The clinical evaluation of the oral status in Alzheimer-type dementia patients.
BACKGROUND
To evaluate the oral health status in patients with Alzheimer dementia (AD), and the association of the disease severity with the oral findings.


METHODS
The study was conducted on the study group (31 AD patients) and the control group (47 healthy volunteers) from the Neurology Department of the Institute. Cognitive status was evaluated with the MMSE scoring system. Oral parameters, such as decaying, missing, filled teeth (DMFT) index and teeth present (PT) were evaluated in the patients. Oral hygiene status, denture status and mucosal lesions, including denture-induced stomatitis were also investigated.


RESULTS
The study was conducted on the study group (31 AD patients) and the control group (47 healthy volunteers). Tooth brushing and denture cleaning were irregular in 22 of 31 (70%) patients with AD. The ratio of the subjects who forgot to remove their denture during the night was significantly higher in the study group than in the control group (p < 0.001). In this study, decreased cognitive functions in AD patients have been demonstrated to result in a deterioration of denture care and increased denture-related mucosal lesions.


CONCLUSIONS
These findings were considered due to decreased denture care including the non-removal of the denture in the night in the patients with decreased cognitive functions.
Research and Training, Hospital, Dental Clinic/Oral Diagnosis and Radiology, Dumlupinar University, Kütahya, Turkey. mujgan121@yahoo.com
Müjgan Güngör
MG
Hatipoglu
Sibel Canbaz
SC
Kabay
Gül
G
Güven
D000368:Aged; D000544:Alzheimer Disease / Q000150:complications*; D016022:Case-Control Studies; D004245:DMF Index; D003773:Dental Plaque / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009911:Oral Hygiene Index; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D013282:Stomatitis, Denture / Q000209:etiology*; D016388:Tooth Loss / Q000209:etiology*