcademicpeer-review

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AU - van der Wouden, Johannes C.

AU - Hertogh, Cees M.P.M.

AU - Maier, Andrea B.

AU - Perez, Roberto S.G.M.

AU - Lobbezoo, Frank

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N2 - BACKGROUND: The number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self-care decreases and the risk of oral health problems and orofacial pain increases.OBJECTIVES: To examine and compare the presence of orofacial pain and its potential causes in older people with Mild Cognitive Impairment (MCI) or dementia.METHODS: In this cross-sectional observational study, the presence of orofacial pain and its potential causes was studied in 348 participants with MCI or dementia with all levels of cognitive impairment in two outpatient memory clinics and ten nursing homes.RESULTS: Orofacial pain was reported by 25.7% of the 179 participants who were considered to present a reliable pain self-report (Mini-Mental State Examination score ≥14 points), while it could not be determined in people with more severe cognitive impairment. The oral health examination of the 348 participants indicated that potential painful conditions, such as coronal caries, root caries, tooth root remnants or ulcers were present in 50.3%. There was a significant correlation between the level of cognitive impairment and the number of teeth, r = 0.185, P = 0.003, teeth with coronal caries, r = -0.238, P < 0.001, and the number of tooth root remnants, r = -0.229, P = 0.004, after adjusting for age.CONCLUSIONS: This study indicated that orofacial pain and its potential causes were frequently present in participants with MCI or dementia. Therefore, a regular oral examination by (oral) healthcare providers in people with MCI or dementia remains imperative, even if no pain is reported.

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