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[When words fail]. [说不出话来]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.24106
H Algra
{"title":"[When words fail].","authors":"H Algra","doi":"10.5177/ntvt.2025.05.24106","DOIUrl":"https://doi.org/10.5177/ntvt.2025.05.24106","url":null,"abstract":"<p><p>Patients with a cognitive impairment and/or autism often process information differently from or more slowly than other patients. They may interpret certain words very literally. This requires special attention from the dental care provider for the way in which signals are perceived and information can be shared. The use of language is a pitfall: patients use concepts they do not understand themselves. In addition, it takes them more time to understand intentions. The capabilities of patients are often overestimated. Acknowledging a patient s impairment sometimes literally requires translation during treatment, in which the use of language must be supported by visual aids, such as pictures.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"226-230"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Bruxism and neurodegenerative diseases, is there a connection?] 磨牙症和神经退行性疾病有联系吗？］
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2024.01.23077
T Kurpez, M C Verhoeff, M Thymi, R de Vries, F Lobbezoo
{"title":"[Bruxism and neurodegenerative diseases, is there a connection?]","authors":"T Kurpez, M C Verhoeff, M Thymi, R de Vries, F Lobbezoo","doi":"10.5177/ntvt.2024.01.23077","DOIUrl":"10.5177/ntvt.2024.01.23077","url":null,"abstract":"<p><p>Bruxism, characterized by grinding teeth and clenching jaws, may be associated with various neurodegenerative diseases. This study aimed to systematically investigate the prevalence of bruxism in patients with neurodegenerative diseases. A systematic review of the literature was carried out across 4 databases. Original studies reporting the prevalence and related factors of bruxism in patients with neurodegenerative diseases were included. The literature search yielded 3,722 references, 43 of which fully met the inclusion criteria. Parkinson’s disease showed the highest prevalence rates, followed by multiple sclerosis, Alzheimer’s disease, chorea-acanthocytosis and frontotemporal dementia. This systematic review indicates a potential association between bruxism and neurodegenerative diseases. However, the available literature on the presence and characteristics of bruxism in this patient group is limited. Further research is needed to improve support for dental care providers in order to effectively assist this vulnerable group of patients in preventing and mitigating the adverse effects of bruxism.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"274-279"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Practical guidelines for promoting oral health in people with a disability]. [促进残疾人口腔健康的实用指南]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.24128
S M Kalf-Scholte, G A van der Weijden, C Valkenburg, D E Slot
{"title":"[Practical guidelines for promoting oral health in people with a disability].","authors":"S M Kalf-Scholte, G A van der Weijden, C Valkenburg, D E Slot","doi":"10.5177/ntvt.2025.05.24128","DOIUrl":"10.5177/ntvt.2025.05.24128","url":null,"abstract":"<p><p>People with a cognitive impairment or a developmental disorder often have poorer oral health than the general population due to factors such as inadequate oral hygiene, untreated caries and periodontal issues. Primary oral healthcare providers play an important role in improving the oral health of people with a disability. They can provide continuity of care, ranging from prevention and monitoring to restorative treatment and, if necessary, referral to specialized care. However, people with a disability often face barriers accessing primary care, partly due to a lack of knowledge and skills among oral healthcare providers. On the basis of 6 studies, various aspects of oral healthcare for people with a disability were analysed. The findings of these analyses can help primary oral healthcare providers expand their knowledge; they also offer practical guidelines for better oral healthcare for people with a disability. This article is an adaptation of the dissertation of the same name.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"240-246"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Special dentistry according to the rules: how?] 【特殊牙科按规则：怎么做？】］
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.24112
W Ph L van Ouwerkerk, G van der Heijden
{"title":"[Special dentistry according to the rules: how?]","authors":"W Ph L van Ouwerkerk, G van der Heijden","doi":"10.5177/ntvt.2025.05.24112","DOIUrl":"https://doi.org/10.5177/ntvt.2025.05.24112","url":null,"abstract":"<p><p>Since 2006, the special dentistry scheme applies to everyone. Before that, privately insured persons were dependent on a limited list of deviations and were obliged to have the necessary care provided in a Centre for Special Dentistry (CBT). For health insurance policyholders, the general dentist had primacy for all special dentistry. However, many general dentists were unable (in terms of time, knowledge and experience) to apply the special care in practice. As a result, CBTs were soon established where dentists with a special affinity could provide the care. Nowadays, mainly specialized dentists work at the various larger CBTs. What is the current situation regarding the entitlement to and claiming special dentistry?</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"232-238"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Orthodontics in Down Syndrome]. [唐氏综合症的正畸治疗]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.24096
P L Carvajal Monroy, M M Visser, T G M Zuidgeest
{"title":"[Orthodontics in Down Syndrome].","authors":"P L Carvajal Monroy, M M Visser, T G M Zuidgeest","doi":"10.5177/ntvt.2025.05.24096","DOIUrl":"https://doi.org/10.5177/ntvt.2025.05.24096","url":null,"abstract":"<p><p>People with Down syndrome present unique dental and orthodontic challenges due to abnormalities in growth, craniofacial development, and oral motor function. This article summarizes the specific characteristics of Down syndrome and how they can impact orthodontic care. Children with Down syndrome exhibit growth delays starting from pregnancy and experience delayed, limited craniofacial development, often resulting in Class III malocclusions and a narrow maxilla. Additionally, dental anomalies such as microdontia, agenesis, and taurodontism are more common in this population. Orthodontic treatment is further complicated by comorbidities such as hypotonic muscles, obstructive sleep apnea, gastrointestinal and hematologic disorders, and behavioral challenges. The use of desensitization techniques and a multidisciplinary approach is essential for providing effective care. Early diagnosis, careful monitoring, and the use of appropriate orthodontic appliances are crucial for achieving optimal outcomes. Timely referral to specialized care providers can significantly improve both orthodontic outcomes and the quality of life for individuals with Down syndrome.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"254-260"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Sensory information processing in oral care for people with mental impairment]. [智力障碍患者口腔护理中的感觉信息处理]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.24108
