ʡAdvanced Care Dental Office åץǥʡnaomi

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

ʼͽ

ڻʱθѸļ 

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

naomi֥γ͡ФѸʱnaomiǤ 



ʰդλΥ꡼˥ڤӰ̤꡼˥󥰤ΤߤοǻϤޤܤ䤤碌



󥢥ꥫλʻ񤭤ޤҲ𤷤ޤޤޤ...

w(*o*)w褯褯ȡˤǤη򹯤ˡ˶Ž̤ƤǤϤޤ󤫡

improve oral health

1. ե᤭ʴȤäƻ᤭򤷤ޤ礦飴˻֥饷ϼؤޤ礦

2. եǻȻδ֤ο٤ޤ礦

3. Х󥹤Τ褤򤷤ޤ礦ʥåۻҤʤɤδֿϹޤ礦

4. ʱΤλΥ꡼˥󥰤両ΤǤͽꤷޤ礦

ADAʥꥫʰղˤ侩η򹯤뤿Υɥ饤Ǥ

ܤǤϤɤʤΤǤ礦ܻʰղΥۡڡ򸫤Ƥߤޤ...

ܤǤϥեǤŰ줷ƤʤեŰ줷ƤʤʥåۻҤʴͶȯȳǤϼΤλ¤ʤΤˡܤǤϤޤʹʤԤˤˤʤä餤ΤǡʱΤΥ꡼˥󥰤ʤƤڹ礤ʤ...

줬ܤθ¤Ǥ

ʼɤϤʤŰ줵ƤʤΡ

ʱΤǤˤƸ衼åѤ䥢ꥫǤŪ˻ʱΤΥ꡼˥󥰤ƤޤŪ˥ץ顼ʺٶݡˤ򥳥ȥ뤹ǻ¤ɤȤȤǡ뤫Ǥ

ǤܤǤϤϹ̱ˤΤ餵ʤʱΤλ䣱ͤͤγ˻Υ꡼˥󥰤ڤȸäȤdzϻä˼򷹤Ϥʤ

ʰդθǤ伣Ťˤ象뤱ɡʱΤλΥ꡼˥󥰤ϼˤƤ뤫ʱΤǤˤʤ

äΤǤ

ʰդθǼäƻȤõäƤȤ㤢ޤ󤫡мȯǤ礦äơ

ǤʱΤηǤϻȤõΤǤϤʤơʤ褦˴ʤȤˤΤ餻Ƥ줷Ƥ餦ΤǤ

äѤ곤ɤǤ...

ܤλʱΤ˹ԤΤ褯狼ޤˤϿλʱΤλŻޤ顣

ܤǤϻʱΤΥȤǡͤ餹ФΤ͡Ǥ͡

ƶǤ衣Ҷκζ顣ǤϾ嵭ΣĤڤäƻҶκ鶵餵ΤǤܤǤϤ϶餵ޤ󡣳ΤʤäǤ礦餵ƤʤΤǤΤޤ

ơϿŤäˡݿ벼Υߥʡ˻äƤޤƤޤȤʤФʤޤ󤬡ޤޤߥʡ˻äƻޤ˻Ǥޤؤͤ˴ԸǤФȻפäƤޤ

Ǥϳ͡ޤ䤹ߤʤ

    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



Υߥʡ˻äƸΨ㤵ˤӤäꤷ䡣
ϻʤΨˤĤƹͤƤߤȻפޤ

ܣطλ򺣲ϰѤޤǡϸŤǤޤǤ⤵ۤѤϤʤǤ礦顣

ʲǯ𳬵̡Է̤ˤߤʸǤξǤ

kenshin
ɤǯˤƤ⡢ʤθǤʤ80%

̤¦̤鸫Ƥߤޤ礦ʲϰŽ¦Ǥ»ܤƤ뤫̵ͭ

10

ʤȡ35.7%λߤǤԤäƤʤ...

