障害児の口腔衛生管理--オペラント条件付け原理を用いた精神遅滞児のブラッシング指導-1-

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Brushing one's own teeth is very important for oral hygiene in mentally retarded, autistic, hyperkinetic, or otherwise handicapped. The purpose of this study was to evaluate the effect of a training system for personal tooth-brushing in mentally retarded children with abnormal behavior. We devised a training system containing a brushing program to which the operant conditioning theory was applied, and trained 7 mentally retarded subjects ranging from 4 years 3 months to 8 years 9 months old. The following results were obtained. (1) By training, 3 subjects learned to brush their own teeth. (2) All subjects impruved in the degree of personal tooth-brushing. (3) Before training the oral hygiene index of 7 subjects averaged 4.1and after training 1.4. (4) Concerning the caries activity test, before training 6 subjects were _??_, and after training 1 was _??_, 4 were +, and lwas-. We think this training system, which put stress on the mother as trainer and on training at home, may be an effective method for mentally retarded children to learn to brush their own teeth.
有限責任中間法人日本口腔衛生学会の論文