Parkinson’s Disease, also known as PD, is a nervous system disorder that affects movement. PD is considered a diverse disorder that develops slowly over time and is different for everyone – no two people experience PD in the same way. Approximately 60,000 Americans are diagnosed with PD each year and over 10 million people worldwide are living with it.
Although PD is a nervous system disorder, it complicates oral health for those diagnosed with this disease. PD’s movement symptoms can interfere with an individual’s ability to maintain oral hygiene because PD affects the health of the mouth, teeth, and jaw.
Parkinson’s Disease Dental Issues
Rigidity, Tremors, Dyskinesia, Fatigue & Anxiety
Rigidity, tremors and dyskinesia symptoms related to PD can make it very challenging to brush your teeth. These symptoms of PD have also been known to cause cracked teeth, tooth wear, tooth grinding and denture issues. Fatigue, anxiety and tremors symptoms related to PD can make traveling to the dentist, sitting still in the dentist’s chair, or opening your mouth wide for the dentist very challenging.
Dental Caries (Tooth Decay)
Dental caries, also known as tooth decay, is damage to a tooth that can happen when decay-causing bacteria in your mouth make acids that attack the tooth’s surface, or enamel. This can lead to a small hole in a tooth, called a cavity.
Periodontal Disease (Periodontitis or Gum Disease)
Periodontal disease, also known as periodontitis or gum disease, begins with bacterial growth in your mouth and may end with tooth loss due to destruction of the tissue that surrounds your teeth, if not treated properly.
Sialorrhea (Drooling or Excessive Salivation)
Sialorrhea, also known as drooling or excessive salivation, is mostly caused by poor oral and facial muscle control. Contributing factors may include hypersecretion of saliva, dental malocclusion, postural problems, and an inability to recognize salivary spill. Sialorrhea causes a range of physical and psychosocial complications, including perioral chapping, dehydration, odor, and social stigmatization, that can be devastating for patients and their families.
Xerostomia (Dry Mouth)
Xerostomia, also known as dry mouth, results from reduced saliva flow. Dry mouth can increase the chance of cavities.
Additional dental health issues that may occur for individuals diagnosed with PD include orofacial pain and burning mouth syndrome, mastication disorders, bruxism, and subjective taste impairment.
Parkinson’s Disease Dental Visit Tips
Going to the dentist when you have PD or taking someone with PD to the dentist can be stressful. The Parkinson’s Foundation has some great tips to make dental visits less stressful for everyone.
Call first to make the office aware of your PD symptoms. This will help the dentist and the staff provide better treatment.
Schedule wisely. Plan short dental appointments for the time of day your symptoms are most effectively controlled.
Give the dentist the details of your overall health. Someone on staff should record vital signs upon arrival.
Tell the dentist if you are taking MAO-B inhibitors (rasagiline and selegiline), as these may interact with anesthetics.
Consider replacing old fillings, crowns and bridges, and ill-fitting dentures or mouth guards during the early stages of PD. Dental visits may become more difficult as PD progresses.
Maintaining Good Dental Health with Parkinson’s Disease
It is very important to maintain good dental health when diagnosed with PD. As the disease progresses, it is often up to the caregiver or family member to take the responsibility of oral hygiene because the individual with advanced PD can no longer perform adequate oral self-care. Start now and make it a habit to visit the dentist regularly (every six months). Schedule an appointment today with Roseman Dental.
Treating Parkinson’s Disease at Roseman Medical Group (Nevada Based)
At Roseman Medical Group (RMG), the Nevada based clinical practice of Roseman University’s College of Medicine, has expert neurologist, Eric Farbman M.D., dedicated to treating Parkinson’s Disease and a variety of other neurological disorders. Roseman University is a site for the Parkinson Study Group and currently has studies for patients with many different degrees of Parkinson’s Disease, from newly diagnosed to advanced. The University is waiting to start a study for multiple system atrophy, an atypical Parkinson-plus disorder with no current treatments, as well as an essential tremor study.
