Ettinger R L, McLeran H, Jakobsen J
Department of Prosthodontics, College of Dentistry, University of Iowa, Iowa City 52242.
J Dent Educ. 1990 May;54(5):273-8.
Clinical geriatric dentistry has not been an important part of most dental curricula. However, changes in demographic and patient expectations signify that geriatric oral health care can no longer be equated with supplying dentures for an aging population, but must be understood as treatment of the complex needs of a dentate population. The 1975 to 1985 graduates of the University of Iowa College of Dentistry were surveyed to evaluate the influence on dental practice of a comprehensive geriatric dental curriculum introduced in 1980. The post-1980 graduates were more likely to be practicing in larger population centers and less likely to be treating patients over 75 years of age. The dentists who graduated before 1980 were more likely to be consultants in nursing homes and carrying out examination, emergency care, and/or denture care, whereas the group of dentists who graduated after 1980 and had geriatric clinical experience with frail and functionally dependent older adults were more likely to be carrying out comprehensive care. When given a list of 18 geriatric dental and gerontological topics, few differences were found between cohort groups in terms of knowledge and confidence in carrying out procedures.
临床老年牙科学在大多数牙科课程中并非重要组成部分。然而，人口结构的变化和患者期望表明，老年口腔保健不能再等同于为老龄化人口提供假牙，而必须被理解为对有牙人群复杂需求的治疗。对爱荷华大学牙科学院1975年至1985年的毕业生进行了调查，以评估1980年引入的综合老年牙科课程对牙科实践的影响。1980年以后毕业的学生更有可能在人口较多的中心地区执业，而治疗75岁以上患者的可能性较小。1980年以前毕业的牙医更有可能成为养老院的顾问，并进行检查、急诊护理和/或假牙护理，而1980年以后毕业且有照顾体弱和功能依赖的老年人的老年临床经验的牙医群体更有可能提供全面护理。当给出18个老年牙科和老年医学主题的列表时，在进行相关操作的知识和信心方面，不同队列组之间几乎没有差异。
