Specialist Registrar in Orthodontics, Royal National ENT and Eastman Dental Hospital, 47-49 Huntley Street, London, WC1E 6DG, UK.
Adolescent Endocrine and Gender Identity Clinical Nurse Specialist, UCLH Paediatric & Adolescent Division, 6th Floor Central, 250 Euston Road, London, NW1 2PG, UK.
Br Dent J. 2021 Mar;230(6):369-373. doi: 10.1038/s41415-021-2734-4. Epub 2021 Mar 26.
Introduction Over the past 10 to 15 years, there has been growing recognition that the traditional spectrum of gender-defined dichotomised roles does not necessarily, or accurately, fit within a certain subsection of the population. A condition associated with gender incongruity that dental practitioners must be aware of is gender dysphoria.Aims Our role as dental and oral healthcare professionals necessitates us to provide safe and effective dental healthcare to all members of the population; as such, it is essential for dental healthcare professionals to undertake appropriate professional development to increase their knowledge of gender dysphoria.Overview of gender dysphoria While gender incongruity is not considered a disorder on its own merit, when it is associated with significant distress or disability, the term 'gender dysphoria' is applied. The aetiological factors that underpin gender dysphoria are still yet to be fully understood; however, it is generally accepted that it arises from a combination of biological and psychosocial factors. In the UK, all paediatric and adolescent gender incongruence referrals are managed by specialist clinicians working within multidisciplinary clinics.Implications for dentistry Our focus in this paper is to highlight and aid the dental team in the management of patients with gender dysphoria alongside providing clinical tips in the clinical management of these patients by dental clinicians.Conclusion It is important that dental healthcare professionals familiarise themselves with the aetiology, diagnosis and treatment pathway of this important subset of the population.
引言
在过去的 10 到 15 年中，人们越来越认识到，传统的性别定义二分角色并不一定或准确地适用于某些人群。牙科从业者必须意识到一种与性别不一致相关的疾病是性别焦虑症。
目的
作为牙科和口腔保健专业人员，我们的职责是为所有人群提供安全有效的牙科保健服务；因此，牙科保健专业人员必须进行适当的专业发展，以增加他们对性别焦虑症的认识。
性别焦虑症概述
虽然性别不一致本身并不被认为是一种疾病，但当它与明显的痛苦或残疾相关联时，就会使用“性别焦虑症”一词。性别焦虑症的病因因素尚未完全理解；然而，人们普遍认为它是由生物和社会心理因素共同作用引起的。在英国，所有儿科和青少年性别不一致的转介都由专门的临床医生在多学科诊所中管理。
对牙科的影响
我们在本文中的重点是强调并帮助牙科团队管理患有性别焦虑症的患者，并为牙科临床医生在这些患者的临床管理中提供临床技巧。
结论
牙科保健专业人员熟悉这一重要人群的病因、诊断和治疗途径非常重要。
