口腔疾病与治疗技术的风险评估

doi:10.13701/j.cnki.kqyxyj.2022.01.001

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (1): 1-8.DOI: 10.13701/j.cnki.kqyxyj.2022.01.001

• 特约述评 • 下一篇

口腔疾病与治疗技术的风险评估

陈智^*, 周林芳

武汉大学口腔医院牙体牙髓一科湖北武汉 430079

收稿日期:2022-01-04 出版日期:2022-01-28 发布日期:2022-01-21
通讯作者: * 陈智,E-mail:zhichen@whu.edu.cn
作者简介:陈智男,医学博士。现任武汉大学口腔医学院二级教授、主任医师、博士生导师,武汉大学珞珈杰出学者。兼任中华口腔医学会第五届理事会常务理事,牙体牙髓病专委会第六届常委,口腔美学专委会第一届副主任委员,湖北省口腔医学会会长,《口腔医学研究》主编,《Oral Diseases》副主编,《J Dent Res》、《Frontiers in Physiology Craniofacial Biol Dent Res》编委,《中华口腔医学杂志》等多个杂志编委,本科生规划教材《牙体牙髓病》(第5版)副主编。

Risk Assessment of Oral Diseases and Therapy

CHEN Zhi^*, ZHOU Linfang

Department of Endodontology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China

Received:2022-01-04 Online:2022-01-28 Published:2022-01-21

摘要/Abstract

摘要： 风险评估是量化测评某一事件或事物带来的影响或损失的可能程度。对口腔疾病和诊疗技术风险进行评估,能够有效地发现口腔疾病的风险因素,处理和控制口腔诊疗活动中的各种风险。本文对口腔疾病和诊疗过程中的常见风险评估系统或风险评估工具进行介绍,并寻找循证医学相关证据,对常见的风险评估系统进行评价。作者呼吁,改善目前的诊疗流程,在口腔诊疗过程中重视发展和推广使用各种风险评估系统。

关键词: 风险评估, 龋风险评估, 牙周炎风险评估, 种植体周围疾病, 美学风险评估

Abstract: Risk assessment is to quantify the possible degree of impact or loss caused by a certain event or thing. Evaluating the risks of oral diseases and diagnoses and treatment techniques can effectively discover the risk factors of oral diseases, and deal with and control various risks during diagnosis and treatment process of oral diseases. This article introduces the commonly used risk assessment systems or risk assessment tools in the course of the diagnosis and treatment of oral diseases, and looks for evidence-based medicine to evaluate the commonly used risk assessment systems. The author calls for improving the current process of diagnosis and treatment, and attaching importance to the development and promotion of various risk assessment systems.

Key words: risk assessment, caries risk assessment, risk assessment of periodontitis, peri-implant disease, esthetic risk assessment

陈智, 周林芳. 口腔疾病与治疗技术的风险评估[J]. 口腔医学研究, 2022, 38(1): 1-8.

CHEN Zhi, ZHOU Linfang. Risk Assessment of Oral Diseases and Therapy[J]. Journal of Oral Science Research, 2022, 38(1): 1-8.

