Non-Cochrane · aetiology · PM27631597
Oral health and orofacial pain in older people with dementia: a systematic review with focus on dental hard tissues.
Delwel Suzanne, Binnekade Tarik T, Perez Roberto S G M, et al. · Clinical oral investigations · 2017 · PubMed · doi:10.1007/s00784-016-1934-9
Full textEvery question was extracted from the full text, figures and supplements by two independent LLM extractors, disagreements adjudicated. Rows cite where in the review the value comes from.
Questions
11
current version
GRADE rated
0
No studies
0
Included studies
39
linked below
No studies 0 · 0%Ungraded 11 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Older people aged 60 years or older, with and without dementia | Older people with dementia (n=3770) vs without dementia (n=4036) across 37 studies; mean age 78.2 vs 74.0 years |
| Intervention | Dementia (any type or severity) | Dementia (n=3770); 7 studies specified subtype (Alzheimer's, vascular, other), 3 divided by severity |
| Comparison | Older people without dementia | Older people without dementia (n=4036) |
| Outcomes | Dental hard-tissue oral health and orofacial pain: orofacial pain, edentulousness, dentures, number of teeth present, DMFT index, coronal caries, root caries, retained roots (oral soft-tissue outcomes reported separately) | Orofacial pain (7 studies), edentulousness (11), dentures (12), teeth present (16), DMFT/components (17), coronal caries (6), root caries (5), retained roots (4) |
| Study designs | Any study design; case reports and reviews excluded; no language/year restriction | 37 studies: 19 cross-sectional, 11 cohort, 6 case-control, 1 RCT |
| Timing | Not specified (baseline data used when follow-up reported) | Not specified |
Search date: 2016-03-31. Databases: PubMed, CINAHL, Cochrane Library
Questions and results
Dementia (any type or severity) vs Older people without dementia
Population: Older people (aged 60 years or older) with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Denture use (prevalence) Denture use was similar in older people with and without dementia, though one study reported lower denture use with more severe dementia; no meta-analysis was performed (ungraded). Source: Results (Results for each outcome variable); Table 8 · same question in other reviews | no estimate extracted | 12 studies | Ungraded |
Decayed teeth Population: Older people with dementia Decayed-teeth values varied across studies and were not meta-analyzed. Source: Results for each outcome variable; Table 10 · same question in other reviews | MEAN Without dementia 0.0 to 2.9; with dementia 0.3 to 6.0 (mean number of decayed teeth) | 11 studies | Ungraded |
Orofacial pain (prevalence) Orofacial pain prevalence was similar in older people with dementia (7.4 to 21.7%) and without dementia (6.7 to 18.5%), based on few studies; no meta-analysis was performed (ungraded). Source: Results (Results for each outcome variable); Table 12 · same question in other reviews | no estimate extracted | 7 studies | Ungraded |
Coronal caries (mean number) Coronal caries was higher in older people with dementia (0.1 to 2.9) than without (0.0 to 1.0), described as significantly more common but not pooled (ungraded). Source: Results (Results for each outcome variable); Discussion; Table 11 · same question in other reviews | no estimate extracted | 5 studies | Ungraded |
Filled teeth Population: Older people with dementia Filled-teeth values varied across studies and were not meta-analyzed. Source: Results for each outcome variable; Table 10 · same question in other reviews | MEAN Without dementia 0.7 to 25.7; with dementia 0.8 to 23.9 (mean number of filled teeth) | 9 studies | Ungraded |
Retained roots (mean number) Retained roots were more common in older people with dementia (0.2 to 10) than without (0.0 to 1.2); no meta-analysis was performed (ungraded). Source: Results (Results for each outcome variable); Table 11 · same question in other reviews | no estimate extracted | 3 studies | Ungraded |
DMFT index (mean) The DMFT index was similar between groups, with only 1 of 5 comparative studies finding a significant difference; no meta-analysis was performed (ungraded). Source: Results (Results for each outcome variable); Table 10 · same question in other reviews | no estimate extracted | 8 studies | Ungraded |
