Anticholinergic Burden and Dry Mouth Problems Among Older Adults (≥ 50 Years) Receiving Dental Care—A Retrospective, Cross‐Sectional Analysis

Bibliographic Details
Title: Anticholinergic Burden and Dry Mouth Problems Among Older Adults (≥ 50 Years) Receiving Dental Care—A Retrospective, Cross‐Sectional Analysis
Authors: Christoph Matthias Schoppmeier, Isabel Deeg, Michael Jochen Wicht, Anna Greta Barbe
Source: Clinical and Experimental Dental Research, Vol 10, Iss 6, Pp n/a-n/a (2024)
Publisher Information: Wiley, 2024.
Publication Year: 2024
Collection: LCC:Dentistry
Subject Terms: elderly, German anticholinergic burden score, hyposalivation, xerostomia, Dentistry, RK1-715
More Details: ABSTRACT Objectives Anticholinergics cause dry mouth and are highly relevant for dentists, but little is known about the relationships between intake and the occurrence of subjective and objective dry mouth with age. The German anticholinergic burden score (GACB) is a novel anticholinergic score that re‐evaluates medications, particularly, those with classification discrepancies. Material and Methods We retrospectively investigated the GACB in older patients receiving dental care, evaluated whether GACB is related to xerostomia and unstimulated salivary secretion, and determined the influence of increasing age (beginning at 50 years of age). The GACB score quantified cumulative anticholinergic effects: 0 for no effect, 1 for possible, 2 for moderate, and 3 for strong. Cross‐sectional data in patients ≥ 50 years were collected, including xerostomia with the visual analog scale, unstimulated salivary flow rates, and the GACB scores. Results Among 172 patients (mean age 65.67 ± 9.51 years), 23.8% had a GACB score ≥ 1. A moderate negative correlation was observed between GACB and unstimulated salivary flow rates (r̅ = −0.51). Patients with GACB ≥ 1 had fewer teeth (mean 21.76 ± 5.41) than those with GACB = 0 (24.07 ± 5.57). Moreover, unstimulated hyposalivation was observed in 61.0% with GACB ≥ 1 versus 6.8% with GACB = 0 (p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2057-4347
Relation: https://doaj.org/toc/2057-4347
DOI: 10.1002/cre2.70009
Access URL: https://doaj.org/article/1fcc4ce8d6e4413597616e537fbb055e
Accession Number: edsdoj.1fcc4ce8d6e4413597616e537fbb055e
Database: Directory of Open Access Journals
More Details
ISSN:20574347
DOI:10.1002/cre2.70009
Published in:Clinical and Experimental Dental Research
Language:English