‫ᧈ˟ٻ‬ਮਠ㻔 බ♫ 㻕䚷᪥ᮏᤕ⥛ṑ⛉Ꮫ఍㛵すᨭ㒊ᨭ㒊㛗䚷బྂዲṇ䚷䛣䛾ᗘ䠈 ኱㜰኱Ꮫ䛾▮㇂༤ᩥᩍᤵ䛾ᚋ௵䛸䛧䛶㛵すᨭ㒊ᨭ㒊㛗䜢ᣏ࿨䛔䛯䛧䜎䛧䛯బྂዲṇ䛸⏦䛧䜎䛩䠊 ๪ᨭ㒊㛗䛾ụ㑓୍඾ᩍᤵ 䠄኱㜰኱Ꮫ䠅䠈 㧘ᶫ୍ஓᩍᤵ 䠄኱㜰ṑ⛉኱Ꮫ䠅 䛸ඹ䛻බ┈♫ᅋἲே᪥ᮏ⿵⥛ṑ⛉Ꮫ఍䛾㛵すᨭ㒊䛸䛧䛶䠈 ᆅᇦᏛ⾡᣺⯆άື䛻ᑾຊ䛧䛶䜎䛔䜚䛯䛔䛸⪃䛘䛶䛚䜚䜎䛩䠊 ㏆ᖺ䠈 Ⰻ㉁䛺 㻱㻮㻹 䛜せồ䛥䜜䜛୰䠈 Ꮫ఍䜢୰ᚰ䛸䛩䜛Ꮫ⾡άື䛿䠈 䛹䜣䛹䜣⣽ศ໬䛥䜜䛶䛔䛟ഴྥ䛜䛒䜛䜘䛖䛻ᛮ䛔䜎䛩䠊 ヲ⣽䛺䜶䝡䝕䞁䝇䛾㔜✚䛿ᮃ䜎䛧䛔஦䛷䛿䛒䜚䜎䛩䛜䠈 ໟᣓⓗ䛺どⅬ䜢ᦆ䛺䜟䛺䛔䜘䛖ὀព䛧䛺䛔䛸䛔䛡䛺䛔䛸䜒ឤ䛨䛶䛔䜎䛩䠊 䜎䛯䠈 ᢡゅ䛾◊✲ᡂᯝ䛜䠈 ୍⯡⮫ᗋᐙ䛻ᑐ䛧䛶ຠ⋡䜘䛟䜲䞁䝣䜷䝯䞊䝅䝵䞁䛥䜜䛶䛔䜛䛛䜒༴᝹䛧䛶䛔䜎䛩䠊 ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍䛾䝩䞊䝮䝨䞊䝆䛻 䛂⿵⥛Ꮫ఍䛿䠈 ṑ 䞉 㢡䛾ᐇ㉁Ḟᦆ䜢⿵䛖⿵⥛἞⒪䛾ᮦᩱ䜔ᢏ⾡䛾◊✲㛤Ⓨ䛻䜘䜚䠈 ᅜẸ䛾೺ᗣ⥔ᣢ䜢㏻䛨䠈 ೺ᗣ㛗ᑑ䛻㈉⊩䛩䜛䠊䛃 䛸䛔䛖䜘䛖䛺኱┠ᶆ䛜グ㍕䛥䜜䛶䛔䜎䛩䠊 ṇ䛻⮫ᗋ⌧ሙ䜢ὀど䛧䠈 ᆅᇦ་⒪ᚑ஦⪅䜢ᕳ䛝㎸䜎䛺䛔䛸ᡂ䛧ᚓ䛺䛔┠ᶆ䛰䛸ᛮ䛔䜎䛩䠊 ᚑ䛳䛶䠈 ᨭ㒊㐠Ⴀ௻⏬䛻䛒䛯䛳䛶䛿䠈 ⮫ᗋ⌧ሙ䛻༶䛧䛯ヰ㢟䜢䝔䞊䝬䛻䠈 ከ䛟䛾⮫ᗋᐙ䛻ཧຍ䛧䛶㡬䛡䜛䜘䛖䛻ດ䜑䛶䜎䛔䜚䛯䛔䛸ᛮ䛔䜎䛩䠊 ᮏᖺ䛿䠈 䠍䠍᭶䠎䠏᪥䛻኱㜰ṑ⛉኱Ꮫኳ‶ᶫᏛ⯋๰❧䠍䠌䠌࿘ᖺグᛕ㤋䛻䛶⥲఍ཬ䜃Ꮫ⾡኱఍䜢⾜䛔䜎䛩䠊 ⩣᪥䠎䠐᪥䛻䛿䠈 ᪥ᖖ⮫ᗋ䛷䛿ᚲ䛪⾜䛖䛷䛒䜝䛖ညྜㄪᩚ䛻䝇䝫䝑䝖䜢ᙜ䛶䠈 ⏕ᾭᏛ⩦බ㛤䝉䝭䝘䞊䜢⾜䛔䜎䛩䠊 ෆᐜ䜒䠈 ᭷ṑ㢡⑕౛䛻㛵䛧䛶ᮏከṇ᫂ඛ⏕䛻䠈 Ḟᦆ⑕౛䜢ụ㑓୍඾ඛ⏕䛻䠈 䜲䞁䝥䝷䞁䝖⑕౛䛻䛴䛔䛶ୖ⏣୍ᙪඛ⏕䛻䛤ㅮ₇㡬䛝䜎䛩䠊 䛭䜜䛮䜜䛾ศ㔝䛾䜸䝢䝙䜸䞁䝸䞊䝎䞊䛾ㅮᖌ䛾ඛ⏕᪉䛻䜘䜚䜶䝡䝕䞁䝇䛻ᇶ䛵䛔䛯ညྜㄪᩚ䛾䛒䜛䜉䛝ጼ䛜ᥦ♧䛥䜜䜛䜒䛾䛸ᛮ䛔䜎䛩䠊 䛭䛧䛶䠈 ྠ᪥䛾༗ᚋ䛻䛿䜸䝸䞁䝢䝑䜽䜲䝲䞊䛻ඛ㥑䛡䠈 䛂䝇䝫䞊䝒䛸Ⰻ䛔ჶ䜏ྜ䜟䛫䛷೺ᗣ䛻䛃 䛸㢟䛧䛶䠈 ኱㜰኱Ꮫ≉௵ᩍᤵ䛾๓⏣ⰾಙඛ⏕䜢ㅮᖌ䛸䛧䛶䠈 ᕷẸ䝣䜷䞊䝷䝮䜢ేദ䛧䜎䛩䠊 ᪥ᮏ䝇䝫䞊䝒ṑ⛉་Ꮫ఍䛜䠈 ᑓ㛛Ꮫ఍䛸䛧䛶⢭ຊⓗ䛻άື䛥䜜䛶䛔䜎䛩䛜䠈 ⿵⥛Ꮫ఍䛸䛧䛶䜒䛭䛾ศ㔝䜈䛾ㄆ㆑䜢㧗䜑䜛䛸ྠ᫬䛻䠈 ୍⯡ᕷẸ䛾᪉䛻䝇䝫䞊䝒䛸ṑ⛉་Ꮫ䛸䛾㛵㐃䜢ᗈሗ䛷䛝䜛Ⰻ䛔ᶵ఍䛻䛺䜜䜀䛸ᛮ䛔䜎䛩䠊
䚷ᮏᖺᗘ䛛䜙䛾䠎ᖺ㛫䠈 ᮏ఍఍ဨ䛾䜏䛺䜙䛪ከ䛟䛾㛤ᴗ་䛾ඛ⏕᪉䛻䜒䛤ཧຍ㡬䛡䜛䜘䛖ᇉ᰿䛾ప䛔Ꮫ఍㐠Ⴀ䜢ᚰ䛜䛡䛶䜎䛔䜚䛯䛔䛸⪃䛘䛶䛚䜚䜎䛩䠊 ಸᪧ䛾䛤ᣦᑟ䛤㠴᧡䜢㈷䜚䜎䛩䜘䛖ᐅ䛧䛟䛚㢪䛔⏦䛧ୖ䛢䜎䛩䠊1‫ܖ‬ᘐ‫˟ٻ‬ǹǱǸȥȸȫ

䠄㻟₇㢟䠅㻝㻝᭶㻞㻟᪥䠄ᅵ䞉⚃᪥䠅኱఍ཷ௜䠖㻝㻜㻜࿘ᖺグᛕ㤋㻝㝵ᙺဨ఍ཷ௜䠖㝃ᒓ⑓㝔㻝㻠㝵䝥䝷䝄㻝㻠ධཱྀᑓ㛛་䝥䝺䝊䞁䝔䞊䝅䝵䞁ཷ௜䠖㻝㻜㻜࿘ᖺグᛕ㤋㻞㝵㻞㻜㻝ྕᐊ๓㻌

2㻝㻝᭶㻞㻠᪥䠄᪥䠅䝉䝭䝘䞊ཷ௜䠖㻝㻜㻜࿘ᖺグᛕ㤋㻝㝵˟‫ئ‬కϋ3ӋьᎍǁƷƝకϋཧຍ⪅࡬ࡢࡈ᱌ෆ
Ꮫ⾡኱఍ཧຍࡢⓙᵝ࡬㸬 ཧຍ⪅ࡣཷ௜࡟࡚ᙜ᪥఍㈝  ෇ࢆ࠾ᨭᡶ࠸ࡢୖ㸪Ꮫ⾡኱఍ཧຍ❶ࢆ࠾ཷࡅྲྀࡾࡃࡔࡉ࠸㸬Ꮫ⾡኱఍ཧຍ❶࡟ࡣ㸪Ặྡ࣭ᡤᒓࢆࡈグධࡢୖ㸪㌟࡟ࡘࡅ࡚ࡈධሙࡃࡔࡉ࠸㸬㸬 ◊✲Ⓨ⾲࡟࠾ࡅࡿࣅࢹ࣭࢜෗┿➼ࡢ᧜ᙳࡣ㸪Ⓨ⾲⪅ࡢⴭసᶒಖㆤࡢࡓࡵ㸪⚗Ṇࡉࡏ࡚࠸ࡓࡔࡁࡲࡍ㸬㸬 ᮏ኱఍ฟᖍ⪅ࡣ  ༢఩ࡢ◊ಟ༢఩ࡀ୚࠼ࡽࢀࡲࡍ㸬ᮏᏛ఍ᑓ㛛་ࡢ⏦ㄳ࠶ࡿ࠸ࡣ᭦᪂ࢆᕼᮃࡍ
ࡿሙྜࡣ㸪ཷ௜࡟࡚఍ဨドࡢࣂ࣮ࢥ࣮ࢻࢆㄞྲྀᶵ࡟㏻ࡋ࡚ࡃࡔࡉ࠸㸬఍ဨドࡢ࡞࠸᪉ࡣ㸪ᑓ㛛་◊ಟ࣮࢝ࢻࢆ⏝ពࡋ࡚࠾ࡾࡲࡍ㸬㸬 ⏕ᾭᏛ⩦බ㛤ࢭ࣑ࢼ࣮ ᑓ㛛་◊ಟ༢఩ㄆᐃࢭ࣑ࢼ࣮ ࡢཧຍ༢఩Ⓩ㘓࡟ࡘࡁࡲࡋ࡚ࡣ㸪఍ሙฟཱྀ࡟࡚఍ဨドࡢࣂ࣮ࢥ࣮ࢻࢆㄞྲྀᶵ࡟㏻ࡋ࡚ࡃࡔࡉ࠸㸬 ఍ሙෆࡣࡍ࡭࡚㣧㣗⚗Ṇ㸪⚗↮࡛ࡍ㸬㸬 㥔㌴ሙࡢࡈ⏝ពࡣࡈࡊ࠸ࡲࡏࢇࡢ࡛㸪࠾㌴࡛ࡢࡈ᮶ሙࡣࡈ㐲៖ࡃࡔࡉ࠸㸬᪥ṑ⏕ᾭ◊ಟ࡟ࡘ࠸࡚බ♫ ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍㛵すᨭ㒊Ꮫ⾡኱఍࡟ཧຍࡋࡓሙྜ࡟ࡣ㸪≉ู◊ಟ࡜ࡋ࡚  ༢఩ࡀྲྀᚓ࡛

ࡁࡲࡍ㸬≉ู◊ಟࡢ༢఩Ⓩ㘓࡟ࡣ㸪ཷ௜࡟タ⨨ࡉࢀࡓ࣮࢝ࢻ࣮ࣜࢲ࣮࡟ࡈ⮬㌟ࡢ᪥ṑ ,& ࣮࢝ࢻࢆ࠿
ࡊࡋ࡚ࡃࡔࡉ࠸㸬ࡑࡢ௚ࡢྛࣉࣟࢢ࣒ࣛࡢ༢఩Ⓩ㘓ࡣ࣮࣍ࣝධཱྀ௜㏆࡟タ⨨ࡉࢀࡓ࣮࢝ࢻ࣮ࣜࢲ࣮࡟᪥ṑ ,& ࣮࢝ࢻࢆ࠿ࡊࡋ࡚ࡃࡔࡉ࠸㸬࠸ࡎࢀࡶཷㅮ◊ಟⓏ㘓⏝ ,& ࣮࢝ࢻࡀ࡞࠸࡜༢఩Ⓩ㘓ࡀ࡛ࡁࡲࡏࢇࡢ࡛㸪ᚲࡎࡈ⮬㌟ࡢ᪥ṑ ,& ࣮࢝ࢻࢆ࠾ᣢࡕࡃࡔࡉ࠸㸬ヲ⣽ࡣ᪥ᮏṑ⛉་ᖌ఍࡟࠾ၥ࠸ྜࢃࡏࡃࡔࡉ࠸㸬

ཱྀ₇Ⓨ⾲ࡉࢀࡿඛ⏕࡬ Ⓨ⾲ࡣࡍ࡭࡚ 3& ࡟ࡼࡿⓎ⾲ ༢෗ ࡜ࡋࡲࡍ㸬ࢫࣛ࢖ࢻࡸࣅࢹ࢜ࡣ౑⏝࡛ࡁࡲࡏࢇࡢ࡛ࡈὀពࡃࡔࡉ࠸㸬 ཱྀ₇᫬㛫ࡣⓎ⾲  ศ㸦᫬㛫ཝᏲ㸧㸪㉁␲ᛂ⟅ࡣ  ศ࡛ࡍ㸬 ୍⯡ཱྀ₇Ⓨ⾲࡟࡚౑⏝ࡍࡿ 3& :LQGRZV ࡣ఍ሙ࡛⏝ពࡋࡲࡍ㸬ཎ๎࡜ࡋ࡚ 3& ࡢᣢࡕ㎸ࡳࡣཷࡅ௜ࡅࡲࡏࢇ㸬 ₇㢟Ⓨ⾲ࡢ㐍⾜᧯సࡣ㸪ࡈ⮬㌟࡛⾜ࡗ࡚ࡃࡔࡉ࠸㸬 Ⓨ⾲ࣇ࢓࢖ࣝࡣ 3RZHU3RLQW ஫᥮ᙧᘧ㸦ᣑᙇᏊSSW[㸧࡟࡚㸪:LQGRZV ᶆ‽ᦚ㍕ࣇ࢛
ࣥࢺࢆࡈ౑⏝ࡃࡔࡉ࠸㸬 ௒ᅇࡢཱྀ㢌Ⓨ⾲ࡢࢫࣛ࢖ࢻࡢ⏬㠃ẚ⋡㸦࢔ࢫ࣌ࢡࢺẚ㸧ࡣ 㸸 ࡛సᡂࡋ࡚ୗࡉ࠸㸬 ணഛࡢࣂࢵࢡ࢔ࢵࣉࢹ࣮ࢱࢆᚲࡎ࠾ᣢࡕࡃࡔࡉ࠸㸬 Ⓨ⾲ணᐃ᫬้ࡢ  ศ๓ࡲ࡛࡟㸪఍ሙཷ௜࡟࡚Ⓨ⾲ࢹ࣮ࢱࡢヨ෗☜ㄆ࡞ࡽࡧ࡟ᥦฟࢆ⾜ࡗ࡚ࡃࡔࡉ࠸㸬4 Ⓨ⾲ࢹ࣮ࢱࡣ㸪86% ࣓࣮ࣔࣜ࡟࡚ࡈᥦฟࡃࡔࡉ࠸㸬࠶ࡽ࠿ࡌࡵ㸪࣓ࢹ࢕࢔ࡢ࢘࢕ࣝࢫࢳ࢙ࢵࢡ
ࢆ⾜ࡗ࡚ࡃࡔࡉ࠸㸬
 ₇⪅ࡣ㸪Ⓨ⾲ணᐃ᫬้  ศ๓࡟ࡣࠕḟ₇⪅ᖍࠖ࡟╔ᖍࡋ࡚ࡃࡔࡉ࠸㸬 Ⓨ⾲⪅ࡣヱᙜࡍࡿ &2, ≧ែ࡟ࡘ࠸࡚㸪Ⓨ⾲ࢫࣛ࢖ࢻ࡟࡚ᡤᐃࡢᵝᘧ㸯$㸪㸯% ࡟ࡼࡾ㛤♧ࢆ࠾㢪࠸ࡋࡲࡍ㸬ヲ⣽ࡣୗグࡢ⿵⥛Ꮫ఍ +3 ࢆཧ↷ࡋ࡚ࡃࡔࡉ࠸㸬
KWWSZZZKRWHWVXFRPFBKWPO
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5

ᑓ㛛་ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥࢆࡉࢀࡿඛ⏕࡬‫ᧉݦ‬ҔȗȬǼȳȆȸǷȧȳǛƞǕǔέဃǁ㸬఍ ሙ
኱㜰ṑ⛉኱Ꮫ  ࿘ᖺグᛕ㤋  㝵 ᑠㅮ⩏ᐊ 

㸬Ⓨ⾲᪥᫬ᒎ ♧ ௧࿴ඖᖺ  ᭶  ᪥㸦ᅵ㸧㹼ᑂ ᰝ ௧࿴ඖᖺ  ᭶  ᪥㸦ᅵ㸧㹼

㸬Ⓨ⾲᪉ἲ
㸧ᒎ♧࡟ࡘ࠸࡚
㸦㸧ཷ௜ࡣ௧࿴ඖᖺ  ᭶  ᪥㸦ᅵ㸧࠿ࡽ⾜࠸ࡲࡍ㸬఍ሙཷ௜࡟࡚₇㢟␒ྕ㸪ᡤᒓ㸪Ặྡࢆ᫂♧ࡋ㸪₇㢟␒ྕࢆグࡋࡓྡᮐࢆཷࡅྲྀࡗ࡚ୗࡉ࠸㸬㸦㸧ᒎ♧⏝࡟ᶓ  FP⦪  FP ࡢᒎ♧ࣃࢿࣝ࡜㈨ᩱᒎ♧⏝ࢸ࣮ࣈࣝ  ᮏࢆ⏝ព࠸ࡓࡋࡲࡍ㸬㸦㸧ᅗࡢ⠊ᅖෆ࡟࣏ࢫࢱ࣮ࢆᒎ♧ࡋ࡚ୗࡉ࠸㸬㸦㸧኱఍஦ົᒁ࡛ᒎ♧ࣃࢿࣝ࡟₇㢟␒ྕࢆ⏝ពࡋࡲࡍ㸬₇㢟㸪Ặྡ㸪ᡤᒓࡣ⏦ㄳ⪅ࡀ⏝ពࡋ࡚ୗࡉ࠸㸬㸦㸧࣏ࢫࢱ࣮ࡢᒎ♧ࣃࢿࣝ࡬ࡢ㈞ࡾ௜ࡅࡣ⏬㗩ࢆ౑⏝ࡋ㸪ࢸ࣮ࣉ࡞࡝ࡢ⢓╔ࢸ࣮ࣉࡣ౑⏝ࡋ࡞࠸࡛ୗࡉ࠸㸬⏬㗩ࡣ఍ሙ࡟⏝ព࠸ࡓࡋࡲࡍ㸬㸧ᑂᰝ࡟ࡘ࠸࡚
㸦㸧ᑂᰝဨࡢᣦ♧࡟ᚑ࠸㸪 ศ⛬ᗘ࡛ㄝ᫂ࢆ⾜ࡗ࡚ୗࡉ࠸㸬㸦㸧ࡑࡢᚋ㸪ᑂᰝጤဨࡢ㉁␲ࢆཷࡅ࡚ୗࡉ࠸㸬㸬࣏ࢫࢱ࣮ࡢ᧔ཤ  ௧࿴ඖᖺ  ᭶  ᪥㸦ᅵ㸧㹼㸦 ௨㝆ࡣ஦ົᒁ࡛ฎศ࠸ࡓࡋࡲࡍ㸬
㸧
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䊹㻌㻞㻜䠿䡉䊻 㻌㻌䊹㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻝㻢㻜䠿䡉㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌䊻

㻌㻌䊺
㻌㻞㻜䠿䡉

㻌㻌䊼

₇㢟
␒ྕ

₇㢟䞉ᡤᒓ䞉Ặྡ䞉෗┿

㻌㻌䊺

㻌㻌䊺

㻞㻜㻜䠿䡉
㻝㻤㻜䠿䡉

㻌㻌䊼

㻌㻌䊼
㻌㻌䊹

㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻝㻤㻜䠿䡉㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌䊻ᑓ㛛་⏦ㄳࡢࡓࡵࡢࢣ࣮ࢫࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ⏝࣏ࢫࢱ࣮Ⓨ⾲ࡢつ᱁

6ȗȭǰȩȠ
ࣉࣟࢢ࣒ࣛ ᭶  ᪥ 㸦ᅵ᭙᪥㸧  㝵኱ㅮ⩏ᐊ

10:30 㛤఍ࡢ㎡

10:35㹼11:35

୍⯡ཱྀ₇

10:35㹼11:05  ᗙ㛗1బྂዲṇ㸦኱఍㛗࣭ᨭ㒊㛗㸧ྜྷᓠⱱᶞ㸦኱ṑ኱㸧ୗ㢡๓ṑ࡜ୗ㢡➨୍኱⮻ṑ࡛ࡢညྜ༳㇟యࡢගᏛィㄗᕪ‫ۑ‬ᾏཎ༟ஓ㸪బ⸨ṇᶞ㸪ụෆ៞௓㸪๓⏣ᆂ࿃㸪ᑠᓥ⌮ᜨ㸪ᮌᮧබ୍㸪⏣୰ᫀ༤኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙ
2ヨసࡋࡓ඲㢡ညྜ༳㇟⏝ࢺ࣮ࣞࢆ⏝࠸ࡓ༳㇟᥇ᚓ࡟㛵ࡍࡿ⿕㦂⪅࡬ࡢ࢔ࣥࢣ࣮ࢺㄪᰝ
ࠐ⏣୰㡰Ꮚ㸪すཎ♩⾰⨾㸪⚟ᮏ㈗ᏹ㸪బྂဨᇶ㸪ᯇᓮᝅኈ㸪⸨஭Ꮥᨻ㸪⏣୰ᫀ༤኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙ

3ṑࡢ㟢ฟࡋࡓ➗㢦ࡀேࡢ༳㇟࡜ὀどⅬ࡟ཬࡰࡍᙳ㡪‫ۑ‬⣒⏣⌮Ἃ㸪ᒣᮏ┿⏤㸪㫽஭ඞ඾㸪⚟஭ᮤ⣪㸪኱ሯె௦Ꮚ㸪⏣୰㡰Ꮚ㸪⏣୰ᫀ༤኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙ

11:05㹼11:35  ᗙ㛗  ▼ᇉᑦ୍㸦኱㜰኱㸧
4

Effect of posterior residual ridge resorption on peri-implant bending strain in mandibular implant overdenture‫ۑ‬Pham Nguyen Quan㸪ᶒ⏣▱ஓ㸪℈⏣ ໶㸪㧗ᶫ฼ኈ㸪๓⏣ⰾಙ㸪ụ㑓୍඾኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝

5Ag ࢼࣀ⢏Ꮚཬࡧ NAC ࢥ࣮ࢸ࢕ࣥࢢࡀࢼࣀᵓ㐀ࢆ᭷ࡍࡿ⣧ࢳࢱࣥ㔠ᒓ⾲㠃࡟୚࠼ࡿᙳ㡪‫ۑ‬Yang Yuanyuan㸪Zhang Honghao㸪ᑠṇ ⪽㸪㧗ᑿㄔ஧㸪Zeng Yuhao㸪ྜྷᓠⱱᶞ㸪ᒸᓮᐃྖ኱㜰ṑ⛉኱ᏛḞᦆṑิ⿵⥛ညྜᏛㅮᗙ

6ゅ໬⢓⭷ࡀ࢖ࣥࣉࣛࣥࢺయ㢕㒊㦵྾཰࡟ཬࡰࡍᙳ㡪ࠐ㕥ᮌ ᱻ㸪୰㔝 ⎔㸪ᑠ㔝┿ྖ㸪ୗඖᣅဢ㸪஭ୖᑗᶞ㸪▮㇂༤ᩥ኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝

7

13:45㹼14:05

኱ ఍ 㛗 ㅮ ₇ࠕ⿵⥛Ꮫ఍࡟ᮇᚅࡍࡿࡇ࡜ࠖ
ㅮᖌ㸸బྂዲṇ 㸦኱఍㛗࣭ᨭ㒊㛗㸧

14:05㹼14:35⥲఍

14:40㹼16:30

୍⯡ཱྀ₇

14:40㹼15:10  ᗙ㛗  బ⸨ṇᶞ㸦኱ṑ኱㸧
7

TNS ᯒฟ⣧ࢳࢱࣥ࡬ࡢ኱Ẽᅽࣉࣛࢬ࣐ฎ⌮ࡀ⏕య㐺ྜᛶ࡟୚࠼ࡿᙳ㡪
ࠐZeng Yuhao㸪ᑠṇ ⪽㸪Yang Yuanyuan㸪㧗ᑿㄔ஧㸪Li Min, Yan Sifan㸪Yin Derong㸪ྜྷᓠⱱᶞ㸪ᒸᓮᐃྖ኱㜰ṑ⛉኱ᏛḞᦆṑิ⿵⥛ညྜᏛㅮᗙ

8

QCM ࢭࣥࢧࢆ฼⏝ࡋࡓ㓝⣲ࡢὙίຠᯝࡢ᳨ウࠐᯇᮏ༟ᕭ 1)㸪୕Ꮿ᫭Ꮚ 2)㸪ᑠṇ ⪽ 1)㸪ྜྷ⏣ᬛ࿴ 3)㸪Ლ⏣ᜨ௓ 3)㸪⏣௦ᝆ୍㑻 1)㸪
Zeng Yuhao1)㸪Yang Yuanyuan1)㸪Zhang Honghao1)㸪ྜྷᓠⱱᶞ 1)㸪ᑠṇ ⿱ 2)㸪ᒸᓮᐃྖ 1)1)኱㜰ṑ⛉኱ᏛḞᦆṑิ⿵⥛ညྜᏛㅮᗙ㸪2)኱㜰ṑ⛉኱Ꮫ་⒪ಖ೺Ꮫ㒊㸪3)ᑠᯘ〇⸆ᰴᘧ఍♫࣊ࣝࢫࢣ࢔஦ᴗ㒊
9ṑ࿘⑌ᝈᝈ⪅≉᭷ࡢṑ⫗⁁ⁱฟᾮ୰࢚ࢡࢯࢯ࣮࣒ෆໟ miRNA Ⓨ⌧ࣃࢱ࣮ࣥࡢ᥈⣴ࠐἙᮾ㔛ዉ 1)㸪ᕝᮏ❶௦ 1)㸪ᶫᮏ඾ஓ 2)㸪㧘ᶫ୍ஓ 1)1)኱㜰ṑ⛉኱Ꮫ㧗㱋⪅ṑ⛉Ꮫㅮᗙ㸪2)኱㜰ṑ⛉኱Ꮫṑ⛉⌮ᕤᏛㅮᗙ

15:10㹼15:40  ᗙ㛗  ᕝᮏ❶௦㸦኱ṑ኱㸧
10 CAD/CAM ෙ⏝ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈࣟࢵࢡࡢ๓ṑ㒊ࢡࣛ࢘ࣥ࡬ࡢ㐺⏝-➨ 1 ሗ ࢡࣛ࢘ࣥࡢ◚ቯᙉᗘࠐᕤ⸨༤㈗ 1)㸪ⱝᯘ୍㐨 1)㸪ᒸᮧ┿ᘺ 1)㸪ኳ⩚ᗣ௓ 1)㸪ᑠす⚈Ꮚ 1)㸪⏣ᐑ⤀࿃ 1)㸪୰ᮧ㝯ᚿ 2)㸪
▮㇂༤ᩥ 1)1)኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝㸪2)኱ᡭ๓▷ᮇ኱Ꮫ11኱Ẽᅽࣉࣛࢬ࣐ฎ⌮ࡀ᪂つࢭ࣑ࣛࢵࢡᮦᩱ⾲㠃࡟୚࠼ࡿᙳ㡪ࠐ㧗ᑿㄔ஧  㸪ᑠṇ ⪽  㸪ୖࡾཱྀ᫭ᡂ  㸪Zeng Yuhao1)㸪Yang Yuanyuan1)㸪Li min1)㸪Yan Sifan1 ᴋᮏဴḟ  㸪すᓮ ᏹ  㸪ྜྷᓠⱱᶞ  㸪ᒸᓮᐃྖ  ኱㜰ṑ⛉኱ᏛḞᦆṑิ⿵⥛ညྜᏛㅮᗙ㸪 ኱㜰ṑ⛉኱Ꮫ་⒪ಖ೺Ꮫ㒊812 ࢪࣝࢥࢽ࢔ࢆ⏝࠸ࡓࢸࣞࢫࢥ࣮ࣉࢡࣛ࢘ࣥࡢእෙࡢ◚ᢡᙉᗘࠐᰘ⏣㥴ு㸪㫽஭ඞ඾㸪⸨ᮌ ഔ㸪ྜྷỤ ၨ㸪ྂ⸨⨾ᕹ㸪⏣୰㡰Ꮚ㸪⏣୰ᫀ༤኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙ
15:50㹼16:30  ᗙ㛗  㧗ᶫ฼ኈ㸦኱㜰኱㸧13

ᕷ㈍⩏ṑὙί๣࡜㉸㡢ἼὙίჾࡢ㝖⳦ຠᯝࠐ㇂ ளᕼዉ 1)㸪㢌ᒣ㧗Ꮚ 1)㸪஭ୖኴ㑻 2)㸪㧘ᶫ୍ஓ 2)㸪ᰠᮏ࿴ಇ 1)1)኱㜰ṑ⛉኱Ꮫ་⒪ಖ೺Ꮫ㒊㸪2)኱㜰ṑ⛉኱Ꮫ㧗㱋⪅ṑ⛉Ꮫㅮᗙ

14㧗㱋ᮇ࡟࠾ࡅࡿṑࡢ႙ኻ࡜ညྜᨭᣢ࡜ࡢ㛵㐃ࠐబ⸨ோ⨾㸪୕ཎభ௓㸪ᐊ㇂᭷⣖㸪ⴗ㔝ᘯᑗ㸪⚟ṊඖⰋ㸪ඵ⏣᪸኱㸪Ṋୗ⫕㸪㧗ᶫ฼ኈ㸪ᴮᮌ㤶⧊㸪ᯇ⏣ㅬ୍㸪๓⏣ⰾಙ㸪ụ㑓୍඾኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝

15↓ṑ㢡ᝈ⪅࡟࠾ࡅࡿ㢡ሐ⢓⭷ࡢ࢚ࣥࢺࣟࣆ࣮
‫ۑ‬ᓥ⏣᫂Ꮚ㸪㧘ᶫ୍ஓ኱㜰ṑ⛉኱Ꮫ㧗㱋⪅ṑ⛉Ꮫㅮᗙ

16⬻⾑⟶⑌ᝈᄟୗ㞀ᐖᝈ⪅ࡢ࿪ᄮ᫬ୗ㢡㐠ືࡢᵝ┦㸫࿪ᄮカ⦎๓ᚋ࡛ࡢẚ㍑㸫
ࠐ኱ሯె௦Ꮚ 1), 2), 3)㸪ᑠす᭷ே 4)㸪む㐨ᫀᶞ 1)㸪௒஭ᩔᏊ 1)㸪⚄⏣㱟ᖹ 1)㸪⏣୰㡰Ꮚ 1)㸪⏣୰ᫀ༤ 1)1)኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙ㸪2)኱࿴኱Ꮫಖ೺་⒪Ꮫ㒊㸪3)ࢃ࠿ࡃࡉ❳㛫ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⑓㝔⒪ἲ㒊㸪4)኱㜰≀⒪኱Ꮫ་⒪ಖ೺Ꮫ㒊

16:30 㛢఍ࡢ㎡ụ㑓୍඾㸦๪ᨭ㒊㛗㸧9 ᭶  ᪥ 㸦ᅵ᭙᪥㸧  㝵ᑠㅮ⩏ᐊ 12:45㹼13:45

ᑓ㛛་ࢣ࣮ࢫࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ

S-1 ࣈࣜࢵࢪ࡜ࢥ࣮ࢾࢫࢸࣞࢫࢥ࣮ࣉ⩏ṑࢆ⏝࠸࡚ᑂ⨾ⓗ࡟ညྜᨭᣢᅇ᚟ࢆ⾜ࡗࡓ⑕౛‫ۑ‬ᒣᮏ┿⏤
኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙ

S-2 㢡ሐࡀ㧗ᗘ࡟྾཰ࡋࡓୗ㢡↓ṑ㢡ᝈ⪅࡟࢖ࣥࣉࣛࣥࢺ࣮࢜ࣂ࣮ࢹࣥࢳ࣮ࣕࢆ㐺⏝ࡋࡓ⑕౛‫ۑ‬㇋㔝ᬛ᫛
኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝

S-3 㔜ᗘ㢡ሐ྾཰ࢆ࿊ࡍࡿୖୗ↓ṑ㢡⪅࡟ᑐࡋ㛢ཱྀᶵ⬟༳㇟ࢆᛂ⏝ࡋ࡚⩏ṑࢆ〇సࡋࡓ⑕౛
‫ۑ‬ඵ⏣᪸኱
኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝

10 ᭶  ᪥ 㸦᪥᭙᪥㸧  㝵኱ㅮ⩏ᐊ

10:30㹼12:30

⏕ᾭᏛ⩦බ㛤ࢭ࣑ࢼ࣮᪥ṑ⏕ᾭ◊ಟࢥ࣮ࢻ 2801

ࠕညྜㄪᩚࢆᴟࡵࡿࠖ
ㅮᖌ㸸ᮏከṇ᫂㸦ᮏከṑ⛉་㝔 㝔㛗㸧ụ㑓୍඾㸦኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ ᩍᤵ㸧ୖ⏣୍ᙪ㸦᪥ᮏṑ⛉኱Ꮫ᪂₲⏕࿨ṑᏛ㒊 ෸ᩍᤵ㸧ᗙ㛗㸸బྂዲṇ㸦᪥ᮏ⿵⥛ṑ⛉Ꮫ఍㛵すᨭ㒊 ᨭ㒊㛗㸧

