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פ֤˾Фޤ

ǯ˻ơä֥ʸϤ񤤤Ƥ֤ʤΤǤ 
֥񤤤Ƥ֤ʤ顢饤ɺλõ򤷤ʤȡߤ

ޤˤϡ񤫤ʤȡֽ񻲲äιԤޤΥ֥ĤޤʤǤ

ϽǤ飳ǯäξϤҲ𤷤ޤ

壷֡ǿꡣз줢ꡣưɤꡣPȯǻʰդȴȿǡ¾λμŤ򤷤ʤ顢Ūʥ꡼˥󥰤¹ԤƹԤ

ȴޤäƤʤΤǡФνԤäƤ֤Ѥ̵̤ˤʤޤ

ǽϡ֤뤿ˡ֤ΣִλФ뤳Ȥơפγμ꤬ɤäΤǡȤꤢФޤ󤫡ơ

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ǽϡǿưɤꡢʪʤäΤǤȤʤäƤϤ



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18.08.08.SRP2
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18.08.08.SRP3

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֤α󿴤Ǥ쥯ȤĶȥ顼Ƥƽޤ

ϲ٤ʬƻФԤäƤޤ̿Ϥȴ衣

ۤɤ⿽夲ޤ褦ˡֲ¸ΤΣֶῴΤߤλн

ٱǤСαɤޤ顢ɬŪ˱ﲼλФƤޤ˱ɤηڸˤз̤⸺ꡢγݤˤ䤹ʤޤ

ǡ

Ѹ塢Ԥʤ֤ȣ֤δ֤ʪͤޤǤ 

ʤäΤˡ褦ˤʤȳʤäεơߵ᤬ƤǤ⤽äǤ顣ɤΤǤɤ 

̵֤Ǥ

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֤ζῴ⡢󿴤ˤ⡢ϤäȸƤޤƶδʤʤäƤޤ

ĸ뤳ȡȤФν̵ƼϤޤ󡣤եåפ򳫤褦ФνȤʤʤС̣ޤ

Ȥˤ쥤ˤ뤳ȡˤ뤳ȡλʤΤȻפޤ

ʱΤλ䤬Τ褦ʾ󼨤ǤΤϡѸΤǤ

ʱΤ󤿤ϡѸԥ١ΤΥġȸޤ

ǤѸϥӥ奢̤ΤΤ㤸㤢ޤ
󵭤ȤŴǤν֤ʱΤ뤿ˤΤǤ

㤤ʤĺơİΤϤĺ
ʱΤλŻβǽ礭뼣ŴʤΤˡʱΤȤΤϡƥӥ˥ʤơ

ɤȻפޤ衣ʱΤϰ̤Ǥ硩

̤ʽ֤ʤơݥåȤƤ⡢Ƥ⡢ĤƱ֤򤷤Ƥޤ

øȡĥޤ
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ϣϢͤᤴǤ礦
˳ˤʤʰ屡ˤ٤ߤƤȤ⾯ʤäƯƤޤ

