Contributing factors to oral problems include: Self-care deficits

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Presentation transcript:

Patients with dementia have increased risk for caries, periodontal disease, and oral infections. Contributing factors to oral problems include: Self-care deficits Chronic disease burden Dietary changes Difficulty complying with: Medications Oral hygiene Dental appointments Dependence on caregivers Behavioral changes Postural impairments Swallowing difficulty Lack of understanding leading to resistance to care References Friedlander, A.H., Norman, D.C., Mahler, M.E., Norman, K.M., Yagiela, J.A. Alzheimer's disease: psychopathology, medical management and dental implications. J Am Dent Assoc 2006; 137(9):1240-51. Henry, R.G., Smith, B.J. Managing older patients who have neurologic disease: Alzheimer disease and cerebrovascular accident. Dent Clin North Am 2009; 53(2):269-94. McCreary, C., Ní Ríordáin, R. Systemic diseases and the elderly. Dentistry Update 2010; 37(9):604-7. Noble, J.M., Borrell, L.N., Papapanou, P.N., Elkind, M.S., Scarmeas, N. Wright, C.B. Periodontitis is associated with cognitive impairment among older adults: analysis of NHANES –III. J Neurol Neurosurg Psychiatry 2009; 80:1206-11. Stein, P.S., Desrosiers, M., Donegan, S.J., Kryscio, R., Yepes, J. Tooth loss, dementia, and neuropathology in the Nun Study. Journal of the American Dental Association 2007; 38:1314-22. Stein, P.S. Tooth loss, dementia, and neuropathology in the Nun study, Journal of the American Dental Association, 138(10):1314-1322. Stein, P.S., Kryscio, R.J., Desrosiers, M., Donegan, S.J., Gibbs, M.B. Tooth loss, apolipoprotient E, and decline in delayed word recall. J Dent Research 2010; 89(5):473-7. Stewart R, et al. Oral Health and Cognitive Function in the Third National Health and Nutrition Examination Survey (NHANES III), Psychosomatic Medicine 2008; 70:936-94. Turner, L.N., Balasubramaniam, R., Hersh, E.V., Stoopler, E.T. Drug therapy in Alzheimer's disease: an update for the oral health care provider. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106(4):467-76.