{"created":"2021-03-01T06:30:53.937485+00:00","id":25431,"links":{},"metadata":{"_buckets":{"deposit":"0c54c798-f799-4e63-b997-c53ddeb0f2d3"},"_deposit":{"id":"25431","owners":[],"pid":{"revision_id":0,"type":"depid","value":"25431"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00025431","sets":["432:1291:1292:1297","453:456"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Adaptation to dental treatment of pediatric patients with the use of physical restraints"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"166","bibliographicPageStart":"159","bibliographicVolumeNumber":"40","bibliographic_titles":[{"bibliographic_title":"新潟歯学会雑誌"},{"bibliographic_title":"新潟歯学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"新潟大学医歯学総合病院小児歯科診療室では，低年齢児の診療導入に保護者の同意を得てレストレイナーを使用している。多くの患児は，治療に対する慣れや成長により次第にレストレイナーを使用せずに治療できるように適応状態が変化していく。今回，レストレイナーを使用せずに診療できる時期の把握を目的として，平成16年１月から平成17年12月までの２年間に来院した６歳未満（初診時平均年齢３歳０か月）の患児200名（男児111 名，女児89名）を対象にレストレイナー使用の実態調査を行い，以下の結論を得た。１．初診時の使用割合をみると，０歳では全員に使用していたが増齢とともに減少し，４歳で約半数であった。２． レストレイナーが不要になった患児と初診時から不使用であった患児を合わせた割合が，５歳時には約半数となった。３． レストレイナーを使用しなかった群では予防を主訴に来院している患児が多かった。一方，４回以上使用している群では齲蝕を主訴に来院している患児が多かったため，歯髄処置や修復処置の割合が高く，平均処置歯数も7.5本と他群に比べて多かった。以上の結果から，患児が歯科診療の意味を理解し，レストレイナーを使用せずに治療を受け入れ始めるのは４歳から５歳頃であり，歯髄処置を必要とするような重度の齲蝕のために診療回数が多く必要であったことに加え，処置歯数が多い分，治療期間が長期化したことが，レストレイナーの使用回数が多くなった要因のひとつであると考えられた。","subitem_description_type":"Abstract"},{"subitem_description":"The Division of Pediatric Dentistry Niigata University Medical and Dental Hospital introduced a method utilizing restraints for the treatment of pediatric patients, with their parent's consent. Most of our pediatric patients adapt to dental treatment with the use of restraints and eventually graduate entirely from the use of this method in their dental treatment. In order to understand the general age when pediatric patients adjust to dental treatment without the use of restraints, we investigated 200 pediatric patients who visited our hospital more than 4 times during the 2-year period from January 2004 to December 2005 (age at initial visit ranged from 8 months to 5 years 11 months; mean age, 3 years). The results were as follows. 1. At the initial visit, the treatment of patients involving the use of restraints was 100% for infants, but this gradually reduced as patients became older, reaching 50% at age 4 years. 2. In addition, about 50% of 5-year-old patients did not require the use of restraints during dental treatment. This number was composed of patients who no longer required the use of restraints as well as those whose dental treatment had never involved the use of restraints. 3. Most of the pediatric patients whose dental treatment had never involved the use of restraints visited the hospital for prevention. Patients whose dental treatment involved the use of restraints more than four times visited the hospital for dental caries, furthermore, their mean number of treated teeth was 7.5, a value which was higher than the other groups. In conclusion, the average pediatric patient graduates from the use of restraints in their dental treatment between the age of 4 and 5 years. Moreover, the high utilization of restraints is deeply related with the quantity and periods of treatment.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"149941","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nanbu, Yuki"}]},{"nameIdentifiers":[{"nameIdentifier":"149942","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sano, Tomiko"}]},{"nameIdentifiers":[{"nameIdentifier":"149943","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Taguchi, Yo"}]},{"nameIdentifiers":[{"nameIdentifier":"149944","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tomizawa, Mieko"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟歯学会"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN0018300X","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03850153","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"南部, 友貴"}],"nameIdentifiers":[{"nameIdentifier":"149937","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"佐野, 富子"}],"nameIdentifiers":[{"nameIdentifier":"149938","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"田口, 洋"}],"nameIdentifiers":[{"nameIdentifier":"149939","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"富沢, 美惠子"}],"nameIdentifiers":[{"nameIdentifier":"149940","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-19"}],"displaytype":"detail","filename":"NS_40(2)_159-166.pdf","filesize":[{"value":"2.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"NS_40(2)_159-166.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/25431/files/NS_40(2)_159-166.pdf"},"version_id":"59caaf34-e2ad-45fb-9461-bc283140709d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"小児患者","subitem_subject_scheme":"Other"},{"subitem_subject":"歯科適応","subitem_subject_scheme":"Other"},{"subitem_subject":"身体抑制","subitem_subject_scheme":"Other"},{"subitem_subject":"レストレイナー","subitem_subject_scheme":"Other"},{"subitem_subject":"歯科診療","subitem_subject_scheme":"Other"},{"subitem_subject":"pediatric patients","subitem_subject_scheme":"Other"},{"subitem_subject":"dental adaptability","subitem_subject_scheme":"Other"},{"subitem_subject":"physical restraints","subitem_subject_scheme":"Other"},{"subitem_subject":"restrainer","subitem_subject_scheme":"Other"},{"subitem_subject":"dental treatments","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"レストレイナーの使用状況による小児患者の歯科診療に対する適応性の変化","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"レストレイナーの使用状況による小児患者の歯科診療に対する適応性の変化"},{"subitem_title":"レストレイナーの使用状況による小児患者の歯科診療に対する適応性の変化","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1297"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-07-19"},"publish_date":"2017-07-19","publish_status":"0","recid":"25431","relation_version_is_last":true,"title":["レストレイナーの使用状況による小児患者の歯科診療に対する適応性の変化"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:55:20.627489+00:00"}