Director Hiroshi Takahashi Hiroshi Takahashi

 

1. Title of Books, Academic Papers, etc.

Dental Treatment for the Mentally Handicapped Patients at Saitama Prefectural Rehabilitation Center

Publisher, Journal

16th Asian Conference on Mental Retardation 806-815

Summary

43% of the dental department at Saitama Prefectural Rehabilitation Center consists of mentally handicapped patients, and many require comprehensive management. Dental treatment is performed step by step using dental treatment training, inhalation sedation, intravenous sedation, and general anesthesia according to the patient.
Published: August 21, 2008

 

2. Title of Books, Academic Papers, etc.

Perioperative Management of Patients on Phenothiazine Antipsychotics

Publisher, Journal

18th Annual Meeting of the Japanese Society for Disability and Oral Health

Summary

Patients taking phenothiazine antipsychotics are at risk of severe hypotension and sudden death during general anesthesia, so administration is sometimes stopped or changed to another material before surgery. The relationship between the blood concentration of antipsychotics and the course of the condition in perioperative patients was examined.
Published: December 7, 2001

 

3. Title of Books, Academic Papers, etc.

Application of SHERIDAN™ SPIRAL-FLEX Endotracheal Tube for Nasal Airway

Publisher, Journal

Journal of the Japanese Dental Anesthesiology Society 1998, 26(3), 428-431

Summary

A method of nasal airway that also serves as a posterior nasal bleeding control method using a nasotracheal intubation tube was considered and clinically applied. This nasal airway also functioned as a suction path for the pharynx.
Published: July 15, 1998

 

4. Title of Books, Academic Papers, etc.

Case of Hypotension Difficult to Raise During and After Surgery

Publisher, Journal

15th Kanto Clinical Dental Anesthesia Meeting

Summary

Experienced a case of hypotension difficult to raise during and after surgery in a 72-year-old patient with a floor of the mouth tumor. It is thought to be caused by decreased catecholamine sensitivity due to long-term oral administration of β-blockers before surgery, downregulation of catecholamines due to aging, and decreased vascular elasticity.
Published: June 20, 1998

5. Title of Books, Academic Papers, etc.

Statistical Study on Circulatory System Complications in Elderly Dental Outpatients

Publisher, Journal

15th Kanto Clinical Dental Anesthesia Meeting

Summary

A statistical study was conducted on circulatory system complications in outpatients of the Department of Geriatric Dentistry, Tokyo Medical and Dental University.
Published: June 24, 1995

Media Coverage Information

Director Hiroshi Takahashi appeared on "Taizo Sugimura's Passionate Teacher TV". He talks about the importance of preserving teeth. Please take a look.

 

To Patients

At Hiro Yokohama Dental, we first perform preventive measures to ensure that you never get cavities or periodontal disease again.

We then preserve natural teeth as much as possible through root canal treatment. If the teeth cannot be preserved, we perform partial orthodontics to compensate for the lost part. Alternatively, we transplant wisdom teeth to compensate for the lost part.

Only when it cannot be compensated do we perform implant treatment.
At Hiro Yokohama Dental, about 75% of the teeth that were said to need extraction at other clinics were teeth that could be preserved.

Please visit us before having a tooth extracted.
We want to help you keep as many teeth as possible so that you can enjoy delicious food with healthy teeth for a lifetime.

Medicine is constantly advancing. We always strive to improve our skills with team medicine based on EBM.

Our wish is to prevent and preserve teeth so that everyone can eat with their own teeth for life.
We hope to be of help to you.
The ideal is to have no cavities and all your teeth remaining. But the reality is not that simple.
If you find yourself in a situation where you have to extract a tooth or perform root treatment, please reconsider the treatment method before removing the tooth or nerve.

Dental treatment is advancing every day, so you should listen to various opinions and consider them carefully.
Currently, appointments are booked about two months in advance, but we prioritize those with high urgency, so please consult us.

Reason for Aspiring to be a Dentist

"Use what can be used, preserve what can be preserved"

I like fixing things.
I wasn't given new things right away, so from a young age, I fixed and used broken things like bicycles and machines myself.
What I learned was to use my head instead of money.
That might be the root of why I aspired to be a doctor.

There were various other professions in the field of repair, but I chose "dentist because I thought I could be of help to people."

I've broken many things in the past, so in my work as a dentist, I can quickly imagine how much force a tooth can withstand, how to properly fit a crown, or how to make it look beautiful.
With machines or objects, you can just buy new ones with money if they can't be fixed, but that's not the case with the human body.
It's interesting to think about how to structure treatment to preserve existing teeth and nerves to the utmost.
The idea of using what can be used and preserving what can be preserved has not changed since I became a dentist.

Memorable Patients

There was a woman in her 50s who was advised by another dental clinic to extract all her teeth and get full dentures.
There are various ways of thinking, but the patient herself strongly wanted to keep her own teeth, and after examining her condition, I judged that it was okay not to extract them.
The treatment took about three years, but in the end, only one tooth was extracted. She was very pleased that the teeth that were said to be unpreservable were preserved.
Even if referred, if I diagnose that the teeth cannot be preserved, I may recommend implants depending on the situation.
In such cases, we conduct thorough examinations and counseling to present the treatment plan and success rate.
I also think it's important to get other doctors' opinions, so I ask patients to get a second opinion and make their own choice.
Also, since patients cannot see what is being done during treatment at the dental clinic, after treatment, I show them images from the microscope and explain in detail, "This is how we treated today. It might hurt at night," so they don't leave with anxiety.

Future Prospects

I want to pass on the skills of micro-endodontic treatment

I want to train successors.
Micro-endodontics is a difficult treatment, so training is necessary. Currently, we are accepting dentists and passing on the skills.
If any dentist can easily do it and it becomes widespread, more teeth and nerves can be preserved, which would be good for the dental world.
There are limits to how many people I can help alone...

In 15 years, it should become a treatment that everyone knows, like implants.
In fact, micro-endodontic treatment is full of benefits for dentists. The eyes don't get tired, and even if you become presbyopic, the machine enlarges and corrects, so there's no problem. Once you get used to it, you can perform high-precision treatment in a short time without mental stress.
In the US, specialists in root treatment are required to use a microscope, and I learned by American standards and follow those rules.

For example, using a cover cloth called a rubber dam.
This is to prevent bacteria from entering the tooth from the surroundings during treatment, and if not used, the success rate of treatment drops significantly.
I will continue to absorb new treatment information, but I won't jump on it immediately. New materials also have risks, so I carefully select and incorporate reliable ones.
I want to advance while respecting both the latest and historical treatments.