提供“折衷治疗”等同于“折衷护理”还是可以被视为“适当技术”?

Leanne Sykes, Jurie Kok, Portia T Nethononda
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引用次数: 0

摘要

牙齿是一种感觉结构,在患者生活的许多不同方面发挥着作用,包括咀嚼、说话、微笑和美学。因此,它们会影响他们的功能和心理健康以及生活质量。不幸的是,由于龋齿、牙周病、牙外伤或医源性损伤,这些重要成分可能会丢失。牙科医生应尽可能提供治疗,以挽救和/或恢复受损或患病的牙齿。这可能包括直接或间接修复,牙髓治疗,牙周治疗,甚至在特定情况下再植或自体移植尽管有广泛的治疗可能性,但口腔康复往往不是所有患者都能获得、获得或负担得起的为了努力“为大多数人提供治疗”,可能需要考虑具有成本效益的程序。然而,这种成本削减不能通过“忽视合理的修复原则”来实现,需要某种形式的质量控制本文将简要回顾有争议的宫颈缘移位技术。然后,它将以此为例,说明临床医生如何辩论提供“折衷治疗”是否等同于劣质护理,或者是否可以认为它适合特定情况。他们还需要确保所选择的治疗是安全的,遵循循证原则,并仍然提供高质量的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does providing “Compromised treatment” equate to “Compromised care” or could it be considered “Appropriatech”?
Teeth are sensory structures that play a part in many different aspects of a patient’s life, including mastication, speech, smiling and aesthetics. As such they can affect both their functional and psychosocial wellbeing and quality of life. Unfortunately, these vital components can be lost due to caries, periodontal disease, dental trauma or iatrogenic damage. Dental practitioners should aim to provide treatment that will save and/or restore compromised or diseased teeth whenever possible. This may include direct or indirect restorations, endodontics, periodontal therapy and even reimplantation or autotransplantation in specific cases.1 Despite the wide range of treatment possibilities, oral rehabilitation is often not available, accessible or affordable to all patients.2 To try to “provide treatment for the many”, cost-effective procedures may need to be considered. However, this cost-cutting cannot be achieved by “ignoring sound prosthodontic principles” and needs to have some form of quality control.2 This paper will give a brief review of the controversial cervical margin relocation technique. It will then use this as an example for how a clinician can debate whether the provision of “compromised treatment” equates to inferior care, or if it could be considered appropriate for the given situation. They need to also ensure that the chosen treatment is safe, adheres to evidence-based principles and still provides quality of care.
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