PMID- 24741890
OWN - NLM
STAT- MEDLINE
DCOM- 20140520
LR  - 20220408
IS  - 0265-539X (Print)
IS  - 0265-539X (Linking)
VI  - 31
IP  - 1
DP  - 2014 Mar
TI  - Comparison of oral health among older people with and without dementia.
PG  - 27-31
AB  - 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.
FAU - Zenthofer, A
AU  - Zenthofer A
FAU - Schroder, J
AU  - Schroder J
FAU - Cabrera, T
AU  - Cabrera T
FAU - Rammelsberg, P
AU  - Rammelsberg P
FAU - Hassel, A J
AU  - Hassel AJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Community Dent Health
JT  - Community dental health
JID - 8411261
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - DMF Index
MH  - Dementia/*epidemiology
MH  - Dental Caries/epidemiology
MH  - Dental Plaque Index
MH  - Dentures/statistics & numerical data
MH  - Female
MH  - Germany/epidemiology
MH  - Humans
MH  - Institutionalization/statistics & numerical data
MH  - Long-Term Care/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Oral Health/*statistics & numerical data
MH  - Oral Hygiene/*statistics & numerical data
MH  - Oral Hygiene Index
MH  - Periodontal Index
MH  - Periodontitis/epidemiology
MH  - Prospective Studies
MH  - Single-Blind Method
EDAT- 2014/04/20 06:00
MHDA- 2014/05/21 06:00
CRDT- 2014/04/19 06:00
PHST- 2014/04/19 06:00 [entrez]
PHST- 2014/04/20 06:00 [pubmed]
PHST- 2014/05/21 06:00 [medline]
PST - ppublish
SO  - Community Dent Health. 2014 Mar;31(1):27-31.