@article{oai:mdu.repo.nii.ac.jp:00000900,
 author = {笠原, 浩},
 issue = {3},
 journal = {松本歯学},
 month = {Dec},
 note = {application/pdf, In a conventional dental service system, a patient used to visit a dental office, and receive treatment on a dental chair. Recently, however, it has been promoted extensively that dentists visit home-bounded patients for the following reasons. 1) In light of the growing population of the aged, patients who have limited mobility and can not easily visit an ordinary dental clinic, so called bed-bounded elderly and so on, are on the increase rapidly. 2) The general public has recognised "the pleasure of eating" as a major factor for the quality of life, and are taking a growing interest in dental health. 3) The authorities concerned are promoting visiting health and medical care extensively. For instance, the Ministry of Health and Welfare has newly established the section of visiting medical care in the social insurance system. 4) People have become aware of the effects of the visiting dental service through the achievements of advanced dental surgeons. It should be indicated that the promoting of the visiting dental service brings several advantages to the dental profession which are listed as follows. 1) It would widely expand the dental service which has been limited to a dental office in the community up until now. 2) The dental profession would gain a better understanding of the necessity of the turnabout from conventional "repairing dentistry" to "comprehensive dentistry". 3) The dental profession would realize that their objects are "human", and that they are not only working to treat "bad teeth", but also serve patient's total health and the quality of life. 4) It would reinforce the idea of teamwork between the dental profession and other health, medical and welfare workers. However, there are several serious problems in today's visiting dental service. These problems have to be solved for the development of tomorrow's dentistry to continue. 1) The medical problems: Objects of the visiting dental service are often high risk patients. A unprepared treatment might bring the patient into danger. 2) The dental problems: Equipment is restricted by portability. Delicate procedures are difficult without dental chair and adequate lighting. Easy low quality treatment would be apt to be justified in such a situation. 3) The social problems: The visiting dental service is not a paying business under the social insurance system. And yet, community health care systems have not been established for adequate dental service. Hospital dentistry which has back-up ability for primary care by general practitioners is absent in almost all communities.},
 pages = {249--257},
 title = {在宅歯科医療},
 volume = {20},
 year = {1994}
}