Present Status of Conservative Treatments by the Home Dental Care Team of Dental University Hospital

• Published in: Ronen Shika Igaku Vol. 10; no. 1; pp. 49 - 55
• Main Authors: Fukai, Koichi, Inaba, Tomoyoshi, Asanuma, Naoki, Shinkai, Koichi, Hata, Yoshiaki, Katoh, Yoshiroh, Ezura, Akira, Kurokawa, Hiroomi, Oonuma, Tomoyuki
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of Gerodontology 31.07.1995; 一般社団法人 日本老年歯科医学会
• Subjects: Clinical statistics; Conservative treatment; Dental home care; Home care patient; 保存処置; 在宅患者; 在宅歯科診療; 臨床統計
• ISSN: 0914-3866; 1884-7323
• DOI: 10.11259/jsg1987.10.49

The purpose of this study was to investigate the conservative treatment by the home dental care team of the Nippon Dental University at Niigata. The main subject of this investigation was the dental home and hospital care performed by the team in the first semester between September 1, 1987 and December 31, 1993. The yearly mean rate of each dental home care was 54.1% in prosthetics, 12.8% in oral surgery, 10.7% in conservative treatment and 17.3% in others. In the case of treatment included hospital care, 38.7% was in prosthetics, 32.1% in oral surgery, 16.0% in conservative treatment and 8.9% in others. Due to the level of general care for the patients in the hospital, the rate of oral surgery and conservative treatment under local anesthesia by hospital care was greater than by home care. Concerning treatment for patients of 70 years and older, the rate of prosthetics was the highest and the rate of conservative treatment was low. On the other hand, in regard to patients less than 70 years old, the rate of oral surgery and conservative treatment was high and the rate of prosthetics was low. Since patients who were at least 70 years old accounted for about 70% of the total, the low rate of conservative treatment might be affected by the patient/age factor. In order to investigate home care conservative tre atment in more detail, 39 patients were selected on the condition of having 10 or more teeth at the first oral examination and requiring conservative treatment. According to the investigation of the conservative treatment performed on these patients, the following results were obtained: the total number of teeth requiring treatment was 194 and the mean was 5.0. The total number of teeth treated by December 31, 1993 was 87 and the mean was 2.2. Consequently, the treatment rate required was 44.9%. The total number of teeth treated by home care was 45 (51.7%) and that by hospital care was 42 (48.3%). Composite resin and glassionomer cement restorations accounted for 80% of all operative treatment performed on 81 teeth. In endodontic treatment (24 teeth), 10 were treated by pulpectomy and the others by infected root canal treatment. On the basis of this investigation, it is recommended that the conservative treatment system should be reevaluted to improve home dental care.