著者

葭原 明弘 安藤 雄一 池田 恵 小林 清吾 小黒 章 石上 和男 永瀬 吉彦 澤村 恵美子 瀧口 徹

出版者

有限責任中間法人日本口腔衛生学会

雑誌

口腔衛生学会雑誌 (ISSN:00232831)

巻号頁・発行日

vol.46, no.3, pp.339-345, 1996-07-30

被引用文献数

24

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1984年より行政事業として成人歯科健診事業を実施してきた地区において,成人歯科健診事業の受診経験が喪失歯数およびう蝕処置状況に及ぼす影響について調査した。調査対象者数は,1994年の歯科健診事業受診者1,311人である。1993年以前に実施された歯科健診事業を1回でも受診したことのある者を「過去受診群」(309人),1994年の歯科健診初診者を「過去未受診群」(1,002人)とした。1994年における「過去受診群」と「過去未受診群」との横断分析のみならず「過去受診群」におけるベースラインデータと1994年との縦断分析も加えて評価を行った。その結果,一人平均喪失歯数については歯科健診事業の受診経験による改善傾向は認められなかった。う蝕処置完了者率については,歯科健診事業受診経験者に経年的な向上を認めた。しかし,これは歯科健診事業の受診によることよりも日常的に歯科医院を受診し易くなったという社会的要因に負うものが大きいと推察された。したがって,成人歯科保健事業については,今後歯科保健教育および適切な事後の予防管理を主体とする方向に可能性を見いだすべきであると考えた。

著者

永瀬 吉彦 佐々木 健 石上 和男 小泉 信雄 八木 稔 瀧口 徹 小林 清吾 堀井 欣一

出版者

一般社団法人 日本口腔衛生学会

雑誌

口腔衛生学会雑誌 (ISSN:00232831)

巻号頁・発行日

vol.39, no.2, pp.274-285, 1989-04-30 (Released:2010-10-27)

参考文献数

28

被引用文献数

1

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We conducted a program for preventing gingival inflammation for 3 years in a junior high school in Niigata Prefecture, Japan. The program consisted mainly of instruction in oral prophylaxis and oral health education.The purpose of this study was to evaluate the effects of the program.The results were as follows;1. The prevalence of gingival inflammation in the students was about 70%.2. At the baseline, the average number of segments with gingival inflammation in 3rd grade students was greater than in 1st and 2nd grade students, and the differences were statistically significant (p<0.05).3. This study indicated that the program for preventing gingival inflammation was very effective, and the maximum value of the reduction rate was 55.4%. Especially effective was the fact that we screened out the serious cases and instructed them individually.4. The degree of gingival inflammation in the students decreased for about 1 year. But after 1 year, the degree was reversed slightly. However, the reduction rate between baseline and after 2.5 years was still high and about a 40% effect remained.5. A Highly statistical relationship between plaque and gingival inflammation was found both at the baseline and after 1 year. The partial correlation coefficients were 0.37 (p<0.001) and 0.18 (p<0.001).6. Instruction for improving individual toothbrushing habits helped the students to form desirable habits for a short period, but it was difficult to maintain these favorable habits for long periods.

著者

小林 清吾 田村 卓也 安藤 雄一 矢野 正敏 高徳 幸男 石上 和男 永瀬 吉彦 佐々木 健 堀井 欣一

出版者

一般社団法人 日本口腔衛生学会

雑誌

口腔衛生学会雑誌 (ISSN:00232831)

巻号頁・発行日

vol.43, no.2, pp.192-199, 1993-04-30 (Released:2010-10-27)

参考文献数

30

被引用文献数

1 1

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The purpose of this study was to evaluate the effects of a fluoride mouth-rinsing program (FMR) on dental health after the FMR program was completed. The state of dental health, including caries prevalence, was examined under blind recording conditions concerning participation in the FMR for 11th grade students in 10 public high schools, from 11 municipalities in Niigata Prefecture. The procedures of the FMR were carried out in these areas weekly, with 0.2% NaF, or daily, with 0.05% NaF, supervised by the classroom teachers in each school. The subjects, 321 in total, were classified into 3 rinse groups, each of which participated in the FMR for different periods of time, and a control group. The results of the statistical analysis showed increasing benefits in relation to increasing periods of participation. The reduction rate of caries prevention was the highest in the F11-group, subjects who participated in the program for 11 years from 4 to 14years of age. The F11-group was 56.0% lower in the mean DMFT and 81.8% lower in the mean number of highly progressed carious teeth than the control group, with statistical significance in both cases. The percentage of students who had toothaches or who were absent from school in order to visit a dentist was lower in the rinse groups than in the control group. We conclude that, in countries such as in Japan where caries prevalence is relatively high, a school-based FMR program throughout the school years is profoundly effective in preventing the occurrence and the progression of caries, and it could be the foundation of lifelong dental health care.