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Philippe Pierre Hujoel, Margaux Louise A Hujoel, Georgios A Kotsakis
OBJECTIVE: To conduct a systematic review of randomised trials assessing the association between personal oral hygiene and dental caries in the absence of the confounding effects of fluoride. BACKGROUND: Dental caries continues to affect close to 100% of the global population. There is a century-old conflict on whether dental caries is caused by poor oral hygiene or poorly formed teeth (ie, teeth with dental defects). Resolving this conflict is of significant public health importance as these two hypotheses on dental caries aetiology can lead to different prevention strategies...
May 15, 2018: Gerodontology
Yusuke Mihara, Ken-Ichi Matsuda, Kazunori Ikebe, Koudai Hatta, Motoyoshi Fukutake, Kaori Enoki, Taiji Ogawa, Hajime Takeshita, Chisato Inomata, Yasuyuki Gondo, Yukie Masui, Kei Kamide, Ken Sugimoto, Mai Kabayama, Tatsuro Ishizaki, Yasumichi Arai, Yoshinobu Maeda
OBJECTIVE: The purpose of this study was to elucidate the associations between muscle strength and several oral functions in a large cohort of community-dwelling, 82- to 84-year-old community-dwelling Japanese people. BACKGROUND DATA DISCUSSING THE PRESENT STATUS OF THE FIELD: Several studies have examined the relationships between physical performance and oral functions. However, no studies have investigated the associations of muscle strength with various objectively evaluated oral functional parameters in a large cohort of very old adults...
May 15, 2018: Gerodontology
Suzanne Delwel, Roberto S G M Perez, Andrea B Maier, Cees M P M Hertogh, Henrica C W de Vet, Frank Lobbezoo, Erik J A Scherder
OBJECTIVE: The aim of this study was to describe the psychometric evaluation of the Orofacial Pain Scale for Non-Verbal Individuals (OPS-NVI) as a screening tool for orofacial pain in people with dementia. BACKGROUND: The OPS-NVI has recently been developed and needs psychometric evaluation for clinical use in people with dementia. The pain self-report is imperative as a reference standard and can be provided by people with mild-to-moderate cognitive impairment...
April 29, 2018: Gerodontology
William M Thomson, Moira B Smith, Catherine Anna Ferguson, Ngaire M Kerse, Kathryn Peri, Barry Gribben
OBJECTIVES: To investigate clinical oral disease and its association with cognitive function and dependency among older New Zealanders in residential aged care. MATERIAL AND METHODS: National survey of oral health in aged residential care throughout New Zealand. We classified residents into 1 of 3 levels of care: "low dependency care (or assisted living)"; "high dependency care"; or "specialist dementia care/psychogeriatric care." The Abbreviated Mental Test characterised cognitive function as "unimpaired" (scores of 7-10), "moderately impaired" (4-6) or "severely impaired" (0-3)...
April 23, 2018: Gerodontology
Amy R Villarosa, Sally Clark, Ariana C Villarosa, Tiffany Patterson Norrie, Susan Macdonald, Jennifer Anlezark, Ravi Srinivas, Ajesh George
OBJECTIVE: This study aimed to look at the practices and perspectives of residential aged care facility (RACF) care staff regarding the provision of oral health care in RACFs. BACKGROUND: Emphasis has been placed on the provision of adequate oral health care in RACFs through the Better Oral Health in Residential Aged Care programme. Endorsed by the Australian government, this programme provided oral health education and training for aged care staff. However, recent evidence suggests that nearly five years after the implementation of this programme, the provision of oral care in RACFs in NSW remains inadequate...
April 23, 2018: Gerodontology
Hipólito V Magalhães Junior, Leandro de Araújo Pernambuco, Kenio C Lima, Maria Angela F Ferreira
BACKGROUND: Oropharyngeal dysphagia is a swallowing disorder with signs and symptoms which may be present in older adults, but they are rarely noticed as a health concern by older people. The earliest possible identification of this clinical condition is needed by self-reported population-based screening questionnaire, which are valid and reliable for preventing risks to nutritional status, increased morbidity and mortality. OBJECTIVE: The aim of this systematic review was to identify self-reported screening questionnaires for oropharyngeal dysphagia in older adults to evaluate their methodological quality for population-based studies...
