Jolly D E, Paulson R B, Paulson G W, Pike J A
Spec Care Dentist. 1989 May-Jun;9(3):74-8. doi: 10.1111/j.1754-4505.1989.tb01032.x.
Parkinson's disease is one of a group of extrapyramidal diseases characterized by rigidity and tremor. The disease affects about 1 million persons in this country, and is most common in persons older than 55. Parkinson's is disabling and usually progresses from mild to severe, often in less than a decade, and may preclude an individual from accomplishing many activities of daily living, even with current drug therapy. In addition to problems caused by age, dental complications arise from the inability of the individual with Parkinson's to accomplish routine oral hygiene, from changes in salivary flow and due to dysfunction in swallowing. Dental management of individuals with Parkinson's is a multifaceted challenge involving areas of preventive, restorative, and prosthetic dentistry. Support is also required for the psychosocial and behavioral aspects of this common progressive disorder.
帕金森病是一组锥体外系疾病,其特征为僵硬和震颤。该国约有100万人受此病影响,最常见于55岁以上人群。帕金森病会导致残疾,通常在不到十年的时间里从轻度发展到重度,即使采用目前的药物治疗,也可能使患者无法完成许多日常生活活动。除了年龄带来的问题外,帕金森病患者由于无法进行常规口腔卫生护理、唾液分泌变化以及吞咽功能障碍,还会出现牙齿并发症。对帕金森病患者的牙科治疗是一项多方面的挑战,涉及预防、修复和假牙修复等牙科领域。对于这种常见的进行性疾病的心理社会和行为方面也需要给予支持。