Study on Factors for Not Having a Regular Examination after Dental Treatment under General Anesthesia

In order to promote regional collaboration in special needs dentistry, we conducted a questionnaire survey to clarify the cause of not having a regular examination after dental treatment under general anesthesia.The subjects of the survey were 691 patients who had finished dental treatment at our cl...

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Published inJournal of the Japanese Society for Disability and Oral Health Vol. 41; no. 1; pp. 29 - 34
Main Authors MUKAI, Chikako, TANAKA, Kenji, MURAKAMI, Jumpei, AKIYAMA, Shigehisa, HIROSE, Yosuke
Format Journal Article
LanguageJapanese
Published The Japanese Society for Disability and Oral Health 29.02.2020
一般社団法人 日本障害者歯科学会
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ISSN0913-1663
2188-9708
DOI10.14958/jjsdh.41.29

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Abstract In order to promote regional collaboration in special needs dentistry, we conducted a questionnaire survey to clarify the cause of not having a regular examination after dental treatment under general anesthesia.The subjects of the survey were 691 patients who had finished dental treatment at our clinic and had been referred back to their primary dental clinic. Among them, questionnaires were mailed to 250 patients for whom it was not possible to confirm regular examination at their primary dental clinic. The contents of the survey included the status of dental visits after dental treatment at our clinic, the reasons for not having a regular examination, and the evaluation of satisfaction with dental treatment under general anesthesia at our clinic. The questionnaire collection rate was 36.4% (91/250 people). Among them, 42 patients did not go to their primary dental clinic. The unexamined rate was high for preschool children, elementary school children, and home patients. By referral, secondary special care dental clinics were the highest. Regarding the reason for not having a regular examination, 16 patients described “busy and no suitable time,” followed by “it is difficult to adapt to dentistry” (11 patients), “there is no problem in the mouth” (6 patients), and “had a school check-up” (2 patients).In the satisfaction survey of unexamined patients, over 90% were satisfied with informed consent regarding general anesthesia and dental treatment. However, not all patients who showed high satisfaction had regular examinations. These findings suggest it is necessary to raise awareness of the importance of regular examinations after dental treatment and to further strengthen regional collaboration.
AbstractList In order to promote regional collaboration in special needs dentistry, we conducted a questionnaire survey to clarify the cause of not having a regular examination after dental treatment under general anesthesia.The subjects of the survey were 691 patients who had finished dental treatment at our clinic and had been referred back to their primary dental clinic. Among them, questionnaires were mailed to 250 patients for whom it was not possible to confirm regular examination at their primary dental clinic. The contents of the survey included the status of dental visits after dental treatment at our clinic, the reasons for not having a regular examination, and the evaluation of satisfaction with dental treatment under general anesthesia at our clinic. The questionnaire collection rate was 36.4% (91/250 people). Among them, 42 patients did not go to their primary dental clinic. The unexamined rate was high for preschool children, elementary school children, and home patients. By referral, secondary special care dental clinics were the highest. Regarding the reason for not having a regular examination, 16 patients described “busy and no suitable time,” followed by “it is difficult to adapt to dentistry” (11 patients), “there is no problem in the mouth” (6 patients), and “had a school check-up” (2 patients).In the satisfaction survey of unexamined patients, over 90% were satisfied with informed consent regarding general anesthesia and dental treatment. However, not all patients who showed high satisfaction had regular examinations. These findings suggest it is necessary to raise awareness of the importance of regular examinations after dental treatment and to further strengthen regional collaboration.
