Abstract:
According to the literature, hospitalised patients with mental disorders have a higher risk of developing cavities and periodontal disease than the general population, associated with the motor difficulty to perform adequate oral hygiene, to the adverse effects caused by drugs for the control of psychiatric symptoms, as well as the lack of oral care and clinical care. The aim was to carry out a systematic review of the literature on the oral health status of hospitalised patients with mental disorders (MD). A systematic search of the literature was carried out in PubMed, according to the PRISMA statement methodology, through the MeSh health descriptors \"Dental Caries\" and \"Mental Disorders\" in February 2017. According to the different filters that were applied, 14 articles describing the oral health status were obtained-through the DMF-T index (teeth with cavities, teeth with restorations, missing teeth and teeth with necessary extraction)-of hospitalised patients with MD. The recognition of the importance of oral health by health professionals, carers and family members should be promoted; the oral cavity should be explored to determine the state of health in addition to instructing patients and support personnel in oral hygiene; mental health institutions should establish an intervention programme to eliminate oral infectious sites and then implement a multidisciplinary preventive programme to maintain oral health according to the MD diagnosis.
摘要:
根据文献,住院的精神障碍患者比普通人群有更高的患龋齿和牙周病的风险,与运动困难相关,无法进行足够的口腔卫生,控制精神症状的药物引起的不良反应,以及缺乏口腔护理和临床护理。目的是对住院精神障碍(MD)患者口腔健康状况的文献进行系统回顾。在PubMed中对文献进行了系统的搜索,根据PRISMA声明方法,通过2017年2月的MeSh健康描述符“龋齿”和“精神障碍”。根据所应用的不同过滤器,获得了14篇描述口腔健康状况的文章-通过DMF-T指数(有蛀牙,带有修复体的牙齿,缺牙和必要拔牙的牙齿)-住院的MD患者。卫生专业人员认识到口腔健康的重要性,应促进护理人员和家庭成员;除了指导患者和支持人员进行口腔卫生外,还应探索口腔以确定健康状况;精神卫生机构应建立干预计划以消除口腔感染部位,然后根据MD诊断实施多学科预防计划以维持口腔健康。