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Special Care in Dentistry

Thomas Cooper, Leon Smith
Pantothenate kinase-associated neurodegeneration (PKAN) is a rare condition associated with severe protrusive lingual dystonia, a form of oromandibular dystonia. Dental appliance therapy has been described for oromandibular dystonia however there is a lack of literature regarding its application specifically to PKAN. In this report, the authors describe the use of an appliance in conjunction with botulinum toxin injections for the symptomatic treatment of this condition. A satisfactory outcome is achieved which suggests this technique may be of use to other clinicians...
November 12, 2018: Special Care in Dentistry
Céline Catteau, Denise Faulks, Bruno Pereira, Martine Hennequin
This study aimed to investigate the effectiveness of an oral health promotion intervention implemented in special care establishments by dentists trained online. Twenty-six dentists intervening in 27 French special care establishments undertook a standardised oral health promotion intervention, including a conference presentation for care staff and hands-on toothbrushing workshops. Oral hygiene status of the residents was performed at baseline and at 6 months, and were compared using the McNemar test. Mixed logistic regression was performed to identify the factors associated with an improvement of dental plaque removal...
November 12, 2018: Special Care in Dentistry
Maria Eduarda Baldino, Valesca Sander Koth, Daniela Nascimento Silva, Maria Antonia Figueiredo, Fernanda Gonçalves Salum, Karen Cherubini
Gardner syndrome is a hereditary disease in which patients develop gastrointestinal polyps, osteomas, desmoid tumors, epidermoid cysts, fibromas, lipomas, and retinal lesions. Dental abnormalities such as supernumerary or impacted teeth, odontomas and dentigerous cysts are also reported. The most serious concern in this syndrome is the extremely high risk of gastrointestinal polyps undergoing malignant transformation. Since the maxillofacial findings usually precede gastrointestinal polyps, the dentist plays a crucial role in the diagnosis of Gardner syndrome, and panoramic radiography is an important tool in the diagnosis of the disease...
November 12, 2018: Special Care in Dentistry
Terumi Ayuse, Shinji Kurata, Takuro Sanuki, Gaku Mishima, Kensuke Kiriishi, Mari Kawai, Toshihiro Watanabe, Yu Ozaki-Honda, Naomi Tanoue, Nobuaki Magata, Kaori Yamaguchi, Mizuki Yoshida, Takao Ayuse
AIMS: Although it has been reported that general anesthesia affect the perioperative sleep cycle, no studies have yet evaluated how general anesthesia affects dentally disabled patients. In this study, we investigated the alteration of perioperative sleep cycles in dentally disabled patients receiving dental treatment under general anesthesia. SUBJECTS AND METHODS: The study included 16 patients receiving dental procedures under general anesthesia. Using a sleep monitoring mat, the patients' sleep cycles were measured at home from 5 days before the scheduled surgery date until 5 days after discharge following general anesthesia...
November 5, 2018: Special Care in Dentistry
Suwarna Dangore Khasbage, Arvind S Bhake
Cervical lymphadenopathy, a condition with multifactorial etiology is one of the common presentations in patients reporting to dental clinic. It is thus imperative that oral physicians have to be well versed with the causes of cervical lymphadenopathy. The present article describes a case of 24-year-old male who reported to his dentist with complaint of painless swelling of 4 months duration on right side of neck. Oral examination revealed missing mandibular third molars on both sides, which was confirmed on radiograph...
October 31, 2018: Special Care in Dentistry
Trupthi Rai, Karuna Ym, Ashwin Rao, Anupama Nayak P, Srikant Natarajan, Rose Maria Joseph
AIM: To evaluate and compare the efficacy of customized toothbrushes in maintenance of oral hygiene and gingival health with that of conventional toothbrushes in children with cerebral palsy. METHODS: Thirty patients with cerebral palsy in the age group of 6 to 18 years were randomly divided into two groups-group I (normal toothbrush) and group II (customized toothbrush). Common oral hygiene instructions were given to both the groups. Before beginning the study, plaque index (PI) and modified gingival index (MGI) were recorded, following which patients were made to practice their routine twice a day brushing with either normal toothbrush or custom-made toothbrush for 3 weeks...
October 23, 2018: Special Care in Dentistry
Heloísa Laís Rosário Dos Santos, Carolina Guimarães Bonfim Alves, Rafaela Maia Almendra Mattos, Davi Silva Carvalho Curi, Patricia Leite Ribeiro, Viviane Almeida Sarmento
Primary manifestations of extraganglion non-Hodgkin lymphoma (NHL) from T-cells in the oral cavity are rare and often difficult to diagnose. Herein, we describe a case of T-cell NHL with a primary lesion on the lip diagnosed with a 25-year-old woman. The patient reported the appearance of the initial lesion on the upper lip, which advanced to the hard palate and oral mucosa. Histological examination and immunohistochemistry were compatible with peripheral T-cell NHL without further specifications. The proposed treatment consisted of six cycles of multiagent chemotherapy...
