Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0011168 (dysphagia)
 15,644 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Dental abnormalities are common in chinchillas, although knowledge of the lesions responsible for the clinical signs is incomplete. Animals bred in the UK were examined to gain further knowledge of dental disease in this chinchilla population. Dental abnormalities, particularly those related to tooth elongation, were detected on careful external examination of 35 per cent of apparently healthy chinchillas. Incisor abnormalities were seen on clinical examination in 55 per cent of chinchillas presented because of clinical illness. In all but one case, this occurred secondarily to crown elongation of the cheek teeth or to the absence of opposing teeth, rather than being a primary skeletal problem. Clinical signs commonly attributed to malocclusion, such as ventral mandibular swelling, weight loss, dysphagia, altered chewing pattern and changed food preferences, were not specific to malocclusion, being seen associated with coronal spike formation, root elongation and advanced periodontal lesions. Caries and resorptive lesions rarely caused clinical signs in this population, but were identified during 37 per cent of postmortem examinations. Congenital absence of teeth, skeletal malocclusion and pathological loss of teeth all resulted in significant clinical signs, but were rare. It is concluded that provision of a diet with physical properties more closely matching that of wild chinchillas should improve the dental health of captive animals.
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PMID:Dental disease in chinchillas in the UK. 1121 17

Feeding problems due to impaired oral motor functions resulting in prolonged meals are common among persons with brain damage. The aim of the present investigation was to study the oral sugar clearance in 16 individuals with oral motor dysfunction (OMD) and 16 individuals with normal oral functions (control group). Repeated saliva samples were collected on filter paper discs at two locations before and during 30 min after intake of a glucose tablet. The individuals with OMD had significantly higher initial glucose concentrations in saliva and longer glucose elimination time compared to the control group. For some of the subjects with OMD, sugar clearance was extremely slow. The sugar clearance time was positively related to the severity of drooling problems, but not to the degree of dysphagia. The results from this study indicate that individuals with OMD have an increased risk of dental caries.
Caries Res
PMID:Oral sugar clearance in individuals with oral motor dysfunctions. 1611 Feb 6

Radiation-related caries (RRC) is a disease with a high potential for destruction of the dentition, which impairs quality of life in head-and-neck (HN) cancer (HNC) patients who undergo radiotherapy. In light of the recently described "clustering of oral symptoms theory," the present systematic review (PROSPERO CRD42019132709) aims to assess HN and gastrointestinal (GI) symptom clusters among HNC patients and discusses how these indirect effects of cancer therapy play a pivotal role in the pathophysiology of RRC. The search was performed at PubMed, Scopus, and Embase and resulted in 11 studies that met the inclusion criteria. Data extraction was performed with respect to the presence of HN/GI symptom clusters among HNC patients. The methodological data of the studies included were assessed using the MAStARI and GRADE instruments. The most prevalent reported HN symptoms were dysphagia, xerostomia, and pain. Taste alterations and fatigue were also commonly reported by the patients. Loss of appetite and weight loss were regularly reported in the studies, as well as nausea and vomiting. The results of the present study suggest that HNC treatment generates clusters of oral symptoms, leading to dietary changes, impaired oral hygiene, enamel fragility, and a highly cariogenic oral environment, which may impact the risk for RRC. A better understanding of oral symptom clustering could be of considerable clinical significance for the oral health and quality of life of HNC patients. Therefore, contemporary protocols of RRC prevention must take this broader treatment scenario of symptom clusters such as oral side effects into account.
Caries Res 2020
PMID:Impact of Clustering Oral Symptoms in the Pathogenesis of Radiation Caries: A Systematic Review. 3196 37