ʡAdvanced Care Dental Office åץǥʡnaomi

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

ѸʱnaomiǤ 
ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



ФϡnaomiǤܤ˥֥񤯤ΤϤʤפ֤ʵޤ
ʤǶᡢ֤ФĤΤ᤹...ǯǯؤ˹ԤäƤ⤢äơ屡λŻڤꤤʻޤ

褯褯ͤСؤ˹Ԥ⡢οܤˤʤäƤΤǤ ;͵ä顢ؤ˹ԤäΤˡؤ鵢äƤΤʤ֤˥֥åʰ屡 ϢԤҸƤơ¾˻Ż򤹤֤ʤ̳ίޤǤ Ť˻

P80905392

ǤŤ˻ȤϴԤΤˤΩäƤ櫓 ơ轵麣ˤƤϡﲼнΥѥ졼ɡʤʤ֥񤯻֤ϤʤɡοŤϤʴǤ

ᥤƥʥ󥹤δͤǤ󥯥꡼˥󥰤碌ơҸĺƤΤǤϺΣ֤˻ﲼФǧޤ Ĥޤϡ䤬ĤƤФǤ ʤ顢ͤˤҤͤΤǤФäƴ˽ǤΤǤ礦

NOʸǤƤޤ

Waerhaug J:Healing of the dento-epithelial junction following subgingival plaque control. . As observed on extracted teeth. J Periodontol,49:119,1978.ˤ

The chances of removing all of the subgingival plaque from all four surfaces are fairly good if the pocket depth is less than 3mm. If the pocket depth ranges from 3 to 5mm the chances of failure are greater than the chances of success, and if the pocket depth surpasses 5mm, the chances of failure dominate.

󤵤ĺޤ
ݥåȤο3mmʲfairly good
goodǤvery goodȤɽǤʤޤޤɤȤ̣̩ˤϽƤʤ
3mm-5mmthe chances of failure are greater than the chances of success
פˤʤȤȡ
5mmʾthe chances of failure dominate
餫˼ºݤϻнǤƤʤȤȡ


Stambaugh RV, Dragoo M, Smith DM, Carasali L.The limits of subgingival scaling. Int J Periodontics Restorative Dent. 1981;1(5):30-41.ˤ

ݥåȤοʿ3.73mmʾˤʤȼĤ¿ʤ 

3.73mmʲǤϳμ¤˼ȤϸäƤ餺3.73mmʲǤʤ줿ʸϤǤǤФϴ˽Τ񤷤Τ⤷ޤ

ϡ¤ΥǡǤ顢ȤǤϤʤʤɤСΨ㤯ʤ櫓Ǥ

ϻŪ˸ѤƤʤŪȤΥǡȻפޤ顢쳵ӤǤʤ¦̤⤢ޤ  ǤѤäΤǤƤ䲤ƴ줿ɡȤäơн򡢻ʱΤԤʤäƤ䤬ΤܤʤΤǤ

001

¸ΤǤϤ줬ɤȥäĤޤꡢ줬ƱɤȤ뤯ʤΤǤ 䤬Ҹͤ⡢̤ޤǥäȤޤäǤ
󤤤餷ˡϤ⤦Ǥʤɡ줿ȤääƤΤǤ 

Ϥ
20170606-1

ϥݥåȥƤݥåȤץˤʤäƤޤ
ˤϻﲼФޤޤĶȤǽƹԤޤ礦
 
201706006-2 

äƤǤ͡顼褬ФäƤΤ⡼Τ褦˸ΤǤ椷Ƥȡ⤹ɡʹ֤ܤҤҤȴޤ

20170606-3

ѥѥ̡ߤäƤ 

20170606-3


Ū˻ﲼФϡľŪ˱狼麬˸äƹԤޤޤǤμ̿Ϸ빽夫鸫Ƥ󥰥롣 

20170606-5
 
ϤۤξǤ٤ĤΡֺǽ˻Фǧ˶ᤤ󥰥Ǥ͡
Ф˸ΤϡФΤꤿ顣ФɤäƹԤȼ˸٤ѤäƹԤޤ

20170606-6

ƥݥåȥƤ֤ȤȤ˾ˤꤷޤǤ⡢ձڤʤ¤ꡢޤäȤޤäƤޤ ơϤǻФ줿Ȼפޤ...ʤơҤͤԡ꿼ʤʤΤ...

