BENECOMO, Flemish-Netherlands Geriatric Oral Research Group, Dental School, University Ghent, Ghent, Belgium.
Gerodontology. 2011 Dec;28(4):307-10. doi: 10.1111/j.1741-2358.2010.00406.x.
Institutionalized older people are prone to oral health problems and their negative impact due to frailty, disabilities, multi-morbidity, and multiple medication use. Until recently, no evidence-based oral health care guideline for institutionalized older people has been available. For that reason, the Dutch Association of Nursing Home Physicians developed the Oral health care Guideline for Older people in Long-term care Institutions (OGOLI), meeting the requirements of the AGREE instrument for assessing a guideline's quality. This short report presents the keynotes and the content of the Oral health care Guideline. Most recommendations are based on expert opinions. Only 4 recommendations (education, pneumonia, use of an electric toothbrush, and fluoride rinsing in case of a sudden increase of oral plaque amount) are based on evidence level A2 conclusions. This emphasizes the need for further research on oral health of institutionalized older people.
机构化老年人由于虚弱、残疾、多种疾病和多种药物的使用，容易出现口腔健康问题及其负面影响。直到最近，还没有针对机构化老年人的循证口腔保健指南。出于这个原因，荷兰养老院医生协会制定了《长期护理机构老年人口腔保健指南》（OGOLI），符合评估指南质量的 AGREE 工具的要求。本简短报告介绍了口腔保健指南的要点和内容。大多数建议都是基于专家意见。只有 4 条建议（教育、肺炎、使用电动牙刷以及在口腔斑块数量突然增加时使用含氟漱口水）基于证据水平 A2 结论。这强调了需要对机构化老年人的口腔健康进行进一步研究。
