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Dental Health and Dementia: More than Forgetfulness

Course Number: 566

References / Additional Resources

  1. Ryder MI, Xenoudi P. Alzheimer disease and the periodontal patient: New insights, connections, and therapies. Periodontol 2000 2021; 87: 32-42.

  2. Ryder MI. Porphyromonas gingivalis and Alzheimer disease: Recent findings and potential therapies. J Periodontol 2020; 91(Suppl): S45-S49.

  3. Thomson WM, Barak Y. Tooth loss and dementia: A critical examination. J Dent Res 2021; 100(3): 226-231.

  4. Dominy SS, Lynch C, Ermini F, et al. Porphyromonas gingivalis in Alzheimer’s disease brains: Evidence for disease causation and treatment with small-molecule inhibitors. Sci Adv. 2019 Jan 23;5(1):eaau3333. doi: 10.1126/sciadv.aau3333.

  5. Ilievski V, Zuchowska PK, Green SJ, et al. Chronic oral application of a periodontal pathogen results in brain inflammation, neurodegeneration, and amyloid beta production in wild type mice. PLoS One. 2018 Oct 3;13(10):e0204941. doi: 10.1371/journal.pone.0204941.

  6. Chen, CK, Wu YT, Chang YC. Association between chronic periodontitis and the risk of Alzheimer’s disease: a retrospective, population-based, matched cohort study. Alzheimers Res Ther. 2017 Aug 8;9(1):56. doi: 10.1186/s13195-017-0282-6.

  7. Kamer AR, Dasanayake AP, Craig RG, et al. Alzheimer’s disease and peripheral infections: the possible contribution from periodontal infections, model and hypothesis. J Alzheimers Dis. 2008 May;13(4):437-49.

  8. Kamer AR, Craig RG, Dasanayake AP, et al. Inflammation and Alzheimer’s disease: possible role of periodontal diseases. Alzheimers Dement. 2008 Jul;4(4):242-50. doi: 10.1016/j.jalz.2007.08.004.

  9. World Health Organization. Fact Sheets. Dementia. Accessed August 2, 2022.

  10. Xu J, Zhang Y, Qiu C, Cheng F. Global and regional economic costs of dementia: a systematic review. Lancet. 2017; 390: S47.

  11. Plassman BL, Langa KM, Fisher GG, et al. Prevalence of Dementia in the United States: The Aging, Demographics, and Memory Study. Neuroepidemiology. 2007;29(1-2):125-32.

  12. Slade GD, Akinkugbe AA, Sanders AE. Projections of U.S. Edentulism Following 5 Decades of Decline. J Dent Res. 2014 Oct;93(10):959-65. doi: 10.1177/0022034514546165.

  13. Zenthöfer A, Baumgart D, Cabrera T, et al. Poor dental hygiene and periodontal health in nursing home residents with dementia: an observational study. Odontology. 2017 Apr;105(2):208-213. doi: 10.1007/s10266-016-0246-5.

  14. Zimmerman S, Austin S, Cohen L, et al. Readily Identifiable Risk Factors of Nursing Home Residents' Oral Hygiene: Dementia, Hospice, and Length of Stay. J Am Geriatr Soc. 2017 Nov;65(11):2516-2521. doi: 10.1111/jgs.15061.

  15. Jablonski RA, Kolanowski A, Therrien B, et al. Reducing care-resistant behaviors during oral hygiene in persons with dementia. BMC Oral Health. 2011 Nov 19;11:30. doi: 10.1186/1472-6831-11-30.

  16. Jablonski RA, Kolanoski AM, Azuero A, et al. Randomised clinical trial: Efficacy of strategies to provide oral hygiene activities to nursing home residents with dementia who resist mouth care. Gerodontology. 2018 Dec;35(4):365-375. doi: 10.1111/ger.12357.

  17. Jablonski R, Winstead V, Azuero A, et al. Feasibility of Providing Safe Mouth Care and Collecting Oral and Fecal Microbiome Samples from Nursing Home Residents with Dementia: Proof of Concept Study. J Gerontol Nurs. 2017 Sep 1;43(9):9-15. doi: 10.3928/00989134-20170811-04.

  18. Noble JM, Scarmeas N, Papapanou PN. Poor oral health as a chronic, potentially modifiable dementia risk factor: review of the literature. Curr Neurol Neurosci Rep. 2013 Oct;13(10):384. doi: 10.1007/s11910-013-0384-x.

