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Influence of cognitive impairment and dementia on oral health and the utilization of dental services: Findings of the Oral Health, Bite force and Dementia Study (OrBiD)

BACKGROUND: The aim of this study was to show the influence of cognitive impairment and dementia on oral health and on the utilization of dental services. METHODS: A cross-sectional analyzation of data of the OrBiD (Oral Health, Bite Force and Dementia) pilot study was conducted. 137 subjects were s...

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Autores principales: Jockusch, Julia, Hopfenmüller, Werner, Nitschke, Ina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8364098/
https://www.ncbi.nlm.nih.gov/pubmed/34391408
http://dx.doi.org/10.1186/s12903-021-01753-3
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author Jockusch, Julia
Hopfenmüller, Werner
Nitschke, Ina
author_facet Jockusch, Julia
Hopfenmüller, Werner
Nitschke, Ina
author_sort Jockusch, Julia
collection PubMed
description BACKGROUND: The aim of this study was to show the influence of cognitive impairment and dementia on oral health and on the utilization of dental services. METHODS: A cross-sectional analyzation of data of the OrBiD (Oral Health, Bite Force and Dementia) pilot study was conducted. 137 subjects were stratified into five dementia groups on the basis of the Mini Mental State Examination (MMSE) (1—no dementia (MMSE 28–30), 2—mild cognitive impairment (MMSE 25–27), 3—mild dementia (MMSE 18–24), 4—moderate dementia (MMSE 10–17), and 5—severe dementia (MMSE < 10)). Information on the utilization of dental services and oral health parameters (DMFT index, degree of restoration, Periodontal Screening Index, Bleeding on Probing, Oral Hygiene Index, Denture Hygiene Index) were collected. RESULTS: An increase in dementia resulted in significant reduction in utilization. Moreover, with increasing cognitive impairment/dementia there was a significant difference in the number of teeth that were decayed, but not in the number of filled or missing teeth or the DMF/T index itself. With increasing dementia, the degree of restoration decreased and oral/denture hygiene deteriorated significantly. Nevertheless, periodontal therapy was required for all subjects independent of their degree of dementia while bleeding on probing was increasing with increasing dementia. CONCLUSIONS: An influence of cognitive impairment and dementia on oral health and on the utilization of dental services was shown. However, no conclusions about the influence of the utilization behavior of people with dementia on oral health parameters can be drawn. Further longitudinal studies are needed. Trial registration ClinicalTrials.gov NCT03775772. Registered 14th December 2018, https://clinicaltrials.gov/ct2/show/NCT03775772.
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spelling pubmed-83640982021-08-17 Influence of cognitive impairment and dementia on oral health and the utilization of dental services: Findings of the Oral Health, Bite force and Dementia Study (OrBiD) Jockusch, Julia Hopfenmüller, Werner Nitschke, Ina BMC Oral Health Research Article BACKGROUND: The aim of this study was to show the influence of cognitive impairment and dementia on oral health and on the utilization of dental services. METHODS: A cross-sectional analyzation of data of the OrBiD (Oral Health, Bite Force and Dementia) pilot study was conducted. 137 subjects were stratified into five dementia groups on the basis of the Mini Mental State Examination (MMSE) (1—no dementia (MMSE 28–30), 2—mild cognitive impairment (MMSE 25–27), 3—mild dementia (MMSE 18–24), 4—moderate dementia (MMSE 10–17), and 5—severe dementia (MMSE < 10)). Information on the utilization of dental services and oral health parameters (DMFT index, degree of restoration, Periodontal Screening Index, Bleeding on Probing, Oral Hygiene Index, Denture Hygiene Index) were collected. RESULTS: An increase in dementia resulted in significant reduction in utilization. Moreover, with increasing cognitive impairment/dementia there was a significant difference in the number of teeth that were decayed, but not in the number of filled or missing teeth or the DMF/T index itself. With increasing dementia, the degree of restoration decreased and oral/denture hygiene deteriorated significantly. Nevertheless, periodontal therapy was required for all subjects independent of their degree of dementia while bleeding on probing was increasing with increasing dementia. CONCLUSIONS: An influence of cognitive impairment and dementia on oral health and on the utilization of dental services was shown. However, no conclusions about the influence of the utilization behavior of people with dementia on oral health parameters can be drawn. Further longitudinal studies are needed. Trial registration ClinicalTrials.gov NCT03775772. Registered 14th December 2018, https://clinicaltrials.gov/ct2/show/NCT03775772. BioMed Central 2021-08-14 /pmc/articles/PMC8364098/ /pubmed/34391408 http://dx.doi.org/10.1186/s12903-021-01753-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Jockusch, Julia
Hopfenmüller, Werner
Nitschke, Ina
Influence of cognitive impairment and dementia on oral health and the utilization of dental services: Findings of the Oral Health, Bite force and Dementia Study (OrBiD)
title Influence of cognitive impairment and dementia on oral health and the utilization of dental services: Findings of the Oral Health, Bite force and Dementia Study (OrBiD)
title_full Influence of cognitive impairment and dementia on oral health and the utilization of dental services: Findings of the Oral Health, Bite force and Dementia Study (OrBiD)
title_fullStr Influence of cognitive impairment and dementia on oral health and the utilization of dental services: Findings of the Oral Health, Bite force and Dementia Study (OrBiD)
title_full_unstemmed Influence of cognitive impairment and dementia on oral health and the utilization of dental services: Findings of the Oral Health, Bite force and Dementia Study (OrBiD)
title_short Influence of cognitive impairment and dementia on oral health and the utilization of dental services: Findings of the Oral Health, Bite force and Dementia Study (OrBiD)
title_sort influence of cognitive impairment and dementia on oral health and the utilization of dental services: findings of the oral health, bite force and dementia study (orbid)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8364098/
https://www.ncbi.nlm.nih.gov/pubmed/34391408
http://dx.doi.org/10.1186/s12903-021-01753-3
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