Booth Joelle, Erwin Jo, Burns Lorna, Axford Nick, Horrell Jane, Wheat Hannah, Witton Robert, Shawe Jill, Doughty Janine, Kaddour Sarah, Boswell Skye, Devalia Urshla, Nelder Abigail, Paisi Martha
Centre for Dental Public Health and Primary Care, Queen Mary University of London, Turner Street, London E1 2AD, UK.
Peninsula Dental School, University of Plymouth, Drake Circus, Plymouth PL4 8AA, UK.
Dent J (Basel). 2024 Feb 9;12(2):38. doi: 10.3390/dj12020038.
Children and young people (CYP) in care experience poorer physical health and overall wellbeing in comparison to their peers. Despite this, relatively little is known about what their oral health needs and behaviours are. The aim of this scoping review was to provide a global perspective on the oral health status and behaviours of CYP in care and care leavers. It also aimed to synthesise interventions that have been trialled in this population to improve oral health.
Five databases were searched, Ovid Embase, Ovid MEDLINE, CINAHL (EBSCOhost), SocINDEX (EBSCOhost) and Dentistry and Oral Sciences Source (EBSCOhost), alongside grey literature sources up to January 2023. Eligibility criteria were studies that (i) reported on children and adolescents aged 25 years or younger who are currently in formal/informal foster or residential care and care leavers, (ii) pertained to oral health profile, behaviours or oral health promotion interventions (iii) and were published in the English language. Thematic analysis was used to develop the domains for oral health behaviours and interventions.
Seventy-one papers were included. Most papers were published from very high or medium Human Development Index countries. CYP in care were found to experience high levels of decay, dental trauma, periodontal disease and poorer oral health-related quality of life. Oral health behaviours included limited oral health self-care behaviours and a lack of oral health-based knowledge. The trialled interventions involved oral health education, supervised brushing and treatment or preventative dental care.
This scoping review reveals that CYP in care experience poorer oral health in comparison to their peers. They are also less likely to carry out oral health self-care behaviours. This review highlights a scarcity of interventions to improve the oral health of this population and a paucity of evidence surrounding the oral health needs of care leavers.
与同龄人相比，受照料的儿童和年轻人的身体健康状况和整体幸福感较差。尽管如此，对于他们的口腔健康需求和行为却知之甚少。本范围综述的目的是从全球角度了解受照料儿童和年轻人以及离开照料机构者的口腔健康状况和行为。它还旨在综合已在该人群中试验的改善口腔健康的干预措施。
检索了五个数据库，即Ovid Embase、Ovid MEDLINE、CINAHL（EBSCOhost）、SocINDEX（EBSCOhost）和牙科学与口腔科学源数据库（EBSCOhost），以及截至2023年1月的灰色文献来源。纳入标准为：（i）报告了年龄在25岁及以下、目前处于正式/非正式寄养或寄宿照料中的儿童和青少年以及离开照料机构者；（ii）涉及口腔健康状况、行为或口腔健康促进干预措施；（iii）以英文发表。采用主题分析法确定口腔健康行为和干预措施的领域。
共纳入71篇论文。大多数论文发表于人类发展指数非常高或中等的国家。研究发现，受照料的儿童和年轻人龋齿、牙外伤、牙周疾病的发生率较高，与口腔健康相关的生活质量较差。口腔健康行为包括有限的口腔自我保健行为以及缺乏口腔健康知识。试验的干预措施包括口腔健康教育、监督刷牙以及治疗或预防性牙科护理。
本范围综述表明，与同龄人相比，受照料的儿童和年轻人的口腔健康较差。他们进行口腔自我保健行为的可能性也较小。本综述凸显了改善该人群口腔健康的干预措施匮乏，以及关于离开照料机构者口腔健康需求的证据不足。
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