King John E
Mil Med. 2008 Jan;173(1 Suppl):3-10. doi: 10.7205/milmed.173.supplement_1.3.
The objective of this article is to describe from a historical perspective the use of dental epidemiology and surveillance in the three U.S. military Dental Corps. The time described starts in 1882 and includes very recent events. The year 1981 was a milestone because it marks the author's personal involvement in this area of research, and because at that time the three U.S. Dental Corps were being pressured from the highest level to make dental care more militarily relevant. I provide (1) a basic description of the rationale for the classification-driven system and (2) additional comments on dental epidemiology methods from a historical perspective. I observed that the intent in 1981 was to provide a population-based index for Congress and Department of Defense, but today there appears to be more interest in the accuracy of predicting risk for dental emergencies in individual service members. The current dental classification may not be capable of doing both.
本文的目的是从历史角度描述美国三个军事牙医部队中牙科流行病学和监测的应用情况。所描述的时间始于1882年，包括最近发生的事件。1981年是一个里程碑，因为它标志着作者个人涉足这一研究领域，还因为当时美国三个牙医部队受到最高层的压力，要求使牙科护理与军事更相关。我提供了（1）对分类驱动系统基本原理的描述，以及（2）从历史角度对牙科流行病学方法的补充评论。我注意到，1981年的意图是为国会和国防部提供一个基于人群的指数，但如今似乎更关注预测个别军人牙科急诊风险的准确性。当前的牙科分类可能无法兼顾这两点。
