࠯঺ᵑᵎ࠰ࡇπႩᅈ‫ׇ‬ඥʴ ଐஜᙀዢഫᅹ‫˟ܖ‬ிʮૅᢿዮ˟Ὁᇹᵐᵐ‫ܖׅ‬ᘐ‫˟ٻ‬ἩἿἂἻἲὉ৫᥵ᨼ
࠯঺ᵑᵎ࠰ᵏᵏஉᵐᵒଐί‫ם‬ὸẆᵐᵓଐίଐὸ

Program and Abstracts
The 22nd Scientific Meeting of Japan
Prosthodontic Society
Tokyo branch
November 24,25,2017
Nihon University఍ ሙ䠖 ᪥ᮏ኱Ꮫ⌮ᕤᏛ㒊㥴Ἑྎ䜻䝱䞁䝟䝇㻝ྕ㤋㻢㝵 㻯㻿㼀䝩䞊䝹኱఍㛗䠖 㣤἟฼ග䠄᪥ᮏ኱ᏛṑᏛ㒊 ṑ⛉⿵⥛Ꮫ➨䊠ㅮᗙ䠅஦ົᒁ䠖 ᪥ᮏ኱ᏛṑᏛ㒊 ṑ⛉⿵⥛Ꮫ➨䊠ㅮᗙ䛈㻝㻜㻝㻙㻤㻟㻝㻜 ᮾி㒔༓௦⏣༊⚄⏣㥴Ἑྎ㻝㻙㻤㻙㻝㻟㼀㻱㻸䠖㻜㻟㻙㻟㻞㻝㻥㻙㻤㻝㻠㻟఍ሙ᱌ෆ᪥ᮏ኱Ꮫ⌮ᕤᏛ㒊㥴Ἑྎ䜻䝱䞁䝟䝇 㻝ྕ㤋 㻢㝵 㻯㻿㼀䝩䞊䝹

஺㏻JR୰ኸ䞉⥲Ṋ⥺䛂ᚚⲔ䝜Ỉ䛃㥐 ୗ㌴ ᚐṌ3ศᮾி䝯䝖䝻༓௦⏣⥺䛂᪂ᚚⲔ䝜Ỉ䛃㥐 ୗ㌴ ᚐṌ3ศᮾி䝯䝖䝻୸䝜ෆ⥺䛂ᚚⲔ䝜Ỉ䛃㥐 ୗ㌴ ᚐṌ5ศᖹᡂ 30 ᖺᗘ බ┈♫ᅋἲே ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ᮾிᨭ㒊⥲఍࣭➨ 22 ᅇᏛ⾡኱఍ࣉࣟࢢ࣒࣭ࣛᢒ㘓㞟┠  ḟ

1. ኱఍㛗ᣵᣜ 㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃 2
2. ࢱ࢖࣒ࢸ࣮ࣈࣝ 㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃 3
3. Ꮫ⾡኱఍ཧຍࡢⓙᵝ࡬㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃 4
4. ኱఍ࣉࣟࢢ࣒ࣛ 㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃 6
5. ≉ูㅮ₇ 㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃 11
6. ⏕ᾭᏛ⩦බ㛤ࢭ࣑ࢼ࣮ 㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃 16
7. ᑓ㛛་◊ಟ఍ᢒ㘓 㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃 19
8. ୍⯡ཱྀ₇ᢒ㘓 㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃 24
9. ᑓ㛛་ࢣ࣮ࢫࣉࣞࢮࣥࢸ࣮ࢩࣙࣥᢒ㘓㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃 32
10. ༠㈶௻ᴗ 㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃㺃 371኱఍㛗ᣵᣜ
ᴾ
ᴾᴾ᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϩㅮᗙ኱఍㛗 㣤἟ ฼ග

ᖹᡂ 30 ᖺᗘබ┈♫ᅋἲே᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ᮾிᨭ㒊⥲఍࣭Ꮫ⾡኱఍ࢆ᪥ᮏ኱ᏛṑᏛ㒊࡛㛤ദࡉࡏ࡚࠸ࡓ
ࡔࡃࡇ࡜࡜࡞ࡾࡲࡋࡓ㸬኱఍ࡢ㛤ദ࡟㝿ࡋ㸪኱఍㐠Ⴀࡢᶵ఍ࢆ୚࠼࡚ࡃࡔࡉ࠸ࡲࡋࡓ㸪ᚿ㈡ ༤ᨭ㒊㛗࡞ࡽࡧ࡟ᨭ㒊⌮஦ྛ఩࡟ᚚ♩ࢆ⏦ࡋୖࡆࡿ࡜࡜ࡶ࡟㸪ㅽࢇ࡛ࡈᣵᣜࢆࡉࡏ࡚࠸ࡓࡔࡁࡲࡍ㸬ᮏᖺᗘᨭ㒊Ꮫ⾡኱఍ࡣ㸪ᖹᡂࡢ᫬௦ࢆ⥾ࡵࡃࡃࡿ᭱ᚋࡢ㸪ࡑࡋ࡚᪂ࡓ࡞᫬௦࡟ྥࡅ࡚ືࡁฟࡍ➨୍Ṍ࡜࡞ࡿ኱఍࡜఩⨨௜ࡅ࡚࠾ࡾࡲࡍ㸬ࡑࡇ࡛㸪௒ᅇࡢᨭ㒊Ꮫ⾡኱఍ࡢ࢟ࣕࢵࢳࣇ࣮ࣞࢬࡣ͆join㸟͇࡜ࡉࡏ࡚࠸ࡓ
ࡔࡇ࠺࡜ᛮ࠸ࡲࡍ㸬ࡇࡢゝⴥࡣ㸪ࡶࡕࢁࢇ௒ᅇࡢᏛ⾡኱఍࡟ከࡃࡢ఍ဨࡢ᪉࡟ཧຍࡋ࡚࠸ࡓࡔࡁࡓ࠸࡜ࡢᛮ
࠸ࡢ⌧ࢀ࡛ࡍࡀ㸪ࡑࢀࡢࡳ࡞ࡽࡎ㸪኱࠸࡟Ⓨ⾲ࡢሙ࡟࠾࠸࡚ⓙࡉࢇ࡟ࢹ࢕ࢫ࢝ࢵࢩࣙࣥ࡟ཧຍࡋ࡚࡯ࡋ࠸࡜
ࡢᙉ࠸ᛮ࠸࠿ࡽ࡛࠶ࡾࡲࡍ㸬ຬẼࢆฟࡋ࡚㸪⮬ศࡢ␲ၥ࡟ᛮ࠺ࡇ࡜࡟ࡘ࠸࡚ពぢࢆ஺ࢃࡍࡇ࡜ࡣ◊✲⪅ࡢ႐ࡧ࡛࠶ࡾ㸪⮫ᗋᐙ࡟࡜ࡘ࡚ࡣ㸪᫂᪥࠿ࡽࡢデ⒪ࡢ⣊࡟࡞ࡿࡶࡢ࡜ᛮࡗ࡚࠾ࡾࡲࡍ㸬ᖾ࠸࡟ࡶ௒ᅇࡣ㸪୍⯡ཱྀ
₇ 14 㢟ࡢ࡯࠿㸪≉ูㅮ₇ 2 㢟㸪ᑓ㛛་◊ಟ఍㸪⏕ᾭᏛ⩦බ㛤ࢭ࣑ࢼ࣮࠾ࡼࡧᑓ㛛་⏦ㄳࢣ࣮ࢫࣉࣞࢮࣥࢸ
࣮ࢩࣙࣥ࡜㸪┒ࡾࡔࡃࡉࢇࡢෆᐜ࡛㛤ദࡉࡏ࡚࠸ࡓࡔࡁࡲࡍ㸬ᅵ᭙᪥࡟ཱྀ₇ணᐃࡢ୍⯡₇㢟ࡣࡓ࠸࡬ࢇࣂ࢚ࣛࢸ࢕࣮࡟ᐩࡳ㸪࡝ࡢ₇㢟ࡶࡇࢀ࠿ࡽࡢṑ⛉་⒪ࡢⓎᒎ࡟ᐤ୚ࡍࡿෆᐜ࡜࡞ࡗ࡚࠸ࡲࡍ㸬≉ูㅮ₇Ϩ࡛ࡣ㸪ᆤ⏣೺Ⴙඛ⏕࡟ᑂ⨾⿵⥛἞⒪࡟㛵ࡍࡿ᪂ࡓ࡞⾡ᘧ࡜ࡑࡢ⌮ㄽ࡟ࡘ࠸࡚㸪≉ูㅮ₇ϩ࡜ࡋ࡚᪥ᮏ኱ᏛṑᏛ㒊⣽⳦Ꮫㅮᗙࡢ௒஭೺୍ඛ⏕࡟ࡣ㸪᫖௒㸪♫఍ၥ㢟࡜࡞ࡗ࡚࠸ࡿ
ㄗᄟᛶ⫵⅖࡬ࡢᑐᛂࢆព㆑ࡋ࡚㸪ࠕཱྀ⭍⣽⳦࡜඲㌟⑌ᝈ࡜ࡢ࠿࠿ࢃࡾࠖ࡟ࡘ࠸࡚࠾ヰࡋࡋ࡚࠸ࡓࡔࡁࡲࡍ㸬ࡲࡓ㸪ᑓ㛛་◊ಟ఍࡛ࡣ㸪㭯ぢ኱ᏛṑᏛ㒊ࡢ኱ஂಖຊᘅඛ⏕࡜᪥ᮏ኱ᏛṑᏛ㒊ᨺᑕ⥺Ꮫㅮᗙࡢ᪂஭჆๎ඛ⏕࡟ࠕṑ⛉἞⒪࡬ࡢࢹࢪࢱࣝᢏ⾡ά⏝ࡢ௒㸪ࡑࡋ࡚ᮍ᮶ࠖ࡜㢟ࡋ㸪ࡑࢀࡒࢀࡢᑓ㛛ศ㔝࠿ࡽࡢࢺࣆࢵࢡࢫࢆ࠾
ヰࡋ࠸ࡓࡔࡃணᐃ࡛ࡍ㸬ࡉࡽ࡟㸪⏕ᾭᏛ⩦බ㛤ࢭ࣑ࢼ࣮࡛ࡣ㸪ಖ㝤཰㍕ࡉࢀࡓ⿵⥛ṑ⛉㛵ಀࡢ་⒪ᢏ⾡࡟ࡘ࠸࡚ࡢࡈㄝ᫂ࢆ㸪ᨭ㒊㛗ࡢ᪥ᮏṑ⛉኱Ꮫᚿ㈡ ༤ᩍᤵ࡟࠾㢪࠸ࢆ࠸ࡓࡋ࡚࠾ࡾࡲࡍ㸬ࡇࡢࡼ࠺࡟㸪͆࠸ࡲ⚾ࡓࡕࡀྲྀࡾ⤌ࡴ࡭ࡁ⿵⥛ṑ⛉་⒪ࡢ⌧≧࡜ࡇࢀ࠿ࡽ͇ࢆ㋃ࡲ࠼ࡓ⣲ᬕࡽࡋ࠸ෆᐜࡢ኱఍࡜࡞ࡗ࡚࠾ࡾࡲࡍ㸬᭱ᚋ࡜࡞ࡾࡲࡍࡀ㸪఍ሙ࡛ⓙᵝ࡜࠾఍࠸࡛ࡁࡿࡇ࡜ࢆᴦࡋࡳ࡟࠸ࡓࡋ࡚࠾ࡾࡲࡍ㸬ࡑࡋ࡚㸪join ࡍࡿࡇ࡜࡟ࡼࡾ඘ᐇឤ䬨ࢀࡿᏛ⾡኱఍࡜ࡋ࡚࠸ࡓࡔࡅࡿࡇ࡜ࢆᮇᚅ࠸ࡓࡋ࡚࠾ࡾࡲࡍ㸬

2ࢱ࢖࣒ࢸ࣮ࣈࣝ
㻝㻝᭶㻞㻠᪥䠄ᅵ䠅㻢㝵㻯㻿㼀䝩䞊䝹

㻟㝵䜼䝱䝷䝸䞊

㻝㻝᭶㻞㻡᪥䠄᪥䠅㻢㝵䝻䝡䞊㻢㝵㻯㻿㼀䝩䞊䝹

㻤㻦㻟㻜㻟㝵䜼䝱䝷䝸䞊

㻢㝵䝻䝡䞊

㻤㻦㻟㻜
఍ሙཷ௜

㻥㻦㻜㻜

㻥㻦㻜㻜

㻝㻜㻦㻜㻜

㻝㻜㻦㻜㻜

㻝㻝㻦㻜㻜

㻝㻝㻦㻜㻜

ᑓ㛛་⏦ㄳ
䜿䞊䝇䝥䝺䝊䞁
䝔䞊䝅䝵䞁

≉ูㅮ₇䠎

ᑓ㛛་⏦ㄳ
䝫䝇䝍䞊ᒎ♧

䝫䝇䝍䞊᧔ཤ
㻝㻞㻦㻜㻜

㻝㻞㻦㻜㻜
௻ᴗᒎ♧

㻝㻟㻦㻜㻜

఍ሙཷ௜

ᑓ㛛་⏦ㄳ
䝫䝇䝍䞊
ཷ௜䞉ᥖ♧

㻝㻟㻦㻜㻜

⥲఍

㛤఍䛾㎡
⏕ᾭᏛ⩦
䝉䝭䝘䞊

୍⯡ཱྀ₇䠍
㻝㻠㻦㻜㻜

㻝㻠㻦㻜㻜
୍⯡ཱྀ₇䠎

௻ᴗᒎ♧
㻝㻡㻦㻜㻜

㻝㻡㻦㻜㻜
≉ูㅮ₇䠍

㻝㻢㻦㻜㻜

ᑓ㛛་⏦ㄳ
䝫䝇䝍䞊ᒎ♧

ᑓ㛛་◊ಟ఍

㻝㻢㻦㻜㻜

୍⯡ཱྀ₇䠏

᧔ཤ
㛢఍䛾㎡
୍⯡ཱྀ₇䠐
㻝㻣㻦㻜㻜

㻝㻤㻦㻜㻜

୍⯡ཱྀ₇䠑

㻝㻣㻦㻜㻜

᠓ぶ఍

㻝㻤㻦㻜㻜

3

Ꮫ⾡኱఍ཧຍࡢⓙᵝ࡬1㸬㥔㌴ሙࡢࡈ⏝ពࡣࡈࡊ࠸ࡲࡏࢇࡢ࡛㸪࠾㌴࡛ࡢࡈ᮶ሙࡣࡈ㐲៖ࡃࡔࡉ࠸㸬
2㸬ཧຍ⪅ࡣᏛ఍ཷ௜࡟࡚ᙜ᪥఍㈝ 1,000 ෇ࢆ࠾ᨭᡶ࠸ࡃࡔࡉ࠸㸬3㸬Ꮫ⾡኱఍ཧຍ❶࡟ࡣᡤᒓ࣭Ặྡࢆグධࡢୖ㸪ᖖ᫬⬚࡟ࡘࡅ࡚ࡈධሙࡃࡔࡉ࠸㸬
4㸬Ꮫ఍఍ሙ࡟࠾ࡅࡿࣅࢹ࣭࢜෗┿᧜ᙳ➼ࡣ㸪Ⓨ⾲⪅ࡢⴭసᶒಖㆤࡢࡓࡵ⚗Ṇ࡜࡞ࡗ࡚࠾ࡾࡲࡍ㸬
5㸬㉁␲࣭ウㄽࡢࡓࡵࡢⓎゝ⪅ࡣᗙ㛗ࡢᣦ♧࡟ᚑ࠸㸪ᡤᐃࡢ࣐࢖ࢡࢆ౑⏝ࡋ࡚ᡤᒓ࡜Ặྡࢆ࿌ࡆࡓᚋ㸪せ㡿ࡼࡃ⡆₩࡟Ⓨゝࡋ࡚ࡃࡔࡉ࠸㸬6㸬ᑓ㛛་ࡢ⏦ㄳ࣭᭦᪂࡟ࡘ࠸࡚
1㸧ᮏᏛ఍ᑓ㛛་ࡢ⏦ㄳ࠶ࡿ࠸ࡣ᭦᪂ࢆᕼᮃࡍࡿ఍ဨࡣ㸪ཷ௜࡟࡚఍ဨドࢆᥦ♧ࡋ㸪ࣂ࣮ࢥ࣮ࢻࢆㄞྲྀ
ᶵ࡟㏻ࡋ࡚ࡃࡔࡉ࠸㸬఍ဨドࡢ࡞࠸᪉ࡣᑓ㛛་◊ಟ࣮࢝ࢻࢆ⏝ពࡋ࡚࠾ࡾࡲࡍࡢ࡛㸪ࡈグධࡢ࠺࠼ࡈᥦฟࡃࡔࡉ࠸㸬7㸬᪥ṑ⏕ᾭ◊ಟ࡟ࡘ࠸࡚
1㸧බ┈♫ᅋἲே᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ᮾிᨭ㒊኱఍࡟ཧຍ㸦ฟᖍ㸧ࡋࡓሙྜ࡟ࡣ㸪≉ู◊ಟ࡜ࡋ࡚ 10 ༢఩ࡀྲྀᚓ࡛ࡁࡲࡍ㸬ࡲࡓ㸪≉ูㅮ₇ 2㸪⏕ᾭᏛ⩦බ㛤ࢭ࣑ࢼ࣮㸪ᑓ㛛་◊ಟ఍࡟ཧຍࡋࡓሙྜ࡟ࡣ㸪ࡑࢀࡒࢀཷㅮ◊ಟ࡜ࡋ࡚ 2 ࡲࡓࡣ 4 ༢఩ࡀྲྀᚓ࡛ࡁࡲࡍ㸬࡞࠾㸪≉ูㅮ₇ 1 ࡣཷㅮ◊ಟࡢᑐ㇟࡜࡞
ࡗ࡚࠸ࡲࡏࢇࡢ࡛ࡈὀពࡃࡔࡉ࠸㸬2㸧≉ู◊ಟ࡜ཷㅮ◊ಟࡢ༢఩Ⓩ㘓ࡣ㸪᪥ṑཷㅮ◊ಟⓏ㘓⏝ IC ࣮࢝ࢻ࡟ࡼࡿⓏ㘓ࡢࡳ࡜࡞ࡾࡲࡍ㸬ࡈ⮬㌟ࡢ᪥ṑ IC ࣮࢝ࢻࢆᚲࡎ࠾ᣢࡕୗࡉ࠸㸬ヲ⣽ࡣ᪥ᮏṑ⛉་ᖌ఍࡟࠾ၥ࠸ྜࢃࡏࡃࡔࡉ࠸㸬

ཱྀ₇Ⓨ⾲࡟ࡘ࠸࡚
1㸬Ⓨ⾲࡟ࡘ࠸࡚
1㸧ࡍ࡭࡚ࢥࣥࣆ࣮ࣗࢱ࣮㸦PC㸧ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ㸦༢෗㸧࡛ࡍ㸬
2㸧PC ࡢ᧯సࡣ₇⪅ࡀ⾜ࡗ࡚ࡃࡔࡉ࠸㸬
3㸧Ⓨ⾲᫬㛫ࡣ㸪Ⓨ⾲ 8 ศ㸪㉁␲ᛂ⟅ 2 ศ࡛ࡍ㸬
4㸧Ⓨ⾲᫬㛫⤊஢ 2 ศ๓㸦6 ศ㸧࡟㯤ࣛࣥࣉ㸪⤊஢᫬㸦8 ศ㸧࡟㉥ࣛࣥࣉ࡛࠾▱ࡽࡏ࠸ࡓࡋࡲࡍࡀ㸪᫬㛫ཝᏲ࡛࠾㢪࠸ࡋࡲࡍ㸬5㸧ḟ₇⪅ࡣ㸪Ⓨ⾲ணᐃ᫬้ 10 ศ๓࡟ࡣࠕḟ₇⪅ᖍࠖ࡟╔ᖍࡋ࡚ࡃࡔࡉ࠸㸬
2㸬ࢥࣥࣆ࣮ࣗࢱ࣮࡟ࡘ࠸࡚
1㸧୍⯡ཱྀ₇࡛౑⏝ࡍࡿ PC㸦Windows 7㸪Microsoft PowerPoint 2013㸧ࡣ㸪఍ሙ࡛⏝ព࠸ࡓࡋࡲࡍ㸬
2㸧ࢭࢵࢩࣙࣥ㛤ጞணᐃ᫬㛫ࡢ 30 ศ๓ࡲ࡛࡟఍ሙཷ௜࡟࡚㸪ࢹ࣮ࢱࡢෆᐜࡢ☜ㄆ࠾ࡼࡧᥦฟࢆ⾜ࡗ࡚ࡃࡔࡉ࠸㸬PC ࡣ఍ሙ࡛⏝ពࡋࡲࡍ㸬
3㸧₇ቭୖ࡟ PC ࢆタ⨨࠸ࡓࡋࡲࡍ㸬ཱྀ₇୰ࡢ᧯సࡣ₇ቭୖ࡟࡚ࡈ⮬㌟࡛⾜ࡗ࡚࠸ࡓࡔࡁࡲࡍ㸬
4㸧ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ⏝ࡢࢹ࣮ࢱࡢసᡂ࡟࠾࠸࡚ࡣ㸪ື⏬ࡸ㡢ኌ࡞࡝ࡢ≉Ṧຠᯝࡢ౑⏝ࡣ࡛ࡁࡲࡏࢇ㸬ࡲࡓ㸪ࢢࣛࣇ➼࡟࠾ࡁࡲࡋ࡚ࡶ㸪඲࡚ࣃ࣮࣏࣡࢖ࣥࢺୖ࡟㓄⨨ࡋ࡚࠸ࡓࡔࡁ㸪௚ࡢࢯࣇࢺ࡬ࡢࣜࣥࢡタᐃࡣ⾜ࢃ࡞࠸࡛ࡃࡔࡉ࠸㸬
5㸧ࣇ࢛ࣥࢺ㸦Ꮠయ㸧ࡣᩥᏐ໬ࡅࢆ㜵ࡄࡓࡵ Windows ᶆ‽ᦚ㍕ࣇ࢛ࣥࢺ㸦MS ࢦࢩࢵࢡ㸪MSP ࢦࢩࢵࢡ㸪MS ᫂ᮅ㸪MSP ᫂ᮅ㸪Arial㸪Century㸪Century Gothic ࡞࡝㸧ࢆࡈ౑⏝ࡃࡔࡉ࠸㸬4

3㸬ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ⏝ࡢࢹ࣮ࢱ࡟ࡘ࠸࡚
ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ⏝ࡢࢹ࣮ࢱࡣ USB ࣓ࣔࣜ࡟࡚࠾ᣢࡕࡃࡔࡉ࠸㸬PC ᣢࡕ㎸ࡳ࡛ࡢཷ௜ࡣࡈࡊ࠸ࡲ
ࡏࢇ㸬ࡲࡓ㸪ࢺࣛࣈࣝ࡟ഛ࠼࡚㸪USB ࣓࡛ࣔࣜࡢࣂࢵࢡ࢔ࢵࣉࢆࡈ⏝ពࡃࡔࡉ࠸㸬

࠙COI ࡟ࡘ࠸࡚ࠚ ➹㢌Ⓨ⾲⪅ࡣヱᙜࡍࡿ COI ≧ែ࡟ࡘ࠸࡚㸪Ⓨ⾲ࢫࣛ࢖ࢻࡢ᭱ึ㸦ࡲࡓࡣ₇㢟࣭Ⓨ⾲⪅࡞࡝ࢆ⤂௓ࡍࡿࢫࣛ࢖ࢻࡢḟ㸧࡟㸪ᡤᐃࡢᵝᘧ㸯㸫㸿㸪㸯㸫㹀࡟ࡼࡾ㛤♧ࢆ࠾㢪࠸ࡋࡲࡍ㸬ヲ⣽ࡣᏛ఍࣮࣒࣮࣍࣌ࢪࢆཧ↷ࡃࡔࡉ࠸㸦http://hotetsu.com/c_702.html㸧㸬ᑓ㛛་⏦ㄳࢣ࣮ࢫࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ࡟ࡘ࠸࡚
1㸬᪥᫬࡟ࡘ࠸࡚
ཷ௜࣭࣏ࢫࢱ࣮ᥖ♧㸸11 ᭶ 24 ᪥㸦ᅵ㸧 12㸸30㹼13㸸20
ᑂᰝ㸦1 ₇㢟 30 ศ㸧㸸11 ᭶ 25 ᪥㸦᪥㸧

9㸸00㹼10㸸302㸬ᒎ♧࡟ࡘ࠸࡚
1㸧ཷ௜ࡣ 11 ᭶ 24 ᪥㸦ᅵ㸧ࡢ 12㸸30 ࡼࡾ⾜࠸ࡲࡍ㸬Ⓨ⾲఍ሙࡢཷ௜࡛⏦ㄳ⪅⏝ࡢࢿ࣮࣒ࣉ࣮ࣞࢺࢆ
ཷࡅྲྀࡾ㸪Ⓨ⾲᫬࡟ࡘࡅ࡚ࡃࡔࡉ࠸㸬
2㸧࣏ࢫࢱ࣮ࡣᡤᐃࡢሙᡤ࡟୧㠃ࢸ࣮ࣉ࡛㈞௜ࡋ㸪ࣉࢵࢩࣗࣆࣥ࡞࡝ࡣ౑⏝ࡋ࡞࠸࡛ࡃࡔࡉ࠸㸬࣏ࢫࢱ࣮ࡢྑ㝮࡟Ⓨ⾲⪅ࡢ㢦෗┿ࢆᥖ♧ࡋ࡚ࡃࡔࡉ࠸㸬㈨ᩱᥦ♧⏝࡟ࢸ࣮ࣈࣝࢆ‽ഛ࠸ࡓࡋࡲࡍ㸬3㸧୧㠃ࢸ࣮ࣉࡣ኱఍஦ົᒁ࡛⏝ព࠸ࡓࡋࡲࡍࡢ࡛㸪ཷ௜᫬࡟ཷࡅྲྀࡗ࡚ࡃࡔࡉ࠸㸬
3㸬Ⓨ⾲࡜ᑂᰝ࡟ࡘ࠸࡚
1㸧ᑂᰝ㛤ጞ᫬้ࡢ 10 ศ๓࡟ࡣᒎ♧ࡢ๓࡟ᚅᶵࡋ࡚ࡃࡔࡉ࠸㸬
2㸧ᑂᰝጤဨࡢᣦ♧࡟ᚑ࠸㸪10 ศ⛬ᗘ࡛ෆᐜࡢㄝ᫂ࢆ⾜ࡗ࡚ࡃࡔࡉ࠸㸬
3㸧ෆᐜㄝ᫂ࡢᚋ㸪ᑂᰝጤဨࡢ㉁␲࡟⏦ㄳ⪅ࡈ⮬㌟ࡀᛂ⟅ࡋᑂᰝࢆཷࡅ࡚ࡃࡔࡉ࠸㸬4㸧ᒎ♧ࡣᑂᰝ⤊஢ᚋ㸪11㸸30 ศ㹼12㸸00 ࡢ㛫࡟㏿ࡸ࠿࡟᧔ཤࡋ࡚ࡃࡔࡉ࠸㸬
5㸧ࡑࡢ௚ࡢ஦㡯ࡣ㸪Ꮫ఍࣮࣒࣮࣍࣌ࢪࡢࠕᑓ㛛་ไᗘ࡟ࡘ࠸࡚ࠖ࡟‽ᣐ࠸ࡓࡋࡲࡍ㸬




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5

኱఍ࣉࣟࢢ࣒ࣛ
1 ᪥┠࣭11 ᭶ 24 ᪥㸦ᅵ㸧   6 㝵 CST ࣮࣍ࣝ

13㸸20㛤఍ࡢ㎡኱఍㛗 㣤἟฼ග



13㸸30㹼14㸸00  ୍⯡ཱྀ₇㸯
O-1ᗙ㛗 ➜ᮌ㈼἞㸦་ṑ኱㸧࣮ࣞࢨ࣮✚ᒙ㐀ᙧἲ࡛〇సࡋࡓ Co-Cr-Mo ྜ㔠࡬ࡢ⇕ฎ⌮ࡀ⑂ປᙉᗘ࡟୚࠼ࡿᙳ㡪‫ۑ‬㛵⤮㔛ዉ㸪㧗ᕷᩔኈ㸪ຍᔱ♸ె㸪ⱝᯘ๎ᖾᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉㒊ศᗋ⩏ṑ⿵⥛Ꮫศ㔝

