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Bilateral Scissor Bite Treated by Rapid Mandibular Expansion Following Corticotomy. 皮质切开术后快速下颌扩张治疗双侧剪刀咬伤。
IF 0.5 Q3 Medicine Pub Date : 2016-01-01 DOI: 10.2209/tdcpublication.2016-1600
T. Sakamoto, Kotaro Hayakawa, Takenobu Ishii, K. Nojima, K. Sueishi
Scissor bite is defined as buccal displacement of the maxillary posterior teeth, with or without contact between the lingual surface of the maxillary lingual cusp and the buccal surface of the buccal cusp of its mandibular antagonist. Here we report treatment of bilateral scissor bite in the posterior region using rapid expansion following corticot-omy. The patient was a boy aged 17 years and 11 months in whom skeletal maxillary prognathism with bilateral scissor bite was diagnosed. The distance between the tips of canines and the mesial buccal cusps of the first molars was increased by use of a bonded rapid expansion appliance following corticotomy. Appropriate occlusion and lateral pro-file were obtained and maintained after retention. In addition, no gingival recession, hyperesthesia, or root surface caries occurred. These results suggest that mandibular lateral expansion following corticotomy is effective in young adult patients with a narrow mandibular arch.
剪刀式咬合定义为上颌后牙的颊部移位,上颌舌尖的舌面与其下颌拮抗剂的颊尖的舌面有或无接触。在这里,我们报告在皮质切除术后使用快速扩张治疗双侧剪刀咬伤。患者是一名男孩,年龄17岁11个月,诊断为骨骼上颌前突伴双侧剪刀咬。在皮质切开术后,使用快速扩张器增加了犬齿尖与第一磨牙内颊尖之间的距离。获得适当的咬合和侧位轮廓,并在固位后保持。此外,没有发生牙龈萎缩,感觉过敏或根面龋。这些结果表明皮质切开术后下颌外侧扩张对下颌弓狭窄的年轻成人患者有效。
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引用次数: 4
Propofol-remifentanil is More Effective than Propofol-fentanyl in Decreasing Intraoperative Blood Loss during Sagittal Split Ramus Osteotomy. 异丙酚-瑞芬太尼比异丙酚-芬太尼更有效地减少矢状裂支截骨术中出血量。
IF 0.5 Q3 Medicine Pub Date : 2016-01-01 DOI: 10.2209/tdcpublication.2016-0100
Toshiyuki Handa, Takaaki Onodera, Y. Honda, Y. Koukita, T. Ichinohe
This study retrospectively compared blood loss during sagittal split ramus osteotomy in patients receiving propofol-remifentanil (R group) and those receiving propofol-fentanyl (F group). All patients underwent sagittal split ramus osteotomy under general anesthesia during the 3-year 4-month period between October 2007 and February 2011 in an operating room at Tokyo Dental College Suidobashi Hospital. Blood loss in the R group was significantly less than that in the F group. Mean arterial pressure and heart rate, measured at 20 and 15 min after tracheal intubation, respectively, were both lower in the R group. No marked change was observed in blood pressure in the R group under general anesthesia, however. Volume of urine was also larger in the R group. The results of this study suggest that remifentanil is effective in reducing intraoperative blood loss during sagittal split ramus osteotomy.
