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帕金森病患者口腔修复干预的有效性。

Effectiveness of prosthodontic intervention in patients with Parkinson's disease.

作者信息

Jain Prachi, Rathee Manu, Bansal Arush, Jain Shreya

机构信息

Department of Prosthodontics, Post Graduate Institute of Dental Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India.

Department of General Medicine, MM Medical College and Hospital, Solan, Himachal Pradesh, India.

出版信息

Dent Res J (Isfahan). 2025 Feb 20;22:7. doi: 10.4103/drj.drj_548_24. eCollection 2025.

Abstract

BACKGROUND

Oral health plays a crucial role in maintaining the general health of an individual. Parkinson disease (PD) has known to disrupt the oral functions. Prosthetic rehabilitation can be done in these patients. However, there is scarcity of literature to assess the effectiveness or impact of rehabilitation with prosthesis either fixed or removable on various oral functions and quality of life (QoL) or satisfaction of PD patients. The purpose of this systematic study was to assess the effectiveness of prosthodontic rehabilitation in patients with PD.

MATERIALS AND METHODS

The literature search was conducted in the PubMed and CINAHL database for the articles till 2024 in English language. An exploration of gray literature was also included through Google Scholar. Manual search in the references of the selected articles was also done for relevant articles. The methodological quality assessment of cohort studies was done using Newcastle-Ottawa quality assessment form for Cohort Studies (NOS). Assessment of cross-sectional studies was done using the Appraisal tool for Cross-Sectional Studies (tool) and aassessment of case series was done using JBI critical appraisal tool for case series.

RESULTS

A total of 6 articles were selected from PubMed, 1 from CINAHL, and 2 from Google Scholar. Four articles studied the masticatory efficiency. Oral perception and motor ability were analyzed in two articles. Oral Health QoL was assessed in four articles. One article studied the electromyographic activity.

CONCLUSION

Based on this systematic review, it can be suggested that prosthetic rehabilitation using fixed or removable prosthesis offer potential benefits in PD patients improving the oral functions and QoL. However, there is a dearth of long-term research on evaluation of impact of prosthetic rehabilitation in improving the oral function and QoL of PD patients. CRD42024570296.

摘要

背景

口腔健康在维持个体整体健康方面起着至关重要的作用。帕金森病(PD)已知会扰乱口腔功能。这些患者可以进行修复性康复治疗。然而,关于固定或可摘义齿修复对PD患者各种口腔功能、生活质量(QoL)或满意度的有效性或影响的文献稀缺。本系统研究的目的是评估PD患者进行口腔修复治疗的有效性。

材料与方法

在PubMed和CINAHL数据库中检索截至2024年的英文文章。还通过谷歌学术搜索了灰色文献。对所选文章的参考文献进行人工检索以查找相关文章。队列研究的方法学质量评估使用纽卡斯尔-渥太华队列研究质量评估表(NOS)。横断面研究的评估使用横断面研究评估工具,病例系列的评估使用JBI病例系列关键评估工具。

结果

从PubMed中选出6篇文章,从CINAHL中选出1篇文章,从谷歌学术中选出2篇文章。4篇文章研究了咀嚼效率。2篇文章分析了口腔感知和运动能力。4篇文章评估了口腔健康相关生活质量。1篇文章研究了肌电活动。

结论

基于本系统评价,可认为使用固定或可摘义齿进行修复性康复可为PD患者带来潜在益处,改善口腔功能和生活质量。然而,关于评估修复性康复对改善PD患者口腔功能和生活质量影响的长期研究较少。CRD42024570296。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fef5/11870328/528aa38d7eac/DRJ-22-7-g001.jpg

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本文引用的文献

1
Clinical Report on an Implant-Supported Overdenture in a Parkinson's Patient.
Clin Cosmet Investig Dent. 2024 May 20;16:145-152. doi: 10.2147/CCIDE.S462756. eCollection 2024.
2
Relationship between motor dysfunction and chewing movement in patients with Parkinson's disease: A transversal study.
Front Neurol. 2022 Dec 9;13:1062134. doi: 10.3389/fneur.2022.1062134. eCollection 2022.
3
Orofacial myofunctional assessment and quality of life of individuals with Parkinson's disease.
Spec Care Dentist. 2023 Jul-Aug;43(4):425-434. doi: 10.1111/scd.12787. Epub 2022 Sep 25.
4
Nutrition impact symptoms and the risk of malnutrition in people with Parkinson's disease: A cross-sectional study.
J Hum Nutr Diet. 2023 Feb;36(1):40-50. doi: 10.1111/jhn.13070. Epub 2022 Aug 26.
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Oral health-related quality of life in patients with Parkinson's disease.
J Oral Rehabil. 2022 Apr;49(4):398-406. doi: 10.1111/joor.13304. Epub 2022 Jan 17.
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Tooth Loss and Blood Pressure in Parkinson's Disease Patients: An Exploratory Study on NHANES Data.
Int J Environ Res Public Health. 2021 May 10;18(9):5032. doi: 10.3390/ijerph18095032.
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Pain Rep. 2021 Apr 13;6(1):e923. doi: 10.1097/PR9.0000000000000923. eCollection 2021.
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Effect of complete dentures on oral stereognostic ability in edentulous patients: A systematic review.
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