13:30㹼14:30

ᕷẸࣇ࢛࣮࣒ࣛ

᪥ṑ⏕ᾭ◊ಟࢥ࣮ࢻ 3003

ࠕࢫ࣏࣮ࢶ࡜Ⰻ࠸ჶࡳྜࢃࡏ࡛೺ᗣ࡟ࠖ
ㅮᖌ㸸๓⏣ⰾಙ㸦኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ྡ㄃ᩍᤵ ≉௵ᩍᤵ㸧ᗙ㛗㸸బྂዲṇ㸦᪥ᮏ⿵⥛ṑ⛉Ꮫ఍㛵すᨭ㒊 ᨭ㒊㛗㸧11ဃ෨‫ܖ‬፼π᧏ǻȟȊȸ䛂ညྜㄪᩚ䛸ညྜ἞⒪䛃䡚 㻸㼛㼚㼓㼑㼢㼕㼠㼥 䛛䜙⪃ᐹ䡚ᮏከ䚷ṇ᫂ᮏከṑ⛉་㝔䚷㝔㛗䚷⮫ᗋ་䛾ṑ⛉἞⒪䛻ᑐ䛩䜛᭱኱䛾┠ⓗ䛿䠈 ⏕⌮ⓗᶵ⬟䛾ᅇ᚟䛷䛒䜛䠊 ཪ䠈 ᭱䜒㔜せ䛺䛣䛸䛿䠈⾡ᚋ䛾Ⰻዲ䛺≧ែ䜢䠈䛹䜜䛰䛡㛗䛟⥔ᣢ䛷䛝䜛䛛䛷䛒䜛䠊 䛭䛧䛶䠈Ⰻዲ䛺ᶵ⬟䜢ᅇ᚟䛩䜛䛻䛒䛯䛳䛶䛾୺ᙺ䜢ᢸ䛖䛾䛜䠈 ⿵⥛἞⒪䛷䛒䜛䛣䛸䛿䠈 ྛศ㔝䛾ඛ⏕㐩䜒ㄆ䜑䜛䛸䛣䜝䛷䛒䜝䛖䠊 ṑ⛉἞⒪䛾ὶ䜜䛾䛺䛛䛷䠈 ⿵⥛἞⒪䛻⮳䜛䜎䛷䛾἞⒪䠈 ༶䛱ึᮇ἞⒪䜔☜ᐃⓗእ⛉䛿䠈 ᶵ⬟ᅇ᚟䛸䛧䛶䛾⿵⥛἞⒪䛾๓‽ഛ䛾䝇䝔䝑䝥 䠄㻼㼞㼛㼢㼕㼟㼕㼛㼚㼍㼘㻌㼜㼔㼍㼟㼑䠅 䛸ᤊ䛘䜛䛣䛸䛜䛷䛝䜛䠊 䚷䚷௒ᅇ䛾䝔䞊䝬䛷䛒䜛 䛂ညྜㄪᩚ䛃 䛻䛿䠈 ⊃⩏䛾ព࿡䛷䛾䠈 ⿵⥛⿦⨨䛾ညྜ㠃䜢๐䜛ㄪᩚ䠄㼀㼞㼕㼙㻌㼛㼒㼒䠅 䛸䠈 ㊊䛩ㄪᩚ 䠄㻭㼐㼐㻌㼛㼚䠅 䛜䛒䜛䠊 ୍᪉䠈 ᗈ⩏䛾ព࿡䛷䛿䠈 䛂ညྜㄪᩚ䛃 䛿ညྜ἞⒪䛸ᤊ䛘䜛䛣䛸䛜䛷䛝䜛䠊 䛭䛾἞⒪᪉ἲ䛻䛿䠈䐟⊃⩏䛾ညྜㄪᩚ䠈䐠⿵⥛἞⒪䠈䐡▹ṇ἞⒪䠈
䐢ୖグ䛾䝁䞁䝡䝛䞊䝅䝵䞁䛜䛒䜛䠊 ௒ᅇ䛿⿵⥛἞⒪䜢䠈 ᅛᐃᘧ䛾䜽䝷䜴䞁 䞉 䝤䝸䝑䝆䛸䠈 ྍ᧔ᘧ䛾䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䛸䠈 䜲䞁䝥䝷䞁䝖⿵⥛䛻ศ䛡䛶䠈 䝕䜱䝇䜹䝑䝅䝵䞁䛜⾜䜟䜜䜛䠊䚷⚾䛾ᢸᙜ䛷䛒䜛䜽䝷䜴䞁 䞉 䝤䝸䝑䝆䛾ညྜㄪᩚ䛷䛿䠈 䜎䛪⊃⩏䛾ညྜㄪᩚ䛻䛴䛔䛶㏙䜉䜛䠊 ἞⒪⠊ᅖ䛜ᑠ䛥䛔䜿䞊䝇䛷䛿䠈 䛹䛾䜘䛖䛺᮲௳䠈 ༶䛱䠈 ⮻ṑ㒊㞳㛤ညྜ䜔ည㢌ᔐྜ఩䛾Ᏻᐃ䛜ಖ䛯䜜䛶䛔䜛䛛䛹䛖䛛䜢デ䛶䠈 䜎䛯ညྜ෌ᵓᡂ䛜ᚲせ䛺䜿䞊䝇䛿䠈 ᪂䛯䛻ᡃ䚻䛜☜❧䛧䛯ည㢌ᔐྜ఩䜢Ᏻᐃ䛥䛫䜛䛯䜑䠈 䜎䛯⮻ṑ㒊㞳㛤ညྜ䛜୙༑ศ䛺䛸䛝䛻䠈 ⮻ṑညྜ㠃ᙧែ䜢䛹䛾䜘䛖䛻ㄪᩚ䛧స〇䛩䜜䜀Ⰻ䛔䛛➼䛻䛴䛔䛶ᩚ⌮䛩䜛䠊䚷ෑ㢌䛷㏙䜉䛯䜘䛖䛻䠈 ἞⒪ᚋ䛹䜜䛰䛡㛗䛟Ⰻዲ䛺≧ែ 䠄㻸㼛㼚㼓㼑㼢㼕㼠㼥䠅 䜢⥔ᣢ䛷䛝䜛䛛䛜䠈 ṑ⛉⮫ᗋ䛻䛚䛔䛶἞⒪ᡂຌ䛾 㻷㼑㼥 䛸䛺䜛䠊 ≉䛻Ḟᦆ⿵⥛䛻䛚䛔䛶䠈 Ḟᦆṑิ䛾デ᩿䛸⿵⥛ⓗᑐᛂ䜢༑ศ䛻⪃ᐹ䛩䜛䛣䛸䛜㔜せ䛷䛒䜛䠊䚷䛣䛾⪃䛘᪉䛿䠈 䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䜔䜲䞁䝥䝷䞁䝖⿵⥛䛻䜒ᛂ⏝䛷䛝䜛䛸⪃䛘䛶䛔䜛䠊䛆␎Ṕ䛇㻝㻥㻣㻜 ᖺ 䠄᫛࿴ 㻠㻡 ᖺ䠅䚷䚷኱㜰ṑ⛉኱Ꮫ༞ᴗ㻝㻥㻣㻟 ᖺ 䠄᫛࿴ 㻠㻤 ᖺ䠅䚷䚷᪥ᮏṑᏛ䝉䞁䝍䞊໅ົ㻝㻥㻣㻤 ᖺ 䠄᫛࿴ 㻡㻟 ᖺ䠅䚷䚷᪥ᮏṑᏛ䝉䞁䝍䞊㏥⫋
㻝㻥㻣㻤 ᖺ 䠄᫛࿴ 㻡㻟 ᖺ䠅䚷䚷ᮾ኱㜰ᕷ䛻䛶ᮏከṑ⛉་㝔㛤タ㻝㻥㻣㻞 ᖺ 䠄᫛࿴ 㻠㻣 ᖺ䠅䡚 㻞㻜㻜㻟 ᖺ 䠄ᖹᡂ 㻝㻡 ᖺ䠅䚷㻰㼞㻚㻾㼍㼥㼙㼛㼚㼐㻌㻷㼕㼙 䠄༡䜹䝸䝣䜷䝹䝙䜰኱Ꮫ䠅 䛻ᖌ஦㻞㻜㻜㻤 ᖺ 䠄ᖹᡂ 㻞㻜 ᖺ䠅䚷䚷ᮅ᪥኱ᏛṑᏛ㒊䚷㠀ᖖ໅ㅮᖌ䛆ᡤᒓᏛ఍䛇
≉ᐃ㠀Ⴀ฼άືἲே᪥ᮏ⮫ᗋṑ⛉Ꮫ఍䚷๪⌮஦㛗≉ᐃ㠀Ⴀ฼άືἲே᪥ᮏ⮫ᗋṑ⛉Ꮫ఍䚷኱㜰ᨭ㒊䚷᭱㧗㢳ၥ᪥ᮏ㢡ညྜᏛ఍䚷ᣦᑟ་᪥ᮏཱྀ⭍䜲䞁䝥䝷䞁䝖Ꮫ఍䚷఍ဨ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍䚷఍ဨ᪥ᮏṑ⛉ᑂ⨾Ꮫ఍䚷఍ဨ㻻㻚㻶㻌㻔㻻㼟㼟㼑㼛㼕㼚㼠㼑㼓㼞㼍㼠㼕㼛㼚㻌㻿㼠㼡㼐㼥㻌㻯㼘㼡㼎㻌㼛㼒㻌㻶㼍㼜㼍㼚㻕㻌䝣䜯䜴䞁䝎䞊᪥ᮏ⮫ᗋṑ࿘⑓Ꮫ఍䚷఍ဨ᪥ᮏ㢡ཱྀ⭍ᶵ⬟Ꮫ఍䚷఍ဨ12ဃ෨‫ܖ‬፼π᧏ǻȟȊȸ䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䛻䜘䛳䛶ညྜ䜢☜❧䛩䜛䛯䜑䛾䝇䝖䝷䝔䝆䞊ụ㑓䚷୍඾኱㜰኱Ꮫ኱Ꮫ㝔䚷ṑᏛ◊✲⛉䚷ᩍᤵ䛿䛨䜑䛻䚷ṑ䛾Ḟᦆ䛻ᑐ䛧䛶䠈 ඲㌟䜔ᒁᡤ䛾᮲௳䠈 䜎䛯㈝⏝䛾Ⅼ䛛䜙䜒௒䛺䛚䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䜢㑅ᢥ䛥䜜䜛ᝈ⪅䛜኱㒊ศ䛷䛒䜛䠊 䛧䛯䛜䛳䛶䠈 ᶵ⬟ⓗ䛻ඃ䜜䛯䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䛾㔜せᛶ䛿䠈 ௒ᚋ䛸䜒ኚ䜟䜛䛣䛸䛿䛺䛔䠊 䛧䛛䛧䠈 䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䛿䠈 ㉁䛾ᕪ䛜ᴟ䜑䛶኱䛝䛔䛾䜒⌧≧䛷䛒䜛䠊Ḟᦆṑิ䛾デ᩿䚷デ᩿䛿䠈 Ḟᦆ䜢᭷䛩䜛᪉䛾㢡䛾䜏䛷⪃䛘䜛䛾䛷䛿䛺䛟䠈 ୖୗ䛾ᑐྥ㛵ಀ䛷⪃䛘䜛䠊 䛭䛾㝿䛻㔜せ䛻䛺䜛䛾䛿䠈㻝䠅 ṧᏑṑ䛻䜘䜛ညྜᨭᣢ䛾Ᏻᐃᛶ䠈㻞䠅 㐟㞳➃Ḟᦆ䛛୰㛫Ḟᦆ䛛䛸䛔䛳䛯ཷᅽ᮲௳ 䠄Ḟᦆṑิ䛾᮲௳䠅䠈 㻟䠅 ᑐ㢡䛛䜙䛾ຍᅽ᮲௳ 䠄ᑐྜṑิ䛾᮲௳䠅 䛾 㻟 Ⅼ䛷䛒䜛䠊 䛧䛯䛜䛳䛶䠈 ᑐྜṑ䛜ኳ↛ṑ䛷䛒䜛㐟㞳➃Ḟᦆ䛜୍␒㞴䛧䛔䠊䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䛾ညྜ䚷⏕⌮ⓗ䛺≧ែ䠈 ᶵ⬟㞀ᐖ䛾䛺䛔≧ែ䛺䜙䠈 ᝈ⪅䛾ည㢌ᔐྜ఩䜢⥔ᣢ䛩䜛䛾䛜ᇶᮏ䛷䛒䜛䠊 ഃ᪉㐠ື䛻䛴䛔䛶䜒䠈 ඖ䚻䛾ᝈ⪅䛾䜺䜲䝗䜢ኚ䛘䛺䛔䠊 ≉䛻䝺䝇䝖䜔㖋⫪㒊䛻䜘䜛ᖸ΅䛻ὀព䛩䜛䠊䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䛾タィ䜎䛪䠈 ⩏ṑ䛜Ᏻᐃ䛩䜛ேᕤṑ᤼ิ఩⨨䜢Ỵ䜑䠈 ḟ䛻䠈 ညྜຊ䜢ṧᏑṑ䜔㢡ሐ䛻䜘䛳䛶ཷ䛡Ṇ䜑䜛ᨭᣢᶵᵓ䠈 䛩䛺䜟䛱䝺䝇䝖䛸⩏ṑᗋ䜢タᐃ䛩䜛䠊 ᭱ᚋ䛻䠈 䜽䝷䝇䝥䜔㐃⤖⿦⨨䛻䜘䛳䛶⩏ṑ䜢ᨭྎṑ䛻㐃⤖䛧䠈 ᢕᣢ䛸⥔ᣢ䜢ᚓ䜛䠊䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䛾䛯䜑䛾⿵⥛๓ฎ⨨䛾㔜せᛶ㻌䚷タィ䜢䝅䞁䝥䝹䛻䛷䛝䜜䜀䠈 ᖖ䛻Ᏻᐃ䛧䛯ᡂᯝ䛜ᚓ䜙䜜䜛䠊 ⩏ṑ䜢ṑ䛻ྜ䜟䛫䜛䛾䛷䛿䛺䛟䠈 ⿵⥛๓ฎ⨨䛻䜘䛳䛶⩏ṑ䛻㐺ษ䛺ṑ䜔ཱྀ䜢㐀䜛䛸䛔䛖Ⓨ᝿䛾㌿᥮䛜ᚲせ䛷䛒䜛䠊䛭䛾䛯䜑䛻䛿䠈 㻝䠅 䝇䝍䝕䜱䝰䝕䝹䛷ညྜ㛵ಀ䜢☜ㄆ䛧䠈 䝺䝇䝖䝅䞊䝖䛾఩⨨䜢Ỵ䜑䜛 䠗 㻞䠅 䝃䝧䜲䜲䞁䜾䜢⾜䛔䠈 㖋ᑤ㒊䛾఩⨨䜢Ỵ䜑䠈 䜺䜲䝗䝥䝺䞊䞁䠈 䜎䛯ᚲせ䛺䜙䝸䜹䞁䝍䝸䞁䜾䛾఩⨨䛸㠃✚䜢Ỵᐃ䛧䠈☜ᐇ䛻ᙧᡂ䛩䜛䠗㻟䠅 ⌮᝿ⓗ䛻䛿㖋ṑ䜢䜽䝷䜴䞁 䠄㻿㼡㼞㼢㼑㼥㼑㼐㻌㼏㼞㼛㼣㼚䠅 䛻䛧䠈 䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䛻ྜ䛳䛯㐺ษ䛺ᙧ䜢୚䛘䜛䠊䜎䛸䜑䚷Ḟᦆ⿵⥛䛾┠ⓗ䛿䠈 ṑ䛜ኻ䜟䜜䛯䝇䝨䞊䝇䜢⩏ṑ䛷ᇙ䜑䜛䛣䛸䛷䛿䛺䛟䠈 ᔂቯ䛧䛯ညྜ䛾෌ᵓᡂ䛻䛒䜛䠊 䝟䞊䝅䝱䝹䝕䞁䝏䝱䞊䛾ᡂຌ䛾㘽䛿἞⒪ィ⏬䛸⿵⥛๓ฎ⨨䛻䛒䜛䠊䛆␎Ṕ䛇㻝㻥㻤㻣 ᖺ䚷኱㜰኱ᏛṑᏛ㒊༞ᴗ㻝㻥㻥㻝 ᖺ䚷኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ಟ஢㻝㻥㻥㻤 ᖺ䚷኱㜰኱ᏛṑᏛ㒊㝃ᒓ⑓㝔࿪ᄮ⿵⥛⛉䚷ㅮᖌ㻝㻥㻥㻥 ᖺ 㻝㻞 ᭶䡚 㻞㻜㻜㻜 ᖺ 㻝㻜 ᭶䚷ᩥ㒊┬ᅾእ◊✲ဨ䛸䛧䛶 㼁㼚㼕㼢㼑㼞㼟㼕㼠㼥㻌㼛㼒㻌㻵㼛㼣㼍㻔 ⡿ᅜ 㻕 䛻␃Ꮫ㻞㻜㻝㻡 ᖺ䚷㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌㻭㼟㼟㼛㼏㼕㼍㼠㼕㼛㼚㻌㼒㼛㼞㻌㻰㼑㼚㼠㼍㼘㻌㻾㼑㼟㼑㼍㼞㼏㼔㻘㻌㻰㼕㼟㼠㼕㼚㼓㼡㼕㼟㼔㼑㼐㻌㻿㼏㼕㼑㼚㼠㼕㼟㼠㻌㻭㼣㼍㼞㼐㻌㼒㼛㼞㻌䚷䚷䚷㻌㻌䚷䚷㻳㼑㼞㼕㼍㼠㼞㼕㼏㻌㻻㼞㼍㼘㻌㻾㼑㼟㼑㼍㼞㼏㼔㻚㻞㻜㻝㻡 ᖺ䚷኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉䚷㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ䚷෸ᩍᤵ㻞㻜㻝㻤 ᖺ䚷኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉䚷㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ䚷ᩍᤵ13ဃ෨‫ܖ‬፼π᧏ǻȟȊȸ䜲䞁䝥䝷䞁䝖䛾ညྜ䜢෌⪃䛩䜛ୖ⏣䚷୍ᙪ᪥ᮏṑ⛉኱Ꮫ᪂₲⏕࿨ṑᏛ㒊෸ᩍᤵ䚷⌧ᅾ䠈 䜲䞁䝥䝷䞁䝖἞⒪䛿Ḟᦆಟ᚟ἲ䛾 㻝 䛴䛸䛧䛶᪥ᖖ⮫ᗋ䛷ᗈ䛟⾜䜟䜜䛶䛔䜛䠊 䜎䛯䠈 䜲䞁䝥䝷䞁䝖࿘ᅖ◳ 䞉 ㌾⤌⧊䛾䝬䝛䞊䝆䝯䞁䝖䛻⏝䛔䜛ᮦᩱ㛤Ⓨ䜔἞⒪⾡ᘧ䛾ྥୖ 䞉 Ⓨᒎ䛻క䛔㐺ᛂ⑕䛾⠊ᅖ䛜ᣑ኱䛧䠈 ᶵ⬟ᅇ᚟䛾䜏䛷䛺䛟㧗䛔ᑂ⨾ᅇ᚟䜒ྍ⬟䛻䛺䛳䛶䛚䜚䠈 ᝈ⪅䛾 㻽㻻㻸 ྥୖ䛻ᐤ୚䛧䛶䛔䜛䠊䚷ኳ↛ṑ䛸䜲䞁䝥䝷䞁䝖䜢ẚ㍑䛧䛯㝿䠈 ␗䛺䜛Ⅼ䛾 㻝 䛴䛻⿕ᅽኚ఩㔞䛾㐪䛔䛜ᣲ䛢䜙䜜䜛䠊 ኳ↛ṑ䛿 㻞㻡ࠥ㻝㻜㻜㻌䃛㼙 䛾⿕ᅽኚ఩㔞䜢᭷䛩䜛䛾䛻ᑐ䛧䛶䠈 䜲䞁䝥䝷䞁䝖䛿 㻟ࠥ㻡㻌䃛㼙 䛸ᑡ䛺䛔䠊 ኳ↛ṑ䛾ṑ᰿࿘ᅖ䛻䛿ṑ᰿⭷䛻Ꮡᅾ䛩䜛ឤぬཷᐜయ䛜Ꮡᅾ䛩䜛䠊 ୍᪉䠈 䜲䞁䝥䝷䞁䝖䛿࿘ᅖ㦵䛸┤᥋୍య໬䛧ᨭᣢ䛥䜜䛶䛔䜛䛯䜑䠈 䜲䞁䝥䝷䞁䝖࿘ᅖ䛻䛿ṑ᰿⭷䛜䛺䛟ឤぬཷᐜయ䜒Ꮡᅾ䛫䛪䠈 㗦ᩄ䛺ឤぬ䛜Ḟዴ䛧䛶䛔䜛䠊 䛭䛾䛯䜑ኳ↛ṑ䛻䜏䜙䜜䜛ညྜຊ䛾ቑຍ䛻క䛖ညྜ᥋ゐ䛾ኚ໬䛜䜲䞁䝥䝷䞁䝖䛷䛿䜏䜙䜜䛪䠈 䜟䛪䛛䛺᪩ᮇ᥋ゐ䛾ᅇ㑊䜒ᅔ㞴䛸䛺䜛䠊 䛣䜜䜙ኳ↛ṑ䛸䜲䞁䝥䝷䞁䝖䛾⿕ᅽኚ఩㔞䛾㐪䛔䛻䜘䜚⏕䛨䛖䜛஦㡯䜢ᅇ㑊䛩䜛䛯䜑䛻䠈 㻵㼙㼜㼘㼍㼚㼠㻙㼜㼞㼛㼠㼑㼏㼠㼑㼐㻌㻻㼏㼏㼘㼡㼟㼕㼛㼚 䛾⌮ㄽ䛜ᥦၐ䛥䜜䛯䠊 㻵㼙㼜㼘㼍㼚㼠㻙㼜㼞㼛㼠㼑㼏㼠㼑㼐㻌㻻㼏㼏㼘㼡㼟㼕㼛㼚 䛸䛿䠈 䜲䞁䝥䝷䞁䝖ᨭᣢ䛾ᅛᐃᛶ⿵⥛⿦⨨䛾ညྜ᥋ゐ䜢ṑ᰿⭷䛾ኚ఩ྍ⬟䛺 㻞㻡㻌䃛㼙㻌⛬ᗘప䛟䛩䜛䛣䛸䛷䠈 䜲䞁䝥䝷䞁䝖䜈䛾䜸䞊䝞䞊䝻䞊䝗䜢ᅇ㑊䛩䜛䛯䜑䛾ᴫᛕ䛷䛒䜛䠊 䛧䛛䛧⌧ᅾ䠈 䛣䛾ᴫᛕ䛻䜘䜛ညྜ௜୚䛾⮫ᗋⓗ᭷ຠᛶ䜢᫂☜䛻♧䛩䜶䝡䝕䞁䝇䛿䜏䜙䜜䛪䠈 ྰᐃⓗ䛺ពぢ䜒ぢཷ䛡䜙䜜䜛䠊 䜎䛯䠈 䜸䞊䝞䞊䝻䞊䝗䜢ᘬ䛝㉳䛣䛩ྍ⬟ᛶ䛾䛒䜛ᠱᛕ䛥䜜䜛ಟ᚟ᅉᏊ䛻䠈 䜹䞁䝏䝺䝞䞊䜢᭷䛩䜛ୖ㒊ᵓ㐀䜔䝤䝷䜻䝅䝈䝮䛺䛹䛜ᣲ䛢䜙䜜䜛䠊㻌䚷䛭䛣䛷ᮏ䝉䝭䝘䞊䛷䛿䠈 䜲䞁䝥䝷䞁䝖䛾ညྜ䛻㛵䛩䜛ᩥ⊩䜢ᥦ♧䛧䠈 ⌧ᅾ䛾䜶䝡䝕䞁䝇≧ἣ䜢ᩚ⌮䛩䜛䛸䛸䜒䛻䠈 ညྜㄪᩚ䜢ྵ䜑䛯䜲䞁䝥䝷䞁䝖ୖ㒊ᵓ㐀〇సᡭ㡰䛾⮫ᗋ౛䜢ᥦ♧䛧䠈 䜲䞁䝥䝷䞁䝖἞⒪䛻䛚䛡䜛⮫ᗋⓗ䛺⿵⥛⾡ᘧ䛻䛴䛔䛶ⓙᵝ䛸ඹ䛻෌⪃䛧䛯䛔䠊䛆␎Ṕ䛇䚷㻝㻥㻥㻤 ᖺ䚷᪥ᮏṑ⛉኱Ꮫ᪂₲ṑᏛ㒊䚷༞ᴗ䚷㻝㻥㻥㻥 ᖺ䚷᪥ᮏṑ⛉኱Ꮫ᪂₲ṑᏛ㒊㝃ᒓ⑓㝔⮫ᗋ◊ಟ་䚷ಟ஢䚷㻞㻜㻜㻟 ᖺ䚷᪥ᮏṑ⛉኱Ꮫ᪂₲ṑᏛ◊✲⛉䚷ಟ஢䚷䚷䚷䚷䚷䚷䚷᪥ᮏṑ⛉኱Ꮫ᪂₲ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨ 㻞 ㅮᗙ䚷⮫ᗋ◊✲⏕䚷㻞㻜㻜㻠 ᖺ䚷᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔⥲ྜデ⒪⛉䚷ຓᡭ䚷㻞㻜㻜㻤 ᖺ䚷᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔⥲ྜデ⒪⛉䚷ㅮᖌ䚷㻞㻜㻝㻟 ᖺ䚷䝝䜲䞁䝸䝑䝠 䞉 䝝䜲䝛኱Ꮫ䝕䝳䝑䝉䝹䝗䝹䝣ṑᏛ㒊ཱྀ⭍እ⛉䚷㻳㼡㼑㼟㼠㻌㼐㼑㼚㼠㼕㼟㼠䚷䚷䚷䚷䚷䚷䚷䝹䞊䝖䞂䜱䝠 䞉 䝬䜽䝅䝭䝸䜰䞁኱Ꮫ䝭䝳䞁䝦䞁ṑᏛ㒊⿵⥛⛉䚷㻳㼡㼑㼟㼠㻌㼞㼑㼟㼑㼍㼞㼏㼔㼑㼞䚷㻞㻜㻝㻠 ᖺ䚷䝹䞊䝖䞂䜱䝠 䞉 䝬䜽䝅䝭䝸䜰䞁኱Ꮫ䝭䝳䞁䝦䞁ṑᏛ㒊⿵⥛⛉䚷㻭㼐㼖㼡㼚㼏㼠㻌㻳㼡㼑㼟㼠㻌㼞㼑㼟㼑㼍㼞㼏㼔㼑㼞䚷㻞㻜㻝㻡 ᖺ䚷᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔ཱྀ⭍䜲䞁䝥䝷䞁䝖⛉䚷་㛗䚷෸ᩍᤵ䚷㻞㻜㻝㻣 ᖺ䚷᪥ᮏṑ⛉኱Ꮫ᪂₲⏕࿨ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨ 㻞 ㅮᗙ䚷෸ᩍᤵ
14ࠊൟȕǩȸȩȠ䛂䝇䝫䞊䝒䛸Ⰻ䛔ჶ䜏ྜ䜟䛫䛷೺ᗣ䛻䛃๓⏣䚷ⰾಙ኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ྡ㄃ᩍᤵ䚷≉௵ᩍᤵ䚷ᮏᖺ 㻥 ᭶䛛䜙 㻝㻜 ᭶䛻䛛䛡䛶㛤ദ䛥䜜䛯䝷䜾䝡䞊䝽䞊䝹䝗䜹䝑䝥䜢ᐇ㝿䛻఍ሙ䛷 㻘㻌䛒䜛䛔䛿䝔䝺䝡䛷ほᡓ䛥䜜䛯᪉䜒ᩘከ䛟䛚䜙䜜䜛䛣䛸䛸ᛮ䛔䜎䛩䠊 䛥䜙䛻᮶ᖺ䛾ᮾி䜸䝸䞁䝢䝑䜽 䞉 䝟䝷䝸䞁䝢䝑䜽䛻䛛䛡䛶䝇䝫䞊䝒䛻ᑐ䛩䜛㛵ᚰ䛜䜎䛩䜎䛩㧗䜎䜛䛣䛸䛷䛧䜗䛖䠊䚷䝇䝫䞊䝒䛸ṑ䛸䛾㛵ಀ䛸䛔䛖䛸 䛂䝬䜴䝇䜺䞊䝗䛃 䜢䜲䝯䞊䝆䛥䜜䜛᪉䜒ከ䛔䛸ᛮ䛔䜎䛩䛜 㻘㻌䛂እയண㜵䛃 䛂⬻㟈┞䛾㍍ῶ䛃 䛺䛹 䛂Ᏻᚰ 㻘㻌Ᏻ඲䛺䝇䝫䞊䝒䛃 䛻䛿୙ྍḞ䛺䜒䛾䛷䛿䛒䜚䜎䛩䛜 㻘㻌䝇䝫䞊䝒䛸ṑ䛸䛾㛵ಀ䛿༢䛻䛭䜜䛰䛡䛷䛿䛺䛔䛾䛷䛩䠊䚷➇ᢏ䝇䝫䞊䝒䛰䛡䛷䛺䛟 㻘㻌᪥ᖖ䛻⾜䜟䜜䜴䜸䞊䜻䞁䜾䜔䝆䝵䜼䞁䜾䛺䛹䛾඲㌟䛾㐠ື䛿 㻘㻌⢾ᒀ⑓䜔㧗⾑ᅽ䛺䛹䛾඲㌟⑌ᝈ䛾ᢚไ䛻䜒ຠᯝⓗ䛷䛒䜛䛣䛸䛜ከ䛟䛾◊✲䛷᫂䜙䛛䛻䛥䜜䛶䛔䜎䛩䠊䛭䛾ୖ䛻ẖ᪥䛾㣗⏕ά䛷㐺ษ䛻ᰤ㣴ᦤྲྀ䛥䜜䜛䛣䛸䛷೺ᗣ䛿䜘䜚⥔ᣢ䛥䜜䜔䛩䛟䛺䜛䛸䛔䛘䜎䛩䠊ᐇ䛿䛣䛾඲㌟㐠ື䛸ᰤ㣴ᦤྲྀ䛻೺ᗣ䛺ṑ䛸ჶ䜏ྜ䜟䛫䛜 㻘㻌㌟య䛾䝞䝷䞁䝇䜔ᅛᐃ䛺䛹 㻘㻌ᖺ㱋䛻䛛䛛䜟䜙䛪 㻘㻌▐Ⓨⓗ䛺ື䛝䜔㌿ಽ䛺䛹䛾㝿䛻㔜せ䛺ᙺ๭䜢ᯝ䛯䛧䛶䛔䜛䛣䛸䛜ศ䛛䛳䛶䛝䜎䛧䛯䠊䜎䛯 㻘㻌ჶ䜏ྜ䜟䛫䛻䜒䛩䜉䛶ṑ䛜䛭䜝䛳䛶䛔䜛ሙྜ䛛䜙 㻘㻌䛩䜉䛶ṑ䛾䛺䛔ሙྜ䜎䛷ᵝ䚻䛺≧ἣ䛜⪃䛘䜙䜜 㻘㻌䛭䛾㐪䛔䛻䛴䛔䛶䜒◊✲䛥䜜䛶䛝䛶䛔䜎䛩䠊䚷䛭䛣䛷௒ᅇ䛿඲㌟㐠ື䛻䛚䛡䜛ჶ䜏ྜ䜟䛫䛾ᙺ๭䛻䛴䛔䛶 㻘㻌䛣䜜䜎䛷䛾◊✲ᡂᯝ䜢ᇶ䛻䛹䛣䜎䛷ド᫂䛥䜜䛶䛔䜛䛾䛛 㻘㻌䜎䛯㐠ື䛾㝿䛻䛿䛹䛾䜘䛖䛺䛣䛸䛻ὀព䛩䜉䛝䛝䛛⪃䛘䛶䜏䛯䛔䛸ᛮ䛔䜎䛩䠊㻌䛆␎Ṕ䛇㻌㻌⌧⫋䚷኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉䚷ྡ㄃ᩍᤵ䚷≉௵ᩍᤵ䚷䚷䚷䚷䚷䜸䞊䝷䝹䜿䜰䞊䝇䝔䞊䝅䝵䞁ᮏ⏫ṑ⛉䚷㝔㛗䚷᫛࿴ 㻡㻞 ᖺ䚷䚷䚷䚷㻌኱㜰኱ᏛṑᏛ㒊༞ᴗ㻌䚷᫛࿴ 㻡㻢 ᖺ䚷䚷䚷䚷㻌ྠ䚷኱Ꮫ㝔ṑᏛ◊✲⛉ಟ஢䚷ᖹᡂ㻌 㻌㻥 ᖺ 㻤 ᭶䚷㻌኱㜰኱ᏛṑᏛ㒊㝃ᒓ⑓㝔ཱྀ⭍⥲ྜデ⒪㒊䚷ᩍᤵ䚷ᖹᡂ 㻝㻥 ᖺ 㻢 ᭶䡚ᖹᡂ 㻞㻥 ᖺ 㻟 ᭶䚷኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉䚷㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ
䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷᭷ᗋ⩏ṑ⿵⥛Ꮫ 䞉 㧗㱋⪅ṑ⛉Ꮫศ㔝䚷ᩍᤵ䚷ᖹᡂ 㻞㻢 ᖺ 㻠 ᭶䡚ᖹᡂ 㻞㻤 ᖺ 㻟 ᭶䚷ṑᏛ㒊㝃ᒓ⑓㝔䚷⑓㝔㛗䚷㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌㻌䛆Ꮫ఍άື䠈 ᑓ㛛་➼䛇㻌㻌㻌㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌㻭㼟㼟㼛㼏㼕㼍㼠㼕㼛㼚㻌㼒㼛㼞㻌㻰㼑㼚㼠㼍㼘㻌㻾㼑㼟㼑㼍㼞㼏㼔㻌㻌㻌㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌㻯㼛㼘㼘㼑㼓㼑㻌㼛㼒㻌㻼㼞㼛㼟㼠㼔㼛㼐㼛㼚㼠㼕㼟㼠㼟㻌䠄㻼㼍㼟㼠㻌㻼㼞㼑㼟㼕㼐㼑㼚㼠䠅㻌㻌㻌㻭㼏㼍㼐㼑㼙㼥㻌㼛㼒㻌㻻㼟㼟㼑㼛㼕㼚㼠㼑㼓㼞㼍㼠㼕㼛㼚㻌㻌㻌㻌㻱㼡㼞㼛㼜㼑㼍㼚㻌㻭㼟㼟㼛㼏㼕㼍㼠㼕㼛㼚㻌㼒㼛㼞㻌㻻㼟㼟㼑㼛㼕㼚㼠㼑㼓㼞㼍㼠㼕㼛㼚㻌㻌㻌᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ 䠄ᣦᑟ་ 㻘㻌ᑓ㛛་䠅㻌㻌㻌㻌㻌᪥ᮏཱྀ⭍䜲䞁䝥䝷䞁䝖Ꮫ఍ 䠄⌮஦䚷ᣦᑟ་ 㻘㻌ᑓ㛛་䠅㻌㻌䚷᪥ᮏ䝇䝫䞊䝒ṑ⛉་Ꮫ఍ 䠄⌮஦ 㻘㻌ㄆᐃ་䠅䚷㻌᪥ᮏయ⫱༠఍බㄆ䚷䝇䝫䞊䝒䝕䞁䝔䜱䝇䝖

