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The main objective was to assess the efficacy of botulinum toxin-based treatment for sialorrhea in adult patients with Parkinson’s disease. The search was performed by using the Medline-PubMed, EMBASE and Cochrane Library databases from January 2000–December 2017, in English/Spanish in patients with Parkinson’s disease and sialorrhea. The methodological quality of trials was carried out by following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) criteria and the Newcastle–Ottawa Scale (NOS). Finally, a total of 21 articles were identified as fulfilling the inclusion criteria. There is no consensus regarding the site of injection of the toxin (single or multiple points), toxin dose or follow-up period. In all cases there was a reduction of sialorrhea. Treatment safety increases with the use of ultrasonography. Effects approximately occur at one week post-injection and for 3–5 months. Botulinum toxin is an effective therapeutic strategy or option in treating sialorrhea in adult patients with Parkinson’s disease. More studies with a better design, larger samples and a longer follow-up period are required to confirm these data.

Several videos reviewed information on oral care of organ transplant and hematopoietic stem cell transplant patients but were sometimes difficult to interpret. Nevertheless, YouTube™ is a tool that can help supply information and promote oral health care education among of organ transplant and hematopoietic stem cell transplant patients.

Background Older patients who spend long periods hospitalized or those who are in a situation of institutionalization represent a risk group in this regard, as many of them suffer a degree of dependence and need help to perform the basic tasks of personal care. It is therefore important to learn more of the oral health status of this group of patients in order to make a proper assessment of the situation and to develop protocols for its management. The purpose of the study was to conduct a systematic review to ascertain the oral health status of older people patients admitted to institutions or hospitalized for a long period of time. Methods a systematic review of the literature published in two different databases (PubMed, Embase and Cochrane Library) was carried out, with 12 different combinations of keywords based on the following selection criteria: studies published in the last 5 years, in English and/or Spanish and/or Portuguese, with samples of ≥30 patients, performed in patients older than 65 years, admitted to any type of institution and/or hospital center for at least 7 days and in which the state of hard and/or soft tissues of the oral cavity were evaluated in some way. The selected articles were subjected to a thorough analysis. Results The search strategy covered 1.014 articles: 689 from Pubmed and 325 from Cochrane Library. After applying the eligibility criteria, five articles were selected for our review. The level of evidence of the articles was, a sample of 773 patients most of them were women with an average age older than 70 years old. Conclusions The oral health of patients aged more than 65 is worse than that of the rest population. Long hospital stays or being institutionalized in a residence makes this group susceptible to a worsening of their oral health status. It is necessary to develop protocols for the oral health care of these patients, accompanied by training programs for the personnel responsible.

Introduction To analyze the quality of YouTube videos offering information about oral care in patients with Parkinson's disease (PD). Background Regular oral and dental care is essential for good general health and well‐being. In this regard, the motor and/or cognitive problems of people with PD can complicate correct daily hygiene. Materials and methods A systematic review was made of YouTube videos for the terms “Parkinson's disease,” “dental education,” “oral care,” “dental care,” “oral disease,” “oral status,” and “oral health.” The videos were assessed for content, duration, number of viewings, days since upload, and likes and dislikes. The interaction index and viewing rate were also evaluated. Video quality was rated using a 5‐point Likert scale based on the global quality score (GQS). Results The search identified 620 videos, of which 42 were included in the analysis. The sources of the uploads were universities (n = 15), television channels (n = 8), and other sources (n = 19). Significant differences were recorded according to the source of information in terms of the duration of the videos (P = .021), the number of views (P = .025), viewing rate (P = .028), days since upload (P = .018), likes (P = .048), and dislikes (P = 0.008). Conclusions GQS is higher for University videos; YouTube videos are an accessible, effective, informative, and educative tool for improving oral quality of life of patients with PD. Relevance to clinical practice YouTube is increasingly used by patients with chronic disorders, for many reasons, including the desire for a second opinion, the search for support, and a wish to increase personal knowledge of the disease. Likewise, there is a growing interest in the search for information about oral care and coping skills.

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Background: Elderly patients who spend long periods hospitalized or those who are in a situation of institutionalization represent a risk group in this regard, as many of them suffer a degree of dependence and need help to perform the basic tasks of personal care. It is therefore important to learn more of the oral health status of this group of patients in order to make a proper assessment of the situation and to develop protocols for its management.The purpose of the study was to conduct a systematic review to ascertain the oral health status of elderly patients admitted to institutions or hospitalized for a long period of time. Methods: a systematic review of the literature published in two different databases (PubMed, Embase and Cochrane Library) was carried out, with 12 different combinations of keywords based on the following selection criteria: studies published in the last 5 years, in English and/or Spanish and/or Portuguese, with samples of ≥30 patients, performed in patients older than 65 years, admitted to any type of institution and/or hospital center for at least 7 days and in which the state of hard and/or soft tissues of the oral cavity were evaluated in some way. The selected articles were subjected to a thorough analysis. Results: The search strategy covered1 , 014 articles: 689 from Pubmed and 325 from Cochrane Library. After applying the eligibility criteria, fivearticles were selected for our review. The level of evidence of the articles was3, a sample of 773 patients most of them were women with an average age older than 70 years old. Conclusions: the oral health of patients aged more than 65 is worse than that of the rest population. Long hospital stays or being institutionalized in a residence makes this group susceptible to a worsening of their oral health status. It is necessary to develop protocols for the oral health care of these patients, accompanied by training programs for the personnel responsible. Key words: “elderly inpatients”, “elderly hospitalized patients”, “long term hospitalization”, “long term inpatients”, “oral health”, “oral status”.