Neurological disorders in dentistry: managing patients with Alzheimer's disease

Alzheimer's disease (AD) is the most prevalent type of dementing illness affecting over four million Americans. It typically occurs after age 60, and prevalence increases with advanced age. As the adult population increases, a greater number of patients with a diagnosis of AD will require dental care. This article reviews the oral and systemic clinical findings seen in AD patients and current medical treatment. Some general and specific suggestions for dental management are presented, including guidelines for restraint and sedation use. Finally, some helpful, adaptive oral devices are recommended for use by caregivers of patients unable to provide for their own daily oral hygiene. Dental providers can and should be willing to make oral care available to patients with a diagnosis of AD. Despite the difficulties involved, the need will continue to be great, and the gratification in caring for these patients makes it worth the effort.