ơ񤭤ޤ褬λΤǡȸäƤ⡢⤦ǯΩä㤦
ΩĤΤᤤǤ͡

¤λ񤭤ޤĤ⢭ʴǿŤƤޤϻʱΤǤȤΤɬȤĤƤޤΤǤ

P6110357


ޤ䤬Ƥߥ򤴾Ҳ𤷤㤤ޤ

䡢¤ϻФΤȤƤⲼǤ
ƥʥ򡢲ǯʤǯᤤͤξǤ

SRP1

Ƴ󡢢μ̿ǡɤˤʤȤϤޤ
ϱ壴֤濴˥ߥ顼Ǹ¦鸫ƤǤ ֤ζῴз줷ƤơǤϵˤʤޤ͡ȸäƤ⡢λϥץ顼Τǡз줷ƤΤǤ

¾˵ˤʤȤޤ

SRP1-2

츫ɤʤʥԥ󥯿λ

SRP2

ɤǤʤʻǤ⡢ʱΤδ󡪤ȶƤޤ

SRP3

ݥåȤνзʤ顢̤μ¤벽Ƴǧޤ

ޱΤޤ⾮ФǤ

䤬ǯˤ錄äƼĤС

ĤפΤǤФ礭䤹

ʾʻФʤơʤƤ⡢ˤϲ꤬ʤǤ⡢¤νȯܤ˸ʤٶݤϤޤ롣

Фνϸɤ

Ȥ櫓ǡλФϼäΤǤޤ

ơϢ٤ǤϺϿšϹֽǤޤ

ǤϤޤ
 
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

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ǯϳäȤ⤢ꡢǶϤäꡢߥʡԤޤ֥ˤʤäƤȻפʤ顢ʤʤ֥񤱤ˤޤ

Ƶפ֤ˡϿλʱΤ餷¤λ񤭤Ȼפޤ

񤤤ƤޤѸνиϻ׾礭Ѥޤ
P6110357


ʤ顢ǰʤǤϡо׾ѤäȤۤɤǧϤʤ˻ǰ˻פäƤǤ

򿿷ѤС¤μŤ礭ѤϤ

ξλïȤⶦͭǤʤΤȤƤǰǤ

ϡ䤬ƤΤۤΰ򤪸ޤ

20180127_


壴ַ֡»ΣΥ֥åǤ󿴤ΥݥåȤ򤫤ޤ

20180127_


󿴤κ̤˥ץ顼ǧޤ餫ˤ뤤ݥåȡȥץ顼ˤʣ緿λǤ

20180127_2


ץ顼Ⱥ̤ݥå饭ȤƤޤ...ƤΥݥåȤɤʤäƤȻפޤθƤ륭饭ϡݥåĤޤʤΤȤȿʤΤΥ饭λɽ̤ϲȸƤ֤ΤǤ礦...

ϡλʤνѼˤĤơȤƤ⵿˻פޤ

ϡνǤ

ܻ³زλŤλؿ2015
http://www.perio.jp/publication/upload_file/guideline_perio_plan2015.pdf

λʽ֤Σ˻ݥå਽ѤΣܤ

06

ݥåȤɤαݥåȾȿˤਤƱ˹ԤפȤޤ

18

2)ѤƱܤ
ڳäݥåɤɽ̤򥹥󥰡롼ȥץ졼˥󥰤塢̤˻ܤ˥礹פȤޤ

ϻפΤǤ
ݥåɤϰ°פਤƤϤʤΤǤϤʤ⁉️

褯ͤСʤȸƤФȿǤΤ⤽ȤϲʤΤݥå̤ϤɤʤäƤΤäϡѸʤˤϲʤä 

Ǥ⡢ϸΤǤơϡ

Фμ¤˼ȡʤƤ⡢˾üȿ

ʤΤ׾иŤͤ뤦˻פ褦ˤʤޤ㤦ʡ

ʹ֤ΤϤ褯ǤƤơٻȿȸƤФΤŪ򤨤ɽʤȻפޤɤΤˤͳ뤷ĤȤƿʹ֤Τȿ̵̤ʤΤϤʤΤǤ

20180127_1




饭ϡǤ褱ȡФޤФΤ٤򸫤ƲܤΤ褦˴ݤĤߤޤ

BlogPaint


ꡩǤ礦ݥå̤ਤ٤ȸȿ

ǤϤʤܤΤ褦˴ݤΤǤ礦

ϰʪǤФ߹ߤǤϤʤȻפΤǤ
 ⤽⡢ϻˤԤä夷ơٶݤοɤΤǤ顣

Ĥޤꡢλ̤η֤ϡФ뺬̤ɽ̷ͳ褹ȤǤ

Ĥޤꡢ̤λФơˤʤС˼ʿ̤ȤǤ 
 
⤽ˤơΥåȤϸǤΥݥåޤdzǧ줬ȤƤڡǤϻε

ݥå򸫤褦ȻפѼԡǤ뵻ѤĽѼԤϸ¤ޤ

¤ν֡ʤ顢ʤȥץʻ

ˤм롣
ʹ֤ΤμǽϡȿμǽϤȿ˲˰ʪ줬¼ŤοǤ

Ǥ⡢ïʤ

䤬ȥǴְäƤΤ

ơ⤬Фä 
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ѸʱnaomiǤ 
ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



