[Botox injections in salivary glands in Parkinson's disease]. / Multifactoriële cariësprogressie bij Parkinson.

A 62-year-old lady is referred to a geriatric dentist because of sudden increased caries activity. She is suffering from Parkinson's disease. Saliva loss, or drooling, had such a negative impact on her quality of life that,she had been treated with Botox injections into her glandula parotis on both sides on referral from the neurologist until about a year ago. Hhyposalivation as a side effect of her medication in combination with the Botox injections likely caused increased caries activity. The risks of therapies to reduce salivary flow should be made known to doctors and dentists. Saliva testing should always be done before starting such a therapy and when such therapy is started, the use of additional fluoride measures is very important.

[Training and interprofessional collaboration to improve oral care for older people]. / Training en samenwerking ter verbetering van mondzorg voor ouderen.

Collaboration between oral care providers, district nurses and/or carers and nurse practioners in primary care is necessary to improve the oral health of frail and care-dependent older people. On the one hand, this is important when the oral health of older people is at risk of deteriorating and support in daily oral hygiene care is needed. On the other hand, it makes it easier for district nurses and carers to consult the oral care provider when they identify oral health problems. In general, interprofessional care contributes to a better awareness of the importance of good oral health and oral care in older people. On-the-job training could be an effective method for training oral health care skills by care professionals. .