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21世纪美国口腔医学实践:最新进展

The practice of oral medicine in the United States in the twenty-first century: an update.

作者信息

Pinto Andres, Khalaf Mohd, Miller Craig S

机构信息

University Hospitals Case Medical Center and Case Western Reserve University, School of Dental Medicine, Department of Oral and Maxillofacial Medicine and Diagnostic Sciences, Cleveland, Ohio, USA.

Kaiser Permanente, Department of Head and Neck Surgery, Division of Orofacial Pain and Oral Medicine, Sacramento, California, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Apr;119(4):408-15. doi: 10.1016/j.oooo.2014.12.018. Epub 2015 Jan 6.

DOI:10.1016/j.oooo.2014.12.018
PMID:25701554
Abstract

OBJECTIVE

The aim of this study was to describe the practice characteristics of Oral Medicine trained dentists in the United States.

METHODS

This study was a cross-sectional survey of members of the American Academy of Oral Medicine. Patient demographic characteristics, referring providers, medical comorbidities, diagnoses, and practitioner information were collected during a 5-day practice week. The survey was open during the years 2011 and 2012.

RESULTS

Information from 916 patients was entered by 74 practitioners from 20 states. The mean number of practitioners seen before consulting Oral Medicine providers was 2.2, and patients had experienced symptoms for 16.8 months before the initial encounter. Common chief complaints were nonulcerative mucosal lesions, orofacial pain, and dry mouth. Patients with cardiovascular disease were at a higher risk of developing lichenoid lesions, and those with psychiatric conditions were at higher risk of reporting burning mouth symptoms.

CONCLUSIONS

Diagnoses and procedures performed by Oral Medicine practitioners complement practice characteristics of general and specialty dentists in the United States.

摘要

目的

本研究旨在描述美国口腔医学专业牙医的执业特点。

方法

本研究是对美国口腔医学学会成员的横断面调查。在为期5天的工作周内收集患者的人口统计学特征、转诊医生、合并症、诊断以及从业者信息。该调查在2011年和2012年期间开放。

结果

来自20个州的74名从业者录入了916名患者的信息。在咨询口腔医学专业医生之前,患者平均看过2.2名医生,且在初次就诊前已出现症状16.8个月。常见的主要诉求是非溃疡性黏膜病变、口面部疼痛和口干。患有心血管疾病的患者发生苔藓样病变的风险较高,而患有精神疾病的患者报告灼口症状的风险较高。

结论

口腔医学从业者的诊断和操作补充了美国普通牙医和专科牙医的执业特点。

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