  19. Nilsson H, Berglund J, Renvert S. Tooth loss and cognitive functions among older adults. Acta Odontol Scand. 2014 Nov;72(8):639-44. doi: 10.3109/00016357.2014.882983.

  20. Gil-Montoya JA, Sanchez-Lara I, Carnero-Pardo C, et al. Is periodontitis a risk factor for cognitive impairment and dementia A case control study. J Periodontol. 2015 Feb;86(2):244-53. doi: 10.1902/jop.2014.140340.

  21. Schmidt R, Schmidt H, Curb JD, et al. Early inflammation and dementia: a 25-year follow-up of the Honolulu-Asia aging study. Ann Neurol. 2002 Aug;52(2):168-74.

  22. Englehart MJ, Gerrling HI, Meijer J, et al. Inflammatory proteins in plasma and the risk of dementia: the rotterdam study. Arch Neurol. 2004 May;61(5):668-72.

  23. Kravitz BA, Corrada MM, Kawas CH. Elevated C-reactive protein levels are associated with prevalent dementia in the oldest-old. Alzheimers Dement. 2009 Jul;5(4):318-23. doi: 10.1016/j.jalz.2009.04.

  24. Flemmig TF. Periodontitis. Ann Periodontol. 1999 Dec;4(1):32-8

  25. Page RC, Schroeder HE. Pathogenesis of inflammatory periodontal disease. A summary of current work.

  26. Feres M, Teles F, Teles R, Figueiredo LC, Faveri M. The subgingival periodtnal microbiota of the aging mouth. Periodontol 2000. 2016 Oct;72(1):30-53. doi: 10.1111/prd.

  27. Noble JM, Scarmeas N, Celenti RS, et al. Serum IgG antibody levels to periodontal microbiota are associated with incident Alzheimer disease. PLoS One. 2014 Dec 18;9(12):e114959. doi: 10.1371/journal.pone.0114959.

  28. Laugisch O, Johnen A, Maldonado A, et al. Periodontal Pathogens and Associated Intrathecal Antibodies in Early Stages of Alzheimer's Disease. J Alzheimers Dis. 2018;66(1):105-114. doi: 10.3233/JAD-180620.

  29. Volicer L, van der Steen JT, Frijters DH. Modifiable factors related to abusive behaviors in nursing home residents with dementia. J Am Med Dir Assoc. 2009 Nov;10(9):617-22. doi: 10.1016/j.jamda.2009.06.004.

  30. Ishii S, Streim JE, Saliba D. Potentially reversible resident factors associated with rejection of care behaviors. J Am Geriatr Soc. 2010 Sep;58(9):1693-700. doi: 10.1111/j.1532-5415.2010.03020.x.

  31. Eke PI, Thornton-Evans GO, Wei L, et al. Periodontitis in US Adults: National Health and Nutrition Examination Survey 2009-2014, J Am Dent Assoc. 2018;149(7):576-588.e6.

  32. World Health Organization. International Statistical Classification of Diseases and Related Health Problems 10th Revision; 2016. Accessed November 22, 2022.

  33. Kalaria RN, Maestre GE, Arizaga R, et al. Alzheimer's disease and vascular dementia in developing countries: prevalence, management, and risk factors. Lancet Neurol. 2008 Sep;7(9):812-26. doi: 10.1016/S1474-4422(08)70169-8.

  34. Horton R. GBD 2010: understanding disease, injury, and risk. The Lancet. 2012;380(9859):2053–2054. 

  35. Ferri CP, Prince M, Brayne C, et al. Global prevalence of dementia: a Delphi consensus study. Lancet. 2005 Dec 17;366(9503):2112-7.

  36. Forette F, Boller F. Hypertension and the risk of dementia in the elderly. Am J Med. 1991 Mar;90(3A):14S-19S.

  37. Alzheimer’s Research UK. Dementia Statistics Hub. Different types of dementia. May 7, 2018. Accessed November 22, 2022.

  38. National Institute on Aging. Dementia Care Central. Lesser Known and Rare Types of Dementia. August 22, 2018. Accessed November 22, 2022.

  39. Hughes TF, Ganguili M. Modifiable midlife risk factors for late-life cognitive impairment and dementia. Curr Psychiatry Rev. 2009 May 1;5(2):73-92.

