ʡAdvanced Care Dental Office åץǥʡnaomi

ϤޤơAdvenced Care dentai Office ޥ׸ʡʱnaomiȸǤˤΡֻŻפǤɤֻŻפ򤹤뤿˻ʱƻޤä顣ʡ

ڻʱθѸļ 
ޥץۥ磻ȥ˥󥰥

ͽļ
ǹCarzeiss OPMI pico with MORA interface
ʱǤ
ǡĶǹⵡޥCTϥ졼X-ray 
PCȣΥ˥ 
ޥȥեRCR

naomi֥γ͡ˤѸʱnaomiǤ ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



ʰդλΥ꡼˥ڤӰ̤꡼˥󥰤ΤߤοǻϤޤܤ䤤碌



ᥤƥʥ󥹤򤷤ƤȻפ롣

䤬٤Ϥץǡ֤ˤפ

x-ray

֡ϾܤΥȥåͽꡣ󥰡롼ȥץ졼˥󥰤ͽꤸʤΥݥåȤϤʤä...꡼˥󥰤λ˥ץ顼ǤˤơפĤƤߤ

ˤơ

SRP1

Фꤿ櫓ʤˤ

SRP2

̤ˡʥԥ󥯿λˤο򥳡ԥ󥯤ȸƤְ̣褯狼롣

SRP3

ˤʤä̤ϤȤƤ...

...λ...ȴƤ...βޤǻФäƤơ˻⤤Ƥ롣

SRP4

Ƥᡣ̤λž夬ĤʤڤʤĤޤɬפʽз򤵤ʤΤnaomiή

̵졢ڥ̵

ˤ쿴

δԤϿȰѼδꡢŸ档ȴޤ᤿ʼŤϼ缣˾Ȳ񤷤ƹԤä

Ǥǻ֥֥饷򤷤ή줹봵ԤǤƤз줹Ȥ϶ݷδ⤢뤷ȱϤ㲼Ƥй˴ʻˤʤ꤫ͤʤ

ˤȸäƤ⡢Ԥϥ󥰡롼ȥץ졼˥󥰡ѷ֡Ĥޤ곰ʽ֡¤äɡ¤ɤ³Сޤ򹯤򳲤롣 

ȻפФ뤷ʤƤμȵѤ褫ơ줬Ѹ򰷤naomiλʱΤȤƤλ̿䤬ͤï...

¤Υᥤƥʥ󥹤񤷤ɾФ䡢ξ֤ʤ֤ĤɡۼƤޤä¯˸ǿϳˤʤäƤޤä֤ž®٤ϴˤǤƤ⡢ߤľԲǽ

ɾ٤ʤɤʱΤ˽в񤦤Τߤƻȸ

ͤᤤʳɤʱΤȽв񤦻äƤޤʤ...
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ڻʱθѸļ 
ޥץۥ磻ȥ˥󥰥

ͽļ
ǹCarzeiss OPMI pico with MORA interface
ʱǤ
ǡĶǹⵡޥCTϥ졼X-ray 
PCȣΥ˥ 
ޥȥեRCR

naomi֥γ͡ФѸʱnaomiǤ 



ʰդλΥ꡼˥ڤӰ̤꡼˥󥰤ΤߤοǻϤޤܤ䤤碌



Ͽܤ˥֥γͤȾ̵򤷤Ȼפޤ
ᥤƥʥδͤΥȥ̿Ǥ

BlogPaint
ȥ˻ФΤ褦͵ʪޤ


ξ֤򸫤Ƥߤޤ礦

BlogPaint

ߥ顼ʤΤǺդǤ֤ȣ֤δ֤λǤ 

ơ줫ץӥ󥰤ǻξ֤ǧޤ

뤫ˤȤƤ⥿ȤǤ顢⤷з줷顢줬ݥå̤αɤˤзʤΤȤ⡢̵˴줿˵»ˤνзʤΤ...̤꤬ͤޤ͡

˳ͤϹͤޤǤ礦з줹ФƱɡʤץ֤ǻͤɤзȤϻפޤ󤫡

ϽƤδͤôˤƤץӥ󥰤Ԥޤ¤δܸʤΤǡ¾屡Ǹ򤵤줿¿...

