重症広範囲熱傷により失明および両前腕切断した患者に対し歯科衛生士による口腔衛生管理を行った1例

DOI
  • 松本 良恵
    東京医科歯科大学（TMDU）歯学部附属病院歯科衛生保健部
  • 坂口 由季
    東京医科歯科大学（TMDU）歯学部附属病院歯科衛生保健部
  • 原口 美穂子
    東京医科歯科大学（TMDU）大学院医歯学総合研究科顎顔面補綴学分野
  • 隅田 由香
    東京医科歯科大学（TMDU）大学院医歯学総合研究科顎顔面補綴学分野
  • 乙丸 貴史
    東京医科歯科大学（TMDU）大学院医歯学総合研究科顎顔面補綴学分野
  • 足達 淑子
    東京医科歯科大学（TMDU）歯学部附属病院歯科衛生保健部
  • 谷口 尚
    東京医科歯科大学

書誌事項

タイトル別名
  • Oral Hygiene Management by Dental Hygienists for a Patient with Blindness and Bilateral Forearm Amputation Because of Severe Extensive Burns: A Case Report

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説明

Dental hygienists often hesitate to intervene for patients who are permanently damaged from an accident because of little information about oral hygiene management for them. Here, we report a case of oral hygiene management for 8 years in a patient with blindness and bilateral forearm amputation because of severe extensive burns who showed positive outcomes in oral health.<br>A 48-year-old man who had blindness and had undergone bilateral forearm amputation with the Krukenberg procedure because of burns from an explosion was referred to our clinic for toothache in November 2010. As dental treatment was expected to be difficult because of cicatricial contracture, we prioritized intervention to manage and maintain oral hygiene.<br>For the initial periodontal treatment, we set the goal of our oral hygiene instructions that the patient could realize his oral condition and learn the pointed usage of an electric toothbrush. With our instructions, the patient showed positive behavior modification for self-care. After the reassessment, we provided supportive periodontal therapy and followed up the patient every 3-6 months.<br>In this case, the patient could understand the importance of self-care and practice through the intervention by dental hygienists. Effective follow-up for 8 years, provided by dental hygienists, contributed to positive outcomes in his oral health.

収録刊行物

  • 顎顔面補綴

    顎顔面補綴 42 (2), 91-96, 2019

    一般社団法人 日本顎顔面補綴学会

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