1. Osaka Study Trip 10 th – 11 th July 2014

2. Characteristics of Dental Health Care System for Patients with Special Needs in Japan  1.Cost of basic medical and dental care for all the residents is covered by the nationwide health insurance scheme at a levelof 70-100%, depending on age, income or disabilities.  2.Primary dental care for SN patients is provided by the private dentists; however, most patients are treated at the municipal dental care centers which play an important role as the secondary foothold for SN dental care.  3.University dental schools and some of the other hospitals with pediatric or SN dentists function as the tertiary dental care institutions providing the advanced treatment.

3. Japanese Society for Disability and Oral Health (JSDOH) – qualified dentists  Has a valid dentist’s registration certificate of Japan  Has to be a member of JSDOH for three years at the time of application  3-year clinical experience under the supervision of a qualified trainer, treating >60 SN patients and completing >20 case reports in a recognized institution (include clinical treatment, oral function rehabilitation, preventive treatment, oral health education, sedation, GA and teaching at DSA training schools and SN centers)  Attended JSDOH scientific meetings for at least three consecutive years with presentations and/or published papers in the relevant journals

4. Five centers three cities within Osaka Prefecture 1.Osaka University Dental Hospital, Suita City 吹田市 2.Toyonaka Aiwaen, Toyonaka City 豊中市 3.Osaka General Dental Association Special Needs Patient 大阪市 4.Osaka General Medical Center 堺市 5.Sakai City Dental Clinic for the Severely Handicapped 堺市

5. First stop Osaka University Dental Hospital 大阪大学歯学部付属病院

6. Osaka University Dental Hospital Meeting the Dean and the Head of Special Care Dentistry

7. Second stop Elderly Home Toyonaka Aiwaen 社会福祉法人 愛和会 特別養護老人ホーム 豊中あいわ苑

8. Third stop Osaka Dental Association Special Care Dentistry Clinic 大阪歯科医師会障害者歯科診療所

9. Fourth Stop Osaka General Medical Center Special Care Dentistry Department 大阪府立急性期総合医療センター障害者歯科

10. Fifth Stop Sakai City Dental Clinic for the Severely Handicapped 堺市重度障害者歯科診療所

11. NameTypeCharacteristics Osaka University Dental HospitalTertiary care centerTraining center of special care dentistry for undergraduate, postgraduate and continuing education Mode of Tx: Behavior management, physical restraining, inhalation/IV sedation, GA Accept referrals from primary/secondary centers Elderly Home Toyonaka AiwaenPrimary care centerHome residents receive dental treatment by attending GPs in the dental clinic Osaka Dental Association Special Care Dentistry Clinic Secondary care centerMode of Tx: Behavior management, physical restraining. Accept referral from primary centers Osaka General Medical Centre Special Care Dentistry Department Tertiary care centerMode of Tx: Behavior management, physical restraining, inhalation/IV sedation, GA Accept referrals from primary/secondary centers Sakai City Dental Clinic for the Severely Handicapped Tertiary care centerMode of Tx: IV sedation, GA Accept referrals from primary/secondary centers