The Bulletin - Issue 60 Sept / Oct 2021

Page 28

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Neurodegenerative conditions and oral health Self-record CPD hours for the time spent in reading this article (DHAA recommends 0.5 CPD hour clinical/scientific)

eurones are the building blocks of the nervous system which includes the brain and spinal cord. Neurones normally do not reproduce or replace themselves, so when they become damaged or die they cannot be replaced by the body. Neurodegenerative conditions through this destruction of cells cause problems with movement (ataxias) or mental functioning (dementias). Neurodegenerative conditions affect many activities, such as balance, movement, talking, breathing, and heart function. Many of these diseases are genetic. Sometimes the cause is a medical condition such as alcoholism, a tumor, or a stroke. Other causes may include toxins, chemicals, and viruses. Sometimes the cause is unknown. Neurodegenerative conditions can be serious or lifethreatening. It depends on the type. Most of them have no cure. Treatments may help improve symptoms, relieve pain, and increase mobility. Neurodegenerative conditions can have a profound impact on a patient’s oral health. As clinicians it is important to understand the ways in which these conditions impact oral health so we can reduce the barriers patients with neurodegenerative conditions face when receiving dental treatment or advice. This article outlines the main areas that impact the oral health of people with neurodegenerative disorders, and discuss management strategies for health professionals and carers.

Limited mobility/ coordination By the DHAA Special Needs Dentistry SIG – Margie Steffens – Aileen Lewis – Angie Ioannidis – Amelia Roff

Neurodegenerative conditions often affect areas of the brain that control motor function of the extremities. Patients end up with muscle weakness, uncontrolled movements, and a lack of coordination; all issues in maintaining an


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