ޤǤˤפ򤷤Ƥޤ

ץӥ󥰤ˤפ򤷤ƤȤ򡢤ޤϻãǧƤʤȤޤ͡ˤƤʤȻפΤϰŽԤΥǤꡢ줬ˤפ򤵤ƤⴵԤ˥åȤȤȽǤΤȤ˹ԤʤСŪˤȤפ򴵼ԤͿƤ뤳ȤǤʤ

Ϥʻͤʤ¬ꤹΤˤʤȴ㤵ޤ
Υץӥ󥰤λǤץӥ󥰤򤹤λξ֤Ǥȥ̿ͽ¬Ϥޤޤ

Ȥʤξ硢ޤʤʤͽ¬ǤޤĤޤ줬񤷤äȤϤäг줬꤬ǤʤΤʤ顢ˤפ򤵤Ƥޤ¬ꤹ˰̣ϤʤĤޤ껲ͤȤƤȤФ褤ʤȹͤǤ

Ĥޤ꿼ϤޤˤϤʤʤ

Ƽ

ϻͤȤƤȤȤƤ⡢Фȥ˼̤äƤ櫓Ǥ顢ΰ֤ǧȻפ櫓ǤޤϥȥǤɤΤ餤οˤ뤫ͽۤޤ
ƥݥåȤο¬Τ˥ץ֤ΤǤϤʤޤϻФΰ֤ǧ뤿˥ץ֤ΤǤ

ȤʻǤФ夬ХݥåޤǤ¬ϹԲǽȤʤޤǤݥåȤο¬뤳ȤŪȤץӥ󥰤ˤޤ̣ʤǤޤʤޤǤ⤳ΥξǤ

ϥץӥ󥰤ȤϡݥåȤο¬뤿ΤΤǤϤʤδˤ߶ϤȤξ֤İ븡ǧƤޤ

ǯݥåȥ㡼Ȥդ⸫ʹޤ

봵ͤץӥ󥰤äˤä㤤ޤ

֤󡢥ץӥ󥰤ȤΤϿͤˤäƸʤ

δͤϤȤƤ¾屡ǥץӥ󥰤⤵Ƥޤᥤƥʥ󥹤ˤ⤺ä̤äƤޤʱΤؤοȤΤˤؿ⤤

ɤǤ

ޤ

֤䤭¬äƤʤΤǡʾСˡ

¬äƤʤȤΤϸޤˤŪʥץӥ󥰤Ȥ¬äƤʤȤ褦ޤ͡

䤬¬ꤷʤͳϾ嵭Ǥ̤ꡣ򴵼ͤˤ⤴ޤ

⤷ȤͤꤿΤǤС¤μŤ򤹤Ȥʤäˡ򤷤Ƥäݥåޤ¬Ф褤ΤǤ

Τ˥ץӥ󥰤뤫ˤäƤ¬λѤäƤޤ͡

ȤλΤä㤦١򤢤ŪȤƥץӥ󥰤򤹤ΤǤСˤפ򤵤ƤžݡڤˤȤäƤͳɤ¤Υڤ򤹤ʤ餷ä¬ꤹɤ

ֲΤˡפȤƤפǤ͡ʻȤΩƤʱΤˤɬפʤΤǤ
ͤʤȡݤ˥ץӥ󥰤򤷤ƤƤⴵͤ򹬤ƳϤǤʤ

 ơǤĹʤޤ

Ƥ줫ФνǤͻҤϤޤˤȤޤ 
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ڻʱθѸļ 

ͽļ
ǹCarzeiss OPMI pico with MORA interface
ʱǤ
ǡĶǹⵡޥCTϥ졼X-ray
PCȣΥ˥
ޥȥեRCR

naomi֥γ͡ФѸʱnaomiǤ 



ʰդλΥ꡼˥ڤӰ̤꡼˥󥰤ΤߤοǻϤޤܤ䤤碌


R1002065



GWä档ͤᤴǤ

κǯΥơޤ϶ˤʤꤽ...λٶ档ФäѤǤ

Normal occusionΣ...

1.äƤ뤳
2.Over jetmmǤ뤳
3.
4.DZžʤ
5.У
6.岼δطAngleΣǤ뤳
7.Over bite10%20%Ǥ뤳
8.ݤĹʬ뤳
9.ArchIdeal archη֤Ƥ뤳...

(;)2...

