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成人口腔健康筛查和预防干预:美国预防服务工作组推荐声明。

Screening and Preventive Interventions for Oral Health in Adults: US Preventive Services Task Force Recommendation Statement.

机构信息

Harvard Medical School, Boston, Massachusetts.

George Washington University, Washington, DC.

出版信息

JAMA. 2023 Nov 14;330(18):1773-1779. doi: 10.1001/jama.2023.21409.

Abstract

IMPORTANCE

Oral health is fundamental to health and well-being across the life span. Dental caries (cavities) and periodontal disease (gum disease) are common and often untreated oral health conditions that affect eating, speaking, learning, smiling, and employment potential. Untreated oral health conditions can lead to tooth loss, irreversible tooth damage, and other serious adverse health outcomes.

OBJECTIVE

The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate screening and preventive interventions for oral health conditions in adults.

POPULATION

Asymptomatic adults 18 years or older.

EVIDENCE ASSESSMENT

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for oral health conditions (eg, dental caries or periodontal disease) performed by primary care clinicians in asymptomatic adults. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of preventive interventions for oral health conditions (eg, dental caries or periodontal disease) performed by primary care clinicians in asymptomatic adults.

RECOMMENDATIONS

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of routine screening performed by primary care clinicians for oral health conditions, including dental caries or periodontal-related disease, in adults. (I statement) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of preventive interventions performed by primary care clinicians for oral health conditions, including dental caries or periodontal-related disease, in adults. (I statement).

摘要

重要性

口腔健康是整个人生健康和幸福的基础。龋齿(蛀牙)和牙周病(牙龈疾病)是常见且常未得到治疗的口腔健康问题,会影响进食、说话、学习、微笑和就业潜力。未经治疗的口腔健康问题可导致牙齿缺失、牙齿不可逆转的损坏以及其他严重的健康后果。

目的

美国预防服务工作组(USPSTF)委托进行了一项系统评价,以评估针对成年人的口腔健康状况的筛查和预防干预措施。

人群

无任何症状的 18 岁及以上成年人。

证据评估

USPSTF 得出结论,目前的证据不足以评估初级保健临床医生对无症状成年人进行的口腔健康状况(例如龋齿或牙周病)筛查的利弊平衡。USPSTF 得出结论,目前的证据不足以评估初级保健临床医生对无症状成年人进行的口腔健康状况(例如龋齿或牙周病)预防干预措施的利弊平衡。

建议

USPSTF 得出结论,目前的证据不足以评估初级保健临床医生对口腔健康状况(包括龋齿或牙周相关疾病)进行常规筛查的利弊平衡。(I 级推荐)USPSTF 得出结论,目前的证据不足以评估初级保健临床医生对口腔健康状况(包括龋齿或牙周相关疾病)进行预防干预的利弊平衡。(I 级推荐)。

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