20170606-7

 ݥåȤ˥ޥߥ顼ơ¦̤ľܸޤȡäǤľŪˤϽǤ褦˸Ƥ⡢ľ뤹ȤޤޤĤƤΤǤ ξϡФ⤢ޤФǤϤޤ󡣤줬ޤԻ׵ĤʤǤɡȼźṳ́Ωä褦ˤʤäƤޤ

ơɤޤǽɤΤ

狼ʤ׾ŪʴФǸСꤹ㤤ʤɡ˥ץ졼˥󥰤ʤФʤȻפΤǤʤȡԤä꤯äĤʤĤޤݥåȥ㡼Ǥʤ

20170606-8

顢ʴ˻ž夲Ƹޤ졢ñ˸ޤɡȤäƤΤǤ
象줿ĹΤΤ礤ˡ֥꥿˥եϥɤ͡פäƸޤ

Ͼ˥ڤˤƤޤ

ϸμŤϻ1ͤǤϤǤʤǤλФνǽˤΤϡǤϤʤȤAkiǤ ֡ˤϡܤιäơǴ줬ܤƤΤǡǴޤʤ顢ޥߥ顼ݥåΤԲǽǤ

顢ɤƤ뤫ȤȡȤߥ顼Ǵʤ顢ˤ᤭䤬ޥߥ顼ǻӤʤĶȥ顼Ǻ̤ˤȤ餯ï⤭äȤä̵ȤäƤޤ ơʵǽˤʤΤϡɤ줷ޤĤⴶաǤ

20170606-9

ơ⤦پ夫顣ǽ˥åȤ򻣤ä󥰥Ǥǡݥåޤdzǧȿ֤ޤǤäǧޤ֥ҥ 轵ϤʤФääʡȸäƤ⡢䤬ĤƤФ̵... Фˤϼɤޤ

ϴԤˤ⤤Ĥ⤪äǤϰ򤷤Ƥʤ1mm­餺λФ᤯äƽĤƤޤǼɬפ̵ȻפäƤޤФĤФĤɬݥåȤˤ롣 λɤǤ

Ǥ⤽ϡĤ򿮤ƥᥤƥʥ󥹤̤äƤ봵ͤˤ⤿餵ʡǤ ԤǴ...ĥꤹƸȤʤäɡǤΤɤäǤޤɤ櫓ˤϤʤޤ󤱤ɡ̵ʤΤ̵ʻȻפƱˡʬε̤Ϥ礤ȿʤ櫓Ǥ ơ

֥񤤤Ƥʤɡʽ֤򤷤Ƥޤ

;̤ǤեǤ˻ʱΤΥȤ򤷤Ƥ롢ʱΤγХȤ罸Ƥޤʳ˸¤ޤ åȤȤƤϡʱΤμºݤν֤򸫤ٶǤ...ȤФʱΤζԤʹȤ ̣ϥեޤǸϢ


ǤϤޤĥޤ礦
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

եòŤΤ«Ⱦڡ
ǶݥХǎ
ǥ쥤ʻʰ

˴줿Ƕݥƥ

ʪŪ󥸥
Ū󥸥 / CI Bowie & Dick test Helix test
ʪŪ󥸥  / BI 

ѸʱnaomiǤ ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



Խ...ͤѤʤᤴǤ

ơ⤦ܡФĤΤᤤΤǤ

ǶϡγYuҤΥ󥿡ȤơʱΤɬפ͡ʻ򶵤Ƥޤ

ˡƱơǯ䤿ǯַ³ƤʱΤٶ񡢻ʱβen-rondǥߥʡϤޤŪϿλʱΤ

λʱΤȤϡ

λʱΤζȳˤ¿ιֻդޤǤ⡢䤿Ϥιֻãʪ

󡢻ʱΤεѤܤ˸ޤäʤơµ򸫤뤫äƻǤ

