Peer-Reviewed Articles

Jonker, M., Engelsma, C., Manton, D. J., & Visser, A.

Many individuals with dementia show care-resistant behavior toward oral care, while care providers are often reluctant to provide it involuntarily, risking negative health outcomes. This study aims to identify the barriers and facilitators of providing involuntary oral care for individuals with dementia who show care-resistant behavior.

Zandinejad, A., Floriani, F., Lin, W. S., & Naimi-Akbar, A.

Clinically, both the milled and the 3D-printed CD fared better than conventional dentures in terms of retention, reduction in the number of appointments, improved patient comfort, and improved predictable maintenance of the denture. Patients' perceptions and satisfaction were independent of the digital and conventional fabricated dentures.

Awawdeh, M., Alotaibi, M. B., Alharbi, A. H., Alnafisah, S. A., Alasiri, T. S., & Alrashidi, N. I.

This systematic review examines patients' satisfaction rates and the factors that influence RPD satisfaction.

Schoppmeier, C. M., Deeg, I., Wicht, M. J., & Barbe, A. G.

Retrospective cross-sectional analysis assessing the relationship between anticholinergic burden and salivary secretion in older adults.

Geddis-Regan, A., Wassall, R. R., Abley, C., & Exley, C.

People living with dementia and carers had specific expectations of dental care yet felt passive in decision-making despite their desire to be involved in this process. Dentists should seek to actively establish patients' preferences, regardless of mental capacity and consider these in discussions and decisions about dental treatment.

Gonçalves, G. S. Y., de Magalhães, K. M. F., Rocha, E. P., Dos Santos, P. H., & Assunção, W. G.

OHRQoL and satisfaction in patients whose rehabilitation was based on the all-on-four concept were high. However, the current evidence is still limited by the quality of the available studies, making long-term randomized studies necessary to establish the real effectiveness of this surgical-prosthetic approach.

Limpuangthip, N., Tumrasvin, W., & Sakultae, C.

This study developed the Chulalongkorn University Masticatory Index (CUMI) as a patient-reported tool for assessing chewing ability in individuals wearing dental prostheses. The index uses foods of varying difficulty levels to estimate masticatory function and was shown to provide a reliable alternative to traditional objective chewing tests, which are often more complex to perform in clinical settings.

Kutkut, A., Bertoli, E., Frazer, R., Pinto-Sinai, G., Fuentealba Hidalgo, R., & Studts, J.

Results of this systematic review indicate the superiority of IODs retained by two unsplinted mandibular implants when compared to CCDs with regards to efficacy, satisfaction and quality of life.

Delwel, S., Perez, R. S. G. M., Maier, A. B., Hertogh, C. M. P. M., de Vet, H. C. W., Lobbezoo, F., & Scherder, E. J. A.

The orofacial pain presence in this MCI and dementia population was low, resulting in low scores for average Positive Agreement and sensitivity and high scores for average Negative Agreement and specificity. Therefore, the OPS- NVI in its current form cannot be recommended as a screening tool for orofacial pain in people with MCI and dementia.

Delwel, S., Binnekade, T. T., Perez, R. S. G. M., Hertogh, C. M. P. M., Scherder, E. J. A., & Lobbezoo, F.

The studies included in the current systematic review suggest that older people with dementia have high levels of plaque and many oral health problems related to oral soft tissues, such as gingival bleeding, periodontal pockets, stomatitis, mucosal lesions, and reduced salivary flow.

Alghadir, A. H., Zafar, H., Al-Eisa, E. S., & Iqbal, Z. A.

Postural modification may help in rehabilitation of patients with dysphagia by affecting bolus flow to improve speed and safety of swallowing by closure of airways to prevent aspiration.

Iinuma, T., Arai, Y., Abe, Y., Takayama, M., Fukumoto, M., Fukui, Y., Iwase, T., Takebayashi, T., Hirose, N., Gionhaku, N., & Komiyama, K

This study provided empirical evidence that denture wearing during sleep is associated not only with oral inflammatory and microbial burden but also with incident pneumonia, suggesting potential implications of oral hygiene programs for pneumonia prevention in the community.

Mylonas, P., Afzal, Z., & Attrill, D. C. (2014).

The aims of the study were to develop a method of quantifying denture cleanliness and evaluate the quality of clinical record keeping; record baseline denture cleanliness for 30 patients; introduce denture hygiene instruction (DHI); and then re-assess the patients for improvement and enhanced record keeping.

Komagamine, Y., Kanazawa, M., Kaiba, Y., Sato, Y., & Minakuchi, S.

This study evaluated the reliability and validity of the Patient’s Denture Assessment (PDA) questionnaire, a patient-reported outcome measure designed to assess satisfaction with complete dentures. The results showed that the questionnaire provides a reliable and structured way for patients to self-assess denture comfort, stability, chewing ability, speech, and overall satisfaction.

Cera, M. L., Ortiz, K. Z., Bertolucci, P. H., & Minett, T. S.

Alzheimer's disease (AD) affects not only memory but also other cognitive functions, such as orientation, language, praxis, attention, visual perception, or executive function. Speech and orofacial apraxias were evident in patients with AD and became more pronounced with disease progression.

Jablonski, R. A., Kolanowski, A., Therrien, B., Mahoney, E. K., Kassab, C., & Leslie, D. L.

Background: Nursing home residents with dementia are often dependent on others for mouth care, yet will react with care-resistant behavior when receiving assistance. The oral health of these elders deteriorates in the absence of daily oral hygiene, predisposing them to harmful systemic problems such as pneumonia, hyperglycemia, cardiac disease, and cerebral vascular accidents. The purpose of this study is to determine whether care-resistant behaviors can be reduced, and oral health improved, through the application of an intervention based on the neurobiological principles of threat perception and fear response. The intervention, called Managing Oral Hygiene Using Threat Reduction, combines best mouth care practices with a constellation of behavioral techniques that reduce threat perception and thereby prevent or de-escalate care-resistant behaviors.

Muller, K., Morais, J., & Feine, J

The purpose of this study was to evaluate the nutritional status of edentulous patients who randomly received either a mandibular conventional denture (CD) or an implant-supported overdenture (IP) 1 year previously. Patients in the CD group had significantly lower ratings for items regarding difficulty in chewing (p<0.05), but no significant difference was found for dietary intake (p>0.05). Although the CD wearers reported having more difficulty in chewing hard foods, both groups appeared to have a similar nutritional status.

Chalmers, J. M., King, P. L., Spencer, A. J., Wright, F. A., & Carter, K. D.

The Oral Health Assessment Tool (OHAT) is a validated screening instrument designed to help healthcare staff assess oral health in older adults, particularly in residential aged care settings. The study demonstrated that OHAT is reliable and easy for non-dental staff to use, allowing early identification of oral health problems and timely referral for dental care.

Anastassiadou, V., Naka, O., Heath, M. R., & Kapari, D.

The Functional Assessment of Dentures (FAD) is a validated clinical index designed to assess the functional quality of complete dentures using a structured 10-item checklist. It evaluates key aspects such as retention, stability, occlusion, and extension to help clinicians identify functional problems and document denture performance consistently.

Budtz-jørgensen, E.

Introduction of a prosthesis into the oral cavity results in profound alterations of the environmental conditions as the prosthesis and the underlying mucosa become colonized with oral microorganisms, including Candida spp. This may lead to denture stomatitis, a non-specific inflammatory reaction against microbial antigens, toxins and enzymes produced by the colonizing microorganisms.