Martens L, Marks L, Kint J
Département de médécine dentaire, Hôpital universitaire, Gand.
Rev Belge Med Dent (1984). 1997;52(2):27-37.
With respect to oral hygiene, most of the handicapped are very dependent. Moreover, it is shown that the higher the dexterity level, the poorer the oral hygiene. It's well documented that the use of Chlorhexidine (CHX) is an essential tool in oral care for the handicapped. The efficacy however, only becomes optimal after thorough plaque and calculus removal. From the literature, it becomes clear that the application of a 1% gel in prefabricated trays is the most efficient. Regarding mouthrinses, it's important to use big volumes in order to reach optimal contact with tooth surfaces. The use of a spray seems very handy but is quiet inefficient; no homogeneous diffusion of CHX can be obtained. The choice of any device for CHX application depends on the handicapping condition and on the knowledge and motivation of educators, and medical care takers. The present article summarizes the dental literature on the use of CHX in handicapped. An advice for well indicated use of CHX is proposed.
在口腔卫生方面，大多数残疾人非常依赖他人。此外，研究表明，灵活性水平越高，口腔卫生状况越差。有充分的文献记载，使用洗必泰（CHX）是残疾人口腔护理的重要工具。然而，其功效只有在彻底清除牙菌斑和牙结石后才会达到最佳。从文献中可以清楚地看出，在预制托盘里使用1%的凝胶是最有效的。关于漱口水，为了与牙齿表面实现最佳接触，使用大量漱口水很重要。喷雾的使用似乎很方便，但效率很低；无法实现CHX的均匀扩散。CHX应用装置的选择取决于残疾状况以及教育工作者和医护人员的知识水平与积极性。本文总结了牙科文献中关于CHX在残疾人中的使用情况。并针对CHX的正确使用给出了建议。