October 5, 2018: Special Care in Dentistry
Mathangi Kumar, Keerthilatha M Pai, Annamma Kurien, Ravindranath Vineetha
BACKGROUND & OBJECTIVES: People with hemophilia constitute a significant proportion of the population and an oral health care professional faces a considerable challenge while treating them. This study aimed to assess the oral health and dentition status as well as fear of dental treatment in patients with hemophilia and compare it with age-matched healthy subjects. PATIENTS & METHODS: This single-center, case-control cross-sectional study was performed on 100 subjects with hemophilia and 100 age-matched healthy controls...
September 26, 2018: Special Care in Dentistry
Juliana Bertoldi Franco, Nadia Cacita, Karina Albuquerque Freua, Karem López Ortega, Maria Paula Siqueira de Melo Peres
Drooling is a condition that affects patients with difficulties in swallowing, being common in patients with mental, neurological or dysphagic deficiency. This condition is difficult to diagnose, as it is often confused with sialorrhea, and in many cases we have a hyposalivation scenario. Its diagnosis is subjective, which is why scales should be used for the standardization of the evaluation of the degree of drooling before and after the proposed treatment, as the Thomas-Stonell and Greenberg scale. It causes problems such as perioral infections, rashes, wet clothing, leading to social embarrassment, and may be a risk factor for respiratory infections caused by asymptomatic aspiration of saliva...
September 20, 2018: Special Care in Dentistry
Bruna Picciani, Camila Gornic, Karin Soares Cunha, Maria Elisa Rangel Janini, Raquel Machado Andrade, Valdir Meireles, Porphirio Soares-Filho, Eliane Pedra Dias
The β2-microglobulin amyloidosis is a newly recognized type of systemic amyloidosis, which occurs in patients with chronic renal failure undergoing long-term hemodialysis. The dialysis-related amyloidosis (DRA) of the tongue is an uncommon and late complication, which occurs in patients undergoing chronic hemodialysis for more than 20 years. The aim of this paper is to report two cases of lingual amyloidosis associated with long-term hemodialysis. Two patients were referred to the Oral Medicine Clinic due to the presence of multiple nodules on the tongue and macroglossia...
September 14, 2018: Special Care in Dentistry
Alan A Deutsch, Graham G Craig
An institutionalized high care dementia patient, who is unable to maintain his own oral health, presented with five lower anterior carious root stumps supporting a lower overlay denture. Due to limited cooperation, his root stumps were treated with only silver fluoride followed by stannous fluoride applied topically on a 4-monthly cycle. Almost one and a half years after his initial application, there were unexpected calculus formations on the root stumps accompanied by marked gingival inflammation and gingival hyperplasia...
September 12, 2018: Special Care in Dentistry
Rodrigo Neves-Silva, Diego Tetzner Fernandes, Felipe Paiva Fonseca, Helder Antonio Rebelo Pontes, Bernardo Ferreira Brasileiro, Alan Roger Santos-Silva, Pablo Agustin Vargas, Marcio Ajudarte Lopes
AIM: Langerhans cell histiocytosis (LCH) is an unusual proliferative disorder of bone marrow-derived histiocytes (Langerhans cells) that can produce focal or systemic manifestations. Oral manifestations of LCH can present as single or multiple lesions and can be a challenge in clinical practice. The aim of this paper is to present the clinicopathological features of a series of nine patients with oral involvement. METHODS AND RESULTS: The patient's age ranged from 2 to 63 years being five males and four females...
September 12, 2018: Special Care in Dentistry
Nitesh Tewari, Anju Rajwar, Vijay Prakash Mathur, Prabhat Kumar Chaudhari
Griscelli syndrome (GS) is an autosomal-recessive disorder of the vesicle transport and membrane trafficking system first identified by Griscelli et al in 1978. The three types of GS have specific genetic defects and systemic manifestations apart from classic partial pigmentary dilution, resulting in hypopigmentation of skin and silvery hair. GS-II occurs due to a defect in the Rab27a gene and is characterized by primary immune deficiency along with accelerated phases of a hemophagocytic lymphohistiocytosis (HLH) crisis...
September 12, 2018: Special Care in Dentistry
Xi Chen, Christian E Douglas, John S Preisser, Supawadee Naorungroj, James D Beck
BACKGROUND: Systemic health and physical, cognitive, and social function gradually decline at the end of life. How oral health change at the end of life in community-dwelling older adults remains unknown, increasing the difficulty in treatment planning for these individuals. METHODS: A total of 250 community-dwelling decedents of a longitudinal study were included in the analysis. Decedents' clinical and interview data collected at baseline, 18, 36, 60, and 84 months were linked to their death dates and plotted on an inverted time scale to study their oral health changes in the 3 years prior to death...
