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Introduction of clinical examinationIn a normal brain neurons in the substantia nigra train a chemical called dopamine that acts to control motor functions. In a person with Parkinsons disease, there is insufficient dopamine and motor symptoms much(prenominal) as tremors, rigidity, problems with balance and bradykinesia discharge occur. According to the National Parkinson Foundation, four to hexad million raft worldwide are estimated to have Parkinsons Disease. In the United States alone, the incidence is estimated at fifty to sixty thousand revolutionary cases diagnosed each year. Additionally, the Center for Disease Control puts complications from Parkinsons disease as the 14th leading cause 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 unwritten health. They were found to have more enclosed space, tooth mobility, gingival recession and periodontal pocketing than the control cohort. Additionally, the group with Parkinsons disease report less frequent tooth brushing and dental visits, and exhibited reduced salivary flow. 4. accompaniment this, a separate Japanese 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 literal health. Increased caries and periodontal problems can lead to tooth passing game 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 upper jaw teeth and two mandibular teeth. ... ...100.2 Hanaoka A, Kashihara K. Increased frequencies of caries, periodontal disease and tooth loss in patients with Parkinsons disease. Journal of Clinical Neuroscience. 2009 16 12 79-1282.3 Heckmann SM, Heckmann JG, Weber H-P. Clinical outcomes of three Parkinsons disease patients treated with mandibular implant ovedentures. Clin verbal Impl Res. 2000 11 566-571.4 Muller T, Palluch R, Jackowski J. Caries 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 life of people with Parkinsons disease. Gerodontology. 2009 26 11-18.6 obtain to Parkinson.org Internet. Miami (FL) National Parkinson Foundation 2014 cited 2014 Mar 7. Available from http//www.parkinson.org/.