ä̵֥Ƥޤ
9ϲ˻ιֻդˡ᤭Ƴä顢٤101112Τߥʡ˸ơȤٶ

ʤ⤦ա

Ǥ⡢˻ȤäƤ⡢οŤ˼ȴȤϤޤ

ᥤƥʥ󥹤δͤҸƤޤǶϼ꤬äƤΤǡ䤬˿Ǥ봵ԤϾʤʤޤ

ơǤ⡢ĹǯƤ봵ͤˤ͡Ѳޤ

äˡǻ١٤δԤϡǯȶѲƤޤ

⤦ᥤƥʥ󥹣ǯ壳֤ޤǿ褦ˤʤޤ

ǯˤϡѸ⤢ޤǤCT⤢ޤǤŤθ³ޤĹǯ䤿ꤷ̤äƤ餳Ѥ󶡤Ǥ롣

20171014_1

ݥåȣmmCT򻣱ƤȤ㤬ꡢʰդˤ뺬ɼŤԤƤޤĤǤˡϡﲼΥå⤵ĺޤ

20171014_3
 
ΨǺθ̡ŤΤǤ󿴴˹Сʡ夷Ƥޤ

20171014_4
 
顼ѤƽƤޤ

20171014_5

ݥåȤαϡĤƤϤʤʤơԻ׵ĤʤȤˡǽϥ󥰤ƤݥåȤα⡢äưӤ³ƤȴˤǤ롣ˤޤʤ˰ȡ郎롣

20171014_6

츫ˤʤäƤʤȻפɡ줬ޤݥåȤԻ׵ġݥåȤξ夷ƤΤˡ夷ƤʤʤơȤƤԻ׵ĤʤȤ롣μ̿α¦λ˱ä
褱ƹԤȡμ̿Τ褦ʻФ롣

20171014_7

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20171014_8

ǡե˥å塣ưǤɡưԽѤʤΤǤ

λϺޤǹʤ

κ̤λФ˸Τϡ¤ϻϻФ⤢뤱ɡ̤λɷˤäźäΤΤȻפޤ

äϡºݤ˸Ƥͤˤ̤ʤΤǡɤΤ餤ƤΤ狼ʤΤǤФνȤΤϡ񤷤ФɤΤǤϤʤɽ̤ʪϡФʻ⤢ޤФ̤Ǥ⤢ޤ̤Ĺѿꡢ̤Ƥꡣ

ɤޤǽɤΤ 

ơɤк夹ΤȤ̵ǿʤΤ

񤷤ƻˤФʤ͡γȯԤ뤱ɡκ̤ʣȡФʣȡκ񤵤פȡʪ꤭ʤȤˡɤäƤ̵̤ȤפʤȤΤκ

顢ФʬεѤƤФƽΤܡ

⸲ǡɤƤ٤Ω̡ǻä֤򤷤Ƥ顢­ζϥ潸椹뤫̤δԤδ˴ΤǤϤʤȤ餤ζ̤δ

֤äޤ䤨Ƥơޥ饽θߤˤʤޤ

ȤϤ᤿ϡƥ֥ˤ⥢åפɡǶϤ⤦줬ˤʤää顢֥˽񤯻⾯ʤʤޤ

Ǥ񤫤ʤȥǤϤɤʿŤ򤷤Ƥ뤫狼ޤΤ

22ϥߥʡǤʱΤγ󡢤Ҥä
http://kokucheese.com/event/index/479874/
ޤ֤˹礤ޤ

Ǹ˻äߥʡϤ٤ߤͽǤ
ĤƤȤȤˡϻ䤬ؤݿ벼λ䡢γˡ̤ƻʱΤ̤򳧤ޤˤǤФȻפäƤޤ 

Ǥϳޡ褤 
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ѸʱnaomiǤ 
ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



