Potential association of anticholinergic medication intake and caries experience in young adults with xerostomia

Kakkar, Mayank; Valentim, Estela Caetano de Souza; Barmak, Abdul Basir; Arany, Szilvia

doi:10.1016/j.jds.2023.01.019

Cited by 2 publications

(1 citation statement)

References 26 publications

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“…Studies have revealed that individuals with dry mouths show significantly higher mean numbers of decayed, missing, and filled permanent teeth [11,12]. Among younger adults, anticholinergic exposure and medication-induced xerostomia have been linked to dental caries [13].…”

Section: Dry Mouth and Dental Caries In Older Adultsmentioning

confidence: 99%

Application of Fluoride for Dental Caries Prevention in Older Adults with Dry Mouth: a Clinical Review

Shim

2024

J Oral Med Pain

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Dry mouth is common among older adults and significantly affects the oral health-related quality of life. It is a significant risk factor for dental caries, particularly root caries, in older adults due to concurrent periodontal disease and age-related comorbidities. Clinicians managing patients with dry mouth must be aware of preventive measures against dental caries. This clinical review aims to update our knowledge on the use of fluoride for caries prevention in order to establish better strategies for the management of dry mouth in older adults.

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Section: Dry Mouth and Dental Caries In Older Adultsmentioning

confidence: 99%

Application of Fluoride for Dental Caries Prevention in Older Adults with Dry Mouth: a Clinical Review

Shim

2024

J Oral Med Pain

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Reduction of benztropine use duration in acute psychiatry: A quality improvement initiative

Seals,

Holder,

Polancich

et al. 2024

American Journal of Health-System Pharmacy

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Disclaimer In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose Secondary to the risk of antipsychotic-induced acute dystonia, prophylactic use of benztropine is occasionally warranted but is recommended for no longer than 7 days after initiating an antipsychotic, correlating to the period of highest dystonia risk. Despite the associated increased anticholinergic burden, many clinicians continue to order benztropine for periods exceeding the recommended prophylactic duration. We investigated the reduction of benztropine use duration subsequent to implementation of truncated electronic entry orders to improve benztropine prescribing within an acute psychiatric facility. Methods Data were collected for psychiatric inpatients admitted between January and June 2020 who were prescribed scheduled benztropine. In a quality improvement initiative implemented in April 2022, electronic orders for benztropine were modified from a 180-day to a 7-day duration, with subsequent postintervention data collection. The primary outcomes included a change in the duration of benztropine use for any indication in the hospital, and a change in the percentage of patients meeting predetermined “unnecessary use” criteria. Secondary analyses included the percentage of patients with discharge prescriptions for scheduled benztropine (either for prophylaxis or for other indications) in the pre- and postintervention periods. Results 73 pre- and 77 postintervention individual patients/encounters were included. Following the intervention, in-hospital duration of benztropine use for any indication decreased from a median of 14 days to a median of 7.5 days (P < 0.05), and appropriate use increased by 92.9%. The percentage of patients with prescriptions for scheduled benztropine decreased from 67.1% in the preintervention group to 29.9% in the postintervention group. Conclusion Decreased benztropine use duration, by means of truncated order entry sentences, during inpatient psychiatric admissions, appears feasible regardless of dual antipsychotic or first-generation antipsychotic use, and may reduce the rates of benztropine prescriptions written for discharge.

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Potential association of anticholinergic medication intake and caries experience in young adults with xerostomia

Cited by 2 publications

References 26 publications

Application of Fluoride for Dental Caries Prevention in Older Adults with Dry Mouth: a Clinical Review

Application of Fluoride for Dental Caries Prevention in Older Adults with Dry Mouth: a Clinical Review

Reduction of benztropine use duration in acute psychiatry: A quality improvement initiative

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