Oral Care Situation of Handicapped Patients with Permanent Dentition
Recently, there is increasing the interest in the dental diseases of physically and mentally handicapped persons. The purpose of this survey was to learn the actual conditions of handicapped patients who were managed in our department of Showa University Dental Hospital and had permanent dentition....
Saved in:
| Published in | The Journal of Showa University Dental Society Vol. 17; no. 2; pp. 165 - 170 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Showa University Dental Society
30.06.1997
昭和大学・昭和歯学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0285-922X 2186-5396 |
| DOI | 10.11516/dentalmedres1981.17.165 |
Cover
| Abstract | Recently, there is increasing the interest in the dental diseases of physically and mentally handicapped persons. The purpose of this survey was to learn the actual conditions of handicapped patients who were managed in our department of Showa University Dental Hospital and had permanent dentition. The subjects consisted of 171 patients (average age, 18 years 4 months) who were mainly physically or mentally handicapped. The mean DMFT of the subjects was 10.94, a relatively high score, but filled teeth occupied 88.7%. Mean DMFT was different by dental stage at first visit : Group I, who visited our clinic in the primary dentition stage, showed lower DMFT than groups II and III, who visited in the mixed or permanent dentition stage. The patients who had the experience of treatment under general anesthesia showed high DMFT, but they already had high DMF (def) at first visit. With patients managed over a long term, dental caries of permanent teeth had increased after III B stage, so a more effective approach seems to be necessary for patients in this stage. |
|---|---|
| AbstractList | Recently, there is increasing the interest in the dental diseases of physically and mentally handicapped persons. The purpose of this survey was to learn the actual conditions of handicapped patients who were managed in our department of Showa University Dental Hospital and had permanent dentition.The subjects consisted of 171 patients (average age, 18 years 4 months) who were mainly physically or mentally handicapped.The mean DMFT of the subjects was 10.94, a relatively high score, but filled teeth occupied 88.7%. Mean DMFT was different by dental stage at first visit : Group I, who visited our clinic in the primary dentition stage, showed lower DMFT than groups II and III, who visited in the mixed or permanent dentition stage.The patients who had the experience of treatment under general anesthesia showed high DMFT, but they already had high DMF (def) at first visit.With patients managed over a long term, dental caries of permanent teeth had increased after III B stage, so a more effective approach seems to be necessary for patients in this stage.