April 3, 2018: Gerodontology
Kana Suwama, Akihiro Yoshihara, Reiko Watanabe, Roxana Stegaroiu, Satoko Shibata, Hideo Miyazaki
OBJECTIVES: To examine the associations among alcohol consumption level, dietary intake and other lifestyle factors, and periodontal condition, in community-dwelling elderly Japanese of a specific age. BACKGROUND: The relationship between alcohol consumption level and periodontitis is a controversial issue. METHODS: Participants were 438 dentate elders aged 73 years from a larger cohort survey of elders in Niigata City, Japan. Data collected from oral examination of each participant, including number of the existing teeth, mean probing pocket depth and mean clinical attachment level (CAL) were used for the analyses...
March 25, 2018: Gerodontology
Bojana Zoric, Ljiljana Jankovic, Jovana Kuzmanovic Pficer, Jasna Zidverc-Trajkovic, Milija Mijajlovic, Dragan Stanimirovic
BACKGROUND: Burning mouth syndrome (BMS) is an intraoral burning or dysaesthetic sensation, recurring daily for more than two hours during the period longer than 3 months. The objective was to evaluate and analyse the efficacy of serotonin reuptake inhibitor fluoxetine on psychological factors, as well as on pain in participants with BMS. METHODS: In a 6-month study, 100 participants with primary and secondary BMS were divided into two groups-fluoxetine and control (placebo) and examined by the dentist and the neurologist...
March 25, 2018: Gerodontology
Eun-Jeong Kim, Bo-Hyoung Jin
OBJECTIVE: To compare the nutritional factors and oral status of elders living alone and elders living with their families in Korea. BACKGROUND: Numerous studies have found that the presence of fewer remaining teeth is associated with decreased nutrient intake; however, there is no study comparing the nutritional status and oral status of elders living alone with that of elders living with family based on a nationally representative sample. METHODS: A sample of 2904 individuals who participated in the sixth Korean National Health and Nutrition Examination Survey was reviewed (65-84 years of age)...
March 23, 2018: Gerodontology
Martin G Campolongo, Marco Cabras, Luca Bava, Paolo G Arduino, Mario Carbone
OBJECTIVE: To present a case of early diagnosis mandibular Paget's disease of bone (PDB), recognised by a general dentist. BACKGROUND: PDB is responsible of rapid bone resorption and disorganised bone formation. MATERIALS AND METHODS: The patient was a 72-year-old female patient complaining of dental malposition and blatant prognathism. CONCLUSION: Clinicians should consider PDB in differential diagnosis for an elderly patient undergoing unexplained alteration in face profile and occlusion...
June 2018: Gerodontology
Linda Slack-Smith
No abstract text is available yet for this article.
June 2018: Gerodontology
Shunsuke Hino, Satoshi Nakamura, Takahiro Kaneko, Norio Horie, Tetsuo Shimoyama
OBJECTIVE: To present a case of Adult-onset Still's disease (AOSD) initially suspected to be odontogenic inflammation. BACKGROUND: Adult-onset Still's disease is a rare, complex autoinflammatory disease and a known cause of fever of unknown origin. MATERIALS AND METHODS: The patient had both a fever and dental pain. Following meticulous examination, the patient was diagnosed with AOSD. CONCLUSION: Clinicians should keep in mind that a patient such as AOSD may visit their clinics...
June 2018: Gerodontology
Alejandro Ismael Lorenzo-Pouso, Abel García-García, Mario Pérez-Sayáns
OBJECTIVE: To report conservative treatment based on the use of dermal fillers for a case of recurrent angular cheilitis. CASE REPORT: An 80-year-old patient with a history of recurrent angular cheilitis that was not resolved with a conventional approach sought treatment. Complete remission of the pathology was achieved with the injection of hyaluronic acid fillers. CONCLUSION: This case illustrates the potential of nonsurgical facial aesthetics (NSFA) for treating this common pathology among elderly people...
