A Systematic Review Examining the Oral Health Status of Persons with Dementia.
A Systematic Review Examining the Oral Health Status of Persons with Dementia.
复制标题
DOI：
10.1177/2380084417714789
复制
发表时间：
2017-10-01
影响因子：
--
通讯作者：
Martin, R E
中科院分区：
文献类型：
--
作者：
Foley, N C;Affoo, R H;Martin, R E
虽然痴呆症患者的口腔健康状况较差，但尚未发表深入研究该主题的系统性综述，包括代表疾病严重程度的痴呆症参与者，并评估广泛的口腔健康评估。本研究的目的是进行当前的文献综述，以填补这一知识空白。对5个数据库（CINAHL、PubMed、EMBASE、Scopus和ISI Web of Science）进行了系统检索，以识别截至2016年5月发表的所有相关研究。没有与研究类型、痴呆严重程度、牙齿状态或生活安排相关的排除。报告并总结了结果。在可能的情况下进行荟萃分析，并报告为平均差（MD）或标准化平均差（SMD）以及95%置信区间（CI）。已确定28项研究。对牙齿状态、活动性龋齿、天然牙和人工牙的卫生（菌斑/牙石）、牙周疾病、义齿状态（固位、稳定性、义齿相关粘膜病变）和口腔健康相关生活质量进行评估。在所有评估中，痴呆症患者的评分/结果通常表明口腔健康状况不佳。在荟萃分析中，与没有痴呆症的人相比，痴呆症患者的牙齿数量明显减少（MD，-1.52; 95% CI，-0.2.52至-0.52; P = 0.003; n = 13项研究），龋牙较多（SMD，0.29; 95% CI，0.03至0.48; P = 0.028; n = 9），使用广泛的评估工具评估口腔卫生显著较差（SMD，0.88; 95% CI，0.57至1.19，P < 0.0001; n = 7），牙周健康明显较差（SMD，0.38; 95% CI，0.06至0.70; P = 0.02; n = 6项研究）。在广泛的牙科评估中，发现居住在社区和住宅护理设施中的轻度至重度痴呆症患者的口腔健康状况较差。知识转移声明：这项研究的结果定义了口腔问题的范围，并量化了痴呆症患者的损伤程度，使用各种口腔健康措施进行评估。结果显示，口腔健康状况不佳与痴呆症有关。
While the oral health of persons with dementia has been shown to be poor, no systematic reviews have been published that examined the topic in depth, including participants with dementia representing the full spectrum of disease severity, and evaluating a broad scope of oral health assessments. The aim of this study was to conduct a current literature review to fill this gap in knowledge. A systematic search of 5 databases (CINAHL, PubMed, EMBASE, Scopus, and ISI Web of Science) was conducted to identify all relevant studies published up to May 2016. There were no exclusions related to study type, severity of dementia, dentate status, or living arrangements. Results were reported descriptively and summarized. Meta-analyses were performed where possible and reported as mean difference (MD) or standardized mean difference (SMD), with a 95% confidence interval (CI). Twenty-eight studies were identified. Assessments were conducted of tooth status, active dental caries, hygiene (plaque/calculus) of natural and artificial teeth, periodontal diseases, denture status (retention, stability, denture-related mucosal lesions), and oral health-related quality of life. Across all evaluations, persons with dementia generally had scores/results suggestive of poor oral health. In meta-analyses, compared with persons without dementia, those with dementia had a significantly fewer number of teeth (MD, -1.52; 95% CI, -0.2.52 to -0.52; P = 0.003; n = 13 studies), more carious teeth (SMD, 0.29; 95% CI, 0.03 to 0.48; P = 0.028; n = 9), significantly worse oral hygiene evaluated using a broad range of assessment tools (SMD, 0.88; 95% CI, 0.57 to 1.19, P < 0.0001; n = 7), and significantly poorer periodontal health (SMD, 0.38; 95% CI, 0.06 to 0.70; P = 0.02; n = 6 studies). The oral health status of persons with mild to severe forms of dementia, who were living in both the community and residential care facilities, was found to be poor across a broad range of dental assessments. Knowledge Transfer Statement: The results of this study define the scope of oral issues and quantify the degree of impairment in individuals with dementia, evaluated using a variety of oral health measures. The results revealed that poor oral health is associated with dementia.