RMG also performs more aggressive treatments for Parkinson’s Disease. Dr. Farbman currently manages over 200 deep brain stimulator (DBS) patients for a variety of medical conditions including Parkinson’s disease, essential tremor, and dystonia. For those who are unaware of this treatment, it is essentially a pacemaker for the brain. This treatment can be particularly helpful for involuntary movements and dystonia, especially when maximal oral medical treatment has been provided. There is now a levodopa pump that can be prescribed for Parkinson’s Disease patients as well, and botulinum toxin injection has been a longstanding therapy for dystonia.
The neurologists at RMG provide empathic, patient-centered, evidence-based care. If you have a friend or family member who suffers from Parkinson’s Disease, let RMG’s expert neurologists help! Contact RMG today! If you’d like to learn more about Parkinson’s Disease, click here.
Eating, drinking, speaking, and smiling – our mouths play a significant role in our overall health and well-being. We often undervalue the importance of our mouth and oral care. This is probably why oral cancers are often overlooked and discovered too late in their development.
The mouth (oral cavity) can easily be examined, suggesting that it should be easy to detect cancer of the oral cavity at an early stage. Yet, in 2020 an estimated 53, 260 new persons developed oral and pharyngeal cancers and 10,750 persons died due to this disease in the United States. Unfortunately, incidences of these cancers have increased in the last 20 years. The overall 5-year relative survival rate of these cancers in the U.S. is 66.2 percent. Only 29 percent of these cases are detected at localized stage (confined to primary site only), when the 5-year survival rate is 85 percent. This means that half of the current deaths can be prevented by starting a mechanism to detect these cancers at an early stage.
In fact, the majority of these cancers can be prevented by a life-style change. Let’s get empowered to effectively fight this dreadful disease.
Who is More Likely to get Oral and Pharyngeal Cancers?
Despite tremendous advances, medical science cannot predict the chances of getting any cancer in a specific person, but the rate of new cases of cancer (cancer incidence) in populations is known. Based on 2013-2017 data, about 11.4 per 100,000 persons get this disease every year (114 persons in 1 million population). Males contract more of these cancers.
Use of tobacco (in any form), alcohol use, and infection with human papilloma virus are major causes. However, many persons without any of these risk factors are also known to have developed cancers of the oral cavity or pharynx. Therefore, it is important that everyone in the community remain vigilant about this disease. Fortunately, since oral cancers can be detected simply by clinical examination, patients can screen themselves for any changes in their mouths and can bring these concerns to their dentist or physician for further examination of the oral cavity and pharynx. Majority of the annual 53,000 cases of cancers of the oral cavity and pharynx can be prevented.
What are Oral Potentially Malignant Disorders?
Cancers of the oral cavity are preceded by a stage called oral-potentially-malignant-disorders (OPMD). OPMDs are pre-cancerous lesions that have higher chances of developing oral cancers. OPMD can be observed ten or more years before the cancer develops. OPMD has several forms, but all can be easily seen only by a good clinical examination. Additionally, OPMDs can be cured by themselves, but one needs to be vigilant about persistent OPMDs. A Dentist or Physician will look at the same lesion after 2 to 3 weeks and will determine if the size of the lesion is increasing or decreasing. Further treatment of these lesions can prevent development of oral cancers. The treatment of OPMDs is much less invasive than treatment of cancers. All dentists are trained to detected OPMDs and early cancers. Pre-cancerous stage of cancers of the oral cavity can be detected more than 10 years in advance.
What Can I do to Prevent Oral Cancers?
Some areas in the world have established oral cancer screening programs. Under these programs, all adults are examined periodically for presence of OPMDs or cancers, generally once every three years. Repeated examinations ensure that no one with a tendency to develop OPMD is missed.
The U.S. does not have an oral cancer screening program. But patients can still protect themselves through self-examination, check-ups, and vigilance. Insurance provides for a free dental check up every six months. During your next visit, bring any concerns to your dentist and don’t be afraid to ask for clinical examination and screening for OPMD.
To prevent oral cancers:
Conduct a self-examination at least once a month
Visit the dentist every six months for routine exams
Get yourself screened for oral pre-cancers and cancers
Don’t smoke or use any tobacco products and decrease alcohol use
Have concerns with your oral health?Roseman Dental is committed to providing high-quality, affordable dental care for children, teens, and adults. Our dedicated resident and faculty dentists are ready to serve you and your oral health needs. Contact Roseman Dental to request a dental examination today!