15ɟᑍӝ๫㻝ୗ㢡๓ṑ࡜ୗ㢡➨୍኱⮻ṑ࡛ࡢညྜ༳㇟యࡢගᏛィ ㄗᕪ‫ۑ‬ᾏཎ༟ஓ㸪బ⸨ṇᶞ㸪ụෆ៞௓㸪๓⏣ᆂ࿃㸪ᑠᓥ⌮ᜨ㸪ᮌᮧබ୍㸪⏣୰ᫀ༤኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙ
Measurement error of the laboratory optical scanning of silicone bite impression in mandibular anterior teeth
and mandibular first molar‫ۑ‬Kaihara T, Sato M, Ikeuchi K, Maeda K, Kojima R, Kimura K, Tanaka M
Department of Fixed Prosthodontics and Occlusion, Osaka Dental UniversityI㸬┠ⓗ༳㇟యࢆ┤᥋ගᏛィ ࡋ㸪CAD/CAM ࡛ࢡࣛ࢘ࣥࢆ〇సࡍࡿ᪉ἲࡀ㛤Ⓨࡉࢀ࡚࠸ࡿࡀ㸪ᨭྎṑࡢ㛗ᚄ࡜ᖜᚄࡢẚ⋡ࡸ㸪㍈㠃㸪ညྜ㠃ࡢพฝᙧ≧ࡀ㸪㝜ᆺ࡛࠶ࡿ༳㇟య
ࡢගᏛィ ࡢィ ⤖ᯝ࡟ᙳ㡪ࢆཬࡰࡍ࡜ሗ࿌ࡉࢀ࡚࠸
ࡿ㸬ᮏ◊✲࡛ࡣ㸪ẚ㍑ⓗィ ࡀᅔ㞴࡛࠶ࡿ࡜᝿ᐃࡋࡓୗ
㢡๓ṑ࡜㸪ィ ࡀẚ㍑ⓗᐜ࡛᫆࠶ࡿ࡜᝿ᐃࡋࡓୗ㢡➨୍኱⮻ṑ࡟ࡘ࠸࡚㸪CAD/CAM ࢡࣛ࢘ࣥ〇సࡢࡓࡵࡢ༳㇟
యࢆ┤᥋ගᏛィ ࡋ㸪ࡑࡢィ ㄗᕪࡢ≉ᚩࢆ᫂ࡽ࠿࡟ࡍ
ࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬
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STL ࢹ࣮ࢱࢆྲྀᚓࡋࡓ㸬
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ࡋ࡚ィ ㄗᕪ࡟኱ࡁ࡞ᕪࡣ࡞ࡃ㸪ညྜ༳㇟యࡢ┤᥋ගᏛィ ࡟ࡼࡿࢡࣛ࢘ࣥࡢ〇సࡀ㸪ከࡃࡢṑ✀࡟㐺⏝ྍ⬟࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ヨసࡋࡓ඲㢡ညྜ༳㇟⏝ࢺ࣮ࣞࢆ⏝࠸ࡓ༳㇟᥇ᚓ࡟㛵ࡍࡿ⿕㦂⪅࡬ࡢ࢔ࣥࢣ࣮ࢺㄪᰝ
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࿌ࡉࢀ࡚࠾ࡾ㸯㸧 ௒ᚋࡢ⮫ᗋᛂ⏝ࡀᮇᚅࡉࢀ࡚࠸ࡿ ࡑࡇ࡛ᮏ◊✲࡛ࡣ⿕㦂⪅࡟㉁ၥ⣬⾲࡟ࡼࡿ࢔ࣥࢣ࣮ࢺㄪ
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஧✀㢮ࡢ༳㇟ἲ࡛ࡢឤぬࡢᕪ࠾ࡼࡧデ⒪᫬㛫࡟ࡘ࠸࡚࢘࢕ࣝࢥࢡࢯࣥࡢ➢ྕ௜㡰఩࿴᳨ᐃࢆ⏝࠸࡚ẚ㍑ ᳨ウࡋࡓ16,,, ⤖ᯝ࡜⪃ᐹ
㏻ἲ࡜඲㢡ညྜ༳㇟ἲࢆẚ㍑ࡋࡓ⤖ᯝ ༳㇟୰ࡢ჎ྤ
ឤ࡟㛵ࡍࡿ㡯┠࡟᭷ពᕪࡀㄆࡵࡽࢀ ඲㢡ညྜ༳㇟᫬࡟
჎ྤឤࢆឤࡌࡿ⪅ࡣᑡ࡞࠿ࡗࡓ ࡲࡓ ③ࡳࡸ୙ᛌឤ࡟
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㛫࡟࠾࠸࡚ࡣ ඲㢡ညྜ༳㇟ἲࡣ㏻ἲࡢ⣙༙ศ௨ୗࡢ᫬
㛫࡛࠶ࡾ᭷ព࡟▷࠿ࡗࡓ ௨ୖࡼࡾ ඲㢡ညྜ༳㇟ἲࡣ
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ࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡾ ௒ᚋࡢ⮫ᗋᛂ⏝ࡀᮇᚅࡉࢀࡿ
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7KHLQIOXHQFHRIDVPLOHZLWKVKRZLQJWHHWKRQWKHLPSUHVVLRQDQGJD]HSRLQWVRIWKHSHUVRQʊ,WRGD5<DPDPRWR07RULL.)XNXL52RWVXND.7DQDND-7DQDND0'HSDUWPHQWRI)L[HG3URVWKRGRQWLFVDQG2FFOXVLRQ2VDND'HQWDO8QLYHUVLW\Ϩ㸬 ┠ ⓗ 㻌ᚰ ⌮ Ꮫ ⓗ ᐃ ἲ ࡛ ࠶ ࡿ Semantic Differential
method ࢆ⏝࠸࡚㸪⏨ᛶ࠾ࡼࡧዪᛶࡢ➗㢦ࡀேࡢ༳㇟࡟
ཬࡰࡍᙳ㡪ࢆ᫂ࡽ࠿࡟ࡋ㸪ࡉࡽ࡟ 㢦ࡢ࡝ࡇࢆぢ࡚༳㇟ᙧᡂࡉࢀࡓࡢ࠿ࢆ࢔࢖ࢺࣛࢵ࢟ࣥࢢ࡟ࡼࡗ᳨࡚ウࡋࡓ㸬ϩ㸬 ᪉ ἲ⿕ 㦂 ⪅ ࡣ ᡂ ே 60 ྡ ࡜ ࡋ ࡓ 㸬่ ⃭ ⏬ ീ ࡣ ᡂ ே ⏨ ᛶ࠾ࡼࡧዪᛶࡢ┿㢦㸪ᚤ➗㢦㸦ṑࡢ㟢ฟ࡞ࡋ㸧㸪➗
㢦㸦 ṑ ࡢ 㟢 ฟ ࠶ ࡾ 㸧ࡢ ᖹ ᆒ 㢦 ࡜ ࡋ ࡓ 㸬༳ ㇟ ホ ౯ ࡟ࡣࠕ ᫂ ࡿ ࠸ ̿ ᬯ ࠸ ࠖ࡞ ࡝ ࡢ ᙧ ᐜ モ ᑐ ࢆ 20 㡯 ┠ ⏝ ពࡋ ࡓ 㸬ྛ ่ ⃭ ⏬ ീ ࢆ PC ⏬ 㠃 ୖ ࡟ 5 ⛊ 㛫 ᥦ ♧ ࡋ 㸪ྛ⏬ ീ ࠿ ࡽ ཷ ࡅ ࡿ 20 㡯 ┠ ࡢ ༳ ㇟ ࡟ ࡘ ࠸ ࡚ ⿕ 㦂 ⪅ ࡟ 7ẁ㝵࡛ホ౯ࡉࡏࡓ㸬ḟ࡟ᅉᏊศᯒࢆ⾜࠸㸪ྛ่⃭⏬ീ࡟ᑐࡍࡿ༳㇟ࢆ᳨ウࡋࡓ㸬ࡉࡽ࡟༳㇟ホ౯୰࡟⿕㦂⪅ࡀ่⃭⏬ീࡢ࡝ࡇࢆぢ࡚࠸ࡿࡢ࠿ࢆㄪᰝ

