ID 109842
Title Transcription
イワユル ビョウビョウ レンケイ ガ ソウコウ シタ ショウガイシャ ニ タイスル シュウガクテキ シカ チリョウ ニツイテ
Title Alternative
Successful Implementation of a Referral System for Multidisciplinary Dentistry for the Disabled
Author
Momota, Yukihiro Department of Oral Medicine, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kani, Koichi Department of Oral Medicine, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Takano, Hideyuki Department of Oral Medicine, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Takaishi, Kazumi Department of Dental Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Nakagawa, Hiroshi Dentistry for Patients with disability, Center for Advanced Dental Health Care, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Tomioka, Shigemasa Department of Dental Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry KAKEN Search Researchers
Kori, Yukiko Dentistry for Patients with disability, Center for Advanced Dental Health Care, Tokushima University Hospital
Hashimoto, Toshiaki Tokushima Red Cross Hinomine Rehabilitation Center for People with Disabilities
Kitahata, Hiroshi Department of Dental Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Azuma, Masayuki Department of Oral Medicine, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
病病連携
障害者歯科医療連携
集学的歯科治療
Content Type
Journal Article
Description
In recent years, the oral environments of disabled people are well maintained by dental specialists for the disabled; however, because serious conditions requiring dental therapy do occur in disabled patients, we created a referral system for multidisciplinary dentistry for the disabled. In this report, we describe the successful implementation of this referral system and the treatment outcomes of disabled patients who underwent therapy by dental specialists. The patients were 12 disabled people, comprising 9 males and 3 females, who had been undergoing dental treatment in Tokushima Red Cross Hinomine Rehabilitation Center for People with Disabilities and had visited Tokushima University Hospital between January 2010 and March 2013. Their ages ranged from 14 to 71 years old, with a mean of 32.5 years old. The most common types of disabilities were hypophrenia: 7 patients (58.3%); cerebral palsy: 4 patients (33.3%), autism: 3 patients (25.0%), malformation syndrome: 2 patients (16.7%), etc. were found. The most frequent complications were epilepsy: 5 patients (41.7%); cured patent ductus arteriosus, laryngomalacia, asthma, hypertension, and ventilatory impairment were found in 1 patient (8.3%). Regarding oral diseases, chronic periodontitis and dental caries: 11 cases (91.7%), impacted wisdom teeth and persistence of deciduous teeth: 2 cases (16.7%) and oral cancer: 1 case (8.3%), were found. Concerning treatment, tooth extraction: 11 cases (91.7%), crown restoration: 5 cases (41.7%), pulpectomy: 2 cases (16.7%) and tumor resection: 1 case (8.3%), were safely performed. The procedures were performed under intravenous sedation in 6 cases, and under general anesthesia in the other 6 cases. Our referral system may contribute to the development of low-risk dentistry for the disabled.
Journal Title
四国歯学会雑誌
ISSN
09146091
NCID
AN10050046
Publisher
四国歯学会
Volume
26
Issue
2
Start Page
35
End Page
40
Sort Key
35
Published Date
2014-02-14
FullText File
language
jpn
TextVersion
Publisher
departments
Oral Sciences
University Hospital