Abstract
We conducted treatment of dental caries and examined regulary the oral conditions of The handicapped children in two institutions of Tokyo Infant Recuperation Hospital, one, Institution A for the children with mainly cerebral palsy and the other Institution B for the children with several and multi-handicappes.
This paper concerns the investigation on the actual state of dental treatment with or without general anesthesia during the past five years, from Feb.1980 to Dec.1984.
The results obtained were as follows.
1) The average age of the children of Institution A in 1984 was less than in 1980. On the other hand, The average age of the children of Institution B in 1984was greater than in 1980.
2) In the past five years (1980-1984), only the number of patients with cerebral palsy decreased. The proportion of patients with not only cerebral palsy but epilepy, mental retardation, or other syndromes had increased.
3) The number of patients treated under general anesthesia showed a tendency to decrease. The number of patients treated at The ambalatory clinic increased.
4) The most commonly preferred kind of restoration in cases treated under general anesthesia was composite resin. The mean number of treated teeth under general anesthesia was 12.2. During the first two years, as for dental treatment at ambulatory clinic, extraction was the most common procedure. After three years, however, the most commonly preferred kind of restoration n cases treated at The ambulatory clinic was also composite resin.
5) The cases in which endodontic procedures were performed under general anesthesia decreased. On the other hand, the number of similar cases at The ambulatory clinic increased especially for permanent teeth.
6) The rate of DMF (def): The rate of D (d) (1984) decreased at both of institutions. The rate of F (f) (1984) increased, especially for the multihandicapped children.
7) CARIO STAT was used for determing the caries activity. The number of children who showed low caries activity (-∼+) increased.
