Falls: considerations for the dental surgeon

Khan, Ishfaq Shafi

doi:10.1038/s41415-020-1422-0

Cited by 5 publications

(3 citation statements)

References 69 publications

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“…Additionally, PD patients are more prone to falls, owing to several conditions, such as gait disorders, postural instability and orthostatic hypotension [99,100]. Falls can in turn lead to maxillofacial trauma and traumatic dental injuries [101]. • Reduced (deteriorating with PD severity)…”

Section: Pd: An Impediment To Oral and Dental Carementioning

confidence: 99%

Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye

Auffret

Meuric

Boyer

et al. 2021

JPD

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Despite clinical evidence of poor oral health and hygiene in Parkinson’s disease (PD) patients, the mouth is often overlooked by both patients and the medical community, who generally focus on motor or psychiatric disorders considered more burdensome. Yet, oral health is in a two-way relationship with overall health—a weakened status triggering a decline in the quality of life. Here, we aim at giving a comprehensive overview of oral health disorders in PD, while identifying their etiologies and consequences. The physical (abnormal posture, muscle tone, tremor, and dyskinesia), behavioral (cognitive and neuropsychiatric disorders), and iatrogenic patterns associated with PD have an overall detrimental effect on patients’ oral health, putting them at risk for other disorders (infections, aspiration, pain, malnutrition), reducing their quality of life and increasing their isolation (anxiety, depression, communication issues). Interdisciplinary cooperation for prevention, management and follow-up strategies need to be implemented at an early stage to maintain and improve patients’ overall comfort and condition. Recommendations for practice, including (non-)pharmacological management strategies are discussed, with an emphasis on the neurologists’ role. Of interest, the oral cavity may become a valuable tool for diagnosis and prognosis in the near future (biomarkers). This overlooked but critical issue requires further attention and interdisciplinary research.

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Section: Pd: An Impediment To Oral and Dental Carementioning

confidence: 99%

Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye

Auffret

Meuric

Boyer

et al. 2021

JPD

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“…However, bisphosphonates may potentially affect any bone within the human body, one case report described bisphosphonate associated osteonecrosis of the thumb, many years after discontinuation of the bisphosphonates, 6 and another case described osteonecrosis of the calvarial bone associated with bisphosphonates 7 . Other specific bisphosphonate complications include gastrointestinal complications (dysphagia, discomfort, and oesophageal irritation) and nephrotoxicity, 8 and atypical femoral fractures which may increase the risk of falls 9 . In addition, complications of anti‐angiogenic medications include fatigue, delayed healing, bleeding, hypertension, pruritus, thrombosis, and myocardial infarction 10 .…”

Section: Introductionmentioning

confidence: 99%

“…7 Other specific bisphosphonate complications include gastrointestinal complications (dysphagia, discomfort, and oesophageal irritation) and nephrotoxicity, 8 and atypical femoral fractures which may increase the risk of falls. 9 In addition, complications of anti-angiogenic medications include fatigue, delayed healing, bleeding, hypertension, pruritus, thrombosis, and myocardial infarction. 10 These medications, therefore, have a significant impact on a patient's oral and general health.…”

Section: Introductionmentioning

confidence: 99%

Medication‐related osteonecrosis of the external auditory canal – A rapid review of the literature and relevance to special care dentists

Khan

2023

Special Care in Dentistry

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AimsThere is growing evidence that anti‐resorptive and anti‐angiogenic medications can cause medication‐related osteonecrosis of the external auditory canal (MROEAC). It is possible that patients taking risk medications may also suffer from concomitant medication ‐related osteonecrosis of the jaw (MRONJ) or temporomandibular joint (TMJ) involvement. The aim of this paper is to conduct a rapid review of the literature on MROEAC, and, its relevance to special care dentists.Methods and ResultsA rapid review of the literature was carried out using PubMed, Science Direct and Google Scholar to identify papers relating to MROEAC. The grey literature and non‐English papers were also consulted. Overall, 19 papers were identified from 2005 until December 2022.ConclusionsPatients at risk of MRONJ may also be at risk of MROEAC and present to special care dentists. Dental/orofacial disease may cause signs and symptoms suggestive of MROEAC. It should be considered as a potential cause of orofacial pain in special care patients. MROEAC can have a significant impact on a patient's dental treatment, including access, the provision of sedation, communication difficulties, and consent issues.

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