56 research outputs found

    Waarom kauwen en mondzorg belangrijk zijn - juist ook bij dementia

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    Dementie is een aandoening, die voor geheugen- en gedragsproblemen zorgt. Meestal is opname in een verzorgings- of verpleeghuis onvermijdelijk. Na opname wordt bij de patiënt vaak een vervuilde mond - met soms pijnlijke aandoeningen - aangetroffen. Hierdoor kan iemand soms niet meer kauwen. Uit onderzoek blijkt dat er een relatie is tussen de kauwfunctie en verschillende hersenfuncties. Het is belangrijk dat de kauwfunctie en de mondgezondheid bij ouderen met een dementie behouden blijven. Door middel van nieuw onderzoek werd geprobeerd de mondzorg te verbeteren, zodat de patiënten meer zouden gaan kauwen, om op die manier het geheugen en het gedrag te verbeteren. Tijdens het onderzoek bleek het erg moeilijk mondzorg te verlenen aan ouderen met een dementie. Vooral het omgaan met afweergedrag werd als lastig ervaren. Daarnaast was er gebrek aan kennis en aan vaardigheden bij de verzorgenden. Zorgverleners kunnen veel winst behalen wanneer zij de tijd nemen om een manier te vinden die het probleemgedrag vermindert

    Chew the pain away - Oral habits to cope with pain and stress, and to stimulate cognition?

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    The acute effects of chewing gum on cognitive performance, stress, and pain have been intensively studied in the last decade. The results have been contradicting, and replication studies proved challenging. Here, we review some of the recent findings of this topic and explore possible explanations for these discrepancies by incorporating knowledge derived from studies into oral habits and bruxism. Both stress and cerebral functional specialization (i.e., the involvement of specific brain structures in distinctive cognitive processes) are hypothesized to play a major role in the underlying physiological mechanisms of the diverse effects of chewing gum on cognition, stress, and pain

    Mastication for the mind-The relationship between mastication and cognition in ageing and dementia

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    The goal of this literature review has been to investigate the relationship between mastication and cognition, with a special focus on ageing and dementia, and its possible underlying mechanisms. Since the relationship between mastication and cognition is not yet firmly established, and is investigated in the context of a number of different disciplines, a comprehensive overview will contribute to our knowledge. The results of animal and human experimental studies suggest a causal relationship between mastication and cognition. Furthermore, correlations exist between mastication and activities of daily living and nutritional status. These findings have compelling implications for the development of prevention strategies by which medical and nursing staff may optimize their care for the frail and elderly, suffering from dementia

    Topical review: orofacial pain in dementia patients: a diagnostic challenge

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    This article presents a comprehensive review of the literature on the diagnosis of pain in the orofacial region of patients suffering from a cognitive impairment or a dementia. This review was based on a literature search yielding 74 papers, most of which dealt with the assessment of pain in general in nonverbal individuals, for which several observational tools were developed. Unfortunately, none of these tools have been designed for the specific assessment of orofacial or dental pain. Thus, none of them can be recommended for use in the dental setting. There is hardly any information available in the literature on how to assess orofacial and/or dental pain in patients with a cognitive impairment or a dementia. Given the expected increase in the incidence of dementia over the upcoming decades, it is of the utmost importance that dentists can use well-tested tools that can help them in the diagnosis of orofacial and dental pain in this vulnerable patient population. Such tools should incorporate specific orofacial/dental pain indicators, such as the patient holding/rubbing the painful orofacial area, limiting his/her mandibular movements, modifying his/her oral behavior, and being uncooperative/resistant to oral care
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