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

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Periodontal tissue regeneration therapy using dental CT and a 3D printer 利用牙科CT和3D打印机进行牙周组织再生治疗
Meri Fukaya, A. Suzuki, Taichiro Funatsu, Yuji Matsushima, A. Yashima, T. Nagano, K. Gomi
: Cone beam CT (CBCT) can evaluate the three-dimensional morphology of the target sites for diagnosis and the surrounding tissues, and also allows measurement of the distance and angle from the specified sites. Bone defect morphology inferred from dental radiographs may differ from the actual bone defect state during surgery. When performing periodontal tissue regeneration therapy, it is impor-tant to know the exact state of bone loss in advance for ensuring the success of the surgery. Therefore, at our department, it is obligatory to obtain a CBCT image in patients scheduled for periodontal tissue regeneration therapy, prepare a model with a 3D printer, and hold a conference on periodontal tissue regeneration therapy prior to the treatment. We report on the flow of the periodontal tissue regeneration therapy conference in our course and for the two cases in which the therapy was actually undertaken. These cases are of patients with a vertical bone defect. A preoperative conference was held based on the CBCT images of the operation site, 3D models, and clinical protocol data. The 3D model almost reproduced the actual bone defect. For patients undergoing periodontal tissue regeneration therapy, CBCT imaging and preparation of a 3D model with a 3D printer can allow the surgeon to obtain a grasp of the bone defect form at the surgical site in advance and allow a satisfactory conference to be conducted before surgery. Our results indi-cate that the operation can be performed safely and effectively. Conducting a satisfactory conference before surgery is also a useful means for training young dentists and explaining to patients.
锥形束CT (Cone beam CT, CBCT)可以评估诊断的目标部位和周围组织的三维形态,也可以测量与指定部位的距离和角度。从牙科x线片推断的骨缺损形态可能与手术中实际的骨缺损状态不同。在进行牙周组织再生治疗时,提前了解骨质流失的确切情况是保证手术成功的重要因素。因此,在我科,对于计划进行牙周组织再生治疗的患者,必须获取CBCT图像,用3D打印机制作模型,并在治疗前召开牙周组织再生治疗会议。我们在我们的课程中报告牙周组织再生治疗会议的流程,并为实际进行治疗的两个病例报告。这些病例是有垂直骨缺损的患者。根据手术部位的CBCT图像、3D模型和临床方案数据召开术前会议。3D模型几乎复制了实际的骨缺损。对于接受牙周组织再生治疗的患者,采用CBCT成像和3D打印机制备3D模型,可以让外科医生提前掌握手术部位的骨缺损形态,在手术前进行满意的会议。结果表明,该手术可以安全有效地进行。在手术前召开一次令人满意的会议也是培训年轻牙医和向病人解释的有效手段。
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引用次数: 0
JSP/JACPポスターセッション抄録集 JSP/JACP海报会话摘要集
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引用次数: 0
A Case Report of the Technique Selection of Root Coverage Applied with CBCT CBCT应用于根系覆盖技术选择的案例报告
K. Mizobe, H. Araki
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引用次数: 0
Relationship between Severity of Periodontal Disease and Oral Health Related Quality of Life of New Dental Patients 牙周病严重程度与口腔健康相关生活质量的关系
Akiko Yokotani, M. Matsuyama, N. Nakai
: Diagnosis and treatment outcomes of periodontal disease have typically been evaluated using biomedical data such as probing depth. Recently, however, there is greater research focus on quality of life (QOL) in medical treatment. This study therefore aimed to clarify the relationship between periodontal disease severity and oral health-related QOL. Information was extracted from medical records of patients aged 30-64 years and who visited Nakai Dental Office for the first time between November 2014 to July 2017. Severity of periodontal disease was diagnosed by results of a baseline periodontal examina-tion, and then scored in accordance with the Community Periodontal Index and classified into four groups: (C, P1, P2, P3). QOL was assessed using the total score and seven subdomain scores from the Oral Health Impact Profile Short Version (OHIP-14). The Kruskal-Wallis test was then used to compare among the four groups of the total score of OHIP-14 and the seven subdomain scores. Comparison of the groupsʼ total OHIP-14 scores showed significant differences between P1 and P3 and between P2 and P3, while P3 had a significantly higher score than other groups. Comparison of the groupsʼ OHIP-14 subdomain scores showed significant differences between P1 and P3 and between P2 and P3 for “functional limitation,” and between P1 and P3 for “psychological discomfort,” while P3 had a significantly higher total score than other groups. There were no significant between-groups differences for the other five subdomain scores. Functional limitations was assessed subjectively as difficulty in chewing and food getting caught between teeth. Anxiousness and negativity regarding the dental problem were reported among psychological discomfort. Oral function appeared to subjectively decrease, while discomfort increased with worsening of periodontal disease. In general, QOL worsened. Among the subjects, severity of periodontal disease was associated with oral-health-related QOL. It was suggested that patients with more severe periodontal disease had subjectively more impaired oral function, more discomfort, and lower QOL.
