Holland T J, O'Mullane D M
Department of Preventive and Paediatric Dentistry, University College, Cork, Ireland.
Community Dent Health. 1990 Sep;7(3):285-93.
One hundred and eighty-nine mentally handicapped persons attending both residential and non-residential institutions were examined during 1984/85. All were assessed for treatment need for caries; periodontal need was also assessed in 43 of the older patients. At base-line examination it was found that a high proportion of the dental caries remained untreated and most of the treatment that was provided consisted of extractions. Treatment was subsequently provided by a health board dental officer, junior hospital staff, final year undergraduate students or a consultant in paediatric dentistry. Most treatment requirements were met by the non-consultant personnel. A follow-up examination completed during 1987 showed a considerable improvement in the treatment of caries; periodontal treatment need remained unchanged. It can concluded from this study that it is feasible to set up an effective dental service for mentally handicapped groups, that improvements in the treatment of dental caries can be achieved in a relatively short period of time and that most treatment requirements can be met by non-consultant staff. Continuing care, particularly for periodontal disease, remains a problem.
1984年至1985年间，对189名入住寄宿制和非寄宿制机构的智障人士进行了检查。所有人员均接受了龋齿治疗需求评估；43名年长患者还接受了牙周疾病需求评估。在基线检查时发现，很大一部分龋齿仍未得到治疗，所提供的治疗大多是拔牙。随后，由卫生委员会牙科官员、医院初级工作人员、本科最后一年学生或儿科牙科顾问提供治疗。大多数治疗需求由非顾问人员满足。1987年完成的随访检查显示，龋齿治疗有了显著改善；牙周治疗需求保持不变。从这项研究可以得出结论，为智障群体建立有效的牙科服务是可行的，龋齿治疗在相对较短的时间内可以取得改善，并且大多数治疗需求可以由非顾问人员满足。持续护理，尤其是牙周疾病的护理，仍然是一个问题。