O-2

PEEK ࡛〇సࡋࡓࢸࣞࢫࢥ࣮ࣉࢡࣛ࢘ࣥࡢ཯᚟╔⬺ヨ㦂࡟ࡼࡿ⥔ᣢຊ࡜⾲㠃ᙧ≧ࡢኚ໬‫ۑ‬୰ᮧ⨾ఞ௦ 1)㸪⏣୰❶ၨ 1)㸪⏣ᆏᙲつ 1), 2)㸪ᑠụ⚽⾜ 3)㸪Ṋᮏ┿἞ 4)㸪ർᡂṇ㞝 2)1)ᮾிṑ⛉኱Ꮫࣃ࣮ࢩࣕࣝࢹࣥࢳ࣮ࣕ⿵⥛Ꮫㅮᗙ㸪 2)ᮾிṑ⛉኱Ꮫཱྀ⭍⛉Ꮫ◊✲ࢭࣥࢱ࣮㸪3)୰ᅜ࣭ᅄᅜᨭ㒊㸪4)ᒾᡭ་⛉኱Ꮫ་⒪ᕤᏛㅮᗙ

O-3

CAD/CAM ࣞࢪࣥࢡࣛ࢘ࣥෆ㠃࡟௜୚ࡋࡓ⁁ࡢᩘࡀ᥋╔ᙉࡉ࡟࠾ࡼࡰࡍᙳ㡪‫ۑ‬᪂ጔ⍛⣖ 1)㸪᪂㇂୍᫂ 1), 2)㸪⸨ᓥ ఙ 1)㸪ⓑ㫽ἋஂⰋ 1)㸪㯮⏣⪽୍ 1)㸪ඵ⏣ࡳࡢࡾ 1)㸪
 㛗⏣༤ྐ 3)㸪஬࿡἞ᚨ 1)1)᪥ᮏṑ⛉኱Ꮫ⏕࿨ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨㸰ㅮᗙ㸪 2)ࢺࢗࣝࢡ኱Ꮫ㸪3)ᮾிᨭ㒊

14㸸00㹼14㸸30  ୍⯡ཱྀ₇㸰
O-4ᗙ㛗 ᭶ᮧ┤ᶞ㸦᪥኱ṑ㸧

⅖⑕ᢚไࢆ┠ᣦࡋࡓ࣐ࢡࣟࣇ࢓࣮ࢪᶆⓗᣦྥᛶ࣐ࣥࣀ࣮ࢫಟ㣭࣏ࣜࣟࢱ࢟ࢧࣥࡢᶵ⬟ホ౯‫ۑ‬ᰘཱྀ ሢ 1)㸪⏣ᮧ⠜ᚿ 2)㸪ᯇᮧග᫂ 1)㸪 ୕ᾆᏹஅ 1)㸪⏤஭ఙᙪ 2)1)ᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ᦤ㣗ᶵ⬟ಖᏑᏛศ㔝2)ᮾி་⛉ṑ⛉኱Ꮫ⏕యᮦᩱᕤᏛ◊✲ᡤ᭷ᶵ⏕యᮦᩱᏛศ㔝O-5୕ཫ⚄⤒⬨㧊㊰᰾࠾ࡼࡧୖ㒊㢁㧊ᢞᑕࢽ࣮ࣗࣟࣥࡢ⚄⤒㞀ᐖᛶ䬶③࡬ࡢ㛵୚‫ۑ‬㰻⸨ᘯே㸪ᒸ⏣┿἞㸪ᆤ⏣೺Ⴙ㸪὾୰୍ᑗ㸪ᾆ⏣೺ኴ㑻㸪⏕⏣┠኱௓㸪኱㡢 ᶞ㸪㣤἟฼ග᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϩㅮᗙ

O-6⹫⾑ᛶ⑓ែ࡟࠾ࡅࡿ⭁⮚࡛ࡢ Iba1 㝧ᛶ⣽⬊ࡢືែ‫⃝῝ۑ‬㯞⾰㸪㧗ᶫభ࿴㸪すᑿ೺௓㸪ụ⏣㈗அ㸪ఀ⸨ᬛຍ㸪㧗ὠ໷ᶞ㸪⸨⏣ဴኵ㸪‫‮‬ὸ ᬛ㸪㣤἟฼ග᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϩㅮᗙ

6

14㸸40㹼15㸸40  ≉ูㅮ₇㸯⏕ᾭ◊ಟࢥ࣮ࢻ࠙ 㸫 ࠚࢸ࣮࣐㸸ᝈ⪅‶㊊ᗘࢆ㧗ࡵࡿṑ⫗ࣛ࢖ࣥ࡬ࡢᑐᛂࢆ⪃࠼ࡓ⿵⥛ἲ
㸫BTA ࢸࢡࢽࢵࢡ®࡜ࡑࡢࢥࣥࢭࣉࢺ㸫ᗙ 㛗㸸ᑠᓠ ኴ ඛ⏕㸦᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϫㅮᗙ㸧ㅮ ᖌ㸸ᆤ⏣೺Ⴙ ඛ⏕㸦㉥ᆏࣇ࢛࣮࣒ࣛࢹࣥࢱࣝࢡࣜࢽࢵࢡ㸪ᮾிᨭ㒊㸧

15㸸50㹼16㸸20  ୍⯡ཱྀ₇㸱
O-7ᗙ㛗 ᒾబᩥ๎㸦᫛࿴኱㸧࢖ࣥࣉࣛࣥࢺࢆ௓ࡋࡓ࣐࢘ࢫୖ㢡㦵࡬ࡢⲴ㔜࡟ࡼࡿṍࡳࡀ㦵⣽⟶࡜㦵ᙧᡂ࡟ཬࡰࡍᙳ㡪‫ۑ‬኱Ἑཎஂᐇ㸪᪂஭♸㈗㸪ᯇ㔝 ▖㸪ⱝᯘ๎ᖾᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉㒊ศᗋ⩏ṑ⿵⥛Ꮫศ㔝

O-8๓⿦ᮦᩱࡢ㐪࠸ࡀ࢖ࣥࣉࣛࣥࢺᨭᣢࢪࣝࢥࢽ࢔ᅛᐃᛶ⿵⥛⿦⨨ࡢ◚ቯᙉᗘ࡟ཬࡰࡍᙳ㡪‫ۑ‬㏆⸨᭷⚽ 1)㸪ᮏ⏣㡰୍ 1), 2)㸪ᑠᓠ ኴ 1), 2)㸪ᓥ⏣ⓒᏊ 3)㸪ᗉྖ ຊ 3)㸪ὠỤ᫂ఙ 3)㸪
 ⾜⏣ඞ๎ 3)㸪ᯇᮧⱥ㞝 1), 2)
1)᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϫㅮᗙ㸪 2)᪥ᮏ኱ᏛṑᏛ㒊⥲ྜṑᏛ◊✲ᡤ㧗ᗘඛ➃་⒪◊✲㒊㛛㸪3)ᮾிᨭ㒊

O-9ࣄ࣮ࣜࣥࢢ࢟ࣕࢵࣉୖ࡟ྛ✀ࢩࣜࢥ࣮ࣥ⣔㌾㉁ࣜࣛ࢖ࣥᮦࢆᛂ⏝ࡋࡓሙྜࡢ⩏ṑࡢ⥔ᣢຊ‫ۑ‬Ἑ㔝❧⾜㸪ྂụᓫᚿ㸪ஂಖ៞ኴ㑻㸪஭ᡞᕝ㤶௦㸪ᾏ㔝 ⯟㸪㰻⸨♸ኴ㸪ୖ⏣㈗அ㸪Ḉ஭ ⸅ᮾிṑ⛉኱Ꮫ⪁ᖺṑ⛉⿵⥛Ꮫㅮᗙ

16㸸20㹼16㸸50  ୍⯡ཱྀ₇㸲ᗙ㛗 ୖ⏣㈗அ㸦ᮾṑ኱㸧O-10 ୗ㢡඲㒊ᗋ⩏ṑࡢ୕ḟඖᙧ≧ࡢゎᯒ‫ۑ‬Nguyen Vu Van Anh1)㸪㕥ᮌဴஓ 1)㸪ᅵ⏣ඃ⨾ 2)㸪኱ᮌ᫂Ꮚ 3)㸪ୖᲄ┿࿃ 3)㸪㔠⃝ Ꮫ 4)㸪
 Ỉཱྀಇ௓ 4)1)ᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ཱྀ⭍ᶵ⬟෌ᘓᕤᏛศ㔝㸪2)ཱྀ⭍ᨺᑕ⥺་Ꮫศ㔝㸪3)ཱྀ⭍ᇶ♏ᕤᏛศ㔝㸪4)㧗㱋⪅ṑ⛉Ꮫศ㔝

O-11

ᖖ

㔜ྜࣞࢪࣥ࡟࠾ࡅࡿ᧯సᛶࡢ᳨ウ ̿➨㸰ሗ㸸Ⓨ⇕ୖ᪼㛤ጞ᫬㛫࡜ࣆ࣮ࢡ᫬㛫࡟ࡘ࠸࡚̿

‫∦ۑ‬ᒸ㑳஀ 1)㸪㬞ᕝ⣸஀ 1)㸪῝℩ᗣබ 2)㸪⛅⏣኱㍜ 1), 3)㸪Ọ஭ᰤ୍ 1), 3)㸪୰ᯘ᫴ஓ 1), 3)㸪⣡㇂ࡦࢁࡳ*1)᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨ϩㅮᗙ㸪 2)᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⌮ᕤᏛᩍᐊ㸪3)᪥ᮏ኱ᏛṑᏛ㒊⥲ྜṑᏛ◊✲ᡤ⮫ᗋ◊✲㒊㛛

O-12 Gysi ㍈Ꮫㄝ࡜ࡑࢀࢆ෌⌧ࡍࡿညྜჾ
‫ۑ‬Ọ⏣࿴ᘯ
ᮾ໭኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ཱྀ⭍ࢩࢫࢸ࣒⿵⥛Ꮫศ㔝

7

16㸸50㹼17㸸10  ୍⯡ཱྀ₇㸳ᗙ㛗 ᪂㇂୍᫂㸦᪥ṑ኱㸧O-13 ♫఍་⒪デ⒪⾜Ⅽูㄪᰝ࠿ࡽࡳࡓ᪂つᑟධ⿵⥛㛵㐃᳨ᰝࡢᐇ᪋≧ἣ‫ۑ‬ᮡᒣ୍ᮁ 1), 2)㸪బ⸨⿱஧ 1)㸪໭ᕝ ᪼ 1)㸪୐⏣ಇᬕ 1)1)᫛࿴኱ᏛṑᏛ㒊㧗㱋⪅ṑ⛉Ꮫㅮᗙ㸪 2)ᮾிᨭ㒊

O-14 ཱྀ⭍ᶵ⬟పୗ⑕ࡢ᳨ᰝ࣭⟶⌮ࡢᐇ㝿࡜ၥ㢟Ⅼ‫⏿ۑ‬୰ᖾᏊ㸪బ⸨⿱஧㸪໭ᕝ ᪼㸪୐⏣ಇᬕ㸪௒ᮧ჆ᕼ㸪ෆ⏣ῄ႐᫛࿴኱ᏛṑᏛ㒊㧗㱋⪅ṑ⛉Ꮫㅮᗙ

17㸸20㹼18㸸30  ᠓ぶ఍఍ሙ㸸᪥ᮏ኱ᏛṑᏛ㒊 1 ྕ㤋 4 㝵 ኱ㅮᇽ
఍㈝㸸3,000 ෇





8

2 ᪥┠࣭11 ᭶ 25 ᪥㸦᪥㸧   6 㝵 CST ࣮࣍ࣝ

10㸸40㹼11㸸40  ≉ูㅮ₇㸰⏕ᾭ◊ಟࢥ࣮ࢻ࠙3408ࠚ

ࢸ࣮࣐㸸ཱྀ⭍⣽⳦࡜඲㌟⑌ᝈ࡜ࡢ㛵ࢃࡾ 㸫⿵⥛⮫ᗋࡀࡶࡓࡽࡍᙳ㡪࡟ࡘ࠸࡚㸫ᗙ 㛗㸸㣤἟฼ග ඛ⏕ 㸦᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϩㅮᗙ㸧ㅮ ᖌ㸸௒஭೺୍ ඛ⏕ 㸦᪥ᮏ኱ᏛṑᏛ㒊⣽⳦Ꮫㅮᗙ㸧

13㸸10㹼14㸸10  ⏕ᾭᏛ⩦බ㛤ࢭ࣑ࢼ࣮

⏕ᾭ◊ಟࢥ࣮ࢻ࠙2104ࠚ

ࢸ࣮࣐㸸⿵⥛ṑ⛉㛵ಀ᪂つಖ㝤཰㍕་⒪ᢏ⾡ࡢゎㄝᗙ 㛗㸸኱㇂㈼஧ ඛ⏕ 㸦᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨ϩㅮᗙ㸧ㅮ ᖌ㸸ᚿ㈡ ༤ ඛ⏕ 㸦᪥ᮏṑ⛉኱Ꮫ⏕࿨ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨ 1 ㅮᗙ㸧

14㸸20㹼16㸸20  ᑓ㛛་◊ಟ఍⏕ᾭ◊ಟࢥ࣮ࢻ࠙3101ࠚ

ࢸ࣮࣐㸸⩏ṑ἞⒪࡬ࡢࢹࢪࢱࣝᢏ⾡ά⏝ࡢ௒㸪ࡑࡋ࡚ᮍ᮶ᗙ 㛗㸸㧗ὠ໷ᶞ ඛ⏕ 㸦᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϩㅮᗙ㸧ㅮ ᖌ㸸᪂஭჆๎ ඛ⏕ 㸦᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉ᨺᑕ⥺Ꮫㅮᗙ㸧ࠕ⩏ṑ἞⒪࡟࠾ࡅࡿデᰝ࣭デ᩿࡬ࡢࢹࢪࢱࣝᢏ⾡ά⏝࡟ࡘ࠸࡚ࠖㅮ ᖌ㸸኱ஂಖຊᘅ ඛ⏕ 㸦㭯ぢ኱ᏛṑᏛ㒊᭷ᗋ⩏ṑ⿵⥛Ꮫㅮᗙ㸧ࠕCAD/CAM ࢹࣥࢳ࣮ࣕࡢ⌧≧࡜ྍ⬟ᛶࠖ

16㸸20

㛢఍ࡢ㎡

9

2 ᪥┠࣭11 ᭶ 25 ᪥㸦᪥㸧   3 㝵ࢠ࣮ࣕࣛࣜ

ᑓ㛛་ࢣ࣮ࢫࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ
9㸸00㹼9㸸30
CP-1 ࢖ࣥࣉࣛࣥࢺ⿵⥛࡜ṑෙಟ᚟࡟ࡼࡾᑂ⨾㞀ᐖ࣭࿪ᄮ㞀ᐖࢆᨵၿࡋࡓ୍⑕౛
‫ۑ‬㧗ሙ㞞அ᫛࿴኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫㅮᗙ

CP-2 㔜ᗘ╧╀᫬ࣈࣛ࢟ࢩࢬ࣒࡟ࡼࡿᑂ⨾㞀ᐖ࡟ᑐࡋ࡚඲㢡ⓗ࡞⿵⥛἞⒪ࢆ⾜ࡗࡓ⑕౛‫ۑ‬ᕹ㊊᭷⌮ᜨ᫛࿴኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫㅮᗙ

CP-3 ည⪖࡟ࡼࡿᑂ⨾㞀ᐖ࡟ᑐࡋ࡚ညྜᣙୖ࡜ࣇ࣐ࣝ࢘ࢫࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ࡟ࡼࡾᑐᛂࡋࡓ㸯⑕౛‫ۑ‬すᒣᘯᓫ
᫛࿴኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫㅮᗙ

9㸸30㹼10㸸00
CP-4 ୗ㢡࢖ࣥࣉࣛࣥࢺ࣮࢜ࣂ࣮ࢹࣥࢳ࣮ࣕࢆ⏝࠸࡚࿪ᄮ㞀ᐖࢆᨵၿࡋࡓ⑕౛‫ۑ‬୰すᗣ㍜ᮾிṑ⛉኱Ꮫ⪁ᖺṑ⛉⿵⥛Ꮫㅮᗙ

CP-5 㢡ሐ྾཰ࡀⴭࡋ࠸ୗ㢡↓ṑ㢡ᝈ⪅࡟ᑐࡋ࢖ࣥࣉࣛࣥࢺ࣮࢜ࣂ࣮ࢹࣥࢳ࣮ࣕࢆ⏝࠸ࡓ 1 ⑕౛‫⚟ۑ‬す⨾ᘺ᫛࿴኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫㅮᗙ

CP-6 ညྜ㧗ᚄࡢపୗࢆక࠺཯ᑐညྜ⑕౛ࡢညྜ෌ᵓᡂ
‫ۑ‬ᐙᣢ ๛ᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉㧗㱋⪅ṑ⛉Ꮫศ㔝

10㸸00㹼10㸸30CP-7 ኚⰍࡋࡓୖୗ㢡๓ṑ㒊࡟࣏࣮ࢭ࣑ࣞࣥࣛࢿ࣮ࢺ࣋ࢽ࢔࡛ᑂ⨾ಟ᚟ࢆ⾜ࡗࡓ㛗ᮇணᚋホ౯‫ۑ‬ῧᓥṇ࿴஑ᕞᨭ㒊

CP-8 ညྜᣲୖࢆ⾜࠸㐣ᗘ࡞ည⪖ࢆక࠺㒊ศṑิḞᦆᝈ⪅ࡢ࿪ᄮᶵ⬟࡜ᑂ⨾ᛶࢆᨵၿࡋࡓ㸯⑕౛‫ۑ‬㕥ᮌዉ᭶
ᮾி་⛉ṑ⛉኱Ꮫ㒊ศᗋ⩏ṑ⿵⥛Ꮫศ㔝

10≉ูㅮ₇㸯
ࠗᝈ⪅‶㊊ᗘࢆ㧗ࡵࡿṑ⫗ࣛ࢖ࣥ࡬ࡢᑐᛂࢆ⪃࠼ࡓ⿵⥛ἲ
㸫BTA ࢸࢡࢽࢵࢡ®࡜ࡑࡢࢥࣥࢭࣉࢺ㸫࠘ᗙ 㛗㸸ᑠᓠ ኴ ඛ⏕㸦᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϫㅮᗙ㸧ㅮ ᖌ㸸ᆤ⏣೺Ⴙ ඛ⏕㸦㉥ᆏࣇ࢛࣮࣒ࣛࢹࣥࢱࣝࢡࣜࢽࢵࢡ㸧
11 ᭶ 24 ᪥䠄ᅵ䠅㻌 14䠖40䡚15䠖40㻌 㻌 6 㝵 CST 䝩䞊䝹⏕ᾭ◊ಟࢥ࣮ࢻ࠙ 㸫 ࠚ≉ูㅮ₇㸰
ཱྀࠗ⭍⣽⳦࡜඲㌟⑌ᝈ࡜ࡢ㛵ࢃࡾ㸫⿵⥛⮫ᗋࡀࡶࡓࡽࡍᙳ㡪࡟ࡘ࠸࡚㸫࠘ᗙ 㛗㸸㣤἟฼ග ඛ⏕ 㸦᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϩㅮᗙ㸧ㅮ ᖌ㸸௒஭೺୍ ඛ⏕ 㸦᪥ᮏ኱ᏛṑᏛ㒊⣽⳦Ꮫㅮᗙ㸧
11 ᭶ 25 ᪥䠄᪥䠅㻌 10䠖40䡚11䠖40㻌 㻌 6 㝵 CST 䝩䞊䝹⏕ᾭ◊ಟࢥ࣮ࢻ࠙3408ࠚ

11

≉ูㅮ₇ ᝈ⪅ࡢ‶㊊ᗘࢆ㧗ࡵࡿṑ⫗ࣛ࢖ࣥ࡬ࡢᑐᛂࢆ⪃࠼ࡓ⿵⥛ἲ
㹼BTA ࢸࢡࢽࢵࢡ®࡜ࡑࡢࢥࣥࢭࣉࢺ㹼㉥ᆏࣇ࢛࣮࣒ࣛࢹࣥࢱࣝࢡࣜࢽࢵࢡ
ᆤ⏣ ೺Ⴙ
ࢡࣛ࢘ࣥࡸ࣑ࣛࢿ࣮ࢺ࣋ࢽ࢔࡟ࡼࡿ⿵⥛ࢆ⾜࠺㝿࡟,ṑ⫗ࣛ࢖ࣥࡀࣂࣛࣥࢫⰋࡃᩚ࠺ࡇ࡜࡛,ᑂ⨾ᛶࡣࡶࡕࢁࢇΎᤲᛶࡶᨵၿࡉࢀ,ᝈ⪅ࡢ‶㊊ᗘࢆ㧗ࡵࡿࡇ࡜ࡀྍ⬟࡜࡞ࡿ㸬᭦࡟㛗ᮇⓗ࡟ṑ⫗ࡢ⅖⑕㸪㏥⦰ࢆ㜵ࡄࡇ࡜ࡀ࡛ࡁࢀࡤ㸪᭦࡟ᝈ⪅ࡢ‶㊊ᗘࡀ㧗ࡃ࡞ࡿ㸬ࡑࡢ཯ᑐ࡟㸪⿵⥛⿦⨨ࡢṑ୪ࡧࡸⰍࡀ㐺ษ࡛࠶ࡗ࡚ࡶṑ⫗ࣛ࢖ࣥࡀᩚࡗ࡚࠸࡞ࡅࢀࡤ㸪ᑂ⨾ᛶࡣᝏࡃ࡞ࡗ࡚ࡋࡲ࠺㸬ࡲࡓ㸪⿦╔ᚋࡢṑ⫗㏥⦰ࢆཎᅉ࡜ࡍࡿࣈࣛࢵࢡ࣐
࣮ࢪࣥࡣ㸪ᝈ⪅ࡔࡅ࡛࡞ࡃ㸪ᡃࠎṑ⛉་ᖌ㸪⿵⥛⿦⨨ࢆస〇ࡍࡿṑ⛉ᢏᕤኈ࡟࡜ࡗ࡚ࡶṧᛕ࡞ࡇ࡜࡛࠶ࡿ㸬
BTA ࢸࢡࢽࢵࢡ®ࡣ㸪▹ṇࡸእ⛉ᡭ⾡ࢆ⾜ࢃࡎ࡟ṑ⫗ࣛ࢖ࣥࢆᩚ࠼ࡿࡓࡵ࡟₇⪅ࡀ⪃᱌ࡋࡓ⿵⥛ἲ࡛࠶ࡿ㸬ṑ⫗ࣛ࢖ࣥࢆ᰿ᑤഃ᪉ྥ࡟⛣ືࡉࡏࡿࡓࡵ࡟ṑ⫗ษ㝖ࢆ⾜࠸㸪ࡑࡢṑ⫗ษ㝖ࣛ࢖ࣥࢆ࣐࣮ࢪࣥࣇ࢕ࢽࢵࢩࣗ
ࣛ࢖ࣥ࡜ࡋ࡚ᙧᡂࡋ㸪ษ㝖ࡋࡓṑ⫗࡜ྠࡌᖜ࡟〇సࡋࡓ࣮࢜ࣂ࣮ࣁࣥࢢ࣐࣮ࢪࣥࡢࢡࣛ࢘ࣥ㸦࣑ࣛࢿ࣮ࢺ࡭
ࢽ࢔㸧ࢆ⿦╔ࡍࡿ㸬BTA ࢸࢡࢽࢵࢡ®ࡢ࣐࣮ࢪࣥࡣ㸪࣮࢜ࣂ࣮ࣁࣥࢢࡢᙧែࢆࡋ࡚࠸ࡿࡀ㸪ぢ᪉ࢆኚ࠼ࡿ࡜
ṑ⫗⦕ୗࡢᴟ➃࡞࣮࢜ࣂ࣮࢝ࣥࢺࢗ࢔࡛࠶ࡿ㸬ṑ⫗⦕ୗ࡛ࡣ࣮࢜ࣂ࣮࢝ࣥࢺࢗ࢔ࡀṑ⫗࡟ᝏᙳ㡪ࢆ୚࠼ࡿ࡜
࠸࠺◊✲ㄽᩥࡣ࡯࡜ࢇ࡝ぢᙜࡓࡽ࡞࠸㸬ࡴࡋࢁ㸪ᙉ࠸࣮࢜ࣂ࣮࢝ࣥࢺࢗ࢔㸦࢚࣐࣮ࢪ࢙ࣥࢫ࢔ࣥࢢࣝࡀ 50r㸧࡛࠶ࡗ࡚ࡶ㸪⮫ᗋⓗ࡟ࡶᚤ⏕≀Ꮫⓗ࡟ࡶၥ㢟ࡀ࡞࠿ࡗࡓ࡜ࡍࡿ◊✲ㄽᩥࡸ㸪ṑ⫗⦕ୗ࡟࠾࠸࡚ࡣ࣮࢜ࣂ࣮࢝
ࣥࢺࢗ࢔ࡢ᪉ࡀ㸪ṑᇈỿ╔ࡀపࡃ࡞ࡿ࡜࠸࠺⤖ᯝࡢㄽᩥࡀ࠶ࡿ㸬 ࡛ࡣ࡞ࡐ㸪ṑ⫗⦕ୗࡢ࣮࢜ࣂ࣮࢝ࣥࢺࢗ࢔ࡢ᪉ࡀ㸪ṑᇈỿ╔ࡀᑡ࡞ࡃ࡞ࡿࡢ࡛࠶ࢁ࠺࠿㸽ࡑࢀࡣ⡆༢࡟ゝ࠼ࡤ㸪࣮࢜ࣂ࣮࢝ࣥࢺࢗ࢔ࡢ᪉ࡀ㸪ࢡ࣐࣮ࣛ࢘ࣥࢪࣥ࡜㎶⦕ṑ⫗࡜ࡢ㛫ࡢ㝽㛫㸦ṑ⫗⁁㸧ࡀ㸪ᑠࡉࡃ࡞ࡿ࠿
ࡽ࡛ࡣ࡞࠸ࡔࢁ࠺࠿㸽ࡑࡶࡑࡶ㸪BTA ࢸࢡࢽࢵࢡ®ࡣṑ⫗ࡢᚋᡠࡾࢆࣈࣟࢵࢡࡍࡿࡓࡵ࡟㸪࣮࢜ࣂ࣮ࣁࣥࢢ
ࡢ࣐࣮ࢪࣥࢆ〇సࡍࡿࡀ㸪࣮࢜ࣂ࣮ࣁࣥࢢ࣐࣮ࢪࣥ࡟ᑐࡋ㸪㎶⦕ṑ⫗ࡀᅽຊࢆ࠿ࡅ࡚㐺ྜࡍࡿࡇ࡜࡛㸪㝽㛫㸦ṑ⫗⁁㸧ࡀ࡞ࡃ࡞ࡾ㸪ṑᇈỿ╔ࡸ⣽⳦ࡢ౵ධࢆ㜵ࡄࡇ࡜ࡀ࡛ࡁࡿࡶࡢ࡜⪃࠼࡚࠸ࡿ㸦BTA ࢥࣥࢭࣉࢺ㸧㸬㛗ᮇⓗ࡟ᡂຌࡋ࡚࠸ࡿ࢖ࣥࣉࣛࣥࢺࡢṑ⫗㈏㏻㒊ࡸ㸪࢜࣋࢖ࢺ࣏ࣥࢸ࢕ࢵࢡࡢ⢓⭷᥋ゐ㒊ࡶྠᵝࡢ≧ែ࡛࠶ࢁ࠺㸬 BTA ࢸࢡࢽࢵࢡ®ࡢ BTA ࡜ࡣ Biological Tissue Adaptation ࡢ␎ㄒ࡛࠶ࡾ㸪⏕≀Ꮫⓗ࡞ṑ⫗⤌⧊ࡢ㐺ྜ࡜࠸࠺ព࿡࡛࠶ࡿࡀ㸪㐺ྜࡋࡓṑ⫗ࡣ㠀ゅ໬ୖ⓶ࢆ࿊ࡋ࡚࠾ࡾ㸪࣮࢜ࣂ࣮ࣁࣥࢢ࣐࣮ࢪࣥ࡟ୖ⓶௜╔ࢆ㉳ࡇࡋ࡚࠸ࡿ࡜࠸࠺⑓⌮Ꮫ⪅ࡢពぢࡶ࠶ࡿ㸬᭦࡟㸪BTA ࢸࢡࢽࢵࢡ®࡛ࡣ㸪ṑ⫗ࡀཌࡃಖࡓࢀࡿࡇ࡜࡛⾑ὶࡀⰋࡃ࡞ࡾ㸪ṑ⫗㏥⦰ࡀ㉳ࡁ࡟ࡃࡃ࡞ࡿࡶࡢ࡜ᛮࢃࢀࡿ㸬⚾ࡣ BTA ࢸࢡࢽࢵࢡ®ࡢ◊✲఍㸦ᑂ⨾ṑ⛉ BTA ◊✲఍㸧ࢆⓎ㊊ࡋ 5 ᖺ࡯࡝⤒㐣ࡋ㸪࣮࣋ࢩࢵࢡࢭ࣑ࢼ࣮
ࢆ 9 ᅇ㸪ຮᙉ఍ࢆ 11 ᅇ㛤ദࡋࡓ㸬఍ဨࡢάືࡣࡓ࠸࡬ࢇάⓎ࡛࠶ࡾ㸪2018 ᖺ 9 ᭶࡟ᕝ㉺࡛㛤ദࡉࢀࡓ᪥
ᮏṑ⛉ᑂ⨾Ꮫ఍ࡢᏛ⾡኱఍࡛ࡣ㸪10 㢟ࡢ BTA ࢸࢡࢽࢵࢡ®ࡢ࣏ࢫࢱ࣮Ⓨ⾲ࡀ⾜ࢃࢀࡓ㸬ࡑࡋ࡚௒ࡲ࡛࡟᪥
ᮏṑ⛉ᑂ⨾Ꮫ఍ࡢඃ⚽Ⓨ⾲㈹ࢆ⚾௨እ࡟ࡶ㸰ྡࡀཷ㈹ࡋ࡚࠸ࡿ㸬఍ဨࡢኈẼࡢ㧗ࡉ࡟㦫࠸࡚࠸ࡿ࡜࡜ࡶ࡟㸪ࡇࡢࢸࢡࢽࢵࢡࡀ࠸࠿࡟ཷࡅධࢀࡽࢀࡸࡍࡃ㸪Ⰻ࠸⤖ᯝࢆฟࡋ࡚࠸ࡿࡢ࠿࡜࠸࠺ド࡛᫂ࡣ࡞࠸࠿࡜ᛮࡗ࡚࠸
ࡿ㸬௒ᅇ㸪BTA ࢸࢡࢽࢵࢡ®ࡢ⾡ᘧ㸪⑕౛㸪ࢥࣥࢭࣉࢺࢆ᫬㛫ࡢチࡍ㝈ࡾ࠾ヰࡉࡏ࡚㡬ࡁ㸪ᑡࡋ࡛ࡶ᫂᪥࠿ࡽ
ࡢ⿵⥛἞⒪ࡢ࠾ᙺ࡟❧࡚ࢀࡤᖾ࠸࡛࠶ࡿ㸬