  40. Alzheimer’s Society. What is Alzheimer’s Disease? 2015. Accessed November 22, 2022.

  41. Van Cauwenberghe C, Van Broeckhoven C, Sleeger K. The genetic landscape of Alzheimer disease: clinical implicatios and perspectives. Genet Med. 2016 May;18(5):421-30. doi: 10.1038/gim.2015.117.

  42. Daniilidou M, Koutroumani M, Tsolaki M. Epigenetic mechanisms in Alzheimer’s disease. Curr Med Chem. 2011;18(12):1751-6.

  43. Sweeney MD, Sagare AP, Zlokovic BV. Blood-brain barrier breakdown in Alzheimer disease and other neurodegenerative disorders. Nat Rev Neurol. 2018 Mar;14(3):133-150. doi: 10.1038/nrneurol.2017.188.

  44. Dementia Care Central. Stages of Alzheimer’s & Dementia: Durations & Scales Used to Measure Progression: GDS, FAST & CDR. September 1, 2018. Accessed November 22, 2022.

  45. Flemmig TF. Periodontitis. Ann Periodontol. 1999 Dec;4(1):32-8.

  46. Page RC, Schroeder HE. Pathogenesis of inflammatory periodontal disease. A summary of current work. Lab Invest. 1976 Mar;34(3):235-49.

  47. Chapple ILC, Mealey BL, Van Dyke TE, et al. Periodontal health and gingival disease and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol 2018; 89(Suppl 1): S74-S84.

  48. Chapple ILC, Van der Weijden F, Doerfer C, et al. Primary prevention of periodontitis: managing gingivitis. Proceedings of the 11th European Workshop on Periodontology. J Clin Periodontol 2015; 42(Spec Iss 16): S71-S76.

  49. Mombelli A. Microbial colonization of the periodontal pocket and its significance for periodontal therapy. Periodontol 2000. 2018 Feb;76(1):85-96. doi: 10.1111/prd.12147. Epub 2017 Nov 30.

  50. AAP Glossary of Terms. Periodontitis. Accessed August 2, 2022.

  51. Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol 2018; 89(Suppl 1): S173-S182.

  52. Needleman I, Garcia R, Gkranias N, et al. Mean annual attachment, bone level, and tooth loss: A systematic review. J Periodontol 2018; 89(Suppl): S120-S139.

  53. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol 2018; 89(Suppl 1): S159-S172.

  54. Centers for Disease Control and Prevention (CDC). National Diabetes Statistics Report 2020. Estimates of Diabetes and its Burden in the United States.

  55. Centers for Disease Control and Prevention (CDC). Heart Disease Facts. Available at: Accessed August 2, 2022.

  56. Kornman KS, Page RC, Tonetti MS. The host response to the microbial challenge in periodontitis: assembling the players. Periodontol 2000. 1997 Jun;14:33-53.

  57. Löe H, Anerud A, Boysen H, et al. Natural history of periodontal disease in man. Rapid, moderate and no loss of attachment in Sri Lankan laborers 14 to 46 years of age. J Clin Periodontol. 1986 May;13(5):431-45.

  58. Michalowicz BS, Aeppli DP, Kuba RK, et al. A twin study of genetic variation in proportional radiographic alveolar bone height. J Dent Res. 1991 Nov;70(11):1431-5.

  59. Michalowicz BS, Aeppli DP, Virag JG et al. Periodontal findings in adult twins. J Periodontol. 1991 May;62(5):293-9.

  60. Kornman KS, Page RC, Tonetti MS. The host response to the microbial challenge in periodontitis: assembling the players. Periodontol 2000. 1997 Jun;14:33-53.

  61. Winning, L., Linden, G. Periodontitis and systemic disease. BDJ Team 2, 15163 (2015).

  62. Holmer J, Eriksdotter M, Schultzberg M, Pussinen P, Buhlin K. Association between periodontitis and risk of Alzheimer’s disease, mild cognitive impairment, and subjective cognitive decline: A case control study. J Clin Periodontol Oct 5 [Epub Ahead of Print].

  63. Gusman DJR, Mello-Neto JM, Alvex BES, Matheus HR< Ervolina E, Theodoro LH, de Almeida JM. Periodontal disease severity in subjects with dementia. Arch Gerontol Geriatr 2018; 76: 147-159.