Kishore Chaudhry, MD
Research Associate Professor Roseman University College of Dental Medicine Dr. Chaudhry has over three decades of extensive research experience. A physician by background and a senior scientist in the fields of oncology and public health, he has been recognized as a preeminent epidemiologist worldwide. His contributions to the fields of tobacco and cancer research, oral cancer in particular, have played a critical role in several health policy changes, and planning control measures. With extensive research grant experience, Dr. Chaudhry has garnered millions of dollars in grant support from various national and international organizations. Over the last two decades, he has served on several expert planning committees with the World Health Organization (WHO) and other international agencies. He has published extensively in various peer-reviewed journals and authored several book chapters in the topics of cancer research, tobacco control, asthma, and health care expenditure. He is an active reviewer and serves on the editorial board of numerous peer-reviewed journals. Dr. Chaudhry has held key administrative positions in academia as well as in health sector of the Indian government. During his tenure as the Dean and Chair of the Departments of Community and Family Medicine at the All India Institute of Medical Sciences (AIIMS, Bhopal), one of the most reputable educational institutions in India, he was instrumental in the initiation and development of multiple new programs and departments and laid a strong research foundation. The most notable role that defines Dr. Chaudhry’s research accomplishments is his journey as an accomplished researcher to being the Director Level Scientist at the Indian Council of Medical Research (ICMR), which is equivalent to the National Institute of Health (NIH). His extensive experience in multi-specialty and multi-center projects provided him the ability to work in different environments and design studies in accordance with constraints of different scientists and institutions.
Welcome to Roseman Dental’s Dental 360° monthly e-newsletter. Each month you’ll receive a panoramic view of dental health. Dental health is key to your overall health and here at Roseman Dental, we are dedicated to improving not only your mouth, but your whole self. At our clinic we have an excellent team of licensed dentists, orthodontists, orthodontic residents – 30 to be exact, and dental residents all focused on you and your family’s oral health. Roseman Dental has been serving its community since 2009 and is a one stop shop for all your dental needs.
This month is National Nutrition Month®, a month-long national health observance started by the Academy of Nutrition and Dietetics. During the month of March, everyone is invited to learn about making informed food choices and developing healthful eating and physical activity habits. To learn more about National Nutrition Month click here. In this month’s newsletter you’ll also be educated on nutrition and oral health and how they go hand-in-hand. Your oral health and nutritional health have a bidirectional relationship. Learn more about this important relationship here.
If you’ve been looking to get braces make sure to spring into a new smile with Roseman Dental’s orthodontic discounts that began this month. To learn more about the discounts click here.
We hope you find Dental 360° helpful and informative. We look forward to connecting with you monthly.
Braces can be expensive, but price shouldn’t be a deterrent to getting the smile you’ve always wanted. Start your Spring off right and take advantage of Roseman Dental & Orthodontics’ discounts. This month Roseman Dental & Orthodontics has released four (4) new orthodontic discounts.
Discount #1 – Multiple Patient from a Household
Receive 10% discount on the second or more persons in a household who have each signed an orthodontic treatment contract (first person in household full fee or potential other discount that could apply). This discount is ongoing and there is no end date for this discount.
Discount #2 – Referral Incentive
If an orthodontic patient is referred to Roseman Dental & Orthodontics by a staff member, faculty or resident, the orthodontic patient will receive a 10% discount on a signed orthodontic treatment contract.
Discount #3 – Existing Patient Referral Incentive
If an orthodontic patient is referred to Roseman Dental & Orthodontics by an existing orthodontic patient of Roseman Dental & Orthodontics, the new orthodontic patient will receive a 10% discount on a signed treatment contract and the referring orthodontic patient will receive a $100 credit towards their orthodontic treatment contract charges. If their treatment is paid in full, they will receive a $100 gift card. The existing orthodontic patient will receive the credit or gift card once the orthodontic treatment contract is signed and started by the orthodontic patient they referred.
Discount #4 – Spring New Patient
Starting in March a 5% discount on orthodontic treatment contracts will be applied to contracts that begin between 3/1/2021 and 5/1/2021.
Existing Discount – Pay in Full
If orthodontic patient pays entire treatment contract in full a 5% discount will be applied.
