{"created":"2023-06-23T12:22:09.222916+00:00","id":13960,"links":{},"metadata":{"_buckets":{"deposit":"204413ee-c675-4b84-a9c6-6f6f4cc45e49"},"_deposit":{"created_by":21,"id":"13960","owners":[21],"pid":{"revision_id":0,"type":"depid","value":"13960"},"status":"published"},"_oai":{"id":"oai:asahi-u.repo.nii.ac.jp:00013960","sets":["46:190:423"]},"author_link":["16763","326","8752","4507","529","16764","234","4508"],"item_10002_biblio_info_77":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-11-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"特集","bibliographicPageEnd":"36","bibliographicPageStart":"29","bibliographicVolumeNumber":"30","bibliographic_titles":[{"bibliographic_title":"岐阜歯科学会雑誌"},{"bibliographic_title":"The Journal of Gifu Dental Society","bibliographic_titleLang":"en"}]}]},"item_10002_description_80":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"In the present paper, we discuss the problems and possible countermeasures for dental treatment of patients with Parkinson's disease. In particular, side effects of antiparkinson drugs, such as the wearing-off phenomenon, on-off phenomenon, frozen gait, psychic symptoms, oral dyskinesia, and orthostatic hypotension, are often barriers to dental treatment. We suggest that dentists should first consult with the patient's neurologist to obtain information on the patient's physical condition and possible side effects of treatment drugs. We recommend a local anesthetic without adrenaline to avoid interactions with antiparkinson drugs. Also, macrolide antibacterial and antifungal drugs interfere with the metabolism of antiparkinson drugs in the liver and must be prescribed cautiously. Dental caregivers must avoid increasing mental stress. A preoperative electrocardiogram and another during dental treatments is recommended to monitor stress responses and to detect possible arrhythmias. We also suggest escorting the patient to prevent falls due to disturbances in posture and gait, attention to sudden involuntary movement to avoid damaging the tongue, cheek, etc., and careful management of oral care over the long-term to avoid dental caries, periodontitis, tongue coating, etc..","subitem_description_type":"Abstract"}]},"item_10002_description_81":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"パーキンソン病患者の歯科治療時の問題点とその対策について考察した。特に問題は、Wearing-off現象、On-off現象、すくみ足、精神症状、不随意運動、オーラルジスキネジア、起立性低血圧などのL-DOPA製剤の副作用である。歯科治療開始前には必ず主治医との連携を図り、全身状態および服用中の抗パーキンソン病薬およびその副作用の発現状況を把握すべきである。パーキンソン病患者の歯科治療時には、抗パーキンソン病薬との相互作用を避けるためエピネフリン非含有の局所麻酔剤を使用した方がよい。マクロライド系抗菌剤や抗真菌剤の中には抗パーキンソン病薬の代謝を阻害するものがある。また、歯科スタッフは患者に精神的ストレスを加えないように配慮し、精神的ストレスに起因する不整脈等の発現に備え、歯科治療中、心電図および血圧測定による全身管理を行うべきである。","subitem_description_type":"Other"}]},"item_10002_full_name_75":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"4507","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KUBO, KIN-YA"}]},{"nameIdentifiers":[{"nameIdentifier":"326","nameIdentifierScheme":"WEKO"}],"names":[{"name":"IINUMA, MITSUO"}]},{"nameIdentifiers":[{"nameIdentifier":"16764","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ITO, MASAKI"}]},{"nameIdentifiers":[{"nameIdentifier":"4508","nameIdentifierScheme":"WEKO"}],"names":[{"name":"IWAKU, FUMIHIKO"}]}]},"item_10002_heading_98":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"Dentistry for Disability","subitem_heading_headline":"Dental Treatment of Patients with Parkinson’s Disease","subitem_heading_language":"en"}]},"item_10002_radio_89":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_radio_item":"application/pdf"}]},"item_10002_relation_85":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"110004689627","subitem_relation_type_select":"NAID"}}]},"item_10002_relation_86":{"attribute_name":"医中誌文献番号","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2005118863","subitem_relation_type_select":"ICHUSHI"}}]},"item_10002_source_id_82":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0385-0072","subitem_source_identifier_type":"ISSN"}]},"item_10002_source_id_84":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00053070","subitem_source_identifier_type":"NCID"}]},"item_10002_textarea_76":{"attribute_name":"所属","attribute_value_mlt":[{"subitem_textarea_value":"Departments of Oral Anatomy, Asahi University School of Dentistry\n朝日大学歯学部口腔構造機能発育学講座口腔解剖学分野"},{"subitem_textarea_value":"Departments of Pediatric Dentistry, Division of Oral Structure, Function and Development, Asahi University School of Dentistry\n朝日大学歯学部口腔構造機能発育学講座小児歯科学分野"},{"subitem_textarea_value":"Division of Dentistry for Disability, Aichi-Gakuin University Dental Hospital\n愛知学院大学歯学部附属病院障害者歯科"},{"subitem_textarea_value":"Departments