Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia
Summary Background The number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self‐care decreases and the risk of oral health problems and orofacial pain increases. Objectives To examine and compare the presence of orofacial pain and its potential caus...
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| Veröffentlicht in: | Journal of oral rehabilitation 2019-01, Vol.46 (1), p.23-32 |
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| creator | Delwel, Suzanne Scherder, Erik J. A. Baat, Cees Binnekade, Tarik T. Wouden, Johannes C. Hertogh, Cees M. P. M. Maier, Andrea B. Perez, Roberto S. G. M. Lobbezoo, Frank |
| description | Summary
Background
The number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self‐care decreases and the risk of oral health problems and orofacial pain increases.
Objectives
To examine and compare the presence of orofacial pain and its potential causes in older people with Mild Cognitive Impairment (MCI) or dementia.
Methods
In this cross‐sectional observational study, the presence of orofacial pain and its potential causes was studied in 348 participants with MCI or dementia with all levels of cognitive impairment in two outpatient memory clinics and ten nursing homes.
Results
Orofacial pain was reported by 25.7% of the 179 participants who were considered to present a reliable pain self‐report (Mini‐Mental State Examination score ≥14 points), while it could not be determined in people with more severe cognitive impairment. The oral health examination of the 348 participants indicated that potential painful conditions, such as coronal caries, root caries, tooth root remnants or ulcers were present in 50.3%. There was a significant correlation between the level of cognitive impairment and the number of teeth, r = 0.185, P = 0.003, teeth with coronal caries, r = −0.238, P |
| doi_str_mv | 10.1111/joor.12724 |
| format | Article |
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Background
The number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self‐care decreases and the risk of oral health problems and orofacial pain increases.
Objectives
To examine and compare the presence of orofacial pain and its potential causes in older people with Mild Cognitive Impairment (MCI) or dementia.
Methods
In this cross‐sectional observational study, the presence of orofacial pain and its potential causes was studied in 348 participants with MCI or dementia with all levels of cognitive impairment in two outpatient memory clinics and ten nursing homes.
Results
Orofacial pain was reported by 25.7% of the 179 participants who were considered to present a reliable pain self‐report (Mini‐Mental State Examination score ≥14 points), while it could not be determined in people with more severe cognitive impairment. The oral health examination of the 348 participants indicated that potential painful conditions, such as coronal caries, root caries, tooth root remnants or ulcers were present in 50.3%. There was a significant correlation between the level of cognitive impairment and the number of teeth, r = 0.185, P = 0.003, teeth with coronal caries, r = −0.238, P < 0.001, and the number of tooth root remnants, r = −0.229, P = 0.004, after adjusting for age.
Conclusions
This study indicated that orofacial pain and its potential causes were frequently present in participants with MCI or dementia. Therefore, a regular oral examination by (oral) healthcare providers in people with MCI or dementia remains imperative, even if no pain is reported.</description><identifier>ISSN: 0305-182X</identifier><identifier>EISSN: 1365-2842</identifier><identifier>DOI: 10.1111/joor.12724</identifier><identifier>PMID: 30281826</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Aged ; Aged, 80 and over ; Cognitive ability ; cognitive dysfunction ; Cognitive Dysfunction - complications ; Cross-Sectional Studies ; Dementia ; Dementia - complications ; Dementia disorders ; Dental Care for Aged ; Dental Care for Chronically Ill ; Dental Caries ; Dentistry ; Dentition ; Eating ; facial pain ; Facial Pain - diagnosis ; Facial Pain - etiology ; Facial Pain - physiopathology ; Female ; Geriatric Assessment ; geriatric dentistry ; Humans ; Male ; Memory ; Nursing Homes ; Older people ; Oral Health ; Oral hygiene ; Original ; Pain ; Teeth ; Tooth Diseases - complications ; Tooth Diseases - diagnosis ; Tooth Diseases - physiopathology ; toothache ; Ulcers</subject><ispartof>Journal of oral rehabilitation, 2019-01, Vol.46 (1), p.23-32</ispartof><rights>2018 The Authors. Published by John Wiley & Sons Ltd</rights><rights>2018 The Authors. Journal of Oral Rehabilitation Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2019 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4484-c8b8867c9f3a9ffde1e11ae4951b76e041a98dd453520b4ae548f5ae67e5bf4d3</citedby><cites>FETCH-LOGICAL-c4484-c8b8867c9f3a9ffde1e11ae4951b76e041a98dd453520b4ae548f5ae67e5bf4d3</cites><orcidid>0000-0001-9877-7640 ; 0000-0002-6836-5394</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjoor.12724$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjoor.12724$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,777,781,882,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30281826$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Delwel, Suzanne</creatorcontrib><creatorcontrib>Scherder, Erik J. A.</creatorcontrib><creatorcontrib>Baat, Cees</creatorcontrib><creatorcontrib>Binnekade, Tarik T.</creatorcontrib><creatorcontrib>Wouden, Johannes C.</creatorcontrib><creatorcontrib>Hertogh, Cees M. P. M.</creatorcontrib><creatorcontrib>Maier, Andrea B.</creatorcontrib><creatorcontrib>Perez, Roberto S. G. M.</creatorcontrib><creatorcontrib>Lobbezoo, Frank</creatorcontrib><title>Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia</title><title>Journal of oral rehabilitation</title><addtitle>J Oral Rehabil</addtitle><description>Summary
Background
The number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self‐care decreases and the risk of oral health problems and orofacial pain increases.
