JP2001046381A - Risk improving chart, preparation method therefor, risk care set provided with risk improving chart and risk care business system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a risk improving chart capable of calculating an objective risk value independent of the experience and knowledge of a judging person, and an application example using it. SOLUTION: This risk improving chart is provided with a 'risk estimation' processing part capable of calculating the risk value by answering questions and a 'presentation of risk evading measure' processing part for presenting a concrete measure for evading or improving the risk corresponding to the contents of the judged risk. Also, an inspection means and a risk improving tool are combined with it and another objective risk care business system is constituted.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

The present invention relates to a method for determining the degree of progress of an oral disease, such as dental caries or periodontal disease, based on the knowledge and experience of a specialist such as a dentist, which is conventionally performed. A “risk estimation” processing unit and an “risk estimation” processing unit that objectively and comprehensively predict a sign leading to an oral disease and present an optimal avoidance measure for a total risk such as a predicted caries or periodontal disease. A risk improvement table consisting of a "Presentation of risk avoidance measures" processing section, and a display section of the predicted overall risk and the optimal avoidance measures, and an improvement showing the potential for improvement expected from the avoidance measures By providing a possibility display section, it proposes a risk improvement table that can be used as a support tool for evoking and enforcing avoidance actions, and further combining this risk improvement table with risk improvement tools. The squirrel A risk care set that has the effect of avoiding or improving the risk, and also proposes a risk care method using this risk care set, and furthermore, these risk improvement tables, risk care sets, and risk improvement sets The common technical idea selected in inventing the method, that is, the risk determination method is not disclosed.

[0002]

2. Description of the Related Art It is needless to say that early detection and early treatment of all diseases are preferable, and it is important to grasp the signs before they become ill. This is true in all medical fields including the oral field, and in the oral field as well, experts such as dentists have
Prediction of the onset and progress of the disease has been made, but it largely depends on the experience and knowledge of the dentist. On the other hand, there are also studies that attempt to objectively predict the onset and progression of the disease. This study uses the concept of “risk” to identify the risk of developing a disease or the risk of progression of a disease, and considers the factors related to this risk and the factors that cause the disease (hereinafter referred to as risk-related factors or risks). By analyzing factors, we try to capture the signs of disease onset and progression. In the oral field, information on risk-related factors such as the amount of plaque attached, gingival color, teeth alignment, etc. was obtained from oral examinations, interviews of risk-related factors such as the number of times of brushing a day and smoking. From these, it is intended to comprehensively predict the risk of developing an oral disease or the risk of progressing the disease, that is, the “risk”. For example, as a method for predicting the risk of dental caries, there is a method of collecting data of a subject, performing calculations according to specified criteria, and thereby determining the risk of the target disease.
(Department of Community Dentistry, University of
Texas Health Science Center at San Antonio, MWJD
odds et al., J Dent Educ 1995; 59: 945-956) This research is mainly for academic purposes, and although the results have been partially used in health examinations and hospitals,
The contents of oral examinations and interviews performed to collect data are often complicated and not practical. In addition, the data on the risk-related factors collected are visually shown using a radar chart, and the risk is determined by the "My Dental Health Note" (Morimura Co., Ltd.), which shows information on caries and periodontal disease. Although there are notes in file format, the objective criteria for making a comprehensive risk assessment are not specified, and the overall risk assessment strongly reflects the experience and knowledge of the assessor. It is unavoidable and can only be used by specialists such as dentists. In addition, for some diseases, the degree of onset and progress is closely related to lifestyle, and especially in the oral field, where the relationship is closely related, lifestyle improvement guidance controls the onset and progress of disease. However, there are circumstances where this improvement guidance is not effective. In other words, it is known that improvement of eating habits and oral hygiene habits is one of the main preventive methods even in the two major oral diseases, caries and periodontal disease, but it is important Sex is less likely to be transmitted, and as a result, there is a tendency to lack a consciousness of improving lifestyle or maintaining active preventive measures. As a result, improvement guidance is less effective.