Roseman Dental & Orthodontics also offers Roseman Employee and Student orthodontic discounts as well as a 10% orthodontic Veterans discount. Please call Roseman Dental & Orthodontics at 702-968-5222 for additional information.
Disclaimer
Orthodontic patients will only be eligible for one discount at a time. They will be able to apply the higher discount amount if they are eligible for more than one discount. The only discount that can be coordinated with any other discount is the Pay in Full discount of 5%.
Welcome to Roseman Dental’s Dental 360° monthly e-newsletter. Each month you’ll receive a panoramic view of dental health. Dental health is key to your overall health and here at Roseman Dental, we are dedicated to improving not only your mouth, but your whole self. At our clinic we have an excellent team of licensed dentists, dental residents and students, and dental assistants and hygienists all focused on you and your family’s oral health. We are a one stop shop for all your dental needs and offer dental care at a cost typically lower than what you would find at a traditional dental office. Roseman Dental has been serving its community since 2011 and we look forward to continuing to serve you and your family.
This month is National Nutrition Month®, a month-long national health observance started by the Academy of Nutrition and Dietetics. During the month of March, everyone is invited to learn about making informed food choices and developing healthful eating and physical activity habits. To learn more about National Nutrition Month click here. In this month’s newsletter you’ll also be educated on nutrition and oral health and how they go hand-in-hand. Your oral health and nutritional health affect each other directly and have a bidirectional relationship. Learn more about this important relationship here.
If you are struggling to make ends meet, don’t sacrifice your oral health. Roseman Dental is offering a $250 Dental Care Voucher through the end of this month for new and existing patients. Learn more about it here.
We hope you find Dental 360° helpful and informative. We look forward to connecting with you monthly.
Nutrition and oral health go hand-in-hand. Nutrition and oral health have a bidirectional relationship. Bidirectional means that something functions in two directions, meaning diet and nutrition affect the health of the tissues in the mouth and the health of the mouth affects the nutrients consumed. It’s very difficult to have great overall health, but poor oral health and vice versa.
A healthy lifestyle and healthy mouth are a result of many micro-decisions we make every single day, and habits are hard to change. But being aware of those decisions and how they contribute to a bigger outcome is important. We know it is hard! We suggest that you start with your diet. Diet is key to succeeding in both your oral health and overall health. Consuming too many sugar-filled sodas, sweetened fruit drinks, non-nutritious snacks such as candy and cookies, or any type of food with sugar can put you at risk for tooth decay. In addition, according to the American Dental Association (ADA) if your diet lacks certain nutrients, it may be more difficult for tissues in your mouth to resist infection. This may contribute to gum disease. Severe gum disease is a major cause of tooth loss in adults. Many researchers believe that the disease progresses faster and is potentially more severe in people with poor nutrition.
Having a well-balanced diet will help in preventing tooth decay and gum disease, but diets can be a challenge. The U.S. Department of Agriculture (USDA) has made it simpler for all of us. USDA has a new form of the original “Food Pyramid” we all grew up with, it’s called MyPlate. MyPlate focuses on starting simple and visually separates a single plate into the 5 essential food groups – fruits, vegetables, grains, protein foods and dairy – based on the daily recommended portion size. It is important to note that portion sizes depend on your age, sex, and level of physical activity. The benefits of healthy eating add up over time, bite by bite. It’s important to remember that small changes matter and the first step to a healthier nutritional and oral health lifestyle is through your diet.
Fruits
Focus on whole fruits. Any fruit or 100% fruit juice counts as part of the Fruit Group. Fruits may be fresh, canned, frozen, or dried, and may be whole, cut-up, or pureed. The amount of fruit you need to eat depends on age, sex, and level of physical activity. The amount each person needs can vary between 1 and 2 cups each day.
Vegetables
Vary your veggies. Any vegetable or 100% vegetable juice counts as a member of the Vegetable Group. Vegetables may be raw or cooked; fresh, frozen, canned, or dried/dehydrated; and may be whole, cut-up, or mashed. Based on their nutrient content, vegetables are organized into 5 subgroups: dark green; red and orange; beans, peas, and lentils; starchy; and other vegetables. The amount each person needs can vary between 1 and 3 cups each day.
