Importance of oral care in medical and long-term care settings
The number of elderly people requiring long-term care in Japan, which is aging the most in the world, is currently over 6 million, and the annual long-term care cost is over 10 trillion yen. It has become.
And in the future, the same aging problem as in Japan is expected on a large scale in the world.
According to a survey by the Ministry of Health, Labor and Welfare, the difference between the healthy life expectancy of living independently without long-term care and the actual average life expectancy is about 10 years, and there is an urgent need to shorten the period of bedridden long-term care required.
In recent years, the government has clarified the correlation between the number of remaining teeth and the incidence of dementia, periodontal disease bacteria and systemic diseases (myocardial infarction, diabetes, etc.) and developed the 8020 exercise to thoroughly implement oral care that leaves teeth and extends healthy life expectancy. We are promoting.
Needs for a new era of oral care products
However, in the field of medical care and long-term care, conventional oral disinfectants have a risk of causing stomach upset when swallowed by elderly people who have difficulty in gargling or spitting, and the burden on caregivers is still heavy with water-only care. ..
An oral care product that is safe to swallow while increasing the effectiveness and efficiency of care to reduce the physical, mental and time burden on the caregiver.
It is also useful for preventive care for dementia and healthy longevity for young people, and there is a need for oral care products with low environmental impact that are required in the new era.
The latest oral care methods in medical and long-term care settings
Regarding the latest oral care methods in medical and nursing care settings, Aimi Tsunoda, a dentist (Tokyo Medical Dental University) who is a leading expert in home dentistry in Japan and has the largest number of clinical cases in Japan, and is a member of the Oral Peace Project. In the book “Home Oral Hygiene Management Start Book” (published by Kuintessensu Shuppan) by Dental Hygienist) and Hisako Toki, basic knowledge, preparation, technology, positioning, various case-specific care methods, daily oral cavity The knowledge required in clinical practice from the basics to application of care guidance, multidisciplinary collaboration, and infection management is explained in detail from the beginning with pictures and illustrations.
We hope that medical and long-term care workers will refer to this and provide appropriate oral care.
How to choose oral care products in the medical / nursing field
The first is the confirmation of “all ingredients”.
Whenever you purchase a product that creates your body and mind and puts it in your mouth, which is the gateway to all your important body and health, be sure to “all the ingredients” (all the ingredients that are blended and added). We recommend that you check and check for yourself before making a selection.
“All ingredients” can be found on the product packaging.
In many cases, it’s easy to get caught up in “other than the essence of the product.”
However, in the world of science, research, and manufacturing, all new efforts and efforts regarding research, technological innovation, and safety behind products result in the result of “all ingredients.”
It is important to check “all ingredients” and determine the essence of the product.
The second is confirmation of “research background” and “results”.
What kind of project members, universities / graduate schools and research institutes (national or private organizations / internationally competitive public institutions),
What kind of career and profile researchers (researchers who can have international competitiveness in their institution or specialized field) have researched and developed the technologies and products, and what they are researching for. Or
And does the research / technology have innovation and objective superiority (“patent”, “treatise”, “award history”, “newspaper publication”, etc.)?
We are in an era where you can easily search for “research background,” “data,” “treats,” “patents,” “awards,” and “media publications” related to each product on the Internet.
It is important to identify the “research background” of what kind of research institution, researcher, involved members, etc., and what kind of “results” the research has achieved as a result.
Thirdly, what kind of research results and products are handled by the public media such as newspapers and television, and public media such as magazines.
Is it a research result or product that has news value and is treated as an article rather than an advertisement by highly reliable news media and public media?
Every day, we receive press releases from numerous research institutes and companies, and what is published and reported through the filter of reporters who are exhausting is a new socially useful research result for many consumers without specialized knowledge. It is a big factor in determining whether a product has unprecedented value.
Fourth, what kind of medical institution / store is selected, and what kind of countries are sold and used?
For stores such as highly reliable medical institutions and department stores, medical professionals who select various products in the world at their own risk and provide patients and customers with products that their hospitals and stores can proceed with confidence. There is a buyer (purchasing person).
Now that there are so many things and information all over the world, there are stores with high quality that consumers are sure to buy here.
Being selected by these medical institutions and department stores is a product that should be selected, trusted, and recommended to important patients and customers by the filters of connoisseurs who are looking at products all over the world. It will be a thing.
