Geddis-Regan Andrew, Kerr Kathryn, Curl Charlotte
NIHR Doctoral Research Fellow, Specialist in Special Care Dentistry, School of Dental Sciences, Newcastle University.
Health Education England Regional Dental Adviser Workforce Transformation and Continuing Registration.
Prim Dent J. 2020 Jun;9(2):31-37. doi: 10.1177/2050168420923862.
Dementia has been described as the biggest health and social care challenge of this century; its impact on dental care cannot be ignored. Dementia affects cognitive ability and decision making, so it is important that oral healthcare professionals are conversant with current mental capacity legislation and issues that may be raised when treatment planning for patients living with the condition. This second article in the series considers the impact of dementia on dental care provision and covers a range of issues which are relevant to both general and specialist practice. These include assessment of capacity, use of different treatment modalities, such as sedation and general anaesthesia, and the factors that may be relevant when deciding to offer treatment or to refer to a secondary care setting for dental treatment. Advanced care planning is detailed to support general dental practitioners considering the longer-term wishes of their patients with an early diagnosis of dementia.
痴呆症被认为是本世纪最大的健康和社会护理挑战；其对牙科护理的影响不容忽视。痴呆症会影响认知能力和决策能力，因此口腔保健专业人员熟悉当前的精神能力立法以及为患有这种疾病的患者制定治疗计划时可能出现的问题非常重要。该系列的第二篇文章探讨了痴呆症对牙科护理提供的影响，并涵盖了一系列与普通和专科实践相关的问题。这些问题包括能力评估、不同治疗方式（如镇静和全身麻醉）的使用，以及在决定提供治疗或转介至二级护理机构进行牙科治疗时可能相关的因素。详细介绍了高级护理计划，以支持普通牙科医生考虑其早期诊断为痴呆症的患者的长期愿望。
