口腔病学会雑誌
Online ISSN : 1884-5185
Print ISSN : 0300-9149
70 巻, 4 号
選択された号の論文の8件中1~8を表示しています
  • 荒木 孝二
    2003 年 70 巻 4 号 p. 215-217
    発行日: 2003/12/30
    公開日: 2010/10/08
    ジャーナル フリー
  • 倉林 亨
    2003 年 70 巻 4 号 p. 218-223
    発行日: 2003/12/30
    公開日: 2010/10/08
    ジャーナル フリー
  • 森川 理
    2003 年 70 巻 4 号 p. 224-233
    発行日: 2003/12/30
    公開日: 2010/10/08
    ジャーナル フリー
    This study examined the optimum occlusal contacts of implant prostheses to maintain good oral condition after treatment.
    Three subjects who had two contiguously missing teeth (first and second molars) were selected. The displacement path of the implant, the adjacent tooth and the antagonistic tooth during clenching were measured using the type M-3 three-dimensional tooth displacement transducer. The occlusal contacts of implant prostheses changed according to the following four conditions. A contact: the inner inclination of the upper buccal cusp, B contact: the inner inclination of the upper lingual cusp, C contact: the outer inclination of the upper lingual cusp, and ABC contact: including the above three contacts. The measurements were performed at least six months after implant surgery.
    In each subject, the implants and the adjacent teeth were not affected by the change of the occlusal contact of the implant prosthesis, but the opposing teeth were affected. In the case of implantation in the lower side, the opposing tooth displaced in the buccal direction with A contact and C contact, which was a different direction to that of the natural tooth. The antagonist with B contact displaced in the lingual direction, which was the same direction as that of the natural tooth. The antagonist with ABC contact displaced in the lingual or buccal direction.
    It is concluded that the occlusal adjustment of implants needs much care: in the case of only A contact or C contact, nonphysiological distortion might occur in periodontal tissues of the opposing teeth of the implant.
  • 三輪 全三, 馬場 一美, 稲田 穣, 宮本 智行, 和達 礼子, 新井 直也, 鵜澤 成一, 西村 はるみ, 月野 さなえ, 落海 真喜枝 ...
    2003 年 70 巻 4 号 p. 234-241
    発行日: 2003/12/30
    公開日: 2010/10/08
    ジャーナル フリー
    In 2002, the Dental Hospital of Tokyo Medical and Dental University set up a working group for risk management. This working group analyzed 225 incident and accident reports submitted to the hospital in 2001 and 2002. Each report was analyzed with regard to“type, ”“place, ”“reporter, ”“severity, ”and“cause”in order to diagnose hospital safety and prevent future incidents and accidents.
    The cause of incidents and accidents was analyzed using the SHEL model, where S stands for Software, H for Hardware, E for Environment, and L for Liveware. The severity of the consequence was classified into 6 levels, where level 0=“error not applied, ”level 1=“not affected, ”level 2=“watch and see or additional test, ”level 3=“treatment, ”level 4=“aftereffect, ”and level 5=“death.”The incidents and accidents judged to have potentially high risk were given a score of “+ H, ”irrespective of the level.
    The results of the analyses revealed that most of the incidents and accidents happened in“wards, ”“operation rooms, ”and“oral surgery clinics.”This is probably because the incident and accident reporting system is well established by nurses working in these clinics. Additional analysis revealed that most of the reports were written and submitted by nurses. The frequencies of“treatment procedure, ”“misuse of dental instruments, ”“mis-prescription, ”“falling down” and“needlestick”related incidents and accidents were the highest and were caused mainly by L and S. There were only 3 accidents above level 4, however, less severe cases were given a score of +H due to the high potential risk involved.
  • 戸原 玄, Jeffrey B. Palmer, Kelly Reynolds, Keith V. Kuhlemeier, Sara Pal ...
    2003 年 70 巻 4 号 p. 242-248
    発行日: 2003/12/30
    公開日: 2010/10/08
    ジャーナル フリー
    A simple, broadly applicable, standardized dysphagia severity scale would be useful to standardize dysphagia evaluations, to monitor recovery and efficacy of treatment and to study the consequences of dysphagia. We developed a global Dysphagia Severity Scale (DSS) from videofluorographic swallowing studies which included subjective clinical ratings of functional swallowing. We rated laryngeal penetration/aspiration (P/A) and pharyngeal retention (PR), and then assessed methods for scoring severity of P/A and PR and for combining them in a global scale. Each method was tested by correlation with overall clinical severity ratings. The highest correlations were found by : 1) scoring P/A based on which foods were aspirated (no aspiration or penetration ; penetration only ; thin liquid aspiration ; thick liquid, pudding, or chewed solid food aspiration ; 2) scoring PR based on how much food was retained (none ; minimal ; moderate ; severe) ; and 3) combining P/A and PR by taking the higher of the two scores as the final DSS rating. The final global DSS score and the clinical severity rating correlated well (r=0.71) . This proposed scale shows promise for rating global dysphagia severity.
  • 細道 純, 中浜 健一, 森田 育男
    2003 年 70 巻 4 号 p. 249
    発行日: 2003/12/30
    公開日: 2010/10/08
    ジャーナル フリー
  • 新藤 健太郎, 川島 伸之, 須田 英明
    2003 年 70 巻 4 号 p. 250
    発行日: 2003/12/30
    公開日: 2010/10/08
    ジャーナル フリー
  • 渡邊 英明, 品田 佳世子, 川口 陽子
    2003 年 70 巻 4 号 p. 251
    発行日: 2003/12/30
    公開日: 2010/10/08
    ジャーナル フリー
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