●第一章 緒論Introduction ···························· 1 第一節 預防口腔醫學的基本概念Essential Conception of PreventiveDentistry ······························ 1 一、健康的決定因素 ······················· 1 二、疾病的發展階段 ······················· 2 三、預防醫學的定義和內容 ·············· 2 四、預防口腔醫學的定義和內容 ········ 2 五、三級預防的原則 ·······················3 第二節 預防口腔醫學的發展Development of PreventiveDentistry ······························ 4 一、原始啟蒙時代 ·························· 4 二、理性發展時代 ·························· 6 三、預防口腔醫學的誕生和發展時代 ··· 6 四、21 世紀預防口腔醫學的發展時代··· 8第二章 口腔流行病學Oral Epidemiology ·················· 11第一節 概述Overview···························· 11 一、口腔流行病學的定義 ··············· 11 二、口腔流行病學的作用 ··············· 11 三、口腔流行病學的分類 ··············· 12 四、口腔流行病學的發展 ··············· 13 第二節 口腔流行病學研究方法Methods of Oral Epidemiology ··· 14 一、現況調查 ······························ 14 二、病例_對照研究······················· 15 三、隊列研究 ······························ 19 四、臨床試驗研究 ························ 21 五、口腔流行病學中的質量控制 ······ 24 第三節 口腔疾病的流行病學狀況the Epidemiology Status of OralDiseases····························· 27 一、齲病流行病學 ························ 27 二、牙周病流行病學 ····················· 34 三、其他口腔疾病流行病學 ············ 42Summary ········································ 53 Definition and Terminology·················· 54 參考文獻········································ 55第三章 口腔健康調查Oral Health Survey ················· 56 第一節 口腔健康調查基本流程和方法Basic Methods and Procedures ofOral Health Survey ················ 56 一、調查方案的設計 ····················· 56 二、調查的組織實施 ····················· 60 三、調查的質量控制 ····················· 62 四、資料的收集和處理 ·················· 64 五、調查報告 ······························ 65 第二節 口腔健康問卷調查Oral Health Related QuestionnaireSurvey······························· 66 一、口腔問卷調查的應用 ··············· 66 二、問卷結構 ······························ 67 三、問卷設計 ······························ 68 四、問卷調查的組織實施 ··············· 70 第三節 口腔健康相關生活質量的評價Oral Health Related Quality of LifeAssessment ························· 71 一、口腔健康模型 ························ 71 二、口腔健康生活質量評價方法 ······ 72 三、常用口腔健康生活質量量表 ······ 74 12 預防口腔醫學(第 3 版)四、量表翻譯和應用 ····················· 77 Summary ········································ 79 Definition and Terminology·················· 79 參考文獻········································ 79第四章 齲病預防與控制Prevention and Control of DentalCaries ·································· 81 第一節 齲病病因與發病機制Etiology and Mechanisms of DentalCaries ································ 81 一、齲病病因 ······························ 81 二、發病機制 ······························ 83 第二節 齲病風險評估與早期齲的診斷Caries Risk Assessment andDiagnosis of Incipient Caries ···· 84 一、齲病風險評估概述 ·················· 84 二、齲病風險評估方法 ·················· 84 三、早期齲的診斷 ························ 87 第三節 齲病預防與早期齲的控制Prevention of Dental Caries andControl of Incipient Caries ······· 89 一、齲病的三級預防 ····················· 89 二、齲病的預防措施 ····················· 90 三、早期齲的控制 ························ 92 第四節 齲病預防和控制的具體方法Measures for Prevention andControl of Dental Caries·········· 93 一、窩溝封閉 ······························ 93 二、預防性樹脂充填 ····················· 97 三、滲透樹脂 ······························ 98 四、氟化氨銀 ······························ 99 五、非創傷性修復治療 ················· 100Summary ······································· 103 Definition and Terminology·················103 參考文獻······································· 104第五章 氟化物與口腔健康Fluoride and Oral Health·········105第一節 概述Overview··························· 105 一、氟在自然界的分布與人體氟來源··· 105 二、人體氟代謝 ·························· 106三、氟化物的防齲機制 ·················107四、氟化物的其他生理作用 ···········108 第二節 全身應用氟化物Systemic Fluoride Application ··· 108 一、飲水氟化 ·····························109 二、食鹽氟化 ·····························110 三、牛奶氟化 ·····························112 四、氟片 ···································112第三節 局部應用氟化物Topical Fluoride Application ···· 114 一、含氟牙膏 ····························· 114 二、含氟漱口液 ·························· 115 三、含氟塗料 ····························· 116 四、含氟凝膠 ····························· 117 五、含氟泡沫 ····························· 118 第四節 氟化物防齲的安全性Safety of Fluoride in CariesControl ···························118 一、氟化物的毒性作用 ·················118 二、氟牙癥 ································120 三、應用氟化物防齲的注意事項 ·····121Summary ······································· 123 Definition and Terminology·················124 參考文獻······································· 125第六章 牙周病的預防Prevention of PeriodontalDiseases ·························· 126 第一節 牙周病的始動因素和發病機制Initial Factor and Pathogenic Mechanisms of Periodontal Diseases ···························· 126一、始動因素 ·····························126二、發病機制 ·····························127 第二節 牙周病的危險因素The Risk Factors of PeriodontalDiseases ···························· 129 一、局部危險因素 ·······················129 二、全身危險因素 ·······················129 三、社會行為危險因素 ·················130 第三節 牙周病的預防和控制Prevention and Control of Periodontal Diseases ·············131 一、牙周病的三級預防 ················· 131 二、自我口腔保健措施 ················· 131 三、專業口腔保健措施 ················· 133 四、藥物方法 ····························· 133 第四節 口臭的預防和控制Prevention and Control ofHalitosis··························134 一、口臭形成的原因 ···················· 134 二、口臭的控制和治療 ················· 136Summary ······································· 138 Definition and Terminology·················139 參考文獻······································· 140第七章 自我口腔保健Oral Health Self-care··············141第一節 刷牙Toothbrushing ····················· 141 一、牙刷 ··································· 141 二、牙膏 ··································· 143 三、刷牙方法 ····························· 145第二節 牙齒鄰面清潔Interproximal Plaque Removal ··· 147 一、牙線 ··································· 147 二、牙間隙刷 ····························· 149 三、其他牙齒鄰面清潔工具 ··········· 150 第三節 其他自我口腔保健的方法Self-care Adjuncts ················ 151 一、漱口和漱口液 ······················· 151 二、衝洗和衝牙器 ······················· 152 三、咀嚼無糖口香糖 ···················· 153 四、舌苔清潔 ····························· 153 第四節 修復及正畸患者的自我維護Implant and Denture Self-care···· 154 一、修復患者的自我維護 ·············· 154 二、正畸患者的自我維護 ·············· 155Summary ······································· 156 Definition and Terminology·················157 參考文獻······································· 158第八章 口腔癌及其他口腔疾病的預防Prevention of Oral Cancer andOther Oral Diseases················159Epidemiology and Factors Relatedto Oral Cancer·····················159 一、口腔癌的行為特征 ·················159 二、口腔癌的癌前病變 ·················162 三、口腔癌的相關致病因素 ···········163第二節 口腔癌的早期檢查、診斷和預防 Detection and Diagnosis of OralCancer and Its Prevention ·······167 一、定期檢查與早期診斷 ··············167 二、口腔癌的預防 ·······················169 第三節 其他口腔疾病的預防The Prevention of Other OralDiseases ···························· 171 一、錯 畸形的預防····················· 171 二、牙外傷的預防 ·······················174 三、牙本質敏感的預防 ·················176 四、牙磨蝕癥的預防 ····················177Summary ······································· 180 Definition and Terminology·················180 參考文獻······································· 181第九章 口腔健康促進Oral Health Promotion············182 第一節 口腔健康促進的概念The Conception of Oral HealthPromotion ·························· 182 一、健康與口腔健康 ····················182 二、健康促進與口腔健康促進 ········182第二節 口腔健康促進的內容、途徑與任務 The Contents, Routes and Tasks ofOral Health Promotion···········183 一、口腔健康促進的內容 ··············183 二、口腔健康促進的途徑 ··············184 三、口腔健康促進的任務 ··············184第三節 口腔健康促進的計劃、實施和評價 Planning, Implementationand Evaluation of Oral HealthPromotion ·························· 184 一、口腔健康促進的計劃 ··············185 二、口腔健康促進的實施 ··············185 三、口腔健康促進的評價 ··············186 第四節 健康教育與口腔健康教育第一節 口腔癌的特征和相關致病因素Health Education and Oral Health目 錄34 預防口腔醫學(第 3 版)Education ·························· 187 一、健康教育 ····························· 187 二、口腔健康教育 ······················· 188 第五節 口腔健康教育的策略和方法Strategies and Methods of OralHealth Education ·················188 一、口腔健康教育的策略 ··············188 二、口腔健康教育的方法 ·············· 189第六節 口腔健康教育的計劃、實施和評價 Planning, Implementationand Evaluation of Oral HealthEducation ·························· 190 一、口腔健康教育的計劃 ·············· 190 二、口腔健康教育的實施 ·············· 190 三、口腔健康教育的評價 ·············· 191Summary ······································· 192 Definition and Terminology·················192 參考文獻······································· 193第十章 特定人群的口腔保健Oral Health Care for the TargetPopulation ··························· 194第一節 婦幼口腔保健Oral Health Care for PregnantWomen and Young Children ····194 