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Improvement of Visiting Dental Care System in Dental-Medically Underserved Islands

改善牙科医疗服务匮乏岛屿的牙科就诊系统

基本信息

批准号：
12672007
负责人：
HINO Yoichi
金额：
$ 2.3万
依托单位：
Kagoshima University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2000
资助国家：
日本
起止时间：
2000 至 2002
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672007/
关键词：
Dental Medically Underserved Area Isolated Island Visiting Dental Care Adhesive Dentistry Replacement of Crown Repair of Denture Indirect Composite Material Portable Sandblaster 離島巡回歯科診療歯科接着システム携帯型サンドブラスター硬質レジン人工歯接着ブリッジ義歯修理リ

项目摘要

Toshima Village consists of seven isolated islands located on southwest sea of Japan and it is also dental-medically underserved area. The residents are inconvenienced to receive sufficient dental service since it takes more than 8 hours by ship to visit the closest dental clinic. Additionally, aging of residents makes it more difficult for them to go out islands and see a dentist. Therefore, they expect a visiting dental care that is performed two times a year. However, most of prosthodontic treatments in previous cares have resulted in temporary and interim ones because dental staff could not stay at one island for more than 2 days, and instruments and materials were insufficient to do conventional treatments. In this study, some new prosthodontic treatment methods were developed and evaluated clinically to improve the quality of visiting dental care and enhance the longevity of restorations. The methods evaluated were as follows: 1. Reinforcing systems, ready-made clasps and adhesive repair resins for repairing removable denture. 2. Air-particle abrasion with cartridge-type and portable sandblaster. 3. Surface treatment of abutment tooth with metal-core to enhance retention of replaced crown. 4. Dentin coating with new bonding resin. 5. Metal-free restorations using new indirect composites. 6. Resin-bonded fixed partial denture using composite denture teeth pontic. 7. Safety and functional transportation of instruments for treatment. Based upon the results, it was found that these methods were effective for visiting dental care in dental-medically underserved islands. It was also suggested that these methods and materials could be available for visiting dental care in urban area.

丰岛村由位于日本西南海的七个孤岛组成，也是牙科医疗服务不足的地区。居民们很难得到足够的牙科服务，因为乘船去最近的牙科诊所需要8个多小时。此外，居民的老龄化使他们更难走出岛屿去看牙医。因此，他们希望每年进行两次访问牙科护理。然而，在以往的护理中，大多数修复治疗都是临时的和临时的，因为牙科工作人员不能在一个岛上停留超过2天，仪器和材料不足以进行常规治疗。本研究旨在开发新的口腔修复治疗方法，并进行临床评价，以提高口腔修复质量，延长修复体的使用寿命。评价方法如下：1.修复活动义齿的加固系统、现成卡环和粘接修复树脂。2.空气颗粒磨损，采用刮板式和便携式喷砂机。3.金属核基牙表面处理提高全冠固位力的临床研究。4.新型粘结树脂的牙本质涂层。5.使用新型间接复合材料的无金属精炼。6.树脂粘结固定局部义齿采用复合义齿修复。7.用于治疗的器械的安全和功能运输。根据结果，发现这些方法是有效的访问牙科医疗服务不足的岛屿的牙科保健。这些方法和材料可用于城市口腔门诊。