Centro di Ricerche Cliniche, Dipartimento di Medicina Sperimentale e Sanità Pubblica, Università di Camerino, 62032 Camerino, Italy.
Curr Alzheimer Res. 2010 Jun;7(4):368-73. doi: 10.2174/156720510791162359.
The main data on oral health and dental pathologies affecting Alzheimer's disease (AD) patients were reviewed. Oral health declines and dental pathologies increase with progression of AD. Poor oral hygiene, difficulty in wearing dentures, and the inability to self-care, including carrying out oral hygiene procedures are the most probable cause of impaired oral health in AD. Collection of information on oral/dental conditions from AD patients or their caregivers/relatives is often difficult and scientific literature on the topic is sparse . The majority of data on the subject consist in retrospective studies affected to some extent by subjective views of dental professionals involved. Appropriate dental interventions in adult-onset dementia disorders will decrease pain and oral pathology and consequently could contribute to maintain enough oral and nutritional health in these patients. Dental treatment in early stages of the disease are important and should be finalized at producing a stable oral condition. This could improve the quality of life and contribute to decrease worsening of oral situations in the later stages of the disease when dental treatment may be difficult. The problem of awareness of good oral health for keeping quality of life more acceptable in adult-onset dementia disorders is discussed.
本文主要回顾了影响阿尔茨海默病（AD）患者口腔健康和口腔病理的相关数据。AD 患者的口腔健康状况随疾病进展而恶化，口腔疾病发病率上升。口腔卫生差、义齿佩戴困难以及无法自理，包括进行口腔卫生程序，这些都是 AD 患者口腔健康受损的最可能原因。从 AD 患者或其护理人员/亲属收集口腔/牙齿状况的信息往往很困难，且该主题的科学文献也很匮乏。关于这个主题的大多数数据都来自于受牙科专业人员主观观点影响的回顾性研究。在成年发病的痴呆症中进行适当的牙科干预，可减轻疼痛和口腔病理，从而有助于维持这些患者足够的口腔和营养健康。在疾病早期进行牙科治疗非常重要，其最终目的是维持稳定的口腔状况。这可以提高生活质量，并有助于减少疾病后期因牙科治疗困难而导致的口腔状况恶化。本文还讨论了在成年发病的痴呆症中保持良好口腔健康以提高生活质量的意识问题。
