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Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology)最新文献

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A case report of a patient with few systemic diseases treated with non-surgical periodontal therapies 一例无全身性疾病的患者采用非手术牙周治疗
M. Ogata, K. Shirai, Y. Furuichi
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引用次数: 0
歯周炎の発症と進行に関わるマトリックスメタロプロテアーゼ 与牙周炎的发病和发展相关的矩阵蛋白
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引用次数: 0
A Case Report of Improvement of Gummy Smile Using Lip Repositioning Technique followed up for one year 用唇瓣复位技术改善软性微笑1例,随访1年
Takuya Iikura, S. Matsuda, Chihiro Otake, Junji Kusama, Nana Iizuka, Masumi Ozawa, Tomohiro Kawakata, Yasushi Horiuchi, Hirotaka Saito, Yoko Hasegawa
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引用次数: 1
Long non-coding RNAs (lncRNAs)-mediated epigenetic status is possibly involved in the susceptibility of periodontal disease 长链非编码rna (lncRNAs)介导的表观遗传状态可能参与牙周病的易感性
Shigeki Suzuki, Hang Yuan, Manatsu Kurita, S. Yamada
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引用次数: 0
Occlusal force: measuring methods and influential factors 咬合力:测量方法及影响因素
Taiji Nakamura, Masaki Morishita, M. Usui, K. Nakashima
1960年代前半まで外傷性咬合は歯周炎の主要な初 発因子と考えられていた1)。しかし,ブラッシング停止 による実験的歯肉炎2)の報告により歯周炎の初発因子 はプラークである可能性が報告されると,外傷性咬合 は初発因子とは考えられなくなった。その後,Glickmanと Smulow3,4)により外傷性咬合は歯周組織破壊 において補助的な役割を果たすという「共同破壊理論」 が提唱された。歯周組織を刺激層と共同破壊層に分け, 刺激層(辺縁歯肉と歯間部歯肉)ではプラークによっ て炎症が生じて歯周ポケットが形成されるが,外傷性 咬合の影響を受けないとした。共同破壊層(歯間水平 線維より根尖側の歯周組織部分)まで炎症が波及する と,外傷性咬合が存在する場合には炎症が歯根膜へ進 展し垂直性骨欠損を伴う骨縁下ポケットが形成される としている。 咬合力による応力はセメントエナメル境付近に発生 しやすい。Nomaら5)は,咬合力により歯頚部付近の セメント質の破壊や剥離が生じ,結合組織性付着の破 壊や歯周ポケットの形成が生じるという仮説を立て た。矯正治療のために便宜抜歯した歯に対して,繰返 し過重負荷試験機により 5.0 kgf(約 480N)の荷重を 1 回/秒で 100万回加えた。歯根表面を実体顕微鏡で観察 した結果,歯冠側から根尖側方向へ走向する亀裂と歯 根表面での歯質の剥離を認めた。また,歯根表面の亀 裂の面積は 50万回繰返した以降に増加する傾向を示 した。 歯周炎患者の咬合力は,健常者と比べて有意に低 い6)。また,動揺歯にかかる咬合力は,動揺度が大きく なるほど小さくなる7)。川崎ら8)は中等度から重度の歯 周炎患者に非外科的治療を行い,初診時の歯の動揺度 別に評価した結果,動揺度が小さい群は大きい群と比 較して歯周ポケット深さの減少量および付着の獲得量 が有意に大きかったと報告している。このように外傷 性咬合は歯の動揺を引き起こすだけでなく,結果とし て歯周治療の予後にも影響を与えるため,咬合力の測 定およびその大きさに影響を与える因子を理解するこ とは非常に重要であると考えられる。本レビューでは, 咬合力の測定方法とその大きさに影響を与える因子に ついて解説する。
直到20世纪60年代前半期,外伤性咬合被认为是牙周炎的主要初发因素1)。但是,根据停止刷牙引起的实验性齿龈炎2)的报告,牙周炎的初发因素有可能是牙菌斑后,外伤性咬合就不被认为是初发因素了。之后,Glickman和Smulow3、4)提出了外伤性咬合在牙周组织破坏中起辅助作用的“共同破坏理论”。将牙周组织分为刺激层和共同破坏层,刺激层(边缘齿龈和齿间齿龈)因菌斑产生炎症而形成牙周袋,但不受外伤性咬合的影响。如果炎症波及到共同破坏层(从牙齿间水平纤维到根尖一侧的牙周组织部分),在存在外伤性咬合的情况下,炎症会向牙根膜发展,形成伴随垂直性骨缺损的骨缘下囊。由于咬合力的应力在水泥搪瓷境附近容易发生。Noma等5)提出的假设是,咬合力会造成牙颈附近的水泥质破坏和剥离,从而导致结缔组织性附着的破裂和牙周口袋的形成。针对为了矫正治疗而方便拔牙的牙齿,通过重复过重负荷试验机以1次/秒的速度增加了5.0 kgf(约480n)的负荷100万次。用实体显微镜观察牙根表面的结果,发现了从牙冠侧向根尖方向的龟裂和牙根表面的牙质剥离。另外,牙根表面的龟裂面积在反复50万次后呈增加趋势。牙周炎患者的咬合力明显低于正常人6)。另外,动摇度越大,对动摇牙的咬合力越小7)。川崎等8)对中度至重度牙周炎患者进行非外科治疗,根据初次就诊时牙齿动摇度进行评估,结果表明,动摇度小的组与大的组相比,可以获得牙周袋深度减少量及附着量。显著大于的报告。综上所述,外伤性咬合不仅会引起牙齿动摇,而且最终还会影响牙周治疗的预后,因此了解影响咬合力测量及其大小的因素是非常重要的。本评论将对咬合力的测定方法和影响其大小的因素进行说明。
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引用次数: 0
Assessment of Oral Health-related Quality of Life in Periodontal Treatment 牙周治疗中口腔健康相关生活质量的评估
A. Makino-Oi, A. Saito
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引用次数: 0
Smoking cessation manual for periodontal practice 牙周练习戒烟手册
K. Inagaki, T. Naito, Y. Ishihara, T. Kaneko, Y. Nakayama, Tatsuo Yamamoto, N. Yoshinari, M. Morita, H. Kurihara
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引用次数: 0
A case of generalized chronic periodontitis that improved with initial periodontal therapy alone 广泛性慢性牙周炎1例,最初的牙周治疗得到改善
Kana Takahashi, A. Fujimoto, A. Fujimoto
: This is a case report of generalized severe chronic periodontitis that was treated by initial periodontal therapy alone. The patient was a 42-year-old female who had been referred to our clinic three months earlier with the chief complaint of gingival redness, swelling and bleeding. Clinical observation revealed generalized gingival redness and swelling, especially, inflammatory gingival hyperplasia on the left maxillary alveolar ridge. Clinical examination revealed 31.9% bleeding on probing (BOP), 52.1% periodontal pocket probing depth (PPD) >4 mm, and 50% OʼLearyʼs plaque control record (PCR). Radiographic examination showed a localized vertical bone defect in the anterior mandible and some defects in the posterior mandible. After explaining the results of the periodontal tissue examination and providing repeated oral hygiene instructions, scaling and root planing were performed. To keep the patient motivated, we confirmed the possible prolonged treatment course and patient background with her and ensured that she fully under-stood her oral condition. As the initial therapy progressed, the oral hygiene improved, with disappearance of the gingival swelling. At the re-evaluation, we confirmed the improvement of the alveolar bone defect on the radiographs, so that we could proceed to prosthodontic treatment without any need for periodontal surgery. After com-pletion of the restorative therapy, we started the patient on supportive periodontal therapy in Septem-ber 2015.
