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Global health challenges in treating an elderly institutionalised patient: an oral medicine perspective


A 64-year-old institutionalised woman presented to our clinic for the management of black hairy tongue. Despite the predictable outcome in treating this disease, this case presents multiple challenges such as the patients’ cognitive impairment, her family dynamics, social factors and the health system as a whole, that makes it difficult to treat.

  • dentistry and oral medicine
  • long term care
  • global health
  • mouth
  • social determinants

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