type: misc

label: url

en: 歯科医師・歯科衛生士養成機関における禁煙介入教育の課題と展望

ja: 歯科医師・歯科衛生士養成機関における禁煙介入教育の課題と展望

en: 口腔衛生会誌

ja: 口腔衛生会誌


en: 学校歯科保健支援ICTシステムを用いた学校歯科保健活動

ja: 学校歯科保健支援ICTシステムを用いた学校歯科保健活動

en: 日本学校歯科医会会誌

ja: 日本学校歯科医会会誌


en: 口臭の診断と口臭治療

ja: 口臭の診断と口臭治療

en: Shikoku Dental Research

ja: 四国歯学会雑誌


en: 本で発売された口腔内使用無煙タバコ(スヌース)に関連する資料

ja: 本で発売された口腔内使用無煙タバコ(スヌース)に関連する資料


en: 口腔で使用される無煙タバコの健康被害とタバコ対策への影響

ja: 口腔で使用される無煙タバコの健康被害とタバコ対策への影響


en: 歯科口腔保健領域におけるたばこ対策の更なる推進のために ─歯科医師および歯科衛生士による禁煙指導・禁煙支援の文献レビューによる今後の禁煙推進活動への提言─

en: Journal of Dental Health

ja: 口腔衛生学会雑誌


en: フィンランドの医療・福祉分野におけるICTの活用

ja: フィンランドの医療・福祉分野におけるICTの活用


en: 歯科保健調査結果の防煙活動への有効活用についての提言

ja: 歯科保健調査結果の防煙活動への有効活用についての提言

en: Japanese Journal of Smoking Control Science

ja: 禁煙科学


en: Oral Care by Dental Professionals for Patients Undergoing Respiratory Care at Tokushima University Hospital Intensive Care Unit

ja: 徳島大学病院ICUにおける歯科専門職による口腔ケアの取り組み

en: Intensive oral care during the perioperative period can reduce oral biofilm, which represents a risk factor for respiratory diseases such as aspiration and ventilator-associated pneumonia. The aim of this study was to establish a standardized procedure for oral care in order to reduce the risk of infectious disease complications in inpatients undergoing respiratory care in the Intensive Care Unit (ICU) of Tokushima University Hospital. In collaboration with nurses, professional oral care was provided once a day to inpatients at high risk of respiratory infections. At the initial oral examination, the majority of patients in the ICU had dry lips, and showed a tongue coating and the presence of oral debris (i.e., dental plaque and/or sputum) on tooth and oral mucosa surfaces. In addition, we sometimes observed ulcer formation in the oral mucosa as well as tooth mobility, which are conditions that ICU staff members should pay attention to when fixing the endotracheal tube. Our professional oral care procedure reduced oral debris, dry mouth, and oral malodor to some extent in the majority of ICU patients. Close cooperation between dental professionals, nurses, and medical doctors was promoted through this activity. In conclusion, the multi-professional team approach adopted in this study means that patients in the ICU can be provided with advanced oral care, and it may contribute to reduce the risk of infectious disease complications.

ja: 近年,誤嚥性肺炎をはじめとする呼吸器疾患が注目されている.肺炎は,高齢者や重症者の直接の死因となることが多く,これを予防するために口腔ケアが有効であることは広く認識されている.特に,周術期医療の分野では,人工呼吸器関連肺炎(VAP)の起炎菌の多くが口腔内細菌由来であり,VAP予防のための口腔ケアの重要性が見直されている.徳島大学病院では,Intensive Care Unit(ICU)入室患者の口腔からの感染症のリスクを軽減すること,ICUにおける口腔ケアの基準化を図ることを目的として,平成19年9月よりICUにて専門的口腔ケアを開始した.ICU入室患者の中でも特に感染のリスクが高い患者を対象に,看護師と協働して毎日実施している.初回の口腔ケア実施時,半数以上の者に口唇乾燥,歯面への歯垢・歯石の付着,歯面・口腔粘膜への喀痰の付着,舌苔が認められ,口腔粘膜の潰瘍形成や歯の動揺など,日常のケアあるいは挿管チューブの固定の際に注意すべき問題点も認められた.専門的口腔ケアを行った結果,半数以上の者で歯面への歯垢・歯石の付着,歯面・口腔粘膜への喀痰の付着,頬粘膜乾燥,口臭について改善が認められた.多職種連携によって,ICUにおける専門的口腔ケア実施回数は月ごとに増加している.今後,さらに医科・歯科の連携を深め,ICUにおける専門的口腔ケアの高度化を図ることが重要であると考えられる.


en: Influence of smoking on osseointegrated implant failure: a meta-analysis

en: The aim of this study was to examine the influence of smoking on osseointegrated implant failure by performing a meta-analysis. A computerized literature search using PubMed database (in English) and Japana Centra Revuo Medicina (in Japanese) was carried out to identify all relevant studies. Among 175 studies identified and chosen for detailed review, 19 were appropriate for inclusion in our meta-analysis. When smokers were compared with non-smokers, odds ratio (OR) for osseointegrated implant failure was significantly elevated (OR 2.17, 95% confidence intervals (CI), 1.67-2.83). Seven studies were appropriate to examine the influence of intra-oral location (maxillary arch vs. mandibular arch) of implant failure on smoking. The OR for implant failure occurring in the maxillary arch was significantly elevated (OR 2.06, 95% CI, 1.61-2.65), whereas the OR in the mandibular arch did not demonstrate a significant increased risk associated with smoking (OR 1.32, 95% CI, 0.72-2.4). Our meta-analysis revealed a significant relationship between smoking and the risk of osseointegrated implant failure, more particularly those implants located in the maxillary arch.

