Drummond J F
Dent Clin North Am. 1976 Jul;20(3):585-600.
The objective of this article is to familiarize the dentist with clinical signs and laboratory methods used in diagnosing nutritional deficiencies, and to indicate which laboratory methods may be useful to the clinician in cases of suspected nutritional deficiency. It should be noted that the suggested laboratory methods were selected on the basis of their applicability for the clinical situation as well as their reliability as indicators of nutritional status. Therefore these suggested methods of choice may not in every instance be the most accurate of all indicators of nutritional status for a particular nutrient. The dentist who wishes to utilize one of the laboratory methods has a number of options. He can take the appropriate sample in his office, or refer the patient directly to a clinical laboratory for the simpler analyses, or refer his patient to a physician for appropriate metabolic testing. The first option may be more appropriate for the dentist practicing in areas where a clinical laboratory is not within reasonable distance. In this instance the dentist should contact the laboratory for specific information, such as sample volume and special instructions for taking, handling, and shipping the sample. The second option is available to the dentist practicing in an urban area where clinical laboratory facilities are readily available. Finally, the dentist should work in conjunction with a physician when complex metabolic testing is required.
本文的目的是使牙医熟悉用于诊断营养缺乏症的临床体征和实验室方法，并指出在怀疑存在营养缺乏的情况下，哪些实验室方法可能对临床医生有用。应当指出，所建议的实验室方法是根据其在临床情况下的适用性以及作为营养状况指标的可靠性来选择的。因此，这些建议的选择方法在每种情况下可能并非特定营养素营养状况的所有指标中最准确的。希望使用其中一种实验室方法的牙医有多种选择。他可以在自己的诊所采集适当的样本，或者将患者直接转介到临床实验室进行较简单的分析，或者将患者转介给医生进行适当的代谢测试。第一种选择可能更适合在临床实验室不在合理距离范围内的地区执业的牙医。在这种情况下，牙医应联系实验室获取具体信息，例如样本量以及采集、处理和运送样本的特殊说明。第二种选择适用于在市区执业且临床实验室设施随时可用的牙医。最后，当需要进行复杂的代谢测试时，牙医应与医生合作。
