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Volume 63 (2009)
- Issue 5.6 Pages 247-
- Issue 4 Pages 187-
- Issue 3 Pages 109-
- Issue 2 Pages 67-
- Issue 1 Pages 1-
Volume 63, Issue 3
Displaying 1-4 of 4 articles from this issue
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Original Article
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—2003∼2007—Takanobu Nishino, Koichi Sogabe, Hiroshi Nagamatsu, Chie Onizuka, Kats ...Article type: Original Article
2009 Volume 63 Issue 3 Pages 109-114
Published: 2009
Released on J-STAGE: June 15, 2010
JOURNAL FREE ACCESSThe First Comprehensive Dentistry Department at Kyushu Dental College Hospital, designed for training residents, has accepted about 30 residents each year since 2006. Student and resident clinical training was expanded from 2008 onwards, and clinical training has changed. Many patients are required for their study. The purpose of this study is to evaluate the activities of patients which helped to advance student and resident clinical skills. The analysis was based on data in a medical informatics system and a list of patients treated. We examined five years from April 2003 to March 2008 regarding the number of patient visits. Results showed that the total number of new patients who visited the Preliminary Examination Department was 20,610 during the same five years. Their visits showed a decreasing tendency in winter season every year. A total of 3,837 new patients visited the First Comprehensive Dentistry Department during the five years. In five years, there were no significant changes except that new patient visits showed a slight decreasing tendency during the winter season. Moreover, new patients in their sixties have shown the highest turn-up ratio while those nine years old or less showed the lowest. The male/female ratio of new patients' showed more females than males. The average over five years was 36% and 64%, respectively. The new patients' place of residence was Kitakyushu city in 80% of cases, and Fukuoka Prefecture in 95%. After 2005, disease diagnosis for new patients'chief complaint remained steady. "Teeth and Dental Pulp" constituted about 40%, "Periodontal Tissue" 30%, and "Prosthodontic" and "Oral Surgery" were about 15% each. The total number of patients who visited the First Comprehensive Dentistry Department was 58,698 during the last five years. The number of patients showed a decreasing tendency every year from 2003 until 2007. Therefore, each item remained rather stable in results for the number of patients. However, it was thought necessary to continue investigations in the near future, too.View full abstractDownload PDF (366K)
Case Report
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Naoko Uemori, Yoshie Ozaki, Youko Sakakibara, Shinichi Hattori, Junich ...Article type: Case Report
2009 Volume 63 Issue 3 Pages 115-121
Published: 2009
Released on J-STAGE: June 15, 2010
JOURNAL FREE ACCESSMost dependent elderly persons die of pneumonia and it is known that about half of the cases of elderly person's pneumonia are aspiration pneumonia. In order to prevent pneumonia, improved oral function was adopted as a goal of in long-term care. We carried out a questionnaire survey concerning 279 nursing homes and investigated various questions about oral health care.
Most of the nursing home staff members understood the necessity for oral health care. However, the staff members felt insecure about performing oral health care. It was suggested that if the staff members participated in a training course for administering oral health care or could consult with dentists about oral health care at any time, they would perform oral health care with greater confidence.
These results suggested that it was important to educate staff members about oral health care and expand dentists cooperation.View full abstractDownload PDF (391K)
Review
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Kazuhiro Tominaga, Manabu Habu, Izumi YoshiokaArticle type: Review
2009 Volume 63 Issue 3 Pages 122-132
Published: 2009
Released on J-STAGE: June 15, 2010
JOURNAL FREE ACCESSAn overview of current management concepts for temporomandibular disorders (TMD) is offered in this paper. Since TMD is supposed to be a self-limiting disease, reversible and less invasive management strategies must be selected initially. Mechanisms of joint pain and jaw dysfunction are based on inflammatory reactions and muscular stiffness. Therefore, control of inflammation and pain with medication especially in the initial phase of TMD is important. TMD is thought to be a multifactored disease. Since a background of joint inflammation and/or muscular stiffness must be overloading to the jaw based on various predisposing factors including behavioral factors, the treatment therapy should include not only occlusal appliances (stabilization splints) but also patient education and orientation for behavior modification and relaxation programs that would be very worthwhile. After control of the initial inflammatory phase with medication, etc., physical stretching, manipulation, joint pumping or arthrocentesis for an increase in range of motion would be effective. The temporomandibular joint has excellent adaptation ability, which is activated by jaw movement. To accelerate joint adaptation ability, physical therapy has an important role in TMD management. Control or reduction of contributory or predisposing factors is mandatory even after reduction of the symptoms and should be continued throughout one's lifetime, as a daily routine. In compromised cases psychological management should be considered. Individuals without pain in clicking or with asymptomatic radiological abnormality but who have abnormal habits are not targets of treatment, but education for behavior modification would be advisable.View full abstractDownload PDF (1140K)
Topics
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Tetsuji NakamotoArticle type: Topics
2009 Volume 63 Issue 3 Pages 133-137
Published: 2009
Released on J-STAGE: June 15, 2010
JOURNAL FREE ACCESSDownload PDF (546K)
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