Dental approach in elderly patients with Parkinson's disease
DOI:
10.46551/ruc.v23n1a08Keywords:
Parkinson's disease; Oral hygiene; Oral manifestations; Conduct.Abstract
Parkinson's Disease (PD) is a chronic, progressive and degenerative disorder that usually starts in middle age or old age. PD, over time, makes it difficult or impossible to perform some daily activities. It is the second most common neurodegenerative disease. Objectives: The objective is to review the literature about the oral manifestations of PD and describe the appropriate management and care before, during and after dental care for patients with Parkinson. Method: this is an integrative
literature review, based on 33 references, including original studies. Results: PD is manifested mainly by motor problems, which affect the performance of oral hygiene.It is also possible to observe oral manifestations: dysphagia, sialorrhea, xerostomia, oral burning sensation, difficulty in adapting dental prostheses. Among the measures indicated in the dental approach are: accessibility to the office, correct chair inclination, attendance after 60 to 90 minutes of taking the medication. Conclusion: For
a good dental care for patients with PD, a conscious approach is necessary, considering the present diseases. Therefore, it is imperative that dentists know the signs, symptoms and drug therapy of PD and oral implications for a correct treatment plan, appropriate conduct and respect for the patient's limitations.
Downloads
References
FREITAS, Elizabete Viana de et al. Tratado de geriatria e gerontologia. 3ª ed. Rio de Janeiro: Guanabara Koogan, 2013.
HAUSER, Stephen L.; JOSEPHSON, S. Andrew. Neurologia clínica de Harrison. 3ª ed. Porto Alegre: AMGH EDITORA LTDA, 2015.
BATISTA, Leonardo M. et al. Oral Hygiene in patients with parkinson´sdisease.Rhode island medical jornal, 2015.
MACHADO, Bianca Brito; PIAZERA, Cyrene. Doença de Parkinson e odontologia: uma revisão de literatura narrativa. Revista Ceuma Perspectivas, vol. 30, 2017.
WIRDEFELDT, Karin et al. Epidemiology and etiology of Parkinson’s disease: a review of the evidence. European journal of epidemiology, v. 26, n. 1, p. 1, 2011.
ROSSO ALZ, Nicaretta DH, Mattos JP. Correlações anatomoclínicas na Doença de Parkinson. Revista Brasileira de Neurologia, v. 44, n.4, 2008.
DOTY, Richard L. Olfactory dysfunction in Parkinson disease. Nature Reviews Neurology, v. 8, n. 6, p. 329-339, 2012.
HAEHNER, Antje; HUMMEL, Thomas; REICHMANN, Heinz. Olfactory loss in Parkinson's disease. Parkinson’s Disease, v. 2011, 2011.
NOGUEIRA, A. F. A doença de Parkinson e suas implicações na saúde oral. 2016. Dissertação (Mestrado em Medicina Dentária) – Instituto de Ciências da Saúde Egas Moniz, Portugal, 2016.
PISTORI, Juliana; MACHADO, Mariana. A Interprofissionalidade no Tratamento de Pacientes com Parkinson: Uma Análise Odontológica, Bragança Paulista, 2019.
NEWADKAR, Ujwala R. et al. Oral health issues and challenges in parkinson’s disease. International Journal Of Nutrition, Pharmacology, Neurological Diseases, v. 7, n. 3, p. 54, 2017.
DEBOWES, S. L.; TOLLE, S. L.; BRUHN, A. M. Parkinson’s disease: considerations for dental hygienists. International journal of dental hygiene, v. 11, n. 1, p. 15-21, 2013.
EGEVAD, Gustav; PETKOVA, Valentina Yankova; VILHOLM, Ole Jakob. Sialorrhea in patients with Parkinson's disease: safety and administration of botulinum neurotoxin. Journal of Parkinson's disease, v. 4, n. 3, p. 321-326, 2014.
ZLOTNIK, Yairet al. Disorders of the oral cavity in Parkinson’s disease and parkinsonian syndromes. Parkinson’s disease,. v. 2015, 2015.
