Abstract
It was revealed that oral hygiene influenced the onset of perioperative complications. The need of perioperative oral management aiming at the outbreak decrease in treatment complications and an early discharge was recognized. As a result, perioperative oral management fee was founded at revision of medical service fees in Fiscal year 2012. It was admitted that dentistry was important to the medical postoperative complications prevention. This enforces oral management until a discharge before hospitalization by medical department dentistry cooperation, and it is thought that it was recommended that complications are prevented.
It is thought that the health care services provided by health insurance introduction of the item which established an important point for the prevention was timely for dentistry to do preventable illness such as periodontal disease or the caries if targeted for treatment very much.
We discussed 222 patients who calculated perioperative oral management fee a year of from April, 2012 to March, 2013 for observation and the characteristic and problems in department of Dentistry and Oral Surgery, University Hospital of Occupational and Environmental Health. We relate it to position improvement of dentistry for increase in number of patients by appealing to the society for importance of perioperative oral management. It is necessary for the dentist to deepen the understanding for the disease from head to foot because we let you recognize the importance to the medical department side enough concretely, and the medical department medical attendant introduces a patient to the dentistry side smoothly. It is necessary to build the patient introduction method that it is simple and easy as possible, and there are few burdens for the medical department medical attendant of the origin of introduction.
We will evaluate validity and the effect of the oral management method of our course in future. I want to appeal for the need of the oral management team foundation in connection with in-hospital Respiratory Support Team and Nutrition Support Team.