Boraz R A
University of Kansas Medical Center, Kansas City.
Pediatrician. 1989;16(3-4):193-9.
The chronically ill child presents many difficult challenges for all health care providers, including dentists. With 10-20% of all children in the United States having one or more chronic diseases or impairments, the lack of availability and utilization of dental services for this population group has been described as catastrophic. Barriers to essential care include the medical problem itself, dental school curricula, economics, apathy, and a lack of coordination of services between physicians, allied health care providers, and dentists. A number of common chronic illnesses and their specific dental treatment ramifications and requirements are discussed in detail. A thorough understanding and utilization of this information are essential for maximizing the quality and quantity of life for these special patients.
慢性病患儿给包括牙医在内的所有医疗保健提供者带来了许多难题。在美国，10%至20%的儿童患有一种或多种慢性疾病或残疾，而这一人群缺乏牙科服务的可及性和利用率，情况堪称灾难性。基本护理的障碍包括医疗问题本身、牙科课程设置、经济因素、冷漠态度，以及医生、相关医疗保健提供者和牙医之间缺乏服务协调。本文将详细讨论一些常见的慢性疾病及其具体的牙科治疗影响和要求。全面理解和运用这些信息对于提高这些特殊患者的生活质量和数量至关重要。