P80905392

⤻äȥᥤƥʥǡ

ϡ꥽֡ڥ꥽֤Τäʹפ֤˳λɷ錄Ǥ

Ťʷ⡣Τηää餳䤿κˤޤϴա

䤿ϤΤηä˹ηä­ƿ⤵ƤʤФʤʤ

衼åѤƳ줿PMTCܤλʰŽԤǤΤʤͤϤʤۤɤ˥᥸㡼ˤʤޤ

ϣǯˡ衼åѤäѤǤ

ʤ顢衼åѡꥫä顢ΤäƤ뤫ȤͳǤ줬ɤΤΤȤΤϡϤĤ⼫ʬǸڤʤФʤʤȻפäƤޤ

㤨СPMTCϤäС굻ŪˤϡꥹݥȤԤ Ǥ衼åѤλʼͽɤϡPMTCǤʤƤ櫓ǤϤޤ󡣣ФޤǼ̵ǹԤƤ䡢⤹٤ƥ饤ΰťƥࡣäطʤäƤPMTCθ̤ʤΤǤ

ǤܤPMTCƱ褦˹ԤäȤäơθ̤ϥ衼åѤȤϰ㤦ϤʤΤǤ

衼åѤϻʰŤˤäƹԤƤΤǤܤϷ褷ƹȤϸޤ󡣤ϡܤμϤᡢȡкѳؼԤ䤽¾ޥǥ˽ФƤͤθ򸫤Ф狼ޤܤθФФǧ٤Ǥ

ܤλʱΤϡμ굻򿿻ǤϤʤͽɰŤܼϤʤˤ䤤³ʤФʤޤ

PMTC˵äϤʤΤǤ礦

ơϴԤΥᥤƥʥ󥹤Dz򥴡ˤƤޤǤ礦
⿽夲ޤ褦ˡз줷ʤ򿴤Ƥޤ

褯PCR20%ʲɸˤƤޤȤäƤ⤽줬ΤǤϤʤȻפäƤ⤢ޤ

Ĥޤꡢ׾Ȥϡ˵ĻȻϻפäƤޤ

ʽ˽񤤤ƤԤäƤˤʤΤ׾Ṳ̄ˤΤ˴ԤΥ٥ͥեåȤˤĤʤäƤΤ׾ȤȤƾ˹ͤ줬ȤƤڤȻפäƤޤ

ơäᤷޤPCR20%ʲǤʤȤʤͳϲǤ礦

1965ǯLoeθϥץ顼ǤȤä㤤ޤ(ðŪץ顼)
(J Periodontol. 1965 May-Jun;36:177-87.EXPERIMENTAL GINGIVITIS IN MAN.LOE H, THEILADE E, JENSEN SB.)ץ顼ϽΡPMTCˤäƽΤǤޤ

