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智力和发育障碍患者的营养和口腔问题。

Nutritional and dental issues in patients with intellectual and developmental disabilities.

出版信息

J Am Dent Assoc. 2018 Apr;149(4):317-321. doi: 10.1016/j.adaj.2017.11.014. Epub 2018 Feb 15.

DOI:10.1016/j.adaj.2017.11.014
PMID:29397872
Abstract

BACKGROUND

People with intellectual and developmental disabilities are among the most disadvantaged and underserved groups of dental patients. Considerable health care disparities for this population have been identified, particularly oral and dental health as well as access to dental care services. People with Down syndrome and cerebral palsy have a variety of nutritional and dental considerations.

CONCLUSIONS

These people have a higher prevalence of untreated caries and periodontal disease than the general population and may have higher rates of obesity, edentulism, and chronic oral and systemic diseases. Diet choices may affect the oral health and may play an important role in the systemic health of these people. Suggestions to improve and affect dietary intake are provided.

CLINICAL IMPLICATIONS

Health issues within this population require a holistic approach to care. Concerns about oral health and diet must be addressed to support optimal health.

摘要

背景

智力和发育障碍人士是牙科患者中最弱势和服务不足的群体之一。已经确定了该人群存在相当大的医疗保健差距,特别是口腔和牙齿健康以及获得牙科保健服务的机会。唐氏综合征和脑瘫患者有各种营养和牙齿方面的考虑因素。

结论

这些人未经治疗的龋齿和牙周病的患病率高于一般人群,并且可能肥胖、无牙和慢性口腔和全身疾病的发病率更高。饮食选择可能会影响口腔健康,并可能在这些人的全身健康中发挥重要作用。提供了改善和影响饮食摄入的建议。

临床意义

该人群中的健康问题需要采取整体护理方法。必须解决口腔健康和饮食方面的问题,以支持最佳健康。

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