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帕金森病患者的口腔健康与种植治疗:综述

Oral health and implant therapy in Parkinson's patients: review.

作者信息

Bollero P, Franco R, Cecchetti F, Miranda M, Barlattani A, Dolci A, Ottria L

机构信息

Department of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.

Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy.

出版信息

Oral Implantol (Rome). 2017 Sep 27;10(2):105-111. doi: 10.11138/orl/2017.10.2.105. eCollection 2017 Apr-Jun.

Abstract

Parkinson's Disease (PD) is one of the most frequent neurodegenerative diseases, second only to Alzheimer's disease. It is a progressive disease that inevitably leads the patient to death, in most cases for . It affects 120 people out of 100,000 and more frequently affects men than women. The main symptoms are divided into motor, non-motor and behavioral ones. The main motors symptoms are tremor, bradykinesia and postural instability. Non-motor symptoms include autonomic nervous dysfunction (orthostatic hypotension, cardiac arrhythmia, sexual dysfunction, excessive sweating due to hypothalamic dysfunction, constipation), insomnia, OSAS, and olfactory dysfunction. Behavioral symptoms are depression, dementia and psychosis. The purpose of this study is to evaluate, through a systematic review of literature, the oral health status of the Parkinson's patient compared with the general population with particular reference to the incidence of caries and periodontal disease, the patient's management during dental interventions and the possibility of rehabilitating the patient with implanted therapy.

摘要

帕金森病(PD)是最常见的神经退行性疾病之一,仅次于阿尔茨海默病。它是一种进行性疾病,在大多数情况下会不可避免地导致患者死亡。每10万人中有120人受其影响,男性比女性更易患病。主要症状分为运动症状、非运动症状和行为症状。主要运动症状为震颤、运动迟缓及姿势不稳。非运动症状包括自主神经功能障碍(体位性低血压、心律失常、性功能障碍、下丘脑功能障碍导致的多汗、便秘)、失眠、阻塞性睡眠呼吸暂停综合征及嗅觉功能障碍。行为症状为抑郁、痴呆和精神病。本研究的目的是通过对文献的系统回顾,评估帕金森病患者与普通人群相比的口腔健康状况,特别提及龋齿和牙周病的发病率、牙科干预期间患者的管理以及通过植入治疗使患者康复的可能性。

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