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Oral Health Assessment by Lay Personnel for Older Adults
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成年人口腔健康查和预防干预:美国预防服务工作组建议声明
, Michael J Barry1, Wanda K Nicholson2
1Harvard Medical School, Boston, Massachusetts.
JAMA
|November 7, 2023
概括
没有足够的证据来确定初级保健查和预防性干预常见的口腔健康状况,如成年人的腔和牙疾病. 需要更多的研究来指导临床实践.
科学领域:
- 预防医学
- 牙公共卫生
- 主要护理
背景情况:
- 口腔健康对整体健康至关重要,
- 常见的口腔疾病如牙和牙周病往往没有得到治疗,导致严重的后果.
- 没有治疗的口腔问题会导致牙脱落和全身健康问题.
研究的目的:
- 系统地审查成年人口腔健康状况的查和预防干预措施.
- 评估提供口腔保健服务的初级保健临床医生的证据基础.
主要方法:
- 美国预防服务工作组 (USPSTF) 委托进行系统审查.
- 专注于18岁及以上无症状成年人.
- 对牙损伤和牙周病进行评估.
主要成果:
- 没有足够的证据来评估初级保健医生对口腔健康状况的查的益处和危害.
- 缺乏足够的证据使得初级保健医生无法评估口腔健康状况的预防性干预措施的益处和危害.
- 美国公务员特种部队 (USPSTF) 对于查和预防性干预都发布了"I"声明.
结论:
- 目前的证据不足以支持或反驳对成人口腔健康状况的初级护理查.
- 证据不足以确定在初级保健机构提供预防性口腔卫生干预措施的有效性和安全性.
- 需要进一步的研究来制定初级保健中口腔健康查和预防的指导方针.
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