牙周病的诊断和治疗结果通常是使用诸如探牙深度等生物医学数据来评估的。然而,近年来对医疗生活质量(QOL)的研究越来越受到关注。因此,本研究旨在阐明牙周病严重程度与口腔健康相关生活质量之间的关系。从2014年11月至2017年7月首次到Nakai牙科诊所就诊的30-64岁患者的病历中提取信息。通过基线牙周检查结果诊断牙周病的严重程度,然后根据社区牙周指数评分,并分为四组:(C, P1, P2, P3)。使用口腔健康影响概况简短版(OHIP-14)的总分和七个子域评分来评估生活质量。采用Kruskal-Wallis检验比较四组间OHIP-14总分和7个子域得分的差异。各组OHIP-14总分比较,P1组与P3组、P2组与P3组差异有统计学意义,P3组得分明显高于其他组。比较各组OHIP-14子域得分,发现P1和P3之间、P2和P3之间的“功能限制”、P1和P3之间的“心理不适”存在显著差异,而P3的总分明显高于其他组。其他五个子域得分在组间无显著差异。功能限制被主观地评估为咀嚼困难和食物夹在牙齿之间。心理不适包括焦虑和对牙齿问题的消极态度。口腔功能随牙周病的加重而主观上下降,不适感增加。总体而言,生活质量恶化了。在受试者中,牙周病的严重程度与口腔健康相关的生活质量相关。提示牙周病越严重的患者主观上口腔功能受损越严重,不适程度越高,生活质量越低。
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引用次数: 0
Periodontal treatment for a patient with tuberous sclerosis complex without dental intervention for 43 years 结节性硬化症患者牙周治疗43年无牙科干预
Y. Akimoto, J. Sekino, H. Kogure
: We report the case of a tuberous sclerosis complex (TSC) patient with severe chronic peri-odontitis, in whom we undertook intensive non-surgical periodontal treatment under general anesthesia and continuous supportive periodontal therapy (SPT) under intravenous sedation. The 43-year-old male patient visited our clinic with the chief complaint of tooth movement. He had never received periodontal treatment because of his maladaptation to dental treatment. Periodontal examination revealed gingival inflammation with easy bleeding, deep periodontal pockets with pus discharge, and intense tooth mobility. His severe intellectual disability interfered with his brushing his teeth by himself and also caused him to refuse being assisted for brushing his teeth. We per-formed full-mouth scaling and root planing (SRP) under general anesthesia, in combination with antimi-crobial therapy, and started the patient on SPT under intravenous sedation. These interventions led to a dramatic improvement in the patientʼs periodontal tissue condition and also led to improvements in his daily life, such as his beginning to allow being assisted with toothbrushing and his becoming more ex-pressive. age. these patients have dental they/their often to identify dental clinics accept people are relatively few dental clinics appropriate dental for severely people. We
我们报告一例伴有严重慢性牙周炎的结节性硬化症(TSC)患者,我们在全身麻醉下对其进行了密集的非手术牙周治疗,并在静脉镇静下进行了持续的支持牙周治疗(SPT)。患者男,43岁,主诉为牙齿移动。由于不适应牙科治疗,他从未接受过牙周治疗。牙周检查发现牙龈发炎,易出血,牙周袋深,有脓渗出,牙齿剧烈活动。他严重的智力障碍妨碍了他自己刷牙,也导致他拒绝别人帮助他刷牙。我们在全身麻醉下进行全口洗牙和牙根刨平(SRP),并联合抗菌药物治疗,并在静脉镇静下开始SPT治疗。这些干预措施显著改善了患者的牙周组织状况,也改善了他的日常生活,比如他开始允许别人帮助他刷牙,他变得更善于表达。的年龄。这些病人有牙科,他们/他们往往要确定牙科诊所接受的人是相对较少的牙科诊所适合牙科严重的人。我们
