牙科护理在日本灾难医学中的作用。

Q2 Dentistry Current Oral Health Reports Pub Date : 2022-01-01 Epub Date: 2022-06-25 DOI:10.1007/s40496-022-00314-z
Junichi Yamazoe, Hisaki Naito
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引用次数: 2

摘要

审查目的:日本自然灾害频发。1995年阪神-淡路大地震后,日本迅速建立了灾难医疗体系。牙科在灾难医学中变得越来越重要。本文总结了牙科专业人员在灾害医学中的作用,强调了相关问题,并根据我们作为牙科专业人员支持重大灾害受害者的经验,确定了新的研究方向,以改善灾害救援活动。最近的研究结果:灾难后许多可预防的死亡是由吸入性肺炎引起的,而吸入性肺炎是在恶劣的生活环境下发生的。灾害医学中牙科护理的一个重要目标是防止老年人等弱势群体因灾害而死亡。这可以通过保持口腔卫生、保持和增强口腔功能(即咀嚼和吞咽)以及改善饮食的干预措施来实现,因为这些干预措施有助于预防脆弱人群营养不良和虚弱的发展。通过使用口腔内三维扫描仪和人工智能来自动获取牙科检查结果,以及通过建立数字化牙科记录的国家数据库,可以改善灾难受害者的牙科识别。鉴于预测未来30年南开海槽将发生灾难性地震,并造成比2011年东日本大地震更多的受害者,个人识别方法的进步将是必要的。摘要:通过向有需要的人提供适当的牙科护理,可以预防因吸入性肺炎导致的与灾害有关的死亡。通过使用口腔内三维扫描、人工智能和牙科记录的数字数据库,可以提高识别受害者的效率。建立和加强不同区域专业人员之间的关系将有助于优化对未来大规模灾害的多学科反应。
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Roles of Dental Care in Disaster Medicine in Japan.

Purpose of review: Natural disasters occur frequently in Japan. A disaster medical system was rapidly developed in Japan following the Great Hanshin-Awaji Earthquake in 1995. Dentistry has become increasingly important in disaster medicine. This review summarizes the roles of dental professionals in disaster medicine, highlights relevant issues, and identifies new directions for research to improve disaster relief activities based on our previous experiences as dental professionals supporting the victims of major disasters.

Recent findings: Many preventable deaths after a disaster are caused by aspiration pneumonia, which occurs against a background of factors that are compounded by a harsh living environment. An important aim of dental care in disaster medicine is to prevent these disaster-related deaths in vulnerable persons such as the elderly. This can be achieved through interventions to maintain oral hygiene, preserve and enhance oral function (i.e., chewing and swallowing), and improve the diet, since these interventions help to prevent the development of malnutrition and frailty in vulnerable people. Dental identification of disaster victims could be improved through the use of intraoral three-dimensional scanners and artificial intelligence to automate the acquisition of dental findings and through the construction of a national database of digitized dental records. Advances in personal identification methods will be needed given the prediction that a catastrophic earthquake will occur on the Nankai Trough during the next 30 years and claim more victims than the 2011 Great East Japan Earthquake.

Summary: Disaster-related deaths due to aspiration pneumonia can be prevented by providing appropriate dental care to those in need. The process of identifying victims could be made more efficient through the use of intraoral three-dimensional scanning, artificial intelligence, and a digital database of dental records. Establishing and strengthening relationships between professionals in different regions will help to optimize the multidisciplinary response to future large-scale disasters.

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来源期刊
Current Oral Health Reports
Current Oral Health Reports Immunology and Microbiology-Immunology and Microbiology (miscellaneous)
CiteScore
3.00
自引率
0.00%
发文量
20
期刊介绍: Current Oral Health Reports strives to provide state-of-the-art reviews in critical areas relevant to the study and practice of dentistry. Translational breakthroughs have their roots in the application of innovative basic science. Many of the most fruitful areas for new discoveries are at the intersection of scientific disciplines and, indeed, from quite separate scientific subject areas. The purpose of this journal is to provide readers with impactful new material in a wide range of dentally relevant disciplines that are essential to the dentally related scientist, with international authorities serving as editorial board members and section editors. Timely and current reviews of the literature, written by some of the world’s leading researchers, will address a constantly updated list of subjects that will encompass host defenses, microbiology, wound healing, systemic disease interactions, risk factors, prevention, regenerative medicine, stem cells, cancer, genetics, and aging.
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