[0003]

As described above, with regard to the prevention of oral diseases, anyone who does not have specialized knowledge grasps "risk", objectively judges comprehensive risk, and evaluates the risk situation. Practical ability to offer the appropriate risk aversion measures (measures to reduce the likelihood of contracting the disease, delay the progression of the condition if it is already present, or ameliorate the condition) Standards are not yet established,
For this reason, there is a problem that it is difficult to continuously perform risk aversion measures. The present invention has been made in view of such circumstances, and can perform objective comprehensive risk determination without relying solely on the experience and knowledge of the risk determiner, and based on the obtained determination results. It is intended to provide a practical risk improvement table capable of presenting an appropriate risk avoidance measure or a lifestyle improvement measure, and also displaying information for encouraging and encouraging continuous implementation. It also discloses a method of creating this useful risk improvement table, proposes a risk care set including the risk improvement table, and proposes a system for conducting a risk care business. The present invention is not limited to prevention of oral diseases, but is aimed at promoting health, and is expected from society even in the current situation where a rapid increase in medical expenses is a social problem. It can be said that.

[0004]

Means for Solving the Problems The present inventors have conducted intensive research and have finally completed a risk improvement table including a "risk estimation" processing section and a "presentation of risk avoidance measures" processing section. By providing a display that shows the overall risk and risk avoidance measures and their potential, it will evoke avoidance actions,
We have completed a risk improvement table that can also be used as a means of enforcing. That is, the first object of the present invention is to provide a risk improvement table that can perform objective risk determination without depending on specialized knowledge and experience and can appropriately perform risk improvement guidance based on the obtained determination result. Is to be provided. The risk improvement table is provided with the following two processing units (1) and (2). (1) “Risk estimation” processing unit: a unit that performs processing for accurately and objectively determining risk-related factors, risk values, and total risk values. In this part, for example, interviews and test items to identify risk-related factors are listed,
The results of these interviews and examinations are arranged in accordance with the processing procedure shown in the processing unit, so that a comprehensive risk value can be derived. (2) “Presentation of risk avoidance measures” processing unit: A part that performs processing related to identification of measures to reduce “risk”, which is uniquely judged from the total risk value. In this part,
For example, risk-related factors are displayed, and specific measures that can be taken to reduce the risk due to these risk-related factors are indicated. A second object of the present invention is to provide a risk improvement table provided with a display section for displaying a comprehensive risk and a risk avoidance measure and its possibility, so as to evoke and enforce an avoidance action. A third object of the present invention is to apply the above risk improvement table particularly to the oral field. A fourth object of the present invention is to provide a risk care set including the risk improvement table and a tool for improving risk (hereinafter, referred to as a risk improvement tool). That is,
Using an optimal improvement tool based on objective risk judgment is the first step in realizing an excellent improvement effect. Therefore, a risk improvement table and an improvement tool are combined. A fifth object of the present invention is to provide a risk improvement method using either the risk improvement table or the risk care set. A sixth object of the present invention is to indicate a procedure for creating the risk improvement table, that is, a creating method. Disclosure of this preparation procedure is necessary for understanding the meaning of each part of the risk improvement table. And since this procedure is common to all diseases, understanding this procedure enables creation of a risk improvement table for various specific diseases. A seventh object of the present invention is to propose an overall system for developing a risk care business using the risk improvement table.

[0005] The risk improvement table of the present invention is based on the above-mentioned concept, and it is particularly important that comprehensive risk judgment can be performed objectively, and an optimal risk avoiding means corresponding thereto is presented. Is to be done. For this purpose, a processing unit having the following functions (1), (2) and (3) is provided in the risk improvement table. (1) From the viewpoint of practicality and simplicity, clarification of objective criteria for specifying risk-related factors and their risk values. (2) Determining an overall risk value that can be unambiguously determined from a result of calculating a risk value for a risk-related factor. (3) A criterion for uniquely displaying the relationship between the total risk value and a sign of suffering from the target disease or progression of the target disease. In the method for creating a risk improvement table of the present invention, it is important that, when judging a risk based on the created risk improvement table, the necessary inspection be as simple as possible but not reduce its reliability. is there. In order to make this possible, first, reduce the number of risk-related factors to be considered, and consider whether or not each risk-related factor is possessed or the examination items to identify its risk value in clinical practice. It must be suitable and simple. The risk improvement table is created based on such an idea and going through the following operations. (1) Work to identify the main risk-related factors of the target oral disease. (2) An operation of excluding, from among the identified risk-related factors, those for which a correlation with other risk-related factors is known. (3) Calculating a risk value that is a contribution rate of each risk-related factor remaining after the above-mentioned operation to the onset of the disease. (4) Work to determine the relationship between the total value of risk values of a plurality of risk-related factors and the progress of oral disease. (5) Inquiry items and oral examination items required to determine whether or not the subject has these risk-related factors are specified, and among the identified interview items and oral examination items, Work that replaces items that are unsuitable for performing the procedure with other items that have as much correlation as possible, and arranges test items so that only items that are suitable for implementation in the clinical setting remain. The risk improvement table created in this way is used for everyone. When developing a risk care business using the risk improvement table, the risk improvement table is presented with the inspection means for performing the inspection items described in the risk improvement table and the risk improvement table. A risk care business system is configured by combining with a risk improvement tool for performing risk aversion measures.