ֻդˤϡ¤ɬפʥץӥ󥰤򤤤򤷤ʤĶȥ顼οϤƤƻȤ򤶤ڤꤷ̤Τȴ㤤Ƥ...ʤɤʤɤͭ̾ʹֻդãǤ䤿ǯۤλʱΤʹȤӤäŷƤޤΤФꡣ

Ĥλʱƻ򶵤ƤʱΤ롣ƤäԤäƤΤǤʤʤ˻䤿ºɤǤʱΤʤ䤿Ϥ⤦ɡ㤤Τ󤿤İ...ΤޤޤǤ϶ȳȻפʳʬǥߥʡϤˤޤ

ɬ̤Фߥʡ

4˵ǰ٤λ104˹ԤޤʤȡΥߥʡζȳǤï⤬ΤäƤ꥿ǥ󥿥ϥ󥹥ȥե2015Ʊ



Ǥ䤿餱ޤ
ʤäơ餱ޤȤΤѤǤ͡Ȥ㤤ޤ顣

꥿Υϥ˥ȥߡƥ󥰤ιֻդ٤˽ޤ뤷ʤ⤪¤Τˤ

䤿ΥߥʡʤϹ⤤˾Ϳäߵ郎⤤ǤߥʡǤ䤿ϻʱƻɵᤷƤޤ顢ǤϤʤǤ

ޤߥʡϤ᤿ФǡʤʤƤλ夷ϤǤʤΤǤϻ䤬ܻؤʱƻɸ狼䤹̿ǤȻפޤ

ʺ̤ФʱΤΤ䤿ɸǤ

졢¤ϤλʱγYuҤˤ餻ƤΤǤȴйѤ˿Ωơϥɥ󥰤ΤߤǺ̤򥹥󥰡롼ȥץ졼˥

root surface 3



root surface 4



root surface 5

ۤɤ⿽夲ޤȤäƤΤϥɥ顼ΤǤ

ϥɥǤޤФ롼ȥץ졼˥󥰤Ƥޤ

ޤ䤬礭ɸȤƤ

1.Ф봶ФĤ

2.ɤΤ餤ϤȤɤʽ̤ˤĤΤʬθ

3.̤ˤ

狼Τ褦ˡǤ麬̤ˤϿ⤢ޤ󥰤롼ȥץ졼˥󥰤ԽʬʤȤ⤢ޤȤˤʬδƴڤʤΤDZθʤ̤򿨤餻Ƥޤ

ʤ顢Σ֤λФ봶ФȤΤǤ⤫ʤ񤷤ɤλФ򲿤֤Υ顼Ѥơɤå򤫤ơɤ˥åҤơ˼ؤϤ줺ˡû֤ǻФ뤫ʬδʤͤ롢ƳФ롣

ơΤˤYuҤʳؽʳǤ񤤤ƤޤڤʤΤϤȤѤĤޤꡢǤåȥ顼Ȥɤͤ줿ǤǶפޤ

٤̯ǤΥåѤˤޤ㡼ץ˥Ǥ

ʤ顢㡼ץ˥󥰤ȸäƤ⡢åγ٤䥷󥯤Ȥδط֤ΤƤʤȤ̯ϥåݻϤǤޤ󡢤ĤޤꡢФϽǤʤ

ʱƻΣģĤγμ¤Ѥ߽ŤͤʤСʥ󥰤ϤǤʤ

ȤƤƤ⡢ܼ϶ˤʤ٤ޤ䤿Υߥʡܼˤ롢ʱƻˤ륻ߥʡǤ

ʤߤˡȴϤʴǤƱʤΤǤ...󥰤˻Ƥ˺ƤޤäΤǡƱ褦ʻǺܤޤ

root surface 1

⤦硣
root surface 2

᤯ޤǤλ򥻥ߥʡǤ⤪äΤǤФνꤱпλʱΤȸä顢㤤ޤ

λнϻнǤʱΤǤϤޤ󡣻ʱΤ¿Ū˴ͤʹ֤ȤưΤʪΤˤϡͤοʤФʤޤ󤷡ͤ象ƤʤȤޤ󡣤Τ˻䤿ϣɬפȻפ򶵤Ƥޤ

ƻΤĹʤ

Ǥ餺Ǥ餺⡣⡣䤿򥻥ߥʡȤdzͤˤƤȻפޤ

ΥߥʡǤƱơޤǤϤޤƤ󻲲äǤ⡢ڤ褦˥󥸤ƤޤʾδߥʡǤΤạ̇̄ϤҤä

λʱΤγȻʱƻˤĤƤäȻפޤ
һ䤿˲񤤤Ƥ

Ĺʤޤ...

