title: Rapid onset of Parkinsonian-like symptoms in a geriatric dental patient: a case report.
abstract: This article reviews the clinical issues regarding adverse drug reactions in geriatric dental patients. Accurate clinical observations and diagnosis are complicated in geriatric patients because they are predisposed to chronic illnesses, various prescribing physicians, and a decreased ability to metabolize and detoxify multiple medications. The authors have further reviewed neurological motor reactions with a detailed review of the physical presentations of Parkinson's disease. As such, the dental professional has a unique opportunity to provide observational feedback to other healthcare providers concerning the health status of their geriatric patients. In this case report, the changes in the patient's physical status and mental well-being were not a result or associated with a catastrophic event (eg, stroke, cardiovascular event, or head injury). The patient's rapid degeneration was anecdotally associated with a recently prescribed group of medications, which shows the need for healthcare professionals to be aware of changes in medications when assessing patients' health.
authors.affiliation: Department of Restorative Dentistry and Biomaterials, University of Texas Health Science Center, Houston Dental Branch, Houston, Texas, USA.
authors.forename: Cleverick D
authors.initials: CD
authors.lastname: Johnson
authors.forename: Betty
authors.initials: B
authors.lastname: Shynett
authors.forename: Claudette D
authors.initials: CD
authors.lastname: Johnson
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Maldonado
mesh_terms: D000369:Aged, 80 and over; D016642:Bupropion / Q000009:adverse effects*; D018492:Dopamine Antagonists / Q000009:adverse effects*; D018765:Dopamine Uptake Inhibitors / Q000009:adverse effects*; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008787:Metoclopramide / Q000009:adverse effects*; D009909:Oral Health; D010302:Parkinson Disease, Secondary / Q000139:chemically induced*
chemical_list: D018492:Dopamine Antagonists; D018765:Dopamine Uptake Inhibitors; D016642:Bupropion; D008787:Metoclopramide