80 Chapter 4 fore, nurses should consider oral health care as an essential part of their care for patients with mental health disorders [28]. Until now, existing NICE-guidelines primarily focus on oral health in general practice [29] and on adults in care homes [30]. No NICE-guideline focusses on oral health interventions of patients diagnosed with a mental health disorder, their oral health needs and risk factors (e.g., the use of antipsychotic medication). A British guideline titled “Oral Health Care for People with Mental Health Problems” [16] describes the severity and prevalence of oral health problems in mental health. This guideline does not meet the needs with outdated literature. The evidence of interventions is mostly focussed on institutionalised elderly and not on patients with mental health disorders. It is important to outline interventions in groups of mental health disorder due to the differences in management (e.g., the management of oral health of a patient with depression might differ from that of a patient with severe cognitive problems). Considering the poor oral health, increased risk factors, the high burden of poor oral health [11–13,26,31] and the lack of interventions in existing guidelines, it is important to explore which oral health interventions are available for our patient population in existing research. This scoping review will have a broader “scope” with correspondingly less restrictive inclusion criteria. Peters et al. [32] suggests to follow the PCC (Population, Concept and Context) elements. Therefore, the following question based upon the inclusion criteria may be posed: “Which oral health interventions aiming to improve oral health in patients with a mental health disorder are described in existing literature?” We aim to provide a broad overview of oral health interventions for patients with a mental health disorder including an evaluation of the study quality. Materials and Methods This research aims to provide a broad overview of oral health interventions for patients with mental health disorders and to evaluate the study quality of included studies using Joanna Briggs Institute (JBI) methodology for scoping reviews [32,33] and their checklists [34,35]. A scoping review seeks to provide thorough coverage of
RkJQdWJsaXNoZXIy MTk4NDMw