Terezhalmy G T, Bottomley W K
Dent Clin North Am. 1986 Jul;30(3):381-90.
Diseases of the oral cavity and related structures, either local or systemic, may have profound physical and emotional effects on a patient. In order to effectively manage these conditions, it is necessary that dentists have a basic understanding of diseases throughout the body. Such an obligation is tempered only by the extent to which diseases relate to the dental profession's anatomic field of responsibility or have clinical implications for office personnel, and the extent to which diseases require modification of dental therapy or alter the prognosis. A primary organic abnormality is typically reflected in the findings of radiographic, laboratory, and tissue studies. From the analysis of a large number of such profiles, certain patterns emerge that are sufficiently characteristic to suggest a specific diagnosis or groups of differential diagnoses for abnormalities that may prompt a request for urgent dental care.
口腔及相关结构的疾病,无论是局部性的还是全身性的,都可能对患者产生深远的身体和情感影响。为了有效管理这些病症,牙医有必要对全身疾病有基本的了解。只有当疾病与牙科专业的解剖学责任领域相关,或对办公室工作人员有临床影响,以及疾病需要修改牙科治疗方案或改变预后的程度时,这种义务才会有所缓和。原发性器质性异常通常反映在影像学、实验室和组织学研究结果中。通过对大量此类病例的分析,会出现某些具有足够特征性的模式,以提示可能促使患者寻求紧急牙科护理的异常情况的特定诊断或鉴别诊断组。