Meskin L W, Martens L V, Katz B J
J Public Health Dent. 1978 Fall;38(4):302-11. doi: 10.1111/j.1752-7325.1978.tb03755.x.
Although sizable community efforts in the United States have been made to educate children and adults about periodontal disease and its control, valid inferences regarding their effectiveness cannot be made because, for the most part, invalid methods of evaluation have been used. Confusion about these methods may exist because there has been little conviction that the available methods of control will stop the progress of periodontal pathology. Many recommended oral hygiene practices are probably applicable only to certain motivated individuals. An effective, comprehensive community-program for the prevention of periodontal disease remains to be developed. It is unlikely that sufficient sums of money and personnel could be diverted from the budgets of lesser-developed countries to initiate mass oral hygiene programs. Therefore, it appears that, organized community efforts appear to be promising only for the control of dental caries. However, it must be remembered that community fluoridation may not be applicable in many countries. Therefore, new strategies and vehicles to bring fluorides to all segments of the world's population are needed.
尽管美国已经做出了相当大的社区努力，向儿童和成人宣传牙周疾病及其防治方法，但由于在很大程度上采用了无效的评估方法，因此无法就这些努力的有效性得出有效的推论。对这些方法可能存在困惑，因为人们几乎不相信现有的防治方法能够阻止牙周病变的进展。许多推荐的口腔卫生做法可能仅适用于某些有积极性的个体。一个有效的、全面的社区牙周疾病预防计划仍有待制定。不太可能从欠发达国家的预算中挪用足够的资金和人员来启动大规模的口腔卫生计划。因此，有组织的社区努力似乎仅在控制龋齿方面有前景。然而，必须记住，社区氟化措施在许多国家可能并不适用。因此，需要新的策略和手段，以便将氟化物带给世界所有人群。