㻠ࡍࡿࡓࡵ࡟㸪PC ࡟࢔࢖ࢺࣛࢵ࣮࢝䠄Tobii X2-30, Tobii䠅ࢆ⿦╔ࡋ㸪่⃭⏬ീ࡟ᑐࡍࡿ࢔࢖ࢺࣛࢵ࢟ࣥࢢࡶ
ྠ᫬࡟⾜ࡗࡓ 㸬 ゎᯒ㒊఩࡟ᑐࡍࡿὀど᫬㛫ࢆ่⃭⏬ീ㛫࡛ẚ㍑ࡋ ࡓ 㸬III㸬 ⤖ ᯝ ࡜ ⪃ ᐹ  ᅉᏊศᯒࡢ⤖ᯝ㸪⏨ᛶᖹᆒ㢦࡛ࡣࠕ♫஺ⓗࠖ࠾ࡼࡧ ࠕ ά Ⓨ ⓗ ࠖ㸪 ዪ ᛶ ᖹ ᆒ 㢦 ࡛ ࡣ ࠕ ぶ ㏆ ឤ ࠖ ࠾ ࡼ ࡧࠕ⳹ࡸ࠿ࠖᅉᏊ ࡀᢳฟࡉࢀࡓ㸬⏨ዪࡢᖹ ᆒ㢦࡟࠾࠸࡚┿㢦㸪ᚤ➗㢦㸪➗㢦ࡢ㡰࡟ࡑࢀࡒࢀ ࡢᅉᏊᚓⅬࡀྥୖࡋࡓ㸬࢔࢖ࢺࣛࢵ࢟ࣥࢢࡢ⤖ᯝ㸪୧ᅉᏊ࡛ ࡢ⏨ዪࡢᖹᆒ㢦࡟ᑐࡍࡿཱྀ࡟࠾ࡅࡿὀど᫬㛫ࡣ┿㢦㸪ᚤ➗㢦࡜ẚ㍑ࡋ࡚➗㢦࡛㛗ࡃ࡞ࡗࡓ㸬௨ୖ࠿ࡽ㸪⏨ᛶࡢ➗㢦ࡣே࡟♫஺ⓗ㸪άⓎⓗ࡞༳㇟ࢆࠊዪᛶࡢ➗㢦ࡣぶ㏆ឤࡸ⳹ࡸ࠿࡞༳㇟ࢆ୚
࠼ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡾ㸪ࡇࢀࡣཱྀඖࢆぢ࡚༳㇟ᙧᡂࡉࢀࡓࡢ࡛ࡣ࡞࠸࠿࡜⪃࠼ࡽࢀࡓ㸬

Effect of posterior residual ridge resorption on peri-implant bendingstrain in mandibular implant overdenture‫࢛ࣥࢡ࢙ࣥࢢ࣒࢓ࣇۑ‬㸪ᶒ⏣ ▱ஓ㸪℈⏣ ໶㸪㧗ᶫ ฼ኈ㸪๓⏣ ⰾಙ㸪ụ㑓 ୍඾኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝Effect of posterior residual ridge resorption on peri-implant bending strain in mandibular implant
overdentureż Pham NQ, Gonda T, Hamada T, Takahashi T, Maeda Y, Ikebe K
Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry

I. Purpose
To examine the effect of posterior residual ridge resorption
on peri-implant bending strain.
II. Methods
One mandibular and one maxillary edentulous models withmandibular overdenture and conventional maxillary denture
were fabricated. Four strain gauges were attached to each
implant surface and the implants were installed between
canines and lateral incisors on both sides of the model.
Locator attachments were used in this study. Three posteriorridge resorption levels (no ridge resorption, 1mm and 1.5mm
resorption) were set in the same model. After measuring
bending strain in 1.5mm resorption, relining procedure was
performed using hard reline material with direct technique. A
98N occlusal force was applied at occlusal surface of17

mandibular overdenture through the maxillary denture.
Bending strains around implant were measured and comparedamong three posterior ridge resorption levels and after
relining using Kruskal– Wallis test (p = 0.05).
III. Results and Discussion
Bending strain at no ridge resorption was significantly
smaller than at 1mm and 1.5mm resorption (p<0.05); while
there was no significant difference in bending strain between
no ridge resorption and after relining (p>0.05). As posterior
residual ridge resorption progressed without relining, bendingstrain increased. This might affect bone resorption around
implants. Since there was no significant difference in bendingstrain between no ridge resorption and after relining, theimportance of reline was confirmed.

㻡Ag ࢼࣀ⢏Ꮚཬࡧ NAC ࢥ࣮ࢸ࢕ࣥࢢࡀࢼࣀᵓ㐀ࢆ᭷ࡍࡿ⣧ࢳࢱࣥ㔠ᒓ⾲㠃࡟୚࠼ࡿᙳ㡪㻌‫ۑ‬Yang Yuanyuan, Zhang Honghao㸪ᑠṇ ⪽㸪㧗ᑿㄔ஧㸪Zeng Yuhao㸪ྜྷᓠⱱᶞᒸᓮᐃྖ኱㜰ṑ⛉኱Ꮫ ṑᏛ㒊 Ḟᦆṑิ⿵⥛ညྜᏛㅮᗙ
Antibacterial activity and biocompatibility of nanoporous titanium coated with nano-Ag and NAC

Yang Y, Zhang H, Komasa S, Takao S, Zeng Y,Yoshimine S, Okazaki J
Osaka Dental University, Department of Removable Prosthodontics and OcclusionI㸬┠ⓗ࢖ࣥࣉࣛࣥࢺ἞⒪ࡣ⿵⥛἞⒪࡟࠾࠸࡚Ḟ࠿ࡏ࡞࠸㑅ᢥ⫥ࡢ୍ࡘ࡛࠶ࡾ㸪Ⰻዲ࡞ཱྀ⭍ᶵ⬟ࢆ⥔ᣢࡍࡿࡓࡵ࡟ࡣ࢜ࢵࢭ࢜࢖ࣥࢸ
ࢢ࣮ࣞࢩࣙࣥࡢ▷ᮇ໬ࡀᚲせ࡜࡞ࡿ㸬ᡃࠎࡣࡇࢀࡲ࡛ࡢᐇ㦂ሗ࿌࡟ࡼࡾ㸪⣧ࢳࢱࣥ㔠ᒓ⾲㠃࡬ࡢ⃰࢔ࣝ࢝ࣜฎ⌮ࡀ⣧ࢳࢱࣥ㔠ᒓ⾲㠃࡟ࢼࣀࢩ࣮ࢺᵓ㐀㸦TNS㸧ࢆᯒฟࡉࡏ㸪in vitro ࠾ࡼࡧ
in vivo ࡛ࣞ࣋ࣝ◳⤌⧊ㄏᑟ⬟ࢆྥୖࡉࡏࡿྍ⬟ᛶࢆ♧၀ࡋࡓ㸬ᮏ◊✲࡛ TNS ࢆ◪㓟㖟Ỉ⁐ᾮ࡟ᾐₕࡍࡿࡇ࡜࡟ࡼࡗ࡚ Ag ࢼࣀ⢏Ꮚ࡛ᮦᩱ⾲㠃ࢆಟ㣭ࡋ㸪ḟ࡟⏕య㐺ྜᛶࢆ㧗ࡵࡿࡓࡵ N-࢔ࢭࢳࣝࢩࢫࢸ࢖ࣥ(NAC)ࢆࢥ࣮ࢸ࢕ࣥࢢࡋ㸪ᢠ⳦ᛶ࡜㦵㧊⣽⬊ࡢ◳⤌⧊ศ໬ㄏᑟ࡟୚࠼ࡿᙳ㡪࡟ࡘ࠸᳨࡚ウࡋࡓ㸬II㸬᪉ἲᐇ㦂ᮦᩱ࡜ࡋ࡚⣧ࢳࢱࣥ㔠ᒓᯈࢆ 30°C ࡢ 10M Ỉ㓟໬ࢼࢺ࣒ࣜ࢘࡟ 24 ᫬㛫ᾐₕࡋ㸪࢖࢜ࣥ஺᥮Ỉ࡟Ὑίࡋࡓᚋ㸪0.1M ◪㓟㖟Ỉ⁐ᾮ࡟ 40°C ࡛ 3 ᫬㛫ᾐₕࡋ㸪࢖࢜ࣥ஺᥮Ỉ࡛㍍ࡃὙίࡋ㸪
15 ศ㛫 UV ↷ᑕࢆ⾜࠸㸪࢖࢜ࣥ஺᥮Ỉ࡛ 1 ศ㛫㉸㡢ἼὙίࡋ㻢ࡓ㸬ྛᮦᩱࡣ 2mM ࠾ࡼࡧ 5mM ࡢ NAC ࡟ᾐₕࡋ㸪ࢡ࣮ࣜࣥ࡭ࣥࢳୖ࡛஝⇱ࡉࡏࡓ㸬ᐇ㦂ࢢ࣮ࣝࣉࡣ TNS㸪TNS-Ag㸪
Ag-NAC-2 ࠾ࡼࡧ Ag-NAC-5 ࡛࠶ࡿ㸬ᮦᩱࡢ⾲㠃ゎᯒࢆ SEM㸪XPS ࡟࡚⾜࠺࡜࡜ࡶ࡟᥋ゐゅࢆ ᐃࡋࡓ㸬⣽⳦ᐇ㦂࡟ࡣ㯤Ⰽࣈࢻ࢘⌫⳦ࢆ⏝࠸㸪ᢠ⳦⋡㸪Live/Dead ᰁⰍ㸪ࣂ࢖࢜ࣇ࢕࣒ࣝᙧᡂࢆ ᐃࡋࡓ㸬⣽⬊ᐇ㦂࡟ࡣ㸪⣽⬊ቑṪ㸪ALP άᛶ࠾ࡼࡧ
⣽⬊ෆάᛶ㓟⣲㸦ROS㸧ࡢ⏘⏕㔞ࢆィ⟬ࡋࡓ㸬
III㸬⤖ᯝ࡜⪃ᐹ
SEM㸪XPS ࡟ࡼࡾ㸪Ag ࢼࣀ⢏Ꮚ࠾ࡼࡧ NAC ࡀࢥ࣮ࢸ࢕ࣥࢢ
ࡉࢀ࡚࠸ࡿࡇ࡜ࡀ☜ㄆࡉࢀࡓ㸬⣽⳦ᐇ㦂ࡢ⤖ᯝ࡟ࡼࡾ㸪
Ag-NAC ࡣ TNS-Ag ࡜ྠ➼ࡢᢠ⳦ᛶࡀㄆࡵࡽࢀࡓ㸬 Ag-NACࡣ⣽⬊ቑṪཬࡧ ALP άᛶࡀ᭷ព࡟㧗ࡃࠊROS ࡢ⏘⏕㔞ࡀప࠸࡜࠸࠺⤖ᯝࢆ♧ࡋࡓ㸬௨ୖࡢ⤖ᯝ࡟ࡼࡾ㸪Ag ࢼࣀ⢏Ꮚࢻ࣮ࣉ࠾ࡼࡧ NAC ࢥ࣮ࢸ࢕ࣥࢢࢆ⾜ࡗࡓࢼࣀᵓ㐀ࢆ᭷ࡍࡿ⣧ࢳࢱࣥ㔠ᒓࡢᢠ⳦ᛶ࡜㦵㧊⣽⬊ࡢ◳⤌⧊ศ໬ㄏᑟ⬟ࡢྥୖࡀ in vivo࡛ࣞ࣋ࣝ᫂ࡽ࠿࡟࡞ࡗࡓ㸬ゅ໬⢓⭷ࡀ࢖ࣥࣉࣛࣥࢺయ㢕㒊㦵྾཰࡟ཬࡰࡍᙳ㡪ࠐ㕥ᮌᱻ, ୰㔝⎔, ᑠ㔝┿ྖ, ୗඖᣅဢ, ஭ୖᑗᶞ, ▮㇂༤ᩥ኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝The effect of keratinized mucosa on the bone loss around implant necks

SUZUKI A, NAKANO T, ONO S, SHIMOMOTO T, INOUE M, YATANI H
Department of Fixed Prosthodontics㸪Osaka University Graduate School of Dentistry࠸, ୖ㒊ᵓ㐀⿦╔᫬㸦T1㸧࡜ୖ㒊ᵓ㐀⿦╔ 1 ᖺ⤒㐣ᚋ
㸦T2㸧࡟ࢹࣥࢱ࢚ࣝࢵࢡࢫ⥺෗┿᧜ᙳ࠾ࡼࡧ CBCT ᧜
ᙳࢆ⾜ࡗࡓᝈ⪅ 33 ྡ, ࢖ࣥࣉࣛࣥࢺయ 67 ᮏࢆᑐ㇟࡜ࡋ
ࡓ. ᐃ㒊఩ࡣࢹࣥࢱ࢚ࣝࢵࢡࢫ⥺෗┿࡟ࡼࡿ㏆㐲ᚰࡢ
BL ࡜ CBCT ࢹ࣮ࢱୖ࡛ࡢ㢋⯉ഃࡢ BL ࡜ࡋࡓ. ゅ໬⢓⭷ࡀ 2 㹫㹫ᮍ‶ࡢ⩌(n=21)࡜ 2 㹫㹫௨ୖࡢ⩌(n=46)ࡢ
㸰⩌࡟ศ㢮ࡋ, ྛィ 㒊఩࡟ࡘ࠸࡚⤫ィⓗẚ㍑ࢆ⾜ࡗࡓ. ᭷ពỈ‽ࡣȘ㸻0.05 ࡜ࡋࡓ. ࡞࠾㸪ᮏ◊✲ࡣ኱㜰኱Ꮫ೔⌮ᑂᰝጤဨ఍ࡢᢎㄆ㸦H25-E32㸧ࢆᚓ࡚⾜ࡗࡓϪ, ⤖ᯝ࡜⪃ᐹ㸸㏆㐲ᚰ BL ࠾ࡼࡧ⯉ഃ BL ࡟ࡣ 2 ⩌㛫࡛᭷ព࡞ᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࡀ, 㢋ഃ BL ࡣ 2 mm ᮍ‶ࡢ⩌ࡀ 2 mm ௨ୖࡢ⩌࡟ẚ࡭᭷ព࡟኱ࡁ࠿ࡗࡓ. 2 㹫㹫௨ୖࡢゅ໬⢓⭷ࡀ㢋ഃ BL ࢆᢚไࡍࡿࡇ࡜ࡀ♧၀ࡉࢀ
ࡓ. CBCT ࢹ࣮ࢱࡶ⏝࠸࡚ ᐃࡍࡿࡇ࡜࡟ࡼࡾࢹࣥࢱࣝ
࢚ࢵࢡࢫ⥺෗┿ࡔࡅ࡛ࡣᚓࡽࢀ࡞࠿ࡗࡓ⤖ᯝࡀᚓࡽࢀ
ࡓ࡜⪃࠼ࡿ.

Ϩ, ┠ⓗ:࢖ࣥࣉࣛࣥࢺ἞⒪ࢆ㛗ᮇ࡟ᡂຌࡉࡏࡿࡓࡵ࡟
ࡣ, ࢖ࣥࣉࣛࣥࢺ࿘ᅖ⤌⧊ࡢ೺ᗣࢆ⥔ᣢࡍࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿ.࢖ࣥࣉࣛࣥࢺ࿘ᅖࡢゅ໬⢓⭷ࡢᏑᅾࡀ࢖ࣥࣉࣛ
ࣥࢺ࿘ᅖ⤌⧊ࡢ೺ᗣ⥔ᣢ࡟ᐤ୚ࡍࡿ࠿ྰ࠿, ࡇࢀࡲ࡛࡟
ᵝࠎ࡞◊✲ࡀ࡞ࡉࢀ࡚࠸ࡿࡀ, ࢥࣥࢭࣥࢧࢫࡀᚓࡽࢀ࡚
࠸࡞࠸. ࡇࢀࡲ࡛ࡢሗ࿌ࡣ,⦪᩿◊✲࡛ࡣ࡞ࡃᶓ᩿◊✲ࡀከ࠸ࡓࡵ⣧⢋࡞㦵྾཰㔞㸦௨ୗ BL㸧ࢆホ౯࡛ࡁ࡚࠸
࡞࠸, 㦵྾཰ࡢ ᐃ᪉ἲ࡟㛵ࡋ࡚ࡶ, ࢹࣥࢱ࢚ࣝࢵࢡࢫ
⥺෗┿࡟ࡼࡿ㏆㐲ᚰࡢ 2 ḟඖホ౯ࡢࡳ࡜࠸ࡗࡓ◊✲ࡀከ࠸ࡢࡀ⌧≧࡛࠶ࡿ. ࡇࢀࡽࡢ⫼ᬒࢆࡶ࡜࡟ᮏ◊✲࡛ࡣ, ࢹࣥࢱ࢚ࣝࢵࢡࢫ⥺෗┿⏬ീࡔࡅ࡛ࡣ࡞ࡃ Cone
Beam CT 㸦௨ୗ CBCT㸧ࢹ࣮ࢱࢆ⏝࠸࡚㢋⯉ഃ㦵ࡢ BL
ࡶ ᐃࡋ, ゅ໬⢓⭷ࡢ࢖ࣥࣉࣛࣥࢺయ㢕㒊㦵྾཰࡬ࡢᙳ
㡪࡟㛵ࡍࡿホ౯ࢆ┠ⓗ࡜ࡍࡿ.
ϩ, ᪉ἲ:ᙜ⛉࡟࡚ 2015 ᖺ 12 ᭶㹼2019 ᖺ 3 ᭶ࡲ࡛࡟Platform Shifting ࢆ᭷ࡍࡿ࢖ࣥࣉࣛࣥࢺᇙධᡭ⾡ࢆ⾜18㻣TNS ᯒฟ⣧ࢳࢱࣥ࡬ࡢ኱Ẽᅽࣉࣛࢬ࣐ฎ⌮ࡀ⏕య㐺ྜᛶ࡟୚࠼ࡿᙳ㡪ࠐZeng Yuhao㸪ᑠṇ ⪽㸪Yang yuanyuan㸪㧗ᑿㄔ஧㸪Li Min, Yan Sifan㸪Yin Derong,ྜྷᓠⱱᶞ, ᒸᓮᐃྖ኱㜰ṑ⛉኱Ꮫ ṑᏛ㒊 Ḟᦆṑิ⿵⥛ညྜᏛㅮᗙ
Effect of plasma treatment on TNS-modified titanium surface on biocompatibility

