RESUMEN
Dementia's impact on pain sensation is not well understood. Very little research has been done in this area, our clinical knowledge is poor, and there is no published information available to practitioners. This article reviews the current literature and discusses the need for further research. The number of patients with dementia is growing. This patient group will require dental diagnosis and treatment, and cannot be ignored by dentists. A humane approach to treatment must be adopted.
Asunto(s)
Demencia/fisiopatología , Dolor/fisiopatología , Enfermedad Aguda , Anciano , Enfermedad Crónica , Trastornos de la Comunicación , Cuidado Dental para Ancianos , Relaciones Dentista-Paciente , Humanos , Manifestaciones Neuroconductuales , Umbral del DolorRESUMEN
The Yunis-Varon syndrome is a rare hereditary disorder with ectodermal and skeletal anomalies that include agenesis or hypoplasia of the clavicles, craniofacial disproportion with severe micrognathia, digital anomalies, prenatal and postnatal growth deficiency, and neonatal death. Only 12 cases have been reported in the literature. Although neonatal death is a significant feature of this syndrome, two case reports describe children, both males, who were 30 months and 3 years of age at the time of investigation. The 30-month-old child was reexamined at 11 years of age, and had further clinical and radiologic features that included hypodontia, impacted permanent teeth, spinal defects, cardiomegaly, bilateral hearing loss, and metatarsus adductus. Children who survive the neonatal period and continue to thrive with many of the features of the Yunis-Varon syndrome as well as the new features described in this article may not have a distinct yet related syndrome.
Asunto(s)
Anodoncia , Cardiomegalia , Enfermedades de la Columna Vertebral , Diente Impactado , Anomalías Múltiples , Anodoncia/patología , Cardiomegalia/patología , Niño , Dedos/anomalías , Trastornos del Crecimiento/patología , Humanos , Discapacidad Intelectual , Masculino , Maloclusión/patología , Mandíbula/anomalías , Micrognatismo/patología , Enfermedades de la Columna Vertebral/patología , Síndrome , Dedos del Pie/anomalías , Anomalías Dentarias/patología , Diente Impactado/patologíaRESUMEN
Congenitally absent maxillary first permanent molars is a rare clinical finding. It usually occurs with severe oligodontia in association with other abnormalities of the integumentary system. This article presents the case of bilateral absent maxillary permanent molars with severe oligodontia and no other abnormalities.
Asunto(s)
Anodoncia , Diente Molar/anomalías , Anodoncia/patología , Diente Premolar/anomalías , Niño , Femenino , Humanos , Incisivo/anomalías , MaxilarRESUMEN
Palliative care is the knowledgeable and compassionate care of the dying patient. Although based on an holistic multidisciplinary philosophy, it does not usually include dentistry in its team approach. Many terminally ill patients have oral problems resulting from anti-cancer therapy and/or poor oral care during lengthy illnesses that require therapeutic intervention. By incorporating dentistry into the palliative care team, the dental needs of the dying patient will be managed more effectively.
Asunto(s)
Odontólogos , Cuidados Paliativos , Grupo de Atención al Paciente , Canadá , Atención Odontológica , Humanos , Planificación de Atención al Paciente , Relaciones Profesional-Familia , Relaciones Profesional-Paciente , Cuidado TerminalRESUMEN
The underlying process for the development and perpetuation of a chronic pain state is still unclear. This creates a perplexing problem for dentists dealing with chronic craniomandibular pain problems. This article outlines the diagnostic criteria used in our clinic to identify craniomandibular patients requiring psychiatric consultation and describes the management of the psychiatric referral.