Martimbianco Ana L C, Prosdocimi Fabio C, Anauate-Netto Camillo, Dos Santos Elaine M, Mendes Gustavo D, Fragoso Yara D
Postgraduation Department, Program on Health and Environment, Universidade Metropolitana de Santos (UNIMES), Santos, SP, Brazil.
Neurol Ther. 2021 Jun;10(1):391-400. doi: 10.1007/s40120-021-00237-4. Epub 2021 Mar 18.
Patients with Parkinson's disease (PD) present a variety of oral disease that can be worsened by xerostomia and sialorrhea. The patients' physical limitations, for example rigidity and tremor, add to the difficulty of oral care by the general dental surgeon. The objective of the present review was to organize a list of evidence-based recommendations for the oral care of patients with PD.
A systematic review of the literature was carried out by specialists who selected the relevant papers and created a list of recommendations based upon the literature.
Fourteen papers (data reported in 16 articles) were included in this review. Patients with PD had reduced quality of oral health and hygiene, and high prevalence of gingival recession, periodontal disease, dental calculus, tooth decay, tooth mobility and loss, drooling, xerostomia, dysphagia and temporomandibular disorders. Most studies offered class IV evidence, while one paper had class II evidence.
Patients with PD present poor oral health with conditions that are mostly preventable.
帕金森病（PD）患者存在多种口腔疾病，口干和流涎会使其病情加重。患者的身体限制，如僵硬和震颤，增加了普通牙科医生进行口腔护理的难度。本综述的目的是整理出一份基于证据的帕金森病患者口腔护理建议清单。
由专家对文献进行系统综述，他们挑选相关论文，并根据文献制定了一份建议清单。
本综述纳入了14篇论文（16篇文章中报道的数据）。帕金森病患者的口腔健康和卫生质量下降，牙龈退缩、牙周疾病、牙结石、龋齿、牙齿松动和脱落、流口水、口干、吞咽困难和颞下颌关节紊乱的患病率较高。大多数研究提供的是IV级证据，而有一篇论文提供的是II级证据。
帕金森病患者口腔健康状况不佳，大多数情况是可以预防的。