E van Baarda, R M Remie
{"title":"[Sensory information processing in oral care for people with mental impairment].","authors":"E van Baarda, R M Remie","doi":"10.5177/ntvt.2025.05.24108","DOIUrl":"https://doi.org/10.5177/ntvt.2025.05.24108","url":null,"abstract":"<p><p>It can be helpful for dentists and dental hygienists to learn to look through sensory information processing glasses, both within regular dental practice and within special dentistry. This way of looking helps professionals when they reach a deadlock with a patient. For example, this can happen during a check-up, a treatment, or with persistent inadequate oral hygiene, despite repeated advice and instructions. Many patients may have difficulty processing sensory stimuli such as sounds, light, smells, taste, touch, movements and internal body sensations, which affects their behaviour. By investigating what stimuli cause overstimulation or understimulation, the needs of the patient can be better met and a more positive experience and better treatment results can be ensured.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"248-253"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Survey special care groups: the outcome]. [调查特殊护理组：结果]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.25017
D J F Lambregts-van Marrewijk, M C F M de Kuijper
{"title":"[Survey special care groups: the outcome].","authors":"D J F Lambregts-van Marrewijk, M C F M de Kuijper","doi":"10.5177/ntvt.2025.05.25017","DOIUrl":"https://doi.org/10.5177/ntvt.2025.05.25017","url":null,"abstract":"<p><p>From mid-December 2024 to mid-February 2025, a poll was conducted among the readers of the NTVT to gain insight into their views on the treatment of people with disabilities or autism. 27,2% of all respondents indicated that there are insufficient options to refer people with disabilities or autism for treatment within a 30-minute travel distance. Moreover, many Centers for Special Care Dentistry have a waiting lists or do not take on new patients anymore. The contribution of general practitioners is therefore much needed to organize the necessary care for these special care groups in the Netherlands. The degree of perceived competence appears to be associated with the self-reported treatment of people with a moderate to severe intellectual disability in the general dental practice. Additional training appears to lead to more competence, and therefore possibly to more treatment of these special care groups in the general dental practice.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"269-273"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The Care and Coercion Act and oral care for people with an intellectual disability]. [护理和强制法案和对智障人士的口腔护理]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.24116
T G M Zuidgeest
{"title":"[The Care and Coercion Act and oral care for people with an intellectual disability].","authors":"T G M Zuidgeest","doi":"10.5177/ntvt.2025.05.24116","DOIUrl":"https://doi.org/10.5177/ntvt.2025.05.24116","url":null,"abstract":"<p><p>In 2020, a new law (Wzd) was introduced to protect individuals with an indication under the Long-Term Care Act from coercion in healthcare. The Wzd applies to the healthcare of anyone with a long-term care act indication (whether they live at home or in a small- or large-scale institution, excluding judicial institutions); people with intellectual and/or multiple disabilities and people with a (psycho-)geriatric condition or similar disability. The Wzd should also apply within dental care if individuals refuse oral care or exhibit resistant behaviour when receiving oral care. By strictly applying the law in practice, ethical dilemmas can arise because it doesn t work for a patient. Oral care within the healthcare for the disabled sometimes requires the application of common sense in order to help a patient in a good way.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"261-267"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Pre-orthodontic orofacial myofunctional therapy]. 正畸前口面肌功能治疗。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-04-07 DOI: 10.5177/ntvt.2025.04.24085
H A J Reukers
{"title":"[Pre-orthodontic orofacial myofunctional therapy].","authors":"H A J Reukers","doi":"10.5177/ntvt.2025.04.24085","DOIUrl":"10.5177/ntvt.2025.04.24085","url":null,"abstract":"<p><p>Pre-orthodontic orofacial myofunctional therapy is regularly prescribed in young children to correct the function of the tongue as a causative factor of an anterior open bite. Tongue thrusting is thereby identified as a harmful habit that needs to be unlearned. However, the concept that soft tissue dysfunction is the primary cause of orthodontic abnormalities does not appear to be valid. The tongue adapts its function to the abnormal anatomy, which has arisen for other reasons. If the tongue would not do this, food and drink would be squeezed out rather than transported to the oesophagus. Teaching children different swallowing behaviour in order to facilitate or make orthodontic treatment unnecessary is therefore an unnecessary intervention.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 4","pages":"194-199"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Tetanus: a rare, life-threatening infection with trismus as a symptom]. [破伤风：一种罕见的危及生命的感染，症状为牙关紧闭]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-04-07 DOI: 10.5177/ntvt.2025.04.24090
L S Klunder, D E Wortmann, J Jansen, T C T van Riet, L Dubois
{"title":"[Tetanus: a rare, life-threatening infection with trismus as a symptom].","authors":"L S Klunder, D E Wortmann, J Jansen, T C T van Riet, L Dubois","doi":"10.5177/ntvt.2025.04.24090","DOIUrl":"https://doi.org/10.5177/ntvt.2025.04.24090","url":null,"abstract":"<p><p>A 73-year-old woman was presented at the Accidents and Emergency Department with trismus. The cause was an acute tetanus infection due to a small, superficial wound from bumping her lower leg against a stool. Tetanus is a life-threatening infection caused by the bacterium Clostridium tetani, primarily occurring in contaminated, anaerobic wounds. The infection leads to muscle spasms, often starting with trismus. For oral healthcare providers, it is crucial to check the vaccination status of patients with injuries and to be aware of the Dutch guidelines and protocols regarding tetanus prophylaxis.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 4","pages":"174-179"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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