10.ݤоΤǤ뤳
11.Curve  of speeʤ

ä( )

ƸȡڤʤȤߤߡ

DZžȤ줬Ǥʤƥץ顼ʺٶݡˤίޤΤ...ФȤϥץ顼Τޤ޹ŤʤäΡ

calculs4

ۤ顣줬С

äƥݥåȤʤз졢ıʤɤȤۤɤν긫ϸʤ
ʤޤɽŪˤǤľ̾Ĥۤɤν긫ʤ

줾ޤ䤬Ƥ֡ʱΤˤͽŪн

calculs5

줬褱лФĤƤƤз줷줿ꤷʤ
Ĥޤꤳ˥ᥤƥʥ󥹤ΰ̣롣ڤʤΤϻФʤơŪ˻ʰ屡ǥץ顼ʺٶݡˤˣץ顼ƤȽƤʻ¤ˤʤʤȤǡ롣

ץ顼ǤƤСФĤƤƤʤäƥݥåȤ4mmۤȻФϼʤ...󡢥ݥåȤ3mmʲä100%ȤȤïäƤʤĤޤФϴˤȤʤΤʤΤФ뤳ȤϽפɽפʤ

㤢Ĥ...㤨ĴȱϤä㤦ȤȼȤоɾФ롢Ĥޤ¤ȯɤäƻˤʤ뤱ɡ

äƤ뤱ɡѸǻФʤƽפʤ

Ū˻ʱΤλΥ꡼˥󥰤ơץ顼μ¤˽ڡϤ٤夲Ƥ˲᤮ʤ

Ĥޤ괵ͤλʱΤϡǡ򤭤ΤäƤơʬΤƤ֤ˤȤäƤơͤͽɤܼǤơᥤƥʥ󥹤象١夲ʱΡ

calculs6

ե˥å

ƥץ顼μ¤˽ǤΡФμ¤˽ǤйɤФϥץ顼ڤٶݤνˤʤ뤫顣

()ƎԎ؎ơ餷Ф٤ߡȸäƤͽʤɡʾС

ޤϢĥޤ






    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ڻʱθѸļ 

ͽļ
ǹCarzeiss OPMI pico with MORA interface
ʱǤ
ǡĶǹⵡޥCTϥ졼X-ray
PCȣΥ˥
ޥȥեRCR

naomi֥γ͡ФѸʱnaomiǤ 



ʰդλΥ꡼˥ڤӰ̤꡼˥󥰤ΤߤοǻϤޤܤ䤤碌



⽪λۥäȰޤ׾夷Ƥޤ

פޤλ...ïܵǽƤΤʤäơƤʤäݤʻСʤƤ⤤󤸤ʤΡä

Ǥ⤳ʤäݤʻФ¤ʹԤƤΤǤ顢ͤΤᡣϤǽ뤷ޤ...ȥۥн椷ƴ㤬ʤߤޤ

ФϥݥåȤmmʤ餽η̤Ϥʤ褯ʤʤ...Ǥդ֤У%ϽǤʤȤ ˤʤޤ͡ˣݣmmξǽ⼺Ԥǽ⤤ mmۤȤۤȤɼԤȤǡޤ

calculs1

ï⤬Ф뤱ɡǤ...ۤ顣Сޤ͡

calculs2

naomi֥ǤϸߤΥץ֤Ȥ񡣻ݥåȤο¬񡣣꣱mmǤΥݥå...Ūʤ饵륫ȸƤ֤٤Ǥ礦...mmɻФޤ

з⤷ʤ¤ʤΤǤ礦ɵƤޤ

Ǥμ¤ˤλФ¤ΰˤʤΤϴְ㤤ޤ󡣺äƿʹԤƤ뤫⡣

calculs3

ʬҤ˼ʤС

䤬Ԥ꡼˥󥰤ƤλݥåȤǧƹԤޤΤǡΥ꡼˥󥰤ϻ֤ޤ...ʤ...

ᥤƥʥ󥹡ǡˤΤȤϤޤDz٤⿽夲ƤޤĹǼ٤ˤɬܤǤɡǤⴵͤοϰܵʤΤǤĤλʰ屡˲ǯ̤äƤϾʤ

Ȼʰ屡äƤ롣줬¡ȤФƤФ餯֤Ƥ꤬ʤ֤ˤʤäƤμ긵ΩäƤ餤

ȤϸäƤ⡢ºݤˤϥᥤƥʥ󥹤ʤƤϲΰ̣⤢ޤ󤱤ɤ͡

Ǥϥᥤƥʥ󥹤ΥƥबΨƤ뤫Ĺޤ٤ΰ㤤ǤͽɤȤϻ٤γΩǤܤΰ٤ǤϻǰʤϤǤޤ

ϤǤܤΰ٤Ѥ뤳ȤϤǤޤ󤬡ͽɤΥƥϤǤޤ
屡˥ᥤƥʥ󥹤ΥƥۤǤ뤫ͽɤθ

դæš;

