Patients with Alzheimer’s disease experience progressive cognitive and motor decline, which significantly impairs their ability to maintain proper oral hygiene.
As a result, they are at a higher risk of dental caries, periodontal disease, and biofilm accumulation—conditions that can worsen their general health and quality of life.
In this context, the controlled use of fluoride and chlorhexidine products plays a vital role in preventive oral care:
🔹 Fluoride
Toothpastes containing 1450 ppm of fluoride or the professional application of fluoride varnish every three months help strengthen enamel and reduce caries incidence.
This is particularly beneficial for high-risk patients, such as those with reduced salivary flow or high sugar intake.
🔹 Chlorhexidine
Mouth rinses with 0.12% chlorhexidine or gels applied with cotton swabs to hard-to-reach areas are effective in reducing bacterial biofilm, especially when patient cooperation is limited.
However, it’s important to restrict use to no more than 15 consecutive days to avoid side effects like tooth staining or taste alterations.
► DENTAL BOOK: Little and Falace's Dental Management of the Medically Compromised Patient – 10th Edition (2023)
Caregiver involvement is essential for successful implementation of these measures
They should be trained in assisted brushing techniques, product application, and early detection of oral health issues.
By promoting consistent preventive oral care in individuals with Alzheimer’s disease, we not only protect their oral health but also reduce the risk of systemic infections and related hospitalizations.
Ovidental
hola@ovidentalgo.com