׾ȤγɬиƤȻפΤǤץ顼夷ƤƤ⡢˱ɤʤ礬ޤξ硢Ϥɤᤷޤ

ޤץ顼ʤƤ⡢˱ɤ礬ޤϤɤᤷޤ

ơФƤϥץ顼⤷ޤ󤬡ꥨˤĤƤϡץ顼ϽפʤΤǤ礦ΣĤءٶݡɼ硢νŤʤˤäƥꥨϤǤ롣ƥ˥塼֥ˤäƻ֤­ޤǤϻ֤ǤϤʤñդǤ򳧤Ϥ¸ΤǤ礦

Ĥޤꡢꥨʣ緿μǤꡢϤä꿽夲̤ˤΥᥫ˥ϲƤʤ櫓Ǥ

ץ顼ɤȤï⤤äƤʤ櫓Ǥ͡

׾ȤΤʤΰոϤɤǤ

׾ŪʲϡʳǤϤǤ

ץ顼ϻθˤʤ뤿ᡢμ¤˥ᥤƥʥ󥹤λ˽ʤФʤʤʤ顢ǥХեνȸƤ뤬伫ȡɤ줬Хեफ׾dzμ¤Ͻʤ⤽ХեबܤǸΤȻפ

ơΥץ顼бﲼκٶݹ˱ƶȸ뤬ǧϤȰ㤦Τ夷ƤˤƤϡΥȥˤﲼ˱ƶ뤫⤷ʤǤ˽夬äƤޤäץ顼ؤˤƤϡPMTCǥȥ뤷Ƥ̣ʤﲼΥץ顼̤ΤΤȤʪŪ˲ʤФʤʤ

2017-06-26 plaquefreezone


Τˤϥץ顼ե꡼󤬤ꡢȿѰդ˲ʤ¤ꡢ˥ץ顼Τɸ椷Ƥ롣ϥݥå˥ץեåפձƸहȤPMTCˤϻͤ롣åձ郎ˤäƥݥåձλ»붲줬뤫顣

ΤˤϤ줾䤬ꡢϿͤ¤ΤǤȤƤɤǤƤΤǤ롣

䤬Ԥ٤ϡΤ˲ʤΤɸ浡ɤ˲ʤ褦ˡɤθȤʤץ顼Τɸ浡ǽμ򤹤Ǥ롣

20170620plaque1

壶ָ¦˥ץ顼ǧޤƳϤλΥᥤƥʥ󥹤ȤƤɤޤPMTCΥСåפǡΥץ顼षޤơޤƤ

ʬ

ݥåȥǥץϡϤꤽǤ礦

Ǥºݤޤ

ץӥ󥰻νзϡ

ꤽǤʤз줷ºݽз줷ޤ

ޤϤ褯ѻڤǤ

ǤѤˤȤƤϤޤ󡣤줫顢ߤ˸ˤȲ⤷ʤǤ褯ѻڤǤμ̿

ɤ


20170620plaque2

ץӥ󥰤⡢ץ顼νޤƤޤ󡣴ѻǤ狼󤢤ޤ
򤫤顢̤ꡢmm٤ΥݥåȤ˴줿ﲼץ顼ޤ

ﲼФäƤɤǤƤ¸ΤǤΥץ顼ΤޤгƤΤǤ

Ĥޤꡢ䤿ʱΤԤᥤƥʥ󥹤ϡΥץ顼ȥΤߤʤ餺ݥåȤƤﲼ夷Ƥץ顼

Ĥޤꡢ塢ﲼ̡̡ȤΥץ顼˽줬䤿Υᥤƥʥ󥹤ǹԤ֤Ǥ

Ի׵ĤʻäƤޤ

Ūʱﲼץ顼Υȥ򤷤Ƥȡз줷ʤˤʤäƤΤǤ碌ƤȤΥץ顼ȥ뤬פǤз̤˸Ƥޤ

20170620plaque3

ᥤƥʥ󥹤ˤۤĺ顢ߤ˥ץӥ󥰤롢PMTCǤϡ̣ޤ

ޤϴѻϤޤǺǤפˤʤޤ

δѻڤǤ

ĤΤ褦˽񤭤ʤǤ

͡˻˴ؤƤʹˤʤꤿϡһ䤿Υߥʡˤä

䤬ͤȤ񤤤ǤľܤäǤ뵡񤬤ޤΤ

ˡ裶󥻥ߥʡԤޤܺ٤ϤޤUPޤ
ϷޤäƤޤΤǤҤͽƤƲ 

ޤˡ¿९˥åǤäƤޤ
ϴä᤿Ϥ׾äǤ60̾Ǥ40̾٤ĺƤޤ󤪻֤ϻ̵ǤΤǤò

image

http://dent-hosp.ndu.ac.jp/nduhosp/tama-clinic/event/upload/20170509-095055-7908.pdf 
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ѸʱnaomiǤ 
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P80905392

