Oral hygiene in patients with motor neuron disease requires attention: A cross-sectional survey study

Spec Care Dentist. 2022 Jan;42(1):9-14. doi: 10.1111/scd.12636. Epub 2021 Jul 26.

Abstract

Aims: Motor Neuron Disease (MND) is a progressive neurodegenerative neuromuscular disease, which can progressively impair arm-hand function. Needs and barriers of MND patients and their caregivers in performing oral hygiene were studied.

Methods: An online survey was sent to 706 MND patients. The questions of the survey included self-reliance, self-reported oral health, and oral hygiene. The oral health-related quality of life (GOHAI-NL) and the subjective well-being (ALSAQ-5) were also measured.

Results: A total of 259 patients responded (36.7%), of which 71.9% stated not to be informed about the importance of maintaining good oral health by their MND treatment team. Moreover, 40.4% would like to receive help concerning oral hygiene from a dental professional. 19.8% were not satisfied about oral care as conducted by themselves or their caregivers. Patients who do not ask for support with their daily oral care had a significantly worse oral health-related quality of life compared to patients who do ask for support.

Conclusions: The support for daily oral hygiene of MND patients and their barriers to requesting support needs more attention from both MND-treatment teams and general dental professionals.

Keywords: Amyotrophic Lateral Sclerosis (ALS); Motor Neuron Disease (MND); caregivers; dental care; oral hygiene; quality of life.

MeSH terms

  • Amyotrophic Lateral Sclerosis*
  • Cross-Sectional Studies
  • Humans
  • Motor Neuron Disease*
  • Oral Hygiene
  • Quality of Life