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Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye
- Source :
- Journal of Parkinson's Disease, Journal of Parkinson’s Disease, Journal of Parkinson’s Disease, 2021, 11 (4), pp.1507-1535. ⟨10.3233/JPD-212605⟩, Journal of Parkinson's disease, Journal of Parkinson's disease, 2021, 11 (4), pp.1507-1535. ⟨10.3233/JPD-212605⟩
- Publication Year :
- 2021
- Publisher :
- IOS Press, 2021.
-
Abstract
- International audience; Despite clinical evidence of poor oral health and hygiene in Parkinson’s disease (PD) patients, the mouth is often overlooked by both patients and the medical community, who generally focus on motor or psychiatric disorders considered more burdensome. Yet, oral health is in a two-way relationship with overall health-a weakened status triggering a decline in the quality of life. Here, we aim at giving a comprehensive overview of oral health disorders in PD, while identifying their etiologies and consequences. The physical (abnormal posture, muscle tone, tremor, and dyskinesia), behavioral (cognitive and neuropsychiatric disorders), and iatrogenic patterns associated with PD have an overall detrimental effect on patients’ oral health, putting them at risk for other disorders (infections, aspiration, pain, malnutrition), reducing their quality of life and increasing their isolation (anxiety, depression, communication issues). Interdisciplinary cooperation for prevention, management and follow-up strategies need to be implemented at an early stage to maintain and improve patients’ overall comfort and condition. Recommendations for practice, including (non-)pharmacological management strategies are discussed, with an emphasis on the neurologists’ role. Of interest, the oral cavity may become a valuable tool for diagnosis and prognosis in the near future (biomarkers). This overlooked but critical issue requires further attention and interdisciplinary research.
- Subjects :
- medicine.medical_specialty
Parkinson's disease
Isolation (health care)
[SDV]Life Sciences [q-bio]
Disease
Review
Anxiety
03 medical and health sciences
Cellular and Molecular Neuroscience
0302 clinical medicine
Quality of life
Tremor
medicine
microbiota
Humans
Intensive care medicine
Depression (differential diagnoses)
dentistry
business.industry
Parkinson Disease
030206 dentistry
medicine.disease
3. Good health
Malnutrition
Dyskinesia
interdisciplinary research
Parkinson’s disease
Quality of Life
oral health
Neurology (clinical)
medicine.symptom
business
030217 neurology & neurosurgery
stomatognathic diseases
Subjects
Details
- Language :
- English
- ISSN :
- 1877718X and 18777171
- Volume :
- 11
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of Parkinson's Disease
- Accession number :
- edsair.doi.dedup.....cf5f6b86825eaab8fb01c0a395a993c5