Construct of bio-behavio-psycho-socio model for complete denture wearer

随着日本老年人口的快速增长，义齿的重要性越来越大。然而，这不是意义，可能只考虑物理问题来制造假牙。有必要考虑所有的主题。考虑到该主题的生物-行为-心理-社会方面是可取的。此外，老年人的状态是多种多样的，所以这些事情都应该考虑到他们义齿的制作和维护。这项研究调查了一家精神病院的假牙佩戴者，该医院设有痴呆症住院病房和一家需要护理的老年人保健机构。在原机构中，假牙佩戴者的口腔状况记录了存在、健全和缺失的牙齿数量、咬合支持、假牙佩戴、口腔日常生活活动（ADL）和假丝酵母菌的检测。痴呆分期采用HDS-R量表，ADL评分采用N-ADL量表。在后期设施检查受试者的口腔状况和口腔ADL。此外，还对各医院的护士和护理人员进行问卷调查，了解他们对口腔护理的兴趣。本研究揭示了口腔健康状况与全身健康状况的关系。假牙佩戴对痴呆患者状态的影响尚不清楚。然而，从纵向调查来看，上全口义齿的功能（上唇的支撑等）对重度痴呆患者是有效的。假牙的佩戴对护士的积极性起到了有益的作用。这些结果表明，义齿的制作和维护需要综合考虑受试者的生物-行为-心理-社会方面的综合评价。

As aged population grows rapidly in Japan, the denture becomes the importance more and more. However, it is not the meaning, which may fabricate the denture only considering the physical problem. It is necessary to consider all of subject it. It is desirable that the side of the bio-behavio-psycho-socio of the subject is considered. In addition, the status of the elderly is various, so these things should be considered the fabrication and maintenance of their denture.This study examined denture wearers in a mental hospital with a dementia hospitalization ward and a health care facility for elderly requiring care. The oral conditions of denture wearers in the former facility recorded the number of present, sound, and missing teeth, occlusal support, denture wearing, oral ADL (activity of daily living), and the detection of Candida. The stage of dementia was evaluated by HDS-R scale, and ADL was evaluated by N-ADL. The subjects in later facility were examined the oral conditions and oral ADL. Furthermore, the questionnaires were done for nurses and nursing staff of each facility, and examined the interest in oral care.This study indicated the relationship between the oral status and the status of the whole body health. The influence of denture wearing on the status of patients with dementia was not clear. However, from the longitudinal investigation, the function (the support of the upper lip etc.) of upper complete denture would be effective for the patients with severe dementia. The wearing of denture has given the beneficial effect of the motivation of the nurse. These results indicated it is important that the total evaluation considered by the side of the bio-behavio-psycho-socio of the subject is necessary for fabrication and maintenance of denture.