Dülgergil Coruh Türksel, Colak Hakan
Department of Restorative Dentistry, Kırıkkale University, Kırıkkale, Turkey.
Niger Med J. 2012 Jan;53(1):1-8. doi: 10.4103/0300-1652.99820.
During the past two decades, epidemiologic studies in less developed or developing countries have clearly reported that caries prevalence shows the distinctive patterns over the word, even though it is declining in many developed countries. Due to huge rural districts where arrival is problematic and ineffective dental and preventive care centers in most suburban districts, there has been significant difference between the different parts of the communities to provide dental care service, and unfortunately the sole preventive measure has been limited with the advising of using the tooth brush and paste. The problems are usually arisen not only from the inadequacy of trained personnel but also from the absence of an effective economic and pragmatic system which aims to effectively dispense the dental service to all over the country. For this reason, the basic aim of dental care should be to carry out the many dental services in a multidisciplinary manner within the first appointment and to serve the people at their own homes and/or districts. Clearly, the needed multidisciplinary dental care system can lead to a new educational doctrine for rural dental practice. This versatile and practical training program based on specific perceived needs of a specific population(s) could need a new educational program. So, various preventive and/or restorative procedures included by this new doctrine could be named as "rural dentistry." In this review, with the examples from the many in vivo studies carried out under rural conditions over the world, the probable practices in this specific dental doctrine have generally been exemplified.
在过去二十年中,欠发达国家或发展中国家的流行病学研究清楚地表明,尽管在许多发达国家龋齿患病率呈下降趋势,但全球范围内龋齿患病率呈现出不同的模式。由于广大农村地区难以获得牙科服务,且大多数郊区的牙科和预防保健中心效率低下,社区不同地区在提供牙科护理服务方面存在显著差异,不幸的是,唯一的预防措施一直局限于建议使用牙刷和牙膏。这些问题的出现通常不仅是因为缺乏训练有素的人员,还因为缺乏一个有效的经济实用体系,该体系旨在将牙科服务有效地分配到全国各地。因此,牙科护理的基本目标应该是在首次就诊时以多学科方式开展多种牙科服务,并在患者家中和/或所在地区为他们提供服务。显然,所需的多学科牙科护理系统可能会带来一种针对农村牙科实践的新教育理念。基于特定人群特定感知需求的这种多功能实用培训项目可能需要一个新的教育计划。因此,这种新理论所包含的各种预防和/或修复程序可以被称为“农村牙科”。在本综述中,通过世界各地在农村条件下进行的许多体内研究的实例,普遍例证了这种特定牙科理论中的可能做法。