近年, 心身障害児 (者) の口腔疾患に対する関心は高まってきている.当科でも, 初診来院児の2割以上を占めているのが現状である.そのうち定期的に口腔管理を受け, 現在は永久歯列に達している心身障害児 (者) 171名 (男子104名, 女子67名) を対象に調査を行った.対象児 (者) の平均年齢は18歳4か月であり, 障害の内訳では精神的障害を主症状とするものが最も多く, 次いで身体的障害, 自閉症の順であった.対象児 (者) の口腔内状況を永久歯の齲蝕罹患状況でみると, 一人平均DMF歯数は10.94歯とやや高い値を示したが, その多くは処置歯であった.初診来院時の歯年齢別に永久歯齲蝕罹患状態をみたところ, 歯年齢が低いものほどDMF歯数が低い傾向がみられ, とくに喪失歯でその傾向が顕著であった.また, 全身麻酔下での歯科治療経験のあるものは, ないものに比べて現在のDMF歯数が高くなっていたが, これは初診時のDMF (def) の高さに起因していた.乳歯列期から長期管理を受けてきた対象児 (者) の齲蝕罹患状況をみると, 混合歯列後期から永久歯齲蝕の増加傾向が明らかであったことから, 今後この時期の管理方法に検討が必要と思われた. Recently, there is increasing the interest in the dental diseases of physically and mentally handicapped persons. The purpose of this survey was to learn the actual conditions of handicapped patients who were managed in our department of Showa University Dental Hospital and had permanent dentition. The subjects consisted of 171 patients (average age, 18 years 4 months) who were mainly physically or mentally handicapped. The mean DMFT of the subjects was 10.94, a relatively high score, but filled teeth occupied 88.7%. Mean DMFT was different by dental stage at first visit : Group I, who visited our clinic in the primary dentition stage, showed lower DMFT than groups II and III, who visited in the mixed or permanent dentition stage. The patients who had the experience of treatment under general anesthesia showed high DMFT, but they already had high DMF (def) at first visit. With patients managed over a long term, dental caries of permanent teeth had increased after III B stage, so a more effective approach seems to be necessary for patients in this stage. |
| Author | YAMAZAKI, Tetsuya YAMASHITA, Noboru SASA, Ryuji INOUE, Mitsuko |
| Author_FL | 佐々 竜二 山崎 徹也 井上 美津子 山下 登 |
| Author_FL_xml | – sequence: 1 fullname: 山崎 徹也 – sequence: 2 fullname: 山下 登 – sequence: 3 fullname: 井上 美津子 – sequence: 4 fullname: 佐々 竜二 |
| Author_xml | – sequence: 1 fullname: INOUE, Mitsuko organization: Department of Pediatric Dentistry, Showa University School of Dentistry – sequence: 1 fullname: YAMAZAKI, Tetsuya organization: Department of Pediatric Dentistry, Showa University School of Dentistry – sequence: 1 fullname: SASA, Ryuji organization: Department of Pediatric Dentistry, Showa University School of Dentistry – sequence: 1 fullname: YAMASHITA, Noboru organization: Department of Pediatric Dentistry, Showa University School of Dentistry |
| BackLink | https://cir.nii.ac.jp/crid/1390001204836128640$$DView record in CiNii |