In order to promote regional collaboration in special needs dentistry, we conducted a questionnaire survey to clarify the cause of not having a regular examination after dental treatment under general anesthesia.The subjects of the survey were 691 patients who had finished dental treatment at our clinic and had been referred back to their primary dental clinic. Among them, questionnaires were mailed to 250 patients for whom it was not possible to confirm regular examination at their primary dental clinic. The contents of the survey included the status of dental visits after dental treatment at our clinic, the reasons for not having a regular examination, and the evaluation of satisfaction with dental treatment under general anesthesia at our clinic. The questionnaire collection rate was 36.4% (91/250 people). Among them, 42 patients did not go to their primary dental clinic. The unexamined rate was high for preschool children, elementary school children, and home patients. By referral, secondary special care dental clinics were the highest. Regarding the reason for not having a regular examination, 16 patients described “busy and no suitable time,” followed by “it is difficult to adapt to dentistry” (11 patients), “there is no problem in the mouth” (6 patients), and “had a school check-up” (2 patients).In the satisfaction survey of unexamined patients, over 90% were satisfied with informed consent regarding general anesthesia and dental treatment. However, not all patients who showed high satisfaction had regular examinations. These findings suggest it is necessary to raise awareness of the importance of regular examinations after dental treatment and to further strengthen regional collaboration. 障害者歯科医療における地域連携を促進する目的で,全身麻酔下による歯科治療を終了したが,その後の定期検診を受診しなかった患者の未受診の原因を明らかにするために,アンケートにより調査を行った.調査対象は,当診療所にて歯科治療が終了し,かかりつけ歯科医院に逆紹介した患者691名とした.そのうち,かかりつけ歯科医院への定期検診受診が確認できなかった患者250名に対してアンケート用紙を郵送した.調査内容は当診療所での治療終了後の歯科受診状況,未受診にいたる理由,および当診療所の全身麻酔下歯科治療の満足度の評価などとした.アンケート回収率は36.4%(91/250名)であった.そのうち,かかりつけ歯科医院への未受診患者は42名であった.未受診率は未就学児,小学生および在宅患者で高く,紹介先別では2次医療機関に紹介した症例が多かった.定期検診の未受診にいたる要因として,「忙しい,時間が合わない」が16名,「歯科治療への適応行動が困難である」11名,「口腔内に問題がないから」6名,「学校検診を受けているから」2名などの理由が挙げられた.未受診患者の満足度調査では全身麻酔に関するインフォームドコンセントや治療内容に関しては90%以上満足していた.しかし,高い満足度を示した患者のすべてが定期検診を受診していたわけではなかった.以上より,今後も治療終了後の定期検診の重要性を改めて啓発し,さらなる地域連携を強化する必要があるものと思われた.
Author MURAKAMI, Jumpei
AKIYAMA, Shigehisa
TANAKA, Kenji
HIROSE, Yosuke
MUKAI, Chikako
Author_FL 田中 健司
向井 千加子
秋山 茂久
廣瀨 陽介
村上 旬平
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  organization: Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry
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  fullname: MURAKAMI, Jumpei
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  organization: Sakai Special Needs Dental Clinic
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References 2) Solanki N, Kumar A, Awasthi N, et al. Assessment of oral status in pediatric patients with special health care needs receiving dental rehabilitation procedures under general anesthesia:A retrospective analysis. J Contemp Dent Pract 2016;17:476-9.
5) 小笠原 正,川瀬聡一朗,脇本仁奈,他.全身麻酔下歯科治療後の歯科保健管理の中断要因の検索.障歯誌 2012;33:42-6
3) Oh TJ, Nam OH, Kim MS. Oral health of patients with special health care needs after general anesthesia:A 25-year retrospective study. Pediatr Dent 2018;40:215-9.
4) 厚生労働省.平成28年国民健康・栄養調査.https://www.mhlw.go.jp/file/04-Houdouhappyou-10904750-Kenkoukyoku-Gantaisakukenkouzoushinka/kekkagaiyou_7.pdf(参照2019-7-31)
7) 平成30年度版障害者白書.https://www8.cao.go.jp/shougai/whitepaper/h30hakusho/zenbun/pdf/s3_1-3.pdf(参照2019-7-31)
12) 知念すみれ,上原由和,宮城愛美,他.当センターにおける全身麻酔下歯科治療後の歯科的管理の実態について~第3報~(抄).障歯誌 2019;40:324
6) 堀川淳子,枝川伸子,畑中有希,他.全身麻酔下歯科治療後の定期検診受診率の実態調査(抄).障歯誌 2013;34:312.