⤻äȥᥤƥʥǡФ餯μ̿ǹԤޤ

Խ˻֤ꡦ

ޤUPʤΤǤǤ⡢Ҳ𤷤ʤȤ狼ʤǤ͡Ѹλн

ݥåȥ㡼Τä񤭤ޤɡǯᥤƥʥ󥹤ƤͤǤ⡢ͻﲼФ뤳Ȥ⤢ޤĶѤäƿǯäʤäԤ˱ﲼФĤ褿ꡣ

ѸѤᥤƥʥ󥹤ϤĤⵤȴޤ

ϡ󥯥꡼˥󥰤δͤ򤴾Ҳ𤷤ޤ

壵֤α󿴡ݥå8mm

20170621_1

֤ϥꥨǻĺǤ󿴤ΥݥåȤʶˤ򤫤ȳޤ

20170621_2

ΨݥåȤ˻ФƬ祳ȸޤݥåϳȤɤ2mm

20170621_3

ץ֤ǿ¬ȤȤˡӤƻФƤȳǧޤ

Ǥ...ήФ˥ݥå2mmǡ 8mmȤʤСζ٤ˤϸ³ꡢФ򸫤ΤϺˤޤ

̿ʸ򸫤ƤȤȤƤñ˸ȻפޤºݤˤξΥ٥λФƤʤ顢ν֤ɤʤ񤷤֤򤤤뤫Ȼפޤ

⤽⡢Ż߲Υåפϡ䤹Ȥ򥫥åȤƤޤ

ºݤˤϤɤ櫓ǤзϤΤϴäƤ뤷ĶȤο夬뤷ߥ顼ޤ뤷ʤ

ݥå8mmäȴ뤫ɤ¤٥Ǥ͡

20170621_4
 
ʾǤⴵԤ˾ʤǤλϤ줬nomiήǤ
ޤǤꥮˤäԤФĤäƤޤΤ 

׾иĹʤꡢޤǤ˻ʤԤΤȤˤ̳եåץڥ졼ȸäơ򤷤ƻ򳫤ƻФ֤ⲿ٤ߤƤޤ

λǤϤޤ󤬡ʽ֤ǤϡפȸƤФΤäơ̤򥹥顼Ǻ冷ȤȤΤޤ

Ǥ䤬ǸƤǻפϡפˤʤͳ郎ΤǤϤʤȻפΤǤĤޤꡢϺ̤⤷ϵ夷ƥݥå˺ٶݤʤ¤ˤʤäƤ...Υԥå夷꤬ФǥǥܥƤ

źä¦ǥܥ뤪ʤ⤽Υǥܥɽ̤ˤϥץ顼ʺٶݡˤ夷ƤơǤ¸ߤ롣ɤ뤷ʷ֤ǤϤʤ

Ǥ...

夷褬ʿѲ顩ϻʹȿˤȰäȿȿѲƤĤޤ꼣...Ȥդ⤢ޤꤷäꤳʤɡﲽƤȻפΤǤºﲽΤǤϤޤ󤬡Ϥޤ

θѤߤǡϻ̤ɬפ˺冷ޤ󡣺爐нˤʤꡢβѤƺޤŪǹԤΤǤ餽ɤΤ⤷ޤ󤬡ϻФνʤΤ˻ФǤƤȤϻפʤʻФνϤǤʤȹͤƤޤ

ʱνǤʤСȿκϤꤨʤ

ޤŪϻˤϤʤɤ򤪤ŪʤΤǡڤʤ

ʹ֤ΤϤ褯ǤƤơΤ̵̤ʤΤϤʤ䤿ͤƤʾ˹̯Ư򤷤Ƥ롣䤿򤷤Ƥʤ⤷ʤȻϻפΤǤ

Ȥ櫓ǡ򥫥åȤΤǤ

ϢФνɤƤޤ

ȤȡޤߤʤΤǤʤԤʤ̤⤿󤢤ޤ

Ϥɤ򥴡˴ԤΥᥤƥʥ󥹤򤷤Ƥޤ

ݥåȥǥץʤǤ

ϡз줷ʤ򿴤Ƥޤ

äơзäơꡢĤޤ¤λϤޤǤ礦

Ǥ⡢ΤǡΤɤз줷ʤͤäƤʤ꾯ʤǤǤ⤷ʤФޤ

ϻϤ̵ɡȤ꡼˥󥰤ȴԤμ졢Ĥޤ궨ƯǤʤ뵻Ǥ

Ǥ⡢ƳΤôʱΤǤ

ޥϥ˥ʤΤǤǤʱΤ򤼤ҸĤƤ

ơ⤬Фä

 
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ѸʱnaomiǤ 
ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)



P80905392

⤻äȥᥤƥʥǡĤƱ̿ʾС

פ֤˽񤭤ޤ´Ȥ顢ܶ᤯ޤ...
Ȥˤ;פʻ򤹤;͵ʻ֤ʤΤǤ...

