Evaluation Of Periodontal Status In Patients Reporting For Treatment Of Alzheimer Disease: An Observational Study

Abstract

Alzheimer Disease is  a neurological disorder common  among aged population with increasing prevalence with multifactorial etiology. Despite a large improvement in understanding the pathogenesis of AD, the etiology of this disorder is unexplored and no treatment is able to prevent, slow or stop its progression at present.(1) The progression and development AD is new focus of interest due to its molecular mechanism MATERIALS AND METHODS:Patient reporting with Alzheimer’s disease in the Department of Oral Medicine, Department of Periodontology in Sri Ramachandra Dental college and Hospital and Dementia clinic in Sri Ramachandra Medical Centre were chosen for the study. The sample size of the study was 31 patients as calculated by single mean hypothesis testing. The clinical parameters to asses the periodontal status were the periodontal Inflamed Surface Area(PISA),OHI-S and Oral Health Assessment Tool (OHAT).A proforma was prepared to assimilate history of Alzheimer’s disease in patient and also record current periodontal status.

RESULTS:Alzheimer’s disease and occurrence of periodontitis is directly co-related to oral hygiene of patient. Poor oral hygiene is a predisposing factor for Alzheimer disease.

CONCLUSION:The patient suffering from Alzheimer’s disease and early dementia had higher probability with the occurrence of periodontitis. The prevalence of periodontitis is directly correlated to poor oral hygiene and lack of manual dexterity..