歯科大学附属の地域医療支援病院が果たす役割

• Published in: 口腔顎顔面外傷 : 日本口腔顎顔面外傷学会誌 Vol. 16; no. 1; pp. 9 - 13
• Main Authors: 野村, 武史, 片倉, 朗, 西山, 明宏, 酒井, 克彦
• Format: Journal Article
• Language: Japanese
• Published: 日本口腔顎顔面外傷学会 2017; Japanese Society of Oral and Maxillofacial Traumatology
• Subjects: Community medicine support hospital; Elderly person; Fracture of jaw; 地域医療支援病院; 顎骨骨折; 高齢者
• ISSN: 1347-9903; 2434-3366
• DOI: 10.24787/jsomft.16.1_9

Our department of dentistry and oral surgery, Tokyo Dental College Ichikawa General Hospital, received 309 cases of oral and maxillofacial fracture from 2011 to 2015. Elderly patients （over 65 years old） comprised 19.9％ of those cases. Patients who had fallen comprised 72％ of cases among elderly patients, and some injuries were complicated by a condylar process bone fracture of the lower jaw. Many requests of the correspondence to customariness of the need of nursing care elderly person or obsolete temporomandibular joint dislocation were recognized separately from bone fractures in the outpatient department, too. There are 1,610 nursing facilities in that demographic division of medical services. 10％ of patients were residents of those facilities, and 85％ had medical histories that included complications such as mental illnesses, neurologic diseases, or cerebrovascular diseases. Consequently, there was a delay in dealing with temporomandibular joint dislocations.The role of the community medicine support hospital includes providing training for local healthcare workers in areas other than those offering medical care to new patients and providing emergency care. The role of a hospital attached to a dental college with a high number of oral and maxillofacial trauma patients is significant. We provide information concerning the appropriate initial response to oral and maxillofacial trauma, and informational and training sessions focusing on temporomandibular joint dislocations for medical and nursing personnel through medical workshops. It is important for a hospital attached to a dental college to promote the prevention of oral and maxillofacial trauma and provide training to perform early and appropriate treatment.