口腔ケアのコンセプト・システム・スキルとその効果

抄録

Oral cavity is a reservoir of the microorganisms in human body. If someone have dental caries involving dental pulp or periodontal disease, oral microorganisms easily enter inside the body and might cause bacteremia. If someone have masticatory disturbance and swallowing disturbance (dysphagia), oral microorganisms easily enter the respiratory tract. In order to prevent such disadvantages, it is important to manage the oral function for patients undergone several medical treatments. Medical primary doctors and primary nurses first refer their patients to the dental practitioners. Dental practitioners, such as dentists and/or dental hygienists treat their dental caries, periodontal diseases, masticatory disturbance and swallowing disturbance. Clinical, biological and social effects of the oral management for patients undergone several medical treatments is well recognized. Oral management for patients undergone several medical treatments not only prevent local oral infections but also prevent systemic inflammations and symptoms, reduce the usage of anti–bacterial drugs, and diminish the hospital stay of the patients. Oral management for patients undergone several medical treatments is not a simple action, it is a concept. The concept of oral management is supported by systems and skills. Therefore, medical primary doctors and primary nurses should understand the concept, systems, and skills, and trigger the systems of oral management.