@article{oai:mdu.repo.nii.ac.jp:00001333,
 author = {笠原, 浩 and 渡辺, 達夫 and 副島, 之彦 and 伊沢, 正彦 and 気賀, 康彦 and 中島, 秀明 and 山本, 卓二 and 平井, 健},
 issue = {1},
 journal = {松本歯学},
 month = {Apr},
 note = {application/pdf, Several dentists in our department visited eleven institutions for the handicapped including three nursing homes, two training institutions, four special schools for mentally retarded children, and two special hospitals for severely handicapped patients, and examined the oral condition of every person in each. Four of the institutions had been controlled by our dental health care system with circuit check-up every four months. Eight hundred and fifty eight handicapped people were examined. The number of non-caries teeth, decayed teeth, restrated teeth and extracted teeth were recorded, and the condition of prosthetics, gingivae and oral cleanliness were evaluated. The data in each institution were compared with the others. The following findings were obtained; 1. The condition of dental caries varied widely with institution. In some institutions, almost all caries except first degree had been treated and toothache or teeth-loss by caries was nonexistent. However, in other institutions, many severely decayed teeth were left untreated, and many persons suffered from pain or gingival inflammation. 2. The average number of untreated decayed teeth was only about two in four institutions where the teeth of the residents are controlled by our dental health care system with the circuit dental check-up. Even in severely handicapped people it was remarkably smaller than the average normal Japanese. On the other hand, in the institutions where the teeth had not been cantrolled the dental health of the residents was very poor. The average of untreated decayed teeth was eight or nine. 3. Comparison with two other similar institutions showed that these remarkable differences were associated with the presence of the dental health care system and an appropriate supply of dental treatment. 4. The condition of prosthetics also differed widely. In some institutions, many people were using fixed bridges or dentures. But in the remainder, even the handicapped with extensive tooth-loss were left untreated. Their skillfulness with a removable denture appeared to depend upon the nature and degree of their disability, and it seemed essential to have an understanding dentist for them. 5. On the condition of gingiva and oral cleanliness, there were definite gaps among the institutions. In the controlled institutions even the severely handicapped who could not handle a tooth brush could maintain a clean oral cavity and good oral health by the help and assistance of understanding personnel in the institution. The abnormal growth of the gingiva due to the anti-convulsion agent had been checked in those institutions. 6. To recover and maintain the good oral health of the handicapped, we consider our dental health care system with circuit dental check-up to be one of the most useful measures.},
 pages = {79--91},
 title = {障害者のための地域歯科医療体制の確立をめざす実践的研究 第1報 施設入所中の障害者の歯科的健康状態の実態調査},
 volume = {12},
 year = {1986}
}