这是一例报告的广泛性严重慢性牙周炎,是由最初的牙周治疗单独治疗。患者是一名42岁的女性,三个月前以牙龈发红、肿胀和出血为主诉来我诊所就诊。临床观察发现牙龈全身性红肿,尤以左侧上颌牙槽嵴炎症性牙龈增生最为明显。临床检查显示:探诊出血(BOP)占31.9%,牙周袋探诊深度(PPD)占52.1%;O ' Leary’s菌斑控制记录(PCR)占50%。x线检查显示前下颌骨局部垂直骨缺损,后下颌骨部分缺损。在解释牙周组织检查结果并反复提供口腔卫生指导后,进行洗牙和牙根刨平。为了保持患者的积极性,我们与她确认了可能延长的疗程和患者背景,并确保她充分了解自己的口腔状况。随着初期治疗的进展,口腔卫生得到改善,牙龈肿胀消失。在重新评估时,我们在x线片上确认了牙槽骨缺损的改善,因此我们可以进行修复治疗,而无需进行牙周手术。修复治疗完成后,我们于2015年9月开始对患者进行牙周支持治疗。
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引用次数: 0
Clinical parameters and bacteriological evaluation of Acess® as a periodontal therapeutic toothpaste: a non-blinded randomized clinical trial access®牙周治疗牙膏的临床参数和细菌学评价:一项非盲随机临床试验
Satoshi Shirakawa, Yuji Matsushima, Yuuki Hayata, Youko Nakano, Momoko Nakata, Tomohito Nakagawa, Y. Nagashima, Masahiko Nikaidou, K. Gomi
: Acess Ⓡ toothpaste includes formulation ingredients (latania, chamomile, and myrrh) and re-portedly improves periodontal disease by exerting gingival convergence and anti-inflammatory effects. Although each of these ingredients has antibacterial effects, the effects of Acess Ⓡ on the oral bacteria remain unknown. The present study was aimed at examining the effects of brushing teeth with Acess Ⓡ on periodontal disease and the oral bacterial population. This was a randomized, open-label, parallel, intergroup trial. Each participant was randomly assigned to receive either Acess Ⓡ or a control tooth paste formulation. Participants brushed their teeth twice daily, once in the morning and once in the evening, for five minutes per session. We then assessed clinical parameters such as gingival index (GI), pocket depth (PD), bleeding on probing (BOP) and plaque control record (PCR), and carried out salivary bacteriological examination at baseline and at two and four weeks post-baseline.
:访问Ⓡ牙膏含有配方成分(latania,洋甘菊和没药),据报道,通过发挥牙龈收敛和抗炎作用,可以改善牙周病。虽然这些成分都有抗菌作用,但accessⓇ对口腔细菌的影响尚不清楚。本研究旨在探讨使用accessⓇ刷牙对牙周病及口腔细菌群的影响。这是一项随机、开放标签、平行、组间试验。每个参与者被随机分配接受访问Ⓡ或对照牙膏配方。参与者每天刷两次牙,早上一次,晚上一次,每次5分钟。然后我们评估临床参数,如牙龈指数(GI),口袋深度(PD),探查出血(BOP)和菌斑控制记录(PCR),并在基线和基线后2周和4周进行唾液细菌学检查。
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引用次数: 0
Analysis of a Questionnaire Survey Administered to Determine the Periodontal Condition 为确定牙周状况而进行的问卷调查分析
Shuntaro Sugihara, N. Aoyama, Y. Izumi, M. Minabe
: Periodontal disease is an infectious disease that occurs at a high prevalence, although many periodontitis patients do not have any subjective symptoms and the disease often goes untreated. Recog-nition of periodontitis in its early (mild) stage is extremely useful for effective treatment and prophylaxis. Therefore, the purpose of the present study was to identify appropriate questions to be asked in the screening for periodontal disease. We enrolled 990 patients with cardiovascular diseases from Tokyo Medical and Dental University Hospital for this study from 2012 to 2015. The subjects were given a self-administered questionnaire to describe their periodontal condition. Clinical periodontal examination was performed to determine the probing pocket depth (PPD), clinical attachment level (CAL), and bleeding on probing (BOP) as a clinical periodontal examination. We found that the patients who answered “yes” to the questions, “Do you think you have gum dis-ease?”, “Do you feel your teeth are unstable?” and “Have you ever been told by a dental specialist that you have lost bone around your teeth?”, had statistically significantly higher frequencies of unfavorable results of examination for PPD, CAL and BOP. They also had a higher frequency of deep periodontal pockets of 4 mm or more. The results indicated the validity of the questionnaire for the screening of periodontitis patients.
牙周病是一种流行率很高的传染病,尽管许多牙周炎患者没有任何主观症状,而且这种疾病往往得不到治疗。在牙周炎的早期(轻度)阶段识别是非常有用的有效治疗和预防。因此,本研究的目的是确定在牙周病筛查中应提出的适当问题。2012年至2015年,我们从东京医科和牙科大学医院招募了990名心血管疾病患者。受试者被给予一份自我管理的问卷来描述他们的牙周状况。进行临床牙周检查,确定探诊袋深度(PPD)、临床附着水平(CAL)和探诊出血(BOP)作为临床牙周检查。我们发现,在“你认为你有牙龈疾病吗?”、“你觉得牙齿不稳定吗?”和“牙科专家是否告诉你牙齿周围的骨头脱落了?”,在PPD、CAL和BOP检查中出现不良结果的频率具有统计学意义。他们也有更高频率的深度牙周袋4毫米或更多。结果表明问卷对牙周炎患者的筛查是有效的。
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引用次数: 1
期刊
Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology)
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