12

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࠙␎Ṕࠚ
1982 ᖺ

᪥ᮏ኱ᏛṑᏛ㒊༞ᴗ᪥ᮏ኱ᏛṑᏛ㒊⿵⥛Ꮫ➨Ϩㅮᗙ໅ົ

1986 ᖺ

ୖグㅮᗙ㏥⫋

1987 ᖺ

㉥ᆏࣇ࢛࣮࣒ࣛࢹࣥࢱࣝࢡࣜࢽࢵࢡ㛤タ㸦ᮾி㸧1992 ᖺ

ṑᏛ༤ኈᤵ୚㸦᪥ᮏ኱ᏛṑᏛ㒊㸧

2012 ᖺ

᪥ᮏṑ⛉ᑂ⨾Ꮫ఍ඃ⚽Ⓨ⾲㈹㸦ࢹࣥࢶࣉࣛ࢖㈹㸧ཷ㈹2016 ᖺ

໭ி኱Ꮫཱྀ⭍་Ꮫ㝔࡟࡚ᣍᚅㅮ₇2018 ᖺ

AACD㸦࢔࣓ࣜ࢝⨾ᐜṑ⛉Ꮫ఍㸧࡟࡚ᣍᚅㅮ₇13

≉ูㅮ₇ ཱྀ⭍⣽⳦࡜඲㌟⑌ᝈ࡜ࡢ㛵ࢃࡾ㸫⿵⥛⮫ᗋࡀࡶࡓࡽࡍᙳ㡪࡟ࡘ࠸࡚㸫᪥ᮏ኱ᏛṑᏛ㒊⣽⳦Ꮫㅮᗙ௒஭ ೺୍
㏆ᖺ㸪ṑ࿘⑓ཎ⳦ࡸ࣮࢜ࣛࣝࣂ࢖࢜ࣇ࢕࣒ࣝᵓᡂ⳦ࡀၚᾮࡸ⾑ᾮࢆ௓ࡋ࡚࿧྾ჾ࣭ᚠ⎔ჾ⣔࡟౵ධࡋ㸪⫵
⅖ࡸᚰ⑌ᝈ࡞࡝ࡢ඲㌟⑌ᝈࢆᘬࡁ㉳ࡇࡍࡇ࡜㸪ࡲࡓṑᇈࡸ⯉ⱏࡀ⫵⅖㉳ᅉ⳦ࡢࣜࢨ࣮ࣂ࣮࡜࡞ࡗ࡚࠸ࡿࡇ࡜
ࡀ᫂ࡽ࠿࡜࡞ࡗ࡚ࡁࡲࡋࡓ㸬ࡑࢀ࡟క࠸ཱྀ⭍ࢣ࢔ࡢ㔜せᛶࢆ♧ࡍ࢚ࣅࢹࣥࢫࡶ㞟✚ࡋ㸪೺ᗣ࡞ཱྀ⭍⎔ቃࡢ⥔
ᣢࡀ඲㌟ࡢ೺ᗣ⥔ᣢ࡜ QOL ࡢྥୖ࡟ࡶ㔜せ࡛࠶ࡿ࡜ࡢ⪃࠼ࡀᗈࡲࡗ࡚࠸ࡲࡍ㸬≉࡟㸪࿘⾡ᮇ࡟࠾ࡅࡿཱྀ⭍ࢣ࢔ࡀ㸪ཱྀ⭍⣽⳦࡟㉳ᅉࡍࡿ⫵⅖➼ࡢ⾡ᚋྜే⑕ࢆῶᑡࡉࡏࡿࡇ࡜࠿ࡽ㸪ᖹᡂ 24 ᖺᗘࡢデ⒪ሗ㓘ᨵᐃ࡟࠾࠸࡚࿘⾡ᮇཱྀ⭍ᶵ⬟⟶⌮ᩱࡀ᪂タࡉࢀࡿ࡟⮳ࡗࡓࡢࡣࡈᢎ▱ࡢ㏻ࡾ࡛ࡍ㸬⑌ᝈࡢண㜵࡟ಖ㝤⤥௜ࡀㄆࡵࡽࢀ
ࡓࡇ࡜ࡣ≉➹ࡍ࡭ࡁⅬ࡛࠶ࡾ㸪་⛉ṑ⛉㐃ᦠ࡟௦⾲ࡉࢀࡿከ⫋✀㐃ᦠࡀ㐍ࢇ࡛࠸ࡲࡍ㸬ࡉࡽ࡟᫖ᖺࡢ 6 ᭶࡟ࡣ㸪ᅜᐙࡢᇶᮏィ⏬ࠕ㦵ኴࡢ᪉㔪 2017ࠖࡢ୰࡟㸪඲㌟ࡢ೺ᗣ⥔ᣢ࡟࠾ࡅࡿཱྀ⭍ᶵ⬟⟶⌮ࡢ㔜せᛶࡀึࡵ࡚᫂グࡉࢀࡿ࡞࡝㸪ཱྀ⭍࡟ᑐࡍࡿ㛵ᚰࡀ㧗ࡲࡗ࡚࠸ࡲࡍ㸬௒ᚋࡶ᭷⑓㧗㱋⪅ࡸせ௓ㆤ㧗㱋⪅ࡢቑຍࡀぢ㎸ࡲࢀࡿ୰㸪ṑ⛉་⒪ᚑ஦⪅ࡀཱྀ⭍⟶⌮ࢆ㏻ࡋ࡚೺ᗣᑑ࿨ࡢᘏఙ࡟㈉⊩ࡋ⥆ࡅࡿࡓࡵ࡟ࡣ㸪ṑ⛉㡿ᇦ࠿ࡽࡢ࢚ࣅࢹࣥࢫࡢⓎಙࡀ୙ྍḞ࡜⪃࠼ࡲࡍ㸬ࡋ࠿ࡋ㸪᭱ࡶ་⒪㐃ᦠࡀ㐍ࢇ࡛࠸ࡿ⫵⅖ண㜵ࡢศ㔝࡟࠾࠸࡚ࡶ㸪ཱྀ⭍⣽⳦ࡀ࡝ࡢࡼ࠺࡟⫵⅖ࡢⓎ⑕࡟㛵୚ࡋ࡚࠸ࡿࡢ࠿㸪࡞ࡐண㜵࡟ཱྀ⭍ࢣ࢔ࡀ᭷ຠ࡞ࡢ࠿㸪EBM ࢆᐇ㊶ࡍࡿୖ࡛ࡶ㔜せ࡞Ⅼࡣᮍゎ᫂ࡢࡲࡲ࡛ࡍ㸬⚾ࡓࡕࡢ◊✲ᐊ࡛ࡣ㸪ࡇࢀࡲ࡛ࡢࠕᐟ୺㸫㸫ᐤ⏕య┦஫స⏝ࠖ࡟ຍ࠼㸪ࠕᚤ⏕≀㛫┦஫స⏝ࠖࡍ࡞ࢃࡕ㸪ࠕ⣽⳦㸫⣽⳦㸪ཬࡧ⣽⳦㸫㸫࢘࢖ࣝࢫࡢ┦஫స⏝ࠖ࡜࠸࠺᪂ࡓ࡞どⅬ࠿ࡽ◊✲ࢆ㐍ࡵ㸪୺࡟ཱྀ⭍⣽⳦ࡀ࢖ࣥࣇ࢚ࣝࣥ
ࢨࡸ HIV ឤᰁ⑕➼ࡢ࢘࢖ࣝࢫឤᰁ⑕ࡢ㐍ᒎ࡟ࡶᗈࡃᙳ㡪ࢆཬࡰࡋ࡚࠸ࡿྍ⬟ᛶࢆ᫂ࡽ࠿࡟ࡋ࡚ࡁࡲࡋࡓ㸬᭱㏆࡛ࡣ㸪ㄗᄟᛶ⫵⅖ࡸ COPD (៏ᛶ㛢ሰᛶ⫵⑌ᝈ) ➼ࡢ࿧྾ჾ⑌ᝈࡢⓎ⑕࡟ཬࡰࡍཱྀ⭍⣽⳦ࡢᙳ㡪࡟ࡘ࠸࡚ゎᯒࢆ㐍ࡵ࡚࠾ࡾ㸪ཱྀ⭍⣽⳦ࡀ࿧྾ჾୖ⓶⣽⬊ࡸ࣐࢘ࢫ࡟࠾࠸࡚⅖⑕ᛶࢧ࢖ࢺ࢝࢖ࣥࢆᙉࡃㄏᑟࡍࡿࡇ࡜㸪⫵⅖⌫⳦ࡸ⥳⮋⳦➼ࡢࣞࢭࣉࢱ࣮ࡢⓎ⌧ࢆㄏᑟࡋ⫵⅖㉳⅖⳦ࡢᐃ╔ࢆಁ㐍ࡍࡿࡇ࡜࡞࡝ࢆぢฟࡋࡲࡋࡓ㸬ཱྀ⭍⣽⳦ࡣᐟ୺ࡢࡳ࡞ࡽࡎ㸪௚ࡢ⑓ཎᚤ⏕≀࡜┦஫స⏝ࡍࡿࡇ࡜࡟ࡼࡾ࿧྾ჾឤᰁ⑕ࡢⓎ⑕ࡸቑᝏ࡟῝ࡃ㛵୚ࡋ࡚࠸ࡿࡇ࡜ࡀ♧၀ࡉࢀࡲࡍ㸬ᚑࡗ࡚㸪ᚤ⏕≀㛫㸪ཬࡧᚤ⏕≀࡜ᐟ୺࡜ࡢከᙬ࡞ࢡࣟࢫࢺ࣮ࢡࡢゎ᫂ࡀ㸪ឤᰁ⑕࡟ᑐࡍࡿ᪂ࡋ࠸⌮ゎ࡜᪂つࡢண㜵࣭἞⒪ἲࡢ㛤Ⓨ࡟ࡘ࡞ࡀࡿ࡜⪃࠼࡚࠸ࡲࡍ㸬ࡇࡢࡼ࠺࡞ほⅬ࠿ࡽᮏㅮ₇࡛ࡣ㸪ཱྀ⭍⣽⳦࡜඲㌟࡜ࡢ㛵㐃ᛶࢆ♧ࡍ◊✲ࡢࢺࣆࢵࢡࢫ࡟ຍ࠼㸪୺࡟⚾ࡓࡕࡢ◊✲ᡂᯝࢆ୰ᚰ࡟㸪ཱྀ⭍⣽⳦࡟ࡼࡿ࿧྾ჾ⑌ᝈࡢⓎ⑕࣓࢝ࢽࢬ࣒ࢆ⤂௓ࡉࡏ࡚㡬ࡁࡲࡍ㸬ࢃࢀࢃࢀṑ⛉་⒪ᚑ஦⪅ࡣ㸪ཱྀ⭍ᶵ⬟ࡢ⥔ᣢ࡜ྥୖ࡟㈉⊩ࡋ㸪ཱྀ࠿ࡽ㣗࡭ࡿࡇ࡜ࡢ႐ࡧࢆ㧗㱋࡟࡞ࡗ࡚ࡶឤࡌ࡚ࡶࡽ࠺ࡓࡵ㸪ࡲࡓ EBM ࡟ᇶ࡙ࡃཱྀ⭍ࢣ࢔ࢆ☜❧ࡍࡿࡓࡵ࡟ࡶ㸪ࠕཱྀ⭍⟶⌮ࡢཎⅬࡣཱྀ⭍ᚤ⏕≀ࡢࢥࣥࢺ࣮ࣟࣝ࡟࠶ࡿࠖ
㸪ࠕཱྀ⭍ᚤ⏕≀࡟ࡼࡿ⅖⑕ࡣ඲㌟࡟ᗈࡀࡿࠖ࡜࠸࠺ࡇ࡜ࢆ෌ㄆ㆑ࡍࡿᚲせࡀ࠶ࡿ࡜⪃࠼ࡲࡍ㸬

14

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1997 ᖺ

ᮅ᪥኱ᏛṑᏛ㒊༞ᴗ

2001 ᖺ

᫂ᾏ኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ಟ஢

2001 ᖺ

ྡྂᒇᕷ❧኱Ꮫ኱Ꮫ㝔་Ꮫ◊✲⛉ศᏊ㑇ఏᏛ㒊㛛◊✲ဨ
䠄㈈䠅࢚࢖ࢬண㜵㈈ᅋ PD㸪䠄㈈䠅ࣄ࣮࣐ࣗࣥࢧ࢖࢚ࣥࢫ᣺⯆㈈ᅋ PD

2008 ᖺ

ྡྂᒇᕷ❧኱Ꮫ኱Ꮫ㝔་Ꮫ◊✲⛉⣽⬊ศᏊ⏕≀Ꮫຓᩍ2010 ᖺ

᪥ᮏ኱ᏛṑᏛ㒊ᑓ௵ㅮᖌ㸪෸ᩍᤵ

2016 ᖺ

᪥ᮏ኱ᏛṑᏛ㒊ᩍᤵ

15

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11 ᭶ 25 ᪥䠄᪥䠅㻌 13䠖10䡚14䠖10㻌 㻌 6 㝵 CST 䝩䞊䝹⏕ᾭ◊ಟࢥ࣮ࢻ࠙2104ࠚ

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⿵⥛ṑ⛉㛵ಀ᪂つಖ㝤཰㍕་⒪ᢏ⾡ࡢゎㄝ᪥ᮏṑ⛉኱Ꮫ⏕࿨ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨ 1 ㅮᗙᩍᤵ ᚿ㈡ ༤㸦බ♫㸧᪥ᮏ⿵⥛ṑ⛉Ꮫ఍་⒪ၥ㢟᳨ウጤဨ఍࡛ࡣ㸪ᖹᡂ 30 ᖺᗘデ⒪ሗ㓘ᨵᐃ࡟࠾࠸࡚ಖ㝤཰㍕ࡸᨵᐃࡉࢀࡓ⿵⥛ṑ⛉㛵㐃་⒪ᢏ⾡࡟ࡘ࠸࡚㸪Ꮫ఍఍ဨ࠾ࡼࡧᆅᇦ࡛ṑ⛉་⒪࡟ᚑ஦ࡍࡿ୍⯡⮫ᗋᐙࡢ᪉ࠎ࡟㐺ษ࡞⾡ᘧࢆ⩦ᚓࡋ࡚࠸ࡓࡔࡃࡇ࡜ࢆ┠ⓗ࡟デ⒪ᣦ㔪ࡸゎㄝ⏝㈨ᩱࢆసᡂࡋ㸪Ꮫ఍࣮࣒࣮࣍࣌ࢪ
㸦http://www.hotetsu.com/s4_04.html㸧࡛බ㛤ࡋ࡚࠸ࡿ㸬ࡇࡢᗘ㸪ࡑࢀࡽࡢ⿵⥛ṑ⛉㛵㐃་⒪ᢏ⾡㸪ࡍ࡞ࢃࡕࠕ㧗ᙉᗘࢥ࣏ࣥࢪࢵࢺ㸦◳㉁㸧ࣞࢪࣥࣈࣜࢵࢪࠖ
㸪ࠕ኱⮻ṑ CAD/CAM ෙࠖ㸪ࠕ᭷ᗋ⩏ṑ࿪ᄮᶵ⬟᳨ᰝࠖ㸪ࠕཱྀ⭍ෆ⿦⨨㸯࣭㸰࣭㸱ࠖ㸪ࠕ᭷ᗋ⩏ṑෆ㠃㐺ྜἲ㸦㌾㉁ᮦᩱ㸧ࠖ࡟ࡘ࠸࡚ᗈࡃ࿘▱ࡍࡿᶵ఍࡜ࡋ࡚㸪ྛᨭ㒊࡟࠾࠸࡚㛤ദࡍࡿ⏕ᾭᏛ⩦බ㛤ࢭ࣑ࢼ࣮ࡢඹ㏻ࢸ࣮࣐࡜ࡉࡏ࡚࠸ࡓࡔࡃࡇ࡜࡜࡞ࡗࡓ㸬㧗ᙉᗘࢥ࣏ࣥࢪࢵࢺ㸦◳㉁㸧ࣞࢪࣥࣈࣜࢵࢪࡣ㸪ᢏ⾡ྡ㸸㔠ᒓ௦᭰ᮦᩱ࡜ࡋ࡚ࢢࣛࢫࣇ࢓࢖ࣂ࣮࡛⿵ᙉࡉ
ࢀࡓ㧗ᙉᗘࡢࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࢆ⏝࠸ࡓ୕ࣘࢽࢵࢺࣈࣜࢵࢪ἞⒪࡜ࡋ࡚ 2012 ᖺ࡟ඛ㐍་⒪࡟ᑟධࡉࢀ࡚
࠸ࡓࡶࡢ࡛㸪ࡇࡢᗘ㸪ಖ㝤཰㍕࡟⮳ࡗࡓ㸬኱⮻ṑ CAD/CAM ෙࡣ㸪ṑ⛉⏝㔠ᒓࢆཎᅉ࡜ࡍࡿ㔠ᒓ࢔ࣞࣝࢠ
࣮ᝈ⪅࡟㝈ࡾ኱⮻ṑ࡟ࡶ㐺⏝ࡉࢀ࡚࠸ࡓࡀ㸪ୖୗ㢡୧ഃࡢ➨஧኱⮻ṑࡀ඲࡚ṧᏑࡋ㸪ᕥྑࡢညྜᨭᣢࡀ☜ಖࡉࢀ࡚࠸ࡿࡇ࡜ࢆ᮲௳࡟ୗ㢡➨୍኱⮻ṑࡢ༢⊂ෙ⑕౛࡟ࡶ㐺⏝ྍ⬟࡜࡞ࡗࡓ㸬ᖹᡂ 28 ᖺᗘ࡟ඛ㐍་⒪࠿ࡽಖ㝤཰㍕ࡉࢀ࡚࠸ࡓ᭷ᗋ⩏ṑ࿪ᄮᶵ⬟᳨ᰝ࡛ࡣ㸪ࡇࡢᗘ㸪ညྜᅽ ᐃࡢ᳨ᰝ㡯┠ࡢ㏣ຍ࡜࡜ࡶ࡟㸪㐺ᛂᣑ኱㸪⟬ᐃせ௳ࡢ⦆࿴ࡀ࠶ࡗࡓ㸬ཱྀ⭍ෆ⿦⨨㸯࣭㸰࣭㸱ࡣ㸪ࡇࢀࡲ࡛ࡢᗋ๪Ꮚ㸦ညྜᣲୖ๪Ꮚ㸪㢡㛵⠇⑕࡟ᑐࡍࡿ
ࢫࣉࣜࣥࢺ㸪ṑࡂࡋࡾ࡟ᑐࡍࡿညྜᗋ࡞࡝㸧࡟ࡘ࠸࡚ࡢྡ⛠㸪ศ㢮ࡀ〇సἲ㸪ᮦᩱ㸪ᙧែ࡟ࡼࡾᩚ⌮ࡉࢀࡓࡶࡢ࡛࠶ࡿ㸬᭷ᗋ⩏ṑෆ㠃㐺ྜἲ㸦㌾㉁ᮦᩱ㸧࡛ࡣ㸪ࢩࣜࢥ࣮ࣥ⣔࡟ຍ࠼࢔ࢡࣜࣝ⣔㌾㉁⿬⿦ᮦࡀ᪂つಖ㝤㐺⏝ᮦᩱ࡜࡞ࡗࡓ࡯࠿㸪⩏ṑࢆ㡸࠿ࡗࡓᙜ᪥ࡲࡓࡣ⩣᪥࡟ᗋ⿬⿦ࢆ⾜ࡗࡓሙྜࡢホ౯ࡢ᪂タࡀ⾜ࢃࢀࡓ㸬ㅮ₇࡛ࡣ㸪ࡇࢀࡽࡢ⾡ᘧ࡟㛵ࡋ㸪㐺ᛂ⑕ࡢุ᩿㸪⾡ᘧࡸホ౯ἲ㸪ᡂຌࡉࡏࡿ࣏࢖ࣥࢺ➼࡟ࡘ࠸࡚ゎㄝࡍࡿ㸬17࠙␎Ṕࠚ
1979 ᖺ

ྠᚿ♫኱ᏛᕤᏛ㒊㟁ᏊᕤᏛ⛉༞ᴗ

1986 ᖺ

᪥ᮏṑ⛉኱ᏛṑᏛ㒊༞ᴗ

1990 ᖺ

᪥ᮏṑ⛉኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ಟ஢㸦ṑᏛ༤ኈ㸧

1990 ᖺ

᪥ᮏṑ⛉኱ᏛṑᏛ㒊ຓᡭ

1991 ᖺ

᪥ᮏṑ⛉኱ᏛṑᏛ㒊ㅮᖌ

1992 ᖺ

࢔࣓࣭࣑ࣜ࢝ࢩ࢞ࣥ኱ᏛṑᏛ㒊ᐈဨㅮᖌ㸦1993 ᖺࡲ࡛㸧

1995 ᖺ

᪥ᮏṑ⛉኱ᏛṑᏛ㒊ຓᩍᤵ

2004 ᖺ

᪥ᮏṑ⛉኱ᏛṑᏛ㒊ᩍᤵ㸦⌧ᅾ࡟⮳ࡿ㸧

18

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ᑓ㛛་◊ಟ఍ࠗ⩏ṑ἞⒪࡬ࡢࢹࢪࢱࣝᢏ⾡ά⏝ࡢ௒㸪ࡑࡋ࡚ᮍ᮶࠘ᗙ 㛗㸸㧗ὠ໷ᶞ ඛ⏕ 㸦᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϩㅮᗙ㸧ㅮ ᖌ㸸᪂஭჆๎ ඛ⏕ 㸦᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉ᨺᑕ⥺Ꮫㅮᗙ㸧ࠕ⩏ṑ἞⒪࡟࠾ࡅࡿデᰝ࣭デ᩿࡬ࡢࢹࢪࢱࣝᢏ⾡ά⏝࡟ࡘ࠸࡚ࠖㅮ ᖌ㸸኱ஂಖຊᘅ ඛ⏕ 㸦㭯ぢ኱ᏛṑᏛ㒊᭷ᗋ⩏ṑ⿵⥛Ꮫㅮᗙ㸧ࠕCAD/CAM ࢹࣥࢳ࣮ࣕࡢ⌧≧࡜ྍ⬟ᛶࠖ
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11 ᭶ 25 ᪥䠄᪥䠅㻌 14䠖20䡚16䠖20㻌 㻌 6 㝵 CST 䝩䞊䝹⏕ᾭ◊ಟࢥ࣮ࢻ࠙3101ࠚ