September 11, 2018: Special Care in Dentistry
Darya Dabiri, Daniel E Harper, Yvonne Kapila, Grant H Kruger, Daniel J Clauw, Steven Harte
Dentists regularly employ a variety of self-report and sensory techniques to aid in the diagnosis and treatment of tooth-related disease. Many of these techniques leverage principles borrowed from psychophysics, the quantitative measurement of the relationship between stimuli and evoked sensations, which falls under the larger umbrella of quantitative sensory testing (QST). However, most clinicians fail to meet the bar for what could be considered quantitative sensory testing, and instead focus on qualitative and dichotomous "yes/no" aspects of sensory experience...
September 8, 2018: Special Care in Dentistry
Taggreed Wazzan, Deeba Kashtwari, Wejood F Almaden, Yan Gong, Yiqing Chen, Jan Moreb, Joseph Katz
Risk factors for medication-related osteonecrosis of the jaws (MRONJ) include type and duration of antiresorptive drugs, dental trauma, local anatomy, systemic underlying conditions and therapy, smoking, and the presence of periodontal disease. However, there is a lack of studies elucidating the role of periodontal disease as risk predictor. In the present study, the dental charts of 100 multiple myeloma (MM) patients and 16 MM patients who developed MRONJ were studied. Information about age, gender, smoking history, diabetes, steroid drug intake, type and duration of bisphosphonate (BP) treatments, MRONJ status, missing teeth, periapical lesions, widening of the periodontal ligament, and periodontal status was collected...
September 8, 2018: Special Care in Dentistry
Leonardo Marchini, Erica Recker, Jennifer Hartshorn, Howard Cowen, David Lynch, David Drake, Derek R Blanchette, Deborah V Dawson, Michael Kanellis, Daniel Caplan
PURPOSE/AIM: The aim of this pilot study was to evaluate feasibility and gather initial data for a definitive study to test the clinical and microbiological effectiveness of a nursing facility (NF) customized oral hygiene protocol, intended to be delivered by dental hygienists and NF personnel. MATERIALS AND METHODS: A convenience sample of 8 Eastern Iowa NFs was recruited, and each NF was assigned to one of three intervention groups: (1) control (current oral hygiene practice), (2) educational program only, and (3) educational program plus 1% chlorhexidine varnish monthly application...
September 8, 2018: Special Care in Dentistry
Laiz Fernandes Mendes Nunes, Amanda Leal Rocha, Gustavo Henrique Romani Magalhães, Frederico Henrique Corrêa de Melo, Denise Vieira Travassos, Ricardo Alves Mesquita, Tarcília Aparecida Silva
Granulocytic sarcoma (GS) is an extramedullary tumor associated with myelodysplastic syndromes or myeloproliferative diseases. Intraoral manifestations are considered uncommon, with a reasonable number of cases, and are mostly related to leukemia. The association of oral GS and myelofibrosis is very rare and only three cases have been published. In this paper, we report the fourth case of oral lesion in a patient with a diagnosis of myelofibrosis. The aim of this study was to present a review of the literature, discussing the current and previous cases of oral GS associated with myelofibrosis or other hematological disorders and the importance of accurate diagnosis through clinical, microscopic, and immunohistochemical features...
September 6, 2018: Special Care in Dentistry
Flávia Scalioni, Camila Faria Carrada, Lucas Abreu, Rosangela Almeida Ribeiro, Saul Martins Paiva
INTRODUCTION: Oral health affects the general health of people with Down syndrome (DS), with repercussions on their ability to chew and to communicate. OBJECTIVE: To evaluate the influence of sociodemographic characteristics and clinical indicators on the perceptions of parents/caregivers regarding the oral health of individuals with DS. METHODS: Parents/caregivers completed a questionnaire containing sociodemographic information and answered the 20 questions of the Brazilian version of the Oral Health Scale for People with DS...
September 5, 2018: Special Care in Dentistry
Georgios S Chatzopoulos, Alejandro Cisneros, Miguel Sanchez, Larry F Wolff
AIMS: The purposes of this study are to: (1) assess the prevalence of systemic and periodontal disease in older individuals, (2) compare periodontal conditions between four age cohorts, and (3) investigate the relationship between periodontal disease and systemic medical conditions. METHODS: Electronic records from a total of 5,000 adults were randomly selected from the University of Minnesota School of Dentistry database. Individuals ≥60 years of age, with at least six remaining teeth in their dentition with a complete medical history and full-mouth series of radiographs were included in the study to determine the severity of periodontal disease based on the percentage of radiographic bone loss...
September 1, 2018: Special Care in Dentistry
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