Oral Hygiene in the Elderly with Different Degrees of Cognitive Impairment and Dementia

Journaly of American Geriatrics Society
26 December 2016

José Antonio Gil-Montoya DDS, PhD, Inés Sánchez-Lara PhD Student, Cristobal Carnero-Pardo MD, PhD, Francisco Fornieles-Rubio MD, PhD, Juan Montes MD, PhD, Rocío Barrios DDS, PhD, Miguel Angel Gonzalez-Moles MD, PhD, Manuel Bravo


The control of bacterial dental plaque through daily oral hygiene is essential to prevent oral diseases such as caries or periodontal disease, especially in at-risk populations, including the elderly with mild cognitive impairment and dementia. The aim of this study was to determine the association between different levels of cognitive impairment and dementia in an elderly population and their capacity to maintain adequate oral hygiene. A case–control study (elderly with versus without mild cognitive impairment or dementia) was performed in Granada, Spain. Outcome variables were tooth/prosthesis-brushing frequency/day, bacterial plaque index, and gingival bleeding index. Statistical models were adjusted by age, sex, educational level, and tobacco and alcohol habits. The study included 240 cases and 324 controls…

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