Gallione Chiara, Bassi Erika, Cattaneo Arianna, Busca Erica, Basso Ines, Dal Molin Alberto
Maggiore Della Carità Hospital, Novara, Italy.
Department of Translational Medicine, University of Piemonte Orientale, Novara, Italy.
Nurs Health Sci. 2025 Mar;27(1):e70027. doi: 10.1111/nhs.70027.
Maintaining good oral hygiene is essential for preventing and managing oral health problems. This systematic review aimed to identify and assess clinical practice guidelines on oral hygiene, focusing on quality and key areas. A comprehensive search was conducted in PubMed, CINAHL, Scopus, Cochrane, and organizational websites. Guidelines from health organizations that focused on oral health, hygiene education, and disease prevention were included. Guidelines based on expert opinions and those focusing on specific pathologies were excluded. The AGREE II tool was used to evaluate quality, and a narrative synthesis summarized recommendations across pediatric, adult, and senior age groups. Nine studies were reviewed. Results showed that electric toothbrushes do not significantly outperform manual ones in preventing cavities, though they may reduce plaque. Fluoride toothpaste is less effective if followed by rinsing with water. For adults, mouthwashes with chlorhexidine or sodium fluoride are recommended. Checkups every six months are advised for healthy children and adults. Proper denture care is also emphasized. Regular updates to oral care guidelines are necessary, as oral health affects essential functions and social well-being.
保持良好的口腔卫生对于预防和管理口腔健康问题至关重要。本系统评价旨在识别和评估口腔卫生方面的临床实践指南，重点关注质量和关键领域。在PubMed、CINAHL、Scopus、Cochrane和各组织网站上进行了全面搜索。纳入了侧重于口腔健康、卫生教育和疾病预防的卫生组织指南。排除基于专家意见的指南和侧重于特定病理学的指南。使用AGREE II工具评估质量，并通过叙述性综合总结了儿科、成人和老年年龄组的建议。共审查了9项研究。结果表明，电动牙刷在预防龋齿方面并不明显优于手动牙刷，不过电动牙刷可能会减少牙菌斑。如果刷牙后用水漱口，含氟牙膏的效果会降低。对于成年人，建议使用含氯己定或氟化钠的漱口水。建议健康的儿童和成年人每六个月进行一次检查。还强调了假牙的正确护理。由于口腔健康会影响基本功能和社会福祉，因此有必要定期更新口腔护理指南。
