Jago J D
School of Dental Science, University of Melbourne, Victoria, Australia.
P N G Med J. 1993 Mar;36(1):41-52.
Dentistry deals with all the diseases and injuries of the mouth, teeth, jaws and surrounding face (for all age groups). Over the past 30 years government dental services in Papua New Guinea have been modelled on a New Zealand dental service directed primarily at children and adolescents for treating tooth decay. In designing a government dental service for the future, the two basic goals must be to retain the natural dentition for life for all Papua New Guineans and to eliminate oral cancer. The basic principles for such a dental service are to build on the specific realities of Papua New Guinea, encourage widespread community participation, base the dental services on the whole family rather than the child, make dentistry an integral part of the health services, and make dental care available at every level of health service. The seven major factors in the design are the foundational role of the dental doctor, with clear roles for other dental workers, a sound career structure, provision of continuing education, an effective supervisory structure and statistical reporting system, and a long-term financial commitment from the government for dental services. Over the next few years the priorities in implementing the design are to concentrate in selected model areas, emphasize the prevention of mouth cancer and tooth loss, and minimize the restoration of decayed teeth.
牙科涉及口腔、牙齿、颌骨及周围面部的所有疾病和损伤（适用于所有年龄组）。在过去30年里，巴布亚新几内亚的政府牙科服务一直以新西兰的牙科服务为模式，主要针对儿童和青少年治疗龋齿。在设计未来的政府牙科服务时，两个基本目标必须是让所有巴布亚新几内亚人终身保留天然牙列，并消除口腔癌。这种牙科服务的基本原则是基于巴布亚新几内亚的具体实际情况，鼓励社区广泛参与，以家庭而非儿童为基础提供牙科服务，使牙科成为卫生服务的一个组成部分，并在各级卫生服务中提供牙科护理。设计中的七个主要因素是牙科医生的基础作用，其他牙科工作人员的明确职责，完善的职业结构，提供继续教育，有效的监督结构和统计报告系统，以及政府对牙科服务的长期财政承诺。在未来几年实施该设计的优先事项是集中在选定的示范地区，强调预防口腔癌和牙齿脱落，并尽量减少龋齿的修复。