本研究回顾性比较了异丙酚-瑞芬太尼治疗组(R组)和异丙酚-芬太尼治疗组(F组)矢状裂支截骨术中的出血量。在2007年10月至2011年2月的3年4个月期间,所有患者在东京牙科学院水桥医院的一间手术室接受了矢状分叉支截骨术。R组出血量明显少于F组。平均动脉压和心率,分别在气管插管后20和15分钟测量,R组均较低。而R组在全麻下血压无明显变化。R组的尿量也较大。本研究结果提示瑞芬太尼可有效减少矢状分叉支截骨术中出血量。
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引用次数: 3
Comparison of Adhesive Resistance to Chewing Gum among Denture Base Acrylic Resin, Cobalt-Chromium Alloy, and Zirconia. 丙烯酸树脂基托、钴铬合金基托和氧化锆基托对口香糖黏附性的比较。
IF 0.5 Q3 Medicine Pub Date : 2016-01-01 DOI: 10.2209/tdcpublication.57.1
Takeshi Wada, Tomofumi Takano, T. Ueda, K. Sakurai
The purpose of this study was to compare the adhesiveness of chewing gum to acrylic resin, cobalt-chromium alloy, and zirconia. Test specimens were fabricated using acrylic resin (resin), cobalt-chromium alloy (Co-Cr), and Ceria stabilized tetragonal zirconia polycrystal-based nanostructured zirconia/alumina composite (zirconia). Specimens of each material were attached to the upper and lower terminals of a digital force gauge. The operator masticated chewing gum, wiped off any saliva, and placed the gum on the lower specimen. The gum was compressed to a thickness of 1 mm between the upper and lower specimens. Thereafter, traction was applied to the upper specimen at a cross-head speed of 100 mm/min under 3 different conditions (dry, wet with distilled water, and wet with artificial saliva) to determine the maximum adhesive strength of the chewing gum. The statistical analysis was performed using the Bonferroni test after a one-way analysis of variance (α=0.05). Under dry conditions, adhesive force was 14.8±6.8 N for resin, 14.0±4.8 N for Co-Cr, and 4.3±2.3 N for zirconia. Significant differences were noted between resin and zirconia, and between Co-Cr and zirconia. When distilled water was applied to the specimen surface, the adhesive strength was 16.8±1.7 N for resin, 8.3±2.1 N for Co-Cr, and 2.7±0.8 N for zirconia. Significant differences were noted between resin and Co-Cr, resin and zirconia, and Co-Cr and zirconia. When artificial saliva was applied to the specimen surface, the adhesive force was 18.5±2.8 N for resin, 5.3±0.8 N for Co-Cr, and 3.0±1.7 N for zirconia. Significant differences were noted between resin and Co-Cr, and resin and zirconia. Chewing gum adhered less strongly to zirconia than to acrylic resin or cobalt-chromium alloy.
本研究的目的是比较口香糖与丙烯酸树脂、钴铬合金和氧化锆的黏附性。采用丙烯酸树脂(resin)、钴铬合金(Co-Cr)和铈稳定的四边形氧化锆多晶纳米结构氧化锆/氧化铝复合材料(zirconia)制备了测试样品。将每种材料的试样分别连接到数字测力计的上下两端。操作人员咀嚼口香糖,擦去任何唾液,并将口香糖放在较低的标本上。上下试件之间的胶被压缩至1mm厚度。然后,在3种不同的条件下(干法、蒸馏水湿法、人工唾液湿法),以100 mm/min的十字头速度对上试样进行牵引,测定口香糖的最大粘接强度。单因素方差分析后,采用Bonferroni检验进行统计学分析(α=0.05)。在干燥条件下,树脂的粘附力为14.8±6.8 N, Co-Cr为14.0±4.8 N,氧化锆为4.3±2.3 N。树脂和氧化锆、钴铬和氧化锆之间存在显著差异。当蒸馏水作用于试样表面时,树脂的粘附强度为16.8±1.7 N, Co-Cr为8.3±2.1 N,氧化锆为2.7±0.8 N。树脂与Co-Cr、树脂与氧化锆、Co-Cr与氧化锆之间存在显著差异。当人工唾液作用于试样表面时,树脂的粘附力为18.5±2.8 N, Co-Cr为5.3±0.8 N,氧化锆为3.0±1.7 N。树脂与Co-Cr、树脂与氧化锆之间存在显著差异。口香糖对氧化锆的粘附力不如丙烯酸树脂或钴铬合金强。
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引用次数: 6
Correlation between Finger Length and Occlusal Vertical Dimension in Adult Sudanese Women. 苏丹成年妇女手指长度与咬合垂直度的关系。
IF 0.5 Q3 Medicine Pub Date : 2016-01-01 DOI: 10.2209/tdcpublication.2016-0001
M. N. Alhajj, Nassir J Musaad, I. A. Ismail
