A global perspective on changes in the burden of caries and periodontitis: implications for dentistry
A global perspective on changes in the burden of caries and periodontitis: implications for dentistry
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DOI：
10.1111/j.1365-2842.2007.01799.x
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发表时间：
2007-12-01
影响因子：
2.9
通讯作者：
Fejerskov, O.
中科院分区：
文献类型：
--
作者：
Baelum, V.;Helderman, W. van Palenstein;Fejerskov, O.
大多数口腔保健系统的结构和内容以及牙科课程的内容反映了一种根深蒂固的传统，即试图通过先进的技术手段治疗口腔疾病。然而，世界人口更好的口腔健康状况要求应用最新的科学知识来控制主要的口腔疾病。这篇综述指出，口腔保健提供系统的结构和内容不仅应以口腔疾病生物学的最新知识为基础，还必须考虑到人群内和人群之间龋齿和牙周病的变化趋势，并认识到治疗理念的变化对这些趋势的影响。对低收入国家和高收入国家人口的口腔疾病概况进行了简要描述，并得出结论，在高收入国家观察到的快速变化的疾病概况需要重新思考这些国家牙科未来的作用和组织。低收入和中等收入国家的优先事项必须是避免重蹈高收入国家的覆辙。相反，这些社会可能会利用基于人口的共同风险因素方法来确定优先事项。如果采用这种方法，就必须重新考虑培养具有口腔保健能力的人员。作者建议考虑三种不同的牙科保健提供者干部的方法，使世界各地不同人口的卫生保健规划者能够在适当尊重当时的社会经济条件的情况下优先考虑适当的口腔保健。
The structure and contents of most oral health care systems and the contents of dental curricula reflect a deep-rooted tradition for attempting to cure oral diseases by refined technological means. However, better oral health conditions for the world's populations necessitate the application of up-to-date scientific knowledge to control the major oral diseases. This review points out that not only should the structure and contents of oral health care delivery systems be based on state-of-the-art knowledge about the biology of the oral diseases; they must also take into account the trends for change in caries and periodontal diseases within and between populations, and acknowledge the impact of changes in treatment philosophies for these trends. The oral disease profiles for populations in low- and high-income countries are briefly described, and it is concluded that the rapidly changing disease profiles observed in high-income countries necessitate re-thinking of the future role and organization of dentistry in such countries. The priorities for low- and middle-income countries must be to avoid repeating the mistakes made in the high-income countries. Instead, these societies might take advantage of setting priorities based on a population-based common risk factor approach. If such an approach is adopted, the training of personnel with oral health care competence must be rethought. The authors suggest three different cadres of dental care providers to be considered for an approach that allows health care planners in different populations around the world to prioritize appropriate oral health care with due respect for the socio-economic conditions prevailing.