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

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Incorporation of 6-point full-mouth examination into periodontal disease screening in occupational cohorts - Examination of the methods used for periodontal disease screening - 在职业队列中将6点全口检查纳入牙周病筛查。牙周病筛查方法的检查
Kazunari Muroda, C. Fukaya, A. Katayama, Hideaki Ihara, S. Morikawa, Yuichiro Ihara, R. Nakayama, M. Nasu, Yuto Iijima, Yumi Okubara, Yoko Miyashita, Tatsuro Miyashita, T. Nakagawa
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引用次数: 0
Equol testing and supplementation for patients with desquamative gingivitis 脱屑性牙龈炎患者的雌马酚检测和补充
A. Kawamoto, N. Sugano, N. Yoshinuma, Shuichi Sato
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引用次数: 0
Periodontal disease and cancer: Periodontal medicine in the multi-omics era 牙周病与癌症:多组学时代的牙周医学
A. Nagai, R. Sakagami
令和元年において日本人の死因で最も多くを占める のは悪性新生物〈悪性腫瘍〉 (以下がんと表記する)1) で,死亡総数に占める割合は 28.2%である。また,平 成 29年の罹患データに基づく推計2)によると日本人 が生涯の間にがんに罹患する確率(累積罹患リスク)は 男性,女性それぞれ 65.5%,50.2%である。一方,歯科 疾患実態調査3)によれば,4 mm以上の歯周ポケットを 有する者の割合は,55~64歳の年齢階級において 53.7%,65~74歳のそれにおいて 57.5%,75歳以上にお いて 50.6%である。がんと歯周病はいずれも,身近な 病気と言える。 しかしながら,歯周病ががんにどのような影響を与 えるのかというペリオドンタルメディシンの中心課題 に明確な答えはなかなか出なかった。たとえば,2000 年に発行された「Periodontal Medicine」4)のがんと歯 周病の章5)では,抗がん剤や放射線によるがん治療が 歯周病の病態や歯周管理に及ぼす影響(図 1下段の点 線による囲み領域)に重きをおいて詳述され,歯周病 ががんにおよぼす影響についての記載がほとんどな い。 本年出版された Nwizuらの展望論文6)では,歯周病 患者のがん罹患リスクの疫学的研究の成果が集大成さ れており,全身としても部位別としてもがんのリスク は歯周病によって,ごくわずかながら有意に上昇する と要約している。その上昇の原因については,ペリオ ドンタルメディシンの標準的なメカニズム(歯周ポ ケット細菌の代謝産物の変異原性物質,歯周炎局所で 産生されるサイトカイン類,そして菌血症などによっ てがん組織近傍に運ばれた歯周ポケット細菌が引き起 こす炎症など)に沿った考察が展開されている。 しかしながら,常時細菌バイオフィルムに近接して それらの変異性物質に曝露され続ける歯周ポケット内 縁上皮層を原発巣とするがん症例の報告は,日本歯周 病学会誌においてもほとんど見つけられないくらいま れである。近接していてもその程度の作用しかないと すれば,遠隔臓器のがんに対する作用はさらに弱く, ほとんど無視できるくらいではないかと予想される。 ところが,最近の口腔がん,大腸がんや膵がんの微生 物叢を調べた研究では,微生物叢の細菌種の構成バラ ンスの変化(以下 dysbiosisと略す)の主役として Fusobacterium nucleatum, Porphyromonas gingivalis, Treponema denticola といった歯周病原細菌のオレン ジまたはレッドコンプレックス菌種が登場し,しかも 歯周炎の病因論とは違った役割で病原因子となること が論じられている。 本ミニレビューは,歯周病のがんへの関わりを考え るヒントとして,がんの生物学的プロセスの理解の枠 組み,歯周病とがんにおける炎症性因子や微生物叢の 関連から歯周病が与える影響をどう評価すればよいか を紹介し,がんに対するペリオドンタルメディシンの あり方について考察することを目的とした。
