Heima Masahiro, Harrison Marc-Allen, Milgrom Peter
DDS, PhD, Assistant Professor, Department of Pediatric Dentistry, School of Dental Medicine, Case Western Reserve University.
BS, DMD, Department of Pediatric Dentistry, School of Dental Medicine, Case Western Reserve University.
J Clin Exp Dent. 2017 Mar 1;9(3):e338-e343. doi: 10.4317/jced.53468. eCollection 2017 Mar.
The Amish are a growing population who live a traditional, rural way of life, which makes them less accepting of modernism. Most Amish live in poverty and are detached from modern health care. In addition, the recent change of their lifestyle has been reported, such as consuming a nontraditional diet and the usage of electronic devices. As a result, their lifestyle change may have impacted their oral health. However, since only a single report about oral health among Amish children has been published approximately three decades ago it has not yet been updated. This study describes oral health among Amish children and their medical conditions during visits to a mobile dental unit (MDU).
The dental records of all patients (N=216) who visited a mobile dental unit were reviewed, which covers 1 year from May 20, 2011, the first date of service. The following factors were taken into consideration during the review process: parental perceptions of their children's oral health care, dental care experiences, and general health information.
Fifty-four (27.8%) children, ages 3 to 17, have never received dental treatment before visiting the MDU; the average number of untreated decayed teeth was 6.8. In spite of this, most parents rated their children's oral health as good or very good (87.7%). The high cost and long distance travel associated with routine, professional dental care makes it difficult for children to maintain good oral hygiene. Our analysis revealed that bleeding disorders were more prevalent among this gene pool compared to the nation at large; however, asthma was less common.
There are oral and general health disparities among Amish children. There is a lack of awareness among Amish parents with regard to their children's oral health. Amish, child, dental caries, mobile health units.
阿米什人是一个不断增长的群体，他们过着传统的乡村生活方式，这使得他们对现代主义的接受度较低。大多数阿米什人生活贫困，与现代医疗保健脱节。此外，最近有报道称他们的生活方式发生了变化，比如食用非传统饮食和使用电子设备。因此，他们生活方式的改变可能影响了他们的口腔健康。然而，由于大约三十年前仅发表了一篇关于阿米什儿童口腔健康的报告，且尚未更新。本研究描述了阿米什儿童在前往流动牙科单位（MDU）就诊期间的口腔健康状况及其医疗状况。
回顾了所有前往流动牙科单位就诊的患者（N = 216）的牙科记录，记录涵盖了从2011年5月20日首次服务日期起的1年时间。在回顾过程中考虑了以下因素：父母对其子女口腔保健的认知、牙科护理经历以及一般健康信息。
54名（27.8%）年龄在3至17岁的儿童在前往MDU就诊之前从未接受过牙科治疗；未治疗的龋齿平均数量为6.8颗。尽管如此，大多数父母将其子女的口腔健康评为良好或非常好（87.7%）。与常规专业牙科护理相关的高成本和长途旅行使得儿童难以保持良好的口腔卫生。我们的分析表明，与全国总体情况相比，该基因库中出血性疾病更为普遍；然而，哮喘则较少见。
阿米什儿童存在口腔和一般健康差异。阿米什父母对其子女的口腔健康缺乏认识。阿米什人、儿童、龋齿、流动健康单位。
