大学病院小児歯科における低年齢児初診患者の実態調査

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  • An Investigation of the Actual Conditions During the Initial Visit of Patients Under 3 years of Age at the Pedodontics of Dental College Hospital

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Recent surveys on pediatric dentistry in university hospitals have revealed an increase in the number of patients under three years of age. It has thus been speculated that the overall prevalence of patients under three years old is on the rise. Ages under three years are a critical period for primary teeth eruption. However, the norm for dental treatment is three years of age or older, and the treatment of patients younger than this is considered difficult.<BR>We conducted a dental survey of first-visit pat ients under three years of age who consulted the Department of Pediatric Dentistry, Suidobashi Hospital of Tokyo Dental College over a period of five years and six months from January 1999 to investigate chief complaints and reasons for visiting the hospital, and obtained the following results:<BR>1) The minimum age of patients was 1 month. The peak age of patients was between a year and a half and two years of age.<BR>2) The most common complaint was caries, followed by injury. The number of patients seeking caries treatment increased after a year and a half of age; injury was found in every age bracket except for those under six months old. Most cases with these and other chief complaints required diagnoses and treatment by pediatric dentists.<BR>3) Approximately 30% of the patients was referred from general dental practitioners, and another 30%came for consultation without referral.<BR>4) The main areas of residence comprised 23 wards in Tokyo.<BR>The majority of the patients who visit the Departmen t of Pediatric Dentistry of university hospitals at an early age require diagnosis, treatment, and long-term maintenance by pediatric dentists. It is considered therefore that university hospitals play an important role in providing specialized dental treatment for those patients.

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