[0006]

DESCRIPTION OF THE PREFERRED EMBODIMENTS Before describing the embodiments of the present invention, the relationship between risks, risk-related factors, risk values and total risk values will be described. Although it has already been mentioned that risk refers to the risk of contracting the disease or progressing to the extent of the disease, risk-related factors refer to factors related to the risk of oral disease. The risk value is a numerical value uniquely assigned from the response value for each risk-related factor. The total risk value is obtained by calculating this risk value. The risk improvement table of the present invention is created for each oral disease, or in a form combining two or more oral diseases, the disease is root caries, secondary caries, initial caries,
Caries such as deciduous caries, periodontitis (alveolar pyorrhea), gingivitis, hyperesthesia, temporomandibular disorders, oral cancer, stomatitis, mastication abnormalities, occlusal abnormalities, xerostomia, salivary gland abnormalities, bad breath, etc. However, it is not limited to these. The “risk estimation” processing unit will be described. The "risk estimation" processing unit is limited to the format as long as it can collect the current status of risk-related factors in a format that can be converted into risk values (numerical data) and can estimate the overall risk from the current status data. It is not something to be done. The risk value is an analysis value based on past statistical data, and is a value assigned to each of the selected risk-related factors at a certain level. That is, the risk value reflects the degree to which the situation relating to the risk-related factor contributes to the risk of the disease. For example, the “risk estimation” processing unit displays 1 to 30 items, preferably 5 to 15 items of risk-related factors, and displays a means for checking the presence or absence or the current state of these risk-related factors. A data collection unit provided with an answer column for an item display column; a judgment criterion unit provided with a risk value judgment criterion column defining a unique correspondence relationship with a risk value set in advance for each answer; A risk judgment unit provided with a judgment column for recording and calculating a risk value of each risk-related factor converted based on the reference column and calculating an overall risk value, and a comprehensively assigned multi-stage from the overall risk value in advance. A format having a comprehensive risk display section provided with a comprehensive risk judgment criterion column (comprehensive risk judgment criterion column) that uniquely defines the general risk can be adopted, but there is no particular restriction on the format. Not. The “presentation of risk avoidance measures” processing unit performs appropriate risk avoidance measures that have been assigned in advance for each of the above-mentioned multi-stage classifications of comprehensive risks and / or for risk-related factors that have a large contribution to risk. It is presented. The overall risk estimated by the “risk estimation” processing unit is displayed on the overall risk display unit. The multi-stage display of the overall risk may be expressed by numerical values such as level 1 and level 2, and using a visualization means using a chart enables intuitive understanding. Preferred from a viewpoint. Further, an explanation column for adding an explanation about the degree of risk may be provided. The risk avoidance measures are displayed on the risk avoidance measure display section. Here, it is preferable to provide not only a means display column for explaining improvement means but also a guidance display column for explaining improvement guidance measures.
Here, the improvement means is a means used or implemented for improvement, and refers to medicines and tools that are effective for risk reduction. In addition, improvement guidance measures refer to advice and guidance on lifestyle and attitudes. It is also preferable to provide a display unit for the possibility of improvement (improvement possibility display unit) in order to encourage and enforce the continuous implementation of the improvement means.

