Jay W. Friedman is unaffiliated. Kavita R. Mathu-Muju is with the Faculty of Dentistry, University of British Columbia, Vancouver.
Am J Public Health. 2014 Jun;104(6):1005-9. doi: 10.2105/AJPH.2014.301895. Epub 2014 Apr 17.
Disparities in dental health care that characterize poor populations are well known. Children suffer disproportionately and most severely from dental diseases. Many countries have school-based dental therapist programs to meet children's primary oral health care needs. Although dental therapists in the United States face opposition from national and state dental associations, many state governments are considering funding the training and deployment of dental therapists to care for underserved populations. Dental therapists care for American Indians/Alaska Natives in Alaska, and Minnesota became the first state to legislate dental therapist training. Children should receive priority preference; therefore, the most effective and economical utilization of dental therapists will be as salaried employees in school-based programs, beginning in underserved rural areas and inner cities.
牙科保健方面的差异是贫困人口的特征,这是众所周知的。儿童受到的影响不成比例,而且最严重的是受到牙科疾病的影响。许多国家都有基于学校的牙科治疗师计划,以满足儿童的基本口腔保健需求。尽管美国的牙科治疗师面临着来自国家和州牙科协会的反对,但许多州政府正在考虑为牙科治疗师的培训和部署提供资金,以照顾服务不足的人群。牙科治疗师在阿拉斯加为美洲印第安人/阿拉斯加原住民提供服务,明尼苏达州成为第一个立法培训牙科治疗师的州。儿童应该优先考虑;因此,牙科治疗师最有效的和经济的利用方式将是作为受薪员工,在以学校为基础的项目中工作,从服务不足的农村地区和内城开始。