The diagnostic suitability of a xerostomia questionnaire and the association between xerostomia, hyposalivation and medication use in a group of nursing home residents

The study objective was to explore the diagnostic suitability of the Xerostomia Inventory and the association between xerostomia, hyposalivation and medication use in a group of nursing home residents. A cross-sectional study was carried out in 50 physically impaired nursing home residents (20 men) with a mean age of 78.1 years (range, 53–98) in The Netherlands. The Xerostomia Inventory-Dutch version was completed for all residents and the data were subjected to exploratory factor analysis to determine the diagnostic suitability. Residents’ data on xerostomia, whole saliva secretion rates and hyposalivation-related medications used were collected and statistically analyzed. The diagnostic suitability of the Xerostomia Inventory-Dutch version appeared restricted. The prevalence of xerostomia was 52%, without gender and age difference. The prevalence of hyposalivation was 24% for resting, 60% for chewing-stimulated and 18% for acid-stimulated whole saliva. All whole saliva secretion rates were significantly lower in women than in men and in older than in younger residents. Forty-four percent of all medications used were hyposalivation-related and women used significantly more medications than men. Xerostomia was significantly negatively correlated with the resting whole saliva secretion rate. The number of hyposalivation-related medications used was not significantly correlated with the various whole saliva secretion rates. In nursing home residents, xerostomia, hyposalivation and using hyposalivation-related medications seem common and partially associated features

Het tandheelkundig jaar 2015

Het tandheelkundig jaar 2015 biedt een overzicht van de meest recente ontwikkelingen in de tandheelkunde. Een breed scala aan onderwerpen komt aan bod, zoals: - Moderne keramische materialen voor het indirect restaureren van natuurlijke gebitselementen - Botvervangers: wat gebruik ik waar? - Een vrijgelegde cuspidaat die niet wil bewegen, wat nu? - Preventie in de kindertandheelkunde; de functie van de ruimtehouder tijdens de gebitsontwikkeling - Irrigatie en reiniging van het wortelkanaal: de noodzaak om irrigantia te activeren De bijdragen zijn geschreven door een keur aan gezaghebbende Vlaamse en Nederlandse auteurs

Best clinical practice guidance for prescribing dental radiographs in children and adolescents : an EAPD policy document

Background The European Academy of Paediatric Dentistry (EAPD) proposes this best clinical practice guidance to help practitioners decide when and how to prescribe dental radiographs in children and adolescents. Methods Four expert working groups conducted each a systematic review of the literature. The main subjects were radiation protection, intraoral dental radiography (bitewing and periapical radiographs), panoramic radiography (PR) and cone-beam computed tomography (CBCT). In addition, three workshops were held during the corresponding EAPD Interim Seminar in Chania (Crete, Greece) in 2019. On the basis of the identified evidence, all invited experts presented their findings and during the workshops aspects of clinical relevance were discussed. Results Several clinical-based recommendations and statements were agreed upon. Conclusion There is no or low-grade evidence about the efficacy of dental radiographic examinations in young populations. The given recommendations and rationales should be understood as best clinical practice guidance. It is essential to respect the radiological principles of an individualized and patient-specific justification. When a dental radiograph is required, its application needs to be optimized, aiming at limiting the patient's exposure to ionising radiation according to the ALADAIP principle (AsLowAsDiagnosticallyAchievable beingIndication-oriented andPatient-specific)