Evaluation of patients with Alzheimer's disease before and after dental treatment

Oral infections may play a role in Alzheimer's disease (AD). Objective To describe the orofacial pain, dental characteristics and associated factors in patients with Alzheimer's Disease that underwent dental treatment. Method 29 patients with mild AD diagnosed by a neurologist were incl...

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Main Authors: Thaís de Souza Rolim, Gisele Maria Campos Fabri, Ricardo Nitrini, Renato Anghinah, Manoel Jacobsen Teixeira, José Tadeu T. de Siqueira, José Augusto Ferrari Cesari, Silvia Regina Dowgan Tesseroli de Siqueira
Format: Article
Language:English
Published: Thieme Revinter Publicações 2014-12-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014001200919&lng=en&tlng=en
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author Thaís de Souza Rolim
Gisele Maria Campos Fabri
Ricardo Nitrini
Renato Anghinah
Manoel Jacobsen Teixeira
José Tadeu T. de Siqueira
José Augusto Ferrari Cesari
Silvia Regina Dowgan Tesseroli de Siqueira
author_facet Thaís de Souza Rolim
Gisele Maria Campos Fabri
Ricardo Nitrini
Renato Anghinah
Manoel Jacobsen Teixeira
José Tadeu T. de Siqueira
José Augusto Ferrari Cesari
Silvia Regina Dowgan Tesseroli de Siqueira
author_sort Thaís de Souza Rolim
collection DOAJ
description Oral infections may play a role in Alzheimer's disease (AD). Objective To describe the orofacial pain, dental characteristics and associated factors in patients with Alzheimer's Disease that underwent dental treatment. Method 29 patients with mild AD diagnosed by a neurologist were included. They fulfilled the Mini Mental State Exam and Pfeffer's questionnaire. A dentist performed a complete evaluation: clinical questionnaire; research diagnostic criteria for temporomandibular disorders; McGill pain questionnaire; oral health impact profile; decayed, missing and filled teeth index; and complete periodontal investigation. The protocol was applied before and after the dental treatment. Periodontal treatments (scaling), extractions and topic nystatin were the most frequent. Results There was a reduction in pain frequency (p=0.014), mandibular functional limitations (p=0.011) and periodontal indexes (p<0.05), and an improvement in quality of life (p=0.009) and functional impairment due to cognitive compromise (p<0.001) after the dental treatment. Orofacial complaints and intensity of pain also diminished. Conclusion The dental treatment contributed to reduce co-morbidities associated with AD and should be routinely included in the assessment of these patients.
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spelling doaj-art-346299ebdf2a48c4b17e8000e70deeaa2025-08-20T02:01:45ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272014-12-01721291992410.1590/0004-282X20140140S0004-282X2014001200919Evaluation of patients with Alzheimer's disease before and after dental treatmentThaís de Souza RolimGisele Maria Campos FabriRicardo NitriniRenato AnghinahManoel Jacobsen TeixeiraJosé Tadeu T. de SiqueiraJosé Augusto Ferrari CesariSilvia Regina Dowgan Tesseroli de SiqueiraOral infections may play a role in Alzheimer's disease (AD). Objective To describe the orofacial pain, dental characteristics and associated factors in patients with Alzheimer's Disease that underwent dental treatment. Method 29 patients with mild AD diagnosed by a neurologist were included. They fulfilled the Mini Mental State Exam and Pfeffer's questionnaire. A dentist performed a complete evaluation: clinical questionnaire; research diagnostic criteria for temporomandibular disorders; McGill pain questionnaire; oral health impact profile; decayed, missing and filled teeth index; and complete periodontal investigation. The protocol was applied before and after the dental treatment. Periodontal treatments (scaling), extractions and topic nystatin were the most frequent. Results There was a reduction in pain frequency (p=0.014), mandibular functional limitations (p=0.011) and periodontal indexes (p<0.05), and an improvement in quality of life (p=0.009) and functional impairment due to cognitive compromise (p<0.001) after the dental treatment. Orofacial complaints and intensity of pain also diminished. Conclusion The dental treatment contributed to reduce co-morbidities associated with AD and should be routinely included in the assessment of these patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014001200919&lng=en&tlng=endoença de Alzheimerinfecções oraisdor orofacialdoença periodontaltratamento dentário
spellingShingle Thaís de Souza Rolim
Gisele Maria Campos Fabri
Ricardo Nitrini
Renato Anghinah
Manoel Jacobsen Teixeira
José Tadeu T. de Siqueira
José Augusto Ferrari Cesari
Silvia Regina Dowgan Tesseroli de Siqueira
Evaluation of patients with Alzheimer's disease before and after dental treatment
Arquivos de Neuro-Psiquiatria
doença de Alzheimer
infecções orais
dor orofacial
doença periodontal
tratamento dentário
title Evaluation of patients with Alzheimer's disease before and after dental treatment
title_full Evaluation of patients with Alzheimer's disease before and after dental treatment
title_fullStr Evaluation of patients with Alzheimer's disease before and after dental treatment
title_full_unstemmed Evaluation of patients with Alzheimer's disease before and after dental treatment
title_short Evaluation of patients with Alzheimer's disease before and after dental treatment
title_sort evaluation of patients with alzheimer s disease before and after dental treatment
topic doença de Alzheimer
infecções orais
dor orofacial
doença periodontal
tratamento dentário
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014001200919&lng=en&tlng=en
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