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Avaliação da eficácia dos cuidados dentários adaptados para pessoas com deficiência cognitiva: uma revisão integrativa
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| Projeto de pós-graduação_40925 | 441.28 KB | Adobe PDF |
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A deficiência cognitiva, que engloba condições como os transtornos do desenvolvimento intelectual, os transtornos neuroevolutivos como o autismo, e as patologias neurodegenerativas, impacta significativamente a qualidade de vida dos indivíduos afetados. Essas condições também influenciam o acesso e a adesão aos cuidados dentários, frequentemente devido a dificuldades comportamentais, comunicacionais ou cognitivas. A adaptação dos cuidados dentários é essencial para atender às necessidades específicas dessas populações vulneráveis e melhorar sua saúde bucal. Apesar dos avanços na medicina dentária e nos cuidados adaptados, persiste uma incerteza quanto à eficácia das intervenções específicas destinadas a pessoas com deficiência cognitiva. As estratégias variam consideravelmente em função da idade e do tipo de deficiência cognitiva, o que complica a avaliação global do impacto dessas abordagens. Esta revisão integrativa tem como objetivo identificar e sintetizar os dados disponíveis sobre os cuidados dentários adaptados para crianças, adolescentes e adultos com deficiência cognitiva, avaliar a eficácia dessas abordagens em termos de melhoria da saúde bucal e de satisfação dos pacientes e cuidadores, e identificar lacunas na literatura para direcionar pesquisas futuras. Os temas abordados incluem cuidados dentários adaptados, com destaque para estratégias comportamentais, abordagens farmacológicas e modificações nos protocolos de tratamento, visando melhorar a saúde bucal e a cooperação dos pacientes. Serão incluídos apenas estudos publicados entre 2000 e 2025, garantindo a relevância dos dados. Trabalhos que abordem deficiências não cognitivas, bem como populações idosas, serão excluídos desta revisão. Será́ realizada uma pesquisa sistemática em bases de dados como PubMed, Google Scholar, Scopus, B-on e Elsevier. Uma análise crítica dos estudos selecionados será́ conduzida para avaliar a qualidade e a relevância das publicações. Esta revisão fornecerá uma visão abrangente sobre os cuidados dentários adaptados para pessoas com deficiência cognitiva, destacando as estratégias mais eficazes e os campos que necessitam de maior atenção.
Cognitive impairment, which encompasses conditions such as intellectual developmental disorders, neuroevolutionary disorders such as autism, and neurodegenerative pathologies, significantly impacts the quality of life of affected individuals. These conditions also influence access to and adherence to dental care, often due to behavioral, communicational or cognitive difficulties. Adapting dental care is essential to meet the specific needs of these vulnerable populations and improve their oral health. Despite advances in dentistry and adapted care, uncertainty persists regarding the effectiveness of targeted interventions for people with cognitive impairments. Strategies vary considerably according to age and type of cognitive impairment, which complicates the overall assessment of the impact of these approaches. This integrative review aims to identify and synthesize the available data on adapted dental care for children, adolescents, and adults with cognitive impairment, to assess the effectiveness of these approaches in terms of improving oral health and patient and caregiver satisfaction, and to identify gaps in the literature to direct future research. Topics covered include adapted dental care, with an emphasis on behavioral strategies, pharmacological approaches, and modifications to treatment protocols, with the aim of improving oral health and patient cooperation. Only studies published between 2000 and 2025 will be included, ensuring the relevance of the data. Works that address non-cognitive disabilities as well as elderly populations will be excluded from this review. A systematic search will be carried out in databases such as PubMed, Google Scholar, Scopus, B-on and Elsevier. A critical review of the selected studies will be carried out to assess the quality and relevance of the publications. This review will provide a comprehensive overview of adapted dental care for people with cognitive impairment, highlighting the most effective strategies and fields that need the most attention.
Cognitive impairment, which encompasses conditions such as intellectual developmental disorders, neuroevolutionary disorders such as autism, and neurodegenerative pathologies, significantly impacts the quality of life of affected individuals. These conditions also influence access to and adherence to dental care, often due to behavioral, communicational or cognitive difficulties. Adapting dental care is essential to meet the specific needs of these vulnerable populations and improve their oral health. Despite advances in dentistry and adapted care, uncertainty persists regarding the effectiveness of targeted interventions for people with cognitive impairments. Strategies vary considerably according to age and type of cognitive impairment, which complicates the overall assessment of the impact of these approaches. This integrative review aims to identify and synthesize the available data on adapted dental care for children, adolescents, and adults with cognitive impairment, to assess the effectiveness of these approaches in terms of improving oral health and patient and caregiver satisfaction, and to identify gaps in the literature to direct future research. Topics covered include adapted dental care, with an emphasis on behavioral strategies, pharmacological approaches, and modifications to treatment protocols, with the aim of improving oral health and patient cooperation. Only studies published between 2000 and 2025 will be included, ensuring the relevance of the data. Works that address non-cognitive disabilities as well as elderly populations will be excluded from this review. A systematic search will be carried out in databases such as PubMed, Google Scholar, Scopus, B-on and Elsevier. A critical review of the selected studies will be carried out to assess the quality and relevance of the publications. This review will provide a comprehensive overview of adapted dental care for people with cognitive impairment, highlighting the most effective strategies and fields that need the most attention.
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Cuidados dentários adaptados Comprometimento cognitivo Crianças Adolescentes adultos Adapted dental care Cognitive impairment Children Adolescents Adults