Objectives
To examine and compare the presence of orofacial pain and its potential causes in older people with Mild Cognitive Impairment (MCI) or dementia.
Methods
In this cross‐sectional observational study, the presence of orofacial pain and its potential causes was studied in 348 participants with MCI or dementia with all levels of cognitive impairment in two outpatient memory clinics and ten nursing homes.
Results
Orofacial pain was reported by 25.7% of the 179 participants who were considered to present a reliable pain self‐report (Mini‐Mental State Examination score ≥14 points), while it could not be determined in people with more severe cognitive impairment. The oral health examination of the 348 participants indicated that potential painful conditions, such as coronal caries, root caries, tooth root remnants or ulcers were present in 50.3%. There was a significant correlation between the level of cognitive impairment and the number of teeth, r = 0.185, P = 0.003, teeth with coronal caries, r = −0.238, P < 0.001, and the number of tooth root remnants, r = −0.229, P = 0.004, after adjusting for age.
Conclusions
This study indicated that orofacial pain and its potential causes were frequently present in participants with MCI or dementia. Therefore, a regular oral examination by (oral) healthcare providers in people with MCI or dementia remains imperative, even if no pain is reported.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cognitive ability</subject><subject>cognitive dysfunction</subject><subject>Cognitive Dysfunction - complications</subject><subject>Cross-Sectional Studies</subject><subject>Dementia</subject><subject>Dementia - complications</subject><subject>Dementia disorders</subject><subject>Dental Care for Aged</subject><subject>Dental Care for Chronically Ill</subject><subject>Dental Caries</subject><subject>Dentistry</subject><subject>Dentition</subject><subject>Eating</subject><subject>facial pain</subject><subject>Facial Pain - diagnosis</subject><subject>Facial Pain - etiology</subject><subject>Facial Pain - physiopathology</subject><subject>Female</subject><subject>Geriatric Assessment</subject><subject>geriatric dentistry</subject><subject>Humans</subject><subject>Male</subject><subject>Memory</subject><subject>Nursing Homes</subject><subject>Older people</subject><subject>Oral Health</subject><subject>Oral hygiene</subject><subject>Original</subject><subject>Pain</subject><subject>Teeth</subject><subject>Tooth Diseases - complications</subject><subject>Tooth Diseases - diagnosis</subject><subject>Tooth Diseases - physiopathology</subject><subject>toothache</subject><subject>Ulcers</subject><issn>0305-182X</issn><issn>1365-2842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU1rFTEUhoMo9lrd-AMk4EaEqTmZJJPZCFL8pHBBFNyFTHLmNpeZyZjMtPTfm9tbi7owiwROnvPkhJeQ58DOoKw3-xjTGfCGiwdkA7WSFdeCPyQbVjNZgeY_TsiTnPeMMV3L5jE5qRnXpa42ZLdNsbcu2IHONkzUTp6GJdM5Ljgth3JMZXN2zZhpAeLgMdEZ4zwgvQ7LJR3D4KmLuyks4QppGIsojaW7tFKP463nKXnU2yHjs7vzlHz_8P7b-afqYvvx8_m7i8oJoUXldKe1alzb17bte4-AABZFK6FrFDIBttXeC1lLzjphUQrdS4uqQdn1wten5O3RO6_diN6Vx8v8Zk5htOnGRBvM3zdTuDS7eGWaWjOmWBG8uhOk-HPFvJgxZIfDYCeMazYcQAFXTB_Ql_-g-7imqXyvUFLxFgQ0hXp9pFyKOSfs74cBZg75mUN-5ja_Ar_4c_x79HdgBYAjcB0GvPmPynzZbr8epb8ALaWn_Q</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Delwel, Suzanne</creator><creator>Scherder, Erik J. A.</creator><creator>Baat, Cees</creator><creator>Binnekade, Tarik T.</creator><creator>Wouden, Johannes C.</creator><creator>Hertogh, Cees M. P. M.</creator><creator>Maier, Andrea B.</creator><creator>Perez, Roberto S. G. M.</creator><creator>Lobbezoo, Frank</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9877-7640</orcidid><orcidid>https://orcid.org/0000-0002-6836-5394</orcidid></search><sort><creationdate>201901</creationdate><title>Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia</title><author>Delwel, Suzanne ; Scherder, Erik J. A. ; Baat, Cees ; Binnekade, Tarik T. ; Wouden, Johannes C. ; Hertogh, Cees M. P. M. ; Maier, Andrea B. ; Perez, Roberto S. G. M. ; Lobbezoo, Frank</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4484-c8b8867c9f3a9ffde1e11ae4951b76e041a98dd453520b4ae548f5ae67e5bf4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cognitive ability</topic><topic>cognitive dysfunction</topic><topic>Cognitive Dysfunction - complications</topic><topic>Cross-Sectional Studies</topic><topic>Dementia</topic><topic>Dementia - complications</topic><topic>Dementia disorders</topic><topic>Dental Care for Aged</topic><topic>Dental Care for Chronically Ill</topic><topic>Dental