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Medikamentelt utlöst munntörrhet hos to pasientgrupper: Et pilotprosjekt blant leger og tannleger basert på data fra elektroniske pasientjournaler og spørreskjema
Engelsk titel: Medication-induced dry mouth in two selected patient groups: A pilot study among general practitioners and dentists based on data collected from electronic patient records Läs online Författare: Skaare, Anne B ; Simonsen, Kristian A ; Espelid, Ivar ; Straand, Jörund ; Gjelstad, Svein ; Klock, Kristin S ; Berggreen, Ellen ; Rörtveit, G ; Willumsen, Tiril Språk: Nor Antal referenser: 29 Dokumenttyp: Artikel UI-nummer: 18030039

Tidskrift

Norske Tannlegeforenings Tidende 2018;128(1)16-23 ISSN 0029-2303 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Xerostomia may be an undesirable side-effect from medications prescribed by general practitioners (GPs), thus increasing the risk of dental caries. Hyposalivation is a common ailment in the elderly population, but young people who use sympathomimetic drugs for Attention Deficit Hyperactivity Disorder (ADHD) may also suffer from this common side- effect. The aim of this pilot study was to evaluate both dentists' and GPs' routines for managing dry mouth and to investigate the presence of any collaboration between the two professions. Data was extracted from electronic patient records from two groups of patients: a) patients 65 years and older, and b) children and adolescents (£18 years) using medication for ADHD. The data search was based on a number of key words related to dry mouth, present in free text recorded in the last five years. These were used to analyse the proportion of patients using medications regularly and experiencing a dry mouth as a side-effect. Recall intervals between dental appointments were also recorded. Following data extraction, the two professions were requested to complete an electronic questionnaire (Questback) on diagnostics, management and documentation of xerostomia. Nearly all of the dentists had a routine in place for the registration of dry mouth. They questioned their patients more frequently and more systematically than the GPs. The presence or absence of a dry mouth had no effect on the length of the dental recall interval. There was also no difference in the use of fluorides regardless of whether dry mouth was registered or not. The dentists reported a need to consult the GPs more often than the GPs sought to consult the dentists. The questionnaire supported the assumption that dentists question and examine their patients for dry mouth more frequently and systematically than their fellow medical colleagues. However, high fluoride toothpaste was rarely prescribed to patients with registered xerostomia. Regular collaboration between dentists and GPs hardly ever occurred. Calibration and validation of diagnostic coding must be prioritised and is a challenge for future research network projects.