[0007] Risk-related factors (risk factors) will be specifically described. This is selected and selected for each disease in relation to the disease, and is not limited, and differs depending on the type and age (generation) of the disease. Also, once selected, it will be used continuously, but will be reviewed in a cycle of about 4-5 years. The risk-related factors are reviewed in order to reflect them in this risk improvement table when new theories emerge, new risk-related factors are discovered, or when a new method for determining risk-related factors is proposed. is there. The risk-related factor is selected from risk-related factors associated with any oral disease,
The group can be broadly divided into groups related to oral diseases in general and groups related to specific oral diseases. In the present invention, as a risk-related factor,
1 from the general group of oral diseases and / or the group of specific oral diseases
About 30 factors, preferably about 5 to 15 factors are selected and used. Risk-related factors related to oral diseases in general are as follows: 1) Individual factors: gender, age, medical history, nutritional status, and the like. 2) Oral hygiene status: plaque adhesion amount, plaque adhesion site, plaque adhesion amount at specific sites (for children, also include oral care status of caregivers). 3) Oral hygiene habits: number of tooth brushing, tooth brushing method, use of interdental cleaning tools (interdental brush, dental floss, etc.), presence of regular medical checkups, regular visit to dental clinic,
Whether there is a tooth cleaning procedure by an expert. 4) Oral hygiene awareness: Awareness of oral hygiene habits, social and environmental factors that affect oral hygiene habits, etc. (In the case of children, caregivers' awareness of oral hygiene is also included). 5) General health consciousness: Factors related to non-oral health consciousness,
Factors related to lifestyle, social and environmental factors that affect lifestyle (including the general health consciousness of caregivers in the case of children). 6) Tooth morphology: dentition condition, prosthesis condition, conformity of prosthesis margin, use of denture, use of orthodontic device, etc. 7) Saliva: saliva secretion (dry mouth), glucose clearance, salivary buffering capacity, amount of salivary components acting on bacteria, amount of salivary components acting on teeth, and the like. The risk-related factors related to specific oral diseases are, for example, in the case of dental caries: 1) The bacteria causing the dental caries: bacterial count, bacterial composition, acid-producing ability of dental plaque, etc. (in the case of children) Indicates bacteria that cause caries in the caregiver). 2) Sugar intake (dietary habits): sugar intake and frequency, food and beverage preference, food and beverage intake and frequency with high sugar content, food and beverage intake and frequency, other than diet Intake and frequency of food and beverages at home, intake and frequency of food and beverages other than regular snacks and meals, food and beverage intake and frequency before bedtime, presence of special diet, If the child is breastfeeding, use a baby bottle, the contents of the baby bottle, whether or not to use nursing or a baby bottle before going to bed, or the contents of the baby bottle to use before going to bed Sugar intake (dietary habits). 3) Tooth properties: tooth acid resistance, tooth hardness, tooth fluorine retention, tooth crystal structure, tooth surface properties, tooth eruption time,
Presence of deciduous teeth, presence of subsurface demineralized lesions, presence of root surface exposure,
Whether fluoride is used and whether sealant treatment is used. 4) Morphology of pits and fissures: depth of pits and fissures, complexity of pits and fissures. 5) Caries experience: The number of caries experienced teeth, the number of caries experienced tooth surfaces, the presence or absence of caries experience on a specific tooth surface, caries onset pattern (for children, the caries experience of the caregiver is also included). In the case of periodontal disease, 1) periodontopathic bacteria: the number of periodontal pathogens, and substances produced by periodontal pathogens. 2) Smoking: current smoking status, past smoking experience,
Number of smokers, years of smoking, pack year (number of smokes per day x years of smoking). 3) Alcohol consumption: presence / absence of alcohol abuse, alcohol consumption, and frequency of alcohol consumption. 4) Stress: the presence or absence of economic problems, the presence of social isolation, the presence of depression, the presence or absence of social psychological factors related to anger, the presence or absence of chronic stress, and the ability to cope with stress. 5) Inheritance: genotype of IL-1-related gene, genotype of TNF-related gene, age, and gender-related symptoms. 6) Specific systemic diseases: osteoporosis and related symptoms, diabetes and related symptoms, HIV and related symptoms,
Hypertension and related symptoms and medications for them. 7) History of periodontal disease: experience of periodontal disease treatment, experience of periodontal surgery treatment, degree of response to periodontal disease treatment.

The risk improvement tool used in the present invention will be described. Risk improvement tools consist of teaching tools and / or oral products, such as oral preparations and materials. Teaching tools include oral hygiene, knowledge education on diseases, etc.
It is sufficient that the purpose such as awareness raising can be generally achieved, and there is no particular limitation on the form. In particular,
It contains videos, CDs, cassette tapes, panels, books, computer software, etc. that contain and contain contents such as guidance on improving eating habits and brushing guidance, and they can also be integrated with devices such as displays. Oral products are usually commercially available mouthwashes, sprays, foams, gels, tablets, gummy, capsules, gums,
Foods, toothbrushes, interdental brushes, dental floss, irrigators, etc.Specifically, foams for strengthening teeth, varnishes for preventing bacterial infection, foods for strengthening teeth and bones, dry mouth Gummies for prevention, capsules to reduce the adverse effects of smoking, tablets to replenish saliva components, dental floss for sterilization at specific sites, interdental brushes for removal of plaque at specific sites, Examples include an irrigator for washing and a capsule that increases the resistance of the patient. Which risk improvement tool to use depends on the risk factor. It is preferable that the risk improvement table displays the risk factors possessed by the subject and also displays a risk improvement tool used to improve these risk factors. The display of the risk improvement tool in the risk improvement table may be a general name such as “fluorine dentifrice” or a specific product name such as “×××××”.