11) 石山未紗,横山瑛里香,櫨 万紀子,他.本学小児歯科での全身麻酔下歯科治療に関する保護者の意識調査.小児歯誌 2017;55:358-63
1) Chen CY, Chen YW, Tsai TP, et al. Oral health status of children with special health care needs receiving dental treatment under general anesthesia at the dental clinic of Taipei Veterans General Hospital in Taiwan. J Chin Med Assoc 2014;77:198-202.
8) 平成23年度厚労科研・厚生科学特別研究.歯科口腔保健の推進に関する総合的な研究.https://www.mhlw.go.jp/seisakunitsuite/bunya/kenkou_iryou/kenkou/shikakoukuuhoken/dl/07.pdf#search(参照2019-7-31)
10) Mac GP, Burke E, McCallion P, et al. Dental attendance among older adults with intellectual disabilities in Ireland. Spec Care Dentist 2014;34:265-72.
9) 戸井尚子,砂川秀樹,勝連義之,他.当センターにおける全身麻酔後の歯科的管理について(抄).障歯誌 2013;34:408
References_xml – reference: 7) 平成30年度版障害者白書.https://www8.cao.go.jp/shougai/whitepaper/h30hakusho/zenbun/pdf/s3_1-3.pdf(参照2019-7-31)
– reference: 9) 戸井尚子,砂川秀樹,勝連義之,他.当センターにおける全身麻酔後の歯科的管理について(抄).障歯誌 2013;34:408.
– reference: 3) Oh TJ, Nam OH, Kim MS. Oral health of patients with special health care needs after general anesthesia:A 25-year retrospective study. Pediatr Dent 2018;40:215-9.
– reference: 5) 小笠原 正,川瀬聡一朗,脇本仁奈,他.全身麻酔下歯科治療後の歯科保健管理の中断要因の検索.障歯誌 2012;33:42-6.
– reference: 8) 平成23年度厚労科研・厚生科学特別研究.歯科口腔保健の推進に関する総合的な研究.https://www.mhlw.go.jp/seisakunitsuite/bunya/kenkou_iryou/kenkou/shikakoukuuhoken/dl/07.pdf#search(参照2019-7-31)
– reference: 11) 石山未紗,横山瑛里香,櫨 万紀子,他.本学小児歯科での全身麻酔下歯科治療に関する保護者の意識調査.小児歯誌 2017;55:358-63.
– reference: 12) 知念すみれ,上原由和,宮城愛美,他.当センターにおける全身麻酔下歯科治療後の歯科的管理の実態について~第3報~(抄).障歯誌 2019;40:324.
– reference: 10) Mac GP, Burke E, McCallion P, et al. Dental attendance among older adults with intellectual disabilities in Ireland. Spec Care Dentist 2014;34:265-72.
– reference: 1) Chen CY, Chen YW, Tsai TP, et al. Oral health status of children with special health care needs receiving dental treatment under general anesthesia at the dental clinic of Taipei Veterans General Hospital in Taiwan. J Chin Med Assoc 2014;77:198-202.
– reference: 2) Solanki N, Kumar A, Awasthi N, et al. Assessment of oral status in pediatric patients with special health care needs receiving dental rehabilitation procedures under general anesthesia:A retrospective analysis. J Contemp Dent Pract 2016;17:476-9.
– reference: 4) 厚生労働省.平成28年国民健康・栄養調査.https://www.mhlw.go.jp/file/04-Houdouhappyou-10904750-Kenkoukyoku-Gantaisakukenkouzoushinka/kekkagaiyou_7.pdf(参照2019-7-31)
– reference: 6) 堀川淳子,枝川伸子,畑中有希,他.全身麻酔下歯科治療後の定期検診受診率の実態調査(抄).障歯誌 2013;34:312.
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SubjectTerms General anesthesia
Regular examination after dental treatment
Special needs
Title Study on Factors for Not Having a Regular Examination after Dental Treatment under General Anesthesia
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