The objective of this study was to investigate the correlation between the length of each of three fingers (the index finger, 2D; ring finger, 4D; and little finger, 5D) and the occlusal vertical dimension (OVD). If such a relationship were established, it would simplify and facilitate the prediction and reestablishment of the OVD in the construction of complete dentures. The correlation between the OVD and the length of 2D or 5D has already been investigated in a number of studies. However, to our knowledge, no study has investigated the relationship between the length of 4D and the OVD. A total of 117 adult Sudanese women were enrolled in this study. The distance from tip of the finger to the second crease was measured using a digital caliper. The OVD was established based on two measurements: one from the septum of the nose to the menton of the chin; and the other from the tip of the nose (N) to the gnathion at the tip of the chin (Gn). All data were analyzed using the SPSS program. The Pearson correlation coefficient was used to determine the relationship between variables. Differences between means were determined using a paired-sample t-test. The p-value was set at 0.05. A significant correlation was found between finger length and the OVD. However, this correlation was significantly higher between 2D and the OVD based on N-Gn. The present findings indicate that 2D can be used to predict the OVD in adult Sudanese women.
本研究的目的是调查三个手指(食指,2D;无名指,4D;小指5D)和咬合垂直尺寸(OVD)。如果建立这样的关系,将简化和方便全口义齿构建中OVD的预测和重建。OVD与2D或5D长度之间的相关性已经在许多研究中进行了调查。然而,据我们所知,目前还没有研究4D长度与OVD之间的关系。共有117名苏丹成年妇女参加了这项研究。从指尖到第二个折痕的距离用数字卡尺测量。OVD是根据两种测量方法建立的:一种是从鼻中隔到颏部;另一个从鼻尖(N)到下巴尖(Gn)。所有数据均采用SPSS软件进行分析。Pearson相关系数用于确定变量之间的关系。采用配对样本t检验确定平均值之间的差异。p值设为0.05。手指长度与OVD之间存在显著相关性。然而,基于N-Gn的2D和OVD之间的相关性明显更高。目前的研究结果表明,2D可用于预测成年苏丹妇女的OVD。
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引用次数: 10
Expression of Cytokeratin 13, 14, 17, and 19 in 4-nitroquinoline-1-oxide-induced Oral Carcinogenesis in Rat. 细胞角蛋白13、14、17和19在4-硝基喹啉-1-氧化物诱导的大鼠口腔癌中的表达。
IF 0.5 Q3 Medicine Pub Date : 2016-01-01 DOI: 10.2209/tdcpublication.2010-0029
Tomoyoshi Saitoh, Kazumichi Sato, M. Tonogi, Yoichi Tanaka, G. Yamane
The management of epithelial dysplastic spread around an oral squamous cell carci-noma is very important, particularly intraoperatively. Both cytokeratin (CK) 14 and CK19 are believed to be involved in the development of precancerous lesions, and their expression profiles are quite specific in these and early cancer lesions. Here, expression of CK13, 14, 17, and 19 was investigated in a rat model of 4-nitroquinoline-1-oxide-induced tongue cancer during a series of carcinogenetic processes to determine their value in assessing the features of epithelial dysplastic spread around a cancer. Based on tissue conditions, the results showed that expression levels of CK13 and 14 decreased in the order of no change, dysplasia, and cancer, whereas those of CK17 and 19 increased in the same order. Expression of CK13 showed a significant difference among no change, dysplasia, and cancer. This indicates that comparing the immunohistochemical staining profiles of CKs, especially CK13, could help in assessing the characteristics of epithelial dysplastic spread around a cancer.
