Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
권호 표지
DOI QR코드

DOI QR Code

Analysis of periodontal pathogens in care facilities for the elderly with dementia

Real-time PCR을 이용한 요양보호시설 치매 노인의 구강 병원성 미생물 분석

  • Ko, Hyo-Jin (Departments of Dental Hygiene, Choonhae College Of Health Sciences) ;
  • Jeon, Eun-Suk (Departments of Dental Hygiene, Choonhae College Of Health Sciences) ;
  • Kim, Hye-Jin (Departments of Biomedical Health Science, Graduate School, Dongeui University)
  • 고효진 (춘해보건대학교 치위생과) ;
  • 전은숙 (춘해보건대학교 치위생과) ;
  • 김혜진 (동의대학교 대학원 보건의과학과)
  • Received : 2016.11.29
  • Accepted : 2017.02.08
  • Published : 2017.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this research is to examine oral pathogen distribution among elderly with dementia in a care facility to understand the importance of preventively managing oral diseases in terms of preventively managing senile diseases. Methods: From 11th August 2015 to 11th October 2015, gingival crevicular fluid was collected from 130 subjects consisting of demented/non-demented elderly people aged above 65 in care facilities located in the regions of Busan/Gyeonggnam. Based on collected data, real-time PCR analysis on oral pathogen was conducted. Results: The demented elderly group consisting of female patients aged from 0 to 79 indicated higher ratios of T. denticola in comparison to the non-demented elderly group, and the demented elderly group consisting of female patients aged above 80 indicated a high ratio of S. mutans. It was confirmed that P. gingivalis and T. forsythensis categorized under the red complex are correlated, and that bacterial species categorized under the orange complex and bacterial species categorized under the red complex are correlated. Conclusions: Because eldery people with demntia are exposed to periodontal disease and dental caries, their oral environments are more vulnerable. In order to improve such environments, it is necessary to provide care facility personnel with an opportunity to receive education to become aware of the importance of oral health, and it is also necessary to compulsorily assign dental hygienists to care facilities so that they can serve as personnel specializing in oral health management.

