Oral Health Status of Elderly with Cognitive Impairment
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Abstract
Since entering the elderly, the body has a deterioration of physical performance in many systems including the brain system. This leads to cognitive impairment. In the past, there were some studies in many countries that have found a correlation of oral health status with cognitive impairment. The elderly with cognitive impairment had worse oral status than those without the condition. This study was a cross-sectional study that aimed to study the oral health status in the elderly with cognitive impairment. The sample group was people aged at least 60 years living in Ban Fang District. Khon Kaen Province. They passed the screening for cognitive impairment. The brain function assessment questionnaire called MMSE Thai-2002 and MoCA were translated into Thai language and applied in this study. Data were collected through questionnaires and oral health status examinations. The examination has consisted of checking in periodontal probing depth, plaque accumulation, Clinical attachment loss (CAL), teeth decay, and teeth loss patterns according to Eichner's index assessment. The result revealed that there were 129 (36.0%). Elderly samples participating in this study with an average age was 66.7 years (±3.7), 66.7% of the sample were women. They had the greatest teeth loss proportion (54.3%) in the B pattern according to Eichner's index. The mean of periodontal probing depth was 2.1 (±0.7), 43.4% had a mean of Clinical attachment loss (CAL) at 3-4 mm. The mean CAL level was 4.3 mm (±1.6), mean of teeth in the oral cavity was 17.8 teeth per person (±7.9). Mean DMFT was 13.1 teeth per person (±8.5), 26.4% had at least 4 pairs posterior occlusion support and 6.1.8% had a mean of cleanliness was at the medium. In conclusion, the oral health status in elderly who has cognitive impairment was shown to remind us for the importance of supporting prevention and promotion program.
Article Details
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Karakate J. Thai and Aging society [cited 2019 2 December]. Available from: https://il.mahidol.ac.th/th/i-Learning-Clinic/general-articles/
Department of Older Persons. Statistics of the elderly in Thailand in 77 provinces as of 31 December 2018. [cited 2019 20 March]. Available from:http://stat.dopa.go.th/ stat/statnew/upstat age.php.
Cognitive Impairment: A call for Action, Now 2011 [cited 2019 26 October]. Available from : https://www. cdc.gov/aging/pdf/cognitive_impairment/cogimp_poilicy_final.pdf.
Health System Research Institute.Thai public health report By the fifth physical examination of 2014. Nonthaburi: Aksorn Graphics and Design;2014:250-53
Department of Mental Health. Department of Mental Health reveals more than 800,000 Thai elderly "Dementia" [cited 2021 17 April]. Available from: https://www.dmh. go.th/news-dmh/view.asp?id=27994
Samanawan W. Survey of the family burden of caring for elderly dementia at home[dissertation].Bangkok: Chulalongkorn University;2537.
Srinim N, Nonthaputh T. Take professional care of people with dementia at home. EAU Heritage J 2560;11:82-9.
Holmer J, Eriksdotter M, Schultzberg M, Pussinen PJ, Buhlin K. Association between periodontitis and risk of Alzheimer's disease, mild cognitive impairment and subjective cognitive decline: A case-control study. J Clin Periodontal 2018;45(11):1287-98.
Nilsson H, Berglund JS, Renvert S. Periodontitis, tooth loss and cognitive functions among older adults. Clin Oral Invest 2018;22(5):2103-9.
Kato H, Takahashi Y, Iseki C, Igari R, Sato H, Sato H, et al. Tooth Loss-associated Cognitive Impairment in the Elderly: A Community-based Study in Japan. Intern Med (Tokyo, Japan) 2019;58(10):1411-6.
Kaye EK, Valencia A, Baba N, Spiro III A, Dietrich T, Garcia RI. Tooth Loss and Periodontal Disease Predict Poor Cognitive Function in Older Men. J Am Geriatr Soc 2010;58(4):713-8.
Minn YK, Suk SH, Park H, Cheong JS, Yang H, Lee S, et al. Tooth loss is associated with brain white matter change and silent infarction among adults without dementia and stroke. J Korean Med Sci 2013;28(6):929-33.
Saito S, Ohi T, Murakami T, Komiyama T, Miyoshi Y, Endo K, et al. Association between tooth loss and cognitive impairment in community-dwelling older Japanese adults: a 4-year prospective cohort study from the Ohasama study. BMC Oral Health 2018;18(1):142.
Yoo JJ, Yoon JH, Kang MJ, Kim M, Oh N. The effect of missing teeth on dementia in older people: a nationwide population-based cohort study in South Korea. BMC Oral Health 2019;19(1):61.
Oba N. Mental Status Activities and Activities of Daily Life and among Thai Elderly in Rural Area. J of Nursing and Health 2015;17-31.
F. Müller. Oral Hygiene Reduces the Mortality from Aspiration Pneumonia in Frail Elders. J Dent Res;2015; 94(3 Suppl):14S–16S.
Institute of Neurology Department of Medical Affairs. Dementia Practice Guidelines (Complete 2014). Bankok: Thana place Co.,Ltd.; 2014:19,99-105,110.
Srithunyarat W, Leethongin M. esearch project to development of comprehensive care system for older persons with dementia A Case studies of Ban Fang District Khon Kaen Province. 1sted. Khon Kaen. Klangnana publishing Co., Ltd.;2560:39-42,165.
