Publications by authors named "Kakuhiro Fukai"

Article Synopsis
  • The study investigates dental healthcare spending in Japan from 1984 to 2020, revealing that total expenditures rose significantly from 1.96 trillion yen to 3.00 trillion yen.
  • A notable increase in spending was observed among older individuals, with a shift in focus from crown restoration and prosthesis to medical management and at-home treatment services.
  • The findings highlight the variations in dental spending patterns based on age and type of service, indicating changing priorities in dental care over the years.
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This literature review examines the need to develop appropriate policies specific to the oral health needs of older people that are individualised, cost-effective, and sustainable. Poor oral health and impaired oral function negatively affect the health and quality of life of older adults. Developing care systems that aim to meet patients' normative needs as well as their perceived needs and expectations is one factor in successful delivery of appropriate dental care.

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Objectives: There is limited evidence of a temporal relationship between periodontal diseases and self-perceived general health. To plug this knowledge gap, we aimed to assess how periodontal health affects future self-rated health (SRH).

Methods: We collected data from five waves of an annual nationwide Japanese survey of dental patients from 2015 to 2019.

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Few studies have examined the factors related to dental clinics during dental check-ups. We examined the association between dental-hygienist-related factors and patients' regular dental check-ups. This nationwide cross-sectional study was based on a survey conducted in Japan in 2014.

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Background: Many studies have reported risk factors for tooth loss. Oral health instruction is considered effective at improving oral health behavior and oral health. However, few studies have examined the relationship of dental clinic factors, such as the number of dental hygienists and implementation of oral health instructions, with tooth loss.

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Screening is a fundamental strategy for early detection, treatment, and prevention of progression of oral disease and those at high risk for oral disease. While numerous screening tools exist, questionnaires, and saliva tests are often suitable for screening. The questionnaire based on the PRECEDE-PROCEED model was developed, validated, and elucidated on the structural interrelationship between these two methods.

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This nationwide cross-sectional survey investigated the association between periodontal disease and self-reported systemic health in periodontal patients who regularly visited private dental clinics in Japan. Data from 999 patients of 444 dental clinics were analyzed; the patients were aged 40 years or older, regularly visited dentists, and had diagnosed periodontal disease (defined as two or more teeth with a clinical attachment level ≥6 mm). Medical history was collected with a self-reported questionnaire.

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Aim: The assessment of the risk of tooth loss in patients visiting a dental clinic is important for managing their oral health. In the present study, we examined the risk factors for tooth loss among dental patients.

Methods: Data from the 8020 Promotion Foundation Study on the Health Promotion Effects of Dental Care were used in the present study.

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The ageing of populations worldwide is rapidly accelerating. However, the global burden of oral disease remains a critical and often underestimated problem. As ageing progresses globally, oral health maintenance becomes a matter not only of public health, but also of human rights.

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The aim of this study was to investigate sex- and age-based differences in single tooth loss in adults. The data were obtained from the results of a periodontal disease examination carried out under a health promotion law in a city in Japan in 2005. Baseline data from a total of 3,872 participants aged 40 or 60 years comprising 1,302 men and 2,570 women were available.

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Oral health instruction for adults should take into account the potential effect of tooth loss, as this has been suggested to predict further tooth loss. Therefore, the purpose of this study was to determine whether further tooth loss could be predicted from the number of present teeth (PT). We employed the same method as in our previous study, this time using two national surveys of dental disease, which were deemed to represent a generational cohort.

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The aim of this study was to investigate risk factors affecting 5- and 10-year survival in autotransplantation of third molars with complete root formation at dental clinics. Participating dentists were requested to provide information on transplantations performed between 1 January 1990 and 31 December 2009. After data screening and elimination, 183 teeth in 171 men aged 20-72 years (mean, 44.

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The purpose of this study was to provide the estimated percentile curves of occlusal pairs (OPs) in adults for use in oral health instruction. Data on number of present teeth (PT) were obtained from the National Report on the Survey of Dental Disease in 2005. Data from 1,535 males and 2,248 females, ranging in age from 18 to 82, were analysed.

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The purpose of this study was to analyze the survival rate in autotransplanted premolars with complete root formation in dental clinics. Participating dentists were requested to provide information on transplantations they had undertaken between 1 January 1990 and 31 December 2010. Data on a total of 708 teeth from 637 patients were collected.

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The aim of this study was to determine age- and sex-specific differences in the ratio of occluding pairs (OPs) to number of present teeth (PT). The data were obtained from a periodontal disease examination carried out under a health promotion law in a city located northeast of Tokyo, Japan, in 2005. Data from a total of 5,131 (1,735 male and 3,396 female) 40-, 50-, and 60-year-old participants were analysed in this study.

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Objective:   The aim of this study was to compare treatment decisions in primary dentistry between Japanese and UK-based paediatric dental specialists.

Methods:   Four clinical scenarios involving a 6-year-old boy were used to ascertain the clinical opinions of participants. The scenarios presented: (i) a single distal cavity, vital and without pain; (ii) a distal occlusal cavity, vital and without pain; (iii) a large distal occlusal cavity, non-vital and without pain, and (iv) a large distal occlusal cavity, non-vital and painful.

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In economics, the concept of utility refers to the strength of customer preference. In health care assessment, the visual analogue scale (VAS), the standard gamble, and the time trade-off are used to measure health state utilities. These utility measurements play a key role in promoting shared decision-making in dental care.

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The aim of this study was to determine the percentage of participants in each of the six Eichner Index groups by number of present teeth (PT). The data were obtained from a periodontal disease examination carried out under a health promotion law in a city located northeast of Tokyo, Japan, in 2005. Data from a total of 1,549 (524 male and 1,025 female) 60-year-old participants were analyzed in this study.

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The aim of this study was to determine the relationship between number of present teeth (PT) and number of occlusal units (OUs). The data were obtained from a periodontal disease examination based on the health promotion law in Tokyo, Japan in 2005. Data from a total of 1,549 (524 male and 1,025 female) 60-year-old people were analyzed in this study.

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Aim: To assess the critical tooth number (CTN) required for prevention of subjective dysphagia caused by oral impairments and to evaluate the relationship between this CTN and mortality.

Methods: The baseline study was performed with residents aged 40-89years (n=5,643; 2224 men and 3419 women) in Miyako Islands, Okinawa, in 1987. Dental examinations were performed by dentists, and subjective dysphagia was asked.

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Background: Oral function influences various general health and organ diseases. We wondered if physical complaints of unknown origin were related to oral function.

Methods: Five thousand five hundred and eighty-four community residents (2206 men and 3378 women, aged 40-89 years) on the Miyako Islands, Okinawa Prefecture, Japan, were recruited for the baseline study in 1987 and followed up for 15 years.

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Aim: To prospectively study how dental status with and without dentures could become a predictor of overall mortality risk.

Methods: Five thousand six hundred eighty-eight community residents over 40 years old in the Miyako Islands, Okinawa Prefecture, Japan, were followed up for 15 years from 1987-2002.

Results: We found that female subjects with less than 10 functional teeth and without dentures showed a significantly higher mortality rate than those with dentures.

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