ࠐZeng Y, Komasa S, Yang Y, Takao S, Li M, Yan S, Yoshimine S, Okazaki J
Osaka Dental University, Department of Removable Prosthodontics and OcclusionI㸬┠ⓗ࢖ࣥࣉࣛࣥࢺᇙධ࿘ᅖ⤌⧊ࡢ◳⤌⧊᪩ᮇᙧᡂ࡟ࡣᮦ
ᩱ⾲㠃ࡢᛶ≧࡞ࡽࡧ࡟⃿ࢀᛶࡀᙉࡃ㛵୚ࡋ࡚࠸ࡿࡇ࡜
ࡀሗ࿌ࡉࢀ࡚࠸ࡿ㸬ࡑࡇ࡛ᮦᩱ⾲㠃࡟㉸ぶỈᛶࢆ௜୚ࡍ
ࡿ኱Ẽᅽࣉࣛࢬ࣐ฎ⌮࡟ὀ┠ࡋ㸪ᮏ◊✲࡛ࡣࢼࣀᵓ㐀ᯒฟ⣧ࢳࢱࣥ㔠ᒓ⾲㠃࡟኱Ẽᅽࣉࣛࢬ࣐ฎ⌮ࢆ᪋ࡍࡇ࡜
ࡀ⏕య㐺ྜᛶ࡟࡝ࡢࡼ࠺࡞ᙳ㡪ࢆ୚࠼ࡿࡢ࠿᳨ウࡋࡓ㸬II㸬᪉ἲᐇ㦂ᮦᩱ࡜ࡋ࡚ᕷ㈍ࡢ⣧ࢳࢱࣥ㔠ᒓᯈࢆ౑⏝ࡋ㸪⃰࢔ࣝ࢝ࣜฎ⌮࡟ࡼࡾࢼࣀᵓ㐀ࢆᯒฟࡉࡏࣆ࢚ࢰࣈࣛࢵࢩ
ࣗ࡟࡚ᮦᩱ⾲㠃࡟ᆒ୍࡟኱Ẽᅽࣉࣛࢬ࣐ฎ⌮ࢆ᪋ࡋࡓ㸬ࡑࡋ࡚㸪ࡑࢀࡽࢆᐇ㦂⩌㸪ࢼࣀᵓ㐀ࡢࡳࢆᯒฟࡋࡓࡶࡢ
ࢆᑐ↷⩌࡜ࡋ࡚౑⏝ࡋࡓ㸬ヨᩱࡢ⾲㠃ᵓ㐀ࡣ SEM㸪SPM
࡟࡚ほᐹࡋ㸪ヨᩱ⾲㠃࡟࠾ࡅࡿඖ⣲ศᯒࢆ XPS ࡟࡚ゎᯒࡋࡓ㸬ḟ࡟㸪SD ⣔㞝ᛶࣛࢵࢺ࠿ࡽ㦵㧊㛫ⴥ⣽⬊ࢆ᥇ྲྀᚋ㸪3 ௦┠ࢆᐇ㦂࡟౪ࡋࡓ㸬ྛ⩌࡟࠾ࡅࡿ◳⤌⧊ศ໬㻤ㄏᑟ࡟㛵ࡍࡿ࣐࣮࣮࢝࠾ࡼࡧ狤ᙧᡂ㛵㐃㑇ఏ⬷ࡢ
mRNA Ⓨ⌧࡟ࡘ࠸࡚ẚ㍑᳨࣭ウࡋࡓ㸬ࣛࢵࢺ኱⭣㦵࡟ヨᩱࢆᇙධࡋ㸪8 㐌ᚋ Micro-CT ࡟࡚㦵ᙧែィ ࡜⤌⧊Ꮫⓗホ౯ࢆ⾜ࡗࡓ㸬⤫ィᏛⓗゎᯒ࡟ࡣ㸪ྛ ᐃ್࡟Student ࡢ t ᳨ᐃࢆ⾜ࡗࡓ㸬᭷ពỈ‽ࡣ 5%࡜ࡋࡓ㸬III㸬⤖ᯝ࡜⪃ᐹ XPS ゎᯒ࡛ࡣ㸪ᐇ㦂⩌࡛ C1s ࡢࣆ࣮ࢡࡀῶᑡࡋ࡚࠸
ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬ࡲࡓࠊᐇ㦂⩌ࡢ⣧ࢳࢱࣥ㔠ᒓ⾲㠃ࡣ㉸ぶỈᛶࢆ♧ࡍࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬඲࡚ࡢィ᫬㛫࡛ ALP άᛶ㸪࢝ࣝࢩ࣒࢘ᯒฟ㔞㸪OCN mRNA,
BMP mRNA ࡢⓎ⌧ࡀ᭷ព࡟㧗࠸್ࢆ♧ࡋࡓ㸬ࡲࡓ㸪
Micro-CT㸪◳⤌⧊ᙧᡂ㔞ࡣᐇ㦂⩌࡛ᑐ↷⩌࡜ẚ㍑ࡋ࡚
᭷ព࡟㧗࠸್ࢆ♧ࡋࡓ㸬௨ୖࡢ⤖ᯝ࡟ࡼࡾ㸪ࢼࣀᵓ㐀ᯒฟ⣧ࢳࢱࣥ㔠ᒓ⾲㠃࡟኱Ẽᅽࣉࣛࢬ࣐ฎ⌮ࢆ᪋ࡍࡇ࡜
ࡣ⏕య㐺ྜᛶࡢྥୖ࡟᭷⏝࡛࠶ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗ
ࡓ㸬

QCM ࢭࣥࢧࢆ฼⏝ࡋࡓ㓝⣲ࡢὙίຠᯝࡢ᳨ウࠐᯇᮏ༟ᕭ 1㸪୕Ꮿ᫭Ꮚ 2㸪ᑠṇ ⪽ 㸪ྜྷ⏣ᬛ࿴ 3㸪Ლ⏣ᜨ௓ 3㸪⏣௦ᝆ୍㑻 1㸪 Zeng Yuhao1㸪 
Yang Yuanyuan1㸪Zhang Honghao1㸪ྜྷᓠⱱᶞ 1㸪ᑠṇ ⿱ 2㸪ᒸᓮᐃྖ 1኱㜰ṑ⛉኱Ꮫ ṑᏛ㒊 Ḟᦆṑิ⿵⥛ညྜᏛㅮᗙ 1㸪་⒪ಖ೺Ꮫ㒊 2 㸪ᑠᯘ〇⸆ᰴᘧ఍♫࣊ࣝࢫࢣ࢔஦ᴗ㒊 3
Examination of enzyme cleaning effect using QCM sensor
Matsumoto T, Miyake A, Komasa S, Yoshida T, Kajita K, Tashiro Y, Zeng Y, Yang Y, Zhang H, Yoshimine S,
Komasa Y, Okazaki J
Osaka Dental UniversitySchool of Dentistry㸪Department of Removable Prosthodontics and Occlusion1㸪
Faculty of Medical Health2㸪Healthcare Division, Kobayashi Pharmaceutical Co., Ltd.3
ࡢ t ᳨ᐃ࡟ࡼࡾ⤫ィᏛⓗゎᯒࢆ⾜࠸㸪᭷ពỈ‽ࡣ 5%ᮍ
‶࡜ࡋࡓ㸬
Ϫ㸬⤖ᯝ࡜⪃ᐹ SPM ࡜ XPS ࡢ⤖ᯝ㸪Au QCM ࢭࣥࢧୖ࡟ PMMA ࡢⷧ⭷ࡀᡂ⭷ࡉࢀ࡚࠸ࡿࡇ࡜ࡀ♧ࡉࢀࡓ㸬ởࢀࡢὙίຠᯝ࡟
ࡘ࠸࡚ QCM ࡟࡚ ᐃࡋࡓ⤖ᯝ㸪ᐇ㦂⩌ࡣᑐ↷⩌࡜ẚ㍑
ࡋ࡚᭷ព࡟㧗࠸Ὑί⋡ࢆㄆࡵࡓ㸬྾ගᗘ ᐃࡢ⤖ᯝࡼࡾ㸪ᐇ㦂⩌ࡢ S. aureus ࡟ࡼࡾ⏘⏕ࡉࢀࡓࣂ࢖࢜ࣇ࢕࣒ࣝ
࡬ࡢ㝖ཤຠᯝࡣⴭࡋࡃ኱ࡁ࠿ࡗࡓ㸬ࡇࢀࡽࡢ⤖ᯝࡼࡾ㓝⣲ࡢὙίຠᯝࡣ᭷⏝࡛࠶ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬
₇㢟Ⓨ⾲࡟㛵㐃ࡋ㸪㛤♧ࡍ࡭ࡁ &2, 㛵ಀ࡟࠶ࡿ௻ᴗࡣᑠᯘ〇⸆ᰴᘧ఍♫࡛࠶ࡿ㸬ϫ㸬ᩥ⊩
1. బ⸨ ⸄㸬⩏ṑᗋ⏝ࣞࢪࣥࡢὙίἲ࡟ࡼࡿࣂ࢖࢜ࣇ
࢕࣒ࣝ㝖ཤຠᯝ࡜⾲㠃⢒ࡉࡢኚ໬㸬᪥⿵⥛ㄅ㸬2013; 5:
174-183.

Ϩ㸬┠ⓗ 㧗㱋⪅ࡢཱྀ⭍ෆࡢΎᤲ≧ែࡣ඲㌟࡟ᙳ㡪ࢆཬࡰࡋ࡚
࠾ࡾ㸪≉࡟⩏ṑࡢΎᤲ≧ែࡣᝈ⪅ࡢ QOL ࡟኱ࡁࡃ㛵୚ࡍࡿ㸬ࡑࡢⅭ㸪⡆࡛᫆Ὑίᛶࡢ㧗࠸᪂つࡢ⩏ṑὙί๣ࡢ
㛤Ⓨ࡟ྥࡅ࡚㸪㓝⣲ࡢຠᯝ࡟ࡘ࠸࡚ QCM ࢆ฼⏝ࡋ㸪᳨ウࢆ⾜ࡗࡓ㸬ϩ㸬᪉ἲ ᕷ㈍ࡢ Au QCM ࢭࣥࢧࢆ⏝࠸࡚㸪ࢫࣆࣥࢥ࣮ࢺἲ࡟࡚
PMMA QCM ࢭࣥࢧࢆస〇ࡋࡓ㸬PMMA ᡂ⭷ࡢ☜ㄆࢆ㉮ᰝᆺࣉ࣮ࣟࣈ㢧ᚤ㙾㸦SPM㸧࡜㉮ᰝᆺ X ⥺ග㟁Ꮚศගศᯒ⿦⨨㸦XPS㸧࡟࡚⾜ࡗࡓ㸬ởࢀࡢ≀㉁࡜ࡋ࡚ࡣ࢘ࢩ⾑Ύ࢔ࣝࣈ࣑ࣥࢆ⏝࠸ࡓ㸬Ὑί๣࡟ࡣ㓝⣲㸦ᐇ㦂⩌㸧࡜
PBS㸦ᑐ↷⩌㸧ࢆ౑⏝ࡋࡓ㸬ởࢀࡢὙίຠᯝ࡟ࡘ࠸࡚ࡣ
QCM ⿦⨨ࢆ⏝࠸㸪ࡲࡓ㸪⣽⳦࡬ࡢᙳ㡪࡟ࡘ࠸࡚ࡣ S.
aureus ⳦ᾮࢆ⏝ពࡋ㸪ࣞࢪࣥ෇ᯈࢆ⏝࠸࡚྾ගᗘ ᐃ࡟᳨࡚ウࢆ⾜ࡗࡓ㸬࡞࠾㸪 ᐃࡣྛ 3 ᅇࡎࡘ⾜࠸㸪student19㻥ṑ࿘⑌ᝈᝈ⪅≉᭷ࡢṑ⫗⁁ⁱฟᾮ୰࢚ࢡࢯࢯ࣮࣒ෆໟ miRNAⓎ⌧ࣃࢱ࣮ࣥࡢ᥈⣴ࠐἙᮾ㔛ዉ  ᕝᮏ❶௦  ᶫᮏ඾ஓ  㧘ᶫ୍ஓ  ኱㜰ṑ⛉኱Ꮫ㧗㱋⪅ṑ⛉Ꮫㅮᗙ ኱㜰ṑ⛉኱Ꮫṑ⛉⌮ᕤᏛㅮᗙmiRNA profiling in exosome derived from gingival crevicular fluid from a patient with periodontal disease

ż.DWR51), Kawamoto A1), Hashimoto Y2), Takahashi K1)
1)
Department of Geriatric Dentistry, Osaka Dental University, 2)Department of Biomaterials, Osaka Dental
UniversityϨ ┠ⓗ⌧ᅾ㸪ᵝࠎ࡞⑌ᝈᝈ⪅ࡢ⾑ᾮ࡞࡝యᾮ࠿ࡽ⤌⧊≉␗ⓗ࡟Ⓨ⌧ࡍࡿ࣐࢖ࢡࣟ RNA(miRNA)ࡀ᫂ࡽ࠿࡟࡞ࡗ࡚࠸
ࡿ. miRNA ࡣ࢚ࢡࢯࢯ࣮࣒࡟ෆໟࡉࢀ࡚࠾ࡾ㸪ࡑࡢⓎ⌧ࡣ⤌⧊౫Ꮡⓗ࡛࠶ࡿ㸬ṑ࿘⅖ࡣ⿵⥛⿦⨨ࡢணᚋࢆ኱ࡁࡃ
ᕥྑࡍࡿࡓࡵ㸪ᡃࠎࡣṑ࿘⤌⧊ࡢ≧ែࢆ཯ᫎࡍࡿṑ⫗⁁ⁱฟᾮ(GCF)࠿ࡽ⑌ᝈ≉␗ⓗ࡞ miRNA ࡀ᥈⣴࡛ࡁࡿࡢ࡛ࡣ࡞࠸࠿࡜⪃࠼ࡓ㸬ᮏ◊✲࡛ࡣ GCF ࡟ྵࡲࢀࡿ࢚ࢡ
ࢯࢯ࣮࣒ࡢ᳨ฟ࡜ṑ࿘⑌ᝈ≉᭷ࡢ miRNA ࡢ᥈⣴ࢆ┠ⓗ
࡜ࡋࡓ.
ϩ ᪉ἲ
ṑ࿘࣏ࢣࢵࢺ῝ࡉ㸪ࣉ࣮ࣟࣅࣥࢢ᫬ࡢฟ⾑㸪ṑࡢືᦂᗘࡢ ᐃࢆ⾜࠸៏ᛶṑ࿘⅖࡜デ᩿ࡋࡓᝈ⪅ 1 ྡ࡜೺ᖖᡂ
ே 1 ྡ࠿ࡽ GCF ࢆ᥇ྲྀࡋࡓ㸬࢚ࢡࢯࢯ࣮࣒ࡢᢳฟᚋ㸪᳨ฟࡢࡓࡵ࡟ ELSZ-2000 ࡟࡚ࣆ࣮ࢡἼᙧࡢ᭷↓ࢆ☜ㄆࡋࡓ㸬ࡲࡓ㸪࢚ࢡࢯࢯ࣮࣒ࡢ⾲㠃࣐࣮࣮࡛࢝࠶ࡿ CD9

㻝㻜

20

࡜ CD63 ࢆࢧࣥࢻ࢖ࢵࢳ ELISA ࡟࡚ᐃ㔞ࡋࡓ㸬GCF ୰࢚ࢡࢯࢯ࣮࣒࠿ࡽ miRNA ࢆᢳฟࡋ㸪3D-Gene®ࢆ⏝࠸࡚㸪⥙⨶ⓗ࡟ miRNA ࡢⓎ⌧ࢆゎᯒࡋࡓ㸬Ϫ ⤖ᯝ࡜⪃ᐹ࢚ࢡࢯࢯ࣮࣒ࡢ⢏Ꮚᚄࡣ 30㹼200nm ࡜ゝࢃࢀ࡚࠸ࡿ
ࡀ㸪௒ᅇࡢ⤖ᯝࡼࡾ࢚ࢡࢯࢯ࣮࣒ࡢᏑᅾࢆ♧ࡍ 100nm
๓ᚋ࡟ࣆ࣮ࢡἼᙧࢆ☜ㄆࡍࡿࡇ࡜ࡀ࡛ࡁࡓ 㸬ࡲࡓ㸪
ELISA ࡼࡾ CD9㸪CD63 ඹ࡟᳨ฟࡉࢀࡓࡇ࡜࠿ࡽ㸪࢚ࢡࢯࢯ࣮࣒ࡢᏑᅾࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬⥙⨶ⓗゎᯒࡼࡾ㸪೺ᖖᡂே࡜ẚ㍑ࡋ࡚៏ᛶṑ࿘⅖ᝈ⪅ࡢ miRNA Ⓨ⌧࡟ᕪࡀࡳࡽࢀࡓࡢࡣ 11 ✀࡛࠶ࡗࡓ㸬௒ᅇࡢ⤖ᯝࡼࡾ GCF ୰ࡢ࢚ࢡࢯࢯ࣮࣒ෆໟ miRNA Ⓨ⌧ࡢゎᯒࡀྍ⬟࡛࠶ࡿ஦ࡀ☜ㄆ࡛ࡁࡓ㸬⥙⨶ⓗゎᯒࡼࡾ㸪ṑ࿘⑌ᝈᝈ⪅ࡢṑ⫗⁁ⁱฟᾮ୰࢚ࢡࢯࢯ࣮࣒ෆໟ miRNA Ⓨ⌧ࡢ࠺ࡕ೺ᖖᡂே
ࡼࡾῶᑡࡋ࡚࠸ࡓ 11 ✀ࡢ miRNA ࡣṑ࿘⑌ᝈ࡟㛵୚ࡍࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬኱ṑ་೔ ➨ 110938

㻝㻝኱Ẽᅽࣉࣛࢬ࣐ฎ⌮ࡀ᪂つࢭ࣑ࣛࢵࢡᮦᩱ⾲㠃࡟୚࠼ࡿᙳ㡪ࠐ㧗ᑿㄔ஧ 1㸪ᑠṇ ⪽ 1㸪ୖࡾཱྀ᫭ᡂ 1㸪Zeng Yuhao1㸪Yang yanyan1㸪Li min1,
Yan Sifan1, ᴋᮏဴḟ 2㸪すᓮ ᏹ 2㸪ྜྷᓠⱱᶞ 1㸪ᒸᓮᐃྖ 1኱㜰ṑ⛉኱Ꮫ ṑᏛ㒊 Ḟᦆṑิ⿵⥛ညྜᏛㅮᗙ 1㸪་⒪ಖ೺Ꮫ㒊 ཱྀ⭍ᕤᏛ⛉ 2
Effects of atmospheric pressure plasma treatment on the surface of new ceramic materials

Takao S1, Komasa S1, Agariguchi A1, Zeng Y1, Yang Y1, Li M1, Yan S1, Kusumoto T2, Nishizaki H2, Yoshimine S1, Okazaki J1Osaka Dental University Department of Removable Prosthodontics and Occlusion 1, Faculty of Health Sciences Oral Health Engineering2Ϩ㸪 ┠ⓗ ᡃࠎࡣ㸪Ce ࢆᏳᐃᮦ࡜ࡋ࡚⏝࠸ࡓࢼࣀࢪࣝࢥࢽ࢔࡟
⃰࢔ࣝ࢝ࣜฎ⌮ࢆ᪋ࡍࡇ࡜࡟ࡼࡗ࡚㸪ࣛࢵࢺ㦵㧊⣽⬊ࡢึᮇ᥋╔ཬࡧ◳⤌⧊ศ໬ㄏᑟ⬟࡟᭷⏝࡛࠶ࡿࡇ࡜ࢆሗ
࿌ࡋࡓ㸬ࡋ࠿ࡋ㸪࢖ࣥࣉࣛࣥࢺࡢ୺せ࡞ᮦᩱ࡛࠶ࡿ⣧ࢳࢱࣥ㔠ᒓ࡜ẚ㍑ࡍࡿ࡜⏕య㐺ྜᛶࡣඃࢀ࡚࠸ࡿ࡜ࡣゝ࠼ࡎ㸪ᮦᩱ⾲㠃ࡢ᭦࡞ࡿᨵၿࡀᮇᚅࡉࢀࡿ㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ኱Ẽᅽࣉࣛࢬ࣐ฎ⌮࡟ࡼࡗ࡚ᮦᩱ⾲㠃࡟㉸ぶỈᛶࢆ௜୚ࡍࡿࡇ࡜࡛ྛ✀⣽⬊࡟࡝ࡢࡼ࠺࡞ᙳ㡪ࢆ୚࠼ࡿࡢ࠿ẚ㍑᳨࣭ウࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸪 ᪉ἲ ⾲㠃◊☻ࡋࡓࢼࣀࢪࣝࢥࢽ࢔ࢆᐊ ࡟࡚⃰࢔ࣝ࢝ࣜฎ⌮ࢆ᪋ࡋࡓࡶࡢࢆᑐ↷⩌㸪࢔ࣝ࢝ࣜฎ⌮ᚋ࡟ 10mmࡢ㛫㝸ࢆ࠶ࡅ࡚ 30 ⛊㛫኱Ẽᅽࣉࣛࢬ࣐ࢆ↷ᑕࡋࡓࡶࡢ
ࢆᐇ㦂⩌࡜ࡋࡓ㸬ヨᩱ⾲㠃ᵓ㐀ࢆ SEM㸪SPM ࡛ほᐹࡋ㸪⾲㠃ඖ⣲ゎᯒࢆ XPS ࡟࡚⾜ࡗࡓ㸬ࡲࡓ㸪⵨␃Ỉ⁲ୗ࡟㻝㻞ࡼࡿ᥋ゐゅࡢ ᐃ㸪࢘ࢩ⾑Ύ࢔ࣝࣈ࣑ࣥ྾╔㔞࡟ࡘ࠸࡚ẚ㍑᳨࣭ウࢆ⾜ࡗࡓ㸬3 ௦┠ SD ⣔㞝ᛶࣛࢵࢺ㦵㧊㛫ⴥ⣽⬊ࢆ⏝࠸㸪ᇵ㣴 1㸪3㸪6㸪24 ᫬㛫ᚋࡢྛ⩌࡟࠾ࡅࡿ㦵㧊⣽⬊ึᮇ᥋╔ᩘࡢẚ㍑㸪㦵㧊⣽⬊ࡢ◳⤌⧊ศ໬ㄏᑟ࡟
㛵ࡍࡿ࣐࣮࣮࢝ࡢⓎ⌧࡟ࡘ࠸᳨࡚ウࡋࡓ㸬Ϫ㸪 ⤖ᯝ࡜⪃ᐹ ⾲㠃ほᐹ࡛ࡣ⾲㠃ࡢኚ໬ࡣㄆࡵࡽࢀࡎ㸪ඖ⣲ศᯒ࡛ࡣᐇ㦂⩌࡟࠾࠸࡚ C ࡢࣆ࣮ࢡࡢపୗ࠾ࡼࡧỈ㓟໬≀ࡢᙧᡂࡀㄆࡵࡽࢀࡓ㸬ᐇ㦂⩌࡛ࡣ᥋ゐゅࡢపୗࡀㄆࡵࡽࢀ㸪ぶỈᛶࡢྥୖࢆ♧၀ࡍࡿ⤖ᯝࡀᚓࡽࢀࡓ㸬ࡲࡓࡍ࡭࡚ࡢィ ᫬㛫࡟࠾࠸࡚࢘ࢩ⾑Ύ࢔ࣝࣈ࣑ࣥࡢ྾╔㔞㸪⣽⬊ึᮇ᥋╔ᩘ㸪◳⤌⧊ศ໬ㄏᑟ࣐࣮࣮࢝ࡢⓎ⌧ࡀᑐ↷⩌࡜ẚ
㍑ࡋ࡚ᐇ㦂⩌࡟࠾࠸࡚㧗࠸್ࢆ♧ࡋࡓ㸬௨ୖࡢ⤖ᯝ࠿ࡽ㸪኱Ẽᅽࣉࣛࢬ࣐ฎ⌮ࡀࢼࣀࢪࣝࢥࢽ
࢔ᮦᩱ⾲㠃ୖࡢ⣽⬊ࡢึᮇ᥋╔࡞ࡽࡧ࡟◳⤌⧊ศ໬ㄏᑟ⬟࡟ᙳ㡪ࢆ୚࠼ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬ࢪࣝࢥࢽ࢔ࢆ⏝࠸ࡓࢸࣞࢫࢥ࣮ࣉࢡࣛ࢘ࣥࡢእෙࡢ◚ᢡᙉᗘࠐᰘ⏣㥴ு㸪㫽஭ඞ඾㸪⸨ᮌ ഔ㸪ྜྷỤ ၨ㸪ྂ⸨⨾ᕹ㸪⏣୰㡰Ꮚ㸪⏣୰ᫀ༤኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙFracture strength of the secondary crown of zirconia telescopic crowns

ż6KLEDWD67RULL., Fujiki S, Yoshie S, Koto M, Tanaka J, Tanaka M
Department of Fixed Prosthodontics and Occlusion, Osaka Dental UniversityϨ㸬┠ⓗࢃࢀࢃࢀࡣ Ce-TZP/A ࢆ⏝࠸ࡓࢸࣞࢫࢥ࣮ࣉࢡࣛ࢘ࣥࡢ
⮫ᗋᛂ⏝ࢆ┠ᣦࡋ㸪ࡇࢀࡲ࡛࡟ึᮇ⥔ᣢຊ㸪⧞ࡾ㏉ࡋ╔⬺᫬ࡢ⥔ᣢຊࡢ᥎⛣࠾ࡼࡧỿࡳ㎸ࡳ㔞ࢆ᳨ウࡋ࡚ࡁࡓ.
ࡋ࠿ࡋ㸪⬤ᛶᮦᩱ࡛࠶ࡿࢪࣝࢥࢽ࢔ࢆ⏝࠸ࡓእෙࡢ◚ษᙉᗘ࡟ࡘ࠸࡚ࡢሗ࿌ࡣ↓࠸㸬ࡑࡇ࡛௒ᅇ㸪ᮦᩱࡢ㐪࠸㸪ࢸ࣮ࣃ࣮ゅ࠾ࡼࡧእෙࡢཌࡳࡀእෙࡢ◚ᢡᙉᗘ࡟ཬࡰ
ࡍᙳ㡪ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬᪉ἲෆෙ࠾ࡼࡧእෙ࡟ࡣ Ce-TZP/A㸦KZR-CAD ࢼࣀࢪࣝࢥࢽ࢔㸪YAMAKIN㸧࠾ࡼࡧ Y-TZP㸦Aadva Zirconia ࢹ࢕ࢫࢡ㸪GC㸧ࢆ⏝࠸ࡓ㸬ෆෙࡣᑠ⮻ṑࢆ᝿ᐃࡋࡓᨭྎ
ṑ࡜୍యᆺ࡜ࡋ㸪እෙࡣෆෙࢆࢫ࢟ࣕࣥࡍࡿࡇ࡜࡟ࡼࡗ
࡚ CAD/CAM ⿦⨨ࢆ⏝࠸࡚〇సࡋࡓ. 1/2 ࢸ࣮ࣃ࣮ゅ 2r
࠾ࡼࡧ 4r㸪እෙࡢཌࡳ 0.5 ࠾ࡼࡧ 1.0 mm ࡢࡑࢀࡒࢀ

21Ỉ‽࡛ヨᩱࢆ〇సࡋࡓ㸦n=5㸧㸬◚ษᙉᗘࡣෆෙ࡟እෙࢆ
᚟఩ࡋ㸪እෙࡢညྜ㠃୰ኸ㒊࡟⢭ᐦ୓⬟ヨ㦂ᶵ
(AUTOGRAPH AGS-J 5kN, ᓥὠ)࡟࡚ᆶ┤Ⲵ㔜ࢆຍ࠼㸪እෙࡢ◚ᢡ᫬ࡢⲴ㔜್࡜ࡋࡓ㸬⤫ィᏛⓗゎᯒࡣᮦᩱ㸪 ࢸ࣮ࣃ࣮ゅ࠾ࡼࡧእෙࡢཌࡳࢆせᅉ࡜ࡍࡿ୕ඖ㓄⨨ศᩓศᯒ㸦three-way ANOVA㸧ࢆ⾜ࡗࡓ(Į )㸬
Ϫ. ⤖ᯝ࡜⪃ᐹศᩓศᯒࡢ⤖ᯝ㸪ᮦᩱ࡟࠾࠸࡚ Y-TZP ࡼࡾ Ce-TZP/Aࡢ᪉ࡀ㸪ཌࡳ࡟࠾࠸࡚ 0.5 mm ࡼࡾ 1.0 mm ᪉ࡀ᭷ព࡟
◚ษᙉᗘࡣ㧗ࡃ㸪ࢸ࣮ࣃ࣮ゅ࡟ࡼࡿᙳ㡪ࡣ↓࠿ࡗࡓ㸬
Ce-TZP/A ࡢ◚ᢡᙉᗘ㸦mean±1SD㸧ࡣእෙࡢཌࡳ 0.5 ࠾ࡼࡧ 1.0 mm ࡛ 524±121 N ࠾ࡼࡧ 1814±354 N㸪Y-TZP ࡛ࡣ 352 N±64 N ࠾ࡼࡧ 1334 N±107 N ࡛࠶ࡗࡓ. ⮫ᗋୖ㸪
0.5 mm ௨ୗࡢእෙࡢཌࡳ࡛ࡣእෙࡀ◚ᢡࡍࡿ༴㝤ᛶࡀ♧၀ࡉࢀࡓ㸬㻝㻟ᕷ㈍⩏ṑὙί๣࡜㉸㡢ἼὙίჾࡢ㝖⳦ຠᯝࠐ㇂ ளᕼዉ  㸪㢌ᒣ㧗Ꮚ  㸪஭ୖኴ㑻  㸪㧗ᶫ୍ஓ  㸪ᰠᮏ࿴ಇ  ኱㜰ṑ⛉኱Ꮫ኱Ꮫ㝔་⒪ಖ೺Ꮫ◊✲⛉㸪 ኱㜰ṑ⛉኱ᏛṑᏛ㒊㧗㱋⪅ṑ⛉ᏛㅮᗙDisinfection effect of commercial denture cleaner and ultrasonic cleaner
ࠐTani A1), Toyama T1), Inoue T2), Takahashi K2), Kakimoto K1)
1)Osaka Dental University Graduate School of Health Sciences2)

Department of Geriatric Dentistry, Osaka Dental University

Ϩ㸬┠ⓗ
⌧ᅾ㸪
⩏ṑὙί๣ࡢ㝖⳦ຠᯝࡀᗈࡃ᳨ウࡉࢀ࡚࠸ࡿ  㸬ࡲࡓ㸪⩏ṑὙί๣࡜ే⏝ࡍࡿ㉸㡢ἼὙίჾࡶᕷ㈍ࡉࢀ࡚
࠸ࡿ㸬ᮏ◊✲࡛ࡣ㸪ᕷ㈍ࡢ⩏ṑὙί๣ࢆ⏝࠸࡚㸪㝖⳦ຠᯝ࡜㉸㡢ἼὙίჾࡢຠᯝࢆ᳨ウࡋࡓ㸬ϩ㸬᪉ἲᑐ㇟ࡣ኱㜰ṑ⛉኱Ꮫ㝃ᒓ⑓㝔⿵⥛ညྜ἞⒪⛉ࡶࡋࡃࡣ་⒪ἲேඵᮌṑ⛉࡟࠾ࡅࡿ㏻㝔ᝈ⪅ࡢ⩏ṑ࡜ࡋࡓ㸬⩏ṑ⏝ࣈࣛࢩ࡟࡚⩏ṑࢆΎᤲᚋ㸪⁛⳦⥥Წ࡟࡚∦ഃࡢ⢓⭷㠃ࡼࡾ⳦ࢆ᥇ྲྀࡋ㸪඲㒊ᗋ⩏ṑࡣࢱࣇࢹࣥࢺ 㸦ᑠᯘ〇⸆㸧㸪㒊ศᗋ⩏ṑࡣࣃ࣮ࢩࣕࣝࢹࣥࢺ㸦ᑠᯘ〇⸆㸧ࢆ⏝࠸࡚  ศ㛫Ὑίࡋࡓ㸬Ὑί᫬ࡢ ᗘࡣ ΥࡶࡋࡃࡣΥ࡜ࡋ㸪Ὑίᚋ཯ᑐഃࡼࡾ⳦ࢆ᥇ྲྀࡋࡓ㸬᥇ྲྀࡋࡓ⳦
ࢆࡑࢀࡒࢀ㑅ᢥᇵᆅ࡟ሬᕸ࣭ᇵ㣴ࡋ㸪Ὑί๓ᚋࡢ⳦ᩘࢆ
ồࡵẚ㍑ࡋࡓ㸬ࡲࡓ㸪ᶵᲔⓗΎᤲᚋࡢᕷ㈍㉸㡢ἼὙίჾ㸦㉸㡢Ἴࢱࣇࢹࣥࢺ㸪ᑠᯘ〇⸆㸧࡛ࡢ㸳ศ㛫ࡢὙί࡟㻝㻠ࡼࡿຠᯝࡶ᳨ウࡋࡓ㸬Ϫ㸬⤖ᯝ࡜⪃ᐹΥ࡛ࡣ㸪ᾐₕ๓࡟ዲẼᛶ⳦ࡀ᳨ฟࡉࢀࡓ  ᗋ୰㸪⳦ᩘࡀ ‫)&ݳ‬8PO ௨ୖ࡛࠶ࡗࡓ  ᗋ࡛ࡣ㸪㸣௨ୖࡢ㧗࠸㝖⳦⋡ࢆ♧ࡋࡓࡀ㸪ᾐₕ๓ࡢ⳦ᩘࡀᑡ࡞࠸⩏ṑࡢ㝖⳦⋡ࡣప࠿ࡗࡓ㸬᎘Ẽᛶ⳦࡛ࡶྠᵝ࡛࠶ࡗࡓ㸬Υ࡛ࡣ㸪㝖⳦⋡ࡣప࠿ࡗࡓࡀᾐₕ๓ࡢ⳦ᩘࡀᑡ࡞ࡃ㸪ࡉࡽ࡟᳨ウࢆ
ᚲせ࡜ࡋࡓ㸬㉸㡢ἼὙίჾ࡛ࡣ㸪᳨ウࡋࡓ  ᗋࡢ࠸ࡎࢀ
ࡶởࢀࡀ⫗║ⓗ࡟㝖ཤࡉࢀ㸪㧗࠸Ὑίຠᯝࢆ♧ࡋࡓ㸬୍᪉㸪㝖⳦⋡ࡀ 㸣ࢆ㉸࠼ࡓ⩏ṑࡣᑡ࡞࠿ࡗࡓ㸬ࡇࢀࡣᾐₕ๓ࡢ⳦ᩘࡀᑡ࡞࠿ࡗࡓࡓࡵ࡜⪃࠼ࡽࢀࡿ㸬௨ୖࡼࡾ㸪⩏ṑὙί๣ࡣ⳦ᩘࢆ୍ᐃࡢ๭ྜ࡛㝖⳦ࡍࡿࡢ࡛ࡣ࡞ࡃ㸪୍ᐃᩘ௨ୗ࡟పୗࡉࡏࡿྍ⬟ᛶࡀ♧ࡉࢀࡓ㸬ϫ㸬ᩥ⊩ ஭ ୖ ኴ 㑻  ᰠ ᮏ࿴ ಇ  ᕝᮏ ❶ ௦ ࡯࠿ 㸬 ⩏ṑ Ὑ ί๣ ࡢ㝖⳦ຠᯝࡢ⮫ᗋⓗホ౯㸬⪁ᖺṑᏛ㸬㸹㸸㸬㧗㱋ᮇ࡟࠾ࡅࡿṑࡢ႙ኻ࡜ညྜᨭᣢ࡜ࡢ㛵㐃ࠐబ⸨ோ⨾㸪୕ཎభ௓㸪ᐊ㇂᭷⣖㸪ⴗ㔝ᘯᑗ㸪⚟ṊඖⰋ㸪ඵ⏣᪸኱㸪Ṋୗ⫕㸪㧗ᶫ฼ኈ㸪ᴮᮌ㤶⧊㸪ᯇ⏣ㅬ୍㸪๓⏣ⰾಙ㸪ụ㑓୍඾኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝
Relationship between tooth loss and occlusal support among older adults
Sato H , Mihara Y, Murotani Y , Hagino H , Fukutake M , Hatta K , Takeshita H , Takahashi T㸪
Enoki K , Matsuda K , Maeda Y , Ikebe K
Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate Schoolof DentistryϨ㸬┠ⓗ ညྜᨭᣢᩘࡢῶᑡࡣ㸪ṧᏑṑࡢညྜ㈇ᢸࢆቑຍࡉࡏ㸪ṑࡢ႙ኻࢆຍ㏿ࡉࡏࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿ 㸧㸬ࡋ࠿ࡋ࡞ࡀ
ࡽ㸪㧗㱋ᮇ࡟࠾ࡅࡿṑࡢ႙ኻ࡜ညྜᨭᣢ࡜ࡢ㛵㐃࡟ࡘ࠸࡚㸪⦪᩿ⓗ࡟᳨ウࡋࡓሗ࿌ࡣᑡ࡞࠸㸬ࡑࡇ࡛㸪ᮏ◊✲࡛ࡣ㸪 ᖺ㛫ࡢ⦪᩿ㄪᰝࢆ⾜࠸㸪ṑࡢ႙ኻ࡜ညྜᨭᣢ࡜ࡢ
㛵㐃࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ϩ㸬᪉ἲ  ṓ௦㸪 ṓ௦ࡢᆅᇦ㧗㱋⪅ࡢ࠺ࡕ㸪࣮࣋ࢫࣛ࢖ࣥ
ㄪᰝ࡜㏣㊧ㄪᰝࡢ୧᪉࡟ཧຍࡋࡓ  ྡ ⏨ᛶ  ྡ㸪ዪᛶ  ྡ㸧ࢆᑐ㇟࡜ࡋࡓ㸬ཱྀ⭍ෆ᳨ᰝ࡟࡚㸪ṧᏑṑᩘ㸪Ḟᦆ㒊఩㸪ṧᏑṑࡢಟ᚟≧ែ㸪(LFKQHU ศ㢮㸪ṑ࿘࣏ࢣࢵࢺ῝ࡉࢆグ㘓ࡋ㸪ညྜຊࢆ ᐃࡋࡓ㸬ࡲࡓ㸪⢾ᒀ⑓㸪ႚ↮Ṕ㸪࠿࠿ࡾࡘࡅṑ⛉་㸪ᐃᮇ᳨デࡢ㛫㝸㸪 ᪥ࡢࣈࣛࢵࢩࣥࢢᅇᩘ࡟ࡘ࠸࡚࢔ࣥࢣ࣮ࢺㄪᰝࢆ⾜ࡗࡓ㸬ညྜᨭᣢ࡜ṑࡢ႙ኻ࡜ࡢ㛵㐃ࢆ᳨ウࡍࡿࡓࡵ࡟㸪୍⯡໬᥎ᐃ22᪉⛬ᘧࢆ⏝࠸࡚ศᯒࢆ⾜ࡗࡓ㸬⤫ィᏛⓗ᭷ពỈ‽ࡣ ࡜ࡋࡓ㸬࡞࠾㸪ᮏ◊✲ࡣ኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉࣭ṑᏛ㒊࠾ࡼࡧṑᏛ㒊㝃ᒓ⑓㝔೔⌮ᑂᰝጤဨ఍ࡢᢎㄆࢆᚓ
࡚࠸ࡿ㸦+(㸪+(㸧㸬Ϫ㸬⤖ᯝ࡜⪃ᐹ ࣮࣋ࢫࣛ࢖ࣥ᫬ࡢᖹᆒṧᏑṑᩘࡣ  ᮏ࡛࠶ࡗࡓ㸬6ᖺᚋࡢᖹᆒ႙ኻṑᩘࡣ 1.52 ᮏ࡛࠶ࡗࡓ㸬ศᯒࡢ⤖ᯝ㸪௚ࡢኚᩘࢆㄪᩚࡋࡓ࠺࠼࡛㸪࣮࣋ࢫࣛ࢖ࣥ᫬ࡢညྜᨭᣢᩘ
ࡀᑡ࡞࠸ࡇ࡜ࡀ㸪ṑࡢ႙ኻ࡜᭷ព࡞㛵㐃ࢆㄆࡵࡓࠋ≉࡟㸪Eichner C1 ⩌ࡣ㸪Eichner A ⩌࡜ẚ㍑ࡋ࡚ṑࢆ႙ኻࡋࡸࡍ
࠿ࡗࡓ㸦࢜ࢵࢬẚ=5.90㸪p<0.01㸧㸬 ௨ୖࡢࡇ࡜࠿ࡽ㸪㧗㱋ᮇ࡟࠾࠸࡚㸪ညྜᨭᣢࡀᑡ࡞࠸
ࡇ࡜ࡣ㸪ṑࢆ႙ኻࡋࡸࡍ࠸ࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬ᩥ⊩㸧ᐑᆅᘓኵ㸬ୖୗ㢡ࡢ႙ኻṑᩘࣂࣛࣥࢫ࡟ࡘ࠸࡚㸬ṑ⛉Ꮫሗ 㻝㻡↓ṑ㢡ᝈ⪅࡟࠾ࡅࡿ㢡ሐ⢓⭷ࡢ࢚ࣥࢺࣟࣆ࣮

