到宅牙醫醫療

Dental Home Visit

吳侑庭(Yu-Ting Wu) ； 余權航(Chuan-Hang Yu)

《中華民國家庭牙醫學雜誌》 8卷4期 (2014/03) Pp. 4-8

https://doi.org/10.6566/JFD/2014.8(4).4

摘要

目前對於重度以上身障者的牙科治療，多在設有特殊需求者門診的醫療院所進行。然而，對於行動不便、無法外出就醫或長期臥床的病人，往往得不到完善的牙科治療。到宅牙醫醫療是一種特殊的牙科治療模式，目的在於針對行動不便、無法外出就醫的病人進行牙科治療。這種醫療模式在日本已有二十多年歷史，但在台灣尚未普及。中山醫學大學附設醫院口腔醫學部自2010年開始到宅牙醫醫療服務，提供這些行動不便、無法外出就醫的病人良好的牙科治療與口腔照護。本文將介紹到宅牙醫醫療的原則與實際運作的經驗。

關鍵字

到宅牙醫醫療

並列摘要

Dental treatment for patients with severe disabilities or more complicated oral conditions is usually handled in a specialized medical center with special equipment. However, the disable people who cannot or has difficulties to go outside to seek for dental treatment are usually under-cared for their oral hygiene. Dental home visit is a special dental service that provides oral hygiene care and treatment needs for those patient that mentioned above. It is well established in Japan for more than 20 years. In Taiwan, however, it is not popular yet. To provide better oral care for these patients, we started dental home visit service in Department of Stomatology, Chung Shan Medical University Hospital since year 2010. In this article, we will introduce the principle and practice of dental home visit.

並列關鍵字

dental home visit

參考文獻

Morita, I., Nakagaki, H., Kato, K., Murakami, T., Tsuboi, S., Hayashizaki, J., … Sheiham, A. (2006). Relationship between survival rates and numbers of natural teeth in an elderly Japanese population. Gerodontology, 23(4), 214-218. doi:10.1111/j.1741-2358.2006.0 0134.x

Sarin, J., Balasubramaniam, R., Corcoran, A. M., Laudenbach, J. M., & Stoopler, E. T. (2008). Reducing the risk of aspiration pneumonia among elderly patients in long-term care facilities through oral health interventions. Journal of the American Medical Directors Association, 9(2), 128-135. doi:10.1016/j.jamda.2007. 10.003

Taylor, G. W., Loesche, W. J., & Terpenning, M. S. (2000). Impact of oral diseases on systemic health in the elderly: Diabetes mellitus and aspiration pneumonia. Journal of Public Health Dentistry, 60(4), 313-320. doi:10.1111/j.1752-7325.2000.t b03341.x

Teixeira, F. B., de Melo Pereira Fernandes, L., Noronha, P. A., dos Santos, M. A., Gomes-Leal, W., do Socorro Ferraz Maia, C., & Lima, R. R. (2014). Masticatory deficiency as a risk factor for cognitive dysfunction. International Journal of Medical Sciences, 11(2), 209-214. doi:10.7150/ijms.6801

內政部統計處（2013）。102 年第 24 週內政統計通報：101 年身心障礙者福利統計。取自 http://sowf.moi.gov.tw/stat/week/list.htm