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19

ᑓ㛛་◊ಟ఍ ࠗ⩏ṑ἞⒪࡬ࡢࢹࢪࢱࣝᢏ⾡ά⏝ࡢ௒㸪ࡑࡋ࡚ᮍ᮶࠘
⩏ṑ἞⒪࡟࠾ࡅࡿデᰝ࣭デ᩿࡬ࡢࢹࢪࢱࣝᢏ⾡ά⏝࡟ࡘ࠸࡚᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉ᨺᑕ⥺Ꮫㅮᗙ≉௵ᩍᤵ ᪂஭჆๎X ⥺ CT ࡣ 1970 ᖺ௦࡟࢖ࢠࣜࢫ࡛㛤Ⓨࡉࢀ㸪ᮏ㑥࡛ࡣ 1980 ᖺ௦࡟ࡣṑ⛉⑓㝔࡟タ⨨ࡉࢀࡿࡼ࠺࡟࡞ࡾ㸪≉࡟ᝏᛶ⭘⒆ࡸ㦵ᢡ࡞࡝ࡢእ⛉㡿ᇦࡢデ᩿࡟᭷⏝࡛࠶ࡗࡓ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪⿦⨨ࡀ኱ᆺ࡛ X ⥺⿕᭚⥺㔞ࡀ኱ࡁࡃ㸪ゎീຊࡶప࠸ࡇ࡜࠿ࡽ㸪୍⯡ࡢṑ⛉デ⒪࡟✚ᴟⓗ࡟ᛂ⏝ࡉࢀࡿࡇ࡜ࡣ࡞࠿ࡗࡓ㸬
1990 ᖺ௦ᚋ༙࡟㸪₇⪅ࡣṑ⛉་⒪࡟᭱㐺໬ࡋࡓᑠ↷ᑕ㔝㧗ゎീᗘṑ⛉⏝ࢥ࣮ࣥࣅ࣮࣒ CT㸦Limited area
High resolution Cone Beam Computed Tomography; CBCT㸧ࢆ㛤Ⓨࡋ㸪ᇙఅṑ࣭᰿ᑤ⑓ኚ࠾ࡼࡧ࢖ࣥࣉ
ࣛࣥࢺࡢ⾡๓デᰝ࡞࡝࡟ᗈࡃᛂ⏝ࡉࢀ࡚ࡁࡓ㸬⌧ᅾࡣᅜẸ೺ᗣಖ㝤࡟ࡶᑟධࡉࢀ㸪୍⯡ⓗ࡞デ᩿ᶵჾ࡜ࡋ࡚
ᗈࡃ౑⏝ࡉࢀࡿࡼ࠺࡟࡞ࡗࡓ㸬᭱㏆࡛ࡣ㣕㌍ⓗ࡟㐍Ṍࢆ⥆ࡅ࡚࠸ࡿ IoT㸦Internet of Things㸧ࢆ⫼ᬒ࡟㸪CBCT ࡣ CAD࣭CAM ࡢᢏ⾡࡞࡝࡜ࡢࣇ࣮ࣗࢪࣙࣥࡶヨࡳࡽࢀࡿࡼ࠺࡟࡞ࡗࡓ㸬ࡑࡢ࡞࠿࡛㸪࡜ࡃ࡟▹ṇࡸ⿵⥛࡜࠸ࡗࡓᑂ⨾㡿ᇦࡸ㸪㢡㐠ື࡜㐃ືࡉࡏࡓࣂ࣮ࢳࣕࣝညྜჾࡀὀ┠ࡉࢀ࡚࠸ࡿ㸬⿵⥛㡿ᇦ࡛ࡣ㢡㐠ືࢆつᐃࡍࡿ㢡㛵⠇ࡢᙧែࢆ⢭ᐦ࡟ࢹࢪࢱࣝ໬ࡍࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪ࡑࢀ࡟ࡣ௨ୗࡢࡼ࠺࡞ᵝࠎ࡞ၥ㢟Ⅼࡀ࠶ࡿ㸬ࡲࡎ㸪CBCT ࡛ࡣ㸪㢡㢦㠃㡿ᇦࢆ᧜ᙳࡍࡿ኱ࡁ
࡞ FOV (Filed of View)ࢆ㑅ᢥࡍࡿ࡜㸪㢡㛵⠇㒊࡛ X ⥺ࡀᩳࡵ࡟ධᑕࡍࡿࡇ࡜࠿ࡽ≉᭷ࡢࢥ࣮ࣥࣅ࣮࣒࢔࣮
ࢳࣇ࢓ࢡࢺࡀ⏕ࡌ㸪ࡑࡢእᙧ࡟ㄗᕪࡀ⏕ࡌࡿࡇ࡜ࡀሗ࿌ࡉࢀ࡚࠸ࡿ㸬኱↷ᑕ㔝ࢆ㑅ᢥࡋࡓሙྜࡢ⿕᭚⥺㔞࡟㛵ࡋ࡚ࡶ␃ពࡀᚲせ࡛࠶ࡿ㸬ࡲࡓ㸪ୗ㢡㢌ࡣ㦵⤌⧊࡛ᙧᡂࡉࢀࡓୗ㢡❐ෆ࡟఩⨨ࡋ࡚࠸ࡿࡓࡵ࡟㸪X ⥺ࡢῶᙅࡀ⃭ࡋ࠸㸬ࡑࡢࡓࡵ࡟ᴟ➃࡟ప⿕᭚࡛᧜ᙳࡍࡿ࡜ᙧែࢆṇ☜࡟෌⌧࡛ࡁ࡞࠸ၥ㢟ࡀ࠶ࡗࡓ㸬ࡉࡽ࡟ࡣ㸪⮫ᗋ࡛ࡣᝈ⪅ࡢయື࡟ࡼࡿ࢔࣮ࢳࣇ࢓ࢡࢺࡢⓎ⏕࡞࡝ࡶၥ㢟࡜࡞ࡿ㸬⿕᭚࡟ᑐࡋ࡚ࡣᅜ㝿ᨺᑕ⥺㜵ㆤጤဨ఍㸦ICRP㸧ࡢ່࿌ࡢࡶ࡜㸪ṇᙜ໬࡜᭱㐺໬࡟ࡘ࠸࡚␃ពࡀᚲせ࡛࠶ࡿ㸬ᮏබ₇࡛ࡣ㸪CBCT ࡢ⏬ീ෌ᵓᡂࡢ
ཎ⌮࡜ࡑࡢㄗᕪཬࡧ⿕᭚࡟㛵ࡋ࡚⌧≧ࡢၥ㢟Ⅼ࡟ࡘ࠸࡚ㅮ₇ࢆ⾜࠺㸬 ᭱ᚋ࡟㸪ࡇࢀࡽࡢၥ㢟Ⅼࢆ᭱㐺໬ࡋ㸪㢡㛵⠇ࢆ 3 ḟඖࣉࣜࣥࢱ࣮࡛స〇ࡋࡓ͆㸱D ညྜჾ͇࡟ࡘ࠸࡚⤂㸬㸬㸬௓ࢆ⾜࠺㸬ࡇࢀࡣ㸪ᕥྑࡢ㢡㛵⠇ࢆᑠ↷ᑕ㔝࡛᧜ᙳࡍࡿࡇ࡜࡛⿕᭚ࢆ㍍ῶࡋࡘࡘ㧗⢭⣽࡞ 3 ḟඖ⏬ീࢆྲྀᚓࡋ㸪ࡑࢀࢆ㸱ḟඖࣉࣜࣥࢱ࣮࡛ᙧែࢆ෌⌧ࡋညྜჾࡢ㢡㛵⠇㒊఩࡟⿦╔ࡋࡓࡶࡢ࡛࠶ࡿ㸬⌧ᅾ㸪▼ሯ஽ࡽࡀ⮫ᗋᛂ⏝ࢆ᪥ᮏ኱ᏛṑᏛ㒊೔⌮ጤဨ఍ࡢチྍࢆᚓ࡚ヨࡳ࡚࠸ࡿ㸬 ⿕᭚ࡢࣜࢫࢡࡀ↓ど࡛ࡁࢀࡤ㸪㧗⢭ᗘ࡞᝟ሗࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪͆⢭ᗘ࡜⿕᭚࡟ࡼࡿࣜ
ࢫࢡࡣ┦཯㛵ಀ͇࡟࠶ࡾ㸪ࡇࢀࡽࡢ᭱㐺໬ࡀ௒ᚋࡢㄢ㢟࡛࠶ࡿ࡜⪃࠼ࡿ㸬
COI ࣔࣜࢱ〇సᡤ

20

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࠙␎Ṕࠚ
1988 ᖺ

᪥ᮏ኱ᏛṑᏛ㒊኱Ꮫ㝔༞

2004 ᖺ

ᯇᮏṑ⛉኱Ꮫ኱Ꮫ㝔 ◳⤌⧊⑌ᝈไᚚ෌ᘓᏛㅮᗙ ᩍᤵ

2005 ᖺ

໭༓ఫࣛࢪࢫࢺṑ⛉ i-view ⏬ീࢭࣥࢱ࣮㛤タ2008 ᖺ

᪥ᮏ኱ᏛṑᏛ㒊 ≉௵ᩍᤵ ᙺ⫋᪥ᮏṑ⛉ᨺᑕ⥺Ꮫ఍ᣦᑟ་㸪ྠ⌮஦㸪ྠᑓ㛛་᪥ᮏཱྀ⭍࢖ࣥࣉࣛࣥࢺᏛ఍ᇶ♏⣔ᣦᑟ་㈹

ᖹᡂ㸯㸳ᖺ ⛉Ꮫᢏ⾡ᨻ⟇ᢸᙜ኱⮧㈹
ᖹᡂ㸯㸷ᖺ ᩥ㒊⛉Ꮫ኱⮧Ⓨ᫂ዡບ㈹21ᑓ㛛་◊ಟ఍ ࠗ⩏ṑ἞⒪࡬ࡢࢹࢪࢱࣝᢏ⾡ά⏝ࡢ௒㸪ࡑࡋ࡚ᮍ᮶࠘
CAD/CAM ࢹࣥࢳ࣮ࣕࡢ⌧≧࡜ྍ⬟ᛶ㭯ぢ኱ᏛṑᏛ㒊᭷ᗋ⩏ṑ⿵⥛Ꮫㅮᗙ኱ஂಖ ຊᘅ

᭷ᗋ⩏ṑ〇స࡟࠾ࡅࡿࢹࢪࢱࣝᢏ⾡ࡢᑟධࡣ㸪࢖ࣥࣉࣛࣥࢺ἞⒪ࡸࢡࣛ࢘ࣥࣈࣜࢵࢪ㡿ᇦ࡟ẚ㍑ࡋ࡚ṧᛕ࡞ࡀࡽ୍Ṍฟ㐜ࢀ࡚࠸ࡲࡋࡓ㸬ࡋ࠿ࡋ㸪ᑡࡋࡎࡘ࡛ࡍࡀࣇ࣮࣒࣮ࣞ࣡ࢡࡸ⩏ṑᗋࡢ CAD/CAM 〇సࡶ᪥ᖖ⮫ᗋ࡟ᬑཬࡋࡘࡘ࠶ࡾ㸪70 ᖺ㛫௨ୖ࡟ࢃࡓࡾ㡹࡞࡟㋃くࡉࢀ࡚ࡁࡓྍ᧔ᛶ⩏ṑࡢ〇స⾡ᘧࡀ኱ࡁ࡞ኚ㠉ᮇ
ࢆ㏄࠼ࡼ࠺࡜ࡋ࡚࠸ࡲࡍ㸬ୡࡢ୰ࡢከࡃࡀ࢔ࢼࣟࢢ࠿ࡽࢹࢪࢱࣝ࡟ࢩࣇࢺࡋ࡚࠸ࡿ୰࡛㸪᭷ᗋ⩏ṑ〇సࡶ౛እ࡛ࡣ࡞ࡃ㸪ᚲ↛ⓗ࡞₻ὶ࡜ゝ࠼ࡿࡢ࠿ࡶࡋࢀࡲࡏࢇ㸬ࣞࢪࣥᗋࡢࢥࣥࣉ࣮ࣜࢺࢹࣥࢳ࣮ࣕࡣᵓᡂせ⣲ࡀ⩏ṑᗋ࡜ேᕤṑࡋ࠿࡞࠸ࡇ࡜࠿ࡽ㸪ࣃ࣮ࢩࣕࣝࢹࣥࢳࣕ
࣮࡟ẚ㍑ࡋ࡚᪩ᮇ࡟⮫ᗋᛂ⏝ࡀ㐍ࢇ࡛࠾ࡾ㸪ࡍ࡛࡟ࢥ࣐࣮ࢩ࣮ࣕࣝ࣋ࢫ࡛ὶ㏻ࡋ࡚࠸ࡿᾏእ〇ရࡶ࠶ࡾࡲࡍ㸬ᙜㅮᗙ࡟࠾࠸࡚ࡶ㸪㸦ᰴ㸧୕஭໬Ꮫࡢࡈ༠ຊࢆᚓ࡚㸪⣙㸳ᖺ๓࠿ࡽ CAD/CAM ࢥࣥࣉ࣮ࣜࢺࢹࣥࢳ࣮ࣕࡢ⮫ᗋᛂ⏝ࢆ✚ᴟⓗ࡟᥎㐍ࡋ࡚࠾ࡾ㸪CAD/CAM ࢹࣥࢳ࣮ࣕࡢ⮫ᗋホ౯ࢆ⾜࡞࠸࡞ࡀࡽ㸪ࢹࢪࢱ࣮ࣝࣜࣜࣇࡸ
ேᕤṑࡢ⏕⌮ⓗࢹࢪࢱࣝ᤼ิ➼ࡢ᪂ᢏ⾡ࢆሗ࿌ࡋ࡚ࡁࡲࡋࡓ㸬⌧ᅾࡣ࣑ࣜࣥࢢ࡜㸱D ࣉࣜࣥࢺࢆ⑕౛࡟ࡼ
ࡗ࡚౑࠸ศࡅ࡞ࡀࡽ㸪⩏ṑࡢ㐺ྜ⢭ᗘࡸᙉᗘ࡞࡝ࡢ᳨ドࢆ⾜࡞ࡗ࡚࠸ࡲࡍ㸬୍᪉㸪ࣃ࣮ࢩࣕࣝࢹࣥࢳ࣮ࣕࡣࣇ࣮࣒࣮ࣞ࣡ࢡࢆ⩏ṑᗋࡀໟྵࡍࡿᵓ㐀࡛࠶ࡾ㸪ࡋ࠿ࡶ」㞧࡞ᙧ≧ࢆ᭷ࡍࡿࡇ࡜࠿ࡽ㸪ࣇࣝࢹࢪࢱࣝ〇సࡢࣁ࣮ࢻࣝࡣ㠀ᖖ࡟㧗ࡃ㸪⌧≧࡟࠾࠸࡚ࡶヨ⾜㘒ㄗࡢẁ㝵࡜ᛮࢃࢀࡲࡍ㸬ࡓࡔࡋ㸪ࣇ࣮࣒࣮ࣞ࣡ࢡࡢ CAD/CAM 〇స࡟࠾࠸࡚ࡣᨵၿࡢవᆅࡣ࠶ࡿࡶࡢࡢ㸪⮫ᗋⓗ࡟チᐜ࡛ࡁࡿᇶ‽࡟฿㐩ࡋ࡚࠸ࡿࡢ࡛ࡣ࡞࠸࡛ࡋࡻ࠺࠿㸬≉࡟࣑ࣜࣥࢢ࡜✚ᒙ㐀ᙧࢆ࣡ࣥࣉࣟࢭࢫ࡛⾜࠺ࣁ࢖ࣈࣜࢵࢻຍᕤࡣ㸪㧗࠸㐺ྜ⢭ᗘࡀせồࡉࢀࡿྍ᧔ᛶᨭྎ⿦⨨࡟㐺ࡋࡓ〇సἲ࡜⪃࠼࡚࠸ࡲࡍ㸬
CAD/CAM ࡢᛂ⏝࡟ࡼࡾ㸪ᮦ㉁ࡢᆒ㉁໬ࡸ≀ᛶࡢྥୖࡣࡶࡕࢁࢇࡢࡇ࡜㸪᭱኱ࡢḞⅬ࡛࠶ࡗࡓࣞࢪࣥࡢ
㔜ྜ཰⦰࡟ࡼࡿ⩏ṑᗋࡢኚᙧࡸညྜࡢㄗᕪࢆ኱ࡁࡃᢚไ࡛ࡁࡿࡇ࡜࠿ࡽ㸪ඃࢀࡓ㐺ྜࢆᚓࡿࡓࡵ࡟ࡣ᭱㐺࡞〇సἲ࡜⪃࠼࡚࠸ࡲࡍ㸬ࡇࢀࡲ࡛ࡢ↹㞧࡞⩏ṑ〇స⾡ᘧ࡟ຍ࠼࡚㸪⩏ṑࡢಟ⌮ࡸ෌〇స᫬࡟㢡ሐᙧែࡸࢹࣥ
ࢳ࣮ࣕࢫ࣮࣌ࢫ㸪ᪧ⩏ṑࡢ㸱D ᙧ≧ࢹ࣮ࢱࡀ⵳✚ࡉࢀ࡚࠸ࡿࡇ࡜ࡢᜠᜨࡣィࡾ▱ࢀࡲࡏࢇ㸬㏆࠸ᑗ᮶㸪⩏ṑࡢ CAD/CAM 〇సࡀಖ㝤཰㍕ࡉࢀᗈࡃᬑཬࡍࡿࡇ࡜ࡶษᮃࡋ࡚࠸ࡲࡍࡀ㸪ᡃࡀᅜࡢ⩏ṑࡢ㧗࠸ࢡ࢜ࣜࢸ
࢕࣮ࢆሀᣢࡍࡿࡓࡵ࡟ࡶ◊✲㛤Ⓨࢆಁ㐍ࡋ࡞ࡅࢀࡤ࡞ࡽ࡞࠸࡜⪃࠼࡚࠸ࡲࡍ㸬⌧ᅾ㸪࢖ࣥࣉࣛࣥࢺࢹࣥࢳ࣮ࣕࢆྵࡵࡓ CAD/CAM ࢹࣥࢳ࣮ࣕࡢ⮫ᗋᛂ⏝ࢆ✚ᴟⓗ࡟⾜ࡗ࡚࠸ࡲࡍࡀ㸪ᮏ⩏ṑࡀ㧗࠸࣏ࢸࣥࢩࣕࣝࢆ᭷ࡋ࡚࠸ࡿࡇ࡜ࢆᐇឤࡋ࡚࠸ࡲࡍ㸬௒ᚋࡣ㸪ձᝈ⪅᝟ሗࡢࢿࢵࢺ࣮࣡ࢡ໬㸪ղ༳㇟᥇ᚓ࣭ညྜ᥇ᚓࡢࣇࣝࢹࢪࢱࣝ໬㸪ճ㢡㐠ືࢆࢩ࣑࣮ࣗࣞࢺࡋࡓࣂ࣮ࢳࣕࣝ࢔࣮ࢸ࢕࣮࢟ࣗࣞࢱ࣮㸪մ㧗ᙉᗘ 3D ࣉࣜࣥࢺ➼ࡀᮇᚅࡉࢀ࡚࠸ࡲࡍ㸬ࡑࡇ࡛ᮏㅮ₇࡛ࡣ㸪CAD/CAM ࢹࣥࢳ࣮ࣕࡢ⌧≧ࢆಠ▔ࡋ࡞ࡀࡽ㸪⮫ᗋࢆ㏻ࡋ࡚Ẽ࡙࠸ࡓⅬࢆᴫㄝࡋ㸪ేࡏ࡚ࡉࡽ࡞ࡿⓎᒎࡢྍ⬟ᛶࢆ═ᮃࡋࡓ࠸࡜ᛮ࠸ࡲࡍ㸬

22



࠙␎Ṕࠚ
1986 ᖺ㭯ぢ኱ᏛṑᏛ㒊༞ᴗ

1990 ᖺ㭯ぢ኱Ꮫ኱Ꮫ㝔ಟ஢

1996 ᖺ

Visiting Scientist, Baylor College of Dentistry2009 ᖺ㭯ぢ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨୍ㅮᗙ ᩍᤵ

2016 ᖺ㭯ぢ኱ᏛṑᏛ㒊㝃ᒓ⑓㝔 ⑓㝔㛗

2016 ᖺ㭯ぢ኱ᏛṑᏛ㒊࢖ࣥࣉࣛࣥࢺࢭࣥࢱ࣮㛗2018 ᖺ㭯ぢ኱ᏛṑᏛ㒊 Ꮫ㒊㛗23୍ ⯡ ཱྀ ₇
O㻙1 ~ O㻙14

11 ᭶ 24 ᪥䠄ᅵ䠅㻌 13䠖30䡚17䠖10㻌 㻌 㻌 6 㝵 CST 䝩䞊䝹

24

O 㻙1

࣮ࣞࢨ࣮✚ᒙ㐀ᙧἲ࡛〇సࡋࡓ Co-Cr-Mo ྜ㔠࡬ࡢ⇕ฎ⌮ࡀ⑂ປᙉᗘ࡟୚࠼ࡿᙳ㡪‫ۑ‬㛵 ⤮㔛ዉ㸪㧗ᕷ ᩔኈ㸪ຍᔱ ♸ె㸪ⱝᯘ ๎ᖾᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉㒊ศᗋ⩏ṑ⿵⥛Ꮫศ㔝Effect of heat treatment on the microstructure and fatigue strength of CoCrMo alloys fabricated by selective
laser melting
Seki E, Takaichi A, Kajima Y, Wakabayashi N
Removal Partial Prosthodontics, Division of Oral Health Sciences Graduate School, Tokyo Medical and
Dental UniversityI㸬┠ⓗ࣮ࣞࢨ࣮✚ᒙ㐀ᙧ SLM ἲࡣ」㞧࡞୕ḟඖᵓ㐀ࢆ▷᫬㛫࡛Ᏻᐃⓗ࡟㐀ᙧྍ⬟࡛࠶ࡾ㸪ṑ⛉⿵⥛⿦⨨〇స࡟ᛂ⏝ࡉࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ㐀ᙧ᪉ྥ࡟ࡼࡗ࡚ࡣᚑ᮶ࡢ㗪㐀ἲ࡜ẚ㍑ࡋ࡚⑂ປᙉᗘࡀపୗࡍࡿၥ㢟ࡶᣦ᦬ࡉࢀ࡚࠸ࡿ㸬ᮏ◊✲࡛ࡣ SLM ἲ࡛〇సࡋࡓヨᩱ࡟⇕ฎ⌮ࢆ⾜࠸㸪⤌⧊࠾ࡼࡧ⑂ປᙉᗘ࡬ࡢᙳ㡪ࢆホ౯ࡋࡓࡢ࡛ሗ࿌ࡍࡿ㸬䱷㸬᪉ἲSLM ࡟ࡼࡾ┤ᚄ 3mm ࡢࢲࣥ࣋ࣝ≧ヨᩱ㸦JIS T 0309:2009࡟‽ࡌࡓ⑂ປヨ㦂∦㸧ࢆ✚ᒙ᪉ྥ࡟ᑐࡋ࡚ᖹ⾜࡞ 0°ᮦ࡜ᆶ┤᪉ྥࡢ 90°ᮦࡢ 2 ✀㢮ࢆ〇సࡋࡓ㸬⇕ฎ⌮ࡣ࢔ࣝࢦࣥ㞺ᅖẼୗ࡟࡚ಀ␃ ᗘ 1150䰳㸪ಀ␃᫬㛫 1 ᫬㛫ࡢ᮲௳ୗ࡛⾜ࡗࡓ㸬⇕ฎ⌮⩌࡜㠀⇕ฎ⌮⩌ࡢ⑂ປヨ㦂∦ࡣࡑࢀࡒࢀ⾲㠃ࢆ◊☻ࡋࡓᚋ࡟㟁ẼἜᅽࢧ࣮࣎ᘧᮦᩱヨ㦂ᶵ
࡟࡚ 2.4kN ࡢᘬᙇ᪉ྥࡢࡳࡢṇᘻἼⲴ㔜᪉ᘧ࡛㸪⧞ࡾ㏉
ࡋ㏿ᗘ 10Hz ࡟࡚ヨᩱࡀ◚᩿ࡍࡿࡲ࡛⑂ປヨ㦂ࢆ⾜ࡗO 㻙2ࡓ㸬◚᩿㠃ࡢほᐹࡣ㉮ᰝᆺ㟁Ꮚ㢧ᚤ㙾㸦SEM㸧ࢆ⏝࠸࡚⾜ࡗࡓ㸬ࡲࡓ㸪୍㒊ࡢヨᩱࡣཌࡉ 1mm ࡢ෇ᰕ≧࡟ษ᩿ࡋ㸪ඹ↔Ⅼ࣮ࣞࢨ࣮㢧ᚤ㙾㸪SEM ࢆ⏝࠸࡚⤌⧊ホ౯ࢆ⾜ࡗࡓ㸬III㸬⤖ᯝ࡜⪃ᐹ㠀⇕ฎ⌮⩌࡛ࡣ 0°ᮦࡼࡾ 90°ᮦࡢ᪉ࡀ㸪⑂ປᙉᗘࡀᙉ࠿
ࡗࡓ㸬⇕ฎ⌮ᚋࡣ 0°ᮦ㸪90°ᮦ࡜ࡶ࡟⑂ປᙉᗘࡢྥୖࢆ
☜ㄆࡋࡓ㸬◚᩿㠃ࡢほᐹ࡟ࡼࡾ㸪90°ᮦ࡜ẚ㍑ࡋ࡚ 0°ᮦ
࡟ࡣከࡃࡢḞ㝗㒊఩ࡀ☜ㄆࡉࢀࡓ㸬ࡇࢀࡣ㐀ᙧ᫬ࡢ✚ᒙ
ᅇᩘࡀ 0°ᮦࡢ᪉ࡀከ࠸ࡇ࡜࡟㉳ᅉࡋ㸪Ḟ㝗ࡢᏑᅾࡀ⑂ປ
ᙉᗘࢆపୗࡉࡏࡿ࡜⪃࠼ࡽࢀࡓ㸬⤌⧊ホ౯࡟ࡼࡾ㸪⇕ฎ⌮ᚋࡣ෌⤖ᬗ໬ࡀ⏕ࡌ⤌⧊ࡢᆒ㉁໬ࡀ㐍ࡴࡇ࡜ࡀ☜ㄆࡉࢀࡓ㸬௨ୖࡢ⤖ᯝ࠿ࡽ㸪㐀ᙧ≀ෆ㒊ࡢḞ㝗ࡢᏑᅾࡣ⑂ປᙉᗘ࡟
኱ࡁ࡞ᙳ㡪ࢆ୚࠼ࡿࡀ㸪⇕ฎ⌮ࢆ᪋ࡍࡇ࡜࡛㐀ᙧ≀ࡣ⑂ປᙉᗘࡀ㢧ⴭ࡟ྥୖࡍࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬

PEEK ࡛〇సࡋࡓࢸࣞࢫࢥ࣮ࣉࢡࣛ࢘ࣥࡢ཯᚟╔⬺ヨ㦂࡟ࡼࡿ⥔ᣢຊ࡜⾲㠃ᙧ≧ࡢኚ໬ࠐ୰ᮧ⨾ఞ௦ 1)㸪⏣୰❶ၨ 1)㸪⏣ᆏᙲつ 1), 2)㸪ᑠụ⚽⾜ 3)㸪Ṋᮏ┿἞ 4)㸪ർᡂṇ㞝 2)㸪
ᒣୗ⚽୍㑻 1)1)ᮾிṑ⛉኱Ꮫࣃ࣮ࢩࣕࣝࢹࣥࢳ࣮ࣕ⿵⥛Ꮫㅮᗙ㸪2)ᮾிṑ⛉኱Ꮫཱྀ⭍⛉Ꮫ◊✲ࢭࣥࢱ࣮,3)୰ᅜ࣭ᅄᅜᨭ㒊㸪4)ᒾᡭ་⛉኱Ꮫ་⒪ᕤᏛㅮᗙ
Changes in retentive force and surface morphology of telescope crown made with PEEK by repeatedinsertion/removal test
Nakamura M1), Tanaka A1), Tasaka A1), 2), Koike H3), Takemoto S4), Yoshinari M2), Yamashita S1)
1)

Department of Removable Partial Prosthodontics, Tokyo Dental Collage, 2) Oral Health Science Center,
Tokyo Dental College, 3) Chugoku࣭Shikoku Branch, 4) Department of Biomedical Engineering, Iwate
Medical UniversityϨ㸬◊✲┠ⓗࢹࢪࢱࣝṑ⛉ᢏ⾡ࡀⓎᒎࡋ࡚ࡁࡓ⌧ᅾ㸪CAD/CAM ࢆᛂ⏝ࡋ࡚ࢥ࣮ࢾࢫࢸࣞࢫࢥ࣮ࣉࢡࣛ࢘ࣥࢆ㧗⢭ᗘ࡟〇స࡛ࡁࡿྍ⬟ᛶࡀ㧗ࡲࡗ࡚ࡁࡓ㸬ᮏ◊✲ࡣ㸪ᚑ᮶ἲ࡜ࡋ
࡚ࢱ࢖ࣉ㸲㔠ྜ㔠ࢆ㸪CAD/CAM ἲ࡜ࡋ࡚ Polyether
Ether Ketone㸦PEEK㸧ᮦࢆ⏝࠸࡚ෆእෙࢆ〇సࡋ㸪⧞ࡾ㏉ࡋ╔⬺ࡀ⥔ᣢຊ࡜ෆෙ⾲㠃ᙧ≧࡟ཬࡰࡍᙳ㡪ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬᪉ἲࢱ࢖ࣉ㸲㔠ྜ㔠ࢆ⏝࠸ࡓᚑ᮶ἲ࡛ࡣ㸪ࢸ࣮ࣃ࣮㸴ᗘࡢෆෙ࡜ࡇࢀ࡟㐺ྜࡍࡿእෙࢆ㗪㐀ἲ࡟࡚〇సࡋࡓ㸬
PEEK ࢆ⏝࠸ࡓ CAD/CAM ἲ࡛ࡣ㸪ᚑ᮶ἲ࡜ྠࡌᑍἲ
ࡢෆእෙࢆ࣑ࣜࣥࢢ࡟ࡼࡾ〇సࡋࡓ㸬୧ἲ࡜ࡶ⿕㦂ヨᩱࡣ㸵ಶ࡜ࡋࡓ㸬 ⧞ࡾ㏉ࡋ╔⬺ヨ㦂ᶵࢆ⏝࠸࡚ෆእෙࡢ╔⬺ࢆ

10,000 ᅇࡲ࡛⾜࠸㸪1,000 ᅇẖ࡟⥔ᣢຊ ࢆ ᐃࡋࡓ㸬⥔ᣢຊࡢ ᐃ࡛ࡣ㸪ෆෙ࡟እෙࢆ⿦╔ ࡋ㸳kgf ࡢⲴ㔜ࢆ㈇Ⲵࡋࡓᚋ㸪୓⬟ᮦᩱヨ㦂ᶵࢆ⏝࠸࡚እෙࡢᘬ
ᙇヨ㦂ࢆ⾜࠸㸪ࡑࡢ᭱኱್ࢆ⥔ᣢຊ࡜ࡋࡓ㸬ෆෙഃ㠃ࡢ⾲㠃ᙧ≧ࡢほᐹ࡛ࡣ㸪⥔ᣢຊ ᐃᚋ࡟㸱 D ᐃ࣮ࣞࢨ࣮㢧ᚤ㙾ࢆ⏝࠸࡚㸪ṑ㢕㒊ഃ㸪୰ኸ㸪ညྜ㠃ഃࡢ㸱㒊఩ࢆᑐ㇟࡟⾜ࡗࡓ㸬Ϫ㸬⤖ᯝ ึ ᮇ ⥔ ᣢ ຊ ࡣ 㸪 ࢱ ࢖ ࣉ 㸲 㔠 ྜ 㔠 ࡀ ᖹ ᆒ 12.3N㸪
PEEK ࡀ 12.9N ࡛࠶ࡗࡓ㸬10,000 ᅇࡲ࡛⧞㏉ࡋ╔⬺ヨ㦂ࢆ⾜ࡗࡓ⤖ᯝ㸪PEEK ࡢ⥔ᣢຊῶᑡ⋡ࡣࢱ࢖ࣉ㸲㔠ྜ㔠࡜ẚ㍑ࡋ࡚኱ࡁ࠿ࡗࡓ㸬ෆෙഃ㠃ࡢ⾲㠃ᙧ≧ࡢほᐹ࡛ࡣ㸪୧⪅࡜ࡶ࡟≉␗ⓗ࡞⾲㠃ᙧ≧ࡢኚ໬ࢆ♧ࡋࡓ㸬

