牙及牙槽外科:舒适治疗的先锋

Dentoalveolar surgery: The pioneer of comfortabletreatment

牙及牙槽外科作为最经典的口腔学科,伴随医学模式的发展和患者需求的递进,在国内舒适化治疗开展伊始即以吸入和静脉镇静为切入点参与其中。舒适治疗作为诊疗理念是指:以现代医学的核心模式为基础,以技术结合人文关怀和心理舒缓为手段,努力达成使患者轻松、舒畅和愉悦地接受诊疗及康复全过程。舒适化治疗是为使患者能够达到舒适治疗目标的临床技术手段。主要包括但不限于:行为管理技术、无痛注射技术、局部麻醉技术、镇痛技术、镇静技术、全身麻醉技术和微创治疗技术。牙及牙槽外科今后在舒适治疗领域应全流程引入舒适治疗理念;以围手术期为轴,采用各种无痛、局部麻醉和镇静技术,实施微创化手术,运用术后疼痛管理策略,注重术后康复以期达到患者舒缓放松地接受诊疗。同时亦应关注医务人员的职业工作风险,对符合人体工学的体位、心理状态疏解给予重视。使牙及牙槽外科在舒适治疗领域作为先锋学科,为口腔医学发展做出应有的贡献。

With the development of modern medical model and the progression of patients′needs,dentoalveolar surgery,as the most classic speciality of stomatology,has been involved in the development of comfortable therapy in China from the very beginning with inhalation and intravenous sedation as the entry point.As a diagnosis and treatment concept,comfortable therapy is to make patients feel relaxed,comfortable and pleasant in the whole process of diagnosis,treatment and rehabilitation thgrough combining technology with humanistic care and psychological relief based on the core model of modern medicine.It consists of clinical techniques that mainly include but not limited to:behavioral management,painless injection,local anesthesia,analgesic techniques,sedation,general anesthesia,and minimally invasive treatment techniques.Dentoalveolar surgery should introduce the concept of comfortable treatment in the whole process in the future.Preoperatively,a variety of painless,local anesthesia and sedation techniques should be used.Intraoperatively,minimally invasive surgery should be performed.Postoperatively,pain management strategies should be taken and attention shoud be paid to the postoperative rehabilitation to achieve a soothing and relaxing experience for patients.Also,attention should be paid to the occupational risks of medical staff,including emphasizing ergonomic positions as well as psychological state de⁃escalation.It is expected that dentoalveolar surgery will contribute to the development of stomatology as a pioneering discipline in the field of comfortable treatment.