Patel J, Hearn L, Gibson B, Slack-Smith L M
School of Dentistry, The University of Western Australia, Perth, Western Australia.
Aust Dent J. 2014 Dec;59(4):439-45. doi: 10.1111/adj.12219. Epub 2014 Sep 27.
Indigenous populations around the world have significantly poorer oral health and inequalities in access to dental care largely attribute to the social determinants of health. Reviewing international literature offers an opportunity to better understand appropriate approaches for policy and practice in Australia. This article is a descriptive narrative review based on primary research literature discussing informative international approaches to Indigenous dental care. Approaches identified in the literature included integration of dentistry with primary health care and traditional practice, training and use of oral health professionals and approaches used at different stages of life, particularly in the management of early childhood caries. The international literature provides a range of approaches to Indigenous oral health. Tailored, culturally appropriate family and community based initiatives that address the multidisciplinary issues confronting Indigenous communities were most highly regarded.
世界各地的原住民口腔健康状况明显较差，获得牙科护理的不平等很大程度上归因于健康的社会决定因素。回顾国际文献为更好地理解澳大利亚政策和实践的适当方法提供了机会。本文是一篇描述性叙述性综述，基于讨论原住民牙科护理信息丰富的国际方法的主要研究文献。文献中确定的方法包括将牙科与初级卫生保健和传统实践相结合、口腔卫生专业人员的培训和使用以及在生命不同阶段使用的方法，特别是在幼儿龋齿管理方面。国际文献提供了一系列解决原住民口腔健康问题的方法。最受重视的是针对原住民社区面临的多学科问题量身定制的、符合文化习惯的家庭和社区倡议。