ᥤƥʥ󥹤δԤ;͵Ȼפäְ㤤ǡꥹʤԤ餳椷Ƥߤʤȸƨ¿ΤǤȿФ˻֤äꤷޤ

ơᥤƥʥ󥹤δͤǤˣ٤餤Ƥʡ
ǽκϥᥤƥʥ󥹤褿ʤääΤǤɡǶ󼡲ͽդǤȤäƤޤ

ʷ֤ΰ۾ˤⵤĤʤȤʤΤǤ򤫤ƤäȤʪ...壴ֶῴ
 
20170614_1

뤫ʤǤ硣äơݥåɤΤ餤Ȼפޤ

20170614_2

ФϤʴɬǽʤФǧޤ

20170614_3


ޤϡ顼ǽƤߤ褦

20170614_4
 
ϥɥ顼Ķȥ顼ߤûꡢĹ꤬ޤɡɬѥζĶȥ顼̤⤤Ȼפäְ㤤Ǥ빽ԤǤнȸСߤʻԤ⤢ޤϤޤ깥ʤǤɡ

20170614_5

ݥۤΰǤǤޤ11mm
Ǥ͡Ϥۤΰҡäȸ

Ф˸Ƥƥݥå٤äơ̤ȥ顼γ٤Ūʳ٤ˤʤΤǤϥϥɥ顼Ǥ
ʤʤ顢ФϱﲼȸɤϤƽΤǤ

20170614_7

 Ǥ⤳ʶƤäꡢݥåơξϤγ顼ȿ¦λ̤Ĥ褦ʤ顢Ķȥ顼򤷤ޤ

Ǥ͡Ķȥ顼ȸäƴñ˽Ǥ櫓ǤϤʤ̤ʤΤǡѥ򤢤ˤߤФ뤷夹ȻФʴդǤʤޤƤüݤåפϺѥ夤

ơĶȥ顼Ǥ⡢ϾƤޤĤޤ꺬̤ФƼФ˥åפơӤʤȤΤ̵ƤǤƤޤ顢μ¤ӽʤȤޤ 

20170614_6

ϤäȾäƤʤ...ʤ
ݥåmmν֤Ǥ

Ǥ⡢졢̿ϤäꤷƤʤŤ餤ΤǤɡ̤ˤۤΤäȷߤΤǤԥǤʤ褦ʷߤ

ʤȤФϤʤȤƤ⡢ˤʤ󤫤Ǥʤäġ
ʥϻۤɤΤǤ



Ĥޤ곧󤬻פäƤ⡢̤ȤΤʣʷ֤򤷤Ƥơʺ̤򥹥ȥ졼ȤΥåפŪ˻нԤäƤΡ̤ˤƤΤǤϤʤξΤ褦ˡäȤФɤäƤˤ᤮ʤΤǤ

ĤޤꡢФνϤۤȤɤǤƤʤȻפäƤ
Ф˽ǤƤʤΤ顢ȿκϵʤȻϻפ

̵̤ݲ̵̵ǽз줹¿бդƤ뤷ΥǤʤΡ

䤬ĤܻؤƤΤϡ褯ȿκɤɡФǤ롢˾ƤƤޤ

ϿξǤɡƱ褦ʾߤƤޤ...ޤUPȤޤ

䤿ʱΤϡФ˽ǤϤʤᥤƥʥ󥹤λ֤Ϸ򹯶λ֡١夲뤿λ֤ȹͤɤǤͤ٤Ǥ

ʤʤ顢ľǤƤ⡢Фϳμ¤˽ǤʤΤ

    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

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



ѸʱnaomiǤ ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)


