Gerodontology最新文献

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Dietary n-6 and n-3 Polyunsaturated Fatty Acids and Tooth Loss in Community-Dwelling Older Japanese People. 日本社区老年人饮食中的n-6和n-3多不饱和脂肪酸与牙齿脱落
IF 2 3区 医学
Gerodontology Pub Date : 2025-04-04 DOI: 10.1111/ger.12819
Akihiro Yoshihara, Masanori Iwasaki, Kana Suwama, Ayuko Odajima, Keiko Kabasawa, Yumi Ito, Junta Tanaka
{"title":"Dietary n-6 and n-3 Polyunsaturated Fatty Acids and Tooth Loss in Community-Dwelling Older Japanese People.","authors":"Akihiro Yoshihara, Masanori Iwasaki, Kana Suwama, Ayuko Odajima, Keiko Kabasawa, Yumi Ito, Junta Tanaka","doi":"10.1111/ger.12819","DOIUrl":"https://doi.org/10.1111/ger.12819","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the associations between baseline n-6 and n-3 polyunsaturated fatty acid levels and the number of teeth lost subsequently over 5 years.</p><p><strong>Background: </strong>The relationship between n-3 and n-6 polyunsaturated fatty acids and tooth loss remains unclear. Previous studies have been limited to older individuals aged 70 and above, and no research has been conducted that takes into account a broader age range.</p><p><strong>Material and methods: </strong>Participants (n = 1534) attended both the baseline survey and the follow-up survey conducted 5 years later. Poisson regression analyses were conducted after converting the number of teeth present at baseline into an adjustment variable. The dependent variable was the number of lost teeth over a five-year period. The exposure variables were each quintile of self-reported n-3 and n-6 polyunsaturated fatty acid intake levels (g/1000 kcal) and the ratio of self-reported n-6 to n-3 polyunsaturated fatty acid intake levels (n-6:n-3 ratio) adjusted by age, sex, smoking, use of dental floss or interdental brush and history of diabetes mellitus.</p><p><strong>Results: </strong>Higher n-3 fatty acid intake (5th quintile, incidence rate ratio (IRR): 0.21, p < 0.001) and a lower dietary n-6:n-3 ratio (≤ 4.0) significantly lower tooth loss risk. Conversely, higher n-6 intake (5th quintile, IRR: 1.32, p = 0.006) was associated with the likelihood of tooth loss. Younger age, flossing and adequate chewing ability were associated with better dental outcomes.</p><p><strong>Conclusion: </strong>Balanced dietary intake, particularly higher n-3 fatty acids and a lower n-6:n-3 ratio, helps preserve dental health by reducing tooth loss risk.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Subjectively Low Oral Function Is Associated With Physical Frailty and Polypharmacy in Community-Dwelling Older Adults. 社区居住老年人主观口腔功能低下与身体虚弱和多药有关。
IF 2 3区 医学
Gerodontology Pub Date : 2025-03-31 DOI: 10.1111/ger.12818
Aya Hirata, Masahiro Ishizaka, Akihiro Yakabi, Kaoru Kobayashi, Akihiro Ito, Tsuyoshi Hara, Tomohiko Urano
{"title":"Subjectively Low Oral Function Is Associated With Physical Frailty and Polypharmacy in Community-Dwelling Older Adults.","authors":"Aya Hirata, Masahiro Ishizaka, Akihiro Yakabi, Kaoru Kobayashi, Akihiro Ito, Tsuyoshi Hara, Tomohiko Urano","doi":"10.1111/ger.12818","DOIUrl":"https://doi.org/10.1111/ger.12818","url":null,"abstract":"<p><strong>Objective: </strong>To examine each Kihon Checklist (KCL) oral function item, physical function, and the number of medications and describe associations between KCL oral function, frailty, sarcopenia, and polypharmacy.</p><p><strong>Methods: </strong>Participants were 318 community-dwelling older adults (78.6 ± 6.9 years). The number of medications, KCL, the Japanese version of the Cardiovascular Health Study (J-CHS), grip strength, gait speed, and skeletal muscle index were measured. Analyses used cross-tabulation. Logistic regression modelled the presence of low oral function.</p><p><strong>Results: </strong>Of the three oral function questions on the KCL, 34.9% of participants answered \"yes\" to Q13 on mastication, 24.8% answered \"yes\" to Q14 on swallowing, and 31.4% answered \"yes\" to Q15 on dry mouth. A total of 25.2% of the participants had low oral function according to the KCL. More of those with low oral function had polypharmacy. Oral function was not associated with sarcopenia. Physical frailty was associated with low oral function. Logistic regression analysis with oral function as the dependent variable and age, sex, polypharmacy, physical frailty, and sarcopenia status as the independent variables showed that physical frailty was associated with it.</p><p><strong>Conclusion: </strong>Older people who are physically frail and taking multiple medications are likely also to have oral frailty.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Policy Options to Complement the New Canadian Dental Program Enabling High Quality Care for People With Disabilities and Older Adults. 政策选择,以补充新的加拿大牙科计划,使残疾人和老年人的高质量护理。