  64. Maldonado A, Laugisch O, Bürgin W, Schulean A, Eick S. Clincial periodontal variables in patients with and without dementia – a systematic review and meta-analysis. Clin Oral Invest 2018; Jun 22

  65. Tonsekar PP, Jiang SS, Yue G. Periodontal disease, tooth loss, and dementia. Is there a link? A systematic review. Gerodontol 2012; 29: 36-42.

  66. Miklossy J. Alzheimer’s disease – a neurospichetosis. Analysis of evidence following Koch’s and Hill’s criteria. J Neuroinflam 2011; 8: 90.

  67. Van Charante EPM, Richard E, Eurelings LS, et al., Effectiveness of a 6-year multidomain vascular care intervention to prevent dementia (preDIVA): a cluster-randomised controlled trial. The Lancet 2016; 388: 797-805.

  68. Rivierre GR Riviere KH, Smith KS. Molecular and immunological evidence of oral Treponema in the human brain and their association with Alzheimer’s disease. Oral Microbiol Immunol 2002; 17: 113-118.

  69. Kamer AR, Craig RG, Pirraglia E, et al. TNF-alpha and antibodies to periodontal bacteria discriminate between Alzheimer’s disease patients and normal subjects. J Neuroimmunol 2009; 216: 92-97.

  70. Noble JM, Borrell JN, Papapanou PN, Elkind MS, Scarmeas N, Wright CB. Periodontitis is associated with cognitive impairment among older adults: analysis of NHANES-III. J Nuerol Neurosurg Psychiatry 2009; 80: 1206-1211.

  71. Poole S, Singhrao SK, Kesavalu L, Curtis MA, Crean S. Determining the presence of periodontopathic virulence factors in short term post-mortem Alzheimer’s disease brain tissue. J Alzheimers Dis 2013; 36: 665-677.

  72. Kamer AR, Pirraglia E, Tsui W, et al. Periodontal disease associated with higher brain amyloid load in normal elderly. Neurobiol Aging 2015; 36: 627-633.

  73. Singharao SK, Chukkapalli S, Poole S, Velsko I, Crean SJ, Kesavalu L. Chronic Porphryomonas gingivalis infection accelerates the occurrence of age-related granules in ApoE-/- mice brains. J Oral Microbiol 2017; 9(1): 1270602. doi: 10.1080/20002297.2016.1270602.eCollection 2017.

  74. Krstic D, Knuesel I. Deciphering the mechanism underlying late-onset Alzheimer disease. Nat Rev Neurol 2013; 9: 25-34.

  75. Lim SL, Rodriguez-Ortiz C, Kitazawa M. Infection, systemic inflammation, and Alzheimer’s disease. Microbes Infect 2015; 17: 549-556.

  76. Venegas C, Kumar S, Franklin BS, et al., Microglia-derived ASC specks cross-seed amyloid-beta in Alzheimer’s disease. Nature 2017; 552: 355-361.

  77. Kinane DF, Preshaw PM, Loos BG. Host-response: understanding the cellular and molecular mechanisms of host-microbial interactions-consensus of the Seventh European Workshop on Periodontology. J Clin Periodontol 2011; 38(Suppl 11): 44-8.

  78. Loos BG. Systeic markers of inflammation in periodontitis. J Periodontol 2005; 76: 2106-2115.

  79. Noack B, Genco RJ, Tevisan M, Grossi S, Zambon JJ, De Nardin E. Periodontal infections contribute to elevated C-reactive protein level. J Periodontol 2005; 76: 2075-2084.

  80. Loos BG, Craandiij J, Hoek FJ, Weterhin-van Dillen PME, van der Velden W. C-reactive protein and other markers of systemic inflammation in relation to cardiovascular diseases are elevated in periodontitis. J Periodontol 2000; 71: 1528-1534.

  81. Olsen I, Singhrao SK. Can oral infection be a risk factor for Alzheimer’s disease? J Oral Microbiol 2015; Sept 17; 7: 29143.

  82. Holt SC, Ebersole JL, Porphyromonas gignivalis, Treponema denticola, and Tannerella forsythia: the “red complex”, a prototype polybacterial pathogenic consortium in periodontitis. Periodontol 2000 2005; 38: 72-122.

