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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
Sajeda Al Banna, Yazan Hassona
No abstract text is available yet for this article.
September 1, 2018: Special Care in Dentistry
Maria Paschalidou, Anastasia Dermata, Aristidis Arhakis
Α 30-year-old male with features of Neurofibromatosis type II (NF2) including vision and hearing loss, imbalance, and cranial and peripheral nerve tumors, was referred for dental prosthetic rehabilitation. Treatment plan was established to rehabilitate the patient with periodontal, endodontic treatment, extractions, restorative, and prosthetic procedures. Due to severe vision impairment and hearing loss, special communication methods were required in order to achieve patient's cooperation, mainly utilizing the sense of touch...
September 2018: Special Care in Dentistry
Babette van de Wiel, Marjolein van Loon, Wimke Reuland, Josef Bruers
AIM: The purpose of this study was to assess the periodontal condition of people with Down syndrome (DS). Furthermore, risk factors were identified for the development of periodontitis. METHODS AND RESULTS: Data were collected at the Centre for Special Care Dentistry (CBT) Rijnmond from the records of all 183 registered patients with DS who were 18 years of age on 31 December 2013. Patients were divided into two groups on the basis of their periodontal status: healthy or periodontally compromised...
September 2018: Special Care in Dentistry
Richard Fitzgerald, Jennifer Gallagher
INTRODUCTION: Maintaining oral health is vital for every individual's quality of life. Little consideration, however, has been given to the oral health of patients approaching end-of-life, perhaps due to sensitivities over research ethics. The aim of this rapid review is to synthesize existing evidence on oral health in this population. METHODS AND RESULTS: A rapid review of the literature was conducted using the key words: "Oral/Dental Health" in "End-of-life" or "Palliative care" patients...
September 2018: Special Care in Dentistry
Srinivasan Raj Samuel, Viknesan Muragaboopathy, Snehal Patil
AIM: Assess the association between high risk transgender (TG) HIV status, self-perceived barriers toward oral care, and the residents' stigma and willingness to treat during community dental outreach. METHODS: Demographics, tobacco habits, HIV status, willingness for rapid HIV testing, and self- perceived oral health, barriers toward oral care were assessed in a cross-sectional study among 212 transgender in South India. Further, the residents' stigma across three subscales and residents' willingness to treat the transgender was evaluated...
September 2018: Special Care in Dentistry
Shaleen Vyas, Sandesh Nagarajappa, Pralhad L Dasar, Prashant Mishra
AIM: To assess changes in oral hygiene status, oral health knowledge and behavior among visually impaired individuals using dental health education material transcribed in Braille and Compressed speech. METHODOLOGY: A nonrandomized before and after comparison study was conducted among 4 purposively selected institutes for visually impaired in Indore region, Central India. A stratified random sampling was employed to select 144 visually impaired individuals aged 15-35 years...
September 2018: Special Care in Dentistry
Hon K Yuen
AIMS: To investigate what dental hygienists' practice characteristics and oral health topics are associated with additional time dental hygienists spent on educating patients with diabetes. METHODS: A one-page survey was mailed to 2237 registered dental hygienists in South Carolina. Survey questions focused on perceptions of dental hygienists regarding their oral health preventive education for patients with diabetes. After two follow-up mails, we received 995 usable questionnaires...
September 2018: Special Care in Dentistry
Elif Ataol, Gizem Erbaş Ünverdi, Hamdi Cem Güngör
The difficulty in providing stability to the coronal segment makes cervical root fracture one of the most challenging dental traumatic injury. This type of injury is less frequent in children. However, due to their serious consequences and poor prognosis, tooth loss may occur. This report presents the management of a case of cervical root fracture in an 11-year-old patient with epilepsy. The stabilization of the root-fractured tooth with a splint failed due to the recurrent seizures the patient had. Coronal fragment was removed and vital root submergence was performed in order to support the alveolar growth...
September 2018: Special Care in Dentistry
Viviane A Sarmento, Izabel Regina F Rubira-Bullen, Marcelo J Zanda, Marcelo Bonifácio S Sampieri, Renato Y F Yaedú, Paulo Sérgio S Santos
BACKGROUND: Caffey's disease is a rare syndrome, usually self-limiting, affecting newborn and young infants. On radiological exams, the cortical hyperostosis is always present, associated or not to soft tissue swelling. Other radiographic presentations are described as lytic areas. AIM: This article has the objective to relate computed tomography (CT) findings of Caffey's disease, where lytic lesion on mandibular angle was the principal radiological manifestation...
September 2018: Special Care in Dentistry
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