口腔病学会雑誌
Online ISSN : 1884-5185
Print ISSN : 0300-9149
68 巻, 4 号
選択された号の論文の10件中1~10を表示しています
  • 早川 巖
    2001 年 68 巻 4 号 p. 283-287
    発行日: 2001/12/30
    公開日: 2010/10/08
    ジャーナル フリー
  • 山崎 統資, 石川 博之, 玉盛 康香, 有福 愛美, 長内 彩子, 佐野 麻美子, 足達 淑子, 三浦 佳子, 大谷 明子, 溝口 玲子, ...
    2001 年 68 巻 4 号 p. 288-293
    発行日: 2001/12/30
    公開日: 2010/10/08
    ジャーナル フリー
    Patients with dysphagia typically have poor oral health. Because of improper swallowing, they cannot easily and safely clean their mouths. As a solution for such a problem, a manual toothbrush with both irrigation and suctioning functions has been developed, called the “e-Brush®”. The purpose of this study was to evaluate the cleaning effectiveness of the new e-Brush (9 mm and 11 mm in bristle length) for removing supragingival plaque, compared with a conventional toothbrush, GUM # 211 by Butler. In this study, 12 subjects (12 female of average age 20.6) were selected, and plaque control record (PCR) and scrubbing method were used.
    The following results were obtained
    1. Significant differences (p<0.05) were recognized between e-Brush/9 mm (55.54±18.27%) and the others (e-Brush/11 mm : 30.88±8.14%, GUM # 211: 35.42±9.32%) .
    2. Bristles 9 mm in length were more effective than 11 mm bristles (p<0.05) .
    3. Irrigation/suctioning function is more effective than the conventional tooth-brushing method.
    4. The irrigation function of e-Brush was meritorious in making almost all users comfortable.
    These results suggest that this new oral hygiene device, “e-Brush/9 mm”, is effective for improving oral care management for patients with dysphagia.
  • 篠塚 修, 関口 五郎, 玉盛 康香, 稲田 穣, 山崎 統資, 大山 喬史
    2001 年 68 巻 4 号 p. 294-299
    発行日: 2001/12/30
    公開日: 2010/10/08
    ジャーナル フリー
    The purpose of this study was to examine narrowing of the dental pulp cavity in patients undergoing long-term administration of steroids, by means of intraoral radiographs.
    The subjects were 20 patients under long-term steroid treatment (the steroid group), and 15 patients who were not receiving steroids (the non-steroid group), who visited the Clinic for Persons with Disabilities, University Hospital, Faculty of Dentistry, Tokyo Medical and Dental University, between April 1994 and March 2000. The dental pulp cavity was divided into the coronal area and the root area. Narrowing of each area was classified into three stages by means of intraoral radiographs (0, none ; 1, moderate ; 2, severe) . Maxillary and mandibular dentition was divided, for purposes of analysis, into anterior, premolar, and molar areas, respectively. The narrowing of each part was statistically compared between the steroid group and the non-steroid group, using the Mann Whitney U-test.
    Mean age ± SD of the steroid group and the non-steroid group was 50.5 ± 17.3 and 51.8 ± 14.1, respectively. There was no significant difference in mean age between the steroid group and the non-steroid group (t-test) .
    Narrowing of the dental pulp cavity in the steroid group was significantly greater than in the non-steroid group, except in the root area of the molar part.
    Since there was no significant difference in mean age between the steroid group and the non-steroid group, the greater narrowing in the steroid group was concluded to be attributable to the long-term administration of steroids.
  • 園田 秀一, 長澤 宏和, 小泉 智宏, 笠井 美香子, 根津 由加利, 三浦 宏之, 天笠 光雄, 田上 順次, 川口 陽子
    2001 年 68 巻 4 号 p. 300-306
    発行日: 2001/12/30
    公開日: 2010/10/08
    ジャーナル フリー
    Dental treatment and oral health care were performed on inhabitants in the north area of Ishigaki Island in Okinawa. There are no dentists in the area at present. One hundred sixty-six patients received treatment taking 528 man-days, during the period from November 9 to December 8, 2000.
    The area has 2 primary schools and 1 junior high school. The average DMFT of the children in the primary schools was 1 and in the junior high school it was 4.98. Compared with Japanese national survey data, the children in the area had a higher DMFT. Among the treatment procedures, the rate of conservative treatment was 62%, most of which was composite resin filling. Preventive measures for dental disease were offered to the inhabitants by means of topical fluoride application or oral health education.
    The period of this promotion was too short to perform complete dental treatment and to prevent caries and periodontal disease. It seems that primary prevention and higher dental hygiene education are needed for inhabitants in no-dentist areas, because the inhabitants do not have access to dental service easily.
  • 田村 道子, 佐藤 尚弘, 品田 佳世子, 三浦 宏之, 川口 陽子
    2001 年 68 巻 4 号 p. 307-312
    発行日: 2001/12/30
    公開日: 2010/10/08
    ジャーナル フリー
    A dental care service program for homebound elderly patients has been operating since 1988 in Shinjuku-ku, Tokyo. The purpose of this study was to clarify the characteristics of patients who received this dental care service. Based on a survey questionnaire and treatment card from April 1995 to March 1999, we analyzed the characteristics of patients. The following conclusions were obtained.
    1. We studied 301 patients (males, 124; females, 177) . The average age of the patients was 81.2±9.0 years. Eighty-four percent of the patients had a medical history.
    2. Oral hygiene was practiced by 68% of the subjects: 78% by themselves, and 22% by caregivers. Half of the patients (53%) brushed their teeth every day, and one-third (32%) did not.
    3. The mean number of DMF teeth was 25.4 (DT, 1.6; MT, 20.5; FT, 3.3) .
    4. About eighty percent (79%) of the patients had removable dentures, and one-third of them were upper and lower complete dentures.
    5. The chief complaint of homebound elderly was the denture problem (73%) . Therefore, the care provided at the bedside was mainly denture-related treatments,
    6. Average times for visiting were 5.1.
    7. Sixty-eight percent of the patients requested home dentist's visitation for dental care service, and 80% of the requested dentists performed such treatment.
    8. Seventy-eight percent of the elderly patients were satisfied with the service program.
    This dental care program for homebound elderly patients seemed to work well. However, to meet needs for the expanding number of aged persons and to make it coincide with the new health and welfare scheme, reform of the program might be necessary.
  • 岡野 伸彦, 馬場 一美, 秋重 智司, 大山 喬史
    2001 年 68 巻 4 号 p. 313
    発行日: 2001/12/30
    公開日: 2010/10/08
    ジャーナル フリー
  • 鳥居 秀平, 阿部 達彦, 野澤 亜希子, 鹿野 俊一, 柴田 俊一, 山下 靖雄
    2001 年 68 巻 4 号 p. 314
    発行日: 2001/12/30
    公開日: 2010/10/08
    ジャーナル フリー
  • 西頭 英起, 一條 秀憲
    2001 年 68 巻 4 号 p. 315
    発行日: 2001/12/30
    公開日: 2010/10/08
    ジャーナル フリー
  • 小村 健
    2001 年 68 巻 4 号 p. 316
    発行日: 2001/12/30
    公開日: 2010/10/08
    ジャーナル フリー
  • 小野 繁
    2001 年 68 巻 4 号 p. 317
    発行日: 2001/12/30
    公開日: 2010/10/08
    ジャーナル フリー
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