口腔鳞状细胞癌周围上皮发育不良扩散的处理是非常重要的,特别是术中。细胞角蛋白(CK) 14和CK19被认为参与癌前病变的发展,它们的表达谱在这些和早期癌症病变中是非常特异性的。本研究在4-硝基喹啉-1-氧化物诱导的舌癌大鼠模型中研究了CK13、14、17和19在一系列癌变过程中的表达,以确定它们在评估癌周围上皮发育不良扩散特征中的价值。从组织情况来看,CK13和14的表达水平按照不变-发育不良-癌变的顺序下降,而CK17和19的表达水平则按照不变-发育不良-癌变的顺序升高。CK13的表达在无变化、不典型增生和癌变组中有显著差异。这表明比较ck的免疫组织化学染色谱,特别是CK13,可以帮助评估癌症周围上皮发育不良扩散的特征。
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引用次数: 5
CBCT-based Diagnosis of Periapical Lesion of Maxillary First Premolar Mimicking That of Second Premolar. 基于cbct的上颌第一前磨牙尖周模拟第二前磨牙病变诊断。
IF 0.5 Q3 Medicine Pub Date : 2016-01-01 DOI: 10.2209/tdcpublication.2016-1900
Rie Fujii, M. Suehara, Sayo Sekiya, Norihito Miyayoshi, Tomohiro Asai, K. Morinaga, T. Muramatsu, M. Furusawa
Apical periodontitis is usually diagnosed based on clinical findings and dental X-rays. Recently, however, dental cone beam computed tomography (CBCT), which provides 3-D images of the maxillofacial region, has enabled dentists to examine patients undergoing endodontic therapy more effectively, improving diagnostic accuracy. Here, we describe a positive treatment outcome achieved using CBCT to diagnose apical periodontitis of the maxillary premolars, which had proven difficult to diagnose based on clinical findings and dental radiography alone. The patient was a 42-year-old Japanese man who presented with the chief complaint of gingival swelling in the maxillary right premolar region. Our initial diagnosis, based on clinical findings and dental X-ray, was apical periodontitis of the maxillary right second premolar, and treatment was started. However, after the patient failed to respond to the treatment, CBCT was performed. Based on these new findings, the diagnosis was changed to one of apical periodontitis of the upper right first premolar, and the patient was treated accordingly. Previous studies have described the complex anatomical morphology of the upper premolars, noting multiple roots and variation in the morphology of the root canals. The 3-D images provided by dental CBCT allow better assessment of oral conditions than the traditional 2-D images provided by dental X-rays, which in turn enables the dentist to better select the most appropriate treatment. Here, the patient showed no symptoms and was progressing well at a 6-month follow-up visit. The present results indicate that when clinical findings and dental X-rays alone are insufficient to allow a secure diagnosis, CBCT offers an effective alternative which will enable the appropriate treatment to be selected more reliably.