In addition, in order to be officially sold locally not only in Japan but also in overseas countries, it can be sold for the first time after strict approval by the health institutions of each country.
Products that are officially sold locally are products that have been carefully examined in each country and that should be used as contributing to the health of the people.
What kind of medical institution, government agency, public institution, what kind of department store or store should choose the product to choose?
Is it a product that is sold not only in Japan but also in the United States, Europe, China, Asian countries, Central and South America, and other countries around the world? And is it a product that many people around the world are looking for?
For many consumers who do not have specialized knowledge, calmly knowing the handling and sales performance of the product, the difference from other products in the world, the essence of the product, the superiority of research and technology, the product to choose It is an element to judge the goodness.
Finally, confirmation of “sociality”.
Whether it is a product or business that leads to good things not only for you but also for society and others, a product that prioritizes human health and environmental consideration, a product for mere commercial purposes, or social It is important to find out if the product you are working on.
We are in an era where you can easily find out about the actual situation and management attitude of the above companies on Wikipedia.
It is important for medical professionals and consumers to wisely assess the “sociality” of products and companies, not just the product specifications themselves.
Now that various information is overflowing and companies and products are overflowing, in order to protect the health of ourselves, our families and patients, and to protect our own health and livelihood, we must be able to discern and judge the essence. We are in an era of demand.
In the era after the coronavirus disaster, which has changed drastically, medical professionals and consumers learned about how corporate products lead to better things for society and themselves, and the socio-economic mechanism. We need to make wise choices.
Selection points for oral care products, oral hygiene agents, and oral moisturizers
The “selection points for oral care products, oral hygiene agents, oral hygiene agents, oral moisturizers, and oral care products” that are expected to have the function of performing oral care and moisturizing at the same time can be said to be as follows.
First and foremost, try tasting yourself. With this, you can understand most of the differences, such as “feeling whether it is a safe ingredient even if swallowed as it is”, “feeling whether it feels good or bad when you put it in your mouth”, “feeling the effect of using it”. I will.
Secondly, it can be important to check whether or not “ingredients that are expected to have antibacterial properties that are safe to swallow” are included.
In order not to increase the number of bacteria that cause troubles in the oral cavity, simple moisturizers (gels such as glycerin and hyaluronic acid) cannot meet the needs of clinical practice, and “products containing antibacterial agents that are safe to swallow” are the oral cavity. It is considered to be highly useful for cleaning, moisturizing, and keeping the inside clean.
The third major point is the feeling of use by the patient.
Non-food products containing a large amount of chemical components such as synthetic thickeners and synthetic polymers have low raw material costs, but have drawbacks in terms of usability and water solubility. In other words, it remains like a foreign substance in the mouth and makes me feel uncomfortable. For example, it feels like petrolatum, lard, and paint are stuck in your mouth all the time.
You can also check the water solubility of each product at home.
Add a small amount of the product you want to compare with a petri dish (a small plate is fine).
After that, add water and leave it for about 1 hour.
Finally, flush the water and observe the condition of the remaining wetting agent.
Anything that remains undissolved will feel like it sticks to the upper jaw. There are types that remain almost as they are even with water (saliva), and types that naturally blend in with water (saliva) and spread thinly to moisturize, such as Oral Peace Clean & Moisture.
Hard-to-dissolve substances that use a lot of chemical raw materials are difficult to digest in the human body and decompose by microorganisms in the intestinal tract, and even if they are excreted in nature, they are difficult to decompose and are difficult to biodegrade by microorganisms.
Whether it feels like it doesn’t dissolve in saliva and remains in the mouth, or it feels like it spreads in the mouth and is moisturized without discomfort. We recommend that you choose the best product.
It is important to fully understand the research and development background of each product and its characteristics such as usability, and to select a product that meets the needs of the user.
About ingredients and additives of oral care products
For toothpaste and oral care products as delicate products to be put in the mouth, it is also important to check the composition of the following ingredients and additives.
× Ingredients not approved as food
× Petroleum-derived ingredients × Chemically synthesized ingredients
× Synthetic disinfectant that causes damage to the intestinal flora × Cetylpyridinium chloride (also known as cetylpyridinium chloride / CPC), benzethonium chloride, chlorhexidine gluconate, IPMP (isopropylmethylphenol), triclosan, lauroyl sarcosine salt (LSS), etc. Synthetic disinfectant
× Bleach and deleterious substances such as chlorine, chlorine dioxide (CIO2), sodium chlorite, sodium hypochlorite, chlorine-based gas, etc.