  83. Guo Y, Nguyen KA, Potempa J. Dichotomy of gingipains action as virulence factors: from cleaving substrates with the precision of a surgeon’s knife to a meat chopper-like brutal degradation of proteins. Periodontol 2010; 54: 15-44.

  84. Martins MS, Jiao Y, Larsson L, et al. Epigenetic modifications of histones in periodontal disease. J Dent Res 2016; 95(2): 215-222.

  85. Kang MK, Mehrazarin S, Park NH, Wang CY. Epigenetic gene regulation by histone demethylases: emerging role in oncogenesis and inflammation. Oral Dis 2017; 23(6): 709-720.

  86. Paganini-Hill A, White SC, Atchison KA. Dentition, dental health habits, and dementia: the Leisure World Cohort Study. J Am Geriatr Soc 2012; 60: 1556-1563.

  87. Rozas NS, Sadowsky JM, Jeter CB. Strategies to improve dental health in elderly patients with cognitive impairment. A systematic review. J Am Dent Assoc 2017; 148(4): 236-245.

  88. Ellefsen B, Holm-Pedersen P, Morse DE, et al. Assessing caries increments in Elderly patients with and without dementia. A one-year follow-up study. J Am Dent Assoc 2009; 140: 1392-1400.

  89. Kato T, Yamazaki K, Nakajima M, et al. Oral administration of Porphyromonas gingivalis alters the gut microbiome and serum metabolome. mSphere 2018; 3(5). pii: e00460-18. doi: 10.1128/mSphere.00460-18.

  90. Harding A, Robinson S, Crean S, Singhrao SK. Can better management of periodontal disease delay the onset and progression of Alzheimer’s disease? J Alzheim Dis 2017; 58: 337-348.

  91. Hajishengallis G, Darveau RP, Curtis MA. “The keystone pathogen hypothesis” Nat Rev Microbiol 2012; 10: 717-725.

  92. Delwel S, Binnekade TT, Perez RSGM, Hertogh CMPM, Scherder EJA, Lobbezzoo F. Oral hygiene and oral health in older people with dementia: a comprehensive review with focus on oral soft tissues. Clin Oral Invest 2018; 22; 93-108.

  93. Hajishengallis G, Lamont RJ. Beyond the red complex and into more complexity: the polymicrobial synergy and dysbiosis (PSD) model of periodontal disease etiology. Mol Oral Microbiol 2012; 27: 409-419.

  94. Zenthöfer A, Meyer-Kühling, Hufeland A-L, et al. Carers’ education improves oral health of older people suffering from dementia – results of an interventional study. Clin Intervent in Aging 2016; 11: 1755-1762.

  95. Gonsalves WC, Wrightson AS, Henry RG. Common oral conditions in older persons. Am Fam Physician 2008; 78: 845-852.

  96. Petersen PE, Yamamoto T. Improving the oral helath of older people: the approach of the WHO Global Oral Helath Programme. Community Dent Oral Epidemiol 2005; 33; 81-92.

  97. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century – the approach of the WHO Global Oral Helath Programme. Community Dent Oral Epidemiol 2003; 31: 3-24.

  98. Thomson WM. Dental caries experience in older people over time: what can the large cohort studies tell us? Br Dent J 2004; 196: 89-92.

  99. Boehm TK, Scannapieco FA. The epidemiology, consequences, and management of periodontal disease in older adults. J Am Dent Assoc 2007; 138(Supl) 26S-33S.

  100. Affoo RH, Foley N, Garrick R et al. Meta-analysis of salivary flow rates in young and older adults. J Am Geriatr Soc 2015; 63: 2142-2151.

  101. Morely JE. Dysphagia and aspiration. J Am Med Assoc 2015; 16: 631-634.

  102. Ortega O, Parra C, Zarcero S, Nart J, Sakwinska O, Clave P. Oral health in older patients with oropharyngeal dysphagia. Age and Ageing 2014; 43: 132-137.

  103. Eisenstadt ES. Dysphagia and aspiration pneumonia in older adults. J Amer Acad Nurs Practit 2010; 22: 17-22.

  104. Maeda K, Akagi J. Oral care may reduce pneumonia in the tube-fed elderly: a preliminary study. Dysphagia 2014; 29: 616-621.

  105. Booker S, Murff S, Kitko L, Jablonski R. Mouth care to reduce ventilator-associated pneumonia. Am J Nursing 2013; 113: 24-30.

