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Oral Health Status and Need for Oral Care in an Aging Population: A Systematic Review

1
Department of Medicine and Surgery, Centre of Neuroscience of Milan, University of Milano-Bicocca, 20126 Milan, Italy
2
Interdisciplinary Department of Medicine, University of Bari, 70121 Bari, Italy
3
Multidisciplinary Department of Medical and Dental Specialties, University of Campania-Luigi Vanvitelli, 80138 Naples, Italy
4
Department of Morphology, Surgery and Experimental medicine, University of Ferrara, 44121 Ferrara, Italy
*
Author to whom correspondence should be addressed.
These authors contribute equally to this work.
Int. J. Environ. Res. Public Health 2019, 16(22), 4558; https://doi.org/10.3390/ijerph16224558
Received: 3 November 2019 / Revised: 5 November 2019 / Accepted: 10 November 2019 / Published: 18 November 2019
Background. The world population is aging. This phenomenon is accompanied by an increase in the number of elderly with dementia, whose oral hygiene care is a challenge. Objective. This paper presents a literature review of oral health status and the need for oral care in people with dementia, as compared to people without dementia and also of the relationship between periodontal disease and cognitive impairment. Methods. A systematic review was conducted in PubMed, CINAHL, and the Cochrane Library. Fifty-six articles met the inclusion criteria and were consequently included for quality assessment and data extraction. Results. No significant differences were found between both groups with regard to the number of present teeth, DMFT Index, edentulousness/use of denture, and orofacial pain. Coronal/root caries and retained roots were more common in people with dementia than in those without dementia. Most of the participants with dementia presented gingival bleeding or inflammation and they suffered from the periodontal disease more than people without dementia. Conclusions. Poor oral health is a common condition among the elderly with dementia. The education process of caregivers might improve the oral health status of people with dementia. Finally, periodontal disease might contribute to the onset or progression of dementia. View Full-Text
Keywords: oral health; aging population; oral disease; association with periodontal disease; oral care need; oral care strategies oral health; aging population; oral disease; association with periodontal disease; oral care need; oral care strategies
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Lauritano, D.; Moreo, G.; Della Vella, F.; Di Stasio, D.; Carinci, F.; Lucchese, A.; Petruzzi, M. Oral Health Status and Need for Oral Care in an Aging Population: A Systematic Review. Int. J. Environ. Res. Public Health 2019, 16, 4558.

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