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• W1981353761 abstract "1 ementia is the fifth leading cause of death in the United S ta tes .1 Among people who are older than 65, 15% are thought to have some degree of dementia or loss of cognitive function.2 Of these, less than a third are severely impaired.2 Representing roughly 65% of people with primary dementias, Alzheimer’s disease affects .5 to 1.5 million Americans.3 This disorder is the most common cause of se­ vere intellectual impairment in elderly individuals.3 In the past 15 years, there has been a growing concern for the older adults in our society. On social, economic, and health levels dictated by the geriatric im­ perative, society is facing the task of ad­ dressing the needs of its older citizens. In dentistry, we are beginning to train den­ tists, hygienists, and assistants— during school, through continuing education, and, in some instances, via postdoctoral programs— to recognize and meet the special needs of people older than 65. As their numbers increase, dental pro­ fessionals will increasingly encounter pa­ tients with Alzheimer’s disease in prac­ tice. Contacts with these patients in long­ term care institutions will become even more common. It is important that practi­ tioners become familiar with the signs, symptoms, and the clinical course of this disease. The purpose of this paper is to review briefly Alzheimer’s type of de­ mentia, propose an index for rapid evalu­ ation, and suggest approaches to dental care and treatment planning for patients with Alzheimer’s disease. Alzheimer’s type of dementia is a cere­ bral degenerative disease of unknown cause. It is characterized during postmor­ tem examination by the presence of extra­ cellular neuritic or senile plaques, intra­ ce llu lar neu rofibrillary tangles, and granulovacuolar degenerative changes in greater numbers and in different ana­ tomic sites from normal subjects.2-4 A significant decrease in the dendritic tree associated with a loss of large neurons in the cerebral cortex suggests that the po­ tential synaptic network fed by those neurons is decreased. Subcortical abnor­ malities include reduction of the num­ bers of neurons in the nucleus basalis of Meynert in the amygdala and in the locus ceruleus.2" @default.
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• W1981353761 date "1985-02-01" @default.
• W1981353761 modified "2023-09-27" @default.
• W1981353761 title "Dental care for the patient with Alzheimer’s disease" @default.
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• W1981353761 doi "https://doi.org/10.14219/jada.archive.1985.0252" @default.
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