Root caries (mean number) Root caries was higher in older people with dementia (0.6 to 4.9) than without (0.3 to 1.7), described as significantly more common but not pooled (ungraded). Source: Results (Results for each outcome variable); Discussion; Table 11 · same question in other reviews | no estimate extracted | 5 studies | Ungraded |
Edentulousness (prevalence) Edentulousness was similar in older people with and without dementia, with wide overlapping ranges across studies; no meta-analysis was performed (ungraded). Source: Results (Results for each outcome variable); Table 7 · same question in other reviews | no estimate extracted | 11 studies | Ungraded |
Number of teeth present (mean) The number of teeth present was comparable between older people with and without dementia; no meta-analysis was performed (ungraded). Source: Results (Results for each outcome variable); Table 9 · same question in other reviews | no estimate extracted | 16 studies | Ungraded |
Missing teeth Population: Older people with dementia Missing-teeth values varied across studies and were not meta-analyzed. Source: Results for each outcome variable; Table 10 · same question in other reviews | MEAN Without dementia 9.3 to 28.2; with dementia 10.2 to 27.3 (mean number of missing teeth) | 10 studies | Ungraded |
Included primary studies 39
Open as a trial list| Study | Also included by | Outcomes it informs here | Trial PICO | Results |
|---|---|---|---|---|
| Srisilapanan 2013 matched by author and year (probable) | 1 other review | not stated | not extracted yet | not extracted yet |
| Adam and Preston 2006 The oral health of individuals with dementia in nursing homes DOI:10.1111/j.1741-2358.2006.00118.x | this review only | not stated | not extracted yet | not extracted yet |
| Bomfim et al. 2013 Fatores associados a sinais sugestivos de disfagia orofaríngea em idosas institucionalizadas DOI:10.1590/s2317-17822013000200011 | this review only | not stated | not extracted yet | not extracted yet |
| Chalmers et al. 2002 Caries incidence and increments in community‐living older adults with and without dementia DOI:10.1111/j.1741-2358.2002.00080.x | this review only | not stated | not extracted yet | not extracted yet |
| Chalmers et al. 2002 (Adelaide NHR) The Prevalence and Experience of Oral Diseases in Adelaide Nursing Home Residents DOI:10.1111/j.1834-7819.2002.tb00315.x | this review only | not stated | not extracted yet | not extracted yet |
| Chalmers et al. 2003 Oral diseases and conditions in community‐living older adults with and without dementia DOI:10.1111/j.1754-4505.2003.tb00283.x | this review only | not stated | not extracted yet | not extracted yet |
| Chalmers et al. 2004 Oral health of Adelaide nursing home residents: longitudinal study DOI:10.1111/j.1741-6612.2004.00019.x | this review only | not stated | not extracted yet | not extracted yet |
| Chalmers et al. 2005 Caries incidence and increments in Adelaide nursing home residents DOI:10.1111/j.1754-4505.2005.tb01418.x | this review only | not stated | not extracted yet | not extracted yet |
| Chapman and Shaw 1991 Normative dental treatment needs of Alzheimer patients DOI:10.1111/j.1834-7819.1991.tb01343.x | this review only | not stated | not extracted yet | not extracted yet |
| Chen et al. 2013 Oral health in nursing home residents with different cognitive statuses DOI:10.1111/j.1741-2358.2012.00644.x | this review only | not stated | not extracted yet | not extracted yet |
| Chu et al. 2015 DOI:10.3290/j.ohpd.a32343 | this review only | not stated | not extracted yet | not extracted yet |
| Cohen-Mansfield and Lipson 2002 The underdetection of pain of dental etiology in persons with dementia. PMID:12184515 | this review only | not stated | not extracted yet | not extracted yet |
| De Souza Rolim et al. 2014 Oral Infections and Orofacial Pain in Alzheimer's Disease: A Case-Control Study DOI:10.3233/jad-131283 | this review only | not stated | not extracted yet | not extracted yet |
| Ellefsen et al. 2008 Caries Prevalence in Older Persons with and without Dementia DOI:10.1111/j.1532-5415.2007.01495.x | this review only | not stated | not extracted yet | not extracted yet |
| Ellefsen et al. 2009 Assessing Caries Increments in Elderly Patients With and Without Dementia DOI:10.14219/jada.archive.2009.0076 | this review only | not stated | not extracted yet | not extracted yet |
| Ellefsen et al. 2012 Indicators for root caries in Danish persons with recently diagnosed Alzheimer’s disease DOI:10.1111/j.1741-2358.2011.00560.x | this review only | not stated | not extracted yet | not extracted yet |
