2019 Volume 32 Issue 3 Pages 189-196
In Japan, which has become a super-aging society, the number of care recipients after diseases such as cerebral infarction is increasing. The field of life also changes as the patient's medical condition progresses. Many patients suffer from declines in their physical and mental functions after the onset of disease, and so it is necessary to carry out various rehabilitation programs for them to return home or return to society.
In dentistry, positive and therapeutic responses as well as palliative and terminal measures are required in order to promote the health of patients and maintain and improve their quality of life. Recently, the number of elderly people presenting with implants in the mouth is increasing. To promote true health, it is essential to ensure that the remaining teeth and prosthetic devices cannot interfere with oral function. In addition, implant prostheses must contribute to the improvement of chewing function and oral hygiene must be maintained. For patients who have difficulty going to a hospital and cannot perform self-care, oral hygiene management by carers and oral function management by home dental care are required. However, home dental care such as home medical care and home oral care has not yet become sufficiently widespread. This paper describes 1)important points in implant treatment in a super-ageing society, and 2)considerations for patients after implant treatment, and the following three issues : 1)Who, when, and how to do maintenance? 2)How to convey information about the implant to the carers? 3)How should the patient be treated after implant treatment in the terminal phase?
