A Survey on the Present Situation in the Pediatric Dental Clinic of the First Visit Patients Referred from the Medical Clinics in Iwate Medical University Hospital

  • Matumoto Hiroki
    Department of Pediatric Dentistry, School of Dentistry, Iwate Medical University
  • Kakuta Hatsue
    Department of Pediatric Dentistry, School of Dentistry, Iwate Medical University
  • Natubori Hiroyuki
    Department of Pediatric Dentistry, School of Dentistry, Iwate Medical University
  • Harada Rikako
    Department of Pediatric Dentistry, School of Dentistry, Iwate Medical University
  • Mutou Rina
    Department of Pediatric Dentistry, School of Dentistry, Iwate Medical University
  • Tanaka Mitsuro
    Department of Pediatric Dentistry, School of Dentistry, Iwate Medical University

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  • 本学小児歯科外来における医学部附属病院からの紹介患者の実態調査

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Abstract

The purpose of the investigation was to pursue the most suitable dental treatment for the patients with general diseases and the desirable system for them of collaboration between the pediatric dental clinic and the medical clinics.<BR>The subjects were th e 100 child patients who were referred to the pediatric dentistry clinic from the medical clinics in the Iwate Medical University Hospital.<BR>The following results were obtained by this su rvey.<BR>1. The number of the first visit patients with ge neral diseases decreased 20% during these four years.<BR>2. Highest the ratio of patients with neoplastic diseases of all of the patients referred was 36.0%. The second highest was that of patients with cardiovascular disorders.<BR>3. Among the medical clinics in the Iwate Medical University Hospital that referred patients to the pediatric dental clinic, the pediatric clinic accounted for 67.0% which was the highest and reached about 80.0% if the pediatricians in the Circulatory Organ Medical Center are included.<BR>4. The age distribution was almost the same as that of total first visit patients.<BR>5. The most common reason for visit of patients with general diseases was the check up (40.0%), followed by dental treatment for caries (29.0%).<BR>6. The number of dental caries of these patients was larger than that of the average Japanese child surveyed by the Ministry of Health, Labor and Welfare and the severity also exceeded the average.<BR>This survey suggested the necessity for a proper oral treatment of patients with general d iseases. As many of these patients are young compromised hosts, the dental profession must continue a appropriate oral treatment from early age with enough understanding of the general state through close communication with the doctor in charge.

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