Dental implant care and trouble among dependent patients based on the questionnaire survey among Japanese dental practit
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RESEARCH ARTICLE
Open Access
Dental implant care and trouble among dependent patients based on the questionnaire survey among Japanese dental practitioners Yuji Sato1*, Shigeto Koyama2, Chikahiro Ohkubo3, Shin Ogura4, Ryutaro Kamijo5, Soh Sato6, Jun Aida7, Yuichi Izumi8, Mihoko Atsumi9, Akio Isobe1, Shunsuke Baba10, Noriharu Ikumi11 and Fumihiko Watanabe12
Abstract Background: Self-care and professional care of implants may prove difficult for elderly people who require nursing care. However, the actual state of care and problems remains unknown. In this study, we investigated the actual state of implant problems in elderly people living in their own home or in a nursing home who received visiting dental treatment. Methods: We mailed questionnaire survey forms to 2339 representatives or specialists who were members of the Japanese Society of Oral Implantology, the Japanese Society of Gerodontology or the Japan Prosthodontic Society. We narrowed down the respondents to those who provided visiting dental treatment, and analyzed the actual state of implants observed during visiting dental treatment (type, care, problems, countermeasures, etc.). Results: Of the 924 dentists who responded to the questionnaire survey, 291 (22%) provided visiting dental treatment. While the majority of implant types encountered in the previous 12 months were root-form implants, there were still a certain number of blade and subperiosteal implants. Daily implant care involved mostly cleaning with a toothbrush + auxiliary tools. The most frequent implant problems encountered in the past were difficulty in cleaning and peri-implantitis. Medication and antiphlogistic treatment were most frequently adopted as countermeasures to implant problems, followed by observation. When we classified the results into those for the dentists who provided implant treatment and those for the dentists who did not, we found that many of the dentists who did not provide implant treatment opted for observation or medication, while those who provided implant treatment also implemented removal of superstructure, retightening of screws, repair and so forth. Conclusions: We found that many of the implant troubles encountered by dentists who provided visiting dental care were difficulty in cleaning or peri-implantitis, and that the actions taken against these troubles varied depending on the experience of the dentist performing the implant treatment. Our study also revealed that dentists who provide
*Correspondence: sato‑@dent.showa‑u.ac.jp 1 Department of Geriatric Dentistry, Showa University School of Dentistry, 2‑1‑1, Kitasenzoku, Ohta‑ku, Tokyo 145‑8515, Japan Full list of author information is available at the end of the article All members of “Japanese Society of Oral Implantology, Research Promotion Committee (Formar)" are: Yuji Sato, Shigeto Koyama, Chikahiro Ohkubo, Shin Ogura, Ryutaro Kamijo, Soh Sato, Jun Aida, Yuichi Izumi, Mihoko Atsumi, Shunsuke Baba and Noriharu Ikumi © The Author(s) 2020. Open Access This article is licensed under a Creative Com
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