World Health Organization.Oral Health Surveys: Basic Methods 5thed. 2013;42-50,83-84,111
Nakatsuka Y, Yamashita S, Nimura H, Mizoue S, Tsuchiya S, Hashii K. Location of main occluding areas and masticatory ability in patients with reduced occlusal support. Aust Dent J 2010;55(1):45-50.
JC Greene, JR Vermillion. The simplified Oral Hygiene Index. J Am Dent Assoc 1964;68(1):7-13.
Department of Health, Ministry of Public Health Survey report National Oral Health Status No.8 Thailand 2017 Separate by health zone: Sam Charoen Panich (Bangkok) Co., Ltd.; 2018:9,15-16,29,32.
Harding A, Gonder U, Robinson SJ, Crean S, Singhrao SK. Exploring the Association between Alzheimer's Disease, Oral Health, Microbial Endocrinology and Nutrition. Front Aging Neurosci 2017;9:398.
Weijenberg RAF, Delwel S, Ho BV, van der Maarel-Wierink CD, Lobbezoo F. Mind your teeth-The relationship between mastication and cognition. Gerodontology 2019; 36(1):2-7.
Scherder E, Posthuma W, Bakker T, Vuijk PJ, Lobbezoo F. Functional status of masticatory system, executive function and episodic memory in older persons. J Oral Rehabil 2008;35(5):324-36.
Tonsekar PP, Jiang SS, Yue G. Periodontal disease, tooth loss and dementia: Is there a link? A systematic review. Gerodontology 2017;34(2):151-63.
Cardoso MG, Diniz-Freitas M, Vazquez P, Cerqueiro S, Diz P, Limeres J. Relationship between functional masticatory units and cognitive impairment in elderly persons. J Oral Rehabil 2019;46(5):417-23.
Kenji Takeuchi MI, Michiko Furuta, Toru Takechita, Yukie Shibata, Shinya Kageyama, Seijun Ganaha, et al. Posterior teetn Occlution Associated with Cognitive Function in Nursing Home Older Residents: A Cross-Sectional Observational Study. PloS one 2015:1-11.
Foley NC, Affoo RH, Siqueira WL, Martin RE. A Systematic Review Examining the Oral Health Status of Persons with Dementia. JDR Clin Trans Res 2017;2(4): 330-42.
K Abbayya, NY Puthanakar, S Naduwinmani, YS Chadambar. Association between Periodontitis and Alzheimer's Disease. N Am J Med Sci 2015;7(6):241-6.
Hajishengallis G. Periodontitis: from microbial immune subversion to systemic inflammation. Nat Rev Immunol 2015;15(1):30-44.
Cestari JA, Fabri GM, Kalil J, Nitrini R, Jacob-Filho W, de Siqueira JT, et al. Oral Infections and Cytokine Levels in Patients with Alzheimer's Disease and Mild Cognitive Impairment Compared with Controls. J Alzheimers Dis 2016;52(4):1479-85.
Noble JM, Scarmeas N, Celenti RS, Elkind MS, Wright CB, Schupf N, et al. Serum IgG antibody levels to periodontal microbiota are associated with incident Alzheimer disease. PloS one 2014;9(12):e114959.
Pazos P, Leira Y, Domínguez C, Pías-Peleteiro JM, Blanco J, Aldrey JM. Association between periodontal disease and dementia: A literature review. Neurología (English Edition) 2018;33(9):602-13.
Rai B, Kaur J, Anand SC. Possible relationship between periodontitis and dementia in a North Indian old age population: a pilot study. Gerodontology 2012;29(2): e200-5.
Kamer AR, Craig RG, Pirraglia E, Dasanayake AP, Norman RG, Boylan RJ, et al. TNF-alpha and antibodies to periodontal bacteria discriminate between Alzheimer's disease patients and normal subjects. J Neuroimmunol 2009;216(1-2):92-7.
Kamer AR, Pirraglia E, Tsui W, Rusinek H, Vallabhajosula S, Mosconi L, et al. Periodintal disease associates with higher brain amyloid load in normal elderly. Neurobiol Aging 2015:36(2)627-33.
Gaur S, Agnihotri R. Alzheimer's disease and chronic periodontitis: is there an association? Geriatri Goroto Int 2015;15(4):391-404.
Olsen I, Taubman MA, Singhrao SK. Porphyromonas gingivalis suppresses adaptive immunity in periodontitis, atherosclerosis, and Alzheimer's disease. J Oral Microbio 2016;8:33029.
Ganesh P, Karthikeyan R, Muthukumaraswamy A, Anand J. A Potential Role of Periodontal Inflammation in Alzheimer's Disease: A Review. Oral Health Prev Dent 2017;15(1):7-12.
Singhrao SK, Olsen I. Assessing the role of Porphyromonas gingivalis in periodontitis to determine a causative relationship with Alzheimer's disease. J Oral Microbiol 2019;11(1):1563405.
Michalowicz B,Hodges J,Pihlstrom B. Is change in probing depth a reliable predictor of change in clinical attachment loss? J Dent Assoc 2013;144(2):171-8.