| BookMark | eNpdkMFKAzEQhoNUsNa-Qw5et2Yyu7PJUVq1SqEFe_AWspusTdmmJbsivr1bFA9evmGGb2bgv2ajeIyeMQ5iBlAA3Tkfe9sevEu-A61gBuUMqLhgYwmKsgI1jdhYSFVkWsq3KzbtulAJVKIkIByzxTrZls9t8vw19B-2D8fIjw1f2uhCbU8n7_hmmA5_Ov4Z-h3f-HSwcej5YkA4L9ywy8a2nZ_-1gnbPj5s58tstX56nt-vsr0mkZFrpBYq1yW5EhGdhrKssC6gIm9zr0QldJXnKBpvCVVNiqBxStWasEKLE3b7czaGYOpwJqAWQoAUuUICqSgXg_byo-273r57c0rhYNOXsakPdevN_8wMlEaeMQT3J9U7m4yP-A1Qy2tm |
| ContentType | Journal Article |
| Copyright | Showa University Dental Society |
| Copyright_xml | – notice: Showa University Dental Society |
| DBID | RYH |
| DOI | 10.11516/dentalmedres1981.17.165 |
| DatabaseName | CiNii Complete |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| DocumentTitleAlternate | 永久歯列を有する心身障害児 (者) の口腔管理状況 |
| DocumentTitle_FL | 永久歯列を有する心身障害児 (者) の口腔管理状況 |
| EISSN | 2186-5396 |
| EndPage | 170 |
| ExternalDocumentID | 10022003644 article_dentalmedres1981_17_2_17_165_article_char_en |
| GroupedDBID | ABJNI ALMA_UNASSIGNED_HOLDINGS DIK F5P JSF KQ8 MOJWN OK1 RJT RYH |
| ID | FETCH-LOGICAL-j960-6df29084976d7333d9177b3c51b6ea4e80b09b4430fea638c6861fd88c963b3a3 |
| ISSN | 0285-922X |
| IngestDate | Fri Jun 27 00:21:38 EDT 2025 Wed Sep 03 06:26:52 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | false |
| Issue | 2 |
| Language | Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j960-6df29084976d7333d9177b3c51b6ea4e80b09b4430fea638c6861fd88c963b3a3 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/dentalmedres1981/17/2/17_165/_article/-char/en |
| PageCount | 6 |
| ParticipantIDs | nii_cinii_1390001204836128640 jstage_primary_article_dentalmedres1981_17_2_17_165_article_char_en |
| PublicationCentury | 1900 |
| PublicationDate | 1997/06/30 |
| PublicationDateYYYYMMDD | 1997-06-30 |
| PublicationDate_xml | – month: 06 year: 1997 text: 1997/06/30 day: 30 |
| PublicationDecade | 1990 |
| PublicationTitle | The Journal of Showa University Dental Society |
| PublicationTitleAlternate | J. Showa Univ. Dent. Soc. |
| PublicationTitle_FL | 昭和歯会誌，昭歯誌 昭和歯学会雑誌 J. Showa Univ. Dent. Soc |
| PublicationYear | 1997 |
| Publisher | Showa University Dental Society 昭和大学・昭和歯学会 |
| Publisher_xml | – name: Showa University Dental Society – name: 昭和大学・昭和歯学会 |
| References | 10) 酒井信明, 宮城敦 : 欧米における障害者歯科学課題の推移 (抄). 神奈川歯誌, 28 : 530, 1993 3) 下川路知岳, 田邊義浩, 野田忠, 石倉優香 : 新潟大学歯学部小児歯科外来における精神神経系疾患を持つ患者の実態調査. 新潟歯学会誌, 23 : 37-43, 1993 5) 田村幸敬, 西村圭子, 秀島潔, 岩崎克夫, 松本隆行, 植松宏, 酒井信明, 時安喜彦, 宮城敦, 内村登, 檜垣旺夫 : 神奈川歯科大学障害者歯科開設後5年間の患者および診療の実態. 障歯誌, 11 : 27-35, 1990 9) 厚生省健康政策局歯科衛生課編 : 平成5年歯科疾患実態調査報告-厚生省健康政策局調査-. 東京, 1995, p 126 6) 山本弘敏, 小口春久, 加藤尚之, 佐藤美樹, 及川清 : 本学歯学部小児歯科外来および特殊治療部障害児部門における心身障害児の歯科疾患実態調査-第1報上原の分類I, IIおよびIII群について. 