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Missing Teeth


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#1 miracleseeker

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Posted 12 December 2012 - 02:28 PM

Dr. Okun,

After 6 months of teeth grinding due to TOO MUCH dopamine in her system my mom has finally calmed down after reducing her Stalevo intake from 150mg to 125mg 3 times a day.
Unfortunately it has caused a lot of damage to her teeth. She has had 2 teeth broken off one after another in a span of 2 days. I am so paranoid that it will continue so I've basically been feeding her everything that is mashed up first.

A year ago she had a few teeth fall out as well when she was on Parcopa so now she really doesn't have a full set or even close to it anymore. Due to this her mouth is sunken in and her speech is impared on the days she decides to speak. She also has trouble chewing of course. I plan on taking her to a dentist that deals with special cases and she might be put under for forever needs to be done. The question is if there is any concern for her to be under anesthesia where she will be knocked out?

If implants are suggested do you think it's a good idea? Will the pain and long recovery process be worth it? I know she can't have partial dentures because I know she will take them out.

#2 Dr. Okun

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Posted 13 December 2012 - 10:33 AM

Tough questions. Anaesthesia can worsen PD especially if cognitive function (dementia) is a problem.

Hard to advise on the other questions.

I guess I would recommend you meet with your neurologist and go through risks and benefits based on her other medical illnesses and medicine.

Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#3 miracleseeker

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Posted 13 December 2012 - 12:05 PM

Please explain why the anesthesia will worsen the PD. Will this be permanent?

I asked her former neuro about getting teeth extracted under anesthesia and that was a few years back. She said no problem then. I just wanted your opinion on it.

#4 Dr. Okun

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Posted 14 December 2012 - 06:52 AM

No one knows for sure, but there is wide concern that neurodegenerative diseases such as PD and AD worsen after anaethesia and hospitalization.

Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#5 miracleseeker

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Posted 14 December 2012 - 04:10 PM

Coincidentally my mom started her tremors a few months after having her appendice removed and to me was on too much anesthesia during the operation because it took her a while wake up afterwards and then she got an infection fro the surgery a week later.

My cousin who was an anesthesiologist told me that it was quite possible that the gene was alway in her and that the anesthesia brought it out. What do you think?

#6 Dr. Okun

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Posted 16 December 2012 - 12:47 PM

We actually see this scenario all the time. The stress of the surgery, anaesthesia, infection, or combo umask a pre-existing Parkinson's disease diagnosis.

Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#7 miracleseeker

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Posted 16 December 2012 - 05:41 PM

Sounds like it was meant to be.

#8 Dr. Okun

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Posted 16 December 2012 - 07:22 PM

It likely was...

Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#9 miracleseeker

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Posted 17 December 2012 - 08:39 AM

In older people with my mom's condition, what do they do if they shouldn't be put under to fix their teeth? Have a mouth with no teeth?

#10 Dr. Okun

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Posted 17 December 2012 - 05:35 PM

I will post for you. We weigh the risks and benefits. It may be the right thing to use light sedation, but this is a decision between you and your doc.

Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#11 miracleseeker

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Posted 17 December 2012 - 10:12 PM

What is light sedation? My mom would still need to be knocked out before anything can be done for her teeth. Otherwise she won't cooperate.




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