Abstract：
BACKGROUND: Life expectancy for people with Down syndrome (DS) has increased to 60 years, although poor oral health affects their quality of life. Panoramic radiographs (PRs) are usually well-tolerated by people with DS and can provide valuable diagnostic data for treatment planning and research. Methods A scoping review of peer-reviewed articles published between 1971and 2021 was conducted in accordance with the PRISMA extension for scoping reviews to determine the scope of use of PRs for people with DS.
RESULTS: 937 papers were screened, and 52 papers were included and charted into seven categories in this review. A high prevalence of tooth agenesis (TA) and other anomalies were reported in 45% of papers. Severe periodontal disease was considered characteristic of DS in the 1970s-80s and the benefit of time-consuming treatment was questioned. Since 2000 case reports illustrate that improved oral care, orthodontic treatment, and dental implants under local or general anaesthetic can improve the quality of life for people with DS.
CONCLUSIONS: PRs play an important role in the diagnosis of anomalies, periodontal disease, and implant planning for patients with DS. This review highlights the gaps in research of caries, pathology, TMJ, systemic disease indicators, and guidelines for dentists. Systematic PR viewing, with a knowledge of characteristic features of DS, will assist diagnosis of pathology and improve comprehensive dental care treatment planning for children and adults with DS.
RESULTS: 937 papers were screened, and 52 papers were included and charted into seven categories in this review. A high prevalence of tooth agenesis (TA) and other anomalies were reported in 45% of papers. Severe periodontal disease was considered characteristic of DS in the 1970s-80s and the benefit of time-consuming treatment was questioned. Since 2000 case reports illustrate that improved oral care, orthodontic treatment, and dental implants under local or general anaesthetic can improve the quality of life for people with DS.
CONCLUSIONS: PRs play an important role in the diagnosis of anomalies, periodontal disease, and implant planning for patients with DS. This review highlights the gaps in research of caries, pathology, TMJ, systemic disease indicators, and guidelines for dentists. Systematic PR viewing, with a knowledge of characteristic features of DS, will assist diagnosis of pathology and improve comprehensive dental care treatment planning for children and adults with DS.
摘要：
背景：唐氏综合症（DS）患者的预期寿命已增加到60岁，尽管口腔健康状况不佳会影响他们的生活质量。全景X光片（PR）通常对DS患者耐受性良好，可以为治疗计划和研究提供有价值的诊断数据。方法根据PRISMA扩展范围审查对1971年至2021年之间发表的同行评审文章进行范围审查，以确定DS患者使用PR的范围。
结果：筛选了937篇论文，52篇论文被纳入本综述，并分为7类。在45％的论文中报告了牙齿发育不全（TA）和其他异常的高患病率。在1970年代至80年代，严重的牙周病被认为是DS的特征，并且对耗时治疗的益处提出了质疑。自2000年以来的病例报告表明，改善口腔护理，正畸治疗,在局部或全身麻醉下种植牙可以改善DS患者的生活质量。
结论：PRs在异常诊断中起重要作用，牙周病,以及DS患者的植入计划。这篇综述强调了龋齿研究的差距，病理学,TMJ,全身性疾病指标，和牙医指南。系统的公关观察，了解DS的特征，将协助病理诊断并改善DS儿童和成人的综合牙科护理治疗计划。
结果：筛选了937篇论文，52篇论文被纳入本综述，并分为7类。在45％的论文中报告了牙齿发育不全（TA）和其他异常的高患病率。在1970年代至80年代，严重的牙周病被认为是DS的特征，并且对耗时治疗的益处提出了质疑。自2000年以来的病例报告表明，改善口腔护理，正畸治疗,在局部或全身麻醉下种植牙可以改善DS患者的生活质量。
结论：PRs在异常诊断中起重要作用，牙周病,以及DS患者的植入计划。这篇综述强调了龋齿研究的差距，病理学,TMJ,全身性疾病指标，和牙医指南。系统的公关观察，了解DS的特征，将协助病理诊断并改善DS儿童和成人的综合牙科护理治疗计划。
