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口腔外伤的教育与预防:是时候行动了!

Education on and prevention of dental trauma: it's time to act!

机构信息

Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa Faculty of Medicine, Technion - Israel.

出版信息

Dent Traumatol. 2012 Feb;28(1):49-54. doi: 10.1111/j.1600-9657.2011.01060.x. Epub 2011 Sep 5.

Abstract

Dental trauma is, unfortunately, not uncommon and may be even more prevalent in high-risk populations. It should be emphasized and acknowledged that many cases of dental trauma are preventable. Appropriate management includes primary prevention, i.e. avoidance of pathology development, and secondary prevention, i.e. early diagnosing and treatment of the pathology before significant morbidity occurs. The aim of this article is to provide a review of the current dental trauma literature with regard to education and knowledge and with relevance to primary and secondary prevention. As the duty of providing the public with measures for the maintenance of proper oral health is of the dental profession, the responsibility of providing primary and secondary prevention of dental trauma is of dentists, dental hygienists, and dental nurses. They may, and should, educate other medical, paramedical, and non-medical professionals, taking into account that those non-dental professionals could not maintain a high level of knowledge and service regarding dental trauma without a continuous backing by the dental professionals. It should be remembered that as the prevalence of dental decay has reduced in the Western world during recent decades, dental trauma plays a significant part in causing dental morbidity and mortality (tooth loss). It seems that now is the time to act for the benefit of our community and move from 'treating' toward 'managing' risk factors and prevention.

摘要

不幸的是,牙科外伤并不罕见,在高风险人群中甚至更为普遍。应该强调并认识到,许多牙科外伤是可以预防的。适当的管理包括初级预防,即避免疾病的发展,以及二级预防,即在发生重大发病率之前及早诊断和治疗疾病。本文的目的是提供对当前牙科外伤文献的回顾,重点是教育和知识,以及初级和二级预防。由于提供公众保持适当口腔健康措施的责任属于牙科专业人员,因此初级和二级预防牙科外伤的责任则属于牙医、牙科保健师和牙科护士。他们可以(并且应该)教育其他医疗、辅助医疗和非医疗专业人员,因为如果没有牙科专业人员的持续支持,这些非牙科专业人员在牙科外伤方面的知识和服务水平可能无法保持在较高水平。应该记住,在过去几十年中,西方世界的龋齿患病率有所下降,而牙科外伤在导致牙科发病率和死亡率(牙齿缺失)方面起着重要作用。现在似乎是为了我们的社区利益采取行动的时候了,从“治疗”转向“管理”风险因素和预防。

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