Abstracts of the 9th Congress of Japan Bi-Digital O-Ring Test Medical Society

s of the 9th Congress of Japan Bi-Digital O-Ring Test Medical Society July 24-25, 1999 Sanjyo Kaikan, Tokyo University, Tokyo Japan I. Dental Presentation Relationship between the Onset of Pustulosis Palmaris et Plantaris, Metal Allergy, and Chronic Oral Infectious Diseases Munehiro Kosugi, D.D.S. Research Fellow of Department of Microbiology, Tokyo Dental College; Funabashi City Bi-Digital O-Ring Test Study Group & Kosugi Dental Clinic, Funabashi City, Chiba Abstract We examined patients with pustulosis palmaris et plantaris (PPP) which is a chronic relapsing skin disease characterized by sterile intraepidemal pustules and usually scaly erythematous skin on the palm, soles, or both. Aged 49 man with PPP had many dental treatments including restoration and crown using metal materials. No delayed type hypersensitivity against Pb was found by patch test, but Pd alloy contains Au, Ag, Cu and Il. The aptitude test indicated that the Pd alloy did not match to the patient. The Bi-Digital O-Ring Test showed strong resonance of Hg. The patient stopped smoking and dental therapy in order to treat chronic infectious diseases such as periodontal disease was carried out. All restorative metals were removed and changed to composite resin material. Chinese parsely-100® (10mg × 4 times/day) was prescribed for 5 months. After these treatments, the PPP syndrome improved. Sixteen months later, the patients complained the relapsing. In the various examinations on the relapsing time, significantly high serum IgG antibody levels against Cytomegalo virus was found, but no increasing levels against Chlamydia pneumoniae or Mycoplasm pneumoniae. Systemic spreading of bacteria or their products from chronic oral infections has long been suspected to cause dermal diseases including PPP. Although it has been suggested that oral bacterial antigens, including heat shock proteins (Hsps), may be related to secondary disease, no clear evidence of the relationship between focal infections and Hsps has been shown. Serum IgG levels against Escherichia coli GroEL, a recombinant Dna J of Antinobacillous actinomycetemcomitans Hsp measured by ELISA will be discussed the relationship between the antibodies and PPP.We examined patients with pustulosis palmaris et plantaris (PPP) which is a chronic relapsing skin disease characterized by sterile intraepidemal pustules and usually scaly erythematous skin on the palm, soles, or both. Aged 49 man with PPP had many dental treatments including restoration and crown using metal materials. No delayed type hypersensitivity against Pb was found by patch test, but Pd alloy contains Au, Ag, Cu and Il. The aptitude test indicated that the Pd alloy did not match to the patient. The Bi-Digital O-Ring Test showed strong resonance of Hg. The patient stopped smoking and dental therapy in order to treat chronic infectious diseases such as periodontal disease was carried out. All restorative metals were removed and changed to composite resin material. Chinese parsely-100® (10mg × 4 times/day) was prescribed for 5 months. After these treatments, the PPP syndrome improved. Sixteen months later, the patients complained the relapsing. In the various examinations on the relapsing time, significantly high serum IgG antibody levels against Cytomegalo virus was found, but no increasing levels against Chlamydia pneumoniae or Mycoplasm pneumoniae. Systemic spreading of bacteria or their products from chronic oral infections has long been suspected to cause dermal diseases including PPP. Although it has been suggested that oral bacterial antigens, including heat shock proteins (Hsps), may be related to secondary disease, no clear evidence of the relationship between focal infections and Hsps has been shown. Serum IgG levels against Escherichia coli GroEL, a recombinant Dna J of Antinobacillous actinomycetemcomitans Hsp measured by ELISA will be discussed the relationship between the antibodies and PPP. The Dental Treatment for Bedridden Elderly Persons by Means for Removable Dentures Yoshiro Fujii, D.D.S., Ph.D. Fujii Dental Clinic(Kobe City, Nagoya City), Yoshikawa Hospital Dept. Dent.(Kasugai City) ABSTRACT Recently, a lot of clinical evidences were reported that there is a close relationship between dental treatment and the general conditions. This study was designed to evaluate the dental treatment in terms of activity of daily living for 32 bedridden elderly persons by means of removable dentures. The rate of 'remarkable improvement' was 21.9%, 'improvement' 9.4% and 'no efficacy' 68.9%. However, as far as the 18 patients that accepted to use dentures, the rate of 'remarkable improvement' was 38.9%, 'improvement' 16.7% and 'no efficacy' 44.4%. On the other hand, the 14 patients who rejected to use dentures had no efficacy.Recently, a lot of clinical evidences were reported that there is a close relationship between dental treatment and the general conditions. This study was designed to evaluate the dental treatment in terms of activity of daily living for 32 bedridden elderly persons by means of removable dentures. The rate of 'remarkable improvement' was 21.9%, 'improvement' 9.4% and 'no efficacy' 68.9%. However, as far as the 18 patients that accepted to use dentures, the rate of 'remarkable improvement' was 38.9%, 'improvement' 16.7% and 'no efficacy' 44.4%. On the other hand, the 14 patients who rejected to use dentures had no efficacy. And so, it was very difficult to treat senile old patients, because they had a tendency to reject to use dentures. From the results above, it was suggested that if patients accept to use dentures, over a half of them would have an effectiveness in terms of activity of daily living. Moreover, dental and medical cooperation would be very important in the process of these treatments and clarifying the relations between general and dental conditions. Criteria for ADL of the handicapped bedridden old person