The risk improvement table of the present invention may be provided in a medium such as paper and filled in with a writing instrument. In addition, all or a part of the display or processing contents of each column constituting the risk improvement table may be provided by a computer. It may be realized using a program. In this case, the display on the paper is replaced with the display on the display, and the writing operation with the writing utensil is replaced with a pointing device such as a mouse or a keyboard. The input by the computer may be input from a remote place through a communication network such as the Internet. In this case, the risk improvement table may be made downloadable from a Web site, or may be entered online in a risk improvement table displayed on a Web browser. Hereinafter, an example will be described in more detail.

FIGS. 1 to 4 show one embodiment of the risk improvement table of the present invention, and FIG. 5 is a related diagram showing the relationship between each section and each column shown in each of these figures. Although this risk improvement table targets "caries", the target disease is not limited to this, and may be another disease. Hereinafter, the risk improvement tables shown in FIGS. 1 to 4 will be described with reference to the related diagram shown in FIG. Here, the one shown in FIG.
The sheet shown in FIG. 2 is treated as a second sheet, the sheet shown in FIG. 3 as a third sheet, and the sheet shown in FIG. 4 as a fourth sheet. These figures are collectively described as one sheet. May be. As shown in FIG. 5, the risk improvement table is roughly composed of a “risk estimation” processing unit A and a “presentation of risk avoidance measures” processing unit B. "Risk estimation" processing unit A is a process for specifying risk-related factors and risk values, and displaying an accurate and objective criterion for determining an overall risk derived from the plurality of specified risk values. And means for displaying the means.
The “presentation of risk avoidance measures” processing unit B determines the “risk” uniquely determined from the total risk value, that is, the optimal avoidance means according to the risk of suffering from the disease or the risk of progressing the degree of the disease. This is the part to be presented. In the illustrated example, all of FIGS. 1 and 2 and part of FIG. 3 correspond to the “risk estimation” processing unit A, and the rest of FIG. 3 and FIG. 4 correspond to the “presentation of risk avoidance measures” processing unit B. Applicable. Hereinafter, the contents of the “risk estimation” processing unit A and the “presentation of risk avoidance measures” processing unit B will be described.

The "risk estimation" processing unit A includes a data collection unit A1 for collecting data for risk determination, and a criterion unit A for determining risk based on the collected data.
2. A risk determination unit A3 that provides a criterion for determination, and a total risk display unit A4 that totals each risk value and displays a total risk are provided. The format of the data collection unit A1 is a question format including an inspection item display column A11 and an answer column A12, and data required for risk determination is collected by answering the questions. . Basically, data is collected in the form of answers to such questions, but for items for which it is deemed appropriate to conduct a precise examination, an oral examination or other examination may be performed instead of the question. is there. In addition, the inspection items are divided into a basic inspection and an interview. On the other hand, the judgment criterion section A2 is provided with a risk value judgment criterion section A21, the risk judgment section A3 is provided with a judgment section A31, and the comprehensive risk display section A4 is further provided with a comprehensive risk judgment criterion section A41 and a comprehensive risk display section. A4
2 and a comment column A43 are provided. What is important in the present invention is that the content of each risk-related factor obtained in the “risk estimation” processing unit A is not shown as a mere set of data, but is integrated based on the content of many of these risk-related factors. Risk, that is, the risk that the subject will suffer from oral disease, or the risk of developing the disease that the subject already suffers from (generally, this overall risk is simply referred to as "risk" Here, this is referred to as “total risk”), that is, to predict “total risk”. In order to make a comprehensive risk determination based on the content of each risk-related factor obtained by the data collection unit A1, first of all the risk-related factors, a contribution is made to the overall risk for the subject. It is necessary to identify risk-related factors. This is because not all risk-related factor candidates function as risk-related factors for the subject. Whether or not each of the risk-related factors contributes to the overall risk, and if so, the extent of the contribution (risk value) is uniquely determined by referring to the risk value determination criterion column A21. You. The criterion may be one for one risk-related factor, or may be set comprehensively for two or more risk-related factors. The item “eating habit” is an example of the latter.

