Elemek E, Almas K. Multiple sclerosis and oral health: An update. Discuss the diagnosis and treatment of MS. WebMD. Call 662-256-1582 Dental school requires dedication and hard work. endstream
Individuals with MS are at increased risk for dental caries, gingivitis and periodontitis due to the physical effects of MS, as well as these patients’ reduced immune response. Core competencies for the Master of Science in Dentistry include: Thesis formulation including an extensive literature review to support thesis topic. University Dentists is part of the UMMC School of Dentistry and provides the most comprehensive dental treatment available in Mississippi. Factors that influence the dental attendance pattern and maintenance of oral health for people with multiple sclerosis. Wekerle H. Nature plus nurture: the triggering of multiple sclerosis. From Decisions in Dentistry. About 85% of MS diagnoses are relapsing-remitting MS (RRMS).1–3 Individuals with RRMS experience symptom flare-ups, followed by periods of improvement in which symptoms appear less severe.1 Relapses occur over a 24-hour to 96-hour period, last for days to weeks, and gradually resolve.5 Approximately 50% of relapses cause permanent damage to the CNS.1 As RRMS progresses and damage to the CNS becomes permanent, the disease can develop into secondary progressive MS.1 For most individuals with MS, disease progression is a gradual process.3 Primary progressive (PPMS) and progressive- relapsing (PRMS) are rare and serious forms of MS in which onset is sudden and the neurological effects significant.1 Medications successful in reducing inflammation and preventing further nerve damage in RRMS are not beneficial for PPMS or PRMS.1, Although anyone can be affected, MS most frequently occurs in white women ages 20 to 45.1,2 Contributors to MS development and relapse include infection, inflammation, presence of immune system disorders, common colds and influenza, vitamin deficiencies and smoking.2,6 New theories regarding the etiology of MS — such as genetic code changes, gut flora and chronic stress — are currently under investigation.7,8, Common physical symptoms include pain, vision problems, motor impairment and fatigue.2,9 Severe symptoms may involve bladder and bowel problems, sexual dysfunction, concentration and memory problems, and depression.9 Facial pain — such as trigeminal neuralgia and partial facial paralysis or spasms, and difficulty with speech and swallowing — are frequently reported.2,9 As many as 64% of patients with MS experience paresthesia, dysesthesia, hyperesthesia and anesthesia.9 Fatigue is the most ubiquitous complaint among individuals with MS.10 As many as 78% of patients experience severe fatigue that interferes with their daily activities.10 Among individuals with MS, 50% to 60% experience depression, and 25% to 40% develop anxiety.1,11, An MS diagnosis is often determined using a system of symptom inclusion.5 Awareness of the differential diagnoses that mimic MS symptoms (e.g., Lyme disease, syphilis, human immunodeficiency virus, vasculitis, Sjögren syndrome, systemic lupus erythematous, hereditary cerebellar degeneration, vitamin deficiencies and structural damage to the CNS) may help expedite a diagnosis.5 If a dental patient presents with unresolved health issues, clinicians may wish to encourage the patient to visit a primary care provider.12, Although there is no cure for MS, a variety of medications and alternative therapies may relieve symptoms and help prevent future relapses.1–3,7,9,13 The primary treatment goal is to slow the disease process and reduce the number and frequency of relapses.9 Injectable, oral and infused medications are used to treat MS (Table 1).9,13,14 Medication therapy at the onset of an MS diagnosis can help prevent cumulative and permanent nerve damage.3 Individuals who do not comply with treatment are more likely to experience MS relapse symptoms and incur higher medical expenses than those who follow treatment protocol.3, Many individuals with MS use complementary and alternative medicine (CAM) to alleviate side effects;9 such treatments may include relaxation therapy, cognitive training, hyperbaric oxygen therapy, acupuncture, bowel cleansings, amalgam and root canal removal, and mineral supplements.9,15,16 Although CAM therapies may provide some relief, scientific studies substantiating their efficacy are lacking.9,15,16 Alternative therapies that may reduce MS symptoms include the use