̩ʼ郎Ϥޤw(*o*)wޤΤäϡ 
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

եòŤΤ«Ⱦڡ
ǶݥХǎ
ǥ쥤ʻʰ

˴줿Ƕݥƥ

ʪŪ󥸥
Ū󥸥 / CI Bowie & Dick test Helix test
ʪŪ󥸥  / BI 
ѸʱnaomiǤ ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



ͤˤϡʱnaomiǤī饷ȥ߱ꤷΤǤ͡ơϸ夫飴ͧβǤͧβȤΤϡΡʻʱΤΡٶǤơ̾Τen-rondʥɡˤȤʱΤٶǤ

ȯ­ƤϤ䣲ǯäС⺣䣴ȤʤꡢФ...αĹͧβ̿̾ޤǤ͡ޤ¤ʤΤǡ򤬤äƻȤäƤǤɤ

ơʱnaomiʪʪȳƮƤǤ

⡢ӥʥ...
 
ֶῴݥå4mmȥǤιۼꡣǻ4mmλ̤ꡣĤޤۼ٤ȤСʻ饤ȤХݥå8mm륱Ǥ

13

򤫤ȥݥå˻Фɹΰʤкǽ˻ǧƽԤΤŪǤ䤬ԤͽŪʻФνϡݥåȤޤäƤ礬¿ǽ餫ǧʾ礬¿

13

λФʤ顢λФɤäƤޤۤɤλФƲǧ¦˸äƺ̤ˤӤäɤΤ褦ˤʤäФޤǤ⤳⸫Ƥʬɹΰѡ

13

ݥå˸äƸФޤӥǤ...

13

ݥåȤԻ׵ĤȿǡǽޤäƤΤǤǾŤĴˤƤȤʤ˸褦ˤʤޤȤäƤڳϰڤޤΤǡ2mm3mm٤Ǥ

23mmǤ⡢Υݥ󤬤ʤ꺤ȤʤޤˤΥݥǽ֤ԤȤΤ⤫ʤ٤Ǥ

ѸϷȤäʰաʱΤ褦Ǥϰ㤦ȻϻפޤѸˤϤʤˤǽ

ŪʸǤϡݥå4mmʾλФϼʤȤʸޤʤ顢ѸϤθ³ĶƤޤ̵졢ڳʤǡĤޤꡢʱΤǤԤϲŪˤѤ¤Ǥ

⸫ޤ֤͡򤷤ͤξڵ򤬻Ĥޤ

Фν񤷤ΤǤʤ˸ƤߤƤ⡢ϼĤβǽȹͤƤޤϥݥåϲȿȤζǡζλʪʪƤǽ뤫Ǥϻ򳫤ƤƱ³ɤꤹ뤫...ͤʤȤʤ褦ʵޤ

ޤޤϻФĤʤĤޤᤤʳǻڤ򶵤ƤʱΤȽв񤦻Ȼפޤ

ơƤФޡ




    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

եòŤΤ«Ⱦڡ
ǶݥХǎ
ǥ쥤ʻʰ

˴줿Ƕݥƥ

ʪŪ󥸥
Ū󥸥 / CI Bowie & Dick test Helix test
ʪŪ󥸥  / BI 
ѸʱnaomiǤ ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



ͤˤϡʱnaomiǤϸ夫餢ˤα߱Ǥ礦

ơפ֤Υ֥ȤʤޤǶϤ褯ФʤǻΥ֥ˤɤ夯¿ï֥򸫤ƤäƤΤʤȻפڤƤȤǤ

ơ֥Ͻ񤤤ƤʤƤ⡢Ʊη֤

ͤŴĤΡƤȤ...Ƥ

壴ֶῴ֤¦žܤǣ֤ȣ֤ܡ٤񤷤ϷǡˤȻפޤ...ǡޤȤΤݤäѤꤤĤμ̿ˤʤäƤޤޤ...