The basic examination of the data collection unit A1 refers to an examination that requires the involvement of a dentist, a dental hygienist, etc. in the examination itself or in judging the examination result, and mainly includes a state examination in the oral cavity. is there. On the other hand, a questionnaire is a test in which the subject is asked to answer the physical condition he is aware of, and usually the subject reads and understands the questions written on the paper,
Take the form of answering yourself. However, if it is determined that the involvement of a dentist or a dental hygienist is necessary, such involvement may be permitted. The question contents need to be easy for the patient to understand and answer. The answer column A12 may be in an alternative format of "Yes" or "No", or may be in a multi-branch selection format.

The risk value of each risk-related factor determined with reference to the risk value judgment criterion column A21 is
In the judgment column A31 provided on the right side of. Judgment column A
31 includes a portion for writing a risk value corresponding to each inspection item of the data collection unit A1, and a portion for writing a total risk value which is a total value of the risk values. The column for entering a risk value includes a column provided for each of the inspection items in a one-to-one relationship, and a column in which results of a plurality of inspection items are totaled and one risk value is assigned. Although a simple calculation is required for these tabulations, in the present embodiment, a memo field for the tabulation work is provided on the side of the judgment field A31. Since the total risk value obtained in this way is represented by a number, it is difficult for a subject without specialized knowledge to understand the meaning. Therefore, in this embodiment, the total risk value is divided into three ranks of “high”, “normal”, and “low” according to the magnitude, and the final risk judgment is made. It is easy to understand even if you don't. Here, the data is divided into three ranks, but the number of ranks is not limited to this. The risk judgment result is expressed in multi-stage in sentences as in the example of the figure, using visualization means such as a multi-stage display chart, and further, by color-coding the diagram according to the risk rank,
Various aspects can be adopted, such as enabling more intuitive grasping. Other visualization means can be adopted, for example, use of commentary sheets, videos, panels, books, or computer software.

The "Present Risk Avoidance Measures" processing section B provided over the third and fourth sheets is provided with a risk avoidance measure display section B1 and an improvement possibility display section B2. The “presentation of risk avoidance measures” processing section B is a part for presenting avoidance measures to be taken by the subject at present at present in order to avoid the occurrence or progression of the disease according to the result of the final risk determination. On the other hand, the improvement possibility display section B
Reference numeral 2 denotes a portion for displaying the degree of improvement obtained when the above-described avoidance measure is executed. Risk avoidance measure display section B1
The reference column B13 for presenting risk avoidance measures indicating the necessity of reexamination and the time of reexamination (recall judgment), an instruction display column B12 displaying instruction contents for instructing lifestyle to reduce risk, and the like. A means display column B11 is provided for displaying the means necessary for improving the risk in accordance with the guidance. In the means display column B11, tools effective for improving the risk are displayed. In the guidance display column B12, the most appropriate guidance for avoiding or improving the risk at the present time is displayed. The instruction includes instruction contents in addition to general instruction, taking into account the circumstances specific to the subject. The presence of the improvement possibility display part B2 is extremely important in giving the test subject a desire to improve and maintaining it.
This is because, by showing a specific image of improvement, the improvement efforts can be continued with the aim of this.

The procedure for filling in such a risk improvement table is as follows. For example, if the answer to the question "Do you take asthma medications" in the interview is "Drinking", the risk value judgment criteria column A2
The assigned risk value 3 is acquired by referring to the corresponding portion of “Item No.” in 1 and this value is written in the corresponding portion of the determination column A31. The risk value may be entered in the determination column A31 by a method of directly entering a numerical value “3” in the corresponding location as shown in the figure, but from a plurality of selection candidates previously described in the determination column A31. A method of marking the relevant items may be adopted. Answer other questions in the same way,
Each risk value is entered, but when one risk value is comprehensively assigned to a plurality of risk-related factors, such as "dietary habits" in the risk value determination criteria column A21 There is also. Figure shows inspection items
When the total of the response results to (10) is 5 or more, "2" is assigned as the risk value. This means that “eating habits” are not characterized by the risk value determined by one test item, but are assigned a risk value only when combined with other test items.

