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将口腔放回身体之中——牙科与口腔旅行健康这一被忽视的领域。

Putting the mouth back in the body - the neglected area of dental and oral travel health.

作者信息

Bauer Irmgard L

机构信息

College of Healthcare Sciences, Academy - Tropical Health and Medicine, James Cook University, Townsville, QLD, 4811, Australia.

出版信息

Trop Dis Travel Med Vaccines. 2025 Mar 15;11(1):7. doi: 10.1186/s40794-024-00242-z.

Abstract

The lack of dental travel health care has been deplored for some time. Travel medicine's remit is to prepare people for travel. People travel with their mouth firmly in their body, yet the mouth's wellbeing does not rate a mention. This article represents the first exploration of a range of topics relevant to an until now neglected, yet potentially highly important, area of health care. A range of dental mishaps can occur while away from home, from simple toothache to accidents, serious emergencies, or restoration failures. Other problems originate in unwise behaviour, including holiday-inspired body modifications.Unless there is pain, teeth are typically not thought about much. However, examining the practical side of dental hygiene during travels, several overlooked and perhaps surprising topics emerge that - through the travel lens - take on a different and important role: the oral microbiome, toothbrush hygiene, the toilet plume, and traveller diarrhoea. Based on this discussion, recommendations are made for clinical practice, education, and further research.The historical chasm between dentistry and medicine, despite long-standing calls for change, does not seem to go away and impairs holistic high quality travel health care. Travel medicine can bypass this unproductive division. It has the unique opportunity to be the first medical specialty cooperating closely with dentists to bridge this gap by providing quality travel health care to travellers with all their body parts attached.

摘要

一段时间以来,牙科旅行保健的缺失一直受到诟病。旅行医学的职责是让人们为旅行做好准备。人们旅行时嘴巴长在身体上,但嘴巴的健康状况却无人提及。本文首次探讨了一系列与一个至今被忽视但可能非常重要的医疗保健领域相关的主题。离家在外时可能会发生一系列牙科意外,从简单的牙痛到事故、严重的紧急情况或修复失败。其他问题源于不明智的行为,包括受假期启发而进行的身体改造。除非疼痛,牙齿通常不会被过多考虑。然而,审视旅行期间口腔卫生的实际情况,会出现几个被忽视且可能令人惊讶的主题——从旅行的角度来看——它们具有不同且重要的作用:口腔微生物群、牙刷卫生、马桶气溶胶和旅行者腹泻。基于此讨论,针对临床实践、教育和进一步研究提出了建议。尽管长期呼吁变革,但牙科与医学之间的历史鸿沟似乎依然存在,并且损害了全面的高质量旅行保健。旅行医学可以绕过这种低效的划分。它有独特的机会成为第一个与牙医密切合作的医学专科,通过为身体各部位完好的旅行者提供高质量的旅行保健来弥合这一差距。

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