Development of a Dental Health Care Program for Socially Withdrawn People : The Results of a Qu estionnaire Survey

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  • KOMATSUZAKI Akira
    Department of Community and Preventive Dentistry, The Nippon Dental University, School of Life Dentistry at Niigata
  • EZURA Akira
    Department of Comprehensive Dental Care, The Nippon Dental University, Niigata Hospital
  • KUROKAWA Hiroomi
    Department of Comprehensive Dental Care, The Nippon Dental University, Niigata Hospital Home-Visit Dental Care Team, The Nippon Dental University, Niigata Hospital
  • TANAKA Akira
    Department of Oral and Maxillofacial Surgery, Nippon Dental University, Niigata Hospital
  • FUJII Kazuyuki
    Dental Anesthesia and General Health Management, The Nippon Dental University, Niigata Hospital
  • ONO Sachie
    Department of Comprehensive Dental Care, The Nippon Dental University, Niigata Hospital
  • SUZUKI Minako
    Department of Oral and Maxillofacial Surgery, Nippon Dental University, Niigata Hospital
  • YOSHIOKA Hiroo
    Department of Comprehensive Dental Care, The Nippon Dental University, Niigata Hospital
  • OKADA Takumi
    Niigata Dental Association
  • NOMURA Takashi
    Niigata Dental Association

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Other Title
  • 社会的ひきこもり者の歯科保健医療に関する検討 : ひきこもり者に対する質問紙調査の結果から
  • シャカイテキ ヒキコモリ シャ ノ シカ ホケン イリョウ ニ カンスル ケントウ : ヒキコモリ シャ ニ タイスル シツモンシ チョウサ ノ ケッカ カラ

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Abstract

 This study was undertaken to explore the association between a retreat from normal social interactions and oral diseases in withdrawn people, and to examine the need to support them. For these purposes, a questionnaire survey was conducted involving a total of 133 people. The respondents included withdrawn people who participated in various programs, friendly supporters, and members of the general public. <br> They had participated in some programs designed to support socially withdrawn persons and had used Ibasho (open rehabilitation home set up exclusively for people with behavioral or emotional problems by a support group). <br> Socially withdrawn people tend to be oversensitive, and this may cause dental examinations to be more stressful. To investigate this, salivary amylase activity (SAA) levels, which can be used as a marker of sympathetic nervous system activity, were measured before and after oral examination, and after dental health guidance given to 19 subjects at the Ibasho home. The degree of psychological tension in subjects was assessed based on the results. <br> Of the withdrawn people, 77% replied that prolonged withdrawal had had an adverse effect on their dental and oral health. About 80% of the withdrawn people said that support from the dental profession was necessary. Asked whether a dental health care program could be beneficial for withdrawn patients, 71% replied in the affirmative. More than 60% of the withdrawn and former withdrawn respondents expressed their willingness to receive either home care services or treatment in a private room of a dental office. <br> The intraoral examination revealed that the DMFT for the subjects using the Ibasho home was 10.2 on average; the number of teeth requiring treatment averaged 2.5, and over 70% of the subjects had teeth yet to be treated. <br> No significant differences were observed in SAA levels measured before and after intraoral examinations, and after dental health guidance. This suggested that there is little possibility for dental examinations to be stressful for withdrawn patients.

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