ORAL MUCOSAL SCREENING AS AN INTEGRAL-PART OF ROUTINE DENTAL-CARE
ORAL MUCOSAL SCREENING AS AN INTEGRAL-PART OF ROUTINE DENTAL-CARE
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DOI：
10.1038/sj.bdj.4808894
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发表时间：
1995-10-07
影响因子：
2.6
通讯作者：
ZAKRZEWSKA, JM
中科院分区：
文献类型：
--
作者：
FIELD, EA;MORRISON, T;ZAKRZEWSKA, JM
这项研究的主要目的是评估对口腔粘膜进行系统检查的可行性，作为常规牙科检查的组成部分，并在与NHS牙科实践相媲美的条件下进行。共有1949名已经在一家工业牙科诊所登记为患者的个人被邀请参加口腔筛查，作为其牙科检查的一部分。其中，1947名患者同意参与，并被要求完成一份与他们吸烟和饮酒有关的“习惯”问卷。作为常规牙科检查的一部分，对口腔粘膜进行了系统检查，并记录了筛查阳性或阴性的粘膜病变。被纳入为阳性结果的病变可能与早期癌症或癌前病变有关，4名患者(0.2%)被认为筛查结果呈阳性，这些患者被转介进行专家评估。其中，两人患有与烟草有关的白斑，一人患有口腔扁平苔藓，另一人患有早期鳞状细胞癌。这项研究证实，在NHS牙科实践中，系统和彻底的口腔粘膜检查确实可以作为常规牙科检查的一部分进行。
The principal aim of this study was to assess the feasibility of conducting a systematic examination of the oral mucosa, as an integral part of the routine dental check-up and in conditions comparable with those in NHS dental practice. A total of 1949 individuals, who were already registered as patients with an industrial dental clinic, were invited to attend for an oral screen as part of their dental examination. Of these, 1947 patients agreed to participate and were also asked to complete a 'habits' questionnaire relating to their tobacco and alcohol use. A systematic examination of the oral mucosa was undertaken as part of the routine dental inspection and mucosal lesions were recorded as either a positive or negative screening result. Lesions included as a positive result were those which may be associated with early cancer or precancer, Four patients (0.2%) were considered to have a positive screening result and these were referred for specialist evaluation. Of these, two had tobacco-related leukoplakia, one had oral lichen planus and the other had an early squamous cell carcinoma. This study has confirmed that a systematic and thorough examination of the oral mucosa can realistically be carried out as part of the routine dental inspection in NHS dental practice.