γͤΤ象ԤƤޤ

ĥޤ 
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

naomi֥γ͡ФѸʱnaomiǤ 



ʰդλΥ꡼˥ڤӰ̤λΥ꡼˥󥰤ΤߤΤդ򾵤äƤޤܤϤǤ䤤碌˾αΤϤäˤƤλݤ⤪

ʿǯĴˤܤˤǤμΨ20Ǥ¤θ򤷤ƤϤ鷺14.4Ǥ屡ǡʥᥤƥʥ󥹡ˤǤڤ¤ΥåɬܤǤ



ϻ¤Ǣ¤ˤĤƽ񤤤ƤߤȻפޤ

ͤϻ¤λɤΤ餤¸ΤǤ礦

ǶǤϡֻ¤Ϻٶݤˤ봶ɤפȸΤλ¤Ȥʤޤ餪褽50ǯϻ¤θϤޤǤ

1965ǯDr.Loeϥץ顼ˤ¸Ū˻򵯤ޤץ顼뤳Ȥˤɤʤʤ뤳Ȥ򼨤ޤץ顼¤ľܤθǤ뤳ȤΤǤðŪץ顼ȸޤ

ϤޤɤκٶݤˤΤϤ狼äƤޤǤ

1988ǯDr.Socranskyϻﲼץ顼Microbial complexȤǰȯɽޤred complexȤPorphyromonas gingivalis,Tannerella forsythia,Treponema denticola, ΩϤȤAggregatibacter actinomycetemcomitansǤȿ˲˴Ϳ¸ٶݤȤƼޤðŪץ顼ȸƤӤޤ

