Are we paying enough attention to the oral hygiene of seniors?
Authors:
prof. MUDr. Hana Matějovská Kubešová, CSc.; Mgr. Jan Matějovský, Ph.D.
Authors‘ workplace:
Klinika interní, geriatrie a praktického lékařství LF MU a FN Brno
Published in:
Geriatrie a Gerontologie 2015, 4, č. 1: 31-33
Category:
Review Article
Overview
The authors examine common oral cavity changes in the elderly, complex effects of parodontitis as chronic inflammatory activity accelerating cognitive deterioration, supporting endothelial dysfunction and hypercoagulation. Incomplete dentition causes changes in food composition followed by malnutrition. Attention is paid to oropharyngeal flora as a possible source of repeated respiratory infections in elderly with increasing dependency. An overview of preventive measures in different age groups is given as a conclusion.
Keywords:
oral hygiene – parodontitis – oropharyngeal flora – cognitive dysfunction – chronic inflammation
Sources
1. Taguchi A, Miki M, Muto A, et al. Association between Oral Health and the Risk of Lacunar Infarction in Japanese Adults. Gerontology 2013; Aug 7 [Epub ahead of print].
2. Naorungroj S, Slade GD, Beck JD, et al. Cognitive Decline and Oral Health in Middle-aged Adults in the ARIC Study. J Dent Res 2013; 92(9): 795–801.
3. Noble JM, Scarmeas N, Papapanou PN. Poor oral health as a chronic, potentially modifiable dementia risk factor: review of the literature. Curr Neurol Neurosci Rep 2013; 13(10): 384.
4. Stanko P, Izakovicova Holla L. Bidirectional association between diabetes mellitus and inflammatory periodontal disease. A review. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2014; 158(1): 35–8.
5. Saito Y, Sugawara N, Yasui-Furukori N, et al. Cognitive function and number of teeth in a community-dwelling population in Japan. Ann Gen Psychiatry 2013; 24: 12(1): 20.
6. Ma F, Wu T, Miao R, et al. Conversion of Mild Cognitive Impairment to Dementia among Subjects with Diabetes: A Population-Based Study of Incidence and Risk Factors with Five Years of Follow-up. J Alzheimers Dis 2014. Aug 26 [Epub ahead of print].
7. The Merck Manual of Geriatrics. www.merckmanuals.com/professional/dental_disorders/common_dental_disorders/caries.com
8. Chen X, Clark JJ, Chen H, Naorungroj S. Cognitive impairment, oral self-care function and dental caries severity in community-dwelling older adults. Gerodontology 2013. Jun 12.
9. Topinková E. Geriatrie pro praxi. Praha: Galén 2005.
10. Kalvach Z, Zadák Z, Jirák R a kol. Geriatrie a gerontologie. Praha: Grada Publishing 2004.
11. Kubešová H, Weber P. Poruchy příjmu potravy ve stáří. Interní medicína pro praxi 2008; 10(2):64–68.
12. Gil-Montoya JA, Ponce G, Sánchez Lara I, et al. Association of the oral health impact profile with malnutrition risk in Spanish elders. Arch Gerontol Geriatr 2013; 57(3): 398–402.
13. Kikutani T, Tamura F, Tashiro H, et al. Relationship between oral bacteria count and pneumonia onset in elderly nursing home residents. Geriatr Gerontol Int 2014. Aug 11 [Epub ahead of print].
14. Maeda K, Akagi J. Oral Care May Reduce Pneumonia in the Tube-fed Elderly: A Preliminary Study. Dysphagia 2014. Jul 18 [Epub ahead of print].
15. Kubešová, H. Úskalí infekčních komplikací ve stáří. Česká geriatrická revue, Brno: Medica Healthworld 2008; (6)1: 6–13.
16. Lakade LS, Shah P, Shirol D. Comparison of antimicrobial efficacy of chlorhexidine and combination mouth rinse in reducing the Mutans streptococcus count in plaque. J Indian Soc Pedod Prev Dent 2014; 32(2): 91–96.
17. Komulainen K, Ylöstalo P, Syrjälä AM. Oral health intervention among community-dwelling older people: a randomised 2-year intervention study. Gerodontology 2013. Jul 10 [Epub ahead of print].
18. Prachár P, Bartáková S, Strecha J a kol. Dentální implantát III. Závěrečná zpráva projektu 14110/12:00063627.
19. Šimůnek a kol. Dentální implantologie. Hradec Králové: Nukleus 2008.
20. Chen X, Clark JJ, Naorungroj S. Oral health in older adults with dementia living in different environments: a propensity analysis. Spec Care Dentist 2013; 33(5): 239–247.
Labels
Geriatrics General practitioner for adults Orthopaedic prostheticsArticle was published in
Geriatrics and Gerontology
2015 Issue 1
Most read in this issue
- Acute pancreatitis, a feared diagnosis among the elderly
- Tinnitus – a frequently ignored problem
- Quality of life of residents in facilities for seniors
- Tuberculosis in old age