Department of Oral Medicine and Special Needs, Westmead Centre for Oral Health, New South Wales, Australia.
Aust Dent J. 2012 Sep;57(3):373-8. doi: 10.1111/j.1834-7819.2012.01716.x.
Areca nut (betel nut) consumption occurs in a variety of forms, either on its own or with the addition of a number of products. This habit is prevalent in the Indian Subcontinent and South-East Asia. Recent immigration statistics indicate that 30% of new arrivals in Australia are from these geographical regions and are known to perpetuate this custom long after migration. The objective of this paper is to highlight the variety of oral presentations that may occur as a result of areca nut consumption in these particular demographic subgroups. Dental practitioners must be familiar with the wide spectrum of oral lesions that may present in this setting. More significantly, they must be aware that some of these lesions possess the potential for malignant transformation and hence require more specific management. Best practice mandates that dental practitioners in a multicultural society must: (1) be capable of recognizing the expatriate populations in which this custom is widely practised; (2) incorporate this particular line of questioning into the routine risk factor analysis that is undertaken for every patient from these particular sub-populations; and (3) institute appropriate referral and follow-up of these lesions if required.
槟榔（槟榔果）的食用方式多种多样，可单独食用，也可添加一些其他产品。这种习惯在印度次大陆和东南亚地区很常见。最近的移民统计数据表明，澳大利亚 30%的新移民来自这些地区，他们在移居后很长一段时间仍延续这一习俗。本文的目的是强调由于这些特定的人群有食用槟榔的习惯，可能会出现各种口腔表现。牙科医生必须熟悉在这种情况下可能出现的广泛的口腔病变。更重要的是，他们必须意识到这些病变中的一些具有恶性转化的潜力，因此需要更具体的管理。最佳实践要求多元文化社会中的牙科医生必须：（1）能够识别出广泛存在这种习俗的侨民群体；（2）将这一特定的询问纳入对来自这些特定亚人群的每一位患者进行的常规风险因素分析中；以及（3）在需要时对这些病变进行适当的转诊和随访。