小児歯誌, 25 : 618-626, 1987 8) 荻野由美, 柳原正恵, 梅沢理絵子, 鎌田未機, 土岐裕子, 佐藤昌史, 山下登, 井上美津子, 佐々竜二 : 本学小児歯科外来患者の実態調査 (第5報) 一心身障害児の実態調査 (平成元年-平成6年). 小児歯誌, 34 : 193-200, 1996 11) 糸山昇 : 愛知県障害者コロニー中央病院における歯科診療の現況. 歯界展望, 47 : 89-94, 1976 1) 米津卓郎, 田中丸治宣, 久保周平, 河野恵, 町田幸雄, 杉山あや子, 金子譲 : 東京歯科大学忙おける障害児歯科治療の実態. 歯科学報, 96 : 381-387, 1996 2) 山田正彦, 高橋幸江, 上原智恵子, 田口洋, 野田忠 : 新潟大学歯学部小児歯科外来における来院患者の実態調査-昭和54年から昭和57年-. 小児歯誌, 22 : 373-380, 1984 7) 森川三知代, 岡本潤子, 白川美穂子, 天野秀昭, 三浦一生, 長坂信夫 : 心身障害児の歯科治療の検討-第1報本学小児歯科外来における実態. 小児歯誌, 19 : 619-626, 1981 12) 多田丞 : 京都歯科サービスセンターにおける心身障害者の歯科診療. 歯界展望, 47 : 269-278, 1976 14) 上原進 : 心身障害児 (者) の歯科診療を考える-シリーズ “心身障害者の歯科診療” のまとめとして-. 歯界展望, 47 : 592-596, 1976 4) 猪狩和子, 斎藤峻, 大西暢子, 神山紀久男 : 本学小児歯科における自閉症児および精神発達遅滞児の歯科診療の実態. 障歯誌, 12 : 164-171, 1991 13) 酒井信明 : 聖ヨゼフ病院における心身障害児の歯科診療. 歯界展望, 47 : 420-429, 1976 |
| References_xml | – reference: 10) 酒井信明, 宮城敦 : 欧米における障害者歯科学課題の推移 (抄). 神奈川歯誌, 28 : 530, 1993 – reference: 13) 酒井信明 : 聖ヨゼフ病院における心身障害児の歯科診療. 歯界展望, 47 : 420-429, 1976 – reference: 4) 猪狩和子, 斎藤峻, 大西暢子, 神山紀久男 : 本学小児歯科における自閉症児および精神発達遅滞児の歯科診療の実態. 障歯誌, 12 : 164-171, 1991 – reference: 8) 荻野由美, 柳原正恵, 梅沢理絵子, 鎌田未機, 土岐裕子, 佐藤昌史, 山下登, 井上美津子, 佐々竜二 : 本学小児歯科外来患者の実態調査 (第5報) 一心身障害児の実態調査 (平成元年-平成6年). 小児歯誌, 34 : 193-200, 1996 – reference: 11) 糸山昇 : 愛知県障害者コロニー中央病院における歯科診療の現況. 歯界展望, 47 : 89-94, 1976 – reference: 1) 米津卓郎, 田中丸治宣, 久保周平, 河野恵, 町田幸雄, 杉山あや子, 金子譲 : 東京歯科大学忙おける障害児歯科治療の実態. 歯科学報, 96 : 381-387, 1996 – reference: 2) 山田正彦, 高橋幸江, 上原智恵子, 田口洋, 野田忠 : 新潟大学歯学部小児歯科外来における来院患者の実態調査-昭和54年から昭和57年-. 小児歯誌, 22 : 373-380, 1984 – reference: 5) 田村幸敬, 西村圭子, 秀島潔, 岩崎克夫, 松本隆行, 植松宏, 酒井信明, 時安喜彦, 宮城敦, 内村登, 檜垣旺夫 : 神奈川歯科大学障害者歯科開設後5年間の患者および診療の実態. 障歯誌, 11 : 27-35, 1990 – reference: 9) 厚生省健康政策局歯科衛生課編 : 平成5年歯科疾患実態調査報告-厚生省健康政策局調査-. 東京, 1995, p 126 – reference: 3) 下川路知岳, 田邊義浩, 野田忠, 石倉優香 : 新潟大学歯学部小児歯科外来における精神神経系疾患を持つ患者の実態調査. 新潟歯学会誌, 23 : 37-43, 1993 – reference: 7) 森川三知代, 岡本潤子, 白川美穂子, 天野秀昭, 三浦一生, 長坂信夫 : 心身障害児の歯科治療の検討-第1報本学小児歯科外来における実態. 小児歯誌, 19 : 619-626, 1981 – reference: 6) 山本弘敏, 小口春久, 加藤尚之, 佐藤美樹, 及川清 : 本学歯学部小児歯科外来および特殊治療部障害児部門における心身障害児の歯科疾患実態調査-第1報上原の分類I, IIおよびIII群について. 小児歯誌, 25 : 618-626, 1987 – reference: 14) 上原進 : 心身障害児 (者) の歯科診療を考える-シリーズ “心身障害者の歯科診療” のまとめとして-. 歯界展望, 47 : 592-596, 1976 – reference: 12) 多田丞 : 京都歯科サービスセンターにおける心身障害者の歯科診療. 歯界展望, 47 : 269-278, 1976 |
| SSID | ssib038076163 ssib000872087 ssj0001815877 |
| Score | 1.3244611 |
| Snippet | Recently, there is increasing the interest in the dental diseases of physically and mentally handicapped persons. The purpose of this survey was to learn the... |
| SourceID | nii jstage |
| SourceType | Publisher |
| StartPage | 165 |
| SubjectTerms | DMFT handicapped patient permanent dentition |