25

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CAD/CAM ࣞࢪࣥࢡࣛ࢘ࣥෆ㠃࡟௜୚ࡋࡓ⁁ࡢᩘࡀ᥋╔ᙉࡉ࡟࠾ࡼࡰࡍᙳ㡪
‫ۑ‬᪂ጔ⍛⣖ 1)㸪᪂㇂୍᫂ 1), 2)㸪⸨ᓥ ఙ 1)㸪ⓑ㫽ἋஂⰋ 1)㸪㯮⏣⪽୍ 1)㸪ඵ⏣ࡳࡢࡾ 1)㸪
㛗⏣༤ྐ 3)㸪஬࿡἞ᚨ 1)1)᪥ᮏṑ⛉኱Ꮫ⏕࿨ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨㸰ㅮᗙ㸪2)ࢺࢗࣝࢡ኱Ꮫ㸪3)ᮾிᨭ㒊The effect on the bond strength of number for Micro retentive groove to CAD/CAM resin composite crown
1)

1) 2)

1)

1)

1)

1)

3)

1)

‫ۑ‬Niitsuma A , Shinya A , , Fujishima S , Shiratori S , Kuroda S , Hatta M , Nagata H , Gomi H
1)

The Nippon Dental University School of Life Dentistry at Tokyo, Department of Crown and Bridge,
Department of Biomaterials Science, BioCity Turku Biomaterials Research Program Institute of Dentistry,
University of Turku, 3) Tokyo Branch2)Ϩ㸬┠ⓗ CAD/CAM ࣞࢪࣥࢡࣛ࢘ࣥࡣ㸪⿦╔┤๓ࡢ࢔࣑ࣝࢼࣈ
ࣛࢫࢺࡀ᥎ዡࡉࢀ࡚࠸ࡿࡀ㸪ṑ⛉་㝔ࡢࣈࣛࢫࢱ࣮ᡤ᭷
⋡ࡣ㧗ࡃ࡞࠸㸬ࡑࡇ࡛㸪࢔࣑ࣝࢼࣈࣛࢫࢺࢆ⾜ࢃ࡞ࡃ࡚ࡶ㸪᥋╔ᙉࡉࡢྥୖࢆᅗࡿ᪉ἲ࡜ࡋ࡚㸪ෙෆ㠃࡟ᶵᲔⓗ⥔ᣢࢆ┠ⓗ࡜ࡋࡓ⁁㸦Micro retentive groove㸸௨ୗ MRG㸧ࢆ௜୚ࡍࡿ᪂つຍᕤࣉࣟࢢ࣒ࣛࢆᵓ⠏ࡋࡓ㸬ᮏ◊✲࡛ࡣ㸪CAD/CAM ࣞࢪࣥࢡࣛ࢘ࣥෆ㠃࡟௜୚ࡋࡓ⁁ࡢᩘࡀ᥋╔ᙉࡉ࡟࠾ࡼࡰࡍᙳ㡪࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ϩ㸬᪉ἲ⿕╔యࡣ㸪CAD/CAM ࣞࢪࣥࣈࣟࢵࢡ㸦CERASMART
270㸪GC㸧㸪ࢭ࣓ࣥࢺࡣ㸪ࢭࣝࣇ࢔ࢻࣄ࣮ࢩࣈࣞࢪࣥࢭ
࣓ࣥࢺ㸦G-CEM One㸪GC㸧㸪ࣉࣛ࢖࣐࣮ࡣ㸪ಟ᚟≀⏝࣐ࣝࢳࣉࣛ࢖࣐࣮㸦G-Multi primer㸪GC㸧ࢆ⏝࠸㸪ᨭྎࡣࢫࢸࣥࣞࢫ࡟࡚〇సࡋࡓ㸬MRG ࡣ㸪῝ࡉ 100 µm㸪ࢭ࣓ࣥࢺࢫ࣮࣌ࢫ 40 µm ࡟タᐃ㸪ࢡࣛ࢘ࣥᙧែࡢヨ㦂∦ࢆຍO 㻙4ᕤࡋࡓ㸬MRG ຍᕤ᮲௳ࡣ㸪ࢡࣛ࢘ࣥෆ㠃㍈ഃ㒊࡟➼㛫㝸࡛᭱኱ 5 ᮏࡢ MRG ࢆタᐃࡋ㸪ṑෙ㧗ᚄ୰ኸࢆᇶ‽࡟1㸪3㸪5 ᮏࡣ୰ኸ࡟ᐤࡏࡓྛ 1 ᮲௳㸪2㸪4 ᮏࡣ୰ኸࢆྵ
ࡴୖୗࡢྛ 2 ᮲௳ࢆタᐃࡋࡓ㸬ࡲࡓ㸪MRG ࡢຍᕤࢆ᪋
ࡉ࡞࠸᮲௳ࡶ 1 ᮲௳ຍ࠼㸪ィ 8 ᮲௳࡜ࡋࡓ㸬ྛ᮲௳ 7 ಶ࡛㸪ィ 56 ಶࡢヨ㦂∦ࢆ౑⏝ࡋࡓ㸬MRG ࢆ௜୚ࡋ࡞࠸ヨ㦂∦ࡣ࢔࣑ࣝࢼࣈࣛࢫࢺᚋ࡟ࣉࣛ࢖࣐࣮ฎ⌮ࢆ⾜࠸᥋╔ࡋ㸪MRG ࢆ௜୚ࡋࡓヨ㦂∦ࡣࣉࣛ࢖࣐࣮ฎ⌮ᚋ࡟᥋╔ࡋࡓ㸬37ΥỈ୰࡟ 24 ᫬㛫ᾐₕᚋ㸪ᘬᢤࡁ᥋╔ヨ㦂ࢆ⾜ࡗࡓ㸬 ᐃ⤖ᯝ㸦MPa㸧ࡣ㸪ᮏᩘ㛫࡛ Kruskal Wallisࡢ H ᳨ᐃࢆ⾜ࡗࡓᚋ㸪Mann-Whitney ࡢ U ᳨ᐃࢆ⾜ࡗࡓ㸬Ϫ㸬⤖ᯝ࡜⪃ᐹ
MRG ࢆ 3 ᮏ௜୚ࡋࡓ᮲௳࡛ 11.2s1.6 㸦MPa㸧࡜᭱ࡶ㧗࠸᥋╔ᙉࡉࢆ♧ࡋ㸪1 ᮏ௜୚ࡋࡓ᮲௳௨እ࡟ᑐࡋ㸪᭷ព࡟㧗࠸್ࢆ♧ࡋࡓ㸬CAD/CAM ࣞࢪࣥࢡࣛ࢘ࣥ࡬ࡢ㸪
MRG ࡢ௜୚ࡣ 3 ᮏࡀᮃࡲࡋ࠸ࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬

⅖⑕ᢚไࢆ┠ᣦࡋࡓ࣐ࢡࣟࣇ࢓࣮ࢪᶆⓗᣦྥᛶ࣐ࣥࣀ࣮ࢫಟ㣭࣏ࣜࣟࢱ࢟ࢧࣥࡢᶵ⬟ホ౯ࠐᰘཱྀሢ 1)㸪⏣ᮧ⠜ᚿ 2)㸪ᯇᮧග᫂ 1)㸪୕ᾆᏹஅ 1)㸪⏤஭ఙᙪ 2)1)ᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ᦤ㣗ᶵ⬟ಖᏑᏛศ㔝2)ᮾி་⛉ṑ⛉኱Ꮫ⏕యᮦᩱᕤᏛ◊✲ᡤ᭷ᶵ⏕యᮦᩱᏛศ㔝

Functional evaluation of mannose-modified polyrotaxanes targeting macrophages aim to control
inflammation.
ࠐShibaguchi K1), Tamura A2), Matsumura M1), Miura H1, Yui N2)
1)Department of Restorative Sciences, Graduate School of Medical Dental Sciences, Tokyo
Medical and Dental University, 2)Department of Organic Biomaterials, Institute of
Biomaterials and Bioengineering, Tokyo Medical and Dental University

Ϩ. ┠ⓗ⿵⥛἞⒪ࡢⰋዲ࡞ணᚋ⋓ᚓ࡟ࡣ⿵⥛≀ഃࡢᅉᏊࡢࡳ࡞
ࡽࡎ,⏕యഃࡢᅉᏊࡢ㸯ࡘ࡛࠶ࡿ⅖⑕ࡢไᚚࡀ୙ྍḞ࡛
࠶ࡿ.⅖⑕㛵㐃ᅉᏊࡢ㸯ࡘ࡛࠶ࡿ࣐ࢡࣟࣇ࢓࣮ࢪࡣ࣐ࣥ
ࣀ࣮ࢫཷᐜయ(CD206)ࡢⓎ⌧࠾ࡼࡧᢠ⅖⑕࡟ാࡃ M2 ᆺ࡬ࡢศ໬ࡀ▱ࡽࢀࡿࡓࡵ,࣐ࣥࣀ࣮ࢫ࡟ࡼࡿ࣐ࢡࣟࣇ࢓
࣮ࢪᶆⓗᆺࡢ࢔ࣉ࣮ࣟࢳࡣ᭷⏝࡜⪃࠼ࡽࢀࡿ.ᙜ◊✲ᐊ࡛ࡣ㙐≧㧗ศᏊࡀ⎔≧ศᏊ࡟㈏㏻ࡋࡓ࣏ࣜࣟࢱ࢟ࢧࣥ
(PRX)ࢆ⏝࠸ࡓ◊✲ࢆ᥎㐍ࡋ࡚࠾ࡾ,PRX ࡀᣢࡘศᏊྍ
ືᛶ࡟╔┠ࡋ,࣐ࣥࣀ࣮ࢫಟ㣭 PRX(Man-PRX)ࢆస〇ࡋ࣐ࢡࣟࣇ࢓࣮ࢪ࡬ࡢᛂ⏝࡟ࡼࡿ⅖⑕ไᚚࢆ┠ⓗ࡜ࡍࡿ.
ϩ. ᪉ἲ㍈ 㧗 ศ Ꮚ : poly(ethylene glycol) (PEG), ⎔ ≧ ศ Ꮚ :α-cyclodextrin(α-CD),ᑒ㙐ᇶ: 1-adamantyl ᇶࡢ PRX ࢆྜᡂࡋ , ࡇ ࢀ ࡟ 2-aminoethylmannopyranoside ࢆ ಟ 㣭 ࡋ ࡚mannose ಟ㣭 PRX(Man-PRX)ࢆྜᡂࡋࡓ.RAW264.7 ⣽⬊ࡢ CD206 Ⓨ⌧᭷↓ࢆホ౯ࡋࡓୖ࡛,Man-PRX ࡟ᑐࡋ⺯ගᶆ㆑ヨ⸆(BODIPY FL)ࢆಟ㣭ࡋ,⣽⬊ෆྲྀ㎸ࡳࡢゎᯒࢆ⾜ࡗࡓ.ẚ㍑ᑐ㇟࡜ࡋ࡚ 2-(2-hydroxyethoxy)ethyl ᇶࢆಟ㣭ࡋࡓ PRX(HEE-PRX)ࢆ⏝࠸ࡓ.ࡉࡽ࡟㜼ᐖ๣࡟ࡼࡿྲྀ㎸ࡳ㜼ᐖ,PEG ศᏊ㔞࣭α-CD ᩘࡢ␗࡞ࡿ Man-PRX ࡀ⣽⬊ෆྲྀ㎸ࡳ࡟ཬࡰࡍᙳ㡪ࢆホ౯ࡋࡓ.
Ϫ. ⤖ᯝ࡜⪃ᐹ
RAW264.7 ⣽⬊࡛ࡣ,NIH/3T3 ⣽⬊࡜ẚ㍑ࡋ CD206 ࡢⓎ⌧ࢆ᭷ព࡟ㄆࡵ,ࡲࡓ Man-PRX ࡢྲྀ㎸ࡳࡀ HEE-PRX ࡼࡾ㢧ⴭ࡛࠶ࡗࡓ.α-D-mannose,ᢠ CD206 ᢠయ࡟ࡼࡿ㜼ᐖヨ㦂ࡼࡾ᭷ព࡟ྲྀ㎸ࡳࡀῶᑡࡋࡓࡇ࡜࠿ࡽࡶ,RAW264.7⣽⬊࡟࠾ࡅࡿ M2 ࡬ࡢศ໬,CD206 Ⓨ⌧,ࡲࡓྠࣞࢭࣉࢱ
࣮౫Ꮡᛶࡢ Man-PRX ྲྀ㎸ࡳࡢྍ⬟ᛶࡀ♧၀ࡉࢀࡓ.
ϫ. ᩥ⊩[1] T.Ooya, et al. J. Am. Chem. Soc. 125, 13016 (2003)[2] J.Araki, et al. Macromolecules 38, 7524 (2005)

26

O 㻙5

୕ཫ⚄⤒⬨㧊㊰᰾࠾ࡼࡧୖ㒊㢁㧊ᢞᑕࢽ࣮ࣗࣟࣥࡢ⚄⤒㞀ᐖᛶ
䬶③࡬ࡢ㛵୚
‫ۑ‬㰻⸨ᘯே㸪ᒸ⏣┿἞㸪ᆤ⏣೺Ⴙ㸪὾୰୍ᑗ㸪ᾆ⏣೺ኴ㑻㸪⏕⏣┠኱௓㸪኱㡢 ᶞ㸪㣤἟฼ග᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϩㅮᗙ
Distribution differences of thalamic and parabrachial projection neurons in the trigeminal subnucleus
caudalis and upper cervical spinal cord and contribution of NTS in Neuropathic pain‫ۑ‬Saito H, Okada S, Tubota K, Hamanaka K, Urata K, Ikutame D, Oto T, Iinuma T
Department of Complete Denture Prosthodontics, Nihon University School of DentistryϨ㸬┠ⓗ ཱྀ⭍㢦㠃㡿ᇦ࠿ࡽࡢ౵ᐖ᝟ሗࢆఏ࠼ࡿᢞᑕࢽ࣮ࣗࣟ
ࣥ࡟࠾ࡅࡿᢞᑕඛࡢ㐪࠸࡟ࡼࡿ Vc ࠾ࡼࡧ C1 ࡛ࡢศᕸᵝᘧ࡟ࡘ࠸࡚ࡣ୙᫂࡞㒊ศࡀከ࠸㸬ࡑࡇ࡛㸪ᮏ◊✲࡛ࡣ౵ ᐖ ่ ⃭ ࡟ ࡼ ࡗ ࡚ ࣜ ࣥ 㓟 ໬ ࡍ ࡿ phosphorylated
extracellular signal-regulated kinase (pERK)ࢆ⚄⤒⯆ዧࡢ࣐࣮࣮࢝࡜ࡋ㸪ࡉࡽ࡟㸪୺࡟ C ⥺⥔ᮎ➃࠿ࡽᨺฟࡉ
ࢀࡿ substance P ࡢཷᐜయ࡛࠶ࡿ neurokinin 1 receptor(NK1)ࡢᢞᑕࢽ࣮ࣗࣟࣥ࡟࠾ࡅࡿⓎ⌧ᵝᘧࢆ᳨ウࡋࡓ㸬ࡉࡽ࡟㸪⚄⤒㞀ᐖᛶ䬶③Ⓨ⑕࡟ᑐࡋ࡚㸪㔜せ࡞ാࡁࢆ᭷
ࡍࡿ࡜⪃࠼ࡽࢀ࡚࠸ࡿᏙ᮰᰾㸦NTS㸧ࡢᙺ๭ࢆ᫂ࡽ࠿࡟
ࡍࡿࡇ࡜ࢆ┠ⓗ࡟㸪୕ཫ⚄⤒ᦆയࣔࢹࣝࣛࢵࢺࡢ NTS
ᢞᑕࢽ࣮ࣗࣟࣥ࡟ࡘ࠸࡚ࡶゎᯒࢆ⾜ࡗࡓ㸬ϩ㸬᪉ἲ ῝㯞㓉ୗ࡟࡚㞝ᛶࣛࢵࢺࡢྑഃどᗋᚋෆഃ⭡ഃ᰾㸪どᗋෆഃ᰾⩌ࡲࡓࡣ⤖ྜ⭎ഐ᰾࡟ 3% Fluorogold (FG)ࢆ
ὀධࡋࡓ㸬)* ὀධ࠿ࡽ  ᪥ᚋ㸪ᕥഃୖ၁࡟࢝ࣉࢧ࢖ࢩࣥ

O 㻙6

࡟ࡼࡾ & ⥺⥔ࢆ่⃭ࡋࠊ ศᚋ࡟℺ὶᅛᐃࡋࡓ㸬ࡑࡢᚋᘏ㧊࡜ୖ㒊㢕㧊ࢆྵࡴ⬻ࢆ᦬ฟࡋ㸪ษ∦ࢆస〇ࡋච␿⤌⧊ᏛⓗᰁⰍࢆ⾜࠸ 9F& ࡟࠾ࡅࡿ S(5.1. ඹ㝧ᛶ )* ᶆ㆑ᢞᑕࢽ࣮ࣗࣟࣥࡢศᕸᵝᘧࢆゎᯒࡋࡓ㸬⥆࠸࡚㸪║❐ୗ⚄⤒៏ᛶ⤠ᢋࣔࢹࣝࢆస〇ࡋୖグ࡜ྠᵝ࡟㸪ච␿⤌⧊ᏛⓗᰁⰍࢆ⾜࠸㸪176 ࡟࠾ࡅࡿ )* ࡛ᶆ㆑ࡉࢀࡓࢽ࣮ࣗࣟ
ࣥ࠾ࡼࡧ S(5. 㝧ᛶ⣽⬊ࢆほᐹࡋࡓ㸬Ϫ㸬⤖ᯝ࣭⪃ᐹ ୕ཫ⚄⤒⬨㧊㊰᰾ᑿഃள᰾࠿ࡽ౵ᐖ่⃭ࢆఏ࠼ࡿᢞ
ᑕࢽ࣮ࣗࣟࣥࡣ㸪どᗋࡼࡾᶫ࡬ࡢᢞᑕࢽ࣮ࣗࣟࣥከ࠸ࡇ
࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬ࡲࡓࡇࢀࡽࡢᢞᑕࢽ࣮ࣗࣟࣥࡢ࿀
ᑿഃⓗ࡞ศᕸࡢ㐪࠸ࡣ䬶③ไᚚ࡟࠾ࡅࡿᶵ⬟ⓗ࡞㐪࠸ࢆ཯ᫎࡋ࡚࠸ࡿྍ⬟ᛶࡀ♧ࡉࢀࡓ㸬ࡉࡽ࡟ 31% ࡬ࡢᢞᑕࢽ࣮࡛ࣗࣟࣥࡣ 176 ࠿ࡽከࡃࡢᢞᑕࢆㄆࡵ㸪⚄⤒㞀ᐖᛶ
䬶③Ⓨ⑕᫬ࡢ䬶③ไᚚ࡟ࡣ 176 ࡟࠾ࡅࡿ 3%1 ᢞᑕࢽ࣮ࣗ
ࣟࣥୖ࡛ࡢ S(5. ࡢⓎ⌧ኚ໬ࡀ㛵୚ࡋ࡚࠸ࡿྍ⬟ᛶࡀ♧ࡉࢀࡓ㸬⹫⾑ᛶ⑓ែ࡟࠾ࡅࡿ⭁⮚࡛ࡢ Iba1 㝧ᛶ⣽⬊ࡢືែ‫⃝῝ۑ‬㯞⾰㸪㧗ᶫభ࿴㸪すᑿ೺௓㸪ụ⏣㈗அ㸪ఀ⸨ᬛຍ㸪㧗ὠ໷ᶞ㸪⸨⏣ဴኵ㸪‫‮‬ὸ ᬛ㸪㣤἟฼ග᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨ϨㅮᗙThe analysis of Iba1 positive splenocytes in model mice of Ischemia reperfusion injury‫ۑ‬Fukasawa M, Takahashi Y, Nishio K, Ikeda T, Itou T, Takatsu M, Fujita T, Yuasa S, Iinuma T,
Department of Complete Denture Prosthodontics, Nihon University School of DentistryϨ.┠ⓗ⬻⾑⟶⑌ᝈࡢᚋ㑇⑕ࡣࠊᅜෆࡢせ௓ㆤ࡜࡞ࡿཎᅉࡢ➨ 1఩࡜ሗ࿌ࡉࢀ࡚࠾ࡾ㸪ࡑࡢண㜵ἲࡢ☜❧ࡣ㸪ᡃࡀᅜࡢႚ
⥭ࡢㄢ㢟࡛࠶ࡿ㸬⌧ᅾ㸪⬻⾑⟶⑌ᝈࡢⓎ⑕ࡀ⭁⮚࡟ᙳ㡪ࢆ୚࠼ࡿࡇ࡜ࡀሗ
࿌ࡉࢀ࡚࠸ࡿࡀ㸪ࡑࡢᶵᗎࡣ୙᫂࡞Ⅼࡀከ࠸㸬ࡑࡇ࡛ᮏᐇ㦂࡛ࡣ㸪⬻⾑⟶⑌ᝈⓎ⑕᫬ࡢ⭁⮚࡟Ⓨ⌧ࡍࡿච␿ᛂ⟅⣽⬊ࢆゎᯒࡋ㸪ヲ⣽࡟㛵㐃ᛶࢆ᳨ウࡍࡿࡇ࡜࡛㸪⬻⾑⟶⑌ᝈࡀ඲㌟࡟ཬࡰࡍᙳ㡪ࡢ᪂ࡓ࡞▱ぢࡢ⋓ᚓࢆ┠ᣦࡋࡓ㸬
ϩ.᪉ἲ
C57BL/6 ࣐࢘ࢫࢆ㯞㓉ୗ࡟࡚㛤⬚ࡋ㸪⥲㢁ື⬦ࢆᡭ⾡⏝ࢡࣜࢵࣉ࡟࡚ 30 ศ㛫⤖⣻ࡋ⹫⾑ࡉࡏࡿ㸬ゎ㝖ᚋ㸪㛢⬚ࡋ⹫⾑෌℺ὶ㞀ᐖࣔࢹ࣐ࣝ࢘ࢫ㸦௨ୗ IRI ࣔࢹ࣐ࣝ࢘ࢫ㸧࡜ࡋࡓ㸬IRI ᚋࡢᙳ㡪ࢆゎᯒࡍࡿࡓࡵ࡟㸪IRI1 ᪥┠,3 ᪥┠,5 ᪥┠࠾ࡼࡧ,7 ᪥┠ࡢྛࣔࢹࣝ࠿ࡽ⭁⮚ࢆ᦬ฟࡋ㸪⭁⮚࡟࠾ࡅࡿ Iba1 㝧ᛶ⣽⬊ᩘ࡜ࡑࡢศᕸࡢኚ໬࡟ࡘ࠸࡚
ච␿⤌⧊໬Ꮫⓗ࠾ࡼࡧ FACS ࢆ⏝࠸ゎᯒࢆ⾜ࡗࡓ㸬ࡉࡽ࡟㸪࣑ࢡࣟࢢࣜ࢔ࡢ㜼ᐖ⸆࡛࠶ࡿ࣑ࣀࢧ࢖ࢡࣜࣥࡢ⾡๓⾡ᚋᢞ୚ࡀ୚࠼ࡿᙳ㡪࡟ࡘ࠸࡚ච␿⤌⧊໬Ꮫⓗゎᯒࢆ⾜ࡗࡓ㸬Ϫ.⤖ᯝ࣭⪃ᐹ⭁⮚࡟࠾ࡅࡿ Iba1 㝧ᛶ⣽⬊ᩘࡣ IRI ๓࡜ẚ㍑ࡋ࡚ IRI
ᚋ 5 ᪥┠࡛㢧ⴭ࡟ቑຍࡋࡓ㸬⭁⮚࡟࠾ࡅࡿศᕸᵝᘧ࡟ࡘ࠸᳨࡚ウࡋࡓ࡜ࡇࢁℐ⬊࿘ᅖ࡟㢧ⴭ࡟ቑຍࡍࡿ⤖ᯝ࡜࡞ࡗࡓ㸬୍᪉㸪࣑ࣀࢧ࢖ࢡࣜࣥࡢ⾡๓⾡ᚋᢞ୚࡟ࡼࡾ㸪⭁⮚࡟࠾ࡅࡿ Iba1 㝧ᛶ⣽⬊ࡢᩘࡣࢥࣥࢺ࣮ࣟࣝࣞ࣋ࣝ
࡟ࡲ࡛ῶᑡࡋࡓ㸬ࡇࢀࡽࡢ⤖ᯝࡣ㸪⹫⾑෌℺ὶ㞀ᐖ࡟ࡼࡾ⬻ෆࡢච␿ᢸᙜ
⣽⬊࡛࠶ࡿ࣑ࢡࣟࢢࣜ࢔ࡀ⬻௨እࡢࣜࣥࣃᛶ⤌⧊࡟㞟⠵ࡍࡿྍ⬟ᛶࢆ♧၀ࡍࡿࡶࡢ࡛࠶ࡾ㸪ᴟࡵ࡚⯆࿡῝࠸ࡶࡢ࡛࠶ࡿ࡜⪃࠼࡚࠸ࡿ㸬

27

O 㻙7

࢖ࣥࣉࣛࣥࢺࢆ௓ࡋࡓ࣐࢘ࢫୖ㢡㦵࡬ࡢⲴ㔜࡟ࡼࡿṍࡳࡀ㦵⣽⟶࡜㦵ᙧᡂ࡟ཬࡰࡍᙳ㡪‫ۑ‬኱Ἑཎ ஂᐇ,᪂஭ ♸㈗,ᯇ㔝 ▖,ⱝᯘ ๎ᖾᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉㒊ศᗋ⩏ṑ⿵⥛Ꮫศ㔝
Influence of loading on osteocyte and canaliculi of bone surrounding implant in mouse‫ۑ‬Hisami Okawara, Yuki Arai, Hitomi Matsuno, Noriyuki Wakabayashi
Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental University