根尖牙周炎通常根据临床表现和牙科x光诊断。然而,最近,牙科锥束计算机断层扫描(CBCT)提供了颌面区域的三维图像,使牙医能够更有效地检查接受牙髓治疗的患者,提高了诊断的准确性。在这里,我们描述了使用CBCT诊断上颌前磨牙的根尖牙周炎取得的积极治疗结果,这被证明是难以根据临床表现和牙科x线摄影单独诊断的。患者是一名42岁的日本男性,以上颌右前磨牙区牙龈肿胀为主诉。我们最初的诊断,根据临床表现和牙科x光片,是上颌右第二前磨牙的根尖牙周炎,并开始治疗。然而,在患者对治疗无效后,进行了CBCT。根据这些新发现,诊断为右上第一前磨牙根尖牙周炎,并给予相应治疗。先前的研究描述了上前磨牙复杂的解剖形态,注意到多根和根管形态的变化。牙科CBCT提供的三维图像比牙科x光提供的传统二维图像能够更好地评估口腔状况,从而使牙医能够更好地选择最合适的治疗方法。在这里,患者没有出现任何症状,并且在6个月的随访中进展良好。目前的结果表明,当临床表现和牙科x光片本身不足以进行安全诊断时,CBCT提供了一种有效的替代方法,可以更可靠地选择适当的治疗方法。
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引用次数: 4
Lymphangiogenesis and NOS Localization in Healing Process after Tooth Extraction in Akita Mouse. 秋田小鼠拔牙后愈合过程中的淋巴管生成和NOS定位。
IF 0.5 Q3 Medicine Pub Date : 2016-01-01 DOI: 10.2209/tdcpublication.2016-0600
Shinya Takahashi, Ryuta Kikuchi, K. Ambe, Toshihiro Nakagawa, S. Takada, T. Ohno, Hiroki Watanabe
Type I diabetes, an autoimmune disease, induces insulin deficiency, which then disrupts vascular endothelial cell function, affecting blood and lymphatic vessels. Nitric oxide (NO) is an immune-induced destructive mediator in type I diabetes, and inhibition of its production promotes arteriosclerosis. In this study, lymphangiogenesis and expression of NO synthase (NOS) during the healing process after tooth extraction were investigated immunohistochemically in control (C57BL) and Akita mice as a diabetes model. Between 1, 4, and 10 days after extraction, expression of NOS, vascular endothelial growth factor-C (VEGF-C), VEGF receptor-3 (VEGFR-3), and von Willebrand factor was strongest during the granulation tissue phase. This suggests that severe inflammation triggers regulation of NOS and these other angiogenic and lymphangiogenic factors. During the callus phase, a few days after extraction, induced osteoblasts were positive for VEGF-C and VEGFR-3 in both the control and Akita mice, suggesting that bone formation is active in this period. Bone formation in the Akita group exceeded that in the controls. Bone tissue formation was disrupted under hyperglycemic conditions, however, suggesting that such activity would be insufficient to produce new bone.
I型糖尿病是一种自身免疫性疾病,它会导致胰岛素缺乏,从而破坏血管内皮细胞的功能,影响血液和淋巴管。一氧化氮(NO)是I型糖尿病中一种免疫诱导的破坏性介质,抑制其产生可促进动脉硬化。本研究采用免疫组织化学方法研究了正常对照(C57BL)和糖尿病模型秋田小鼠拔牙后愈合过程中淋巴管生成和NO合成酶(NOS)的表达。提取后1、4和10 d, NOS、血管内皮生长因子- c (VEGF- c)、VEGF受体-3 (VEGFR-3)和血管性血变因子的表达在肉芽组织期最强。这表明严重的炎症会触发NOS和其他血管生成和淋巴管生成因子的调节。在骨痂期,提取后几天,对照小鼠和秋田小鼠的诱导成骨细胞VEGF-C和VEGFR-3均呈阳性,表明骨形成在这一时期很活跃。秋田组的骨形成超过了对照组。然而,在高血糖条件下,骨组织的形成被破坏,这表明这种活动不足以产生新的骨骼。
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引用次数: 2
Population Genetics of Identifiler System in Malaysia. 马来西亚标识系统的群体遗传学。
IF 0.5 Q3 Medicine Pub Date : 2016-01-01 DOI: 10.2209/tdcpublication.2016-1400
Yasutaka Nakamura, Michinaga Samejima, K. Minaguchi, P. Nambiar
Short tandem repeat (STR) polymorphisms were investigated in 341 unrelated Malay individuals (218 males and 123 females) living in or around Kuala Lumpur by using a forensic analysts kit. The following STRs were targeted: D8S1179, D21S11, D7S820, CSF1PO, D3S1358, TH01, D13S317, D16S539, D2S1338, D19S433, vWA, TPOX, D18S51, D5S818, and FGA. The purpose of this study was to elucidate population genetics in Malaysia and calculate statistical parameters for forensic and anthropological research. Data on these STRs in the target population were obtained and subjected to statistical analysis. Accordance with the Hardy-Weinberg equilibrium was proven for all the loci targeted. The combined power of discrimination was greater than 0.9999999999, indicating that this multiplex system is an excellent tool for forensic casework. The allele frequency in the data were weighed against that in four other local populations (Chinese, Iranian, Belgian, and African). The average coefficient of correlation was strongest in the order of Africa (0.092522), Belgium (0.264822), Iran (0.404363), and China (0.706661). These results are consistent with what is known about the anthropological history of and prehistoric human migration in the Malay region. We believe that these data offer a valuable anthropological resource, being applicable to the statistical evaluation of DNA evidence in human identification, as well as the determination of ethnicity in healthy populations.
