Alzheimer's disease: oral manifestations, treatment and preventive measures.

Jordi Ortega-Martínez, Rosario Cedeño-Salazar, Cristina Requena, Marc Tost, Antoni Lluch

Abstract


In the treatment of patients with dementia Alzheimer's type non-current and are facing tough situations. Treatment should be tailored to each stage of the disease and for each patient. In this type of disease is very important to involve families and caregivers to improve the quality of life of patients. The main goal with these patients is prevention. Patients should be all oral manifestations caused by the lack of inadequate oral hygiene, xerostomia and manifestations derived by taking drugs. The aim of this review is to describe the main oral manifestations that can result from this disease and the best treatment options taking into account the clinical stages in which patients are found.

Keywords: Alzheimer, Dementia, Oral health, Disease, Prevention.

Enfermedad de Alzheimer: manifestaciones orales, tratamiento y medidas preventivas.

En el tratamiento a pacientes con demencias tipo Alzheimer se afrontan situaciones infrecuentes y comprometidas. El tratamiento debe personalizarse para cada estadio de la enfermedad y para cada paciente. En este tipo de enfermedades es muy importante involucrar a los familiares y cuidadores para mejorar la calidad de vida del enfermo. El  principal objetivo con estos pacientes es la prevención. Se deben controlar todas las manifestaciones orales provocadas por la falta de una inadecuada higiene oral, la xerostomía y las manifestaciones derivadas por los fármacos que consumen. El objetivo de esta revisión es describir cuáles son las principales manifestaciones orales que pueden derivar de esta enfermedad y las mejores opciones de tratamiento teniendo en cuenta las etapas clínicas en las que se encuentran los pacientes.

Palabras clave: Alzehimer, Demencia, Salud oral, Enfermedad, Prevención.

 


References


Cicciù M, Matacena G, Signorino F, Brugaletta A, Cicciù A, Bramanti E. Relationship between oral health and its impact on the quality life of Alzheimer's disease patients: a supportive care trial. Int J Clin Exp Med. 2013 Sep 25; 6(9): 766-72.

Sato E, Hirano H, Watanabe Y, Edahiro A, Sato K, Yamane G, Katakura A. Detecting signs of dysphagia in patients with Alzheimer's disease with oral feeding in daily life. Geriatr Gerontol Int. 2013 Aug 29.

Friedlander AH, Norman DC, Mahler ME, Norman KM, Yagiela JA. Alzheimer’s disease: Psychopathology, medical management and dental implications. J Am Dent Assoc 2006; 137(9): 1240-51

Maeck L, Haak S, Knoblauch A, Stoppe G. Dementia diagnostics in primary care: a representative 8-year follow-up study in Lower Saxony, Germany. Dement Geriatr Cogn Disord. 2008; 25 (2): 127-34

Hatipoglu MG, Kabay SC, Güven G. The clinical evaluation of the oral status in Alzheimer-type dementia patients. Gerodontology 2011; 28(4): 302-6

Lobbezo F, Weijenberg RA, Scherder EJ. Topical review: Orofacial pain in dementia patients. A diagnostic challenge. J Orofac Pain 2011; 25:6-14

Ocasio NA, Solomowitz BH, Sher MR. Dental management of the patient with Alzheimer’s disease. N Y State Dent J. 2000 Mar; 66 (3): 32-5

Leal SC, Bittar J, Portugal A, Falcão DP, Faber J, Zanotta P. Medication in elderly people: its influence on salivary pattern, signs and symptoms of dry mouth. Gerodontology 2010; 27(2): 129-133

Mancini M, Grappasonni I, Scuri S, Amenta F. Oral health in Alzheimer’s Disease: A Review. Curr Alzheimer Res 2010; 7: 368-373

Ichikawa K, Sakuma S, Yoshihara A, Miyazaki H, Funayama S, Ito K, Igarashi A. Relationships between the amount of saliva and medications in elderly individuals. Gerodontology 2011; 28(2): 116-120

Philip P, Rogers C, Kruger E, Tennant M. Oral hygiene care status of elderly with dementia and in residential aged care facilities. Gerodontology 2011; 20: 1-6

Gusmao JM, Ferreira dos Santos SS, Neisser MP, Jorge AO, Faria MI. Correlation between factors associated with the removable partial dentures use and Candida spp. in saliva. Gerodontology 2011; 28(4): 283-288

Iseri U, Uludamar A, Ozkan YK. Effectiveness of different cleaning agents on the adherence of Candida Albicans to acrylic denture base resin. Gerodontology 2011; 28(4): 271-276

Radnai M, Whiley R, Friel T, Wright PS. Effect of antifungal gels incorporated into a tissue conditioning material on the growth of Candida Albicans. Gerodontology 2010; 27(4): 292-296

Scelza MF, Silva F, Ahiadzro NK, Da Silva LE, Scelza P. The influence of medication on salivary flow of the elderly: preliminary study. Gerodontology 2010; 27(4): 278-282

Verma S, Bhat KM. Acceptability of powered toothbrushes for elderly individuals. J Public Health Dent 2004; 64(2): 115-7

Kikutani T, Yoneyma T, Nishiwaki K, Tamura F, Yoshida M, Sasaki H. Effect of oral care on cognitive function in patients with dementia. Geriatr Gerontol Int 2010; 10: 327-328

Arrivé E, Letenneur L, Matharan F, Laporte C, Helmer C, Barberger-Gateau P, Miquel JL, Dartigues JF. Oral health condition of French elderly and risk of dementia: a longitudinal cohort study. Community Dent Oral Epidemiol 2012; 40(3): 230-8

De Visschere LM, Van der Putten GJ, Vanobbergen JN, Schols JM, de Baat C. An oral health care guideline for institutionalised older people. Gerodontology 2011; 28(4): 307-310

Syrjälä AM, Ylöstalo P, Ruoppi P, Komulainen K, Hartikainen S, Sulkava R, Knuuttila M. Dementia and oral health among subjects aged 75 years or older. Gerodontology 2012; 29(1): 36-42


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Corresponding: Facultad de Odontología, Universidad de Concepción, Chile. Roosevelt 1550, Concepción, Chile. Phone +56-41-2204232 - Fax +56-41-2243311- Mailbox 160-C, Concepción, Chile. E-mail journal@joralres.com.