Morén Elisabeth, Skott Pia, Edman Kristina, Gavriilidou Nivetha, Wårdh Inger, Domeij Helena
Department of Dental Medicine, Karolinska Institute, 141 04 Huddinge, Sweden.
Public Dental Service, Folktandvården Region Dalarna, 791 29 Falun, Sweden.
J Clin Med. 2023 Apr 6;12(7):2748. doi: 10.3390/jcm12072748.
With care dependency, untreated root caries lesions (RCLs) and irregular dental visits are common. RCLs, if left untreated, could lead to pain, tooth loss, difficulties eating, and impact on general health. Therefore, there is a need for prevention and effective treatment for RCLs, and especially in those with care dependency. The aim of this systematic review was to investigate the effect of domiciliary professional oral care on root caries development and progression, in comparison with self-performed or nurse-assisted oral care. A literature search was conducted in four databases in November 2022. Two authors independently screened the literature throughout the review process. Five of the identified studies were found to be relevant. Four of these were assessed as having moderate risk of bias and were included in the review, while one study had high risk of bias and was excluded from further analyses. Due to heterogenicity of the included studies (and of the interventions and outcomes), no meta-analysis or synthesis without meta-analysis (SWiM) was performed. The participation of dental personnel performing mechanical plaque removal and fluoride, or chlorhexidine application seems beneficial for care-dependent older adults with risk of RCLs development and progression. However, future studies are needed.
在需要护理的人群中，未经治疗的根龋病变（RCLs）和不定期看牙很常见。如果不进行治疗，根龋病变可能会导致疼痛、牙齿脱落、进食困难，并影响整体健康。因此，需要对根龋病变进行预防和有效治疗，尤其是在那些需要护理的人群中。本系统评价的目的是研究与自我进行或护士协助的口腔护理相比，居家专业口腔护理对根龋发生和进展的影响。2022年11月在四个数据库中进行了文献检索。两位作者在整个评价过程中独立筛选文献。发现五项已识别的研究相关。其中四项被评估为具有中度偏倚风险，并被纳入评价，而一项研究具有高偏倚风险，被排除在进一步分析之外。由于纳入研究（以及干预措施和结局）的异质性，未进行荟萃分析或非荟萃分析的综合分析（SWiM）。进行机械性菌斑清除以及使用氟化物或洗必泰的牙科人员的参与，似乎对有根龋发生和进展风险的需要护理的老年人有益。然而，还需要进一步的研究。
