聋人和听力障碍人群的口腔健康与牙科护理：一项范围综述
Oral Health and Dental Care in Deaf and Hard of Hearing Population: A Scoping Review.
作者信息
Cannobbio Valeria Campos, Cartes-Velásquez Ricardo, McKee Michael
出版信息
Oral Health Prev Dent. 2020 Jul 4;18(3):417-425. doi: 10.3290/j.ohpd.a44687.
PURPOSE
To compile the literature available about the oral health and dental care of the deaf and hard of hearing (DHH) population.
MATERIALS AND METHODS
The study question of this scoping review was 'What are the main findings reported in the literature about oral health and dental care of the DHH population?' The following databases were included: Web of Science, LILACS, SciELO, MEDLINE, Scopus, EMBASE, GoogleScholar and Redalyc. Full-text articles published in peer-reviewed journals, in Spanish, Portuguese, and English, from the January 2000 to January 2018 were selected with qualitative and quantitative methods. All study designs were included in the review with the exception of letters to the editor and case reports.
RESULTS
A total of fifty articles were selected for analysis. DHH population has poorer oral hygiene and a higher prevalence of caries than their non DHH peers. DHH also report significant struggles with oral health and dental access. Most dentists experienced difficulties communicating with their DHH patients.
CONCLUSIONS
This scoping review is the first known that centers on DHH oral health and their dental care. Efforts to develop accessible dental health programmes are needed to address apparent oral health inequities in the DHH population.
目的
汇编有关聋人和听力障碍者（DHH）口腔健康和牙科护理的现有文献。
材料与方法
本范围综述的研究问题是“文献中报道的关于DHH人群口腔健康和牙科护理的主要发现有哪些？”纳入的数据库如下：科学引文索引、拉丁美洲和加勒比卫生科学数据库、科学电子图书馆在线、医学文献数据库、Scopus、荷兰医学文摘数据库、谷歌学术和Redalyc。采用定性和定量方法，选取2000年1月至2018年1月期间在同行评审期刊上发表的西班牙语、葡萄牙语和英语的全文文章。除给编辑的信和病例报告外，所有研究设计均纳入本综述。
结果
共选取50篇文章进行分析。与非DHH同龄人相比，DHH人群的口腔卫生较差，龋齿患病率较高。DHH人群在口腔健康和获得牙科护理方面也面临重大困难。大多数牙医在与DHH患者沟通时遇到困难。
结论
本范围综述是已知的首个以DHH口腔健康及其牙科护理为中心的综述。需要努力制定可及的牙科健康计划，以解决DHH人群中明显的口腔健康不平等问题。
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