ݥå9ߥ겼ӥƥưɡˤꡣȴ

XYZView_20130828_175703

κϸʤɡɤξüϸƼΤǤϤʤȻפ
Ϥäȸ褦ˤʤäƻФνǧǤ

XYZView_20161026_101927


ߤϥӥƥưɡˤϤʤ̤Τ˺̤ϪФץ顼ȥ뤬񤷤ץӥ󥰤ǤνзϤΤΡݥåȥǥץ2mm򥭡ǿʤ

ʱĹɡʤϥᥤƥʥ󥹤ȥ쥹ä

ϡݥåλФ˽ΤԲǽǡĤäФɬɤθȤʤ롣
ĤޤꡢнˤǤʤᡢݥåȤʤ餺ɤޤʤᡢзǿߤޤʤ

䤿ǤΤϥݥå餤ǤꡢвѻȤ˰뤯ʤ٤٤ƤʤȤʤȤᥤƥʥ󥹤ĹʤФʤ̵ۤϴˤȤʻŻ˱ʤ̵ϴ

ʤ顢ѸȤʤȤˤꡢʬӼǡκޤǤϻʤΤΡзǿݥåȥǥץ˻ޤǤν֤Ԥ褦ˤʤä

ԤΤ˲Ǥʤ̵ϴ줿ΤǤ

ƤϼʬӼ衣Ӽ衣

ĥɡޤǤΥȥ쥹٤ФϤ뤫˥ޥ

ơϽƤֽȤĤޤꡢ٤ߤˣʤȤ³󥹥塼ǤȤޤ轵ڤꤿȻפޤ

image

ξ¦̤¿̤λСʥԥˤȻξüȹۼʥ֥롼ˡ

image

н塣̤Υ饤󤬥ꥢˡϤäȳǧǤ饤󤬰ľˤʤɡ෿˲

ĺβꡢνμ¤ˤʤ줿ޤѸ塣

äӤᤫͤС
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ե餵ȰòŤΤ«Ⱦڡ
ڰŰ桦Ƕݴ 


Ű 
Ťμϰ㤤ޤ
Ű渦Ϥ
http://www.iryou-anzen.jp/

Ƕݾڡ


ХǡʪŪŪʪŪ󥸥±٥Ƕݴʰ屡٥ˤ⡣ΥեǶݾڤǤ

Ű渦 ~ Ƕݴ

http://sterilization.hatenadiary.jp





ѸʱnaomiǤ ƥ֥ˤۤϤʼͽɤνʥ֥Ϥ(ߢώ)ǤHPϿܤǤ(Վ)




4en-rond IOH񥻥ߥʡΤΤ餻Ǥ1̾ȤʤäƤޤ̣Ϥˤ߲ʲ餪߲ǽǤʰɽФƤޤߤϤޤդƤޤ
http://kokucheese.com/s/event/index/414451/
image


ơߥʡäƤޤޤŤȸХϥӥơʤγȡ碌ƣ­ޤ˥ץ饤١Ȥ⤢ޤ飴­λǤ

ơǤְäƤϤʤΤϡΥᥤϥեοŤȤäơФäϻǤʤͤǤΡ

ĤɤʤŻ򤷤Ƥ뤫äơߤޤ󡢤ʤʤȤƤϤޤȤ᤭ʤΤǡޤ̿Ҳ𤷤ƤޤǯϴۤƤ

SRP

壴ֶῴﲼľǻнߤޤ

SRP2

Ķȥ顼ǽ

SRP3

ݥåɬǧޤʱΤγϻפФƲХ륦륫塢ȿ塣ơɤޤdzǧǤ뤫ȸСȿξޤܤǸƳǧǤޤ줬ΤȤǤݤȻפߤƤȤ뤫˸򤤤Ǥ椳ʤ˻ʱΤȤäƤޤȸäƤΤˡޥ˥åʤä򤹤ʱΤ󤬤ʤΤȤƤǰǤ

Ǥ狼ޤݥåǧΤˤϡʤεѤפޤ...ⵡˤäƤϲư¤뤿񤷤ߥ顼ѼԤѤˤϥѡȤݥå褦ʰ֤饨ᤤƤʤ¤ϸʤѼԤ⥢ȤĶ͡ʻ·äƽǹԤäƤ֤ǤΤǤ


SRP4

ե˥å塣

Ǥ礦ͤ⸫ʤФȯƤ餤ޤ󤫡...äƻ䤬ΤʾС

ͤΤ象ԤƤޤ♡

naomi

    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ΥڡΥȥåץ