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Doença de Parkinson no paciente odontogeriátrico
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Com o aumento da esperança média de vida associa-se um crescente envelhecimento da população e o aumento das doenças neurodegenerativas, como a Doença de Parkinson (DP), sendo uma realidade cada vez mais frequente na prática clínica. O médico dentista tem de compreender a doença, o seu tratamento e o impacto que apresenta no paciente, na sua habilidade de manter os procedimentos adequados para uma boa higiene oral. A DP é a segunda doença neurodegenerativa mais comum nos idosos, afetando cerca de 1% da população mundial. A detioração progressiva das capacidades motoras e cognitivas podem levar a agitação, desorientação e à incapacidade do paciente em lidar com ambientes não familiares, tais como o consultório dentário e tratamentos inerentes. O médico dentista deve implementar estratégias preventivas e uma reabilitação oral cuidada e bem planeada, o mais cedo possível, assim que a DP seja diagnosticada. O profissional também deve mostrar empatia, paciência, congruência e uma atitude positiva perante as necessidades do paciente com DP e seus familiares/cuidadores. O objetivo deste trabalho foi fazer uma revisão narrativa da literatura existente sobre a DP e a sua influência na saúde oral do paciente geriátrico de forma a fornecer linhas de orientação para o seu atendimento no consultório dentário. Para tal, procedeuse a uma pesquisa da literatura publicada sobre a temática, recorrendo à base de dados PubMed.
With the increase of life expectancy, there has been an increase of the aging population as well as the neurodegenerative diseases, such as Parkinson´s Disease (PD). This is a reality that´s becoming more frequent in daily clinical practice. The dentist must understand the disease, it´s treatment and the impact on the patient´s ability to maintain proper oral care procedures. Parkinson´s Disease, which is the second most common neurodegenerative disease, affects 1% of the global population. The progressive deterioration of motor and cognitive skills may lead to anxiety, disorientation and to the patient not being able to deal with non-familiar surroundings, such as the dental office and associated treatments. Dentists should implement preventive strategies and oral rehabilitation, as soon as possible, after the diagnosis of PD. The clinician should exercise empathy, patience, congruence and a positive regard to the patient´s and caregivers needs. The aim of this work was to review the existing literature on the topic of PD and it´s influence on the oral health of the elderly, and also to give some guidelines for addressing these patients. To this purpose a literature research was performed using Pubmed.
With the increase of life expectancy, there has been an increase of the aging population as well as the neurodegenerative diseases, such as Parkinson´s Disease (PD). This is a reality that´s becoming more frequent in daily clinical practice. The dentist must understand the disease, it´s treatment and the impact on the patient´s ability to maintain proper oral care procedures. Parkinson´s Disease, which is the second most common neurodegenerative disease, affects 1% of the global population. The progressive deterioration of motor and cognitive skills may lead to anxiety, disorientation and to the patient not being able to deal with non-familiar surroundings, such as the dental office and associated treatments. Dentists should implement preventive strategies and oral rehabilitation, as soon as possible, after the diagnosis of PD. The clinician should exercise empathy, patience, congruence and a positive regard to the patient´s and caregivers needs. The aim of this work was to review the existing literature on the topic of PD and it´s influence on the oral health of the elderly, and also to give some guidelines for addressing these patients. To this purpose a literature research was performed using Pubmed.
Descrição
Tese de mestrado, Medicina Dentária, Universidade de Lisboa, Faculdade de Medicina Dentária, 2012
Palavras-chave
Odontogeriatria Teses de mestrado - 2012