Pathology findings and the establishment of prevention method for the deposits on the pharyngeal mucosal surface of persons requiring nursing care with dry mouth.
| Project/Area Number |
15K11436
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Social dentistry
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| Research Institution | Matsumoto Dental University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
柿木 保明 九州歯科大学, 歯学部, 教授 (10420762)
藤井 航 九州歯科大学, 歯学部, 准教授 (50387700)
落合 隆永 松本歯科大学, 歯学部, 講師 (20410417)
長谷川 博雅 松本歯科大学, 総合歯科医学研究所, 教授 (60164828)
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| Research Collaborator |
MIYAHARA Kota
ISHIHARA Noriaki
ASAHINA Noriaki
HIGUCHI Yudai
SHINOTSUKA Koichi
IWASAKI Hitoshi
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| Project Period (FY) |
2015-04-01 – 2018-03-31
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| Project Status |
Completed (Fiscal Year 2017)
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| Budget Amount *help |
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
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| Keywords | 経管栄養 / 咽頭の付着物 / 剥離上皮膜 / 口腔乾燥 / 歯科 / 寝膜ケア / 要介護高齢者 / 口腔ケア / 粘膜ケア / 口腔粘膜ケア / 咽頭汚染物 / 保湿 / 咽頭の汚染物 / 口腔乾燥症 |
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| Outline of Final Research Achievements |
Pharyngeal deposits were denatured stratified squamous epithelium positive for HE staining, and all mucus was positive for MUC 7 staining. It was suggested that pharyngeal deposits were derived from the oral mucosa. The deposits on the pharyngeal mucosal surface was associated with the presence of membranous substances on the oral mucosa of the patients with tube feeding. It was suggested that the prevention of formation of membranous substances on oral mucosa prevents the formation of pharyngeal deposits.It was suggested that pharyngeal deposits did not affect the bacteria causing pneumonia.After moisturizing the oral mucosa, the formation rate of membranous substances on oral mucosa was 56.3%, and the deposits on the pharyngeal mucosal surface was 6.3%.The patients without the membranous substances on oral mucosa didn’t find the deposits on the pharyngeal mucosal surface. It was suggested that the oral mucosa care would prevent the deposits on the pharyngeal mucosal surface.
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Report
(4 results)
Research Products
(13 results)
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[Presentation] 口腔ケアで咽頭の付着物は予防できるか2017
Author(s)
石原紀彰，宮原康太, 小島広臣, 高井経之, 松村康平, 伊沢正行, 島田 茂, 大野友久, 角 保徳, 長谷川 博雅, 柿木保明, 岡田芳幸, 小笠原 正
Organizer
第28回日本老年歯科医学会
Related Report
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[Presentation] 嚥下障害患者の咽頭にみられるのは、痰か？2017
Author(s)
樋口雄大, 宮原康太, 石原紀彰, 小柴 慶一, 松村康平, 望月慎恭, 島田 茂, 守谷恵未, 大野友久, 角 保徳, 岡田芳幸, 小笠原 正
Organizer
第28回日本老年歯科医学会
Related Report
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[Presentation] 咽頭の付着物を有する患者の口腔乾燥状態との関係2017
Author(s)
宮原康太, 篠塚功一, 山田晋司, 渡部義基, 岩崎仁史, 川瀬ゆか, 鈴木尚子, 松村康平, 島田勝光, 落合隆永, 長谷川博雅, 柿木保明, 岡田芳幸, 小笠原 正
Organizer
第34回日本障害者歯科学会
Related Report
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[Presentation] 経管栄養の要介護高齢者にみられる咽頭の付着物は何か?、2016
Author(s)
樋口 雄大, 篠塚 功一, 宮原 康太, 轟 かほる, 藤田 恵未, 嶋田 勝光, 落合 隆永, 長谷川 博雅, 藤井 航, 柿木 保明, 大野 友久, 角 保徳, 岡田 芳幸, はい島 弘之, 小笠原 正
Organizer
日本障害者歯科学会
Place of Presentation
ソニックシティ（埼玉県さいたま市）
Year and Date
2016-10-01
Related Report
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[Presentation] The study of preventing the formation of membranous substances by using moisturizer in the oral cavity of elderly persons with tube-feeding2016
Author(s)
Kouta Miyahara, Hitoshi Iwasaki, Koichi Shinotsuka, Noriaki Ishihara, Yudai Higuchi, Masayuki Izawa, Yoshiyuki Okada, Hiroyuki Haishima, Katsumitsu Shimada, Takanaga Ochiai, Hiromasa Hasegawa, Tadashi Ogasawara
Organizer
2016年 第12回韓国障害者歯科学会
Place of Presentation
Seoul National University Dental Hospital, 2-1 Changgyeonggung-no, Jongno-gu, Seoul, Korea
Year and Date
2016-04-30
Related Report
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[Presentation] 剥離上皮膜は汚染物か？2015
Author(s)
鈴木貴之, 岩崎仁史, 岡田尚則, 望月慎恭, 三井理恵子,植松紳一郎, 岡田芳幸, 蓜島弘之, 小笠原 正, 柿木保明
Organizer
第32回日本障害者歯科学会
Place of Presentation
名古屋国際会議場（愛知県名古屋市）
Year and Date
2015-11-07
Related Report
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[Presentation] 篠塚功一, 岩崎仁史, 藤田恵未, 安東信行, 轟かほる, 薦田智, 柿木保明, 角保徳, 岡田芳幸, 蓜島弘之, 小笠原 正2015
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