{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:17:21Z","timestamp":1791778641071,"version":"4.3.4"},"reference-count":248,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T00:00:00Z","timestamp":1633996800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPD"],"published-print":{"date-parts":[[2021,10,12]]},"abstract":"<jats:p>Despite clinical evidence of poor oral health and hygiene in Parkinson\u2019s disease (PD) patients, the mouth is often overlooked by both patients and the medical community, who generally focus on motor or psychiatric disorders considered more burdensome. Yet, oral health is in a two-way relationship with overall health\u2014a weakened status triggering a decline in the quality of life. Here, we aim at giving a comprehensive overview of oral health disorders in PD, while identifying their etiologies and consequences. The physical (abnormal posture, muscle tone, tremor, and dyskinesia), behavioral (cognitive and neuropsychiatric disorders), and iatrogenic patterns associated with PD have an overall detrimental effect on patients\u2019 oral health, putting them at risk for other disorders (infections, aspiration, pain, malnutrition), reducing their quality of life and increasing their isolation (anxiety, depression, communication issues). Interdisciplinary cooperation for prevention, management and follow-up strategies need to be implemented at an early stage to maintain and improve patients\u2019 overall comfort and condition. Recommendations for practice, including (non-)pharmacological management strategies are discussed, with an emphasis on the neurologists\u2019 role. Of interest, the oral cavity may become a valuable tool for diagnosis and prognosis in the near future (biomarkers). This overlooked but critical issue requires further attention and interdisciplinary research.<\/jats:p>","DOI":"10.3233\/jpd-212605","type":"journal-article","created":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T05:00:44Z","timestamp":1625893244000},"page":"1507-1535","source":"Crossref","is-referenced-by-count":44,"title":["Oral Health Disorders in Parkinson\u2019s Disease: More than Meets the Eye"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7003-4084","authenticated-orcid":false,"given":"Manon","family":"Auffret","sequence":"first","affiliation":[{"name":"Behavior & Basal Ganglia Research Unit (EA 4712), University of Rennes 1, Rennes, France"},{"name":"Institut des Neurosciences Cliniques de Rennes (INCR), Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Meuric","sequence":"additional","affiliation":[{"name":"INSERM, INRAE, Universit\u00e9 de Rennes 1, CHU de Rennes, Nutrition Metabolisms and Cancer, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emile","family":"Boyer","sequence":"additional","affiliation":[{"name":"INSERM, INRAE, Universit\u00e9 de Rennes 1, CHU de Rennes, Nutrition Metabolisms and Cancer, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martine","family":"Bonnaure-Mallet","sequence":"additional","affiliation":[{"name":"INSERM, INRAE, Universit\u00e9 de Rennes 1, CHU de Rennes, Nutrition Metabolisms and Cancer, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"V\u00e9rin","sequence":"additional","affiliation":[{"name":"Behavior & Basal Ganglia Research Unit (EA 4712), University of Rennes 1, Rennes, France"},{"name":"Institut des Neurosciences Cliniques de Rennes (INCR), Rennes, France"},{"name":"Movement Disorders Unit, Neurology Department, Pontchaillou University Hospital, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/JPD-212605_ref1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jalz.2017.05.004","article-title":"Dental care utilization in patients with different types of dementia: A longitudinal nationwide study of 58,037 individuals","volume":"14","author":"Fereshtehnejad","year":"2018","journal-title":"Alzheimers Dement"},{"key":"10.3233\/JPD-212605_ref2","doi-asserted-by":"crossref","first-page":"3763","DOI":"10.3390\/ijerph16193763","article-title":"Aging and oral care: An observational study of characteristics and prevalence of oral diseases in an Italian cohort","volume":"16","author":"Lauritano","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"10.3233\/JPD-212605_ref3","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1111\/ger.12237","article-title":"Self-assessment of oral health, dental health care and oral health-related quality of life among Parkinson\u2019s disease patients","volume":"34","author":"Barbe","year":"2017","journal-title":"Gerodontology"},{"key":"10.3233\/JPD-212605_ref4","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1590\/0103-6440201600881","article-title":"Oral health in elders with Parkinson\u2019s disease","volume":"27","author":"Ribeiro","year":"2016","journal-title":"Braz Dental J"},{"key":"10.3233\/JPD-212605_ref5","first-page":"9315285","article-title":"Oral health of Parkinson\u2019s disease patients: A case-control study","volume":"2018","author":"van Stiphout","year":"2018","journal-title":"Parkinsons Dis"},{"key":"10.3233\/JPD-212605_ref6","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.bj.2018.12.001","article-title":"Association between periodontal pathogens and systemic disease","volume":"42","author":"Bui","year":"2019","journal-title":"Biomed J"},{"key":"10.3233\/JPD-212605_ref7","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1111\/j.1532-5415.2012.04104.x","article-title":"Relationship between oral health-related quality of life, oral health, socioeconomic, and general health factors in elderly Brazilians","volume":"60","author":"de Andrade","year":"2012","journal-title":"J Am Geriatr Soc"},{"key":"10.3233\/JPD-212605_ref8","doi-asserted-by":"crossref","first-page":"1332710","DOI":"10.1080\/20002297.2017.1332710","article-title":"Comorbidity of periodontal disease: Two sides of the same coin? 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