Savage D Keith
J Hist Dent. 2002 Jul;50(2):71-5.
In April 2000, the National Academy of Sciences Institute of Medicine (NAS/IOM) Committee on Space Medicine held a workshop under contract with the National Aeronautics and Space Administration (NASA) to explore "innovative terrestrial medical care." There was also a NAS/IOM panel held on "Space Dentistry: Maintaining Astronauts' Oral Health on Long Missions." Air Force Dental Officer Col. Shannon E. Mills chaired the dental committee. Many questions were raised but few answers were available. Prevention was emphasized with the hope that within twenty to thirty years there may be a number of astronaut candidates with no existing dental restorations and with optimum oral health. However, there remains the concern that trauma to teeth could occur within the confines of a zero gravity space capsule as crew members carry out their daily responsibilities. The possibility is evident considering the duration of a space flight to Mars and back could require up to three years. The dental concerns of a space mission are only a small part of a much larger team effort, however, it is one not to be overlooked. An historical review of dentistry's involvement with America's flight and space programs of the 20th Century would be prudent. Many of same questions asked today were addressed in the early days of aviation dentistry as it transitioned into aerospace dentistry. Any past research and experiences would help serve as a foundation to build upon.
2000年4月,美国国家科学院医学研究所(NAS/IOM)太空医学委员会与美国国家航空航天局(NASA)签订合同,举办了一次研讨会,以探索“创新性地面医疗护理”。此外,还举办了一次NAS/IOM小组会议,主题为“太空牙科:在长期任务中维护宇航员的口腔健康”。空军牙科军官香农·E·米尔斯上校主持了牙科委员会。会上提出了许多问题,但可用的答案却很少。会议强调了预防措施,希望在二十到三十年之内,会有许多没有现有牙齿修复体且口腔健康状况最佳的宇航员候选人。然而,仍然存在这样的担忧,即在零重力太空舱内,当机组人员履行日常职责时,牙齿可能会受到损伤。考虑到往返火星的太空飞行可能需要长达三年的时间,这种可能性是显而易见的。不过,太空任务中的牙科问题只是一项规模大得多的团队工作的一小部分,但这是一个不可忽视的部分。对牙科在20世纪美国飞行和太空计划中的参与情况进行历史回顾是明智的。在航空牙科向航天牙科过渡的早期,就已经解决了许多如今提出的相同问题。过去的任何研究和经验都将有助于奠定进一步发展的基础。