利用法医分析试剂盒对居住在吉隆坡或周边地区的341名无亲缘关系的马来人(218名男性和123名女性)进行短串联重复序列(STR)多态性调查。针对以下STRs: D8S1179、D21S11、D7S820、CSF1PO、D3S1358、TH01、D13S317、D16S539、D2S1338、D19S433、vWA、TPOX、D18S51、D5S818和FGA。本研究的目的是阐明马来西亚的种群遗传学,并计算法医和人类学研究的统计参数。获得了目标人群中这些str的数据并进行了统计分析。所有目标位点均符合Hardy-Weinberg平衡。综合辨别能力大于0.9999999999,表明该多路系统是法医案件工作的优秀工具。将数据中的等位基因频率与其他四个当地人群(中国人、伊朗人、比利时人和非洲人)的等位基因频率进行权衡。平均相关系数最强的依次是非洲(0.092522)、比利时(0.264822)、伊朗(0.404363)和中国(0.706661)。这些结果与已知的关于马来地区的人类学历史和史前人类迁移的情况一致。我们认为,这些数据提供了宝贵的人类学资源,适用于对人类身份鉴定中的DNA证据进行统计评估,以及确定健康人群的种族。
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引用次数: 5
Periodontal Surgery Involving Modified Widman Flap Procedure and Connective Tissue Graft for Generalized Aggressive Periodontitis: A Case Report. 改良Widman皮瓣及结缔组织移植治疗广泛性侵袭性牙周炎1例报告。
IF 0.5 Q3 Medicine Pub Date : 2016-01-01 DOI: 10.2209/tdcpublication.2016-1700
K. Imamura, Yuri Okamura, Yasugi Matsumoto, Yuko Mashimo, Sachiyo Tomita, H. Sugito, A. Saito
We report a case of generalized aggressive periodontitis (AgP) requiring periodontal treatment including flap surgery and ridge augmentation. The patient was a 39-year-old woman who presented with the chief complaint of pus discharge from tooth #36. No other obvious signs of gingival inflammation were observed. Periodontal examination revealed multiple sites with a probing depth of ≥10 mm. Radiography showed pro-nounced bone defects in the maxillary incisors and molar region. Real-time PCR was used to detect Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, and Tannerella forsythia in subgingival plaque; all 3 pathogens were found. Based on a clinical diagnosis of generalized AgP, periodontal therapy was initiated, which resulted in an improvement in clinical and microbiological parameters. A modified Widman flap procedure was then performed on sites with residual periodontal pockets. Next, a connective tissue graft was performed for ridge augmentation at #22, which had shown evidence of ridge resorption. Postoperative reevaluation revealed a reduction in probing depth and an improvement in marginal bone levels. Oral function was then restored using a fixed bridge prosthesis and maintenance therapy initiated. The periodontal condition has remained stable over a 2.5-year period. In the present case of AgP, surgical intervention reduced periodontal pockets and periodontal pathogens and improved the architecture of both the hard and soft tissues, allowing subsequent care of the periodontium to be performed efficiently by the patient.