  106. Jones AL, Dwyer LL, Bercovitz AR, Strahan GW. The National Nursing Home Survey: 2004 Overview. National Center for Health Statistics, Vital Health Statistics, 2009.

  107. Mahoney EK, Hurley AC, Volicer L, et al. Development and testing of the Resistiveness to Care Scale. Res Nurs Health 1999; 22: 27-38.

  108. Kambhu PP, Levy SM. Oral hygiene care levels in Iowa intermediate care facilities. Spec Care Dentist 1993; 13: 209-214

  109. Adams R. Qualified nurses lack adequate knowledge related to oral health, resulting in inadequate oral care of patients on medical wards. J Adv Nurs 1996; 24: 552-560

  110. Pule MA, Jasinevicius TR, Sawyer DR, Madsen J. Nursing home executive directors’ perception of oral care in long-term care facilities. Spec Care Dentist 2005; 25: 111-117.

  111. Algase DL, Beck C, Kolanowski A, Whall A, Berent S, Richards K, Beattie E. Need-driven dementia compromised behavior: An alternative view of disruptive behavior. Am J Alzheimers Dis Other Demen 1996; 11: 10-19.

  112. Kolanowski AM, Whall AL. Toward holistic theory-based intervention for dementia behavior. Holist Nurs Pract 2000; 14: 67-76.

  113. Whall A. Developing needed interventions from the need-driven dementia-compromised behavior model. J Gerontol Nurs 2002; 28: 5.

  114. Frenkel HF. Behind the scenes: care staff observations on the delivery of oral health care in nursing homes. Gerodontol 1999; 16: 75-80.

  115. Chalmers J Pearson A. Oral hygiene care for residents with dementia: a literature review. J Adv Nurs 2005; 52: 410-419.

  116. American Dental Association. Oral Health Topics: Dentures. Accessed November 22, 2022.

  117. American Dental Association. MouthHealthy. Healthy Teeth and Gums Adults over 60. Accessed November 22, 2022.

  118. Mahoney EK, Hurley AC, Volicer L. Instruction manual for the resistiveness to care scale (RTC-DAT). Boston, MA: Boston College School of Nursing; 1999.

  119. Jablonski RA, Therrien B, Mahoney EK, Kolanowski A, Gabello M, Brock A. An intervention to reduce care-resistant behavior in persons with dementia during oral hygiene: a pilot study. Spec Care Dentist 2011; 31: 77-87.

  120. Chalmers JM. Behavior management and communication strategies for dental professionals when caring for patients with dementia. Spec Care Dentist 2000; 20: 147-154.

  121. Lopez R, Smith PC, Gostenmeyer G, Schwendicke F. Ageing, dental caries, and periodontal disease. J Clin Periodontol 2017; 44(Suppl 18): S145-S152.

  122. Kassenbaum NJ, Bernabe E, Dahiya M, et al. Global burden of untreated caries: a systematic review and metaregression. J Dent Res 2015; 94: 650-658.

  123. Mei ML, Chin-Man Lo E, Chu CH. Clinical use of silver diamine fluoride in dental treatment. Compend Contin Educ Dent 2016; 37: 93-98.

  124. Horst JA, Ellenikiotis H, Milgrom PL. USCF protocol for caries arrest using silver diamine fluoride: rationale, indications, and consent. J Calif Dent Assoc 2016; 44: 16-28.

  125. Zhao IS, Goa SS, Hiraishi N, et al. Mechanisms of silver diamine fluoride on arresting caries: a literati=ure review. Int Dent J 2018; 68: 67-76.

  126. Oliveira BH, Cunha-Cruz J, Rajendra A, Niederman R. Controlling caries in exposed root surfaces with silver diamine fluoride. J Am Dent Assoc 2018; 149: 671-679.

  127. Fiske J, Frenkel H, Griffiths J et al. Oral health of people with dementia. Gerodontology 2016; 23:3–32.

  128. Hoben M, Kent A, Kobagi N, Huynh KT, Clarke A, Yoon MN. Effective strategies to motivate nursing home residents in oral care and to prevent or reduce responsive behaviors to oral care: A systematic review. PloS one. 2017 Jun 13;12(6):e0178913.

  129. Chalmers J, Pearson A. Oral hygiene care for residents with dementia: a literature review. Journal of Advanced Nursing. 2005 Nov;52(4):410-9.

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