When all the answers to each question are completed and the risk values corresponding to each question are arranged in the judgment column A31, these risk values are totaled and the total value is written in the bottom column of the judgment column A31. This value is the overall risk value, and is a numerical value that expresses the risk that the subject has a specific disease (for example, “caries”) or the likelihood that the disease will progress if the patient has already. . Although this value can be understood by experts, it is difficult for subjects to understand. Therefore, in the present embodiment, in order for the subject to intuitively grasp the risk for the disease, the range of the total risk value is “low” in the range of 1 to 5, and “normal” in the range of 6 to 10, and 11 to 15. Is replaced by the expression “high”, and the risk for the disease is finally expressed in three ranks. The relationship between the overall risk and the three ranks, that is, the one that indicates the criterion is the total risk criterion column A41 provided in the second sheet (FIG. 2). Then, the risk rank of the subject is expressed in an easy-to-understand sentence or picture in the comprehensive risk display field A42 provided on the third sheet (FIG. 3). Here, the rank is set in three stages, but may be set more finely. In addition, not only the comprehensive risk is displayed, but also an explanation column A43 for providing a more detailed explanation is provided. It is extremely important that the subject has detailed and correct knowledge of the risks in performing the risk avoidance measures described below. The commentary column A43 may optionally include figures, graphs, pictures, etc. in addition to the text, and utilizing a video tape or a CD-ROM is also included in the category of the commentary column A43. By completing the risk improvement table according to these procedures, the subject's current risk for the specific disease will be shown in an easy-to-understand expression, and the subject will be in what situation he is in Can be objectively and accurately understood. In addition, the risk improvement table presents concrete measures for avoiding or reducing risks in an easy-to-understand manner at the same time as analyzing the current situation, so that we can improve risk by improving our lives according to these measures. be able to.

Such a risk improvement table may be provided alone, but by providing it as a risk care set in combination with various improvement tools, the effect of risk improvement can be further enhanced. The main tools for risk improvement include tools used for instruction and oral products such as oral preparations and oral materials. Guidance tools include those used for purposes such as oral hygiene, education on knowledge related to diseases, awareness raising, etc., for example, storing and recording contents of dietary habit improvement guidance, brushing instruction, etc.
D, cassette tape, panel, book, computer software, and the like. When combined with a computer, a general-purpose computer may be used, or a dedicated machine typified by a display integrated type may be configured. Oral products include mouthwashes, sprays, foams, gels, tablets,
Gummy, capsule, gum, food, toothbrush, interdental brush,
Dental floss, irrigator, etc.Specifically, foams for strengthening teeth, varnishes for preventing bacterial infection, foods for strengthening teeth and bones, gummy for preventing dry mouth, smoking Capsules for reducing adverse effects, tablets for replenishing saliva components, dental floss for disinfection at specific sites, interdental brushes for removing plaque at specific sites, irrigators for cleaning specific sites, Capsules that increase resistance can be exemplified. When presenting these risk improvement tools to patients, use "○ ×
It is also socially meaningful to promote excellent products by recommending specific products of specific companies, such as "X". Further, a system for performing a risk care business may be configured by combining the risk improvement table and the risk improvement tool with an inspection means for specifying a risk factor. Such a business can be said to be based on social demands.

As described above, an example of the risk improvement table of the present invention has been described. However, other arrangements and display forms of each column can be appropriately adopted. Further, the risk improvement table of the present invention may have various applications without departing from the spirit of the invention. For example, realizing the entire risk improvement table on a computer is an example. In this case, each display column of the improvement table is displayed on the display, and input into the display column is performed by using a pointing device such as a mouse or a touch panel or a voice input unit, or by using a keyboard as an auxiliary. Can be considered. In addition, the contents of the explanation column and guidance display column and the introduction contents of improvement tools are CD
-Quoting from a database stored in a recording medium such as a ROM or an HDD may be considered. In addition, a computer equipped with the software of the risk improvement table is connected to the host computer via a communication network, and the host computer provides the contents of the explanation column and guidance display column and the introduction contents of improvement tools, and expert judgment is used for judgment. Can also be partially reflected. In this case, the content can be updated on the host computer side, so that the latest risk improvement measure can be provided. In addition, by placing a simple terminal device equipped with the software of the risk improvement table in the home and implementing improvement guidance measures, the history of the changing oral health status can be transmitted to the host computer through a communication line. It can also be accumulated and used to increase the accuracy of risk determination.