Grains
Make half your grains whole grains. Any food made from wheat, rice, oats, cornmeal, barley, or another cereal grain is a grain product. Bread, pasta, breakfast cereals, grits, and tortillas are examples of grain products. Foods such as popcorn, rice, and oatmeal are also included in the Grains Group. Grains are divided into 2 subgroups: Whole Grains and Refined Grains. Whole grains contain the entire grain kernel ― the bran, germ, and endosperm. Examples of whole grains include whole-wheat flour, bulgur (cracked wheat), oatmeal, whole cornmeal, and brown rice. Refined grains have been milled, a process that removes the bran and germ. This is done to give grains a finer texture and improve their shelf life, but it also removes dietary fiber, iron, and many B vitamins. Some examples of refined grain products are white flour, de-germed cornmeal, white bread, and white rice. Most refined grains are enriched. This means certain B vitamins (thiamin, riboflavin, niacin, folic acid) and iron are added back after processing. Fiber is not added back to enriched grains. Check the ingredient list on refined grain products to make sure that the word “enriched” is included in the grain name. Some food products are made from mixtures of whole grains and refined grains. The amount each person needs can vary between 3 and 8 ounce-equivalents each day.
Protein Foods
Vary your protein routine. All foods made from seafood; meat, poultry, and eggs; beans, peas, and lentils; and nuts, seeds, and soy products are considered part of the Protein Foods Group. Beans, peas, and lentils are also part of the Vegetable Group. Select a variety of protein foods to improve nutrient intake and health benefits, including at least 8 ounces of cooked seafood per week. Young children need less, depending on their age and calorie needs. The advice to consume seafood does not apply to vegetarians. Vegetarian options in the Protein Foods Group include beans, peas, and lentils, processed soy products, and nuts and seeds. Meat and poultry choices should be lean or low-fat. The amount each person needs can vary between 2 and 6½ ounce-equivalents each day.
Dairy
Move to low-fat or fat-free dairy milk or yogurt (or lactose-free dairy or fortified soy versions). The Dairy Group includes milk, yogurt, cheese, lactose-free milk and fortified soy milk and yogurt. It does not include foods made from milk that have little calcium and a high fat content, such as cream cheese, sour cream, cream, and butter. About 90% of Americans do not get enough dairy, therefore most individuals would benefit by increasing intake of fat-free or low-fat dairy, whether from milk (including lactose-free milk), yogurt, and cheese, or from fortified soy milk or yogurt. The amount of dairy foods you need each day depends on your age and can vary between 1 ½ to 2 cups for toddlers, 2 ½ cups for children under 10 and 3 cups for older children through adults.
For more detailed dietary recommendations for children and adults based on their levels of physical activity visit ChooseMyPlate.gov. The USDA has a number of resources including videos, downloadable print materials, and a tool kit that includes a personalized plan calculator, an app and quizzes that can help you improve your nutrition and oral health by starting small and simple. Remember change happens one day at a time, one bite at a time.
Don’t forget that brushing twice a day for two minutes, flossing daily and visiting your dentist regularly (at least every 6 months) also contributes to good oral and overall health. If you haven’t been to the dentist in a while, make sure to schedule an appointment with Roseman Dental today. We can help get your oral health back on track at the same time you’re working on your nutritional health.
James M. Broadbent, DDS, MS Associate Professor of Dental Medicine
Dr. James M. Broadbent joined Roseman University of Health Sciences in 2009 (the first year of orthodontic residency training) as a full-time faculty member in the Advanced Education in Orthodontics and Dentofacial Orthopedics/MBA (AEODO/MBA) Residency Program. At Roseman, he is course director of several modules of learning. He serves on University faculty senate and several committees. His professional and research interests include phase I orthopedic growth modification, functional jaw orthopedics, accelerated orthodontics, facial esthetics, and air way and temporomandibular joint disorders.
Dr. Broadbent graduated from Brigham Young University with a Bachelor of Science (BS) degree in Zoology. Dr. Broadbent received his Doctor of Dental Surgery (DDS) degree from the Northwestern University Dental School in Chicago. He completed a dental specialties internship at the Chandler Medical Center, University of Kentucky. He then served as an Assistant Professor of Crown and Bridge at Northwestern University Dental School and practiced general dentistry prior to dental specialty training. Dr Broadbent received his Master of Science (MS) degree and Certificate in Orthodontics from Northwestern University.