× Na hydrogen carbonate (baking soda, abrasive, alkali)
× Alcohol (ethanol)
× Calcium carbonate (Ca carbonate, large abrasive, limestone powder, white lined powder in the athletic field, raw material for chalk), zeolite (boiling stone), coral powder, shells, mud (clay, montmorillonite), charcoal (charcoal) ) ・ Abrasives such as microbeads (plastic) (compounds, stone powder, etc.)
× Synthetic surfactants such as sodium lauryl sulfate, lauryl glucoside, cocamidopropyl betaine, and sodium cocoyl glutamate
× Soap base, coconut oil fatty acid K, olive fatty acid K, and other soaps and foaming agents
× Synthetic preservatives such as paraben (paraoxybenzoic acid ester), phenoxyethanol, sodium benzoate, sorbic acid K, PG (propylene glycol), BG (butylene glycol), etc.
× Glycin (preservative / food additive chemically synthesized from formaldehyde and hydrogen cyanide) × poly-ε-lysine (polylysine, an antibiotic analog produced by mold-like actinomycetes, preservative / food additive)
× Phosphorus (phosphates such as polyphosphoric acid, metaphosphoric acid, pyrophosphoric acid, and phosphoric acid 2K)
× Solubilizers such as PEG (polyethylene glycol) and propanediol
× Fluorine × Nanoparticles × Synthetic colorants such as Blue No. 1 × Synthetic fragrances / flavors × Salt / sea salt × Titanium oxide × Metals / heavy metals such as copper / silver × Phytic acid × Saccharin Na × Arginine × EDTA-2Na × Difficult Digestible dextrin
× Hinokitiol × catechin × mastic resin × tea tree essential oil × honey propolis
× Raw materials derived from coral in the marine environment, etc.
× Raw materials derived from animals, including those derived from humans × Raw materials derived from insects and insects
× Lactic acid bacteria themselves (live / dead bacteria, lactic acid bacteria derived from animal feces, etc.)
Whenever you purchase a product that you can put in your mouth, we recommend that you check the “all ingredients” (all the ingredients that are included) of each product before making your selection.
How to choose a container for oral care products
Tube packages for oral care products are mainly available in plastic tubing, aluminum tubing and laminated tubing types.
Plastic tube / container (made of only plastic, the contents that have come out will return, air will enter inside the empty container, and there will be a gap, and if you see through the sun, the remaining amount of contents can be seen through) , “Very cheap”, “Can be opened with one hand”, but “Low confidentiality, easy to putrefy, need to mix a lot of synthetic preservatives”, “The contents cannot be kept light-shielded There is a demerit that “the components of the material tend to deteriorate”.
The advantage of the aluminum tube type is that it has a high airtightness and light-shielding property, and the contents once stepped out do not return, so it has the advantage of “maintaining good hygiene”. On the other hand, it has the disadvantages of being “difficult to use” such as “cannot be opened with one hand”, “may come out too much”, and “tube breaks”.
The laminated tube type uses the latest technology “aluminum barrier lamination (ABL)” and is made of a material in which “PB, PET, aluminum, PB” layers are layered from the outside.
By sandwiching the aluminum layer between the laminates, the airtightness and light-shielding properties equivalent to those of aluminum tubes can be ensured, and compared to plastic tubes, the contents do not volatilize and the contents can be protected. There is no deterioration even after leaving it for 6 months in a time-lapse test (temperature 40 degrees, humidity 75% etc.), and it is more convenient to meet the demand for ease of use at medical / nursing sites and at home while retaining the functionality of the aluminum tube. It was developed with the characteristics taken into consideration, and the characteristics of conventional aluminum tubes are fully guaranteed.
Although the cost of the container is high, it is a tube that combines the advantages of the functionality of an aluminum tube with the advantages of the ease of use of a plastic tube.
It is also important to select oral care products that reflect the voices of many patients and consumers, and not only research and develop the ingredients inside, but also utilize the latest technology in packaging.
Consideration for tubes and containers for oral care products and confirmation of the quality of adopted tubes and containers can be confirmed by cutting open the tubes and containers with scissors after use and looking at the inner surface.
We recommend that you check it yourself.