@article{oai:shinshu.repo.nii.ac.jp:00002500,
 author = {笠原, 浩},
 issue = {1-2},
 journal = {松本歯学},
 month = {Aug},
 note = {The handicapped is defined in the Fundemental Act for the Handicapped (1970) as "any person who has a considerable and long-pending limitation in one's daily life or social activities with a physical impairment of moving, seeing, hearing, balancing, voice or speech; a fixed organic disorder of the heart, respiratory system, and the like; or mental impairment such as mental deficiency". In those people, the dental health has much more importance than in the other normal people. For a person who is developing or has to recover from retardation should bite well. The infection following dental diseases is often dangerous in those who have serious organic disorders or low resistance associated with a congenital abnormality. Although, many people suffer from dental caries and periodontal disease, some of the severely handicapped differ from the normal, sometimes having not even the ability to inform others of their severe pain. We should correctly understand that most of the mentally retarded or the cerebral palsy patients have no ability to use dentures if they lose their own teeth. The most superior dental care should be provided for such severely handicapped people, and with the highest priority. Nevertheless, the handicapped are kept at a distance from dental service. The Welfare Ministry estimates that one in every 20 or so Japanese has some type of handicap, but few of them can receive adequate dental service. It is suggested that such regrettable situations are the result of a certain limitation of private practice, which makes up ninty-seven percent of Japanese dental service, and a lack of instruction in dentistry for the handicapped in the coventional dental education system. In the past decade, "Special Patient Care in Dentistry" has been developing. For dental needs beyond range of the usual service of general practitioners, the concept of "the special patient" was proposed. It includes those who require major oral surgery or complex orthodontic procedure at first, but now, in a narrow sense, it means those who require special medical or behavioral management, such as the handicapped, the aged, and the patient with an organic disorder. Tho special patient clinics in dental departments of hospitals and public dental service centers should be set up in every district. The substaniality of the secondary and the tertiary care such as hospital service is absolutely neccesary for treatment of severe and progressed dental diseases which are found frequently in the handicapped, but not enough for maintainance of their dental health. The other element is the primary health care provided by general practitioners. Indeed, the disabled person earnestly demands to receive dental service in his living environment. Periodical check, health education, tooth brushing instruction, prophylaxis, and preventive procedures, as well as early treatment if indicated, are much more powerful in such persons, and not so difficult for a general practitioner when he has the essential information of the handicapped and the behavior management. The concept of normalization should be introduced in the dental education system., application/pdf},
 pages = {1--12},
 title = {障害者と特殊歯科医療},
 volume = {11},
 year = {1985}
}