Al-Nawas B, Grötz K A
Klinik für Mund-, Kiefer- und Gesichtschirurgie, plastische Operationen, Universitätsmedizin Mainz, Mainz, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011 Sep;54(9):1066-72. doi: 10.1007/s00103-011-1346-6.
Due to changing demographics in our society, there are an increasing number of patients with risk factors presenting for dental care. Unfortunately valid screening instruments to identify these patients are lacking. Especially in elderly patients, there is often an association between the high number of prescribed medications and oral symptoms. Using supportive therapy in oncology (e.g., radio(chemo)therapy) as an example, the role of modern dentistry and its interaction with general medicine is illustrated. Modern substances, e.g., antiangiogenetics, with still unknown side effects represent challenging new developments in the field of oral medicine. Even with some examples of positive representation of patients with risk factors in the health systems, e.g., § 28 SGB V, it is clear that the pressure on the costs in the health systems leads to an undertreatment of patients with risk factors. Only by adapting dental and postgraduate training with respect to these aspects, together with better financial reimbursement of the additional efforts, will this trend be overcome.
由于我们社会人口结构的变化，前来接受牙科护理的具有风险因素的患者数量日益增加。不幸的是，目前缺乏有效的筛查工具来识别这些患者。特别是在老年患者中，大量处方药与口腔症状之间往往存在关联。以肿瘤学中的支持性治疗（如放射（化学）治疗）为例，阐述了现代牙科的作用及其与普通医学的相互作用。现代药物，如抗血管生成药物，其副作用尚不清楚，是口腔医学领域具有挑战性的新进展。即使在卫生系统中有一些对具有风险因素患者积极呈现的例子，如社会法典第五卷第28条，但很明显，卫生系统的成本压力导致对具有风险因素的患者治疗不足。只有在这些方面调整牙科和研究生培训，并更好地对额外工作给予经济补偿，才能克服这一趋势。