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引用次数: 0
Reference values of periodontal inflamed surface area as a clinical index determined by a multicenter retrospective observational study 通过多中心回顾性观察性研究确定牙周炎症表面面积作为临床指标的参考值
Y. Inoue, Kazuomi Hatanaka, Tadashi Yamamoto, Takahisa Hirata, M. Minabe, Tatsuo Yamamoto, T. Naito, Matsuo Yamamoto, S. Sato, H. Ishihata, K. Inagaki, A. Mitani, Keisuke Nakashima, Joji Urushihara, S. Takashiba
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引用次数: 6
歯周炎の診断と予後に関する基礎知識 关于牙周炎的诊断和预后的基础知识
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引用次数: 0
Preclinical research on in situ periodontal regenerative therapy using biomaterials and bioactive agents 利用生物材料和生物活性药物原位牙周再生治疗的临床前研究
Y. Shirakata
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引用次数: 0
A genome-wide association study of periodontitis 牙周炎的全基因组关联研究
Shintaro Shimizu, T. Nagasawa, Y. Furuichi
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引用次数: 1
The current understanding on amelogenin-based tissue regeneration 目前对基于淀粉原蛋白的组织再生的认识
T. Sanui, F. Nishimura
歯周炎は成人における歯の喪失原因の第一位を占め る疾患であり,歯周病原細菌による感染で歯周組織に 慢性炎症が惹起され,緩やかな組織破壊とともに病変 が進行し,最終的には歯の脱落へと至る。旧来の歯周 治療は歯周病の進行を防止するのみであったが,近年 においては健康な歯周組織への再構築を目指した治療 が強く求められている。そのために数多くの歯周組織 再生治療が開発されている1)が,その中でも歯の発達 環境を模倣するコンセプト2)に基づいて,エナメル基 質タンパク質(enamel matrix derivative:EMD)がエ ムドゲインRとして広く歯周外科手術に応用されてお り良好な臨床成績を収めている3)。1998年にわが国で 承認を受けて販売されているエムドゲインRは生後 6ヶ月のブタの歯胚から抽出・精製した EMDであ り,アメロジェニンを主成分として,その他にエナメ リン,アメロブラスチン,タフテリンなどの基質タン パク質や,さらに分化誘導因子・成長因子などが含有 されている可能性が指摘されている。その中でも最も 豊富に存在し,活性の中心を担うとされているタンパ ク質がアメロジェニンであり,ここではアメロジェニ ンに焦点を当て,最近の知見と我々の研究結果を併せ て紹介したい。
牙周炎是成人牙齿丧失的首要原因,是由于牙周病原细菌的感染,引起牙周组织的慢性炎症,随着组织的缓慢破坏,病变不断发展,最终导致牙齿脱落。以往的牙周治疗只能防止牙周病的恶化,但近年来以重建健康的牙周组织为目标的治疗受到了强烈的要求。为此,许多牙周组织再生治疗被开发出来了1),其中基于模仿牙齿发育环境的概念2),将珐琅质蛋白质(enamel matrixderivative:EMD)作为快速增益R被广泛应用于牙周外科手术,取得了良好的临床成绩3)。1998年在我国获批上市的mdegine R是从出生6个月的猪的牙胚中提取纯化的EMD牙胚,主要成分为amelogene,此外还有埃纳目有研究指出,该产品中可能含有磷、糖蛋白、塔夫特林等基质蛋白质以及诱导分化因子、生长因子等。其中,存在最为丰富,具有活性中心作用的短褐质就是硫氨酸,在此将焦点放在硫氨酸上,同时介绍最近的知识和我们的研究结果。
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Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology)
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