‫ۑ‬ᓥ⏣᫂Ꮚ㸪㧘ᶫ୍ஓ኱㜰ṑ⛉኱Ꮫ㧗㱋⪅ṑ⛉Ꮫㅮᗙ

Entropic characteristics of alveolar mucosa in edentulous patients
Shimada A, Takahashi K.
Department of Geriatric Dentistry, Osaka Dental UniversityϨ㸬┠ⓗ ⩏ṑ〇సࡢࡓࡵࡢ᪂ᮦᩱࡢ㛤Ⓨࡣ⩏ṑ⿦╔ᝈ⪅࡟ຠ⋡ࡢⰋ࠸࿪ᄮࢆᅇ᚟ࡋ㸪QOL ࢆ⥔ᣢࡍࡿࡓࡵ࡟ࡣ㔜せ࡛࠶ࡿࡀ㸪⩏ṑࢆᨭᣢࡍࡿ㢡ሐ⢓⭷ࡢᅽ③ឤぬ࡟ࡘ࠸࡚ࡣ୙᫂࡞Ⅼࡀከ࠸㸬ᮏ◊✲ࡢ┠ⓗࡣ㸪⥲⩏ṑ⿦╔ᝈ⪅ࡢឤぬࡢ≉ᚩࢆ⌮ゎࡍࡿࡓࡵ࡟㸪↓ṑ㢡ᝈ⪅ࡢ㢡ሐࡢゐぬ࠾ࡼࡧ③ぬ㜈್ࢆ࢚ࣥࢺࣟࣆ࣮ศᯒࢆ⏝࠸࡚ホ౯ࡍࡿࡇ࡜࡛࠶ࡿ㸬ϩ㸬᪉ἲ ⿕㦂⪅ࡣ 12 ྡࡢ↓ṑ㢡ᝈ⪅㸦EP ⩌㸪⏨ᛶ㸲ྡ㸪ዪᛶ㸶ྡ㸹ᖹᆒᖺ㱋 s ṓ㸧࡛㸪㝖እᇶ‽ࡣ⢾ᒀ⑓㸪୕ཫ⚄⤒③ࠊ⚄⤒㞀ᐖᛶ⑊③㸪㛤ཱྀ㞀ᐖࠊㄆ▱⑕࡜ࡋࡓ㸬ࢥࣥࢺ࣮ࣟࣝࡣ೺ᖖᡂே 12 ྡ㸦CONT ⩌㸪⏨ᛶ㸲ྡ㸪ዪᛶ㸶ྡ㸹ᖹᆒᖺ㱋 s ṓ㸧࡛㸪୧⩌࡜ࡶ YRQ)UH\ࣇ࢕࣓ࣛࣥࢺࢆ⏝࠸࡚ࠊᅽ③᳨ฟ㜈್㸦7'77DFWLOH'HWHFWLRQ 7KUHVKROG 㸧 ࠾ ࡼ ࡧ ③ ぬ 㜈 ್ 㸦 373DLQ
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ࣟࣆ࣮ࡣ &217 ⩌࡜ẚ㍑ࡋ࡚᭷ព࡟ప࠸್ࢆ♧ࡋࡓ㸬
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㸬ࡇࡢ (' ⩌࡟࠾ࡅࡿ᭷ព࡟ప࠸ 37 ࡜ 7'7 ࡢᕪࡢ್ࡣ㸪③ࡳ࡟ᑐࡋ࡚↓ṑ㢡ᝈ⪅ࡣ᭷ṑ㢡⪅ࡼࡾࡶ㢡ሐ⢓⭷ࡀ③ࡳ࡟ᑐࡋ࡚ᩄឤ࡛࠶ࡿ࡜࠸࠺≉ᚩࢆ⾲ࡋ࡚࠸ࡿ㸬ࡇࡢࡇ࡜ࡣ㸪⩏ṑ⿦╔ᝈ⪅ࡢッ࠼ࡿ③ࡳࡣࠊ୙༑ศ࡞⩏ṑㄪᩚ࡟ࡼࡿࡶࡢࡔࡅ࡛ࡣ࡞ࡃ㸪ᝈ⪅ࡢᣢࡘ③ࡳࢆ▱ぬࡍࡿᩄឤࡉ࡟ࡼࡗ࡚ࡶ㉳ࡇࡾ࠺ࡿࡇ࡜ࢆ♧ࡋ࡚࠸ࡿ㸬‫ᧉݦ‬ҔǱȸǹȗȬǼȳȆȸǷȧȳ㻿㻙㻝ࣈࣜࢵࢪ࡜ࢥ࣮ࢾࢫࢸࣞࢫࢥ࣮ࣉ⩏ṑࢆ⏝࠸࡚ᑂ⨾ⓗ࡟ညྜᨭᣢᅇ᚟ࢆ⾜ࡗࡓ⑕౛‫ۑ‬ᒣᮏ┿⏤

኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙ
A case report of esthetic reconstruction of occlusal support with bridges and telescopic crown-retained
removable partial dentures‫ۑ‬Yamamoto M
Department of Fixed Prosthodontics and Occlusion, Osaka Dental UniversityϨ㸬 ⥴ゝ㻌ᶵ⬟ᛶ࡜ᑂ⨾ᛶࢆවࡡഛ࠼ࡓ⿵⥛἞⒪ࡣᝈ⪅ࡢཱྀ⭍㛵㐃 QOL ྥୖࡢ୍ຓ࡜࡞ࡿ㸬௒ᅇ㸪ࣁ࢖ࣈࣜࢵࢻᆺࢥ࣏ࣥࢪࢵࢺࣞࢪࣥ๓⿦ࣈ
ࣜࢵࢪ࡜ࢥ࣮ࢾࢫࢸࣞࢫࢥ࣮ࣉ⩏ṑࢆ⏝࠸࡚㸪ᶵ⬟ᛶ࠾ࡼࡧᑂ⨾ᛶ࡟࠾࠸࡚ᝈ⪅ࡢ ‶㊊ࢆᚓࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ⑕౛ࡢᴫせᝈ⪅ࡣ 68 ṓࡢዪᛶ㸬ୖୗ㢡㒊ศᗋ⩏ṑࡢ୙㐺ྜ࠾ࡼࡧᑂ⨾୙Ⰻࢆ୺ッ࡟᮶㝔ࡋࡓ㸬ୖୗ㢡㒊ศᗋ⩏ṑࡣ⩏ṑᗋࡢຎ໬㸪ேᕤṑࡢည⪖ࡀㄆࡵࡽࢀࡓ㸬඲㢡ⓗ࡟ࡣ㸪ṑ࿘⅖࡟ࡼࡿṑࡢືᦂ࠾ࡼࡧ ṑ⫗㏥⦰࡟ࡼࡿᑂ⨾୙Ⰻࡀㄆࡵࡽࢀࡓ㸬 䊢㸬 ἞⒪ෆᐜࣇ࢙࢖ࢫ࣎࢘ࢆ⏝࠸࡚◊✲⏝ᶍᆺࢆညྜჾ⿦╔ࡋ㸪デ᩿⏝࣡ ࢵࢡࢫ࢔ࢵࣉࢆ⾜࠸㸪἞⒪ィ⏬ࢆ❧᱌㻿㻙㻞ࡋࡓ㸬ṑ࿘ᇶᮏ἞⒪࠾ࡼࡧணᚋ୙Ⰻṑࡢᢤṑࢆ⾜࠸㸪ṑෆ⒪ἲฎ⨨㸪ᨭྎ⠏㐀ࢆ⾜ ࡗࡓ㸬ୖୗ㢡ࡢࢥ࣮ࢾࢫࢸࣞࢫࢥ࣮ࣉ⩏ṑࡢᨭྎṑ࠾ࡼࡧୗ㢡ࣈࣜࢵࢪࡢᨭྎṑࢆᙧᡂࡋ㸪ࣉࣟࣅࢪࣙࢼࣝࣞࢫࢺ࣮ࣞ
ࢩࣙࣥࢆ⿦╔ࡋࡓ㸬ୗ㢡࡟ࣁ࢖ࣈࣜࢵࢻᆺࢥ࣏ࣥࢪ
ࢵࢺࣞࢪࣥ๓⿦ࣈࣜࢵࢪࢆ㸪ୖୗ㢡࡟ࢥ࣮ࢾࢫࢸࣞ
ࢫࢥ࣮ࣉ⩏ṑࢆྠ᫬࡟⿦╔ࡋࡓ㸬ㄪᩚᚋ࡟㸪࣓ࣥࢸࢼࣥࢫ࡬࡜⛣⾜ࡋࡓ㸬ϫ ⤒㐣࡞ࡽࡧ࡟⪃ᐹṑ࿘⤌⧊࡜ညྜ࠾ࡼࡧ⩏ṑࡢ≧ែࢆᐃᮇⓗ࡟☜ㄆࡋ㸪ṑ࿘἞⒪࠾ࡼࡧ⿵⥛⿦⨨ࡢㄪᩚࢆ⾜ࡗࡓ㸬⌧ᅾ㸪᭱⤊⿵⥛ ⿦⨨ࢆ⿦╔ᚋ 3 ᖺ௨ୖ⤒㐣ࡋ࡚࠾ࡾ㸪Ⰻዲ࡞⤖ᯝࢆಖࡗ࡚࠸ࡿ 㸬㢡ሐࡀ㧗ᗘ࡟྾཰ࡋࡓୗ㢡↓ṑ㢡ᝈ⪅࡟࢖ࣥࣉࣛࣥࢺ
࣮࢜ࣂ࣮ࢹࣥࢳ࣮ࣕࢆ㐺⏝ࡋࡓ⑕౛‫ۑ‬㇋㔝ᬛ᫛

኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝
A case report: implant-supported overdenture for an edentulous patient with severely resorbed
mandibular ridge
Mameno T
Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate Schoolof DentistryI㸬⥴ゝ 㢡ሐࡀ㧗ᗘ࡟྾཰ࡋࡓ↓ṑ㢡⑕౛࡛ࡣ㸪⩏ṑࡢ⥔ᣢ㸪Ᏻᐃࢆᚓࡿࡇ࡜ࡀᅔ㞴࡞ࡇ࡜ࡀከ࠸㸬௒ᅇ㸪㢡ሐ྾཰ࡀⴭࡋ࠸ୗ㢡↓ṑ㢡ᝈ⪅࡟ᑐࡋ࡚㸪2 ᮏࡢ࢖ࣥࣉࣛࣥࢺࢆ
⏝࠸ࡓ࣮࢜ࣂ࣮ࢹࣥࢳ࣮ࣕ㸦௨ୗ㸪2-IOD㸧࡟ࡼࡾညྜ
ࢆᅇ᚟ࡋࡓࡇ࡜࡛㸪Ⰻዲ࡞⤒㐣ࢆᚓࡓࡢ࡛ሗ࿌ࡍࡿ㸬 ⩏ṑ〇స࡟࠶ࡓࡾ㸪㧗ᗘ㢡ሐ྾཰࡟ࡼࡾୗ㢡⩏ṑࡢ⥔ᣢᏳᐃ୙Ⰻࡀண᝿ࡉࢀࡓࡓࡵ㸪2-IOD ࡟ࡼࡿ⿵⥛἞⒪ࢆ
ᥦ᱌ࡋ㸪ྠពࢆᚓࡓ㸬ࡣࡌࡵ࡟㸪ୖ㢡ࡢணᚋ୙ⰋṧᏑṑ㸦㸲㸱㸧ࡢᢤṑ㸪᰿㠃ᯈ〇స㸦㸱㸧࡞ࡽࡧ࡟⩏ṑಟ⌮ࢆ⾜࠸㸪἞⒪⏝⩏ṑ࡜ࡋ࡚ୖୗ㢡඲㒊ᗋ⩏ṑࢆ〇సࡋࡓ㸬ࡑࡢᚋ㸪᭱⤊⩏ṑ࡜ࡋ࡚㸪ୗ㢡࡟ࣟࢣ࣮ࢱ࣮࢔ࢱࢵࢳ࣓
ࣥࢺࢆ⏝࠸ࡓ 2-IOD ࢆ〇సࡋࡓ㸬II㸬⑕౛ࡢᴫせ ᝈ⪅ࡣ 74 ṓࡢዪᛶ࡛㸪୺ッࡣୗ㢡඲㒊ᗋ⩏ṑࡢືᦂ࡟ࡼࡿ࿪ᄮ㞀ᐖ࡛࠶ࡗࡓ㸬ୗ㢡㢡ሐࡣ඲యⓗ࡟㧗ᗘ࡟྾཰ࡋ࡚࠾ࡾ㸪ୖ㢡ࡢ㒊ศᗋ⩏ṑࡢᨭྎṑ㸦㸲㸱㸧ࡣⴭࡋࡃືᦂࡋ࡚࠸ࡓ㸬⌧⩏ṑࡣୖୗ㢡࡜ࡶ㸪እᙧࡢ୙Ⰻ㸪ேᕤṑࡢည⪖࡞ࡽࡧ࡟᤼ิ఩⨨ࡢ୙Ⰻ㸪⩏ṑᗋᮦᩱࡢຎ໬
ࡀㄆࡵࡽࢀ㸪≉࡟ୗ㢡⩏ṑࡢ⥔ᣢࡣ୙Ⰻ࡛࠶ࡗࡓ㸬IV㸬⤒㐣࡞ࡽࡧ࡟⪃ᐹ ⿵⥛἞⒪ᚋ㸪࿪ᄮᶵ⬟࡞ࡽࡧ࡟ཱྀ⭍㛵㐃 QOL ࡢྥୖࡀㄆࡵࡽࢀ㸪ᐃᮇ᳨デ࡬⛣⾜ࡋࡓ㸬ࡑࡢᚋ㸪ୖ㢡ṧ᰿ࡢᢤṑ࡞ࡽࡧ࡟ࣜࣛ࢖ࣥࢆ⾜ࡗࡓࡀ㸪⩏ṑᗋࡢ◚ᢡࡸேᕤṑࡢ⬺㞳㸪⢓⭷㠃୙㐺ྜ࡞࡝ࡢၥ㢟ࡣ↓ࡃⰋዲ࡟⤒㐣ࡋ࡚࠸ࡿ㸬ᮏ⑕౛࡛ࡣ㸪἞⒪⏝⩏ṑࢆ⏝࠸࡚ᇙධணᐃ఩⨨ࡢ⿵⥛✵㝽㸪ညྜ᫬ࡢᏳᐃ࡞ࡽࡧ࡟⯉ᡣ➼ࡢ☜ㄆࢆ⾜ࡗࡓࡇ࡜࡛㸪Ⰻዲ࡞⤒㐣ࡀᚓࡽࢀࡓ࡜⪃࠼ࡽࢀࡿ㸬III㸬἞⒪ෆᐜ24㻿㻙㻟㔜ᗘ㢡ሐ྾཰ࢆ࿊ࡍࡿୖୗ↓ṑ㢡⪅࡟ᑐࡋ㛢ཱྀᶵ⬟༳㇟ࢆᛂ⏝ࡋ࡚⩏ṑࢆ〇సࡋࡓ⑕౛
‫ۑ‬ඵ⏣᪸኱

኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝
A case report of complete denture using closed mouth functional impression to an edentulous patient
ZLWKVHYHUHDOYHRODUULGJHUHVRUSWLRQ
Hatta K
Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate Schoolof DentistryI㸬 ⥴ゝ ↓ṑ㢡⪅࡛㸪㢡ሐ྾཰ࡀ㔜ᗘ࡞⑕౛࡛ࡣ㸪⩏ṑࡢ⥔ᣢ࡜Ᏻᐃࢆ⋓ᚓࡋ㸪ᶵ⬟ᅇ᚟ࢆᅗࡿࡇ࡜ࡣᅔ㞴࡛࠶ࡿ㸬௒ᅇ㸪㔜ᗘ㢡ሐ྾཰ࢆ࿊ࡍࡿ↓ṑ㢡⑕౛࡟ᑐࡋ㸪㛢ཱྀᶵ⬟༳㇟ࢆᛂ⏝ࡋ࡚㸪㐺ษ࡞ᗋ⦕ࡢ఩⨨ࡸᙧែࢆ௜୚ࡋ㸪⩏ṑࢆ〇సࡋࡓ⤖ᯝ㸪Ⰻዲ࡞⤒㐣ࢆᚓࡓࡢ࡛ሗ࿌ࡍࡿ㸬III㸬 ἞⒪ෆᐜ
 ゐデࡸどデ࡟ࡼࡿ၁㢋ഃ⢓⭷㸪⯉ࡢྍືᇦࢆ⢭ᰝࡋࡓᚋ࡟㸪༳㇟⏝ࢺ࣮ࣞࡢᗋ⦕ࡢ఩⨨ࢆỴᐃࡋࡓ㸬ࡑࡢᚋ㸪ୖୗ㢡࡜ࡶ࡟⾀ሐ௜ࡢ༳㇟⏝ࢺ࣮ࣞࢆ〇సࡋࡓ㸬㐺ษ࡞ᗋ⦕ࡢ఩⨨ࡸᙧែࡢỴᐃ࡞ࡽࡧ࡟⩏ṑࡢᏳᐃࡢྥୖࢆ
┠ⓗ࡜ࡋ࡚㸪㛢ཱྀ≧ែ࡛ᝈ⪅⮬㌟ࡢཱྀ⭍࿘ᅖ➽ࡸ⯉ࡢືࡁࢆ฼⏝ࡋࡓ༳㇟᥇ᚓࢆ⾜࠸㸪ୖୗ㢡඲㒊ᗋ⩏ṑࢆ〇సࡋࡓ㸬II㸬 ⑕౛ࡢᴫせ ᝈ⪅ࡣ 81 ṓࡢዪᛶ࡛㸪⣙ 3 ᖺ๓࡟㏆་࡟࡚㸪ୖୗ㢡඲㒊ᗋ⩏ṑࢆ〇సࡋ㸪ㄪᩚࢆ⧞ࡾ㏉ࡋ࡚ࡁࡓࡀ㸪㣗஦᫬࡟ୗ㢡⩏ṑࡢືᦂࡀⴭࡋࡃ㸪‶㊊࡟㣗஦ࡀ࡜ࢀ࡞࠸ࡇ࡜
ࢆ୺ッ࡟᮶㝔ࡉࢀࡓ㸬ୗ㢡ࡢ㢡ሐ྾཰ࡣⴭࡋࡃ㸪⌧⩏ṑࡣ㸪ୖୗ㢡⩏ṑ࡜ࡶ࡟㸪ேᕤṑࡢည⪖㸪⩏ṑᗋࡢኚⰍ㸪㐺ྜ୙Ⰻࢆㄆࡵࡓ㸬ୗ㢡⩏ṑࡣ㸪඲యⓗ࡟ᗋ⦕ࡀ▷ࡃ㸪ࣞࢺ࣮ࣟࣔࣛࣃࢵࢻࢆ⿕そࡋ࡚࠸࡞࠿ࡗࡓ㸬IV㸬 ⤒㐣࡞ࡽࡧ࡟⪃ᐹ ἞⒪⤊஢ᚋ㸪⌧ᅾࡶᐃᮇ᳨デࢆ⾜ࡗ࡚࠸ࡿࡀ㸪Ⰻዲ࡟⤒㐣ࡋ࡚࠸ࡿ㸬㐺ษ࡞ᗋ⦕ࡢ఩⨨ࡸ㎶⦕ᙧែࡔࡅ࡛࡞
ࡃ㸪◊☻㠃ᙧែࢆỴᐃࡍࡿࡓࡵ࡟㛢ཱྀᶵ⬟༳㇟ࢆᛂ⏝ࡋ࡚⩏ṑࢆ〇సࡋࡓࡇ࡜࡛㸪⥔ᣢ࡜Ᏻᐃࡀᨵၿࡋ㸪ᶵ⬟ⓗ࡟ࡶⰋዲ࡞⤖ᯝ࡟ࡘ࡞ࡀࡗࡓ࡜⪃࠼ࡽࢀࡿ㸬㻌

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