of Oral Anatomy, Asahi University School of Dentistry\n朝日大学歯学部口腔構造機能発育学講座口腔解剖学分野"}]},"item_10002_textarea_78":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_textarea_value":"岐阜歯科学会"}]},"item_10002_version_type_95":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"久保, 金弥"}],"nameIdentifiers":[{"nameIdentifier":"234","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000239577397","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000239577397"},{"nameIdentifier":"00329492","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=00329492"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[],"affiliationNames":[{"affiliationName":"朝日大学歯学部","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"飯沼, 光生","creatorNameLang":"ja"},{"creatorName":"IINUMA, MITSUO","creatorNameLang":"en"}],"familyNames":[{"familyName":"飯沼","familyNameLang":"ja"},{"familyName":"IINUMA","familyNameLang":"en"}],"givenNames":[{"givenName":"光生","givenNameLang":"ja"},{"givenName":"MITSUO","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"529","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"1000070184364","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/1000070184364"},{"nameIdentifier":"70184364","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=70184364"}]},{"creatorNames":[{"creatorName":"伊藤, 正樹"}],"nameIdentifiers":[{"nameIdentifier":"16763","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000006090742","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000006090742"}]},{"creatorNames":[{"creatorName":"岩久, 文彦"}],"nameIdentifiers":[{"nameIdentifier":"8752","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000002269924","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000002269924"},{"nameIdentifier":"60018421","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=60018421"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-09-30"}],"displaytype":"detail","filename":"gifushika30S_2936_2004.pdf","filesize":[{"value":"776.7 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"gifushika30S_2936_2004","url":"https://asahi-u.repo.nii.ac.jp/record/13960/files/gifushika30S_2936_2004.pdf"},"version_id":"c5018471-f0d0-4cf0-8a63-deca61fb267b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"パーキンソン病","subitem_subject_scheme":"Other"},{"subitem_subject":"歯科治療","subitem_subject_scheme":"Other"},{"subitem_subject":"副作用","subitem_subject_scheme":"Other"},{"subitem_subject":"L-DOPA","subitem_subject_scheme":"Other"},{"subitem_subject":"抗パーキンソン病薬","subitem_subject_scheme":"Other"},{"subitem_subject":"心理的ストレス","subitem_subject_scheme":"Other"},{"subitem_subject":"低血圧-起立性","subitem_subject_scheme":"Other"},{"subitem_subject":"Parkinson病","subitem_subject_scheme":"Other"},{"subitem_subject":"不整脈","subitem_subject_scheme":"Other"},{"subitem_subject":"歯科麻酔","subitem_subject_scheme":"Other"},{"subitem_subject":"薬物相互作用","subitem_subject_scheme":"Other"},{"subitem_subject":"慢性疾患患者歯科医療","subitem_subject_scheme":"Other"},{"subitem_subject":"歩行障害","subitem_subject_scheme":"Other"},{"subitem_subject":"不随意運動","subitem_subject_scheme":"Other"},{"subitem_subject":"Wearing-off現象","subitem_subject_scheme":"Other"},{"subitem_subject":"口部ジスキネジア","subitem_subject_scheme":"Other"},{"subitem_subject":"PRP","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"β-TCP","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"PDGF","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"TGF-β1","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Osteocalcin","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"CD68","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Parkinson’s disease","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Dental treatment","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Side effect","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"L-DOPA","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Antiparkinson drug","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Levodopa","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"パーキンソン病患者の歯科治療 : 問題点とその対策","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"パーキンソン病患者の歯科治療 : 問題点とその対策"},{"subitem_title":"Dental Treatment of Patients with Parkinson's Disease : Problems and Countermeasures","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"21","path":["423"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-09-30"},"publish_date":"2022-09-30","publish_status":"0","recid":"13960","relation_version_is_last":true,"title":["パーキンソン病患者の歯科治療 : 問題点とその対策"],"weko_creator_id":"21","weko_shared_id":-1},"updated":"2024-01-15T09:39:10.318673+00:00"}