Abstract：
Parkinson\'s disease is a neurodegenerative disease that results in patients exhibiting uncontrolled movements, changes in saliva production, and difficulty in swallowing and speech. Understanding the staging of the disease and the available therapies allows dentists to treat these patients safely and with compassion to meet their oral health care needs for an optimal quality of life. This appraisal discusses Parkinson\'s disease as it relates to clinically relevant facts to manage and treat the oral health care needs of these patients in the short and long term including general dental care recommendations. Important observations related to Parkinson\'s disease include disease causation,; stages, pharmacologic treatment, the effects on saliva, mastication, dysphagia, and aspiration pneumonia. Dental recommendations are made for the dentate, the partially edentulous, and the completely edentulous Parkinson\'s patients with a focus on late-stage concerns. Optimizing dental health will help maintain the quality of life as the disease progresses. In late stages of Parkinson\'s disease, dental treatment should focus on keeping the patient comfortable and out of pain. While benign neglect is an often-used term, compassionate therapy in the late stages of Parkinson\'s disease is a more compelling term for defining the patient\'s needs. Since dysphagia in Parkinson\'s patients has been underdiagnosed, neurologists must be aware of the important part that dentists play in the early diagnosis for these patients. Early referral to a dentist is vital to mitigate the unfortunate consequence of the need for extensive dental care in late-stage patients.
摘要：
帕金森病是一种神经退行性疾病，导致患者表现出不受控制的运动，唾液产生的变化，难以吞咽和说话。了解疾病的分期和可用的疗法使牙医能够安全地对待这些患者，并以同情心满足他们的口腔保健需求，以获得最佳的生活质量。本评估讨论了帕金森氏病，因为它涉及临床相关事实，以在短期和长期内管理和治疗这些患者的口腔保健需求，包括一般牙科护理建议。与帕金森氏病有关的重要观察包括疾病原因，；阶段，药物治疗,对唾液的影响，咀嚼,吞咽困难,和吸入性肺炎。对牙齿提出了牙科建议，部分缺牙，和完全无牙的帕金森氏症患者集中在晚期关注。随着疾病的发展，优化牙齿健康将有助于维持生活质量。在帕金森病晚期,牙科治疗应侧重于保持患者舒适和疼痛。虽然良性忽视是一个经常使用的术语，在帕金森病晚期阶段的同情治疗是定义患者需求的一个更有说服力的术语。由于帕金森病患者的吞咽困难被低估,神经学家必须意识到牙医在这些患者的早期诊断中的重要作用。早期转诊牙医对于减轻晚期患者需要广泛牙科护理的不幸后果至关重要。
