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智力迟钝者的口腔康复与管理

Oral rehabilitation and management of mentally retarded.

作者信息

Solanki Jitender, Khetan Jitendra, Gupta Sarika, Tomar Deepak, Singh Meenakshi

机构信息

Assistant Professor, Department of Public Health Dentistry, Vyas Dental College & Hospital , Jodhpur, Rajasthan, Jodhpur, Rajasthan, India .

Assistant Professor, Department of Prosthodontics, Vyas Dental College & Hospital , Jodhpur, Rajasthan, Jodhpur, Rajasthan, India .

出版信息

J Clin Diagn Res. 2015 Jan;9(1):ZE01-6. doi: 10.7860/JCDR/2015/11077.5415. Epub 2015 Jan 1.

Abstract

High level of periodontal problems of dental caries are frequently observed in mentally handicapped children. This group of patients presents various problems when they face dental treatments. Identification of such population and providing them affordable oral health care is the new concept. A systematic method for identification and screening of persons with mental retardation has been developed and is being followed. Cost and fear are the most commonly cited barriers to dental care. Physical or mental may lead to deterioration in self-care, and oral care state have a low priority. Risk factors are inter-related and are often barriers to oral health. With advancements in today's world sufficient information and support is available for each and every individual to lead a healthy life which include the access to the oral health care. Factors such as fear, anxiety and dental phobia plays a vital role in acceptance of dental care and also the delaying of dental care. Lack of knowledge of oral and dental disease, awareness or oral need, oral side-effects of medication and organization of dental services are highlighted in the literature. All health personnel should receive training to support the concept of primary oral health care. Training about dealing with such mentally handicapped people should be addressed urgently among the health professionals.

摘要

在智障儿童中经常观察到高水平的龋齿和牙周问题。这群患者在接受牙科治疗时会出现各种问题。识别这类人群并为他们提供负担得起的口腔保健是一个新概念。一种识别和筛查智障人士的系统方法已经开发出来并正在遵循。费用和恐惧是牙科护理中最常被提及的障碍。身体或精神问题可能导致自我护理能力下降,而口腔护理的优先级较低。风险因素相互关联,往往是口腔健康的障碍。随着当今世界的进步,每个人都有足够的信息和支持来过健康的生活,包括获得口腔保健。恐惧、焦虑和牙科恐惧症等因素在接受牙科护理以及延迟牙科护理方面起着至关重要的作用。文献中强调了对口腔和牙齿疾病的知识缺乏、对口腔需求的认识、药物的口腔副作用以及牙科服务的组织等问题。所有卫生人员都应接受培训,以支持初级口腔保健的概念。在卫生专业人员中应紧急开展关于如何应对这类智障人士的培训。

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