20 research outputs found
Improvement of oral function and hygiene in Parkinson's disease:a randomised controlled clinical trial
Effect of orofacial physiotherapeutic and hygiene interventions on oral health-related quality of life in patients with Parkinson's disease:A randomised controlled trial
BACKGROUND: Parkinson's disease (PD) has a negative effect on oral health and orofacial function, but the subjective experience of orofacial symptoms and their impact on the quality of life is not fully investigated. In addition, knowledge of how to improve the subjective oral symptoms is lacking. OBJECTIVES: To assess the selfâreported orofacial function and oral health in patients with PD. Furthermore, to investigate the effect of interventions for improvement of oral hygiene and function on oral healthârelated quality of life (OHRQoL). METHODS: A randomised controlled study with delayed intervention was conducted in 29 patients with moderate to advanced PD. Patients were instructed in a standardised exercise programme for the jaw and orofacial muscles and given an individualised oral hygiene programme. The effect on selfâreported orofacial function and OHRQoL was measured after 2 and 4Â months using the Nordic Orofacial TestâScreening (NOTâS), the oral health impact profile (OHIPâ14), selfâreported drooling score and subjective mastication ability. RESULTS: Selfâreported oral health and function before the intervention was significantly correlated to the severity and duration of PD. The NOTâS and drooling score were significantly improved by the interventions after 2Â months and the OHIPâ14 after 4Â months. CONCLUSION: The interventions improve the selfâreported orofacial function and OHRQoL. These simple interventions can be implemented in the allied multidisciplinary health care surrounding the PD patient