参考文献

[1] Albandar JM. Global risk factors and risk indicators for periodontal diseases [J]. Periodontology 2000, 2002, 29(1):177-206.
[2] American Academy of Periodontology. American Academy of Periodontology statement on risk assessment[J]. J Periodontol, 2008, 79(2):202.
[3] Meyer S. Grading of patients for surgical procedures [J]. Anesthesiology, 1941, 2:281-284.
[4] Dripps RD. New classification of physical status [J]. Anesthesiology, 1963:24.
[5] Economics CO. ASA Physical Status Classification System [Z]. 2020.
[6] Clough S, Shehabi Z, Morgan C. Medical risk assessment in dentistry: use of the American Society of Anesthesiologists Physical Status Classification [J]. Br Dent J, 2016, 220(3):103-108.
[7] Horvath B, Kloesel B, Todd MM, et al. The evolution, current value, and future of the American Society of Anesthesiologists Physical Status Classification System [J]. Anesthesiology, 2021, 135(5):904-919.
[8] Kidd E, Fejerskov O. Changing concepts in cariology: forty years on [J]. Dent Update, 2013, 40(4):277-278, 280-282, 285-286.
[9] 陈智,张露.基于龋风险评估的龋病治疗计划[J].中华口腔医学杂志,2021,56(1):45-50.
[10] 陈智,陈瑞甜. 龋病再认识[J].口腔医学研究, 2020,36(1):1-6.
[11] American Academy of Pediatric Dentistry. Guideline on caries-risk assessment and management for infants, children, and adolescents [J]. Pediatr Dent, 2016, 38(6):142-149.
[12] Featherstone JD, Domejean-Orliaguet S, Jenson L, et al. Caries risk assessment in practice for age 6 through adult [J]. J Calif Dent Assoc, 2007, 35(10):703-707, 710-713.
[13] Bratthall D, Hansel PG. Cariogram--a multifactorial risk assessment model for a multifactorial disease [J]. Community Dent Oral Epidemiol, 2005, 33(4):256-264.
[14] Tellez M, Gomez J, Pretty I, et al. Evidence on existing caries risk assessment systems: are they predictive of future caries? [J]. Community Dent Oral Epidemiol, 2013, 41(1):67-78.
[15] 周学东.牙体牙髓病学[M].北京:人民卫生出版社,2020.38.
[16] Campus G, Cagetti MG, Sale S, et al. Cariogram validity in schoolchildren: A two-year follow-up study [J]. Caries Res, 2012, 46(1):16-22.
[17] Cagetti MG, Bontà G, Cocco F, et al. Are standardized caries risk assessment models effective in assessing actual caries status and future caries increment? A systematic review [J]. BMC Oral Health, 2018, 18(1):123.
[18] Christian B, Armstrong R, Calache H, et al. A systematic review to assess the methodological quality of studies on measurement properties for caries risk assessment tools for young children [J]. Int J Paediatr Dent, 2019, 29(2):106-116.
[19] Mejàre I, Axelsson S, Dahlén G, et al. Caries risk assessment. A systematic review [J]. Acta Odontol Scand, 2014, 72(2):81-91.
[20] Senneby A, Mejàre I, Sahlin N, et al. Diagnostic accuracy of different caries risk assessment methods. A systematic review [J]. J Dent, 2015, 43(12):1385-1393.
[21] Krebs KA, Clem DS 3rd, American Academy of Periodontology. Guidelines for the management of patients with periodontal diseases [J]. J Periodontol, 2006, 77(9):1607-1611.
[22] Kye W, Davidson R, Martin J, et al. Current status of periodontal risk assessment [J]. J Evid Based Dent Pract, 2012, 12(3 Suppl):2-11.
[23] Lang NP, Suvan JE, Tonetti MS. Risk factor assessment tools for the prevention of periodontitis progression a systematic review [J]. J Clin Periodontol, 2015, 42 Suppl 16:S59-S70.
[24] American Academy of Periodontology. Comprehensive periodontal therapy: a statement by the American Academy of Periodontology[J]. J Periodontol, 2011, 82(7):943-949.
[25] Maciel LJ, Boyd LD, Giblin-Scanlon LJ, et al. Utilization of periodontal risk assessment tools in the clinical setting: knowledge, attitudes and practice behaviors of dental hygienists [J]. J Dent Hyg, 2020, 94(6):16-24.
[26] Heitz-Mayfield LJA, Heitz F, Lang NP. Implant disease risk assessment IDRA-a tool for preventing peri-implant disease [J]. Clin Oral Implants Res, 2020, 31(4):397-403.
[27] 四川大学华西口腔医院牙体牙髓病科.根管治疗难度系数临床评估标准[J].华西口腔医学杂志,2004,22(5):381-383.
[28] 周学东.成人根管系统形态与根管治疗难度评估[J].中国实用口腔科杂志,2008,1(1):5-9.
[29] Essam O, Boyle EL, Whitworth JM, et al. The endodontic complexity assessment tool (E-CAT): A digital form for assessing root canal treatment case difficulty [J]. Int Endod J, 2021, 54(7):1189-1199.
[30] 陈智,陈彬文.根管治疗后牙体修复的治疗方案选择[J].华西口腔医学杂志,2015,33(2):115-120.
[31] Jotkowitz A, Samet N. Rethinking ferrule-a new approach to an old dilemma [J]. Br Dent J, 2010, 209(1):25-33.
[32] A Dawson.牙种植学的SAC分类[M].人民军医出版社, 2009.4-15.
[33] European AODI. Cologne ABC Risk Score for Implant Treatment [Z]. 2012.
[34] Wright SP, Hayden J, Lynd JA, et al. Factors affecting the complexity of dental implant restoration-what is the current evidence and guidance? [J]. Br Dent J, 2016, 221(10):615-622.
[35] 宿玉成.美学区种植修复的评价和临床程序[J].口腔医学研究,2008,24(3):241-244.

口腔疾病与治疗技术的风险评估

Risk Assessment of Oral Diseases and Therapy

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 1

编辑推荐

Metrics