Introduction of Clinical Question In a normal brain neurons in the substantia nigra produce a

2900 WordsApr 23, 201912 Pages
Introduction of Clinical Question In a normal brain neurons in the substantia nigra produce a chemical called dopamine that acts to control motor functions. In a person with Parkinson’s disease, there is insufficient dopamine and motor symptoms such as tremors, rigidity, problems with balance and bradykinesia can occur. According to the National Parkinson Foundation, four to six million people worldwide are estimated to have Parkinson’s Disease. In the United States alone, the incidence is estimated at fifty to sixty thousand new cases diagnosed each year. Additionally, the Center for Disease Control puts complications from Parkinson’s disease as the 14th leading cause of death. While there is no cure, the symptoms can be controlled…show more content…
He is interested in a new lower complete denture. Literature Review P-people with Parkinson’s Disease requiring dental prosthetic work I-patients receiving implants C-patients not receiving implants O-quality of life Clinical question: In people with Parkinson’s disease needing dental prostheses, does placement of implants affect quality of life? Research began by logging on to the NYU site and clicking the Research tab. Under the heading of Popular Resources, the link to PubMed via NYUHSL was clicked. Once on PubMed, the terms ‘parkinson’s disease and dental implants’ were searched. There were nine articles found, of which three were chosen due to relevance to the clinical question. -Article 1: Clinical outcomes of three Parkinson’s disease patients treated with mandibular implant overdentures Introduction: Patients with Parkinson’s Disease can have problems with chewing and swallowing, which can lead to GI problems such as nausea, heartburn and constipation, as well as worsening neurological symptoms. This paper sought to evaluate if using implant retained over dentures improved chewing and predigestion in people with Parkinson’s disease [3]. Materials and methods: Two men and one woman with Parkinson’s disease needing improved dentures and chewing function were recruited. Their severity of disease and GI score were evaluated. GI symptoms assessed were bloating, heartburn, dysphagia, regurgitation and constipation. Complete dentures were
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