我们报告一例广泛性侵袭性牙周炎(AgP)需要牙周治疗包括皮瓣手术和牙脊增加。患者为一名39岁女性,主诉为36号牙脓流。没有观察到其他明显的牙龈炎症迹象。牙周检查发现多处探诊深度≥10 mm。x线摄影显示上颌门牙和磨牙区明显的骨缺损。采用Real-time PCR检测牙龈下菌斑中的放线菌聚集菌、牙龈卟啉单胞菌、连铸单宁菌;所有3种病原体均被发现。根据广泛性AgP的临床诊断,开始牙周治疗,这导致临床和微生物参数的改善。然后在残留牙周袋的部位采用改良的Widman皮瓣。接下来,在22号进行结缔组织移植以增加脊骨,显示脊骨吸收的证据。术后复查显示探测深度减少,边缘骨水平改善。然后使用固定桥假体恢复口腔功能并开始维持治疗。牙周状况在2.5年的时间内保持稳定。在本例AgP中,手术干预减少了牙周袋和牙周病原体,改善了硬组织和软组织的结构,使患者能够有效地进行牙周组织的后续护理。
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引用次数: 2
Prenatal Counseling on Prenatal Diagnosis of Cleft Lip and/or Cleft Palate at Tokyo Dental College Ichikawa General Hospital. 东京牙科学院市川总医院唇裂和/或腭裂产前诊断咨询。
IF 0.5 Q3 Medicine Pub Date : 2016-01-01 DOI: 10.2209/tdcpublication.57.43
T. Shibui, T. Nomura, N. Takano, A. Katakura, Y. Nakano, K. Suga, M. Narita, Akira Watanabe, Kyotaro Muramatsu, K. Takamatsu
Remarkable technological advances have been made in the field of medicine in recent years, one result of which is that a prenatal diagnosis of cleft lip and/or cleft palate (CL/P) is now possible. In this situation, it is extremely important to provide the parents with mental care from the moment they are informed. Here, we describe cases of CL/P treated at our hospital and how such a diagnosis and prenatal counseling are handled. A survey was carried out on 4 cases seen at our department between April 2013 and March 2014. Patients are referred to our department from local or our own obstetrics clinics on a prenatal diagnosis of CL/P based on findings from ultrasonography. If the case is a referral from outside, the patient will first be seen at our own obstetrics department. Our department may then be subsequently requested to provide the parents with prenatal counseling. Effort is made to reassure the parents that postnatal support will be provided, right from the start. Next, the multidisciplinary nature of the treatment process is explained. However, only the essential outline is given at first so as to avoid inducing unnecessary anxiety. A response is also given to any questions the parents may have. Our experience of giving such care leads us to believe that improvements are required in the way that explanations and assistance are provided. The number of cases in which prenatal counseling is required is expected to increase in future.
近年来,医学领域取得了显著的技术进步,其中一个结果是产前诊断唇裂和/或腭裂(CL/P)现在是可能的。在这种情况下,从父母被告知的那一刻起,为他们提供精神护理是极其重要的。在这里,我们描述了在我院治疗的CL/P病例,以及如何处理这种诊断和产前咨询。对2013年4月至2014年3月在我科就诊的4例患者进行调查。根据超声检查结果,患者从当地或我们自己的产科诊所转介到我科进行CL/P的产前诊断。如果病例是外部转诊,患者将首先在我们自己的产科就诊。我们的部门随后可能会被要求为父母提供产前咨询。我们努力向父母保证,从一开始就会提供产后支持。接下来,解释了治疗过程的多学科性质。但是,为了避免引起不必要的焦虑,首先只给出基本的轮廓。对于家长可能提出的任何问题,也会给出答复。我们给予这种关心的经验使我们相信,提供解释和援助的方式需要改进。需要产前咨询的病例数量预计将在未来增加。
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引用次数: 5
期刊
Bulletin of Tokyo Dental College
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