令和元年,日本人死因中占最多的是恶性新生物(恶性肿瘤)(以下记作癌症)1),占死亡总数的28.2%。另外,根据平成29年的患病数据推算,日本人一生中罹患癌症的概率(累计患病风险)男性和女性分别为65.5%和50.2%。另一方面,根据牙科疾病实态调查3),持有4mm以上牙周袋者的比例,在55~64岁的年龄层中为53.7%,在65~74岁中为57.5%,比75岁以上要低。占50.6%。癌症和牙周病,都可以说是常见病。然而,对于牙周病对癌症有何影响这一伯希和医学中心的核心课题,一直没有明确的答案。例如,2000年发行的“Periodontal Medicine”4)的癌症和牙周病第5章中,使用抗癌剂和放射线的癌症治疗对牙周病的病理和牙周管理的影响(图1下段的点着重于线所包围的区域)被详述,关于牙周病对癌症的影响的记载几乎没有。在今年出版的Nwizu等人的展望论文6)中,集牙周病患者患癌风险的流行病学研究成果于一身和各部位患癌的风险之大成。由于牙周病,虽然极少但有显著上升。其上升的原因是伯希和medicine的标准机制(牙周pocht细菌的代谢产物的变异原性物质,在牙周炎局部产生的细胞因子类,以及菌血症等)沿着被运送到手癌组织附近的牙周口袋细菌引起的cos炎症等)的考察被展开。但是,在日本牙周病学会杂志上也几乎找不到以经常接近细菌生物膜,持续暴露于这些变异性物质的牙周口袋内侧上皮层为原发病灶的癌症病例报告。是雷。如果距离很近也只有这种程度的作用,那么远程器官对癌症的作用就更弱了,估计几乎可以忽略不计。但是,最近在调查口腔癌,大肠癌和胰腺癌的微生物丛的研究中,作为微生物丛的细菌种类的构成balance的变化(以下简称dysbiosis)的主角Fusobacteriumnucleatum, Porphyromonas gingivalis,Treponema denticola等牙周病原细菌的连络菌或红色情结菌种登场,并且以与牙周炎的病因论不同的作用成为病原因子。本迷你评论,作为考虑牙周病与癌症的关系的提示,癌症的生物学过程的理解的框架,从牙周病和癌症的炎性因子和微生物群的关系如何评价牙周病的影响。介绍,目的是考察对癌症的伯希和医学方法。
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引用次数: 0
Long-Term Management of a Periodontal Disease Patient with Diabetes Mellitus by a Dental Hygienist 牙科保健师对牙周病合并糖尿病患者的长期治疗
Sanae Okabe, T. Nagano, K. Gomi
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引用次数: 0
Various roles of calprotectin in periodontal disease and its possibility as a diagnostic marker for periodontal disease 钙保护蛋白在牙周病中的各种作用及其作为牙周病诊断标志物的可能性
E. Sakamoto, Yuka Hiroshima, J. Kido, Yasufumi Nishikawa, K. Naruishi, R. Kido, H. Yumoto
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引用次数: 0
Periodontal treatment planning in case of a generalized severe chronic periodontitis 广泛性严重慢性牙周炎的牙周治疗计划
K. Higashi
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引用次数: 0
A case report of generalized aggressive periodontitis after 25 years of follow-up 广泛性侵袭性牙周炎25年随访1例
H. Hayashi, Reiko Hayashi
: A patient with generalized aggressive periodontitis who underwent initial preparation, periodontal surgery, oral function recovery treatment, and supportive periodontal therapy (SPT), in whom oral function was successfully maintained for over 25 years is reported. In this case, although sufficient clinical improvement was not obtained after the initial preparation, the clinical index improved signifi-cantly after periodontal surgery, so that we could proceed with oral function recovery treatment and SPT. For sustained maintenance and stabilization of oral function over the long term, it is necessary to carefully observe the changes in the oral cavity after active periodontal therapy and after entering into the SPT phase, and to intervene aggressively, as necessary, if problems arise during SPT. Four teeth, in-cluding two third molars, had to be sacrificed during the SPT in our case, although they were extracted not due to worsening of the periodontal disease, but due to root caries. Our findings in this case under-score the difficulties in the long-term management of periodontal disease and root caries.