of relaxation techniques to decrease anxiety and depression, and cognitive rehabilitation programs to improve learning, memory and the quality of daily activities.9,15,16 Oral health professionals should inquire whether patients are using CAM during the health history to ascertain any effects on oral health or treatment planning.12, Drug research includes suppressing areas of the immune system that damage the CNS while allowing other areas of the immune system to function normally.17 For example, an investigation into the use of vitamin A to decrease inflammation and increase tolerance of autoimmunity is promising.18 Stem cell research may represent a low risk/high reward treatment option, especially when used in conjunction with other disease-modifying agents.19 Additionally, remyelination drug therapies are being investigated to regenerate nerves damaged by MS.20,21, Individuals with MS are at increased risk for dental caries, gingivitis and periodontitis due to the physical effects of MS, as well as these patients’ reduced immune response.2,22 Customized dental treatment planning and customized oral hygiene regimens must be implemented.2,12,22 Table 2 provides a potential care model when treating patients with MS.9,12,21,23 Systemic inflammation is a trigger for MS, and chronic periodontitis contributes to inflammation.2,22 Basic periodontal treatment that removes supragingival and subgingival biofilm and calculus can reduce the inflammatory response in the entire body.2,22 Compared to those without MS, patients with MS tend to have more extensive gingival disease and an increased number of decayed, missing or filled teeth.5,21, Among patients with MS, physical disability is a barrier to adequate selfcare.2,5,21 When manual dexterity is compromised, power toothbrushes or modified toothbrush handles are helpful with biofilm removal.2 If dexterity, strength and/or balance are concerns, the caregiver can provide physical support by holding onto the individual’s elbow or hand. (662) 488-9905. Website. Our dental practice is dedicated to providing full service family dentistry and helping you achieve optimal dental health. Customized care plans are needed to help patients with this neurodegenerative disorder maintain oral and systemic health. Strober LB. Completion of the Master of Science degree is a graduation requirement for postgraduate students enrolled in the Orthodontics and Operative Dentistry programs. Helton Family Dental Care is a reputable Dentist located in Amory, MS. Visit our site to learn more about our dental practice. Briggs FB, Green MC, Ritterman Weintraub ML. Reservoir Dental Group is a hometown dental practice located in Brandon MS specializing in comprehensive dentistry for the entire family. MSBDE Board Member Login We provide professional dental care and service, as well as preventative treatments. List strategies for helping patients with MS receive professional dental care. ADA CERP does not approve or endorse individual activities or instructors, nor does it imply acceptance of credit hours by boards of dentistry. or D.M.D.) In order for dental treatment to succeed, clinicians should listen attentively to the concerns expressed by the patient and/or caregiver.9. If you hold a doctorate in dentistry (D.D.S. 601-944-9624 Fax. American Dental Hygienists’ Association. MSBDE Board Member Login Baird WO, McGrother C, Abrams KR, Dugmore C, Jackson RJ. 601-944-9624 Fax. Standards for Clinical Dental Hygiene Practice. Gich J, Freixanet J, García R, et al. Mississippi State Board of Dental Examiners. 0
Keeping outdoor and indoor walkways clear, Noticing changes in the patient’s gait, mobility or dexterity, Helping patients open building and restroom doors (if needed), Scheduling follow-up appointments in the operatory instead of the reception counter, Remaining flexible with appointment objectives (realizing that all procedures may not be completed in one visit), Keeping up to date on medical transportation options, Initiating an open dialogue as to how to improve on future appointments. Graduates of the program will be able to use research skills and knowledge in their career to … Identify the classifications for multiple sclerosis (MS). DDS means Doctor of Dental Surgery, and DMD can mean either Doctor of Medicine in Dentistry or Doctor of Dental Medicine. The entire dental team can contribute to the well being of patients with MS. 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