June 2018: Gerodontology
Cristian Rațiu, Aranka Ilea, Florin A Gal, Flavia Ruxanda, Bianca A Boşca, Viorel Miclăuș
OBJECTIVE: The article aims to highlight the challenge of establishing the presumptive aetiological diagnosis when unilocular or multilocular radiolucencies are identified in an elderly patient's jawbones. MATERIALS AND METHODS: A mandibular cyst-like lesion was identified in a 73-year-old patient. The therapeutic decision was cyst enucleation and grafting of the bone defect. RESULTS: The initial presumptive diagnosis was invalidated by the histopathological examination that revealed the features characteristic for the aneurysmal bone cyst...
June 2018: Gerodontology
Murat Binar, Fatih Arslan, Umit Aydin
OBJECTIVE: An abscess of the tongue base is rare, but it can be a potentially life-threatening situation in elderly patients. CASE REPORT: A 72-year-old male patient presented with mid-anterior neck swelling, odynophagia, poor oral hygiene and severe dyspnoea. After a difficult intubation, the muscles were dissected via a submental suprahyoid approach and the abscess was drained. CONCLUSION: Poor oral hygiene may predispose elderly patients to tongue-base abscesses...
June 2018: Gerodontology
Kevin Fortier, Deepti Shroff, Uday N Reebye
BACKGROUND: Dabigatran, rivaroxaban, apixaban and edoxaban are approved novel oral anticoagulants (NOACs) as alternatives to Vitamin K antagonists (VKA). Physicians are prescribing an ever-increasing amount these drugs to their patients due to various advantages over existing medications. AIMS: The objective of this review is to provide the dental professional with current literature surrounding the emergence of NOACs, as well as various case studies on the subject, in an effort to guide clinical decision making regarding these medications...
June 2018: Gerodontology
Eduardo Vázquez-Delgado, Marta Viaplana-Gutiérrez, Rui Figueiredo, Tara Renton, Cosme Gay-Escoda, Eduard Valmaseda-Castellón
OBJECTIVE: To determine the prevalence and the clinical features of patients with neuropathic pain and sensory alterations after dental implant placement. BACKGROUND: Literature is very scarce concerning the prevalence of neuropathic pain after dental implant placement. PATIENTS AND METHODS: A retrospective cohort study was made in patients submitted to dental implant placement in the Dental Hospital of the University of Barcelona. A descriptive analysis of the data was made, and the 95% confidence intervals (95% CI) were calculated for the prevalences...
June 2018: Gerodontology
Anna Greta Barbe, Michael Johannes Noack, Michael Thomas Barbe, Ina Nitschke
OBJECTIVES: It is essential that especially elderly patients are correctly positioned in dental chairs, based on medical history and careful observation. METHOD: We report a case where reclination of the patient's head resulted in weakness of the limbs. RESULTS: Subsequent investigation determined traumatic contusion of the cervical spinal cord. CONCLUSIONS: This case highlights the need for accurate anamnesis, close observation and interdisciplinary communication to determine correct positioning...
March 2018: Gerodontology
Mayara Santos de Castro, Cínthia Magalhães Ribeiro, Marina Lara de Carli, Alessandro Antônio Costa Pereira, Felipe Fornias Sperandio, Oslei Paes de Almeida, João Adolfo Costa Hanemann
OBJECTIVE: To report a case of primary diffuse large B-cell lymphoma (DLBCL) of the maxillary sinus in an 82-year-old Caucasian woman. BACKGROUND: Diffuse large B-cell lymphoma of the maxillary sinus has non-specific signs and symptoms that may be confused with benign inflammatory conditions and upper respiratory infections. METHODS: An incisional biopsy was performed. CD20+ /CD3- /Ki-67: 95% cells were observed. CONCLUSION: A good medical history, clinical and imaging evaluations and immunohistochemical reactions are crucial to establish a correct and early diagnosis of DLBCL...
March 2018: Gerodontology
Rithvitou Horn, Chanlay Heng, Chamrouen Chea, Chanthyda Sieng, Chenlay Louv, Bathsheba Turton, Callum Durward, Noor Hayaty Abu Kasim
OBJECTIVE: Older adults (those above the age of 60) are an emerging demographic in Cambodia, and very little is understood about their oral health experiences, needs, perceptions and behaviours. The aim of this study was to explore the oral health experiences, practices and perceptions of a convenience sample of a small but diverse group of older adults in Cambodia. METHOD: A cross-sectional qualitative study in which focus group interviews were conducted by 5 trained senior Cambodian dental students...
March 2018: Gerodontology
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