Table 3: Descriptive characteristics of the reviewed articles
based on PICO structure.
Author,
year |
Population,
problem, patient (P) |
Intervention
(I) |
Comparison
(C) |
Outcomes
(O) |
Ribeiro, et al. [4] |
N = 17 patients were with PD
(mean age 69.4 ± 4.7 years). |
OHRQoL and
ME evaluations before and two months after wearing removable dentures. |
The control group consisted
of 17 elders (10 men and 7 women; mean age 70.7 ± 4.7 years). |
1. Controls showed an improvement in ME after insertion of the
removable prosthesis. 2. ME was also lower for elders with PD when compared with controls at
baseline. 3. After the insertion of removable prostheses, those with PD showed a
76.1% decrease in total OHIP-49 scores (P < 0.05). |
Ribeiro, et al. [5] |
N = 17 patients, with PD,
(mean age = 69.41 ± 4.65 years). |
A kinesiographic
device usage to measure the range of jaw motion and movements, while chewing
a silicone test material (Optocal). Masticatory performances and
maximum biting forces evaluation. |
The control group consisted
of 17 patients without PD, (mean age = 70.71 ± 4.65 years). |
1. In PD group: Decreased range of jaw motions, longer duration and
slower velocity of the masticatory cycle (P < 0.05), increased masticatory
performance and lower maximum bite force (P < 0.05). 2. No group differences were observed in opening and closing angles (P
> 0.05). |
Kaka, et al. [6] |
N = 1 patient was with PD,
aged 63 years. |
Intravenous midazolam
sedation to reduce movements before assessing condition of the teeth and mouth. |
None. |
1. Midazolam reduced her involuntary movements after 2 mg of
intravenous sedation. 2. A total of 4 mg of midazolam was needed for sedation during
treatment. 3. Supplementary oxygen was needed (2l), due to saturation lower than
90%. 4. Sedation with midazolam was not enough, and general anesthesia was needed
in order to complete the treatment. |
DeMaagd, et
al. [8] |
Patients, affected with PD,
have both symptomatic motor and non-motor features. |
Assessing patients’ quality
of life. |
None. |
1. Treatment of symptomatic motor and non-motor features of PD can
improve patients’ quality of life |
Liu, et al. [10] |
N = 1, edentulous patient
with PD, 6 years after deep brain stimulation (DBS) procedure. |
All-on-4 implantation for
rehabilitation of edentulous mandible, with a fixed detachable dental
prosthesis. |
None. |
1. Implants integrated 4 months after the surgery. 2. 1 year after the procedure, soft tissues showed no signs of
inflammation. 3. Patient stated that his quality of life has increased considerably. |
DeMaagd, et
al. [11] |
Population of younger
patients with PD (45-55 years-old). |
Levodopa therapy. |
None. |
1. Dyskinesia and dystonia
are associated with levodopa treatment. The longer the patient uses this
drug, the higher the chance of dyskinesia. |
Faggion, et al. [12] |
Ensuring good hygiene and
reducing inflammatory complications for patients, with neurodegenerative
diseases, such as PD. |
Restoring chewing function
with prosthesis on dental implants, and using. |
None. |
1. It is very important, that the caregivers of the elderly patients
also take part in taking care of the prosthesis. 2. Periimplantitis is a very serious
disease, which is why, especially for patients, with PD, the number of
implants used, should be kept to a minimum. |
Sato,
et al. [13] |
What the optimal dental
prosthetic designs to ensure good quality of life for the patients. |
Restoring patients’ masticatory
function with prosthetic systems that are easy to clean, easy to remove from
the mouth, and does not require vigorous cleaning routines. |
None. |
1. Making designs, of prosthesis, that is easier to clean, over
aesthetically good-looking ones. 2. Choosing removable prosthesis, instead of non-removable ones,
because they are easier to clean. 3. Improve care givers skills of taking care of the elderly patient’s
prosthesis hygiene. |
Ribeiro,
et al. [14] |
N = 17; elders with PD (mean
age 69.41 ± 4.65 years; 8 women and 9 men). |
Prostheses were rinsed in
running water for 5 s to remove food debris. Then, 1% neutral red was applied
to eight regions of complete dentures. Biofilm presence on the artificial
teeth and acrylic resin in each region of maxillary and mandibular prostheses
was scored according to the area covered: 0 = no biofilm, 1 = light biofilm
(1% to 25% of area), 2 = moderate biofilm (26% to 50%), 3 = heavy biofilm
(51% to 75%), and 4 = very heavy biofilm (76% to 100%). After 7, 14, and 30
days, the presence of biofilm on the artificial teeth and acrylic resin of
prostheses were re-evaluated and positive reinforcement was given to
participants. |
20 elders without PD (mean
age 72.00 ± 5.69; 10 women and 10 men). |
1. More biofilm was present
on the maxillary prostheses of participants with PD than on those of controls
at baseline and at 7 and 14 days. 2. Only at 7 days more
biofilm was observed on the mandibular prostheses of participants with PD. 3. No difference was
observed between groups for maxillary or mandibular prostheses at 30 days. 4. The presence of biofilm
on maxillary and mandibular prostheses was reduced over time in both groups
(p < 0.05). 5. For the maxillary
prostheses, both groups showed hygiene improvement at 7 days, which was
maintained throughout the 30-day study period. The mandibular prostheses in
the control group showed similar results. 6. The mandibular prostheses
of participants with PD showed significant improvement in hygiene only at 14
and 30 days. |
Fukuoka,
et al. [15] |
N = 24; PD patients (12 men,
12 women; mean age ± SD: 70.4 ± 7.9 years; age range 54-89 years). |
Tongue pressure when
swallowing 5 mL of barium on video fluorography was measured using a sensor
sheet with five sensors. The maximal magnitude (kPa),
duration(s), time to peak pressure(s), and pressure gradient (kPa/s) of tongue pressure were analyzed. |
Dysphagic PD
group (n = 9) and non-dysphagic PD group (n = 15). |
1. There was no significant
difference in maximal tongue pressure between both groups. 2. The dysphagic
PD group had prolonged duration of tongue pressure and time to peak pressure
and a reduced pressure gradient compared with the non-dysphagic
PD group. |
Rodrigues Ribeiro, et al. [17] |
N = 11. Partially (n = 7) or
totally (n = 4) edentulous patients had received rehabilitation with new
removable dental prostheses. |
Masticatory function was evaluated by mandibular movements, maximum
bite force (MBF), and masticatory performance (MP). Mandibular movements
reflecting jaw range of motion (ROM) and jaw movements while chewing silicone
test material (Optocal), were evaluated using a kinesiograph. MBF was assessed by strain sensors, and MP
was determined using the median Optocal particle
size (X50) after 40 masticatory cycles. |
Evaluations were carried out
30 min before levodopa intake (off-period) and within a 3-day interval 1 hour
after levodopa intake (on-period). |
During the levodopa off-period, elders showed decreased ROM during
protrusion and lateral movements, while no difference was found in maximum
opening and mandibular movements during chewing. MBF was lower and X50 was
higher during the off-period, indicating worse mastication. |
Fereshtehnejad, et al. [18] |
Patients with dementia and
PD have less dental care visits, than people, who are not affected by these diseases. |
The rate of dental visits
changes, after the patients were diagnosed with PD. |
None. |
1. The rate of dental visits per year decreases to 0.8 3 years after
the diagnosis of dementia. 2. Caregivers of elderly, affected with dementia and PD should be informed,
about the assistance that is required. |
Suttrup, et
al. [19] |
Patients who suffer from PD
frequently develop dysphagia. |
Impaired swallowing. |
None. |
1. Swallowing difficulties
complicate medication intake, lead to malnutrition and aspiration pneumonia,
therefore - reduce patients’ quality of life. |
Ribeiro, et al. [20] |
N = 17 (mean age 69.59 ± 5.09
years) patients with PD. |
Objective assessment: Remaining
teeth, DMFT, VPI, salivary flow rate, removable prosthesis conditions.
Subjective assessment: Self-perception of oral health using GOHAI index. |
N = 20 (mean age 72.00 ± 5.69
years) healthy volunteers. |
1. There were no group
differences in the number of remaining teeth, DMFT, VPI or salivary flow rate
(p > 0.05). 2. GOHAI scores were low for
the PD group and moderate for controls (p = 0.04). 3. Elders with PD have
similar oral health to controls. 4. Although all elders had
few remaining teeth, high DMFT and high VPI, PD elders had more negative
self-perceptions of their oral health than did the controls. |
DBS: Deep Brain Stimulation; DMFT: Decayed,
Missing and Filled Teeth; GOHAI: General Oral Health Assessment Index; MBF:
Maximum Bite Force; ME: Masticatory Efficiency; MP: Masticatory Performance;
OHIP: Oral Health Impact Profile; OHRQoL: Oral Health
Related Quality of Life; PD: Parkinson’s Disease; ROM: Range of Motion; VPI: Visible
Plaque Index.