title: Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues.
abstract: OBJECTIVE
  The aim of this review was to provide a systematic overview including a quality assessment of studies about oral health and orofacial pain in older people with dementia, compared to older people without dementia.
  
  
  METHODS
  A systematic literature search was performed in PubMed, CINAHL, and the Cochrane Library. The following search terms were used: dementia and oral health or stomatognathic disease. The quality assessment of the included articles was performed using the Newcastle-Ottawa Scale (NOS).
  
  
  RESULTS
  The search yielded 527 articles, of which 37 were included for the quality assessment and quantitative overview. The median NOS score of the included studies was 5, and the mean was 4.9 (SD 2.2). The heterogeneity between the studies was considered too large to perform a meta-analysis. An equivalent prevalence of orofacial pain, number of teeth present, decayed missing filled teeth index, edentulousness percentage, and denture use was found for both groups. However, the presence of caries and retained roots was higher in older people with dementia than in those without.
  
  
  CONCLUSIONS
  Older people with dementia have worse oral health, with more retained roots and coronal and root caries, when compared to older people without dementia. Little research focused on orofacial pain in older people with dementia.
  
  
  CONCLUSIONS
  The current state of oral health in older people with dementia could be improved with oral care education of caretakers and regular professional dental care.
authors.affiliation: Faculty of Behavioral and Movement Sciences, Department of Clinical Neuropsychology, VU University, Amsterdam, The Netherlands. s.delwel@vu.nl.|Faculty of Dentistry, Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, MOVE Research Institute Amsterdam, Amsterdam, The Netherlands. s.delwel@vu.nl.
authors.forename: Suzanne
authors.identifier: http://orcid.org/0000-0002-6836-5394
authors.initials: S
authors.lastname: Delwel
authors.affiliation: Faculty of Behavioral and Movement Sciences, Department of Clinical Neuropsychology, VU University, Amsterdam, The Netherlands.
authors.forename: Tarik T
authors.initials: TT
authors.lastname: Binnekade
authors.affiliation: Department of Anesthesiology, EMGO+ Institute for Health and Care Research, VU University Medical Centre Amsterdam, Amsterdam, The Netherlands.
authors.forename: Roberto S G M
authors.initials: RS
authors.lastname: Perez
authors.affiliation: Faculty of Medicine, Department of Elderly Care Medicine, VU University Medical Centre Amsterdam, Amsterdam, The Netherlands.
authors.forename: Cees M P M
authors.initials: CM
authors.lastname: Hertogh
authors.affiliation: Faculty of Behavioral and Movement Sciences, Department of Clinical Neuropsychology, VU University, Amsterdam, The Netherlands.
authors.forename: Erik J A
authors.initials: EJ
authors.lastname: Scherder
authors.affiliation: Faculty of Dentistry, Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, MOVE Research Institute Amsterdam, Amsterdam, The Netherlands.
authors.forename: Frank
authors.initials: F
authors.lastname: Lobbezoo
mesh_terms: D000368:Aged; D004245:DMF Index; D003704:Dementia / Q000150:complications*; D016321:Dental Care for Aged; D017742:Dental Care for Chronically Ill; D003731:Dental Caries / Q000453:epidemiology; D003778:Dentures; D005157:Facial Pain / Q000453:epidemiology*; D015577:Geriatric Assessment; D006801:Humans; D009909:Oral Health; D017213:Root Caries / Q000453:epidemiology; D014076:Tooth Diseases / Q000453:epidemiology*; D016388:Tooth Loss / Q000453:epidemiology
keywords: Aged; Dementia; Elderly; Facial pain; Gerodontology; Oral health; Stomatognathic disease