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Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye
Despite clinical evidence of poor oral health and hygiene in Parkinson’s disease (PD) patients, the mouth is often overlooked by both patients and the medical community, who generally focus on motor or psychiatric disorders considered more burdensome. Yet, oral health is in a two-way relationship wi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
IOS Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8609694/ https://www.ncbi.nlm.nih.gov/pubmed/34250950 http://dx.doi.org/10.3233/JPD-212605 |
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author | Auffret, Manon Meuric, Vincent Boyer, Emile Bonnaure-Mallet, Martine Vérin, Marc |
author_facet | Auffret, Manon Meuric, Vincent Boyer, Emile Bonnaure-Mallet, Martine Vérin, Marc |
author_sort | Auffret, Manon |
collection | PubMed |
description | Despite clinical evidence of poor oral health and hygiene in Parkinson’s disease (PD) patients, the mouth is often overlooked by both patients and the medical community, who generally focus on motor or psychiatric disorders considered more burdensome. Yet, oral health is in a two-way relationship with overall health—a weakened status triggering a decline in the quality of life. Here, we aim at giving a comprehensive overview of oral health disorders in PD, while identifying their etiologies and consequences. The physical (abnormal posture, muscle tone, tremor, and dyskinesia), behavioral (cognitive and neuropsychiatric disorders), and iatrogenic patterns associated with PD have an overall detrimental effect on patients’ oral health, putting them at risk for other disorders (infections, aspiration, pain, malnutrition), reducing their quality of life and increasing their isolation (anxiety, depression, communication issues). Interdisciplinary cooperation for prevention, management and follow-up strategies need to be implemented at an early stage to maintain and improve patients’ overall comfort and condition. Recommendations for practice, including (non-)pharmacological management strategies are discussed, with an emphasis on the neurologists’ role. Of interest, the oral cavity may become a valuable tool for diagnosis and prognosis in the near future (biomarkers). This overlooked but critical issue requires further attention and interdisciplinary research. |
format | Online Article Text |
id | pubmed-8609694 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | IOS Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-86096942021-12-10 Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye Auffret, Manon Meuric, Vincent Boyer, Emile Bonnaure-Mallet, Martine Vérin, Marc J Parkinsons Dis Review Despite clinical evidence of poor oral health and hygiene in Parkinson’s disease (PD) patients, the mouth is often overlooked by both patients and the medical community, who generally focus on motor or psychiatric disorders considered more burdensome. Yet, oral health is in a two-way relationship with overall health—a weakened status triggering a decline in the quality of life. Here, we aim at giving a comprehensive overview of oral health disorders in PD, while identifying their etiologies and consequences. The physical (abnormal posture, muscle tone, tremor, and dyskinesia), behavioral (cognitive and neuropsychiatric disorders), and iatrogenic patterns associated with PD have an overall detrimental effect on patients’ oral health, putting them at risk for other disorders (infections, aspiration, pain, malnutrition), reducing their quality of life and increasing their isolation (anxiety, depression, communication issues). Interdisciplinary cooperation for prevention, management and follow-up strategies need to be implemented at an early stage to maintain and improve patients’ overall comfort and condition. Recommendations for practice, including (non-)pharmacological management strategies are discussed, with an emphasis on the neurologists’ role. Of interest, the oral cavity may become a valuable tool for diagnosis and prognosis in the near future (biomarkers). This overlooked but critical issue requires further attention and interdisciplinary research. IOS Press 2021-10-12 /pmc/articles/PMC8609694/ /pubmed/34250950 http://dx.doi.org/10.3233/JPD-212605 Text en © 2021 – The authors. Published by IOS Press https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Auffret, Manon Meuric, Vincent Boyer, Emile Bonnaure-Mallet, Martine Vérin, Marc Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye |
title | Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye |
title_full | Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye |
title_fullStr | Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye |
title_full_unstemmed | Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye |
title_short | Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye |
title_sort | oral health disorders in parkinson’s disease: more than meets the eye |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8609694/ https://www.ncbi.nlm.nih.gov/pubmed/34250950 http://dx.doi.org/10.3233/JPD-212605 |
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