ޤˤ⸲ˤʪʪξФȡåפ뤱ɡǤºݤˤϤνΤˤϤξȡ̩ʷײȡԤܻؤʤɡʤʪɬפȤʤ롣

ɤ餫ȸС¾ʪڤäꤷޤĤޤʱƻˤ

ơ֤ζῴΥݥåȤޤݥå4mm礭ʻФϽɡޤˤз줬ƥݥåޤdzǧǤʤä㡣

Фνϰȯȸͤ⤤뤱ɡͤȤդ礤ʱΤȤƤϡ褷ƤʻϤʤʪʪνʤ̵ʤΤ顣⤷줬ǤȤͤȤ顢Ϻ̤򸫤ƤʤиФϽǤʤ˸ȤʤƤʤ狼ϤǤ롣̤ʣʤΤ顣

SRP

礭ʻФץ顼ǽз̤ʤ긺Ф䤹ʤޤ

SRP

ʹ֤Τ˿ŪȻפȸ뤫⤷ʤɡǤΤΰʹ֤ΤΰʤΤǤ롣ݥåΥᥭʤƤߤΤˤϤ狼ʤǤ򹯤ȿȤΤȤȤľŪˤ狼롣

SRP

ۤ顣ʤ˺̤ƤΤΡʻФνʤ̵衣Ƥ⡢Ƥ⤭꤬ʤޥԤäƤ롣餯ߤ븲ǤϻФγμ¤ʳǧϤǤʤäȤäȸʤ...Ǥˤ1mmʲǤɤ

ǤʱΤλˤȤäƻФνڤƤʤͤʬλȤäƿΤǸλޤ롣줬Ū顣1mmικ䡢1mmʲλФν˸ǼĤϤޤäʤ

פ˻̤ޤǻФǤ̲ǤϸʤƤ⣲ܰʾλĤƤ롣Фν˸ǼĤϤޤäʤ

ϻнʤơͤοо줵ĺµδͤ򸫼³ֻʱΡפ

ڤåλмϻʰդǤƤޤ礦

ڤʤˤʤĤʤnaomiήǤ

ơ顣ĥޤ


    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

եòŤΤ«Ⱦڡ
ǶݥХǎ
ǥ쥤ʻʰ

˴줿Ƕݥƥ

ʪŪ󥸥
Ū󥸥 / CI Bowie & Dick test Helix test
ʪŪ󥸥  / BI 
ѸʱnaomiǤ ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



ͤˤϡʱnaomiǤ

äưϤŷɤƲǤ

ϵޤäʡޤʴͤǤȤ줺˸
ǤʱΤȤƤλŻϤȤʤƤޤơʢäƤɡȴͤν֤ϹԤޤɤʻ𤬤Ȥⴵͤˤϼȴʤ줬οǤ

Ĥ⿽夲ޤڤʤΤϸǤϤޤʱΤλŻɤˤƤ뤫...ˤĤޤޤޤƻȾФǤ

壷...ºݤˤ϶ƤΤǡ֤ǤƤǤ礦ꤴޤ
̿ǤϤ狼ʤȻפäǤξ֤ϻǤǤϤ狼ޤȥμ̿ץӥ󥰤ޤ᤿¤̩䡢򸫤뤿Ϸ...͡ʸǤޤʼºݤˤϻʱΤϿǤǤޤ󤬡

ѸϤγ礹ˤޤ



ä͡ʾơʱΤδƯݥåȤΤƤߤޤ礦



...


...


...ɽ̰Τ˹ʪǧޤ



ñȸޤºݤˤϤǧǤεǤʤʤ顢μ̿ݥå5mm1mmݡ٤ϤäǤΥݥ˸ζ碌ΤεʤΤǤ

05

ݥ󤬷ޤУѡȽ֤˶ŤޤĤΣѡȤʪʪ...äϰϤǴԤϡݥ󥰤Ʊ餤ε


ե˥åʤȤͽŪʪʪνǤޤ

ɼżŤȰäơĺϤǤϤʤȡɽ̵̤DzǤʤΤǡʼ񤷤Ǥ...

