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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...

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Autores principales: Auffret, Manon, Meuric, Vincent, Boyer, Emile, Bonnaure-Mallet, Martine, Vérin, Marc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2021
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.
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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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