κ¤θݤꤵϤޤ ߤǤϻ¤ʣκٶݤˤ봶ɤǤ狼äƤޤ

ޤ˺ǶǤϰҥ٥ǤθԤƤޤ
Ƕᶽ̣ȥԥåȤƤPorphyromonas gingivalisgingipainsǤ϶̣Ǥ

¤Ͽʹ֡ʽɼˤȱɸ浡ǽȺٶݡʴΡˤߺѤˤäȯɤޤ

periodontal disease
 
ºٶݤǡLPSˤȿ˲Ǥ˥ޥեϤȤΤɸ˦ȿƥȥIL-1 IL-6 TNF-ˤʪPGE2ˤޤη̡˲줿ȿ˲ޤ

Υơޤϻ¤Ǣ¤ǤɤΤ褦˻¤Ǣ¤ϢƤΤ򸫤Ƥޤ

diabetes

ޤθäƱ⤬¡Ǣ¤ȿǤ֤³AGEsޤޥե˦ˤAGEsΡRAGEˤ뤿ɺ˦ľܺѤΤ𤷤ƥȥξ徺˱ƶޤ

ޤ¤αȿǻ줿TNF-Ϸͤ򲼤륤󥹥Ư˸ޤ

ƺǽäᤷޤ1965ǯDr.LoeääƤޤ
ץ顼ȥ뤳ŤǤϺǤפʽˡǤꡢץ顼ȥʤƼŤϤꤨʤ 

brushing

ʿǯλʼĴΥǡǤܿͤλ᤭βǤʿǯΥǡǤߤȡ%οͤ󡢤ʤϣᤤƤˤʤޤ

ʤ˻᤭ƤΤ...ɤܿͤλ¤ͭΨϲʤΤǤ礦
¤ˤץ顼ȥϼʬǤϸ³ȤǤϤʤǤ礦΢֤ڤʤΤŪȤΥץ顼ȥǤϡ

ãοŤҸƤƤ⣱%᤭ǤƤͤϤۤȤɤޤ
ʾǤץ顼ĤäƤл꤬ޤɤƤݥå̤ϤƤꡢٶݤ䤹֤Ǥ

ȤǤϤʤǤ礦
˴ͤȻãʱΤϤƴͤΥץ顼ȥ򤷤ƤͻӤǤ

꥿˥եλΥ꡼˥󥰤ǤѸѤݥåΥץ顼 ʬʾ夫ƳǧޤϿΤ餺ƣܤޤñ˷׻УĤλˣʬʾλ֤򤫤ץ顼ˤʤä֤ǽΥåǤޤ1mm­餺򸫤Ĥ뤿ˤϻ̤ˤʤиޤ

ݥåȤбΤ褦ͯƤޤޤ¤ݥåȤϽз⤢ޤбդΤɸ椹뤿ʪǤ餬ãλФγǧ˸ޤμ¤ʥݥåγǧΤ屡ǤʱΤ˥ȤɬĤޤñդդμ¤˽ѼԤμ¤˴ͤλǧ뤿Ǥ

ޤŰŪ˹ԤʱΤΥ꡼˥󥰥롼ϴļȤʤäƤޤ

Ǣ¤μŤ֤硢ˤϣǤ츮Ȥ㤨ޤ

Ƥط櫓ǤϤޤ󤬡¤򥳥ȥ뤹ˤäǢ¤ξ֤ˤƶͿǤκ︺ǤСϴͤǤϤʤפȤʤΤǤϤʤǤ礦

̤ФƤʱΡ

ĥޤ


ޥϥ˥ȤΥ֥
ʻʱKimΥ֥
ʥYUΥ֥
ʻʱnaomiٶ֥



ޥ׸ʰDr.IritaniΥ֥
ʥsachiΥ֥ 
ʥAkiΥ֥
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

naomi֥γ͡ФѸʱnaomiǤ 



ʰդλΥ꡼˥Ϥޤ

ޤ̤Υ꡼˥󥰤ΤߡʼŤʤˤμդⳫϤޤ

ܤϤǤ䤤碌



ܤλʼͽɤˤĤƹͤƤߤȻפޤ

ѸʱkimŪʻʼͽɤθҤȤΤƤSwedenP. Axelssonλ񤤤Ƥޤ

AxelssonϻʱΤδ֤ǤͽɤοͤȸƤФ뤰餤ͭ̾ǡͽɤܻؤʱΤʤ٤ʹ̾Ȼפޤ

AxelssonܤλʱΤδ֤ͭ̾ˤʤäͳΣġAxelssonȰʸThe long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults : Results after 30 years of maintenance (pages 749–757)P. Axelsson, B. Nystrom and J. LindheˤΥꥵ򤷤ƤΤB. Nystromֱܹ顣

