全身麻酔下でのCohen症候群患者のブリッジによる補綴治療の1症例 The Case Report of Fixed Prosthetic Treatments on a Cohen Syndrome Patient under General Anesthesia

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著者

    • 吉田 隆義 YOSHIDA Takayoshi
    • 東京医科歯科大学歯学部歯科補綴学第2講座 Department of Prosthodontics II , Faculty of Dentistry, Tokyo Medical and Dental University
    • 中村 全宏 NAKAMURA Zenkou
    • 東京都立東大和療育センター歯科 Section of Hospital Dentistry, Tokyo Metropolitan Higashi-yamato Medical Center for the Severely Disabled
    • 北川 尚 KITAGAWA Takashi
    • 東京都立東大和療育センター歯科 Section of Hospital Dentistry, Tokyo Metropolitan Higashi-yamato Medical Center for the Severely Disabled
    • 真柳 昭紘 MAYANAGI Akihiro
    • 東京医科歯科大学歯学部歯科補綴学第2講座 Department of Prosthodontics II , Faculty of Dentistry, Tokyo Medical and Dental University
    • 長谷川 成男 HASEGAWA Shigeo
    • 東京医科歯科大学歯学部歯科補綴学第2講座 Department of Prosthodontics II , Faculty of Dentistry, Tokyo Medical and Dental University

抄録

The dental treatments of severely disabled patients who cannot understand the necessity of dental treatments are very difficult due to behavior problems. It is important to find solutions of oral hygienic problems for such patients who have muscle hypoactivity in the oral region and dislike teeth brushing. Removable prostheses are also not applicable to these patients because of lack of understanding and accidental swallowing. Therefore, treatment with a fixed prosthesis is effective. A Cohen syndrome patient was treated with an almost full fixed prosthesis having a small number of abutment teeth under general anesthesia at dental clinic of Tokyo Metropolitan Higashiyamato Medical Center for the Severely Disabled. The results were as follows:<BR>1. In biting and occlusal adjustment, the mandible of the patient had to be guided to the proper mandibular position by the operator. It was effective to maintain the intercuspal position of upper and lower left second molar teeth during treatment. However, it was very difficult to judge whether the position guided to by the operator is appropriate.<BR>2. Functional restorations including better posture, lip closure and swallowing were obtained after treatment.

収録刊行物

  • 日本補綴歯科學會雜誌 = The journal of the Japan Prosthodontic Society

    日本補綴歯科學會雜誌 = The journal of the Japan Prosthodontic Society 43(2), 232-235, 1999-04-10

    Japan Prosthodontic Society

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各種コード

  • NII論文ID(NAID)
    10008172633
  • NII書誌ID(NCID)
    AN00197911
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03895386
  • データ提供元
    CJP書誌  J-STAGE 
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