Møller I J
Int Dent J. 1979 Sep;29(3):208-14.
The prevalence of dental disease appears to be increasing, especially in developing countries. The adoption of traditional Western-style oral health care delivery systems, which may be entirely inappropriate to the local circumstances, has resulted in the establishment of expensive and inefficient services in many parts of the world. In planning a realistic oral health service, administrators must first identify the problem, estimate available manpower in terms of number, type and distribution and identify the economic resources which can reasonably be allocated to oral health. Five categories of oral health status have been identified in various countries ranging from a situation characterized by very low, stable or increasing oral health problems with an acute shortage of manpower and almost non-existent dental care delivery system to the situation found in the most advanced countries where the oral health problem, though very high, may be already decreasing and where there is adequate manpower and delivery systems are highly developed. A preventive strategy for each of these five categories is presented which it is hoped would lead to an improvement of the oral status of the world's population as fast and as cheaply as possible.
牙科疾病的患病率似乎在上升，尤其是在发展中国家。采用可能完全不符合当地情况的传统西式口腔保健服务体系，已在世界许多地区导致建立了昂贵且低效的服务。在规划切实可行的口腔保健服务时，管理人员必须首先确定问题，根据数量、类型和分布估算可用人力，并确定可合理分配给口腔保健的经济资源。不同国家已确定了五类口腔健康状况，从口腔健康问题非常少、稳定或增加，人力严重短缺且几乎不存在牙科护理服务体系的情况，到最发达国家的情况，在这些国家，口腔健康问题尽管严重，但可能已在减少，且有充足的人力，服务体系高度发达。针对这五类情况分别提出了预防策略，希望能尽可能快速且低成本地改善全球人口的口腔状况。