δͤäˤȤäƤϤȤƤ⥷å󥰤Ǥ򤪸ˤڤʤɡξʻФͽɤ˷ҤäƤä顢ʤͽɰŤΤΤʤäפȤä㤤ޤܤλʱΡޤޤǤ...

Ǥ⤢ʪʪȥᥤƥʥ󥹤̤äƤС̲Τ褦ˣФǣܰʾλĤޤʤߤ˸ܤǤϣФǣ­餺Ǥ

ʱƻŪʤä񤤤ƤȻפޤ

    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

եòŤΤ«Ⱦڡ
ǶݥХǎ
ǥ쥤ʻʰ

˴줿Ƕݥƥ

ʪŪ󥸥
Ū󥸥 / CI Bowie & Dick test Helix test
ʪŪ󥸥  / BI 
ѸʱnaomiǤ ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



ͤФϡʱnaomiǤ

ܶ... ⤦㵤Ǥ빽ߤäƤޤ

ơΥᥤƥʥ󥹡꡼˥ǶϣȤΥᥤƥʥ󥹤ͽ󤬼ʤˡᥤƥʥ󥹤Σ ...ʤ...ߤޤ...

ᥤƥʥ󥹤ǤĴҤǤ顢Ǥǥ꡼˥󥰤˾Ϻǽ餫ԤƤޤäꤷޤǤοȤϰĤʤΤƻҸ뤷ޤ 

󥯥꡼˥󥰤δͤǤ󤬣ܡܤϿäϲܡϾܤǤ

ʤΤΥåʤϻ¤Ǥ⡢мǤ⡢꡼˥󥰤Ǥ⤢ޤ󡣤Ȥꤢʰդοǻơä礭꤬ʤΤǻʱΤǤäƤȤǻ˲äƤޤ

壶ָ¦ῴ츫ä礭ʤ˸롣

SC1

礭褽٥롣ξˤϤ줹鸫ʤʤʤϤǤƤ⤳ξʱ壷֤ζῴˤǤϸľƤʤ
ƸϤäȸƤʤǤ

SC2

Ȼδ֤ˤޤǡִפΤ褦˸ֻСס

SC3

ɤɤ衣Ķȥ顼ʴդƤޤ

SC4

ۤ顣ʤʤä

δԤˤϻФդƤ뼫Ф⤢ޤǤФ夬̣ΤФ夬ɤƶΤ⤴ȤǤԤä¸Τʤä

δԤɤƳоϤäƴͤη򹯤򤪼ǤΤ

ͽŪʻФνïäƤΤʰդäƤΡ̾ĤʤǤʤФޤ᤿ʪʪν򡢻ʰդݽǤ

äĺΤʤɤɤäĺޤ礦

㤢ʱβͤ󡣤͡ȻפäʤϻʱμʤǤʱΤκǤפʤŻϥ١夲Ǥ顢̤˻ˤĤʪʪǤʤƤ⤤ǤǤʤΤϸȬǴͤƳФΤǤ

ԤΤϤΤŽԤ

ơäư屡ХХ˻⤬Ф󤾡ʤȼʬ˵Ƥߤ

줫鱫­ʤͻҡͤĤ͡


    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

եòŤΤ«Ⱦڡ
ǶݥХǎ
ǥ쥤ʻʰ

˴줿Ƕݥƥ

ʪŪ󥸥
Ū󥸥 / CI Bowie & Dick test Helix test
ʪŪ󥸥  / BI 
ѸʱnaomiǤ ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



