Nitschke I, Kaschke I
Poliklinik für Zahnärztliche Prothetik und Werkstoffkunde, Friedrich-Louis-Hesse-Zentrum für Zahn-, Mund- und Kieferheilkunde und Orale Medizin, Universitätsklinikum Leipzig, Leipzig, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011 Sep;54(9):1073-82. doi: 10.1007/s00103-011-1341-y.
In 2009, 7.1 million people (8% of the population) were officially recognized as having severe disabilities in the Federal Republic of Germany. At the same time, about 2.34 million Germans were in need of special care with some overlap between these groups. Although structured preventive programs in Germany helped to improve oral health generally (DMS IV 2006), care recipients and people with disabilities did not benefit to the same extent from this development. They often show a higher risk of caries and periodontal diseases due to both a lack of compliance and insufficient personal plaque control. It is desirable that care recipients and persons with disabilities attain the same level of oral health as persons without impairments. All care givers ought to be aware of the dental problems of these groups and should be sufficiently trained to deal with them. Dental care should compensate any deficits to ultimately attain the same standard of oral health. To achieve these goals, ease of access to dental care as well as dental services appropriate to the impairments have to be established.
2009年，在德意志联邦共和国，710万人（占人口的8%）被官方认定为患有严重残疾。与此同时，约234万德国人需要特殊护理，这些群体之间存在一定重叠。尽管德国的结构化预防项目总体上有助于改善口腔健康（2006年德国口腔健康研究IV），但护理接受者和残疾人并未从这一发展中同等程度地受益。由于缺乏依从性和个人牙菌斑控制不足，他们往往患龋齿和牙周疾病的风险更高。理想的情况是，护理接受者和残疾人能达到与无残疾者相同的口腔健康水平。所有护理人员都应意识到这些群体的牙齿问题，并应接受充分培训以应对这些问题。牙科护理应弥补任何缺陷，最终达到相同的口腔健康标准。为实现这些目标，必须确保获得牙科护理的便利性以及提供适合其残疾情况的牙科服务。