Keywords

References

  1. Elderly Welfare Act [Enforcement Date 29. April, 2015] [Act No. 13102, 28. Jan, 2015], Partial Amendment] Ministry of Health and Welfare, 28.
  2. Statistics Korea. 2014 elderly statistics [internet]. Statistics Korea; 2014. Available from: https://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=330349
  3. Mendez MF, Cummings JL. Dementia: a clinical approach. 3rd ed. Philadelphia: Butterworthheinemann; 2003;654.
  4. Oh YH. The health status of older koreans and policy considerations. 3rd ed. Seoul: Korea Institute for Health and Social Affairs; 2013: 29-39.
  5. Jo YH. Family caregivers' needs for a professional help by the symptom level of senile dementia [Master's thesis]. Seoul: Univ. of Yeonsei, 2006.
  6. Chalmers J, Johnson V, Tang JH, Titler MG. Evidence-based protocol: Oral hygiene care for functionally dependent and cognitively impaired older adults. J Gerontol Nurs 2004;30:5-12.
  7. Muligan R, Navazesh M. Relationship between oral conditions and systemic disease in the elderly, J Dent Res 1992;71:31.
  8. Petersen PE. Globl policy for improvement of health in the 21st century-implications to oral health research of World Health Assembly 2007, World Health Orgnization. Community Dent Oral Epidemiol 2009;37:1-8. https://doi.org/10.1111/j.1600-0528.2008.00448.x
  9. Kroes I, Lepp PW, Relman DA. Bacterial diversity within the human subgingival crevice. Proc Natl Acad Sci 1999;96:14547-52. https://doi.org/10.1073/pnas.96.25.14547
  10. Jung JH, Kim KY, Jeong SH, Kim KS, Lee YM. The effect of oral health behaviors on the periodontal status of teenagers. J Korean Soc Dent Hyg 2014;14:163-71. https://doi.org/10.13065/jksdh.2014.14.02.163
  11. Socransky SS, Haffajee AD. The bacterial etiology of destructive periodontal disease-current concepts. J Periodontol 1992;63:22-31.
  12. Berbari EF, Cockerill FR 3rd, Steckelberg JM. Infective endocarditis due to unusual or fastidious microorganisms. Mayo Clin Proc 1997;72:532-42. https://doi.org/10.1016/S0025-6196(11)63302-8
  13. Scannapieco FA. Role of oral bacteria in respiratory infection. J Periodontol 1999;70:793-802. https://doi.org/10.1902/jop.1999.70.7.793
  14. Offenbacher S, Jared HL, O'Reilly PG, Wells SR, Salvi GE, Lawrence HP, et al. Potential pathogenic mechanisms of periodontitis associated pregnancy complications. Ann Periodontol 1998;3:233-50. https://doi.org/10.1902/annals.1998.3.1.233
  15. Amar S, Han X. The impact of periodontal infection on systemic diseases. Med Sci Monit 2003;9:291-9.
  16. Yun JH, Park JE, Kim DI, Lee SI, Choi SH, Jo GS, et al. Identification of putative periodontal pathogens in Korean chronic periodontitis patients. J Periodontal Implant Sci 2008;38:143-52.
  17. Kim SM, Yang GH, Chio NG, Oh JS, Kang MS. QuantItative deteceion of periodontopathic bacteria using real-time PCR. J Korean Acad Pediatr Dent 2008; 35:494-503.
  18. Kim SM, Yang GH, Chio NG, Oh JS, Kang MS. Periodontopathic bacteria in down's syndrome. J Korean Acad Pediatr Dent 2005;32:717-25.
  19. Jang JY, Nam YS. Analysis of factors related to the dental caries and periodontal diseases of the elderly. J Korean Soc Dent Hyg 2012;12:1173-82. https://doi.org/10.13065/jksdh.2012.12.6.1173
  20. Jang HK, Choi EM, Son BS. Oral health of the elderly people receiving nursing care and home care serivces in Chungnam. J Korean Soc Dent Hyg 2015;15:565-74. https://doi.org/10.13065/jksdh.2015.15.04.565
  21. Fanny E, Martin S, Elena D, Sandra V, Giannelli, Christoph E, et al. Tooth loss, chewing efficiency and cognitive impairment in geriatric patients. Gerodontol 2015;32:149-56. https://doi.org/10.1111/ger.12079
  22. Zambon JJ. Periodontal diseases: microbial factors. Ann Periodontol 1996;1:879-925. https://doi.org/10.1902/annals.1996.1.1.879
  23. Jorm AF, Korten AE, Henderson AS. The prevalence of dementia: a quantitative integration of the literature. Acta Psychiatry Scand 1987;76:465-79. https://doi.org/10.1111/j.1600-0447.1987.tb02906.x
  24. Desrosiers M, Donegan SJ, Yepes JF, Kry-scio RJ. Tooth loss, dementia and neuropathology in the Nun study. J Am Dent Assoc 2007;138:1314-22. https://doi.org/10.14219/jada.archive.2007.0046
  25. Haffajee AD, Teles RP, Socransky SS. Association of eubacterium nodatum and treponema denticola with human periodontitis lesions. Oral Microbiol Immunol 2006;21:269-82. https://doi.org/10.1111/j.1399-302X.2006.00287.x
  26. Jeon MJ, Kim DK, Lee BJ. Oral health status of elderly long-term hospitalized patients with and without dementia in Jeollanam-do, South Korea. J Korean Acad Dent Health 2008;32:299-308.
  27. Dzink JL, Tanner AC, Haffajee AD, Socransky SS. Gram negative species associated with active destructive periodontal lesions. J Clin Periodontol 1985;12:648-59. https://doi.org/10.1111/j.1600-051X.1985.tb00936.x

Cited by

  1. 요양시설 치매노인들의 융합적 구강환경 연구 vol.10, pp.12, 2017, https://doi.org/10.15207/jkcs.2019.10.12.109