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  [in Japanese] The Case Report of Fixed Prosthetic Treatments on a Cohen Syndrome Patient under General Anesthesia  [in Japanese]

Access this Article

Search this Article

Author(s)

    • 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

Abstract

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.

Journal

  • Nihon Hotetsu Shika Gakkai Zasshi

    Nihon Hotetsu Shika Gakkai Zasshi 43(2), 232-235, 1999-04-10

    Japan Prosthodontic Society

References:  9

Codes

  • NII Article ID (NAID)
    10008172633
  • NII NACSIS-CAT ID (NCID)
    AN00197911
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    03895386
  • Data Source
    CJP  J-STAGE 
Page Top