Ϩ. ┠ⓗᡃࠎࡣࡇࢀࡲ࡛㦵ᙧᡂࢆᢚไࡍࡿࢫࢡࣞࣟࢫࢳࣥࡢ㦵⣽⬊࡟࠾ࡅࡿⓎ⌧ࡸ㦵ⱆ⣽⬊ᶵ⬟ࡢᣦᶆ࡛࠶ࡿ▼⅊໬㏿ᗘࡀ,࠶ࡿ୍ᐃࡢṍࡳࢆ㉸࠼ࡿ࡜ኚ໬ࡍࡿࡇ࡜ࢆ᫂ࡽ
࠿࡟ࡋ࡚ࡁࡓ.௒ᅇࡣ㦵⣽⟶࡜ṍࡳ࡟ࡘ࠸࡚ࡢ㛵ಀࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ◊✲ࡢ┠ⓗ࡜ࡋࡓ.
ϩ. ᪉ἲ C57BL/6J ࣐࢘ࢫࡢᕥഃୖ㢡⮻ṑࢆᢤṑࡋ, 8 㐌ᚋ࡟ࢳࢱࣥ〇ࡢ࢖ࣥࣉࣛࣥࢺࢆᇙධࡋࡓ.ᇙධ 4 㐌ᚋ࡟࢖ࣥࣉࣛࣥࢺ࡟ᑐࡋ 15 g,30 g,60 g ࡟࡚㸯᪥ 30 ศ,7 ᪥㛫㐃⥆ࡢⲴ㔜ࢆ୚࠼ࡓ.Ⲵ㔜㛤ጞ࠿ࡽ 9 ᪥ᚋ࡟ᏳᴦṚࡉࡏ࡚ᅛᐃ࣭ᰁⰍࢆ⾜࠸,ࣞࢪࣥໟᇙᚋ,㠀⬺⅊◊☻ษ∦ࢆసᡂࡋ,ඹ↔Ⅼ࣮ࣞࢨ࣮ࢫ࢟ࣕࣥ㢧ᚤ㙾ࢆ⏝࠸࡚࢖ࣥࣉࣛࣥ
ࢺ࿘ᅖࡢ⤌⧊⏬ീࢆྲྀᚓࡋࡓ.ࡲࡓ,ྛ࣐࢘ࢫࡢⲴ㔜ᮇ㛫୰࡟ in vivo ȣCT ࡟ࡼࡿ᧜ᙳࢆ⾜࠸,ࡑࡢࢹ࣮ࢱࢆඖ࡟
᭷㝈せ⣲ࣔࢹࣝ㸦FEM㸧ࢆᵓ⠏ࡋࡓ.FEM ࡜⤌⧊ീࡢ㔜O 㻙8ࡡྜࢃࡏ࡟ࡼࡿẚ㍑᳨ウ࡟ࡼࡾᛂຊゎᯒ࠿ࡽ⟬ฟࡋࡓ࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵ࡢᚤᑠṍࡳ್ࡢศᕸࢆᇶ࡟㸪⤌⧊ࡢᙧែᏛⓗኚ໬ࢆศᯒࡋࡓ㸬Ϫ⤖ᯝ࡜⪃ᐹ 㸱✀㢮ࡢ࡝ࡢⲴ㔜᮲௳࡟࠾࠸࡚ࡶᚤᑠṍࡳࡀ ȣȥ௨ୖ࡟࠾࠸࡚㦵⣽⟶㠃✚ࡣቑຍࡋࡓࡲࡓ㦵⣽⬊ᩘ࡜▼⅊໬㏿ᗘࡶቑຍࡋࡓࡇࡢ⤖ᯝࡣ㸵᪥㛫࡜࠸࠺▷࠸Ⲵ㔜ᮇ㛫࡛࠶ࡗ࡚ࡶ࠶ࡿ୍ᐃࡢṍࡳࡀ⏕ࡌࢀࡤ㦵⣽⟶ࡀኚ໬ࡍࡿࡇ࡜ࢆ♧ࡋ࡚࠸ࡿ㦵⣽⟶㠃✚ቑຍࡢ࣓࢝ࢽࢬ࣒࡟ࡘ࠸࡚ࡣ㦵⣽⬊ᛶ㦵⼥ゎ࡟ࡼࡾᘬࡁ㉳ࡇࡉࢀࡓ࡜ࡶ⪃࠼ࡽࢀࡿࡀ௒ᚋࡢ᳨ウࡀᚲせ࡛࠶ࡿࡲࡓ
㦵⣽⟶ኚ໬㜈್࡜㦵ⱆ⣽⬊㛵㐃ᣦᶆࡢኚ໬㜈್࡜ࡀ୍⮴ࡋࡓࡇ࡜࠿ࡽ㦵⣽⟶ࡢኚ໬࡜㦵ⱆ⣽⬊ࡢ▼⅊໬㏿ᗘ࡜ࡀ㐃ືࡋ࡚ኚ໬ࡍࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ◊✲༠ຊ㟷 ᮌ ࿴ ᗈ 㸦 ᮾ ி ་ ⛉ ṑ ⛉ ኱ Ꮫ 㸧 Libor %RUáN (Brno
University of Technology)ື≀ᐇ㦂ᢎㄆ␒ྕ $$๓⿦ᮦᩱࡢ㐪࠸ࡀ࢖ࣥࣉࣛࣥࢺᨭᣢࢪࣝࢥࢽ࢔ᅛᐃᛶ⿵⥛⿦⨨ࡢ◚ቯᙉᗘ࡟ཬࡰࡍᙳ㡪ࠐ㏆⸨᭷⚽ 1)㸪ᮏ⏣㡰୍ 1), 2)㸪ᑠᓠ ኴ 1), 2)㸪ᓥ⏣ⓒᏊ 3)㸪ᗉྖ ຊ 3)㸪ὠỤ᫂ఙ 3)㸪
⾜⏣ඞ๎ 3)㸪ᯇᮧⱥ㞝 1), 2)
1)᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϫㅮᗙ㸪2)᪥ᮏ኱ᏛṑᏛ㒊⥲ྜṑᏛ◊✲ᡤ㧗ᗘඛ➃་⒪◊✲㒊㛛㸪3)ᮾிᨭ㒊

Effect of veneering materials on fracture loads of implant-supported zirconia molar fixed dental prostheses
1)

1) 2)

1) 2)

3)

3)

3)

3)

1) 2)

Kondo T , Honda J , , Komine F , , Shimada M , Shoji T , Tsue A , Nameta Y , Matsumura H ,1)

2)

Department of Fixed Prosthodontics, Nihon University School of Dentistry, Division of Advanced
3)
Dental Treatment, Dental Research Center, Nihon University School of Dentistry, Tokyo BranchϨ㸬┠ ⓗ๓⿦ᮦᩱࡢ㐪࠸ࡀ࢖ࣥࣉࣛࣥࢺᨭᣢࢪࣝࢥࢽ࢔ᅛᐃ
ᛶ⿵⥛⿦⨨ࡢ◚ቯᙉᗘ࡟ཬࡰࡍᙳ㡪ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ
࡜㸬ϩ㸬᪉ ἲ
ୗ㢡⮻ṑ㒊࡟ᑐࡍࡿ࢖ࣥࣉࣛࣥࢺ἞⒪ࢆ᝿ᐃࡋ㸪࢖ࣥࣉࣛࣥࢺయࢆᖖ 㔜ྜࣞࢪࣥ࡟᳜❧ࡋࡓ㸬ࡑࡢᚋ㸪࢔ࣂࢵࢺ࣓ࣥࢺࡢညྜ㠃㒊ࢆ 1 mm ๐㝖ࡋ㸪࢖ࣥࣉࣛࣥࢺయ࡟
⥾⤖ࡋࡓ㸬ୖ㒊ᵓ㐀ࡢࣇ࣮࣒ࣞᙧែ࡜ࡋ࡚㸪ࣇ࣮࣒ࣞࡢ
ཌࡉࢆᆒ୍࡟ࡋࡓࡶࡢ㸦UT㸧࡜๓⿦ᮦᩱࡢཌࡉࢆᆒ୍࡟
ࡋࡓࡶࡢ㸦AD㸧ࡢ 2 ✀㢮࡜ࡋࡓ㸬ࡲࡓ㸪๓⿦ᮦᩱࡢ㐪࠸࡛ࢪࣝࢥࢽ࢔ࣇ࣮࣒ࣞ࡟㝡ᮦࢆ๓⿦ࡋࡓࣈࣜࢵࢪ
㸦PVZ㸧㸪ࢪࣝࢥࢽ࢔ࣇ࣮࣒ࣞ࡟㛫᥋ಟ᚟⏝ࢥ࣏ࣥࢪࢵ
ࢺࣞࢪࣥࢆ๓⿦ࡋࡓࣈࣜࢵࢪ㸦IVZ㸧࠾ࡼࡧ㝡ᮦ↝௜㔠ᒓࣈࣜࢵࢪ㸦MC㸧ࡢ 3 ✀㢮࡟ศࡅ㸪ィ 6 ᮲௳࡜ࡋࡓ㸬ᙧែࢆ⤫୍ࡍࡿࡓࡵ㸪ࢩࣜࢥ࣮ࣥ࢞࢖ࢻࢆ⏝࠸㸪〇㐀⪅ᣦ♧࡟ᚑ࠸๓⿦ࢆ⾜ࡗࡓ㸬〇సࡋࡓୖ㒊ᵓ㐀ࡣࢢࣛࢫ࢔
࢖࢜ࣀ࣐࣮ࢭ࣓ࣥࢺࢆ⏝࠸࡚࢔ࣂࢵࢺ࣓ࣥࢺ࡟⿦╔ࡋࡓ㸬ྛヨᩱࡣ㸪37Υ⢭〇Ỉ୰࡟ 24 ᫬㛫ಖ⟶ࡋ㸪◚ቯᙉᗘヨ㦂ࢆ⾜ࡗࡓ.
Ϫ㸬⤖ᯝ࡜⪃ᐹ UT ⩌࡛ࡣ IVZ ࠾ࡼࡧ MC ࡀ PVZ ࡼࡾࡶ㧗࠸◚ቯᙉᗘࢆ♧ࡋࡓ㸬AD ⩌࡛ࡣ IVZ ࡀ᭱ࡶ㧗࠸◚ቯᙉᗘࢆ♧ࡋࡓ㸬ࣇ࣮࣒ࣞᙧែࡢẚ㍑࡟࠾࠸࡚㸪AD ࡣ UT ࡼࡾࡶ㧗࠸◚ቯᙉᗘࢆ♧ࡋࡓ㸬௨ୖࡢ⤖ᯝ࠿ࡽ㸪㛫᥋ಟ᚟⏝ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࡣⲴ㔜ᛂຊࢆゎᨺࡋ㸪⾪ᧁࢆ⦆࿴ࡍࡿᛶ㉁ࢆ
᭷ࡍࡿࡓࡵ㸪㝡ᮦࡢ௦᭰ᮦᩱ࡟࡞ࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬ࡲࡓ㸪๓⿦ᮦᩱࡢཌࡳࢆᆒ୍࡟ࡋ㸪๓⿦ᮦᩱࢆࣇࣞ
࣮࣒ࡀࢧ࣏࣮ࢺࡍࡿᙧែࡀࢪࣝࢥࢽ࢔ᅛᐃᛶ⿵⥛⿦⨨ࡢ◚ቯ᢬ᢠࢆྥୖࡉࡏࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬

28

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ࣄ࣮ࣜࣥࢢ࢟ࣕࢵࣉୖ࡟ྛ✀ࢩࣜࢥ࣮ࣥ⣔㌾㉁ࣜࣛ࢖ࣥᮦࢆ
ᛂ⏝ࡋࡓሙྜࡢ⩏ṑࡢ⥔ᣢຊ‫ۑ‬Ἑ㔝❧⾜㸪ྂụᓫᚿ㸪ஂಖ៞ኴ㑻㸪஭ᡞᕝ㤶௦㸪ᾏ㔝 ⯟㸪㰻⸨♸ኴ㸪ୖ⏣㈗அ㸪Ḉ஭ ⸅ᮾிṑ⛉኱Ꮫ⪁ᖺṑ⛉⿵⥛Ꮫㅮᗙ
Influence of Hardness of Silicone Soft Relining Materials on Retention Force to Healing Cap‫ۑ‬Kono T, Koike T, Kubo K, Idogawa K, Unno W, Saito Y, Ueda T, Sakurai K
Department of Removable Prosthodontics and Gerodontology, Tokyo Dental College
࡜ OP ࡢ⥔ᣢຊ࡟ࡘ࠸࡚㸪୍ඖ㓄⨨ศᩓศᯒᚋ Scheffe᳨ᐃࢆ⾜ࡗࡓ(Ș=0.05)㸬
III㸬⤖ᯝ࡜⪃ᐹึᅇ⥔ᣢຊࡣ㸪OP ࡛ 2.9N ࡛࠶ࡗࡓࡢ࡟ᑐࡋ㸪㌾㉁ࣜࣛ࢖ࣥᮦ 4 ✀㢮࡛ࡣ 1.7 ࠿ࡽ 2.6N ࡛࠶ࡗࡓ㸬OP ࡜ࡍ
࡭࡚ࡢ㌾㉁ࣜࣛ࢖ࣥᮦ࡜ࡢ㛫࡟᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿
ࡗࡓ㸬1 ࠿᭶ᚋ࡛ࡣ㸪OP ࡜᭱ࡶ◳ᗘࡢ㧗࠸㌾㉁ࣜࣛ࢖
ࣥᮦ࡜ࡢ㛫௨እ࡛᭷ពᕪࡀㄆࡵࡽࢀࡓ㸬2 ࠿᭶ᚋ࡛ࡣ㸪OP ࡜ࡍ࡭࡚ࡢ㌾㉁ࣜࣛ࢖ࣥᮦ࡜ࡢ㛫࡟᭷ពᕪࡀㄆࡵࡽ
ࢀࡓ㸬◳ᗘࡀ᭱㧗ࡢࡶࡢ࡜᭱పࡢࡶࡢ 2 ✀㢮࡛㎶⦕࡟◚ᦆࡀㄆࡵࡽࢀࡓ㸬௨ୖࡼࡾ㸪◳ᗘࡢ㧗࠸㌾㉁ࣜࣛ࢖ࣥᮦ
࡛ࡣ㸪1 ࠿᭶ࡣ OP ࡜ྠᵝࡢ⥔ᣢຊࡀಖࡓࢀࡿࡇ࡜ࡀ᫂
ࡽ࠿࡜࡞ࡾ㸪ࣄ࣮ࣜࣥࢢ࢟ࣕࢵࣉ࡜㌾㉁ࣜࣛ࢖ࣥᮦࡢ⤌ࡳྜࢃࡏ࡟୍ᐃࡢ᭷ຠᛶࡀㄆࡵࡽࢀࡓ㸬ࡋ࠿ࡋ㸪◳ᗘࡢప࠸ࣇ࢕࣓࣮ࣝᮦᩱ࡛ࡣ⥔ᣢຊࡢపୗࡀⴭࡋࡃ㸪◳ᗘࡢ㧗࠸ᮦᩱࢆ㑅ᢥࡍࡿࡇ࡜ࡀᚲせ࡛࠶ࡿࡇ࡜ࡀศ࠿ࡗࡓ㸬I㸬┠ⓗᡃࠎࡣ㸪ࢩࣜࢥ࣮ࣥ⣔㌾㉁ࣜࣛ࢖ࣥᮦࢆࣇ࢕࣓࣮ࣝ࡟
ᛂ⏝ࡋࡓ࢔ࢱࢵࢳ࣓ࣥࢺࢩࢫࢸ࣒ࡢ᳨ウࢆ⾜ࡗ࡚࠸ࡿ㸬ᮏ◊✲ࡢ┠ⓗࡣ㸪ࣄ࣮ࣜࣥࢢ࢟ࣕࢵࣉࢆ࣓࣮ࣝ࡜ࡋࡓ࢜
࣮ࣂ࣮ࢹࣥࢳ࣮ࣕ࡟࠾࠸࡚㸪ྛ✀㌾㉁ࣜࣛ࢖ࣥᮦࡢࣇ࢕
࣓࣮ࣝ࡜ࡢ㛫࡟⮫ᗋୖᚲせ࡞⥔ᣢຊࢆึᮇཬࡧ㛗ᮇ⤒㐣ᚋ࡟᭷ࡍࡿ࠿࡝࠺࠿ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜࡜ࡋࡓ㸬II㸬᪉ἲ┤ᚄ 4.1mm㸪㧗ࡉ 3mm ࡢࣄ࣮ࣜࣥࢢ࢟ࣕࢵࣉ࡜◳ᗘࡢ␗࡞ࡿ 4 ✀㢮ࡢ㌾㉁ࣜࣛ࢖ࣥᮦࢆὀධࡋࡓᐇ㦂ᗋ࡜ࡢึᅇ⥔ᣢຊࢆィ ࡋࡓ㸬ࢥࣥࢺ࣮ࣟࣝ࡜ࡋ࡚┤ᚄ 1.7 ੈࡢ๓ṑ㒊⏝ O ࣜࣥࢢ࢔ࢱࢵࢳ࣓ࣥࢺ㸦OP㸧ࡢ⥔ᣢຊࢆᐃࡋ㸪ᐇ㦂ᗋࡣྛ 5 ಶ〇సࡋࡓ㸬⥔ᣢຊࡢィ ࡣ㸪ึᅇ࡜㸪1 ࠿᭶㛫ࡢ⩏ṑࡢ╔⬺ࢆ 90 ᅇ࡜ࡋ࡚㸪4 ࠿᭶㛫⤒㐣ᚋ┦ᙜࡲ࡛⾜ࡗࡓᚋ㸪ගᏛ㢧ᚤ㙾࡟࡚㌾㉁ࣜࣛ࢖ࣥᮦࡢほᐹࢆ⾜ࡗࡓ㸬⤫ィゎᯒࡣ㸪ྛ᫬ᮇࡢ㌾㉁ࣜࣛ࢖ࣥᮦ

O 㻙10ୗ㢡඲㒊ᗋ⩏ṑࡢ୕ḟඖᙧ≧ࡢゎᯒ‫ۑ‬Nguyen Vu Van Anh1), 㕥ᮌဴஓ 1), ᅵ⏣ඃ⨾ 2), ኱ᮌ᫂Ꮚ 3),ୖᲄ┿࿃ 3), 㔠⃝Ꮫ 4),Ỉཱྀಇ௓ 4)1)ᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ ཱྀ⭍ᶵ⬟෌ᘓᕤᏛศ㔝, 2)ཱྀ⭍ᨺᑕ⥺་Ꮫศ㔝, 3)ཱྀ⭍ᇶ♏ᕤᏛศ㔝, 4)㧗㱋⪅ṑ⛉Ꮫศ㔝

Analysis of three-dimensional shape of mandibular complete dentures
1)

1)

2)

3)

3)

4)

‫ۑ‬Nguyen Vu V , Suzuki T , Tsuchida Y , Oki M , Kamijo S , Kanazawa M , Minakuchi S

4)

1)

Dept. of Oral Prosthetic Engineering, 2)Dept. of Oral and Maxillofacial Radiology, 3)Dept. of Basic Oral
Health Engineering, 4)Dept. of Gerodontology and Oral Rehabilitation, Graduate School of Medical and
Dental Sciences, Tokyo Medical and Dental University
I. ┠ⓗ㏆ᖺ, ṑ⛉⏝ CAD/CAM ᢏ⾡ࡣ᭷ᗋ⩏ṑศ㔝࡟ࡶ㐺⏝ࡀ㐍ࡵࡽࢀ࡚࠸ࡿ.ࡋ࠿ࡋ㸪ࢡ࣭ࣛ࢘ࣥࣈࣜࢵࢪศ㔝ࡢࡼ࠺࡞ᙧែࡢࢹ࣮ࢱ࣮࣋ࢫࣛ࢖ࣈ࣮ࣛࣜࡀᏑᅾࡋ࡞࠸
ࡓࡵ, ඲㒊ᗋ⩏ṑࡢእᙧ⥺ࢆ CAD/CAM ࢩࢫࢸ࣒ୖ࡛࡝࠺タᐃࡍࡿ࠿ࡀ㞴ࡋ࠸.ࡑࡇ࡛㸪ᮏ◊✲࡛ࡣୗ㢡඲㒊ᗋ⩏ṑࡢ୕ḟඖᶆ‽ᙧែࢆヨసࡋ, ⩏ṑᙧែࢆ≉ᚩ࡙ࡅࡿ୺
࡞ᅉᏊࢆゎᯒࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ. 㸦೔⌮ᢎㄆ␒ྕ㸸D2017-001㸧
II. ᪉ἲ Ⰻዲ࡟ᶵ⬟ࡋ࡚࠸ࡿ౑⏝୰ࡢୗ㢡඲㒊ᗋ⩏ṑ(20 ᗋ㸪
⏨ 8 ྡ, ዪ 12 ྡ)ࡢ」〇༳㇟࠿ࡽࢥࣆ࣮ࢹࣥࢳ࣮ࣕࢆ〇సࡋࡓ㸬ࡇࢀࢆ୕ḟඖࢫ࢟ࣕࢼ㸦Artec Spider㸧ࢆ⏝࠸࡚ࢫ࢟ࣕࣥࡋ㸪3D ࢖࣓࣮ࢪࣥࢢࢯࣇࢺ࢙࢘࢔㸦Artec Studio11㸧ࢆ౑⏝ࡋ࡚, ࡑࡢ୕ḟඖᙧ≧ࢹ࣮ࢱࢆྲྀᚓࡋࡓ.ࡇࡢ
୕ḟඖࢹ࣮ࢱࢆ┦ྠࣔࢹࣝసᡂࢯࣇࢺ࢙࢘࢔

㸦HBM-Rugle㸧ࢆ౑ࡗ࡚┦ྠࣔࢹࣝ࡟ኚ᥮ࡋ㸪ᖹᆒᙧ≧ࢆసᡂࡋࡓ㸬ࡉࡽ࡟㸪┦ྠࣔࢹࣝ⤫ィࢯࣇࢺ࢙࢘࢔
㸦DHRC-HBS-PCA㸧ࢆ⏝࠸࡚㸪୺ᡂศศᯒࢆ⾜ࡗࡓ㸬III. ⤖ᯝ࡜⪃ᐹ ୗ㢡඲㒊ᗋ⩏ṑࡢᖹᆒᙧ≧ࡀヨస࡛ࡁࡓ㸬15 ࡢ୺ᡂศࡀᢳฟࡉࢀࡓ㸬➨ 1 ୺ᡂศࡢᐤ୚⋡ࡣ 30.1㸣࡜㧗࠿ࡗࡓ㸬➨ 1 ୺ᡂศ࡛ࡣ඲యࡢ⩏ṑࡢ኱ࡁࡉ㸪➨ 2 ୺ᡂศ࡛ࡣ㢋ഃࡢ῝ࡉ㸪
➨ 3 ୺ᡂศ࡛ࡣᗋ⦕࠿ࡽညྜᖹ㠃ࡲ࡛ࡢ㊥㞳㸪➨ 4 ୺ᡂศ࡛ࡣ⯉ഃࡢᚋ㢡⯉㦵➽❐㒊ࡢ㛗ࡉ㸪➨ 5 ୺ᡂศ࡛ࡣ➨ 1 ⮻ṑ㒊࠿ࡽࣞࢺ࣮ࣟࣔࣛࣃࢵࢻࡲ࡛ࡢ㊥㞳࡜᥎ᐹࡉࢀࡓ㸬➨ 1 ୺ᡂศ࡛⏨ᛶࡢ⩏ṑࡣዪᛶࡢ⩏ṑࡼࡾ኱ࡁ࠸ഴྥࡀࡳࡽࢀࡓ㸬
IV. ᩥ ⊩ Keiko Watanabe et al. Analysis ofThree-dimensional Torso Shape and Bodice Pattern ofElderly Japanese Women. The 4th International Conference on
3D Body Scanning Technologies,Nov.201329

O 㻙11ᖖ㔜ྜࣞࢪࣥ࡟࠾ࡅࡿ᧯సᛶࡢ᳨ウ̿➨㸰ሗ㸸Ⓨ⇕ୖ᪼㛤ጞ᫬㛫࡜ࣆ࣮ࢡ᫬㛫࡟ࡘ࠸࡚̿
‫∦ۑ‬ᒸ㑳஀㸯)㸪㬞ᕝ⣸஀㸯)㸪῝℩ᗣබ㸰)㸪⛅⏣኱㍜㸯),㸱)㸪Ọ஭ᰤ୍㸯),㸱)㸪୰ᯘ᫴ஓ㸯),㸱)㸪
⣡㇂ࡦࢁࡳ㸯)㸯᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨ϩㅮᗙ,㸰᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⌮ᕤᏛᩍᐊ᪥ᮏ኱ᏛṑᏛ㒊⥲ྜṑᏛ◊✲ᡤ⮫ᗋ◊✲㒊㛛㸱Comparison of operability of Self-Curing Resins -The time between onset of fever and peak temperatureKataoka I㸯), Kamogawa S㸯), Hukase Y㸰), Akita D㸯),㸱), Nagai E㸯),㸱), Nakabayashi S㸯),㸱), Naya H㸯)㸯)

Department of Partial Denture Prosthodontics, Nihon University School of Dentistry
Department of Dental Materials,Nihon University School of Dentistry㸱)Division of Clinical Research,Dental Research Center,Nihon University School of Dentistry
㸰)

Ϩ┠ⓗ
 ⩏ṑࡢಟ⌮ࡸᬻ㛫⿕᭹ෙࡢ〇స᫬࡟ከ⏝ࡉࢀࡿᖖ
㔜ྜࣞࢪࣥࡣ᭷⏝ᛶࡀ㧗ࡃࡑࡢ᧯సᛶࡣ἞⒪ࡢ⢭ᗘࢆᕥྑࡍࡿࡋ࠿ࡋ࡞ࡀࡽᮦᩱࡢྲྀࡾᢅ࠸ࡣ⾡⪅࡟ࡼࡗ࡚ᵝࠎ࡛࠶ࡿ௒ᅇᡃࠎࡣ⦎࿴ἲ ⢊ᾮẚ  ࡛౑⏝ࡋࡓヨᩱ ࡟ࡼࡿᖖ 㔜ྜࣞࢪࣥࡢⓎ⇕ࡢୖ᪼㛤ጞ᫬㛫ཬࡧⓎ⇕ࣆ࣮ࢡ᫬㛫ࢆィ ࡋ㸲✀㢮ࡢᖖ 㔜ྜࣞࢪࣥࡢẚ㍑᳨ウࢆ⾜ࡗࡓϩ᪉ἲ81,)$6775$'81,)$67ϩ81,)$67Ϫ ࢪ࣮ࢩ࣮ ཬࡧ 3529,1,&( ᯇ㢼 ௨ୖ㸲✀㢮ࡢᖖ 㔜ྜࣞࢪࣥࢆ
౑⏝ࡋ⦎࿴ἲ࡟ࡼࡾస〇ࡋࡓヨᩱࢆࢦ࣒ᯟ ෆᚄ㸯
㸳PP㧗ࡉ㸯㸮PP ࡟඘ሸࡋ㸯㸮⛊ࡈ࡜࡟ࢹࢪࢱࣝ O 㻙12

ᗘィ ᱌❧ィჾ〇 +$( ࡟࡚ヨᩱయࡢ㸳⛊㛫㝸࡛ㄞࡳྲྀࡗࡓ

ᗘኚ໬ࢆϪ⤖ᯝ࡜⪃ᐹ Ⓨ⇕ୖ᪼㛤ጞ᫬㛫࡞ࡽࡧ࡟ࣆ࣮ࢡ᫬㛫࡜ࡶ࡟81,)$67ϩ81,)$67Ϫ81,)$6775$'3529,1,&( ࡢ㡰࡟㏿࠿ࡗࡓ
ᮏᐇ㦂࠿ࡽ⮫ᗋ࡟࠾࠸࡚ᖖ 㔜ྜࣞࢪࣥࢆྲྀࡾᢅ࠺
㝿࡟ࡣᮦᩱ࡟ࡼࡿᛶ㉁ࡢ㐪࠸ࢆᢕᥱࡍࡿᚲせࡀ࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ

Gysi ㍈Ꮫㄝ࡜ࡑࢀࢆ෌⌧ࡍࡿညྜჾ
‫ۑ‬Ọ⏣࿴ᘯ
ᮾ໭኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ཱྀ⭍ࢩࢫࢸ࣒⿵⥛Ꮫศ㔝Gysi’s axis theory and the articulator reproduced.
Nagata K
Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry

I. ┠ⓗ
Gysi ㍈Ꮫㄝࡢ᪂ࡋ࠸ゎ㔘࡜ࠊල⌧ࡍࡿညྜჾ࡟ࡘ࠸࡚
⤂௓ࡋࡓ࠸.
II. ᪉ἲ ᪥ᮏ࡛ࡣࡼࡃ▱ࡽࢀࡓ㍈Ꮫㄝ࡛࠶ࡿࡀࠊⱥㄒᅪ࡟࠾
࠸࡚ࡣ㍈Ꮫㄝࡢㄝ᫂ࡣ⾜ࢃࢀ࡚࠾ࡽࡎࠊᅗ୍ᯛࡔ࡟⤂௓ࡉࢀࡓࡶࡢࡣ࡞࠸ࠋ▼ཎ࣭ᮎḟࡢࠕ㍈Ꮫㄝ⿵㑇ࠖࡣୡ⏺
࡛၏୍ࡢ Gysi ᗄఱᏛࡢṇᙜᛶࢆド᫂ࡋࡓㄽᩥ࡛࠶ࡿࠋ
ࡋ࠿ࡋࠊ▼ཎࡽࡢ㍈Ꮫㄝ࡬ࡢホ౯࡟ࡣၥ㢟ࡀ࠶ࡿࠋ㍈Ꮫㄝࡣࠊ௒ᚋࡢᐇ㦂࡟ࡼࡿ᳨ドࢆᚅࡓࡡࡤ࡞࠸௬ㄝ⌮ㄽ࡛ࡣ࡞ࡃࠊ⛣ືࢆకࢃ࡞࠸⣧⢋࡟ᅇ㌿㐠ື࡜ࡳ࡞ࡋࡓ
ሙྜ࡟ࡣࠊᐇ㦂ࢆᚅࡘࡲ࡛ࡶ࡞ࡃ㍈Ꮫㄝ㏻ࡾࡢ㐠ືࢆࡍࡿࠋ⌧ᐇࡢ㢡㐠ືࡣ⛣ືࢆక࠺࠿ࡽࠊ㍈Ꮫㄝ㏻ࡾࡢ㐠ືࡣࡋ࡞࠸ࠋ㍈Ꮫㄝ㏻ࡾࡢ㐠ື࡜ᐇ㝿ࡢ㐠ື࡜ࡢ㛫࡟ࡣᕪ␗ࡀ⏕ࡌࡿࡀࠊࡑࡢᕪ␗ࡀᐜㄆ࡛ࡁࡿ࠿࡝࠺࠿ࡢㄗᕪㄽ
ࡢၥ㢟࡛࠶ࡿࠋ