IF 2 3区 医学
Gerodontology Pub Date : 2025-03-31 DOI: 10.1111/ger.12813
Logan D Davari, Martin Morris, Paul J Allison
{"title":"Policy Options to Complement the New Canadian Dental Program Enabling High Quality Care for People With Disabilities and Older Adults.","authors":"Logan D Davari, Martin Morris, Paul J Allison","doi":"10.1111/ger.12813","DOIUrl":"https://doi.org/10.1111/ger.12813","url":null,"abstract":"<p><strong>Background: </strong>The newly announced Canadian Dental Care Plan (CDCP) particularly aims to reduce financial barriers to dental care for individuals living below a family income threshold. The Canadian government has also launched an \"Oral Health Access Fund\" to support projects aiming to address financial barriers to dental care for older adults, those with disabilities and other groups. Evidence from programs implemented elsewhere in the world could inform policy decisions and address such non-financial barriers for older Canadians and those with disabilities.</p><p><strong>Aim: </strong>To identify dental programs and policies in OECD countries focusing on people with disabilities and older people, and to outline how they might be applied to the Canadian context.</p><p><strong>Methods: </strong>The strategy for this narrative literature review comprised a combination of Medical Subject Headings (MeSh) or their equivalent, title/abstract keywords, truncations, and Boolean operators. Medline (Ovid), Embase (Ovid), CINAHL and Scopus were used. The searches were limited to English language publications involving programs and policies in all OECD countries. All searches ran from inception to January 25, 2023, with no restrictions on publication time.</p><p><strong>Results: </strong>The search identified 129 articles eligible for review. Findings were categorized as (1) interventions at the institutional-level (subdivided into patient-, professional- and community-focused programs) and (2) interventions at the governmental-level (subdivided into universal, population-specific, and community-based programs). Evidence suggests that targeted, integrated coaching or education programs for oral health care are beneficial, especially when programs are constantly evaluated and improved. Programs with a unified network system that integrates various relevant organizational and health domains have demonstrated to be most effective in the improvement of oral health care and overall health. Dental and medical healthcare workers play a crucial role in improving oral health outcomes and need motivation and fair compensation when caring for older people.</p><p><strong>Conclusions: </strong>There is limited quality evidence supporting approaches to improving oral health care and oral health for older people and those with disabilities. It is important for policymakers and stakeholders to consider programmes from other countries when expanding the CDCP.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accuracy and Reliability of Intraoral 3D Scans for Diagnostic Evaluations in Nursing Home Residents. 口腔内3D扫描在疗养院居民诊断评估中的准确性和可靠性。
IF 2 3区 医学
Gerodontology Pub Date : 2025-03-31 DOI: 10.1111/ger.12817
Basel Kharbot, Maike Riegel, Falk Schwendicke, Sebastian Paris, Gerd Göstemeyer