一、妊娠期婦女的口腔保健 ···········194 二、嬰幼兒的口腔保健 ················· 196 三、學齡前兒童的口腔保健 ··········· 199 第二節 中小學生口腔保健Oral Health Care for SchoolChildren ···························· 200 一、中小學生的特征 ···················· 200 二、常見的口腔健康問題 ·············· 201 三、口腔保健 ····························· 202第三節 老年人口腔保健Oral Health Care for the Elders··· 204 一、老年人的特征 ······················· 205 二、常見的口腔健康問題 ·············· 205 三、口腔保健 ····························· 206第四節 殘疾人口腔保健Oral Health Care for CompromisedPopulations ························ 207 一、殘疾人的特征 ·······················208二、常見的口腔健康問題 ··············208三、口腔保健 ·····························209 Summary ······································· 213 Definition and Terminology·················213 參考文獻······································· 213第十一章 社區衛生服務與社區口腔衛生服務Community Health Service and Community Oral Health Service ························· 214 第一節 社區衛生服務概述Overview of Community HealthService ·····························214 一、社區和社區服務 ····················214 二、社區衛生服務 ·······················215 第二節 社區口腔衛生服務Community Oral Health Service ··· 222 一、社區口腔衛生服務的概念 ········222 二、社區口腔衛生服務策略 ···········222 三、社區口腔衛生服務的周期 ········225 四、社區口腔衛生服務發展狀況 ·····233Summary ······································· 238 Definition and Terminology·················239 參考文獻······································· 239第十二章 口腔衛生項目管理Oral Health ProjectManagement····················241第一節 項目管理概述Overview of ProjectManagement ··················· 241 一、項目管理的發展過程 ··············241 二、項目管理的概念 ····················242 第二節 口腔衛生項目管理基本概念與基 本程序Basic Concept and Program of OralHealth Project Management·····243 一、基本概念 ·····························243 二、基本程序 ·····························244Summary ······································· 250 Definition and Terminology·················251 參考文獻······································· 251 第十三章 口腔醫療保健中的感染與控制Infection Control in DentalPractice····························252 第一節 口腔醫療保健中的感染傳播Infection Transmission in OralMedical Care ······················ 252 一、醫院感染的定義及分類 ··········· 252 二、口腔醫療保健中的傳染源 ········ 253 三、口腔醫療保健中的感染傳播 途徑 ··································· 254 四、口腔醫療保健中的易感人群 ····· 255 第二節 口腔醫療保健中的感染控制措施Measures of Infection Control inOral Medical Care ················ 255 一、患者的檢查與評價 ················· 255 二、標準預防 ····························· 256 三、口腔器械的消毒與滅菌 ··········· 260 四、口腔診療環境的消毒 ·············· 264 五、口腔醫療廢物的處理 ·············· 265 第三節 口腔醫療保健中的感染性疾病Infectious Diseases in Oral MedicalCare ································· 265 一、獲得性免疫缺陷綜合征 ··········· 265 二、乙型病毒性肝炎 ···················· 266 三、結核病 ································ 267 四、梅毒 ··································· 268 五、傳染性疾病的上報 ················· 268 第四節 新型冠狀病毒肺炎疫情期間口腔 診療的感染防控Infection Control in Oral Medical Care during Corona Virus Disease 2019 ································268一、新型冠狀病毒肺炎疫情的流行 情況 ···································268二、新型冠狀病毒肺炎的病原學和 流行病學特征 ······················· 269 三、新型冠狀病毒肺炎的臨床表現 ··· 269 四、口腔門診診療操作風險 ··········· 269 五、口腔門診治療中的防控 ··········· 269Summary ······································· 271 Definition and Terminology·················272 參考文獻······································· 272第十四章 預防口腔醫學社區教學實踐Preventive Dentistry Practice inCommunity ······················· 274第一節 預防口腔醫學社區教學基地的建設Construction of Preventive Dentistry Practice Base in Community ························ 274一、預防口腔醫學社區教學基地 建設的構想和建設 ·················274 二、預防口腔醫學社區教學基地 建設的應用和展望 ·················275 第二節 預防口腔醫學社區教學實踐教程Community Preventive DentistryPractice Instruction···············276 一、標準一致性檢驗 ···················· 276 二、口腔健康檢查 ······················· 277 三、口腔問卷調查 ······················· 278 四、個別深入訪談和小組討論 ········ 279 五、口腔健康教育 ······················· 281 六、調查資料的統計與分析 ··········· 282 七、口腔預防適宜技術 ················· 284 八、社區口腔保健計劃的制訂 ········ 286中英文專業詞彙索引··························· 288 彩圖················································ 291

傳本書是北京大學口腔醫學教材之一，供八年制口腔醫學生學習使用。教材分十四章，繫統闡述口腔預防醫學知識。首先介紹了口腔流行病學、口腔健康調查、齲病預防與控制、氟化物與口腔健康、牙周病的預防、自我口腔保健知識，然後對口腔癌及其他口腔疾病的預防、口腔健康促進、特定人群的口腔保健、社區口腔衛生服務、口腔衛生項目管理進行了繫統論述。還對口腔醫療保健中的感染與控制、預防口腔醫學社區教學實踐進行了總結。本書結合前沿新理念、新概念和新知識，以培養學生的創新性思維和提升臨床實踐能力為導向。每章後附英文小結和專業名詞英文解釋。