Hall ࡢ෇㗹ㄝࡀ Hall ညྜჾ࡟ࠊMonson ࡢ⌫㠃ㄝࡀ
Monson ညྜჾ࡟ᑐᛂࡋࡓࡼ࠺࡟ࠊGysi ࡢ㍈Ꮫㄝࡣ࡝ࡢ
ညྜჾࡀᑐᛂࡋ࡚࠸ࡿ࠿ࡀㄽ㆟ࡉࢀࡿࡇ࡜ࡀ࠶ࡿࠋᖹ⾮ഃ㢛㢌Ⅼ࡜ษṑⅬࡢ㐠ື᪉ྥࡀศ࠿ࡗ࡚࠸ࡿሙྜࡣࠊస
ᴗഃ㢛㢌ࡣ㍈Ꮫㄝ࠿ࡽᑟࡁฟࡏࡿࡀࠊࡑࢀࡀල⌧࡛ࡁࡿညྜჾࡣసᴗഃ㢛㢌ࡢ๓ᚋ࡜ୖୗࡢྠ᫬つᐃࡀ࡛ࡁࡿ
ညྜჾ࡛࡞࠸࡜ල⌧࡛ࡁ࡞࠸ࠋᕥྑ㢛㢌ࡢ㐠ື᪉ྥࡀศ࠿ࡾタᐃࡉࢀ࡚࠸ࡿሙྜࡣࠊ➨ 3 ⅬࡢษṑⅬࡢ㐠ືࡀ㍈Ꮫㄝ࠿ࡽᑟࡁฟࡉࢀࡓ࡜࠾ࡾ࡟ညྜჾ࡟タᐃ࡛ࡁࢀࡤࠊ
ࡑࡢညྜჾ࡜ᶍᆺࡣ㍈㐠ືࢆࡋ࡚࠸ࡿࡇ࡜࡟࡞ࡿࠋ
III. ⤖ᯝ࡜⪃ᐹ Gysi ㍈ Ꮫ ㄝ ࡣ ᐇ 㦂 ࡟ ࡼ ࡿ ᳨ ド ࢆ ᚅ ࡘ ࡭ ࡁ ⌮ ㄽ ࡛ࡣ࡞ࡃࠊ⛣ືࢆక࠺⌧ᐇࡢ㢡㐠ື࡜ࡢ㛫࡟⏕ࡌࡿㄗᕪㄽࢆྵࢇࡔ⌮ㄽ࡛࠶ࡿࠋ㍈Ꮫㄝ࡟ᑐᛂࡋࡓညྜჾ
ࡣ㢛㢌Ⅼ 5 せ⣲࡜ษṑⅬ 2 せ⣲ࢆ‶ࡓࡋࡓညྜჾ࡛
࡞ࡃ࡚ࡣ࡞ࡽࡎࠊࡑࡢᵝ࡞ညྜჾࡣ⌧ᅾࡣ࡞࠸ࠋ

30

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activities in public health insurance
Sugiyama I
1)1), 2)

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1), Sato Y , Kitagawa N , Shichita T

Department of Geriatric Dentistry, Showa University School of Dentistry,I㸬┠ⓗ ᖹᡂ 28 ᖺᗘṑ⛉デ⒪ሗ㓘ᨵᐃ࡟࠾࠸࡚㸪ṑෙ⿵⥛≀ࡢⰍㄪ᥇ᚓ࡟㛵ࡍࡿホ౯࡜ࡋ࡚ṑෙ⿵⥛᫬Ⰽㄪ᥇ᚓ᳨ᰝ㸪ཱྀ⭍ᶵ⬟ࡢ⥲ྜⓗ࡞ホ౯࡜ࡋ࡚᭷ᗋ⩏ṑ࿪ᄮᶵ⬟᳨ᰝ㸪ཱྀ⭍ᶵ⬟ࡢኚ໬࡟╔┠ࡋࡓᑐᛂ࡜
ࡋ࡚⯉ᅽ᳨ᰝࡀ⿵⥛㛵㐃᳨ᰝ࡜ࡋ࡚೺ᗣಖ㝤࡟ᑟධࡉࢀࡓ㸬ࡑࡇ࡛㸪ࡇࢀࡽࡢ᳨ᰝࡢᐇ᪋≧ἣࢆ᫂ࡽ࠿࡟ࡍࡿ஦࡛⿵⥛἞⒪࡟࠾ࡅࡿᐈほⓗホ౯ࡢ㔜せᛶࢆㄆ㆑ࡋ㸪ࡲࡓ᪂ࡋ࠸་⒪ᢏ⾡ᥦ᱌࡟㝿ࡋ࡚ࡢᐇ᪋ᩘࡢ᥎ᐃࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆᮏ◊✲ࡢ┠ⓗ࡜
ࡋࡓ㸬
II㸬᪉ἲ
 2016 ᖺᗘ࠾ࡼࡧ 2017 ᖺᗘ࡟࠾ࡇ࡞ࢃࢀࡓཌ⏕ປാ┬♫఍་⒪デ⒪⾜Ⅽูㄪᰝࡢデ⒪⾜Ⅽ㸦⣽ศ㢮㸧ࡢᐇ᪋௳ᩘࢆㄪᰝࡋࡓ㸬ࣞࢪࣥ๓⿦ෙ࠾ࡼࡧ◳㉁ࣞ
ࢪࣥࢪࣕࢣࢵࢺෙࡢ⿦╔௳ᩘ࡟ᑐࡍࡿṑෙ⿵⥛᫬O 㻙14from survey of medical care

2)

Tokyo branchⰍㄪ᥇ᚓ᳨ᰝࡢ๭ྜ㸪ከᩘṑḞᦆ᭷ᗋ⩏ṑ࠾ࡼࡧ⥲⩏ṑ⿦╔௳ᩘ࡟ᑐࡍࡿ᭷ᗋ⩏ṑ࿪ᄮᶵ⬟᳨ᰝࡢ๭ྜ㸪᥋ゐᶵ⬟ᨵၿࢆ┠ⓗ࡜ࡋࡓ⯉᥋ゐ⿵ຓᗋ๪Ꮚࡢ
ᐇ᪋௳ᩘ࡟ᑐࡍࡿ⯉ᅽ᳨ᰝࡢ๭ྜࢆ 2016 ᖺᗘ࠾ࡼ
ࡧ 2017 ᖺᗘ࡟࠾࠸࡚ẚ㍑ࡋࡓ㸬III㸬⤖ᯝ࡜⪃ᐹ ṑෙ⿵⥛᫬Ⰽㄪ᥇ᚓ᳨ᰝࡣ 2016 ᖺ࠿ࡽ 5㸣๓ᚋᐇ᪋ࡉࢀ㸪 2017 ᖺࡶྠ⛬ᗘ࡛࠶ࡗࡓ㸬᭷ᗋ⩏ṑ࿪ᄮᶵ⬟᳨ᰝࡣ 2016 ᖺ࡟ࡣ࡯࡜ࢇ࡝↓ࡃ㸪2017 ᖺ࡟ࡣቑຍࡋࡓࡀ㸪0.2%࡟㐣ࡂ࡞࠿ࡗࡓ㸬⯉ᅽ᳨ᰝࡣ2016 ᖺ࠿ࡽᚲせ࡞⑕౛࡟ࡣ」ᩘᅇ⟬ᐃࡉࢀ࡚࠸ࡓ
ࡀ㸪⤯ᑐᩘࡣ㠀ᖖ࡟ᑡ࡞࠿ࡗࡓ㸬࠸ࡎࢀࡢ᳨ᰝࡶ㸪་⒪ᢏ⾡ᥦ᱌࡛ヨ⟬ࡉࢀࡓᐇ᪋ᅇᩘࢆ኱ᖜ࡟ୗᅇࡗ
࡚࠸ࡓ㸬௒ᚋ㸪⤒ᖺⓗ᥎⛣ࢆぢᏲࡿ࡜ඹ࡟㸪᪂ࡋ࠸་⒪ᢏ⾡ᥦ᱌࡟㝿ࡋ࡚ࡣ㸪ᐇ᪋ᩘࡢ᥎ᐃ࡟ὀពࡀᚲ
せ࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ཱྀ⭍ᶵ⬟పୗ⑕ࡢ᳨ᰝ࣭⟶⌮ࡢᐇ㝿࡜ၥ㢟Ⅼ‫⏿ۑ‬୰ᖾᏊ㸪బ⸨⿱஧㸪໭ᕝ ᪼㸪୐⏣ಇᬕ㸪௒ᮧ჆ᕼ㸪ෆ⏣ῄ႐᫛࿴኱ᏛṑᏛ㒊㧗㱋⪅ṑ⛉Ꮫㅮᗙ
Experience and problems of examination and management for oral hypofunction.
Hatanaka Y, Sato Y, Kitagawa N, Shichita T, Imamura Y, Uchida Y
Department of Geriatric Dentistry, Showa University School of Dentistry,III㸬⤖ᯝ
ᑐ㇟⪅ 30 ྡࡢ࠺ࡕཱྀ⭍ᶵ⬟పୗ⑕࡜デ᩿ࡉࢀࡓࡢࡣ㸪19 ྡ(63㸣)࡛࠶ࡗࡓ㸬ࡲࡓ,ཱྀ⭍ᶵ⬟పୗ⑕࡜デ᩿ࡉࢀࡓᝈ⪅࡟ඹ㏻ࡋ࡚㝧ᛶ⋡ࡀ㧗࠿ࡗࡓ㡯┠ࡣࠕညྜຊపୗࠖ(95%)࡛࠶ࡗࡓ㸬㏫࡟㝧ᛶ⋡ࡀప࠿ࡗࡓ㡯┠ࡣࠕཱྀ⭍୙₩ࠖࠕཱྀ⭍஝⇱ࠖࠕᄟୗᶵ
⬟పୗࠖ(ࡑࢀࡒࢀ 26%)࡛࠶ࡗࡓ㸬ϫ㸬⪃ᐹၥ㢟Ⅼ࡜ࡋ࡚,グ㘓⏝⣬࣭⟶⌮⏝⣬࣭ᝈ⪅⏝⏝⣬ࡢ 3 ࡘ࡟グධࡀᚲせ࡞ࡓࡵ㸪グධࡔࡅ࡛ࡶ᫬㛫ࡀ࠿࠿ࡗࡓ㸬ࡲࡓ㸪⟶⌮⏝⣬ࡶศ࠿ࡾ࡟ࡃ࠸ࡓࡵ㸪௒ᚋࡣ㸪1 ᯛࡢ⏝⣬࡟ࡲ࡜ࡵࡿ࡜ඹ࡟ᝈ⪅⌮ゎࡶᚓࡽࢀࡸࡍ࠸ࣇ࢛࣮࣐ࢵࢺ࡟ᨵᐃࡍࡿᚲせࡀ࠶ࢁ࠺㸬ࡉࡽ࡟㸪30 ศ⛬ᗘࡢ᫬㛫ࡀᚲせ࡛࠶ࡗࡓࡇ࡜
࠿ࡽ㸪࠸࠿࡟▷᫬㛫࡛ຠ⋡ⓗ࡟᳨ᰝ࡛ࡁࡿࡼ࠺࡟
ࡍࡿ࠿ࡀᬑཬࡢࡓࡵࡢ㘽࡜࡞ࢁ࠺㸬I㸬┠ⓗࠕ࣮࢜ࣛࣝࣇࣞ࢖ࣝࠖࡢண㜵ࡣ㧗㱋໬⋡ࡀ 27㸣ࢆ㉸࠼ࡿࢃࡀᅜ࡟࡜ࡗ࡚㔜せ࡛࠶ࡿ㸬ࠕ࣮࢜ࣛࣝࣇ
ࣞ࢖ࣝࠖࡀ㐍⾜ࡋࡓ≧ែ࡛࠶ࡿࠕཱྀ⭍ᶵ⬟పୗ⑕ࠖࡣṑ⛉デ⒪ᡤ࡛ᑐᛂࡍࡿࡇ࡜ࡀ࡛ࡁࡿ࡜ࡉࢀ࡚࠾
ࡾ㸪௒ᖺ㸲᭶࠿ࡽ᳨ᰝ࣭⟶⌮ࡀಖ㝤ᑟධࡉࢀࡓ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪ཱྀ⭍ᶵ⬟పୗ⑕࡟ᑐࡍࡿ᳨ᰝ࣭⟶⌮ࢆ⾜ࡗ࡚࠸ࡿṑ⛉デ⒪ᡤࡣᴟࡵ࡚ᑡ࡞࠸㸬ࡑࡇ࡛,ᙜ⛉࡛ᐇ᪋ࡋ࡚࠸ࡿཱྀ⭍ᶵ⬟పୗ⑕ࡢ᳨ᰝ࣭⟶⌮ࡢᐇ㝿࡜ၥ㢟Ⅼ࡟ࡘ࠸࡚ሗ࿌ࡍࡿ㸬II㸬᪉ἲ2018 ᖺ 8㸪9 ᭶ࡢ᫛࿴኱Ꮫṑ⛉⑓㝔㧗㱋⪅ṑ⛉࡛65 ṓ௨ୖࡢእ᮶ᝈ⪅ 30 ྡ࡟,ཱྀ⭍ᶵ⬟పୗ⑕ࡢ᳨
ᰝࢆ⾜ࡗࡓ㸬᳨ᰝ㡯┠ࡣ㸪ձཱྀ⭍⾨⏕≧ែղཱྀ⭍஝⇱ճညྜຊపୗմ⯉ཱྀ၁㐠ືᶵ⬟పୗյప⯉ᅽն࿪ᄮᶵ⬟పୗշᄟୗᶵ⬟పୗ࡛࠶ࡿ㸬31ᑓ㛛་⏦ㄳ
ࢣ࣮ࢫࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ
CP㻙1 ~ CP㻙811 ᭶ 25 ᪥䠄᪥䠅㻌 9䠖00䡚10䠖30㻌 㻌 㻌 3 㝵䜼䝱䝷䝸䞊32

CP 㻙1࢖ࣥࣉࣛࣥࢺ⿵⥛࡜ṑෙಟ᚟࡟ࡼࡾᑂ⨾㞀ᐖ࣭࿪ᄮ㞀ᐖࢆᨵၿࡋࡓ୍⑕౛‫ۑ‬㧘ሙ 㞞அ᫛࿴኱Ꮫṑ⛉⿵⥛Ꮫㅮᗙ
A case report of improving esthetic dissatisfaction and masticatory disturbance treated withdental implant and fixed prostheses
Takaba M
Department of Prosthodontics Showa University School of DentistryϨ㸬⥴ゝ ཯ᑐညྜ࡜ညྜ㧗ᚄࡢపୗ࡟ࡼࡿᑂ⨾㞀ᐖ࡜ୖୗ㢡ᕥྑ኱⮻ṑ㒊Ḟᦆ࡟ࡼࡿ࿪ᄮ㞀ᐖ࡟ᑐࡋ㸪࢖ࣥࣉࣛࣥࢺ⿵⥛࡜ṑෙಟ᚟ࢆ⾜࠸㸪Ⰻዲ࡞ணᚋ
ࡀᚓࡿࡇ࡜ࡀ࡛ࡁࡓࡢ࡛ሗ࿌ࡍࡿ㸬㧗ᚄࡢపୗ࡟ᑐࡋ࡚ညྜᣲୖࢆ┠ⓗ࡜ࡋࡓ἞⒪⏝⩏ṑࢆ⿦╔ࡋࡓ㸬ᣲୖ࡟ࡼࡾ㢡ཱྀ⭍ᶵ⬟࡟␗ᖖࡀ࡞࠸ࡇ࡜ࢆ☜ㄆࡋࡓᚋ㸪ա‫ۑ‬
1 2‫ۑ‬
3 4‫ۑ‬
5 ࠾ࡼࡧՠ
45 ࡟ࣉࣟࣅࢪࣙࢼࣝࣞࢫࢺ࣮ࣞࢩࣙࣥࢆ⿦╔ࡋࡓ㸬ࡑࡢᚋ㸪ಖᏑ୙ྍ࡜デ᩿ࡋࡓա5㸪ՠ5 ࢆᢤṑࡋ㸪65լ46㸪765ի56 ࡟࢖ࣥࣉࣛࣥࢺࢆᇙධࡋࡓ㸬࢖ࣥࣉࣛࣥࢺୖ㒊ᵓ㐀ࢆ⿦╔ࡋ㸪⮻ṑ㒊࡛ࡢညྜࢆ⋓ᚓࡋࡓᚋ㸪ୖ㢡๓ṑ㒊࡟ṑෙ⿵⥛⿦⨨ࢆ⿦╔ࡋࡓ㸬ϩ㸬⑕౛ࡢᴫせ 59 ṓዪᛶ㸬཯ᑐညྜ࡜ညྜ㧗ᚄࡢపୗ࡟ࡼࡿ
ᑂ⨾୙Ⰻ࡜࿪ᄮᅔ㞴ࢆ୺ッ࡜ࡋ࡚᮶㝔ࡋࡓ㸬765
լ2467, 765ի67 Ḟᦆ࡛㸪ա 2ճ4յࡢࢸ࣏ࣥࣛ
࣮ࣜࣈࣜࢵࢪࡀ⿦╔ࡉࢀա1 㐲ᚰ㒊࡟᥋╔ࡉࢀ࡚࠸ࡓ㸬࿪ᄮ➽࡜㢡㛵⠇㒊ࡢ䬶③㸪㛤ཱྀ㞀ᐖࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬ϫ㸬⤒㐣࡞ࡽࡧ࡟⪃ᐹ ⿵⥛἞⒪⤊஢ᚋ㸪ᐃᮇⓗ࡞࣓ࣥࢸࢼࣥࢫ࡟⛣⾜ࡋ㸪⌧ᅾ⣙ 6 ᖺ⤒㐣ࡋ㸪⿵⥛⿦⨨ࡸṧᏑṑࡣⰋዲ࡟ᶵ⬟ࡋ࡚࠸ࡿ㸬ᮏ⑕౛࡛ࡣ㸪ညྜᣲୖࢆ⾜࠸㸪࢖ࣥࣉࣛࣥࢺ⿵⥛࡜ṑෙಟ᚟࡟ࡼࡾ㸪ᑂ⨾ᛶ࡜࿪ᄮᶵ⬟ࢆᅇ᚟ࡋⰋዲ࡞ணᚋࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡓ㸬Ϫ㸬἞⒪ෆᐜ ඲㢡ⓗ࡞ṑ࿘ᇶᮏ἞⒪࡜ಖᏑ἞⒪ࢆ⾜࠸㸪ညྜCP 㻙2㔜ᗘ╧╀᫬ࣈࣛ࢟ࢩࢬ࣒࡟ࡼࡿᑂ⨾㞀ᐖ࡟ᑐࡋ࡚඲㢡ⓗ࡞⿵⥛
἞⒪ࢆ⾜ࡗࡓ⑕౛
‫ۑ‬ᕹ㊊ ᭷⌮ᜨ᫛࿴኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫㅮᗙ
A case report of full mouth rehabilitation for esthetic disturbance caused by severe sleep
bruxism
Hoashi Y
Department of Prosthodontics, Showa University School of DentistryϨ㸬⥴ゝ ╧╀᫬ࣈࣛ࢟ࢩࢬ࣒ࡢ㐣኱࡞ຊ࡟ࡼࡿⅭᐖస⏝ࡣ㸪⿵⥛⿦⨨ࡢ◚ᦆ㸪◚ᢡ࡞࡝ከᒱ࡟ࢃࡓࡾ㸪⿵⥛⮫ᗋ࡟࠾࠸࡚㔜኱࡞ࣜࢫࢡせᅉ࡜࡞ࡿ㸬௒ᅇ㸪╧╀᫬ࣈࣛ࢟ࢩࢬ࣒࡟㉳ᅉࡋࡓ㔜ᗘည⪖࡟ࡼࡿᑂ⨾㞀ᐖ࡟ᑐࡋ㸪ညྜᣲୖࢆక࠺⿵⥛ṑ⛉἞⒪ࢆ⾜ࡗࡓ⤖ᯝ㸪Ⰻዲ࡞ணᚋࡀほᐹࡉࢀࡓࡢ࡛ሗ࿌ࡍࡿ㸬Ϫ㸬἞⒪ෆᐜ
 #35, #45 㒊ࡣᢤṑᚋ࢖ࣥࣉࣛࣥࢺࢆᇙධࡋ㸪๓ṑ㒊ࡢᑂ⨾㞀ᐖ࡟ᑐᛂࡍࡿࡓࡵ㸪ညྜᣲୖࢆక࠺
඲㢡ⓗ࡞ṑෙ⿵⥛ࢆ⾜࠺ࡇ࡜࡜ࡋࡓ㸬ࡲࡎ㸪ᬻ㛫⿵⥛⿦⨨࡟࡚⤒㐣ほᐹࢆ⾜࠸㸪㢡ཱྀ⭍ᶵ⬟࡟␗ᖖࡀ࡞࠸ࡇ࡜ࢆ☜ㄆᚋ㸪᭱⤊⿵⥛⿦⨨ࢆ⿦╔ࡋࡓ㸬἞⒪ᮇ㛫୰࠾ࡼࡧ᭱⤊⿵⥛⿦⨨⿦╔ᚋ࡟ࢫࣉࣜࣥࢺࢆ〇సࡋ╧╀᫬ࡢ౑⏝ࢆᣦ♧ࡋࡓ㸬ϩ㸬⑕౛ࡢᴫせ 57 ṓዪᛶ㸬㔜ᗘည⪖࡟ࡼࡿᑂ⨾୙Ⰻࢆ୺ッ࡜ࡋ࡚᮶㝔ࡋࡓ㸬ୖୗ㢡࡜ࡶ࡟ኳ↛ṑ࡟ࡣ㔜ᗘည⪖ࡀㄆࡵࡽࢀ㸪#35, #45 ࡣṑ᰿◚ᢡࡋ࡚࠾ࡾ㸪#36, #46
࡟ࡣ࢖ࣥࣉࣛࣥࢺࡀᇙධࡉࢀ࡚࠸ࡓ㸬╧╀᫬ࣈࣛ࢟ࢩࢬ࣒࡟ࡘ࠸࡚ࡣ㸪╧╀ྠక⪅ࡢᣦ᦬ࡀ࠶ࡾ㸪㛗ᮇ࡟Ώࡾṑ㉁㸪⿵⥛⿦⨨࡬ࡢ㐣኱࡞ညྜຊࡀస
⏝ࡋ࡚࠸ࡓࡶࡢ࡜⪃࠼ࡽࢀࡿ㸬ϫ㸬⤒㐣࡞ࡽࡧ࡟⪃ᐹ ṑෙ⿵⥛⿦⨨㸪ୖ㒊ᵓ㐀࡜ࡶ࡟◚ᦆ㸪⬺㞳࡞࡝ࡣㄆࡵࡽࢀࡎ㸪ညྜ≧ែ࡟ࡘ࠸࡚ࡶⰋዲ࡟⤒㐣ࡋ࡚࠸ࡿ㸬ᮏ⑕౛࡛ࡣ㸪╧╀᫬ࣈࣛ࢟ࢩࢬ࣒࡟ࡼࡿ
㔜ᗘည⪖࡟ᑐࡋ࡚ညྜᣲୖࢆ⾜࠺ࡇ࡜࡟ࡼࡾ㸪ᑂ⨾୙Ⰻࢆᅇ᚟ࡋ㸪ࢫࣉࣜࣥࢺ἞⒪ࢆే⏝ࡍࡿࡇ࡜࡟ࡼࡾⰋዲ࡞ணᚋࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡓ㸬33

CP 㻙3ည⪖࡟ࡼࡿᑂ⨾㞀ᐖ࡟ᑐࡋ࡚ညྜᣙୖ࡜ࣇ࣐ࣝ࢘ࢫࣜࣁࣅࣜࢸ
࣮ࢩࣙࣥ࡟ࡼࡾᑐᛂࡋࡓ㸯⑕౛ࠐすᒣ ᘯᓫ
᫛࿴኱Ꮫṑ⛉⿵⥛Ꮫㅮᗙ
A case report of full-mouth rehabilitation for esthetic dysfunction due to teeth attrition.
Nishiyama H
Department of Prosthodontics, Showa University School of DentistryϨ. ⥴ゝ
╧╀᫬ࣈࣛ࢟ࢩࢬ࣒ࡣ⿵⥛⿦⨨ࡢ◚ᦆ࣭ṑࡢ႙ኻࡢཎ
ᅉ࡜࡞ࡾ⿵⥛ṑ⛉἞⒪࡟࠾࠸࡚ࡣ㔜኱࡞ࣜࢫࢡせᅉ࡜࡞ࡿ㸬௒ᅇ㸪╧╀᫬ࣈࣛ࢟ࢩࢬ࣒࡟㉳ᅉࡍࡿ㔜ᗘည⪖࡟ࡼࡿᑂ⨾㞀ᐖ࡟ᑐࡋ㸪ညྜᣲୖ࡞ࡽࡧ࡟඲㢡ⓗṑෙಟ᚟ࢆ⾜࠸㸪ኪ㛫ࡢࢫࣉࣜࣥࢺ⿦╔࡟ࡼࡾⰋዲ࡞ணᚋࡀほᐹࡉࢀࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ. ⑕౛ࡢᴫせ62 ṓࡢ⏨ᛶ㸪㔜ᗘည⪖࡟ࡼࡿᑂ⨾୙Ⰻࢆ୺ッ࡜ࡋ࡚᮶㝔ࡋࡓ㸬ୖୗ㢡࡜ࡶኳ↛ṑ࡟ࡣ㔜ᗘࡢည⪖ࡀㄆࡵࡽࢀ
ࡓ㸬╧╀ྠక⪅ࡢᣦ᦬ࡸ㉳ᗋ᫬ࡢ࿪ᄮ➽③ࢆㄆࡵࡓࡓ
ࡵ㸪㛗ᮇ࡟Ώࡿ╧╀᫬ࣈࣛ࢟ࢩࢬ࣒࡟ࡼࡿ㐣኱࡞ညྜຊ
ࡀࡑࡢཎᅉ࡜ࡋ࡚⪃࠼ࡽࢀࡿ㸬་⛉ⓗ᪤ Ṕ࡜ࡋ࡚ࡣ㸪⬻᱾ሰ㸪୙ᩚ⬦㸪ϩᆺ⢾ᒀ⑓㸪㧗⾑ᅽ⑕ࡀ࠶ࡾ㸪⌧ᅾࡣ࠸ࡎࢀࡢ⑌ᝈࡶ᭹⸆࡟ࡼࡾࢥࣥ