͡ФϡޤϤޤޤ͡ƺ⤻äȥᥤƥʥ󥹤ޤ
Ҳ𤹤봵ͤϡΥ꡼˥󥰻ˡαɤˤߤߤΤȤDZﲼɤλФ鿨ʤäͤǤ

٤󥸤ޤˤߤäΤǡФƼ꤭餺˥ᥤƥʥ󥹤˰ܹԡǽϱơﲼȽơäȿȤޤǸ褦ˤʤޤ

ۤ顣ȥ꡼˥󥰤ᥤƥʥ󥹤򤷤ƤȱɤʤʤäƤ롣ФĤƤƤ⡣ФΤȻפäƤ뤱ɡФΤǤϤʤ˽夯ٶݤΤǤ
ФĤäƤƤ⤭plaqueƤбɤʤʤ롣

SRP

褱ƻФ롣ȤɤʤޤäƤ뤫餳Фʤ⤢롣줳ᥤƥʥ󥹤ǯ򸫤ƤиƤۤɥӥʥˤʤäƤ롣

SRP2

Фϥݥåɤɤۤɿݥåޤ³Ƥ뤳Ȥ¿ޤäƤ硢Фɤɤ¤ϻĤ˽뤳Ȥ̵ˤʤ뤫顣

٤׻ƽ롣ͥ褵Τ»ʤ뤳ȡˤ¿»򤷤Ƥ⸫Ф꤭뤳ȡ¿»ȤΤϡڤΤNG٤»ޤǡ⤷ڤ褦ʤ餽ϷвѻʤݥåȤƸޤϱɤƽз줷ʤʤɡּɤפ˽롣

줫顢Ϥޤθߤˤ롣Ƥ餬ʻä顢μ꤬Ȥͽۤƿʤ餬Ƽ꤬᤽ʤ¿»ƤФνͥ褹롣

ĤȤϲȸ餤Τʤ顢ǤϺǽ餫̵ǤȤȤǻˤ館ʤ򿮤ƤǤƤ봵ͤ餳ǻФ롣


SRP3

Υ⤹ӥʥľΥݥåˤäǧ...ޤʤƺ̤ɽ̷֤⤪...̤Ȥۤɤʤʡɽ̤äƴʤ

褯ʽŪˤϡ̤ˤäƸɡˤɤˤʤɽ̤ȡƤϤʤɽ郎褦˻פ٤⤯ŤгˤƤ褤ˤʤ롣Ǥ⡢餫ϡˤϤʤʤʤʤɽ̤狼ʤ顢пۤɥʤڤ褦ˡƤ롣᤮γвҤΤȤȤʤ롣

ȤȻʤơ͹ʪʤ顢ƤĥĥǤ櫓ʤ餳Ф夬ΤǤ⤽ȤȤɽ̰ʾ˥ĥĥˤ뤳ȤϤǤʤϻ˲뤳ȤǤϤʤȻϻפ

ơǸ뤫Ǥ뤳Ȥ롣ǻФμ¤˽뤫狼롣

ˤäɡ䤬ʱΤȤϡˤʤнˡפɤΤˤϡΤäƤʤȤʤȤ롣

Τγȥץӥ󥰤ä顢ФΥݥåȤɤΤȤäˤʤääƤʤʽŪˤʪŪϤγǤ⡢º׾ǤϤʤȤꤨʤݥåȤĤäƤ⾯ʤʤ㤢ݥåȤĤäƤϤɤ֤ʤΤ

줬狼äƤʤСĹΥᥤƥʥ󥹤ϤǤʤμ⤿ɬפʤΤǤ

饻ߥʡää򤷤ޤ...

ơޤʬοȴޤ 
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ڻʱθѸļ 
ޥץۥ磻ȥ˥󥰥

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

naomi֥γ͡ˤѸʱnaomiǤ 



ʰդλΥ꡼˥ڤӰ̤꡼˥󥰤ΤߤοǻϤޤܤ䤤碌



ϢԽ뤬³ƤޤϤߵ٤ߡͤᤴǤ礦

Ϥߵ٤ߤϤäܡ褯褯ͤȡ1ͤ˵©ǤäơŻ򤷤ƤȤۤȤɤʤ...٤ߤǤƬǤϤŻƤ...ߤ

ȸʤ顢٤Τ˻ŻΥ֥񤯤ߤʡʾС 

轵˿ȼԤĶȥ顼ڤƤޤơŤΥ뤬ΩƤȤϤϤ꿷ܤƤΤڤʻǤ

ϤȻפäʪǤ⡢ʤοʲȤꤷɤʤäƤꤷޤ

ƾСᥤƥʥδͤǤ 

ϻޤäꡢˤꤹäƤ¸ΤǤ
Ф夷ƤƤ⤭ȥȥ뤵Ƥлޤޤȥȥ뤬ǤƤʤлˤ߱ɤꡢ줿ꡢз줷ꡢǿꤷޤ

SRP1

ĤΤ褦˥ץ顼νԤäƤ...