Dr. Broadbent practiced orthodontics many years in Provo, Utah, and served as adjunct faculty at Utah Technical College (now Utah Valley University), American Institute of Medical Dental Technology, and Provo College. Dr. Broadbent made a significant contribution to the art and science of orthodontics in teaching numerous continuing education courses, seminars, and presentations at local, state, and national and international dental meetings, and university graduate training programs. Along the way, he was awarded the Joseph E. Johnson Outstanding Table Clinic, American Association of Orthodontists, and twice the (AAFO) J. Robert Bronson Clinician of the Year award.
Dr. Broadbent completed board certification in orthodontics, achieving the status of Diplomate, American Board of Orthodontics. His interest and training in temporomandibular joint disorders and oral facial pain lead to achieving status of Diplomate, American Academy of Pain Management.
Dr. Broadbent has published many articles in several professional journals. He served as president of the Provo District Dental Society, Utah Dental Association annual program, and president of the Utah Association of Orthodontists.
Dr. Broadbent demonstrates vision and leadership in community organizations and service. He is recognized as a Kentucky Colonel, Commonwealth of Kentucky; member President’s Club, Brigham Young University; Boy Scouts of America distinguished Silver Beaver; and James E. West Fellow. For more than 20 years he served the Boy Scouts of America; Utah National Parks Council (one of the largest National BSA Councils), as Council Jamboree Chairman; National Boy Scout Jamboree, A.P. Hill Virginia (1985, 1989, 1993); and Chair of highly successful Council Events (1996, 2000) and as Utah National Parks Council Commissioner (1987-2000) and UNPC Vice President Program (2000-2003). He earned the distinguished Eagle Scout and Silver Explorer awards.
Dr. Broadbent is a member of the American Dental Association, Utah Dental Association, American Association of Orthodontists, Rocky Mountain Society of Orthodontists, Utah Association of Orthodontists, American Association for Functional Orthodontics, International Association for Orthodontics, and the American Dental Educators Association.
Before joining Roseman University of Health Sciences, he served as attending dentist and adjunct faculty instructor of several courses of education at Salt Lake Community College, Dental Hygiene Program (South Jordan Utah Campus).
Dr. Broadbent is licensed to practice dentistry in California, Nevada, and Utah.
Personal activities include fly fishing, off-road rock crawling motor sports, over landing motor sports, and white water river running.
Prashanti Bollu, MBA, MS, DMD Program Director, Associate Professor of Dental Medicine, AEODO/MBA Program
Dr. Prashanti Bollu received dental school training from Boston University School of Dental Medicine. She holds a Master’s degree in Health Care Administration as well as a Master’s in Business Administration. Part of the inaugural class, Dr. Bollu received her orthodontic training from the Roseman University of Health Sciences.
Dr. Bollu has received several awards for outstanding academic achievements during her undergraduate and graduate training. Her interest in research was sparked early in dental school and strengthened further during her employment at Boston University during which time she worked with many prominent researchers. She has been involved in several research projects and presented multiple posters at national conferences. Dr. Bollu has been recognized by DENTSPLY and Sigma Xi, The Scientific Research Society, for outstanding research.
Besides serving as a clinical and teaching faculty, Dr. Bollu was actively involved in growing the research component of the Advanced Education in Orthodontics & Dentofacial Orthopedics (AEODO) /MBA Residency Program. As Director of Dental Research for College of Dental Medicine (Henderson Campus), she facilitated all resident and faculty research endeavors. Her research interests include Cone Beam Computed Tomography (CBCT), practice management issues, orthodontic insurance coverage gaps and access to orthodontic care.
Currently, Dr. Prashanti Bollu serves as the Interim Program Director for the AEODO/MBA residency program. She also practices in a few private orthodontic offices in the Las Vegas area. Dr. Bollu is a Board Certified Orthodontist and has active professional affiliations with multiple national and regional dental/orthodontic associations including American Association of Orthodontics, Pacific Coast Society of Orthodontists, and Southern Nevada Dental Society. She has also been a member of the International Association of Dental Research as well as the American Association of Dental Research.
Kishore Chaudhry, MD