Caries</topic><topic>Dentistry</topic><topic>Dentition</topic><topic>Eating</topic><topic>facial pain</topic><topic>Facial Pain - diagnosis</topic><topic>Facial Pain - etiology</topic><topic>Facial Pain - physiopathology</topic><topic>Female</topic><topic>Geriatric Assessment</topic><topic>geriatric dentistry</topic><topic>Humans</topic><topic>Male</topic><topic>Memory</topic><topic>Nursing Homes</topic><topic>Older people</topic><topic>Oral Health</topic><topic>Oral hygiene</topic><topic>Original</topic><topic>Pain</topic><topic>Teeth</topic><topic>Tooth Diseases - complications</topic><topic>Tooth Diseases - diagnosis</topic><topic>Tooth Diseases - physiopathology</topic><topic>toothache</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Delwel, Suzanne</creatorcontrib><creatorcontrib>Scherder, Erik J. A.</creatorcontrib><creatorcontrib>Baat, Cees</creatorcontrib><creatorcontrib>Binnekade, Tarik T.</creatorcontrib><creatorcontrib>Wouden, Johannes C.</creatorcontrib><creatorcontrib>Hertogh, Cees M. P. M.</creatorcontrib><creatorcontrib>Maier, Andrea B.</creatorcontrib><creatorcontrib>Perez, Roberto S. G. M.</creatorcontrib><creatorcontrib>Lobbezoo, Frank</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of oral rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Delwel, Suzanne</au><au>Scherder, Erik J. A.</au><au>Baat, Cees</au><au>Binnekade, Tarik T.</au><au>Wouden, Johannes C.</au><au>Hertogh, Cees M. P. M.</au><au>Maier, Andrea B.</au><au>Perez, Roberto S. G. M.</au><au>Lobbezoo, Frank</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia</atitle><jtitle>Journal of oral rehabilitation</jtitle><addtitle>J Oral Rehabil</addtitle><date>2019-01</date><risdate>2019</risdate><volume>46</volume><issue>1</issue><spage>23</spage><epage>32</epage><pages>23-32</pages><issn>0305-182X</issn><eissn>1365-2842</eissn><abstract>Summary
Background
The number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self‐care decreases and the risk of oral health problems and orofacial pain increases.
Objectives
To examine and compare the presence of orofacial pain and its potential causes in older people with Mild Cognitive Impairment (MCI) or dementia.
Methods
In this cross‐sectional observational study, the presence of orofacial pain and its potential causes was studied in 348 participants with MCI or dementia with all levels of cognitive impairment in two outpatient memory clinics and ten nursing homes.
Results
Orofacial pain was reported by 25.7% of the 179 participants who were considered to present a reliable pain self‐report (Mini‐Mental State Examination score ≥14 points), while it could not be determined in people with more severe cognitive impairment. The oral health examination of the 348 participants indicated that potential painful conditions, such as coronal caries, root caries, tooth root remnants or ulcers were present in 50.3%. There was a significant correlation between the level of cognitive impairment and the number of teeth, r = 0.185, P = 0.003, teeth with coronal caries, r = −0.238, P < 0.001, and the number of tooth root remnants, r = −0.229, P = 0.004, after adjusting for age.
Conclusions
This study indicated that orofacial pain and its potential causes were frequently present in participants with MCI or dementia. Therefore, a regular oral examination by (oral) healthcare providers in people with MCI or dementia remains imperative, even if no pain is reported.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30281826</pmid><doi>10.1111/joor.12724</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-9877-7640</orcidid><orcidid>https://orcid.org/0000-0002-6836-5394</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0305-182X |
| ispartof | Journal of oral rehabilitation, 2019-01, Vol.46 (1), p.23-32 |
| issn | 0305-182X 1365-2842 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Aged, 80 and over Cognitive ability cognitive dysfunction Cognitive Dysfunction - complications Cross-Sectional Studies Dementia Dementia - complications Dementia disorders Dental Care for Aged Dental Care for Chronically Ill Dental Caries Dentistry Dentition Eating facial pain Facial Pain - diagnosis Facial Pain - etiology Facial Pain - physiopathology Female Geriatric Assessment geriatric dentistry Humans Male Memory Nursing Homes Older people Oral Health Oral hygiene Original Pain Teeth Tooth Diseases - complications Tooth Diseases - diagnosis Tooth Diseases - physiopathology toothache Ulcers |
| title | Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia |
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