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1. 口腔咽頭および食道カンジダ症の治療treatment of oropharyngeal and esophageal candidiasis [show details]
…HIV-infected patients. Therapy for denture stomatitis requires treatment of the device as well as the oral cavity to avoid relapse . The dentures must be removed before going to bed, brushed vigorously, and then …
2. 高齢者の病院でのマネージメントhospital management of older adults [show details]
… Beds that are positioned lower to the ground, or at floor-level, have been used to lessen the potential height that a patient may fall when the patient rises from bed. Placing the bed in a… medications) Restriction of movement No access to dentures; Difficulty in self-feeding; Severely restricted diet orders (eg,…
3. 緩和ケア：ナーシングホームpalliative care nursing home [show details]
…intake is over 70 percent . These symptoms can include dental problems (lack of teeth, ill-fitting dentures, and gum disease), lack of appetite, regurgitation, dysphagia, and xerostomia associated with medications … feeding tubes in these patients, including greater use in for profit, urban located, and larger (>100 bed) nursing homes . Discussions related to artificial nutrition and/or hydration in the nursing home…
4. 高齢者の外傷：初期評価およびマネージメントgeriatric trauma initial evaluation and management [show details]
…arthritis) and dentures. Laryngoscopy and intubation are more difficult in patients with limited mouth opening. Bag mask ventilation is often more difficult once dentures are removed; intact dentures should… This might entail allowing for slight (<30 percent) elevation of the head of the bed or foregoing a rigid backboard or cervical collar.…
5. Approach to the anatomically difficult airway in adults outside the operating roomapproach to the anatomically difficult airway in adults outside the operating room [show details]
…a surrogate for obesity with respect to BMV, as it creates many of the same problems. Placing the bed at an angle with the head higher than the feet (ie, reverse Trendelenburg) may reduce impedance to … framework against which the mask sits and support the cheeks, enhancing mask seal. If a patient has dentures, they should be left in situ during BMV, where they are of benefit, then removed for direct laryngoscopy…

Japanese Journal

舌亜全摘患者に対し舌接触補助床の適用により構音・嚥下機能を改善した症例

皆木祥伴
日本補綴歯科学会誌 12(2), 180-183, 2020
症例の概要：患者は39歳の男性，2010年に舌癌再発の診断のもと舌亜全摘，右側頸部郭清術，前腕皮弁再建術を施行．舌運動障害による構音障害，嚥下障害が主訴であった．舌運動機能に則した舌接触補助床および下顎義歯研磨面形態の製作を行い構音機能，嚥下機能の改善を図った．考察： …
NAID 130007840014

外科的再建術を伴う下顎歯肉癌切除後の補綴症例

坂本隼一
日本補綴歯科学会誌 12(2), 188-191, 2020
症例の概要：患者は，68歳男性で，外科的再建術を伴う下顎歯肉癌切除後の咀嚼困難，審美不良を主訴に来院した．多数歯欠損，外科的再建術に伴う顎運動制限および下顎の顕著な右側方偏位が認められた．治療用義歯を用いて最終補綴の設計を決定した後，全顎的に補綴治療を行った.考察：治 …
NAID 130007840012

無歯顎に閉口印象ならびにダイナミック印象を応用して義歯を製作した症例

武下肇
日本補綴歯科学会誌 12(2), 172-175, 2020
症例の概要：患者は74歳男性，上下顎全部床義歯の不調による咀嚼困難を主訴に来院した．咬合可能な個人トレーを用いて閉口印象を行い，上下顎全部床義歯を製作したが，下顎前歯部床下粘膜の疼痛が続いたため，ダイナミック印象を行い，間接法にてリラインを行い，義歯を完成した．考察： …
NAID 130007839996