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[Clinical gustometry].

A new gustatory clinical test and its normative approach are presented. The measure's coherence seems to be better with salt and sweet stimuli than with bitter ones.

Adult↗

Clinical management of the dental patient taking multiple drugs.

Adverse drug reactions (ADRs) occur often in elders often due to polypharmacy. Those over 65 currently comprise 13% of the population but consume approximately a third of all drugs prescribed. Increased care when prescribing certain drug classes and careful monitoring of the patient can prevent many ADRs. This article examines four questions that should be addressed when providing dental care for an older patient taking multiple medications. These include: (1) what are the medical conditions that necessitate the medications, (2) what impact do these medical conditions have on the provision of care, (3) what are the oral side effects of the medications, and (4) how will the patient's current list of medications alter the dentist's prescribing patterns for drugs used in dentistry?

Adverse Drug Reaction Reporting Systems↗

[Impaired sense of taste--diagnosis and treatment].

The sense of taste has great importance in health and disease. Complaints of oral discomfort associated with taste disturbances are increasingly met in the clinical setting. Altered taste perception can result from various underlying local or systemic pathology, as well as serious sensorial syndromes. Although they are not straightforward to diagnose and manage, it is important for the clinician to understand the pathphysiology of this chemosensory system, and to be able to use objective measures in order to quantify and classify the apparent symptoms, thus making the first step to correct diagnosis and treatment.

Adult↗

Oral manifestations and analysis of salivary and blood urea levels of patients under going haemo dialysis and kidney transplant.

AIM AND OBJECTIVES: To evaluate oral manifestations in patients with renal diseases and to correlate blood and salivary urea levels in patients undergoing haemodialysis and kidney transplant. MATERIAL AND METHODS: Study group subjects were selected from patients undergoing hemodialysis and patients who had underwent kidney transplant. Adequate history was recorded. All the groups were examined extra orally and intra orally and findings were recorded. SAMPLE COLLECTION: Venous blood was collected from the antecubital fossa in control group. In patients with renal disease undergoing dialysis, blood was collectedjust prior to the dialysis. Renal transplant patients' blood samples were collected during review visit. Unstimulated saliva was collected and submitted to the laboratory immediately for urea examination by an automated analyzer. RESULTS: Extra oral manifestations like swollen face, pale skin, pedal edema, and bruises on the skin, nausea and vomiting in nearly 50% of the patiens, and oral manifestations like uraemic odour, dry mouth, and altered taste sensation were noted. There was a correlation between blood urea and salivary urea concentration in patients under going hemodialysis and kidney transplant. CONCLUSION: Saliva can be used as a non-invasive diagnostic tool.

Adolescent↗

[Taste loss following the use of the laryngeal mask airway].

The laryngeal mask airway can be used safely to manage the airway. However, it is associated with a few complications. We report a case of taste loss following the use of the laryngeal mask airway in a 20-year-old man. He was scheduled for open reduction and internal fixation of fractured bones. Anesthesia was induced with propofol and maintained with nitrous oxide, oxygen and sevoflurane. The patient complained of loss of taste on the first postoperative day. Taste loss lasted for six months. We conclude that loss of taste was caused by lingual nerve injury associated with malposition of the laryngeal mask airway.

Adult↗

A review of adverse oral reactions to systemic medications.

There is no debate that oral health and general well-being are inextricably bound. Many commonly prescribed medications have associated dental and oral manifestations that often are nonspecific and can vary in significance. This article reviews many common oral manifestations of systemic drugs, including the clinical manifestations, diagnosis, and treatment of these conditions.

Drug-Related Side Effects and Adverse Reactions↗

[Adverse drug effects in the oral region].

Syphilis was previously termed "the great imitator" because so many of the signs and symptoms are indistinguishable from those of other diseases. This role has been taken over by drugs, and this also applies to adverse drug reactions in the oral region. Accordingly, a careful drug history, including identification of any prescription, over-the-counter, or herbal medicines used, may give an important clue to the differential diagnosis of oral diseases when the aetiology is not apparent. Virtually all drugs have the potential to cause oral adverse reactions, but some have a greater ability to do so than others. Among the numerous adverse oral manifestations are xerostomia, taste disturbances and ulceration. The reactions are often non-specific, but they may mimic specific disease states such as erythema multiforme, lichen planus and pemphigus. Drug-induced gingival hyperplasia is an example of a quite characteristic and easily recognisable oral side effect. This article briefly describes some of the presentations and mechanisms of oral manifestations of drug therapy and the drugs that most commonly are responsible. Just like approved pharmaceuticals, herbal medicines are also associated with adverse oral manifestations. Finally we comment on some of the more recent reports on osteonecrosis of the jaws associated with the use of bisphosphonates.

Diphosphonates↗

[Method of tongue size reduction with maintenance of taste and other types of sensitivity].

All known operations for tongue size reduction in cases of macroglossia foresee end and part of back tongue excision. In this case patient will get rid of gustatory and other types of sensitivity and it is considered inevitable. Method is described to reduce tongue size allowing preserve all types of sensitivity. During the operation of end tongue excision narrow part of its edge is left in the form of mucous-muscle flap on feeding stem. Scheme of the operation is described.

Child, Preschool↗

Trends in oral piercing in Buffalo, New York, high schools.

The purpose of this research was to examine the trend of high school adolescents obtaining an oral piercing. A questionnaire was sent to five high schools in Buffalo, NY. Of the 508 questionnaires returned, 49 of the respondents (10%) had an oral piercing. Post-piercing occurrences included swelling, tenderness, numbness, loss of taste, bleeding and pus. Oral piercing maintenance was minimal or non-existent. Dental trauma/piercing-related injuries were common. Researchers concluded that the oral piercing trend in Buffalo, NY, high schools is small; however, students who are getting oral piercings are doing so without parental consent and often show signs of infection.

Adolescent↗