背景:牙齿磨损是老年人中普遍存在的牙科疾病,导致疼痛和对美学产生不利影响,功能,以及他们的整体生活质量。这篇综述旨在更新过去五年来老年人牙齿磨损的信息,并为老年人牙齿磨损的临床管理提供指导。
方法:在三个电子数据库中进行了文献检索,Scopus,Pubmed,和Embase,2019年1月至2023年12月,有关65岁或以上参与者牙齿磨损的临床研究的英文出版物。共检索到307篇文章,最终纳入14篇作为本研究的参考。
结果:这篇综述重点介绍了牙齿磨损的常见原因和各种危险因素,比如医疗条件,唾液分泌不足,饮食习惯,口腔卫生实践,超能力的习惯,和咬合因素,与牙齿磨损有关。口腔保健专业人员通过风险评估和临床检查在早期阶段诊断和管理牙齿磨损以避免复杂的修复程序是至关重要的。牙齿磨损管理应优先预防,旨在控制病因和危险因素,同时采用非恢复性治疗。恢复性干预,如果指示,应该很简单,微创,和成本效益。应定期监测牙齿磨损进展,以确定是否需要进一步干预。
结论:由于过去五年对老年人牙齿磨损的临床研究有限,且主要是横断面研究,有必要进行更多的介入临床研究,以便为老年人的牙齿磨损管理提供更多的临床指导.
BACKGROUND: Tooth wear is a prevalent dental condition among older adults, leading to pain and adversely affecting aesthetics, functionality, and their overall quality of life. This review aims to update the information on tooth wear in older adults from the past five years and to provide guidance on the clinical management of tooth wear in older adults.
METHODS: A literature search was conducted in three electronic databases, Scopus, Pubmed, and Embase, for English publications from January 2019 to December 2023 on clinical studies with participants aged 65 or above on tooth wear. A total of 307 articles were retrieved and 14 articles were finally included as references for this study.
RESULTS: This review highlights the common causes of tooth wear and various risk factors, such as medical conditions, hyposalivation, dietary habits, oral hygiene practices, parafunctional habits, and occlusal factors, associated with tooth wear. It is crucial for oral health care professionals to diagnose and manage tooth wear at an early stage through a risk assessment and a clinical examination to avoid complex restorative procedures. Tooth wear management should prioritize prevention, aiming to control etiological and risk factors while employing non-restorative treatments. Restorative intervention, if indicated, should be simple, minimally invasive, and cost-effective. Tooth wear progression should be monitored regularly to determine if a further intervention is needed.
CONCLUSIONS: Since the clinical studies on tooth wear in older adults over the past five years are limited and mainly cross-sectional, more interventional clinical studies are warranted to provide more clinical guidance on tooth wear management in older adults.