CARACÓIS, Lénia Matado. Doença de Parkinson no paciente odontogeriátrico. 2012. Dissertação (Mestrado Integrado em Medicina Dentária) - Faculdade de Medicina Dentária, Universidade de Lisboa.
BAKKE, Merete et al. Orofacial function and oral health in patients with Parkinson’s disease. European journal of oral sciences, v. 119, n. 1, p. 27-32, 2011.
HARALUR, Satheesh B. Clinical strategies for complete denture rehabilitation in a patient with Parkinson disease and reduced neuromuscular control. Case reports in dentistry, 2015.
KAUR, Tejaswani; UPPOOR, Ashita; NAIK, Dilip. Parkinson's disease and periodontitis–the missing link? A review. Gerodontology, v. 33, n. 4, p. 434-438, 2016.
INTROINI, M. B. de P. Protocolo de atendimento odontológico para pacientes com doença de Parkinson. 2009. Monografia (Especialista em Odontogeriatria) – Faculdade de Odontologia de Piracicapa, Universidade Estadual de Campinas, Piracicaba, 2009.
LINS, Carla Cabral dos Santos Accioly; DE ALBUQUERQUE MELO, Antônio Carlos Moura; LIMA, Georgina Agnelo. Atenção à saúde bucal de idosos com Parkinson na Universidade Federal de Pernambuco: Relato de Experiência. RevistaLongeviver, n. 44, 2015.
FERREIRA, Beatryz Borges Magalhães et al. A Intervenção Odontológica e a Visão Da Equipe Multidisciplinar em Pacientes Portadores de Parkinson do Hospital Dia Geriátrico de Anápolis. Sci Invest Dent, v. 22, n. 1, p. 76-81, 2017.
BAIJENS, Laura WJ et al. Swallowing in Parkinson patients versus healthy controls: reliability of measurements in videofluoroscopy. Gastroenterology research and practice, v. 2011, 2011.
FRIEDLANDER, Arthur H. et al. Parkinson Disease: Systemic and Orofacial Manifestations, Medical and Dental Management. J Am Dent Assoc., vol. 140, n. 6, p. 658-69, 2009.
BARBE, Anna Greta et al. Self‐assessment of oral health, dental health care and oral health‐related quality of life among Parkinson's disease patients. Gerodontology, v. 34, n. 1, p. 135-143, 2017.
EINARSDÓTTIR, Erna Rún et al. Dental health of patients with Parkinson's disease in Iceland. Special Care in Dentistry, v. 29, n. 3, p. 123-127, 2009.
SERRANO-DUENAS, M. Sialorrhea in patients with Parkinson. A six year prospective study. Revista de neurologia, v. 37, n. 7, p. 623-626, 2003.
CLIFFORD, T.; FINNERTY, J. The dental awareness and needs of a Parkinson's disease population. Gerodontology, v. 12, n. 2, p. 99-103, 1995.
RIBEIRO, Giselle Rodrigues et al. Saúde bucal e função mastigatória em pacientes com doença de Parkinson. 2016. Tese (Doutorado em Clínica Odontológica na área de Prótese Dental) - Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas.
LOREFÄLT, B. et al. Hábitos alimentares e ingestão de nutrientes em pacientes idosos com doença de Parkinson. Gerontology , v. 52, n. 3, p. 160-168, 2006.
VAN STIPHOUT, Marjolein AE et al. Oral Health of Parkinson’s Disease Patients: A CaseControl Study. Parkinson’s Disease, v. 2018, 2018.
DORSEY, ERlet al. Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030. Neurology, v. 68, n. 5, p. 384-386, 2007.
YAMAGUCHI, Bruna; FERREIRA, Manoela de Paula; ISRAEL, Vera Lúcia. A multidisciplinaridade na redução da levodopa na pessoa com doença de Parkinson avançada. Acta Fisiatr., v. 23, n.4, p. 197-200, 2016.
CICCIU, Marco et al. Periodontal health and caries prevalence evaluation in patients affected by Parkinson's disease. Parkinson’s disease, v. 2012, 2012.