障害者の口内法X線撮影に対する適応性に関与する要因の検討

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  • A Study on Factors Relating with Adaptation to Intraoral Radiograph in the Handicapped

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This study was performed to make clear factors relating with adaptation to intraoral radiograph in the handicapped. We observed behaviors of the handicapped as taking roentgen photographs intraorally and analyzed. The subjects were 24 mentally retarded, but without motor disability patients, average age 23.3±13.3 years old. They were taken roentgen photograph of their upper and lower anterior teeth intraorally, and their behavior were recorded with VTR and evaluated. Each subject was examined his/her developmental level with Enjoji's Infant Analytic Development Test. We also surveyed their type of handicap, behavior management method in previous dental situation, number of visit, chronological age and sex. Those factors were analyzed according to the Akaike's Information Criterion (AIC). The results were as follows: (1) 15 patients (62.5% of the subjects) were able to accept without any restraint, and 5 patients (20.8% of the subjects) accepted by holding the patient's head. But, 4 patients (16.7% of the subjects) showed maladjusted behaviors, and it was impossible to take a roentgen photograph intraolly. (2) The most participate factor in adaptation were behavior management methods in previous dental situation, Those who had accepted dental treatment without any special behavior management methods or with only diluted nitrous oxide, were apt to accept intraoral radiograph. (3) Also, there were close correlation between the developmental level and the adaptability. It was that evaluating developmental level of the patient, especially in understanding of speech, personal relationship or speech ability should be useful means to make an estimate his/her adaptability. The readiness for intraoral radiograh might be expected at 3 years and 10 months in understanding of speech, 3 years and 6 months in personal relationship, or in speech ability. Those observation suggest that a handicapped patient who possesses a cirtain readiness, even if displayes maladjusted behaviors at the biginning, should be induced to accept intraoral radiograph with positive approach.

収録刊行物

  • 松本歯学

    松本歯学 21 (2), 195-201, 1995-08-30

    松本歯科大学学会

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