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探索牙科领域的年龄歧视与老年护理:一项全面的范围综述。

Exploring ageism and elderly care in dentistry: A comprehensive scoping review.

作者信息

Aranha Elis Ribeiro Mariucio, Felipe Daniele Fernanda, Garcia Lucas França

机构信息

Master's student in Health Promotion at Cesumar University, Maringá, Paraná, Brazil.

Professor in the Graduate Program in Health Promotion at Cesumar University, and researcher at the Cesumar Institute of Science and Technology (ICETI), Maringá, Paraná, Brazil.

出版信息

J Dent. 2025 Feb;153:105524. doi: 10.1016/j.jdent.2024.105524. Epub 2024 Dec 8.

Abstract

OBJECTIVES

This scoping review aims to investigate the perceptions of dental professionals regarding aging and geriatric dentistry, as well as to identify studies focused on ageism in dental care.

DATA

The review followed guidelines from the Joanna Briggs Institute and PRISMA-ScR. A systematic search was conducted in the databases, covering the period from 2019 to 2024.

SOURCES

PubMed, Scopus, and Web of Science were searched.

STUDY SELECTION

Articles focusing on ageism or oral health in the elderly were included, while those with methodological flaws, duplicates, or unrelated content were excluded.

CONCLUSIONS

A total of 28 articles were included in the final analysis. The results reveal significant cultural differences in how ageism impacts dental care, with many dental professionals unprepared to treat elderly patients with physical and cognitive limitations. Geriatric dentistry remains underrepresented in dental curricula in some countries, leading to a shortage of specialized professionals. This review underscores the need for further research on the perspectives of practicing dentists and elderly patients to improve care and address the barriers caused by ageism.

CLINICAL SIGNIFICANCE

The review emphasizes the critical need to address ageism in dental care to enhance the quality of treatment for elderly patients. Effective strategies to counteract age-related biases can lead to improved clinical outcomes and more equitable care for all age groups.

摘要

目的

本范围综述旨在调查牙科专业人员对衰老和老年牙科的看法,并识别关注牙科护理中年龄歧视的研究。

数据

该综述遵循乔安娜·布里格斯研究所和PRISMA-ScR的指南。在数据库中进行了系统检索,涵盖2019年至2024年期间。

来源

检索了PubMed、Scopus和科学网。

研究选择

纳入关注老年人年龄歧视或口腔健康的文章,排除有方法学缺陷、重复或无关内容的文章。

结论

最终分析共纳入28篇文章。结果显示,年龄歧视对牙科护理的影响存在显著文化差异,许多牙科专业人员没有准备好治疗有身体和认知限制的老年患者。在一些国家,老年牙科在牙科课程中的代表性仍然不足,导致专业人员短缺。本综述强调需要进一步研究执业牙医和老年患者的观点,以改善护理并消除年龄歧视造成的障碍。

临床意义

该综述强调了在牙科护理中解决年龄歧视以提高老年患者治疗质量的迫切需求。消除与年龄相关偏见的有效策略可以改善临床结果,并为所有年龄组提供更公平的护理。

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