Saturday, August 1, 2009
NPF Discussion:dental and saliva
Posted: Fri Jul 31, 2009 8:39 am Post subject: denture and saliva
There are complaint by parkinson's patient how to deal with saliva and dentures. The saliva causes the dentures slippery and loose even there are denture paste if a gap develops between the denture and the gummy ridge Therefore the denture may need repeated relines. Shrinkage of the bone and gums can be minimized or prevented with a proven technique
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Fri Jul 31, 2009 11:13 am Post subject:
This can be a troublesome issue. If you dry the saliva too much with an anticholinergic drug or botox you can also get cavities. I would suggest you work with the doctor to find the right solution for you, but to brush your remaining teeth frequently if you dry the saliva._________________Michael S. Okun
I just read about the Dr. saying that the looseness is caused by bone shirinking.
Four years ago I paid a lot of money for new dentures that many trips back to the denturist never made comfortable. New dentures were finally made and in just a few months I had to go back to have something done to them as they were very loose. I was told that access saliva was the cause,and that parkinson saliva had something that prevented adhesives from working. A spray from the drug store was to be used and nothing was done to the dentures. I am back to square one. If your Dr. is right I should have them lined -----right?
Anonymous
Posted: Sun Aug 02, 2009 8:39 pm Post subject:
You will find comfortable without dentures as your saliva easy to swallow.
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Mon Aug 03, 2009 7:05 pm Post subject:
Thanks for the comment. Comfort I have found is patient specific!_________________Michael S. Okun, M.D.
People with dentures have excess saliva as dentures are foreignsubstances in the mouth and the mouth produces excess saliva as a reaction perhaps treating the dentures as food'
Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Fri Aug 07, 2009 3:35 pm Post subject:
Thanks for the comment. Also remember botox and anticholinergics can dry you up but may also lead to cavities!_________________Michael S. Okun, M.D.
Friday, July 31, 2009
NPF Discussion : Leg Freezing
Posted: Sat Jul 25, 2009 4:44 am Post subject: Leg Freezing
My brother has freezing on his leg when his medication is wearing off.
There are way to prevent him from falling down until the freezing going off.
1. stop from going foward going backward
2. stay horizon the place where you are to release the freezing
3.Holding both leg and slap side of both knee to release the freezin.
Is it strange why the parkinson patient does not have freezing problem whilst on cycling?
Back to topDr. FernandezJoined: 20 Jan 2007Posts: 90
Posted: Thu Jul 30, 2009 9:48 am Post subject:
Well, the brain is an interesting organ! It is fascinating. Sometimes, we need to "trick it" to get the results we want. PD patients to well when they are cued, or there is a pattern that they need to follow, or there is a line that they need to cross, or there is a rhythm or beat that they need to in tandem with. These are some audio or visual tricks used for freezing. Spinning and cycling works the same way. IF the freezing occurs during wearing off however, they might benefit from increasing PD meds. Yours,_________________Hubert H. Fernandez
Thursday, July 30, 2009
complementary and alternative medication
Posted: Thu Jul 23, 2009 7:05 am Post subject: Complementary & Alternative Medicine
Due to sideeffect of the medication there are growing interest for parkinson's patients in alternative and complementary medicine or therapies who will live with disease for a longer peroid of time. The CAM offers helpful information related to non motor and motor symptoms i.e proper diet, exercise, constipation, fatigue, insomina, massage. They try to minimize their usage of medication they take to minimize the physical or mental sideeffects on them. Kindly brief their potential benefits and risks for the alterative therapies. Sometimes the best treatment plans involve a wide range of interventions with their usage of the medications.
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Dr. FernandezJoined: 20 Jan 2007Posts: 90
Posted: Thu Jul 30, 2009 8:54 am Post subject:
Sorry, I don't know much about CAM. Mainly based on my ignorance, I am always skeptical about alternative therapies. While they make wonders for individual patient reports, when studies are performed using a rigorous, blinded, placebo-controlled design, the results don't always hold up...the perfect example is intravenous glutathione. While we hear about miraculous recoveries of glutathione, when Dr. Hauser's group in Tampa performed a double-blind, placebo-controlled trial on this therapy, there was no sigiificant difference in the performance of patients who received glutathione versus placebo. So, until studies are performed and results are shown, I would always be skeptical, no matter how promising it sounds. Yours,_________________Hubert H. Fernandez