ܤλʱΤͽɤˤˤơǹˤƺǰν

ܤλʱΤAxelssonθܼ򤻤B. Nystromμ굻򿿻̡̣Τʤθ᤬ԤʱΤν֤γвҤޤ

ޤμ굻ˤʤƧʰդͽɤݸϸʤȸФʱΤˤ뤿屡說說ͽɤܼ򤷤ƤʤΤ˼굻ᤪȤƤ餻ΤǤ

ͽɤΥץܤλʱΤۤäȤ褦ޤ

ŪʻʱΤΥ꡼˥󥰤dzμ¤˥ץ顼ǻμ̿ΤФǤȤΤܼǡ꡼˥󥰤μ굻ĤޤPMTC򿿻ƤͽɤˤϤʤʤܼ狼ʤäʱΤκ礭

ƬɤʰդãΤäƤޤ͡PMTCˤϲΰ̣ʤäơ

SwedenʤʼͽɤΤ
ˡPMTCڤȻפäƤ뤫ܤλʱΤϤϼʤΤǤ

SwedenϹ򤢤ƻʼͽɤ򤷤ƤޤޤܤȤ礭㤤ޤPMTCʤƤüäǤ

ФޤǤϻʼ̵ݷ礭3лǤǤñոԤꥹ⤤Ҷˤϥꥹ⤤Ҷ˹碌ͽɥץब»ܤޤ

ޤʼŤǰ㤨л䤬콵A屡ǻμŤ򤷤ȤޤB屡˹Ԥȡԥ塼ǻ䤬콵Aʰ屡ǤƤɤɤŤ狼ޤ

꡼ˤäƤޤ͡ϥեɤʪǤǥƱǤ
ǥϻ䤬ؤ˹ԤäǯˤϤǤˤʤäƤޤ顣



쳵ˤϸޤ󤬡Τ褦ʥե̵̤ʼŤʤʤޤ͡ʰκ︺˷Ҥ̤⤢뤫Ȼפޤ

ܤǤ¾ΰ屡μŤҤä֤٤ⲿ٤Ҥä֤ƼŤΤǤ

ϻʰդΤǤϤʤˡ䥤եޤʰ٤
Ҥä֤ơäȴư屡ΩĤ褦٤ʤäƤǤΡ

ܵǻʱΤͽɤ򤷤褦ȻפʤȤӽФƹλʰ٤ѤǤ
줬ΰ̣ͽSwedenο򤹤ȤǤ

˵Ĥ˥ǥ󷿤ȸäƼ굻ʪ򿿻ʱΤϼʤΤǤͽɤ򤦤äƤȤ⤢ޤȤͥǤ͡ʱΤϴȤʰդѤƤ˲᤮ޤ

ơᥤƥʥδͤǤ

caries1

売֤ζῴ˥ꥨǧޤ礷ޤ

caries2

ʥƤޤ̿ꥨξ˵ޤ͡
졢ץ顼ȥɤޤPMTCɤޤ

caries3

Υꥨ礭뤫⤷ޤ󤬡ΤĤƤʥץ֤ȸޤ1꤬1mmǤĤޤ1mm­餺Υꥨ

ͽɤȤϻʼ̤¤Τɤ¤Ȥ˸ޤ͡
ƤޤäˤϤοʹԤ٤餻ӻ̤˸ޤ
ȯƿ򾮤ޤξˤϹȿμǤ饨ʥ̤ǰʤ鼫Ϥޤйۤɻ̤礭ʤꡢФ˶᤯ʤޤ顢®䤫˻ʰդμŤ򴫤ڤʻŻǤ

ͽɤȤϲʼͽɤϱ

ο򤷤ܤλʼͽɤϤǤޤ

ܻؤΤ˸ؿͥʿͤ¿ʤ鳤ƴΤɤǤܤǤμϤȯܤλʼοͤ򸺤餷ƤμϤʱΤǤϤʤȻϻפޤ

˸¤餺λؤӡФ¿ɬפʻˤΰФФμ䵻Ѥ򤽤ξ˱ƻȤʤ롢Ʒ̤ФƤΥץȤʤΤǤ

ܼ򸫶ˤޤ礦


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š奻ߥʡǡ^_^in
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

naomi֥γ͡ˤ
ޥϥ˥꡼ѸʱnaomiǤ

ǯˣвᤷޤ
ǯϤŻˤɤߤˡǯnaomiʸǸȤĩפɤࡣĩǯǤ

ơ

ѸѤ󥰡ʻФνˤ礭ʲǽƤȻϹͤƤޤ

λ¤μŤǤϻФνŪȡõǻФõꡢõǻФ롢Ĥޤ괶ФǹԤȤǤ

4mmʾΥݥåȤǤϻФμĤȤΤ⡣
ɾ4mmʾΥݥåȤˤϡγʤΥƥåפء򳫤ƻФľܳǧƤޤ

Υեåץڥ졼󡣼ľϳΤ˥ݥåȤʤꡢ⤷ޤޤʱΤȤƿǯвɤäƹԤȡѤθλ̤Ǻ̤ϪФ˺ޤǰʾ˥ץ顼ȥ뤬񤷤ʤꡢȯ

ץ顼ȥ뤬񤷤ΤǺˤʤä

褷ƼѤ򤷤ȹԤäƴȤ櫓ˤϤޤ

Ǥ⡢ѸѤФνǤ4mmʤī;͵ǻФǧǤޤ

ΤǤ4mmʤ;͵Ǥ

꡼˥󥰴˾δͤǤ´Ȥǻн˾Ƥޤ

ޤϳǧץ֤ǥݥåγǧ

SRP

ݥåȤ˴ʥץ֡ˤαιꡣ줬4mmǤ
̤ʪ碌ʪˤ夷ݤΥȡʤΤˤ夷Ƥǧޤ

֤ݥȤϡɬ򤽤ܤdzǧƤɤΤ褦˹뤫ƬǷײΩƤ̵ײʽ֤ɬȸäƤ褤Ԥޤ

SRP

ޤĶȥ顼ǽƹԤޤλˤ⡢ʤ顼ƤƤ褦˻פ뤫⤷ޤ󤬡¤Ϥͤƽ֤򤷤ƤޤΥǰֽפʻϻα̤Ĥʤ򲼤ʤ

ڤʤӤη֡Ӥϲøݥå2mmбǤ륹顼Υåפ̤η˥ԥå礦ü򡣺̤Ĥʤưν֤򤹤뤿ηײäǤν֤Ǥ

SRP8

ˤϺ̤ϥɥ顼Ѥƥ󥰤⤢ޤ
äȻФФƻޤ

SRP

롼ȥץ졼˥åȥ顼Ѥˤ̤˿Ϥ򤫤ƤФˤʤʤ顢̤˥ʤ򤫤ˤϡ̤˿ʿ˴ʤФʤʤ

ӤϤ򾯤Ǥ᤮褦Τʤ顢ΰäα郎ڤ...Ф椹ȤƤ⥷ӥʽ֤Ǥ

SRP

ե˥åΤʪĤäƤޤϤ⤦ꤹǤޤ
ݥåɬǧκݤˤɬפϤäʤƻڤ礬뤫Ǥ...