摘要:本文报道一例广泛性侵袭性牙周炎患者,经前期准备、牙周手术、口腔功能恢复治疗和支持牙周治疗(SPT)后,口腔功能得以维持超过25年。在本例患者中,虽然前期准备后临床没有得到足够的改善,但牙周手术后临床指标明显改善,可以继续进行口腔功能恢复治疗和SPT治疗。为了长期维持和稳定口腔功能,有必要在积极牙周治疗后和进入SPT阶段后仔细观察口腔的变化,如果在SPT期间出现问题,必要时积极干预。在我们的病例中,在SPT期间必须牺牲四颗牙齿,包括两颗第三磨牙,尽管它们不是由于牙周病恶化而是由于牙根龋病而被拔除。我们在这个病例中的发现强调了长期治疗牙周病和牙根龋的困难。
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引用次数: 0
Analysis of patient's understanding of dental related words at Kyushu Dental University Hospital 九州牙科大学医院患者对牙科相关词汇理解情况分析
M. Usui, Satoru Onizuka, Shingo Kasai, K. Sano, T. Hanatani, T. Konoo, K. Nakashima
Dental-related words used daily by dental professionals are often difficult for patients to understand. The use of dental-related words that are not understood by the patients during medical interviews can cause inadequate medical communication and interfere with the building of good dentistpatient relationships. In this study, we investigated the extent to which patients understood dentalrelated words that are used daily and compared the results with those of a similar survey conducted in 2006. A self-administered questionnaire survey was conducted of 216 patients who visited the Kyushu Dental University Hospital. After the responses to the questionnaires were collected, the overall level of understanding was examined, by gender and by generation. In addition, the results for 38 words were compared between the current and previous surveys. The well-understood terms were inflammation, dental plaque, tartar, saliva, brushing, x-ray, bacteria, periodontal disease, and interdental brushing, while terms such as swelling, inlay, caries, buccal, root bifurcation, and temporary crown were less comprehensible. As compared to the previous survey, the level of comprehension had improved significantly for 31 out of the 38 terms. Furthermore, a cluster analysis of correlations among dental-related words revealed that the terms used during periodontal treatment, such as brushing, periodontal disease, saliva, inflammation, bacteria, x-rays, dental plaque, tartar, interdental brush, denture, and infection were highly correlated with each other. These results show that the level of understanding of dental-related words has increased significantly over the past decade. The findings of the survey suggest that it is necessary to continue to educate patients so that they can understand dental-related words correctly in the future. Nihon Shishubyo Gakkai Kaishi (J Jpn Soc Periodontol) 62 (3): 136-146, 2020
