Management of dental caries lesions in patients with disabilities: Update of a systematic review.
caries prevention
dental care for disabled
disabled persons
restorative care
systematic review
Journal
Frontiers in oral health
ISSN: 2673-4842
Titre abrégé: Front Oral Health
Pays: Switzerland
ID NLM: 9918227262706676
Informations de publication
Date de publication:
2022
2022
Historique:
received:
28
06
2022
accepted:
07
10
2022
entrez:
17
11
2022
pubmed:
18
11
2022
medline:
18
11
2022
Statut:
epublish
Résumé
The aim of this systematic review was to update an existing review on the management of dental caries lesions in patients with disabilities so as to provide an up-to-date summary of the evidence. Randomized clinical trials and cohort studies related to preventive and restorative programmes for dental caries among people requiring special care, published in English, Spanish, Portuguese, French and German languages from February 1st 2011 to April 1st 2022, were retrieved from three databases ("updated review"). From the 1,105 titles identified using the search topic "Caries AND Disability", 17 papers informed in the analyses: 6 referring to caries preventive strategies and 11 related to restorative care strategies. Most of these studies targeted children and adults with intellectual/physical disability, although preventive and therapeutic strategies were also reported for frail older adults and onchohematological patients. Fluorides in tablets, gels or varnishes forms and the use of xylitol as a sugar substitute were reported as effective approach to prevent the onset of caries in high-risk groups. Minimally intervention treatment options such as the Hall technique, the ART approach and the use of SDF for arresting caries, were deemed suitable and effective strategies for treating existing lesions in-office. In conclusion, in the past decade (2011-2022) an increased number of articles reported strategies to prevent and manage caries among people requiring special care. Although an array of preventive and therapeutic strategies for dental caries exists, more and better-quality clinical evidence is needed to offer guidance to inform policy and practice for special care dentistry.
Identifiants
pubmed: 36389277
doi: 10.3389/froh.2022.980048
pmc: PMC9650433
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
980048Informations de copyright
© 2022 Molina, Zar, Dougall and McGrath.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Community Dent Oral Epidemiol. 2018 Jun;46(3):238-244
pubmed: 29537652
Int J Dent Hyg. 2014 May;12(2):133-40
pubmed: 24034864
JDR Clin Trans Res. 2021 Jan;6(1):77-86
pubmed: 32075488
J Intellect Disabil Res. 2019 Jun;63(6):507-518
pubmed: 30575187
Caries Res. 2013;47(5):391-8
pubmed: 23594784
J Prosthet Dent. 2000 Feb;83(2):137-52
pubmed: 10668024
Clin Oral Investig. 2012 Oct;16(5):1337-46
pubmed: 22824915
BMJ. 2011 Oct 18;343:d5928
pubmed: 22008217
Braz Oral Res. 2015;29:
pubmed: 26247515
Br Dent J. 2020 Jan;228(2):93-97
pubmed: 31980784
Int J Dent. 2020 Jul 23;2020:9074618
pubmed: 32774378
Cochrane Database Syst Rev. 2019 May 31;5:CD012628
pubmed: 31149734
PLoS One. 2018 Jul 3;13(7):e0199781
pubmed: 29969483
Res Dev Disabil. 2013 Sep;34(9):2598-605
pubmed: 23747945
BMC Oral Health. 2019 Jul 12;19(1):145
pubmed: 31299955
Spec Care Dentist. 2021 Sep;41(5):544-552
pubmed: 34033125
J Dent Res. 2008 Jul;87(7):605
pubmed: 18573977
Community Dent Health. 2017 Mar;34(1):56-59
pubmed: 28561560
BMC Oral Health. 2015 Oct 16;15(1):127
pubmed: 26475714
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
Spec Care Dentist. 2010 May-Jun;30(3):110-7
pubmed: 20500706
J Dent. 2015 Jun;43(6):683-94
pubmed: 25868878
J Clin Pediatr Dent. 2018;42(2):155-160
pubmed: 29087800
Oral Health Prev Dent. 2017;15(6):519-527
pubmed: 29319061
Res Dev Disabil. 2016 Dec;59:370-377
pubmed: 27697655
J Oral Rehabil. 2017 Feb;44(2):96-104
pubmed: 27862171
Pediatrics. 2022 May 1;149(5):
pubmed: 35211746
Int J Prosthodont. 2006 Mar-Apr;19(2):132-4
pubmed: 16602359
Braz Oral Res. 2019 Nov 25;33:e099
pubmed: 31778471
Oral Health Prev Dent. 2014;12(4):373-82
pubmed: 24914426
Community Dent Oral Epidemiol. 2005 Aug;33(4):256-64
pubmed: 16008632
Community Dent Health. 2011 Dec;28(4):286-91
pubmed: 22320067
Int J Evid Based Healthc. 2015 Sep;13(3):196-207
pubmed: 26355603
Clin Oral Investig. 2021 Jul;25(7):4563-4569
pubmed: 33449193
J Clin Epidemiol. 2011 Apr;64(4):383-94
pubmed: 21195583