SRP9

󥰡롼ȥץ졼˥ľǤ
Ƥ褦˸ݥåȤǤĤʤФΤ褦ʤޤްݻǤޤ

٤⿽夲ޤ򥳥1mmȤĤʤפʤΤǤǤʤ鰵ӺĤʤŰŪ˽Ĥʤˤ롣

ϾǤȤϿθ֤ޤ

¤ξ̾ϱɤƻƤޤ顢˸μ줬ޤĤޤ֤ȤǤĤޤꡢɬ֤򤹤оʤ餺ȤǤ

˻븶ΣĤѰդȿ»ȻϹͤƤޤ
αнκݤ˴ǽĤ褦Τʤ顣äȤ֤˻äƹԤ

ǤοݥåȤλнϽγʽ֤Ȥϰ㤤ڤäƳޤ
ݥåϤ2mm3mmζǡαĤ̤»ˤⵤĤʤ֤ԤΤλǤϤޤ

1mm­餺õˤ褬ʬλΤ褦˻פ̤ưʤФʤʤζ˰ա

νϤȸä...󤬻ˤȤäƤϼѤǤ

...

褯ͤ˰٤ˤ󤪴ꤤޤȸޤ...̵Ǥ

ơ象κݤ˾ɾγǧ򤷤ʤƤϡڤʤΤϸǽ֤Ǥ⡢ФǤ⤢ޤ󡣴ͤʤɾδ¤ǤФ䥻ȤǤϤʤ⤢ޤ

´˷Ҥ룱ģĤǤȿͤꤷƤʤŻʱ

ʱΤοڤʪϿϡʼºݤˤϻʱΤϿǤǤޤ󤬡ˤǤ

ɤߤˡŻĥޤ

ˤƤ쥸󥻥ȤϤä...


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naomi֥γ͡Ϥ褦ޤѸʱnaomiǤ

Ǥ

ᵯ顢򹯥ץȤ͵ȤλäƤޤ
ˤʤޤȤǤ¬򤷤Ƥޤ

ʿ23ǯٻʼĴˤȣаʾΣ%ϻ¡
⤽ǯʤǤ

ơï⤬ΤäƤ¡
¤ϻ¶ݤǤˤäư͡ΤȿˤǽŪˤϻʻ٤ƤˤϤƻȴƤޤµǤ

ȤǤäƤޤǶǤϻ¤Ȥ˱ƶڤܤµȤơȤȤδطܤƤޤٱ䡢Ǿɡ¡¡Ǣ¡ǥˤϹ찵᥿ܤȤطȸƤꡢȤ˱ƶڤܤµʤΤǤ

Ū˻¤ΥåƤޤ

¤ϣФ᤮ƤʤͤµȻפäƤ⾯ʤޤ󤬡¤ϣ塢夫餹Ǥ˻¤ϻϤޤäƤޤ

㤤ˤȱϤ⤤ΤǡƱٶݿƤɾФˤϤʤ⤢ޤ

Υåפ˿Ǥäƣ塢λˤϿϰޤ󤬡åפο夬äѤˤʤäư롢줬ȹͤФ狼䤹Ȼפޤ

¤Silent Disease(ۤµ)ȸƤФޤ
¤ݤΤϡ¤νˤϾɾФˤоɾʤǤߤ롢ưǿߤФȤäɾФˤϡ٤ϤƤޤäƤƴ˼٤Ȥ⾯ʤޤ

¤ϺٶݤˤäưµǤ顢ȸȤʤٶݤĴ٤ڤǤ
ξнޤ᤿Υ꡼˥Ԥޤ

¤ͽɤڤʤΤŬڤʥץ顼ȥᥤƥʥŪʻΥ꡼˥󥰡ˤǤ

ơäʤΤǤŪˤʤޤnaomiήʱƻֺȤƾ񤤤Ƥߤޤ

ϻ¤θץ顼ʺٶݡˤȤΤΤλ¤ǤΤϲƤޤǤǤϤĤץ顼ʺٶݡˤȤʤäΤǤ礦

1960ǯ̤ޤ

1965ǯLoeϻ˥ץ顼夵¸Ū˻򵯤ޤǥץ顼뤳Ȥˤɤʤʤ뤳Ȥ򼨤ޤץ顼¤ľܤθǤ뤳ȤΤǤץ顼ȥ뤳ŤǤϺǤפʽˡǤꡢץ顼ȥʤƼŤϤꤨʤȯɽΤǤ

θ1980ǯꡢ1988ǯSocransky餬ﲼץ顼Microbial complexȤǰȯɽޤred complexȤP.gingivalis,B.forsythus,T.denticola,ΩϤȤA.actinomycetemcomitansǤȿ˲˴Ϳ¸ٶݤȤƼΤǤ