| Elsig et al. 2015 Tooth loss, chewing efficiency and cognitive impairment in geriatric patients DOI:10.1111/ger.12079 | this review only | not stated | not extracted yet | not extracted yet |
| Eshkoor et al. 2014 Association between dentures and the rate of falls in dementia. PMID:25018658 | this review only | not stated | not extracted yet | not extracted yet |
| Fjeld et al. 2014 Effect of electric toothbrush on residents' oral hygiene: a randomized clinical trial in nursing homes DOI:10.1111/eos.12113 | this review only | not stated | not extracted yet | not extracted yet |
| Furuta et al. 2013 Interrelationship of oral health status, swallowing function, nutritional status, and cognitive ability with activities of daily living in… DOI:10.1111/cdoe.12000 | this review only | not stated | not extracted yet | not extracted yet |
| Hatipoglu et al. 2011 The clinical evaluation of the oral status in Alzheimer-type dementia patients DOI:10.1111/j.1741-2358.2010.00401.x | this review only | not stated | not extracted yet | not extracted yet |
| Hopcraft et al. 2012 Edentulism and dental caries in Victorian nursing homes DOI:10.1111/j.1741-2358.2011.00510.x | this review only | not stated | not extracted yet | not extracted yet |
| Jones et al. 1993 Caries incidence in patients with dementia DOI:10.1111/j.1741-2358.1993.tb00086.x | this review only | not stated | not extracted yet | not extracted yet |
| Kim et al. 2007 Dental health, nutritional status and recent‐onset dementia in a Korean community population DOI:10.1002/gps.1750 | this review only | not stated | not extracted yet | not extracted yet |
| Kossioni et al. 2012 Oral health status of elderly hospitalised psychiatric patients DOI:10.1111/j.1741-2358.2012.00633.x | this review only | not stated | not extracted yet | not extracted yet |
| Lee et al. 2013 Cognitive function and oral health-related quality of life in older adults. PMID:24028360 | this review only | not stated | not extracted yet | not extracted yet |
| Luo et al. 2015 Association between tooth loss and cognitive function among 3063 Chinese older adults: a community-based study. PMID:25803052 | this review only | not stated | not extracted yet | not extracted yet |
| Minakuchi et al. 2006 Factors Affecting Denture Use in Some Institutionalized Elderly People DOI:10.1111/j.1754-4505.2006.tb01431.x | this review only | not stated | not extracted yet | not extracted yet |
| Nordenram et al. 1996 Alzheimer's disease, oral function and nutritional status DOI:10.1111/j.1741-2358.1996.tb00156.x | this review only | not stated | not extracted yet | not extracted yet |
| Philip et al. 2012 Oral hygiene care status of elderly with dementia and in residential aged care facilities DOI:10.1111/j.1741-2358.2011.00472.x | this review only | not stated | not extracted yet | not extracted yet |
| Ribeiro et al. 2012 Oral health of the elderly with Alzheimer's disease DOI:10.1016/j.oooo.2012.03.028 | this review only | not stated | not extracted yet | not extracted yet |
| Rolim 2014 Evaluation of patients with Alzheimer's disease before and after dental treatment DOI:10.1590/0004-282x20140140 | this review only | not stated | not extracted yet | not extracted yet |
| Srisilapanan and Jai-Ua 2013 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Sumi et al. 2012 Oral conditions and oral management approaches in mild dementia patients DOI:10.3143/geriatrics.49.90 | this review only | not stated | not extracted yet | not extracted yet |
| Syrjala et al. 2012 Dementia and oral health among subjects aged 75 years or older DOI:10.1111/j.1741-2358.2010.00396.x | this review only | not stated | not extracted yet | not extracted yet |
| Warren et al. 1997 Oral health of persons with and without dementia attending a geriatric clinic DOI:10.1111/j.1754-4505.1997.tb00866.x | this review only | not stated | not extracted yet | not extracted yet |
| Zenthöfer 2014 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Zenthofer et al. 2014 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Zenthofer et al. 2016 Improving oral health of institutionalized older people with diagnosed dementia DOI:10.1080/13607863.2015.1008986 | this review only | not stated | not extracted yet | not extracted yet |
Overlap with other reviews
Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match).
| Review | Shared studies | Jaccard |
|---|---|---|
| Comparison of therapies of white spot lesions: a systematic review and network meta-analysis. (2023) | 1 | 0.01 |