Survey and study on the value and usefulness of various dental health examinations in regional dental insurance activities.

在日本，牙齿健康检查是国家健康计划的一部分，主要针对18个月大的儿童和3岁的儿童，并对小学生和高中生进行筛查。我们的研究研究了牙齿健康检查是如何进行的，以及在接受牙齿健康检查后，参与者的牙齿行为是否发生了变化。基于这两个结果，我们调查了与口腔健康检查相关的问题。研究结果如下：1.日本各地都有针对18个月大、3岁儿童的口腔健康检查，并对小学生和高中生进行筛查，80%至98%的受试者接受了健康检查。但是，孕妇和成人的牙科健康检查实施率不到25%，因此，确诊的比率极低。接受牙齿健康检查的婴儿中，超过80%的人牙齿行为有所改善。然而，只有50%的筛查小学生、高中生和成年人在接受检查后改善了他们的牙科行为。为促进受试者的牙齿健康，未来的牙科健康检查将在体检的同时纳入仔细的个人健康指导，并引入一种方法来评估以往检查中所给予的指导的效果。孕妇和成年人的牙齿健康检查是通过各种方法进行的，具体取决于所在地区。但今后将明确客观的诊断标准、评估方法。我们建议管理局制作一本牙科健康手册，一目了然地展示每一次牙科健康检查的结果和指导。这是为了让受试者能够在他们的一生中保持和管理牙齿健康。

In Japan, dental health examinations are conducted as part of a national health program, targeting mostly 18-month-olds, 3-year-olds, and Screening school children and high school students. Our research studied how dental health examinations were conducted, and the changes if any, on the dental behavior of participants after receivings dental health examinations. Based on the two results, we investigated the problems related to dental health examinations. The findings are as follows :1. Dental health examinations targeting 18-month-olds, 3-year-olds, and Screening school children and high school students are carried out in all areas throughout Japan, with 80 to 98 percent of the subjects receivings health exams. However, the implementation rate of dental health examinations for expectant mothers and adults was less than 25 percent, and consequently, the rate of those receiving diagnosis was extremely low.2. Improvement in dental behavior was seen in more than 80 percent of infants who received dental health examinations. However, only 50 percent of less of Screening school children and high school students and adults improved their dental behavior after receiving examinations.3. To enhance the dental health of the subjects, future dental health examinations will incorporate careful individual health guidances in addition to check-ups, and introduce a method to assess the effect of the guidence given during previous examinations.4. Dentalhealth examinations for expectant mothers and adults are conducted through a variety of methods, depending on the area. From now on, however, the objective diagnostic criteria, and assessment method will be clearly defined.5. We suggest that the administration create a dental health booklet, showings at a glance the results and guidance of each dental health examination. This is so that the subjects can maintain and manage dental health throughout their lives.