Oral Health and Care for Elderly People with Alzheimer's Disease

Int J Environ Res Public Health. 2020 Aug 7;17(16):5713. doi: 10.3390/ijerph17165713.

Abstract

Dementia is one of the main causes of disability among elderly people. It is a progressive neurodegenerative disease that affects elderly people's ability to perform daily living activities. Alzheimer's disease is the main subtype of dementia and causes declining memory, reasoning, and communication skills. They also have behavioural and psychological symptoms, such as depression and aggression. It is essential for them to maintain good oral health, as oral health is an important and integral part of their general health. Neglecting oral health allows dental diseases to develop, and these diseases are difficult and costly to treat. However, dental diseases can be treated with ambulatory care rather than hospitalisation and emergency care. Elderly people should establish daily oral hygiene care routines during the early stages of Alzheimer's disease. They should have regular dental examinations and early minimal interventions to prevent the need for extensive and complicated procedures. Maintaining oral health becomes challenging, however, when Alzheimer's disease progresses to the middle and late stages. Because elderly people might forget or lose interest in keeping their teeth healthy, caretakers and community health workers may need to take over this task. Dentists should provide guidance on the maintenance of oral health, as the techniques used to provide this support vary depending on the elderly people concerned. The purpose of this paper is to provide an overview of oral health and the importance of oral care for elderly people with Alzheimer's disease. The paper also discusses appropriate dental interventions and techniques for maintaining good oral health and helping people with Alzheimer's to enjoy a satisfactory quality of life.

Keywords: Alzheimer’s disease; dementia; oral health; oral hygiene.

Publication types

  • Review

MeSH terms

  • Aged
  • Alzheimer Disease / epidemiology*
  • Alzheimer Disease / therapy
  • Humans
  • Oral Health / statistics & numerical data*
  • Oral Hygiene* / methods
  • Quality of Life / psychology