牙科专业人员日常使用的与牙科有关的词汇通常对患者来说很难理解。在医学访谈中使用患者不理解的牙科相关词汇会导致医疗沟通不足,并干扰良好的医患关系的建立。在这项研究中,我们调查了患者对日常使用的牙科相关词汇的理解程度,并将结果与2006年进行的类似调查进行了比较。对到访九州牙科大学医院的216名患者进行了自我问卷调查。在收集了对问卷的回答后,按性别和世代检查了总体理解水平。此外,还对38个词汇的调查结果进行了对比。最容易理解的术语是炎症、牙菌斑、牙垢、唾液、刷牙、x光、细菌、牙周病和牙间刷牙,而诸如肿胀、嵌体、龋齿、颊部、牙根分叉和临时牙冠等术语则不太容易理解。与前一次调查相比,38个词汇中有31个词汇的理解水平有了显著提高。此外,对牙齿相关词汇的相关性进行聚类分析发现,在牙周治疗过程中使用的词汇,如刷牙、牙周病、唾液、炎症、细菌、x射线、牙菌斑、牙垢、牙间刷、假牙和感染等,彼此之间高度相关。这些结果表明,在过去十年中,人们对牙科相关词汇的理解水平有了显著提高。调查结果表明,有必要继续教育患者,以便他们将来能够正确理解与牙科有关的单词。日本牙周病杂志[J] .牙周病杂志,62 (3):136-146,2020
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引用次数: 0
Periodontal Therapy and Development of Certified Periodontist for New Era of Japan with Aging Society 日本老龄化社会新时代的牙周治疗与持证牙周医师的发展
S. Takashiba
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引用次数: 0
Case report of comprehensive treatment of a generalized chronic periodontitis patient with skeletal mandibular prognathism 广泛性慢性牙周炎合并下颌骨前突的综合治疗一例报告
N. Ishida, M. Yamaguchi, M. Takada, H. Kagami, Kazuhiro Yamada, Yasuaki Ishioka, Ryuichi Uehara, Yuki Ozaki, Y. Ishihara, Yoshiko Masuda, N. Yoshinari
歯周病と歯列不正は強い関連が認められており,双方の病態に大きな影響を与えている。長期間口腔内を健全な状態に保ち,種々の病態の再発を予防するためにも,歯周病に対する炎症のコントロールのみではなく,歯列不正の改善による適切な咬合の付与と安定化,力のコントロールが必須である。さらに,進行した歯周炎患者では,既存の歯列不正以外にも病的な歯の移動(Pathologic tooth migration:PTM)により咬合が不正となったり,二次性咬合性外傷が生じて歯周炎が進行する可能性もある。 今回,骨格性下顎前突症を伴う広汎型慢性歯周炎と診断した57歳の女性に対して,歯周基本治療後に下顎枝矢状分割術を伴う矯正治療を施行し,咬合状態を改善した後,保定治療中に歯周外科治療,補綴治療を行うことにより,歯周組織の改善と歯列,咬合の安定性が得られた症例を報告する。現在初診より13年が経過,歯周病安定期治療(Supportive periodontal therapy:SPT)へ移行してから6年経過しているが,良好に歯周組織と咬合の安定が維持されている。 骨格性下顎前突症を伴う慢性⻭周炎患者において,徹底的な炎症のコントロール下における下顎枝⽮状分割術を伴う矯正治療や補綴治療を含む包括治療を行う事で,歯周組織の長期安定を維持することができた症例を報告する。
牙周病和牙齿不正有很强的关系,对双方的病理都有很大的影响。为了长期保持口腔内的健康状态,预防各种病理的复发,不仅要控制牙周病的炎症,还要改善牙齿排列不正,给予适当的咬合和稳定化,控制力量。另外,在严重的牙周炎患者中,除了原有的牙齿不正外,还会出现病态的牙齿移动(Pathologic tooth migration)。PTM)导致咬合不正,也有可能产生继发性咬合性外伤而发展成牙周炎。此次,对一名确诊为广泛型慢性牙周炎伴骨骼性下颌前突症的57岁女性,在接受牙周基本治疗后,结合下颚矢状分离术进行正畸治疗,改善咬合情况后,在保定治疗期间接受牙周外科治疗,通过进行补牙治疗,得到了牙周组织的改善和牙列、咬合的稳定性的病例报告。目前,初次就诊已经过了13年,转入牙周病稳定期治疗(Supportive periodontal therapy, SPT)已经过了6年,牙周组织和咬合保持良好稳定。骨骼性下颚前突症伴随慢性牙周炎患者中,彻底的炎症的控制下的下颚,树枝⽮状伴随分割术矫正治疗或异物进行治疗在内的综合治疗,可以维持牙周组织的长期稳定的病例报告。
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引用次数: 0
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Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology)
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