en: Clinical Oral Implants Research

ja: Clinical Oral Implants Research


en: Professional Oral Care of Inpatients by Members of the Nutrition Support Team in Tokushima University Medical and Dental Hospital

ja: 徳島大学病院栄養サポートチームにおける専門的口腔ケアの取り組み

en: As members of the Nutrition Support Team (NST) at Tokushima University Medical and Dental Hospital, we have worked on professional oral care (POC) with our inpatients. Also, we started bedside POC with inpatients after studying their health and nutrient intake. This led us to have a closer working relation with ward staff and improve the oral care provided by nurses during their routine work. The results of the first oral examination of 43 inpatients we have included so far showed that the percentage of oral problems such as tongue coating, debris, dental plaque, calculus, expectoration, dry mouth, and bad breath were considerably high. Many of these oral conditions were thought to be related to the patients' physical conditions. After POC, however, improvements in patients' oral conditions were noted in more than 50 percent of the cases. Consequently, it can be said that the POC provided by the NST has not only improved the oral hygiene condition of patients but also nurtured closer working relations among departmental staff in the hospital.

ja: われわれは徳島大学医学部・歯学部附属病院の栄養サポートチーム(NST)の一員として,入院患者の専門的口腔ケアに取り組んできた.NSTの一員として,患者の病態や栄養摂取状況を把握したうえでベッドサイドの専門的口腔ケアを開始したことにより,病棟スタッフとの緊密な連携や,日常看護で行う口腔ケアの改善にもつながった.これまでに介入した43症例について「初診時に認められた口腔内の問題点」を集計した結果,「舌苔」「食渣・歯垢・歯石」「喀痰」「口腔乾燥」「口臭」が高い割合で認められることがわかった.これらの症状の多くは全身の病態と関連するものと考えられるが,専門的口腔ケアの介入後,症例の50%以上で症状の軽減が認められた.以上の結果から,NST活動を通した専門的口腔ケアは個々の症例における口腔衛生状態を改善するだけでなく,病院内の多職種連携の強化に役立つことが示された.


en: 予防歯科臨床における定期的口腔健康管理

ja: 予防歯科臨床における定期的口腔健康管理


en: 口腔疾患及び歯科治療に対する喫煙の影響

ja: 口腔疾患及び歯科治療に対する喫煙の影響


en: 骨結合型インプラント治療の予後に対する喫煙の影響 文献的考察から

ja: 骨結合型インプラント治療の予後に対する喫煙の影響 文献的考察から


en: 口臭診査·治療の実際

ja: 口臭診査·治療の実際


en: 歯周病原性細菌の産生する熱ショック蛋白質

ja: 歯周病原性細菌の産生する熱ショック蛋白質


en: International Survey Regarding Oral Health Care in Facilities for Elderly in the Dental Hygiene Student Exchange Program

en:
Background: In 2010, Tokushima University School of Dentistry concluded an academic agreement with Metropolia University of Applied Sciences (Metropolia UAS), which offers degree programs of oral health in Finland. We have collaborated through the student exchange program to foster the knowledge of future global dental hygienists in both schools. In this study, we carried out a survey on the attitude of the dental hygiene students regarding oral health care in facilities for the elderly to develop a new international education program for dental hygiene students.
Materials and Methods: The questionnaire on oral health care in facilities for the elderly was given out to the exchange students of Metropolia UAS and students of Tokushima University. Ninety-one (91) dental hygiene students of Metropolia UAS and fifty-six (56) dental hygiene students of Tokushima University participated in this study and statistical analysis were carried out.
Results: One hundred forty-seven (147) students from both schools participated in the survey. 80.2% of the students from Metropolia UAS and 69.6% of the students from Tokushima University chose "Moderate" and "Bad" to the questions of "What is your opinion about the current state of oral health care in health care facilities for the elderly?". There was no statistically significant difference in the answer to the question "Could you work in a health care facility for the elderly as a dental hygienist?" from students of both schools. There was also a statistically significant difference observed by Chisquared test in the answer of "Do you think that your knowledge of oral health care for the elderly is sufficient?" and the answers of free writing which suggested that Metropolia UAS students have a more positive attitude towards the knowledge of oral health care for the elderly than Tokushima University students.
Conclusion: The results of this international questionnaire survey suggested that many students of Metropolia UAS can be considered to have enough knowledge of oral health care for elderly when compared with students of Tokushima University.

en: Journal of Oral Health and Biosciences

ja: Journal of Oral Health and Biosciences

misc_type: others


en: A Report of Participation and Activity in International Week Meeting Held by Helsinki Metropolia University of Applied Sciences

ja: ヘルシンキ・メトロポリア応用科学大学主催International Week会議への参加・活動報告


en: 徳島県における2歳児歯科健康診査の有用性に関する調査

ja: 徳島県における2歳児歯科健康診査の有用性に関する調査

en: 四国歯学会誌

ja: 四国歯学会誌


en: 歯周病原細菌由来熱ショックタンパク質の病原性

ja: 歯周病原細菌由来熱ショックタンパク質の病原性

en: Dental Outlook

ja: 歯界展望