A study on the characteristic of dental caries, periodontal disease and oral environment in disabled children, and on their preventive care for the dental disease.

残疾儿童龋齿、牙周病、口腔环境特征及其预防护理研究。

• 批准号: 16592060
• 负责人: FUKUTA Osamu
• 金额: $ 2.24万
• 依托单位: Aichi Gakuin University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2004
• 资助国家: 日本
• 起止时间: 2004 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16592060/
• 关键词: disabled children; Severe Motor Intellectual disabilities(3); Down's syndrome; antiepileptic drug; gingival overgrowth; bacteriological examination; dental caries incidence; decalcification of tooth enamel; 重症心身障害者; 歯周疾患; 専門的口腔清掃; 歯周病関連細菌; ベリオ

The results in the study of a periodontal disease in Severe Motor Intellectual disabilities (SMID) were as follows. The gingival findings by CPI of SMID turned worse from youth than general population. The most useful factor for distinguishing between suffering from gingival overgrowth and non-gingival overgrowth were "kind of antiepileptic drug" and "oral cleaning condition". The incidence of gingival overgrowth was the highest among those taking phenytoin (PHT). The characteristic of persons suffering from gingiver overgrowth were "taking PHT and not taking valproic acid (VPA)" or 2 taking VPA and not taking PHT"; furthermore those were poor oral cleaning condition. The risk become higher when they were "female" and "in their tens". In periodontal disease - related bacteriological examination for gingival overgrowth cases, P.g., B.f. in severe cases were detected in a significantly high ratio than that of light cases.In the caries incidence rate of 3-4 years old children, the rate of the children with disabilities with disabilities was significantly higher than that of normal children. The caries incidence rate of the pre-school children were maintained low rate than that of the pre-school normal children by carrying out periodical examination and oral hygiene instruction by dental staff for 3 years.In analyzing by contact micro-radiography, decalcification depth of primary tooth enamel of normal children was deeper than that of Down syndrome children using the tooth-enamel dissolution liquid.

严重运动性智力残疾（SMID）患者的牙周病研究结果如下。SMID的CPI牙龈调查结果从青年开始比一般人群更差。最能区分牙龈增生与非牙龈增生的因素为“抗癫痫药物种类”及“口腔清洁状况”。牙龈增生的发生率是最高的服用苯妥英钠（PHT）。牙龈增生者的特征是“服用PHT而未服用丙戊酸（VPA）”或2例服用VPA而未服用PHT”;而且这些人的口腔清洁状况较差。当他们是“女性”和“十岁”时，风险更高。在牙龈增生病例的牙周病相关细菌学检查中，B.F.在3-4岁儿童龋病发病率中，残疾儿童的患龋率明显高于正常儿童。通过3年的定期检查和口腔卫生指导，学龄前儿童的患龋率均低于学龄前正常儿童，接触式显微摄影分析，正常儿童乳牙釉质脱钙深度大于唐氏综合征儿童。

项目成果

Oral Hygine Management in Institution for patients with severe motor and intellectual disabilities (SMID) or physical disabilities Part 1 : The effect of giving oral hygiene instruction to the staff of institution

机构中严重运动和智力残疾 (SMID) 或身体残疾患者的口腔卫生管理第 1 部分：向机构工作人员提供口腔卫生指导的效果

• 发表时间: 2006
• 期刊: Disability and Oral health vol.27(1)
• 作者: Kayoko Yamauchi;Toshimasa Kawai;Shinnji Tsuboi;Osamu Fukuta;Tomoyuki Tsuchiya
• 通讯作者: Tomoyuki Tsuchiya

重症心身障害者の歯肉増殖に影響を及ぼす要因の検討第2報 数量化II類による分析

关于严重精神和身体残疾者牙龈生长影响因素的第二次报告 使用 II 型定量分析

• 发表时间: 2004
• 期刊: 日本障害者歯科学会雑誌 25巻・4号
• 作者: 河合利方;山内香代子;伊藤正樹;福田 理;土屋 友幸
• 通讯作者: 土屋 友幸

肢体不自由・重症心身障害者施設における口腔衛生管理第1報 施設職員への口腔衛生指導効果

身心残疾人设施中的口腔卫生管理，第一份报告：设施工作人员口腔卫生指导的效果

• 发表时间: 2006
• 期刊: 日本障害者歯科学会雑誌 27巻・1号
• 作者: 山内香代子;河合利方;坪井信二;福田 理;土屋友幸
• 通讯作者: 土屋友幸

Factors influencing gingival overgrowth in persons with severe motor and intellectual disabilities-Part 2 Analysis by the Quantification Method of the second Type II

严重运动和智力障碍者牙龈增生的影响因素第2部分第二类II定量方法分析

• 发表时间: 2004
• 期刊: Disability and Oral health vol.25(4)
• 作者: Toshimasa Kawai;kayoko Yamauchi;Masaki Ito;Osamu Fukuta;Tomoyuki Tsuchiya
• 通讯作者: Tomoyuki Tsuchiya

Factors influencing gingival overgrowth in persons with severe motor and intellectual disabilities-Relation with phenytoin and valproic acid-

影响严重运动和智力障碍者牙龈过度生长的因素-与苯妥英和丙戊酸的关系-

• 发表时间: 2006
• 期刊: Dentistry in Japan vol.42
• 作者: Toshimasa Kawai;Kayoko Yamauchi;Kouzaburou Asou;Osamu Fukuta;Tomoyuki Tsuchiya
• 通讯作者: Tomoyuki Tsuchiya