Faculty of Behavioral and Movement Sciences, Department of Clinical Neuropsychology, VU University, Amsterdam, The Netherlands.
Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), Faculty of Dentistry, University of Amsterdam and Vrije Universiteit Amsterdam, Gustav Mahler Laan 3004, 1081, LA, Amsterdam, The Netherlands.
Clin Oral Investig. 2018 Jan;22(1):93-108. doi: 10.1007/s00784-017-2264-2. Epub 2017 Nov 15.
The number of older people with dementia and a natural dentition is growing. Recently, a systematic review concerning the oral health of older people with dementia with the focus on diseases of oral hard tissues was published.
To provide a comprehensive literature overview following a systematic approach of the level of oral hygiene and oral health status in older people with dementia with focus on oral soft tissues.
A literature search was conducted in the databases PubMed, CINAHL, and the Cochrane Library. The following search terms were used: dementia and oral health or stomatognathic disease. A critical appraisal of the included studies was performed with the Newcastle-Ottawa scale (NOS) and Delphi list.
The searches yielded 549 unique articles, of which 36 were included for critical appraisal and data extraction. The included studies suggest that older people with dementia had high scores for gingival bleeding, periodontitis, plaque, and assistance for oral care. In addition, candidiasis, stomatitis, and reduced salivary flow were frequently present in older people with dementia.
The studies included in the current systematic review suggest that older people with dementia have high levels of plaque and many oral health problems related to oral soft tissues, such as gingival bleeding, periodontal pockets, stomatitis, mucosal lesions, and reduced salivary flow.
With the aging of the population, a higher prevalence of dementia and an increase in oral health problems can be expected. It is of interest to have an overview of the prevalence of oral problems in people with dementia.
Older people with dementia have multiple oral health problems related to oral soft tissues, such as gingival bleeding, periodontal pockets, mucosal lesions, and reduced salivary flow.
The oral health and hygiene of older people with dementia is not sufficient and could be improved with oral care education of formal and informal caregivers and regular professional dental care to people with dementia.
患有痴呆症和天然牙齿的老年人人数正在增加。最近，发表了一篇关于痴呆症老年人口腔健康的系统综述，重点关注口腔硬组织疾病。
通过系统回顾的方法，全面概述患有痴呆症的老年人的口腔卫生和口腔健康状况，重点关注口腔软组织。
在 PubMed、CINAHL 和 Cochrane 图书馆数据库中进行文献检索。使用以下搜索词：痴呆症和口腔健康或口腔颌面部疾病。使用纽卡斯尔-渥太华量表（NOS）和 Delphi 清单对纳入的研究进行批判性评估。
搜索共产生了 549 篇独特的文章，其中 36 篇被纳入进行批判性评估和数据提取。纳入的研究表明，痴呆症老年人的牙龈出血、牙周炎、牙菌斑和口腔护理辅助评分较高。此外，老年人中经常出现念珠菌病、口炎和唾液分泌减少。
当前系统综述中纳入的研究表明，痴呆症老年人的牙菌斑水平较高，且存在许多与口腔软组织相关的口腔健康问题，如牙龈出血、牙周袋、口炎、黏膜病变和唾液分泌减少。
随着人口老龄化，预计痴呆症的患病率会更高，口腔健康问题的发生率也会增加。因此，全面了解痴呆症患者的口腔问题患病率具有重要意义。
痴呆症老年人存在多种与口腔软组织相关的口腔健康问题，如牙龈出血、牙周袋、黏膜病变和唾液分泌减少。
痴呆症老年人的口腔卫生和健康状况不佳，可以通过对正式和非正式照护者进行口腔保健教育以及为痴呆症患者提供定期的专业牙科护理来改善。
Zotero 插件