start-ver=1.4 cd-journal=joma no-vol=121 cd-vols= no-issue=3 article-no= start-page=183 end-page=187 dt-received= dt-revised= dt-accepted= dt-pub-year=2009 dt-pub=20091201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Two programs supporting community dentistry: an oral implant course and education about dysphagia rehabilitation kn-title=地域の歯科医療関係者に対する支援―口腔インプラント講習会と摂食・ 嚥下リハビリテーション教育― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=AzumaTetsuji en-aut-sei=Azuma en-aut-mei=Tetsuji kn-aut-name=東哲司 kn-aut-sei=東 kn-aut-mei=哲司 aut-affil-num=1 ORCID= en-aut-name=AriokaKyoko en-aut-sei=Arioka en-aut-mei=Kyoko kn-aut-name=有岡享子 kn-aut-sei=有岡 kn-aut-mei=享子 aut-affil-num=2 ORCID= en-aut-name=ArakawaHikaru en-aut-sei=Arakawa en-aut-mei=Hikaru kn-aut-name=荒川光 kn-aut-sei=荒川 kn-aut-mei=光 aut-affil-num=3 ORCID= en-aut-name=EgusaMasahiko en-aut-sei=Egusa en-aut-mei=Masahiko kn-aut-name=江草正彦 kn-aut-sei=江草 kn-aut-mei=正彦 aut-affil-num=4 ORCID= en-aut-name=KubokiTakuo en-aut-sei=Kuboki en-aut-mei=Takuo kn-aut-name=窪木拓男 kn-aut-sei=窪木 kn-aut-mei=拓男 aut-affil-num=5 ORCID= en-aut-name=MoritaManabu en-aut-sei=Morita en-aut-mei=Manabu kn-aut-name=森田学 kn-aut-sei=森田 kn-aut-mei=学 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院医歯薬学総合研究科 予防歯科学 affil-num=2 en-affil= kn-affil=岡山大学病院 特殊歯科総合治療部第1総合診療室 affil-num=3 en-affil= kn-affil=岡山大学大学院医歯薬学総合研究科 インプラント再生補綴学 affil-num=4 en-affil= kn-affil=岡山大学病院 特殊歯科総合治療部第1総合診療室 affil-num=5 en-affil= kn-affil=岡山大学大学院医歯薬学総合研究科 インプラント再生補綴学 affil-num=6 en-affil= kn-affil=岡山大学大学院医歯薬学総合研究科 予防歯科学 en-keyword=地域支援 kn-keyword=地域支援 en-keyword=口腔インプラント kn-keyword=口腔インプラント en-keyword=摂食 kn-keyword=摂食 en-keyword=嚥下リハビリテーション kn-keyword=嚥下リハビリテーション END start-ver=1.4 cd-journal=joma no-vol=112 cd-vols= no-issue=3-8 article-no= start-page=47 end-page=64 dt-received= dt-revised= dt-accepted= dt-pub-year=2000 dt-pub=20000831 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Study on factors relating to oral malodor and preventive measures among the elderly kn-title=要介護高齢者における口臭とその関連要因及び予防対策に関する研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract=One hundred ten elderly with disabilities in institutions or receiving home care were selected and informed. This study focused on oral malodor and discusses consent was obtained the relationship between oral malodor and the state of dental health and oral hygiene in the elderly with disabilities. ADL of the elderly with disabilities (rank J, A, B, C, settled by National Health Administration in Japan) were 8.2% at rank J, 28.2% at rank A, 42.7% at rank B and 20.9% at rank C, respectively. The incident rate of swallowing pneumonitis, fever and bedsores were low. Accordingly, physical and mental conditions were comparatively preferable. Tooth and periodontal conditions were comparablye to nationwide results. 1. The elderly in poor ADL had marked oral malodor compared with those in good health. 2. The elderly who required assistance to eat or had special dietary requirements had marked oral malodor. 3. The elderly who had normal oral functions and the ability to take care of their own oral hygiene had markedly less oral malodor. 4. The elderly who had poor oral hygiene exhibitings thick tongue coating and positive results in a Candida albicans culture test, had marked oral malodor. 5. Using, the multivariate statistical analysis of Hayashi methodsU, the coefficient of correlation between the state of oral malodor and 27 variables was obtained. 1) The study obtained trustworthy values that discriminate analysis 92.7% and correlation ratio is 0.53. 2) The variables related to severe oral malodor, extracted by the multivariate statistical analysis in descending order, were: "low level of ADL in gargling and denture brushing", "cigarette smoking", "speech disabilities", "unsatisfactory mastication", "need for special dietary care", "oral druyness", "gingivitis", "soft diet of side dish", "living in a special institution caring for the elderly", "thick tongue coating", and "a positive Candida albicans culture test", respectively. 3) The items related with comparatively comfortable or bearable oral malodor, extracted by the multivariate statistical analysis in descending order were : "satisfactory mastication", "home care", "healthy or poor eyesight", "difficulty in mastication", "being able to independently remove, dentures", "a negative Candida albicans culture test", "no oral dryness", "independents in selecting diet", "comfortable gingival condition", "being dependent on others for tooth-brushing" and "preferable tongue coating", respectively. 4) For the effective preventive countermeasures of oral malodor, ADL of oral health, caring circumstances and hygiene of gingiva/tongue should be focused on rather than dental hygiene itself. en-copyright= kn-copyright= en-aut-name=EgusaMasahiko en-aut-sei=Egusa en-aut-mei=Masahiko kn-aut-name=江草正彦 kn-aut-sei=江草 kn-aut-mei=正彦 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部衛生学講座 en-keyword=Elederly with disabilities kn-keyword=Elederly with disabilities en-keyword=Oral malodor kn-keyword=Oral malodor en-keyword=Preventive countermeasure kn-keyword=Preventive countermeasure en-keyword=Related factor kn-keyword=Related factor en-keyword=Multivariate statistical analysis kn-keyword=Multivariate statistical analysis END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2000 dt-pub=20000630 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=要介護高齢者における口臭とその関連要因及び予防対策に関する研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=江草正彦 kn-aut-sei=江草 kn-aut-mei=正彦 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END