{"title":"Accuracy and Reliability of Intraoral 3D Scans for Diagnostic Evaluations in Nursing Home Residents.","authors":"Basel Kharbot, Maike Riegel, Falk Schwendicke, Sebastian Paris, Gerd Göstemeyer","doi":"10.1111/ger.12817","DOIUrl":"https://doi.org/10.1111/ger.12817","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the accuracy and reliability of intraoral 3D scans for assessing the oral health of older patients living in nursing homes.</p><p><strong>Materials and methods: </strong>One examiner recorded missing teeth, restorations, caries lesions and oral hygiene (Geriatric-Debris-Index Simplified [GDI-S] ≥ 1.9) in nursing home residents using visual-tactile diagnostics (reference test) and afterwards obtained intraoral scans with an intraoral scanner (TRIOS 4, 3Shape). Two other independent investigators and the clinical examiner assessed only the scans to delineate the same diagnostic outcomes. For these outcomes, we assessed accuracy, sensitivity, specificity and the Area-under-the-Receiver-Operating-Characteristics Curve (AUROC). Kappa values (κ) were calculated to evaluate inter-examiner and intra-examiner reliability after re-examination by all examiners after a minimum interval of 3 weeks.</p><p><strong>Results: </strong>Forty-three partially dentate patients (65-95 years of age) in need of care living in four nursing homes with a total of 486 teeth (mean [SD]: 11 [9] teeth per patient) were examined. Scans were perfectly accurate for detecting missing teeth (AUROC [sensitivity/specificity]: 1 [1/1]) and showed high accuracy for detecting restorations (0.96 [0.93/0.98]), too. Accuracy was lower to detect caries (0.77 [0.58/0.97]) and insufficient for oral hygiene (0.76 [0.54/0.99]). Agreement between examiners was perfect for missing teeth (κ: 1), very good for the detection of restorations (0.94), and good for caries or insufficient oral hygiene (0.73 and 0.72, respectively).</p><p><strong>Conclusions: </strong>Scans were suitable for basic diagnostic evaluations but showed considerable shortcomings in detecting caries and poor oral hygiene. Assessing scans was relatively reliable.</p><p><strong>Clinical relevance: </strong>Using scans may allow telemedical assessments of nursing home residents, but users should be aware of the differential accuracy for different diagnostic targets.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of an Individually Tailored Oral Health Intervention on Dental Plaque and Caries Among Family Caregivers and Their Care Recipients. 个体化口腔健康干预对家庭照顾者及其受照顾者牙菌斑和龋齿的影响。
IF 2 3区 医学
Gerodontology Pub Date : 2025-03-25 DOI: 10.1111/ger.12814
Salmi Annina, Nykänen Irma, Välimäki Tarja, Koponen Sohvi, Savela Roosa-Maria, Schwab Ursula, Suominen Anna Liisa
{"title":"The Effect of an Individually Tailored Oral Health Intervention on Dental Plaque and Caries Among Family Caregivers and Their Care Recipients.","authors":"Salmi Annina, Nykänen Irma, Välimäki Tarja, Koponen Sohvi, Savela Roosa-Maria, Schwab Ursula, Suominen Anna Liisa","doi":"10.1111/ger.12814","DOIUrl":"https://doi.org/10.1111/ger.12814","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effect of an individually tailored oral health intervention on the oral hygiene and health of family caregivers and their care recipients aged 60 years and older.</p><p><strong>Background: </strong>Older adults are retaining their natural teeth longer. The compromised condition of teeth and oral health increases the risk of the deterioration of functional ability. Focused early intervention plays a significant role in preventing oral health problems in the future.</p><p><strong>Materials and methods: </strong>This study was a six-months intervention study with a six-month follow-up and was part of the LENTO (Lifestyle, Nutrition and Oral health of caregivers) study. The sample consisted of family caregivers and their care recipients living in Eastern Finland. At baseline, the total sample comprised 239 (124 family caregivers and 115 care recipients) who were randomly allocated to either an intervention or a control group. In the intervention group, family caregivers received a tailored oral health intervention.</p><p><strong>Results: </strong>The number of teeth with plaque decreased among family caregivers (β = -2.1, CI -4.0-(-1.2), p = 0.015) and their care recipients (β = -0.6, CI -0.0-(-2.1), p = 0.050). The number of teeth with caries decreased among family caregivers who participated in the intervention (β = -0.6, CI -1.1-(-0.1), p = 0.015), but not among their care recipients.