Interventions to Improve the Oral Hygiene of Individuals with Alzheimer’s Disease: A Systematic Review

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
A. Hernández-Vásquez, Antonio Barrenechea-Pulache, Rubén Aguirre-Ipenza, D. Comandé, Diego Azañedo
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引用次数: 2

Abstract

This systematic review evaluates published evidence on oral hygiene interventions conducted in Alzheimer’s disease (AD) patients. PubMed, Embase, Cochrane Library, CINAHL, Dentistry & Oral Sciences Source, and Web of Science were searched for articles published up to 19 April 2021. The main outcomes of interest were the Plaque index score (PI), oral health knowledge of participants or their caregivers, and behaviors and attitudes towards oral hygiene. Study quality was assessed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies of the National Institutes of Health. The study was conducted under PROSPERO registration code CRD42021247733. Two studies met the inclusion criteria. One was a pre-post study conducted in Brazil, and the other was a prospective cohort study carried out in China. The sample sizes of these studies were 29 and 168, respectively. Both studies were carried out in institutionalized patients and presented a significant loss to follow-up. The PI and gingival index scores both improved after the application of the respective interventions, yet the differing methodologies used precluded further comparisons. The studies were deemed to be of good and regular quality, respectively. Despite the need for more comprehensive interventions to ensure a better oral health status and a higher quality of life for AD patients, an alarming lack of studies have been conducted in this population.
改善阿尔茨海默病患者口腔卫生的干预措施:系统综述
本系统综述评估了已发表的有关阿尔茨海默病(AD)患者口腔卫生干预措施的证据。检索了PubMed、Embase、Cochrane Library、CINAHL、Dentistry & Oral Sciences Source和Web of Science截止到2021年4月19日发表的文章。研究的主要结果是牙菌斑指数评分(PI)、参与者或其照顾者的口腔健康知识以及对口腔卫生的行为和态度。使用美国国立卫生研究院的观察性队列和横断面研究质量评估工具评估研究质量。该研究在PROSPERO注册代码CRD42021247733下进行。两项研究符合纳入标准。一项是在巴西进行的前后研究,另一项是在中国进行的前瞻性队列研究。这些研究的样本量分别为29和168。这两项研究都是在住院患者中进行的,并出现了显著的随访损失。在应用各自的干预措施后,PI和牙龈指数得分均有所改善,但使用的不同方法妨碍了进一步的比较。这两项研究分别被认为质量良好和有规律。尽管需要更全面的干预措施来确保AD患者更好的口腔健康状况和更高的生活质量,但在这一人群中进行的研究却令人担忧地缺乏。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
自引率
0.00%
发文量
86
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