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Introduction of Clinical QuestionIn a habitual brain neurons in the substantia nigra produce a chemical called dopamine that acts to restrainer motor functions. In a person with Parkinsons malady, at that place is insufficient dopamine and motor symptoms such as tremors, rigidity, problems with balance and bradykinesia foundation occur. According to the National Parkinson Foundation, four to six million people intercontinental are estimated to have Parkinsons complaint. In the United States alone, the incidence is estimated at fifty to sixty thousand new cases diagnosed each year. Additionally, the Center for Disease Control puts complications from Parkinsons disease as the 14th leading shake up of death. While there is no cure, the symptoms can be controlled with medications and surgery. 6 A 2011 German cross sectional study revealed that people with Parkinsons Disease had poorer spoken health. They were found to have more caries, tooth mobility, gingival recessio n and periodontal pocketing than the control cohort. Additionally, the group with Parkinsons disease reported less frequent tooth brushwood and dental visits, and exhibited reduced salivary flow. 4. Supporting this, a separate Nipponese study showed more untreated caries and deeper periodontal pockets, leading to fewer natural teeth in persons with Parkinsons Disease 2. There is a significant population with Parkinsons Disease, a condition that has been shown to have a negative impact on oral health. Increased caries and periodontal problems can lead to tooth loss and edentulism, a condition treatable with traditional or implant retained overdentures.Patient RM is a male with Parkinsons disease. He is partially edentulous with six maxillary teeth and two inframaxillary teeth. ... ...100.2 Hanaoka A, Kashihara K. Increased frequencies of caries, periodontal disease and tooth loss in patients with Parkinsons disease. diary of Clinical Neuroscience. 2009 16 1279-1282.3 Heckman n SM, Heckmann JG, Weber H-P. Clinical outcomes of three Parkinsons disease patients treated with mandibular implant ovedentures. Clin Oral Impl Res. 2000 11 566-571.4 Muller T, Palluch R, Jackowski J. pit and periodontal disease in patients with Parkinsons disease. Spec Care Dentist. 2011 31(5) 178-181. 5 packer M, Nikitin V, Coward T, Davis D, Fiske J. The potential benefits of dental implants on the oral health quality of purport of people with Parkinsons disease. Gerodontology. 2009 26 11-18.6 Welcome to Parkinson.org Internet. Miami (FL) National Parkinson Foundation 2014 cited 2014 profane 7. Available from http//www.parkinson.org/.