SRP2

 饸äǿƤޤǿȤǿߤФǤ

SRP3

ǿȤΤϱɤʹԤƤڵǡƤϻ٤ƤȸƤФϤơݥåȤʤꡢ¤٤٤˿ʹԤƤ礬¿

ǥݥåȤ¬򤷤ƤߤΤΡݥåȤο3mm򹯤ʥ륫ο1,
2mm3mmȸƤޤΤǡ ȤƤʤϰϡ

ǤϤɤǿƤΤǤ礦

SRP4

Ϥ졣ФǤ

褯󡢻ѸлФȴ㤤ƤޤФϸޤɡλФƩ뤹ϤǤޤФȯ뤫ɤôʰŽԤδѻϤˤäƤޤ ϤγǤ

SRP5
 
򳫤ʤФνԤޤ򳫤гۤɸ¦¦˸ä夷ƤФƤޤǿƤƤϤݥåȤǤ͡央꤮ޤɬƳǧޤ

SRP6

αޤdzǧޤ

ѸϺޤǸʤäΤʤä˶Ƥޤ

ǿ...⤷ŪˤΤ⤷ޤ󡣤㤢Ǥ͡ݥåȤƤƤɤʹԤƤǿäƤ٤

ǹԤ֤Ǥǿʤ ǿ̤ƵĤʤ˵ĤΤϸΡֳפΥåȤǤ͡

Ǥ⤳3mmǿ䤬ƻ¤ʹԤƤΤǤͽɤôʱΤȤƥݥåȤ˴ʬҤν򤹤ΤϤȤƤڡ

naomiƥʥ󥹤ʾʻФʪõƤޤ

ơǤϳͤ褤򤪲ᤴޤ

٤ͤΤ象ޤԤƤޤ 
    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

naomi֥γ͡ФϡʱnaomiǤ

нϱá

ФäƤʡȤޤ

֥֥åλǤ» Υ󥰥ѥΥ֥åǤ

20110518_152245816801Ѵ

λ򼺤ä顣


⤦ǯ᤯դ礤Ƥ봵ͤǤ
λϤ⤦٤졩פޤϺǸޤǤޤ

ȤĤˤʤȤ⡢ޤǡ䤬Ǥ¤λٱ³Τnaomiή

20110518_161455346402Ѵ

ݥåȣmmǤ̤⤷Ƥޤ顢ۤȤɺޤǤ͡

䤬ǯ᤯ĤФǤ

Ǥ⡢ǤϡΥ٥λγ̵ǤŴﵡοȤ٤Ǥ礦ϤޤŵѤοǤ礦

˺̤򿨤ΤϿФȤޤ

20110518_162635613352Ѵ


ФȤ줿̤ĥĥʤΤǤ졣Ǹˤʤä̿򤪤ȤƤĤ꤬äĤäƤ褦ʡʾСˤʡޡä

ˤƤ⡣

ʻСʱΤȤΤ̵ȤĤפޤ

Ȥ뤱ɡʾС

ȤʤĤǽ֤ä顢ǽ餫ʤ

ȸä顢롣ϡѤǤ

Ǥ⡢λФνϻΤǤϤʤơٶǮʥȥʸsachiΤǤ

򤫤ƤʤȡꥢʻȤʤ顣

ãѸȤãΤǡν֤ࡼˤǤơͤ礭ʻٱ礬Ǥ櫓Ǥ

ա

;+;ߎ;+;;+;ߎ;+;;+;ߎ;+;;+;ߎ;+;;+;ߎ;+;;+;ߎ;+;

ˤƤ⡢Ť

θ餫顢ŤΤǤ
졢̡ꥢ˱ǤƤⵡŪ̵Ť˺ޤ

٤ȼԤ˸äƤǤ(ء) юɤˤ⤳ˤ⡣

øˤƤۤ⤦ȾǯʾǤ衼

Τɤʤȸ줽äƤǽ餫Ǥ͡

ꤤޤ衼ȼԤ󡪡



ޥ׸ʰDr.IritaniΥ֥

ʻʱnaomiٶ֥

ʥsachiΥ֥

ʥYUΥ֥


 
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ΥڡΥȥåץ