Evidence map›Paper›PMID 30281826›Full record

Observational studyJournal of oral rehabilitation2019

Orofacial pain and its potential oral causes in older people with mild cognitive impairment or dementia.

Suzanne Delwel, Erik J A Scherder, Cees de Baat, Tarik T Binnekade, Johannes C van der Wouden, Cees M P M Hertogh, Andrea B Maier, Roberto S G M Perez, Frank Lobbezoo

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of oral rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Oral Health Status and Need for Oral Care in an Aging Population: A Systematic Review.International journal of environmental research and public health · 2019
    Pooled it
  4. Trial
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  8. Article
  9. Article
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  12. Review
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  14. Article
  15. Decision-Making concerning Involuntary Oral Care for Older Individuals with Dementia.International journal of environmental research and public health · 2022
    Article
  16. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Suzanne DelwelDepartment of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-6836-5394
Erik J A ScherderDepartment of Clinical Neuropsychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Cees de BaatDepartment of Oral Function and Prosthetic Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands.
Tarik T BinnekadeDepartment of Clinical Neuropsychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Johannes C van der WoudenDepartment of General Practice & Elderly Care Medicine, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.
Cees M P M HertoghDepartment of General Practice & Elderly Care Medicine, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.
Andrea B MaierDepartment of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Victoria, Australia.
Roberto S G M PerezDepartment of Anesthesiology, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.
Frank LobbezooDepartment of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-9877-7640
Academic Center for Dentistry Amsterdam · NLAmsterdam Public Health · NLVrije Universiteit Amsterdam · NLAmsterdam UMC Location Vrije Universiteit Amsterdam · NLRadboud University Nijmegen · NLThe Royal Melbourne Hospital · AU

Funding

Alzheimer Nederland WE.09-2012-02Amstelring RVB U-9107-2013/HM/wbArnold Oosterbaan HersenstichtingFonds NutsOhra 1130-046Roomsch Catholijk Oude Armen Kantoor U-9128-2012 HM/lwStichting Beroepsopleiding Huisartsen (SBOH)Stichting Henriëtte Hofje
6 · The paper itself

Abstract

backgroundThe number of people with dementia and natural dentition is growing. As dementia progresses, the degree of self-care decreases and the risk of oral health problems and orofacial pain increases.

objectivesTo examine and compare the presence of orofacial pain and its potential causes in older people with Mild Cognitive Impairment (MCI) or dementia.

methodsIn this cross-sectional observational study, the presence of orofacial pain and its potential causes was studied in 348 participants with MCI or dementia with all levels of cognitive impairment in two outpatient memory clinics and ten nursing homes.

resultsOrofacial pain was reported by 25.7% of the 179 participants who were considered to present a reliable pain self-report (Mini-Mental State Examination score ≥14 points), while it could not be determined in people with more severe cognitive impairment. The oral health examination of the 348 participants indicated that potential painful conditions, such as coronal caries, root caries, tooth root remnants or ulcers were present in 50.3%. There was a significant correlation between the level of cognitive impairment and the number of teeth, r = 0.185, P = 0.003, teeth with coronal caries, r = -0.238, P < 0.001, and the number of tooth root remnants, r = -0.229, P = 0.004, after adjusting for age.

conclusionsThis study indicated that orofacial pain and its potential causes were frequently present in participants with MCI or dementia. Therefore, a regular oral examination by (oral) healthcare providers in people with MCI or dementia remains imperative, even if no pain is reported.

Indexed as

Dental Care for Chronically IllGeriatric AssessmentOral HealthAgedAged, 80 and overCognitive DysfunctionCross-Sectional StudiesDementiaDental Care for AgedDental CariesEatingFacial PainFemaleHumansMaleNursing Homesagedcognitive dysfunctionfacial paingeriatric dentistryoral healthtoothache

Identifiers

PMID30281826
PMCPMC7380060
OpenAlexW2895350615

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.