UNLABELLED: Older people with dementia are very dependent on nursing, and caregivers are frequently confronted with oral-care-resistant behaviour which may lead to shortcomings in oral health. OBJECTIVE: To compare oral hygiene and health status of institutionalised older people suffering, or not, from dementia. BASIC RESEARCH DESIGN: Prospective cohort study (single-blind). CLINICAL SETTING: Institutionalised older population in south-west Germany. PARTICIPANTS: Ninety-three, allocated to two groups: dementia (n = 57) and non-dementia (n = 36) based on a mini mental state examination. MAIN OUTCOME MEASURES: Target variables were plaque control record (PCR), gingival bleeding index (GBI), community periodontal index of treatment needs (CPITN), and denture hygiene index (DHI). Differences between the dementia and non-dementia groups were evaluated by univariate testing of all target variables. RESULTS: Univariate analysis revealed the amount of plaque in the dementia group was significantly higher than in the non-dementia group (p = 0.004). Mean CPITN of participants in the dementia group was significantly worse than those of participants in the non-dementia group (p < 0.001). All participants in the dementia group had periodontitis in at least one of the sextants, compared with 74% in the non-dementia group (p < 0.001). For DHI (p = 0.198) and GBI (p = 0.275) no differences were found between the groups. CONCLUSIONS: Some aspects of oral hygiene and health seem to be worse for the institutionalised older people with dementia. Permanent specially adapted intervention for residents suffering from dementia in long-term care homes, and training for caregivers, is desirable to maintain life-long oral hygiene and health.
UNLABELLED: Older people with dementia are very dependent on nursing, and caregivers are frequently confronted with oral-care-resistant behaviour which may lead to shortcomings in oral health. OBJECTIVE: To compare oral hygiene and health status of institutionalised older people suffering, or not, from dementia. BASIC RESEARCH DESIGN: Prospective cohort study (single-blind). CLINICAL SETTING: Institutionalised older population in south-west Germany. PARTICIPANTS: Ninety-three, allocated to two groups: dementia (n = 57) and non-dementia (n = 36) based on a mini mental state examination. MAIN OUTCOME MEASURES: Target variables were plaque control record (PCR), gingival bleeding index (GBI), community periodontal index of treatment needs (CPITN), and denture hygiene index (DHI). Differences between the dementia and non-dementia groups were evaluated by univariate testing of all target variables. RESULTS: Univariate analysis revealed the amount of plaque in the dementia group was significantly higher than in the non-dementia group (p = 0.004). Mean CPITN of participants in the dementia group was significantly worse than those of participants in the non-dementia group (p < 0.001). All participants in the dementia group had periodontitis in at least one of the sextants, compared with 74% in the non-dementia group (p < 0.001). For DHI (p = 0.198) and GBI (p = 0.275) no differences were found between the groups. CONCLUSIONS: Some aspects of oral hygiene and health seem to be worse for the institutionalised older people with dementia. Permanent specially adapted intervention for residents suffering from dementia in long-term care homes, and training for caregivers, is desirable to maintain life-long oral hygiene and health.
Authors: Andreas Zenthöfer; Dominik Baumgart; Tomas Cabrera; Peter Rammelsberg; Johannes Schröder; Nicoleta Corcodel; Alexander Jochen Hassel Journal: Odontology Date: 2016-05-09 Impact factor: 2.634
Authors: Anna Greta Barbe; Hannah Elisa Kottmann; Stefanie Hamacher; Sonja Henny Maria Derman; Michael Johannes Noack Journal: Clin Oral Investig Date: 2018-05-13 Impact factor: 3.573
Authors: Rebecca Palm; Saskia Jünger; Sven Reuther; Christian G G Schwab; Martin N Dichter; Bernhard Holle; Margareta Halek Journal: BMC Geriatr Date: 2016-04-05 Impact factor: 3.921
Authors: Andreas Zenthöfer; Inga Meyer-Kühling; Anna-Luisa Hufeland; Johannes Schröder; Tomas Cabrera; Dominik Baumgart; Peter Rammelsberg; Alexander J Hassel Journal: Clin Interv Aging Date: 2016-11-30 Impact factor: 4.458