著者

野田 佳江 中筋 幾子 清水 幹雄 栗田 賢一 宮澤 健 後藤 滋巳 泉 雅浩

出版者

一般社団法人 日本顎関節学会

雑誌

日本顎関節学会雑誌 (ISSN:09153004)

巻号頁・発行日

vol.21, no.1, pp.1-4, 2009 (Released:2012-02-15)

参考文献数

6

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両側の下顎頭吸収が起き,これに継発して前歯部が開咬を呈する症例に対し,Indirect Bonded Splint(IBS)を用いた顎間牽引を行い,良好な結果を得られた。 患者は42歳の女性で,1年前より右側顎関節部の軽度の疼痛と前歯部の開咬を自覚していた。開咬は除々に増悪し,来院時にはoverjet+1.0mm,overbite-3.5mmとなっていた。開口域は46mmであった。CTでは両側下顎頭の平坦化がみられ,左側下顎頭海綿骨の緻密化および関節結節部にはエロージョンを認めた。そこで,IBSを歯列に装着し,ゴムにて顎間牽引を行った。顎間牽引終了8か月後,前歯部開咬は改善し,CTでは左右下顎頭および左側関節結節の皮質骨の再生が確認できた。 IBSを用いた顎間牽引は開咬を伴う変形性顎関節症に対する保存的療法の有用な一手段である。

著者

伊藤 幹子 木村 宏之 尾崎 紀夫 荒尾 宗孝 木村 有希 伊藤 隆子 栗田 賢一

出版者

Japanese Society of Psychosomatic Dentistry

雑誌

日本歯科心身医学会雑誌 (ISSN:09136681)

巻号頁・発行日

vol.21, no.1, pp.13-22, 2006-06-25 (Released:2011-09-20)

参考文献数

14

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In 1999, the authors organized a medical liaison group composed of dentists and a psychiatrist at the outpatient clinic of the Department of First Oral Surgery, Hospital of the School of Dentistry, Aichi Gakuin University, for the diagnosis and treatment of oral psychosomatic disorders. The practice has been for the dentists of the medical liaison group to examine each patient and diagnose his/her oral somatic disorder in the first stage of the examination, and the psychiatrist to examine each patient and make diagnosis according to DSM-IV or DSM-IV TR in the second stage.The subjects of this study were 13 patients with personality disorders (PD) among 268 patients examined during a 5-year and 4-month period from 2000 to 2004. The diagnoses by the dentists consisted of five cases of atypical facial pain, three of burning mouth syndrome, two of oral malaise, one of dental phobia, one of temporomandibular joint disorder, and one of halitophobia. Those by the psychiatrist consisted of six cases of pain disorder, two of conversion disorder, two of somatization disorder, one of hypochondriasis, one of specific phobia, and one of adjustment disorder. On DSM-IV Axis II, the diagnosis/suspicion results consisted of three cases of paranoid PD, two of avoidant PD, two of obsessive-compulsive PD, two of borderline PD, two of narcissistic PD, one of histrionic PD, and one of dependent PD. It was very difficult for us to manage the patients with borderline PD and narcissistic PD in cases of invasive treatment such as a tooth extraction. It has been found that the comorbidity of not only mental disorders but also personality disorders does need to be diagnosed and dentists ought to plan their therapeutic strategy for patients with personality disorders under the supervision of psychiatrists

著者

栗田賢一 覚道健治 小林馨編

出版者

永末書店

巻号頁・発行日

1998

著者

北村 旅人 今井 隆生 松尾 隆昌 阿部 厚 塚本 高久 栗田 賢一

出版者

Japanese Society of Oral and Maxillofacial Surgeons

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.46, no.8, pp.487-489, 2000-08-20

被引用文献数

3 1

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Among 90 cases of partial Monosomy of the short arm of chromosome 9 that have been described in the literature, only 4 cases have been reported in Japan. We describe a new case associated with cleft palate. The patient was a 1-month-old girl. She came to our hospital for treatment of cleft palate in 1994. Because of her peculiar facial appearance, including slanted eyes, flat nasal bridge, and prominent forehead, we conducted a chromosome analysis, which revealed a partial monosomy of the short arm of chromosome 9 (9p-syndrome). At the age of 2.5 years, her physical development was favorable, and we performed palatoplasty with the patient under general anesthesia. She is being observed at the department of pediatrics and our department since the operation.