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牙科记录的维护与法医牙科学意识:对克罗地亚牙医的一项调查及其对牙科教育的启示

Maintenance of Dental Records and Forensic Odontology Awareness: A Survey of Croatian Dentists with Implications for Dental Education.

作者信息

Savić Pavičin Ivana, Jonjić Ana, Maretić Ivana, Dumančić Jelena, Zymber Çeshko Ajla

机构信息

Department of Dental Anthropology, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia.

School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia.

出版信息

Dent J (Basel). 2021 Mar 25;9(4):37. doi: 10.3390/dj9040037.

DOI:10.3390/dj9040037
PMID:33806022
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8064453/
Abstract

Forensic odontology is the application of dentistry within the criminal justice system. Forensic expertise, including dental identification, mostly relies on dental records. We explored the practice of maintaining dental records among Croatian dentists, as well as their knowledge of legal regulations and the application of dental records in forensic odontology. In all, 145 dentists participated in an online survey. Questions covered general information on dentists, maintenance of dental records, and knowledge of legal requirements and forensic odontology. Overall, 70% of dentists obtain and archive written informed consents, while 87% record dental status. Generally, non-carious dental lesions and developmental dental anomalies were not recorded. About 72% of dentists record filling material and surfaces. Only 32% of dentists know the legal requirements for keeping records, whereas 21% have no knowledge of forensic odontology and its purpose. The survey revealed different practices in the maintenance of dental records, including significant flaws and lack of awareness of its forensic importance. This obvious need for additional education on proper maintenance of dental records could be met by including forensic odontology in compulsory undergraduate courses and postgraduate dental education. Establishing national and international standards in dental charting would comply with contemporary trends in health care and the requirements of forensic expertise.

摘要

法医牙科学是牙科学在刑事司法系统中的应用。法医专业知识,包括牙齿鉴定,大多依赖于牙科记录。我们探究了克罗地亚牙医保存牙科记录的做法,以及他们对法律法规的了解和牙科记录在法医牙科学中的应用。共有145名牙医参与了一项在线调查。问题涵盖了牙医的一般信息、牙科记录的保存以及对法律要求和法医牙科学的了解。总体而言,70%的牙医获取并存档了书面知情同意书,而87%的牙医记录了牙齿状况。一般来说,非龋性牙齿病变和牙齿发育异常未被记录。约72%的牙医记录了补牙材料和补牙面。只有32%的牙医了解保存记录的法律要求,而21%的牙医对法医牙科学及其目的一无所知。调查揭示了牙科记录保存方面存在不同的做法,包括重大缺陷以及对其法医重要性缺乏认识。通过将法医牙科学纳入本科必修课和牙科研究生教育,可以满足对适当保存牙科记录进行额外教育的明显需求。制定牙科图表的国家和国际标准将符合当代医疗保健趋势和法医专业知识的要求。

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本文引用的文献

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2
Maintenance of antemortem dental records in private dental clinics: Knowledge, attitude, and practice among the practitioners of Mangalore and surrounding areas.私立牙科诊所生前牙科记录的保存:芒格洛尔及周边地区从业者的知识、态度和实践
J Forensic Dent Sci. 2017 May-Aug;9(2):78-82. doi: 10.4103/jfo.jfds_64_15.
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The Graduating European Dentist: A New Undergraduate Curriculum Framework.即将毕业的欧洲牙医:一个新的本科课程框架。
Eur J Dent Educ. 2017 Dec;21 Suppl 1:2-10. doi: 10.1111/eje.12307.
4
Inaccurate Dental Charting in an Audit of 1128 General Dental Practice Records.对1128份普通牙科诊疗记录进行审计时发现的不准确的牙科图表记录。
Dent Update. 2017 Mar;44(3):254-6, 259-60. doi: 10.12968/denu.2017.44.3.254.
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Application of Ultraviolet Light in Dental Identification of Avalanche Victims.紫外线在雪崩遇难者牙齿识别中的应用
J Nepal Health Res Counc. 2017 Sep 8;15(2):193-196. doi: 10.3126/jnhrc.v15i2.18195.
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Dental records of forensic odontological importance: Maintenance pattern among dental practitioners of Pune city.具有法医牙科学重要性的牙科记录:浦那市牙科从业者的保存模式
J Forensic Dent Sci. 2017 Jan-Apr;9(1):48. doi: 10.4103/jfo.jfds_1_16.
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Clinical documentation of dental care in an era of electronic health record use.电子健康记录使用时代的牙科保健临床记录。
J Evid Based Dent Pract. 2016 Sep;16(3):154-160. doi: 10.1016/j.jebdp.2016.07.001. Epub 2016 Jul 21.
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Knowledge and awareness of forensic odontology among dentists in India: A systematic review.印度牙医对法医牙科学的知识与认知:一项系统综述。
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Importance of dental records in forensic dental identification.牙科记录在法医牙科学鉴定中的重要性。
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