</p><p><strong>Conclusion: </strong>Our study shows that tailored information effectively promotes oral cleanliness among older adults. Furthermore, the number of teeth with caries decreased among family caregivers. It can therefore be recommended that such information and education on oral hygiene be implemented in healthcare systems in general. Furthermore, an interprofessional approach is necessary to promote better oral health in this vulnerable group of older adults.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT04003493. Registered on June 28, 2019.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oral Health Management by Dental Hygienists and Older Adults' Food Forms in Long-Term Care Facilities: A 1-Year Longitudinal Study. 长期护理机构中牙科保健师和老年人食物形式的口腔健康管理:一项为期1年的纵向研究。
IF 2 3区 医学
Gerodontology Pub Date : 2025-03-19 DOI: 10.1111/ger.12810
Kaoru Inamoto, Kimiya Ozaki, Yutaka Watanabe, Yutaka Yamazaki, Yuki Ohara, Masanori Iwasaki, Hirohiko Hirano, Midori Tsuneishi, Tsuyoshi Kodama, Mitsuyoshi Yoshida, Shunsuke Minakuchi
{"title":"Oral Health Management by Dental Hygienists and Older Adults' Food Forms in Long-Term Care Facilities: A 1-Year Longitudinal Study.","authors":"Kaoru Inamoto, Kimiya Ozaki, Yutaka Watanabe, Yutaka Yamazaki, Yuki Ohara, Masanori Iwasaki, Hirohiko Hirano, Midori Tsuneishi, Tsuyoshi Kodama, Mitsuyoshi Yoshida, Shunsuke Minakuchi","doi":"10.1111/ger.12810","DOIUrl":"https://doi.org/10.1111/ger.12810","url":null,"abstract":"<p><strong>Objective: </strong>To date, no studies have directly investigated the association between oral health management (OHM) and food forms. Therefore, this study aimed to investigate the association between OHM by dental hygienists and food forms in older adults admitted to long-term care facilities (LTCFs).</p><p><strong>Background: </strong>OHM involves oral health maintenance by dental hygienists and may prevent weight loss and pneumonia in older adults admitted to LTCFs.</p><p><strong>Materials and methods: </strong>Older adults in LTCFs in Japan (n = 273) who participated in baseline (2018) and follow-up (2019) surveys were evaluated. Basic characteristics, medical history, OHM status, oral maintenance management status, food forms, and oral conditions were investigated at baseline. After 1 year, a follow-up survey was conducted only on food items. Furthermore, factors associated with the maintenance or improvement in food forms after 1 year were examined using binomial logistic regression analysis.</p><p><strong>Results: </strong>Overall, 273 (69.2%) older adults in LTCFs required OHM by dental hygienists during the follow-up year, of whom 142 (52.0%) received OHM and 88 maintained or improved their regular diet. The analyses revealed that the maintenance or improvement in food forms after 1 year was significantly associated with OHM implementation (odds ratio: 2.01, 95% confidence interval: 1.03-3.90).</p><p><strong>Conclusion: </strong>OHM in older adults in Japanese LTCFs was associated with the maintenance or improvement in food forms, emphasising the importance of OHM for these individuals. OHM may also maintain or improve eating and swallowing functions, improving nutritional status.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diary Dates 日记的日期
IF 2 3区 医学
Gerodontology Pub Date : 2025-02-28 DOI: 10.1111/ger.12815
{"title":"Diary Dates","authors":"","doi":"10.1111/ger.12815","DOIUrl":"https://doi.org/10.1111/ger.12815","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 1","pages":"145"},"PeriodicalIF":2.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lateral periodontal cyst in an interdental molar site: Novel presentation in a geriatric patient 牙间磨牙部位侧周囊肿:一位老年患者的新表现
IF 2 3区 医学
Gerodontology Pub Date : 2025-02-28 DOI: 10.1111/ger.12759
John K. Brooks, Natalie Portillo, Arsalan K. Bhatti, Azin Parsa, John R. Basile
{"title":"Lateral periodontal cyst in an interdental molar site: Novel presentation in a geriatric patient","authors":"John K. Brooks,&nbsp;Natalie Portillo,&nbsp;Arsalan K. Bhatti,&nbsp;Azin Parsa,&nbsp;John R. Basile","doi":"10.1111/ger.12759","DOIUrl":"https://doi.org/10.1111/ger.12759","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This report describes an unusual case of a lateral periodontal cyst (LPC) residing between the roots of a mandibular first and second molar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The LPC is a developmental odontogenic cyst, the majority situated along the lateral roots of the mandibular canines and premolars. The occurrence of an LPC solely confined to the molar region is extremely rare. Limited information regarding the LPC has appeared in the geriatric literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient Presentation</h3>\u0000 \u0000 <p>A unilocular cyst-like lesion was incidentally discovered on extraoral and intraoral radiographic examinations involving a 68-year-old patient. It was initially considered an infected odontogenic keratocyst or unicystic ameloblastoma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Histologic examination of the excised specimen revealed a thin cuboidal epithelial lining with focal nodular thickenings and underlying fibrovascular connective tissue wall. The lesion was diagnosed as an LPC. At a 6-month follow-up, the patient has remained asymptomatic and exhibited radiographic osseous regeneration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The LPC should be added to the differential diagnosis of developmental odontogenic cysts found in the inter-molar region. A preoperative cone beam computed tomography scan may be helpful to optimise the surgical approach. Timely removal of any suspected cystic lesion, particularly in the context of infection in an older patient, may reduce postoperative sequelae and rule out malignancy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 1","pages":"124-128"},"PeriodicalIF":2.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medication-related osteonecrosis of the jaw in an older patient with multiple myeloma 老年多发性骨髓瘤患者颌骨药物相关性骨坏死1例
IF 2 3区 医学
Gerodontology Pub Date : 2025-02-28 DOI: 10.1111/ger.12758
Larissa Couto de Freitas, Vanessa Silvestre de Aquino Silva, Marta Miyazawa, Carine Ervolino de Oliveira, Felipe Fornias Sperandio, João Adolfo Costa Hanemann
{"title":"Medication-related osteonecrosis of the jaw in an older patient with multiple myeloma","authors":"Larissa Couto de Freitas,&nbsp;Vanessa Silvestre de Aquino Silva,&nbsp;Marta Miyazawa,&nbsp;Carine Ervolino de Oliveira,&nbsp;Felipe Fornias Sperandio,&nbsp;João Adolfo Costa Hanemann","doi":"10.1111/ger.12758","DOIUrl":"https://doi.org/10.1111/ger.12758","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This article reports a case of medication-related osteonecrosis of the jaw (MRONJ) associated with multiple myeloma (MM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bisphosphonates (BPs) are constantly used as part of the treatment for MM. The main adverse effects of bisphosphonates are renal insufficiency and medication-related osteonecrosis of the jaw (MRONJ).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A 67-year-old female with a previous diagnosis of MM and undergoing current receiving intravenous injections of pamidronate underwent a tooth extraction and subsequently developed MRONJ.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>MRONJ was managed with clindamycin, surgical removal of bony sequestrum and curettage. At 3 years of follow-up, the patient was asymptomatic with no clinical changes and panoramic radiography without evidence of recurrence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Management of patients under antiresorptive drugs who require invasive dental procedures is challenging. Therefore, interprofessional collaboration, especially between the general practitioner and oncologist and/or haematologist, is essential to reach the best clinical approach and reduce the risk of MRONJ.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 1","pages":"119-123"},"PeriodicalIF":2.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An exuberant case of uremic stomatitis in an older adult 老年人尿毒症性口炎一例
IF 2 3区 医学
Gerodontology Pub Date : 2025-02-28 DOI: 10.1111/ger.12791
Maria Fernanda Ponce, Gerardo Gilligan, Bruno Augusto Benevenuto de Andrade, José Alcides Almeida de Arruda
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