scholarly journals Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye

2021 ◽  
pp. 1-29
Author(s):  
Manon Auffret ◽  
Vincent Meuric ◽  
Emile Boyer ◽  
Martine Bonnaure-Mallet ◽  
Marc Vérin
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Oral Health ◽  
Muscle Tone ◽  
Early Stage ◽  
Medical Community ◽  
Comprehensive Overview ◽  
Health Disorders

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.

scholarly journals Apathy and Anhedonia in Parkinson's Disease

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Yoshiaki Kaji ◽  
Koichi Hirata
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Early Stage

Depression, apathy, and anhedonia are often comorbid in patients with Parkinson's disease. Since the morbid states of apathy and anhedonia are complicated, these symptoms are often difficult to diagnose. Several therapeutic methods for apathy and anhedonia are considered effective. However, the validity of these methods has not been established. Similar to depression, apathy and anhedonia clearly affect the quality of life of patients and their families. Therefore, accurate diagnoses of morbid states in the early stage of the disease and corresponding appropriate treatments should be given high priority.

scholarly journals Nonmotor Symptoms in Early- and Advanced-Stage Parkinson’s Disease Patients on Dopaminergic Therapy: How Do They Correlate with Quality of Life?

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Peter Valkovic ◽  
Jan Harsany ◽  
Marta Hanakova ◽  
Jana Martinkova ◽  
Jan Benetin
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Early Stage ◽  
Advanced Stage ◽  
Nonmotor Symptoms ◽  
Related Quality ◽  
Attention Memory ◽  
The Impact

To determine the impact of nonmotor symptoms (NMS) on health-related quality of life (HRQoL) we examined 100 Parkinson’s disease (PD) patients on dopaminergic medications. An “early-stage” (ES) and an “advanced-stage” (AS) groups were formed. HRQoL was established by the questionnaire PDQ-8, number of NMS by NMSQuest, and severity and frequency of NMS by the assessment scale NMSS. The total NMS averaged 11.3 (ES=9.6, AS=12.8). The NMSS domain correlation profiles for ES and AS did not fundamentally differ; however, the domains attention/memory and mood/apathy correlated moderately to strongly with HRQoL in ES, while the sleep/fatigue domain correlated moderately with HRQoL in AS. Weakly correlating domains were sleep/fatigue in ES and cardiovascular, attention/memory, and mood/apathy domains in AS. In view of these findings we strongly recommend systematic, active screening and therapy for neuropsychiatric disorders (mood, cognitive and sleep disorders, and fatigue) at the initial diagnosis and throughout the entire course of PD.

scholarly journals The Quality of Life for People with Parkinson’s Disease in Relation to Their Oral Health

2018 ◽  
Vol 08 (11) ◽  
pp. 312-318
Author(s):  
Phablo Glewber Tôrres Bezerra ◽  
Samuel Rodrigo de Andrade Veras ◽  
Camila Caroline da Silva ◽  
Renato Mariano da Silva ◽  
Deivison Edson Pereira da Silva ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Oral Health

scholarly journals Parkinson’s Disease, Periodontitis and Patient-Related Outcomes: A Cross-Sectional Study

Medicina ◽  
2020 ◽  
Vol 56 (8) ◽  
pp. 383
Author(s):  
Patrícia Lyra ◽  
Vanessa Machado ◽  
Luís Proença ◽  
Josefa Domingos ◽  
Catarina Godinho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Oral Health ◽  
Rating Scale ◽  
Health Impact ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Periodontal Status

Background and objectives: People with Parkinson’s disease (PD) may be at risk of having bad periodontal status. A consistent periodontal examination is critical to investigate how it impacts on PD quality of life. We aimed to assess the periodontal status of people with PD, and its association with quality of life and self-perceived xerostomia. Materials and Methods: To this end, from February to March 2020, we consecutively enrolled 28 PD individuals, and motor and non-motor symptoms of PD were assessed using the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS). We performed full-mouth periodontal examination and gathered information on self-perceived quality of life in PD, oral health impact profile (OHIP-14) and xerostomia. Results: The prevalence of periodontitis was 75.0% and most cases were identified as severe (46.4%). Upper extremity rigidity, hand posture and kinetic tremors were significantly correlated with worse periodontal status. PDQ-8 showed to be correlated with self-perceived oral health-related quality of life and xerostomia levels. Conclusions: This group of people with PD had a high prevalence of periodontitis. Deteriorated levels of the upper extremities in advanced stages of PD were associated with worse periodontal status and hygiene habits. Quality of life in PD appears to be associated with self-perceived OHRQoL and xerostomia.

scholarly journals Oral Health‐Related Quality of Life in Patients with Parkinson’s Disease

2022 ◽  
Author(s):  
Merel C. Verhoeff ◽  
Frank Lobbezoo ◽  
Astrid M. van Leeuwen ◽  
Annemarie A. Schuller ◽  
Michail Koutris
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Oral Health ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

The potential benefits of dental implants on the oral health quality of life of people with Parkinson’s disease

Gerodontology ◽  
2009 ◽  
Vol 26 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Mark Packer ◽  
Vladimir Nikitin ◽  
Trevor Coward ◽  
Devid Michael Davis ◽  
Janice Fiske
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Oral Health ◽  
Dental Implants ◽  
Potential Benefits ◽  
Health Quality ◽  
Health Quality Of Life
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