red cpmplex1
 
A.actinomycetemGreen Complexޤ

ޤλ¶ݤβ륫ץȸääΥȯޤ
Υ¬ꤹǻ¤ɤȽǤǽǤΥθˤʤäƤ⾯ʤޤ

屡Ǥʸ¬ˤѤƻ¶ݤνФȯ򸡺ޤ٤ι⤤PCRˡˤñոˤꡢݤ¶ݤԤʳŪʥǡȤ˼ŤԤäƤޤ

 ˤʤϰٸƤߤƤϤǤ礦

ͤΤ象ԤƤޤ



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naomi֥γ͡ФϡѸʱnaomiǤ

θȤʤνˤĤƽ񤤤ƤߤȻפޤ

䤬Ĥ⤷ƤʤΤǤ֥˽񤳤Ȼפȼ̿򥳥ԡƤꡢ̿ѤȤäʤΤǤʤʤҲǤޤǤϤȤʤȤʤΤǤ

ǤǶϻФ봵ͤʤΤdzڥǤ
ʤȤȡŪ象ƲΤǻФ夬ʤǤ

Ĥޤꥯ꡼˥󥰤δͤ⡢ᥤƥʥ󥹡ǡˤδͤ¿䤢ͭ񤤻ǤĹ象ƲäƤϣǯ᤯Τդ礤ˤʤޤ

ơ֤ĹʤޤϤޤ񤭤ʤΤǤ

ϻΥ꡼˥ΤȤǤ
ݥåΥץ顼ʺٶݡˤ ƽƤȡ⤭ߤƤ

ϤޤȻפäƥݥååޤϥȥ

lr5

ƥݥåƤߤޤ

lr5-1


ݥåȤο3.5mm٤Ǥ5֤α󿴤˥ݥĥäȻФ

lr5-2

ݥåȤ򳫤Ƥ⤦äȳ礷Ƴǧ

lr5-3

 ѥޥߥ顼Ѥƥݥåκ̤ǧ̤ˤӤäȻФ

lr5-4

ޥߥ顼򸫤ʤ麬̤λФƤޤ

lr5-5

äȼ줿⤦Ҥȴĥ

lr5-6

줿ФƤǤǧޤ֤κǸϥݥåɬǧޤ

lr5-7

ƺǸϥɥ顼ǻž夲ޤ

ʺǶĶȥ顼ǤФȤʤȸʱΤ뤱ɻϥϥɥ󥰤򤭤ȤǤʤͤĶȤǤФϼʤȻפޤ ƱոǤŷؾƤޤäɤζϻƤʤ˻פ

lr5-8


ߥ顼ƤΤ̤äƤޤäܤݥå1mm˥ޥߥ顼ơˤĶȥ顼Υåפ櫓ʤΤĶȤοưߥ顼äƤޤ⤢ޤʤ

ǸȤʤȴñ
ñ˸ޤݥåȤΤϤ褽1mmѸѤ礭뤳ȤϤǤޤ֤ΤϻΤ礭ʼǤ

ʤߤ˾嵭βǻѤƤޥߥ顼ȤϲΥߥ顼Ǥ
夬㡼ץڥ󥷥롣ޥߥ顼Ǥ㡼ץڥ󥷥˶°ʬƱ餤礭Ǥ
lr5-9

֤줺˺̤λФ뤿ˤϿŤ˹ԤʤФʤʤΤǻ֤⤫ޤνϤפޤ...

ޤ񤭤ʤΤǤн򤪴ꤤƤ⺤ޤʤäʤ뤫ˤϼ뤱̷⤷Ƥ뤥˥ᥤƥʥ󥹤δͤ򸫤Ƥäȳ

ʸˤ4mmۤݥåλнϼԤΨ⤤ȸƤޤ
Ǥν֤Ūʽ֤Ǥ괶Ф֤Ǥ


 
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