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The neurological disorders that accompany aging represent a major public health problem. The management of these diseases is a major medical and social priority. This project is based on the assumption that the oral cavity represents a privileged observation space to address these issues. The mouth is a site of easy access for painless sampling; there is therefore a major interest in identifying early oral infectious markers of the development or evolution of senile dementia. In addition to the interest of an early oral diagnosis, the mapping of the oral microbial flora in the demented elderly would allow a better understanding, prevention or even control of the evolution of neurodegenerative diseases. The final objective of our approach is to characterize the oral pathogens, or more probably the group of oral pathogens, which are significantly associated with Alzheimer's disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with Alzheimer's disease |
| ||
| patients without Alzheimer's disease |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dental and plaque sampling | Procedure | sampling of dental plaque and saliva during the treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Quantification of periodontal bacterial and viral species from dental plaque samples | Quantification of periodontal bacterial and viral species by microfluidic multiplex PCR-Biomark HD system Microfluidigm 9 Herpes viruses = HSV-1 and 2 (or HHV-1 and -2), VZV (or HHV-3), EBV (or HHV-4), CMV (or HHV-5), HHV-6A, HHV-6B, HHV-7, HHV-8 (or Kaposi virus) 16 periodontal bacteria = Porphyromonas gingivalis, Tannerella forsythensis, Treponema denticola, Prevotella intermedia, Campylobacter rectus, Fusobacterium nucleatum, Prevotella nigrescens, Eubacterium nodatum, Peptostreptococcus micros, Prevotella melaninogenica, Aa, Actinomyces naeslundii, Eikenella corrodens, Streptococcus mitis, Streptococcus oralis, Streptococcus sanguis For each species: Less than 25 CT (Cycle Treshold): positive More than 30 CT (Cycle Treshold): negative Between 25 and 30 CT (Cycle Treshold): need to increase significance by using an additional primer CT: allows to determine the number of copies of each bacterial or viral species | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| Oral status presence of dentures | presence of dentures: Yes/No masticatory coefficient: Coefficient from 1 to 5% assigned to each tooth according to its function, sum of all coefficients gives the result mobilities: Mühlemann index (from 0 to 3) caries involvement: DMFT | 9 Months |
| Oral status presence of dentures |
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Inclusion Criteria:
Exclusion Criteria:
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Patients coming to the Nice University Hospital (Autonomy Rehabilitation and Ageing Unit) for a memory consultation or a frailty screening
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| leslie Borsa | Contact | 33625352362 | leslie.borsa@univ-cotedazur.fr | |
| laurence Lupi | Contact | laurence.lupi@univ-cotedazur.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nice University Hospital | Nice | 06000 | France |
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saliva and plaque
presence of dentures: Yes/No |
| 9 Months |
| Oral status masticatory coefficient | presence of dentures: Yes/No masticatory coefficient: Coefficient from 1 to 5% assigned to each tooth according to its function, sum of all coefficients gives the result | 9 Months |
| Oral status mobilities | Mühlemann index (from 0 to 3) | 1 day |
| Oral status caries involvement | DMFT: number of Decayed Missing or Filled teeth (from 0 to 32) | 1 day |
| Periodontal status: pocket depth (PPS) | pocket depth (PPS): between the gum line and the bottom of the pocket, measures in mm. | 9 months |
| Periodontal status: clinical attachment (CAL) | clinical attachment (CAL): between the enamel-cement junction and the bottom of the pocket, measures in mm. | 9 months |
| Periodontal status: bleeding on probing (BOP): | bleeding on probing (BOP): number of sites with bleeding divided by total number of sites measured x 100, measured as a percentage. | 9 months |
| Periodontal status: plaque index (PI) | plaque index (PI): from 0 to 3 | 9 months |
| ID | Term |
|---|---|
| D010518 | Periodontitis |
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D003752 | Dental Health Services |
| ID | Term |
|---|---|
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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