[0019]

The risk improvement table according to claim 1 has a "risk estimation" processing section and a "presentation of risk avoidance measures" processing section, so that it can be used for risk determination and at the same time the risk is determined. Specific measures for avoiding or improving can be provided. In the case where the "risk estimation" processing unit is provided with a comprehensive risk display unit in addition to the judgment criterion unit indicating the risk judgment criterion of the individual risk-related factor as in claim 2, the present risk for the specific disease of the subject is Can be displayed as a result of determining the overall risk. As a result, an objective risk value calculation that does not depend on the experience or knowledge of the judge can be performed without any specialized knowledge. When the display content of the comprehensive risk display unit is expressed in a multi-stage format as in claim 3, it is possible to intuitively grasp the risk for a specific disease at the present time even without a specialist. When the improvement possibility display unit is provided as in claim 4, it is possible to provide a display that is easy to have a desire to avoid or improve the risk. When a part or all of the “risk estimation” processing unit is realized by a computer program as in claim 5, it is possible to reduce time and effort required for entry into a table and processing required for risk determination,
It can attract subjects' interest. When targeting the oral field as in claim 6, it is possible to predict the risk of developing an oral disease or the risk of progressing the disease, and it is possible to indicate specific measures for suppressing the risk. . When the risk improvement method using the risk improvement table is adopted as in claim 7, the objective judgment of the risk and the presentation of the risk avoidance measures are performed only by sequentially processing according to the display contents of the risk improvement table. be able to. If a risk care set is formed by combining a risk improvement tool with the risk improvement table as in claim 8, or if a risk improvement method using this risk care set is adopted as in claim 9, the risk determination is performed. More specific proposals can be made for the whole process up to risk improvement. By following the procedure described in claim 10, risk improvement tables for various diseases can be created. By configuring the risk care business system according to the eleventh aspect, it is possible to provide a comprehensive service from risk determination to specific guidance for avoiding risk.

[Brief description of the drawings]

FIG. 1 is an explanatory diagram showing a first sheet constituting a risk improvement table.

FIG. 2 is an explanatory diagram showing a second sheet constituting a risk improvement table.

FIG. 3 is an explanatory view showing a third sheet constituting a risk improvement table.

FIG. 4 is an explanatory diagram showing a fourth sheet constituting a risk improvement table;

FIG. 5 is a related diagram showing a relationship between each part and each column of the risk improvement table.

[Explanation of symbols]

 A "Risk estimation" processing unit A1 Data collection unit A11 Inspection item display column A12 Answer column A2 Judgment unit A21 Risk value judgment criterion column A3 Risk judgment unit A31 Judgment column A4 Total risk display unit A41 Total risk judgment criterion column A42 Total risk Display column A43 Commentary column B "Presentation of risk avoidance measures" processing unit B1 Risk avoidance measure display unit B11 Means display column B12 Guidance display column B13 Presentation standard column of risk avoidance measures B2 Improvement possibility display unit

Claims (11)

[Claims] 1. A risk improvement table having a “risk estimation” processing unit and a “presentation of risk avoidance measures” processing unit. 2. The risk improvement table according to claim 1, wherein the “risk estimation” processing section includes a judgment reference section and an overall risk display section. 3. The risk improvement table according to claim 1, wherein the comprehensive risk display section is expressed in a multi-stage format. 4. An improvement possibility display section is provided.
The risk improvement table according to any one of the above. 5. The risk improvement table according to claim 1, wherein a part or all of the “risk estimation” processing unit and the “presentation of risk avoidance measures” processing unit are realized by a computer program. 6. The risk improvement table according to claim 1, which is intended for the oral field. 7. A risk improvement method using the risk improvement table according to claim 1. 8. A risk care set comprising the risk improvement table according to claim 1 and a risk improvement tool. 9. A risk improvement method using the risk care set according to claim 8. 10. The method for preparing a risk improvement table according to claim 1, wherein the “risk estimation” is performed.
The processing unit identifies the main risk-related factors of the target oral disease, and removes, from among the identified risk-related factors, those whose correlation with other risk-related factors is known, Calculate the risk value, which is the rate of contribution of each remaining risk-related factor to the onset of the disease, and determine the relationship between the total value of the risk values of multiple risk-related factors and the progress of oral disease Work, and the interview items and intraoral examination items required to determine whether or not the subject has these risk-related factors, and, among the identified interview items and intraoral examination items, Replace items that are unsuitable for clinical practice with other items that are correlated with the relevant items as much as possible, and organize test items so that only items that are suitable for clinical practice remain. When, how to create risk improvement table created through a series of operations become more. 11. The risk improvement table according to claims 1 to 6 created based on the method for creating a risk improvement table according to claim 10, and the interview and oral examination shown in the risk improvement table. A test means to be performed on a subject, and a test result is applied to a “risk estimation” processing unit of the risk improvement table, and a risk value of each objectively specified risk-related factor is aggregated to calculate a total risk value. A risk care business system comprising: a totaling unit; and a risk improvement tool corresponding to an avoidance measure presented in a “presentation of risk avoidance measure” processing unit of the risk improvement table.