| Title | Oral Care Situation of Handicapped Patients with Permanent Dentition |
| URI | https://www.jstage.jst.go.jp/article/dentalmedres1981/17/2/17_165/_article/-char/en https://cir.nii.ac.jp/crid/1390001204836128640 |
| Volume | 17 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | The Journal of Showa University Dental Society, 1997/06/30, Vol.17(2), pp.165-170 |
| journalDatabaseRights | – providerCode: PRVAFT databaseName: Open Access Digital Library customDbUrl: eissn: 2186-5396 dateEnd: 20071231 omitProxy: true ssIdentifier: ssj0001815877 issn: 0285-922X databaseCode: KQ8 dateStart: 19810101 isFulltext: true titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html providerName: Colorado Alliance of Research Libraries – providerCode: PRVBFR databaseName: Free Medical Journals customDbUrl: eissn: 2186-5396 dateEnd: 20071231 omitProxy: true ssIdentifier: ssj0001815877 issn: 0285-922X databaseCode: DIK dateStart: 19810101 isFulltext: true titleUrlDefault: http://www.freemedicaljournals.com providerName: Flying Publisher |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1La9wwEBab9NJLaWlL0zRFh96KU8vyQz6abMpuA0nAGwi9GL1M7cLuktiU9O_1j3UkeWXTB6ShF2G89lrr-Xbm02geCL2LqRahUKD98owGYI_hiLIkyGUomJSqzriN8j1PF1fxp-vkejb7MYla6jtxLL__Ma_kIVKFcyBXkyX7D5L1Xwon4BjkCyNIGMZ7yfjCZNebDKL3ZdP1nvwtTKqK5NstkMlLVzd1SGK7NHp4bbb_566Y6iCUdsTMhKGWXzbf-DR0Y-5yJ4dIT4-q84urUxeC3932XzdekYA-_1ycLS0kNHx0501AWZSFFe5d3zbT68vFclW4_SQAZz_6JFw913S3vWJ9kveYnlNxkYFFZBuqgzWy50yTrCChrs-t19HZBIvRROES12lisN3ENSH53Swk1kWh7DSAZdzoW5IzckyMdy0ZTaEPUBxEWv16R0WyKjID3FbtLjL5cQDHPfQoAtNi-ofMl2cTjpVF4ciBTYH_lAw1z6wjkJGE2Q6h_m3sIs5g1h_-MmcgTC0sH0xdiL1100w40eopejJABRduhs_QrOXP0dygEhtUYo9KvKnxBJV4h0psUIk9KrFH5Qu0-ni6OlkEQ6-OoIU1cJCqOspDFgO5VRmlVOUkywSVCRGp5rFmoQhzEcc0rDUHlS9TlpJaMSbBAAjK6Uu0v96s9SuEcx1yw9JjzmTMueRCpTyrFeVa5ypTB-jE_fJq6-qxVA8R1gE6gtdWycaMsAqyHlnTXgEYP0vj8PV_ecohejz-Pd6g_e6m10dAYjvx1oLkJ7Zsn_Y |
| linkProvider | Flying Publisher |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Oral+Care+Situation+of+Handicapped+Patients+with+Permanent+Dentition&rft.jtitle=The+Journal+of+Showa+University+Dental+Society&rft.au=INOUE%2C+Mitsuko&rft.au=YAMAZAKI%2C+Tetsuya&rft.au=SASA%2C+Ryuji&rft.au=YAMASHITA%2C+Noboru&rft.date=1997-06-30&rft.pub=Showa+University+Dental+Society&rft.issn=0285-922X&rft.eissn=2186-5396&rft.volume=17&rft.issue=2&rft.spage=165&rft.epage=170&rft_id=info:doi/10.11516%2Fdentalmedres1981.17.165&rft.externalDocID=article_dentalmedres1981_17_2_17_165_article_char_en |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0285-922X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0285-922X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0285-922X&client=summon |