CP 㻙4ࢺ࣮ࣟࣝࡉࢀ࡚࠸ࡿ㸬Ϫ. ἞⒪ෆᐜ ୗ㢡ညྜ㠃ୖ࡟༶᫬㔜ྜࣞࢪࣥࣉ࣮ࣞࢺࢆ⿦╔ࡋ㸪ညྜᣙୖࢆ⾜࠸Ᏻᐃࡍࡿୗ㢡఩ࢆタᐃࡋࡓ㸬඲㢡ⓗ࡟ࣉࣟࣅࢪࣙࢼࣝࣞࢫࢺ࣮ࣞࢩࣙࣥ࡟⨨᥮ࡋ㸪ᑂ⨾ⓗ㸪ᶵ⬟ⓗ࡟‶㊊ࡀᚓࡽࢀࡓ࡜ࡇࢁ࡛᭱⤊⿵⥛⿦⨨ࢆ〇సࡋࡓ㸬╧╀᫬ࣈࣛ࢟ࢩࢬ࣒࡟ᑐࡋ࡚ࡣ㸪἞⒪୰ࡶྵࡵ᭱⤊⿵⥛⿦⨨⿦╔ᚋࡶኪ㛫ࡢࢫࣉࣜࣥࢺ⿦╔ࢆᣦ♧ࡋࡓ㸬
ϫ. ⤒㐣࡞ࡽࡧ࡟⪃ᐹ ⾡ᚋ 3 ᖺ⤒㐣࡟࠾࠸࡚㸪ṑෙ⿵⥛⿦⨨࡟◚ᢡࡣㄆࡵࡎ㸪ညྜ≧ែࡶⰋዲ࡟⤒㐣ࡋ࡚࠸ࡿ㸬╧╀᫬ࣈࣛ࢟ࢩࢬ࣒࡟
ࡼࡿⴭࡋ࠸ည⪖࡟ᑐࡋ࡚㸪ညྜᣙୖᚋ࡟ṑෙ⿵⥛ࢆ⾜࠺ࡇ࡜࡛㸪ᑂ⨾㞀ᐖ࡜࿪ᄮᶵ⬟ࢆᅇ᚟ࡍࡿࡇ࡜ࡀ࡛
ࡁ㸪ᝈ⪅‶㊊ᗘࡢ㧗࠸⤖ᯝࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡓ㸬ୗ㢡࢖ࣥࣉࣛࣥࢺ࣮࢜ࣂ࣮ࢹࣥࢳ࣮ࣕࢆ⏝࠸࡚࿪ᄮ㞀ᐖࢆᨵၿࡋࡓ⑕౛‫ۑ‬୰す ᗣ㍜ᮾிṑ⛉኱Ꮫ⪁ᖺṑ⛉⿵⥛Ꮫㅮᗙ
A case of improved chewing disorder using mandibular implant overdenture
Nakanishi Kousuke
Department of Removable Prosthodontics and Gerodontology, Tokyo Dental CollegeϨ㸬⥴ゝ
⩏ṑࡢ୙ഛ࡜㔜ᗘṑ࿘⅖࡟㉳ᅉࡍࡿ࿪ᄮ㞀ᐖࢆ ᭷ ࡍ ࡿ ⑕ ౛ ࡟ ᑐ ࡋ ࡚ ࠊ࢖ ࣥ ࣉ ࣛ ࣥ ࢺ ࢜ ࣮ ࣂ ࣮ ࢹࣥ ࢳ ࣕ ࣮ 㸦 ௨ ୗ IOD㸧 ࡟ ࡼ ࡿ ⿵ ⥛ ἞ ⒪ ࢆ ⾜ ࠸ ࠊ Ⰻዲ࡞⤖ᯝࡀᚓࡽࢀࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬⑕౛ࡢᴫせᝈ ⪅ ࡣ 78ṓ ࡢ ዪ ᛶ ࡛ ࠊୖ ୗ 㢡 ྍ ᧔ ᛶ ᒁ 㒊 ⩏ ṑ ࡢື ᦂ ࡟ ࡼ ࡿ ࿪ ᄮ 㞀 ᐖ ࢆ ୺ ッ ࡟ ᮶ 㝔 ࡋ ࡓ 㸬ᨭ ྎ ⿦ ⨨ࡢ୙㐺ྜ࡜ࠊୗ㢡⮻ṑ㒊ேᕤṑࡢည⪖ࡀㄆࡵࡽࢀ ࠊ ඲ 㢡 ⓗ ࡟ 㔜 ᗘ ṑ ࿘ ⅖ ࡛ ࠶ ࡗ ࡓ ⑕ ᆺ ศ 㢮 ࡟ ࡼࡿ 㞴 ᫆ ᗘ ุ ᐃ ࡣ Levelϫ ࡛ ࠶ ࡗ ࡓ 㸬 Ϫ㸬἞⒪ෆᐜ ṧ Ꮡ ṑ ࡢ ᢤ ཤ ᚋ ἞ ⒪ ⏝ ⩏ ṑ ࢆ ⿦ ╔ ࡋ ࠊୖ 㢡 ࡣ 㔠ᒓ ᗋ ⥲ ⩏ ṑ ࠊ ୗ 㢡 ࡣ IODࢆ 〇 స ࡍ ࡿ ࡇ ࡜ ࡜ ࡋ ࡓ 㸬
3|3㒊 ࡬ 2ᮏ ᇙ ධ ࡍ ࡿ ࡇ ࡜ ࡜ ࡋ ࠊ CBCT࠿ ࡽ 2㹼 2㒊
ࡢ 㦵 㗦 ⦕ ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࡢ ࡛ ࠊ࢖ ࣥ ࣉ ࣛ ࣥ ࢺ ᇙ ධ ᫬࡟ 㦵 ᩚ ᙧ ࢆ ⾜ ࡗ ࡓ 㸬ࣟ ࢣ ࣮ ࢱ ࣮ ࢔ ࣂ ࢵ ࢺ ࣓ ࣥ ࢺ ࢆ⏝ ࠸ ࡚ ⩏ ṑ ࡢ ᪂ 〇 ࢆ ⾜ ࡗ ࡓ 㸬 ⩏ ṑ ⿦ ╔ ᚋ 2㐌 㛫 ࡀ⤒ 㐣 ࡋ ࡓ ᫬ Ⅼ ࡛ 䬶 ③ ➼ ࡀ ↓ ࠸ ࡇ ࡜ ࢆ ☜ ㄆ ࡋ ࠊࣇ ࢕࣓ ࣮ ࣝ ࢆ ⿦ ╔ ࡋ ࡓ 㸬 ࡑ ࡢ 1㐌 㛫 ᚋ ࡟ ⥔ ᣢ ຊ ࡢ ☜ ㄆࢆ ⾜ ࠸ ࡞ ࡀ ࡽ ࠊࣜ ࣉ ࣞ ࢖ ࢫ ࣓ ࣥ ࢺ ࣓ ࣮ ࣝ ࢆ ⿦ ╔ ࡋࡓ㸬ϫ㸬⤒㐣࡞ࡽࡧ࡟⪃ᐹࢢࣝࢥࢭࣥࢧ࣮࡟ࡼࡿ࿪ᄮ⬟ຊࡢ᳨ᰝࢆ⾜ࡗࡓ ࡀ ࠊ ึ デ ᫬ ࡣ 77mg/dLࠊ ἞ ⒪ ⏝ ⩏ ṑ ⿦ ╔ ᚋ ࡣ 82
mg/dLࠊ ᭱ ⤊ ⿵ ⥛ ⿦ ⨨ ⿦ ╔ ᚋ ࡟ ࡣ 138mg/dL࡜ ࡞ࡾ ࠊ࿪ ᄮ 㞀 ᐖ ࡀ ᨵ ၿ ࡉ ࢀ ࡓ 㸬2ᖺ 9࠿ ᭶ ⤒ 㐣 ᚋ ࡟ ⥔ᣢ ຊ ప ୗ ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࡢ ࡛ ࠊࣜ ࣉ ࣞ ࢖ ࢫ ࣓ ࣥ ࢺ ࣓࣮ ࣝ ࡢ ஺ ᥮ ࢆ ⾜ ࡗ ࡓ ⌧ ᅾ ⿦ ╔ ᚋ 3ᖺ 2࠿ ᭶ ⤒ 㐣 ࡋ࡚࠸ࡿࡀࠊⰋዲ࡞⤒㐣ࢆࡓ࡝ࡗ࡚࠸ࡿ㸬௒ᅇ ࠊୗ㢡 IODࢆ ⿦ ╔ ࡋ ࡓ ࡇ ࡜ ࡀ ࿪ ᄮ ⬟ ຊ ࡢ ྥ ୖ ࡜ QOLࡢྥୖ࡟ࡘ࡞ࡀࡗࡓ࡜⪃࠼ࡽࢀࡿ㸬34

CP 㻙5㢡ሐ྾཰ࡀⴭࡋ࠸ୗ㢡↓ṑ㢡ᝈ⪅࡟ᑐࡋ࢖ࣥࣉࣛࣥࢺ࣮࢜ࣂ࣮
ࢹࣥࢳ࣮ࣕࢆ⏝࠸ࡓ 1 ⑕౛‫⚟ۑ‬す ⨾ᘺ᫛࿴኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫㅮᗙ
A Case report of implant overdenture for edentulous patient with severe residual ridge resorption of themandible
Fukunishi M
Department of Prosthodontics, Showa University School of DentistryϨ㸬⥴ゝ 㢡ሐࡀ㧗ᗘ࡟྾཰ࡋࡓୗ㢡↓ṑ㢡⑕౛࡛ࡣ㸪ᶵ⬟᫬ࡢ⩏ṑࡢ⥔ᣢ࣭Ᏻᐃࢆᚓࡿࡇ࡜ࡀᅔ㞴࡛࠶ࡿ㸬 ௒ᅇ㸪ୗ㢡㢡ሐ྾཰ࡀⴭࡋ࠸⑕౛࡟ᑐࡋ 2 ᮏࡢ࢖ࣥࣉࣛࣥࢺࢆ⏝࠸ࡓ࢖ࣥࣉࣛࣥࢺ࣮࢜ࣂ࣮ࢹࣥ
ࢳ࣮ࣕ㸦IOD㸧ࢆ⿦╔ࡋ㸪ୗ㢡⩏ṑࡢ⥔ᣢ࣭Ᏻᐃࢆ
ᨵၿࡋ㸪Ⰻዲ࡞⤒㐣ࢆᚓࡽࢀࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬⑕౛ࡢᴫせ 80 ṓዪᛶ㸬ୗ㢡⩏ṑ୙㐺ྜ࡟ࡼࡿⓎ㡢࣭࿪ᄮᅔ㞴ࢆ୺ッ࡜ࡋ࡚᮶㝔ࡋࡓ㸬ୖ㢡ࡣ㸪#13,15,17 ᨭྎࡢࣈࣜࢵࢪ㸪#12-27 Ḟᦆ࡟ᑐࡋ㒊ศᗋ⩏ṑࡀ⿦╔ࡉࢀ࡚࠸ࡓ㸬ୗ㢡࡟⿦╔ࡉࢀ࡚࠸ࡓ඲㒊ᗋ⩏ṑࡣ㸪⩏ṑᗋᚋ⦕ࡀ▷ࡃ㸪㎶⦕ᑒ㙐ࡶ୙༑ศ࡛࠶ࡗࡓ㸬ࡲࡓ㸪୧ഃ⮻ṑ㒊ࡢ㢡ሐ྾཰ࡀⴭࡋࡃ㸪⩏ṑࡢ⥔ᣢ࣭Ᏻᐃࡀᚓࡽࢀ࡚࠸࡞࠿ࡗࡓ㸬Ϫ㸬἞⒪ෆᐜ

CP 㻙6

 ୖୗ㢡⩏ṑࢆ᪂〇ࡋ㸪ୗ㢡඲㒊ᗋ⩏ṑࢆࣛࢪ࢜ࢢࣛ ࣇ ࢕ ࢵ ࢡ ࣐ ࣮ ࢝ ࣮ ࡜ ࡋ ࡚ ⏝ ࠸ Computed
Tomography㸦CT㸧᧜ᙳᚋ㸪࢖ࣥࣉࣛࣥࢺࢩ࣑ࣗࣞ
࣮ࢩࣙࣥࢯࣇࢺ࢙࢘࢔࡟࡚ᇙධ఩⨨ࢆỴᐃࡋࡓ㸬ࢧ࣮ࢪ࢝ࣝࢫࢸࣥࢺࢆ⏝࠸ୗ㢡࢜ࢺ࢞࢖Ꮝ㛫࡟㛗ࡉ
18.0mm ࡢ࢖ࣥࣉࣛࣥࢺయࢆ 2 ᮏᇙධࡋ㸪࣮࢟ࣃ࣮௜ࡁ࢔ࣂࢵࢺ࣓ࣥࢺࢆ⥾⤖ࡋࡓ㸬ྠ᪥࡟ୗ㢡⩏ṑ࡟┤᥋ἲ࡛☢▼ᵓ㐀యࢆ⿦╔ࡋ㸪༶᫬Ⲵ㔜࡜ࡋࡓ㸬⾡ᚋ 3 ࣨ᭶ᚋ㸪᭱⤊⿵⥛⿦⨨࡜ࡋ࡚ୗ㢡࡟㔠ᒓࣇ࣮࣒࣮ࣞ࣡ࢡࢆ⏝࠸ࡓ IOD ࢆ⿦╔ࡋࡓ㸬ϫ㸬⤒㐣࡞ࡽࡧ࡟⪃ᐹ ☢ᛶ࢔ࢱࢵࢳ࣓ࣥࢺࢆ⤌ࡳ㎸ࢇࡔ࢖ࣥࣉࣛࣥࢺ
ᇙධ┤ᚋ࠿ࡽ⩏ṑࡢ⥔ᣢ࣭Ᏻᐃࡀྥୖࡋ㸪᭱⤊⿵⥛⿦⨨⿦╔ᚋ㸪3 ᖺ㛫㸪Ⰻዲ࡟⤒㐣ࡋ࡚࠸ࡿ㸬㧗ᗘ࡞㢡ሐ྾཰ࢆక࠺ୗ㢡↓ṑ㢡⑕౛࡟ᑐࡋ࡚༶᫬Ⲵ㔜
IOD ࢆ㐺ᛂࡋ㸪㧗࠸ᝈ⪅‶㊊ᗘࡀᚓࡽࢀࡓ㸬ညྜ㧗ᚄࡢపୗࢆక࠺཯ᑐညྜ⑕౛ࡢညྜ෌ᵓᡂ
۵ᐙᣢ๛ᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉㧗㱋⪅ṑ⛉Ꮫศ㔝
A Case Report of Oral Rehabilitation for Reverse Articulation with Degradation of Occlusal
Vertical Dimension
Kamochi G
Gerodontology and oral rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo
Medical and Dental University䯠Ϩ. ⥴ゝ ညྜ㧗ᚄࡢపୗ࡞ࡽࡧ࡟཯ᑐညྜࢆㄆࡵࡿ⑕౛࡟ᑐ
ࡋ࡚,⿵⥛๓ฎ⨨࡜⩏ṑࡢタィࢆ㐺ษ࡟⾜࠸,Ⰻዲ࡞ညྜ
ᶵ⬟࡜ᑂ⨾ᛶࡢᅇ᚟ࢆᅗࡿࡇ࡜ࡀ࡛ࡁࡓࡢ࡛ሗ࿌ࡍࡿ.
ϩ. ⑕౛ࡢᴫせ ᝈ⪅ࡣ 66 ṓ⏨ᛶ.⩏ṑ◚ᢡࢆ୺ッ࡟᮶㝔ࡉࢀࡓ౑⏝ࡋ࡚࠸ࡓୖୗ㒊ศᗋ⩏ṑࡣࢡࣛࢫࣉࡸேᕤṑࡀ◚ᢡࡋ㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝࡚࠸ࡓṧᏑṑࡣ __࡛_ ࡣṧ᰿࡛࠶ࡗࡓ㢡㛫㛵ಀࡣ཯ᑐညྜ࡛ညྜᖹ㠃ࡢ஘ࢀ㹝࠾ࡼࡧညྜ㧗ᚄࡢపୗࡀㄆࡵࡽࢀࡓࡲࡓ__ࡣ୙Ⰻ⿵⥛≀࠾ࡼࡧ஧ḟ࠺䭒ࡀㄆࡵࡽࢀࡓ࢔࢖ࣄࢼ࣮ศ
㢮ࡣ % ࡔࡀညྜ㛵ಀࡣϪ⣭࡛࠶ࡾညྜᨭᣢࡢ࡞࠸≧㹝㹝㹝㹝㹝㹝
ែ࡛࠶ࡗࡓ௨ୖࡼࡾ ࠥ__Ḟᦆ࡜ୖୗ㒊ศᗋ⩏ṑࡢ◚ᢡ࡟ࡼࡿ࿪ᄮ㞀ᐖ࠾ࡼࡧᑂ⨾㞀ᐖ࡜デ᩿ࡋࡓ.

Ϫ. ἞⒪ෆᐜ ࡲࡎࡣ἞⒪⏝⩏ṑࢆ〇సࡋᇶᮏ἞⒪ᚋ࡟᭱⤊⿵⥛࡬⛣⾜ࡍࡿࡇ࡜࡜ࡋࡓࣇ࢙࢖ࢫ࣎࢘ࢺࣛࣥࢫࣇ࢓࣮ࢆ⾜࠸◊✲⏝ᶍᆺࢆ༙ㄪ⠇ᛶညྜჾ࡟࣐࢘ࣥࢺࡋညྜ㧗ᚄࡢᣙୖ㔞ࢆ᳨ウࡋ๓ṑ㒊࡛ PP ᣲୖࡋࡓ἞⒪⏝⩏ṑ⿦╔ᚋ࡟࠾࠸࡚ၥ㢟ࡣㄆࡵ࡞࠿ࡗࡓ⩏ṑ࡬ࡢ㡰ᛂࢆ☜ㄆࡋ୪⾜ࡋ࡚ࣉ࣮ࣛࢡࢥࣥࢺ࣮ࣟࣝࡢᨵၿ୪ࡧ࡟ṑ࿘
἞⒪᰿⟶἞⒪ࢆ⾜ࡗࡓᚋ㖋ṑࡢṑෙ⿵⥛ࢆ⾜࠸ୖୗ㒊ศᗋ⩏ṑࢆస〇ࡋࡓϫ ⤒㐣୪ࡧ࡟⪃ᐹ ᮏ⑕౛࡛ࡣ_ ࢆ᰿㠃ᯈ࡜ࡋ࡚ಖᏑࡍࡿࡇ࡜࡟ࡼࡗ
࡚㢡ሐࢆಖᏑࡋ⩏ṑᗋࡢỿୗࢆ㜵ࡄࡇ࡜ࡀ࡛ࡁࡓࡲࡓ἞⒪⏝⩏ṑࢆ⏝࠸ࡿࡇ࡜࡛㐺ษ࡞ညྜ㧗ᚄ࠾ࡼࡧୗ㢡఩ࢆタᐃࡋࠊ᭱⤊⿵⥛࡟ྥࡅࡓᑂ⨾࡜ᶵ⬟ࡢ☜ㄆࡀ࡛ࡁࡓ௒ᚋࡶ⩏ṑࡢᏳᐃࢆ⪃៖ࡋࡘࡘᐃᮇⓗ࡞࣓ࣥࢸࢼࣥࢫࡀᚲせ࡛࠶ࡿ࡜⪃࠼࡚࠸ࡿ

35

CP 㻙7

ኚⰍࡋࡓୖୗ㢡๓ṑ㒊࡟࣏࣮ࢭ࣑ࣞࣥࣛࢿ࣮ࢺ࣋ࢽ࢔࡛ᑂ⨾ಟ᚟ࢆ⾜ࡗࡓ㛗ᮇணᚋホ౯ῧᓥ ṇ࿴
஑ᕞᨭ㒊
Long-term clinical outcomes in esthetic rehabilitation of discolored maxillary and mandibular anterior teeth
with porcelain laminate veneers.
Soejima M
Kyushu BranchϨ㸬⥴ゝᑂ⨾ᛶ㸪⏕యぶ࿴ᛶ㸪᪥ᮏேࡢࢩࣕ࣋ࣝษṑ࡟㐺ࡋࡓప౵くࡢ࣏࣮ࢭ࣑ࣞࣥࣛࢿ࣮ࢺ࡭ࢽ࢔㸦PLVs㸧࡛㸪ኚⰍࡋࡓୖୗ๓ṑ㒊࡟ಟ᚟ฎ⨨ࢆ⾜ࡗࡓ⑕౛ࡢ㛗ᮇணᚋホ౯ࢆሗ࿌ࡍࡿ㸬
䱷㸬⑕౛ࡢᴫせ37 ṓ㸪ዪᛶ㸪ୖୗ๓ṑ㒊ࡢࢸࢺࣛࢧ࢖ࢡࣜࣥ࡟ࡼࡿᑂ⨾㞀ᐖࢆ୺ッ࡟ 2007 ᖺ 9 ᭶ 20 ᪥࡟᮶㝔ࡋࡓ㸬ᝈ⪅ࡣỌஂṑⴌฟ᫬࠿ࡽ๓ṑ㒊ࡢኚⰍࡀࢥࣥࣉࣞࢵࢡࢫ࡛࠶ࡗࡓ㸬#11㹼23,31㹼43 ࡣኚⰍ࡜ᐇ㉁Ḟᦆࡣ࠶ࡗࡓࡶࡢࡢ඲࡚᭷
㧊ṑࡢࡓࡵ㸪ಟ᚟ฎ⨨࡟ࡣ᭱ᑠࡢ౵く࡛ᑂ⨾ᛶࡀᚓࡽࢀ
ࡿ PLVs ࢆᥦ᱌ࡋࡓ࡜ࡇࢁᝈ⪅ࡣྠពࡋࡓ㸬ϩ㸬἞⒪ෆᐜ
ညྜデ᩿ࡢ⤖ᯝ㸪๓᪉㐠ື᫬࡟#17,48 ྑഃഃ᪉㐠ື᫬࡟
#17,47 ࡀᖸ΅ࡋ㸪࢔ࣥࢸࣜ࢔࢞࢖ࢲࣥࢫࡀ႙ኻࡋ࡚࠸
ࡓ㸬ࡑࡢࡓࡵ㸪ୖୗ๓ṑ㒊ṑෙ㛗࡜ୖ㢡⯉㠃ᙧែࡢᨵၿ㸪CP 㻙8⮻ṑ㒊ࡢည㢌ᖸ΅㒊ࢆ᭱ᑠ㝈࡟ညྜㄪᩚࡋ㸪ᑂ⨾ᛶࢆ⪃៖ࡋ࡚デ᩿⏝࣡ࢵࢡࢫ࢔ࢵࣉࢆ⾜ࡗࡓ㸬ኚⰍṑࡢ࢜ࣇ࢕ࢫ࣍࣡࢖ࢺࢽࣥࢢᚋ࡟ᨭྎṑᙧᡂࢆ⾜ࡗࡓ㸬ࡑࡢᚋデ᩿⏝࣡ࢵࢡࢫ࢔ࢵࣉࢆࢩࣜࢥ࣮ࣥࣃࢸ࡛༳㇟ࡋ㸪┤᥋ἲ࡛ᬻ㛫⿵⥛ࢆ〇సࡋࡓ㸬ṑෙᙧែ㸪Ⰽㄪ㸪ཱྀ၁࠾ࡼࡧࢫ࣐
࢖ࣝࣛ࢖ࣥ࡜ࡢㄪ࿴࡜ညྜࡢ෌ホ౯ᚋ㸪PLVs ࡟࡚᭱⤊⿵⥛ࢆ⾜ࡗࡓ㸬Ϫ㸬⤒㐣࡞ࡽࡧ࡟⪃ᐹ
2010 ᖺ 7 ᭶ 30 ᪥࡟#33 ࡀ⬺㞳ࡋྜ╔ࡋࡓ㸬⌧ᅾ⾡ᚋ 10ᖺ⤒㐣ࡋ࡚࠸ࡿࡀ㸪ṑ࿘⤌⧊ࡢ⅖⑕࣭㏥⦰࣭ṑࡢኚⰍࡣㄆࡵࡽࢀࡎ㸪࡯ࡰⰋዲ࡟⤒㐣ࡋ࡚࠸ࡿ㸬ࢹࣥࢱࣝ X ⥺෗┿࡛ࡶಟ᚟ࡋࡓṑ㧊࣭ṑ᰿⭷⭍࡟␗ᖖࡣㄆࡵࡽࢀࡎ㸪
PLVs ࡣ㛗ᮇⓗ࡞ᑂ⨾ᛶ࡜ண▱ᛶࡢ㧗ࡉࡀ♧၀ࡉࢀࡓ㸬ϫ㸬ᩥ⊩࣎ࣥࢹ࢕ࢵࢻ࣏࣮ࢭࣞࣥࣞࢫࢺࣞ࢖ࢩࣙࣥࢬ㸭Pascal
Magne㸪Urs Belserညྜᣲୖࢆ⾜࠸㐣ᗘ࡞ည⪖ࢆక࠺㒊ศṑิḞᦆᝈ⪅ࡢ࿪ᄮᶵ⬟࡜ᑂ⨾ᛶࢆᨵၿࡋࡓ㸯⑕౛‫ۑ‬㕥ᮌ ዉ᭶ᮾி་⛉ṑ⛉኱Ꮫ 㒊ศᗋ⩏ṑ⿵⥛Ꮫศ㔝
A fixed and removable combination prosthodontic management
dimension for a patient with extensive tooth wear.

with reconstructive vertical occlusal

Suzuki N.
Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental UniversityϨ㸬⥴ゝ 㐣ᗘ࡟ည⪖ࢆ⏕ࡌࡿཎᅉࡣᵝࠎ࡛࠶ࡾ㸪ညྜᅇ᚟࡟࠶
ࡓࡗ࡚ࡣ㸪≉࡟ὀពࡀᚲせ࡛࠶ࡿ㸬ᮏ⑕౛࡛ࡣ㸪㏫ὶᛶ
㣗㐨⅖࠾ࡼࡧࣈࣛ࢟ࢩࢬ࣒࡟ࡼࡾ㸪㐣ᗘ࡞ည⪖࠾ࡼࡧညྜᖹ㠃ࡢ஘ࢀࢆ࿊ࡋࡓ㒊ศṑิḞᦆᝈ⪅࡟ᑐࡋ࡚⿵⥛἞⒪ࢆ⾜࠸㸪Ⰻዲ࡞⤒㐣ࡀᚓࡽࢀࡓࡓࡵሗ࿌ࡍࡿ㸬ϩ㸬⑕౛ࡢᴫせ ᝈ⪅ࡣ 63 ṓࡢ⏨ᛶ㸬⿵⥛⿦⨨ࡢ⬺㞳㸪㐣ᗘࡢည⪖࡟ࡼࡿ࿪ᄮᅔ㞴࠾ࡼࡧᑂ⨾୙Ⰻࢆ୺ッ࡟᮶㝔ࡋࡓ㸬Eichnerศ㢮 B-2 ࡛࠶ࡾ㸪඲㢡ⓗ࡟ည⪖ࡀㄆࡵࡽࢀࡓ㸬≉࡟㸪ୗ㢡๓ṑ㒊ࡢည⪖ࡣⴭࡋࡃ㸪|௨እࡢษṑࡣṑ㉁Ḟᦆࡀṑ㧊⭍ࡲ࡛㐩ࡋ᰿⟶ฎ⨨ࡀ⾜ࢃࢀ࡚࠸ࡓ㸬ᕥୗ⮻ṑ㒊ࡣṧ᰿≧ែ࡛࠶ࡗࡓ㸬ࡲࡓ㸪⮻ṑ㒊࡟ࡣ㸪ညྜᖹ㠃ࡀ஘ࢀࡓ≧ែ࡛ᅛᐃᛶ⿵⥛⿦⨨ࡀ⿦╔ࡉࢀ࡚࠸ࡓ㸬Ϫ㸬἞⒪ෆᐜ ⾡๓デᰝࡢ⤖ᯝ㸪ࢡࣜ࢔ࣛࣥࢫ☜ಖࢆ┠ⓗ࡜ࡋ࡚㸪ညྜᣲୖࡀᚲせ࡜⪃࠼ࡽࢀࡓ㸬㐺ษ࡞ညྜ㧗ᚄ࠾ࡼࡧỈᖹⓗညྜ఩ࡢỴᐃ㸪࠾ࡼࡧ᪂ࡓ࡞ညྜ఩࡬ࡢᝈ⪅ࡢ㡰ᛂࢆ☜ㄆࡍࡿࡓࡵ㸪ྍ᧔ᛶ⩏ṑࢆ⏝࠸࡚ᬻ㛫ⓗ࡟ညྜᣲୖࢆ⾜ࡗࡓ㸬Ᏻ㟼✵㝽ࡀ☜ಖࡉࢀ㸪ṧᏑṑ㸪㢡㛵⠇࠾ࡼࡧ࿪ᄮ➽➼࡟␗ᖖᡤぢࢆㄆࡵ࡞࠿ࡗࡓࡇ࡜࠿ࡽ㸪ࣉࣟࣅࢪࣙ
ࢼࣝࣞࢫࢺ࣮ࣞࢩࣙࣥ࡟⨨᥮ࡋ㸪ညྜᖹ㠃ࢆಟṇࡋࡓ㸬෌ᗘ㸪⤒㐣ほᐹࡋࡓᚋ㸪᭱⤊⿵⥛࡟⛣⾜ࡋࡓ㸬ϫ㸬⤒㐣࡞ࡽࡧ࡟⪃ᐹ ⿵⥛἞⒪⤊஢ᚋࡣ㸪ညྜࡣᏳᐃࡋ㸪ᑂ⨾㠃࡛ࡢᨵၿࡶ
ㄆࡵࡽࢀࡓࡇ࡜࠿ࡽ㸪㧗࠸‶㊊ࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡓ㸬ᑵᐷ᫬ࡢࢼ࢖ࢺ࣮࢞ࢻ⿦╔ࢆᣦ♧ࡋ㸪3 ࣨ᭶ẖࡢ࣓࢖ࣥࢸ
ࢼࣥࢫ࡟⛣⾜ࡋࡓ㸬3 ᖺ⤒㐣ࡋࡓ⌧ᅾࡲ࡛㸪ညྜࡣᏳᐃ
ࡋ㸪⤒㐣ࡣⰋዲ࡛࠶ࡿ㸬36