聋人和听力障碍者的口腔健康：通过新兴数字技术应对广泛的全球健康障碍——一项综合性综述。
Oral Health in Deaf and Hard-of-Hearing Individuals: Addressing Widespread Global Health Barriers Through Emerging Digital Technologies-A Comprehensive Review.
文献信息
| PMID | 42782976 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Maria Pia Di Palo |
| 作者单位 | Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy. |
| 期刊 | Dentistry journal |
| SCI 分区 | Q1 |
| IF | 3.5 |
| 研究类型 | 综述 Meta · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景/目的： 聋人或听力障碍（DHH）个体在获得医疗保健方面面临重大障碍，这可能对口腔健康结果产生负面影响。尽管对这些差异的认识日益增加，但口腔健康仍未被充分探索，且整合新兴数字技术以支持可及牙科护理仍然有限。因此，本综合性综述旨在概述DHH个体的口腔健康状况，以及专门为DHH人群量身定制的新兴数字技术的潜在作用，并在相关时考虑基于亚组障碍分类的该人群异质性。方法：在PubMed/MEDLINE、Scopus和Web of Science数据库进行了电子检索，截至2025年10月。还通过纳入研究的参考文献筛选进行了额外的手动检索。结果：DHH个体表现出牙周健康状况差、龋齿经历高且以未治疗的龋坏成分为主，以及未满足的正畸需求。新兴技术，包括移动健康应用程序、3D手语虚拟形象、语音转文本系统和虚拟现实，可能改善口腔健康素养、减少牙科焦虑，并增强患者与提供者之间的沟通。结论：DHH个体口腔健康差异主要源于沟通障碍。将量身定制的数字解决方案整合到临床路径和专业教育中，可能为促进公平、以患者为中心的牙科护理提供可行解决方案。
英文摘要
Background/Objectives: Deaf or Hard-of-Hearing (DHH) individuals face significant barriers in accessing healthcare, which may negatively impact oral health outcomes. Despite increasing recognition of these disparities, oral health remains underexplored, and the integration of emerging digital technologies to support accessible dental care is still limited. Therefore, the present comprehensive review aims to provide an overview of the oral health status of DHH individuals and the potential role of emerging digital technologies specifically tailored for the DHH population, considering, when relevant, the heterogeneity of this population based on the subgroup impairments classification. Methods: An electronic search was conducted across PubMed/MEDLINE, Scopus, and Web of Science databases till October 2025. An additional manual search was performed through reference screening of included studies. Results: DHH individuals exhibited poor periodontal health, high caries experience with predominant untreated decayed components, and unmet orthodontic needs. Emerging technologies, including m-health applications, 3D sign language avatars, speech-to-text systems, and virtual reality, may improve oral health literacy, reduce dental anxiety, and enhance patient-provider communication. Conclusions: Disparities in oral health among DHH individuals stem primarily from communicative impairments. Integrating tailored digital solutions into clinical pathways and professional education may offer a viable solution for fostering equitable, patient-centered dental care.