ʢΩ(*Ŏ*)ю

֥Ǥⲿ٤夲Ȼפޤ䤬ʱγع´Ȥ20ǯ줫ͽɤλȸƤޤ

ͽɤǤɬܡʱΤ繥ʥǥǤΨ80%ʾȸƤޤ͡ܤλʱΤϥǥ繥ʤΤǤ顢ǤɬܤʻϤΤäƤޤ͡

ǤʤܤΨ̤20%ʤΤ

20ǯ֤ˤɤλʱΤ衼åѤ䥢ꥫθ˻äǤ礦

βؤƤǤͤ...γԤä򤹤뤿Ǥ͡Ϥääơ
äƷ̲ФƤʤʤǤܤǡ

ͽɡͽɤȤäƤޤɡʱΤǤ衣η̡
Ϥʰդͽɤ餻Ƥʤפ褦ˤ餻Ƥ館ʤ

ץǡ餹63.3%λߤǤԤƤޤʤäƤʰդʱΤͽɤ򴵼Ԥ󶡤󥹤ͿƤäƻǤ͡

ʤΤ20%­餺μΨ줬ܤλʱΤμϡ

ơ˻䤬äΤϰʲΥǡǤ
Υǡɤ߼꤬ʤʤ

12


ǤǻʤʤɡˤθпǺ89.7%ͤեǴϢϥѡơ㤤ȸȤơݷƳ60.3%Ȥϡ餯ΤȤƤϡ᤭ƳʡͽۤǤޤ

᤭᤭᤭ʱΤξϼΰijФǤ

Ƽ

ܤǤϹ̱80%¤ȥƥӤǤ줷ƤΤˡʤȥǡˤǤǤ¤οǺ14.4%ԤƤʤ 
 
˶ä٤˻ξˤĤƤФνФνˤԤΤ65%Ĥޤ35%ϹԤƤʤλФνﲼФνˤˤƤԤΤ39.9%Ĥޤ60%ϹԤƤʤ

Ǥϻ¤Ϥޤ

ǡİ⤻ˡΤˤİǤˡͽɡͽɤʱΡ
äƤޤδԤǤȿͤδԤɴͤδԤ褦˼ܤλʱΡ

潥ͤǤ͡ʱΡ

ϼʬΥǡäƤޤʬμϤҴŪ˥ǡȤΤäƤޤ

䤬Υ꡼˥󥰤¾Ȳ㤦Τʹޤ嵭Υǡ򸫤䤹Ǥ͡

Ǥɬ¤åޤǴåޤ߹碌åޤȤλ⤪Ҥͤޤ

塢ﲼ˸¤餺ƤλФޤ¤θȤʤץ顼ƽ˴ͤλäƤθ³ͤޤ˻ž夲Ƥĺޤ

봵ͤnaomiΥ꡼˥󥰤äˤä㤤ޤ

֤줬Υ꡼˥󥰤ȤʤСϰ٤Υ꡼˥󥰤򤷤ޤ󡣡

ܤλʼθܻؤƤ櫓ǤϤޤ
20ǯʾ⼫ʬλŻǤ̤줫ͽɤλȸ³ƤܤλʱΤˤϷޤ

λʰ٤Ѥˤ礭Ϥɬפǡ䤴ȤĿͤưȤǤɤˤʤޤ礲˸ŨϲؤǤݸͽɤĤȤʤФʤˤγи礬ʤȤǤʤȤǤ

̵̤ϫϤȤ⡢ꤿȤnaomiΥ꡼˥󥰤Ȥ象Ƥ봵ͤ򤪰ͤڤҸĺäݤɻ֤ͭ˻Ȥޤ

ĥޤ


ޥϥ˥ȤΥ֥
ʻʱKimΥ֥
ʥYUΥ֥
ʻʱnaomiٶ֥



ޥ׸ʰDr.IritaniΥ֥
ʥsachiΥ֥ 
ʥAkiΥ֥
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ΥڡΥȥåץ