日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1─6─1

㒊ศᗋ⩏ṑ⿦╔᫬ࡢ㖋ṑࡢ⥔ᣢຊ࡟㛵ࡍࡿ◊✲㸪㹹➨㸰ሗ㹻ྛ✀⥔ᣢ⿦⨨ࡢ⥔ᣢຊ ᐃ࡟ࡘ࠸࡚

‫⛅ۑ‬ᒣோᚿ㸪ᆏඖ㯞⾰Ꮚ㸪ᒸ⏣ጾ୍㑻㸪㜿㒊ⱥ஧㸪㉥㛫ு୍㸨㸪➉஭₶㸨᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔⥲ྜデ⒪⛉㸪᪥ᮏṑ⛉኱Ꮫ㝃ᒓ⑓㝔ṑ⛉ᢏᕤᐊ㸨
Studies on the retention of abutment teeth of removable partial denture wearing,-Part 2- For retension force measurement of various retension equipment
Akiyama H, Sakamoto M, Okada I, Abe E, Akama R*, Takei J*
Division of General Dentistry, Laboratory Room*, The Nippon Dental University Hospital at Tokyo, JapanϨ㸬 ┠ⓗ㒊ศᗋ⩏ṑࢆタィࡍࡿ࡟࠶ࡓࡾ㸪⥔ᣢṑ࡬ࡢຊࡢࢥࣥࢺ࣮ࣟࣝࢆ⪃៖ࡍࡿࡇ࡜ࡣ㠀ᖖ࡟㔜せ࡞ࡇ࡜࡛࠶ࡿ㸬୙㐺ษ࡞⥔ᣢ⿦⨨㸪⩏ṑࡢタィ࡟ࡼࡾ㸪㖋ṑ࡟⿦╔ࡋࡓ⥔ᣢ⿦⨨ࡢ㐣ᗘ࡞⥔ᣢຊࡀ㖋ṑࡢືᦂࢆࡶࡓࡽࡋ㸪᭱⤊ⓗ࡟㖋ṑࡀಖᏑ୙ྍ⬟࡟࡞ࡿ⑕౛ࡸ⥔ᣢ⿦⨨ࡢ㐺ษ࡞⥔ᣢຊࢆ↓どࡋ㸪ࣉࣛ࢖࣮ࣖ࡟ࡼࡿ㖋⭎㒊ࡢ㐣ᗘ࡞ㄪᩚ࡟ࡼࡾ㖋ṑ࡟㐣๫࡞㈇ᢸࢆ࠿ࡅ࡚࠸ࡿ⑕౛ࡶ㢖⦾࡟ᩓぢࡉࢀࡿ㸬㒊ศᗋ⩏ṑࡢタィࢆタィࡍࡿ࡟࠶ࡓࡾ㸪ࢥࣥࣆ࣮ࣗࢱ࣮ࢩࢫࢸ࣒ࢆ⏝࠸࡚㔠ᒓࡢ≉ᛶࢆ⪃៖ࡋ㸪⥔ᣢຊࢆ௵ពࡢᩘ್࡟タᐃࡋ࡚㒊ศᗋ⩏ṑࡢ⥔ᣢ⿦⨨ࢆ〇సࡍࡿࢩࢫࢸ࣒㸯㸧ࡣᏑᅾࡍࡿࡀ㸪ࢳ࢙࢔ࢧ࢖ࢻ࡛ᐇ㝿࡟⿦╔ࡉࢀࡓ㒊ศᗋ⩏ṑࡢ⥔ᣢ⿦⨨ࡢ⥔ᣢຊࡀ࡝ࡢ⛬ᗘⓎ᥹ࡉࢀ࡚࠸ࡿ࠿ࢆ ᐃࡍࡿ⿦⨨ࡣ࡞࠸㸬ᡃࠎࡣ➨123ᅇ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍Ꮫ⾡኱఍࡟࠾࠸࡚㸪ࢳ࢙࢔ࢧ࢖ࢻ࡛⡆౽࡟ ᐃ࡛ࡁࡿ⥔ᣢຊ ᐃ⿦⨨ࡢᴫせ࡟ࡘ࠸࡚Ⓨ⾲ࡋࡓ㸰㸧㸬ᮏ◊✲ࡢ┠ⓗࡣ㸪㛤Ⓨࡋࡓࢳ࢙࢔ࢧ࢖ࢻ࡛⡆౽࡟ィ ྍ⬟࡞⡆᫆ᆺ⥔ᣢຊ ᐃ⿦⨨ࢆ⏝࠸࡚㸪సᴗ⏝ᶍᆺ࡟⿦╔ࡉࢀࡓྛ✀⥔ᣢ⿦⨨ࡢ⥔ᣢຊࡢᐃࢆ⾜࠺ࡇ࡜࡛࠶ࡿ㸬ϩ㸬 ᪉ἲ⡆᫆ᆺ⥔ᣢຊ ᐃ⿦⨨㸦ᅗ㸧ࡣ㸪ࣂࣥࢻ࣒࣮ࣜ
ࣅࣥࢢࣉࣛ࢖࣮ࣖඛ➃㒊ࡢࢳࢵࣉࡀࡘ࠸࡚࠸࡞࠸
ഃ࡟ࢥ࣮ࢸ࢕ࣥࢢฎ⌮ࢆ⾜࠸㸪ࡦࡎࡳࢤ࣮ࢪࢆ㈞௜ࡋ㸪ཱྀᚄ1.8ࢣ࣮ࣈࣝࢆࢤ࣮ࢪ➃Ꮚ࠿ࡽࣁࣥࢻࣝ
㒊࡟⁐᥋ᅛᐃࡋ࡚〇సࡋࡓ㸬⥔ᣢṑ࡟⿦╔ࡋࡓ⥔ᣢ⿦⨨ࡢ࢔ࣥࢲ࣮࢝ࢵࢺ㡿ᇦࡢ⥔ᣢ⭎ୗ⭎㒊࡟⡆᫆ᆺ⥔ᣢຊ ᐃ⿦⨨ࡢࡦࡎࡳࢤ࣮ࢪࢆ㈞௜ࡋࡓഃ㸪ᖹᆠࡢࢳࢵࣉࡀࡘ࠸࡚࠸ࡿඛ➃ࢆ⥔ᣢṑညྜ㠃࡟ᆶ┤࡟࠶࡚ࡀ࠸㸪ࣁࣥࢻࣝ㒊ࢆ㛤ࡃࡇ࡜࡟ࡼࡾ㸪㞳⬺࡟࠿࠿ࡿࡦࡎࡳ㔞ࢆ ᐃ࡛ࡁࡿࡼ࠺࡟ࡋࡓ㸬ฟຊឤᗘࡣ⣙2000ਹ㸭1kgf࡟タᐃࡋࡓ㸬ࢭࣥࢧ⏝ࢥࣥࢹ࢕ࢩࣙࢼ࡜ࡋ࡚ᑠᆺࢹࢪࢱࣝ⾲♧ჾ㸦ओඹ࿴㟁ᴗWDS-180A㸧ࢆ⏝࠸࡚⥔ᣢ⿦⨨ࡢ⥔ᣢຊࡢᩘ್໬ࢆ⾜ࡗࡓ㸬௒ᅇ㸪సᴗ⏝ᶍᆺ࡟⿦╔ࡋࡓྛ✀⥔ᣢ⿦⨨࡟ࡘ࠸࡚㸪ᮏ ᐃ⿦⨨ࢆ⏝࠸࡚㞳⬺ຊࢆᐇ㦂ⓗ࡟10ᅇィ ࡋ㸪ᖹᆒ್ࢆ⟬ฟࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ▼⭯〇㢡ᶍᆺ㸦ओࢽࢵࢩࣥE3-530,E3-541㸧ࢆ౑⏝ࡋ㸪ྛ✀⥔ᣢ⿦⨨ࡣ⇍⦎ࡋࡓṑ⛉ᢏᕤኈ2ྡࡀ࣐ࢽࣗ࢔ࣝ࡟ᚑ࠸〇సࡋࡓ㸬సᴗ⏝ᶍᆺ࡟⿦╔ࡋࡓୗ㢡➨2኱⮻ṑࡢ㢋ഃ0.5ੈࡢ࢔ࣥࢲ࣮࢝ࢵࢺ࡛〇సࡋࡓ࢚࣮࣮࢝ࢫࢡࣛࢫࣉࡢ⥔ᣢຊࡣ㸪⡆᫆ᆺ⥔ᣢຊ ᐃ⿦⨨࡛ィ ࡋࡓ⤖ᯝ㸪674.9s57.6㹥ࢆ♧ࡋ㸪ୖ㢡➨1ᑠ⮻ṑ㸪➨2ᑠ⮻ṑࡢ㢋ഃ0.5ੈࡢ࢔ࣥࢲ࣮࢝ࢵࢺ࡛〇సࡋࡓ཮Ꮚ㖋ࡢ⥔ᣢຊࡣ㸪889.3s
93.7㹥ࡢ್ࢆ♧ࡋࡓ㸬ᮏ ᐃ⿦⨨࡟ࡼࡿ⥔ᣢຊࡢᐃࡢ᭷ຠᛶࡀ☜ㄆ࡛ࡁࡓ㸬⡆᫆ᆺ⥔ᣢຊ

ᐃ⿦⨨⩏ṑ࡛ᛌ㐺࡟⏕άࢆ⾜࠺ࡓࡵ࡟㐺ษ࡞タィ࡟ᇶ࡙ࡁ㸪⥔ᣢṑ࡟㈇ᢸࡀ࠿࠿ࡽ࡞࠸⥔ᣢຊࢆ⏝࠸ࡓ㒊ศᗋ⩏ṑࢆ⿦╔ࡋ࡚ᝈ⪅ࡢཱྀ⭍⟶⌮ࢆ⾜ࡗ࡚࠸ࡃࡇ࡜ࡣ᭷ព⩏࡛࠶ࡿ㸬ϫ㸬 ᩥ⊩1) 㔝㤳Ꮥ⚆㸪ᑠ㔝㧗⿱㸪Ᏺග㝯࡯࠿㸬࢟ࣕࢫࢺࢡࣛࢫࣉࡢ⥔ᣢຊࢆồࡵࡿࢥࣥࣆ࣮ࣗࢱ࣮ࢩ
ࢫࢸ࣒ࡢ㛤Ⓨ㸪᪥ᮏ⿵⥛ṑ⛉Ꮫ఍㞧ㄅ㸪
1988;32:1141-1148.
2㸧 ⛅ᒣோᚿ㸪ᆏඖ㯞⾰Ꮚ㸪ΎỈឿᏊ࡯࠿㸬㒊ศᗋ⩏ṑ⿦╔᫬ࡢ㖋ṑࡢ⥔ᣢຊ࡟㛵ࡍࡿ◊✲㸪➨㸯ሗ⡆᫆ᆺ⥔ᣢຊ ᐃ⿦⨨ࡢ㛤Ⓨ㸪᪥⿵⥛఍ㄅ2014; 6࣭123ᅇ≉ูྕ:188.

− 191 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1─6─2

ࣀ࣓ࣥࢱࣝࢡࣛࢫࣉࢹࣥࢳ࣮ࣕ⏝⇕ྍረᛶᶞ⬡ࡢᶵᲔⓗᛶ㉁࡟ཬࡰࡍ⿵ᙉᮦࡢᙳ㡪‫ۑ‬బࠎᮌᾈ஀㸪ℊ୰୍ᖹ㸪ᕝཱྀᬛᘯ㸪ΎỈ༤ྐ㸨㸪㧘ᶫ ⿱⚟ᒸṑ⛉኱Ꮫညྜಟ᚟Ꮫㅮᗙ᭷ᗋ⩏ṑᏛศ㔝㸪㸨஑ᕞṑ⛉኱Ꮫཱྀ⭍ᶵ⬟Ꮫㅮᗙ⏕యᮦᩱᏛศ㔝
Effect of reinforcements on the mechanical properties of injection-molded thermoplastic denture base resins.
Sasaki H, Hamanaka I, Kawaguchi T, Shimizu H*, Takahashi Y
Division of Removable Prosthodontics, Fukuoka Dental College, Fukuoka, Japan*Division of Biomaterials, Kyushu Dental University, Fukuoka, japanϨ㸬 ┠ⓗ ㏆ᖺ㸪ࣀ࣓ࣥࢱࣝࢡࣛࢫࣉࢹࣥࢳ࣮ࣕࡣ㸪ᑂ⨾ⓗ࡟㔠ᒓⰍࢆዲࡲ࡞࠸ᝈ⪅ࡸ㔠ᒓ࢔ࣞࣝࢠ࣮ࡢᝈ
⪅࡟౑⏝ࡉࢀࡿࡼ࠺࡟࡞ࡗࡓ㸬ࣀ࣓ࣥࢱࣝࢡࣛࢫ
ࣉࢹࣥࢳ࣮ࣕࡣ⩏ṑᗋࡸ⥔ᣢ⭎࡞࡝ࡍ࡭࡚ࡀࡓࢃ
ࡳࡸࡍ࠸ᮦᩱ㸦ᑕฟᡂᙧᆺ⇕ྍረᛶᶞ⬡㸧࡛ᵓᡂࡉࢀ࡚࠸ࡿࡓࡵ1)㸪࿪ᄮ᫬࡞࡝ညྜ᫬࡟⩏ṑᗋࡀࡓࢃࡴࡇ࡜࡟ࡼࡾ⩏ṑᗋୗ⢓⭷࡟␗ᖖ࡞ညྜᅽࡀ⏕ࡌࡿၥ㢟ࡀ࠶ࡾ㸪ࡇࡢⅬࢆᨵၿࡍࡿᚲせࡀ࠶ࡿ㸬 ᚑ᮶ࡢPMMA㸦࣏࣓ࣜࢳ࣓ࣝࢱࢡ࣮ࣜࣞࢺ㸧ࡢ⿵ᙉ࡟㛵ࡋ࡚㐣ཤ࡟ᵝࠎ࡞◊✲ࡀ⾜ࢃࢀ㸪୺࡟㔠ᒓࡸࣇ࢓࢖ࣂ࣮ࡀ⿵ᙉᮦ࡜ࡋ࡚౑⏝ࡉࢀ࡚ࡁࡓ㸬ࡋ࠿ࡋ㸪ᑕฟᡂᙧᆺ⇕ྍረᛶᶞ⬡࡟㛵ࡍࡿ⿵ᙉࡢ
◊✲ࡣ࡯࡜ࢇ࡝ࡳࡽࢀ࡞࠸㸬 ᮏ◊✲ࡢ┠ⓗࡣ㸪ࣀ࣓ࣥࢱࣝࢡࣛࢫࣉࢹࣥࢳࣕ
࣮⏝ᑕฟᡂᙧᆺ⇕ྍረᛶᶞ⬡ࡢᶵᲔⓗᛶ㉁࡟ཬࡰ
ࡍ⿵ᙉᮦࡢᙳ㡪ࢆ᳨ウࡍࡿࡇ࡜࡛࠶ࡿ㸬ϩ㸬 ᪉ἲ ᗋ⏝ᮦᩱ࡜ࡋ࡚㸪㸱✀㢮ࡢᑕฟᡂᙧᆺ⇕ྍረᛶᶞ⬡㸦࣏ࣜ࢔࣑ࢻ⣔㸪࣏࢚ࣜࢫࢸࣝ⣔㸪࣏࣮ࣜ࢝࣎ࢿ࣮ࢺ⣔㸧࡜㸪ࢥࣥࢺ࣮ࣟࣝ࡜ࡋ࡚ᚑ᮶ࡢ
PMMAࢆ౑⏝ࡋࡓ㸬ྛᗋ⏝ᮦᩱ࡟࣓ࢱࣝ࣡࢖࣮ࣖ
㸦Co-Cr㸧࠾ࡼࡧࢢࣛࢫࣇ࢓࢖ࣂ࣮⿵ᙉࢥ࣏ࣥࢪࢵ
ࢺࣞࢪࣥ㸦FRC㸧ࢆග㔜ྜࡉࡏࡓ◳໬యࢆ⿵ᙉᮦ
࡜ࡋ࡚ᇙධࡋࡓヨᩱ࡞ࡽࡧ࡟⿵ᙉᮦ࡞ࡋࡢヨᩱ㸦㛗ࡉ65mm㸪ᖜ10mm㸪㧗ࡉ3.3mm㸧ࢆస〇ࡋࡓ㸬⿵ᙉᮦࡣヨᩱࡢ୰ኸ࡟ᇙධࡋ㸪ྛヨᩱࡣ⪏Ỉ࣮࣌ࣃ࣮600␒ࡲ࡛◊☻ࡋࡓ㸬㸦n=10㸧 ඲࡚ࡢヨᩱࢆ37ΥࡢỈ୰࡟50s2᫬㛫ᾐₕᚋ㸪୕Ⅼ᭤ࡆヨ㦂ࢆ⾜࠸㸪ẚ౛㝈࡛ࡢ᭤ࡆᙉࡉ(MPa)࠾ࡼ
ࡧᙎᛶಀᩘ(GPa)ࢆ ᐃࡋࡓ㸬୕Ⅼ᭤ࡆヨ㦂࡟ࡣ࣮࢜ࢺࢢࣛࣇࢆ⏝࠸㸪ࢡࣟࢫ࣊ࢵࢻࢫࣆ࣮ࢻࡣ
5mm/min࡜ࡋࡓ㸬ከ㔜ẚ㍑᳨ᐃ(Newman-Keuls post-hoc comparison㸪p =0.05)ࢆ⾜ࡗࡓ㸬࣏ࣜ࢔࣑ࢻ⣔ᶞ⬡㸪࣏࢚ࣜࢫࢸ
ࣝ⣔ᶞ⬡㸪࠾ࡼࡧPMMAࡢFRC⿵ᙉヨᩱࡣ㸪Co-Cr࣡࢖࣮ࣖ⿵ᙉヨᩱ㸪⿵ᙉᮦ࡞ࡋヨᩱ࡜ẚ㍑ࡋ࡚᭷
ព࡟ẚ౛㝈࡛ࡢ᭤ࡆᙉࡉࡀ㧗࠿ࡗࡓ㸬࣏࣮ࣜ࢝࣎
ࢿ࣮ࢺ⣔ᶞ⬡࡟࠾࠸࡚㸪㸰✀ࡢ⿵ᙉᮦࡣ⿵ᙉᮦ࡞
ࡋヨᩱ࡜ẚ㍑ࡋ࡚᭷ព࡟ẚ౛㝈࡛ࡢ᭤ࡆᙉࡉࡀ㧗࠿ࡗࡓࡀ㸪㸰✀ࡢ⿵ᙉᮦ㛫࡟᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬 ஧ඖ㓄⨨ศᩓศᯒࡢ⤖ᯝ㸪ᙎᛶಀᩘ㸦GPa㸧ࡣᗋ⏝ᮦᩱࡢᅉᏊ࠾ࡼࡧ⿵ᙉᮦࡢᅉᏊ࡟᭷ពᕪࡀㄆ
ࡵࡽࢀ㸪୧ᅉᏊࡢ஺஫స⏝࡟᭷ពᕪࡣㄆࡵࡽࢀ࡞
࠿ࡗࡓ㸬⿵ᙉᮦࡢᅉᏊ࡛ࡣ㸪Co-Cr࣡࢖࣮ࣖ㸪FRC㸪
⿵ᙉᮦ࡞ࡋࡢ㡰࡟㧗ࡃ㸪ᗋ⏝ᮦᩱࡢᅉᏊ࡛ࡣ㸪
PMMA㸪࣏࣮ࣜ࢝࣎ࢿ࣮ࢺ⣔ᶞ⬡㸪࣏࢚ࣜࢫࢸࣝ
⣔ᶞ⬡㸪࣏ࣜ࢔࣑ࢻ⣔ᶞ⬡ࡢ㡰࡟㧗࠿ࡗࡓ㸬௨ୖࡢ⤖ᯝ࠿ࡽ㸪Co-Cr࣡࢖࣮ࣖ⿵ᙉᮦ࠾ࡼࡧFRC
⿵ᙉᮦࡣᑕฟᡂᙧᆺ⇕ྍረᛶᶞ⬡࡟ᑐࡋ࡚⿵ᙉຠ
ᯝࡀ࠶ࡿࡇ࡜ࡀ᫂ࡽ࠿࡟࡞ࡗࡓ㸬ϫ㸬 ᩥ⊩1) Hamanaka I, Takahashi Y, Shimizu H. Mechanicalproperties of injection-molded thermoplastic
denture base resins. Acta Odontol Scand. 2011;
69: 75-79.

Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ஧ඖ㓄⨨ศᩓศᯒࡢ⤖ᯝ㸪ẚ౛㝈࡛ࡢ᭤ࡆᙉࡉ
㸦MPa㸧ࡣᗋ⏝ᮦᩱࡢᅉᏊ࠾ࡼࡧ⿵ᙉᮦࡢᅉᏊ࡟
᭷ពᕪࡀㄆࡵࡽࢀ㸪ࡉࡽ࡟୧ᅉᏊ㛫ࡢ஺஫స⏝࡟᭷ពᕪࡀㄆࡵࡽࢀࡓࡓࡵ୍ඖ㓄⨨ศᩓศᯒ࠾ࡼࡧ

− 192 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1─6─3

ṑ⛉⏝ࢪࣝࢥࢽ࢔ࡢࣞࢫࢺ࡬ࡢᛂ⏝࡟㛵ࡍࡿᇶ♏ⓗ◊✲‫ۑ‬ఀ⸨ㄔᗣ㸪ᱵᮌ㈼ே㸪ᑠฟᜤ௦㸪㛗㇂ᕝῄᏊ㸪ᮌᮏ ⤫㸪㣤ᓥᏲ㞝㸪Ọ಴ឡክ*㸪㇂ᮏ
Ᏻᾈ*㸪Ἑ┦Ᏻᙪ᪥ᮏ኱ᏛᯇᡞṑᏛ㒊᭷ᗋ⩏ṑ⿵⥛Ꮫㅮᗙ㸪*᪥ᮏ኱ᏛᯇᡞṑᏛ㒊ṑ⛉⏕యᮦᩱᏛㅮᗙ
Basic Study for Application of Dental Zirconia to Rests
Ito M, Umeki K, Koide Y, Hasegawa T, Kimoto S, Iijima M, Nagakura M*, Tanimoto Y*, Kawai Y
Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo*Department of Dental Biomaterials, Nihon University School of Dentistry at Matsudoϩ㸬 ᪉ἲ ࢪࣝࢥࢽ࢔ヨᩱ࡜ࡋ࡚㸪Y-TZP㸦C-Pro HTࢪࣝࢥࢽ࢔㸪ࣃࢼࢯࢽࢵࢡࢹࣥࢱࣝ㸪኱㜰㸪௨ୗ㸪
HTZR㸧࠾ࡼࡧCe-TZP/Al2O3 ࢼࣀ」ྜయ㸦C-Proࢼࣀࢪࣝࢥࢽ࢔㸪ࣃࢼࢯࢽࢵࢡࢹࣥࢱࣝ㸪኱㜰㸪௨ୗ㸪NANOZR㸧ࡢ᏶඲↝⤖యࢆ⏝࠸ࡓ㸬ࡲࡓẚ
㍑ᑐ↷࡜ࡋ࡚㸪 CoCr㸦࢔࢖ࢡ࣮࣒ࣟ㸪࢔࢖ࢹ࢕࢚
ࢫ㸪ᮾி㸧ࡢ㗪㐀యࢆ⏝࠸ࡓ㸬ヨ㦂∦ᙧ≧ࡣᖜ 2
mm x 㛗ࡉ 20 mm x ཌࡉ t㸦t = 0.3, 0.5, 0.8, 1.0mm㸧࡜ࡋࡓ㸬ヨᩱࡣྛ5ಶ࡜ࡋࡓ㸬 ᭤ࡆ≉ᛶࡢ ᐃࡣ㸪࢖ࣥࢫࢺࣟࣥᆺ୓⬟ヨ㦂ᶵ㸦࣑ࢿ࣋࢔㸪⚄ዉᕝ㸧ࢆ⏝࠸࡚⾜ࡗࡓ㸬ࡍ࡞ࢃࡕୖグࡢヨ㦂∦ࢆ୕Ⅼ᭤ࡆ෬ල㸦ᨭⅬ㛫㊥㞳 10 mm㸧࡟タ⨨ࡋ㸪3Ⅼ᭤ࡆἲ࡟ࡼࡾ㸪᭤ࡆᙉࡉ㸪᭱኱Ⲵ㔜ࢆィ ࡋࡓ㸬 ⤫ィศᯒࡣ㸪᭱኱Ⲵ㔜ࡢẚ㍑࡟ࡣྛヨᩱ࡜ཌࡉࡢ2せᅉ࡟ࡘ࠸࡚2ඖ㓄⨨ศᩓศᯒ⾜ࡗࡓ㸬ࡉࡽ࡟ྛ⩌㛫ࡢẚ㍑࡟ࡣ1ඖ㓄⨨ศᩓศᯒ࡜ CoCr 1.0 mm
ࢆᑐ↷࡜ࡋ࡚ከ㔜ẚ㍑࡟ Dunnett ἲࢆ⏝࠸ࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
1. ྛヨᩱࡢ 0.3- 1.0 mm ࡢ᭤ࡆᙉࡉࡣ, CoCr
1533- 1699 MPa, NANOZR 1070- 1175 MPa, HTZR
831- 1013 MPa ࡢ㡰࡛࠶ࡗࡓ.
2. ᭱኱Ⲵ㔜ࡣヨᩱ࡜ཌࡉࡢ2せᅉ࡟᭷ពᕪࡀㄆࡵ
ࡽࢀࡓ㸬ᑐ↷࡜ࡋࡓ CoCr 1.0 mm ࡢ 243s28 N࡜
ẚ㍑ࡋ࡚௚ࡢヨᩱࡢ᭱኱Ⲵ㔜ࡣ᭷ព࡟ᑠࡉ࠸್ࢆ
♧ࡋࡓ㸦p<0.05㸧㸦ᅗ㸧.
௨ ୖ ࡢ ⤖ ᯝ ࠿ ࡽ 㸪 NANOZR ࡜ HTZR ࡟ ࠾ ࠸ ࡚
CoCr ࡜ྠ➼ࡢⲴ㔜࡟⪏࠼ࡿせ௳࡜ࡋ࡚ࡉࡽ࡟ཌࡉ
ࢆ☜ಖࡍࡿᚲせᛶࡀ⪃࠼ࡽࢀࡓ㸬௒ᚋࡣ㸪
NANOZR࡜HTZR࡟࠾࠸࡚⮫ᗋ࡟༶ࡋࡓࣞࢫࢺࡢ
ཌࡉ࡜ᖜ࡟ࡘ࠸࡚ CoCr ࡜ྠ➼ࡢⲴ㔜࡟⪏࠼࠺ࡿ᮲௳ࢆ᳨ウࡍࡿணᐃ࡛࠶ࡿ㸬ϯϬϬ&ůĞǆƵƌĂůůŽĂĚ;EͿϨ㸬 ┠ⓗ ㏆ᖺ㸪ࣀ࣓ࣥࢱࣝࢡࣛࢫࣉࢹࣥࢳ࣮ࣕࡣᗈࡃᝈ
⪅࡟㐺ᛂࡉࢀࡿࡼ࠺࡟࡞ࡗࡓ㸬ࡑࡢ୍᪉࡛㸪⩏ṑࡢタィཎ๎࠿ࡽ኱ࡁࡃ஋㞳ࡋࡓࡶࡢࡀᏑᅾࡋ㸪ࣞࢫࢺࡀᏑᅾࡋ࡞࠸タィࡀᩓぢࡉࢀࡿ㸬ࡋ࠿ࡋ࡞ࡀ
ࡽ㸪ࡑࡢᑂ⨾ⓗ࡞㛗ᡤ࡜㔠ᒓ࢔ࣞࣝࢠ࣮ᝈ⪅࡟࠾࠸࡚ࡣ࣓ࢱࣝࣇ࣮ࣜࡢほⅬ࠿ࡽࡶ࢔ࢻࣂࣥࢸ࣮ࢪ
ࡀ࠶ࡿ㸬ࡇࢀࡲ࡛࡟ࢪࣝࢥࢽ࢔ࢆ⏝࠸ࡓ኱㐃⤖Ꮚ㸪ࣇ࣮࣒࣮ࣞ࣡ࢡ࡬ࡢ⮫ᗋᛂ⏝ࡀሗ࿌ࡉࢀ࡚࠸ࡿ1,2) 㸬⌧ᅾࡢ⮫ᗋ≧ἣࢆ㚷ࡳࢀࡤࣞࢫࢺ࡬ࡢࢪࣝࢥࢽ࢔
ᛂ⏝࡟ࡼࡾࣀ࣓ࣥࢱࣝࢡࣛࢫࣉࢹࣥࢳ࣮ࣕࡢ୰㛫Ḟᦆ⑕౛࡟࠾࠸࡚ࡣタィせ௳ࢆ‶ࡓࡋࡓ࣓ࢱࣝࣇ
࣮ࣜࡀྍ⬟࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿ㸬 ᮏ◊✲ࡣ㸪ࢪࣝࢥࢽ࢔ࡢࣞࢫࢺ࡬ࡢᛂ⏝ࢆ᳨ウࡍࡿ┠ⓗ࡛㸪஧✀ࡢᕷ㈍ࢪࣝࢥࢽ࢔ࡢ㸱Ⅼ᭤ࡆヨ㦂ࢆ⾜࠸㸪ࢥࣂࣝࢺࢡ࣒ࣟྜ㔠㸦௨ୗ㸪CoCr㸧࡜ẚ㍑࣭ホ౯ࡋࡓࡢ࡛ሗ࿌ࡍࡿ㸬ŽŶƚ͘ƵŶŶĞƚƚ͗WфϬ͘Ϭϱ

Ύ

ϮϬϬ

Ύ
ϭϬϬ

Ϭ

Ύ
Ύ

Ύ

Ύ
Ύ

Ύ

Ύ
Ύ

Ύ

ᅗ ྛヨᩱ࡟࠾ࡅࡿ᭱኱Ⲵ㔜ϫ㸬 ᩥ⊩1) ┾ᒸ▱ྐ, ᒾᇼṇಇ, ᚋ⸨㝯Ὀ࡯࠿. ṑ⛉⏝ࢪࣝࢥࢽ࢔ࡢ኱㐃⤖Ꮚ࡬ࡢᛂ⏝(➨1ሗ) ᭱኱Ⲵ㔜ࠊኚᙧ㔞࡟࠾ࡅࡿཌࡳࡢᙳ㡪. ᒱṑᏛㄅ
2010;37: 41-46.
2) ᾆ㔝 ៅ஧㑻, 㤿ῡ ࠶ࡎࡉ, ⏣୰ ᫴ᖹ࡯࠿㸬ࢼࣀࢪࣝࢥࢽ࢔ࡢ㒊ศᗋ⩏ṑࣇ࣮࣒࣮ࣞ࣡ࢡ
࡬ࡢᛂ⏝ ࢡࣛࢫࣉࢆ᝿ᐃࡋࡓᒅ᭤≉ᛶࡢゎᯒ㸬᪥⿵⥛఍ㄅ 2012; 4ᕳ≉ูྕ: 159.

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ᮏ◊✲ࡢ୍㒊ࡣࠊᖹᡂ25ᖺᗘᯇᡞṑᏛ㒊ⱝᡭ◊✲
ᨭ᥼㈝ࡢ⿵ຓࢆཷࡅࡓ㸬

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1─6─4   ࡟ᑐࡍࡿཱྀ⭍ಖ‵๣ࡢᢠ┿⳦ᛶ‫ۑ‬ᮧୖ ᱁㸪⸨ᓥ ៞*㸪す ᜤᏹ*㸪すᑿ⨾ဏ㸪ᓠඖὒග㸪すᮧṇᏹ*㮵ඣᓥ኱Ꮫ་Ꮫ㒊࣭ṑᏛ㒊㝃ᒓ⑓㝔⩏ṑ⿵⥛⛉㸪*㮵ඣᓥ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ཱྀ⭍㢡㢦㠃⿵⥛Ꮫศ㔝
Antifungal activity of oral moisturizers

Murakami M, Fujishima K, Nishi Y*, Nishio M, Minemoto Y, Nishimura M*
Denture Prosthodontic Restoration, Kagoshima University Medical and Dental Hospital, *Department of Oral andMaxillofacial Prosthodontics, Kagoshima University Graduate SchoolϨ㸬 ┠ⓗ ཱྀ⭍஝⇱⑕࡟ࡼࡗཱྀ࡚⭍⢓⭷ࡸ⩏ṑᗋ⢓⭷㠃࡟࠾ࡅࡿㄗᄟᛶ⫵⅖ࡢ㉳ᅉ⳦࡛࠶ࡿᒓࡢ⳦ᩘ
ࡸ᳨ฟ⋡ࡀቑຍࡍࡿࡇ࡜ࡀ᫂ࡽ࠿࡟࡞ࡗ࡚࠸ࡿ 1㸧 㸬ࡇࡢࡼ࠺࡞ᝈ⪅࡟ࡣᑐ⑕⒪ἲ࡜ࡋཱྀ࡚⭍ಖ‵๣㸦௨ୗ㸪ಖ‵๣㸧ࡀ౑⏝ࡉࢀࡿࡓࡵ㸪ཱྀ⭍஝⇱⑕ࢆ᭷ࡍࡿ⩏ṑᝈ⪅ࡢ඲㌟ⓗ࡞೺ᗣࢆ⥔ᣢࡍࡿࡓࡵ
࡟ࡣ㸪ಖ‵๣ࡢᢠ┿⳦ᛶࡣ㔜せ࡞ၥ㢟࡛࠶ࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪ࡇࢀࡲ࡛ࡢ◊✲࡛ಖ‵๣࡟ᢠ┿⳦ᛶࡣㄆࡵࡽࢀ࡞࠸࡜ࡢሗ࿌ࡀ࠶ࡿ 2 㸧 㸬ࡇࡢⅬ࡟㛵ࡋ࡚㸪㏆ᖺ㸪ᡃࡀᅜ࡟࠾࠸࡚ࡶከࡃࡢಖ‵๣ࡀ㈍኎
ࡉࢀࡿࡼ࠺࡟࡞ࡗࡓࡓࡵ㸪᪂ࡓ࡞ㄪᰝࡀᚲせ࡛࠶ࡿ㸬ࡲࡓ㸪㛗᫬㛫ࡢಖ‵ࢆ᝿ᐃࡋࡓሙྜ㸪ಖ‵๣ࡢ⤒᫬ⓗ࡞≀ᛶࡢኚ໬ 3 㸧 ࡀ㸪ಖ‵๣ࡢᢠ┿⳦ᛶ࡟ᙳ㡪ࢆཬࡰࡍࡇ࡜ࡶ⪃࠼ࡽࢀࡿ㸬ᮏ ◊ ✲ ࡢ ┠ ⓗ ࡣ 㸪     㸦 ௨ ୗ     㸧࡟ᑐࡍࡿಖ‵๣ࡢᢠ┿⳦ᛶࢆㄪᰝࡍࡿ࡜
࡜ࡶ࡟㛗᫬㛫⤒㐣ࡋࡓಖ‵๣ࡢᢠ┿⳦ᛶ࡟ࡘ࠸࡚ࡶ᳨ウࢆ⾜࠺ࡶࡢ࡛࠶ࡿ㸬ϩ㸬 ᪉ἲ
1㸬ヨᩱ࡜ᐇ㦂᮲௳㸬     㸦ATCC19880㸧
࡜ࢧࣥࣉࣝ࡜ࡋ࡚ᕷ㈍ࡢಖ‵๣18✀㸦ࢪ࢙ࣝಖ‵๣11✀㸪ࣜ࢟ࢵࢻಖ‵๣7✀㸧㸪⵨␃Ỉ࡞ࡽࡧ࡟࢔࣒ ࣍ ࢸ ࣜ ࢩ ࣥ B 㸦 ௨ ୗ 㸪 AMPH-B 㸧 ࢆ ⏝ ࠸ ࡓ 㸬
AMPH-Bࡣ㸪2.5㸦μg/ml㸧࠿ࡽ0.078㸦μg/ml㸧ࡲ࡛ẁ㝵ᕼ㔘ࡋࡓࡶࡢࢆ⏝࠸㸪ࡑࢀࡒࢀAMPH-B1ಸ㸪
0.5ಸ㸪0.25ಸ㸪0.125ಸ㸪0.06ಸ㸪࡞ࡽࡧ࡟0.03ಸ࡜ࡋࡓ㸬ಖ‵๣ࡣ㸪37Υ࡛ಖ ࡋ㛤ᑒ┤ᚋࡢࡶࡢ㸦0᫬㛫㸧࡜࢝ࢵࣉ࡟5mlィ㔞ࡋ8᫬㛫࢖࣮ࣥ࢟ࣗ࣋
ࢱ࣮ෆ࡛ಖ⟶ࡋࡓࡶࡢ㸦8᫬㛫㸧ࢆ⏝࠸ࡓ㸬
2㸬ᢠ┿⳦ᛶࡢホ౯㸬50㸣TSA㌾ᐮኳᇵᆅ㸦0.8㸣
ᐮኳྵ᭷㸧5ml࡟     ࢆ108 ಶ/ mlࡢ⃰ᗘ࡛
10μl᥋✀ࡋΰྜࡋࡓࡶࡢࢆ㸪50%TSAᇵᆅୖ࡟᧛✀ࡋ㸪◳໬ᚋ࡟┤ᚄ5mm㸪῝ࡉ5mmࡢ෇ᰕ≧ࡢ✰ࢆ㛤ࡅࡓ㸬ࡑࡇ࡟ྛࢧࣥࣉࣝࢆ20μlᑒධࡋ࡚24᫬㛫ᚋࡢⓎ⫱㜼Ṇ෇ࡢ┤ᚄࢆィ ࡋࡓ㸬ྛࢧࣥࣉࣝ࡟
ࡘ࠸࡚ィ ࡣ5ᅇ⾜ࡗࡓ㸬3㸬⤫ィศᯒ㸬AMPH-B࡜ಖ‵๣ࡢ㜼Ṇ෇ࡢẚ㍑
࡟ࡣTukeyࡢከ㔜ẚ㍑ࢆ⏝࠸㸪0᫬㛫࡜8᫬㛫ࡢಖ‵๣ࡢ㜼Ṇ෇ࡢẚ㍑࡟ࡣᑐᛂࡢ࠶ࡿt᳨ᐃࢆ⏝࠸ࡓ㸬᭷ពỈ‽ࡣ5㸣࡜ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ࣜ࢟ࢵࢻಖ‵๣2✀㸪ࢪ࢙ࣝಖ‵๣1✀࡞ࡽࡧ࡟ྛ⃰ᗘࡢAMPH-B࡟࠾࠸࡚     ࡟ᑐࡍࡿⓎ⫱㜼Ṇ෇ࡀほᐹࡉࢀࡓ㸬
AMPH-B࡜ಖ‵๣3✀㢮ࡢⓎ⫱㜼Ṇ෇ࡢ኱ࡁࡉࢆ
ẚ㍑ࡋࡓ⤖ᯝ㸪0᫬㛫ࡢಖ‵๣ࡣ඲࡚AMPH-B0.25
ಸ࡞ࡽࡧ࡟AMPH-B0.125ಸ࡜᭷ពᕪࡀㄆࡵࡽࢀ࡞
࠿ࡗࡓ㸬8᫬㛫ࡢಖ‵๣ࡢⓎ⫱㜼Ṇ෇ࡢ኱ࡁࡉࡣ㸪ࢪ࢙ࣝಖ‵๣࡛ࡣAMPH-B0.25ಸ࡞ࡽࡧ࡟AMPHB0.125ಸ࡜ࡢࡳ᭷ពᕪࡀㄆࡵࡽࢀ࡞࠿ࡗࡓࡀ㸪ࣜ࢟ ࢵ ࢻ ಖ ‵ ๣ ࡛ ࡣ 㸪 AMPH-B0.125 ಸ ࡞ ࡽ ࡧ ࡟
AMPH-B0.06ಸ࡜ࡢࡳ᭷ពᕪࡀㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬0᫬㛫࡜8᫬㛫ࡢಖ‵๣ࡢẚ㍑࡛ࡣ㸪ࣜ࢟ࢵࢻಖ
‵๣2✀ࡣ0᫬㛫࡟ẚ࡭8᫬㛫ࡢⓎ⫱㜼Ṇ෇ࡢ኱ࡁࡉ
ࡀ᭷ព࡟పୗࡋࡓࡀ㸪ࢪ࢙ࣝಖ‵๣࡛ࡣⓎ⫱㜼Ṇ෇ࡢ኱ࡁࡉ࡟᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬௨ୖࡢ⤖ᯝࡼࡾ㸪㛤ᑒ┤ᚋࡢࢪ࢙ࣝಖ‵๣࡜ࣜ࢟ࢵࢻಖ‵๣࡟ࡣ     ࡟ᑐࡋ࡚AMPH-Bࡢ
0.25ಸ࠿ࡽ0.125ಸᕼ㔘࡜ྠ⛬ᗘࡢᢠ┿⳦ᛶࢆ᭷ࡍࡿ〇ရࡀᏑᅾࡍࡿࡇ࡜ࡀ♧ࡉࢀࡓࡀ㸪ࡇࡢ࠺ࡕ㸪ࢪ࢙ࣝಖ‵๣ࡣ8᫬㛫ࡀ⤒㐣ࡋ࡚ࡶᢠ┿⳦ᛶࡀಖࡓ
ࢀࡿࡇ࡜࠿ࡽ㸪ᢠ┿⳦ᛶࡢほⅬ࠿ࡽࡣࢪ࢙ࣝಖ‵๣ࡢ㑅ᢥࡀ᭷ຠ࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) Murakami M, Nishi Y, Seto K, et al. Dry mouthand denture plaque microflora in complete
denture and palatal obturator prosthesis wearers.
Gerodontology 2013; doi: 10.1111/ger.12073.
2) G¾neri P, Alp¸z E, Epstein JB, et al. In vitro
antimicrobial effects of commercially available
mouth-wetting agents. Spec Care Dentist 2011;
31: 123-8.
3㸧 ᮧୖ ᱁㸪す ᜤᏹ㸪㙊ୗ♸ḟ࡯࠿. ཱྀ⭍ಖ‵๣ࡢ✀㢮࡜‵ᗘࡀṧᏑ㔜㔞࡞ࡽࡧ࡟⢓ᗘ࡟ཬࡰࡍᙳ㡪. ⪁ᖺṑ⛉་Ꮫ 2014; 29: 160㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表

1─6─5

ṑ⛉⏝
◊✲

Ⰽィࢆ⏝࠸ࡓṑ⫗ࢩ࢙࣮ࢻ࢞࢖ࢻホ౯࡟㛵ࡍࡿ‫ۑ‬బ⸨㈗ಙ㸪ఀ⸨ㄔᗣ㸪὾㔝຾ᕭ㸪ᮎගᘯᐅ㸪㈆᳃୔ᖹ㸪஭ୖṇᏳ㸪኱ஂಖᫀ࿴㸪㣤ᓥᏲ㞝㸪Ἑ┦Ᏻᙪ
᪥ᮏ኱ᏛᯇᡞṑᏛ㒊᭷ᗋ⩏ṑ⿵⥛Ꮫㅮᗙ
Study of Evaluation of Gingival Shade guide using Dental Spectrophotometer

Satou T, Ito M, Hamano K, Suemitsu H, Sadamori J , Inoue M, Okubo M, Iijima M, Kawai Y
Department of Removable Prosthodontics, Nihon University School of Dentistry at MatsudoϨ㸬 ┠ⓗ ṑ⛉⿵⥛࡟࠾࠸࡚๓ṑ㒊ࡢᑂ⨾ᛶࡣ㸪⿵⥛⿦⨨ࡢᶵ⬟ᛶ࡜࡜ࡶ࡟㔜せ࡞せ⣲࡛࠶ࡿ㸬ṑෙⰍࢩ࢙࣮ࢻࡢ ᐃࡣ㸪どឤẚⰍἲࢆࡣࡌࡵ㸪㏆ᖺ㸪 Ⰽ⿦⨨ࡢ㛤Ⓨࡀ㐍ࡳ㸪ࡼࡾᐈほⓗ࡟ ᐃ࡛ࡁࡿࡼ࠺
࡟࡞ࡗࡓ㸬୍᪉㸪ṑ⫗Ⰽࡢࢩ࢙࣮ࢻ࢞࢖ࢻࢩࢫࢸ
࣒ࡣ༑ศ࡟☜❧ࡉࢀ࡚࠸࡞࠸ࡢࡀ⌧≧࡛࠶ࡿ1,2) 㸬㌾⤌⧊ࡢ Ⰽࡣ㸪㠀᥋ゐᆺ Ⰽィࡀ᥋ゐᆺ࡜ẚ㍑ࡋ࡚᭷ຠ࡛࠶ࡿࡇ࡜㸪ศගᨺᑕ㍤ᗘィࡀࡼࡾṇ☜࡞Ⰽᙬࡢ ᐃ࡟㐺ࡋ࡚࠸ࡿ࡜ሗ࿌ࡉࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪ࡑࢀࡽࡢ Ⰽ⿦⨨ࡣ㸪 ᐃ᮲௳ࡀ↹㞧࡛ᬯᐊ⎔ቃࢆᩚ࠼ࡿᚲせࡀ࠶ࡾ㸪᪥ᖖ⮫ᗋ࡛ࡢ౑⏝ࡣᐜ࡛᫆ࡣ࡞࠸㸬ṑ⛉⏝ Ⰽ⿦⨨㸦ࢡࣜࢫࢱࣝ࢔࢖㸪࢜ࣜࣥࣃࢫ㸪ᮾி㸧ࡣࢩࢫࢸ࣐ࢵࢸࢵࢡ࡟ ᐃ⎔ቃࢆ‶ࡓࡍࡓࡵ᪥ᖖ⮫ᗋ࡛౑⏝ࡉࢀ࡚࠸ࡿ㸬ᮏ◊✲ࡣ㸪ࢡࣜࢫࢱࣝ࢔࢖ࢆ⏝࠸࡚ṑ⫗࡜᪤ᡂ⩏ṑᗋ⏝ࣞࢪࣥࢩ࢙
࣮ࢻ࢞࢖ࢻࡢ Ⰽࢆ⾜ࡗࡓ㸬⿕㦂⪅ࡢṑ⫗ࡢⰍ࡜⩏ṑᗋ⏝ࣞࢪࣥࢩ࢙࣮ࢻ࢞࢖ࢻ࡜ࡢ᭱ᑠ್Ⰽᕪࢆ
⟬ฟࡋ㸪᭱ࡶ㏆ఝࡋࡓࢩ࢙࣮ࢻࡢ⮬ືุᐃࢆ⾜࠺ࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ ⿕㦂⪅ࡣ㸪࢖ࣥࣇ࢛࣮࣒ࢻࢥࣥࢭࣥࢺࡢᚓࡽࢀ
ࡓᮏㅮᗙ་ဨ10ྡ㸦ዪᛶ6ྡ㸪⏨ᛶ4ྡ㸪25ṓ㹼30ṓ㸪ᖹᆒ26.5ṓ㸧ࢆᑐ㇟࡜ࡋࡓ㸬ୖ㢡ᕥഃ୰ษṑ࡜ഃษṑ㛫ࡢṑ㛫ங㢌㸪ഃษṑ㒊ࡢ㎶⦕ṑ⫗࠾ࡼࡧ௜╔ṑ⫗ࢆ᧜ᙳᑐ㇟࡜ࡋࡓ㸬᧜ᙳ⠊ᅖࡣ㸪ྠ㒊఩ࡀྍཬⓗ࡟ ᐃࣇ࣮࣒ࣞ࡟཰ࡲࡿࡼ࠺࡟௜ᒓ࢝
ࣂ࣮ࢆㄪᩚࡋ㸪⏬ീ᧜ᙳࢆ⾜ࡗࡓ3)㸬ࡲࡓ㸪⩏ṑᗋ⏝ࣞࢪࣥࡢࢩ࢙࣮ࢻ࢞࢖ࢻ㸦࢔ࢡࣟࣥ㸪GC㸪ᮾி㸹ࢩ࢙࣮ࢻ㸡1㹼㸡4㸪㸡6㹼㸡9ࡢィ8Ⰽ㸧ࢆ᧜ᙳࡋࢡࣜࢫࢱࣝ࢔࢖ࡢࣉࣟࢢ࣒ࣛୖ࡟Ⓩ㘓ࡋタᐃࡋࡓ㸬࡞࠾㸪 Ⰽ⠊ᅖࡣ⏬㠃ୖࡢ▴ᙧࢆ1mm1mm
࡟ᇶ‽໬ࡋࡓ㸬ࢩ࢙࣮ࢻࡢ⮬ືุᐃࡣ௜ᒓ࢔ࣉࣜ
ࢣ࣮ࢩࣙࣥࢯࣇࢺࢆ⏝࠸࡚ྛ㒊ࡢṑ⫗ࡢⰍ࡜ࡢⰍ
ᕪǼEࡀ᭱ᑡ࡜࡞ࡿࢩ࢙࣮ࢻ␒ྕࢆ⮬ືⓗ࡟ุᐃࡋࡓ㸬ࡑࡢᚋ㸪ุᐃࡉࢀࡓ᪤ᡂṑ⫗ࢩ࢙࣮ࢻ࢞࢖ࢻ
࡜⿕㦂⪅ྛ㒊ࡢṑ⫗Ⰽ࡜ࡢ᭱ᑡⰍᕪǼEࢆ⏝࠸࡚࢝ࣂࣞࢵࢪ࢚࣮ࣛ(௨ୗ㸪CE) 1)ࢆ⟬ฟࡋࡓ㸬࡞࠾㸪ᮏ◊✲ࡣ᪥ᮏ኱ᏛᯇᡞṑᏛ㒊೔⌮ጤဨ఍ࡢᢎㄆࢆ
ᚓ࡚࠸ࡿ㸦ᢎㄆ␒ྕ12-021㸧㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
1㸬⿕㦂⪅ࡢṑ⫗Ⰽ࡜࢔ࢡࣟࣥࢩ࢙࣮ࢻ࢞࢖ࢻ࡜
ࡢCEࡣ㸪ṑ㛫ங㢌㒊ࡣǼE = 8.39s1.56㸪㎶⦕ṑ⫗㒊ࡣǼE = 9.58s3.34㸪௜╔ṑ⫗㒊ࡣǼE = 7.01s
1.59࡛࠶ࡗࡓ㸬
2㸬ྛ⿕㦂⪅ࡢṑ⫗㒊࡟ᑐࡍࡿࢩ࢙࣮ࢻ⮬ືุᐃࡢ㢖ᗘࡣ㸪ṑ㛫ங㢌㒊 㸡2 = 1/10, # 9 = 9/10㸪㎶⦕ṑ⫗㒊࡛㸡1 = 1/10, # 2 = 3/10, # 9 = 6/10, ௜╔ṑ⫗㒊ࡣ㸡 1 = 1/10, # 2 = 5/10, # 8 = 2/10, # 9 = 2/10
ࡢุᐃ⋡࡛࠶ࡾ㸪⮬ືุᐃࡉࢀࡓ᭱㢖್ࢩ࢙࣮ࢻ
Ⰽࡣṑ㛫ங㢌㒊࡛ࡣ㸡 9㸪㎶⦕ṑ⫗㒊 # 9, ௜╔ṑ⫗㒊ࡣ㸡2࡛࠶ࡗࡓ㸬 ṑ⫗Ⰽ࡜ṑ⫗Ⰽࢩ࢙࣮ࢻ࢞࢖ࢻࡢCEࡢⰍᕪǼEࡣ㸪ᮏ⤖ᯝࡣǼE = ⣙7~10 ࡢ⠊ᅖࢆ♧ࡋ㸪୍⯡ⓗ࡞Ⰽࡢ┦㐪ࢆឤࡌ࡟ࡃ࠸ⰍᕪǼE㸺3ࡢᇶ‽࡜ẚ㍑
ࡍࡿ࡜኱ࡁ࠸್࡛࠶ࡗࡓ㸬ṑ⫗Ⰽ࡜᪤〇⩏ṑᗋ⏝ࣞࢪࣥࢩ࢙࣮ࢻ࢞࢖ࢻࡢⰍᕪࡣǼE = 8~11࡜ሗ࿌࡜ࡉࢀ1)㸪ᮏ◊✲ࡢ⤖ᯝࡣ࡯ࡰ㏆ఝࡋࡓ್ࢆ♧ࡋࡓࡀ㸪Ⰽᕪࡢᇶ‽್࠿ࡽࡍࡿ࡜チᐜ࡛ࡁࡿ⠊ᅖ࡛ࡣ࡞࠸࡜⪃࠼ࡽࢀࡓ㸬ࡑࡢࡓࡵ㸪௒ᚋࡼࡾከࡃࡢ⿕㦂⪅ࡢࢧࣥࣉࣝࡢ ᐃࢆ⵳✚ࡋ㸪CEࡢᑠࡉ࠸ṑ⫗ࢩ࢙࣮ࢻ࢞࢖ࢻࢆᵓ⠏ࡍࡿᚲせᛶࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) Bayindir F, Bayindir YZ,Gozalo Diaz DJ, Wee
AG. Coverage error of gingival shade guidesystems in measuring color of attached anterior
gingiva. J Prosthet Dent 2009;101:46-53.
2) Ito M, Marx DB, Cheng AC, Wee AG. Proposed
shade guide for attached gingiva. J Prosthodont.
2014. doi: 10.1111/jopr.12195.
3) Ito M, Watanabe T, Ueki K, Iijima M, Wee AG,
Kawai Y. Evaluation of Gingival Shade guide using
Dental Spectrophotometer ,93rd IADR Boston 2015.

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第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1─6─6

␗࡞ࡿpHࢆᣢࡘ⁐ᾮ࡬ࡢᾐₕࡀ㌾㉁ࣜࣛ࢖ࣥᮦࡢ⤒᫬ኚ໬࡟ཬࡰࡍᙳ㡪

‫ۑ‬ᑠᕝ᫭ዉ㸪ᮌᮏ⤫*㸪బ఑ၨ⾜*㸪㕥ᮌளἋᏊ㸪ྂ㈡㯞ዉⰼ*㸪㒆ྖᩔᏊ*㸪
▮ᓮ㈗ၨ*㸪Ἑ┦Ᏻᙪ*᪥ᮏ኱ᏛᯇᡞṑᏛ◊✲⛉᭷ᗋ⩏ṑ⿵⥛Ꮫᑓᨷ*᪥ᮏ኱ᏛᯇᡞṑᏛ㒊᭷ᗋ⩏ṑ⿵⥛Ꮫㅮᗙ
Influence of Solution with Different pH on Viscoelasticity of Resilient Denture Liners.

Ogawa A㸪Kimoto S㸪Saeki H㸪Suzuki A㸪Koga M㸪Gunji A㸪Yazaki T㸪Kawai Y
Nihon University Graduate School of Dentistry at Matsudo㸪Removable Prosthodontics
Department of Removable Prosthodontics㸪Nihon University School of Dentistry at MatsudoϨ㸬 ┠ⓗ 㧗㱋♫఍ࢆ㏄࠼ࡓᡃࡀᅜ࡛ࡣ㸪㧗㱋ࡢ᭷ᗋ⩏ṑ⿦╔⪅ࡀከࡃᏑᅾࡍࡿ㸬ࡇࡢࡼ࠺࡞ᝈ⪅ࡢ୰࡟ࡣ
඲㌟⑌ᝈ࡞࡝ࢆ᭷ࡍࡿࡓࡵ㸪እ᮶ࡢ㏻㝔ࡀᅔ㞴࡞ᝈ⪅ࡸ㢡ሐ⢓⭷ࡀ⳼ⷧࡋ㏻ᖖࡢ⩏ṑ࡛ࡣ‶㊊ࡀᚓ
ࡽࢀ࡞࠸ᝈ⪅ࡀ࠸ࡿ㸬ࡑࡢࡼ࠺࡞ᝈ⪅࡟ᑐࡋ㌾㉁ࣜࣛ࢖ࣥᮦࢆ⏝࠸ࡓ⩏ṑࡣ᭷ຠ࡛࠶ࡿ㸬1) ࡋ࠿ࡋ㸪⢾ᒀ⑓2㸧 ࡞࡝ࡢ⑌ᝈ࡞࡝࡟ࡼࡾၚᾮࡢ
pHࡣኚ໬ࡍࡿ࡜ゝࢃࢀ࡚࠸ࡿ㸬ࡑࡇ࡛₇⪅ࡽࡣ㸪᭷⑓⪅ࡢၚᾮࡢpHࢆ᝿ᐃࡋ㸪ࡑࡢ⎔ቃୗ࡛ࡢ㌾㉁ࣜࣛ࢖ࣥᮦࡢ≀ᛶኚ໬ࢆ᳨ウࡍࡿࡇ࡜࡜ࡋࡓ㸬ϩ㸬᪉ἲ
1㸬 ヨ㦂ᮦᩱ
㌾㉁ࣜࣛ࢖ࣥᮦ㸸3✀㢮ࡢࢩࣜࢥ࣮ࣥ⣔㌾㉁ࣜࣛ
࢖ࣥᮦ㸦࢚ࣦ࢓ࢱࢵࢳ‫࣮ࣃ࣮ࢫט‬㸪ࢿ࢜〇⸆ᕤᴗᰴᘧ఍♫㸪௨ୗ EVA㸪ࢪ࣮ࢩ࣮ࣜࣛ࢖ࣥ㸪ᰴᘧ఍♫ࢪ ࣮ ࢩ ࣮ 㸪 ௨ ୗ GCR 㸪 ࣒ ࢥ ࣉ ࣞ ࣥ ࢯ ࣇ ࢺ 㸪kettenbach㸪௨ୗ MCP㸧࠾ࡼࡧ 3 ✀㢮ࡢ࢔ࢡࣜࣝ
⣔㌾㉁ࣜࣛ࢖ࣥᮦ㸦ࢯࣇࢸࣥ࠾ࡼࡧFDࢯࣇࢺ㸪டỈ໬Ꮫᕤᴗᰴᘧ఍♫㸪௨ୗ SFT ࠾ࡼࡧFDS㸪ࣂ࢖࢜ࣛ࢖ࢼ࣮㸪ᰴᘧ఍♫ ࢽࢵࢩࣥ㸪௨ୗBIO㸧ࢆ౑
⏝ࡋࡓ㸬
2㸬ヨ㦂య
┤ᚄ 4 mm ῝ࡉ 2 mm ࡢ෇ᰕ≧ࡢ❐Ὕࢆ10ಶᡂᙧࡋࡓሸሰ⏝ࡢࣞࢪࣥᯈ࡟㸪1 ᯛ࡟ࡘࡁ1 ✀ࡢ
㌾㉁ࣜࣛ࢖ࣥᮦࢆሸሰࡋస〇ࡋࡓ㸬ྛ㌾㉁ࣜࣛ࢖
ࣥᮦࡢヨ㦂యᩘࡣ 10 ಶ࡛࠶ࡿ㸬3㸬 ᐃ᪉ἲ
1) ᾐₕ࠾ࡼࡧ ᐃ᫬ᮇヨ㦂యࢆpH5.5㸪6.5㸪7.5㸪8.5࡟ㄪᩚࡋࡓᨃఝయ
ᾮ㸦simulated body fluid: SBF㸧࡟ᾐₕᚋ㸪ཱྀ⭍ෆᗘࢆ᝿ᐃࡋ㸪37Υᜏ ᵴ࡟ಖ⟶ࡋࡓ㸬 ᐃ᫬ᮇࡣヨ㦂యస〇᫬ࢆ࣮࣋ࢫࣛ࢖ࣥ࡜ࡋ㸪3᪥ᚋ㸪1㐌ᚋ㸪
2㐌ᚋ㸪3㐌ᚋ㸪4㐌ᚋࡢྜィ6ᅇ࡜ࡋࡓ㸬2) ᐃ⿦⨨
ᐃᶵჾ࡟ࡣ㸪↓⥺ᦠᖏᘧ⢓ᙎᛶ ᐃᶵ
Vesmeter®ࢆ⏝࠸ࡓ㸬1ヨ㦂య࡟ࡘࡁ3ᅇ⧞ࡾ㏉ࡋᐃࡋࡓ㸬3)ホ౯㡯┠

ᐃ㡯┠ࡣᙎᛶಀᩘ(kPa)㸪⢓ᛶಀᩘ(Pa㺃s)࡜ࡋࡓ㸬
4)⤫ィศᯒ
ᨃఝయᾮࡢpH㸪㌾㉁ࣜࣛ࢖ࣥᮦࡢ✀㢮㸪ᾐₕ᫬㛫ࡢ3せᅉࢆ Three way repeated measures ANOVA࡟࡚ศᯒࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
Three way repeated measures ANOVA࡟࡚ศᯒࡋ
ࡓ⤖ᯝ㸪ᨃఝయᾮࡢpH㸪㌾㉁ࣜࣛ࢖ࣥᮦࡢ✀㢮㸪ᾐₕ᫬㛫࠾ࡼࡧ㸪ࡑࢀࡽࡢ஺஫స⏝ࡀ㸪࢔ࢡࣜࣝ⣔࠾ࡼࡧࢩࣜࢥ࣮ࣥ⣔㌾㉁ࣜࣛ࢖ࣥᮦࡢᙎᛶಀᩘ
࠾ࡼࡧ⢓ᛶಀᩘ࡟᭷ព࡟ᙳ㡪ࢆཬࡰࡍࡇ࡜ࡀ᫂ࡽ
࠿࡜࡞ࡗࡓ㸦p<0.001㸧㸬ᅗ࡟pH5.5࡟࠾ࡅࡿྛᮦ
ᩱࡢᙎᛶಀᩘ࠾ࡼࡧ⢓ᛶಀᩘࡢ࣮࣋ࢫࣛ࢖ࣥ࡟ᑐ
ࡍࡿኚ໬ࡢᗘྜ࠸ࢆ♧ࡍ㸬ྠ୍pH࡟࠾ࡅࡿᙎᛶಀ
ᩘ࠾ࡼࡧ⢓ᛶಀᩘࡢኚ໬ࡣ㌾㉁ࣜࣛ࢖ࣥᮦࡢ✀㢮࡜ᾐₕ᫬㛫࡟ࡼࡾ␗࡞ࡿ஦ࡀ♧၀ࡉࢀࡓ㸬
5

SFT
ᙎᛶಀᩘ(pH5.5)

4

ኚ
໬ 3
⋡

BIO
MCP
GCR

2

EVA
FDS

1
Base
line

3day

3

1w

2w

3w

4w

⢓ᛶᩚᩘ(pH5.5)

SFT
BIO
FDS
MCP
EVA
GCR

ኚ
໬ 2
⋡
1
Base
line

3day

1w

2w

3w

4w

ᙎᛶಀᩘ࠾ࡼࡧ⢓ᛶಀᩘࡢኚ໬ϫ㸬 ᩥ⊩1) Kimoto S㸪 So K㸪 Yamamoto S㸪 Ohno Y㸪
Shinomiya M㸪 Ogura K㸪 et al. Randomized
controlled clinical trial for verifying the effect ofsilicone-based resilient denture liner on themasticatory function of complete denture wearers.
Int J Prosthodont. 2006;19:593-600.
2) Deepak G㸪 Harshaminder K㸪 Manveen K㸪J.㸪
Sonika V 㸪 Swati P.Salivary pH and Dental
Caries in Diabetes Mellitus. Int J of Oral &Maxillofac Pathol.2012;3:13:-16.

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1─6─7ࢫ࢘࢕ࣥࢢࣟࢵࢡ࡟࠿ࢃࡿWing-Denture®ࡢ㛤Ⓨ‫ۑ‬す➃ⱥ඾㸪ᯇ⏣୍㞝*㸪ᒸ᰿⚽᫂**㸪㐲⸨ ⯙**㸪኱ᕝ࿘἞**㸪㛵すᨭ㒊㸪*ᮅ᪥኱ᏛṑᏛ㒊ཱྀ⭍ᶵ⬟ಟ᚟Ꮫㅮᗙṑ⛉⿵⥛Ꮫศ㔝㸪**᫂ᾏ኱ᏛṑᏛ㒊ᶵ⬟ಖᏑᅇ᚟Ꮫㅮᗙṑ⛉⿵⥛Ꮫศ㔝
Development of Wing-Denture
Nishibata H㸪Matsuda K*㸪Okane H **㸪Endo M**㸪Ohkawa S **Kansai-branch㸪*Department of Prosthodontics㸪 Division of Oral Function Sciences and Rehabilitations㸪Asahi University School of Dentistry㸪**Division of Removable Prosthodontics㸪 Department of Restrrative
and Biomaterials Sciences㸪 Meikai University School of DentistryϨ㸬 ┠ⓗ⿵⥛⮫ᗋ࡟࠾࠸࡚ࡣᑡᩘṑṧᏑ⑕౛ࡢሙྜ㸪ṧᏑṑࡢಖᏑ㸪࿪ᄮᶵ⬟ࡢᨵၿࢆ┠ᣦࡍ࠺࠼࡛⩏ṑࡢタィ࡟ⱞ៖ࡍࡿࡇ࡜ࡀከ࠸㸬୍⯡ⓗ࡞ࢡࣛࢫࣉ
⩏ṑ࡛ࡣᅔ㞴࡞ࡇ࡜ࡀከࡃ㸪ࢥ࣮ࢾࢫ⩏ṑࡸ☢ᛶ࢔ࢱࢵࢳ࣓ࣥࢺ⩏ṑ࡞࡝ࡀᛂ⏝ࡉࢀ࡚࠸ࡿࡀ㸪ṧᏑṑࡢ๐㝖㔞ࡸࡑࢀ࡟క࠺஧ḟ࢚࢝ࣜࢫ㸪ṑ᰿◚ᢡ➼ࡢၥ㢟ࡀ⏕ࡌ࡚ࡃࡿ㸬ࡑࢀࡽ࡜ẚ㍑ࡍࡿ࡜ࢫ࢘࢕ࣥࢢࣟࢵࢡࡣୖグࡢၥ㢟ࡣ↓ࡃ㸪MIࡢⅬ࠿ࡽࡶ᭷⏝࡛࠶ࡿ㸬ࡋ࠿ࡋ㸪ࣄࣥࢪ㒊ࡢືᦂࡸࣟࢵࢡ
㒊ࡢ⦆ࡳࡀ⏕ࡌࡓሙྜࡢㄪᩚ㸪၁ഃࡢIࣂ࣮࡜ṧᏑṑ∳ࡢ㛫࡟୙㐺ྜࡀ⏕ࡌࡓሙྜࡢㄪᩚ➼ࡣᴟࡵ࡚ᅔ㞴࡛࠶ࡿ㸬ࡑࡇ࡛ࢃࢀࢃࢀࡣ㸪ࢫ࢘࢕ࣥࢢࣟࢵ
ࢡࡢᨵⰋࢆヨࡳࡓ㸬ࡼࡾ㛗ᮇ㛫㐺ษ࡟ṧᏑṑ∳࡟㐺ྜࡉࡏࡿࡓࡵ࡟㸪၁㠃࠿ࡽࡶᗈࡃ㠃࡛ᢕᣢࡋ㸪ᑂ⨾ᛶ࡟ࡶඃࢀ㸪ࢫ࢘࢕ࣥࢢࣟࢵࢡࡢ᭱኱ࡢḞⅬ࡛࠶ࡿಟ⌮ࡢᅔ㞴ᛶࢆඞ᭹࡛ࡁࡿWing-Dentureࢆ㛤Ⓨࡋࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲᢏᕤ᧯సࡸಟ⌮ࡢ㝿ࡢⓗ☜ᛶࢆ⪃៖ࡋ㸪⩏ṑࢆࠕᅛᐃ⩏ṑᗋ㒊ࠖ࡜ࢫ࢘࢕ࣥࢢࣟࢵࢡ࡛ࡢ၁ഃࣂ
࣮࡟࠶ࡓࡿ࡜ࡇࢁࡢࠕ࢘࢕ࣥࢢ㒊ࠖ࡟ศࡅ㸪ࣄࣥࢪ࡜࣮࢟ࢆ௓ࡋ࡚సᴗᶍᆺୖ࡛᥋ྜࡍࡿ᪉ἲ࡜ࡋ
⢭ᗘࡢྥୖࢆᅗࡗࡓ㸬ᅛᐃ⩏ṑᗋ㒊ࡣᚑ᮶ࡢ᪉ἲ
࡛㔠ᒓᗋ⩏ṑࢆస〇ࡋࡓ㸬࢘࢕ࣥࢢ㒊ࡣᙉᗘ࡜⪏ஂᛶ㸪㐺ᗘࡢᙎຊᛶࢆ⪃៖ࡋ࣏ࣜ࢔࣑ࢻ⣔⇕ྍረᛶᶞ⬡ࠕTUMࠖࢆ⏝࠸㸪ࣄࣥࢪ࡜࣮࢟ࡣṑ⛉⏝㔠ᒓ࡛స〇ࡋࡓ㸦ᅗ㸧㸬 ≉チྲྀᚓ῭㸸
ᙜึࡢ2ᖺ㛫ࡣ㸪ࣄࣥࢪ࡜࣮࢟㒊࡜ࡶ࡟ࢡࣛࢫࣉ
⏝⥺࡜ࣞࢪࣥࢆ⏝࠸ࡓ⡆␎ᘧࡢࣉࣟࢺࢱ࢖ࣉWingDentureࢆస〇ࡋ࡚⿕᳨⪅30ྡ࡟⿦╔ࡋ㸪⮫ᗋୖࡢၥ㢟ࡢ᭷↓ࢆほᐹ㸪᳨ウࡋࡓ㸬ࡑࡢᚋ㸪௒ᅇ㛤Ⓨࡋࡓ㔠ᒓᛶࡢࣄࣥࢪ࡜࣮࢟ࢆ⏝࠸ࡓWing-Denture
ࢆస〇ࡋ࡚⿕᳨⪅6ྡ࡟⿦╔ࡋ㸪ࣉࣟࢺࢱ࢖ࣉ࡜ྠ
ᵝ࡟ணᚋࢆほᐹ㸪᳨ウࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹࣉࣟࢺࢱ࢖ࣉ30⑕౛࡟࠾࠸࡚ࡣ㸪3⑕౛࡛㔜ᗘࡢṑ࿘⑌ᝈ⨯ᝈṑ∳ࡀ⬺ⴠࡋࡓࡀ㸪࠸ࡎࢀࡶቑṑಟ⌮ࡀྍ⬟࡛࠶ࡗࡓ㸬1⑕౛࡛࣮࢟㒊࡟⦆ࡳࡀ⏕ࡌ㸪
5⑕౛࡛ṧᏑṑ࡜ᅛᐃ⩏ṑᗋࡢ㛫ࡢࢃࡎ࠿ࡢ୙㐺ྜ㸪ࡉࡽ࡟ࡣ4⑕౛࡛ṧᏑṑ࡜࢘࢕ࣥࢢ㒊ࡢ㛫࡟ࢃࡎ࠿ࡢ୙㐺ྜࡀ⏕ࡌࡓࡀ࠸ࡎࢀࡶᐜ᫆࡟ಟ⌮㸪ㄪᩚࡀྍ⬟࡛࠶ࡗࡓ㸬Wing-Dentureࢆ⿦╔ࡋࡓ6⑕౛࡟࠾࠸࡚ࡣ㸪ࡲࡔᑡᩘ౛࡛ࡣ࠶ࡿࡀ㸪⮫ᗋⓗ࡞ၥ㢟ࡣ⏕ࡌࡎ㸪࠸ࡎࢀࡶⰋዲ࡟⤒㐣ࡋ࡚࠸ࡿ㸬㒊ศᗋ⩏ṑ⿦╔⪅࡟㛵ࡍࡿホ౯ἲ࡟ࡘ࠸࡚ࡣ㸪ᮍࡔ☜ᐇᛶࡢ㧗࠸᪉ἲࡀᥦ♧ࡉࢀ࡚࠸࡞࠸ࡓࡵ㸪⥲⩏ṑ⿦╔⪅⏝ࡢホ౯ἲࢆὶ⏝ࡋ㸪⾡๓⾡ᚋࡢホ౯ࢆヨࡳࡓ㸬㉥ᕝࡽ 1) ࡢ⩏ṑ‶㊊ᗘࢫࢥ࢔ࢆ⟬ᐃࡋࡓ࡜ࡇࢁ㸪ࣉࣟࢺࢱ࢖ࣉ⿦╔⪅ࢆྵࡵ඲࡚ࡢ⑕౛࡟࠾࠸࡚ࢫ
ࢥ࢔ࡢྥୖࡀࡳࡽࢀࡓ㸬ὠ␃ࡽ 2) ࡢ࿪ᄮࢫࢥ࢔࡟
ࡘ࠸࡚ࡶేࡏ᳨࡚ウࡋࡓ⤖ᯝ㸪඲⑕౛࡟ࡘ࠸࡚ⴭ
᫂࡞ྥୖࡀࡳࡽࢀࡓ㸬௨ୖࡢࡇ࡜࠿ࡽ㸪Wing-DentureࡣᑡᩘṑṧᏑ⑕౛㸦≉࡟ୗ㢡୧ഃ㐟㞳➃Ḟᦆ⑕౛㸧࡟ᑐࡍࡿ⿵⥛ἲ࡜ࡋ࡚ᴟࡵ࡚᭷ຠ࡛࠶ࡿ࡜⪃࠼ࡿ㸬௒ᚋᘬࡁ⥆ࡁ⑕౛ࢆ㔜ࡡ㸪⤒㐣ほᐹ㸪ホ౯ࡶ⥅⥆ࡋ࡚⾜ࡗ࡚࠸ࡃࡘࡶࡾ࡛࠶ࡿ㸬Wing-Dentureϫ㸬 ᩥ⊩1) ㉥ᕝᏳṇ㸪బ⸨⿱஧㸪℈⏣㔜ග࡯࠿㸬⥲⩏ṑ⿦╔⪅ࡢ‶㊊ᗘࢫࢥ࢔ࡢ㛤Ⓨ㸬ᗈᓥ኱ṑㄅ
1993 ; 25: 44-48㸬
2) ὠ␃ᏹ㐨㸪ⓙᮌ┬࿃㸪బ⸨⿱஧㸬඲㒊ᗋ⩏ṑ⿦╔⪅ࡢ࿪ᄮᶵ⬟ホ౯⾲ࡢヨస㸬⿵⥛⮫ᗋ
1988;21:699-704㸬

− 197 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1─6─8⩏ṑཱྀ⵹㒊࡬ࡢࢪࣝࢥࢽ࢔ᛂ⏝ࡢ᭷┈ᛶ̺㣗ရ௜╔ᛶࡢ୺ほⓗ࠾ࡼࡧᐈほⓗ᳨ウ̺‫ۑ‬࿴⏣ ೺㸪㧘㔝ᬛྐ㸪⏣ᆏᙲつ*㸪ୖ⏣㈗அ㸪Ⲷཎಇ⨾㸪Ḉ஭ ⸅ᮾிṑ⛉኱Ꮫ⪁ᖺṑ⛉⿵⥛Ꮫㅮᗙ㸪*ᮾிṑ⛉኱Ꮫࣃ࣮ࢩࣕࣝࢹࣥࢳ࣮ࣕ⿵⥛Ꮫㅮᗙ
Application Benefit of Zirconia to Palatal Plate of Removable Denture-Objective Evaluations of Adhesiveness of FoodsWada T㸪Takano T㸪Tasaka A*㸪Ueda T㸪Ogiwara T, Sakurai K
Department of Removable Prosthodontics & Gerodontology, Tokyo Dental College*Department of Removable Partial Prosthodontics, Tokyo Dental CollegeϨ㸬 ┠ⓗ㏆ᖺ㸪ࢪࣝࢥࢽ࢔࡟௦⾲ࡉࢀࡿ㧗ᙉᗘࢭ࣑ࣛࢵ
ࢡࢫࡀ㸪ᅛᐃᛶ⿵⥛⿦⨨ࡸཱྀ⭍࢖ࣥࣉࣛࣥࢺ࡞࡝
࡟⏝࠸ࡽࢀ࡚࠸ࡿ㸬୍᪉㸪ྍ᧔ᛶ⿵⥛⿦⨨࡟࠾࠸࡚ࡣ㸪⿦╔᫬ࡢឤぬࢆྥୖࡉࡏࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚㸪㔠ᒓᗋ⩏ṑࡀ㑅ᢥࡉࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ㔠ᒓᗋ⩏ṑࡣ㸪౑⏝㔠ᒓ࡟ᑐࡍࡿ࢔ࣞࣝࢠ࣮ᝈ⪅࡟ࡣᛂ⏝࡛ࡁ࡞࠸㸬
ࡲࡓ㸪࿪ᄮ㐠ື࡟ࡼࡾ㸪ၚᾮศἪ㔞ࡢቑຍ㸪⬻ࡢάᛶ໬㸪ࢫࢺࣞࢫࡢ⦆࿴1)࡞࡝ࡢຠᯝࢆᚓࡽࢀࡿ
ࡇ࡜ࡀ▱ࡽࢀ࡚࠸ࡿ㸬≉࡟࣒࢞ࢳ࣮ࣗ࢖ࣥࢢࡣ࿪
ᄮ㐠ືࡀ㛗ᮇ࡟ࢃࡓࡿࡓࡵ㸪࿪ᄮ࡟ࡼࡿຠᯝࡀ㧗࠸࡜⪃࠼ࡽࢀࡿ㸬ࡋ࠿ࡋ㸪ᚑ᮶ࡢ⩏ṑᗋ⏝ᮦᩱࡣ࣒࢞ࡀ௜╔ࡋࡸࡍ࠸ࡓࡵ㸪⩏ṑ⿦╔⪅࡟࡜ࡗ࡚㸪࣒࢞ࢳ࣮ࣗ࢖ࣥࢢࢆ⾜࠺ࡇ࡜ࡣᅔ㞴࡛࠶ࡗࡓ㸬ࡑࡇ࡛ᡃࠎࡣ㸪ࢪࣝࢥࢽ࢔ࢆ⩏ṑཱྀ⵹㒊࡟ᛂ⏝ࡍࡿࡇ࡜ࡢ᭷┈ᛶࢆ᳨ウࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ㸪ཱྀ⵹ᯈ⿦╔᫬ࡢ୺ほⓗ࡞ឤぬホ౯࠾ࡼࡧ㣗ရ௜╔ᛶࡢᐈほホ౯ࢆ⾜ࡗࡓ㸬

ࡀ1.0mm࡜࡞ࡿࡲ࡛ᅽ⦰ᚋ㸪ୖ㒊ヨ㦂ྎࢆࢡࣟࢫ
࣊ࢵࢻࢫࣆ࣮ࢻ270mm/min࡟࡚40mmୖ᪼ࡉࡏ㸪ࡑࡢ㛫࡟グ㘓ࡉࢀࡓ᭱኱ຊ㸦N㸧ࢆ㣗ရ௜╔ᛶࡢᣦᶆ࡜ࡋࡓ㸬
VAS್ࡢศᯒࡣ㸪Friedman᳨ᐃᚋ㸪Wilcoxonࡢ➢ྕ௜ࡁ㡰఩࿴᳨ᐃࢆ⾜࠸㸪Bonferroni⿵ṇࡋࡓ㸬㣗ရ௜╔ᛶࡢศᯒࡣ㸪୍ඖ㓄⨨ศᩓศᯒᚋ㸪
Bonferroni᳨ᐃࢆ⾜ࡗࡓ㸦Ș=0.05㸧㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹឤぬホ౯࡛ࡣ㸪㣗ရ௜╔ឤࡢVAS್ࡣ㸪RPࡀ
48.1 s 39.4mm 㸪 ZP ࡀ 62.4 s 33.7mm 㸪 CP ࡀ 34.3 s
33.6mm࡛࠶ࡾ㸪ZP-CP㛫࡟᭷ពᕪࢆㄆࡵࡓ㸬⥲ྜⓗ࡞⿦╔ឤࡢVAS್ࡣ㸪RPࡀ27.3s13.3mm㸪ZPࡀ
57.2s28.8mm㸪CPࡀ40.1s15.9mm࡛࠶ࡾ㸪RP-ZP㛫࡟᭷ពᕪࢆㄆࡵࡓ㸬࣒࢞௜╔ᛶヨ㦂࡛ࡣ㸪Rࡀ
21.4s1.64N㸪Zࡀ5.66s2.04N㸪Cࡀ18.9s2.32N࡛㸪
R-Z㛫㸪Z-C㛫࡟᭷ពᕪࢆㄆࡵࡓ㸦ᅗ㸧㸬ࢪࣝࢥࢽ࢔ࡣ㸪୺ほⓗ࡞ホ౯࠾ࡼࡧᐈほⓗ࡞ホ౯࡟࠾࠸࡚㣗ရࡀ௜╔ࡋ࡟ࡃ࠸࡜࠸࠺⤖ᯝ࡟࡞ࡾ㸪⥲ྜⓗ࡞⿦╔ឤࡣ㸪ࢪࣝࢥࢽ࢔ཱྀ⵹ᯈࡣࣞࢪཱྀࣥ
⵹ᯈࡼࡾࡶ㧗࠸ホ౯࡟࡞ࡗࡓ㸬௨ୖࡼࡾ㸪ࢪࣝࢥࢽ࢔ࢆ⩏ṑཱྀ⵹㒊ࡢᗋ⏝ᮦᩱ࡜ࡋ࡚ᛂ⏝ࡍࡿࡇ࡜࡛㸪㣗ရࡀ௜╔ࡋ࡟ࡃࡃ㸪⿦╔ឤࡢࡼ࠸⩏ṑ࡜࡞ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ϩ㸬 ᪉ἲ⿕㦂⪅ࡣ㸪ṑิḞᦆ㸪ⴭࡋ࠸ṑิ୙ṇ㸪ឤぬ㞀ᐖࡢ࡞࠸16ྡ㸦⏨ᛶ10ྡ㸪ዪᛶ6ྡ㸪ᖹᆒᖺ㱋25s2ṓ㸧࡜ࡋࡓ㸬ࣞࢪཱྀࣥ⵹ᯈ㸦RP㸧ࡣ㸪ཌࡳ1.5mm
࡜ࡋ࢔ࢡࣜࣜࢵࢡࣞࢪࣥ㸦࢔ࢡࣟࣥNo3㸪ࢪ࣮ࢩ࣮㸧ࢆ⏝࠸࡚〇సࡋࡓ㸬ࢪࣝࢥࢽ࢔ཱྀ⵹ᯈ㸦ZP㸧
ࡣ㸪ཌࡳ0.5mm࡜ࡋࢪࣝࢥࢽ࢔㸦P-ࢼࣀZR㸪ࣃࢼࢯࢽࢵࢡ࣊ࣝࢫࢣ࢔㸧ࢆ⏝࠸࡚〇సࡋࡓ㸬ࢥࣂࣝࢺࢡཱྀ࣒ࣟ⵹ᯈ㸦CP㸧ࡣཌࡳ0.5mm࡜ࡋ㸪ࢥࣂࣝࢺࢡ࣒ࣟྜ㔠㸦࢘࢖ࣟࢽ࣒࢘㸪BEGO㸧ࢆ⏝࠸࡚〇సࡋࡓ㸬ཱྀ⵹ᯈ⿦╔᫬ࡢឤぬࡣ㸪㣗ရ௜╔ឤ࠾ࡼࡧ⥲ྜⓗ࡞⿦╔ឤ࡟ࡘ࠸࡚100mm -VAS࡟ࡼࡾホ౯ࡋࡓ㸬 㣗ရ௜╔ᛶࡢᐈほⓗホ౯࡜ࡋ࡚ࡣ㸪࣒࢞௜╔ᛶࢳ࣮ࣗ࢖࣒ࣥ࢞ࡢ௜╔ຊヨ㦂ࢆ⾜ࡗࡓ㸬୓⬟ヨ㦂ᶵࢆ⏝࠸ࣞࢪࣥ㸦R㸧㸪ࢪϫ㸬 ᩥ⊩ࣝࢥࢽ࢔㸦Z㸧㸪ࢥࣂࣝࢺࢡ࣒ࣟ㸦C㸧ࡢヨ㦂∦ࡑ1) Tasaka A et al. Influence of chewing time on
ࢀࡒࢀ2ᯛࢆୖୗ࡟┦ᑐࡋ࡚ᅛᐃࡋ㸪5ศ㛫࿪ᄮࡋ
salivary stress markers. J Prosthodont Res.
ࡓ࣒࢞㸦࢟ࢩࣜࢺ࣮࣒ࣝ࢞㸪ࣟࢵࢸ㸧3.0gࡢၚᾮ
2014;58(1):48-54
ࢆᣔࡁྲྀࡾୗ᪉ࡢヨ㦂∦࡟㍕ࡏ㸪 ᐃヨᩱࡢཌࡳ− 198 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1─6─9ୗ㢡࢖ࣥࣉࣛࣥࢺ࣮࢜ࣂ࣮ࢹࣥࢳ࣮ࣕࡢືࡁ
̿࢖ࣥࣉࣛࣥࢺᮏᩘࡢᙳ㡪̿‫ۑ‬ᑠ⏣ ᠇㸪㔠⃝ Ꮫ㸪➉ୗ ᫴㸪⏣ୖ┿⌮Ꮚ㸪኱ᮧ཭⌮㸪Kaidiliya Yalikun㸪ᐑᏳᮥዉ㸪⢖㔝ᖿᏊ㸪ෆ⏣㐩㑻㸪Ỉཱྀಇ௓ᮾி་⛉ṑ⛉኱Ꮫ㸦TMDU㸧 ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ 㧗㱋⪅ṑ⛉Ꮫศ㔝
Denture Movement of Mandibular Implant Overdentures: Effect of Implant Number

Oda K㸪Kanazawa M㸪Takeshita S㸪Tanoue M㸪Omura Y㸪Yalikun K㸪Miyayasu A㸪Awano M㸪
Uchida T㸪Minakuchi S
Gerodontology and Oral Rehabilitation, Tokyo Medical and Dental University (TMDU)Ϩ㸬 ┠ⓗ ࢖ࣥࣉࣛࣥࢺ࣮࢜ࣂ࣮ࢹࣥࢳ࣮ࣕ㸦IOD㸧࡟࠾࠸࡚㸪⩏ṑᗋࡢᅇ㌿ࡀၥ㢟࡜࡞ࡿࡇ࡜ࡀሗ࿌ࡉࢀ
࡚࠸ࡿ 1 㸧 㸬᭷㝈せ⣲ࣔࢹࣝୖ࡛ࡢゎᯒ࡟ࡼࡾ㸪࢖ࣥࣉࣛࣥࢺࢆ3ᮏᇙධࡍࡿࡇ࡜࡛⩏ṑᗋࡢᅇ㌿ࡀᢚไࡉࢀࡿࡇ࡜ࡀ♧၀ࡉࢀ࡚࠸ࡿ 2 㸧 ࡀ㸪ᐇ㝿࡟⩏ṑࡢືࡁࢆィ ࡋࡓሗ࿌ࡣ↓࠸㸬 ᮏ◊✲ࡢ┠ⓗࡣୗ㢡↓ṑ㢡ᶍᆺୖ࡛IODࡢືࡁࢆ ᐃࡋ㸪࢖ࣥࣉࣛࣥࢺࡢᩘ࡜㓄⨨ࡀୗ㢡IODࡢ
ືࡁ࡟୚࠼ࡿᙳ㡪ࢆ᳨ウࡍࡿࡇ࡜࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ ୗ㢡↓ṑ㢡ᶍᆺࢆ⩏ṑᗋ⏝࢔ࢡࣜࣝࣞࢪࣥ
㸦Acron clear㸪GC㸧࡟࡚స〇ࡋࡓ㸬ᶍᆺࡢ⾲㠃ࢆཌ ࡉ3mmࡢࢩ ࣜࢥࣥ༳㇟ᮦ㸦Exahiflex regular㸪GC㸧࡛⨨᥮ࡋ㸪ᨃఝ⢓⭷࡜ࡋࡓ㸬ᶍᆺࡢ๓ṑ㒊ṇ୰㸪୧ഃഃษṑ┦ᙜ㒊࠾ࡼࡧ୧ഃ≟ṑ┦ᙜ㒊࡟5ᮏࡢ࢖ࣥࣉࣛࣥࢺࣞࣉࣜ࢝㸦Nobel Biocare㸧ࢆᖹ⾜࡟ ᇙ ධ ࡋ 㸪 ࣟ ࢣ ࣮ ࢱ ࣮ ࢔ ࣂ ࢵ ࢺ ࣓ ࣥ ࢺ 㸦 Nobel
Biocare㸧ࢆ⿦╔࡛ࡁࡿࡼ࠺࡟ࡋࡓ㸬 ୗ㢡⩏ṑࡣὶࡋ㎸ࡳࣞࢪࣥ㸦Procast DSP clear㸪GC㸧ࢆ⏝࠸࡚స〇ࡋࡓ㸬⢓⭷㠃࡟5ಶࡢࣟࢣ࣮ࢱ
࣮࢟ࣕࢵࣉ㸦Nobel Biocare㸧ࢆྲྀࡾ௜ࡅ㸪ୗ㢡IOD
࡜ࡋࡓ㸬ࡇࢀ࡟ࡼࡾ࢔ࣂࢵࢺ࣓ࣥࢺࡢ௜ࡅ᭰࠼ࡢ
ࡳ࡛㸪␗࡞ࡿᮏᩘ㛫ࡢẚ㍑ࡀྍ⬟࡜࡞ࡗࡓ㸬ྠᵝࡢ⩏ṑࢆ5ಶస〇ࡋ㸪N=5࡜ࡋࡓ㸬 ࢖ࣥࣉࣛࣥࢺࡢ㓄⨨ࡣṇ୰࡟1ᮏ㸦1-IOD㸧㸪୧ഃഃษṑ┦ᙜ㒊࡟2ᮏ㸦2-IOD㸧㸪࠾ࡼࡧṇ୰࡜୧ഃ≟ṑ┦ᙜ㒊࡟3ᮏ㸦3-IOD㸧࡜ࡋࡓ㸬 ๓ṑ㒊ṇ୰Ⲵ㔜᫬ࡢ⩏ṑᚋ⦕ࡢᾋࡁୖࡀࡾ㸪࠾ࡼࡧྑഃ➨୍኱⮻ṑ┦ᙜ㒊Ⲵ㔜᫬ࡢⲴ㔜Ⅼࡢỿࡳ㎸ࡳ࡜ᕥഃᚋ⦕ࡢᾋࡁୖࡀࡾࢆ ᐃࡋࡓ㸬Ⲵ㔜ࡣ୓⬟ヨ㦂ᶵ㸦Instron 5544, Instron Corporation㸧ࢆ⏝
࠸࡚50Nࡢຊࢆညྜ㠃࡟ᑐࡋᆶ┤࡟ຍ࠼ࡓ㸬ᚋ⦕ࡢᾋࡁୖࡀࡾࡢ ᐃ࡟ࡣࡦࡎࡳࢤ࣮ࢪᘧኚ఩ኚ᥮
ᶵ㸦DTH-A-5㸪ඹ࿴㟁ᴗ㸧ࢆ⏝࠸ࡓ㸬Ⲵ㔜Ⅼࡢỿ
ࡳ㎸ࡳࡣ୓⬟ヨ㦂ᶵ࡟࡚ィ ࡋࡓ㸬 ⤫ィゎᯒࡣ࢖ࣥࣉࣛࣥࢺࡢᮏᩘࢆせᅉ࡜ࡋࡓ୍
ඖ㓄⨨ศᩓศᯒ࠾ࡼࡧTukey-HSD᳨ᐃࢆ㸪᭷ពỈ
‽0.05࡜ࡋ࡚⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ๓ṑ㒊ṇ୰Ⲵ㔜᫬࡟࠾ࡅࡿᚋ⦕ࡢኚ఩㔞࡟࠾࠸࡚᭷ពᕪࡀㄆࡵࡽࢀࡓ㸦ᅗ㸧㸬ྑഃ࡟࠾࠸࡚1-IOD
ࡢᚋ⦕ኚ఩㔞ࡀ2-IODࡼࡾ᭷ព࡟ᑠࡉ࠿ࡗࡓ㸬㸯ᮏࡢ࢖ࣥࣉࣛࣥࢺ࡛ࡣᅇ㌿㍈ࡀᙧᡂࡉࢀࡎ㸪࢖ࣥࣉࣛࣥࢺࢆᨭⅬ࡜ࡋࡓᅇ㌿ࡀ⏕ࡌ࡟ࡃ࠿ࡗࡓࡓࡵ࡛
࠶ࡿ࡜⪃࠼ࡽࢀࡿ㸬ᕥྑ࠸ࡎࢀ࡟࠾࠸࡚ࡶ㸪3-IOD
ࡢᚋ⦕ኚ఩㔞ࡣ2-IODࡼࡾ᭷ព࡟ᑠࡉ࠿ࡗࡓ㸬ࡇࢀࡣ㸱ᮏࡢ࢖ࣥࣉࣛࣥࢺࢆᖹ㠃ⓗ࡟㓄⨨ࡍࡿࡇ࡜࡟
ࡼࡾ㸪ᅇ㌿㍈ࡀᙧᡂࡉࢀ࡞࠸ࡓࡵ࡛࠶ࡿ࡜᥎ᐹ࡛
ࡁࡿ㸬ྑഃ➨୍኱⮻ṑ㒊Ⲵ㔜᫬࡟࠾࠸࡚ࡣ࢖ࣥࣉ
ࣛࣥࢺࡢᮏᩘ࡟ࡼࡿ᭷ព࡞ᕪࡣㄆࡵࡽࢀࡎ㸪࠿ࡘࡑࡢ್ࡶ๓ṑ㒊ṇ୰Ⲵ㔜᫬ࡢᚋ⦕ኚ఩㔞࡜ẚ㍑ࡋ
࡚㠀ᖖ࡟ᑠࡉ࠸ࡶࡢ࡛࠶ࡗࡓ㸬ᮏ◊✲࡟ࡼࡾ㸪࢖ࣥࣉࣛࣥࢺᮏᩘࢆኚ࠼ࡿࡇ࡜࡟ࡼࡾIODࡢᅇ㌿ࢆ
ᢚไ࡛ࡁࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬๓ṑ㒊ṇ୰Ⲵ㔜᫬ࡢᚋ⦕ࡢኚ఩㔞ϫ㸬 ᩥ⊩1) Kimoto S et al. Rotational movements ofmandibular two-implant overdentures. Clin Oral
Implants Res. 2009; 20: 838-43.
2) Liu J et al. Influence of implant number on thebiomechanical behaviour of mandibular implantretained/supported
overdentures:athreedimensional finite element analysis. J Dent. 2013;
41: 241-9.

− 199 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 10⩏ṑࡢ⤒ᖺⓗኚ໬ࡢほᐹ㹹➨㸲ሗ㹻⩏ṑᗋ⢓⭷㠃ࡢ⾲㠃ᛶ≧ࡢほᐹ‫◁ۑ‬἞ࡼ࠺Ꮚ㸪ᒣᮏᐶ᫂㸪┾ᒸᬛྐ㸪ⱞ⎩᫂ᙪ㸪ᒾᇼṇಇ㸪㒔ᑿඖᐉᮅ᪥኱ᏛṑᏛ㒊ཱྀ⭍ᶵ⬟ಟ᚟Ꮫㅮᗙṑ⛉⿵⥛Ꮫศ㔝Observation of Chronological Change in Removable Denture-Part 4- Observation of Tissue Side Denture Base Resins Surface Properties
Isaji Y, Yamamoto H, Sanaoka S, Nigauri A, Iwahori M, Miyao M
Department of Prosthodontics Division of Oral Functional Science and Rehabilitation Asahi University
School of DentistryϨ㸬 ┠ⓗ MMAࣞࢪࣥࡣ᭷ᗋ⩏ṑ࡟࠾ࡅࡿ౑⏝㢖ᗘࡀᴟࡵ࡚㧗࠸ᮦᩱࡢ㸯ࡘ࡛࠶ࡿࡀ㸪㛗ᮇ㛫౑⏝ࡍࡿ⑕౛࡟࠾࠸࡚ࡣ◚ᢡ࣭◚ᦆࢆ㉳ࡇࡋࡓࡾࢹࣥࢳࣕ㸫ࣉ࣮ࣛࢡࡢ௜╔࡟ࡼࡿ࠺⼃ࡸṑ࿘⑌ᝈ࠾ࡼࡧ⩏ṑᛶ
ཱྀෆ⅖ࡢཎᅉ࡜࡞ࡿሙྜࡀ࠶ࡿ㸬ࡉࡽ࡟㧗㱋⪅࡛ࡣᄟୗ཯ᑕᶵ⬟ࡢపୗ࡟ࡼࡿㄗᄟᛶ⫵⅖ࡢཎᅉ࡜࡞ࡿ࡞࡝ࡢၥ㢟ࡀᠱᛕࡉࢀ࡚࠾ࡾ㸪ࡑࢀࡽࡢண㜵࡟S-PRGࣇ࢕࣮ࣛࡢᛂ⏝࡞࡝ࡶ⪃࠼ࡽࢀࡿ㸯㸧㸬ࡇࢀࡽࡢせᅉࡢ1ࡘ࡟㸪ࣞࢪࣥࡢ⾲㠃ࡣയࡀࡘࡁ
ࡸࡍࡃ㸪⣽⳦ࡢ௜╔ࡸࢹࣥࢳ࣮ࣕࣉ࣮ࣛࢡᙧᡂࡀ
㉳ࡇࡾࡸࡍ࠸ᮦᩱ࡛࠶ࡿࡇ࡜ࡀᣲࡆࡽࢀࡿ㸬ࢃࢀࢃࢀࡣ⩏ṑᗋࡢ⾲㠃ᛶ≧ࡀ౑⏝ᮇ㛫࡟ࡼࡗ࡚࡝ࡢࡼ࠺࡟ኚ໬ࡋ࡚࠸ࡃ࠿ࢆほᐹࡋ㸪౑⏝ᮇ㛫ࡀ6ࣨ᭶ࢆ㉸࠼ࡿ࡜⩏ṑᗋ◊☻㠃ࡢ⾲㠃⢒ࡉࡀቑຍࡍࡿഴྥ࡟࠶ࡿ 㸰㸧 ࡇ࡜ࢆ➨122ᅇ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍Ꮫ⾡኱఍࡟࠾࠸࡚Ⓨ⾲ࡋࡓ㸬ࡲࡓ㸪⩏ṑ◊☻㠃ࡢ㒊఩࡟ࡼࡿ⾲㠃ᛶ≧ࡢ㐪࠸࡟ࡘ࠸࡚㸪౑⏝୰ࡢ⩏ṑࡢ⾲㠃◊☻ࡢຠᯝ࡟ࡘ࠸࡚ほᐹ㺃 ᐃࢆ⾜ࡗ࡚ࡁࡓ㸬ᮏ◊✲࡛ࡣ⩏ṑᗋ⢓⭷㠃ࡢ⾲㠃ᛶ≧࡟ࡘ࠸࡚ほᐹ࣭ ᐃࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ⩏ṑᗋ⏝ຍ⇕㔜ྜࣞࢪࣥࡢ⾲㠃ᛶ≧ࡢほᐹ࡟ࡣᙧ≧ ᐃ࣮ࣞࢨ࣮࣐࢖ࢡࣟࢫࢥ࣮ࣉ㸦VK-X100
KEYENCE♫㸧㸦௨ୗ㸪࣮ࣞࢨ࣮ࢫࢥ࣮ࣉ㸧ࢆ౑⏝ࡋࡓ㸬ほᐹ࣭ ᐃࡍࡿヨᩱࡣ⿦╔๓ࡢྍ᧔ᛶ⩏ṑ࡜ᐇ㝿࡟ᝈ⪅ࡀ౑⏝୰ࡢྍ᧔ᛶ⩏ṑࡢ⢓⭷㠃࠾ࡼࡧ⩏ṑ〇స୰ࡢసᴗᶍᆺ⾲㠃࡜ࡋࡓ㸬ᮅ᪥኱ᏛṑᏛ㒊㝃ᒓ⑓㝔࡛ࡣᗋ⏝ࣞࢪࣥ࡟࢔ࢡ
ࣟࣥp㸦ࢪ࣮ࢩ࣮㸧ࢆ౑⏝ࡋ㸪㝔ෆࢆྵࡵ࡚」ᩘࡢ
ᢏᕤᡤ࡛ྍ᧔ᛶ⩏ṑࢆ〇సࡋ࡚࠸ࡿ㸬ࡲࡎ㸪ᝈ⪅࡟⿦╔ࡍࡿ๓ࡢ⩏ṑᗋ⢓⭷㠃ࡢ⾲㠃ᛶ≧ࢆ࣮ࣞࢨ࣮ࢫࢥ࣮ࣉ࡛ほᐹ㺃 ᐃࡋࡓ㸦௨ୗ㸪B⩌㸧㸬⥆࠸࡚㸪ᙜ㝔࡛⿦╔ࡋࡓࡇ࡜ࡀ☜ㄆ࡛ࡁࡓ6ࣨ᭶௨ୖࡢ
ᮇ㛫࡟ࢃࡓࡾ౑⏝୰ࡢྍ᧔ᛶ⩏ṑ㸦௨ୗ㸪U⩌㸧ࡢ⩏ṑᗋ⢓⭷㠃ࢆ࣮ࣞࢨ࣮ࢫࢥ࣮ࣉ࡛ほᐹ㺃 ᐃࡋࡓ㸬ࡲࡓ㸪⩏ṑᗋ⢓⭷㠃ࡢ⾲㠃ᛶ≧ࡣ〇స᫬࡟౑⏝ࡍࡿ༳㇟ᮦ࡜ᶍᆺᮦࡢᙳ㡪ࡀ⪃࠼ࡽࢀࡿࡇ࡜࠿ࡽ㸪ᶍᆺᮦ࡜⾲㠃ᛶ≧ࡢ㛵㐃࡟ࡘ࠸࡚ࡶほᐹ㺃 ᐃࢆ⾜ࡗࡓ㸬ヨᩱᩘࡣྛ᮲௳࡛5ಶࡎࡘ࡜ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ௒ᅇࡢほᐹ࡟౑⏝ࡋࡓ࣮ࣞࢨ࣮ࢫࢥ࣮ࣉࡣ⏬㠃ࡢࡍ࡭࡚࡛ࣆࣥࢺࡢྜࡗࡓ⿕෗⏺῝ᗘࡢ῝࠸࣮࢝ࣛ⏬ീࡸヨᩱࡢᚤ⣽࡞ᙧ≧ࢹ࣮ࢱࢆࢭࣥࢩࣥࢢࡋ㸪㧗ゎീᗘࡢྜ↔Ⅼ⏬ീ࡜ヨᩱࡢ㧗ࡉ㸦ᙧ≧ࡸ⢒ࡉ㸧࡟㛵ࡍࡿࢹ࣮ࢱࢆ⡆౽࣭▷᫬㛫࡛ྲྀᚓࡍࡿࡇ࡜ࡀ
࡛ࡁࡿ㸬ణࡋ㸪࣮ࣞࢨ࣮ࢫࢥ࣮ࣉࡢᙧែୖ㸪⩏ṑᗋ⢓⭷㠃ࡢ ᐃྍ⬟࡞࢚ࣜ࢔࡟ࡣ㝈⏺ࡀ࠶ࡿ㸬
B⩌ࡢ࣮࢝ࣛ⏬ീ࡛ࡣ⾲㠃࡟◊☻⑞ࡢ☜ㄆ࡛ࡁࡿࡶࡢ࡜◊☻⑞ࡢ࡞࠸ヨᩱࡀ࠶ࡗࡓ㸦ᅗ1࣭2㸧㸬ࡲࡓ㸪U⩌࡛ࡣ◊☻⑞࡜ᛮࢃࢀࡿയࡢ࠶ࡿヨᩱࡀከ࠿ࡗࡓ㸦ᅗ3㸧㸬ࡇࢀࡣ㸪ྍ᧔ᛶ⩏ṑࡢ㔜ྜ⤊஢ᚋࡢ௙ୖࡆ᪉ἲ
ࡢ㐪࠸ࡸ㸪౑⏝㛤ጞᚋࡢ⢓⭷㠃ࡢㄪᩚ࣭◊☻ࡢ᭷↓࡟㐪࠸ࡀ࠶ࡿࡓࡵ࡜⪃࠼ࡽࢀࡿ㸬ᅗ 1㸬B ⩌  ᅗ 2㸬B ⩌ 

ᅗ 3㸬U ⩌       ⩏ṑᗋ⢓⭷㠃ほᐹീϫ㸬ᩥ⊩
1㸧  ୖᯇಙຓ㸪ⱞ⎩᫂ᙪ㸪ᒾᇼṇಇ㸪㒔ᑿඖᐉ㸬㓟཯ᛂᛶࣇࢵ⣲࢞ࣛࢫࣇ࢕࣮ࣛ㸦S-PRG㸧ྵ᭷⩏ṑ⏝ࢥ࣮ࢸ࢕ࣥࢢᮦࡢ㛤Ⓨ㸬ᒱṑᏛㄅ㸬
2012㸹38㸸149-157
2㸧 ◁἞ࡼ࠺Ꮚ㸪ᒣᮏᑄ᫂㸪℧⏣ྐᏊ㸪ⱞ⎩᫂ᙪ㸪ᒾᇼṇಇ㸪㒔ᑿඖᐉ㸬⩏ṑࡢ⤒ᖺⓗኚ໬ࡢほᐹ㹹➨1ሗ㹻ᗋ⏝ࣞࢪࣥࡢ⾲㠃ᛶ≧ࡢほᐹ㸬⿵⥛ㄅ㸬2013㸹➨122ᅇᏛ⾡኱఍ᢒ㘓㞟㸸185− 200 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 11ྛ✀⩏ṑ⏝ࣈࣛࢩ࡟࠾ࡅࡿΎᤲᛶࡢ᳨ウ㸫⏕άάືࣞ࣋ࣝ࡜⩏ṑ⏝ṑࣈࣛࢩ࡟ࡘ࠸࡚㸫‫ۑ‬ᘅ⏣ ⩧㸪Ώ㑔 ㄹ㸪ᔱᮏ࿴ஓ㸪ᒣᮏᐶ᫂㸪ᮧ஭ኴ㑻㸪ⱞ⎩᫂ᙪ㸪ᒾᇼṇಇ㸪㒔ᑿඖᐉᮅ᪥኱ᏛṑᏛ㒊ཱྀ⭍ᶵ⬟ಟ᚟Ꮫㅮᗙṑ⛉⿵⥛Ꮫศ㔝Investigation of cleanability by various denture brushes
About Function Independence Measure and denture brushes
Hirota S, Watanabe R,Shimamoto K,Yamamoto H,Murai T, Nigauri A, Iwahori M, Miyao M
Division of Oral Functional Sciences and Rehabilitation. Asahi University School of DentistryϨ㸬 ┠ⓗ ࢃࡀᅜ࡛ࡣᝏᛶ᪂⏕≀㸪ᚰ⑌ᝈ࡟⥆ࡁ㸪⫵⅖ࡀṚஸཎᅉࡢ➨఩࡟࠶ࡆࡽࢀ㸪ࡑࡢㄏᅉ࡜ࡋཱྀ࡚⭍ෆᚤ⏕≀ࡀὀ┠ࡉࢀ࡚࠸ࡿ㸬ࡲࡓ㸪ཱྀ⭍ෆᚤ⏕≀ࡀ⢾ᒀ⑓ࡸ㦵⢒㧼⑕࠾ࡼࡧ࢔ࣞࣝࢠ࣮⑌ᝈ࡞࡝ࡢ
඲㌟⑌ᝈ࡟㛵୚ࡋ࡚࠸ࡿሗ࿌ࡶ࠶ࡿ㸬ࡇࡢࡇ࡜࠿
ࡽࡶࣂ࢖࢜ࣇ࢕࣒ࣝ࡜ࡋ࡚ࡢࢹࣥࢳ࣮ࣕࣉ࣮ࣛࢡ
㸯㸧ࢥࣥࢺ࣮ࣟࣝࡣ㔜せ࡛᭷ࡾ㸪⮫ᗋࡢ⌧ሙ࡛ࡶ㧗㱋⪅ࡢ೺ᗣ⟶⌮ࡢ኱ࡁ࡞ㄢ㢟࡟࡞ࡗ࡚࠸ࡿ㸬㸯㸧 ⌧ᅾ㸪⩏ṑ⏝ࣈࣛࢩࡣከࡃࡢᙧែࡀᏑᅾࡍࡿࡀ㸪ྛࠎࡢΎᤲᛶࡸ౑⏝ឤࢆ᳨ウࡋࡓሗ࿌ࡣᑡ࡞࠸㸬ࡑࡇ࡛㸪ᖹᡂ26ᖺᗘ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ᮾᾏᨭ㒊Ꮫ⾡኱఍࡟࠾࠸࡚ྛ✀ࡣ⩏ṑ⏝ࣈࣛࢩΎᤲᛶ࡟ࡘ࠸
࡚ሗ࿌ࡋࡓ㸬㸰㸧௒ᅇࡣ㸪⿕㝤⪅ࡢ⏕άάືࣞ࣋ࣝ
ࢆຍ࠼Ύᤲᛶ࡜౑⏝ឤ࡟ࡘ࠸᳨࡚ウࢆ⾜࠸ⱝᖸࡢ▱ぢࢆᚓࡓࡢ࡛ሗ࿌ࡋࡲࡍ㸬ϩ㸬 ᪉ἲ⿕᳨⪅ࡣṓ௨ୖࡢ⏨ዪྡ㸬ᑐ↷࡜ࡋ࡚ᡂே
⏨ዪྡ࡟ࡶྠᵝࡢᐇ㦂ࢆ⾜ࡗࡓ㸬⩏ṑΎᤲჾල࡜
ࡋ࡚㸪ᙧែࡢ␗࡞ࡿࢧࣥࢫࢱ࣮♫〇⩏ṑ⏝ࣈࣛࢩ㸦ᶆ‽ᆺ㸧  ♫〇㟁ື⩏ṑࣈࣛࢩ㸦㟁ືᆺ㸧   ♫〇⩏ṑࣈࣛࢩ㸦ᅛᐃᆺ㸧ࡢ✀㢮ࡢ⩏ṑ⏝ࣈࣛࢩࢆ⏝࠸ࡓ㸬Ύᤲᛶࡢホ౯࡟ࡣ㸪ࢽࢵࢩࣥ♫〇↓ṑ㢡ᶍᆺࢆ⏝࠸࡚㸪ࣟ࢘⩏ṑࡢ≧ែ࡛」〇ࢆ⾜࠸ྠᙧែࡢ඲㒊ᗋ⩏ṑࢆ〇సࡋᐇ㦂࡟౪ࡋࡓ㸬 ᐇ㦂⏝⩏ṑ࡟࡛ࢇ࡫ࢇ⢶ࢆⷧࡃሬᕸࡋศ㛫஝⇱ࡉࡏࡓ㸬ࡑࡢᚋ㸪⿕㝤⪅ࡀὶỈୗ࡟࡚ศ㛫Ύᤲࢆ⾜࠸㸪ࣚ࢘⣲Ỉ⁐ᾮ࡛Ύᤲ୙Ⰻ㒊ࢆ╔Ⰽࡋほᐹࢆ⾜࡞ࡗࡓ(ᅗ)㸬ࡲࡓ㸪⿕㝤⪅ࡢ⏕άࣞ࣋ࣝ࡜⩏ṑ⏝ࣈࣛࢩࡢ౑⏝ឤ࡟ࡘ࠸࡚⪺ࡁྲྀࡾ᪉ᘧ࡛࢔ࣥࢣ
࣮ࢺㄪᰝࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᑐ↷⩌࡛ࡣ୕✀㢮ࡢ⩏ṑ⏝ࣈࣛࢩ࡜ࡶΎᤲᛶࡣ
Ⰻዲ࡛㸪౑⏝ឤࡣᶆ‽ᆺ࣭㟁ືᆺ࣭ᅛᐃᆺࡢ㡰࡛ᶆ‽ᆺࡀ᭱ࡶⰋ࠿ࡗࡓ㸬ᑐ↷⩌ࡣṓ࠿ࡽṓࡢṑ⛉㛵ಀ⪅࡛࠶ࡿࡓࡵ୍⯡ⓗ࡞ᶆ‽ᆺ࡛ࡢ⩏ṑΎᤲ࡟࡞ࢀ࡚࠸ࡿࡇ࡜࠿ࡽࡇࡢ⤖ᯝ࡟࡞ࡗࡓ࡜⪃࠼ࡽࢀࡿ㸬ᰁⰍࢆ⾜ࡗࡓᐇ㦂⏝඲㒊ᗋ⩏ṑ⿕ 㝤 ⪅ ࡢ ⏕ ά ά ື ࣞ ࣋ ࣝ ࡣ  !
 "  !  $ホ౯ࡢ⛣ື᧯స㝵ẁ᪼㝆᥇Ⅼἲࢆཧ⪃࡟ࡋ㸪㌴࠸ࡍࢆᚲせ࡜ࡍࡿ⪅1ྡ㸪⿵ຓලࢆᚲせ࡜ࡍࡿ⪅ྡ㸪௓ຓࡸ⿵ຓලࢆᚲせ࡜ࡋ࡞࠸⪅ྡ࡛࠶ࡗࡓ㸬⿕᳨⩌ࡢ୰࡛௓ຓࡸ⿵ຓලࢆᚲせ࡜ࡋ࡞࠸⪅࡛ࡣ㸪ᑐ↷࡜࡯ࡰྠࡌ⤖ᯝ࡟࡞ࡗࡓ㸬㌴࠸ࡍࢆᚲせ࡜ࡍࡿ⪅࡜⿵ຓලࢆᚲせ࡜ࡍࡿ⪅࡛ࡣ㸪ᅛᐃᆺࡀ᭱ࡶⰋዲ࡟Ύᤲࡀ࡛ࡁ㸪౑⏝ឤࡶᅛᐃᆺ࣭㟁ືᆺ࣭ᶆ‽ᆺࡢ㡰࡛ᅛᐃᆺࡀ᭱ࡶⰋዲ࡞⤖ᯝ࡜࡞ࡾ
ᑐ㇟࡜㏫ࡢ⤖ᯝ࡜࡞ࡗࡓ㸬 Ύᤲ୙Ⰻ㒊఩࡜ࡋ࡚ࡣ⿕㝤⩌㸪ᑐ㇟⩌ඹ࡟๓ṑ㒊ṑᵴ㒊㸪ୖ㢡⤖⠇㒊㸪ṑ㛫㒊࡛ㄆࡵࡽࢀࡓ㸬ϫ. ᩥ⊩
$஧ᕝᾈᶞ㸪∾ᖹΎ㉸㸪Ụⲡ ᏹ㸸ཱྀ⭍࢝ࣥࢪࢲࡢ௜╔࠾ࡼࡧࣂ࢖࢜ࣇ࢕࣒ࣝᙧᡂ㸬┿⳦ㄅ㸪➨'ᕳ'㸪$ᘅ⏣ ⩧㸪ᮧ஭ኴ㑻㸪◁἞ࡼ࠺Ꮚ㸸ྛ✀⩏ṑ⏝ࣈࣛࢩ࡟࠾ࡅࡿΎᤲᛶࡢ᳨ウ㸬ᖹᡂᖺᗘᮾᾏᨭ
㒊⥲఍࡞ࡽࡧ࡟Ꮫ⾡኱఍ ࣉࣟࢢ࣒࣭ࣛᢒ㘓㞟 㸪㸪'㸬− 201 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 12ᗋ⏝ࣞࢪࣥ࡟ᑐࡍࡿTiO2ࢥ࣮ࢺࡢ㣗ရ௜╔ᛶ࡬ࡢᙳ㡪‫ۑ‬ᑠ⏿᭸㑥㸪ୖ⏣㈗அ㸪⚄ᗞගྖ㸪Ḉ஭ ⸅ᮾிṑ⛉኱Ꮫ⪁ᖺṑ⛉⿵⥛Ꮫㅮᗙ
Evaluation of TiO2 coating in food adhesion to denture base resin
Obata T, Ueda T ,Kamba K ,Sakurai K
Department of Removable Prosthodontics and Gerodontology, Tokyo Dental CollegeϨ㸬 ┠ⓗᡃࠎࡣࡇࢀࡲ࡛⩏ṑᗋ⏝࢔ࢡࣜࣝࣞࢪࣥ࡟ᑐࡋ
࡚஧㓟໬ࢳࢱࣥࢆࢥ࣮ࢸ࢕ࣥࢢࡍࡿࡇ࡜࡟ࡼࡗ࡚㸪ࡠࢀᛶࡀྥୖࡋ㸪ࣉ࣮ࣛࢡࡸ⣽⳦ࡢ௜╔ࢆᢚไࡍࡿࡇ࡜ࢆ᫂ࡽ࠿࡟ࡋ࡚ࡁࡓ1,2)㸬ࡲࡓ㸪஧㓟໬ࢳࢱࣥࢆࢥ࣮ࢸ࢕ࣥࢢࡍࡿ๓ฎ⨨࡜ࡋ࡚ࣉࣛ࢖࣐࣮ࢆ
⏝࠸ࡿࡇ࡜࡟ࡼࡗ࡚ࢥ࣮ࢺ๣ࡢࣈࣛࢵࢩࣥࢢ࡟ᑐ
ࡍࡿ⪏ஂᛶࡶ⋓ᚓࡉࡏࡿࡇ࡜ࡀ࡛ࡁࡿࡇ࡜ࡶሗ࿌
ࡋ࡚࠸ࡿ㸬⩏ṑ⿦╔⪅࡟࠾࠸࡚㣰࡞࡝௜╔ᛶࡢ㧗࠸㣗ရࡣ㸪⩏ṑᗋ⏝࢔ࢡࣜࣝࣞࢪࣥ࡟௜╔ࡋࡸࡍ࠸ࡓࡵᚷ㑊ࡉࢀࡿഴྥ࡟࠶ࡿ㸬஧㓟໬ࢳࢱࣥࢥ࣮ࢸ࢕ࣥࢢ࡟
ࡼࡾ㸪ࣉ࣮ࣛࢡࡸ⣽⳦ࡢࡳ࡞ࡽࡎ௜╔ᛶࡢ㧗࠸㣗ရࡀ⩏ṑᗋ࡟ᑐࡋ࡚௜╔ࡋ࡟ࡃࡃ࡞ࡿࡢ࡛࠶ࢀࡤ
ࡑࡢ⮫ᗋⓗ౯್ࡣ᭦࡟㧗ࡲࡿ࡜⪃࠼ࡽࢀࡿ㸬ࡑࡇ࡛㸪⩏ṑᗋ⏝࢔ࢡࣜࣝࣞࢪࣥ࡟஧㓟໬ࢳࢱࣥࢥ࣮
ࢸ࢕ࣥࢢࢆ᪋ࡍࡇ࡜࡛㣗ရ௜╔ࡀᢚไࡉࢀࡿ࠿࡝࠺࠿᳨ウࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚ᮏ◊✲ࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ 㣗ရ௜╔ᛶࡢホ౯࡜ࡋ࡚㸪࣒࢞௜╔ᛶヨ㦂ࢆ⾜ࡗࡓ㸬⩏ṑᗋ⏝࢔ࢡࣜࣝࣞࢪࣥ㸦࢔ࢡࣟࣥNo.3㸪
ࢪ࣮ࢩ࣮㸧ࢆ⏝࠸࡚㸪୍㎶2cmࡢ❧᪉యࢆ〇సࡋࡓ㸬ヨᩱࢆ㸰⩌࡟ศࡅ㸪1000␒ࡲ࡛◊☻ࡲ࡛⾜ࡗࡓࢥࣥࢺ࣮ࣟࣝ⩌㸦NC⩌㸧࡜◊☻ᚋ࡟஧㓟໬ࢳࢱࣥ㸦ࣃࣝࢳࢱࣥ5603S㸪᪥ᮏࣃ࣮࢝ࣛ࢖ࢪࣥࢢ㸧ࢆࢥ࣮ࢺࡋࡓ⩌㸦TC⩌㸧࡜ࡋࡓ㸬 ࢹࢪࢱࣝࣇ࢛࣮ࢫࢤ࣮ࢪ㸦DS2-50N㸪࢖࣐ࢲ㸧ࢆタ⨨ࡋࡓィ ⏝᪼㝆ྎ࡟㸪ୖୗ㸯ᑐ࡟ヨᩱࢆྲྀࡾ௜ࡅࡓ㸬5ศ㛫ࢳ࣮ࣗ࢖ࣥࢢᚋỈὙࡋࡓࢳ࣮ࣗ࢖
࣒ࣥ࢞㸦࢟ࢩࣜࢺ࣮࣒ࣝ࢞㸪ࣟࢵࢸ㸧3.0 gࢆୖୗࡢヨᩱ㛫࡟⨨ࡁ㸪ヨᩱ㛫㊥㞳1mmࡲ࡛ᅽ⦰ࡋࡓ㸬ࡑࡢᚋ㸪ୖ㒊ヨᩱࢆࢡࣟࢫ࣊ࢵࢻࢫࣆ࣮ࢻ
100mm/min࡛≌ᘬࡋ࡚ᛂຊࢆィ ࡋ㸪᭱኱ᛂຊࢆ
࣒࢞௜╔ຊ࡜ࡋ㸪ྛ⩌7ᅇࡎࡘ ᐃࡋࡓ㸬ィ ࡣ㸪஝⇱㸪ேᕤၚᾮ㸦60%ࢢࣜࢭࣜࣥỈ⁐ᾮ40 +l㸧㸪⵨␃Ỉ㸦40 +l㸧ࢆヨᩱ⾲㠃࡟௓ᅾࡉࡏࡓ3᮲௳࡛⾜ࡗࡓ㸬 ᚓࡽࢀࡓ್ࡣࡑࢀࡒࢀࡢ᮲௳࡟ࡘ࠸࡚㸪NC⩌࡜
TC⩌㛫࡟࠾࠸࡚Studentࡢt᳨ᐃࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ஝⇱ୗ࡛ࡢ࣒࢞௜╔ຊࡣ㸪NC⩌࡛18.79s8.75 N㸪
TC⩌࡛5.12s4.91 N㸪ேᕤၚᾮୗ࡛ࡣ㸪NC⩌࡛
17.21s7.05 N㸪TC⩌࡛3.74s2.88 N㸪⵨␃Ỉୗ࡛
ࡣ㸪NC⩌࡛14.33s4.91 N㸪TC⩌࡛3.76s2.25 N㸦ᅗཧ↷㸧࡛࠶ࡗࡓ㸬ࡍ࡭࡚ࡢ᮲௳ୗ࡛NC⩌࡜TC⩌㛫࡜ࡢ㛫࡟⤫ィᏛⓗ᭷ពᕪࢆㄆࡵࡓ(p<0.05)㸬
ேᕤၚᾮୗ࡜⵨␃Ỉୗ࡟࠾ࡅࡿ⤖ᯝࡣ㸪஧㓟໬ࢳࢱࣥࢥ࣮ࢸ࢕ࣥࢢ࡟ࡼࡿࣞࢪࣥ⾲㠃ࡢࡠࢀᛶྥୖࡀせᅉ࡜࡞ࡗ࡚࠸ࡿࡢ࡛ࡣ࡞࠸࠿࡜⪃࠼ࡽࢀࡿ㸬஝⇱᮲௳࡟࠾ࡅࡿ⤖ᯝࡣ㸪ヨᩱ࡜ࢳ࣮ࣗ࢖࣒ࣥ࢞
ࡢ⾲㠃ࡣ஝⇱≧ែ࡛࠶ࡗࡓࡀ㸪ࢳ࣮ࣗ࢖࣒ࣥ࢞ࡢ
ᅽ⦰᫬࡟ෆ㒊ࡢỈศࡀⁱฟࡋ㸪ࡑࢀࡀᙳ㡪ࡋࡓࡢ࡛ࡣ࡞࠸࠿࡜⪃࠼ࡽࢀࡿ㸬௨ୖࡼࡾ㸪஧㓟໬ࢳࢱࣥࢥ࣮ࢸ࢕ࣥࢢࢆ⩏ṑᗋ⏝࢔ࢡࣜࣝࣞࢪࣥ࡟ᛂ⏝ࡍࡿࡇ࡜࡛㸪௜╔ᛶࡢ㧗࠸㣗ရࡢ௜╔ࢆᢚไࡍࡿࡇ࡜ࡀ࡛ࡁࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬⵨␃Ỉୗ࡟࠾ࡅࡿྛ⩌ࡢ࣒࢞௜╔ຊϫ㸬 ᩥ⊩1)  Kado D, Sakurai K, Sugiyama T, Ueda T.
Evaluation of cleanability of titanium dioxide(TiO2)-coated acrylic resin denture base.
Prosthodont Res Pract. 2005; 4: 69–76.
2)
Arai T, Ueda T, Sugiyama T, Sakurai K.
Inhibiting microbial adhesion to denture baseacrylic resin by titanium dioxide coating. J Oral
Rehabil. 2009; 36: 902–908.

− 202 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 13⩏ṑ㑅ᢥᅽ༳㇟ἲ࡟࠿࠿ࢃࡿྛ✀༳㇟ᮦࡢᅽຊືែࡢ᳨ウ‫ۑ‬ᒾᓮṇᩄ㸪ᕝⰋ⨾బ㞝㸪ᒾ⏣ዲᘯ㸪ᑠཎ⥤Ꮚ㸪ቑ⏣Ꮫ㸪㣤⏣ᓫ㸪㯮ᮌಇ୍㸪ᑠぢᒣ㐨᪥ᮏ኱ᏛᯇᡞṑᏛ㒊㢡ཱྀ⭍ᶵ⬟἞⒪Ꮫㅮᗙ
Viscoelasticity of Impression Materials for Selective Pressu re I mpression Technique
Iwasaki M㸪Kawara M㸪Iwata Y㸪Obara R㸪Masada M㸪Iida T㸪Kuroki T㸪Komiyama O
Department of Oral Function and Rehabilitation㸪Nihon University School of Dentistry at MatsudoϨ㸬 ┠ⓗ⩏ṑ༳㇟᥇ᚓ࡟࠾࠸࡚༳㇟ᅽࢆᕥྑࡍࡿᅉᏊࡣ
༳㇟ᮦ㸪ࢺ࣮ࣞᙧែ㸪ࢺ࣮ࣞᅽ᥋㏿ᗘ㸪ࢺ࣮ࣞಖᣢᅽ࡜ሗ࿌ࡉࢀ࡚࠸ࡿ㸬↓ṑ㢡㢡ሐ࡟࠾ࡅࡿ༳㇟
ᅽࡢሗ࿌ࡣࡇࢀࡲ࡛࡟ࡶ࠸ࡃࡘ࠿Ꮡᅾࡍࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪⿕ᅽኚ఩ᛶࢆ᭷ࡍࡿ↓ṑ㢡ࢩ࣑࣮ࣗࣞ
ࢩࣙࣥࣔࢹࣝࢆ⏝࠸࡚㸪༳㇟ᅽࢆ᳨ウࡋࡓሗ࿌ࡣ
ᑡ࡞ࡃ㸪ࡲࡓ㸪⌧ᅾ⮫ᗋ࡛⏝࠸ࡽࢀ࡚࠸ࡿྛ✀༳㇟ᮦࢆ⏝࠸ࡓࢺ࣮ࣞෆࡢᅽຊືែࢆ᳨ウࡋࡓሗ࿌ࡣ࡞࠸㸬ᮏ◊✲࡛ࡣ㸪ୖ㢡↓ṑ㢡▼⭯ᶍᆺ࡟ᑠᆺ
ᅽຊࢭࣥࢧ࣮ࢆᇙࡵ㎸ࡳ㸪ࡉࡽ࡟㸪ᨃఝ⢓⭷࡛そࡗࡓࢩ࣑࣮ࣗࣞࢩࣙࣥࣔࢹࣝࢆ⏝࠸㸪ྛ✀༳㇟ᮦ࡜ࢺ࣮ࣞࡢᙧែ࡟ࡼࡿᅽຊືែࡢ㐪࠸ࢆẚ㍑᳨ウ
ࡋࡓ㸬
ϩ㸬 ᪉ἲ
 ୖ㢡↓ṑ㢡▼⭯ᶍᆺࡣࢽࢵࢩࣥ♫ࡢMAP-34ࢆ౑⏝ࡋࡓ㸬Ⲵ㔜㈇Ⲵ⿦⨨ࡣ㸪ࢧ࣋࢖࣮ࣖ࡜ᶍᆺྎ㸪ࡑࡋ࡚㸪2kgࡢศ㖡ࢆ⨨ࡃ㒊఩ࢆ௜୚ࡋࡓ㔠ᒓ〇ࡢᨭᰕࢆ⏝࠸ࡓ㸬ᑠᆺᅽຊࢭࣥࢧ࣮(PS-2KC㸪ඹ࿴㟁ᴗ㸪ᮾி)ࡣ㸪ୖ㢡↓ṑ㢡▼⭯ᶍᆺ࡟඲8⟠ᡤᇙࡵ㎸ࢇࡔ(ᅗ)㸬ࡲࡓ㸪ᨃఝ⢓⭷࡜ࡋ࡚⩏ṑᗋ⏝ᙎᛶ⿬⿦ᮦࢆ౑⏝ࡋ㸪ᨃఝ⢓⭷ࡢཌࡳࡣᑠ⏣ษ1)ࡢሗ࿌ࢆ
ཧ⪃࡜ࡋࡓ㸬ࢺ࣮ࣞࡣ㸪㏻ἲ࡟ᚑ࠸༶᫬㔜ྜࣞࢪࣥ࡟࡚〇సࡋࡓ㸬ࢫ࣮࣌ࢧ࣮ࢆ௜୚ࡋࡓࢺ࣮ࣞ࡟
ࡘ࠸࡚ࡣ≟ṑ┦ᙜ㒊ࢆྵࡳ㸪ṇ୰ṑᵴ㡬㒊㸦௨ୗS-1㸧㸪ṇ୰ཱྀ⵹๓᪉ᩳ㠃㒊㸦௨ୗS-2㸧㸪ṇ୰ཱྀ⵹᭱῝㒊㸦௨ୗS-3㸧ࢆそ࠺ࡼ࠺࡟ࣃࣛࣇ࢕ࣥ࣡ࢵ
ࢡࢫ1ᯛ㸪ࡲࡓࡣ2ᯛࢆ⨨࠸࡚〇సࡋࡓ(ᅗ)㸬ࡲࡓ㸪ᮏ◊✲࡛౑⏝ࡋࡓ༳㇟ᮦ࡜␎⛠ࢆ⾲࡟♧ࡍ㸬ྛ༳㇟ᮦࡢ⦎࿴᫬㛫࡜᧯స᫬㛫ࡣィ60⛊࡜ࡋ㸪ࡑࡢ┤ᚋ࡟ᅽ᥋㛤ጞࡋࡓ㸬 ᐃࡣᅽ᥋㛤ጞ࠿ࡽ180⛊ᚋࡲ࡛⾜ࡗࡓ㸬ྛᅽຊࢭࣥࢧ࣮ࡢ ᐃ್(kPa)ࡣ㸪ࢧࣥࣉࣜࣥࢢࢫࣆ࣮ࢻ10Hz࡟࡚ࢭࣥࢱ࣮࢖ࣥࢱ࣮ࣇ࢙
࣮ࢫࢆ௓ࡋPCୖ࡟ࣜ࢔ࣝࢱ࢖࣒࡛⾲♧ࡉࢀ㸪 ᐃ⤊஢ᚋ࡟ಖᏑࡉࢀࡓ㸬 ᐃࡣྛ༳㇟ᮦ࡛3✀㢮ࡢࢺ࣮ࣞࡈ࡜࡟5ᅇࡎࡘ⾜࠸ᖹᆒ್ࢆồࡵࡓ㸬⤫ィศᯒࡣTukey-Kramerἲࢆ⏝࠸㸪༳㇟ᮦࡈ࡜ࡢྛᅽຊࢭ
ࣥࢧ್࣮ࡢ ᐃ㛤ጞ10⛊ᚋ㸪60⛊ᚋ㸪180⛊ᚋ࡟ࡘ࠸࡚ẚ㍑᳨ウࡋࡓ㸦P<0.05㸧㸬ࡲࡓ㸪㸱✀㢮ࡢࢺ࣮ࣞ࡟ࡼࡿ㐪࠸࡟ࡘ࠸࡚ࡶྠࡌࡼ࠺࡟ẚ㍑᳨ウࡋ
ࡓ(P<0.05)㸬                   Ϫ㸬 ⤖ᯝ࡜⪃ᐹࡇࡇ࡛ࡣ㸪ࢫ࣮࣌ࢧ࣮㒊఩࡟ྵࡲࢀࡿS-1㸪S-2㸪
S-3ࡢ ᐃ㛤ጞ10⛊ᚋࡢ⤖ᯝࡢࡳグ㍕ࡍࡿ㸬ᅽຊ್ࡣ㸪࠸ࡎࢀࡢࢺ࣮ࣞ᮲௳ୗ࡟࠾࠸࡚ࡶ㸪඲༳㇟ᮦ
࡛S-2㸪S-3࡜ẚ㍑ࡋS-1ࡀ᭱ࡶ㧗࠸್ࢆ♧ࡋ㸪ཱྀ⵹ᚋ⦕࡟ྥ࠿ࡗ࡚࠸ࡃ࡟ࡘࢀῶᅽഴྥࡀࡳࡽࢀࡓ㸬ࢫ࣮࣌ࢧ࣮࡟ࡼࡿᙳ㡪࡟ࡘ࠸࡚ࡣ㸪S-1࡟࠾࠸࡚඲
༳㇟ᮦ࡛ῶᅽࡀࡳࡽࢀ㸪EH࡛᭱ࡶῶᅽࡉࢀ㸪IG࡛
ࢃࡎ࠿࡞ῶᅽࡀࡳࡽࢀࡓ㸬S-2㸪S-3࡟࠾࠸࡚ࡣ㸪ῶᅽࡍࡿࡔࡅ࡛࡞ࡃ㸪ቑᅽࡍࡿ༳㇟ᮦࡶࡳࡽࢀࡓ㸬ࢫ࣮࣌ࢧ࣮ࡢཌࡳࡢቑຍ࡟ࡼࡿᙳ㡪࡟ࡘ࠸࡚ࡣ㸪S-1࡟࠾࠸࡚IGࡀ᭱ࡶῶᅽࡉࢀ㸪AF㸪ARࡣࢃࡎ࠿࡟ቑᅽࡋࡓ㸬S-2࡟࠾࠸࡚ࡣῶᅽࡍࡿࡶࡢࡀከࡃࡳ
ࡽࢀࡓࡀ㸪S-3࡟࠾࠸࡚ࡣቑᅽࡍࡿࡶࡢࡀከࡃࡳࡽ
ࢀࡓ㸬ᮏ◊✲ࡢ⤖ᯝ࠿ࡽ༳㇟ᮦࡑࡋ࡚࣮ࣜࣜࣇࡢ
᮲௳ࡢ㑅ᢥࡀ㸪ࡼࡾⰋ࠸㑅ᢥᅽ༳㇟ἲࢆ⾜࠺ࡓࡵࡢ㔜せ࡞ᅉᏊ࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) ᑠ⏣ษ୍ᾈ㸸⩏ṑᗋᨭᣢ⤌⧊ࡢᒁᡤⓗ⿕ᅽኚ఩ᛶ࡟㛵ࡍࡿ◊✲㸫༳㇟ᅽ࡜㛵㐃ࡋࡓ⢓⭷ホ
౯ἲࡢ᳨ウ㸫㸬ཱྀ⑓ㄅ 1992㸹59㸸88-104㸬

− 203 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 14ྍ᧔ᛶ㒊ศᗋ⩏ṑ⿦╔ᝈ⪅ࡢṧᏑṑṑ࿘⤌⧊≧ែ࡟ᙳ㡪ࢆཬࡰࡍᅉᏊࡢண
‫ۑ‬෠ኈᓅᚿ*, ***㸪ᑠᒣ㔜ே**㸪㛛⬥◊஧***㸪▼Ἑ⌮⣪**㸪ཬᕝ┿⏤⨾***㸪㈗⏣ᒸளᕼ***㸪⚟ᓥᱻ***㸪ỈᡞṊᙪ***㸪኱஭Ꮥ****㸪*****㸪బࠎᮌၨ୍****ᮾ໭኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉⥲ྜᆅᇦ་⒪◊ಟࢭࣥࢱ࣮㸪**ᮾ໭኱Ꮫ⑓㝔㢡ཱྀ⭍෌ᘓ἞⒪㒊㸪***ᮾ໭኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ཱྀ⭍ࢩࢫࢸ࣒⿵⥛Ꮫศ㔝㸪****ᮾ໭኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ຍ㱋ṑ⛉Ꮫศ㔝㸪*****▼ᕳ㉥༑Ꮠ⑓㝔Predictive Factors influencing prognosis on Periodontal Conditions of Remaining Teeth Five Years after RPD
Placement
ࠐFuji T*, ***㸪Koyama S**㸪Kadowaki K***㸪Ishiko R**㸪Oikawa M***㸪Kitaoka A***㸪Fukushima A***㸪
Mito T***㸪Ohi T ****㸪*****㸪Sasaki K***
*Comprehensive Education Center for Community Medicine㸪Tohoku University Graduate School of Dentistry㸪**Maxillofacial Prosthetics Clinic㸪Tohoku University Hospital㸪***Division of Advanced Prosthetic Dentistry㸪
Tohoku University Graduate School of Dentistry㸪****Aging and Geriatric Dentistry㸪Tohoku University Graduate
School of Dentistry㸪*****Red Cross hospital IshinomakiϪ㸬 ⤖ᯝ࡜⪃ᐹ ᛶู࠾ࡼࡧ࣓࢖ࣥࢸࢼࣥࢫ㢖ᗘ࡜㸪ṑ࿘⤌⧊≧ែࡢᝏ໬࡜ࡢ㛫࡟᭷ព࡞㛵㐃ࡀㄆࡵࡽࢀࡓ㸬⏨ᛶࡣ ዪ ᛶ ࡟ ᑐ ࡋ ࢜ ࢵ ࢬ ẚ 4.7 㸦 95% ಙ 㢗 ༊ 㛫 1.5 ̺
17.1㸧㸪࣓࢖ࣥࢸࢼࣥࢫᖺ1ᅇᮍ‶ࡣ1ᅇ௨ୖ࡟ᑐ
ࡋ࢜ࢵࢬẚ2.4㸦1.0̺5.8㸧࡛࠶ࡗࡓ㸬୍᪉㸪RPD
タィ࡟㛵㐃ࡍࡿᅉᏊ࡜ṑ࿘⤌⧊≧ែࡢᝏ໬࡟ࡣ᭷
ព࡞㛵㐃ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬ࡇࢀࡲ࡛㸪RPDࡢ⥅⥆౑⏝ࡀ㠀ᨭྎṑ࡛ࡣ࣏ࢣࢵࢺ῝ࡉ࠾ࡼࡧືᦂᗘࡀᨵၿࡍࡿࡇ࡜㸪࣓࢖ࣥࢸࢼࣥࢫࢣ࢔ࡢ⥅⥆ࡀᨭྎṑṑ࿘⤌⧊ࡢ೺ᗣ⥔ᣢ࡟᭷ຠ࡛࠶ࡿࡇ࡜ࢆሗ࿌ࡋ࡚ࡁࡓ 1 ࠒ 㸬஺⤡ᅉᏊࢆࢥࣥࢺ࣮ࣟࣝࡋࡓከኚ㔞ศᯒ࡟ᇶ࡙ࡃᮏ◊✲⤖ᯝ࠿ϩ㸬 ᪉ἲࡽ㸪RPD⿦╔ᚋࡢṑ࿘⤌⧊≧ែࡢ⤒ᖺⓗኚ໬ࡣ㸪 ᮾ໭኱ᏛṑᏛ㒊⮫ᗋᐇ⩦࡟࠾࠸࡚RPDࢆ⿦╔ࡋ㸪 ཱྀ⭍⾨⏕⟶⌮ࢆྵࡴ࣓࢖ࣥࢸࢼࣥࢫࢣ࢔ࡢ㢖ᗘ࡟
⣙5ᖺᚋࡢࣜࢥ࣮ࣝㄪᰝ࡟ᛂࡌࡓᝈ⪅108ྡ࠿ࡽ㸪  ᙳ㡪ࡉࢀࡿࡀ㸪RPDࡢタィ࡟㛵ࡍࡿᅉᏊࡀṑ࿘⤌      5ᖺ㛫⥅⥆㸪ࡲࡓࡣᮇ㛫୰࡟෌〇సᚋ࡟⥅⥆౑⏝ࡋ⧊≧ែࡢᝏ໬࡟⧅ࡀࡿࢃࡅ࡛ࡣ࡞࠸ࡇ࡜ࡀ᫂ࡽ࠿
࡚࠸ࡿᝈ⪅ࢆᢳฟࡋࡓ㸬⿦╔ࡋࡓRPDࡣ118ᗋ࡛࠶࡜࡞ࡗࡓ㸬ࡍ࡞ࢃࡕ㐺ษ࡟タィࡉࢀࡓRPDࡢ⿦╔ࡾ㸪ṧᏑṑࡢ⥲ィࡣ1258ṑ㸦ᨭྎṑ378ṑ㸪㠀ᨭྎࢆ๓ᥦ࡟㸪࣓࢖ࣥࢸࢼࣥࢫࢣ࢔࡟ࡼࡾညྜᅉᏊ࡜
ṑ880ṑ㸧࡛࠶ࡿ㸬ࡇࡢ࠺ࡕࠊ⿦╔᫬࡜ࣜࢥ࣮ࣝデ⣽⳦ᅉᏊࡀࢥࣥࢺ࣮ࣟࣝࡉࢀࡿࡇ࡜࡛ṧᏑṑࡢಖᰝ᫬㸦5ᖺ⤒㐣ᚋ㸧ࡢࢹ࣮ࢱࡢ୙ഛࡢ↓࠸80ྡ107඲ࡀᅗࡽࢀࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ᗋ㸦ᨭྎṑ342ṑ㸪㠀ᨭྎṑ833ṑ㸧ࢆᑐ㇟࡜ࡋࡓ
㸦ᅗ㸧㸬ṑ࿘⤌⧊≧ែࡢホ౯࡟ࡣ1㸧ṑ࿘࣏ࢣࢵࢺ
῝ࡉ㸪2㸧Millerࡢືᦂᗘ㸪3㸧ṑᵴ㦵྾཰ᗘࢆ⏝࠸㸪
1㸧࡟㛵ࡋ࡚ࡣṑ࿘࣏ࢣࢵࢺ4mm௨ୖࡢṑᩘࡢቑຍ㸪2㸧࡟㛵ࡋ࡚ࡣືᦂᗘ2ᗘ௨ୖࡢṑᩘࡢቑຍ㸪3㸧࡟㛵ࡋ࡚ࡣ㦵྾཰ᣦᶆࡢ1ࣛࣥࢡ௨ୖࡢపୗࡢ࠸ࡎࢀ
࠿1㡯┠ࢆ‶ࡓࡋࡓሙྜ࡟㸪ṑ࿘⤌⧊≧ែࡢᝏ໬࡜
ᐃ⩏ࡋࡓ㸬ゎᯒ࡟ࡣㄝ᫂ኚᩘࢆձᛶู㸪ղRPD⿦╔᫬ᖺ㱋㸪ճୖୗ㢡ࡢู㸪մᨭྎṑᩘ㸪յ࣓࢖ࣥࢸࢼࣥࢫ㢖ᗘ㸪ն⩏ṑᗋ✀㢮㸪շRPDࢧ࢖ࢬ㸦∦ࣜࢥ࣮ࣝㄪᰝࡢᴫせ࠾ࡼࡧㄪᰝᑐ㇟
ഃฎ⌮㸭୧ഃฎ⌮㸧ոᑐ㢡ࡢRPD⿦╔ࡢ᭷↓࡜ࡋϫ㸬 ᩥ⊩ࡓከ㔜ࣟࢪࢫࢸ࢕ࢵࢡᅇᖐศᯒࢆ⏝࠸㸪ṑ࿘⤌⧊1) Koyama S, Sasaki K et al. Evaluation of factors≧ែᝏ໬࡟ᑐࡍࡿ࢜ࢵࢬẚ࠾ࡼࡧ95%ಙ㢗༊㛫ࢆaffecting the continuing use and satisfaction with⟬ฟࡋࡓ㸬
removable partial dentures over 5 years. J
Prosthodont Res 2010㸹54㸸97-101.
Ϩ㸬 ┠ⓗ ྍ᧔ᛶ㒊ศᗋ⩏ṑ㸦RPD㸧ࡢ⿦╔ࡣཱྀ⭍ෆ⎔ቃࡢኚ໬ࢆࡶࡓࡽࡋ㸪ཱྀ⭍⾨⏕≧ែࢆᝏ໬ࡉࡏࡿࡓࡵ㸪ṑ࿘⑓ࡸ࠺⼃㸪ࡉࡽ࡟ࡇࢀࡽ࡟⥅ⓎࡍࡿṧᏑṑࡢ႙ኻࡲ࡛ࡶㄏⓎࡍࡿ࡜ࡢᣦ᦬ࡀ࠶ࡿ㸬ࡋ࠿ࡋ࡞ࡀ
ࡽRPD⿦╔ᚋࡢṧᏑṑṑ࿘⤌⧊ࡢኚ໬ࢆ⦪᩿ⓗ࡟ほᐹࡋ㸪⤫ィᏛⓗ࡟ศᯒࡋࡓ◊✲ࡣᑡ࡞ࡃ㸪ṧᏑṑṑ࿘⤌⧊ࡢ⤒᫬ⓗኚ໬ࡢ㐪࠸࡟ᙳ㡪ࡍࡿᅉᏊ࡟
╔┠ࡋࡓሗ࿌ࡣഹᑡ࡛࠶ࡿ㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪
RPD⿦╔ᝈ⪅ࡢṧᏑṑṑ࿘⤌⧊≧ែࡢኚ໬࡟ᙳ㡪ࢆཬࡰࡍᅉᏊࢆᚋࢁྥࡁࢥ࣮࣍ࢺㄪᰝ࠿ࡽ᫂ࡽ࠿
࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬− 204 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 15ୗ㢡㐟㞳➃Ḟᦆ⑕౛࡟࠾ࡅࡿ㒊ศᗋ⩏ṑタィࡢ┦㐪ࡀ࿪ᄮᶵ⬟࡟࠾ࡼࡰࡍᙳ㡪‫ۑ‬ᯇ஭⸛᭷⨾㸪἟⃝⨾ャ㸪ዟὠྐᏊ㸪㐲⸨ ⯙㸪኱ᕝ ✨㸪ᰁᕝṇከ㸪ℊᆏᘯẎ㸪ᡞ㎶Ṋ୍㸪ᒸᮏ࿴ᙪ㸪኱ᕝ࿘἞᫂ᾏ኱ᏛṑᏛ㒊ᶵ⬟ಖᏑᅇ᚟Ꮫㅮᗙṑ⛉⿵⥛Ꮫศ㔝
Influence of Major Connector on Masticatory Performance of Free-end Removable Partial Dentures
Matsui A㸪Numazawa M㸪Okutsu F㸪EndoM㸪OkawaY㸪SomekawaS㸪HamasakaH㸪TobeT㸪
OkamotoK㸪OhkawaS
Division of Prosthodontics㸪Depertment of Restorative and Biomaterials Sciences㸪Meikai University
School of DentistryϨ㸬 ┠ⓗ 㒊ศᗋ⩏ṑࡢタィࡣ㸪⿵⥛ṑ⛉἞⒪ࡢᡂྰࢆᕥྑࡍࡿ㔜せ࡞⮫ᗋࡢ1ࢫࢸࢵࣉ࡛࠶ࡾ㸪ࡲࡓⓗ☜࡞኱㐃⤖Ꮚࡢ㑅ᢥࡣ⩏ṑࡢᏳᐃᛶࢆ☜ಖࡍࡿࡓࡵࡢ㔜せ࡞ᅉᏊࡢ୍ࡘ࡛࠶ࡿ㸬ୗ㢡㐟㞳➃Ḟᦆ⑕౛ࡢ኱㐃⤖Ꮚ࡟ࡣ㸪ୗ㢡๓ṑࡢᇶᗏ⤖⠇ࢆ⿕そࡍࡿࣉ࣮ࣞࢺࢱ࢖ࣉࡢ࢚ࣜࣥ࢞ࣝࣉࣟࣥ㸪ࡶࡋࡃࡣࣂ࣮
ࢱ࢖ࣉࡢࣜࣥ࢞ࣝࣂ࣮ࡀ୺࡟⏝࠸ࡽࢀࡿ㸬ࡋ࠿ࡋ㸪୧⪅ࡢタィࡢ┦㐪࡜࿪ᄮᶵ⬟࡜ࡢ㛵㐃ᛶ࡟ࡘ࠸࡚
ࡣ㸪୙᫂࡞Ⅼࡀṧࡉࢀ࡚࠸ࡿ㸬ᮏ◊✲ࡢ┠ⓗࡣ㸪ୗ㢡㐟㞳➃Ḟᦆ⑕౛࡟ᑐࡋ࡚㸪࢚ࣜࣥ࢞ࣝࣉࣟࣥ
ࢆ኱㐃⤖Ꮚ࡟౑⏝ࡋࡓ㒊ศᗋ⩏ṑ㸦௨ୗ㸪A-PD㸧㸪࠾ࡼࡧࣜࣥ࢞ࣝࣂ࣮ࢆ኱㐃⤖Ꮚ࡟౑⏝ࡋࡓ㒊ศᗋ⩏ṑ㸦௨ୗ㸪B-PD㸧ࡢ2✀㢮ࢆ1ྡࡢ⿕㦂⪅࡟ᑐࡋ࡚స〇ࡋ㸪ࡇࡢ2✀㢮ࡢ኱㐃⤖Ꮚࡢ┦㐪ࡀ࿪ᄮᶵ⬟࡟ཬࡰࡍᙳ㡪ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜࡛࠶ࡿ㸬ϩ㸬 ᪉ἲ ⿕㦂⪅ࡣୖ㢡ኳ↛ṑิ㸪ୗ㢡KennedyϨ⣭࡞࠸ࡋϩ⣭ࡢḞᦆᙧែࢆ᭷ࡍࡿᝈ⪅7ྡ㸦⏨ᛶ3ྡ㸪ዪᛶ4ྡ㸧࡜ࡋ㸪1ྡࡢ⿕㦂⪅࡟A-PD࠾ࡼࡧB-PDࡢ㒊ศᗋ⩏ṑࢆྛࠎ1ᗋࡎࡘస〇ࡋࡓ㸬࡞࠾㸪A-PD࡜BPDࡣ኱㐃⤖Ꮚ㒊ศࢆ㝖࠸࡚ྍཬⓗ࡟ྠ୍࡜࡞ࡿࡼ
࠺㸪ࢩࣜࢥ࣮ࣥࢥ࢔࡜ὶࡋ㎸ࡳࣞࢪࣥࢆᛂ⏝ࡋ࡚స〇ࡋࡓ㸬࿪ᄮᶵ⬟᳨ᰝ࡟ࡣ㸪Manlyࡽ࡟ࡼࡿ⠠ศἲ࡟⏬ീゎᯒࢆᛂ⏝ࡋ࡚࿪ᄮ್ࢆ ᐃࡍࡿ㸪ᮏศ㔝ࡢዟὠࡽ1)ࡀ㛤Ⓨࡋࡓ࿪ᄮᶵ⬟ホ౯ἲࢆ⏝࠸ࡓ㸬 ヨᩱ࡟ࡣࣆ࣮ࢼࢵࢶࢆ㑅ᢥࡋ㸪1ᅇศࡢヨᩱ࡜ࡋ࡚༙⢏6ࣆ࣮ࢫ࡛3.00s0.01g࡜࡞ࡿࡼ࠺࡟ィ ࡋࡓࡶࡢࢆ౑⏝ࡋࡓ㸬࿪ᄮᅇᩘࡣ20ᅇ࡜ࡋ㸪1ᅇࡢィ࡟ࡘࡁ3ᅇᐇ᪋ࡋࡓ㸬ヨᩱࢆ20ᅇ࿪ᄮࡉࡏࡓᚋ㸪࿪ᄮ㸪⢊○ࡉࢀࡓヨᩱࢆ10࣓ࢵࢩࣗࡢ⠠࡟࡚⠠࠸ศࡅࢆ⾜ࡗࡓ㸬ᙜศ㔝࡛㛤Ⓨࡋࡓ࿪ᄮᶵ⬟ホ౯ࢩࢫࢸ࣒ࢆ⏝࠸࡚㸪⠠ୖࡢヨᩱࢆ⏬ീศᯒࡍࡿࡇ࡜࡟
ࡼࡾ࿪ᄮ್ࢆ⟬ฟࡋࡓ㸬2✀㢮ࡢ⩏ṑࡢ⿦╔㡰ᗎࡣࣛࣥࢲ࣒࡜ࡋ㸪1✀㢮┠ࢆ⿦╔ࡋ࡚1࠿᭶ᚋ࡟ูࡢ
✀㢮ࡢ኱㐃⤖Ꮚࢆ᭷ࡍࡿ⩏ṑ࡟஺᥮㸪⿦╔ࡋࡓ㸬࿪ᄮ್ࡢィ ࡣ⿦╔┤ᚋ࡜⿦╔1࠿᭶ᚋ࡟⾜ࡗࡓ㸬⤫ィゎᯒ࡟ࡣᑐᛂࡢ࠶ࡿt᳨ᐃࢆ⏝࠸㸪᭷ពỈ‽ࡣ
5㸣࡜ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ⿦╔┤ᚋࡢ࿪ᄮ್ࡣA-PD࡛56.74s18.38㸣㸪BPD࡛54.62s18.79㸣ࢆ♧ࡋ㸪᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬 ⿦╔1࠿᭶ᚋࡢ࿪ᄮ್ࡣA-PD࡛66.98s16.20㸣㸪
B-PD࡛53.22s10.85㸣ࢆ♧ࡋ㸪A-PDࡀB-PDࡼࡾࡶ᭷ព࡟㧗࠸್ࢆ♧ࡋࡓ㸦ᅗ㸧㸬 A-PDࡣB-PD࡜ẚ㍑ࡋ࡚㸪ᗋ㠃✚ࡀᗈࡃ㸪࠿ࡘୗ㢡๓ṑ㒊ᇶᗏ⤖⠇ࢆ⿕そࡋ࡚࠸ࡿࡇ࡜࠿ࡽ㸪ᨭᣢ⬟࠾ࡼࡧᢕᣢ⬟࡟࠾࠸࡚ࡣ㸪A-PDࡢ᪉ࡀB-PDࡼࡾࡶඃࢀ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡿ㸬኱㐃⤖Ꮚ࡜ࡋ࡚ࡢ㸪ࡇࡢタィࡢ┦㐪ࡀ࿪ᄮ್࡟ᙳ㡪ࢆཬࡰࡋࡓ୍ᅉ࡜
᥎ᐹࡉࢀࡿ㸬 ᮏ◊✲ࡢ⤖ᯝ࡟ࡼࡾ㸪ୗ㢡㐟㞳➃Ḟᦆ⑕౛࡟࠾
ࡅࡿ࿪ᄮ್ࡢᨵၿ࡜࠸࠺ほⅬ࡟࠾࠸࡚㸪 B-PDࡼ
ࡾࡶA-PDࡢ᪉ࡀඃ఩࡛࠶ࡿྍ⬟ᛶࡀ♧ࡉࢀࡓ㸬⿦╔ 1 ࠿᭶ᚋࡢィ ⤖ᯝϫ㸬 ᩥ⊩1) Okutsu F㸪Akimoto T et al㸬Construction of a
Practical System Using the the Sieve Method andImage Analysis for Evaluation of Masticatory
performance㸫Development of a New Device for
Scanning Masticatory Samples㸫㸬J Meikai Dent
Med 2014㸹43㸸11-17− 205 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 16ᝈ⪅❧⬮ᆺ࢔࢘ࢺ࣒࢝ࢆ⏝࠸ࡓࢪࣝࢥࢽ࢔ᗋ⩏ṑࡢ⮫ᗋホ౯‫ۑ‬すᒣᘯᓫ㸪ሯᓮᘯ᫂㸪⏣୰᫴ᖹ㸪ᵽཱྀ኱㍜㸪ᑠᯘⱸⳀ㸪⯓៞ኴ㸪ᾆ㔝ៅ஧㑻㸪
ஂᯇ㈼㸪Ṋᕝెୡ㸪᰿ᮏ᛭ዉ*㸪㡲ᕝὒ୍㸪୕ᾆᏹஅ*㸪㤿ሙ୍⨾᫛࿴኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫㅮᗙ㸪*ᮾி་⛉ṑ⛉኱Ꮫ ᦤ㣗ᶵ⬟ಖᏑᏛศ㔝Clinical evaluation of Nano-Zirconia denture by patient-based outcomes.
Nishiyama H, Tsukasaki H, Tanaka S, Higuchi D, Kobayashi M, Tachi K, Urano S, Hisamatsu S, Mukawa K,
Nemoto R*, Sugawa Y, Miura H*, Baba K
Department of Prosthodontics, Showa University School of Dentistry*Fixed Prosthodontics, Tokyo Medical and Dental UniversityϨ㸬 ┠ⓗ ࢭࣜ࢔Ᏻᐃ໬ࢪࣝࢥࢽ࢔࣭࢔࣑ࣝࢼ࣭ࢼࣀ」ྜ
య㸦ࢼࣀࢪࣝࢥࢽ࢔ࣃࢼࢯࢽࢵࢡ࣊ࣝࢫࢣ࢔㸧ࢆࣇ࣮࣒࣮ࣞ࣡ࢡ࡟ᛂ⏝ࡋࡓࢪࣝࢥࢽ࢔ᗋ⩏ṑࡣ㸪ࣇ࣮࣒࣮ࣞ࣡ࢡ〇స㐣⛬ࡢࢹࢪࢱࣝ໬ࡸᙉᅛ࡞ࣇ
࣮࣒ࣞࢆ࣓ࢱࣝࣇ࣮࡛ࣜ〇స࡛ࡁࡿ➼ࡢ฼Ⅼࢆ᭷ࡍࡿ㸬ᮏ◊✲࡛ࡣ㸪ࢪࣝࢥࢽ࢔ᗋ⩏ṑࡢ἞⒪௓ධຠᯝࢆ㸪ᝈ⪅❧⬮ᆺ࢔࢘ࢺ࣒࢝ࢆ⏝࠸࡚ホ౯ࡋ㸪ᚑ᮶ᆺࡢ㔠ᒓᗋ⩏ṑ࠾ࡼࡧࣞࢪࣥᗋ⩏ṑ࡜ẚ㍑᳨
ウࡋࡓ㸬

ϩ㸬 ᪉ἲ
 ⿕㦂⪅ࡣ᫛࿴኱Ꮫṑ⛉⑓㝔⿵⥛ṑ⛉እ᮶࠾ࡼࡧ
ᮾி་⛉ṑ⛉኱Ꮫ⩏ṑእ᮶ࢆཷデࡋ㸪ୖ࣭ୗ㢡ࡢ࠸ࡎࢀ࠿࡟඲㒊ᗋ⩏ṑ〇సࢆᕼᮃࡋࡓᝈ⪅ࡢ࠺ࡕ◊✲༠ຊ࡟ྠពࢆᚓࡽࢀࡓ40ྡ㸦⏨ᛶ17ྡ㸪ዪᛶ
23ྡ㸪ᖹᆒᖺ㱋73.0s8.4ṓ㸧࡛࠶ࡿ㸬ࡇࢀࡽࡢ⿕㦂⪅࡟ᑐࡋ࡚ࢪࣝࢥࢽ࢔ᗋ⩏ṑ㸦n=15㸪ୖ㢡12ᗋ㸪ୗ㢡3ᗋ㸧㸪㔠ᒓᗋ⩏ṑ㸦n=11㸪ୖ㢡10ᗋ㸪ୗ㢡1ᗋ㸧㸪ࣞࢪࣥᗋ⩏ṑ㸦n=14㸪ୖ㢡12ᗋ㸪ୗ㢡2ᗋ㸧ࡢ࠸ࡎࢀ࠿ࢆ〇సࡋࡓ㸬 ࢪࣝࢥࢽ࢔ᗋ⩏ṑࡢࣇ࣮࣒࣮ࣞ࣡ࢡࡣ㏻ἲ࡟ᚑ
࠸〇సࡉࢀࡓసᴗ⏝ᶍᆺࢆගᏛⓗ࡟ࢫ࢟ࣕࣥࡋᑓ
⏝ࡢCADࢩࢫࢸ࣒㸦Dental System㸪3shape㸧ࢆ⏝࠸࡚タィᚋ㸪ࢭࣥࢱ࣮᪉ᘧࡢCAMࢩࢫࢸ࣒࡟ࡼࡾ
ษ๐ຍᕤࡋࡓ㸬᏶ᡂࡋࡓࣇ࣮࣒࣮ࣞ࣡ࢡ࡟⾲㠃ฎ⌮㸦࢔࣑ࣝࢼࢧࣥࢻࣈࣛࢫࢺ㸩ࢺࣛ࢖࣎ࢣ࣑࢝ࣝ
ฎ⌮㸩MDPࣉࣛ࢖࣐࣮㸧ࢆ᪋ࡋ㸪ຍ⇕㔜ྜࣞࢪࣥ㸦࢔ࢡࣟࣥ㸪GC㸧ࢆ⏝࠸࡚᏶ᡂࡋࡓ㸬㔠ᒓᗋ⩏ṑ࡞ࡽࡧ࡟ࣞࢪࣥᗋ⩏ṑࡣ㏻ἲ࡟ᚑ࠸〇సࡋࡓ㸬 ᪂⩏ṑ〇స๓࠾ࡼࡧ⿦╔1ࣨ᭶ᚋ࡟⮬ᕫグධᘧࡢ㉁ၥ⚊ࢆ⏝࠸ཱྀ࡚⭍㛵㐃QoL࡜⩏ṑ‶㊊ᗘࢆホ౯ࡋࡓ㸬ཱྀ⭍㛵㐃QoLࡣOHIP-J54࡛ホ౯ࡋ㸪4ࡘࡢࢧࣈࢻ࣓࢖ࣥ㸦Oral function㸪Oro-facial Appearance㸪Oro-facial Pain㸪Psychosocial Impact㸧ࢆ⏝࠸ཱྀ࡚⭍
㛵㐃QoLࣉࣟࣇ࢓࢖ࣝࢆ࠾ࡇ࡞ࡗࡓ1 㸬⩏ṑ‶㊊ᗘ
ࡣThe McGill Denture Satisfaction Instrument2 ࢆ⏝࠸࡚⩏ṑࡢ‶㊊ᗘ࣭ᛌ㐺ᛶ࣭Ᏻᐃᛶ࣭࿪ᄮ⬟ຊ࣭఍ヰ ࣭ ᑂ ⨾ ᛶ ࣭ Ύ ᤲ ᛶ ࡢ 7 㡯 ┠ ࡟ ࡘ ࠸ ࡚ 100-mm
Visual Analogue Scale (VAS)࡛ホ౯ࡋࡓ㸬⤫ィศᯒࡣ㸪ྛ⩏ṑᗋ⩌ෆࡢẚ㍑࡟ࡣᑐᛂࡢ࠶ࡿt᳨ᐃࢆ㸪⩌㛫ẚ㍑࡟ࡣ୍ඖ㓄⨨ศᩓศᯒࢆ⏝࠸ࡓ㸦᭷ពỈ
‽5%㸧㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ࢪࣝࢥࢽ࢔ᗋ⩌ࡢOHIPྜィ್ࡣ⩏ṑ⿦╔ᚋ࡟ῶᑡഴྥ࡟࠶ࡾ㸦ᅗ1㸧㸪4ࡘࡢࢧࣈࢻ࣓࢖ࣥ࡟ࡘ࠸
࡚ࡶྠᵝ࡛࠶ࡗࡓࡀ࠸ࡎࢀࡢኚ໬ࡶ⤫ィⓗ࡟᭷ព࡛ࡣ࡞࠿ࡗࡓ㸬ࡲࡓ㸪③ࡳ࡜ᚰ⌮♫఍ⓗᙳ㡪࡟㛵㐃ࡋࡓࢧࣈࢻ࣓࢖ࣥࡢ㞀ᐖᗘࡀప࠸ഴྥࡀㄆࡵࡽ
ࢀࡓ㸦ᅗ2㸧㸬ࡇࢀࡽࡢኚ໬ࡣ㔠ᒓᗋ㸪ࣞࢪࣥᗋ⩌࡜ྠᵝ࡛࠶ࡾ㸪ྛ⩌㛫࡟᭷ព࡞ᕪࡣㄆࡵࡽࢀ࡞࠿
ࡗࡓ㸬ࢪࣝࢥࢽ࢔ᗋ⩌ࡢ⩏ṑ‶㊊ᗘࡣ㸪඲7㡯┠࡛᭷ព࡟ቑຍࡋࡓ㸦p<0.05㸧㸬㔠ᒓᗋ㸪ࣞࢪࣥᗋ⩌࡛ࡶ
ྠᵝࡢഴྥࡀㄆࡵࡽࢀ㸪3⩌㛫࡛⾡ᚋࡢホ౯್࡟᭷ព࡞ᕪࢆㄆࡵ࡞࠿ࡗࡓ㸬ᅗ 1 OHIP Summary Score









ᅗ 2 ࢧࣈࢻ࣓࢖್ࣥ 㸦ࢪࣝࢥࢽ࢔ᗋ⩌㸧ࢪࣝࢥࢽ࢔ᗋ⩏ṑࡣ⿦╔ᚋ㸪ཱྀ⭍㛵㐃QoL㸪⩏ṑ‶㊊ᗘ࡜ࡶ࡟ᚑ᮶ᆺࡢ⩏ṑ࡜ྠ⛬ᗘࡢྥୖࢆ♧ࡋ㸪⮫ᗋ㐠⏝ୖ᭷⏝࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬௒ᚋࡣ⑕౛ᩘࡢ⵳✚࡜㸪㛗ᮇⓗ࡞⮫ᗋホ౯ࢆ⾜࠺ணᐃ࡛࠶ࡿ㸬ϫ㸬 ᩥ⊩1) John MT, Reissmann DR, Feuerstahler L, Waller
N, Baba K, Larsson P,  . Exploratory factor
analysis of the Oral Health Impact Profile. J Oral
Rehabil 2014; 41: 635-643㸬
2) Michaud PL, de Grandmont P, Feine JS, Emami
E. Measuring patient-based outcomes: Is
treatment satisfaction associated with oral healthrelated quality of life? J Dent 2012; 40(8): 624-31㸬

− 206 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 17ࢩࣜࢥ࣮ࣥ⣔㌾㉁⿬⿦ᮦࡢ⪏ஂᛶホ౯‫ۑ‬୰℩ྂᜏ㸪ୖஅⷵెஓ㸪ⵦཎᩗ㸪⇃㇂▱ᘯᰴᘧ఍♫ࢪ࣮ࢩ࣮ ◊✲ᡤ>@[\ ] [  \ [ !

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ホ౯ࢆ⾜ࡗࡓ
 ㌾㉁⿬⿦ᮦࡣ㸪㢡ᥦࡢညྜ࣭࿪ᄮᶵ⬟ࡀపୗࡋ㏻ᖖࡢࣞࢪࣥᗋ⩏ṑ࡛ࡣᶵ⬟ᅇ᚟ࡀᅔ㞴࡞⑕౛࡟ᑐࡋ㸪⑊③⦆࿴ࢆ┠ⓗ࡟ᗈࡃ⏝࠸ࡽࢀ࡚࠸ࡿ㸬Ϫ㸬⤖ᯝ࡜⪃ᐹ≉࡟㸪ࢩࣜࢥ࣮ࣥ⣔㌾㉁⿬⿦ᮦ࡟࠾࠸࡚ࡣ㸪㧗࠸ ᅗ࡟㸪ṑࣈࣛࢩᦶ⪖ヨ㦂ᚋࡢ⾲㠃⢒ࡉࡢ⤖ᯝࢆ⪏ஂᛶࢆ᭷ࡋ࡚࠾ࡾ㸪⤒᫬ⓗຎ໬ࡀᑡ࡞࠸ࡇ࡜ࡀ
♧ࡋࡓ㸬ࣜࣛ࢖ࣥ࢚ࢡࢫࢺࣛ࢚ࢡࢫࢺࣛࢯࣇ
▱ࡽࢀ࡚࠸ࡿ㸬ࢺ࡛ࡣ+^㸪௚♫〇ရ㸿࡛ࡣ'+^㸪 ᮏሗ࿌࡛ࡣ㸪⪏ṑࣈࣛࢩᦶ⪖ヨ㦂࡟࠾࠸࡚㸪ࣜ௚♫〇ရ㹀࡛ࡣ'+^࡜࠸࠺⤖ᯝ࡜࡞ࡾ㸪ࣛ࢖ࣥࡀ௚〇ရ࡟ẚ࡭㸪㧗࠸⪏ஂᛶࢆ᭷ࡋ࡚࠸
ヨ㦂ᚋࡢࣜࣛ࢖ࣥ࢚ࢡࢫࢺࣛ࢚ࢡࢫࢺࣛࢯࣇࢺ
ࡿࡇ࡜ࡀ♧ࡉࢀࡓࡢ࡛ሗ࿌ࡍࡿ㸬ࡢ⾲㠃⢒ࡉࡣ௚♫〇ရ࡟ẚ࡭࡚᭷ព࡟ᑠࡉ࠿ࡗࡓ㸬㸦 "㸺㸧 ࡼࡗ࡚㸪ࣜࣛ࢖ࣥ࢚ࢡࢫࢺࣛ
ϩ㸬᪉ἲ
࢚ࢡࢫࢺࣛࢯࣇࢺࡀ㸪௚〇ရ࡟ẚ࡭㸪⾲ᒙࡀ๐ࢀᮏሗ࿌࡟࠾࠸࡚ࡣ㸪⌧⾜〇ရࡢ୰࡛ࡶ◳ࡉࡀ㌾ࡽ
࡚࠸࡞࠸ࡇ࡜ࡀ☜ㄆࡉࢀࡓ㸬ࡇࢀࡣࣜࣛ࢖ࣥ࢚
࠿࠸ࢱ࢖ࣉ࡛࠶ࡿࢪ࣮ࢩ࣮ࣜࣛ࢖ࣥ࢚ࢡࢫࢺࣛ
ࢡࢫࢺࣛ࢚ࢡࢫࢺࣛࢯࣇࢺࡀ㌾ࡽ࠿࠸≉ᛶࡣ⥔ᣢ࢚ࢡࢫࢺࣛࢯࣇࢺ㸦>>㸧㸪ྠ⛬ᗘࡢ◳ࡉ࡛࠶ࡿࡋࡘࡘࡶ㸪ᙉᅛ࡞ᯫᶫᵓ㐀ࢆ᭷ࡍࡿࡓࡵ࡜⪃࠼࡚௚♫〇ရ㸿㸪࠾ࡼࡧ௚♫〇ရ㹀ࢆ⏝࠸࡚ヨ㦂ࢆ⾜ࡗ࠸ࡿ㸬ࡓ㸬 ࡲࡓ㸪ࣜࣛ࢖ࣥ࡟ࡣࢪ࣮ࢩ࣮ࣜࣛ࢖ࣥ
௨ୖࡢ⤖ᯝࡼࡾ㸪ࢪ࣮ࢩ࣮ࣜࣛ࢖ࣥࡀ௚♫〇ࣞࢪࣥ⏝ࣉࣛ࢖࣐࣮ࢆ㸪௚♫〇ရ࡟ࡣྛࠎᑓ⏝ࡢࣉရ࡟ẚ࡭㸪౑⏝ୖࡢຎ໬࡟ᑐࡋ࡚㧗࠸⪏ஂᛶࢆ᭷ࣛ࢖࣐࣮ࢆ⏝࠸࡚ヨ㦂ࢆ⾜ࡗࡓ㸬ࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀ㸪⮫ᗋୖ࡛ࡣ㸪㛗ᮇⓗ࡟౑⏝ࡲࡎ㸪ᮏヨ㦂࡟⏝࠸ࡿ⩏ṑᗋ⏝ࣞࢪࣥ࡟ࡣ࢔ࢡࣟ
ࡋ࡚ࡶᏳᐃࡋࡓᶵ⬟ࢆⓎ᥹ࡍࡿࡇ࡜ࡀᮇᚅࡉࢀࡿ㸬ࣥ㸦ࣛ࢖ࣈࣆࣥࢡ㸧ࢆ⏝࠸㸪 ^^ࡢヨ㦂∦ࢆῧ௜ᩥ᭩࡟㡰Ᏺࡋస〇ࡋࡓ㸬స〇ࡋࡓヨ㦂∦ࡢ⾲㠃ࡣ㸪␒ࡢ⪏Ỉ◊☻⣬ࢆ⏝࠸࡚◊☻ࢆ⾜ࡗࡓ㸬ヨ㦂∦ࡢ∦ഃ࡟ྛࠎࡢᑓ⏝ࣉࣛ࢖࣐࣮ࢆᒙሬᕸࡋ㸪࢚࢔࣮ࢆ⏝࠸࡚⁐፹ࢆ஝⇱ࡉࡏࡓ㸬 ࣉࣛ࢖࣐࣮ࢆ
ሬᕸࡋࡓ࢔ࢡࣟࣥᯈࡢୖ࡟㔠ᒓࣜࣥࢢ㸦ෆᚄ ^^ཌࡳ ^^㸧ࢆ⨨ࡁ㸪ヨᩱࢆᑡࡋከࡵ࡟㔠ᒓࣜࣥࢢ࡟ධࢀ㸪ࢩ࣮ࢺ࡛そ࠸㸪࢞ࣛࢫᯈ࡟ᅽ᥋ࡋヨ㦂యࢆస〇ࡋࡓ㸬⦎࿴㛤ጞ࠿ࡽศᚋ࡟ヨ㦂యࢆΥỈ୰࡟ᾐₕࡋ㸪ศ㛫ಖᣢࡋࡓ㸬 ◳໬యࢆỈ୰࠿ࡽྲྀࡾฟࡋࡓᚋ㸪ṑࣈࣛࢩᦶ⪖ヨ㦂ᶵ࡟ྲྀࡾ௜ࡅヨ㦂ࢆ⾜ࡗࡓ㸬 ヨ㦂ࡢṑࣈࣛࢩࡣ㸪ࣉࣟࢫ࣌ࢵࢡ
ࣁ࣮ࢻࢱ࢖ࣉࢆ⏝࠸ࡓࠋ ᦶ⪖ヨ㦂᮲௳ࡣ㸪Ⲵ㔜⪏ṑࣈࣛࢩᦶ⪖ヨ㦂ᚋࡢ⾲㠃⢒ࡉ㸪ヨ㦂ࢫࣆ࣮ࢻ ᅇ^ 㸪⧞ࡾ㏉ࡋᅇᩘ
{ᅇ࡛⾜ࡗࡓ㸬ᦶ⪖ヨ㦂ᚋࡢࢧࣥࣉࣝࢆ㸪⾲㠃⢒ࡉィ㸦ࢧ࣮ࣇࢥϫ㸬ᩥ⊩
࣮ࢲ>'㸧࡟࡚ ᐃࢆ⾜ࡗࡓ㸬⾲㠃⢒ࡉ ᐃࡣ㸪   ୰℩ྂ ᜏ㸪⠛㷂 ⿱㸬ࢪ࣮ࢩ࣮ ࣜࣛ࢖ࣥṑࣈࣛࢩᦶ⪖᪉ྥ࡟ᑐࡋ࡚ᆶ┤᪉ྥ࡟ ᐃࢆ⾜ࡗࡓ㸬㸪᪥ᮏṑ⛉⌮ᕤᏛ఍ㄅ'㸹 '$㸸 ⾲㠃⢒ࡉヨ㦂ࡣ㸪 ࡟࡚ホ౯ࢆ⾜ࡗࡓ㸬㸦 㸧     㸬

− 207 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 18⩏ṑ⿦╔⪅ࡢཱྀ⭍㸪ࢹࣥࢳ࣮ࣕࣉ࣮ࣛࢡ࠾ࡼࡧᡭᣦ࡟࠾
ࡅࡿࣈࢻ࢘⌫⳦ࡢศᕸ࡜⏤᮶‫ۑ‬ෆᇼ⪽ྐ㸪ᑠᯘᖹ㸪ᮧୖ㧗ᏹ㸪ᚋ⸨἞ᙪ㸪᭳⏣㞞ၨ᪥ᮏ኱ᏛᯇᡞṑᏛ㒊ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫㅮᗙ

Distribution and Genotype of Staphylococci in Oral cavities, Denture plaque, and Hands of denture wearers

Uchibori S㸪Kobayashi T㸪Murakami T㸪Goto H㸪Aida M
Departments of Crown Bridge Prosthodontics㸪Nihon University School of Dentistry at MatsudoϨ㸬 ┠ⓗ㏆ᖺ㸪㧗㱋⪅࡞࡝ࡢ᫆ឤᰁᛶᐟ୺࡟࠾࠸࡚⩏ṑࡀㄗᄟᛶ⫵⅖ࡸឤᰁᛶᚰෆ⭷⅖࡞࡝ࡢཎᅉ⳦ࡢ ᗋ㸪ࡲࡓ⢾ᒀ⑓ࡸ㦵⢒㧼⑕࡞࡝ࡢቑᝏᅉᏊ࡜࡞ࡾᚓࡿࡇ
࡜ࡀᣦ᦬ࡉࢀ࡚࠸ࡿ㸬ேᕤ≀࡛࠶ࡿ⩏ṑࡣཱྀ⭍⣽⳦ࡢ⦾Ṫ࡟ࡣ᱁ዲ࡞⏕ᜥሙᡤ࡛࠶ࡾ㸪⿦╔ࡍࡿࡇ࡜࡛
ཱྀ⭍⎔ቃࡣ೺ᖖ࡞ᖖᅾ⣽⳦ྀࢆኚ໬ࡉࡏᚓࡿ㸬ࡑࡇ࡛໬⮋ᛶ⑌ᝈࡢ୺࡞⳦࡛࠶ࡿࣈࢻ࢘⌫⳦࡟╔┠ࡋ㸪⩏ṑࢆ⿦╔ࡋࡓ㧗㱋⪅࠿ࡽࢹࣥࢳ࣮ࣕࣉ࣮ࣛ
ࢡ࡜ཱྀ⭍඲యࢆ཯ᫎࡍࡿၚᾮࢆ᥇ྲྀᚋヨᩱ࡜ࡋ㸪⥲⳦ᩘ࡟ᑐࡍࡿࣈࢻ࢘⌫⳦ࡢ᳨ฟẚ⋡㸪⳦✀ࡢศᕸ࠾ࡼࡧ⸆๣⪏ᛶഴྥࢆㄪᰝࡋࡓ㸬ࡲࡓ㸪ၚᾮ࡜ࢹࣥࢳ
࣮ࣕࣉ࣮ࣛࢡ࡜ඹ࡟ᡭᣦ࠿ࡽヨᩱࢆ᥇ྲྀࡋ㸪ྠ୍⿕᳨⪅ࡢྛヨᩱ࠿ࡽศ㞳ࡉࢀࡓྠ୍⳦✀ࡢ㑇ఏᏊᆺࡢ┦㐪ࢆẚ㍑ࡍࡿࡇ࡜࡟ࡼࡾ㸪⩏ṑࢆ௓ࡋࡓࣈࢻ࢘⌫⳦ࡢᡭᣦ࠿ࡽཱྀ⭍࡬ࡢఏ᧛ࡢྍ⬟ᛶࢆㄪᰝࡋࡓ㸬࡟࠾࠸࡚ࡶศ㞳ࡉࢀࡓ୺せ࡞⳦✀ࡣ      ࡛࠶ࡗࡓ㸬    ࡣ 1 ྡࡢ⿕᳨⪅ࡢၚᾮヨᩱ࠿ࡽ᳨ฟࡉࢀࡓࡀ㸪ࡑࡢศ㞳⳦ᰴࡣ MRSA ࡛ࡣ࡞࠿ࡗࡓ㸬࣓ࢳࢩࣜࣥ⪏ᛶࢥ࢔ࢢ࣮ࣛࢮ㝜ᛶࣈࢻ࢘⌫⳦㸦MR-CNS㸧ࡣ 1 ྡࡢᡭᣦ㸪࠾ࡼࡧ 2 ྡࡢၚᾮ࡜ࢹࣥࢳ࣮ࣕࣉ࣮ࣛࢡ࠿ࡽప⋡࡟᳨ฟࡉࢀࡓ㸬ࡲࡓ㸪࡯࡜ࢇ࡝ࡢ MR-CNS ศ㞳⳦ᰴࡢ SCC ᆺ㑇ఏᏊᆺูࡣ㸪୺࡟㝔ෆឤᰁᆺ࡜ࡉࢀ࡚࠸ࡿ TypeϨᆺ࡛࠶ࡗࡓ㸬ࡉࡽ࡟ࡑࢀࡒࢀࡢヨᩱ࠿ࡽศ㞳ࡉࢀྠ୍⳦
✀࡜ྠᐃࡉࢀࡓ⳦ᰴࡣ㸪AP-PCR ἲ࡟ࡼࡾྠ୍ࡢ㑇ఏᏊᆺࢆ♧ࡋࡓࡇ࡜࠿ࡽ㸪ࣈࢻ࢘⌫⳦ࡀᡭᣦ࠿ࡽ⩏ṑࢆ௓ࡋཱྀ⭍࡬ఏ᧛ࡍࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬ࡇࡢࡇ࡜࠿ࡽ㸪⩏ṑࡢ⾨⏕⟶⌮ࡸ⿦╔᫬ࡢᡭὙ࠸ບ⾜ࢆᚭᗏࡍࡿᚲせᛶࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡓ㸬ϫ㸬 ᩥ⊩1) Oliveira DC, Lencastre H㸸Multiplex PCR Strategyϩ㸬 ᪉ἲ
for Rapid Identification of and Variants of the  ᪥ᮏ኱ᏛᯇᡞṑᏛ㒊௜ᒓ⑓㝔࡟ཷデࡋ࡚࠸ࡿ⩏ṑElement in Methicillin-Resistant Structural Types
⿦╔ᝈ⪅ 10 ྡ㸦ᖹᆒᖺ㱋 70.2 ṓ㸧࠿ࡽࣆ࣌ࢵࢺ࡟
      , Antimicrob Agents Chemother,࡚ၚᾮࢆ㸪⁛⳦⥥Წ࡟࡚ᡭᣦ࡜⩏ṑࢆᣔ࠸ヨᩱࢆ᥇
46㸸2155-2161㸪2002.
ྲྀࡋ㸪ࡑࢀࡽࢆ࣐ࣥࢽࢵࢺ㣗ሷᇵᆅ࡜ BHI ᖹᯈᇵᆅ2) Milheiric C, Oliveira1 DC, Lencastre H㸸Multiplex࡟᥋✀ᚋ㸪ሬ᢯ࡋዲẼᇵ㣴ࢆ⾜ࡗࡓ㸬ࡑࡢᚋ㸪ྛᖹ
PCR strategy for subtyping the staphylococcal cassetteᯈᇵᆅୖ࡟ᙧᡂࡉࢀࡓ㞟ⴠ࠿ࡽࣈࢻ࢘⌫⳦ᩘ࡜⥲⳦
chromosome mec type IV in  methicillin-resistantᩘࢆ⟬ᐃᚋ㸪PCR ἲ࡟ࡼࡾ⳦✀ྠᐃࢆ⾜ࡗࡓ㸬ࡲࡓ      : ‘SCCmec IV multiplex’, J㏻ἲ࡟ᚑ࠸㸪ศ㞳⳦ᰴࡢ࣓ࢳࢩࣜࣥ⪏ᛶࢆ᳨ウࡋࡓ㸬 antimicrobial Chemother, 60:42-48, 2007.
࣓ࢳࢩࣜࣥ⪏ᛶࡢሙྜࡣ multiplex PCR ἲ 1㸪2㸧࡟ࡼ
3) Tsuzukibashi O, Uchibori S, Shinozaki-Kuwahara N,
Saito M, Nagahama F, Kobayashi T, Fukumoto M:
ࡾ SCC 㑇ఏᏊࡢᆺูࢆ⾜࠸㸪㝔ෆឤᰁᆺ࠾ࡼࡧ
Origins of nasal and oral staphylococci. J. Oral-Med. Sci,ᕷ୰ឤᰁᆺࡢุᐃࢆヨࡳࡓ㸬ࡉࡽ࡟ၚᾮ㸪ᡭᣦ࠾ࡼ
12: 61-64, 2013.
ࡧࢹࣥࢳ࣮ࣕࣉ࣮ࣛࢡ࠿ࡽྠ୍⳦✀ࡀ᳨ฟࡉࢀࡓሙ
4) Nagahama F, Tsuzukibashi O, Uchibori S, Fukumotoྜ㸪AP-PCR ἲ 3㸪4㸧࡟ࡼࡾ㑇ఏᏊᏛⓗ࡟ඹ㏻࡛࠶ࡿ
࠿ྰ࠿ࢆㄪᰝࡋࡓ㸬࡞࠾㸪ᮏ◊✲ࡣ᪥ᮏ኱Ꮫᯇᡞṑ
M: Frequency of staphylococci in the oral cavities ofᏛ㒊೔⌮ጤဨ఍ࡢᢎㄆࢆᚓ࡚࠸ࡿ㸬㸦ᢎㄆ␒ྕ㸸EC
healthy medical workers. Int J Oral-Med Sci, 12: 35-40,
12-014㸧2013.
Ϫ㸬 ⤖ᯝ࡜⪃ᐹ඲࡚ࡢ⿕᳨⪅ࡢၚᾮ㸪ᡭᣦ࠾ࡼࡧࢹࣥࢳ࣮ࣕࣉࣛ
࣮ࢡ࠿ࡽࣈࢻ࢘⌫⳦ࡀ᳨ฟࡉࢀࡓ㸬⥲⳦ᩘ࡟ᑐࡍࡿ
ᖹᆒẚ⋡ࡣၚᾮࡀ 0.007%㸪ࢹࣥࢳ࣮ࣕࣉ࣮ࣛࢡࡀ
0.007%࠾ࡼࡧᡭᣦࡀ 8.3%࡛࠶ࡗࡓ㸬࠸ࡎࢀࡢヨᩱ− 208 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 19࣑ࣛࢿ࣮ࢺ࣋ࢽ࢔⏝ࣞࢪࣥࢭ࣓ࣥࢺࡢⰍㄪ࡟㛵ࡍࡿ◊✲‫ۑ‬ᮌᮧᱜᏊ㸪Ἔ஭▱㞝*㸪௰すᗣ⿱㸪ᘅ℩⏤⣖ே㸪㉺ᬛᏲ⏕໭ᾏ㐨་⒪኱ᏛṑᏛ㒊ཱྀ⭍ᶵ⬟ಟ᚟࣭෌ᘓᏛ⣔ࢡࣛ࢘ࣥࣈࣜࢵࢪ࣭࢖ࣥࣉࣛࣥࢺ⿵⥛Ꮫศ㔝㸪*໭ᾏ㐨་⒪኱ᏛṑᏛ㒊ཱྀ⭍ᶵ⬟ಟ᚟࣭෌ᘓᏛ⣔࠺⼃ไᚚ἞⒪Ꮫศ㔝A Study on the Color of Resin Cement for the Laminate Veneer Restorations
Kimura Y㸪Yui T*㸪Nakanishi Y㸪Hirose Y㸪Ochi M
Division of Fixed Prosthodontics and Oral Implantology 㸪 *Division of Clinical Cariology andEndodontology, Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of
HokkaidoϨ㸬 ┠ⓗ ࣑ࣛࢿ࣮ࢺ࣋ࢽ࢔ಟ᚟ࡣ೺඲ṑ㉁ࢆ᭱኱㝈࡟ಖᏑࡋࡓ≧ែ࡛ᑂ⨾ᛶࢆᅇ᚟࡛ࡁࡿಟ᚟᪉ἲ࡛࠶ࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪ṑ㉁ࡸ᥋╔ᛶࢭ࣓ࣥࢺࡢⰍㄪ࡟ࡼ
ࡾᑂ⨾ᛶ࡟ᙳ㡪ࢆཬࡰࡍྍ⬟ᛶࡀ࠶ࡿࡓࡵ㸪ヨ㐺⏝ࢭ࣓ࣥࢺ࡟ࡼࡿ᥋╔๓ࡢⰍㄪ☜ㄆࡣ㔜せ࡛࠶ࡿ1)㸬
ᮏ◊✲࡛ࡣヨసࢭ࣓ࣥࢺ࡛࠶ࡿヨ㐺⏝ࢭ࣓ࣥࢺ㸦௨ୗ㸪ヨ㐺⏝㸧࡜࣋ࢽ࢔⏝᥋╔ᛶࣞࢪࣥࢭ࣓ࣥ
ࢺ㸦௨ୗ㸪ࣞࢪࣥࢭ࣓ࣥࢺ㸧ࢆ⏝࠸࡚㸪୧⪅ࡢⰍㄪࡀ࣑ࣛࢿ࣮ࢺ࣋ࢽ࢔ಟ᚟࡟ཬࡰࡍᙳ㡪࡟ࡘ࠸࡚ẚ㍑㸪᳨ウࡋࡓ㸬ࡲࡓྛヨᩱࢆࣞࢪࣥࢭ࣓ࣥࢺ࡛
᥋╔ࡋࡓᚋ㸪㣧㣗≀࡟7 ᪥㛫ᾐₕࡋ㸪ኚⰍ࡟ᑐࡍ
ࡿẚ㍑㸪᳨ウࡶ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᨭྎṑヨᩱA1㸪A3࡟࠾࠸࡚ヨ㐺⏝㸪ࣞࢪࣥࢭ࣓
ࣥࢺࡢL*ࡣH㸼M㸼L࡜࡞ࡾ㸪a*㸪b*ࡶ㏆ఝࡋࡓ್ࢆ♧ࡋࡓ㸬ࡲࡓԥEࡣL㸪M㸪H࡛2.0௨ୗࢆ♧ࡋ㸪ヨ㐺⏝࡜ࣞࢪࣥࢭ࣓ࣥࢺࡣඃࢀࡓⰍㄪ㐺ྜᛶ⬟ࢆ♧ࡋࡓ㸬ྛ㣧㣗≀࡟ᾐₕᚋࡢ⤖ᯝ࠿ࡽࡣL*㸪a*㸪
b*ࡢ ᐃ್ࡣᾐₕ๓࡜㏆ఝࡋࡓ್ࢆ♧ࡋ㸪ԥEࡶ
2.0௨ୗࢆ♧ࡋࡓ㸦ᅗ㸧㸬 ௨ୖࡼࡾᮏ◊✲ࡢヨసࢭ࣓ࣥࢺࡣඃࢀࡓⰍㄪ㐺ྜᛶ⬟࡜⪏ኚⰍᛶ⬟ࢆ᭷ࡍࡿࡇ࡜ࡀ♧ࡉࢀࡓ㸬
ԥE
2.5

2

ϩ㸬 ᪉ἲ
 ࣑ࣛࢿ࣮ࢺ࣋ࢽ࢔ヨᩱ㸦௨ୗ㸪࣋ࢽ࢔ヨᩱ㸧࡜ࡋ࡚┤ᚄ15 mmࡢ୸ᯈ㝡ᮦ㸦ࣅࣥࢸ࣮ࢪOPAL58Ⰽ㸪ᯇ㢼㸧ࢆ⪏Ỉ◊☻⣬#400㸪600㸪1200㸪2000ࡢ㡰࡛◊☻ࡋ㸪ཌࡉ500 μmࡲ࡛ㄪᩚࡋࡓ㸬ᨭྎṑヨᩱ࡜ࡋ࡚┤ᚄ10 mm㸪ཌࡉ3 mmࡢ୸ᯈග㔜ྜᆺࢢࣛࢫ
࢔࢖࢜ࣀ࣐࣮⣔ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥ㸦ࣅ࣮ࣗࢸ࢕
ࣇࣝࣇ࣮ࣟ㸪ᯇ㢼㸧ࡢA1㸪A3ࢆ౑⏝ࡋࡓ㸬ヨ㐺⏝࠾ࡼࡧࣞࢪࣥࢭ࣓ࣥࢺ࡟࠾࠸࡚ࡣLow㸪Medium㸪High㸦௨ୗ㸪L㸪M㸪H㸧ࡢ3 ✀㢮ࡢ᫂ᗘࢆ౑⏝ࡋ㸪┤ᚄ8 mm㸪ཌࡉ50 μmࡢ✰✵ࡁࢩ࣮ࢺࢆ⏝࠸࡚ᒙࡢཌࡉࢆつᐃࡋࡓ㸬ୖグᮦᩱࢆᨭྎṑヨᩱ㸪✰✵ࡁࢩ࣮ࢺ㸪ࢩ࣮ࢺෆ࡬ࡢヨ㐺⏝㸪ࣞࢪࣥࢭ࣓ࣥࢺ
ࡢሸධ㸪࣋ࢽ࢔ヨᩱࡢ㡰࡟2 ᯛࡢࢫࣛ࢖ࢻ࢞ࣛࢫ㛫࡟タ⨨ࡋ㸪100 g㸪30 ⛊㛫ᅽ᥋ࡋࡓ㸬ヨ㐺⏝ࡣᅽ᥋ᚋ㸪┤ࡕ࡟ Ⰽࡋ㸪ࣞࢪࣥࢭ࣓ࣥࢺࡣ20 ⛊㛫ࡢග↷ᑕࡢᚋ࡟ Ⰽࡋ㸪Ⰽㄪ㐺ྜᛶ⬟ࢆ☜ㄆࡋࡓ㸬ࡲࡓྛヨᩱࢆࣞࢪࣥࢭ࣓ࣥࢺ࡛᥋╔ࡋࡓᚋ࡟㉥࣡࢖ࣥ㸪ࢥ࣮ࣄ࣮㸪㉸⣧Ỉ࡟37 Υ㸪7 ᪥㛫ᾐₕࡋ㸪Ⰽࡋ࡚⪏ኚⰍᛶ⬟ࢆ☜ㄆࡋࡓ㸬 ⰍࡣศගⰍ
ᙬ࣭Ⰽᕪィ㸦NF 333㸪᪥ᮏ㟁Ⰽᕤᴗ㸧ࢆ⏝࠸࡚㸪ヨ㐺⏝࠾ࡼࡧࣞࢪࣥࢭ࣓ࣥࢺࡢ᫂ᗘ㸦L*㸧㸪Ⰽᗘ㸦a*㸪b*㸧࠾ࡼࡧ୧⪅ࡢⰍᕪ㸦ԥE㸧ࢆồࡵࡓ㸬Ⰽᕪ࡟㛵ࡍࡿホ౯ࡣԥE=2.0ࢆࠗⰍㄪࡢᕪࢆㄆࡵࡿ್࠘
࡜ࡋ᳨࡚ウࡋࡓ2,3)㸬

1.5

1

0.5

0

A1

A3

⪏ኚⰍᛶ⬟ヨ㦂ϫ㸬 ᩥ⊩1) Alghazali N, Laukner J, Burnside G, Jarad FD,
Smith PW, Preston AJ. An investigation into theeffect of try-in pastes, uncured and cured resin
cements on the overall color of ceramic veneer
restorations: An  study. J Dent 2010; 38s:
e78-e86.
2) ᓥ⏣࿴ᇶ㸪ᐑᓥ࿴⮧㸪ᑠぢᒣ ಙ㸪୰ᮏ ᏹ㸪ᑠᓠ ኴ㸪㧘ぢ⃝ኴ㑻࡯࠿㸬࣑ࣛࢿ࣮ࢺ࣋ࢽ
࢔ࡢⰍㄪ࡟㛵ࡍࡿ◊✲࣏࣮̿ࢭ࣑ࣞࣥࣛࢿ࣮
ࢺ࣋ࢽ࢔ࡢⰍㄪ㐽᩿ᛶ࡟ࡘ࠸࡚̿㸬⿵⥛ㄅ
1996㸹40㸸774-781㸬
3) Chang J, Da Silva JD, Sakai M, Kristiansen J,
Ishikawa-Nagai S. The optical effect of composite
luting cement on all ceramic crowns. J Dent 2009;
37: 937-943.

− 209 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 20࢖ࣥࣉࣛࣥࢺᨭᣢࢪࣝࢥࢽ࢔ࢡࣛ࢘ࣥࡢຍ㏿ຎ໬ヨ㦂ᚋࡢ◚ቯᙉᗘ‫⚄ۑ‬ᑿఙ࿃㸪ᮏ⏣㡰୍㸪ᑠᓠ ኴ*㸪ᶫཱྀளᕼᏊ㸪㫽ሯ࿘Ꮥ㸪ᗉྖ႐๎**㸪ඵᮌᗤ⾜**㸪ᯇᮧⱥ㞝*᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨IIIㅮᗙ㸪*᪥ᮏ኱ᏛṑᏛ㒊⥲ྜṑᏛ◊✲ᡤ㧗ᗘඛ➃་⒪◊✲㒊㛛㸪**ᮾᾏᨭ㒊Fracture strength of implant-supported zirconia-based restorations after artificial aging
Kamio S, Honda J, Komine F*, Hashiguchi A, Torizuka K, Shoji Y**, Yagi T**, Matsumura H*
Department of Fixed Prosthodontics, Nihon University School of Dentistry, *Division of Advanced Dental
Treatment, Dental Research Center, Nihon University School of Dentistry, **Tokai BranchϨ㸬 ┠ⓗṑ⛉⏝CAD/CAMࡣ㸪⌧ᅾࡢṑ⛉⿵⥛἞⒪࡟࠾
࠸࡚୙ྍḞ࡞ࡶࡢ࡜࡞ࡗ࡚ࡁࡓ㸬ࡲࡓ㸪࢖ࣥࣉࣛࣥࢺୖ㒊ᵓ㐀ࡢࣇ࣮࣒ࣞᮦᩱ࡜ࡋ࡚㓟໬ࢪࣝࢥࢽ
࣒࢘㸦ࢪࣝࢥࢽ࢔㸧ࢭ࣑ࣛࢵࢡࢫࡀᗈࡃ⮫ᗋᛂ⏝ࡉࢀ࡚࠸ࡿ㸬ࢪࣝࢥࢽ࢔ࣇ࣮࣒ࣞ࡟ṑෙᙧែࢆ௜
୚ࡍࡿᮦᩱ࡜ࡋ࡚๓⿦⏝㝡ᮦࡀ୺࡟⏝࠸ࡽࢀ࡚࠸
ࡿࡀ㸪⮻ṑ㒊㡿ᇦ࡟࠾࠸࡚๓⿦⏝㝡ᮦࡢᚤᑠ◚ᢡࡀ㧗㢖ᗘ࡛ሗ࿌ࡉࢀ࡚࠸ࡿ㸬ࡑࡢၥ㢟ⅬࢆゎỴࡍࡿⅭ࡟㸪ࣇ࣮࣒ࣞᙧែ࡟๓⿦ᮦᩱࢆࢧ࣏࣮ࢺࡍࡿ
ᙧែࢆ௜୚ࡍࡿࡇ࡜ࡸ㸪๓⿦ᮦᩱ࡜ࡋ࡚㛫᥋ಟ᚟⏝ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࢆ⏝࠸ࡿࡇ࡜ 1) ࡀ⪃࠼ࡽࢀࡿ㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪࢖ࣥࣉࣛࣥࢺᨭᣢࢪࣝࢥ
ࢽ࢔ࢡࣛ࢘ࣥ࡟࠾ࡅࡿࣇ࣮࣒ࣞᙧែ࡜๓⿦ᮦᩱࡢ
㐪࠸ࡀຍ㏿ຎ໬ヨ㦂ᚋࡢ◚ቯᙉᗘ࡟ཬࡰࡍᙳ㡪ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬 ᪉ἲᮏ◊✲࡛ࡣ㸪࢖ࣥࣉࣛࣥࢺୖ㒊ᵓ㐀࡜ࡋ࡚ࢪࣝ
ࢥࢽ࢔࣮࢜ࣝࢭ࣑ࣛࢵࢡࢡࣛ࢘ࣥ㸦ZAC㸧࠾ࡼࡧࢪࣝࢥࢽ࢔ࣇ࣮࣒ࣞ࡟㛫᥋ಟ᚟⏝ࢥ࣏ࣥࢪࢵࢺࣞ
ࢪࣥࢆ๓⿦ࡋࡓࢡࣛ࢘ࣥ㸦ZIC㸧ࢆ⏝࠸ࡓ㸬࣏࢚ࣜࢫࢸࣝᶞ⬡࡟࢖ࣥࣉࣛࣥࢺయࢆ᳜❧ᚋ㸪㧗ࡉ6.0 mm࡟ㄪᩚࡋࡓࢳࢱࣥ〇࢔ࣂࢵࢺ࣓ࣥࢺࢆ㸪࢖ࣥࣉࣛࣥࢺయ࡟⿦╔ࡋࡓ㸬ࡑࡢᚋ㸪ࢪࣝࢥࢽ࢔
ࣇ࣮࣒ࣞࢆ〇సࡋࡓ㸬ࣇ࣮࣒ࣞࡣ㸪1㸪ࣇ࣮࣒ࣞࡢཌࡉࢆ0.5 mm࡟ࡋࡓࡶࡢ㸦UNI㸧
2㸪๓⿦ᮦᩱࢆᆒ୍࡞ཌࡳ࡟ࡋࡓࡶࡢ㸦ANA㸧
3㸪๓⿦ᮦᩱࢆᆒ୍࡞ཌࡳ࡟ࡋ㸪ࡉࡽ࡟㞄᥋㠃࠿ࡽ⯉ഃ࡟࠿ࡅ࡚㧗ࡉ5.0 mm࡛๓⿦ᮦᩱࢆࢧ࣏
࣮ࢺࡍࡿᙧែࢆ௜୚ࡋࡓࡶࡢ㸦SUP㸧
ࡢ3✀㢮࡜ࡋ㸪๓⿦ᮦᩱࡢ㐪࠸࡛2⩌࡟ศࡅࡓ㸬ୖ㒊ᵓ㐀ࡢᙧែࢆ⤫୍ࡍࡿࡓࡵ㸪ṑෙ〇స⏝㔠ᆺ࡜ࢩࣜࢥ࣮ࣥ࢞࢖ࢻࢆ⏝࠸㸪๓⿦⏝㝡ᮦ࠶ࡿ࠸ࡣ㛫᥋ಟ᚟⏝ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࢆ〇㐀⪅ᣦ♧࡟ᚑ࠸ࢪࣝࢥࢽ࢔ࣇ࣮࣒ࣞ࡟๓⿦ࡋࡓ㸬〇సࡋࡓヨᩱࡣ㸪ࢢࣛࢫ࢔࢖࢜ࣀ࣐࣮ࢭ࣓ࣥࢺࢆ⏝࠸࡚࢔ࣂࢵࢺ࣓ࣥࢺ࡟⿦╔ࡋࡓ㸬඲࡚ࡢヨᩱࡣ37Υ⢭〇Ỉ୰࡟࡚24᫬㛫ಖ⟶ᚋ㸪Ỉ୰⇕ࢧ࢖ࢡࣝ㈇Ⲵ1୓ᅇ࠾ࡼࡧ⧞ࡾ㏉ࡋⲴ㔜㈇Ⲵ120୓ᅇࢆ⾜ࡗࡓ㸬ຍ㏿ຎ໬ヨ㦂ᚋ㸪୓⬟ヨ㦂ᶵࢆ⏝࠸࡚◚ቯᙉᗘヨ㦂ࢆ⾜ࡗࡓ㸬◚ቯᙉᗘヨ㦂ࡣ㸪ྛヨᩱࡢညྜ㠃୰ᚰ㒊࡟ᑐࡋ㸪Ỉᖹ㠃࡟ᑐࡋ࡚ᆶ┤᪉ྥ࡟㟼ⓗᅽ⦰Ⲵ㔜ࢆ㈇Ⲵࡋࡓ㸬◚ቯᙉᗘヨ㦂ᚋ㸪ගᏛ㢧ᚤ㙾ࢆ⏝࠸࡚◚ቯᙧᘧࢆほᐹࡋ㸪ࡉࡽ࡟㉮ᰝᆺ㟁Ꮚ㢧ᚤ㙾㸦SEM㸧࡟࡚◚ቯ㠃ࡢほᐹࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ⾲ ◚ቯᙉᗘ㸦kN㸧Group Design Mean SD Maximum Minimum category*UNI
4.71 0.84
6.24
3.34
a
ZAC ANA 7.66 1.59
9.84
4.88
b
SUP
7.86 1.50
9.55
4.18
b
UNI
4.50 0.52
5.31
3.31
c
ZIC ANA 5.46 1.14
7.57
4.14
d
SUP
6.71 1.24
8.25
3.95
d

*ྠ୍࢔ࣝࣇ࢓࣋ࢵࢺ㛫࡟᭷ពᕪ࡞ࡋ㸦p > 0.05㸧

UNIࡣZAC㸪ZIC࡜ࡶ࡟㸪௚ࡢࣇ࣮࣒ࣞᙧែ࡜
ẚ㍑ࡋ࡚㸪᭷ព࡟ప࠸◚ቯᙉᗘࢆ♧ࡋࡓ㸦⾲㸧㸬ࡇࡢ⤖ᯝ࠿ࡽ㸪๓⿦ཌࡉࢆᆒ୍࡟ࡍࡿࡇ࡜ࡀ࢖ࣥ
ࣉࣛࣥࢺୖ㒊ᵓ㐀ࡢ◚ቯᙉᗘࡢ㛗ᮇᏳᐃࡢ⋓ᚓ࡟᭷ຠ࡛࠶ࡿࡇ࡜ࡀ♧ࡉࢀࡓ㸬
ࡲࡓ㸪UNI࡟࠾࠸࡚ZAC࡜ZIC㛫࡟᭷ពᕪࡣㄆ
ࡵࡽࢀ࡞࠿ࡗࡓࡀ㸪ANA࡜SUP࡟࠾࠸࡚ZACࡀZIC ࡟ ẚ ㍑ ࡋ ࡚ ᭷ ព ࡟ 㧗 ࠸ ◚ ቯ ᙉ ᗘ ࢆ ♧ ࡋ ࡓ㸦⾲㸧㸬ࡇࡢࡇ࡜࠿ࡽ㸪ࣇ࣮࣒࣮ࣞ࣡ࢡ࡟ࢧ࣏࣮
ࢺᙧែࢆ௜୚ࡋ㸪ୖ㒊ᵓ㐀ࡢᙉᗘࢆྥୖࡉࡏࡓ≧ែ࡟࠾࠸࡚㸪ZACࡣZIC࡜ẚ㍑ࡋ࡚◚ቯᙉᗘࡢ㛗ᮇᏳᐃࡢ⋓ᚓ࡟᭷ຠ࡛࠶ࡿࡇ࡜ࡀ♧ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩
1)Kamio S, Komine F, Taguchi K, Iwasaki T, Blatz
MB, Matsumura H. Effects of framework designand layering material on fracture strength ofimplant-supported zirconia-based molar crowns.
Clin
Oral
Implants
Res
2014;
doi:
10.1111/clr.12468.

− 210 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 21ࣞࢪࣥࢭ࣓ࣥࢺࡢ᥋╔ᙉࡉ࡟ཬࡰࡍCAD/CAMࢥ࣏ࣥࢪࢵࢺ
ࣞࢪࣥࡢ⾲㠃ฎ⌮ࡢᙳ㡪‫⏣ྜྷۑ‬ᆂ୍㸪㙊⏣ᖾ἞*㸪⃝℩ 㝯**㛗ᓮ኱Ꮫ⑓㝔ಖᏑ࣭⿵⥛ṑ⛉ෙ⿵⥛἞⒪ᐊ㸪*㛗ᓮ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉⥲ྜṑ⛉⮫ᗋᩍ⫱Ꮫศ㔝㸪**ཱྀ⭍࢖ࣥࣉࣛࣥࢺᏛศ㔝
Influence of Pretreatment of CAD/CAM Composite Materials on Bond Strength of Resin Cements

Yoshida K, Kamada K*, Sawase T**
Clinic of Fixed Prosthodontics, Nagasaki University Hospital, *Dept. of Clinical Education in General
Dentistry, **Dept. of Applied Prosthodontics, Graduate School of Biomedical Sciences, Nagasaki UniversityϨ㸬 ┠ⓗ ᑂ⨾ᛶࡀඃࢀࡓ࣓ࢱࣝࣇ࣮ࣜࣞࢫࢺ࣮ࣞࢩࣙࣥ
ࡀᛴ㏿࡟ᬑཬࡋ࡚࠸ࡿ㸬ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࡢ᪉
ࡀࢭ࣑ࣛࢵࢡࢫࡼࡾᢏᕤ᧯సࡀ⡆౽࡛࠶ࡿࡇ࡜࠿
ࡽ౑⏝㢖ᗘࡀ㧗ࡲࡗ࡚࠸ࡿ㸬ࡲࡓ㸪2014ᖺ4᭶ࡼࡾ
CAD/CAMෙ1) ࡀಖ㝤ᑟධࡉࢀࡓ㸬ࡑࡇ࡛㸪ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࣈࣟࢵࢡࡢ⾲㠃ฎ⌮ࡀࣞࢪࣥࢭ࣓ࣥ
ࢺ࡜ࡢ᥋╔ᙉࡉ࡟ཬࡰࡍᙳ㡪ࢆ᳨ウࡋࡓ㸬ϩ㸬 ᪉ἲ CAD/CAMࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࣈࣟࢵࢡࡣ㸪ࢭࣛࢫ࣐࣮ࢺ㸦ࢪ࣮ࢩ࣮㸧㸪ࣈࣟࢵࢡHC㸦ᯇ㢼㸧㸪ࣦࣛ࢓࢔ࣝࢸ࢕࣓ࢵࢺ㸦3M ESPE㸧㸪࢝ࢱࢼ࢔࣋ࣥࢩ
࢔㸦ࢡࣛࣞࣀࣜࢱࢣ㸧ࡢ4✀㢮ࢆ౑⏝ࡋ㸪ཌࡉࡀ1.5mmࡢᯈ≧࡟ษ᩿ࡋࡓ㸬ࣞࢪࣥࢭ࣓ࣥࢺࡣࡑࢀࡒࢀ
ྠ୍࣓࣮࣮࢝ࡢ㸪ࢪ࣮ࢭ࣒ࢭࣛࢫ࣐࣮ࢺ㸪ࣞࢪࢭ࣒㸪ࣜࣛ࢖࢚ࢵࢡࢫ࢔ࣝࢸ࢕࣓ࢵࢺ㸪SA࣮ࣝࢸ࢕ࣥࢢࣉࣛࢫࢆ౑⏝ࡋࡓ㸬 ᥋╔㠃ࡣ#1,000ࡢSiC࡛◊๐ࡋࡓᚋ㸪ࣜࣥ㓟㸦K
࢚ࢵࢳࣕࣥࢺGEL㸪ࢡࣛࣞࣀࣜࢱࢣ㸧࡛Ύᤲࡋࡓ
ࡶࡢࢆࢥࣥࢺ࣮ࣟࣝ࡜ࡋࡓ㸦None㸧㸬ࡲࡓ㸪70ȣ
mࡢ࢔࣑ࣝࢼ࡛ࣈࣛࢫࢸ࢕ࣥࢢ㸦0.2 MPa㸧ࡋࡓᚋࣜࣥ㓟࡛Ύᤲࡋ㸪ྛ࣓࣮࣮࢝ࡢࢭ࣑ࣛࢵࢡࣉࣛ࢖
࣐࣮㸦ࢭ࣑ࣛࢵࢡࣉࣛ࢖࣐࣮II㸪࣏࣮ࢭࣞࣥࣉࣛ࢖
࣐࣮㸪ࢫࢥࢵࢳ࣎ࣥࢻࣘࢽࣂ࣮࢔ࣝ࢔ࢻࣄ࣮ࢩࣈ㸪ࢡࣜ࢔ࣇ࢕ࣝࢭ࣑ࣛࢵࢡࣉࣛ࢖࣐࣮㸧ࢆሬᕸ࣭஝
⇱ࡋࡓࡶࡢࡶస〇ࡋࡓ㸦AB+CP㸧㸬ࡲࡓ㸪ᨭྎ⠏㐀⏝ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥ㸦ࣘࢽࣇ࢕ࣝࢥ࢔EM, ࢪ࣮ࢩ࣮㸧ࢆග㔜ྜჾ㸦ࣛ࢖ࢺII㸪ࣔࣜࢱ㸧࡛◳໬ࡉࡏ㸪┤ᚄࡀ8 mm㸪ཌࡉࡀ2 mmࡢヨ㦂∦ࢆస〇ࡋࡓ㸬ḟ࡟㸪CAD/CAMࢥ࣏ࣥࢪࢵࢺࣞࢪࣥ࡜࡜ᨭྎ
⠏㐀⏝ࣞࢪࣥࢆྛࣞࢪࣥࢭ࣓ࣥࢺ࡛᥋╔ࡋ㸪LEDග↷ᑕჾ㸦࣌ࣥ࢟ࣗ࢔㸪ࣔࣜࢱ㸧࡛ ୖ 㠃 ࠿ ࡽ 40⛊㛫ග↷ᑕࢆ⾜ࡗࡓ㸬 ヨ 㦂 ∦ ࡣ ࠸ ࡎ ࢀ ࡢ ࢢ ࣝ ࣮ ࣉ ࡶ 7ಶ ࡜ ࡋ 㸪 స〇 30ศ ᚋ ࡟ 37Υ ⵨ ␃ Ỉ ࡟ 24᫬ 㛫 ᾐ ₕ ࡋ ࡓ 㸬 ࡑࡢᚋ㸪࣮࢜ࢺࢢࣛࣇ㸦ᓥὠ㸧ࢆ⏝࠸㸪ࢡࣟࢫ࣊ ࢵ ࢻ ࢫ ࣆ ࣮ ࢻ 0.5 mm/min࡛ ᅽ ⦰ ๧ ᩿ Ⲵ 㔜 ࢆຍ࠼᥋╔ᙉࡉࢆ⟬ฟࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ CAD/CAMࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࡢ⾲㠃ฎ⌮࡜ࡋ࡚㸪None࡜AB+CPࢆ⾜࠸㸪ྛࣞࢪࣥࢭ࣓ࣥࢺ࡛᥋╔ࡋࡓሙྜࡢ๧᩿᥋╔ᙉࡉࢆᅗ࡟♧ࡋࡓ㸬None࡛ࡣࢪ࣮ࢭ࣒ࢭࣛࢫ࣐࣮ࢺࡀ᭱ࡶ㧗࠸᥋╔ᙉࡉࢆ♧ࡋ㸪ࡑࡢ௚ࡢ3✀㢮ࡢࣞࢪࣥࢭ࣓ࣥࢺࡣ11
㹼21 MPaࡢ್࡛࠶ࡗࡓ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪࢔࣑ࣝࢼࣈࣛࢫࢸ࢕ࣥࢢ࡜ࢭ࣑ࣛࢵࢡࣉࣛ࢖࣐࣮ฎ⌮ࢆే⏝㸦AB+CP㸧ࡍࡿ࡜㸪࠸ࡎࢀࡢࣞࢪࣥࢭ࣓ࣥࢺࢆ
౑⏝ࡋ࡚ࡶ35 MPa௨ୖࡢ್ࢆ♧ࡋ㸪↓ฎ⌮࡜ẚ㍑
ࡍࡿ࡜᭷ព࡟㧗࠸᥋ ╔ ᙉ ࡉ ࡛ ࠶ ࡗ ࡓ 㸬 None ࡣ ࣞ ࢪ ࣥ ࢭ ࣓ ࣥ ࢺ ࡜ CAD/CAM ࢥ ࣥ ࣏ࢪࢵࢺࣞࢪࣥ࡜ࡢ⏺㠃◚ቯ࡛࠶ࡗࡓࡢ࡟ᑐࡋ㸪
AB+CP ࡣ ࣞ ࢪ ࣥ ࢭ ࣓ ࣥ ࢺ ࡢ จ 㞟 ◚ ቯ ࢆ ♧ ࡋ 㸪
CAD/CAMࢥ࣏ࣥࢪࢵࢺࣞࢪࣥ࡟ࢡࣛࢵࢡࡀ⏕ࡌࡓ㸬
AB+CPฎ⌮ࡣᚲせ୙ྍḞ࡛㸪࢔ ࣝ ࣑ ࢼ ࣈ ࣛ ࢫࢸ࢕ࣥࢢ࡟ࡼࡿᶵᲔⓗᔐྜຊ࡜ࢩࣛࣥ࢝ࢵࣉ
ࣜࣥࢢ๣ࡢ໬Ꮫⓗ⤖ྜຊࡢ࠸ࡎࢀࡢᙳ㡪ࡀ኱ࡁ࠸ࡢ࠿᳨ウࡍࡿᚲせࡀ࠶ࡿ㸬
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ࣞࢪࣥࢭ࣓ࣥࢺࡢ CAD/CAM ࣈࣟࢵࢡ࡜ࡢ᥋╔ᙉࡉϫ㸬 ᩥ⊩1) Lauvahutanon S, Takahashi H, Shiozawa M et al.
Mechanical properties of composite resin blocks
for CAD/CAM. Dent Mater J 2014; 33:705-710.

− 211 −

第1,2日

日補綴会誌

第6会場

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 22

CAD/CAMࣞࢪࣥࣈࣟࢵࢡ࡜ࢥ࢔⏝ࣞࢪࣥࡢ⮬ᕫ᥋╔ᛶࢭ࣓ࣥࢺ࡟࠾ࡅࡿ᥋╔ᙉࡉ‫ۑ‬᪂ጔ⍛⣖㸨㸪᪂㇂୍᫂㸨,㸨㸨㸪㯮⏣⪽୍㸨㸪஬࿡἞ᚨ㸨㸪᪂㇂᫂႐㸨㸨᪥ᮏṑ⛉኱Ꮫ⏕࿨ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨㸰ㅮᗙ㸪㸨㸨ࢺࢗࣝࢡ኱Ꮫ

Bond strength of resin core to CAD/CAM resin blocks for self-adhesive cements
Niitsuma A㸨, Shinya A㸨,㸨㸨, Kuroda S㸨, Gomi H㸨, Shinya A㸨㸨
The Nippon Dental University School of Life Dentistry at Tokyo, Department of Crown and Bridge㸨㸨Department of Biomaterials Science,BioCity Turku Biomaterials Research Program Institute of Dentistry,
University of TurkuϨ㸬 ┠ⓗ ᫖ᖺࡼࡾ㸪ᑠ⮻ṑ࡟ᑐࡋ࡚CAD/CAMࢩࢫࢸ࣒ࢆ
౑⏝ࡋ〇సࡉࢀࡓCAD/CAMෙࡀಖ㝤㐺ᛂ࡜࡞ࡗࡓ㸬ࡇࢀࡽࡣ㸪ࢩࣜ࢝ࣇ࢕࣮ࣛࢆྵࡴ2✀㢮ࡢࣇ࢕࣮ࣛ
ࡢྜィࡀ60㸣௨ୖࡢࣞࢪࣥࣈࣟࢵࢡ࡛࠶ࡿࡇ࡜ࡀつᐃࡉࢀ࡚࠾ࡾ㸪᥋╔ࡢ㝿㸪ࢩࣛࣥ࢝ࢵࣉࣜࣥࢢ
ฎ⌮ࢆ⾜࠺ࡇ࡜ࡀ᥎ዡࡉࢀ࡚࠸ࡿ㸬⿵⥛⿦⨨⿦╔᫬࡟࠾࠸࡚㸪⮬ᕫ᥋╔ᛶࢭ࣓ࣥࢺ
ࡼࡾࡶ᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺࡢ᪉ࡀ᥋╔ᙉࡉࡣ኱ࡁ࠸ 1 㸧 ࡀ㸪ࢸࢡࢽ࢚࣮࢝ࣝࣛࡢῶᑡࡸ㸪ࢳ࢙࢔ࢱ࢖࣒▷⦰ࡢࡓࡵ㸪⮬ᕫ᥋╔ᛶࢭ࣓ࣥࢺࡶά⏝ࡉࢀ࡚࠸ࡿ㸬
ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪CAD/CAMࣞࢪࣥࣈࣟࢵࢡ࡟
ࣉࣛ࢖࣐࣮ฎ⌮ࢆ⾜࠺ࡇ࡜࡛㸪⮬ᕫ᥋╔ᛶࢭ࣓ࣥࢺ
ࡢ᥋╔ᙉࡉ࡟ཬࡰࡍᙳ㡪࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹᅽ⦰ࡏࢇ᩿᥋╔ヨ㦂ࡢ⤖ᯝࢆᅗ࡟♧ࡍ㸬᥋╔᮲௳
CP+LA࡟࡚㸪GLADIA BLOCKࡣ14.3s4.3MPa 㸪SHOFU BLOCK HCࡣ12.4s1.5MPaࡢ᥋╔ᙉࡉࢆ♧ࡋࡓ㸬◚ቯᙧែࡣᐇయ㢧ᚤ㙾ୗ࡛ほᐹࡋࡓ⤖ᯝ㸪ࡍ࡭࡚ࡢヨ㦂∦࡛㸪⏺㠃◚ቯࡀㄆࡵࡽࢀࡓ㸬஧ඖ㓄⨨ศᩓศᯒࡢ⤖ᯝ㸪᥋╔᮲௳࡟ࡢࡳ᭷ពᕪࢆㄆ ࡵ ࡓ 㸬 LA ࡜ CP+LA 㛫 ࡟ ࡚ GLADIA BLOCK 㸪SHOFU BLOCK HC ࡢ ୧ ᪉ ࡛ 㸪 ᭷ ព ᕪ ࢆ ㄆ ࡵ ࡓ㸦<0.05㸧㸬௨ୖࡢ⤖ᯝࡼࡾ㸪CAD/CAMࣞࢪࣥࣈࣟࢵࢡ࡟
ࣉࣛ࢖࣐࣮ฎ⌮ࢆ⾜࠺ࡇ࡜࡛㸪⮬ᕫ᥋╔ᛶࢭ࣓ࣥࢺ
ࡢ᥋╔ᙉࡉࡣ᭷ព࡟ቑຍࡋࡓ㸬CAD/CAMࣞࢪࣥࣈࣟࢵࢡࡢ᥋╔࡟࠾࠸࡚᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺ࡜㸪ࣉࣛ࢖࣐࣮ࡢే⏝ࡀ᭷ຠ࡛࠶ࡿ2㸧ࡇ࡜࠿ࡽ㸪ᮏᐇ㦂࡟࠾࠸࡚ࡶ໬Ꮫⓗฎ⌮ࡢ᭷ຠᛶࡀ☜ㄆ࡛ࡁࡓ㸬௒ᚋࡼࡾᙉᅛ࡞᥋╔ࢆᚓࡿࡓࡵ㸪௚ࡢ⾲㠃ฎ⌮ἲࡶ᳨ウࡋ࡚࠸ࡃᚲせࡀ࠶ࡿ࡜⪃࠼ࡿ㸬ϩ㸬 ᪉ἲᮏ◊✲࡛ࡣ㸪CAD/CAMࣞࢪࣥࣈࣟࢵࢡ࡜ࡋ࡚㸪
SHOFU BLOCK HC㸦Shofu㸧㸪GLADIA BLOCK
㸦GC㸧ࢆ⿕╔యA࡜ࡋ㸪UNIFIL CORE EM㸦GC㸧ࢆ ⿕ ╔ య B ࡜ ࡋ ࡓ 㸬 ⮬ ᕫ ᥋ ╔ ᛶ ࢭ ࣓ ࣥ ࢺ ࡣ 㸪 
G-CEM LinkAce 㸦 GC 㸧 㸪 ࣉ ࣛ ࢖ ࣐ ࣮ ࡣ GC
CERAMIC PRIMERϩ㸦GC㸧ࢆ⏝࠸ࡓ㸬⿕╔యAࡣ
101020 mm࡟㸪᥋╔యBࡣȭ6 mm㧗ࡉ2 mm࡟
ᡂᆺࡋࡓࡶࡢࢆ⏝࠸ࡓ㸬᥋╔⾡ᘧࡣ㸪᥋╔యA㸪B
ࢆ#600ࡢ⪏Ỉ◊☻⣬࡟࡚◊☻ࡋ㉸㡢ἼὙίࡢᚋ㸪
50ȣ㹫ࡢ࢔࣑ࣝࢼࢧࣥࢻࣈࣛࢫࢺࢆ⾜ࡗࡓ㸬᥋╔᮲௳ࡣ㸪1)⮬ᕫ᥋╔ᛶࢭ࣓ࣥࢺࡢࡳ㸦LA㸧㸪2)
ࣉࣛ࢖࣐࣮ฎ⌮+⮬ᕫ᥋╔ᛶࢭ࣓ࣥࢺ㸦CP+LA㸧࡜ࡋࡓ㸬37ΥỈ୰࡟࡚24᫬㛫ᾐₕᚋ㸪୓⬟ヨ㦂ᶵ ⮬ᕫ᥋╔ᛶࢭ࣓ࣥࢺࡢ᥋╔ᙉࡉ
㸦AUTOGRAPH AGS-X10kN 㸪Shimadzu㸧࡟ᅽ⦰ࡏࢇ᩿᥋╔ヨ㦂⿦⨨ࢆ⿦╔ࡋ㸪 ᐃࢆ⾜ࡗࡓ㸬ヨ ᩱ ᩘ ࡣ ྛ ᮲ ௳ ࡛ 10 ಶ 㸪 ィ 40 ಶ ࢆ 〇 స ࡋ ࡓ 㸬  ϫ㸬 ᩥ⊩ᚓࡽࢀࡓ್ࡣ㸪஧ඖ㓄⨨ศᩓศᯒࢆ⾜ࡗࡓ㸬ࡲࡓ㸪 1) ึᒸᫀ᠇㸪ᜠ⏣ᗣᖹ㸪ಖᑿㅬ୕࡯࠿㸬᥋╔ᛶ㉮ᰝ㟁Ꮚ㢧ᚤ㙾㸦S-4000㸪Hitachi㸧࡟࡚㸪ࢧࣥࢻࣞࢪࣥࢭ࣓ࣥࢺࡢྛ✀⿕╔㠃࡟ᑐࡍࡿ᥋╔࡟ࣈࣛࢫࢺࢆ⾜ࡗࡓ⿕╔యA㸪࠾ࡼࡧ᥋╔ヨ㦂ᚋࡢ㛵ࡍࡿ◊✲⿕╔యAࡢほᐹࢆ⾜ࡗࡓ㸬2) ᭱ୖΎᏊ㸬CAD/CAM⏝ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥ
࡜᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺ࡜ࡢ᥋╔ᙉࡉ࡟ཬࡰ
ࡍ⾲㠃ฎ⌮ࡢᙳ㡪࡜ࡑࡢ㛗ᮇᏳᐃᛶ− 212 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 23

CAD/CAM⏝ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥ࡟㛵ࡍࡿ◊✲㸫ࣞࢪࣥࢭ࣓ࣥࢺࡢ᥋╔ᙉࡉ࡟ࡘ࠸࡚㸫‫ۑ‬ᒣཱྀ⣫❶㸪ᐑᮏ⦼㍜㸨㸪஧⎼ᬛኴ㑻⚄ዉᕝṑ⛉኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ࢡࣜࢽ࣭࢝ࣝࣂ࢖࣐࢜ࢸࣜ࢔ࣝㅮᗙ*す㛵ᮾᨭ㒊
Study on hybrid resin composites using CAD/CAM㸬
-Bond strength of each resin cement on hybrid resin composite block surface Yamaguchi H, Miyamoto S, Nihei T
Department of Clinical Biomaterials, Graduate School of Dentistry, Kanagawa Dental University
㸨Nishi-Kanto BranchϨ㸬 ┠ⓗ ㏆ᖺ㸪ṑ⛉⏝CAD/CAM㸦ṑ⛉ษ๐ຍᕤ㸧⏝ᮦᩱ࡜ࡋ࡚㸪ࣁ࢖ࣈࣜࢵࢻᆺࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࣈࣟ
ࢵࢡࡀᕷ㈍ࡉࢀ㸪⮫ᗋ࡟࠾ࡅࡿ᭷⏝ᛶࡀ㠀ᖖ࡟ᮇᚅࡉࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪㧗ရ㉁࡟ᆒ㉁໬ࡉ
ࢀࡓࣁ࢖ࣈࣜࢵࢻᆺࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࣈࣟࢵࢡ
ࡣ࣐ࢺࣜࢵࢡࢫࣞࢪࣥࡢ㔜ྜᗘࡀ㧗ࡃ㸪ᚑ᮶ࡢ◳㉁ࣞࢪࣥ࡟ẚ࡭࡚ࣇ࢕࣮ࣛྵ᭷⋡ࡀቑຍࡋ㸪⤖ᯝ࡜ࡋ࡚᥋╔࡟᭷ຠ࡞࣐ࢺࣜࢵࢡࢫࣞࢪࣥࡢ⤯ᑐ㔞ࡀᑡ࡞࠸≧ែ࡛࠶ࡿ㸯㸧㸬 ௒ᅇࡢ◊✲࡛ࡣ㸪᪂つ࡟㛤Ⓨࡉࢀࡓࣁ࢖ࣈࣜࢵ
ࢻᆺࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࣈࣟࢵࢡ࡟ᑐࡍࡿࣞࢪࣥ
ࢭ࣓ࣥࢺࡢỈ୰ಖ⟶ᚋ࡟࠾ࡅࡿ᥋╔ᙉࡉࢆ᳨ウࡋ
ࡓ㸬
ϩ㸬 ᪉ἲ
㸯㸬ᮦᩱ
ᐇ 㦂 ࡟ ౪ ࡋ ࡓ ࣞ ࢪ ࣥ ࣈ ࣟ ࢵ ࢡ ࡣ CERASMART
㸦 CERA 㸪 ࢧ ࢖ ࢬ 㸹 LT14 㸪 ࢩ ࢙ ࣮ ࢻ 㸹 A2 㸪
Lot.No.1402131 㸪 ࢪ ࣮ ࢩ ࣮ ♫ 㸧 㸪 Lava Ultimate
㸦 LU 㸪 ࢧ ࢖ ࢬ 㸹 12 㸪 ࢩ ࢙ ࣮ ࢻ 㸹 HT-A3 㸪
Lot.No.2912A3-HT㸪3M ESPE♫㸧㸪VITA ENAMIC
㸦VE㸪ࢧ࢖ࢬ㸹KaVo ARCTICA⏝㸪ࢩ࢙࣮ࢻ㸹
3M2-HT㸪Lot.No.47630㸪VITA♫㸧ࡢ㸱✀࡜ࡋࡓ㸬᥋╔ࢩࢫࢸ࣒࡜ࡋ࡚ᴗ⪅ᣦᐃ࡟‽ࡌ࡚㸪CERAࡣࢭ࣑ࣛࢵࢡࣉࣛ࢖࣐࣮ϩ㸦Lot.No.1312112㸧࡜ࢪ࣮ࢭ࣒ ࣜ ࣥ ࢡ ࢚࣮ࢫ㸦Lot.No.1402131 㸧㸪LU࡜VE ࡣ
Schotchbond Universal Adhesive㸦Lot.No.544377㸧࡜
Relyx Ultimate㸦Lot.No.540440㸧ࢆ౑⏝ࡋࡓ㸬㸰㸬᪉ἲ ྛࣞࢪࣥࣈࣟࢵࢡࢆཌࡉ3mm࡟ษࡾฟࡋ㸪᥋╔㠃ࢆ#600ࡢ⪏Ỉ◊☻⣬࡟࡚◊☻ࢆ⾜ࡗࡓᚋ㸪30ศ㛫㉸㡢ἼὙίࡋ㸪50Υ࡛10ศ㛫஝⇱ࡋ㸪ᐊ ࡟࡚ಖ⟶ࡋࡓ㸬ྛࣞࢪࣥࣈࣟࢵࢡࡢ᥋╔㠃ࡣ㸪ᴗ⪅ᣦ
ᐃ㏻ࡾ࡟⾲㠃ฎ⌮ࡋ㸪㢼஝ᚋ㸪┤ᚄ3mmࡢ✰ࢆ㛤ࡅࡓཌࡉ60ȣmࡢ࣓ࣥࢹ࢕ࣥࢢࢸ࣮ࣉ㸦Scotch㸧ࢆ㈞ࡾ᥋╔㠃✚ࢆつᐃࡋࡓ㸬ࡑࡢᚋ㸪෇ᰕ≧ࡢࢫࢸࣥ ࣞ ࢫ 〇 ᥋ ╔ Ꮚ ( ┤ ᚄ 5mm 㸪 㧗 ࡉ 10mm 㸪 Tomy
International) ࡢ㔠ᒓ࣓ࢵࢩࣗ㠃࡟ࣞࢪࣥࢭ࣓ࣥࢺ
ࢆ⣙0.05g┒ࡾ㸪ᆶ┤࡟௜ࡁྜࢃࡏ᥋╔ࡋࡓ㸬ྛヨ㦂∦ࡣ37Υ㸪┦ᑐ‵ᗘ100%⎔ቃୗ࡛30ศ㛫ಖ⟶ࡋࡓᚋ㸪ᐊ ࡟1᪥ಖ⟶ࡋࡓ⩌, 37ΥỈ୰࡟14᪥࡜28᪥㛫ಖ⟶ࡋࡓ⩌࡟ศࡅࡓ㸬 ྛಖ⟶ᚋ㸪࣮࢜ࢺࢢࣛࣇ㸦AGS-500, ᓥὠ〇సᡤ㸧ࢆ⏝࠸࡚㸪ࢡࣟࢫ࣊ࢵࢻࢫࣆ࣮ࢻ1mm/min࡛ᘬᙇࡾ᥋╔ヨ㦂ࢆ⾜ࡗࡓ㸬࡞࠾㸪ヨᩱᩘࡣྛ⩌5ಶ࡜ࡋ㸪ᖹᆒ್࡜ᶆ‽⦅ᕪࢆồࡵ㸪⤫ィฎ⌮ࡣ୍ඖ㓄⨨ศᩓศᯒ࠾ࡼࡧከ㔜ẚ㍑᳨ᐃ㸦Tukeyἲ㸧ࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ CERA⩌ࡢỈ୰ಖ⟶ᚋࡢ᥋╔ᙉࡉࡣ㸪ᐊ 1᪥ಖ⟶ᚋ࡜ẚ㍑ࡋ࡚᭷ព࡞పୗࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ
㸦p>0.05㸧㸬LU⩌ࡢỈ୰ಖ⟶28᪥ᚋ࡛ࡣ㸪ᐊ 1᪥࠾ࡼࡧỈ୰14᪥ಖ⟶ᚋ࡜ẚ㍑ࡋ࡚᭷ព࡟ప࠸ᙉࡉ
࡜࡞ࡾ㸦p<0.05㸧㸪Ỉ୰ಖ⟶14᪥ᚋ࡛ࡣCERA⩌ࡢ
14᪥࡞ࡽࡧ࡟28᪥ᚋ࡜ẚ㍑ࡋ࡚᭷ព࡟㧗࠸್࡜࡞ࡗࡓ㸦p<0.05㸧.VE⩌ࡢỈ୰ಖ⟶14᪥࡜28᪥ᚋ࡛ࡣᐊ 1᪥ಖ⟶ᚋ࡜ẚ㍑ࡋ࡚᭷ព࡟ప࠸ᙉࡉ࡜࡞ࡾ
㸦p<0.05㸧㸪ᐊ 㸯᪥ಖ⟶⩌ࡣCERA⩌࡜LU⩌ࡢ඲࡚࡟ᑐࡋ࡚᭷ព࡟㧗࠸ᙉࡉ࡜࡞ࡗࡓ㸦p<0.05㸧㸬ࡲࡓỈ୰14᪥ಖ⟶⩌࡛ࡣCERA⩌ࡢ඲࡚࡜LU⩌ࡢ28᪥ಖ⟶⩌࡜ẚ㍑ࡋ࡚᭷ព࡟㧗ࡃ㸦p<0.05㸧㸪28
᪥ಖ⟶⩌࡛ࡣCERA⩌࡜LU⩌࡜ẚ㍑ࡋ࡚᭷ព࡟㧗࠸ᙉࡉ࡜࡞ࡗࡓ㸦p<0.05㸧㸬 ௒ᅇ㸪ࣁ࢖ࣈࣜࢵࢻᆺࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࣈࣟ
ࢵࢡ࡟ᑐࡍࡿᴗ⪅ᣦᐃ࡟ࡼࡿࣞࢪࣥࢭ࣓ࣥࢺࡢ᥋
╔ᙉࡉࢆ᳨ウࡋࡓ⤖ᯝ㸪ᐊ ᪥ಖ⟶ᚋࡢ᥋╔ᙉࡉࡀ␗࡞ࡾ㸪▷ᮇỈ୰ಖ⟶ᚋ࡟࠾࠸࡚ࡶ⪏Ỉᛶ࡟┦㐪ࡀㄆࡵࡽࢀ㸪ࣞࢪࣥࣈࣟࢵࢡࡢ⤌ᡂ㸪⾲㠃ฎ⌮๣࡛࠶ࡿࢩࣛࣥ࢝ࢵࣉࣜࣥࢢ๣ࡸࣞࢪࣥࢭ࣓ࣥࢺ
ࡢᡂศࡢ㐪࠸࡟ࡼࡾᕪࡀ⏕ࡌࡓ࡜♧၀ࡉࢀࡓ㸬 ௒ᚋࡣ㛗ᮇỈ୰ಖ⟶ᚋࡢ᥋╔ᙉࡉࡸࣞࢪࣥࣈࣟ
ࢵࢡ⮬యࡢ⪏ஂᛶ࡟ࡘ࠸᳨࡚ウࡍࡿணᐃ࡛࠶ࡿ㸬ϫ㸬 ᩥ⊩1) ␭ ⏣ ୍ ὒ 㸬 CAD/CAM ෙ ࡜ ṑ ⛉ ࡟ ࠾ ࡅ ࡿ
CAD/CAM ᢏ ⾡ ࡢ ⌧ ≧ 㸬 ᥋ ╔ ṑ Ꮫ 2014;32:
226-231.

− 213 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 24

᪂つ࣓ࢱࣝࣉࣛ࢖࣐࣮ࡢ㔠ᒓ㸪ࢪࣝࢥࢽ࢔࡟ᑐࡍࡿ
᥋╔ᙉࡉ‫▼ۑ‬ሯ ๰㸪⇃㇂ ▱ᘯᰴᘧ఍♫ࢪ࣮ࢩ࣮ ◊✲ᡤ
Bond strength of metal and zirconia of new metal primer
Ishizuka S, Kumagai T,
GC Corpration, Research and Development dept.

Ϩ㸬 ┠ⓗ 㔠ᒓ᥋╔⏝ࣉࣛ࢖࣐࣮ࡣ๓⿦ෙࣇ࣮࣒ࣞ㸪㔠ᒓᗋ㸪࢖ࣥࣉࣛࣥࢺಟ᚟≀࡞࡝㸪ከࡃࡢ⿵⥛≀࡟ᚲせ୙ྍḞ࡞ᮦᩱ࡛࠶ࡿ㸬ࢪ࣮ࢩ࣮࡛ࡣ㸪㔠ᒓ᥋╔⏝ࣉࣛ࢖࣐࣮࡜ࡋ࡚࣓ࢱࣝࣉࣛ࢖࣐࣮ϩ㸯㸧(௨ୗ㸪MP)ࡀ࠶ࡿࡀ㸪᥋╔ຊ㸪᧯సᛶ࡟ᨵၿࡀᚲせ࡛࠶ࡗࡓ㸬ࡑࡇ࡛㸪㔠ᒓ᥋╔ᛶࣔࣀ࣐࣮࡛࠶ࡿࠕMEPSࠖࢆᨵⰋࡍࡿࡇ࡜࡛᥋╔ຊࢆ㧗ࡵ㸪᭦࡟ࠕMDPࠖࢆ㓄ྜࡍࡿࡇ࡜࡛㸪ࢪࣝࢥࢽ࢔࡟ࡶ㐺⏝ྍ⬟࡞᪂つ࣓ࢱࣝࣉࣛ࢖࣐࣮(௨ୗ㸪MZ)ࢆ㛤Ⓨࡍࡿࡇ࡜࡟ᡂ
ຌࡋࡓ㸬ࡲࡓ㸪⁐๣ࢆMMA࠿ࡽ࢚ࢱࣀ࣮ࣝ࡟ኚ᭦
ࡍࡿࡇ࡜࡛㸪᥹Ⓨ᫬ࡢどㄆᛶࡶᨵၿࡉࢀ࡚࠸ࡿ㸬 ᮏ◊✲࡛ࡣ㸪MZࡢ㔠ᒓཬࡧࢪࣝࢥࢽ࢔࡟ᑐࡍࡿ
᥋╔ᙉࡉࢆ ᐃࡋ㸪ཱྀ⭍ෆ࡟࠾ࡅࡿ㛗ᮇ⪏ஂᛶࡢホ౯ࢆ┠ⓗ࡜ࡍࡿ㸬ϩ㸬 ᪉ἲ ౑⏝ࡍࡿ㔠ᒓ᥋╔⏝ࣉࣛ࢖࣐࣮࡜ࡋ࡚MZ㸪MPࢆ⏝࠸ࡓ㸬ࡲࡓ㸪⿕╔యᮦᩱ䛸䛧䛶䠈䜻䝱䝇䝖䜴䜵䝹12%(䝆䞊䝅䞊䠈௨ୗCW)䠈䜻䝱䝇䝔䜱䞁䜾䝂䞊䝹䝗䝍䜲䝥䊣(䝆䞊䝅䞊䠈௨ୗCG)䠈Aadva Zr(䝆䞊䝅䞊䠈௨ୗZr)䛾3✀㢮䜢⏝䛔䛯䠊㻌 ྛ⿕╔య⾲㠃䛿#1500␒䛷◊☻䛧䛯ᚋ䠈㉸㡢ἼὙί䜢⾜䛳䛯䠊⿕╔య䛾◊☻㠃䛻ྛ䝥䝷䜲䝬䞊䜢୍ᒙሬᕸ䛧䠈஝⇱ᚋ䠈䃥3.0mm䠈ཌ䛥0.1mm䛾䝔䝣䝻䞁䝔䞊䝥䜢㈞௜䛧䛯䠊JIS T6611䛻ᚑ䛔䠈ᘬᙇヨ㦂⏝䛾䝇䝔䞁䝺䝇䝻䝑䝗(䃥10mm)䜢⏝ព䛧䠈⦎࿴䛧䛯䝸䞁䜽䝬䝑䜽䝇䠄䝆䞊䝅䞊䠅䜢䝇䝔䞁䝺䝇䝻䝑䝗䛾᥋╔㠃䛻┒䜚䠈⿕╔య䛻ᅽ᥋䛧䛯䠊స〇ᚋ䛾ヨ㦂య䛿䠈37䉝Ỉ୰䛻24᫬㛫ᾐₕ䛥䛫䛯ᚋ䠈༙ศ䛿䜸䞊䝖䜾䝷䝣(1.0mm/min)䛻䛶ᘬᙇヨ㦂䜢⾜䛔䠈ṧ䜚䛾༙ศ䛿䝃䞊䝬䝹䝃䜲䜽䝹ᚋ(5䠉55䉝䠈
ྛ30⛊䠈5000ᅇ)࡟ྠᵝ࡟ᘬᙇヨ㦂ࢆ⾜ࡗࡓ(N=5)㸬
Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᅗ1࡟♧ࡋࡓ㏻ࡾ㸪ࢧ࣮࣐ࣝࢧ࢖ࢡࣝ๓ࡢMZࡢ᥋╔ᙉࡉࡣCW㸪CG㸪Zrࡢ࠸ࡎࢀࡢ⿕╔యࢆ⏝࠸࡚ࡶ㸪MP࡟ẚ࡭࡚㧗࠸್ࢆ♧ࡋࡓ㸬ࡲࡓ㸪ᅗ2࡟♧ࡋࡓ㏻ࡾ㸪ࢧ࣮࣐ࣝࢧ࢖ࢡࣝᚋࡢMZࡢ᥋╔ᙉࡉࡶ㸪ྛ⿕╔యࡑࢀࡒࢀMP࡟ẚ࡭࡚㧗࠸್ࢆ♧ࡋࡓ㸬᭦࡟㸪ᅗ㸯㸪ᅗ2ࡢ⤖ᯝ࠿ࡽ㸪MZࢆ⏝࠸ࡓሙྜ㸪ࢧ࣮࣐ࣝࢧ࢖ࢡࣝ๓ᚋ࡛ྛ⿕╔యࡢ᥋╔ᙉࡉࡣ኱ࡁࡃኚ໬ࡋ࡚࠸࡞࠸ࡀ㸪MPࢆ⏝࠸ࡓሙྜ㸪ࢧ࣮࣐ᅗ 1㸬᥋╔ᙉࡉ ࢧ࣮࣐ࣝࢧ࢖ࢡࣝ๓

ᅗ 2㸬᥋╔ᙉࡉ ࢧ࣮࣐ࣝࢧ࢖ࢡࣝ 5000 ᅇᚋࣝࢧ࢖ࢡࣝ๓ᚋ࡛CW㸪CGࡢ᥋╔ᙉࡉ࡟኱ᖜ࡞ῶᑡࡀぢࡽࢀࡓ㸬 ௨ୖࡢ⤖ᯝࡼࡾ㸪௒ᅇ᪂ࡓ࡟㛤ⓎࡋࡓMZࡣ᪤Ꮡ〇ရMP࡜ẚ࡭࡚㐶࠿࡟㧗࠸᥋╔⬟ຊࢆ᭷ࡍࡿࡇ࡜
ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬᥋╔㠃㸡1500㸪ࢧ࣮࣐ࣝࢧ࢖
ࢡࣝ5000ᅇᚋ㸪࡜࠸࠺㠀ᖖ࡟㐣㓞࡞᮲௳࡛ࡶMZࡣྛ⿕╔య࡟ᑐࡋ࡚30MPa௨ୖࡢ㧗࠸᥋╔ᙉࡉࢆ♧ࡋࡓ㸬ࡇࢀࡣ㸪MZ࡜ྛ⿕╔యࡀ໬Ꮫⓗ࡟ᙉᅛ࡟᥋
╔ࡋ࡚࠸ࡿࡇ࡜ࢆ♧၀ࡋ࡚࠾ࡾ㸪⮫ᗋୖ࡟࠾࠸࡚
ࡶ㸪ཱྀ⭍ෆࡢᵝ࡞㐣㓞࡞᮲௳࡟༑ศ⪏࠼ࡿࡇ࡜ࡀ
࡛ࡁࡿ࡜⪃࠼ࡽࢀࡿ㸬ϫ㸬ᩥ⊩㸯㸧ᗄᓥဴ௓㸪బஂ㛫ᚭ㑻㸹㔠ᒓ᥋╔ᛶࣉࣛ࢖࣐
࣮͆ࢩ࣮ࢪ࣮࣓ࢱࣝࣉࣛ࢖࣐࣮͇ࡢ᥋╔≉ᛶ࡟ࡘ࠸࡚㸹᥋╔ṑᏛ㸹1993㸹11㸹117-118− 214 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 25ࢭ࣑ࣛࢵࢡࢫࡢ⾲㠃ᛶ≧ࡀᑐྜᮦᩱࡢᦶ⪖࡟࠾ࡼࡰࡍᙳ㡪‫ۑ‬ᑠἨᐶᜤ*㸪**㸪బ఑ ಟ*㸪㉥⃝ఙ㝯*㸪ᖹሙᬕᩯ*㸪ᒸᓮᬛୡ*㸪㔠Ꮚ⾜ኵ*㸪ሷ㔝ⱥ᫛*㸪Ώ㒊ᝆ௓*㸪▼஭㝯ဢ***㸪ᯇᮧⱥ㞝*㸪***᪥ᮏ኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨Ϫㅮᗙ㸪**᪥ᮏ኱ᏛṑᏛ㒊⥲ྜṑᏛ◊✲ᡤ㧗ᗘඛ➃་⒪◊✲㒊㛛㸪***㡰ኳᇽ኱Ꮫ་Ꮫ㒊㝃ᒓ㡰ኳᇽᮾிỤᮾ㧗㱋⪅་⒪ࢭࣥࢱ࣮
Influence of surface textures on the wear of ceramics
Koizumi H*㸪**㸪Saiki O*㸪Akazawa N*㸪Hiraba H*㸪Okazaki T*㸪Kaneko Y*㸪Shiono H*㸪Watanabe
Y*㸪Ishii T***㸪Matsumura H*㸪***Department of Fixed Prosthodontics㸪Nihon University School of Dentistry㸪**Division of Advanced
Dental Treatment, Dental Research Center㸪Nihon University School of Dentistry㸪***Juntendo Tokyo Koto
Geriatric Medical Center㸪Juntendo University School of MedicineϨ㸬 ┠ⓗ ࢭ࣑ࣛࢵࢡᮦᩱࡣ㸪ඃࢀࡓᑂ⨾ᛶ࡜⏕యぶ࿴ᛶࢆ᭷ࡋ࡚࠾ࡾ㸪ṑෙಟ᚟ᮦᩱ࡜ࡋ࡚౑⏝ࡉࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ㸪ࢭ࣑ࣛࢵࢡᮦᩱࢆ౑⏝ࡋࡓ⿵⥛⿦⨨ࡣᶵᲔⓗᙉᗘࡀ㧗࠸ࡓࡵ㸪ᦶ⪖࡟ཬࡰࡍᙳ㡪ࡀᠱᛕࡉࢀ࡚࠸ࡿ㸬 ㏆ᖺ㸪ྛ✀ࢭ࣑ࣛࢵࢡᮦᩱࡢ⾲㠃ᛶ≧ࡢ㐪࠸ࡀ㸪ᑐྜᮦᩱࡢᦶ⪖࡟ᙳ㡪ࢆཬࡰࡍࡇ࡜ࡀ᫂ࡽ࠿࡟࡞
ࡗ࡚ࡁ࡚࠸ࡿ1,2)㸬ࡋ࠿ࡋ㸪ࢭ࣑ࣛࢵࢡᮦᩱࡢ⾲㠃ࡢ௙ୖࡆ࡟ࡣ㸪◊☻࡟ࡼࡿ᪉ἲ࡜ࢢ࣮ࣞࢪࣥࢢ
㸦Ⰿ↝ࡁ㸧ࡀᣲࡆࡽࢀ㸪ࡑࡢ㐪࠸ࡀᦶ⪖࡟ཬࡰࡍᙳ㡪࡟ࡘ࠸࡚ࡣ୙᫂࡞Ⅼࡀከ࠸㸬ᮏ◊✲ࡣ㸪ࢭ࣑ࣛࢵࢡࢫࡢ⾲㠃ᛶ≧ࡀ㸪ᑐྜᮦᩱࡢᦶ⪖࡟ཬࡰࡍᙳ㡪࡟ࡘ࠸࡚᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ ᦶ⪖ヨ㦂ࡣ㸪⾲㠃ᛶ≧ࡢ␗࡞ࡿࢭ࣑ࣛࢵࢡᖹᯈ
࡜┤ᚄ2.0 mmࡢ⌫≧ᑐྜヨᩱࢆ⏝࠸࡚⾜ࡗࡓ㸬ࢭ࣑ࣛࢵࢡᖹᯈ࡟ࡣ㸪ࢪࣝࢥࢽ࢔㸦࢝ࢱࢼ KT 10㸧㸪↝௜⏝㝡ᮦ㸦EX-3 nA1B㸧㸪஧ࢣ࢖㓟ࣜࢳ࣒࢘࢞
ࣛࢫࢭ࣑ࣛࢵࢡࢫ㸦e.max CAD MO1/C14㸧ࢆ⏝࠸㸪⌫≧ᑐྜヨᩱ࡟ࡣ㸪ྠࡌࡃ஧ࢣ࢖㓟ࣜࢳ࣒࢘࢞ࣛ
ࢫࢭ࣑ࣛࢵࢡࢫࢆ⏝࠸ࡓ㸬ࢭ࣑ࣛࢵࢡᖹᯈࡢ⾲㠃ᛶ≧ࡣ㸪ညྜㄪᩚᚋࢆ᝿ᐃࡋࡓ⢒㠃࡜㙾㠃◊☻㠃㸦◊☻㠃㸧࡜つᐃࡋࡓ㸬⌫≧ᑐྜヨᩱࡣ㸪⌫≧ཎ
ᆺ࡟ࡣ2.0 mmࡢPMMA⌫ࢆ⏝࠸㸪ཎᆺࢆᑓ⏝ᇙἐᮦ㸦IPS Pressvest㸧ࢆ⏝࠸࡚ᇙἐࡋ㸪〇㐀⪅ᣦ♧࡟ᚑࡗ࡚ຍᅽᡂᙧࡋࡓ㸬⌫≧ᑐྜヨᩱࡢ⾲㠃ᛶ≧ࡣ㸪᭱⤊⾲㠃௙ୖࡆࢆ᝿ᐃࡋ㸪◊☻㠃࠾ࡼࡧࢢ࣮ࣞࢬ
ᮦ㸦IPS e.max Ceram Glaze Paste FLUO㸧ࢆ⏝࠸࡚ࢢ࣮ࣞࢬฎ⌮ࢆ⾜ࡗࡓ㠃㸦ࢢ࣮ࣞࢬ㠃㸧࡟つᐃࡋࡓ㸬ᦶ⪖ヨ㦂ࡣ㸪ࢫ࣮ࣛࣜ࡜ࡋ࡚PMMA⌫≧࣏࣐࣮ࣜ࠾ࡼࡧࢢࣜࢭࣜࣥࢆ౑⏝ࡋ㸪ࢭ࣑ࣛࢵࢡᖹᯈ
ୖ࡟⌫≧ᑐྜヨᩱࢆⲴ㔜ᅽ5.9 N㸪ࢫࢺ࣮ࣟࢡᖜ3.0mm㸪⧞㏉ࡋ㏿ᗘ1 Hzࡢ᮲௳ୗ࡛⁥㉮ࡉࡏ㸪ࢫࢺࣟ
࣮ࢡᅇᩘ5,000ᅇࡲ࡛⾜ࡗࡓ 3) 㸬⌫≧ᑐྜヨᩱࡢᦆኻ㧗ࡉࢆᦶ⪖㔞࡜ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᦶ⪖㔞ࡣ㸪⌫≧ᑐྜヨᩱࢢ࣮ࣞࢬ㠃࡟ᑐࡋ࡚㸪ࢪࣝࢥࢽ࢔㸪↝௜⏝㝡ᮦ㸪஧ࢣ࢖㓟ࣜࢳ࣒࢘࢞ࣛ
ࢫࢭ࣑ࣛࢵࢡᖹᯈ⢒㠃ࡢ᮲௳ࡀ㸪ࡑࢀࡒࢀ42.0 μm㸪
27.2 μm㸪24.4 μmࡢ್ࢆ♧ࡋ㸪ࢭ࣑ࣛࢵࢡࢫᖹᯈ
◊☻㠃ࡢ᮲௳ࡀ㸪ࡑࢀࡒࢀ7.9 μm11.6 μm11.2μmࡢ್ࢆ♧ࡋࡓ㸬⌫≧ᑐྜヨᩱ◊☻㠃࡟ᑐࡋ࡚ࡣ㸪ࢪࣝࢥࢽ࢔㸪↝௜⏝㝡ᮦ㸪஧ࢣ࢖㓟ࣜࢳ࣒࢘࢞ࣛࢫࢭ࣑ࣛࢵࢡ
ᖹᯈ⢒㠃ࡢ᮲௳ࡀ㸪ࡑࢀࡒࢀ20.7 μm㸪23.9 μm㸪
19.5 μmࡢ್ࢆ♧ࡋ㸪ࢭ࣑ࣛࢵࢡᖹᯈ◊☻㠃ࡢ᮲௳ࡀ㸪ࡑࢀࡒࢀ6.1 μm8.5 μm8.3 μmࡢ್ࢆ♧ࡋࡓ㸬 ௒ᅇࡢ⤖ᯝ࠿ࡽ㸪⌫≧ᑐྜヨᩱࡢᦶ⪖㔞ࡣ㸪ࢢ࣮ࣞࢬฎ⌮ࢆ⾜ࡗࡓ᮲௳ࡀ㧗࠸್ࢆ♧ࡋࡓ㸬ࡇࡢࡇ࡜࠿ࡽ㸪ࢢ࣮ࣞࢬ㠃ࡀᦶ⪖࡟ࡼࡾ๤㞳ࡉࢀ࡚࠸ࡿࡇ࡜ࡀ⪃࠼ࡽࢀࡿ㸬ࡲࡓྛ✀ࢭ࣑ࣛࢵࢡᮦᩱᖹ
ᯈ⢒㠃ࡢ᮲௳࡟࠾࠸࡚ࡣ㸪࡜ࡶ࡟㧗࠸ᦶ⪖㔞ࢆ♧ࡋࡓࡇ࡜࠿ࡽ㸪⿵⥛⿦⨨ࡢᦶ⪖ࢆ㜵ࡄࡓࡵ࡟㸪௙ୖࡆ◊☻ࡢ㔜せᛶࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬ϫ㸬 ᩥ⊩1) Albashaireh ZS, Ghazal M, Kern M. Two-bodywear of different ceramic materials opposed tozirconia ceramic. J Prosthet Dent 2010; 104(2):105-113.
2) Saiki O, Koizumi H, Nogawa H, Hiraba H,
Akazawa N, Matsumura H. Influence of surface
texture on the wear of gold alloy and heat-pressedceramics. Dent Mater J 2014; 33(6): 865-873.
3) Hirata M, Koizumi H, Tanoue N, Ogino,
Murakami M, Matsumura H. Influence oflaboratory light sources on the wear
characteristics of indirect composites. Dent Mater
J 2011; 30(2): 127-135.

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 26᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺࡢ≀ᛶࡀCAD/CAMෙࣞࢪࣥࣈࣟࢵࢡ
࡟ཬࡰࡍᙳ㡪
‫ۑ‬௒஭ၨᩥ㸪ᅵᕝ┈ྖ㸪㕥ᮌྖ㑻*ࢧ࣓ࣥࢹ࢕࢝ࣝᰴᘧ఍♫ ◊✲㛤Ⓨ㒊*࢔ࣛࣂ࣐኱Ꮫࣂ࣮࣑ࣥࢢࣁ࣒ᰯṑᏛ㒊⿵⥛ᏛㅮᗙThe influence of properties of the resin cement for CAD/CAM resin block
Imai H㸪Tsuchikawa M㸪Suzuki S*
Sun Medical Co.,LTD Research Department*University of Alabama at BirminghamϨ㸬 ┠ⓗ ᖹᡂ26ᖺᗘࡢデ⒪ሗ㓘ᨵᐃ࡟ࡼࡾ㸪ᑠ⮻ṑ㝈ᐃ࡛ࡣ࠶ࡿࡀ᪂ࡓ࡟CAD/CAM⏝ࣞࢪࣥࣈࣟࢵࢡࡀಖ
㝤㐺⏝࡜࡞ࡾ㸪㧗ᙉᗘ࣭㧗⪏ஂᛶࡢࣞࢪࣥࣈࣟࢵ
ࢡࡀྛ♫࠿ࡽⓎ኎ࡉࢀ㸪⮫ᗋ࡟ᛂ⏝ࡉࢀ࡚ࡁ࡚࠸
ࡿ㸬ᮏᮦ࡟ᑐࡍࡿ᥋╔ᛶ࡟ࡘ࠸࡚ࡣᵝࠎ◊✲ࡀ࡞ࡉࢀ࡚ࡁ࡚࠸ࡿࡀ㸪ࣞࢪࣥࢭ࣓ࣥࢺࡢ≀ᛶࡀ⿵⥛≀࡟୚࠼ࡿᙳ㡪࡟ࡘ࠸࡚ࡢሗ࿌ࡣ㸪ࡲࡔࡲࡔᑡ࡞
࠸㸬ࡑࡇ࡛ᮏ◊✲ࡣ㸪ࣇ࢕࣮ࣛධࡾ᥋╔ᛶࣞࢪࣥࢭ
࣓ࣥࢺཬࡧࣇ࢕࣮ࣛ↓ࡋࡢ᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺ
ࡢ≀ᛶࡀCAD/CAMෙࣞࢪࣥࣈࣟࢵࢡ࡟୚࠼ࡿᙳ㡪࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ϩ㸬 ᪉ἲ 1㸬ᮦᩱ ᮏᐇ㦂࡟㸪ࣞࢪࣥࣈࣟࢵࢡࡣKZR-CAD HR(ࢧ࢖ࢬ㸹L㸪ࢩ࢙࣮ࢻ㸹A2㸪ᒣᮏ㈗㔠ᒓᆅ㔠ᰴᘧ఍♫〇)ࢆ⏝࠸㸪᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺࡣ㸪ࣇ࢕࣮ࣛධ
ࡾࣞࢪࣥࢭ࣓ࣥࢺ࡜ࡋ࡚SE Cure(ࢧ࣓ࣥࢹ࢕࢝ࣝ♫〇 ௨ୗSE)㸪ࣇ࢕࣮ࣛ↓ࡋࣞࢪࣥࢭ࣓ࣥࢺ࡜ࡋ
࡚4-META/MMA/TBBࣞࢪࣥ(ࢧ࣓ࣥࢹ࢕࢝ࣝ♫〇௨ୗSB)ࡢ2✀ࢆ౑⏝ࡋࡓ㸬 2㸬᪉ἲ ࣞࢪࣥࣈࣟࢵࢡࢆཌࡉ1.3mm㸪┤ᚄ13mmࡢࢹ࢕ࢫ≧࡟๐ࡾฟࡋ㸪ࢥࣥࢺ࣮ࣟࣝ࡜ࡋࡓ㸬ࣞࢪࣥࢭ࣓ࣥࢺࢆ⿬⿦ࡍࡿヨ㦂య࡟࠾࠸࡚ࡣ㸪ࣞࢪࣥࣈࣟ
ࢵࢡࢆཌࡉ1.1mm㸪┤ᚄ13mmࡢࢹ࢕ࢫࢡ≧࡟࡞ࡿࡼ࠺๐ࡾฟࡋࠊ᥋╔㠃ࢆ#600ࡢ⪏Ỉ◊☻⣬࡟࡚ㄪᩚࡋࡓᚋ㸪10ศ㛫㉸㡢ἼὙίࢆ⾜࠸㸪ᐊ ࡟࡚ಖ⟶ࡋࡓ㸬ᚓࡽࢀࡓヨ㦂యࢆࣞࢪࣥᒙࡀ0.2mm࡟࡞
ࡿࡼ࠺ㄪᩚࡋࡓࢸࣇ࣮ࣟࣥࣔࣝࢻ࡟཰ࡵ㸪PZࣉࣛ
࢖࣐࣮(ࢧ࣓ࣥࢹ࢕࢝ࣝ♫〇)ࢆሬᕸ࣭஝⇱ᚋ㸪ྛࣞࢪࣥࢭ࣓ࣥࢺࢆሸධࡋ㸪ྲྀᢅㄝ᫂᭩㏻ࡾ㸪◳໬ࡉࡏࡓ㸬 ◳໬ࡉࡏࡓヨ㦂యࢆ37ΥỈ୰࡟24᫬㛫ಖ⟶ᚋ㸪୓⬟ヨ㦂ᶵ(࣮࢜ࢺࢢࣛࣇAG-IS ᓥὠ♫〇)ࢆ⏝࠸࡚㸪ࢡࣟࢫ࣊ࢵࢻࢫࣆ࣮ࢻ1.0mm/min࡛2㍈᭤ࡆヨ㦂ࢆ⾜ࡗࡓ㸬2㍈᭤ࡆヨ㦂࡟ࡘ࠸࡚ࡣ㸪࠸ࡃࡘ࠿ሗ

࿌ࡀ࡞ࡉࢀ࡚࠸ࡿࡀ1)㸪2)㸪௒ᅇࡣJIS T6526 ṑ⛉⏝ࢭ࣑ࣛࢵࢡᮦᩱࡢ᪉ἲ࡟‽ࡌ࡚ᐇ᪋ࡋࡓ㸬ᚓࡽࢀࡓ⤖ᯝࡣ㸪one-way ANOVAཬࡧከ㔜ẚ㍑࡜ࡋ࡚
Tukeyἲࢆ⏝࠸࡚᭷ពỈ‽5%࡛⤫ィฎ⌮ࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ 2㍈᭤ࡆᙉࡉࡢ⤖ᯝࢆᅗ1࡟♧ࡍ㸬ࣞࢪࣥࣈࣟࢵࢡ༢⊂࡛254MPa㸪ࣞࢪࣥࣈࣟࢵࢡ
࡜SEࡢ⤌ࡳྜࢃࡏ࡛152MPa㸪ࣞࢪࣥࣈࣟࢵࢡ࡜
SBࡢ⤌ࡳྜࢃࡏ࡛230MPaࢆ♧ࡋࡓ㸬ࣞࢪࣥࣈࣟࢵ
ࢡ༢⊂ཬࡧSBࡢ㛫࡛᭷ព࡞ᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ
ࡀ㸪༢⊂ཬࡧSB࡜SE㛫࡛᭷ព࡞ᕪࡀㄆࡵࡽࢀࡓ
(P<0.05)㸬
 ࣇ࢕࣮ࣛධࡾࡢSE⤌ࡳྜࢃࡏࣈࣟࢵࢡࡼࡾࡶࣇ
࢕࣮ࣛ↓ࡋࡢSB⤌ࡳྜࢃࡏࣈࣟࢵࢡࡢ᪉ࡀ᭤ࡆᙉ
ࡉࡣ㧗࠸್ࢆ♧ࡋࡓࡇ࡜࠿ࡽ㸪ࢭ࣓ࣥࢺࡢ≀ᛶࡀࣞࢪࣥࣈࣟࢵࢡࡢ᭤ࡆᙉࡉ࡟ᙳ㡪ࢆ୚࠼ࡓࡇ࡜ࡀ
⪃࠼ࡽࡿ㸬
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ᅗ1㸬2㍈᭤ࡆᙉࡉ⤖ᯝϫ㸬 ᩥ⊩1) ௒すᗣᙪ㸪Ἑ⏣ⱥྖ㸪ᑠ⏣㇏㸬✚ᒙࢥ࣏ࣥࢪ
ࢵࢺࣞࢪࣥࡢ2㍈᭤ࡆᙉࡉ࡟ཬࡰࡍཌࡳẚࡢᙳ㡪㸬ṑ⛉ᮦᩱ࣭ჾᲔ 2007 ; 26 : 50-57
2) Rosenstiel SF㸪 Gupta PK㸪 Van der Sluys RA㸪
Zimmerman MH㸬 Strength of a dental glassceramic after surface coating㸬Dent Mater 1993 ;9: 274-279.

− 216 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 27ྛ✀ᕷ㈍๓ฎ⌮ᮦࡢ᥋╔ᙉࡉ࡟㛵ࡍࡿ◊✲㸦➨ 2ሗ㸧㸫ࣞࢪࣥࣈࣟࢵࢡ࡟ᑐࡍࡿᙉࡉ㸫‫ۑ‬ᑠᯘᘯ᫂㸪኱㔝᫭ᩍ㸪ᒣཱྀ⣫❶*㸪஧⎼ᬛኴ㑻*㸪ᮌᮏඞᙪ
⚄ዉᕝṑ⛉኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ ࿪ᄮᶵ⬟ไᚚ⿵⥛Ꮫㅮᗙ*ࢡࣜࢽ࣭࢝ࣝࣂ࢖࣐࢜ࢸࣜ࢔ࣝㅮ
ᗙ
A study on adhesion of various pretreatment agents (Part 2)
Kobayashi H, Ohno A, Yamaguchi H*, Nihei T*, Kimoto K
Dept. of Prosthodontics & Oral Rehabilitation, Graduate School of Dentistry, Kanagawa Dental University㸪* Dept. of Clinical Biomaterials, Graduate School of Dentistry, Kanagawa Dental UniversityϨ㸬 ┠ⓗ ⌧ᅾࡢ⮫ᗋ࡟࠾࠸࡚㸪ᝈ⪅ࡢᑂ⨾ⓗせồࡢ㧗ࡲࡾࡸ㸪CAD/CAM ࡢᬑཬ1)࡞࡝࡟ࡼࡾ㸪ᚑ᮶ࡢ㔠ᒓᮦᩱ࡟ຍ࠼㸪ࢭ࣑ࣛࢵࢡࢫ㸪ࢪࣝࢥࢽ࢔㸪ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈࣟࢵࢡ࡞࡝ᵝࠎ࡞ᮦᩱࢆᢅ࠺㢖ᗘࡀቑຍࡋ࡚࠸ࡿ㸬ࡑࡇ࡛✀ࠎ࡞ᮦᩱ࡟ᑐࡋ⡆౽࡟⾲㠃ฎ⌮ࡀ⾜࠼ࡿ࣐ࣝࢳࣉࣛ࢖࣐࣮ࡀྛ♫࠿ࡽ㈍኎ࡉࢀ࡚࠸ࡿࡀ㸪㛗ᮇಖ⟶ᚋࡢࢹ࣮ࢱ࣮ࡣ♧ࡉࢀ࡚࠾ࡽࡎ㸪⮫ᗋ࡛౑⏝ࡋࡓሙྜࡢಙ㢗ᛶ࡟ࡘ࠸࡚
␲ၥࡀṧࡿ㸬➨123ᅇᮏᏛ఍࡟࠾࠸࡚㸪࣐ࣝࢳࣉࣛ
࢖࣐࣮࡟ࡼࡿฎ⌮࢞ࣛࢫ㠃࡟ᑐࡍࡿࢥ࣏ࣥࢪࢵࢺ
ࣞࢪࣥࡢ᥋╔ᙉࡉࡣ࣐ࣝࢳࣉࣛ࢖࣐࣮࡟ࡼࡾ᥋╔⪏Ỉᛶࡢ㐪࠸ࡀㄆࡵࡽࢀࡓࡇ࡜ࢆሗ࿌ࡋࡓ㸬 ௒ᅇࡣ㸪⿕╔యࢆ CAD/CAM ⏝ࣁ࢖ࣈࣜࢵࢻࣞ
ࢪࣥ࡜ࡋࡓ᫬ࡢ࣐ࣝࢳࣉࣛ࢖࣐࣮ฎ⌮࡟ᑐࡍࡿ᥋
╔ᙉࡉ࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ϩ㸬 ᪉ἲ
1. ๓ฎ⌮๣ ᐇ㦂࡟౪ࡋࡓ࣐ࣝࢳࣉࣛ࢖࣐࣮ࡣ㸪ࣘࢽࣂ࣮ࢧ
ࣝࣉࣛ࢖࣐࣮㸦TUP;ࢺࢡ࣐ࣖ㸪Lot.0290Y3㸧㸪ࣔࣀ࣎ࣥࢻࣉࣛࢫ㸦MBP;࢖࣎ࢡࣛ㸪Lot.S22510㸧ࡢ
2 ✀࡜ࡋ㸪ẚ㍑ᑐ↷࡜ࡋ࡚ GC ࢭ࣑ࣛࢵࢡࣉࣛ࢖
࣐࣮㸦GCP㸹ࢪ࣮ࢩ࣮㸪Lot.13202㸧ࢆ⏝࠸ࡓ㸬
2. ᥋╔᪉ἲ ⿕╔య࡜ࡋ࡚㸪CAD/CAM ⏝ࣁ࢖ࣈࣜࢵࢻࣞࢪ
ࣥࣈࣟࢵࢡ㸦ᯇ㢼㸹HC OC/M;Lot.031401㸧ࢆ࢔࢖ࢯ࣓ࢯࢵࢺ࡟࡚ᯈ≧㸦14123ੈ㸧࡟ษ᩿ࡋ㸪⿕╔యࢆ 0.4MPa㸪10 ⛊㛫ࢧࣥࢻࣈࣛࢫࢺฎ⌮ࡋࡓࡶࡢࢆᐇ㦂࡟౪ࡋࡓ㸬Ὑί࠾ࡼࡧ஝⇱ᚋ㸪࣐ࣝࢳࣉࣛ࢖࣐࣮ࢆᴗ⪅ᣦ♧㏻ࡾ࡟࣐࢖ࢡࣟࣈࣛࢩ࡟࡚
ࣞࢪࣥࣈࣟࢵࢡ⾲㠃࡟୍ᒙሬᕸࡋ㸪᥋╔㠃✚ࢆつᐃࡍࡓࡵ┤ᚄ 3ੈ ࡢ✰ࡢ㛤࠸ࡓ࣓ࣥࢹ࢕ࣥࢢࢸ࣮
ࣉ㸦3M㸧ࢆฎ⌮㠃࡟㈞௜ࡋࡓ㸬ࡑࡢᚋ㸪ࢡࣜ࢔ࣇ
࢕ࣝFϩ㸦ࢡࣛࣞࣀࣜࢱࢣ㸧ࢆ⏝࠸㸪┤ᚄ 5 ੈࡢࢫࢸࣥࣞࢫ᥋╔Ꮚ࡟ሬᕸࡋ㸪ᡭᅽ࡟࡚᥋╔ࡋࡓ㸬ಖ⟶ᮇ㛫ࡣ㸪ᐊ ኱Ẽ୰ 1 ᪥ಖ⟶㸪37Υ ⵨␃Ỉ୰7᪥㛫ಖ⟶㸪5Υ ࡜ 55Υ ࡢᾎᵴ࡟ྛ 40 ⛊㛫ࢆ10000 ᅇᾐₕࡉࡏࡿࢧ࣮࣐ࣝࢧ࢖ࢡࣝಖ⟶࡜ࡋࡓ㸬࡞࠾㸪ྛ⩌ࡢヨᩱᩘࡣ 5 ಶ࡜ࡋࡓ㸬
3.ᘬᙇ᥋╔ヨ㦂 ྛಖᚋ㸪ᑠᆺ༟ୖヨ㦂ᶵ EZ Test㸦EZѸSࠊᓥὠ㸧ࢆ⏝࠸࡚㸪ࢡࣟࢫ࣊ࢵࢻࢫࣆ࣮ࢻ1ੈ/min࡛ᘬᙇ᥋╔ヨ㦂ࢆ⾜ࡗࡓ㸬4.⤫ィฎ⌮ ᐇ㦂࡟ࡼࡗ࡚ᚓࡽࢀࡓ್ࡣᖹᆒ್࡜ᶆ‽೫ᕪࢆồࡵ㸪୍ඖ㓄⨨ศᯒ࠾ࡼࡧ Tukey HSD test ࡟ࡼࡿከ㔜ẚ㍑᳨ᐃࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ኱Ẽ୰ 1 ᪥ಖ⟶ᚋ࠾ࡼࡧỈ୰ 7 ᪥ಖ⟶ᚋࡣ㸪ྛ㒆࡟᭷ព࡞ᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࡀ㸪ࢧ࣮࣐ࣝࢧ࢖ࢡࣝᚋࡣ GCP ࡜ MBP ࡛ࡍ࡭࡚ࡢヨᩱࡀಖ⟶୰࡟᥋╔Ꮚࡢ⬺㞳ࡀ⏕ࡌ ᐃ୙⬟࡛࠶ࡗࡓ㸬
TUP ࡢࢧ࣮࣐ࣝࢧ࢖ࢡࣝᚋࡣ㸪Ỉ୰ 7 ᪥ಖ⟶⩌࡜ẚ㍑ࡋ࡚᭷ព࡞పୗࡀࡳࡽࢀࡓ㸦<0.05㸧㸬௒ᅇ⏝࠸ࡓ࣐ࣝࢳࣉࣛ࢖࣐࣮࡛ࡣ㸪ࣁ࢖ࣈࣜࢵࢻࣞ
ࢪࣥࣈࣟࢵࢡ࡟ᑐࡍࡿ㧗࠸⾲㠃ฎ⌮ຠᯝࡣᚓࡽࢀ࡞࠿ࡗࡓ㸬 ௨ୖࡢ⤖ᯝࡼࡾ㸪࣐ࣝࢳࣉࣛ࢖࣐࣮࡛ฎ⌮ࡉࢀࡓࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈࣟࢵࢡ࡟ᑐࡍࡿࢥ࣏ࣥࢪ
ࢵࢺࣞࢪࣥࡢ᥋╔ᛶࡣ㸪Ỉ୰ಖ⟶ᚋ࡛ࡣపୗࡣㄆ
ࡵࡽࢀ࡞࠿ࡗࡓࡀ㸪ࢧ࣮࣐ࣝࢧ࢖ࢡࣝᚋ࡛ࡣึᮇ
ᙉࡉ࡜ẚ㍑ࡋ࡚ⴭ᫂࡞పୗࢆ♧ࡋ㸪ࣉࣛ࢖࣐࣮ࡢ
⤌ᡂࡢ㐪࠸࠿ࡽ᥋╔⪏ஂᛶ࡟ᙳ㡪ࡉࢀࡿ࡜♧၀ࡉࢀࡓ㸬ϫ㸬ᩥ⊩1㸧 Mormann WH, Brandestini M, Lutz F et al. Chairside computer-aided direct ceramic inlays. Quintessence
Int 20: 329-339, 1989.
࠙ㅰ㎡ࠚᮏ◊✲ࡢ୍㒊ࡣ⛉Ꮫ◊✲㈝⿵ຓ㔠ᇶ┙◊
✲㸦C㸧㸦ㄢ㢟␒ྕ25462973㸧࡟ࡼࡾᐇ᪋ࡋࡓ㸬− 217 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 28ࣉࣞࢫࢭ࣑ࣛࢵࢡࢫຍᅽᡂᙧ᫬ࡢᙧែ෌⌧ᛶ‫ۑ‬ⓑᔘ⤮⨾Ꮚ㸪ⓑ஭㯞⾰㸪బ⸨ὒᖹ㸪㭯ᒸ ῟㸪ᯇ஭᭸Ꮚ㸪ᮧ▼⤮㯞㸪ᕝ஭ၿஅ㸪ᮾᲄᩄ᫂㸪኱ஂಖຊᘅ㭯ぢ኱ᏛṑᏛ㒊᭷ᗋ⩏ṑ⿵⥛Ꮫㅮᗙ" ! @ !!! \ "!^ ! "[  ^ [ \ [[  " !  ` >㸪  㸪 }㸪  ` 㸪  㸪  >㸪| } {   { `] "^  \ ^ @][     ! {  ^  @  ! [ \  [  ! Ϩ㸬 ┠ⓗ ࢭ࣑ࣛࢵࢡࢫຍᕤἲࡢࡘ࡛࠶ࡿຍ⇕㌾໬ᅽධἲ࡟ࡼࡾ〇సࡉࢀࡿࢭ࣑ࣛࢵࢡࢫ㸦ࣉࣞࢫࢭ࣑ࣛࢵ
ࢡࢫ㸧ಟ᚟≀ࡣඃࢀࡓᶵᲔⓗᛶ㉁㸪ᑂ⨾ᛶ㸪ᢏᕤ᧯సࡢ⡆౽ᛶࢆేࡏᣢࡕ㸪࣑ࣛࢿ࣮ࢺ࣋ࢽ࢔ࡸ࢜
࣮ࣝࢭ࣑ࣛࢵࢡࢡࣛ࢘ࣥ࡞࡝ྛ✀ṑෙಟ᚟࡬ᛂ⏝ࡉࢀ࡚࠸ࡿ㸬≉࡟࣑ࣛࢿ࣮ࢺ࣋ࢽ࢔ࡢ୰࡛ࡶ㸪㠀ᖖ࡟ⷧࡃᡂᙧຍᕤࡍࡿࡇ࡜࡟ࡼࡾ㸪ᮍᙧᡂ࡛ಟ᚟
ࢆ⾜࠺ࢩࣥ࣋ࢽ࢔ಟ᚟࡬ࡢ㐺ᛂࡶྍ⬟࡜࡞ࡿ㸬 ࡇࢀࡲ࡛ᙜㅮᗙ࡛ࡣࣉࣞࢫࢭ࣑ࣛࢵࢡࢫࡢ㎶⦕෌⌧ᛶ࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗ࡚࠾ࡾ㸪㎶⦕ゅr㸪r㸪'r࡟ᑐࡋ࡚㸪rࡣrࡸ'r࡜ẚ㍑ࡋ
࡚᭷ព࡟෌⌧ᛶࡀຎࡿࡇ࡜ࢆሗ࿌ࡋࡓ㸯㸧㸬ᮏ◊✲࡛ࡣ㸪ࣃࢱ࣮ࣥࡢཌࡳࢆ༑ศ☜ಖ࡛ࡁ࡞࠸⑕౛࡟
ᑐࡋ࡚ࣉࣞࢫࢭ࣑ࣛࢵࢡࢫࢆ⏝࠸ࡓࢩࣥ࣋ࢽ࢔ಟ
᚟ࢆ᝿ᐃࡋ㸪␗࡞ࡗࡓࣃࢱ࣮ࣥࡢཌࡳࡼࡿᙧែࡢ
෌⌧ᛶ࡟㛵ࡋ࡚ᐇ㦂ⓗ᳨ウࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ࣉࣞࢫヨᩱࡣ✀ࡢ࢔ࢡࣜࣝᯈ㸦 ^^{  ^^{ ^^㸧ࢆษ᩿ࡋ㸪ୖ㢡୰ษṑࢆ᝿ᐃࡋࡓ ^^ ^^ࡢⷧᯈ≧࡜ࡋࡓ㸬ࣉࣞࢫࢭ࣑ࣛࢵࢡࢫࡣ
஧ࢣ࢖㓟ࣜࢳ࣒࢘㸦 ^  㸪࢖࣎ࢡ࣮ࣛࣝ
♫㸧࡜㛗▼⣔ࢭ࣑ࣛࢵࢡࢫ㸦  [ { ♫㸧ࢆ㑅ᢥࡋ㸪ྛ᮲௳࡟ࡘࡁヨᩱࢆಶࡎࡘ〇సࡋࡓ㸬ྛࠎࡢ࣓࣮࣮࢝ᣦ♧࡟ᚑ࠸㛗ᚄ࠾ࡼࡧ┤ᚄࢆつᐃࡋࡓࢫࣉ࣮ࣝࢆ᳜❧ᚋ㸪ᑓ⏝ᇙἐᮦࢆ⏝࠸࡚ࣃࢱ࣮ࣥࡢᇙἐ↝ᡂࢆ⾜ࡗࡓ㸬࣓࣮࣮࢝ᣦᐃࡢࣉࣞࢫ
᮲௳࡟࡚ຍᅽᡂᙧᚋ㸪᥀ࡾฟࡋࢆ⾜ࡗࡓ㸬〇సࡋࡓࣉࣞࢫయࢆගᏛ࣓࢝ࣛ࡟࡚᧜ᙳ㸪ᚓࡽࢀࡓ஧ḟඖࢹ࣮ࢱࢆࡶ࡜࡟⏬ീゎᯒࢯࣇࢺ㸦^㸧ࢆ⏝࠸࡚ࣉࣞࢫయࡢ㠃✚ィ ࢆ⾜࠸㸪ࣃࢱ࣮ࣥࡢ㠃✚ࢆ⌮ㄽ್࡜ࡋ࡚ྛヨᩱࡢᡂᙧ⋡ࢆ⟬ฟࡋࡓ㸬⟬ฟࡉࢀࡓࢹ࣮ࢱࡣ஧ඖ㓄⨨ศᩓศᯒᚋ㸪ྛᮦᩱ㛫࡛`ࡢከ㔜ẚ㍑ࢆ⾜࠸㸪ཌࡉᅉᏊࡣ᳨ᐃࢆ⾜ࡗࡓ㸬඲࡚ࡢ⤫ィⓗ᭷ពỈ‽ࡣ㸣ᮍ‶࡜ࡋࡓ㸬ཌࡉ ^^ ࡛ࡣ'࡜᭷ព࡟ຎࡿᡂᙧ⋡࡛࠶ࡗࡓ㸦㸧㸬^࡟࠾࠸࡚ࡣࣃࢱ࣮ࣥ඲࡚ࡢ
ཌࡉ᮲௳࡟࠾࠸࡚㸪࡯ࡰ㸣ࡢᡂᙧ⋡ࢆ♧ࡋ࡚࠾ࡾ㸪᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸦ᅗ㸧㸬ࡲࡓ㸪ྛ᮲௳࡜ࡶࡣᑠࡉࡃ㸪ⷧ࠸ᯈ≧ᙧែ࡟ᑐࡋ࡚ࡶᏳ
ᐃࡋࡓ෌⌧ᛶࡀ☜ㄆࡉࢀࡓ㸬 ᡂᙧ⋡ࡀ㸣ࢆ㉸࠼࡚࠸ࡿヨᩱࡣ㸪ᡂᙧ᫬ࡢᅽ
ຊ࡟ࡼࡾ㗪ᆺࡢᦆയ࠿ࡽ㎶⦕㒊࡟ࣂࣜࡀᙧᡂࡉࢀ
ࡓ࡜⪃࠼ࡽࢀࡿ㸬ࡲࡓ ^^ ࡟࠾࠸࡚  [ ࡢࡳᡂᙧ⋡ࡀపୗࡋࡓཎᅉ࡜ࡋ࡚㸪㌾໬ࡋࡓ≧ែࡢࢭ࣑ࣛࢵࢡࢫࡢ⛻ᗘࡀ^࡜ẚ㍑ࡋ࡚㧗࠸ࡇ࡜ࡀ᥎ ࡉࢀࡿࡀ㸪ヲ⣽࡟㛵ࡋ࡚ࡣࡉࡽ࡞ࡿ᳨ウࡀᚲ
せ࡛࠶ࡿ㸬 ௨ୖࡢ⤖ᯝ࠿ࡽ㸪^ࡣ ^^௨ୖ㸪  [ ࡣ ^^௨ୖࡢࣃࢱ࣮ࣥࡢཌࡳࢆ☜ಖࡍࢀࡤ㸪ⷧᯈᙧែࢆ༑ศ࡟෌⌧࡛ࡁࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬 ⷧᯈヨᩱࡢᡂᙧ⋡ϫ㸬 ᩥ⊩
$ ᯇ஭᭸Ꮚ㸪ⓑ஭㯞⾰㸪బ⸨ὒᖹ㸪ᮧ▼⤮㯞㸪኱ஂಖຊᘅ㸬ࣉࣞࢫࢭ࣑ࣛࢵࢡࢫຍᅽᡂᙧ᫬
ࡢ㎶⦕෌⌧ᛶ㸬ᖹᡂ'ᖺᗘ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍す㛵ᮾᨭ㒊Ꮫ⾡኱఍ᢒ㘓㞟 㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ   [ ࡟࠾࠸࡚ࡣ㸪ࣃࢱ࣮ࣥཌࡉ ^^{ ^^ ࡢ᮲௳࡛࡯ࡰࡢᡂᙧ⋡ࢆ♧ࡋࡓࡢ࡟ᑐࡋ㸪− 218 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 29

᪂つࣞࢪࣥࢭ࣓ࣥࢺࡢࢪࣝࢥࢽ࢔࡟ᑐࡍࡿ᥋╔࡟㛵ࡍࡿ◊✲‫ۑ‬ᮧཱྀᾈ୍㸪ᮧཎ㈆᫛㸪Ლཎ㞝ኴ㑻㏕ཱྀ㈼஧㸪ሷྥ኱స㸪ᰗ⏣ᘅ᫂㸪ᓠඖ㔛Ꮚ㸪㛛ᕝ᫂ᙪ㸪ᕊᓮⰋே㸪༡ ᘯஅ㸪㕥ᮌྖ㑻㮵ඣᓥ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ညྜᶵ⬟⿵⥛Ꮫศ㔝࢔ࣛࣂ࣐኱Ꮫࣂ࣮࣑ࣥࢢࣁ࣒ᰯ
The study of shear bond strength of novel resin cements to Zirconia
Muraguchi K, Murahara S, Kazihara Y, Sakoguchi K, Siomuki D, Yanagida H, Minemoto S, Kadokawa A,
Minesaki Y, Minami H, Suzuki S*
Department of Fixed Prosthodontics, Kagoshima University *University of Alabama at Birminghamϩ㸬 ᪉ἲ ᮏ ᐇ 㦂 ࡛ ࡣ 㸪 ᪂ つ ࣞ ࢪ ࣥ ࢭ ࣓ ࣥ ࢺ HPC-100
㸦Kuraray Noritake Dental㸧㸪ẚ㍑ᑐ㇟࡜ࡋ࡚Cleafil
Estetic Cement㸦Kuraray Noritake Dental㸧㸪࠾ࡼࡧ
Panavia F㸦Kuraray Noritake Dental㸧㸪௨ୖ㸱✀㢮ࡢࣞࢪࣥࢭ࣓ࣥࢺࢆ⏝࠸ࡓ㸬ࡲࡓ㸪඲࡚ࡢࢭ࣓ࣥࢺ ࡟ ࠾ ࠸ ࡚ ࢭ ࣛ ࣑ ࢵ ࢡ ࣉ ࣛ ࢖ ࣐ ࣮ 㸦 Kuraray
Noritake Dental㸧ࢆࢪࣝࢥࢽ࢔⾲㠃ฎ⌮⏝ࣉࣛ࢖࣐࣮࡜ࡋ࡚౑⏝ࡋࡓ㸬⿕╔యᮦᩱ࡟ࡣ㸪Cercon㸦Dentsply㸧ࢆ౑⏝ࡋ㸪┤
ᚄ10.0 mm㸪ཌࡉ3.0 mm࠾ࡼࡧ┤ᚄ8.0 mm㸪ཌࡉ
3.0 mmࡢ2✀㢮ࡢ෇ᯈ≧⿕╔యࢆస〇ࡋࡓ㸬୧⪅࡜ࡶࡑࡢ∦㠃ࢆ#600 ࢩࣜࢥ࣮ࣥ࢝ࣂ࢖ࢺ⣬࡟࡚◊☻ࡋࡓᚋ㸪50 ȣmࡢ㓟໬࢔࣑ࣝࢼ⢊ᮎ࡛ࢧࣥࢻࣈࣛ
ࢫࢺࢆ᪋ࡋ⿕╔㠃࡜ࡋࡓ㸬࣐ࢫ࢟ࣥࢢࢸ࣮ࣉ࡟࡚
᥋╔㒊ศࢆ┤ᚄ5.0 mmࡢ෇ᙧ࡟つᐃࡋ࡚࠿ࡽ㸪ࣉࣛ࢖࣐࣮ࢆሬᕸࡋྛ✀ࣞࢪࣥࢭ࣓ࣥࢺ࡟࡚2✀㢮ࡢ
෇ᯈࢆ㈞ࡾ௜ࡅ࡚᥋╔ヨ㦂∦࡜ࡋࡓ㸬᏶ᡂࡋࡓ᥋╔ヨ㦂∦ࡣ㸪37 Υ⵨␃Ỉ୰࡟24᫬㛫ಖ⟶ࡋࡓᚋ㸪5 Υ࡜55 Υྛ1ศ㛫ࡢỈ୰⇕ࢧ࢖ࢡࣝ
㸦T.C.㸧ࢆ᭱኱50.000ᅇࡲ࡛୚࠼࡚࠿ࡽ㸪࣮࢜ࢺࢢࣛࣇ㸦AGS-5kNG,ᓥὠ♫㸧࡟࡚ࢡࣟࢫ࣊ࢵࢻࢫࣆ
࣮ࢻ1.0 mm/sec࡛๧᩿᥋╔ᙉࡉࡢ ᐃࢆ⾜ࡗࡓ㸬࡞࠾㸪ẚ㍑ᑐ↷⏝࡜ࡋ࡚⇕ࢧ࢖ࢡࣝ㈇Ⲵ࡞ࡋࡢヨ㦂∦࡟ࡘ࠸࡚ࡶྠᵝࡢ ᐃࢆ⾜ࡗࡓ㸬ヨ㦂∦ࡢᩘࡣྛ᮲௳࡟ࡘࡁ6ಶ࡜ࡋ㸪 ᐃ⤖ᯝࡣ
ANOVA࡜Turkeyࡢከ㔜ẚ㍑᳨ᐃ࡟ࡼࡾ༴㝤⋡5 㸣࡛᭷ពᕪุᐃࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ๧᩿ヨ㦂ࡢ⤖ᯝࢆᅗ࡟♧ࡍ㸬 ◚ቯᵝᘧࡣࡍ࡭࡚ࡢヨ㦂∦࡛ΰྜ◚ቯ࡛࠶ࡗࡓ㸬⇕ࢧ࢖ࢡࣝ㈇Ⲵ๓ࡢ᪂つࣞࢪࣥࢭ࣓ࣥࢺHPC-100ࡣ㸪௚ࡢᚑ᮶ᆺࣞࢪࣥࢭ࣓ࣥࢺ࡜ẚ㍑ࡋ࡚᭷ពᕪ
ࡣ࡞࠸ࡶࡢࡢ㧗࠸᥋╔ᙉࡉࢆⓎ᥹ࡋ࡚࠾ࡾ⇕ࢧ࢖
ࢡࣝ㈇Ⲵ50.000ᅇᚋ࡟࠾࠸࡚ࡶྠᵝ࡟㧗࠸᥋╔ᙉࡉࢆ⥔ᣢࡋ࡚࠸ࡓ㸬௨ୖࡢࡇ࡜࠿ࡽ㸪ࣞࢪࣥࢭ࣓ࣥࢺࡢ໬Ꮫ㔜ྜゐ፹⣔ࢆᨵⰋࡋ࡚◳໬ᛶࢆ㧗ࡵࡿࡇ࡜ࡀ㸪ࡑࡢ᥋╔ᙉࡉ࡜⪏ஂᛶࡢྥୖ࡟ᑐࡋ࡚᭷ຠ࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ1),2)㸬

㻹㻼㼍

Ϩ㸬 ┠ⓗ
 ࣞࢪࣥࢭ࣓ࣥࢺࡣ㸪ಟ᚟≀ࡢ⬺㞳ࡸᚤᑠ₃ὤ࡟ࡼࡿ஧ḟ㱘⼃ࢆ㜵Ṇࡍࡿຠᯝࢆᮇᚅࡉࢀ࡚ᗈࡃᬑ
ཬࡋ࡚࠸ࡿ㸬ࡑࡢຠᯝࡢࡓࡵ࡟ࡣࣞࢪࣥࢭ࣓ࣥࢺ
ࡀṑෙಟ᚟ᮦᩱ࡜ṑ㉁ࡢ཮᪉࡟ᑐࡋ࡚Ⰻዲ࡟᥋╔ࡍࡿᚲせࡀ࠶ࡿ㸬 ௒ᅇ㸪໬Ꮫ㔜ྜゐ፹⣔ࢆᨵⰋࡋࡓ᪂つࣞࢪࣥࢭ࣓ࣥࢺࡢࢪࣝࢥࢽ࢔࡟ᑐࡍࡿ᥋╔ᙉࡉࢆホ౯ࡋ㸪ᚑ᮶ရ࡜ࡢẚ㍑᳨ウࢆ⾜ࡗࡓ㸬

㻣㻜㻚㻜
㻢㻜㻚㻜
㻡㻜㻚㻜
㻠㻜㻚㻜
㻟㻜㻚㻜
㻞㻜㻚㻜
㻝㻜㻚㻜
㻜㻚㻜

 ᅇ
 ᅇ

㻴㻼㻯㻙㻝㻜㻜

㻯㼘㼑㼍㼞㼒㼕㼘㻌㻱㼟㼠㼑㼠㼕㼏㻼㼍㼚㼍㼢㼕㼍 㻲㻞㻚㻜㻿㼔㼑㼍㼞㻌㻮㼛㼚㼐㻌㻿㼠㼞㼑㼚㼓㼠㼔㻌㼛㼒㻌㻾㼑㼟㼕㼚㻌㻯㼑㼙㼑㼚㼠㼟㻌㼠㼛㻌㻯㼑㼞㼏㼛㼚ϫ㸬 ᩥ⊩1) ᑠᓥඞ๎㸪㛛☻⩏๎㸪௒஭ᗤ஧㸬ࢺࣜ࢔ࢪࣥ
ࢪࢳ࢜ࣥㄏᑟయࣔࣀ࣐࣮ࢆ฼⏝ࡋࡓ㈗㔠ᒓࡢ᥋╔㸬ṑᮦჾ1987: 6(5); 702-707.
2)− 219 −

ᮧཎ㈆᫛㸪ᰗ⏣ᘅ᫂㸪ᓠඖ㔛Ꮚ㸪㕥ᮌྖ㑻࡯࠿㸬᪂つࣞࢪࣥࢭ࣓ࣥࢺࡢ㇟∳㉁࡟ᑐࡍࡿ᥋
╔ᙉࡉ㸬᥋╔ṑᏛ2014㸸32(3)㸹64.

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 30ṑ㠃ฎ⌮ᮦཬࡧฎ⌮᪉ἲ࡟ࡼࡿࢭࣝࣇ࢔ࢻࣄ࣮ࢩࣈࣞࢪࣥࢭ
࣓ࣥࢺࡢṑ㉁᥋╔ᛶ࡬ࡢᙳ㡪‫Ⳣۑ‬ཎᙬ㤶㸪⚟ᓥᗉ୍㸪⇃㇂▱ᘯᰴᘧ఍♫ࢪ࣮ࢩ࣮
The effect of tooth surface pretreatment on bond strength of self-adhesive resin cement
Sugawara A㸪Fukushima S㸪Kumagai T
GC CORPORATION㸪TOKYO㸪JAPANϪ㸬 ⤖ᯝ࡜⪃ᐹ
 1. H2O2ฎ⌮ᚋࡢ᥋╔ᛶ
H2O2࡟࡚ฎ⌮ࡋࡓሙྜࡢᘬᙇ᥋╔ᙉᗘࢆᅗ1࡟♧ࡋࡓ㸬↓ฎ⌮࡜ẚ㍑ࡋ࡚H2O2ฎ⌮ᚋ࡟ࡣ㸪ỈὙ࣭஝⇱࡝ࡕࡽ࡟࠾࠸࡚ࡶ㇟∳㉁࡬ࡢ᥋╔ᙉᗘࡀపୗࡋ࡚࠸ࡿࡇ࡜ࡀ☜ㄆࡉࢀࡓ㸬
H2O2࠿ࡽⓎ⏕ࡍࡿ㓟⣲࡟ࡼࡾࢭࣝࣇ࢔ࢻࣄ࣮ࢩ
ࣈࣞࢪࣥࢭ࣓ࣥࢺࡢ㔜ྜ㜼ᐖࡀ㉳ࡇࡾ᥋╔ᙉᗘࡀపୗࡋࡓ࡜⪃࠼ࡽࢀࡿ㸬

12.0
10.0
8.0
6.0
4.0
2.0
0.0
↓ฎ⌮ ฎ⌮ỈὙ
஝⇱

ฎ⌮
஝⇱

ᅗ 1. H2O2 ฎ⌮᫬ࡢᘬᙇ᥋╔ᙉᗘ
2. NaClOฎ⌮ᚋࡢ᥋╔ᛶ
NaClO࡟࡚ฎ⌮ࡋࡓሙྜࡢᘬᙇ᥋╔ᙉᗘࢆᅗ2࡟♧ࡋࡓ㸬↓ฎ⌮࡜ẚ㍑ࡋ࡚NaClOฎ⌮ᚋ࡟ỈὙࡋࡓሙྜ࡟ࡣ᥋╔ᙉᗘࡢపୗࡣㄆࡵࡽࢀࡎ㸪஝⇱ࡢࡳࢆ⾜ࡗࡓሙྜ࡟᥋╔ᙉᗘࡢపୗࡀ☜ㄆࡉࢀࡓ㸬ᘬᙇ᥋╔ᙉᗘ/MPaϩ㸬 ᪉ἲ ⿕╔య࡜ࡋ࡚∵ṑ㇟∳㉁㸪᥋╔⏝ࢭ࣓ࣥࢺ࡜ࡋ
࡚ࢭࣝࣇ࢔ࢻࣄ࣮ࢩࣈࣞࢪࣥࢭ࣓ࣥࢺ ࢪ࣮ࢭ࣒ࢭ
ࣛࢫ࣐࣮ࢺ (ࢪ࣮ࢩ࣮)ࢆ⏝࠸࡚᥋╔ヨ㦂ࢆ⾜ࡗࡓ㸬 ∵ṑ㇟∳㉁ࡢ⾲㠃ࡣ#600⪏Ỉ◊☻⣬࡟࡚◊☻ᚋ㸪ྛṑ㠃ฎ⌮ᮦࢆ⏝࠸࡚ฎ⌮ࡋࡓ㸬ṑ㠃ฎ⌮ᮦ࡜ࡋ
࡚5%㐣㓟໬Ỉ⣲Ỉ (H2O2࡜⾲グ)㸪ḟளሷ⣲㓟⣔ṑ㠃ฎ⌮ᮦ (ADࢤࣝ, ࢡࣛࣞࣀࣜࢱࢣࢹࣥࢱࣝ㸪
NaClO࡜⾲グ)ࢆ౑⏝ࡋࡓ㸬H2O2ࡣ㇟∳㉁㠃࡟ሬᕸࡋ20⛊㛫ฎ⌮ᚋ࡟ỈὙࡋ஝⇱ࡲࡓࡣỈὙࡏࡎ࡟஝
⇱ࡉࡏࡓ㸬NaClOࡣ60⛊㛫ฎ⌮ᚋ࡟ỈὙࡲࡓࡣ஝
⇱ࡉࡏࡓ㸬⿕╔㠃✚ࡣཌࡉ0.1 mmࡢࣉࣛࢫࢳࢵࢡ
ࢸ࣮ࣉࢆ㈞ࡿࡇ࡜࡟ࡼࡾ7.1 mm2 (┤ᚄ3 mm)࡟つᐃࡋࡓ㸬ࢫࢸࣥࣞࢫࣟࢵࢻ (┤ᚄ10 mm㸪ࢧࣥࢻࣈࣛࢫࢺฎ⌮῭ࡳ)࡟ࢭ࣓ࣥࢺ⦎࿴≀ࢆሬᕸࡋ㸪⿕╔㠃࡟᥋╔ࡋࡓࡢࡕ㸪37Υ/┦ᑐ‵ᗘ95%ࡢᜏ ᜏ‵ᵴ࡟࡚1᫬㛫㸪໬Ꮫ㔜ྜ࡟࡚◳໬ࡋࡓ㸬ḟ࠸࡛37ΥࡢỈ୰࡛23᫬㛫ಖ⟶ࡋ㸪᥋╔ヨ㦂య࡜ࡋࡓ㸬᥋╔ᙉࡉࡣ࣮࢜ࢺࢢࣛࣇࢆ⏝࠸ࡓᘬᙇヨ㦂 (ࢡࣟࢫ࣊ࢵ
ࢻࢫࣆ࣮ࢻ1 mm/min)࡟ࡼࡗ࡚ ᐃࡋࡓ (n=5)㸬

ᘬᙇ᥋╔ᙉᗘ/MPaϨ㸬 ┠ⓗ ࢭࣝࣇ࢔ࢻࣄ࣮ࢩࣈࣞࢪࣥࢭ࣓ࣥࢺࡢ౑⏝᫬࡟࠾࠸࡚㸪ṑ㠃ฎ⌮ᮦࡢ✀㢮࡟ࡼࡗ࡚ࡣ᥋╔㜼ᐖࢆᘬࡁ㉳ࡇࡍࡇ࡜ࡀ▱ࡽࢀ࡚࠾ࡾ1)㸪㐺ษ࡞ṑ㠃ฎ⌮᪉ἲࢆ㑅ᢥࡍࡿᚲせࡀ࠶ࡿࠋᮏ◊✲࡛ࡣ㸪ྛṑ㠃ฎ⌮ᮦ࡛ࡢฎ⌮᪉ἲࡢ㐪࠸࡟ࡼࡿṑ㉁᥋╔ᛶ࡬ࡢᙳ㡪ࢆㄪᰝࡋ㸪ࢭࣝࣇ࢔ࢻࣄ࣮ࢩࣈࣞࢪࣥࢭ࣓ࣥ
ࢺ౑⏝᫬ࡢ᭷ຠ࡞ṑ㠃ฎ⌮᪉ἲࢆ᳨ドࡋࡓ㸬

12.0
10.0
8.0
6.0
4.0
2.0
0.0
↓ฎ⌮ ฎ⌮+ỈὙ
+஝⇱

ฎ⌮
+஝⇱

ᅗ 2. NaClO ฎ⌮᫬ࡢᘬᙇ᥋╔ᙉᗘᮏ◊✲ࡼࡾ㸪ṑ㠃ฎ⌮ᮦࡢ✀㢮㸪ฎ⌮᪉ἲ࡟ࡼࡾࢭࣝࣇ࢔ࢻࣄ࣮ࢩࣈࣞࢪࣥࢭ࣓ࣥࢺࡢṑ㉁᥋╔ᛶ࡟ᙳ㡪ࡍࡿࡇ࡜ࡀ☜ㄆ࡛ࡁࡓ㸬ࡼࡾᏳ඲࡞᥋╔ᛶࢆ☜ಖࡍࡿࡓࡵ㸪ྛṑ㠃ฎ⌮ᮦ࡟ྜࢃࡏࡓὙί
᪉ἲࢆ㑅ᢥࡍࡿᚲせࡀ࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) Pisani-Proen©a J et al. Influence of different surface
conditioning protocols on microtensile bond strengthof self-adhesive resin cements to dentin. J Prosthet
Dent. 2011 Apr;105(4):227-35.

− 220 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 31

᪂つࣞࢪࣥࢭ࣓ࣥࢺࡢ∵ṑ࡟ᑐࡍࡿᘬᙇ᥋╔ᙉࡉ‫ۑ‬ᾆ⩚ள▮ዉ㸪኱➉ᚿಖ㸪༡ῡ┾ឡ㸪୕ᾆᏹஅᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔 ་ṑᏛ⥲ྜ◊✲⛉ ཱྀ⭍ᶵ⬟෌ᵓ⠏Ꮫㅮᗙᦤ㣗ᶵ⬟ಖᏑᏛศ㔝
Tensile Bond Strengths of New Resin Cement to bovine teeth

Uraba A, Otake S, Minamifuchi M, Miura H
Fixed Prosthodontics, Department of Restorative Sciences, Division of Oral Health Sciences, Graduate
School, Tokyo Medical and Dental UniversityϨ㸬 ┠ⓗ ṑ⛉་⒪࡟࠾ࡅࡿ᥋╔ࢩࢫࢸ࣒ࡣ᪥ࠎ㐍Ṍࡋ࡚࠾ࡾ㸪᥋╔᧯సࡢ⡆␎໬ࡀᅗࡽࢀࡿࡼ࠺࡟࡞ࡗ࡚
ࡁ࡚࠸ࡿ㸬ࡲࡓṑෙಟ᚟ᮦᩱ࡟࠾࠸࡚ࡶ㸪ࡼࡾᑂ⨾ᛶࢆྥୖࡉࡏࡿࡓࡵ࡟㧗࠸㏱ගᛶࢆ᭷ࡍࡿࡶࡢ
ࡶ㛤Ⓨࡉࢀ࡚࠸ࡿ㸬ࡑࡇ࡛ᮏᐇ㦂࡛ࡣ㧗࠸㇟∳㉁᥋╔ᛶ࡜ᑂ⨾ᛶࢆ㏣ồࡋࡓ1ᾮࢭࣝࣇ࢚ࢵࢳࣥࢢࣉ
ࣛ࢖࣐࣮ే⏝ᆺࡢ᪂つࣞࢪࣥࢭ࣓ࣥࢺ࡜㸪⌧ᅾᕷ㈍ࡉࢀ࡚࠸ࡿࣞࢪࣥࢭ࣓ࣥࢺ࡟࠾ࡅࡿ∵ṑ࡟ᑐࡍࡿᘬᙇ᥋╔ᙉࡉ࡟ࡘ࠸࡚ẚ㍑᳨ウࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ࣞࢪࣥࢭ࣓ࣥࢺࡣ㸪᪂つࣞࢪࣥࢭ࣓ࣥࢺ࡜ࡋ࡚
Panavia V5㸦ࢡࣛࣞࣀࣜࢱࢣࢹࣥࢱࣝ㸪௨ୗPV㸧㸪⌧ᅾᕷ㈍ࡉࢀ࡚࠸ࡿࣞࢪࣥࢭ࣓ࣥࢺ࡜ࡋ࡚Panavia
F2.0㸦ࢡࣛࣞࣀࣜࢱࢣࢹࣥࢱࣝ㸪௨ୗPF㸧㸪RelyX
Ultimate Adhesive Resin Cement㸦3M ESPE㸪௨ୗUL㸧ࢆヨ㦂ᑐ㇟࡜ࡋࡓ㸦n=8㸧㸬⿕╔య࡟ࡣ∵ṑ
࢚ࢼ࣓ࣝ㉁࠾ࡼࡧ㇟∳㉁ࢆ⏝࠸ࡓ㸬ྛ⿕╔యࡢ⾲㠃ࢆ#600⪏Ỉ◊☻⣬࡟ࡼࡾ◊☻ࢆ⾜ࡗࡓᚋ㸪᥋╔㠃ࢆ࣐ࢫ࢟ࣥࢢࢸ࣮ࣉ࡟ࡼࡾ┤ᚄ3 mm㸪ཌࡉ100ȣm࡟つᐃࡋ㸪ྛ♫ᣦᐃࡢ⾲㠃ฎ⌮ᮦ㸦PV࡟ࡣ᪂つࣉࣛ࢖࣐࣮Panavia V5 Tooth Primer㸪PF࡟ࡣED
PrimerϩAᾮ 㸪Bᾮ㸪UL࡟ࡣScotchbond Universal
Adhesive㸧ࢆ⏝࠸㸪⾲㠃ฎ⌮⾜ࡗࡓ㸬ᘬᙇヨ㦂⏝ࢫࢸࣥࣞࢫᲬ࡟ࣞࢪࣥࢭ࣓ࣥࢺࢆሬᕸ㸪⿕╔య࡟ᅽ᥋ᚋ㸪ྛ♫ᣦᐃ᫬㛫࡟ࡼࡿග↷ᑕࢆ4᪉ྥࡼࡾ⾜ࡗࡓ㸬ྛヨ㦂∦ࡣග↷ᑕᚋ㸪37 Υ㸪‵ᗘ100 %ᜏ
ᵴෆ࡟1᫬㛫ಖ⟶ࡢᚋ࡟37 Υ⬺࢖࢜ࣥỈ୰࡟࡚24᫬㛫ᾐₕࡋࡓ㸬ࡑࡢᚋ㸪୓⬟ヨ㦂ᶵ㸦࣮࢜ࢺࢢ
ࣛࣇAGS-H㸪ᓥὠ〇సᡤ㸧ࢆ⏝࠸㸪ࢡࣟࢫ࣊ࢵࢻ
ࢫࣆ࣮ࢻ1 mm/min ࡟࡚ᘬᙇ᥋╔ᙉࡉࢆ ᐃࡋࡓ㸬ᚓࡽࢀࡓ⤖ᯝ࡟ࡘ࠸࡚㸪1ඖ㓄⨨ศᩓศᯒ࠾ࡼࡧ
Dunnett T3ࢆ⏝࠸࡚༴㝤⋡5 㸣࡟᳨࡚ᐃࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᘬᙇ᥋╔ヨ㦂ࡢ⤖ᯝࢆᅗ1㸪2࡟♧ࡍ㸬∵ṑ࢚ࢼ࣓ࣝ㉁࡟࠾࠸࡚ྛࢭ࣓ࣥࢺ㛫࡟᭷ពᕪࡣㄆࡵࡽࢀ
࡞࠿ࡗࡓࡀ㸪∵ṑ㇟∳㉁࡛ࡣ㸪UL࡜PVࡣPF࡜ẚ
㍑ࡋ࡚᭷ព࡟㧗࠸್ࢆ♧ࡋࡓ㸦< 0.05㸧㸬ࣜࣥ㓟࢚ࢫࢸࣝ⣔ࣔࣀ࣐࣮MDPࡣ࢚ࢼ࣓ࣝ㉁㸪㠀
㈗㔠ᒓྜ㔠㸪ࢪࣝࢥࢽ࢔࡞࡝࡟ᙉᅛ࡟᥋╔ࡍࡿ࡜ሗ࿌ࡉࢀ࡚࠸ࡿ1㸧㸬PVࡣ⾲㠃ฎ⌮๣࡟MDPࢆྵ᭷ࡍࡿࡇ࡜㸪ࡲࡓ⊂⮬ࡢከᐁ⬟ぶỈᛶࣔࣀ࣐࣮ࢆྵ
᭷ࡍࡿࡇ࡜࡟ࡼࡾ㇟∳㉁⾲㠃ࢆ␯Ỉ໬ࡋ␯Ỉᛶࡢ࣮࣌ࢫࢺ࡜ࡢぶ࿴ᛶࢆྥୖࡋࡓ࡜⪃࠼ࡽࢀࡿࡇ࡜㸪ࡉࡽ࡟㧗άᛶ࡞㔜ྜಁ㐍๣ࢆྵࡴࡇ࡜࡟ࡼࡾ᥋╔⏺㠃ࡀࡼࡾᙉᅛ࡟◳໬ࡉࢀࡓ࡜⪃࠼ࡽࢀࡓࡇ࡜࠿
ࡽ㸪ᮏᐇ㦂࡟࠾࠸࡚ࡶⰋዲ࡞⤖ᯝࡀᚓࡽࢀࡓࡶࡢ
࡜⪃࠼ࡽࢀࡓ㸬ࡇࢀࡽࡼࡾ᪂つࣞࢪࣥࢭ࣓ࣥࢺ
Panavia V5 ࡣⰋዲ࡞᥋╔ᙉࡉࢆ᭷ࡋ࡚࠸ࡿࡇ࡜ࡀ♧ࡉࢀࡓ㸬ᅗ 1㸬∵ṑ࢚ࢼ࣓ࣝ㉁࡟ᑐࡍࡿᘬᙇ᥋╔ᙉࡉᅗ 2㸬∵ṑ㇟∳㉁࡟ᑐࡍࡿᘬᙇ᥋╔ᙉࡉϫ㸬 ᩥ⊩1) Blatz MB, Sadan A, Martin J, Lang B.: In vitro
evaluation of shear bond strengths of resin todensely-sintered high-purity zirconium-oxide
ceramic after long-term storage and thermal
cycling. J Prosthet Dent 91:356-362, 2004.

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 32ୖ㢡ᑠ⮻ṑ࡜CAD/CAMෙ⏝ࣞࢪࣥࣈࣟࢵࢡࡢ
ⰍᙬᏛⓗ᳨ウ‫⏣⸨ۑ‬ᓫྐ㸪㐲⸨ ⪽㸪Ⳣཎ⤱ᯞ㸪ᕝ⏣ ♸㸪ᘅᕝ⌶ဢ㸪ྜྷ⏣᭷㔛㸪∦ᒣ ┤*ᒾ⏣ᫀஂ**㸪⢖⃝㔜ᶞ**㸪⸨⃝ᨻ⣖᫂ᾏ኱ᏛṑᏛ㒊ᶵ⬟ಖᏑᅇ᚟Ꮫㅮᗙṑ⛉⿵⥛Ꮫศ㔝㸪᫂ᾏ኱ᏛṑᏛ㒊⑓ែデ⒪ṑ⛉Ꮫㅮᗙ⥲ྜ⮫ᗋṑ⛉Ꮫศ㔝*㸪ᮾ㛵ᮾᨭ㒊**Colorimetric Analysis of Maxillary Premolar and Resin Block for CAD/CAM Crown‫ۑ‬Fujita T, Endo S, Sugawara K, Kawada Y, Hirokawa T, Yoshida Y, Katayama T*, Iwata M**, Awazawa
S** , Fujisawa M
Division of Fixed Prosthodontics, Depertment of Restorative & Biomaterials Sciences, Meikai University
School of Dentistry, Depertment of Oral Diagnosis, Meikai University School of Dentistry* , East Kanto
Branch**Ϩ㸬 ┠ⓗᑂ⨾ⓗ⿵⥛἞⒪࡟ᑐࡍࡿᝈ⪅ഃ࠿ࡽࡢ㛵ᚰᗘࡣ㧗ࡲࡾ㸪๓ṑࡢࡳ࡞ࡽࡎᑠ⮻ṑ࡟ᑐࡍࡿᑂ⨾ⓗ⿵⥛἞⒪࡬ࡢ㔜せᗘࡶ㧗ࡲࡗ࡚ࡁࡓ㸬ᖹᡂ 26 ᖺᗘデ⒪ሗ㓘ᨵᐃ࡟ࡼࡾᑠ⮻ṑ࡟ᑐࡍࡿ CAD/CAMෙࡀ᥇⏝ࡉࢀ㸪౑⏝ࡍࡿ CAD/CAM ෙ⏝ࣞࢪࣥࣈࣟࢵࢡࡶྛ࣓࣮࣮࢝࠿ࡽᥦ౪ࡉࢀ࡚࠸ࡿ㸬 ࡇࢀࡲ࡛๓ṑ㒊࡟㛵ࡍࡿⰍᙬᏛⓗ᳨ウࡀሗ࿌ࡉࢀ࡚ࡁࡓ ࡀ㸪ᑠ⮻ṑ㒊࡟㛵ࡍࡿⰍᙬᏛⓗ᳨ウ࡟㛵ࡍࡿሗ࿌ࡣᑡ࡞࠸㸬ࡲࡓ㸪ᑠ⮻ṑ㒊࡜CAD/CAMෙ⏝ࣞࢪࣥࣈࣟࢵࢡࡢⰍᙬᏛⓗ᳨ウ࡟㛵ࡋ࡚ࡣ㸪ሗ࿌ࡉࢀ࡚࠸࡞࠸㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣୖ㢡➨୍ᑠ⮻ṑࡢ Ⰽࢆ⾜࠸㸪CAD/CAMෙ⏝ࣞࢪࣥࣈࣟ
ࢵࢡ࡜ࡢⰍᙬᏛⓗࣃ࣓࣮ࣛࢱࢆẚ㍑ࡋࡓ㸬࡞࠾㸪ᮏ◊✲ࡣ᫂ᾏ኱ᏛṑᏛ㒊೔⌮ጤဨ఍ࡢᢎ
ㄆࢆᚓ࡚ᐇ᪋ࡋࡓ㸬Ϫ㸬⤖ᯝ࡜⪃ᐹ ୖ㢡➨୍ᑠ⮻ṑࡢ L*㸪a*㸪b*㸪C*ࢆᩓᕸᅗ࡟
♧ࡍ㸦ᅗ㸧㸬ṑ㢁㒊࡜୰ኸ㒊࡛ࡣ㢮ఝࡋࡓศᕸࢆ
♧ࡋࡓࡀ㸪ညྜ㠃ഃ࡛ࡣ D 㸪E ࡢ್ࡀᑠࡉࡃ࡞
ࡿഴྥࡀㄆࡵࡽࢀࡓ㸬ᑠ⮻ṑࡢⰍᙬᏛⓗࣃ࣓࣮ࣛࢱศᕸࢆẚ㍑ࡋࡓ࡜ࡇࢁ㸪ṑෙ୰ኸ㒊࡛ࡣ a-b㸪L- C ࡜ࡶࣞࢪࣥࣈࣟ
ࢵࢡࡢࣉࣟࢵࢺࡢศᕸ࡜୍⮴ࡋ࡚࠸ࡓ㸬௒ᚋ㸪C
AD/CAM ෙ⏝ࣈࣟࢵࢡࡢཌᚄࢆ⪃࠼㸪 Ⰽ࡞ࡽࡧ࡟ⰍᙬᏛⓗ᳨ウࢆ⾜࠺ᚲせࡀ࠶ࡿ࡜ᛮࢃࢀࡿ㸬ϩ㸬 ᪉ἲ ᮏ◊✲࡛ࡣ◊✲㊃᪨࡟ྠពࢆᚓࡽࢀࡓᡂே 32ྡ㸦⏨ᛶ 20 ྡ㸪ዪᛶ 12 ྡ㸪ᖹᆒᖺ㱋 30.5±6.2 ṓ㸧ࡢୖ㢡➨୍ᑠ⮻ṑࡢ Ⰽࢆ⾜ࡗࡓ㸬ṑෙಟ᚟㸪࣍࣡࢖ࢺࢽࣥࢢ࡞࡝ࢆ⾜ࡗ࡚࠸࡞࠸ኳ↛ṑࢆᑐ㇟࡜ࡋࡓ㸬 Ⰽ๓࡟ࣉࣟࣇ࢕࣮ࣈࣛࢩࣇࣛࢵࢺ㸦ࣉ࣑ࣞ࢔
࣒ࣉࣛࢫ㸧࡜࣓ࣝࢧ࣮ࢪ࣭ࣗࣇ࢓࢖ࣥ㸦ᯇ㢼㸧࡟
࡚ 30 ⛊ṑ㠃◊☻ࢆ⾜ࡗࡓ㸬ṑ㠃◊☻ᚋ㸪ṑ⛉⏝Ⰽ⿦⨨ Crystaleye Spectrophotometer®㸦࢜ࣜࣥࣃࢫ㸧ࢆ⏝࠸࡚ Ⰽࢆ⾜ࡗࡓ㸬 CAD/CAM ෙ⏝ࣞࢪࣥࣈࣟࢵࢡ࡜ࡋ࡚ࢭࣛࢫ࣐
࣮ࢺ㸦GC㸧㸸A2-LT㸪A3-LT㸪A3.5-LT㸪ᯇ㢼ࣈࣟࢵࢡ HC㸦ᯇ㢼㸧㸸A1-LT㸪A2-LT㸪A3-LT㸪A
3.5-LT㸪B3-LT㸪W2-LT㸪59㸪OC㸪A1-HT㸪A2HT㸪A3-HT㸪LavaTM Ultimate㸦3M㸧㸸A1-LT㸪A
2-LT㸪A3-LT㸪A2-HT㸪A3-HT㸪A3.5-HT㸪ENA
MIC㸦VITA㸧㸸0M1HT㸪1M1HT㸪1M2HT2M2H
T㸪3M2HT ࢆ⏝࠸ࡓ㸬ᬯ⟽ෆ࡟ⓑⰍᯈࢆᅛᐃࡋ㸪ᑠ⮻ṑ࡜ࣞࢪࣥࣈࣟࢵࢡࡢL-C㸪a-bᩓᕸ
ⓑⰍᯈୖ࡟ࣈࣟࢵࢡࢆ⨨ࡁࣈࣟࢵࢡࡢ㠀༳ๅ㠃୰ኸ㒊ࢆ 3 ᅇ Ⰽࡋ㸪ⰍᙬᏛⓗࣃ࣓࣮ࣛࢱࡢᖹᆒ್
ϫ㸬ᩥ⊩
ࢆồࡵࡓ㸬 Ⰽࢆ⾜ࡗࡓᑠ⮻ṑ࡞ࡽࡧ࡟ CAD/CA
1㸧㐲⸨⪽㸪㣤ሯ▱᫂㸪Ἑྜ⨾㈗Ꮚ㸪⸨⃝ᨻ⣖㸬M ෙ⏝ࣞࢪࣥࣈࣟࢵࢡࡢⰍㄪࢆ CIELab ⾲Ⰽ⣔ࢆኳ↛ṑ࡟࠾ࡅࡿⰍᙬᏛⓗ᳨ウ㸫ୖ㢡ษṑ࡟⏝࠸࡚ L*㸪a*㸪b*㸪C*ࢆ⟬ฟࡋ㸪ⰍᙬᏛⓗ᳨ウ࠾ࡅࡿẚ㍑㸫㸬ṑ⛉ᑂ⨾2013; 25: 109-113.
ࢆ⾜ࡗࡓ㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 33

᪂つࣞࢪࣥࢭ࣓ࣥࢺࡢ㔠ᒓⰍ㐽᩿⬟ຊ࡟ࡘ࠸࡚
‫ۑ‬㧘℈ ㇏㸪Ᏹబ⨾༤ᚿ㸪Ỉ㔝㎮ဢ㸪ᮧୖ ᘯ㸪᭹㒊ṇᕭឡ▱Ꮫ㝔኱ᏛṑᏛ㒊㧗㱋⪅ṑ⛉ᏛㅮᗙThe ability to cover the metal color in Newly-Launched resin cement
Takahama Y㸪Usami H㸪Mizuno T㸪Murakami H㸪Hattori M
Department of Gerodontlogy, School of dentistry,Aichi-Gakuin UniversityϨ㸬 ┠ⓗᖹᡂ24ᖺ4᭶ࡢಖ㝤ᨵṇ࡟ࡼࡾ㸪ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥ࡟ࡼࡿCAD/CAMෙࡀಖ㝤཰㍕ࡉࢀࡓ㸬ಖ㝤デ⒪࡟࠾࠸࡚ኻάṑ࡟ࡣ㸪㔠ᒓ࡟ࡼࡿᨭྎ⠏㐀ࡀ࡞ࡉࢀ࡚࠸ࡿࡇ࡜ࡀከࡃ㸬ᚑ᮶ࡢ◳㉁ࣞࢪࣥࢪࣕࢵࢣ
ࢵࢺෙ࡟ࡼࡿṑෙಟ᚟࡟ࡣ㸪ෙෆ㠃࡟࣮࢜࣌ࢡࣞ
ࢪࣥࢆᛂ⏝ࡋ࡚㸪㔠ᒓᨭྎࡢⰍㄪࢆ㐽ⶸࡍࡿ᪉ἲ
ࡀ୍⯡ⓗ࡛࠶ࡗࡓ㸬ࡲࡓ㸪ᑂ⨾ᛶṑෙಟ᚟ᮦᩱ࡜
࣮࢜࣌ࢡⰍ᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺ࡜ࡢ㛫࡟ࡣ㸪Ⰽㄪㄪᩚᛶࡢኚ໬ࢆ୚࠼ࡿࡇ࡜㸯㸧ࡀ☜ㄆࡉࢀ࡚࠾ࡾ㸪ᮏ◊✲࡛ࡣ㸪CAD/CAMෙ⏝ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈ
ࣟࢵࢡ࡜࣓ࢱࣝࢥ࢔࡟௓ᅾࡉࡏࡿ᥋╔ᛶṑ⛉⏝ࣞࢪࣥࢭ࣓ࣥࢺ࡟ࡼࡗ࡚㸪࣓ࢱࣝࢥ࢔ࡢ㔠ᒓⰍㄪࢆ㐽ⶸࡍࡿࡇ࡜ࡀ࡛ࡁࡿ࠿ࢆ㏣✲ࡋࡓ.
ϩ㸬 ᪉ἲ ᐇ㦂࡟⏝࠸ࡓࣞࢪࣥヨ㦂∦ࡣ㸪12 mm10 mmཌ
ࡉ 1.5mm ࡜ mm ࡟ ษ ࡾ ฟ ࡋ ◊ ☻ ㄪ ᩚ ࡋ ࡓ 㸪
CERASMART(GC♫)ࣞࢪࣥࣈࣟࢵࢡA3࡛࠶ࡿ㸬㔠ᒓヨ㦂∦ࡣ㸪㖟ྜ㔠ࢆ౑⏝ࡋࡓ࣓ࢱࣝࢥ࢔ࢆ᝿ᐃ
ࡋ࡚12mm10mmཌࡉ1.3mm࡜ࡋ㸪ࣞࢪࣥ∦࡜ྠ୍ࢧ࢖ࢬ࡟㗪㐀ㄪᩚࡋࡓ㖟ྜ㔠࡟ࢧࣥࢻࣈࣛࢫࢺ
ฎ⌮ࢆ⾜ࡗ࡚స〇ࡋࡓ㸬ࣞࢪࣥヨ㦂∦࡜㔠ᒓࡢヨ㦂∦ࡣ㸪ྛ✀᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺࢆࢭ࣓ࣥࢺ⿕⭷ཌࡉ100ȣ࡟つᐃࡋ࡚᥋╔ࡉࡏ࡚㸪ᐇ㦂⏝ヨᩱ࡜ࡋࡓ㸬ヨᩱస〇࡟⏝࠸ࡓࢭ࣓ࣥࢺࡣ㸪㹅㹁♫〇GCEM CERASMART࣓ࢱࣝࢥ࢔࣮࢜࣌ࢡ(௨ୗG1)㸪
G-cemࣜࣥࢡ࢚࣮ࢫAO3(௨ୗG2)㸪ࣀࣜࢱࢣࢡࣛࣞ
ࢹࣥࢱࣝ♫〇ࢡࣜ࢔ࣇ࢕࢚ࣝࢫࢸࢸ࢕ࢵࢡࢭ࣓ࣥ
ࢺ࣮࢜࣌ࢡ(௨ୗNK1)㸪ྠࡌࡃ㹑㸿࣮ࣝࢸ࢕ࣥࢢࣘࢽ ࣂ ࣮ ࢧ ࣝ ( ௨ ୗ NK2) 㸪 㸱 㹋 ESPE ♫ 〇RelyXUltimate(௨ୗ3ME)ࡢ㸳✀㢮࡜ࡋࡓ㸬ᐇ㦂ࡣ㸪᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺ࡟ࡼࡾ㸪㔠ᒓⰍࢆ㐽ⶸࡋᚓࡿ ࠿ ࢆ 㸪 OLYMPUS ♫ 〇 Spectrophotometer
Crystaleye® ࢆ⏝ ࠸ ࡚ 㸪 స 〇 ࡋ ࡓ ヨ ᩱ ࡢ 䠨 䠆 a 䠆 b 䠆㸦⾲㸯㸧ࢆィ ࡋ࡚㸪VITA Classical shade A3Ⰽ࡜
ࡢE㸦⾲㸰㸧ࢆ⟬ฟࡋ࡚㸪Eࡀᑠࡉ࠸ࡶࡢࢆⰍㄪ
෌⌧ᛶ㧗࠸㸪ࡘࡲࡾ㸪㔠ᒓ㐽ⶸᛶࡢ㧗࠸ࡶࡢ࡜ࡋ
࡚㸪௨ୗࡢ⤖ᯝࢆᚓࡓ㸬

⾲㸯. ྛヨᩱࡢ㹊㸨a㸨b㸨

⾲㸰.ྛヨᩱ࡜VITA classical shade A3࡜ࡢEϪ㸬 ⤖ᯝ࡜⪃ᐹ 㸳 ✀ 㢮 ࡢ ࢭ ࣓ ࣥ ࢺ ࡢ ࡞ ࠿ ࡛ 㸪 G-CEM
CERASMART ࢆ ⏝ ࠸ ࡓ ࢧ ࣥ ࣉ ࣝ ࡣ 㸪 1.5mm ཌ ࡜
1.0mmཌඹ࡟㸪ẚ㍑ᑐ㇟࡜ࡋࡓVITA Classical shede
A3࡜ẚ࡭࡚ࠊǼEࡀࡑࢀࡒࢀ㸪2.08, 1.09࡜࡞ࡾ㸪ࡍ࡭࡚ࡢヨᩱࡢ࡞࠿࡛᭱ᑠ࡜࡞ࡗࡓ(⾲㸰)㸬
CAD/CAMෙ⏝ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥ࡜࣓ࢱࣝࢥ࢔࡟
௓ᅾࡉࡏࡿ᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺ࡟ࡼࡗ࡚ࠊ㔠ᒓⰍࡢ㐽ⶸࡣྍ⬟࡛࠶ࡗࡓ㸬ヨ㦂ࢆ⾜ࡗࡓ᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺࡢ୰࡛ࡣ㸪G-cem cerasmart࣓ࢱࣝࢥ࢔࣮࢜࣌ࢡ࡟ࡼࡿ㸪㔠ᒓⰍࡢ㐽ⶸ⬟ຊࡀ㧗࠿ࡗࡓ㸬ϫ㸬 ᩥ⊩1) 㸯㸧௒ ᝅ, ᓥ⏣࿴ᇶ, Ἑཎ୍ⱱ࡯࠿㸬IPS
Empress࣮࢜ࣝࢭ࣑ࣛࢵࢡࡢⰍㄪ࡟㛵ࡍࡿ◊✲ 㸫ྛ✀᥋╔ᛶࣞࢪࣥ࡟ࡼࡿⰍㄪࡢᙳ㡪࡟ࡘ࠸࡚㸫− 223 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 34ᑡᩘṑḞᦆ࡟ᑐࡍࡿ࢖ࣥࣉࣛࣥࢺ἞⒪ࡢ࢔࢘ࢺ࣒࢝ホ౯㸫἞⒪㒊఩࡜ཱྀ⭍㛵㐃QoLࡢ㛵ಀ㸫۵ཎ┿ኸᏊ㸪ྂᒣ༓⣪Ꮚ㸪ᵽཱྀ኱㍜㸪㧗ሙ㞞அ㸪⏣୰᫴ᖹ㸪ሯᓮᘯ᫂㸪㤿ሙ୍⨾᫛࿴኱ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫㅮᗙ
Evaluation of treatment outcome of implant denture in partially edentulous patients- Association between location of prosthodontic treatment and oral health related quality of life Hara M, Furuyama C, Higuchi D, Takaba M, Tanaka S, Tsukasaki H, Baba K
Department of Prosthodontics, School of Dentistry, Showa UniversityϨ㸬 ┠ⓗ ࢖ࣥࣉࣛࣥࢺ἞⒪ࢆᕼᮃࡍࡿᝈ⪅ࡢከࡃࡣᑡᩘ
ṑḞᦆ࡛࠶ࡿࡀ㸪ࡇࢀࡽࡢᝈ⪅࡛ࡣḞᦆ㒊఩㸪≉࡟Ḟᦆࡢ๓ᚋⓗ఩⨨࡟ࡼࡾཱྀ⭍㛵㐃QoLࡢ㞀ᐖᗘࡀ␗࡞ࡾ㸪ࡲࡓ㸪࢖ࣥࣉࣛࣥࢺ⩏ṑ࡟ࡼࡿ἞⒪ຠᯝ ࡶ ␗ ࡞ ࡿ ྍ ⬟ ᛶ ࡀ ࠶ ࡿ 㸬 Oral Health Impact
Profile㸦OHIP㸧ࡣཱྀ⭍㛵㐃QoLࡢᶆ‽ⓗ࡞ホ౯ᣦᶆ࡜ࡋ࡚ᗈࡃ⏝࠸ࡽࢀ࡚࠸ࡿࡀ㸪᭱㏆࡟࡞ࡗ࡚ᅉ
Ꮚศᯒ࡟ࡼࡾྛ㉁ၥ㡯┠ࡀ㸲ࡘࢧࣈࢻ࣓࢖ࣥ㸪ࡍ࡞ࢃࡕࠕཱྀ⭍ᶵ⬟ࠖ10㡯┠,ࠕᑂ⨾ᛶࠖ6㡯┠,ࠕ③ࡳࠖ㸵㡯┠,ࠕᚰ⌮♫఍ⓗᙳ㡪ࠖ18㡯┠࡟ศ㢮ࡉࢀࡿࡇ࡜ࡀ♧ࡉࢀ㸪ྛࢧࣈࢻ࣓࢖ࣥࡢྜィ್㸦ࢧࣈࢻ࣓࢖್ࣥ㸧࡟ࡼࡾཱྀ⭍㛵㐃QoLࡢࣉࣟࣇ࢓࢖ࣜ
ࣥࢢࡀྍ⬟࡜࡞ࡗࡓ1)㸬ࡑࡇ࡛ᮏ◊✲ࡣ㸪3ṑ௨ୗࡢᑡᩘṑḞᦆᝈ⪅ࢆᑐ㇟࡟࢖ࣥࣉࣛࣥࢺ἞⒪௓ධຠᯝࢆཱྀ⭍㛵㐃QoLࡢࢧࣈࢻ࣓࢖ࣥ⏝࠸࡚ホ౯ࡋ㸪Ḟᦆࡢ๓ᚋⓗ࡞఩⨨ࡀ௓ධຠᯝ࡟࡝ࡢࡼ࠺࡞ᙳ㡪ࢆཬࡰࡍ࠿ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ 2012ᖺ4᭶࠿ࡽ2014ᖺ4᭶࡟᫛࿴኱Ꮫṑ⛉⑓㝔⿵⥛ṑ⛉࠾ࡼࡧ࢖ࣥࣉࣛࣥࢺࢭࣥࢱ࣮ࢆཷデࡋ㸪ᅛᐃᛶ࢖ࣥࣉࣛࣥࢺ⩏ṑ࡟ࡼࡿḞᦆ㒊⿵⥛ṑ⛉἞⒪ࢆᕼᮃࡋ㸪Ḟᦆṑᩘࡀ3ṑ௨ୗࡢᝈ⪅ࢆ㐃⥆ࢧࣥࣉࣜࣥࢢࡋࡓ㸬Ḟᦆࡀ」ᩘ⟠ᡤ࡟Ꮡᅾࡍࡿࡶࡢࡣ㝖እࡋ᭱⤊ⓗ࡟42ྡ㸦ᖹᆒ56.5±10.6ṓ,ዪᛶ66.7㸣㸧
ࡀ◊✲ᑐ㇟࡜࡞ࡗࡓ㸬 ཱྀ⭍㛵㐃 QoL ࡢホ౯࡟ࡣ㸪OHIP-J2)ࢆ⏝࠸㸪἞⒪๓(࢖ࣥࣉࣛࣥࢺᡭ⾡๓㸧࡜἞⒪ᚋ㸦ୖ㒊ᵓ㐀⿦╔ᚋ
⣙ 1 ࢝᭶㸧ࡢ 2 ᅇ㸪ㄪᰝࢆ⾜ࡗࡓ㸬49 㡯┠ࡢྜィ್㸪
4 ࡘࢧࣈࢻ࣓࢖್ࣥࢆ⟬ฟࡋ㸪ࢧࣈࢻ࣓࢖್ࣥ࡟ࡘ
࠸࡚ࡣྛࢻ࣓࢖࡛ࣥ᭱኱್ࡀ␗࡞ࡿࡢ࡛᭱኱್࡟ᑐ
ࡍࡿⓒศ⋡ࢆ⟬ฟࡋ㸪࢖ࣥࣉࣛࣥࢺ἞⒪๓୪ࡧ࡟἞⒪ᚋࡢ್ࢆẚ㍑᳨ウࡋࡓ㸬ࡉࡽ࡟㸪᭱๓᪉Ḟᦆṑࡀ๓ṑ࣭ᑠ⮻ṑ࡛࠶ࡿ 24 ྡ(๓᪉Ḟᦆ⩌)࡜㸪Ḟᦆࡀ኱⮻ṑ࡟㝈ᒁࡉࢀࡿ 18 ྡ(ᚋ᪉Ḟᦆ⩌)ࡢ 2 ⩌࡟ศࡅ㸪ྠᵝࡢ᳨ウࢆ⾜ࡗࡓ㸦t-᳨ᐃ㸪᭷ពỈ‽ 5㸣㸪SPSS
17.0J㸧㸬࡞࠾㸪ᮏ◊✲ࡣ᫛࿴኱ᏛṑᏛ㒊་ࡢ೔⌮ጤဨ ఍ ࡢ ᢎ ㄆ ࢆ ᚓ ࡓ ࠺ ࠼ ࡛ ᐇ ᪋ ࡋ ࡓ 㸦 #2007-29,
January 18㸧㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ඲⿕㦂⪅ࡢOHIPྜィ್࡜ྛࢧࣈࢻ࣓࢖್ࣥࡢᖹ
ᆒ್ࡣ㸪἞⒪ᚋ࡟᭷ព࡟ῶᑡࡋࡓ㸦p<0.05㸧Ḟᦆ㒊఩ࡢᙳ㡪࡟ࡘ࠸࡚ࡣ㸪἞⒪๓ࡢࢧࣈࢻ࣓࢖್ࣥ
ࡣ๓᪉Ḟᦆ⩌㸪ᚋ᪉Ḟᦆ⩌࡜ࡶࠕᑂ⨾ᛶࠖࡀ᭱኱
࡛ࠕᚰ⌮♫఍ⓗᙳ㡪ࠖࡀ᭱ᑠ࡛࠶ࡗࡓࡀ㸪๓᪉Ḟᦆ⩌ࡢࠕᑂ⨾ᛶࠖࡢ㞀ᐖᗘࡀ᭱ࡶ㢧ⴭ࡛࠶ࡗࡓ㸬἞⒪ᚋ㸪࠸ࡎࢀࡢ⩌࡛ࡶOHIPྜィ್ࡣ᭷ព࡟ῶᑡ
ࡋ㸪ྛࢧࣈࢻ࣓࢖್ࣥ࡟ࡘ࠸࡚ࡶᚋ᪉Ḟᦆ⩌ࡢࠕ③ࡳࠖࢆ㝖ࡃࡍ࡭࡚ࡀ᭷ព࡟ῶᑡࡋࡓ㸦ᅗ㸧㸬௨ୖࡢ⤖ᯝ࠿ࡽ㸪ᑡᩘṑḞᦆᝈ⪅࡟ᑐࡍࡿ࢖ࣥࣉ
ࣛࣥࢺ἞⒪ࡣཱྀ⭍㛵㐃QoLࢆྥୖࡍࡿୖ࡛᭷ຠ࡛
࠶ࡿࡀ㸪௒ᅇ౑⏝ࡋࡓOHIPࡢ4ࡘࡢࢧࣈࢻ࣓࢖ࣥ
ࢆ⏝࠸ࡓホ౯࡟ࡼࡾ㸪ࡑࡢᵝ┦ࡣḞᦆࡢ๓ᚋⓗ࡞఩⨨࡟ࡼࡗ࡚␗࡞ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬ᅗ㸬἞⒪௓ධ๓ᚋࡢ OHIP ࢧࣈࢻ࣓࢖ࣥϫ㸬 ᩥ⊩1) John MT, Reissmann DR, Feuerstahler L, Waller N,
Baba K, Larsson P, et al. Exploratory factor analysisof the Oral Health Impact Profile. J Oral Rehabil
2014; 41: 635-643.
2) Yamazaki M, Inukai M, Baba K, John MT. Japaneseversion of the Oral Health Impact Profile (OHIP-J). J
Oral Rehabil 2007; 34:159-68.

− 224 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 35࢖ࣥࣉࣛࣥࢺయ࡟࢝ࢫࢱ࣒࢔ࣂࢵࢺ࣓ࣥࢺࢆࢿࢪṆࡵࡍࡿᐇ㦂ⓗ◊✲‫ۑ‬ᒣ᰿㐍㸪ᒣ᰿᫭୍᪥ᮏṑ⛉ඛ➃ᢏ⾡◊✲ᡤ
Experimental study of screwing customized abutment on implant body 
Yamane S, Yamane K
Japan Institute for Advanced DentistryϨ㸬 ┠ⓗ ⮫ᗋ࡟࠾࠸࡚㸪࢔ࣂࢵࢺ࣓ࣥࢺࢆ࢖ࣥࣉࣛࣥࢺ
య࡟᥎ዡࢺࣝࢡ್35Ncmࡲ࡛ࢿࢪࢆࡋࡵࡿ㏵୰㸪࢖ࣥࣉࣛࣥࢺయ⮬యࡀᅇ㌿ࡋ㸪἞⒪ᮇ㛫ࢆᘏ㛗ࡏࡊࡿࢆᚓ࡞࠸ሙྜࢆ⤒㦂ࡍࡿࡇ࡜ࡀ࠶ࡿ㸬ᡃࠎࡣ௨๓㸪࢖ࣥࣉࣛࣥࢺయࢆᅇ㌿ࡉࡏࡿࡇ࡜࡞ࡃ㸪᪤〇ࡢ࢔ࣂࢵࢺ࣓ࣥࢺࢆ࢖ࣥࣉࣛࣥࢺయ࡟35Ncm࡛
ࢿࢪṆࡵࡍࡿ᪉ἲࢆⓎ⾲ࡋࡓ 1) 㸬᫖௒㸪CADCAM
⿦⨨ࡢᬑཬ࡟ࡼࡾ㸪⮫ᗋ࡟࠾࠸࡚࢝ࢫࢱ࣒࢔ࣂࢵ
ࢺ࣓ࣥࢺࡀከ⏝ࡉࢀࡿࡼ࠺࡟࡞ࡾ㸪࢝ࢫࢱ࣒࢔ࣂ
ࢵࢺ࣓ࣥࢺࢆ࢖ࣥࣉࣛࣥࢺయ࡟35Ncm࡛⡆౽࡟Ᏻ඲࡟࢖ࣥࣉࣛࣥࢺయࢆᅇ㌿ࡉࡏࡎࢿࢪṆࡵࡍࡿ᪉ἲࢆ⪃᱌ࡋࡓ㸬࢝ࢫࢱ࣒࢔ࣂࢵࢺ࣓ࣥࢺࡢᅛᐃ⿦
⨨ࢆಶࠎ࡟㗪㐀ࡋ࡚స〇ࡍࡿࡢࡣ᫬㛫ࡀ࠿࠿ࡾࡍ
ࡂࡿḞⅬࡀ࠶ࡾ㸪ࡑࢀࢆඞ᭹ࡍࡿᕤኵࢆ⪃᱌ࡋᶍᆺ࡛ᐇ㦂ࢆࡋࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ ᪉ἲ ࢖ࣥࣉࣛࣥࢺయࡣ࢔ࣂࢵࢺ࣓ࣥࢺ࡜ࡢᅇ㌿㜵Ṇᶵᵓ㸦Cross Fit ࢥࢿࢡࢩࣙࣥ㸧ࡀ௜୚ࡉࢀࡓBone
Level Implant (Straumann®) ࢆ ౑ ⏝ ࡋ ࡓ 㸬 Narrow
CrrossFit (NC) ࡜regular Crossfit (RC) ࡀ࠶ࡾ㸪௒ᅇ࢖ࣥࣉࣛࣥࢺయ㸦┤ᚄ㛗ࡉ㸧ࡣNC3.3mm×10mm,
RC4.1mm×10mm, RC4.8mm×10mmࡢ㸱✀㢮ࢆ౑⏝ࡋࡓ㸬ࡑࢀ࡟ᑐᛂࡋࡓࢳࢱࣥ〇࢝ࢫࢱ࣒࢔ࣂࢵࢺ
࣓ࣥࢺࡣStraumann® Cares® CADCAM࡛స〇ࡋࡓ㸬ୗ㢡ᶍᆺࡣࢽࢵࢩࣥ♫ࡢᾏ⥥㦵᝿ᐃ㦵ᮦᶍᆺ
㸦 E7-No.6 㸧ࢆ౑⏝ࡋࡓ㸬ᶍᆺࡢྑഃ࡟┤ᚄ3.3,
4.1, 4.8 mmࡢ࢖ࣥࣉࣛࣥࢺయࢆ㏆ᚰࡼࡾ㡰␒࡟ᇙධࡋ࡚ᐇ㦂ࢆ⾜ࡗࡓ㸬ᐇ㦂๓࡟㸪࢝ࢫࢱ࣒࢔ࣂࢵ
ࢺ࣓ࣥࢺࡢ኱ࡁࡉࢆ᝿ᐃࡋ࡚㸪6✀㢮ࡢ⟄≧㗪㐀య㸦࢟ࣕࢫࢺ࢚࢘ࣝ® M.C. 㔠12%㸧ࢆస〇ࡋ㸪ࡑࢀ࡟ᅛᐃᲬࢆ㚿╔ࡋᅛᐃ⿦⨨ࢆస〇ࡋࡓ㸬཯ᑐഃ࡟ࡣᐇ㦂࡛࢖ࣥࣉࣛࣥࢺయࡢᅇ㌿᭷↓ࢆ☜ㄆࡍࡿࡓࡵ࡟㸪࣡࢖࣮ࣖࢆ㚿╔ࡋࡓ㸬࣡࢖࣮ࣖࡢඛ➃఩⨨ࡢࡋࡿࡋࢆ཯ᑐഃࡢୗ㢡ᯞࡢษ᩿㠃࡟᫂グ࡛ࡁࡿࡼ࠺࡟タᐃࡋࡓ㸪 ᐃ᪉ἲࡣḟࡢࡼ࠺࡟⾜ࡗࡓ㸬ձ࢖ࣥࣉࣛࣥࢺయࢆᶍᆺ࡟ᇙධࡋ㸪ࡑࡢ᫬ࡢᇙධ
ࢺࣝࢡ್ࡣ࢖ࣥࣉࣛࣥࢺᤄධ࢔ࢲࣉࢱ࣮ࢆ⿦╔ࡋࡓࢺࣝࢡࣞࣥࢳ㸦ᮾ᪥〇సᡤ㸪Fᆺ㸧࡛ ᐃࡋࡓ㸬ղᅛᐃ⿦⨨ࢆ࢝ࢫࢱ࣒࢔ࣂࢵࢺ࣓ࣥࢺ࡟࠿ࡪࡏ㸪ࡑࡢ㝽㛫࡟ග㔜ྜᆺࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࢆ඘ሸࡋ㸪ග࡛◳໬ࡉࡏ࡚ᅛᐃ⿦⨨ࢆ᏶ᡂࡉࡏࡓ㸬ճᅛᐃ᧯సࡣ㸪∦᪉ࡢᡭ࡛ᅛᐃᲬࢆୖ࠿ࡽᢲࡉ࠼࡚ᢕᣢࡋ㸪ࡶ࠺୍᪉ࡢᡭ࡛SCSࢫࢡ࣮ࣜࣗࢻࣛ࢖ࣂ࣮ࢆ⿦╔ࡋࡓࢺࣝࢡࣞࣥࢳ࡟ࡼࡾ35Ncmࡲ࡛ࢿࢪṆࡵࡋࡓ㸬մ୍㐃ࡢ᧯సࡣ㸪㐃⥆᧜ᙳ࡟ࡼࡾグ㘓ࡋ㸪࣡࢖࣮ࣖඛ➃ࡢ⛣ືࡢ᭷↓ࢆ☜ㄆࡋࡓ㸬յ౑⏝ᚋ㸪ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࡣⅆ࡛ᾘ༷ࡋ㸪෌ᗘ㸪ᅛᐃ⿦⨨ࡀ౑⏝࡛ࡁࡿࡼ࠺࡟ࡋࡓ㸬ྠᵝࡢᐇ㦂ࢆ10ಶࡢᶍᆺ࡛⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 10ᅇࡢ࢖ࣥࣉࣛࣥࢺᇙධࢺࣝࢡ್㸦ᖹᆒ್sᶆ‽ ೫ ᕪ ್ 㸧 ࡣ 14.9±2.38 (NC3.3mm×10mm), 17.9±
2.81 (RC4.1mm×10mm), 20.8±2.62 (RC4.8mm×10mm) ࡛࠶ࡗࡓ㸬ࡑࢀࡒࢀ࡟ᑐࡋ࡚௒ᅇ㛤Ⓨࡋࡓ࢝ࢫࢱ࣒࢔ࣂࢵࢺ࣓ࣥࢺᅛᐃ⿦⨨ࢆ౑⏝ࡋ࡚ࢿࢪࢆ⥾ࡵ௜ࡅ࡚࠸ࡗࡓ᫬㸪࣡࢖࣮ࣖࡢඛ➃ࡢ⛣ືࡣ࡞࠿ࡗࡓ㸬࢖ࣥࣉࣛࣥࢺయᇙධ᫬㸪ࢺࣝࢡ್ࡀ
35Ncm௨ୗࡢ࡜ࡁ㸪࢝ࢫࢱ࣒࢔ࣂࢵࢺ࣓ࣥࢺࢆ༶
᫬࡟35Ncm࡛ࢿࢪṆࡵࡍࡿᚲせࡀ࠶ࢀࡤ㸪ᮏᅛᐃ⿦⨨ࢆ౑⏝ࡍࣝࡇ࡜ࡣྍ⬟࡛࠶ࡿ㸬ࡲࡓ㸪⮫ᗋ࡛ࡣ㸪࢖ࣥࣉࣛࣥࢺయᇙධ᫬ࡢࢺࣝࢡ್ࡢ ᐃࡣྍ⬟࡛࠶ࡿࡀ㸪࢖ࣥࣉࣛࣥࢺయࢆᇙධࡋ࡚චⲴᮇ㛫ᚋࡢࢺࣝࢡ್ࡢ ᐃࡣ୙ྍ⬟࡛࠶ࡿ㸬ࡋࡓࡀࡗ࡚㸪චⲴᮇ㛫ᚋࡢ࢖ࣥࣉࣛࣥࢺࡢᏳᐃᛶࡣ࣌ࣜ࢜ࢸࢫࢺ್ࡸISQ್࡛ண ࡉࢀࡿࡀ㸪ࢺࣝࢡ್ࡀ୙࡛᫂ࡶ㸪࢝ࢫࢱ࣒࢔ࣂࢵࢺ࣓ࣥࢺࢆ࢖ࣥࣉࣛࣥࢺయ࡟
35Ncm࡛ࢿࢪṆࡵࡍࡿࡇ࡜ࡀᮏᅛᐃ⿦⨨࡟ࡼࡗ࡚ྍ⬟࡛࠶ࡿࡇ࡜ࡀุ᫂ࡋࡓ㸬ࡉࡽ࡟㸪ᮏᅛᐃ⿦⨨ࢆ౑⏝ࡍࢀࡤ㸪࢖ࣥࣉࣛࣥࢺయ࡟᪤〇࢔ࣂࢵࢺ࣓
ࣥࢺࢆ35Ncmࡲ࡛ࢿࢪṆࡵࡍࡿࡇ࡜ࡶྍ⬟࡛࠶ࡾ㸪฼⏝౯್ࡣ༑ศ࠶ࡿ㸬             ϫ㸬 ᩥ⊩1) ᒣ᰿᫭୍, ୕ᾆ⏤㔛㸪ᯇ⏣⍛㔛㸪ᒣ᰿㐍㸪ᵽཱྀ຾つ㸬ᅛᐃჾලࢆ฼⏝ࡋࡓ࢔ࣂࢵࢺ࣓ࣥࢺ
ࢿࢪṆࡵࡢᐇ㦂ⓗ◊✲㸬᪥ཱྀ⭍࢖ࣥࣉࣛࣥࢺ
ㄅ 2013 ; 26࣭43ᅇ≉ูྕ㸸244. − 225 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 36ࢹࢪࢱࣝ༳㇟ࢆ⏝࠸ࡓ࢖ࣥࣉࣛࣥࢺ἞⒪࡟࠾ࡅࡿ࢔ࣂࢵࢺ࣓
ࣥࢺࡢ఩⨨෌⌧ᛶࡢ᳨ウ‫ۑ‬࿡ᒸ ᆒ㸪኱ᖹ༓அ㸪㨣ཎⱥ㐨㸪ྜྷ⏣኱ᚭ㸪㧗⸨ᜤᏊ㸪῝⃝⩧ኴ㸪㏆⸨ᑦ▱ᒾᡭ་⛉኱ᏛṑᏛ㒊 ⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛㅮᗙ
Reproducibility of the implant abutment position using digital impression.
Ajioka H, Odaira C, Kihara H, Yoshida D, Takafuji K, Fukazawa S, Kondo H
Department of Prosthodontics and Oral Implantology, School of Dentistry Iwate Medical UniversityϨ㸬 ┠ⓗ ㏆ᖺ㸪ࢹࢪࢱࣝᢏ⾡ࡀṑ⛉་⒪࡟✚ᴟⓗ࡟ᑟධࡉࢀ㸪Digital Dentistry࡜࿧ࡤࢀࡿࢥࣥࣆ࣮ࣗࢱᨭ
᥼࡟ࡼࡿṑ⛉἞⒪ࡀᐃ╔ࡋࡘࡘ࠶ࡿ㸬ࡑࡢ୰࡛ࡶ
ගᏛ༳㇟ἲࡣ㸪ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮࠿ࡽᨭྎṑ࡞ࡽࡧ࡟࿘ᅖ⤌⧊➼࡟つ๎ⓗ࡞ࣃࢱ࣮ࣥගࢆ↷ᑕࡋ㸪ෆⶶ࣓࡛࢝ࣛࡑࡢ཯ᑕගࢆ࡜ࡽ࠼࡚୕ḟඖᙧ≧ࢆᐃࡍࡿ᪂ࡓ࡞᪉ἲ࡜ࡋ࡚ὀ┠ࢆᾎࡧ࡚࠸ࡿ1)㸬୍᪉࡛㸪ගᏛ༳㇟ἲࡀ㸪ᚑ᮶ࡢ༳㇟᥇ᚓἲ࡟࡜ࡗ࡚
௦ࢃࡿࡇ࡜ࡀ࡛ࡁࡿ⢭ᗘࢆවࡡഛ࠼࡚࠸ࡿ࠿ࡣ㸪ᚲࡎࡋࡶ᫂ࡽ࠿࡟ࡉࢀ࡚࠸࡞࠸㸬ᮏ◊✲࡟࠾࠸࡚ࡣ㸪ගᏛ༳㇟ἲ࡟ᚲ㡲ࡢࢶ࣮࡛ࣝ࠶ࡿཱྀ⭍ෆࢫ࢟ࣕࢼ࣮࡜ṑ⛉ᢏᕤ⏝ࢫ࢟ࣕࢼ࣮ࡢ┿ᗘ࡜⢭ᗘࢆẚ
㍑ࡋ㸪ࡑࡢ᭷⏝ᛶࢆホ౯᳨ウࡋࡓ㸬ϩ㸬 ᪉ἲ⓶㉁㦵࡜ᾏ⥥㦵ࢆᶍೌࡋࡓ஧ᒙࡢ㦵ᵝᵓ㐀ࢆ᭷ࡍࡿ࢖ࣥࣉࣛࣥࢺᐇ⩦⏝ᶍᆺࢆᇶ‽ᶍᆺ࡜ࡋ࡚౑
⏝ࡋࡓ㸬࢖ࣥࣉࣛࣥࢺᇙධ㒊఩ࡀୗ㢡ᕥഃ➨஧ᑠ⮻ṑ࡜ୗ㢡ᕥഃ➨୍኱⮻ṑ┦ᙜ㒊࡛࠶ࡿᶍᆺࢆᇶ
‽ᶍᆺA㸪ୗ㢡ྑഃ➨஧ᑠ⮻ṑ࡜ୗ㢡ྑഃ➨஧኱⮻ṑ┦ᙜ㒊࡛࠶ࡿᶍᆺࢆᇶ‽ᶍᆺB࡜ࡋࡓ㸬ࡑࢀࡒࢀࡢᶍᆺ࡟እഃᛶࡢ6ゅᵓ㐀ࢆ᭷ࡍࡿ࢖ࣥࣉࣛࣥࢺ
యࢆᇙධࡋ㸪␗࡞ࡿ஧✀㢮ࡢᶍᆺࢆ〇సࡋࡓ㸬ᇙධࡋࡓ㸰ᮏࡢ࢖ࣥࣉࣛࣥࢺయ࡟࣮࣎ࣝ࢔ࣂࢵࢺ࣓
ࣥࢺࢆ⿦╔ࡋ㸪࢔ࣂࢵࢺ࣓ࣥࢺࡢ୰ᚰ㛫㊥㞳ࢆ᥋ゐᘧ୕ḟඖᗙᶆ ᐃᶵ࡛ィ ࡋ㸪ࡇࢀࢆ┿ࡢ್࡜ࡋ࡚タᐃࡋࡓ㸬ࡉࡽ࡟㸪ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮࡛࠶ࡿ
Lava COS࡜TRIOS㸪ṑ⛉ᢏᕤ⏝ࢫ࢟ࣕࢼ࣮࡛࠶ࡿ
ARCTICA ࢆ ౑ ⏝ ࡋ ࡚ ᇶ ‽ ᶍ ᆺ A ࡜ ᇶ ‽ ᶍ ᆺ B ࡢ
Stereolithography (STL)ࢹ࣮ࢱࢆฟຊࡋࡓ㸬3ḟඖᐃᶵ⏝ࢯࣇࢺ࢙࢘࢔࡛࠶ࡿFocus Inspectionࢆ⏝࠸࡚࢖ࣥࣉࣛࣥࢺయ㛫ࡢ㊥㞳ࡢㄗᕪࢆ┿ᗘ࡜ࡋ㸪ᐃ್ࡢᖹᆒ࠿ࡽࡢㄗᕪࢆ⢭ᗘ࡜ࡋ࡚ホ౯ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᇶ‽ᶍᆺA㸪ᇶ‽ᶍᆺB࡟࠾ࡅࡿ┿ᗘ࡟㛵ࡋ࡚㸪
Lava COSࡣTRIOS㸪ARCTICA࡜ẚ㍑ࡋ࡚᭷ព࡞ᕪ
ࢆㄆࡵࡓࡀ㸪TRIOS࡜ARCTICAࡢ㛫࡟᭷ព࡞ᕪࡣ
ㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬ࡲࡓᇶ‽ᶍᆺA㸪ᇶ‽ᶍᆺB࡟࠾ࡅࡿ⢭ᗘࡣ㸪Lava COS࡜ARCTICAࡢ㛫࡟᭷ព࡞ᕪࢆㄆࡵࡓࡀ㸪TRIOS࡜Lava COS㸪ARCTICAࡢ㛫࡟᭷ព࡞ᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ(ᅗ)㸬3✀ࡢࢹࢪࢱࣝ༳㇟ࡢ࠺ࡕ㸪┿ᗘ࡜⢭ᗘࡢ೫ᕪࡣARCTICAࡀ᭱ࡶᑠࡉࡃ㸪Lava COSࡀ᭱ࡶ኱ࡁ࠿ࡗࡓ㸬ᮏ◊✲࡟࠾࠸࡚ࡣᇶ‽ᶍᆺA࡜ẚ㍑ࡋ࡚ᇶ‽ᶍ
ᆺBࡢ࣮࣎ࣝ୰ᚰⅬ㛫ࡢ㊥㞳ࡣ⣙2ಸ࡜࡞ࡗ࡚࠸ࡓ
ࡀ㸪ṑ⛉ᢏᕤ⏝ࢫ࢟ࣕࢼ࣮ࡣ୍ᗘ࡟ᗈ⠊ᅖࡢ᧜ᙳࡀྍ⬟࡞ࡓࡵ㸪㊥㞳࡟㛵ࢃࡽࡎᏳᐃࡋࡓ┿ᗘ࡜⢭ᗘࢆ᭷ࡋ࡚࠸ࡓ㸬୍᪉ࡢཱྀ⭍ෆࢫ࢟ࣕࢼ࣮࡛ࡣㄗ
ᕪࡀቑຍࡋࡓ㸬ୖグࡼࡾ㸪ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮ࡣ୕
ḟඖ⏬ീࡢࡘ࡞ࡂྜࢃࡏ࡟ࡼࡗ࡚ࢹ࣮ࢱࢆ⤖ྜࡍࡿࡓࡵከᩘṑࡢࢫ࢟ࣕࣥࡢሙྜ࡛ࡣㄗᕪࡀቑ኱ࡍ
ࡿഴྥࡀ࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ṑ⛉ᢏᕤ⏝ࢫ࢟ࣕࢼ࣮⮬యࡢ┿ᗘ࡜⢭ᗘࡢ㧗ࡉࡀ᫂ࡽ࠿࡜࡞ࡗࡓࡀ㸪ᐇ㝿ࡢ⮫ᗋ࡟࠾࠸࡚ࡣ༳㇟
ᮦࡢኚᙧ࡜▼⭯ࡢ⭾ᙇࢆໟྵࡋ࡚ࡋࡲ࠺▷ᡤࡀゎᾘࡉࢀࡓࢃࡅ࡛ࡣ࡞࠸㸬୍᪉㸪༳㇟ᮦࡸ▼⭯ࢆᚲせ࡜ࡋ࡞࠸ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮ࡣṑ⛉ᢏᕤ⏝ࢫ࢟ࣕࢼ࣮࡜ྠ➼ࡢ┿ᗘ࡜⢭ᗘࢆ᭷ࡍࡿࡶࡢࡀ࠶ࡾ㸪┿ࡢ್࡟㏆࠸ᑍἲ෌⌧ᛶࢆ᭷ࡍࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞
ࡾ㸪ගᏛ༳㇟ἲࡢඃ఩ᛶࡀ♧၀ࡉࢀࡓ㸬ᅗ ྛࢹࢪࢱࣝ༳㇟࡟࠾ࡅࡿ┿ᗘ࡜⢭ᗘϫ㸬 ᩥ⊩1) Mehl A, Ender A, Mormann W, Attin T.
Accuracy testing of a new intraoral 3D camera.
Int J Comput Dent2009; 12:11-28.

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第1,2日

第6会場

ポスター発表1 ─ 6 ─ 37࢖ࣥࣉࣛࣥࢺࡢ⢓ᛶయ࡟ᑐࡍࡿᘚู⬟ຊホ౯‫ۑ‬㛛ᕝ᫂ᙪ㸪⽣Ụ㝯ே*㸪ᕊᓮⰋே㸪᭷ᕝ⿱அ*㸪ᰗ⏣ᘅ᫂㸪ᮧཱྀᾈ୍㸪ᮧཎ㈆᫛㸪ᓠඖ㔛Ꮚ㸪⳥ᆅ⪷ྐ*㸪༡ ᘯஅ㮵ඣᓥ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ညྜᶵ⬟⿵⥛Ꮫศ㔝㸪*㮵ඣᓥ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ṑ⛉⏕యᮦᩱᏛศ㔝
Evaluation of implants using the discrimination of viscous fluids
Kadokawa A, Kanie T*, Minesaki Y, Arikawa H*, Yanagida H, Muraguchi K, Murahara S, Minemoto S,
Kikuchi M*, Minami H
Department of Fixed Prosthodontics, *Department of Biomaterials Science, Kagoshima University Graduate
School of Medical and Dental SciencesϨ㸬 ┠ⓗ ṑ⛉࢖ࣥࣉࣛࣥࢺࡣ㸪ᑂ⨾ᛶࡢᅇ᚟ࡸṧᏑṑࡢ㈇ᢸ㍍ῶ➼㸪ᶫ⩏ṑࡸ᭷ᗋ⩏ṑ἞⒪࡜ẚ㍑ࡋ࡚ඃ
఩࡞Ⅼࡶከࡃ㸪Ḟᦆ⿵⥛἞⒪ࡢ㸯ࡘࡢ㑅ᢥ⫥࡜ࡋ࡚ᖺ㛫40㹼60୓ᮏࡀฟⲴࡉࢀࡿ࡜ゝࢃࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ㸪ឤぬཷᐜჾ࡛࠶ࡿṑ᰿⭷ࡀ↓ࡃ㸪࢜ࢵࢭ࢜࢖ࣥࢸࢢ࣮ࣞࢩࣙࣥࢆᙉᅛ࡟⋓ᚓࡍࡿࡇ࡜࡛ည
ྜᅽ⦆⾪⬟ຊࡶᴟ➃࡟పୗࡍࡿࡓࡵ㸪࢖ࣥࣉࣛࣥ
ࢺ⿵⥛㒊ࡢ࿪ᄮឤぬ࡟㛵ࡋ࡚ࡣ㸪୙᫂࡞Ⅼࡶᑡ࡞ࡃ࡞࠸㸬ࡑࡇ࡛₇⪅ࡽࡣ㸪ྠពࢆᚓࡽࢀࡓ⿕㦂⪅࡟࿪ᄮᐁ⬟ヨ㦂ࢆᐇ᪋ࡋ࡚࿪ᄮឤぬ࡟ཬࡰࡍ࢖ࣥ
ࣉࣛࣥࢺࡢᙳ㡪ࢆ᳨ウࡋ㸪᫖ᖺࡢᮏᏛ⾡኱఍࡟࠾࠸࡚ᙎᛶయヨᩱ࡟ᑐࡍࡿ◳ࡉࡢᘚู⬟ຊホ౯ࢆሗ࿌ࡋࡓ1)㸬௒ᅇࡣࡉࡽ࡟࢖ࣥࣉࣛࣥࢺࡢ⢓ᛶయヨᩱ࡟ᑐࡍࡿᘚู⬟ຊホ౯ࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ࿪ᄮᐁ⬟ヨ㦂࡟౑⏝ࡋࡓ␲ఝ㣗ရ⢓ᛶయヨᩱࡣ㸪ࢩࣜࢥ࣮ࣥ༳㇟ᮦࣃࢸࢱ࢖ࣉ㸦ࣇࣞ࢟ࢩࢥࣥ㸪GC㸧
ࢆ⏝࠸࡚స〇ࡋࡓ㸬⢓ᛶ⋡ࢆኚ໬ࡉࡏࡿࡓࡵ࡟㸪༳㇟⏝▼⭯㸦୸▼▼⭯㸧ࢆ㔜㔞ẚ0㹼7.5 %ࡢ⠊ᅖ࡛ῧຍࡋ࡚㸪⢓ᛶ⋡ࡢ␗࡞ࡿV1࠿ࡽV6ࡢ6✀㢮ࡢ⌫≧ヨᩱ㸦⥲㔜㔞3.5 g㸧ࢆ‽ഛࡋࡓ㸬ྛヨᩱࡢ⢓ᛶ⋡ࡣ㸪ኳ⛗ᘧᖹ⾜ᯈࣉࣛࢫࢺ࣓࣮ࢱ࣮ࢆ⏝࠸㸪Ⲵ㔜50 g࡛⢓ᛶ⋡ࢆồࡵࡓ㸦⾲㸧㸬⿕㦂⪅࡜ࡋ࡚㸪೺඲ṑྠኈ࡛ညྜࡋ࡚࠸ࡿṑ⛉
་ᖌ16ྡ࡜㸪∦㢡ࡢࡳ࢖ࣥࣉࣛࣥࢺࢆ⿦╔ࡋ࡚࠸ࡿᝈ⪅15ྡཬࡧ୧ഃ࢖ࣥࣉࣛࣥࢺࢆ⿦╔ࡋ࡚࠸ࡿᝈ⪅10ྡࢆ㑅ᢥࡋࡓ㸬⢓ᛶ⋡ࡀ␗࡞ࡿ2ಶࡢヨᩱࢆ⮻ṑ㒊࡛10⛊㛫஺஫࡟࿪ᄮࡋ࡚㸪࡝ࡕࡽࡀ◳࠸࠿ࢆุูࡉࡏࡓ㸬6✀㢮࡛ࡢヨᩱ㛫࡛ࡢ⤌ࡳྜࢃࡏࡣ
15㏻ࡾ࡜࡞ࡿ㸬ุู⥲ᩘࡢ୰࡛ࣞ࢜ࣟࢪ࣮ⓗ ᐃ⤖ᯝ࡜ྠࡌᅇ⟅ࢆࡋࡓẚ⋡ࢆṇゎ⋡㸦PV 㸧࡜ࡋࡓ㸬ே㛫ࡢឤぬᚰ⌮Ꮫࡢศ㔝࡛ࡣ㸪⓶⭵ࡸཱྀ⭍⢓⭷ࢆ௓ࡋ࡚ࡢᙎᛶឤぬ㸪⢓ᛶឤぬࡣ㸪Weber-Fechnerࡢἲ๎ࡀᙜ࡚ࡣࡲࡿ࡜ゝࢃࢀ࡚࠸ࡿ㸬ࡇࡢἲ๎ࡣ㸪ឤぬࡢቑࡋ㧗㸦ѬQ㸧ࡀ㸪ᘚู㜈㸦ѬR㸧࡜่⃭ᙉᗘ
㸦R㸧࡜ࡢẚ㸪༶ࡕѬR/R࡟ẚ౛ࡍࡿ࡜࠸࠺ࡶࡢ࡛㸪ᘚู㜈࡜࠸࠺㛫᥋ⓗ࡞ᡭẁࢆ⏝࠸࡚ឤぬࢆ⾲ࡑ࠺࡜ࡋࡓࡶࡢ࡛࠶ࡿ㸬ࡇࡢ⌮ㄽࢆᛂ⏝ࡍࡿ࡜ᮏ◊✲࡛ࡣ㸪ឤぬࡢ኱ࡁࡉ㸦Q㸧ࡣ㸪ṇゎ⋡㸦PV 㸧࡟┦ᙜࡋ㸪PV࡜ุู࡟฼⏝ࡉࢀࡓヨᩱ㛫ࡢ⢓ᛶ⋡ࡢᕪࡢᑐᩘ㸦logѬV㸧㛫࡟ࡣ㸪┤⥺㛵ಀࡀᚓࡽࢀࡿ2)㸬
ࡑࡇ࡛㸪୧⿕㦂⪅ࢢ࣮ࣝࣉ࡟࠾࠸࡚PV࡜logѬV㛫ࡢ㛵ಀࢆゎᯒࡋ࡚⤖ᯝࢆẚ㍑ࡍࡿࡇ࡜࡛㸪࿪ᄮឤぬ࡟ཬࡰࡍ࢖ࣥࣉࣛࣥࢺࡢᙳ㡪ࢆ⪃ᐹࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ PV࡜logѬV࡜ࡢ㛵ಀࡣ㸪୧⿕㦂⪅ࢢ࣮ࣝࣉඹ࡟┤⥺㛵ಀࡀᚓࡽࢀ㸪Weber-Fechnerࡢἲ๎࡟ᚑ࠺ࡇ࡜
ࡀ☜ㄆࡉࢀࡓ㸬ࡲࡓኳ↛ṑྠኈࡢ⿕㦂⪅࡟ࡼࡿᘚู┤⥺࡜ẚ㍑ࡋ࡚㸪࢖ࣥࣉࣛࣥࢺࢆ⿦╔ࡋ࡚࠸ࡿ⿕㦂⪅࡟ࡼࡿᘚู┤⥺ࡣ㸪logѬVࡢ኱ࡁ࠸᪉ྥ࡟⛣⾜ࡋ࡚࠸ࡓ㸬ࡇࢀ࡟ࡼࡾ㸪ኳ↛ṑ࡛ညྜࡍࡿࡢ࡟
ẚ㍑ࡋ࡚㸪࢖ࣥࣉࣛࣥࢺ࡛ညྜࡍࡿࡇ࡜࡛⢓ᛶయࡢ◳ࡉ࡟ᑐࡍᘚู⬟ຊࡀపୗࡍࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬 ␲ఝ㣗ရ⢓ᛶయヨᩱࡢ⤌ᡂ࡜⢓ᛶ⋡⢓ᛶ⋡(10-2MPa࣭s㸧
ヨᩱ▼⭯ྵ᭷⋡㸦wt %㸧

ᖹᆒ

SD

V1

0.0

1.77

0.22

V2

1.5

2.22

0.34

V3

3.0

3.72

0.06

V4

4.5

7.19

0.81

V5

6.0

13.00

0.64

V6

7.5

23.00

1.07

ϫ㸬 ᩥ⊩
1) 㛛ᕝ᫂ᙪ㸪⽣Ụ㝯ே㸪ᕊᓮⰋே࡯࠿㸬࿪ᄮᐁ⬟ヨ㦂ࢆ฼⏝ࡋࡓ࢖ࣥࣉࣛࣥࢺࡢホ౯ἲ㸬᪥⿵⥛఍ㄅ 2014; 6·123ᅇ≉ูྕ: 224.
2) Inoue K, Kanie T, Kadokawa A et al. An
evaluation of acrylic complete-dentures using thediscrimination of elastic bodies or viscous fluids.
J Oral Rehabil 1999; 26: 608-612.

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日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 38ᢤṑ❐ṑᵴ㦵ࡢ㦵ᱱᵓ㐀࠾ࡼࡧ㦵ሷ㔞࡜ᢤṑᚋ⤒㐣ᮇ㛫࡜ࡢ㛵ಀ‫⨾⤮ୖ୕ۑ‬㸪⏣୰ࡳ࠿Ꮚ㸪Ḉ஭┤ᶞ㸪ⰾ⃝ாᏊ*㸪Ⲩ஭Ⰻ᫂**㸪ᒣ⏣୍✑**㸪Ụᑼ㈆୍***㸪ᑠ㔝㧗⿱᪂₲኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ ໟᣓṑ⛉⿵⥛Ꮫศ㔝㸪*⤌⧊෌ᘓཱྀ⭍እ⛉Ꮫศ㔝㸪**᪂₲኱Ꮫ་ṑᏛ⥲ྜ⑓㝔 ࢖ࣥࣉࣛࣥࢺ἞⒪㒊㸪***ᮅ᪥኱Ꮫ ṑᏛ㒊 ཱྀ⭍ゎ๗Ꮫศ㔝
Relationships between post-extraction period length, and alveolar bone microstructure and mineral density atthe extraction site.
Mikami E, Tanaka M, Sakurai N, Yoshizawa M*, Arai Y**, Yamada K**, Ejiri S***, Ono T
Division of Comprehensive Prosthodontics, Niigata University Graduate School of Medical and Dental
Sciences, *Division of Reconstructive Surgery for Oral and Maxillofacial Region, Niigata University
Graduate School of Medical and Dental Sciences, **Oral Implant Clinic, Niigata University Medical and
Dental Hospital, ***Department of Oral Anatomy, Asahi University School of DentistryϨ㸬 ┠ⓗ ᢤṑ❐ࡢ㦵ᱱᵓ㐀ࡢ἞⒵⤒㐣ࢆᢕᥱࡋ࡚࠾ࡃࡇ
࡜ࡣ㸪⿵⥛἞⒪࡟࠾࠸࡚㔜せ࡛࠶ࡿ㸬ࡇࢀࡲ࡛ື
≀ᐇ㦂࡛ᢤṑ❐ࡢ἞⒵㐣⛬ࢆほᐹࡋࡓሗ࿌ࡣㄆࡵ
ࡽࢀࡿࡶࡢࡢ㸪ࣄࢺࡢᢤṑ❐ṑᵴ㦵ࡢ୕ḟඖⓗ࡞ᚤ⣽㦵ᱱᵓ㐀ࢆ㛗ᮇ㛫࡟ࢃࡓࡾ᳨⣴ࡋࡓሗ࿌ࡣ࡞
࠸㸬௒ᅇ㸪࢖ࣥࣉࣛࣥࢺ᳜❧࠶ࡿ࠸ࡣṑࡢ⛣᳜ᡭ⾡ࡢ❐Ὕᙧᡂ᫬࡟◚Რࡉࢀࡿṑᵴ㦵ヨᩱࢆ⏕᳨ヨᩱ࡜ࡋ࡚⏝࠸ࡿ᪉ἲ1)ࢆᛂ⏝ࡋ㸪ᢤṑ❐ṑᵴ㦵ࡢ㦵ᱱࡀ࡝ࡢࡼ࠺࡞᫬㛫⤒㐣࡛ᨵኚࡉࢀࡿࡢ࠿ࢆㄪ࡭
ࡿ┠ⓗ࡛㸪ࣄࢺᢤṑ❐ṑᵴ㦵ࡢᚤ⣽㦵ᱱᵓ㐀࡜㦵ሷ㔞ࢆᶓ᩿ⓗ࡟᳨⣴ࡋࡓ㸬ϩ㸬 ᪉ἲ ୗ㢡⮻ṑ㒊࡟࢖ࣥࣉࣛࣥࢺᇙධ࠶ࡿ࠸ࡣṑࢆ⛣᳜ࡍࡿணᐃࡢ⏨ᛶ5ྡ㸪ዪᛶ31ྡࡢィ36ྡ㸦20-77ṓ㸪ᖹᆒᖺ㱋52.0ṓ㸧ࢆᑐ㇟࡜ࡋ㸪࢖ࣥࣉࣛࣥࢺ
❐Ὕ࠶ࡿ࠸ࡣṑࡢ⛣᳜ᗋࢆᙧᡂࡍࡿ㝿࡟ࢺࣞࣇ࢕
ࣥࣂ࣮ࢆ⏝࠸࡚44ヨᩱࢆ᥇ྲྀࡋࡓ㸦ヨᩱࢧ࢖ࢬ㸸┤ᚄ2-4mm㸪㧗ࡉ3-9mm㸧㸬᥇ྲྀࡋࡓヨᩱࡢᢤṑᚋࡢ⤒㐣ᮇ㛫ࡣ㸪1.6࠿᭶࠿ࡽ30ᖺ࡛࠶ࡗࡓ㸬ヨᩱࡢᚤ⣽㦵ᱱᵓ㐀ࢆmicroCTࢆ⏝࠸࡚ほᐹࡋ㸪3D㦵
ᱱᵓ㐀ゎᯒࢯࣇࢺ࡟࡚㦵ᙧែィ 㸦㦵㔞㸪㦵⾲㠃✚㸪㦵ᱱᖜ㸪㦵ᱱᩘ㸪㦵ᱱ㛫㝽㸪㦵ᱱ୰ᚰ㊥㞳㸪㦵ࣃࢱ࣮ࣥᅉᏊ㸪ᵓ㐀ࣔࢹࣝᣦᩘ㸪㦵ᱱ⤖⠇ᩘ㸪㦵ᱱ⤊ᮎ➃ᩘ㸧㸪㦵ሷ㔞ィ ࢆ⾜ࡗࡓ㸬ᢡࢀ⥺ᅇᖐศᯒࢆ⏝࠸࡚㸪ྛィ 㡯┠ࡢࢹ࣮ࢱࡀ᫬㛫⤒㐣࡜ẚ౛ࡋ࡚ቑῶࡍࡿ᫬ᮇࢆ᳨⣴ࡋࡓ㸬᭷ពỈ‽ࡣ
5㸣࡜ࡋࡓ㸬࡞࠾㸪ᮏ◊✲ࡣ᪂₲኱ᏛṑᏛ㒊೔⌮ጤဨ఍ࡢᢎㄆ㸦No. 20-R13-08-06㸧ࢆᚓ࡚⾜ࢃࢀࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᪩ᮇࡢᢤṑ❐ࡣ㸪⣽࠸⥙≧ࡢ᪂⏕㦵ᱱ࡛‶ࡓࡉࢀ࡚࠸ࡓࡀ㸪⤒㐣ᮇ㛫ࡢ㛗࠸⑕౛࡯࡝㦵ᨵ㐀⌧㇟࡟ࡼࡾኴ࠸㦵ᱱ࡬࡜ᨵኚࡉࢀ࡚࠸ࡓ㸦ᅗ㸧㸬ᾏ⥥㦵ࡢྛィ 㡯┠࡟ࡘ࠸࡚ᢤṑᚋࡢ⤒㐣ᮇ㛫࡜ࡢᢡࢀ⥺ᅇᖐศᯒࢆ⾜ࡗࡓ⤖ᯝ㸪㦵⾲㠃✚㸪㦵ᱱᩘ㸪㦵ᱱ⤖⠇ᩘ㸪㦵ᱱ⤊ᮎ➃ᩘࡣ᫬㛫⤒㐣࡜࡜ࡶ࡟ῶᑡࡋ㸪㦵ᱱᖜ㸪㦵ᱱ୰ᚰ㊥㞳㸪ᵓ㐀ࣔࢹࣝᣦᩘ㸪㦵ሷ㔞ࡣቑຍࡋࡓ㸬ࡲࡓ㸪ࡇࢀࡽࡢ㡯┠࡟࠾࠸࡚ᢡ᭤Ⅼࡀㄆࡵࡽࢀ㸪ࡇࡢᢡ᭤Ⅼࡢ࠶࡜㸪ᅇᖐಀᩘࡣࢮࣟ࡟㏆ఝࡍࡿ್࡜࡞ࡾ᫬㛫⤒㐣࡟㛵㐃ࡋࡓቑῶࡣㄆࡵࡽࢀ࡞ࡃ࡞ࡗࡓ㸬ྛ㡯┠ࡢᢡ᭤Ⅼࡣ㸪㦵ᱱ⤊ᮎ➃ᩘ࡛ࡣᢤṑᚋ7࠿᭶㸪㦵⾲㠃✚㸪㦵ᱱ⤖⠇ᩘ࡛ࡣᢤṑᚋ8࠿᭶㸪㦵ᱱᖜ࡛ࡣᢤṑᚋ10࠿᭶㸪㦵ሷ㔞࡛ࡣᢤṑᚋ11࠿᭶㸪㦵ᱱᩘ㸪㦵ᱱ୰ᚰ㊥㞳࡛ࡣᢤṑᚋ12࠿᭶㸪ᵓ㐀ࣔࢹࣝᣦᩘ࡛ࡣᢤṑ
ᚋ48࠿᭶࡛࠶ࡗࡓ㸬ࡲࡓ㸪㦵㔞㸪㦵ᱱ㛫㝽㸪㦵ࣃࢱ࣮ࣥᅉᏊ࡟ࡘ࠸࡚ࡣᢤṑᚋ⤒㐣ᮇ㛫࡟క࠺ᢡ᭤
Ⅼࡣ᳨ฟࡉࢀ࡞࠿ࡗࡓ㸬௨ୖࡼࡾ㸪ࣄࢺᢤṑ❐ṑᵴ㦵ࡣᢤṑ┤ᚋ࠿ࡽ12࠿᭶ࡲ࡛ࡢ㛫࡟άⓎ࡞㦵ᨵ㐀⌧㇟ࡀ⏕ࡌ㸪ᮇ㛫⤒㐣࡜࡜ࡶ࡟㦵ሷ㔞ࡢ㧗࠸ኴ࠸㦵ᱱ࡬࡜ᨵኚࡉࢀࡿ
ࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ࡲࡓ㸪㦵ᱱᙧែࡀᯈ≧࠿Წ≧࠿ࢆ♧ࡍᵓ㐀ࣔࢹࣝᣦᩘ࡛ࡣࡉࡽ࡟㛗ᮇ࡟ࢃࡓࡗ
࡚ᢤṑࡢᙳ㡪ࡀᣢ⥆ࡍࡿྍ⬟ᛶࡶ♧ࡉࢀࡓ㸬఍ဨእඹྠ◊✲⪅㸸㉥⃝ᏹᖹ㸦᪂₲኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉᝟ሗ⛉Ꮫ࣭⤫ィᏛศ㔝㸧

ᢤṑᚋ
 䛛᭶

䛛᭶

ᖺ䛛᭶

ᖺ

ᖺ
PP

᥇ྲྀࡋࡓṑᵴ㦵ヨᩱࡢ microCT ⏬ീϫ㸬 ᩥ⊩1㸧Yamashita-Mikami E, Tanaka M, Sakurai N,
Yamada K, Ohshima H, Nomura S, et al.
Microstructural observation with microCT andhistological analysis of human alveolar bone biopsy
from a planned implant site: A case report. Open
Dent J. 2013; 7: 47-54.

− 228 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 39ࣛࢵࢺୖ㢡ࡢᢤṑ༶᫬ᇙධᚋ᪩ᮇⲴ㔜ࢆ⾜ࡗࡓࢳࢱࣥ࢖ࣥࣉ
ࣛࣥࢺ࿘ᅖ㦵ࡢ⤌⧊Ꮫⓗ᳨⣴‫ۑ‬ụ⏣Ḡᕼ*㸪㛗㇂ᕝᬛ㤶*㸪ᒣෆ㈗⣖Ꮚ㸪⥙ሯ᠇⏕*㸪ᶓᒣᩔ㑻໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ཱྀ⭍ᶵ⬟⿵⥛Ꮫᩍᐊ, *໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉◳⤌⧊Ⓨ⏕⏕≀Ꮫᩍᐊ
Histological examination on bone tissue around titanium implants bearing early occlusal loading after
immediate implantation in the rat maxilla
Ikeda Y*㸪Hasegawa T*㸪Yamauchi A㸪Amizuka N*㸪Yokoyama A
Dept. of Oral Functional Prosthodontics Division of Oral Functional Science Graduate School of Dental
Medicine Hokkaido University, *Dept. of Developmental Biology of Hard Tissue Division of Oral Healthscience Graduate School of Dental Medicine Hokkaido UniversityϨ㸬 ┠ⓗ ⌧ᅾ㸪ṑ⛉࢖ࣥࣉࣛࣥࢺ⮫ᗋ࡟࠾࠸࡚㸪἞⒪ᮇ
㛫ࡢ▷⦰࡞࡝ࢆ┠ⓗ࡟㸪ᢤṑ༶᫬ᇙධࡸᇙධᚋ༶
᫬ࡲࡓࡣ᪩ᮇࡢᶵ⬟㈇Ⲵࡀ⾜ࢃࢀ㸪ࡑࡢ㛗ᮇⓗ࡞
ᡂ⦼ࡣ㏻ᖖⲴ㔜࡜ẚ࡭࡚ࡶຎࡽ࡞࠸࡜࠸࠺ሗ࿌ࡀ
࡞ࡉࢀ࡚࠸ࡿ㸬ࡲࡓ㸪ࡇࢀࡲ࡛༶᫬Ⲵ㔜࣭᪩ᮇⲴ㔜ࢆ⾜ࡗࡓື≀ᐇ㦂ࣔࢹࣝࡣከᩘሗ࿌ࡉࢀ࡚࠸ࡿ
ࡀ㸪ᢤṑ༶᫬ᇙධᚋ࡟᪩ᮇⲴ㔜ࢆ⾜ࡗࡓື≀ࣔࢹࣝ࡟࠾࠸࡚㸪࢜ࢵࢭ࢜࢖ࣥࢸࢢ࣮ࣞࢩࣙࣥ⋓ᚓ࡟㛵ࡍࡿึᮇẁ㝵࡛ࡢ⤌⧊໬Ꮫⓗᡤぢࡣሗ࿌ࡉࢀ࡚
࠸࡞࠸㸬ᮏ◊✲࡛ࡣ㸪ࣛࢵࢺୖ㢡㦵࡟࠾ࡅࡿ࢖ࣥ
ࣉࣛࣥࢺ᳜❧ࣔࢹࣝࢆసᡂࡋ࡚1)㸪ᢤṑ༶᫬ᇙධᚋ
࡟᪩ᮇࡢညྜ㈇Ⲵࢆ୚࠼ࡓሙྜ㸪࢖ࣥࣉࣛࣥࢺ࿘
ᅖࡢ㦵⤌⧊࡟࡝ࡢࡼ࠺࡞ኚ໬ࡀㄆࡵࡽࢀࡿ࠿⤌⧊໬Ꮫⓗ࡟᳨⣴ࡋࡓ㸬ϩ㸬 ᪉ἲ ⏕ᚋ4㐌㱋ࡢ㞝ᛶWistar⣔ࣛࢵࢺࡢୖ㢡ᕥഃ➨୍⮻ṑࢆ඲㌟㯞㓉ୗ࡛ᢤṑࡋ㸪ࢳࢱࣥࢫࢡ࣮ࣜࣗ
㸦┤ᚄ1.7mm 㛗ࡉ3mm ௨ୗ㸪࢖ࣥࣉࣛࣥࢺయ㸧ࢆ༶᫬ᇙධࡋࡓ㸬ᐇ㦂⩌࡛ࡣ㸪ᇙධ1㐌ᚋ࡟࢖ࣥࣉ
ࣛࣥࢺయୖ㒊࡟᥋╔ᛶࣞࢪࣥࢆῧຍࡍࡿࡇ࡜࡛1㐌㛫ࡲࡓࡣ2㐌㛫ࡢညྜ㈇Ⲵࢆ୚࠼ࡓ㸬୍᪉㸪ᑐ↷⩌࡛ࡣ᥋╔ᛶࣞࢪࣥࢆῧຍࡏࡎညྜ㈇Ⲵࢆ୚࠼࡞࠿
ࡗࡓ㸬ࡇࢀࡽࡢࣛࢵࢺࢆ4㸣ࣃ࣒ࣛ࣍ࣝ࢔ࣝࢹࣄࢻ
℺ὶᅛᐃᚋ㸪ୖ㢡㦵ࢆ᦬ฟ㸪⬺⅊ࡋࡓᚋ࡟࢖ࣥࣉ
ࣛࣥࢺయࢆ㝖ཤࡋ㸪ࣃࣛࣇ࢕ࣥษ∦ࢆస〇ࡋࡓ㸬ࡑࢀࡽࡢษ∦࡟࡚㸪࢔ࣝ࢝ࣜࣇ࢛ࢫࣇ࢓ࢱ࣮ࢮ
(ALP) 㸪 㓇 ▼ 㓟 ᢬ ᢠ ᛶ 㓟 ᛶ ࣇ ࢛ ࢫ ࣇ ࢓ ࢱ ࣮ ࢮ(TRAP)㸪RANKL㸪࢜ࢫࢸ࢜࢝ࣝࢩࣥ(OCN)㸪࢜ࢫࢸ࣏࢜ࣥࢳࣥ(OPN)㸪ࢫࢡࣞࣟࢫࢳࣥࡢච␿⤌⧊໬Ꮫࢆ⾜ࡗࡓ㸬ࡉࡽ࡟㸪⏬ീゎᯒࢯࣇࢺ
ImageProPlus6.2ࢆ⏝࠸࡚㸪࢖ࣥࣉࣛࣥࢺ㦵᥋ゐ⋡㸦 BIC 㸧 㸪 㦵 㔞 㸦 BV/TV 㸧 㸪 㦵 ᱱ ᖜ 㸦 tb.th 㸧 㸪TRAP㝧ᛶ◚㦵⣽⬊ᩘ㸪ALP㝧ᛶ㠃✚⋡㸪ࢫࢡࣞࣟࢫࢳࣥ㝧ᛶ㦵⣽⬊⋡ࢆィ ࡋ㸪࣐ࣥ࣍࢖ࢵࢺࢽ࣮
U᳨ᐃࢆ⏝࠸࡚⤫ィᏛⓗゎᯒࢆ⾜ࡗࡓ㸬ᑦ㸪ᮏᐇ㦂ࡣ໭ᾏ㐨኱Ꮫື≀ᐇ㦂ጤဨ఍ࡢᢎㄆ㸦ᢎㄆ␒ྕ11-01105㸧ࢆᚓ࡚⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 1. BIC㸪BV/TV࡟ࡘ࠸࡚ࡣ㸪ညྜ㈇Ⲵ1㐌㸪2㐌࡜ࡶ࡟ᐇ㦂⩌࡜ᑐ↷⩌ࡢ㛫࡟᭷ពᕪࡣ࡞࠿ࡗࡓ㸬ࡋ࠿ࡋ㸪ညྜ㈇Ⲵ2㐌ࡢᐇ㦂⩌࡛ࡣ㸪ᑐ↷⩌࡜ẚ㍑
ࡋ࡚㸪tb.thࡣ᭷ព࡟኱ࡁ࠸್ࢆ♧ࡋࡓ㸬ࡲࡓ㸪ᐇ㦂⩌ࡢ㦵ᱱࡣ㸪࢖ࣥࣉࣛࣥࢺࡢ㛗㍈᪉ྥ࡟ᖹ⾜࡟㉮⾜ࡍࡿഴྥࡀࡳࡽࢀࡓ㸬
2. ALP㝧ᛶ㠃✚⋡࠾ࡼࡧTRAP㝧ᛶ◚㦵⣽⬊ᩘ࡟ࡘ࠸࡚ࡣ㸪ᐇ㦂⩌࡜ᑐ↷⩌ࡢ㛫࡟᭷ពᕪࡣ࡞࠿
ࡗࡓ㸬ࡋ࠿ࡋ㸪ᑐ↷⩌࡛ࡣ㸪࢖ࣥࣉࣛࣥࢺ⾲㠃࡟㦵ⱆ⣽⬊⣔⣽⬊ࡸ◚㦵⣽⬊ࡀᒁᅾࡋࡓࡀ㸪ᐇ㦂⩌࡛ࡣ㸪࢖ࣥࣉࣛࣥࢺ⾲㠃ࢆ⿬ᡴࡕࡍࡿ㐃⥆ࡋࡓ㦵ࡢᒙࡀほᐹࡉࢀࡓ㸬3. 㦵ᱱ࡟࠾ࡅࡿOCN㝧ᛶ࣭OPN㝧ᛶࢆ♧ࡍࢭ࣓ࣥࢺࣛ࢖ࣥࡣ㸪ᑐ↷⩌࡛ࡣኴࡃ」㞧࡞㗬ṑ≧ࢆ♧ࡍࡢ࡟ᑐࡋ࡚㸪ᐇ㦂⩌࡛ࡣ⣽ࡃ⁥ࡽ࠿࡞㉮⾜ࢆ♧ࡋ㸪㦵ᇶ㉁ࡢᐦ᥋࡞᥋╔ࢆ♧ࡍഴྥࡀㄆࡵࡽࢀ
ࡓ㸬
4. 㦵ⱆ⣽⬊ࢆᢚไⓗ࡟ไᚚࡍࡿࡇ࡜࡛▱ࡽࢀ࡚࠸ࡿࢫࢡࣞࣟࢫࢳࣥ㝧ᛶࡢ㦵⣽⬊⋡ࡣ㸪࢖ࣥࣉࣛࣥࢺ࡟㏆᥋ࡋࡓ࿘ᅖ50Pmࡢ⠊ᅖ࡛ࡣపୗࡋ࡚࠸
ࡓ㸬ࡉࡽ࡟㸪2㐌ညྜ㈇Ⲵࢆ୚࠼ࡓᐇ㦂⩌࡛ࡣࢥࣥࢺ࣮ࣟࣝ⩌࡜ẚ㍑ࡋ࡚㸪ࢫࢡࣞࣟࢫࢳࣥ㝧ᛶ㦵⣽⬊⋡ࡣ᭷ព࡟పୗࡋ࡚࠸ࡓ㸬௨ୖࡢ⤖ᯝ࠿ࡽ㸪࢖ࣥࣉࣛࣥࢺࡢᢤṑ༶᫬ᇙධᚋࡢ᪩ᮇⲴ㔜ࡣ㸪㦵㔞ࢆቑຍࡉࡏࡿࡢ࡛ࡣ࡞ࡃ㸪࢖ࣥࣉࣛࣥࢺࡀ㦵࡟୚࠼ࡿຊ࡟ἢࡗ࡚㦵ᱱࢆᙧᡂࡉࡏ࡚࠸ࡃࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ࡲࡓ㸪ࡑࡢࡼ࠺࡞
ຊᏛ⎔ቃ࡟࠾࠸࡚㸪㦵ᨵ㐀ࡣࡸࡸ⦆ᚎ࡟࡞ࡾ㸪㦵
ᇶ㉁ࡢ᥋ྜࡶᐦ╔໬ࡍࡿࡇ࡜ࡀ᥎ ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) Imai Y, Yokoyama A, Yamamoto S et al. Periimplant Tissue after Osseointegration in Diabetes
in Rat Maxilla. J Oral Biosci 2006;48:54–61,− 229 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 40࢖ࣥࣉࣛࣥࢺࢆ௓ࡋࡓつ๎ⓗ⧞ࡾ㏉ࡋⲴ㔜ࡀ㦵⣽⬊ࢿࢵࢺ࣮࣡ࢡ࡟୚࠼ࡿᙳ㡪‫ۑ‬㯮ᔱఙ୍㑻㸪బࠎᮌ᐀㍤*㸪㟷ᮌࣘࣜ*㸪✄ⴥዉ⥴*㸪⃝℩ 㝯*㛗ᓮ኱Ꮫ⑓㝔ཱྀ⭍࣭㢡࣭㢦㠃࢖ࣥࣉࣛࣥࢺࢭࣥࢱ࣮㸪*㛗ᓮ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ཱྀ⭍࢖ࣥࣉࣛࣥࢺᏛศ㔝
Effect of Mechanical Repetitive Loading on Osteonetwork around Dental Implants in Rabbits

Kuroshima S, Sasaki M*, Aoki Y*, Inaba N*, Sawase T*
Department of Applied Prosthodontics, Graduate School of Biomedical Sciences, Nagasaki University, *Oraland Maxillofacial Implant Center, Nagasaki University HospitalϨ㸬 ┠ⓗ ࢖ࣥࣉࣛࣥࢺࢆ௓ࡋࡓ⿵⥛⿦⨨࡟ࡣ㸪࿪ᄮࡸᄟୗࡢࡼ࠺࡞⧞ࡾ㏉ࡋⲴ㔜ࡀᖖ࡟㦵⤌⧊࡬ఏ㐩ࡉࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵ࡢゎᯒ࡜࠸࠼ࡤ㸪㠀Ⲵ㔜࡛ࡢ㦵㸫࢖ࣥࣉࣛࣥࢺ᥋ゐ⋡࡞࡝࡟↔Ⅼࡀᙜ࡚ࡽࢀ㸪㦵⤌⧊ࡢᵓᡂせ⣲㸦㦵⣽⬊㸪ࢥ࣮ࣛࢤࣥ⥺⥔ࡸ࢔ࣃࢱ࢖ࢺ⤖ᬗ㸧ࡢືែኚ໬࡟
╔┠ࡋࡓ◊✲ࡣ࡯࡜ࢇ࡝࡞࠸㸬୍᪉ᡃࠎࡣ㸪࢖ࣥࣉࣛࣥࢺࢆ௓ࡋࡓつ๎ⓗ࡞⧞ࡾ㏉ࡋⲴ㔜ࡀ㸪㦵⤌⧊ࡢᵓᡂせ⣲࡟㐺ᛂኚ໬ࢆ㉳ࡇࡍࡇ࡜ࢆ᫂ࡽ࠿࡟
ࡋ㸪࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵⤌⧊ࡢᏳᐃ໬࡟㈉⊩ࡍࡿྍ⬟ᛶࢆሗ࿌ࡋࡓ1)㸬
㏆ᖺ㸪㦵◊✲㡿ᇦ࡛ࡣ㸪㦵࡬ࡢⲴ㔜ఏ㐩࡟㦵⣽⬊ࡀ㔜せ࡞ᙺ๭ࢆᯝࡓࡍࡇ࡜ࡀ᫂ࡽ࠿࡟ࡉࢀ࡚࠸
ࡿ㸬࡜ࡇࢁࡀ࢖ࣥࣉࣛࣥࢺṑᏛࢆྵࡴṑ⛉⿵⥛Ꮫ࡛ࡣ㸪Ⲵ㔜ࡀ㢡㦵ࡢ㦵⣽⬊࡟࡝ࡢࡼ࠺࡞ᙳ㡪ࢆ୚࠼ࡿ࠿ࡣ඲ࡃゎ᫂ࡉࢀ࡚࠸࡞࠸㸬ࡑࡇ࡛ᮏ◊✲ࡣ㸪࢖ࣥࣉࣛࣥࢺࢆ௓ࡋࡓつ๎ⓗ⧞ࡾ㏉ࡋⲴ㔜ࡀ㸪࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵⤌⧊ࡢ㦵⣽⬊࡟࡝ࡢࡼ࠺࡞ᙳ㡪ࢆ୚࠼ࡿࡢ࠿ࢆ㸪㉸ᚤ⣽ᵓ㐀Ꮫⓗ࡟᫂ࡽ࠿࡟ࡍࡿ
ࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ 㝧ᴟ㓟໬ࢳࢱࣥྜ㔠࢖ࣥࣉࣛࣥࢺࢆ᪥ᮏⓑⰍ✀ᐙඡ㸦4kg㸪n=7㸧ࡢᕥྑ⬯㦵㏆఩➃࡟1ᮏࡎࡘᇙධ
ࡋ㸪ࡑࡢ୧ഃ࡟Ⲵ㔜㈇Ⲵ⿦⨨ᅛᐃ⏝ࢿࢪࡶタ⨨ࡋ๰㒊ࢆ᏶඲㛢㙐ࡋࡓ㸬12㐌㛫ࡢචⲴᮇ㛫ᚋ࡟2ḟᡭ⾡ࢆࡋ㸪↓సⅭ㑅ᢥࡋࡓ∦ഃ⬯㦵࡟ࡣⲴ㔜㈇Ⲵ⿦
⨨࡛つ๎ⓗ⧞ࡾ㏉ࡋⲴ㔜㸦50 N㸪3 Hz㸪1800 cycles㸪1㐌㛫࡟2ᅇ1)㸧ࢆ࢖ࣥࣉࣛࣥࢺࡢ㛗㍈᪉ྥ࡟୚࠼ࡓ
㸦Ⲵ㔜⩌㸧㸬㠀Ⲵ㔜ࡢ࢖ࣥࣉࣛࣥࢺࡣᑐ↷⩌㸦㠀Ⲵ㔜⩌㸧࡜ࡋࡓ㸬Ⲵ㔜8㐌ᚋ࡟ᒕẅࡋ࡚࢖ࣥࣉࣛࣥ
ࢺ࡜⿦⨨ᅛᐃ⏝ࢿࢪࢆྵࡴ⬯㦵ࢆ୍ሢ᦬ฟࡋ㸪10%࣐࡛࣍ࣝࣜࣥᅛᐃᚋ70%࢚ࢱࣀ࣮ࣝ࡟ಖᏑࡋࡓ㸬᦬ฟ㦵⤌⧊ࡣMicroCT࡛ᵓ㐀ゎᯒᚋ࡟ࣞࢪࣥໟᇙ
ࡋ㠀⬺⅊◊☻ᶆᮏࢆస〇ࡋࡓ㸬ᶆᮏࢆ9%ࣜࣥ㓟࡛⬺⅊ࡋ㸪㔠⵨╔ࡢ࠺࠼㉮ᰝᆺ㟁Ꮚ㢧ᚤ㙾㸦SEM㸧࡛ほᐹࡋ㸪᭱ࡶⲴ㔜ࡢᙳ㡪ࢆཷࡅࡿ࢖ࣥࣉࣛࣥࢺ
ࢿࢵࢡ㒊࿘ᅖ㦵⤌⧊ࡢ㦵⣽⬊ࡢᩘ㸪ᙧែ࡞ࡽࡧ࡟

ᶞ≧✺㉳ᩘࢆᐃ㔞ゎᯒࡋࡓ㸦nӍ7㸧㸬ࡉࡽ࡟㸪࢔ࣃࢱ࢖ࢺ⤖ᬗࡢ㓄ྥᛶ㸦㓄ྥᛶ㸸භゅᰕ⤖ᬗࡢ୺㍈᪉ྥ㸧ࢆᚤᑠ㡿ᇦX⥺ᅇᢡ⿦⨨࡛ᐃ㔞ゎᯒࡋࡓ㸦nӍ6㸧㸬⤫ィศᯒࡣPaired -testࢆ⏝࠸ࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵ࡢ㦵㔞࡜㦵ᐦᗘࡣ㸪Ⲵ㔜⩌࡛᭷ព࡟኱ࡁࡃ㸪ࡇࡢ⤖ᯝࡣᡃࠎࡢ௨๓ࡢሗ࿌࡜
ྠࡌࡔࡗࡓ1)㸬
࢖ࣥࣉࣛࣥࢺࢿࢵࢡ㒊࡛ࡣ㸪㠀Ⲵ㔜⩌ࡼࡾࡶⲴ㔜⩌ࡢ㦵⣽⬊ᩘ࡜༢఩㦵⣽⬊ᙜࡓࡾࡢᶞ≧✺㉳ᩘࡢ᪉ࡀ᭷ព࡟ከ࠿ࡗࡓ㸬⣽⬊ᙧែࢆᐃ㔞ほᐹࡍࡿ࡜㸪㠀Ⲵ㔜⩌ࡣ⣳㗽ᙧ࡛Ⲵ㔜⩌ࡣ༸෇ᙧࢆ࿊ࡋ㸪㠀Ⲵ㔜⩌ࡢ⣽⬊ᡥᖹ⋡ࡀ᭷ព࡟㧗࠿ࡗࡓ㸬ࡉࡽ࡟ࡇࢀࡽࡢ⤖ᯝࢆ࢔ࣃࢱ࢖ࢺ⤖ᬗࡢ㓄ྥᛶ࡜↷ྜࡍࡿ࡜㸪㦵⣽⬊ࡢ㛗㍈࡜⤖ᬗࡢ㓄ྥ᪉ྥࡀ࡯ࡰ୍⮴ࡋ㸪ᶞ≧✺㉳ࡶᩚ↛࡜㓄ิࡋ࡚࠸ࡿ㠀Ⲵ㔜⩌࡜ẚ
㍑ࡋ࡚㸪Ⲵ㔜⩌ࡣ⤖ᬗࡢ㓄ྥ᪉ྥ࡜ࡣ↓㛵ಀ࡟⣽⬊ࡀ㓄ิࡋ㸪ᶞ≧✺㉳ࡣ࠶ࡽࡺࡿ᪉ྥ࡟ఙ㛗ࡍࡿഴྥࡀㄆࡵࡽࢀࡓ㸬௨ୖ࠿ࡽ㸪つ๎ⓗ࡞⧞ࡾ㏉ࡋⲴ㔜ࡣ㸪㦵⣽⬊࡜ᶞ≧✺㉳ᩘࡢቑຍ࡟ࡼࡾ㦵⣽⬊ࢿࢵࢺ࣮࣡ࢡࢆⓎ㐩ࡉࡏ㸪࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵ࡢ㦵㔞ࡸ㦵ᐦᗘ㸪࡞ࡽࡧ࡟࢔ࣃࢱ࢖ࢺ⤖ᬗࡢඃඛ㓄ྥ࡟ⴭ᫂࡞ኚ໬ࢆࡶࡓࡽࡍࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬⮫ᗋ࡟࠾࠸࡚ࡶࢿࢵࢡ㒊࡛ࡣⲴ㔜ࡢᙳ㡪ࢆཷࡅ㸪ᜏᖖⓗ࡟㦵⤌⧊ࡢ㉸ᚤ⣽ᵓ㐀ࡀኚ໬ࡋ⥆ࡅ࡚࠸ࡿࡇ࡜ࡀᙉࡃ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) Kuroshima S, Yasutake M, Tsuiki K, Nakano T,
Sawase T. Structural and qualitative bone
remodeling around repetitive loaded implants inrabbits. Clin Implant Dent Relat Res.  − 230 −

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第1,2日

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ポスター発表1 ─ 6 ─ 41⣧ࢳࢱࣥࢢ࣮ࣞࢻ㸰࠾ࡼࡧࢢ࣮ࣞࢻ㸲ࡢືⓗ⑂ປ≉ᛶࡢẚ㍑‫ۑ‬㕥ᮌ ⸅*,**㸪㧘㔝ᬛྐ*,**㸪ୖ⏣㈗அ**㸪Ḉ஭ ⸅***ᮾிṑ⛉኱Ꮫཱྀ⭍⛉Ꮫ◊✲ࢭࣥࢱཱྀ࣮⭍࢖ࣥࣉࣛࣥࢺᏛ◊✲㒊㛛**ᮾிṑ⛉኱Ꮫ⪁ᖺṑ⛉⿵⥛ᏛㅮᗙComparison of cyclic fatigue resistance of commercially pure titanium between grade 2 and grade 4
Suzuki K*,**㸪Takano T*,**㸪Ueda T**㸪Sakurai K***Division of Oral Implants Research, Oral Health Science Center, Tokyo Dental College ,** Department of Removable Prosthodontics & Gerodontology, Tokyo Dental CollegeϨ㸬 ┠ⓗ ࢳࢱࣥࡣඃࢀࡓ⪏㣗ᛶ࠾ࡼࡧ⏕య㐺ྜᛶࢆ᭷ࡋ
࡚࠸ࡿࡓࡵ㸪ཱྀ⭍࢖ࣥࣉࣛࣥࢺᮦᩱࡢ୺య࡜࡞ࡗ
࡚࠸ࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ⮫ᗋ࡟࠾࠸࡚㸪⣧ࢳࢱࣥ࠾ࡼࡧࢳࢱࣥྜ㔠〇ࡢ࢖ࣥࣉࣛࣥࢺࡀ◚ᢡࡍࡿ⑕౛
ࡀㄆࡵࡽࢀ࡚࠸ࡿ㸬ࡇࢀࡣညྜຊ࡟ࡼࡿ⧞ࡾ㏉ࡋⲴ㔜ࢆཷࡅࡿࡇ࡜࡛㸪࢖ࣥࣉࣛࣥࢺᮦᩱࡀ⑂ປࢆ
㉳ࡇࡍࡓࡵ࡛࠶ࡿ㸬⣧ࢳࢱࣥࡣࢢ࣮ࣞࢻࡀ㧗ࡃ࡞ࡿ࡟ࡘࢀ㸪ᙉᗘࡣ㧗ࡃ࡞ࡿࡀ㸪୍᪉࡛ࡣᒎᘏᛶࡀపࡃ࡞ࡿࡓࡵ㸪ྛࢢ࣮ࣞࢻ࡟ࡼࡗ࡚⑂ປ≉ᛶࡀ␗࡞ࡿྍ⬟ᛶࡀ࠶ࡿ㸬ࡉࡽ࡟㸪࢖ࣥࣉࣛࣥࢺయ࡟ࡣ࢜ࢵࢭ࢜࢖ࣥࢸࢢࣞ
࣮ࢩࣙࣥࡢ⋓ᚓࡢࡓࡵ࡟ᵝࠎ࡞⾲㠃ฎ⌮ࡀ⾜ࢃࢀ࡚࠸ࡿࡀ㸪ࡇࢀࡽࡢ⾲㠃ฎ⌮ࡣ⑂ປ⪏ஂᛶ࡟ᙳ㡪ࢆ୚࠼࡚࠸ࡿྍ⬟ᛶࡀ࠶ࡿ㸬 ࡑࡇ࡛ᡃࠎࡣ㸪⣧ࢳࢱࣥࡢࢢ࣮ࣞࢻࡢ㐪࠸࠾ࡼࡧ⾲㠃ฎ⌮ࡀືⓗ⑂ປ≉ᛶ࡟୚࠼ࡿᙳ㡪ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚㸪௒ᅇࡣ㸪ࡲࡎ⾲㠃ฎ⌮๓ࡢ⣧ࢳࢱࣥࢢ࣮ࣞࢻ2࠾ࡼࡧࢢ࣮ࣞࢻ4ࡢ⑂ປ≉ᛶࢆẚ㍑ࡍࡿࡇ࡜࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ ┤ᚄ3mm㸪㛗ࡉ17mmࡢ⣧ࢳࢱࣥࢢ࣮ࣞࢻ2࠾ࡼࡧࢢ࣮ࣞࢻ4ࡢ୸Წ㸦ᮾிࢳࢱࢽ࣒࢘㸧ࢆ25ᮏࡎࡘ〇సࡋ㸪ヨᩱ࡜ࡋࡓ㸬ࡑࢀࡽࡢヨᩱࡢ㟼ⓗⲴ㔜ヨ㦂࡟࠾ࡅࡿ㝆అⲴ㔜㸦YS㸧࠾ࡼࡧ⧞ࡾ㏉ࡋⲴ㔜ヨ㦂࡟࠾ࡅࡿ㝆అⲴ㔜㸦YC㸧ࢆィ ࡋࡓ㸬YSࡣ୓⬟ヨ㦂ᶵ㸦ᓥὠ࣮࢜ࢺࢢࣛࣇAG-1 20kN:ᓥὠ〇సᡤ㸧࡟࡚ྛࢢ࣮ࣞࢻ5ᮏࡎࡘィ ࡋࡓ㸬ࡲࡓ㸪YCࡣྛࢢ࣮ࣞࢻ20ᮏࡢヨᩱࢆ⏝࠸㸪⑂ປヨ㦂ᶵ㸦ᓥὠࢧ࣮࣎ࣃࣝࢧ EHF-FD05:ᓥὠ〇సᡤ㸧࡟࡚106cycle㸪
10Hzࡢ᮲௳࡛ࢫࢸ࢔ࢣ࣮ࢫἲ 1) ࡟ࡼࡿ⑂ປヨ㦂࠿ࡽィ ࡋࡓ㸬⑂ປヨ㦂ࢆ⾜ࡗࡓヨᩱࡢ࠺ࡕ㸪
106cycle⪏ஂࡋ࡞࠿ࡗࡓࡶࡢ࡟ᑐࡋ᳨㙾ヨ㦂ࢆ⾜ࡗࡓ㸬YS࡟ࡘ࠸࡚ࡣStudentࡢt᳨ᐃࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ⣧ࢳࢱࣥࡢYSࡣࢢ࣮ࣞࢻ2࡛672.4s51.2N㸪ࢢ࣮ࣞࢻ4࡛1088.3s93.9N࡛㸪ࢢ࣮ࣞࢻ4ࡢ᪉ࡀ⤫ィᏛⓗ࡟᭷ពᕪࢆㄆࡵ㸪㧗࠸್ࢆ♧ࡋࡓ(ᅗ1)㸬YCࡣࢢ
࣮ࣞࢻ2ࡀ472.5Nࠊࢢ࣮ࣞࢻ4ࡀ620N࡛࠶ࡗࡓ(ᅗ2)㸬
ࢢ࣮ࣞࢻ2ࡢYCࡣYSࡼࡾࡶ20.7%ῶᑡࡋ㸪ࢢ࣮ࣞ
ࢻ4࡟࠾࠸࡚ࡣ43%ῶᑡࡋࡓ㸬᳨㙾ヨ㦂࡟࠾࠸࡚ࢢ
࣮ࣞࢻ4࡛ࡣட⿣ࡀほᐹࡉࢀࡓ㸬ࡇࢀࡽ⤖ᯝࡼࡾࠊ⣧ࢳࢱࣥࢢ࣮ࣞࢻ4ࡢ⑂ປヨ㦂᫬ࡢ㝆అຊࡣ㟼ⓗⲴ㔜᫬ࡢ༙ศ⛬ᗘ࡟࡞ࡿࡇ࡜ࡀ
♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) Collins JA㸬Failure of materials in mechanicaldesign 㸸 Analysis 㸪 Prediction 㸪 Prevention 㸬
New York㸸John Wiley & Sons㸹1981㸪360378.

− 231 −

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日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 42୍ᅇἲ䜲䞁䝥䝷䞁䝖䛸஧ᅇἲ䜲䞁䝥䝷䞁䝖䛾㐪䛔䛜࿘ᅖ㦵䛻ཬ䜌䛩ຊᏛⓗᙳ㡪䛾᳨ウ㻌‫Ⲩۑ‬ᮌᝆ㸪୰㔝⎔䠈ᑠ㔝┿ྖ䠈ᒣすᗣᩥ䠈᳃⬥኱ၿ䠈▮㇂༤ᩥ኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉㻌 㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ㻌 䜽䝷䜴䞁䝤䝸䝑䝆⿵⥛Ꮫศ㔝
Stress analysis of effects of implant design differences between submerged impIant and non-submerged
implant on surrounding bones
Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry (Osaka)Ϩ㸬 ┠ⓗṑ⛉࢖ࣥࣉࣛࣥࢺ἞⒪ࡣ⿵⥛ṑ⛉἞⒪ࡢ୍ࡘ࡜ࡋ࡚ᗈࡃᬑཬࡋ࡚࠸ࡿ㸬ࡑࡢ୍᪉࡛㸪㦵㔞୙㊊ࡢ
ࡓࡵ࡟㦵㐀ᡂࢆ⾜࠺ᚲせࡀ࠶ࡿ⑕౛࡛ࡣ㸪እ⛉ⓗ౵くࡀ኱ࡁࡃ࡞ࡿࡇ࡜ࡸ἞⒪ᮇ㛫ࡀᘏ㛗ࡍࡿ࡜࠸ࡗࡓࢹ࣓ࣜࢵࢺࡢࡓࡵ࡟㸪࢖ࣥࣉࣛࣥࢺ἞⒪ࢆ᩿ᛕࡍࡿᝈ⪅ࡀ࠸ࡿࡢࡀ⌧≧࡛࠶ࡿ㸬㦵ෆᇙධ㒊8 mm௨ୗ࡜ᐃ⩏ࡉࢀࡿࢩ࣮ࣙࢺ࢖ࣥ
ࣉࣛࣥࢺࡣ㸪࢖ࣥࣉࣛࣥࢺయࡢࢹࢨ࢖ࣥࡸ⾲㠃ᛶ≧ࡢᨵⰋ࡟ࡼࡾ㸪▷ᮇⓗ࡛ࡣ࠶ࡿࡀⰋዲ࡞⮫ᗋᡂ⦼ࡀሗ࿌ࡉࢀ࡚࠸ࡿ㸯㸧㸬ࢩ࣮ࣙࢺ࢖ࣥࣉࣛࣥࢺࡢ
౑⏝࡟ࡼࡾᆶ┤ⓗ࡞㦵㐀ᡂࢆᅇ㑊ࡍࡿࡇ࡜ࡀ࡛ࡁ
ࢀࡤ㸪๓㏙ࡢࢹ࣓ࣜࢵࢺࡢᅇ㑊࡟ࡘ࡞ࡀࡿࡇ࡜ࡣ
᫂ࡽ࠿࡛࠶ࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪8 mmࡼࡾ▷࠸ࢩ࣮ࣙࢺ࢖ࣥࣉࣛ
ࣥࢺࡀⓏሙࡋ࡚ࡁ࡚࠸ࡿ⌧ᅾ㸪ࡑࢀࡽࡢࢩ࣮ࣙࢺ
࢖ࣥࣉࣛࣥࢺࡢ⮫ᗋᡂ⦼ࡣ୙㊊ࡋ࡚࠾ࡾ㸪⮫ᗋ౑⏝࡟ඛ❧ࡗ࡚ࡲࡎ࿘ᅖ㦵࡟ཬࡰࡍᛂຊゎᯒ࡟ࡼࡾຊᏛⓗ᳨ウࢆ⾜࠺ࡇ࡜ࡣ᭷ព⩏࡛࠶ࡿ࡜⪃࠼ࡿ㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪୍ᅇἲ࢖ࣥࣉࣛࣥࢺ࡜஧ᅇ
ἲࡢ࢖ࣥࣉࣛࣥࢺࢆẚ㍑ࡋ㸪࢔ࣂࢵࢺ࣓ࣥࢺ᥋ྜ
㒊ࡢࢹࢨ࢖ࣥࡢ㐪࠸ࡀ࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵࡟୚࠼ࡿᙳ㡪࡟ࡘ࠸᳨࡚ウࡋࡓ㸬୍ᅇἲ࢖ࣥࣉࣛࣥࢺ࡛ࡣ㸪Ⲵ㔜ഃ㢁㒊⓶㉁㦵࡟ᘬᙇᛂຊ㸪㠀Ⲵ㔜ഃ࡟ᅽ⦰ᛂຊࡢศᕸࡀㄆࡵࡽࢀ
ࡓ㸬஧ᅇἲ࢖ࣥࣉࣛࣥࢺ࡛ࡣ㸪Ⲵ㔜ഃ㸪㠀Ⲵ㔜ഃ࡜ࡶ࡟㢁㒊⓶㉁㦵࡟ᘬᙇᛂຊࡢศᕸࡀㄆࡵࡽࢀ㸪Ⲵ㔜ഃ࡟࠾࠸࡚ࡣ㸪࢔ࣂࢵࢺ࣓ࣥࢺඛ➃࡜୍⮴ࡍࡿ㧗ࡉࡢᾏ⥥㦵࡟ᘬᙇᛂຊࡢศᕸࡀㄆࡵࡽࢀࡓ㸬ࡇࢀࡽࡢ⤖ᯝࡣ㸪஧ᅇἲ࡟ẚ࡭୍࡚ᅇἲ࢖ࣥࣉ
ࣛࣥࢺࡣ⢓⭷㈏㏻㒊ࡢ㧗ࡉศ㸪㦵㡬ࡼࡾࡶညྜ㠃ᐤࡾ࡟ᛂຊ㞟୰ࡀ㉳ࡇࡾ㸪ࡑࡢ⤖ᯝ㸪୍ᅇἲ࢖ࣥ
ࣉࣛࣥࢺ࡛ࡣ஧ᅇἲ࢖ࣥࣉࣛࣥࢺ࡟ẚ࡭࡚ᘬᙇᛂ
ຊࡢศᕸయ✚ࡀᑠࡉࡃ࡞ࡗࡓࡇ࡜ࢆ♧ࡋ࡚࠸ࡿ㸬ϩ㸬 ᪉ἲ
6ROLG:RUNV '66ROLG:RUNV&RUS ࢆ⏝࠸࡚㸪୍ᅇἲ T ࡜஧ᅇἲ B ࡢ࢖ࣥࣉࣛࣥࢺCADࣔ
ࢹࣝࢆస〇ࡋࡓ㸬࢖ࣥࣉࣛࣥࢺయࡢ┤ᚄࡣmm㛗ࡉࡣmm (T8, B8)㸪mm (T6, B6)㸪mm (T4)࡜ࡋ㸪㛗ࡉmmࡣ୍ᅇἲ࢖ࣥࣉࣛࣥࢺࡢࡳస〇ࡋࡓ㸬ୗ㢡⟶ୖ⦕࠿ࡽညྜᖹ㠃ࡲ࡛ࡢ㊥㞳ࢆੈ࡜
ࡋࡓ㸬ࡇࢀࡽࢆୗ㢡኱⮻ṑ㒊ࢆ᝿ᐃࡋࡓ㦵ࣔࢹࣝ⓶㉁㦵ࡢཌࡉmm ࡟ᇙධࡋ㸪ୖ㒊ᵓ㐀ࡢညྜ㠃࡟㸪࢖ࣥࣉࣛࣥࢺ㍈᪉ྥ࡟ᑐࡋ㢋ഃ࡟rഴᩳࡉࡏࡓ᪉ྥ࠿ࡽ1ࡢ㟼Ⲵ㔜ࢆ㈇Ⲵࡋࡓ㸬ࡑࡢ࡜ࡁࡢ࿘ᅖ㦵࡟࠾ࡅࡿᛂຊศᕸࢆ୕ḟඖ᭷㝈せ⣲ゎᯒ࡟ࡼࡾホ౯ࡋࡓ㸬ࡲࡓ㸪4 mmࡢ୍ᅇἲ࢖ࣥࣉࣛࣥࢺࡣ㸪ࡼࡾ㛗ࡉࡢ኱ࡁ࠸஧ᅇἲ࢖ࣥࣉࣛࣥࢺ࡟ẚ࡭࡚㸪࠶ࡿ୍ᐃࡢࡋࡁ࠸್࡛ࡢᛂຊศᕸయ✚ࡀῶᑡࡍࡿഴྥࢆ♧ࡋࡓ㸬㸦ᅗ1㸧௨ୖࡢ⤖ᯝ࠿ࡽ㸪ࡼࡾ▷࠸୍ᅇἲ࢖ࣥࣉࣛࣥࢺ
ࡣ㸪஧ᅇἲ࢖ࣥࣉࣛࣥࢺ࡜ẚ࡭࡚ຊᏛⓗ࡟᭷฼࡛࠶ࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬

(mm3)

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ᘬᙇᛂຊ
ᅗ 1 ࿘ᅖ㦵࡬ࡢᘬᙇᛂຊࡢศᕸయϫ㸬 ᩥ⊩1) Chister
Sltte,etal,
Four-Millimeter-Long
Posterior-Mandible Implants: 5-Year Outcomesof Prospective Multicenter Study. Clin Implant
Dent Relat Res. 2014 Jul 17.

Ϫ㸬 ⤖ᯝ࡜⪃ᐹ− 232 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 43ᆺ⢾ᒀ⑓ࣛࢵࢺ࡟ᇙධࡋࡓࢳࢱࣥ࢖ࣥࣉࣛࣥࢺ࿘ᅖࡢ㦵ᙧᡂ࡟ᑐࡍࡿᢠ⢾ᒀ⑓⸆ࡢᙳ㡪‫ۑ‬ᶫཱྀ༓⍆㸪ᕝᮏ┿୍㑻㸪ᮎᘅྐ㞝㸪ୗ⏣ᖹ┤኱㸪すᮧṇᏹ㮵ඣᓥ኱Ꮫ ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ ཱྀ⭍㢡㢦㠃⿵⥛Ꮫศ㔝㮵ඣᓥ኱Ꮫ་Ꮫ㒊࣭ṑᏛ㒊㝃ᒓ⑓㝔 ⩏ṑ⿵⥛⛉\[ ! \     ] ! ] \ ^     ^ ^"[ "   ] !    ! { |^  㸪  {  ^   _{ _ ^ "^  \ [    [[ \! [     ! { |  ^  @   ! [ \  ![   [ !  ! {       !    { |  ^  @   ![    [  " [Ϩ㸬 ┠ⓗ ㏆ᖺ㸪Ᏻᚰ࣭Ᏻ඲࡞࢖ࣥࣉࣛࣥࢺ἞⒪ࡀồࡵࡽࢀࡿ୍᪉࡛㸪἞⒪ࢆᕼᮃࡍࡿᝈ⪅ࡀࡑࡢணᚋ࡟㛵㐃ࡍࡿ඲㌟⑌ᝈࢆ᭷ࡍࡿ஦ࡣᑡ࡞ࡃ࡞ࡃ㸪ࡑࡢ୍ࡘ࡟㏆ᖺቑຍࡍࡿ⢾ᒀ⑓ࡀᣲࡆࡽࢀࡿ㸬ᆺ⢾ᒀ⑓
ࡣ{ ㌾⤌⧊ࡢ๰യ἞⒵ࡢ㐜ᘏ࣭ឤᰁࣜࢫࢡࡢ㧗ࡉ࠿ࡽ࢖ࣥࣉࣛࣥࢺ἞⒪ࡢ┦ᑐ⚗ᚷ⑕࡜ࡉࢀࡿࡀ㸪἞⒪ࡢ㐺ྰࡣ୺࡟⾑⢾ࢥࣥࢺ࣮ࣟࣝ≧ែ࡟ࡼࡾุ
᩿ࡉࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ㸪ྜే⑕ࡢ୍ࡘ࡜ࡋ࡚㦵௦ㅰ࡬ࡢᙳ㡪ࡀ♧၀ࡉࢀ࡚ࡁ࡚࠾ࡾ㸪㦵̿࢖ࣥࣉࣛ
ࣥࢺ⤖ྜ࡬ࡢᙳ㡪࡜㸪ᢠ⢾ᒀ⑓⸆࡟ࡼࡿ⾑⢾್ࡢࢥࣥࢺ࣮ࣟࣝࡀ࢖ࣥࣉࣛࣥࢺ⤖ྜࢆᨵၿࡍࡿࡢ࡟
༑ศ࠿࡝࠺࠿ࡣ୙࡛᫂࠶ࡿ㸬 ᮏ◊✲ࡣ㸪ᆺ⢾ᒀ⑓ࡢ⑓ែࣔࢹࣝື≀ࢆ⏝࠸࡚ຊᏛⓗ࣭⤌⧊ᙧែィ Ꮫⓗศᯒࢆ⾜࠸㸪㦵̿࢖ࣥࣉࣛࣥࢺ⤖ྜ࡬ࡢ⢾ᒀ⑓࡜ᢠ⢾ᒀ⑓⸆ࡢᙳ㡪࡟ࡘ࠸࡚ࡇࢀࡲ࡛࡟ሗ࿌ࢆ⾜ࡗࡓᇙධᮇ㛫㐌࣭㐌࡟ຍ࠼࡚㐌࡟࠾࠸᳨࡚ウࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ᆺ⢾ᒀ⑓ࣔࢹࣝࣛࢵࢺ࡛㸪 ࣛࢵࢺ⏤᮶ࡢ  |` ` 㸦|ࣛࢵࢺ㸧࡟㧗⬡㧗⢾ࡢ㣵ࢆ୚࠼⢾ᒀ⑓≧ែࢆቑᙉࡉࡏࡓࣛࢵࢺࢆ⢾ᒀ⑓⩌㸦⩌㸧㸪|ࣛࢵࢺ࡟⤒ཱྀ⢾ᒀ⑓⸆㸦@ [ ] 㸧ࢆᢞ୚ࡋࡓࡶࡢࢆ἞⒪⩌㸪 ࣛࢵࢺࢆᑐ↷⩌࡜ࡋ㸪ྛ⩌༉ࡢ⬯㦵࡟ᐇ㦂⏝࢖ࣥࣉࣛࣥࢺ࡜ࡋ࡚⣧ࢳࢱࣥࢫࢡ࣮ࣜࣗࢆᇙධࡋࡓ㸬๓ᅇሗ࿌ࢆ⾜ࡗࡓᇙධ㐌࣭㐌࡟ຍ࠼${ 㐌ᚋ࡟ࡑࢀࡒࢀࡢ࢖ࣥࣉࣛࣥࢺࡢ㝖ཤࢺࣝࢡ್ࡢ ᐃ࡜⤌⧊ᙧែィ Ꮫⓗᣦᶆ࡜ࡋ࡚㦵⤖ྜ⋡㸦] ^"[  ! ! 㸧࡜࢖ࣥࣉࣛࣥࢺ࿘ᅖࡢ㦵ᙧᡂࡢࣃ࣓࣮ࣛࢱ㸦 [[][ \!    ➼㸧ࡢ ᐃࢆ⾜࠸㸪㦵̿࢖ࣥࣉࣛࣥࢺ⤖ྜࡢᐃ㔞ⓗホ౯ࢆ⾜ࡗࡓ㸬ࡲࡓ㸪඲࡚ࡢほᐹᮇ㛫࡟࠾࠸࡚⩌࣭἞⒪⩌ࡣᑐ↷⩌࡜ẚ࡭࡚ᑠࡉ࠸್ࢆ♧ࡋࡓ㸬 ࡶ㐌ᚋࡢ἞⒪⩌ࢆ㝖ࡁᇙධᮇ㛫ࡀ㛗ࡃ࡞ࡿ࡟ࡘࢀቑຍࢆ♧ࡋ㸪ྛほᐹᮇ㛫࡟࠾࠸࡚ࡣ࠸ࡎࢀ
ࡶ⩌࣭἞⒪⩌ࡣᑐ↷⩌࡜ẚ࡭࡚ᑠࡉ࠸್ࢆ♧ࡋࡓ㸬  ࡣ㸪㐌࡟࠾࠸࡚ࡣᑐ↷⩌ࡀ⩌࣭἞⒪⩌ࡼࡾ㧗࠸್ࢆ♧ࡋࡓࡀ㸪㐌࣭㐌࡛ࡣ㏫࡟⩌࣭἞⒪⩌ࡀᑐ↷⩌ࡼࡾ㧗࠸್ࢆ♧ࡋࡓ㸬㐌࡜㐌ࡢྠ⩌ࡢẚ㍑࡛ࡣ㸪⩌࣭἞⒪⩌ࡣ㐌࡛ቑຍࡋ࡚࠸ࡓࡀ㸪ᑐ↷⩌ࡣ᭷ព࡟ῶᑡࡋ࡚࠸ࡓ㸬࡜㐌࡛ࡣ㸪඲࡚ࡢ⩌࡟࠾࠸್࡚࡟࡯࡜ࢇ࡝ኚ໬ࡀㄆ
ࡵࡽࢀ࡞࠿ࡗࡓ㸬௨ୖࡢ⤖ᯝ࠿ࡽ㸪඲࡚ࡢほᐹᮇ㛫࡟࠾࠸࡚㝖ཤࢺࣝࢡ್࡜ࡣྠᵝࡢഴྥࢆ♧ࡋࡓࡇ࡜࠿ࡽ㸪㦵̿࢖ࣥࣉࣛࣥࢺ⤖ྜࡢ≀⌮ⓗ⤖ྜࡣ⏕యຊᏛⓗ⤖ྜ࡟ᙳ㡪ࡋ࡚࠸ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬㦵ᙧᡂࡢࣃ࣓࣮ࣛࢱࡢ⤖ᯝ࠿ࡽࡣ㸪ᑐ↷⩌࡛ࡣ㐌࡛᪤࡟࢖ࣥ
ࣉࣛࣥࢺ࿘ᅖࡢ㦵᪂⏕ࡣࣆ࣮ࢡࢆ㐣ࡂ࡚࠾ࡾ㸪ᑐ↷ⓗ࡟ṧࡾࡢ⩌ࡣ㐌࡟࠾࠸࡚ࡶ㐌࡜ྠᵝࡢ㧗࠸್ࢆ♧ࡋࡓࡇ࡜࠿ࡽ㸪㐜ࢀ࡚㦵ࡀᙧᡂࡉࢀ࡚࠸
ࡿࡇ࡜ࡀ᥎ ࡉࢀࡓ㸬ࡼࡗ࡚㸪¡ [ ] ࡟ࡼࡿ⾑⢾ࡢࢥࣥࢺ࣮ࣟࣝࢆ
⾜ࡗ࡚ࡶ㸪㐌⤒㐣ࡋ࡚ࡶᆺ⢾ᒀ⑓࡟࠾ࡅࡿ㦵̿࢖ࣥࣉࣛࣥࢺ⤖ྜ࡬ࡢ㈇ࡢᙳ㡪ࢆ༑ศ࡟ᨵၿࡍࡿ
஦ࡣ㞴ࡋ࠸ࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ࡲࡓ㸪⩌࡜἞⒪⩌࡛ࡣ㸪ᑐ↷⩌ࡼࡾࡶ࢖ࣥࣉࣛࣥࢺ࿘ᅖࡢ㦵᪂⏕ࡀ㐜ࢀࡿࡇ࡜࡟ࡼࡾ㸪ᶵᲔⓗ㦵⤖ྜࡢቑຍࡶ㐜ࢀ࡚㐍⾜ࡍࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩
$   ! {|^  { [  \[ ! \    ] ! ] ^! ![    [  ![ "^    ^"[ " 
 ] !   ^"[    ' $ 'Ϫ㸬 ⤖ᯝ࡜⪃ᐹ 㝖ཤࢺࣝࢡ್ࡣ㸪㐌ᚋࡢ἞⒪⩌ࢆ㝖ࡁᇙධᮇ㛫ࡀ㛗ࡃ࡞ࡿ࡟ࡘࢀቑຍࡋࡓࡀ㸪㐌࡜㐌ࡢ㛫࡛ࡣ඲࡚ࡢ⩌࡟࠾࠸࡚᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬− 233 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 44

⣧ࢳࢱࣥQCMࢭࣥࢧࢆ฼⏝ࡋࡓ㦵㧊⣽⬊ࡢึᮇ᥋╔ࡢᐃ࡟ࡘ࠸࡚‫⏣ۑ‬௦ᝆ୍㑻㸪ᑠṇ ⪽㸪୕Ꮿ᫭Ꮚ㸪ᶫᮏ඾ஓ*㸪すᓮ ᏹ㸪ᑠṇ ⿱**㸪ᒸᓮᐃྖ኱㜰ṑ⛉኱ᏛḞᦆṑิ⿵⥛ညྜᏛㅮᗙ㸪*኱㜰ṑ⛉኱Ꮫṑ⛉⌮ᕤᏛㅮᗙ㸪**኱㜰ṑ⛉኱Ꮫ㧗㱋⪅ṑ⛉Ꮫㅮᗙ
Measurment of initial adhesion of rat bone marrow cells using a pure titanium QCM sensor
Tashiro Y, Komasa S, Miyake A, Hashimoto Y*, Nishizaki H, Komasa Y**, Okazaki J.
Osaka Dental University, Department of Removable Prosthodontics and Occlusion, *Department of
Biomaterials, **Department of Geriatric DentistryϨ㸬 ┠ⓗ ㏆ᖺ㸪⏕యศᏊ㛫ࡢ྾╔࣓࢝ࢽࢬ࣒ࢆ▱ࡿ᪉ἲ࡜ࡋ࡚Ỉᬗ᣺ືᏊ࣐࢖ࢡࣟࣂࣛࣥࢫ㸦௨ୗ㸪QCM㸧
ἲࡀᗈࡃ౑⏝ࡉࢀ࡚࠸ࡿ㸬QCMἲࡣ㸪ࢼࣀࢢ࣒ࣛ
࡛ࣞ࣋ࣝࢭࣥࢧୖ࡟྾╔ࡍࡿởࢀ➼ࡢศᏊࢆ᣺ື
ᩘኚ໬࡟᳨࡚ฟࡋ㸪ࡑࡢ᣺ືᩘኚ໬࠿ࡽ≀㉁ࢆᐃ
㔞ࡍࡿࡇ࡜ࡀྍ⬟࡛࠶ࡿ㸬ࢃࢀࢃࢀࡣ㸪ࡇࢀࡲ࡛
ࢳࢱࣥ㸪PMMA࡜࠸࠺ṑ⛉ᮦᩱࢆ࣮ࣟࢹ࢕ࣥࢢࡋ
ࡓࢭࣥࢧࢆస〇ࡋ㸪ྛ✀ࢱࣥࣃࢡ㉁ࡢ྾╔ᣲື࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗ࡚ࡁࡓ1㸬ࡋ࠿ࡋ㸪࢖ࣥࣉࣛࣥࢺ
ᮦᩱ⾲㠃ࡢ◊✲࡟࠾࠸࡚㸪㦵㧊⣽⬊ࡢ྾╔ᣲືࢆ▱ࡿࡇ࡜ࡣ㔜せ࡛࠶ࡿࡀ㸪QCMἲࢆ฼⏝ࡋࡓࡼ࠺࡞ሗ࿌ࡣ࡞࠸㸬ࡑࡇ࡛㸪ᮏ◊✲࡛ࡣࢫࣃࢵࢱἲ࡟࡚〇సࡋࡓ⣧ࢳࢱࣥQCMࢭࣥࢧࢆ౑⏝ࡋ㸪ࢭࣥࢧ⾲㠃࡬ࡢࣛࢵࢺ㦵㧊⣽⬊ࡢึᮇ᥋╔ࢆホ౯ࡋࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ1㸬⣧ࢳࢱࣥQCMࢭࣥࢧࡢస〇27MHz QCMࢭࣥࢧୖࡢ⣧ࢳࢱࣥࡢᡂ⭷࡟ࡣࢫࣃࢵࢱ⿦⨨ࢆ⏝࠸ࡓ㸬(ࢳࣕࣥࣂ࣮฿㐩ᅽ㸸4E-4Pa,
ᨺ㟁࢞ࢫ㸸Ar, ᨺ㟁᫬ᅽຊ㸸1E-1Pa, ᨺ㟁㟁ᅽ㸸
DC300W, ᇶ ᯈᗘ㸸ᖖ, ᡂ⭷࣮ࣞࢺ㸸
33.7nm/min, ⭷ᅽ㸸240nm) ࡞࠾㸪ᑐ↷⩌࡜ࡋ࡚↓ฎ⌮ࡢQCMࢭࣥࢧࢆ฼⏝ࡋࡓ㸬
QCMୖ࡟〇సࡋࡓⷧ⭷ࡣ㸪㉮ᰝᆺࣉ࣮ࣟࣈ㢧ᚤ
㙾㸦SPM, SPM-9600㸧࡟ࡼࡾࡑࡢ⾲㠃ࡢほᐹ࡜⾲㠃 ⢒ ࡉ ࢆ ᐃ ࡋ 㸪 X ⥺ ග 㟁 Ꮚ ศ ග ἲ 㸦 XPS,
ESCA5600㸧࡟ࡼࡾⷧ⭷ࡢඖ⣲ศᯒࢆ⾜ࡗࡓ㸬2㸬⣽⬊ᇵ㣴
 ⏕ᚋ7㐌㱋ࡢSD⣔㞝ᛶࣛࢵࢺࡢ୧ഃ኱⭣㦵࠿ࡽ㦵㧊㛫ⴥ⣽⬊ࢆ᥇ྲྀᚋ㸪ึ௦ᇵ㣴ࢆ☜❧ࡋ㸪3௦┠
ࢆᐇ㦂࡟౪ࡋࡓ㸬
3㸬ࣛࢵࢺ㦵㧊⣽⬊࠾ࡼࡧ᥋╔ࢱࣥࣃࢡ㉁ࡢ྾╔ᣲືࡢẚ㍑ ࣛࢵࢺ㦵㧊⣽⬊ࡢ᥋╔㔞࠾ࡼࡧ㦵㧊⣽⬊ࡢ᥋╔᫬࡟᥋╔ᛶࢱࣥࣃࢡ㉁࡜ࡋ࡚ാࡃࣇ࢕ࣈࣟࢿࢡࢳ
ࣥࡢ྾╔ᣲືࢆQCM⿦⨨࡛ ᐃࡋࡓ㸬ྛ✀QCMࢭ
ࣥࢧࢆ⿦⨨࡟⿦╔ࡋ㸪ࢭࣥࢧࢭࣝ࡟ࣜࣥ㓟⦆⾪ᾮ
ࢆ500 mLධࢀ25Υ࡟タᐃࡋࡓᚋ㸪 ࣛࢵࢺ㦵㧊⣽⬊⁐ᾮ࠾ࡼࡧ࢘ࢩ⾑Ύࣇ࢕ࣈࣟࢿࢡࢳࣥࢆࢭࣥࢧࢭ
ࣝ࡟5 ȣLῧຍࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 SPMほᐹࡢ⤖ᯝ㸪QCMࢭࣥࢧୖࡢ⣧ࢳࢱࣥ⾲㠃࡛ࡣ⣽࠿࠸⢏Ꮚ≧࡛࠶ࡿࡇ࡜ࡀࢃ࠿ࡗࡓ㸬ࡲࡓ㸪᭱⾲ᒙࡢ࣡࢖ࢻࢫ࢟ࣕࣥ࡟ࡼࡿඖ⣲ศᯒ࠿ࡽQCM
ୖࡢ⣧ࢳࢱ࡛ࣥࡣTi, O, C, NࡢᏑᅾࡀ☜ㄆࡉࢀ㸪ᑐ↷⩌࡜ẚ㍑ࡋ࡚ཌ࠸㓟໬⭷ࡢᒙࡀᙧᡂࡉࢀ࡚࠸ࡿ
ࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬 ࣛࢵࢺࡢ㦵㧊⣽⬊ࡢ᥋╔ᩘࡣᐇ㦂⩌ࡢࢭࣥࢧ࡛
ᑐ↷⩌ࡢࢭࣥࢧ࡜ẚ㍑ࡋ࡚᭷ព࡟㧗࠿ࡗࡓ(ᅗ1)㸬
ࡲࡓ㸪࢘ࢩ⾑Ύࣇ࢕ࣈࣟࢿࢡࢳࣥ྾╔㔞ࡶྠᵝ࡟᭷ព࡟㧗࠿ࡗࡓ㸬௨ୖࡢ⤖ᯝ࡟ࡼࡾ㸪⣧ࢳࢱࣥࡢ㓟໬⭷ࡢᏑᅾ࡟ࡼࡾ㸪᥋╔ᛶࢱࣥࣃࢡ㉁ࡢ྾╔ࢆྥୖࡉࡏ㸪ࣛࢵࢺ㦵㧊⣽⬊ࡢึᮇ᥋╔ࡀྥୖࡍࡿ
ࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬ᅗ 1 ྛ⩌ QCM ࢭࣥࢧୖ࡟࠾ࡅࡿ㦵㧊⣽⬊ࡢ྾╔ᣲືϫ㸬 ᩥ⊩1) Miyake A, Komasa S, Okazaki J. Fabrication of
PMMA QCM sensor. Journal of Japan
Association of oral rehabilitation. 2013; 26(1):22-29.

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 45༢⊂ṑ࢖ࣥࣉࣛࣥࢺࡢ㛗ᮇ⤒㐣࡟ᙳ㡪ࡍࡿྛ✀ᅉᏊࠐ὾ཱྀ₶ஓ㸪ሷ⏣┿㸪௒୍⿱㸪௒໭༓᫓㸪⸨᳃㐩ஓᮾி་⛉ṑ⛉኱Ꮫ኱Ꮫ㝔࢖ࣥࣉࣛࣥࢺཱྀ࣭⭍෌⏕་Ꮫศ㔝The effects of various factors to the long-term success of single-tooth implants
Hamaguchi J Shiota M Kon K Imakita C Fujimori T
Department of Oral Implantology and Regenerative Dental Medicine, Tokyo Medical and Dental UniversityϨ㸬 ┠ⓗ ㏆ᖺ㸪࢖ࣥࣉࣛࣥࢺ἞⒪ࡢᑐ㇟ࡣ↓ṑ㢡⑕౛࠿ࡽ㒊ศḞᦆ⑕౛࡬࡜⛣⾜ࡋ࡚࠾ࡾ㸪1ṑḞᦆ࡬ࡢ㐺ᛂࡶᗈࡃ⾜ࢃࢀࡿࡼ࠺࡟࡞ࡗ࡚࠸ࡿ㸬ࡇࡢࡼ࠺࡞
༢⊂ṑ࢖ࣥࣉࣛࣥࢺࡢ10ᖺṧᏑ⋡ࢆJungࡽࡣ95.2㸣
࡜ሗ࿌ࡋ࡚࠸ࡿ㸬ࡋ࠿ࡋ㸪༢⊂ṑ࢖ࣥࣉࣛࣥࢺ࡛
ࡣ୍ᐃࡢ⏕≀ᏛⓗేⓎ⑕ࡶሗ࿌ࡉࢀ࡚࠸ࡿ㸬༢⊂ṑ࢖ࣥࣉࣛࣥࢺࡣከᩘᮏ㐃⤖࢖ࣥࣉࣛࣥࢺ࡜ẚ㍑
ࡋ࡚㸪ညྜຊࡢᙳ㡪ࢆཷࡅࡸࡍ࠸ྍ⬟ᛶࡀ࠶ࡾ㸪࢖ࣥࣉࣛࣥࢺ㛗ࡸ㸪ṑෙ࢖ࣥࣉࣛࣥࢺ㛗ẚ࡞࡝ࡢᙧែⓗᅉᏊࡀ㸪ṧᏑ⋡ࡸ࿘ᅖ㦵ࡢ྾཰࡟ᙳ㡪ࢆཬࡰࡍ஦ࡀ⪃࠼ࡽࢀࡿ㸬ࡲࡓୖ㢡๓ṑ㒊㡿ᇦ࡛ࡣ࢖ࣥࣉࣛࣥࢺࡢ㛗㍈᪉ྥ࡜ࡣ␗࡞ࡿ᪉ྥ࡟ညྜຊࢆ㈇ᢸࡋ࡞ࡅࢀࡤ࡞ࡽ࡞࠸ࡓࡵ㸪㒊఩≉␗ⓗ࡞ᙳ㡪ࡀ⪃࠼ࡽࢀࡿ.ຍ࠼࡚㸪࢖ࣥࣉࣛࣥࢺᇙධ⾡ᘧ࡟ࡣ1ᅇἲ࡜2ᅇἲࡀ࠶ࡾ㸪ࡇࢀ࡟ᇶ࡙ࡃ࢖ࣥࣉࣛࣥࢺ࢔ࣂࢵࢺ࣓ࣥࢺ᥋ྜ఩⨨ࡢ㐪࠸ࡀ࢖ࣥࣉࣛࣥࢺࡢ
㛗ᮇ⤒㐣࡟ᙳ㡪ࢆཬࡰࡍྍ⬟ᛶࡶ࠶ࡿ㸬 ࡑࡇ࡛௒ᅇ㸪࢖ࣥࣉࣛࣥࢺ㛗ࡸ㸪ṑෙ࢖ࣥࣉࣛ
ࣥࢺ㛗ẚ࡞࡝ࡢᙧែⓗᅉᏊࡸ࢖ࣥࣉࣛࣥࢺᇙධ㒊఩ࡸ࢖ࣥࣉࣛࣥࢺᇙධ⾡ᘧ࡞࡝ࡢ⎔ቃⓗᅉᏊࡀࢩࣥࢢࣝ࢖ࣥࣉࣛࣥࢺࡢṧᏑ⋡ࡸ࿘ᅖ㦵྾཰࡟ཬࡰ
ࡍᙳ㡪ࢆ᳨ウࡋࡓ㸬ϩ㸬 ᪉ἲ ᮾி་⛉ṑ⛉኱ᏛṑᏛ㒊㝃ᒓ⑓㝔࢖ࣥࣉࣛࣥࢺ
እ᮶࡛1998ᖺ࠿ࡽ2004ᖺࡲ࡛࡟༢ෙࡢ࢖ࣥࣉࣛࣥ
ࢺୖ㒊ᵓ㐀ࢆ⿦╔ࡋ㸪ᖺ㛫ཷデṔࡢ࠶ࡿᝈ⪅ே㸪࢖ࣥࣉࣛࣥࢺᮏࢆᑐ㇟࡜ࡋࡓ㸬┠ⓗኚᩘࢆ࢖ࣥࣉࣛࣥࢺࡢṧᏑ㸪࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵྾཰ࡢ᭷↓࡜ࡋㄝ᫂ኚᩘࢆ࢖ࣥࣉࣛࣥࢺ㛗㸪ṑෙ࢖ࣥࣉࣛࣥࢺ㛗ẚ㸪ṑ࿘⅖᪤ ࡢ᭷↓㸪ୗ㢡ゅࡢゅᗘ㸪ᇙධ㒊఩㸪࢖ࣥࣉࣛࣥࢺᇙධ⾡ᘧ 1ᅇἲ㸪2ᅇἲ࡜ࡋࡓ㸬࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵྾཰㔞ࡣ㸪10ᖺ⤒㐣᫬ࡢࣃࣀ࣐ࣛX⥺෗┿ࡶࡋࡃࡣᖹ⾜ἲ᧜ᙳ࡟ࡼࡿ
ࢹࣥࢱࣝ;⥺෗┿ࡼࡾホ౯ࡋࡓ㸬ࡲࡓୖ㒊ᵓ㐀⿦╔┤ᚋࡢࣃࣀ࣐ࣛ;⥺෗┿ࡼࡾ㸪࢖ࣥࣉࣛࣥࢺ㛗㸪ṑෙ࢖ࣥࣉࣛࣥࢺ㛗ẚ㸪ୗ㢡ゅࡢゅᗘࢆ ᐃࡋࡓ㸬
ୗ㢡ゅࡢゅᗘࡣୗ㢡㢌ᚋ⦕ࢆ㝖ࡃୗ㢡ᯞᚋ⦕࡜ୗ

㢡ୗ⦕࡜ࡢ࡞ࡍゅᗘࡢᕥྑࡢᖹᆒ್ࢆ࡜ࡋࡓ㸬࢖ࣥࣉࣛࣥࢺᇙධ㒊఩ࡣୖ㢡๓ṑ㸪ୖ㢡⮻ṑ㸪ୗ㢡๓ṑ㸪ୗ㢡⮻ṑࡢ4⩌࡟ศ㢮ࡋࡓ㸬 ࡇࢀࡽࡢྛ㡯┠࡟ࡘࡁ㸪㸰㡯ࣟࢪࢫࢸ࢕ࢵࢡᅇ
ᖐศᯒࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ௒ᅇࡢㄪᰝ⤖ᯝ࡛ࡣ㸪࢖ࣥࣉࣛࣥࢺࡢ႙ኻࡣㄆࡵ
ࡽࢀ࡞࠿ࡗࡓ㸬ࡲࡓ࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵྾཰ࡣ 6 ᮏ࡟ㄆࡵࡽࢀ㦵྾཰Ⓨ⏕⋡ࡣ 10.2%࡛࠶ࡗࡓ㸬࢖ࣥࣉࣛࣥࢺ࿘ᅖ㦵ࡢ྾཰࡟ᑐࡋ㸪࢖ࣥࣉࣛࣥࢺ㛗㸪ṑෙ࢖ࣥࣉࣛࣥࢺ㛗ẚ㸪ṑ࿘⅖᪤ ࡢ᭷↓㸪ୗ㢡ゅࡢゅᗘ㸪࢖ࣥࣉࣛࣥࢺᇙධ㒊఩㸪࢖ࣥࣉࣛࣥࢺᇙධ
⾡ᘧࡢྛ㡯┠ࡣ⤫ィᏛⓗ࡟᭷ព࡞ᙳ㡪ࢆཬࡰࡍ࡜ࡣ
ㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬 ᚑࡗ࡚ྛ✀ᅉᏊ࡟㛵ࢃࡽࡎ༢⊂ṑ࢖ࣥࣉࣛࣥࢺ
ࡢ㛗ᮇ⤒㐣ࡣⰋዲ࡜⪃࠼ࡽࢀࡓ.
⤫ィ⤖ᯝ

ϫ㸬 ᩥ⊩
1)Jung RE, Zembic A, Pjetursson BE, Zwahlen M,
Thoma DS. Systematic review of the survival rate and theincidence of biological, technical, and aesthetic
complications of single crowns on implants reported inlongitudinal studies with a mean follow-up of 5 years.
Clin Oral Implants Res. 2012;23 Suppl 6:2-21.

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 46࢔ࣂࢵࢺ࣓ࣥࢺࢫࢡ࣮ࣜࣗࡢ◚ቯ࡟㛵ࡍࡿ◊✲‫ۑ‬୰ᮧ඾ṇ㸪ᏳᮾྐᏊ*㸪᪂ᮧ ᘯᏊ㸪ᒸᓮ⪔඾㸪ᅵᒇ⥲୍㑻㸪㯮ᒾ᫛ᘯᯇᮏṑ⛉኱Ꮫṑ⛉⿵⥛Ꮫㅮᗙ㸪*㛵すᨭ㒊Study on destruction of the abutment screw

Nakamura N㸪Ando A*㸪Nimura H㸪Tsuchiya S㸪Kuroiwa A
Department of Prosthodontics Matsumoto Dental University㸪*Kansai BranchϨ㸬 ┠ⓗ ࢖ࣥࣉࣛࣥࢺ἞⒪ࡢᬑཬ࡟క࠸㸪ඃࢀࡓᶵᲔⓗᙉᗘ≉ᛶࢆᣢࡘࢳࢱ࡛ࣥ࠶ࡾ࡞ࡀࡽࡶ㸪㛗ᮇ㛫ࡢ౑⏝࡟క࠸അⓎ⑕ࡀሗ࿌ࡉࢀ࡚࠸ࡿ1-2)㸬௒ᅇᡃࠎࡣ㸪࢔ࣂࢵࢺ࣓ࣥࢺࢫࢡ࣮ࣜࣗࡢ㢌㒊࡜㤳㒊ࡢ㛫࡛ࡢ◚ᢡࢆ⤒㦂ࡋࡓ㸬࢔ࣂࢵࢺ࣓ࣥࢺࢫࢡ࣮ࣜࣗ
◚ᢡࡢཎᅉ࡜ࡋ࡚㸪ୖ㒊ᵓ㐀ࡢ㐺ྜ୙Ⰻ㸪ࢫࢡ࣮ࣜࣗࡢ⦆ࡳ࡟ࡼࡿྍືᛶࡢⓎ⌧㸪ᙉ࠸ညྜຊ࡞࡝
ࡀ⪃࠼ࡽࢀࡿ࡜ࡢሗ࿌ࡣ࠶ࡿ3)ࡀヲ⣽࡞ཎᅉ࡟ࡘ࠸࡚ᐈほⓗ࡟☜ドࡉࢀ࡚࠸࡞࠸㸬ࡲࡓ࢖ࣥࣉࣛࣥࢺ
ࡀᏑᅾࡍࡿཱྀ⭍ෆ⎔ቃࡣ㸪ᖖ࡟ၚᾮ࡟ᅖࡲࢀ࡚࠾
ࡾ㣧㣗≀࡟ࡼࡗ࡚ ᗘࡸpHࡀኚືࡍࡿࡇ࡜࡟ࡼࡿ
⭉㣗ࡢྍ⬟ᛶࡶ⪃࠼ࡽࢀࡿࡀ㸪ࡑࡢ㛵㐃ᛶࡶ᫂ࡽ࠿࡛ࡣ࡞࠸㸬ࡑࡇ࡛㸪ࢳࢱࣥྜ㔠〇࢔ࣂࢵࢺ࣓ࣥ
ࢺࢫࢡ࣮ࣜࣗ◚ᢡࡢཎᅉ࠾ࡼࡧヲ⣽࡞≀⌮ⓗᅉᏊࡸ⎔ቃᅉᏊ࡟ࡘ࠸᳨࡚ウࡍࡿࡇ࡜ࢆ┠ⓗ࡟㸪୕ḟඖ㠀⥺ᙧ᭷㝈せ⣲ἲ࡟ࡼࡿᛂຊゎᯒ㸪࠾ࡼࡧཱྀ⭍ෆ⎔ቃ࡟㢮ఝࡉࡏࡓ⭉㣗཯ᛂᐇ㦂ࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ㸯㸬୕ḟඖ㠀⥺ᙧ᭷㝈せ⣲ἲ࡟ࡼࡿᛂຊゎᯒ◚ᢡ࢖ࣥࣉࣛࣥࢺ࡜ྠ୍ࡢ࢖ࣥࣉࣛࣥࢺࢆᶞ⬡ໟᇙࡋṇ୰⥺࡟࡚ษ᩿ࡋᑍἲࢆ ᐃࡋ࡚ゎᯒࣔࢹࣝࢆస〇ࡋࡓ㸬ゎᯒ࡟ࡣANSYS Ver.13ࢆ౑⏝ࡋ࡚㠀⥺ᙧゎᯒࢆ⾜ࡗࡓ㸬㸰㸬ཱྀ⭍ෆ㢮ఝ⎔ቃୗ࡟࠾ࡅࡿ⭉㣗཯ᛂ࢔ࣂࢵࢺ࣓ࣥࢺࢫࢡ࣮ࣜࣗ࡜ྠࡌ⤌ᡂ࡛࠶ࡿ㸪
Ti-㸴Al-㸲Vࡢࢳࢱࣥྜ㔠ᯈ࡟⪏ຊ┦ᙜࡢ᭤ࡆᛂຊ
ࢆ㈇Ⲵࡋ㸪Na2SO4Ỉ⁐ᾮ4)㸪⏕⌮ⓗ㣗ሷỈ࡟ᾐₕࡋ37Υᜏ ᵴෆ࡟࠾࠸࡚⭉㣗ヨ㦂ࢆ⾜ࡗࡓ㸬ࡲࡓ㸪ᶆ‽ヨᩱ࡜ࡋ࡚↓㈇ⲴᯈࡢNa2SO4Ỉ⁐ᾮࡢᾐₕࡶ⾜ࡗࡓ㸬ᾐₕᮇ㛫ࡣ1㐌㛫㸪2㐌㛫㸪3㐌㛫㸪4㐌㛫࡜ࡋࡓ㸬ᡤᐃᮇ㛫ᾐₕᚋࡢヨ㦂∦ࡢSEMほᐹ࡜
EDS࡟ࡼࡿඖ⣲ศᯒࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ㸯㸬୕ḟඖ㠀⥺ᙧ᭷㝈せ⣲ἲ࡟ࡼࡿᛂຊゎᯒ࢖ࣥࣉࣛࣥࢺࡢୖ㒊ᵓ㐀≀㎶⦕㝯⥺㒊࡟ᆶ┤᪉ྥ࡬ᛂຊࢆ㈇Ⲵࡉࡏࡓሙྜ࡟㸪࢔ࣂࢵࢺ࣓ࣥࢺࢫ

ࢡ࣮ࣜࣗ◚ᢡ㒊఩࡜ྠ୍㒊఩࡟ᛂຊ㞟୰ࡀㄆࡵࡽࢀࡓ㸬ᆶ┤Ⲵ㔜࡟࠾࠸࡚ࡣ࢔ࣂࢵࢺ࣓ࣥࢺࢫࢡ࣮ࣜࣗ
࡟ࡣ඲ࡃၥ㢟ࡀ⏕ࡌ࡞࠸ࡇ࡜ࡀุ᫂ࡋࡓ㸬ୖ㒊ᵓ㐀≀ࡢ㎶⦕㝯⥺㒊࡟ᆶ┤᪉ྥ࡬ᛂຊࢆ㈇Ⲵࡉࡏࡓ
ሙྜ࡟ࡣ㸪࢔ࣂࢵࢺ࣓ࣥࢺࢫࢡ࣮ࣜࣗ㢌㒊࡬ࡢᛂຊࡀ㞟୰ࡍࡿࡇ࡜ࡀ᫂ࡽ࠿࡟࡞ࡗࡓࡇ࡜࠿ࡽ◚ᢡࡢཎᅉ࡜⪃࠼ࡽࢀࡿ㸬㸰㸬ཱྀ⭍ෆ㢮ఝ⎔ቃୗ࡟࠾ࡅࡿ⭉㣗཯ᛂࡍ࡭࡚ࡢヨ㦂∦࡛Ꮝ㣗࡞࡝ࡢ⭉㣗ᡤぢࡣࡳࡽࢀ࡞࠿ࡗࡓ㸬ᾐₕ㸲㐌㛫ᚋࡢᛂຊࢆ㈇Ⲵࡋࡓヨ㦂∦୰ኸ㒊࡜ࣞࢪࣥ࡟࡚ᅛᐃࡉࢀ࡚࠸ࡿ➃㒊࡟ࡣ㸪⭷≧ࡢ௜╔≀ࡀほᐹࡉࢀࡓࡀSࡣ᳨ฟࡉࢀ࡞࠿ࡗࡓ㸬࢔ࣂࢵࢺ࣓ࣥࢺࢫࢡ࣮ࣜࣗ◚ᢡ㠃ࡢᏍ㣗ཎᅉࡣ㸪◲໬≀࡟ࡼࡿࡶࡢ࡜ண᝿ࡉࢀࡓࡀ㸪ࡑࡢཎᅉࢆ≉ᐃࡍࡿࡇ࡜ࡣ࡛ࡁ࡞࠿ࡗࡓ㸬௜ຍࡋࡓᛂຊࡣ㸪ヨ㦂∦ࡢ⪏ຊ࡜༑ศ࡟኱ࡁ࠿ࡗࡓࡇ࡜࠿ࡽ㸪⭉㣗⎔ቃࡢ㐪࠸ࡢྍ⬟ᛶࡀ⪃࠼ࡽࢀ㸪ࡉࡽ࡞ࡿ᳨ウࡀᚲせ࡜⪃࠼ࡽࢀࡓ㸬ϫ㸬 ᩥ⊩㸯㸧Pjetursson BE㸪Tan K㸪Lang NP㸪Bragger U㸪
Egger M and Zwahlen M㸸 A systematic reviewof the survival and complication rates of fixed
partial dentures(FPDs)after an observation periodof at least 5 years㸬I㸬Implant-supported FPDs㸬
Clin Oral Implants Res 2004; 15: 667-676㸬㸰㸧ᖌᒸ㏻㞝㸪▼ᕝ㧗⾜㸪ఀ⸨ ດ㸪⚟ᆅ⥤Ꮚ㸸ከⓎࡍࡿ࢖ࣥࣉࣛࣥࢺ࠾ࡼࡧᵓ㐀≀ࡢ◚ᢡ࡜ᑐ ฎ ἲ ࡟ ࡘ ࠸ ࡚ - ⑕ ౛ ሗ ࿌ - 㸬 Quintessence
Dental Implantology 2008; 15: 329-344㸬
㸱㸧Goodacre CJ㸪Kan JY and Rungcharassaeng K㸸
Clinical complications of osseointegrated implants㸬
J prosthet Dent 1999; 81: 537-552㸬㸲㸧ⲡ 㛤 Ύ ᚿ 㸪 ᳃ ⏣ ໷ ྐ 㸪 㒌 ႐ ᖹ 㸪 ✰ ⏣ ༤ 㸸
Na2SO4 ࡟ ᾐ ₕ ࡉ ࢀ ࡓ Ni-20%Cr ྜ 㔠 ࠾ࡼ ࡧ
Waspaloy ࡢ㧗 ⭉㣗㸬ISIJ 2007; 93(7): 498-505㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 47

ࢥ࣮ࣛࢤࣥᯫᶫࡢኚ໬ࡣ㦵ᙉᗘࡢࡳ࡞ࡽࡎ㦵௦ㅰ࡟ᙳ㡪ࢆཬࡰࡍ‫ۑ‬஭⏣㈗Ꮚ㸪ຍ᮶ ㈼㸪໭ぢᜠ⨾㸪Juan Marcelo Rosales Rocabado㸪㨶ᓥ຾⨾᪂₲኱Ꮫ኱Ꮫ㝔 ་ṑᏛ⥲ྜ◊✲⛉ ⏕యṑ⛉⿵⥛Ꮫศ㔝
Altered collagen crosslinks affect not only bone strength but also bone remodeling.

Ida T, Kaku M, Kitami M, Rocabado JMR, Uoshima K
Division of Bio-Prosthodontics, Graduate School of Medical and Dental Sciences, Niigata UniversityϨ㸬 ┠ⓗCT࡟ࡼࡿ㦵ࡢᙧែ㸪㦵ᐦᗘࡢ᳨ᰝࡣ࢖ࣥࣉࣛࣥ
ࢺ἞⒪ࡢ⾡๓᳨ᰝ࡜ࡋ࡚୙ྍḞ࡛࠶ࡾ㸪἞⒪ࡢ⢭ᗘ࡜Ᏻ඲ᛶࢆ㣕㌍ⓗ࡟ྥୖࡋ࡚ࡁࡓ㸬୍᪉㸪⌧Ꮡࡍࡿ㦵ࡢ≧ែࡢࡳ࡞ࡽࡎ㸪㦵௦ㅰᅇ㌿ࡸࡇࢀ࡟௜
㝶ࡍࡿ⤌⧊ኚ໬ࡣ㸪࢖ࣥࣉࣛࣥࢺࡢ㛗ᮇணᚋࢆண
ࡍࡿ࠺࠼࡛㔜せ࡞᝟ሗ࡜࡞ࡾᚓࡿࡶࡢ࡛࠶ࡿࡀ㸪⌧≧࡛ࡣࡑࡢᒁᡤⓗ࡞ไᚚ࣓࢝ࢽࢬ࣒ࡀ᫂ࡽ࠿࡛
࡞࠸஦࠿ࡽ㸪⮫ᗋⓗᛂ⏝࡟ࡣ⮳ࡗ࡚࠸࡞࠸㸬1ᆺࢥ࣮ࣛࢤࣥࡢศᏊ㛫ᯫᶫ⤖ྜ࡛࠶ࡿࢥ࣮ࣛࢤ
࣭ࣥࢡࣟࢫࣜࣥࢡ㸦ࢡࣟࢫࣜࣥࢡ㸧ࡣ㸪㦵ࡢᶵᲔⓗ≉ᛶࢆᢸ࠺㦵㉁ࢆつᐃࡍࡿᅉᏊ࡜ࡋ࡚㔜せ࡞ᵓ㐀ࡢ୍ࡘ࡛࠶ࡿ1)㸬ᡃࠎࡣࢡࣟࢫࣜࣥࢡࡢ⏕ᡂᶵᗎࢆゎᯒࡍࡿ୰࡛㸪ࡇࡢᵓ㐀ࡀᶵᲔⓗ≉ᛶࢆᢸ࠺ᵓ
㐀࡜ࡋ࡚ࡢࡳ࡞ࡽࡎ㸪㦵௦ㅰᅇ㌿ࢆไᚚࡍࡿ㉳Ⅼ࡜࡞ࡿྍ⬟ᛶࢆぢฟࡋ࡚࠸ࡿ㸬ᮏ◊✲ࡢ┠ⓗࡣ㦵㉁ࢆつᐃࡍࡿせ⣲ࡢ୍ࡘ࡛࠶ࡿࢡࣟࢫࣜࣥࢡࡢኚ
໬ࡀ㦵௦ㅰ࡟ཬࡰࡍᙳ㡪ࢆゎᯒࡋ㸪ᒁᡤⓗ㦵௦ㅰ࣓࢝ࢽࢬ࣒ࡢ୍➃ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜࡛࠶ࡿ㸬ϩ㸬 ᪉ἲ࣐࢘ࢫ㦵ⱆ⣽⬊ᵝ⣽⬊ᰴMC3T3-E1(MC)ࢆࢡࣟ
ࢫࣜࣥࢡ㜼ᐖ๣࡛࠶ࡿ¢-aminopropionitrile (BAPN)ࡢᏑᅾୗ࡟࡚ᇵ㣴ࡋ㸪ࢡࣟࢫࣜࣥࢡࡢ⛬ᗘࡀ␗࡞ࡿ࣐ࢺࣜࢵࢡࢫࢆᚓࡓ㸬࣐ࢺࣜࢵࢡࢫ࠿ࡽ0.5%
Sodium deoxycholate࡟࡚⣽⬊ᡂศࢆ㝖ཤࡋࡓᚋ㸪࣐ࢺࣜࢵࢡࢫୖ࡟᪂ࡓ࡟MCࢆ᧛✀ࡋ㸪⣽⬊ቑṪ⬟㸪
ALPάᛶ㸪㑇ఏᏊⓎ⌧ࡢゎᯒࢆ⾜ࡗࡓ㸬ࡲࡓྠᵝ࡟࣐࢘ࢫ࣭࣐ࢡࣟࣇ࢓࣮ࢪᵝ⣽⬊ᰴ(RAW264.7)ࢆ
ࢡࣟࢫࣜࣥࢡࡢ⛬ᗘࡀ␗࡞ࡿ࣐ࢺࣜࢵࢡࢫୖ࡟᧛
✀ࡋ㸪TRAPᰁⰍ࠾ࡼࡧCathepsin KᰁⰍ࡟ࡼࡗ࡚ࡑ
ࡢศ໬⬟ࢆホ౯ࡋࡓ㸬C57BL/6J࣐࢘ࢫ(㞤ᛶ㸪4㐌㱋)ࢆBAPNྵ᭷㣫ᩱ࡟࡚8㐌㛫㣫⫱ࡋ࡚ࢡࣟࢫࣜࣥࢡᙧᡂ୙඲࣐࢘ࢫࢆ
స〇ࡋࡓ㸬ࡑࡢᚋ㏻ᖖ㣫ᩱ࡟ᡠࡋ㸪0, 1, 2, 4, 8㐌ᚋ࡟ᒕẅࡋ࡚㸪኱⭣㦵࠾ࡼࡧ඲⾑ࢆ᥇ྲྀࡋ㸪microCT࡟ࡼࡿ㦵ᙧែィ 㸪⤌⧊ゎᯒ㸪⾑Ύ㦵௦ㅰ࣐࣮࣮࢝ࡢゎᯒࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
BAPNࡢῧຍ࡟ࡼࡾ࣐ࢺࣜࢵࢡࢫ୰ࡢࢡࣟࢫࣜࣥ
ࢡ㔞ࡣ⃰ᗘ౫Ꮡⓗ࡟ῶᑡࡍࡿࡇ࡜ࡀHPLC࡟ࡼࡾ☜ㄆࡉࢀࡓ㸬BAPNᏑᅾୗ࡟࡚⏕ᡂࡉࢀࡓ࣐ࢺࣜࢵࢡ
ࢫୖࡢ㦵ⱆ⣽⬊ࡢ⣽⬊ቑṪ⬟㸪ALPάᛶࡣஹ㐍ࡋࡓ㸬◚㦵⣽⬊άᛶ࡟࠾࠸࡚ࡣ㸪BAPNࡢ⃰ᗘ౫Ꮡⓗ࡟TRAP㝧ᛶ⣽⬊ᩘ㸪Cathepsin K㝧ᛶ⣽⬊ᩘࡢῶᑡࡀㄆࡵࡽࢀࡓ㸬ື≀ᐇ㦂࡟࠾࠸࡚ࡣBAPNᦤྲྀ࡟ࡼࡾ㦵㔞࡟ኚ໬ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࡶࡢࡢ㸪ࢡࣟࢫࣜࣥࢡ
(Pyridinoline, Deoxypyridinoline)ࡢῶᑡࡀㄆࡵࡽࢀࡓ㸬⾑Ύ୰ࡢ㦵ᙧᡂ࣐࣮࣮࡛࢝࠶ࡿOsteocalcin࡟ࡘ࠸࡚ࡣኚ໬ࡀㄆࡵࡽࢀ࡞࠿ࡗࡓࡶࡢࡢ㸪㦵྾཰࣐࣮࣮࡛࢝࠶ࡿTRACP-5b࡛ࡣ4㐌ᚋ࡟᭷ព࡞ቑຍࡀㄆ
ࡵࡽࢀࡓ(ᅗ)㸬

ᅗ BAPN ᦤྲྀᚋࡢ TRACP-5b ࡢኚ໬௨ୖࡢ⤖ᯝ࠿ࡽࢡࣟࢫࣜࣥࢡࡣ㦵ࡢᶵᲔⓗ≉ᛶࢆᢸ࠺ᵓ㐀࡜ࡋ࡚ࡢࡳ࡞ࡽࡎ㸪ࡑࡢኚ໬ࡣ㦵௦ㅰࡢ㉳Ⅼ࡜࡞ࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬ᮏ◊✲࡟ࡼࡗ࡚♧ࡉࢀࡓࢡࣟࢫࣜࣥࢡ࡟ࡼࡿᒁᡤⓗ࡞㦵௦ㅰไᚚ࣓࢝ࢽࢬ࣒ࡢゎ᫂࡜デ᩿ἲࡢ㛤Ⓨࡣ㸪࢖ࣥࣉࣛࣥࢺẕᗋ࡜ࡋ࡚ࡢ㢡㦵ࡸ⛣᳜㦵ࡢ㛗ᮇணᚋࡢண
࡟࡜ࡗ࡚᭷⏝࡞᝟ሗ࡜࡞ࡿྍ⬟ᛶࢆ᭷ࡋ࡚࠸ࡿ㸬ϫ㸬 ᩥ⊩
1)Saito M, Marumo K. Collagen cross-links as adeterminant of bone quality: a possible explanation forbone fragility in aging, osteoporosis, and diabetes
mellitus. Osteoporos Int 2010; 21(2): 195-214.

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 48

࢖ࣥࣉࣛࣥࢺయᇙධ⾡ᘧࡀ࿘ᅖ⤌⧊ࡢ⤒᫬ⓗኚ໬࠾ࡼࡧᑂ⨾ᛶ࡟ཬࡰࡍᙳ㡪‫ۑ‬ຍ⸨᫬つ㸪୰㔝⎔㸪ᑠ㔝┿ྖ㸪ୖ୰ᙲᾈ㸪⸨⏣⿱ஓ㸪▮㇂༤ᩥ኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝
Influence of different implant operative procedures on esthetics and morphologic changes of peri-implanttissueDepartment of Fixed Prosthodontics, Osaka University Graduate School of DentistryϨ㸬 ┠ⓗୖ㢡๓ṑ㒊➼ࡢᑂ⨾㡿ᇦ࡟࠾࠸࡚࢖ࣥࣉࣛࣥࢺ
య㢕㒊ࡢ㦵྾཰࠾ࡼࡧ㌾⤌⧊ࡢ㏥⦰ࢆ㜵ࡄࡓࡵ㸪㦵㐀ᡂࡸ⤖ྜ⤌⧊ࡢ⛣᳜ࡀ⾜ࢃࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ㸪࢖ࣥࣉࣛࣥࢺయ㢋ഃࡢ◳㌾୧⤌⧊ࢆᐃ㔞ⓗ࡟ホ౯ࡍࡿ᪉ἲࡀ☜❧ࡉࢀ࡚࠸࡞࠸ࡓࡵ㸪ࡇࢀࡽࡢฎ⨨࡟ࡼࡾ࡝ࡢ⛬ᗘࡢ◳㌾୧⤌⧊ࡀ⋓ᚓࡉࢀ㸪⥔ᣢࡉࢀ࡚࠸ࡿ࠿᫂ࡽ࠿࡛ࡣ࡞࠸㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪࢖ࣥࣉࣛࣥࢺయᇙධ⾡ᘧࡀ࿘ᅖ◳㌾୧⤌⧊ࡢ⤒᫬ⓗኚ໬࡟ཬࡰࡍᙳ㡪࠾ࡼࡧୖ㒊ᵓ㐀⿦╔ᚋࡢᑂ⨾ᛶ࡟ཬࡰࡍᙳ㡪࡟ࡘ࠸࡚Cone Beam CT (CBCT࡜␎ࡍ)ࢆ⏝࠸᳨࡚ウࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓϩ㸬 ᪉ἲᙜ⛉࡟࡚ୖ㢡๓ṑ㒊࠾ࡼࡧᑠ⮻ṑ㒊࡟ᇙධࡉࢀ
ࡓࢥࢽ࢝ࣝࢥࢿࢡࢩࣙࣥ㸦CC㸧ࢆ᭷ࡍࡿ࢖ࣥࣉࣛ
ࣥࢺయ34ᮏ (NobelAcitve㸪Nobel Biocare) ࡢୖ㒊ᵓ㐀⿦╔᫬㸦T1㸧㸪1ᖺ⤒㐣ᚋࡢᐃᮇ᳨デ᫬㸦T2㸧࡟᧜ᙳࡋࡓCBCTࢹ࣮ࢱࢆᢳฟࡋࡓ㸬 ᐃ㒊఩ࡣ㸪࢖ࣥࣉࣛࣥࢺయࣉࣛࢵࢺࣇ࢛࣮࣒఩⨨ (PL) ࢆᇶ‽࡟PL࠿ࡽ㦵㡬఩⨨ࡲ࡛ࡢ㧗ࡉ (BH)㸪㌾⤌⧊ࡢ㡬Ⅼࡲ࡛ࡢ㧗ࡉ (GH)㸪PL఩⨨࡛ࡢ㦵ᖜ (BW0) ࡜㌾⤌⧊ࡢཌࡉ (GW0)㸪2 ੈୗ᪉࡛ࡢ㦵ᖜ (BW2)࡜㌾⤌⧊ࡢཌࡉ (GW2) ࡜ࡋࡓ1)㸦ᅗ1ᕥ㸧㸬ϸ㸧ᇙධ⾡ᘧࡢ㐪࠸࡟ࡼࡾ㸪ձ㏻ᖖᇙධ⩌㸦DPCC ⩌ 㸧 㸪 ղ 㦵 ࠾ ࡼ ࡧ ㌾ ⤌ ⧊ ࡢ 㐀 ᡂ ࢆ ⾜ ࡗ ࡓ ⩌㸦SD-CC⩌㸧㸪ճᢤṑ༶᫬ᇙධ⩌㸦IP-CC⩌㸧ࡢ3⩌࡟ศ㢮ࡋ㸪ࢥࣥࢺ࣮ࣝ⩌࡜ࡋ࡚մࣂࢵࢺࢪࣙ࢖
ࣥࢺ㸦BJ㸧ࢆ᭷ࡍࡿ࢖ࣥࣉࣛࣥࢺయࢆ㏻ᖖᇙධࡋ
ࡓ⩌㸦DP-BJ⩌㸧ࢆᢳฟࡋ㸪ྛィ 㒊఩ࡢ⤒᫬ⓗኚ
໬ࢆẚ㍑᳨ウࡋࡓ㸬ࡲࡓ㸪T1ࡢ࢖ࣥࣉࣛࢺయ㢋ഃṑᵴ㦵࠾ࡼࡧ㌾⤌⧊ࡢᖜᚄ㸦BW0㸪GW0㸧࡜ṑᵴ㦵࠾ࡼࡧ㌾⤌⧊ࡢT1࠿ࡽT2ࡢ㧗ᚄኚ໬㔞㸦ǼBH㸪ǼGH㸧࡜ࡢ┦㛵㛵ಀࢆ᳨ウࡋࡓ㸬Ϲ㸧࢖ࣥࣉࣛࣥࢺయᇙධ㒊఩ഃ࡜཯ᑐഃྠྡኳ↛ṑ࡜ࡢᕥྑᑐ⛠ᛶࢆホ౯ࡍࡿࡓࡵ㸪࢖ࣥࣉࣛࣥࢺ
య࿘ᅖ⤌⧊ࡢ㢋⯉᪉ྥࡢᖜᚄ࡜㌾⤌⧊㎶⦕ࡢ㧗ᚄࢆ ᐃࡋ㸪཯ᑐഃྠྡኳ↛ṑࡢ㢋⯉ഃ᪉ྥࡢཌࡉ
࡜㸪ṑ⫗⦕ࡢ఩⨨࡜ࢆẚ㍑᳨ウࡋࡓ㸦ᅗ1ྑ㸧㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹϸ㸧DP-BJ⩌ࡢǼBH㸪ǼGH㸪ǼGW0ࡣ㸪௚3⩌ࡢࡑࢀࡽ࡜ẚ㍑ࡋ࡚᭷ព࡟኱ࡁࡃῶᑡࡋ࡚࠸ࡓ
㸦<0.01㸧㸬ࡋ࠿ࡋ㸪DP-CC㸪SD-CC㸪IP-CCࡢ3⩌㛫࡟ࡣࡍ࡭࡚ࡢィ 㡯┠࡟࠾࠸࡚᭷ពᕪࢆㄆࡵ
ࡎ㸪CCࢆ᭷ࡍࡿ࢖ࣥࣉࣛࣥࢺయࢆ⏝࠸ࡿࡇ࡜࡛㸪࢖ࣥࣉࣛࣥࢺయᇙධ⾡ᘧ࡟㐪࠸࡟ࡼࡽࡎ࢖ࣥࣉࣛ
ࣥࢺయ࿘ᅖ⤌⧊ࡢ⤒᫬ⓗ࡞ῶᑡࢆᢚ࠼ࡽࢀࡿࡇ࡜
ࡀ♧ࡉࢀࡓ㸬
T1ࡢGW0࡜ǼGH㸦r=0.627㸪=0.0006㸧㸪T1ࡢ
BW0࡜GH㸦r=0.378 =0.04㸧࡜ࡢ㛫࡟᭷ព࡞㈇ࡢ
┦㛵㛵ಀࡀㄆࡵࡽࢀ㸪࢖ࣥࣉࣛࣥࢺయ㢋ഃ㌾⤌⧊
ࡢ㏥⦰㔞࡟ࡣ࢖ࣥࣉࣛࣥࢺయ㢋ഃ㢕㒊ࡢ㦵ᖜࡼࡾ
㌾⤌⧊ࡢᖜᚄࡀࡼࡾ኱ࡁࡃ㛵ࢃࡗ࡚࠸ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬Ϲ㸧DP-CC⩌ࡢࡳ཯ᑐഃྠྡṑ࡜ẚ㍑ࡋ࡚㢋⯉ഃ᪉ྥࡢᖜᚄ࠾ࡼࡧ㌾⤌⧊㎶⦕ࡢ㧗ᚄࡀ᭷ព࡟ῶᑡ
ࡋ࡚࠾ࡾ㸪ᕥྑᑐ⛠ᛶࢆᚓࡿࡓࡵ࡟㦵࠾ࡼࡧ㌾⤌⧊ࡢ㐀ᡂࡸᢤṑ༶᫬ᇙධࢆ⾜࠺ࡇ࡜ࡣຠᯝⓗ࡛࠶ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬ᅗ 1 ࢖ࣥࣉࣛࣥࢺయ࿘ᅖ⤌⧊ࡢィ

㒊఩

ϫ㸬 ᩥ⊩
1) Kaminaka A, Nakano T, Ono S, Kato T, Yatani H .
Cone-Beam Computed Tomography Evaluation of
Horizontal and Vertical Dimensional Changes in
Buccal Peri-Implant Alveolar Bone and Soft Tissue.
   , 2014.

− 238 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 49

㢌఩ࡢᅇ᪕ࡀୗ㢡఩࡟ཬࡰࡍᙳ㡪‫∦ۑ‬ᒣ┤ே㸪ᑠฟ 㤾㸪ᑠฟ຾⩏㸪㧗ᶫ ╬㸪Ỉᶫ ྐ㸪బ⸨฼ⱥ㸪ὸ἟┤ᶞ㸪Ⲩ஭⠇⏨*᪥ᮏṑ⛉኱Ꮫ᪂₲⏕࿨ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨㸯ㅮᗙ㸪*᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔⥲ྜデ⒪⛉The Influence of Cephalic Rotation on the Deviation of Mandibular Position
Katayama N, Koide K, Koide K, Takahashi M, Mizuhashi H, Sato T, Asanuma N, Arai S*
Department of Removable Prosthodontics, The Nippon Dental University School of Life Dentistry at Niigata* Comprehensive Dental Care, The Nippon Dental University Niigata HospitalϨ㸬 ┠ⓗṑ⛉デ⒪᫬ࡢᝈ⪅ጼໃࡣ㸪ୗ㢡఩ࡸୗ㢡㐠ື㸪㢌㢕㒊➽⩌ࡢ➽άື࡟ᙳ㡪ࢆཬࡰࡍࡇ࡜ࡀሗ࿌ࡉ
ࢀ࡚࠸ࡿ㸬ᙜㅮᗙ࡛ࡣࡇࢀࡲ࡛㸪య఩ࡸ㢌఩ࡀୗ㢡఩࡟ཬࡰࡍᙳ㡪࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗ࡚ࡁ࡚࠾ࡾ㸪య఩ࢆᚋ᪉࡬ 30°௨ୖഴᩳࡋࡓሙྜ㸪㢌఩ࢆ๓᪉㸪ᚋ᪉࡞ࡽࡧ࡟ഃ᪉࡬ 10°௨ୖഴᩳࡉࡏࡓሙྜ࡟㸪ୗ㢡఩ࡀ᭷ព࡟೫఩ࡍࡿࡇ࡜ࢆ᫂ࡽ࠿࡟ࡋࡓ 1,2,3)㸬
ᮏ◊✲࡛ࡣ㸪㢌఩ࡢᅇ᪕ࢆ⾜ࡗࡓ㝿ࡢ㢛㢌Ⅼ࠾ࡼࡧษṑⅬࡢ୕ḟඖⓗ఩⨨ࢆ ᐃࡋ㸪㢌఩ࡢᅇ᪕ࡀୗ㢡఩࡟ཬࡰࡍᙳ㡪ࢆ᫂ࡽ࠿࡟ࡍࡿ┠ⓗ࡛ᐇ㦂
ࢆ⾜ࡗࡓ㸬
ϩ㸬 ᪉ἲ
⿕㦂⪅ࡣಶᛶṇᖖညྜࢆ᭷ࡋ㸪㢡ཱྀ⭍⣔࡟ᶵ⬟␗ᖖࢆㄆࡵ࡞࠸೺ᖖ᭷ṑ㢡⪅ 23 ྡ࡜ࡋࡓ㸬ᮏ◊✲ࡣ㸪᪥ᮏṑ⛉኱Ꮫ᪂₲⏕࿨ṑᏛ㒊೔⌮ጤဨ఍ࡢᢎ
ㄆ㸦ECNG-H-182㸧ࢆᚓ࡚㸪⿕㦂⪅࡟ࡣ◊✲ࡢ㊃᪨ࢆ༑ศ࡟ㄝ᫂ࡋ㸪ྠពࢆᚓࡓୖ࡛㛤ጞࡋࡓ㸬⿕㦂⪅ࡢୖ㢡࡟࢔ࣥࢸࣜ࢔ࢪࢢࢆ㸪ୗ㢡࡟ࣃࣛ࢜ࢡ࣮ࣝࢨࣝࢡࣛࢵࢳࢆ⿦╔ࡋ㸪Win Jaw System®
㸦Zebris ♫㸧ࢆ⏝࠸࡚㢛㢌Ⅼ࡜ษṑⅬࡢ఩⨨ࢆグ㘓ࡋࡓ㸬㢌఩ࡢᅇ᪕᮲௳ࡣ㸪0°ࢆᇶ‽఩࡜ࡋ㸪10°㸪
20°㸪30°㸪40°㸪50°㸪60°ᅇ᪕ࡉࡏࡓィ 7 ᮲௳࡜ࡋࡓ㸬ྛ᮲௳࡟࠾࠸࡚㸪㢌఩ࡢᅇ᪕࡟ࡼࡿᅇ᪕ഃ࠾
ࡼࡧ㠀ᅇ᪕ഃ㢛㢌Ⅼࡢ๓ᚋ᪉ྥ㸪ᕥྑ᪉ྥ㸪ୖୗ᪉ྥࡢ೫఩㔞࠾ࡼࡧษṑⅬࡢ๓ᚋ᪉ྥ㸪ᕥྑ᪉ྥࡢ೫఩㔞ࢆ ᐃࡋࡓ㸬Win Jaw System®ୖ࡛ࡢ ᐃᇶ‽ᖹ㠃ࡣ㸪ࣇࣛࣥࢡࣇࣝࢺᖹ㠃࡜ࡋ㸪 ᐃⅬ࡟ࡣᕥྑ㢛㢌Ⅼ࡜ษṑ
Ⅼࡢ 3 Ⅼࢆタᐃࡋࡓ㸬ᮏ◊✲࡟࠾ࡅࡿ㢛㢌Ⅼࡣ㸪⓶ ⭵㠃ୖ ࡛ồࡵࡓᕥྑࡢᖹᆒⓗ㢛㢌Ⅼ Beyron’s
point ࢆ⤖ࡪ㍈㛗ࡢෆഃ 68.4 %ࡢ఩⨨࡟┦ᙜࡍࡿⅬࢆᕥྑ㢛㢌ࡢ ᐃⅬ࡜ࡋࡓ㸬ษṑⅬࡢ ᐃ࡟ࡣୗ㢡ࡢ୧ഃ୰ษṑ㏆ᚰ㝮ゅࡢ୰Ⅼࢆ⏝࠸ࡓ㸬⤫ィศᯒࡣ㸪ྛ᮲௳ࡢ㢌఩ᅇ᪕࡟ࡼࡿ㢛㢌Ⅼ࠾ࡼࡧษṑⅬࡢ೫఩㔞࡟ࡘ࠸࡚㸪ᑐᛂࡢ࠶ࡿ୍ඖ㓄⨨ศᩓศᯒࢆ⾜࠸㸪᭷ព࡟࡞ࡗࡓᅉᏊ࡟㛵ࡋ࡚ࡣ
Bonferroni ἲ࡟ࡼࡾከ㔜ẚ㍑᳨ᐃࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ㢌఩ࡢᅇ᪕࡟ࡼࡾ㸪ᅇ᪕ഃ㢛㢌Ⅼࡣ㸪ᅇ᪕ゅᗘࡀቑࡍ࡟ࡘࢀ࡚๓ୗෆ᪉࡬೫఩ࡋ㸪๓ᚋ᪉ྥ㸪ᕥྑ᪉ྥ㸪ୖୗ᪉ྥ࡟ࡘ࠸࡚ࡑࢀࡒࢀ 20°௨ୖࡢ᮲௳
࡛ 0°࡜ࡢ㛫࡟᭷ពᕪࡀㄆࡵࡽࢀࡓ㸬㠀ᅇ᪕ഃ㢛㢌Ⅼࡣ㸪㢌఩ࡢᅇ᪕ゅᗘࡀቑࡍ࡟ࡘࢀ࡚ᚋୖእ᪉࡬
೫఩ࡋ㸪๓ᚋ᪉ྥ㸪ᕥྑ᪉ྥ㸪ୖୗ᪉ྥ࡟ࡘ࠸࡚
ࡑࢀࡒࢀ㸪20°௨ୖࡢ᮲௳࡛ 0°࡜ࡢ㛫࡟᭷ពᕪࡀㄆ
ࡵࡽࢀࡓ㸬ษṑⅬࡣ㢌఩ࡢᅇ᪕ゅᗘࡀቑࡍ࡟ࡘࢀ
࡚㠀ᅇ᪕ഃ๓᪉࡬೫఩ࡋ㸪๓ᚋ᪉ྥ࡜ᕥྑ᪉ྥ࡛
ࡣ 20°௨ୖࡢ᮲௳࡛᭷ពᕪࡀㄆࡵࡽࢀࡓ㸬ୗ㢡㦵࡟ࡣ⯉㦵ୖ࣭ୗ➽⩌ࡀ┤᥋ⓗࡲࡓࡣ㛫᥋ⓗ࡟௜╔ࡋ࡚࠾ࡾ㸪እഃ࡟ࡣᗈ㢕➽ࡀ㉮⾜ࡋ㸪ࡉࡽ࡟እഃ࡟ࡣ๓㢕㒊⓶⭵ࡀ࠶ࡿ㸬㢌఩ࡢᅇ᪕࡟ࡼ
ࡾ㸪ࡇࢀࡽࡢ⤌⧊ࡢఙᒎ࡛⏕ࡌࡿᙇຊ࡛ୗ㢡㦵ࡣ㠀ᅇ᪕ഃ᪉ྥ࡟≌ᘬࡉࢀࡿ㸬ࡑࡢ⤖ᯝ㸪ୗ㢡㦵඲య࡜ࡋ࡚ࡣ㠀ᅇ᪕ഃ᪉ྥ࡬ഃ᪉೫ᚰ㐠ືࢆࡋࡓࡼ
࠺࡟೫఩ࡋ㸪ᅇ᪕ഃ㢛㢌Ⅼࡣ๓ෆୗ᪉࡬㠀ᅇ᪕ഃ
㢛㢌Ⅼࡣᚋእୖ᪉࡬೫఩ࡋࡓ࡜⪃࠼ࡽࢀࡿ㸬௨ୖࡢࡇ࡜࠿ࡽ㸪㢌఩ࡢᅇ᪕ࡣୗ㢡఩ࡸညྜ࡟
ᙳ㡪ࢆཬࡰࡍྍ⬟ᛶࡀ࠶ࡾ㸪ࡇࡢࡓࡵ㸪ึデ᫬࡟ࡣᝈ⪅ࡢ⮬↛㢌఩࡟࠾ࡅࡿᅇ᪕≧ែࢆホ౯ࡍࡿࡇ࡜ࡀ㔜せࡔ࡜⪃࠼ࡿ㸬ࡲࡓ㸪ṑ⛉デ⒪᫬࡟ᝈ⪅ࡀ⾡⪅ࡢ᪉࡬↓ព㆑࡟㢦ࢆྥࡅ࡚࠸ࡿࡢࢆከࡃぢཷࡅࡿࡀ㸪ࡑࡢ㝿࡟ࡣ㸪ୗ㢡ࡀ೫఩ࡋ࡚࠸ࡿࡇ࡜ࡀண ࡉࢀࡿ㸬ࡋࡓࡀࡗ࡚㸪ညྜ᥇ᚓࡸညྜㄪᩚ࡞
࡝ࡢညྜࡀ㛵୚ࡍࡿṑ⛉デ⒪᫬࡟ࡣ㸪㢌఩ࡢᅇ᪕࡟ࡼࡿୗ㢡ࡢ೫఩ࢆ⪃៖ࡋ࡚἞⒪ࢆ⾜࠺ࡇ࡜ࡀ㔜せ࡛࠶ࡿ࡜♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) すᕳ ோ, ᑠฟ 㤾, ᳜ᮌ ㄔ࡯࠿. ṑ⛉἞⒪᫬ࡢ
య఩࡟ࡼࡿୗ㢡఩ࡢኚ໬࡟㛵ࡍࡿ⮫ᗋⓗ◊✲.
⿵⥛ㄅ 2002; 46: 64–72.
2) బ⸨୕ᖾ, ᑠฟ 㤾, ▼஭㯞Ỉ࡯࠿. ᆘ఩࡟࠾ࡅ
ࡿ㢌఩ࡢ๓ᚋⓗኚ໬ࡀ㢛㢌Ⅼࡢ೫఩࡟ཬࡰࡍᙳ
㡪. ᪥⿵⥛఍ㄅ 2012; 4: 277–285.
3) ୰ᓥ ඃ, ᑠฟ 㤾, Ⲩᕝ࠸ࡘ࠿࡯࠿㸬㢌఩ࡢഃ᪉ഴᩳࡀୗ㢡఩࡟ཬࡰࡍᙳ㡪. ᪥⿵⥛఍ㄅ
2014; 6: 300–308.

− 239 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 50ᄟୗ㡢࡜ᄟୗືែࡢྠ᫬グ㘓࡟ࡼࡿᄟୗ㡢⏘⏕ᶵᗎࡢゎ᫂‫ۑ‬ᮏ⏣ ๛㸪⸨ᮏࡅ࠸Ꮚ㸪㤿ሙᣅᮁ㸪Ọᑿ ᐶ㸪ᕷᕝဴ㞝ᚨᓥ኱Ꮫ኱Ꮫ㝔࣊ࣝࢫࣂ࢖࢜ࢧ࢖࢚ࣥࢫ◊✲㒊 ཱྀ⭍㢡㢦㠃⿵⥛Ꮫศ㔝
Understanding the Production Pocess of Paryngeal Sallowing Sound using Aoustic and Image Analyses

Honda H, Fujimoto K, Baba T, Nagao K, Ichikawa T
Department of Oral and Maxillofacial Prosthodontics, Institute of HBS, The University of TokushimaϨ㸬 ┠ⓗ ᦤ㣗ᄟୗ㞀ᐖ࡟ᑐࡍࡿࢫࢡ࣮ࣜࢽࣥࢢࢸࢫࢺࡢ1ࡘ࡛࠶ࡿ㢕㒊⫈デἲࡣ㸪ᄟୗ᫬࡟ဗ㢌㒊࡛⏕ࡌࡿᄟୗ㡢࠾ࡼࡧᄟୗ๓ᚋࡢ࿧྾㡢ࢆ㢕㒊ࡼࡾ⫈デࡋ㸪୺࡟ဗ㢌㒊࡟࠾ࡅࡿᄟୗ㞀ᐖࢆホ౯ࡍࡿ᪉ἲ࡛࠶
ࡿ㸬⡆౽࡟ᐇ᪋࡛ࡁࡿ᳨ᰝ࡛࠶ࡿࡀ㸪ホ౯⪅ࡢ⮫ᗋ⤒㦂ࡸᢏ㔞࡟ᕥྑࡉࢀ㸪ᄟୗ㡢ࢆ⏝࠸ࡓᐈほⓗホ౯ᇶ‽ࡢ☜❧࡟ࡣᮍࡔ⮳ࡗ࡚࠸࡞࠸㸬ࡇࢀࡣᄟୗ㡢ࡢ⏕⌮ⓗ⏘⏕ᶵᗎࡀ༑ศ࡟ゎ᫂ࡉࢀ࡚࠸࡞࠸
ࡇ࡜࡟㉳ᅉࡍࡿ࡜⪃࠼ࡽࢀࡿ1)㸬
 ᮏ◊✲࡛ࡣᄟୗ㡢ࢆグ㘓ࡋἼᙧศᯒࢆ⾜࠺ࡇ࡜࡛ᄟୗ㡢ࡢ≉ᚩࢆᢕᥱࡍࡿ࡜࡜ࡶ࡟㸪ᄟୗ㐀ᙳ᳨ᰝ࡜㉸㡢Ἴ᳨ᰝࢆ⏝࠸࡚ᄟୗ㡢⏘⏕ࡢᶵᗎࡢ᥎ᐃ
ࢆ⾜࠺ࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ ᮏ◊✲ࡣᚨᓥ኱Ꮫ⑓㝔⮫ᗋ◊✲೔⌮ᑂᰝጤဨ఍
ࡢᢎㄆ㸦No.1406㸧ࡢࡶ࡜࡟ᐇ᪋ࡋࡓ㸬⿕㦂⪅࡟ࡣ㸪ᮏ◊✲ࡢ୺᪨ࢆㄝ᫂ࡋྠពࡢᚓࡽࢀࡓᦤ㣗ᄟୗ㞀ᐖࡢ࡞࠸ⱝᖺ೺ᖖ⪅ࢆ㑅ᢥࡋࡓ㸬ᐇ㦂㸯㸸㢕㒊ᄟୗ㡢グ㘓㒊఩ࡢ㐪࠸࡟ࡼࡿᄟୗ㡢ኚ໬ࡢ᳨ウ ⿕㦂⪅20ྡࢆᑐ㇟࡟㸪ゎ๗Ꮫⓗࣛࣥࢻ࣐࣮ࢡࢆ
ᇶ‽࡟㢕㒊8ࣧᡤ࡟ᑠᆺ࣐࢖ࢡࣟ࣍ࣥࢆ㈞௜ࡋ㸪90rᗙ఩࡟࡚Ỉ5 ml࿨௧ᄟୗ᫬ࡢᄟୗ㡢ࢆグ㘓ࡋࡓ㸬ᐇ㦂㸰㸸ᄟୗ㔞࠾ࡼࡧ㢕㒊ጼໃࡢ㐪࠸࡟ࡼࡿᄟୗ
㡢ኚ໬ࡢ᳨ウ ⿕㦂⪅10ྡࢆᑐ㇟࡟ႃ㢌㝯㉳ṇ୰እഃ㠃࡟࣐࢖ࢡࣟ࣍ࣥࢆ㈞௜ࡋ㸪90rᗙ఩㢕㒊୰㛫఩࡟࡚✵ᄟୗ㸪Ỉ5 ml㸪10 ml㸪15 ml࡜㸪90rᗙ఩㢕㒊ᒅ᭤఩࡟࡚Ỉ5 mlᄟୗࢆ⾜ࢃࡏᄟୗ㡢ࡢグ㘓ࡋࡓ㸬࡞࠾ᐇ㦂1㸪2࡛グ㘓ࡋࡓᄟୗ㡢ࡣ㸪ᣢ⥆᫬㛫࡜㡢ᅽẚࡢ2㡯┠ࢆᇶ‽࡟㡢㡪ゎᯒࢆ⾜ࡗࡓ㸬ᐇ㦂㸱㸸⏬ീ᳨ᰝ࡟ࡼࡿᄟୗືែࡢほᐹᄟୗ㡢Ⓨ⏕᫬ࡢᄟୗືែࢆ⏬ീⓗ࡟ホ౯ࡋᄟୗ㡢⏘⏕ᶵᵓࡢ᥎ᐃࢆ⾜࠺ࡓࡵ㸪ᄟୗ㐀ᙳ᳨ᰝ࡜㉸㡢Ἴ᳨ᰝࢆ⏝࠸࡚ᄟୗ㡢࡜ࡢྠ᫬グ㘓ࢆ⾜ࡗࡓ㸬⿕㦂⪅ࡣྛ ᐃἲ࡟ࡘ࠸࡚3ྡࡎࡘ࡜ࡋ㸪90rᗙ఩
࡟࡚ᑠᆺ࣐࢖ࢡࣟ࣍ࣥࢆႃ㢌㝯㉳ṇ୰እഃ㠃࡟㈞௜ࡋࡓ㸬ᄟୗヨᩱ࡜ࡋ࡚ᄟୗ㐀ᙳ᳨ᰝ᫬ࡣ࢖࢜ࣃ࣑ࣟࣥ3
ಸᕼ㔘Ỉ5 ml㸪㉸㡢Ἴ᳨ᰝ᫬ࡣⅣ㓟Ỉ5 mlࢆ⏝࠸ࡓ㸬ྛ᳨ᰝ⏬ീࡣ30 frames/⛊㸪ᄟୗ㡢ࡣ2 kHz 16 bit࡛ࣅࢪࣗ࢔ࣝࢹ࣮ࢱࣞࢥ࣮ࢲ࡟࡚ᄟୗ㡢࡜⏬ീࢆྠ᫬グ㘓ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᾮయ࿨௧ᄟୗ᫬ࡢṇᖖᄟୗ㡢ࢆグ㘓ࡋࡓ࡜ࡇࢁ㸪3ࡘࡢἼᙧ༊ᇦ(ᄟୗ㡢➨1Ἴᙧ㸪➨2Ἴᙧ㸪➨3Ἴᙧ)ࡢ≉ᚩⓗ࡞Ἴᙧࢆ♧ࡋࡓ.
ᐇ㦂㸯ࡼࡾ㸪➨1Ἴᙧࡣ⯉㦵௜㏆࡛ࡢグ㘓࡛ᣢ⥆᫬㛫ࡀ௚ࡢ㒊఩࡜ẚ㍑ࡋ᭷ព࡟㛗ࡃ࡞ࡾ㸪㡢ᅽẚ࡟࠾࠸࡚ࡶ኱ࡁࡃ࡞ࡿഴྥ࡟࠶ࡗࡓ㸬➨2Ἴᙧࡣ㢕㒊ṇ୰ࡼࡾ㢕㒊ഃ᪉㒊࡛㡢ᅽẚࡀ኱ࡁࡃ࡞ࡿഴྥ
࡟࠶ࡗࡓ㸬ᐇ㦂㸰ࡼࡾ㸪ᄟୗ㔞ࡢቑຍ࡟క࠸➨2Ἴᙧࡢᣢ⥆᫬㛫ࡶ㸪㡢ᅽẚࡶ࠸ࡎࢀࡶ᭷ព࡞ቑຍࢆ♧ࡋࡓ㸬㢕㒊ᒅ᭤ጼໃ࡟ࡼࡾ㸪ᣢ⥆᫬㛫ࡀ➨1Ἴᙧ࡛᭷ព࡟▷ࡃ࡞ࡾ㸪➨2Ἴᙧ࡛᭷ព࡟ᘏ㛗ࡋࡓ㸬ᐇ㦂㸱ࡼࡾ㸪ᄟୗ㡢࡜ᄟୗ㐀ᙳ⏬ീ࣭㉸㡢Ἴ⏬ീ࡜ࡢྠ᫬グ㘓⤖ᯝ࠿ࡽ㸪ྛᄟୗ㡢Ἴᙧࡣ㸪ཱྀ⭍ᮇ㸪ဗ㢌ᮇ㸪㣗㐨ᮇ࡟Ⓨ⏕ࡋ࡚࠸ࡿἼᙧ࡛࠶ࡗࡓ㸬 ᮏ◊✲⤖ᯝࡼࡾ㸪ᄟୗ㡢ࡣ୍㐃ࡢᄟୗືែ࡟㛵㐃ࡋ࡚Ⓨ⏕ࡋ㸪ᄟୗ㡢ࡀᣢࡘ㡢㡪ⓗ≉ᛶࡣグ㘓㒊఩㸪ᄟୗỈศ㔞㸪ᄟୗ᫬ጼໃኚ໬࡟ࡼࡗ࡚ᙳ㡪ࡉࢀ㸪ࡑࡢᄟୗືែ࡜ࡶᑐᛂࡍࡿࡶࡢ࡛࠶ࡗࡓ㸬ᄟୗ㡢➨1Ἴᙧࡣ⯉ࡢᚋ᪉⛣ື࠾ࡼࡧࡑࢀ࡟క࠺⯉㦵ࡢᚋ᪉⛣ືࡀ㛵㐃ࡋ㸪➨2Ἴᙧࡣᄟୗ཯ᑕ᫬ࡢႃ㢌ᣙୖ࡜ࡑࢀ࡟క࠺ႃ㢌⵹ࡢ཯㌿㸪ᄟୗヨᩱࡢဗ㢌࠿ࡽ㣗㐨ධཱྀ㒊࡬ࡢึᮇ㏻㐣ࡀ㛵㐃ࡋ㸪➨3Ἴᙧࡣ⯉㦵࣭ႃ㢌࣭ႃ㢌⵹ࡢᏳ㟼఩࡬ࡢ᚟఩ࡀ㛵㐃ࡋ࡚࠸ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) Hammoudi K, Boiron M, Hernandez N, Bobillier
C and Morinie`re S. Acoustic Study of Pharyngeal Swallowing as a Function of the Volume andConsistency of the Bolus. Dysphagia 2014; 29(4): 468-474.

− 240 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 51㢡㛵⠇࣐ࢽࣆ࣮ࣗࣞࢩࣙࣥ᪋⾜๓ᚋࡢ⮫ᗋ⑕≧࡜ညྜࡢኚ໬
࡟ࡘ࠸࡚㸦➨3ሗ㸧‫ۑ‬ᓥ⏣῟㸪ᓥ⏣ⓒᏊ

་⒪ἲே♫ᅋࢢ࣮ࣜࣥࢹࣥࢱࣝࢡࣜࢽࢵࢡ
Changes in occlusion and symptoms of TMJ manipulation. -part 3-

Shimada A, Shimada M.
Green Dental Clinic Medical

CorporationϨ㸬 ┠ⓗ 㢡㛵⠇࣐ࢽࣆ࣮ࣗࣞࢩࣙࣥࡣ㢡㛵⠇⑕࡟࠾࠸࡚㸪୺࡟㠀᚟఩ᛶ㛵⠇෇ᯈ㌿఩⑕౛ࡢ㛵⠇෇ᯈࡢ᚟఩
㸦ᚐᡭⓗ෇ᯈᩚ఩⾡㸧ࢆ┠ⓗ࡟⏝࠸ࡽࢀ࡚࠸ࡿࡀ㸪෇ᯈ᚟఩ࡀᮃࡵ࡞࠸ࡼ࠺࡞៏ᛶⓗ࡞⑕≧ࢆッ࠼ࡿ⑕౛࡟࠾࠸࡚ࡶ㛵⠇ྍືᇦࢆᣑ኱ࡍࡿࡇ࡜࡛㸪㛵⠇࠾ࡼࡧ➽ࡢ⑕≧ᨵၿ࡟ࡶຠᯝࡀ࠶ࡿ㸬⮫ᗋ࡟࠾࠸࡚࣐ࢽࣆ࣮ࣗࣞࢩࣙࣥ᪋⾜ᚋ㸪⑕≧ࡀ㍍ῶࡋࡓ
ᝈ⪅ࡢ୰࡟ࡣ㸪ညྜឤぬ࡜ࡋ࡚ညࡳྜࡏࡢኚ໬ࢆ
ッ࠼ࡿ⪅ࡀ࠸ࡿࡇ࡜࠿ࡽ㸪ࢹࣥࢱࣝࣉࣞࢫࢣ࣮ࣝ
㸦*&♫〇㸧ࢆ⏝࠸᳨ウࢆ⾜࠸➨ᅇᮏᏛ఍࡟࠾࠸
࡚ሗ࿌ࡋࡓ㸯㸧㸬ࡑࡢ୰࡛ᐇ㝿࡟ࣉࣞࢫࢣ࣮ࣝ࡟ࡼ
ࡾညྜࡢኚ໬ࡀ኱ࡁ࠸⪅࡜ᑠࡉ࠸⪅ࡀᏑᅾࡋࡓࡇ
࡜࠿ࡽ㸪᪋⾜๓ᚋࡢ್ࡢᕪࢆ⤯ᑐ್ࡢᖹᆒ್࡛ศ
ࡅẚ㍑ࡋ㸪➨ᅇᮏᏛ఍࡟࠾࠸࡚୧⪅ࡢ⮫ᗋⓗ≉ᚩ࡟ࡘ࠸࡚ሗ࿌ࡋࡓ㸬௒ᅇࡣࡉࡽ࡟್ࢆ᪋⾜๓࡟ẚ࡭᪋⾜ᚋ࡟್ࡀᑠࡉࡃ࡞ࡿ⪅㸪࠶ࡲࡾኚࢃࡽ࡞
࠸⪅㸪್ࡀ኱ࡁࡃ࡞ࡿ⪅ࡢ⩌࡟ศࡅ㸪ࡑࢀࡒࢀࡢ
⮫ᗋ⑕≧࡟ࡘ࠸࡚ࡉࡽ࡟᳨ウࢆຍ࠼ࡓࡢ࡛ሗ࿌ࡍ
ࡿ㸬
ϩ㸬 ᪉ἲ
 ᝈ⪅ࡣ㸪ᖺ᭶࠿ࡽᖺ᭶ࡲ࡛࡟㸪㢡㛵⠇⑕≧ࡲࡓࡣညྜ㐪࿴ឤࢆ୺ッ࡜ࡋ࡚㸪་⒪ἲே
♫ᅋࢢ࣮ࣜࣥࢹࣥࢱࣝࢡࣜࢽࢵࢡ࡟᮶㝔ࡋࡓึデ
࠾ࡼࡧ෌デࡢዪᛶᝈ⪅ྡ㸪ᖹᆒᖺ㱋ṓ࡛࠶ࡿ㸬᳨ウ㡯┠࡜ࡋ࡚㸪⮫ᗋデᰝ㸦㏻㝔ᖺᩘ㸪୺ッ㸪㢡㛵⠇⑕⑕ᆺศ㢮㸪࣐ࢽࣗࣆ࣮ࣞࢩࣙࣥ᪋⾜๓ᚋࡢ⑕≧ࡢኚ໬➼㸧࡜ညྜᅽデᰝࢆ⾜ࡗࡓ㸬 ࣐ࢽࣆ࣮ࣗࣞࢩࣙࣥࡢ᪉ἲ
๓ᅇࡢሗ࿌ ྠᵝ࡟㸪ᝈഃ㸪೺ഃ㸪୧ഃࡑࢀࡒࢀ
⛊ࢆ㸪ึデ⑕౛࡛ࡣึデ᫬࡟㏻ᖖࡢデᰝ࡜࢖ࣥࣇ࢛࣮࣒ࢻࢥࣥࢭࣥࢺᚋ㸪἞⒪୰⑕౛࡛ࡣ෌デ᫬࡟㸯ᅇ⾜ࡗࡓ㸬 ࢹࣥࢱࣝࣉࣞࢫࢣ࣮ࣝࢆ⏝࠸ࡓညྜᅽデᰝညྜᅽࡢデᰝ࡟ࡣࢹࣥࢱࣝࣉࣞࢫࢣ࣮ࣝࢩ࣮ࢺ
㸦*&♫〇㸧+5ࢱ࢖ࣉࢆ⏝࠸㸪ᑓ⏝ࡢゎᯒჾ࡛࠶ࡿညྜຊィ࢜ࢡ࣮ࣝࢨ࣮㸦*&♫〇㸧࠾ࡼࡧᑓ⏝ゎᯒࢯࣇࢺ㸪ࢹ࢕ࣉࣟࢫ࡟ࡼࡾ㸪ညྜຊ⾲♧㠃✚㸪ᖹᆒᅽຊ㸪᭱኱ᅽຊ㸪ညྜຊ࡟ࡘ࠸࡚ゎᯒࢆ⾜ࡗࡓ㸬ࡲࡓ ᐃ᪉ἲࡣ㸪ࢹࣥࢱࣝࢳ࢙࢔࡟࡚㸪๓ᅇ㸯㸧ࡢ᪉ἲྠᵝ࡟㸪ࢹࣥࢱࣝࣉࣞࢫࢣ࣮ࣝࡢࢩ
࣮ࢺࢆཱྀ⭍ෆ࡟ಖᣢࡋࡓࡢࡕ㸪)+ᖹ㠃ࡀᗋ࡜࡯ࡰ
ᖹ⾜࡟࡞ࡿ࡜ࡇࢁࡲ࡛ୖయࢆ㉳ࡇࡋ᭱኱ညྜຊ࡟
࡚㸱⛊㛫ညࡲࡏࡓ㸬 ᐃࡣ㸪࣐ࢽࣆ࣮ࣗࣞࢩࣙࣥࢆ⾜࠺┤๓㸱ᅇ࠾ࡼࡧ┤ᚋ࡟㸱ᅇ ᐃࢆ⾜ࡗࡓ㸬࡞࠾௒ᅇࡣゎᯒ㡯┠ࡢ࠺ࡕညྜຊ⾲♧㠃✚࡟ࡘ࠸࡚㸪᪋⾜๓ᚋࡢ್ࡢᕪࡀPPᮍ‶ࡢ⪅㸪
㹼PPᮍ‶ࡢ⪅PP௨ୖࡢ⪅࡟ࡘ࠸࡚㸪ࡑࢀࡒࢀࡢ⮫ᗋⓗ≉ᚩ࡟ࡘ࠸࡚ࡢẚ㍑ࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᝈ⪅ࡣዪᛶྡ㸪ࡑࡢෆ㸪ึデྡ㸪෌デྡ࡛࠶ࡿ㸬୺ッ࡜ࡋ࡚㸪㢡㛵⠇⑕≧ࡢࡳࢆッ࠼ࡿ⪅ྡ㸪ညࡳ࠶ࢃࡏࡢ㐪࿴ឤࢆッ࠼㸪㢡㛵⠇⑕≧ࡶ࠶ࡿ⪅ྡ㸪ညྜ㐪࿴ឤࢆッ࠼㢡㛵⠇⑕≧ࡢ↓࠸⪅ྡ࡛࠶ࡗࡓ㸬㢡㛵⠇⑕ᆺศ㢮࡛ࡣϨᆺྡ㸪ϪDᆺྡ㸪Ϫ
Eᆺྡ㸪ϫᆺྡ㸪㢡㛵⠇⑕≧ࡢぢࡽࢀ࡞࠸ࡶࡢ
ྡ࡛࠶ࡗࡓ㸬࣐ࢽࣆ࣮ࣗࣞࢩࣙࣥ᪋⾜๓ᚋ࡛ࡢ⮫ᗋ⑕≧ࡢኚ໬ࡣ㸪ྡ௨እࡢᝈ⪅࡛ᨵၿഴྥ࡟࠶ࡗ
ࡓ㸬ࡲࡓ᪋⾜๓ᚋࡢ⮬ぬⓗ࡞ညྜࡢኚ໬ࡣ㸪ᴦ࡟࡞ࡗࡓ࡜⟅࠼ࡓ⪅ྡ㸪Ᏻᐃࡋࡓ࡜⟅࠼ࡓ⪅ྡ㸪ኚ໬࡞ࡋ࡜⟅࠼ࡓ⪅ྡ࡛࠶ࡗࡓ㸬ࢹࣥࢱࣝࣉࣞࢫ
ࢣ࣮ࣝࢆ⏝࠸ࡓညྜᅽデᰝࡢညྜຊ⾲♧㠃✚࡟࠾࠸࡚㸪᪋⾜๓ᚋࡢᕪࡀPP ᮍ‶ࡢ⪅ྡ㸪
㹼PPᮍ‶ࡢ⪅ྡ㸪PP௨ୖࡢ⪅ྡ࡛࠶ࡗ
ࡓ㸬PP ᮍ‶ࡢ⪅࡟ࡣϨᆺ࡜ϪDᆺࡀ㸪㹼PP ᮍ‶ࡢ⪅࡟ࡣ㢡㛵⠇⑕≧ࡢ↓࠸⪅ࡀ㸪PP௨ୖࡢ⪅࡟ࡣϪ㹠ᆺࡀከࡃぢࡽࢀࡓ㸬ညྜ㐪࿴ឤᝈ⪅࡛㸪㢡㛵⠇⑕⑕≧ࢆᣢࡘࡶࡢࡣ㸪ኚ໬ࡀ኱ࡁࡃ㸪ᣢࡓ࡞࠸⪅ࡣኚ໬ࡀᑡ࡞࠸㸬ࡲࡓ㠀᚟఩ᛶ㛵⠇෇ᯈ㌿఩ᝈ⪅ࡣᕪࡀ኱ࡁ࠸ഴྥࡀぢࡽࢀ㸪௒ᅇࡢ⤖ᯝ࠿ࡽࡣ㸪㢡㛵⠇⑕࡟ࡼࡿ㢡ཱྀ⭍⣔ࡢኚ໬ࡀ㸪ညྜࡢኚ໬ࢆᘬࡁ㉳ࡇࡍྍ⬟ᛶࡀ࠶ࡿ࡜ᛮࢃ
ࢀࡓ㸬
ϫ㸬 ᩥ⊩
1) ᓥ⏣῟㸸㢡㛵⠇⑕࣐ࢽࣆ࣮ࣗࣞࢩࣙࣥ࡟ࡼࡿ
⑕≧࡜ညྜࡢኚ໬࡟ࡘ࠸࡚. ⿵⥛ㄅ 2011;3
㸦120ᅇ≉ูྕ㸧: 254.

− 241 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 52╧╀᫬↓࿧྾⑕ೃ⩌ᝈ⪅ࡢ㣗⾜ືࡢᐇែㄪᰝ
㸫ᛶᕪ࡜⫧‶ࡢ᭷↓࡜ࡢ㛵ಀ㸫‫⊦ۑ‬Ꮚⰾ⨾㸪ΎỈබኵ㸪஭⏣ Ἠ*㸪᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔⥲ྜデ⒪⛉㸪*㛵㉺ᨭ㒊The Survey of Dietary Behavior on the Obstructive Sleep Apnea Syndrome Patients- Relations with Gender and ObesityInoko Y㸪Shimizu K㸪Ida I *Comprehensive Dental Care, The Nippon Dental University Niigata Hospital㸪* Kanetsu BranchϨ㸬 ┠ⓗ ㏆ᖺ㸪㣗஦ࡢḢ⡿໬࡜㐠ື୙㊊࡟క࠸⫧‶ᝈ⪅ࡣቑຍࡋ㸪ⱝᖺ໬ࡋ࡚࠸ࡿ㸬⫧‶ࡣ㢡㢦㠃ᙧែ࡜࡞ ࡽ ࡧ 㛢 ሰ ᆺ ╧ ╀ ᫬ ↓ ࿧ ྾ ⑕ ೃ ⩌ 㸦 Obstructive
Sleep Apnea Syndrome: OSAS㸧ࡢ㔜せ࡞ࣜࢫࢡࣇ࢓
ࢡࢱ࣮࡛࠶ࡿ1)㸬
 ᮏ◊✲ࡣ㸪⫧‶OSASᝈ⪅ࡢῶ㔞ᣦᑟࡢࡓࡵࡢ㈨ᩱ࡜ࡋ࡚㣗⾜ືࢆㄪᰝࡋ㸪⏨ዪᕪ࠾ࡼࡧ⫧‶ᗘ࡟ࡼࡿ㐪࠸ࢆ᳨ウࡋࡓ㸬ϩ㸬 ᪉ἲ ᑐ㇟⪅ࡣ㸪᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔╧╀ṑ⛉ࢭࣥࢱ࣮࡬᮶㝔ࡋ㸪㣗⾜ືㄪᰝ࡟ྠពࡋ㸪ᅇ⟅࡟୙ഛࡢ࡞࠸ᝈ⪅737ྡ㸦⏨ᛶ597ྡ㸪ዪᛶ140ྡ㸧࡛࠶ࡿ㸬࡞࠾㸪ᮏ◊✲ࡣ᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔೔⌮ጤဨ఍ࡢ ᢎ ㄆ ࢆ ᚓ ࡓ ᚋ ࡟ ⾜ ࡗ ࡓ 㸦 チ ྍ ␒ ྕ 㸸 ECN-H174㸧㸬 ㄪᰝࡣ㸪⫧‶⑕἞⒪࢞࢖ࢻࣛ࢖ࣥ㣗⾜ື㉁ၥ⚊2)࡟╧╀㸪ႚ↮㸪⏕ά࡟㛵ࡍࡿ㉁ၥࢆຍ࠼ࡓ㸬㉁ၥ
⚊ࡣ⮬グᘧ࡜ࡋ㸪㡯┠ࡈ࡜࡟4ẁ㝵㸦ࡑࢇ࡞ࡇ࡜ࡣ
࡞࠸㸸1Ⅼ㸪᫬ࠎࡑ࠺࠸࠺ࡇ࡜ࡀ࠶ࡿ㸸2Ⅼ㸪ࡑ࠺࠸࠺ഴྥࡀ࠶ࡿ㸸3Ⅼ㸪඲ࡃࡑࡢ㏻ࡾ㸸4Ⅼ㸧࡛Ⅼ
ᩘࢆグ㍕ࡋࡓ㸬㞟ィࡣ㸪⏨ዪู࡟7ࡘࡢ࢝ࢸࢦ࣮ࣜࠝձయ㔜ࡸయ㉁ࡢ㉁ၥ㸪ղ㣗ືᶵ㸦㛫㣗ࡸࡘࡲࡳ㣗࠸㸪㣗࡭≀
ࡢ㈙࠸㐣ࡂ㸪ከࡵ࡟ᩱ⌮ࢆసࡿ࡞࡝㸧㸪ճ௦⌮ᦤ㣗㸦࢖ࣛ࢖ࣛ㣗࠸㸪Ẽᬕࡽࡋ㣗࠸㸪௜ࡁྜ࠸࡛ࡢ
㣗஦࡞࡝㸧㸪մ✵⭡ឤ࣭‶⭡ឤ㸦✵⭡࡟࡞ࡿ࡜࢖
ࣛ࢖ࣛࡍࡿ㸪⭡୍ᮼ㣗࡭࡞࠸࡜Ẽࡀ῭ࡲ࡞࠸࡞࡝㸧㸪յ㣗࡭᪉㸦ࡼࡃჶࡲ࡞࠸㸪᪩㣗࠸࡛࠶ࡿ㸪࡞ࡀࡽ㣗࠸㸪୸㣧ࡳࡀከ࠸࡞࡝㸧㸪ն㣗஦ෆᐜ㸦ࢫࢼࢵࢡⳫᏊࡀከ࠸㸪እ㣗ࡸฟ๓ࡀከ࠸㸪ὒ㣗୰ᚰ㸪ࣇ࢓࣮ࢫࢺࣇ࣮ࢻࡸ⏑࠸≀ࡀከ࠸㸪࢔ࣝࢥ࣮ࣝࡀከ࠸࡞࡝㸧㸪շ㣗⏕άࡢつ๎ᛶ㸦ኪ㣗࠶ࡿ࠸ࡣᐷࡿ๓ࡢ㣗஦㸪ఇ᪥ࡢ㣗࡭㐣ࡂ㸪ᮅ㣗ᢤࡁࡸࡲ࡜ࡵ㣗࠸࡞࡝㸧ูࠞ࡟ᚓⅬゎᯒ⾲3)ࢆ⏝࠸࡚⟬ฟࡋࡓ㸬⤫ィศᯒࡣ㸪⫧‶ᣦᩘ㸦BMI㸧25kg/੍௨ୖࢆ⫧‶⩌㸪25kg/੍ᮍ‶ࢆ㠀⫧‶⩌࡜ࡋ㸪⏨ᛶ࡜ዪᛶ࡛
ࡑࢀࡒࢀMann-WhitneyࡢU᳨ᐃࢆ⏝࠸࡚2⩌㛫ࡢẚ

㍑ࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 1. ᑐ㇟⪅ࡢᖹᆒᖺ㱋ࡣ⏨ᛶ55.1s12.6ṓ㸪ዪᛶ
60.4s12.1ṓ㸪ᖹᆒBMIࡣ⏨ᛶ26.3s4.0kg/੍㸪ዪᛶ
24.9s4.3kg/੍࡛࠶ࡗࡓ㸬 2㸬㠀⫧‶⩌㸪⫧‶⩌㛫ࡢศᯒ⤖ᯝࢆ⾲࡟♧ࡍ㸬⏨ᛶࡣձ㹼շࡍ࡭࡚࡛᭷ពᕪࢆㄆࡵࡓ㸬ዪᛶࡣձ
య㉁࣭య㔜ࡢㄆ㆑㸪ճ௦⌮ᦤ㣗㸪շ㣗⏕άࡢつ๎ᛶ࡛᭷ពᕪࢆㄆࡵࡓ㸬 ௨ୖࡢ⤖ᯝࡼࡾ㸪⏨ᛶࡢ⫧‶⪅ࡣ㣗⾜ືࡸ㣗⏕ά඲⯡࡟࠾࠸࡚ၥ㢟ࡢ࠶ࡿࡇ࡜ࡀࢃ࠿ࡗࡓ㸬୍᪉㸪ዪᛶࡢ⫧‶⪅ࡣ㸪య㉁࣭య㔜ࡢㄆ㆑㸪௦⌮ᦤ㣗㸪㣗⏕άࡢつ๎ᛶ࡟㧗್ࢆ♧ࡋ㸪య㉁ࡸయ㔜ࡢㄗࡗࡓㄆ㆑ࡸࢫࢺࣞࢫゎᾘࡢࡓࡵࡢᭀ㣧ᭀ㣗࠾ࡼࡧ㛫㣗ࡸࡘࡲࡳ㣗࠸ࡀయ㔜ࡢቑຍࢆᣍ࠸࡚࠸ࡿ࡜⪃࠼ࡿ㸬㠀⫧‶⩌࡜⫧‶⩌ࡢẚ㍑⏨㻌ᛶ䠄㼚㻩㻡㻥㻣㻕ዪ㻌ᛶ㻔㼚㻩㻝㻠㻜㻕㠀⫧‶⩌ ⫧‶⩌
㠀⫧‶⩌ ⫧‶⩌
య㉁䞉య㔜䛾ㄆ㆑ 㻝㻞㻚㻤㼼㻟㻚㻡 㻝㻢㻚㻠㼼㻟㻚㻥 㻖㻖 㻌㻥㻚㻥㼼㻟㻚㻝 㻝㻝㻚㻣㼼㻞㻚㻥 㻖㻖㣗ືᶵ㻝㻡㻚㻣㼼㻠㻚㻟 㻝㻤㻚㻣㼼㻡㻚㻠 㻖㻖 㻝㻞㻚㻥㼼㻠㻚㻜㻌㻌 㻝㻟㻚㻣㼼㻟㻚㻥௦⌮ᦤ㣗㻌㻡㻚㻜㼼㻝㻚㻠 㻌㻡㻚㻣㼼㻞㻚㻜 㻖㻖 㻌㻡㻚㻥㼼㻞㻚㻝 㻌㻢㻚㻣㼼㻞㻚㻝 㻖㻖✵⭡‶⭡ឤぬ㻌㻢㻚㻢㼼㻞㻚㻝 㻌㻤㻚㻜㼼㻞㻚㻡 㻖㻖 㻌㻥㻚㻣㼼㻞㻚㻥 㻝㻜㻚㻠㼼㻟㻚㻝㣗䜉᪉㻌㻥㻚㻜㼼㻟㻚㻞 㻝㻜㻚㻡㼼㻟㻚㻡 㻖㻖 㻌㻤㻚㻠㼼㻟㻚㻜 㻌㻥㻚㻞㼼㻟㻚㻝㣗஦ෆᐜ㻝㻠㻚㻠㼼㻟㻚㻤 㻝㻢㻚㻢㼼㻠㻚㻡 㻖㻖 㻝㻜㻚㻡㼼㻞㻚㻣 㻝㻝㻚㻡㼼㻟㻚㻟㣗⏕ά䛾つ๎ᛶ 㻝㻟㻚㻥㼼㻟㻚㻣 㻝㻢㻚㻢㼼㻠㻚㻟 㻖㻖 㻝㻟㻚㻢㼼㻟㻚㻢 㻝㻡㻚㻜㼼㻟㻚㻡 㻖㻖㻖㻖㻦㻼 㻨㻜㻚㻜㻝ϫ㸬 ᩥ⊩1) ᴬཎ༤ᶞ㸬╧╀᫬↓࿧྾⑕ೃ⩌ᝈ⪅ࡢデ᩿࡜
἞ ⒪ 㸸 ᪥ ᮏ ே ࡢ ␿ Ꮫ 㸪 ᪥ ෆ ఍ ㄅ
2004;93:1069-76.
2) ᯇἑభḟ㸪ᆏ⏣฼ᐙ㸪ụ⏣⩏㞝ࡑࡢ௚㸬⫧‶⑕ ࢞ ࢖ ࢻ ࣛ ࢖ ࣥ 2006 㸬 ⫧ ‶ ἞ ⒪ ◊ ✲2006;12:10-15.
3) ྜྷᯇ༤ಙ㸬⫧‶⑕ࡢ⾜ື⒪ἲ㸬㛛⬥Ꮥ௚⦅㸪⢾ᒀ⑓௦ㅰ⑕ೃ⩌㸬་Ꮫࡢ࠶ࡺࡳ㸪ᮾி㸸་ṑ⸆ฟ∧㸹2004㸬P827-34.

− 242 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 53

NIRSἼᙧ✚ศ್ࡢከ㔜⥺ᙧᅇᖐ࡟ࡼࡿညྜ㐪࿴ឤᙉᗘࡢ
⮬ື᥎ᐃ‫ۑ‬Ḉ஭⪔ᖹ㸪ᑠ㔝ᘪ⤮㸪⏕⏣㱟ᖹ*㸪ᑠᯘ ๛*㸪∦ᒸຍዉᏊ*㸪ᓥ⏣ ῟*㸪**㸪
⃅㇂ᬛ᫂*㸪**㸪Ⳣ㔝ிᏊ*㸪࿴Ẽ⿱அ*㸪**㸪⋢⨨຾ྖ*㸪**᫂἞኱Ꮫ኱Ꮫ㝔⌮ᕤᏛ◊✲⛉㟁ẼᕤᏛᑓᨷ㸪*⚄ዉᕝṑ⛉኱Ꮫ㢡ညྜᶵ⬟ᅇ᚟⿵⥛་Ꮫㅮᗙ㸪**⚄ዉᕝṑ⛉኱Ꮫ௜ᒓ⑓㝔≉Ṧ⩏ṑ࣭ညྜ࢚ࣜࢰࣥデ⒪⛉Computer-based estimation of occlusal discomfort using near-infrared spectroscopy
Sakurai K, Ono Y, Ikuta R*, Kobayashi G*, Kataoka K**, Shimada A*㸪**, Sibuya T*㸪**,Kanno K*, Wake H**, Tamaki K*㸪**Graduate School of Science and Engineering, Meiji University㸪
*Dept. of Prosthodontic dentistry for function of TMJ and Occlusion, Kanagawa Dental University,**Dept. of Special Denture and Occlusion & Liaison, Kanagawa Dental University HospitalϨ㸬 ┠ⓗ ṑ࣭ṑ࿘⤌⧊㸪㢡㛵⠇㸪ညྜ≧ែ࡟␗ᖖᡤぢࡀ≉ᐃ࡛ࡁ࡞࠸࡟ࡶ㛵ࢃࡽࡎ㸪ညྜ㐪࿴ឤ࡞࡝ࡢཱྀ⭍ෆࡢ⮬ぬ⑕≧ࢆッ࠼ࡿᝈ⪅ࡀ㢧ᅾ໬ࡋ࡚࠸ࡿ㸬ࡇࡢࡼ࠺࡞ᝈ⪅ࡢ⮬ぬ⑕≧ࢆᐃ㔞ⓗ࡟ホ౯ࡍࡿࡓࡵ㸪ᮏ◊✲࡛ࡣNear-InfraRed Spectroscopy (NIRS)࡟
ࡼࡿ⬻άືࢹ࣮ࢱ࠿ࡽ㸪ᅇᖐศᯒࢆ⏝࠸࡚ညྜ㐪࿴ឤࡢᙉᗘࢆண ࡍࡿᡭἲࡢ㛤Ⓨࢆヨࡳࡓ㸬ϩ㸬 ᪉ἲ ⿕᳨⪅ࡣညྜ࡟␗ᖖࡢ࡞࠸4ྡ㸦⏨ᛶ2ྡ㸪ᖹᆒᖺ㱋21.3ṓ㸧࡛࠶ࡿ㸬᪥❧࣓ࢹ࢕ࢥ♫〇ETG-7100
ࢆ⏝࠸࡚㸪๓㢌㒊࡟3x5ࡢࣉ࣮ࣟࣈࢆ㓄⨨ࡋ࡚ィ
22ChࡢNIRSィ ࢆ⾜ࡗࡓ㸬ேᕤⓗညྜ㐪࿴ឤࡣඛ⾜◊✲ 1) ࢆཧ⪃࡟㸪ಶேㄆ▱ᇦ࠿ࡽ204mࡲ࡛4✀
㢮ࡢ␗࡞ࡿཌࡉ࡟✚ᒙࡋࡓ࣓ࢱࣝࢫࢺࣜࢵࣉࢫࢆ
⩦័ⓗညྜഃࡢ➨୍ᑠ⮻ṑୖ࡟㓄⨨ࡋ㸪ࢢࣛ࢖ࣥࢹ࢕ࣥࢢࡉࡏࡿࡇ࡜࡛సᡂࡋࡓ㸬ྛཌࡉ࡛30⛊㛫ࡢࢢࣛ࢖ࣥࢹ࢕ࣥࢢ࡜40⛊㛫ࡢᏳ㟼ࢆ5ᅇ⧞ࡾ㏉ࡋࡓ㸬Ᏻ㟼᫬ࡣ࣓ࢱࣝࢫࢺࣜࢵࣉࢫࢆཱྀࡢ୰࠿ࡽእ
ࡋࡓ㸬ྛཌࡳࡢNIRSィ ࡀ⤊஢ࡍࡿࡈ࡜࡟Visual
Analog scale (VAS㸪0~100)ࢆ⏝࠸࡚㸪ྛཌࡉ࡟ᑐࡍ
ࡿ㐪࿴ឤࢆホ౯ࡉࡏࡓ㸬 ࢢࣛ࢖ࣥࢹ࢕ࣥࢢ୰ࡢOxy-Hb⃰ᗘኚ໬Ἴᙧࡢ✚ศ್ࢆ1᪋⾜ࡈ࡜࡟ᢳฟࡋ㸪NIRSἼᙧࡢ≉ᚩ㔞࡜ࡋࡓ㸦Area Under the Curve, AUC; ᅗa㸧㸬␗࡞ࡿ㐪࿴ឤᙉᗘࢆ♧ࡍཌࡉ(B)㹼(D)࡛ࡢ⬻άື࡜VAS
್ࡀ㸪ㄆ▱㜈ཌࡉ(A)࡟ᑐࡋ࡚࡝ࢀࡔࡅኚ໬ࡋࡓ࠿
ࢆ♧ࡍᣦᶆ࡜ࡋ࡚㸪ᕪศAUC㸦ο‫ܥܷܣ‬㸧࡜ᕪศVAS
್㸦οܸ‫ܵܣ‬㸧ࢆồࡵࡓ㸬ࡉࡽ࡟㸪οܸ‫࡜ܵܣ‬22chศࡢο‫ܥܷܣ‬㛫࡛㧗࠸┦㛵ࡀᚓࡽࢀࡓୖ఩2ࡘࡢChࢆ㑅ࡧࣉࣟࢢ࣑ࣛࣥࢢゝㄒMATLABࢆ⏝࠸࡚⥺ᙧᅇᖐᘧࢆసᡂࡋࡓ㸬ྛཌࡉࡢ5ヨ⾜୰4ヨ⾜ࡢᖹᆒ್࠿ࡽ
ᅇᖐᘧࢆసࡾ㸪ṧࡾࡢ1ヨ⾜ࡢ≉ᚩ㔞ࢆᅇᖐᘧ࡟௦
ධࡋοܸ‫ࡢ ܵܣ‬᥎ᐃ್οܸ‫ܵܣ‬௘ ࢆ⟬ฟࡋࡓ㸬ࡉࡽ࡟㸪οܸ‫ܵܣ‬௘ ࡜ ⿕ 㦂 ⪅ ࡀ ᐇ 㝿 ࡟ ⏦ ㄳ ࡋ ࡓ VAS ್ ࡛ ࠶ ࡿοܸ‫ܵܣ‬୫ 㛫ࡢ┦㛵ಀᩘࢆ⟬ฟࡋ㸪᥎ᐃ⢭ᗘࢆㄪ࡭ࡓ㸬ᅇᖐᘧࡣο‫ܥܷܣ‬௜ 㸪ο‫ܥܷܣ‬௝ ࢆ㑅ᢥࡉࢀࡓ2ࡘࡢCh࡟࠾ࡅࡿο‫ܥܷܣ‬㸪ܽ௜ ǡ ܽ௝ ࢆಀᩘ㸪ܽ௞ ࢆษ∦࡜ࡍࡿ࡜ḟab

ᅗ a: 㐪࿴ឤࡢᙉᗘ࡟ࡼࡿ AUC ࡢኚ໬㸪b: οܸ‫ܵܣ‬௠ ࡜οܸ‫ܵܣ‬௘ 㛫ࡢẚ㍑
ᘧࡢ࡜࠾ࡾ࡛࠶ࡿ㸬οܸ‫ܵܣ‬௘ ൌ ܽ௜ ൈ ο‫ܥܷܣ‬௜ ൅ ܽ௝ ൈ ο‫ܥܷܣ‬௝ ൅ ܽ௞Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ௒ᅇοܸ‫ܵܣ‬௠ ࡜οܸ‫ܵܣ‬௘ ࡢ┦㛵ಀᩘࡣ᭱㧗࡛0.75࡛࠶
ࡗࡓ㸬ࡇࡢ᫬ࡢοܸ‫ܵܣ‬௠ ࡜οܸ‫ܵܣ‬௘ ࡢ㛵ಀࢆᅗb࡟♧ࡋࡓ㸬࡞࠾㸪඲⿕㦂⪅ࡢᖹᆒࡣ0.46࡛࠶ࡗࡓ㸬ࡲࡓ㸪඲ ⿕ 㦂 ⪅ ࠾ ࡼ ࡧ ඲ ࡚ ࡢ ཌ ࡉ ࡟ ࠾ ࡅ ࡿ οܸ‫ܵܣ‬௠ ࡜οܸ‫ܵܣ‬௘ 㛫ࡢ஧஌ᖹᆒㄗᕪࡣ29.35࡛࠶ࡗࡓ㸬οܸ‫࡜ܵܣ‬ο‫ܥܷܣ‬㛫࡟࠾ࡅࡿ≉࡟㧗࠸┦㛵ࡣ௨๓ࡢ◊✲2)࡛ညྜ㐪࿴ឤࢆࡼࡃ཯ᫎࡋࡓᕥഃ๓㢌ᴟ࠾ࡼࡧ๓㢌๓㔝⫼እഃ㒊ࡢቃ⏺㡿ᇦ࡛ぢࡽࢀࡓ㸬ࡇࡢࡇ࡜࠿ࡽ㸪௒ᅇసᡂࡋࡓοܸ‫࡜ܵܣ‬ο‫ܥܷܣ‬㛫ࡢᅇᖐᘧࡣညྜ㐪࿴ឤᙉᗘࢆ཯ᫎࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡿ㸬ϫ㸬 ᩥ⊩1) Ono Y㸪Kobayashi G㸪Hayama R㸪Ikuta R㸪
Onozouka M 㸪 Wake H 㸪 et al 㸬 Prefrontal
Hemodynamic
Changes
Associatedwith
Subjective Sense of Occlusal Discomfort 㸬
BioMed Research International㸪2015㸹 395705㸬
2) Ḉ஭⪔ᖹ㸪ᑠ㔝ᘪ⤮㸪ᑠᯘ๛㸪ⴥᒣⳀ㤶㸪⏕⏣㱟ᖹ㸪⃅㇂ᬛ᫂࡯࠿㸬NIRSἼᙧࡢࣃࢱ࣮
ࣥㄆ㆑࡟ࡼࡿჶࡳྜࢃࡏ㐪࿴ឤࡢ⮬ືุᐃ㸬᪥⿵⥛఍ㄅ 6࣭123 ᅇ≉ูྕ㸪2014㸹 235− 243 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 54╧╀୰ࡢ࿧྾࡜㢡఩࠾ࡼࡧ㛤㛢ཱྀ➽ࡢ㛵ಀ‫ⴥۑ‬ᒣⳀ㤶㸪኱಴୍ኵ㸪㔜ᮏಟఛ㸪㕥ᮌၿ㈗㸪㔝ཱྀ┤ே**㸪⏣ᓥⓏ㄃Ꮚ*㸪኱ᮏ຾ᘯ㸪Ᏻ㝙᫴**㸪ᯇ㤶ⰾ୕ᚨᓥ኱Ꮫ኱Ꮫ㝔HBS◊✲㒊 㢡ᶵ⬟ညྜ෌ᘓᏛㅮᗙ㸪**⥲ྜṑ⛉Ꮫㅮᗙ㸪*ᚨᓥ኱Ꮫ⑓㝔࢖ࣥࣉࣛࣥࢺࢭࣥࢱ࣮
Association among Jaw Position, Masticatory Muscles and Respiration during Sleep
Hayama R, Okura K, Shigemoto S, Suzuki S*, Noguchi N**, Tajima T*, Omoto K, Abe S** , Matsuka Y
Department of Stomatognathic Function and Oclusion Reconstraction, **Department of Comprehensive
Dentistry, Institue of HBS, Graduate School of Tokushima Univesity, *Tokushima University Hospital,
Implant Center,Ϩ㸬 ┠ⓗ ╧╀୰㸪≉࡟REM╧╀࡟࠾࠸࡚ࡣ࿪ᄮ➽⩌ࡶⴭࡋࡃ⥭ᙇࡀపୗࡋ࡚࠾ࡾ㸪㢡఩ࡣᙳ㡪ࢆཷࡅࡸࡍ
࠸㸬࿧྾ࡢᙳ㡪ࡶཷࡅ࡚࠸ࡿྍ⬟ᛶࡀ࠶ࡾ㸪╧╀୰ࡢᏳ㟼≧ែ࡟࠾࠸࡚࿧྾᭤⥺࡟ྠㄪࡋࡓ㢡㐠ືࡀほᐹࡉࢀࡿ㸬ࡉࡽ࡟╧╀ẁ㝵ࡢ㐪࠸ࡶ㢡఩࡜࿧྾㸪࿪ᄮ➽άື࡟ᙳ㡪ࢆ୚࠼ࡿ࡜⪃࠼ࡽࢀࡿ㸬ࡇࢀࡽࡢ㛵ಀࡣ㸪㛢ሰᛶ╧╀᫬↓࿧྾⑕ೃ⩌࡟ᑐࡍࡿཱྀ⭍ෆ⿦⨨ࢆ〇సࡍࡿ࠺࠼࡛᭷⏝࡞᝟ሗ࡟࡞ࡿ
࡜⪃࠼ࡽࢀࡿࡓࡵ㸪ᮏ◊✲࡛ࡣ㸪⤊ኪࡢ╧╀ ᐃ࠾ࡼࡧ㢡㐠ື ᐃࢆ⾜࠸㸪╧╀୰ࡢྛ╧╀ẁ㝵࡟࠾ࡅࡿ㢡఩࡜࿧྾㸪࿪ᄮ➽άື࡜ࡢ㛵ಀ࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ⿕㦂⪅ࡣ㢡ᶵ⬟࠾ࡼࡧ╧╀㛵㐃㞀ᐖࢆ᭷ࡉ࡞࠸
ಶᛶṇᖖညྜࢆ᭷ࡍࡿᡂே⏨ᛶ࡛࠶ࡗࡓ㸬 ᐃ࡟ࡣ╧╀᫬6⮬⏤ᗘ㢡㐠ື ᐃࢩࢫࢸ࣒㸦ཱྀ⭍ෆࢭࣥࢧ᪉ᘧ☢Ẽᘧ㸴⮬⏤ᗘ㢡㐠ື ᐃჾ㸪ᦠᖏᆺPSG㸪
GPSྠᮇᆺ้᫬⿦⨨࠾ࡼࡧAVࣔࢽࢱ㸧ࢆ⏝࠸㸪⬻Ἴ㸪║᣺㸪➽㟁㸦ည➽㸪ഃ㢌➽, ⯉㦵ୖ➽⩌㸧,ᚰ
㟁㸪SpO2, ࿧྾Ẽὶ㸦ࢧ࣮࣑ࢫࢱ㸧ࡢ ᐃࢆ⾜ࡗࡓ1)㸬╧╀ุᐃࡣ㸪1Epoch20⛊࡜ࡋ࡚Rechtshaffen &Kales࡟ࡼࡿ╧╀ẁ㝵ᅜ㝿ุᐃᇶ‽࡟ᇶ࡙࠸࡚⾜ࡗࡓ㸦ᅗ㸧㸬➽㟁ᅗゎᯒࡣ㸪Root Mean Square㸦RMS㸧ฎ⌮ࢆ⾜࠸㸪ည➽࠾ࡼࡧഃ㢌➽ࡣ᭱኱㝶ពჶࡳࡋࡵ᫬㸪⯉㦵ୖ➽⩌ࡣ᭱኱㛤ཱྀ᫬ࡢ➽άືࢆ
100%MVC࡜ࡋ࡚㸪άື㔞ࢆ⟬ฟࡋࡓ㸬㢡఩ࡣୖ㢡ညྜᖹ㠃ᗙᶆ⣔ࢆᇶ‽ᗙᶆ⣔࡜ࡋ࡚๓ᚋᡂศ࣭ᕥ
ྑᡂศ࣭ୖୗᡂศ࠾ࡼࡧ㊥㞳࡟ࡘ࠸࡚⟬ฟࡋࡓ㸬
Wake㸦ᾘⅉ࠿ࡽධ╀ࡲ࡛㸧㸪Stage REM㸪Stage 1㸪
Stage 2㸪Stage 3&4ྛ╧╀ẁ㝵࠿ࡽ⏕యಙྕࢹ࣮ࢱ
ࡢᏳᐃࡋࡓ20Epoch㸦Wakeࡣ3Epoch㸧ࢆᢳฟࡋ㸪ྛEpochࡢ0.5⛊ẖࡢ㢡఩࣭➽άື࡜࿧྾᭤⥺࡜ࡢ
㛵ಀࢆSpearmanࡢ┦㛵ಀᩘ㸦r㸧࡟᳨࡚ウࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ⿕㦂⪅ࡢ╧╀≧ែࡣⰋዲ࡛࠶ࡾ㸪࿧྾࡟㛵ࡋ࡚ࡶ↓࿧྾ప࿧྾➼ࡢၥ㢟ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬 ࿧྾࡜㢡఩ࡢ㛵ಀ࡟ࡘ࠸࡚㸪Wake࡛ࡣ࡯࡜ࢇ࡝

ᅗ 㸯Epoch ࡢ⏕యಙྕゎᯒ౛┦㛵ࡀㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬Stage 1࡛ࡣ๓ᚋᡂศ࡛
45%㸪ᕥྑᡂศ࡜㊥㞳࡛35%࡟᭷ព࡞┦㛵ࡀㄆࡵࡽࢀࡓࡀ㸪┦㛵ಀᩘࡢᖹᆒࡣ0.4㸺㹺r㹺㸺0.5࡛ᙅ࠸┦㛵࡛࠶ࡗࡓ㸬Stage 2㸪3㸤4㸪REM࡛ࡣ඲࡚ࡢ㡯┠࡛85%௨ୖࡢEpoch࡟᭷ព࡞┦㛵ࡀㄆࡵࡽࢀࡓ㸬Stage 2㸪REMࡢ๓ᚋ࣭ୖୗ࣭㊥㞳࡛ࡣ0.5㸺㹺r㹺㸺0.6࡜ᙉ࠸┦㛵ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࡀ㸪Stage 3&4
࡛ࡣ0.6㸺㹺r㹺㸺0.7࡜ࡸࡸᙉ࠸┦㛵ࡀㄆࡵࡽࢀࡓ㸬࿧྾࡜ည➽࣭ഃ㢌➽άື࡛ࡣ࡝ࡢ╧╀ẁ㝵࡟࠾࠸࡚ࡶ࡯࡜ࢇ࡝᭷ព࡞┦㛵ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬୍᪉࡛㸪࿧྾࡜⯉㦵ୖ➽⩌➽άື࡟ࡘ࠸࡚ࡣ㸪Stage
REMࡢ୧ഃ⯉㦵ୖ➽⩌➽㟁ᅗ࡛㢖ᗘࡸ┦㛵ಀᩘࡀ
0.4࡜ᑠࡉ࠸ࡶࡢࡢ᭷ព࡞┦㛵ࢆㄆࡵࡿEpochࡀ25%ㄆࡵࡽࢀࡓ㸬
௨ୖࡢࡇ࡜࠿ࡽ㸪ぬ㓰ࡸぬ㓰࡟㏆࠸Stage 1࡜ࡣ␗࡞ࡾ㸪Stage 2㸪3㸤4㸪REM࡛ࡣ㢡఩ࡀ࿧྾࡟ྠ
ㄪࡋ࡚ኚ໬ࡋ࡚࠸ࡿഴྥࡀ࠶ࡿ㸬ࡇࢀ࡟㛵ࡋ࡚㸪ည➽ࡸഃ㢌➽ࡢࡼ࠺࡞ᢠ㔜ຊ➽ࡣᙳ㡪ࡀ࡯࡜ࢇ࡝
࡞ࡃ㸪⯉㦵ୖ➽⩌ࢆྵࡵࡓᵝࠎ࡞㛤ཱྀ➽㸦࿧྾➽㸧ࡀస⏝ࡋ࡚㢡㐠ື࡜࿧྾ࡢྠㄪࡀ⏕ࡌ࡚࠸ࡿྍ⬟ᛶࡀ࠶ࡿ㸬௒ᚋࡣ⿕㦂⪅ᩘࡸᑐ㇟ࡢ➽⩌ࢆቑࡸࡋ᳨࡚ウࡋ࡚࠸ࡁࡓ࠸࡜⪃࠼࡚࠸ࡿ㸬ϫ㸬 ᩥ⊩1) 㔝ཱྀ┤ே㸪㔜ᮏಟఛ㸪኱಴୍ኵ㸪ᆏᮾỌ୍㸬╧╀᫬ࣈࣛ࢟ࢩࢬ࣒Ⓨ⌧࡟క࠺㢡㐠ືࡢ ᐃゎᯒἲࡢ᳨ウ㸬㢡ᶵ⬟ㄅ 2009㸹16(1)㸸1-14㸬

− 244 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 55⥅⥆ࡋࡓ⯉ᣲୖ㐠ືࡀ୍ḟ㐠ື㔝࡬ཬࡰࡍᙳ㡪ࠐ⸀⏣㷋༤{ 㣤⏣ᓫ{ ᑠぢᒣ㐨㸪ᕝⰋ⨾బ㞝᪥ᮏ኱ᏛᯇᡞṑᏛ㒊㢡ཱྀ⭍ᶵ⬟἞⒪Ꮫㅮᗙ
 \[ ! \ 

 [ \  ` ^ @^ !  ! ^   ! ] [ | ^  }㸪  㸪| ^ ^ 㸪| "^  \ [  !  ] [  { _ Ϩ㸬 ┠ⓗ㢡ཱྀ⭍ᶵ⬟࡜୍ḟ㐠ື㔝ࡢάᛶ≧ែ࡜ࡢ㛵ಀࢆ᳨ウࡍࡿࡇ࡜ࡣ㸪㢡ཱྀ⭍ᶵ⬟ࡢᅇ᚟ࢆ┠ⓗ࡜ࡋࡓ
἞⒪ࢆ☜❧ࡍࡿࡓࡵ࡟᭷⏝࡛࠶ࡿ㸬㐣ཤࡢሗ࿌࡛
ࡣ⥅⥆ࡋࡓ⯉✺ฟ㐠ືࡸṑࡢࢡࣞࣥࢳࣥࢢࢆࢺࣞ
࣮ࢽࣥࢢ࡜ࡋ࡚⾜࠺ࡇ࡜࡛ྛ㐠ື࡟㛵୚ࡍࡿ୍ḟ㐠ື㔝࡟ྍረᛶኚ໬ࡀ⏕ࡌࡿ࡜ሗ࿌ࡉࢀ࡚࠸ࡿ㸪$㸬ࡑࡇ࡛ᮏ◊✲ࡣ⤒㢌⵹☢Ẽ่⃭ἲ㸦㸧ࢆ⏝࠸࡚㐠ືㄏⓎ㟁఩㸦>㸧ࢆ ᐃࡋ㸪ᄟୗ࡟㛵୚ࡍࡿ⥅⥆ⓗ࡞⯉ᣲୖ㐠ືࡀ㸪⯉㐠ື࠾ࡼࡧゎ๗Ꮫⓗ࡟㏆᥋ࡋࡓୗ㢡㐠ື࡟㛵୚ࡍࡿ୍ḟ㐠ື㔝࡟⏕ࡌࡿྍረᛶኚ໬࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ⿕㦂⪅ࡣ࢖ࣥࣇ࢛࣮࣒ࢻ࣭ࢥࣥࢭࣥࢺࡢࡶ࡜࡟
ཧຍࡋ㸪⬻⑌ᝈࡢ᪤ ࡀ࡞ࡃ㸪㢡ཱྀ⭍㡿ᇦ࡟␗ᖖࢆㄆࡵ࡞࠸㹼ṓࡢᡂேྡ࡜ࡋࡓ㸬⿕㦂⪅ࡣ⯉ᣲୖ㐠ືࢆ㐠ືㄢ㢟࡜ࡋࡓ᪥㛫㐃⥆ࡢࢺ࣮ࣞࢽ
ࣥࢢ࡟ཧຍࡋ㸪㐠ືㄢ㢟ࡣ`㸪`࡟ࡼࡿ⯉ᣲୖ㐠ືࡢ✀㢮࡜ࡋ㸪㡰ᗎࡣࣛࣥࢲ࣒࡜ࡋࡓ㸬᪥ࡢࢺ࣮ࣞࢽࣥࢢࡣ㸪ྛ㐠ືㄢ㢟࡟ࡘ࠸࡚⛊ẖࡢ
_ ᮇ㛫ࢆᅇ⾜࠸㸪ࡇࢀࢆᅇ⧞ࡾ㏉ࡋࡓ㸬ࢺ࣮ࣞࢽࣥࢢ୰࡟࠾ࡅࡿ⯉ᣲୖ㐠ື᫬ࡢ⯉ᅽࡣ⯉ᅽᐃჾ㸦 ⯉ᅽ ᐃჾ¤㸪㸪ᮾி㸧࡟࡚ ᐃࡋࡓ㸬᪥┠࡜᪥┠ࡢࢺ࣮ࣞࢽࣥࢢ┤๓࡜┤ᚋࡢ
ィ'ᅇ࡟࠾࠸࡚㸪ࢆ⏝࠸ࡓ>ࡢ ᐃࢆ⾜ࡗࡓ㸬ࡣ  ^   ^   ^{ |$ࢆ౑⏝ࡋࡓ㸬⾲㠃㟁ᴟࢆྑഃ⯉⫼㒊㸪ྑഃည➽࠾ࡼࡧྑഃ➨୍⫼ഃ㦵㛫➽$ୖ࡟㈞௜ࡋ㸪ྛ㒊఩ࡼࡾ>ࢆᑟฟࡋࡓ㸬Ᏻ㟼᫬㐠ື㜈್㸦㸧ࡣ⯉➽࡛¥¡㸪ည➽࡛¥¡㸪࡛¥¡ࡢ>ࡀᅇࡢ่⃭୰ᅇ௨ୖᚓࡽࢀࡿ᭱ᑠࡢ่⃭ᙉᗘ࡜ࡋࡓ㸬ࡲࡓ㸪ࢆ࡜ᐃ⩏ࡋ㸪ࢆồࡵࡓ่⃭㒊఩࡟࡚㸪㸪㸪᭱኱ฟຊ⠊ᅖෆ$ࡢᙉᗘ่࡛⃭ࡋ㸪ྛ่⃭ᙉᗘ࡟࠾ࡅࡿ⯉➽㸪ည➽࠾ࡼࡧࡢἼᙧ࠿ࡽ>᣺ᖜࢆ⟬ฟࡋ㸪่⃭̺཯ᛂ᭤⥺ࢆసᡂࡋࡓ㸬⤫ィᏛⓗศᯒ࡟࠾࠸࡚㸪ࡣ୍ඖ㓄⨨ศᩓศᯒ㸪่⃭̺཯ᛂ᭤⥺ࡣ஧ඖ㓄 ⨨ ศ ᩓ ศ ᯒ ࢆ ⏝ ࠸ ࡓ 㸬 ከ 㔜 ẚ ㍑ ࡟ ࡣ `|^ἲࢆ⏝࠸ࡓ㸬᭷ពỈ‽ࡣ࡜ࡋࡓ㸬 @  !

[ \      Ϫ㸬 ⤖ᯝ࡜⪃ᐹ `㸪`୰ࡢ⯉➽➽άືࡣ┦ᑐẚ⋡࡟࡚ࡑࢀࡒࢀs㸣㸪s㸣࡛࠶ࡗࡓ㸬 ⯉➽࠾ࡼࡧည➽࡟࠾࠸࡚᪥┠ࡢࢺ࣮ࣞࢽࣥ
ࢢ┤ᚋࡢࡣ᪥┠ࡢࢺ࣮ࣞࢽࣥࢢ┤๓ࡢ࡜
ẚ㍑ࡋ࡚᭷ព࡞ῶᑡࡀㄆࡵࡽࢀࡓ㸦  㸧㸬ࡢࡣ'ィ ᫬Ⅼ㛫࡛᭷ពᕪࢆㄆࡵ࡞࠿ࡗࡓ㸬 ⯉➽>᣺ᖜ࡛ࡣ㸪᪥┠ࢺ࣮ࣞࢽࣥࢢ┤ᚋࡢ ࠾ࡼࡧ ࡢ่⃭ᙉᗘ࡟࠾ࡅࡿ
>᣺ᖜࡣ᪥┠ࡢࢺ࣮ࣞࢽࣥࢢ┤๓࣭┤ᚋࡢ>
᣺ᖜ࡜ẚ㍑ࡋ࡚᭷ព࡞ቑຍࢆㄆࡵࡓ㸦  㸧㸦ᅗ㸧㸬ࡲࡓ㸪ည➽>᣺ᖜ࡛ࡣ㸪᪥┠ࢺ࣮ࣞࢽࣥࢢ┤ᚋࡢ ࡢ่⃭ᙉᗘ࡟࠾ࡅࡿ>᣺ᖜࡣ᪥┠ࡢࢺ࣮ࣞࢽࣥࢢ┤๓ࡢ>᣺ᖜ࡜ẚ㍑ࡋ࡚
᭷ព࡞ቑຍࢆㄆࡵࡓ㸦  㸧㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪 >᣺ᖜ࡛ࡣ㸪'ィ ᫬Ⅼ㛫࡟࡚᭷ពᕪࢆㄆࡵ
࡞࠿ࡗࡓ㸬௨ୖࡼࡾ⥅⥆ⓗ࡞⯉ᣲୖ㐠ືࡀ⯉㐠ື࡟㛵୚ࡍࡿ୍ḟ㐠ື㔝࡛ྍረᛶኚ໬ࢆ⏕ࡌࡿ࡜ྠ᫬࡟㸪ゎ๗Ꮫⓗ࡟㏆᥋ࡋࡓୗ㢡㐠ື࡟㛵୚ࡍࡿ୍ḟ㐠ື㔝࡟࠾࠸࡚ࡶྍረᛶኚ໬ࢆ⏕ࡌࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ᅗ㸬ྛ  ่⃭ᙉᗘ࡟࠾ࡅࡿ⯉ > ᣺ᖜϫ㸬 ᩥ⊩
$ @  [ [  ! !  ! ^   !  [\  ^   ^ ![ ! ]   ` 
 >"     '
$     [ " ![ !  !  "[  ! !  ! ^   !  [ \  ^ ![  >  [ !
'  ''− 245 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 56⩏ṑࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥຠᯝ࡟㛵ࡍࡿ◊✲㸫➨㸲ሗ ㄆ▱ᶵ⬟࡜ᚰ⌮ⓗ࡞ኚ໬࡟ࡘ࠸࡚㸫‫ۑ‬㟷ᮌఙ୍㑻 *, **㸪኱ἑ⪷Ꮚ *, **㸪㛗㔝⿱⾜***㸪ఀ⸨Ꮥカ *, ***᪥ᮏ኱ᏛᯇᡞṑᏛ㒊ṑ⛉⥲ྜデ⒪Ꮫㅮᗙ, **ཱྀ⭍⛉Ꮫ◊✲ᡤ, ***ᮾ㛵ᮾᨭ㒊
Research on rehabilitation effect of a denture -Part 4 - About change of the cognitive function and mental forthree months after immediately after put on dentures.
Aoki S *,**,Osawa S *,**,Nagano H*** ,Ito T *,**
*Department of Oral diagnostics, **Research Institute of Oral Science, Nihon University School of Dentistry
at Matsudo, ***Higashikanto BranchϨ㸬 ┠ⓗ Ḟᦆ㒊࡬ࡢ⿵⥛ฎ⨨ࡣ೺ᗣᑑ࿨㸪೺ᗣవ࿨ࢆᘏ
ࡤࡍ࡜࠸ࢃࢀ࡚࠸ࡿ㸬≉࡟⩏ṑ࡞࡝ࡢ࿪ᄮᶵ⬟ࡢᨵၿࢆక࠺⮻ṑ㒊Ḟᦆࡢ἞⒪ࡣ㸪࿪ᄮᶵ⬟ࡀ኱ࡁࡃኚ໬ࡍࡿࡓࡵ࡟㸪ࡉࡲࡊࡲ࡞ᙳ㡪ࡀᚰ㌟࡟ཬࡰ
ࡋ㸪㌟యᶵ⬟ஹ㐍࡟ᙺ❧ࡘ࡜⪃࠼ࡽࢀ࡚࠸ࡿ㸬⩏ṑ⿦╔࡟࠾ࡅࡿຠᯝ࡟㛵ࡍࡿ◊✲ࡣ㸪࿪ᄮ⬟⋡ࡢᨵၿࡸ㢡ሐ࡟ᑐࡍࡿညྜᅽࡢࣂࣛࣥࢫࡸᙧែ
ⓗኚ໬➼ࡢ◊✲ࡀከࡃ⾜ࢃࢀ࡚࠸ࡿ㸬㏆ᖺ࡛ࡣᝈ⪅ࡢᚰ⌮㠃ࡶὀ┠ࡉࢀ㸪‶㊊ᗘࡸࡑࢀ࡟㛵ࢃࡿᅉᏊࡢ᳨ウࡀ⾜ࢃࢀ࡚࠸ࡿ㸬₇⪅ࡽࡣ㸪᪥ᖖ⏕ά࡟ᙳ㡪ࡀ኱ࡁ࠸ㄆ▱ᶵ⬟ࡢኚ໬࡟ࡘ࠸࡚௨๓ࡼࡾ╔┠ࡋ㸪⩏ṑ⿦╔┤ᚋ࠿ࡽ⩏ṑㄪᩚࡀ⤊஢ࡋ࡚⩏ṑࡢᏳᐃᚋ1ࣨ᭶࠾ࡼࡧ3ࣨ᭶࡟࠾ࡅࡿኚ໬࡟ࡘ࠸࡚
᳨ウ1㸧ࢆ⾜࠸㸪➨121㸪122㸪123ᅇ⿵⥛ṑ⛉Ꮫ఍࡟
࡚Ⓨ⾲ࡋ࡚ࡁࡓ㸬ࡋ࠿ࡋ㸪ᚰ⌮㠃࡟㛵ࡋ࡚ࡣ᳨ウࢆ⾜࠺ࡇ࡜ࡀ࡛ࡁ࡞࠿ࡗࡓ㸬ࡑࡇ࡛௒ᅇ㸪⩏ṑ⿦╔┤ᚋ࠿ࡽ⩏ṑㄪᩚࡀ⤊஢ࡋ⩏ṑࡢᏳᐃࢆ☜ㄆᚋ㸪1ࣨ᭶࠾ࡼࡧ3ࣨ᭶⤒㐣ࡋࡓ᫬ᮇ࡟࠾࠸࡚⬻ࡢㄆ▱᝟ሗฎ⌮㐣⛬ࢆ཯ᫎࡍࡿ
஦㇟㛵㐃㟁఩Ἴᙧ࠿ࡽ⟬ฟࡋࡓP300㠃✚࡜㸪12ᑻᗘࡼࡾᚰ⌮≧ែࡢุᐃࢆ⾜࠺ᚰ⌮᳨ᰝ㸦YGᛶ᱁᳨ᰝ㸧ࢆ⏝࠸࡚㸪⩏ṑ⿦╔┤ᚋ࠿ࡽᏳᐃᚋ1ࣨ᭶࠾ࡼࡧ3ࣨ᭶ࡢㄆ▱ᶵ⬟࡜ᚰ⌮㠃ࡢኚ໬࡟ࡘ࠸᳨࡚ウࢆ
⾜ࡗࡓ㸬
ϩ㸬 ᪉ἲ
 ⿕㦂⪅ࡣ㸪᪥ᮏ኱ᏛᯇᡞṑᏛ㒊௜ᒓ⑓㝔࡟᮶㝔ࡋ࡚࠸ࡿ65㹼84ṓࡢᝈ⪅㸦ᖹᆒᖺ㱋71ṓ㸧7ྡ࡛࠶ࡿ㸬་⒪㠃᥋࡟ࡼࡾ⬻࡟ჾ㉁ⓗ࣭ᶵ⬟ⓗ⑌ᝈࢆ᭷ࡋ࡚࠸࡞࠸ࡇ࡜ࢆ☜ㄆࡋࡓ㸬ࡲࡓ㸪⩏ṑࡢ୙ලྜ࡟ࡼࡿኚ໬ࢆ㜵Ṇࡍࡿࡓࡵ㸪ᝈ⪅࡟ṑ⛉QOL᳨ᰝ࡛࠶ࡿGOHAIࢆ⩏ṑ⿦╔┤ᚋ㸪Ᏻᐃᚋ1ࣨ᭶࠾ࡼࡧ3ࣨ᭶࡛⾜࠸㸪኱ࡁ࡞ኚ໬ࡀ࡞࠸ᝈ⪅ࢆᑐ㇟࡜ࡋࡓ㸬⬻Ἴ ᐃࡣ࢜ࢻ࣮࣎ࣝㄢ㢟࡟‽ࡌ࡚㸪ᶆⓗ่⃭࡜㠀ᶆⓗ่⃭ࢆ2㸸8ࡢ๭ྜ࡜ࡋࡓ㸬ㄢ㢟ࡣࢫࢺ࣮ࣝࣉㄢ㢟࡜ࡋ㸪ᥦ♧ࡉࢀࡓ₎Ꮠ࡜ᩥᏐࡢⰍࡀ୍⮴ࡋࡓ࡜ࡁࡢࡳ࣎ࢱࣥᢲࡋࢆ⾜࠺ࡇ࡜࡜ࡋࡓ㸬ㄢ㢟㐙⾜᫬ࡢ㢌⓶ୖ࠿ࡽᑟฟࡉࢀࡓἼᙧࢆ20ᅇຍ⟬ᖹᆒࡋ㸪⿕㦂⪅ࡈ࡜࡟ຍ⟬ᖹᆒἼᙧࢆồࡵࡓ㸬่⃭
㛤ጞ250ms㹼600msࡲ࡛ࡢἼᙧ࡜ᇶ⥺࡜࡛ᅖࡴ㒊ศ
ࢆP300㠃✚࡜ࡋࡓ㸬ᚰ⌮᳨ᰝࡣ㸪⬻Ἴ ᐃᚋ࡟YG
ᛶ᱁᳨ᰝࢆ⾜ࢃࡏ㸪12ᑻᗘࡢⅬᩘࢆ⟬ฟࡋࡓ㸬⩏ṑ⿦╔┤ᚋ㸪Ᏻᐃᚋ1ࣨ᭶࠾ࡼࡧ3ࣨ᭶࡟࠾ࡅ
ࡿP300㠃✚࠾ࡼࡧYGᛶ᱁᳨ᰝࡢ12ᑻᗘ࡟ࡘ࠸࡚ẚ㍑᳨ウࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ P300㠃✚ࡣ㸪⩏ṑ⿦╔┤ᚋࡀ1485ms࣭ȣV㸪Ᏻᐃ ᚋ 1 ࣨ ᭶ ࡀ 2074ms ࣭ ȣ V 㸪 Ᏻ ᐃ ᚋ 3 ࣨ ᭶ ࡀ
1816ms࣭ȣV࡛⩏ṑ⿦╔┤ᚋ࡜Ᏻᐃᚋ1ࣨ᭶࡟᭷ព
࡞ᕪࢆㄆࡵࡓ㸬YGᛶ᱁᳨ᰝ࡛ࡣN(⚄⤒㉁)ࡢࡳ࡟
᭷ពᕪࢆㄆࡵ㸪⩏ṑ⿦╔┤ᚋࡀ2Ⅼ㸪Ᏻᐃᚋ1ࣨ᭶
ࡀ5Ⅼ㸪Ᏻᐃᚋ3ࣨ᭶ࡀ3Ⅼ࡛㸪⩏ṑ⿦╔┤ᚋ࡜Ᏻᐃᚋ1ࣨ᭶࡟᭷ព࡞ᕪࢆㄆࡵࡓ(⾲㸯).
⩏ṑ⿦╔┤ᚋ࠿ࡽᏳᐃᚋ1ࣨ᭶ࡣ㸪⩏ṑ⿦╔࡟ࡼࡾ࿪ᄮᶵ⬟ࡀྥୖࡋ㸪ࡑࡢᚋࡣ㡰ᛂࡋ࡚࠸ࡃ࡜⪃࠼ࡽࢀࡿ㸬௒ᅇࡢ⤖ᯝࡼࡾ㸪⩏ṑ⿦╔┤ᚋ࠿ࡽᏳᐃᚋ1࠿᭶࡛ࡣㄆ▱ᶵ⬟ࡢྥୖࡸ⚄⤒ⓗ࡞㐣ᩄഴྥࡀㄆࡵࡽࢀࡿࡇ࡜ࡀ᥎ᐹࡉࢀࡓ㸬௒ᚋࡣ㸪ྛ᫬ᮇ࡟࠾ࡅࡿኚ໬ࢆヲ⣽࡟᳨ウࡍࡿணᐃ࡛࠶ࡿ㸬ϫ㸬 ᩥ⊩1)㟷ᮌఙ୍㑻㸪ఀ⸨Ꮥカ㸪㛗㔝⿱⾜㸪஭⏣⪽Ꮚ㸪㕥ᮌ⩏Ꮥ㸪኱ἑ⪷Ꮚ࡯࠿㸬࿪ᄮ⬟ຊ࡜ㄆ▱᝟ሗฎ⌮㐣⛬࡜ࡢ㛵㐃ᛶ̿␗࡞ࡿညྜᅽࢢ࣮ࣝࣉ࡟
࠾ࡅࡿẚ㍑̿㸬⿵⥛ㄅ 2004㸹48㸸583-591㸬

− 246 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 57ୖ㢡ࣃࣛࢱࣝࣂ࣮ࡢ఩⨨࡟ࡼࡿᄟୗ᫬ࡢ⬻άື࡟ࡘ࠸࡚
‫⏣⏕ۑ‬㱟ᖹ*㸪Ḉ஭⪔ᖹ**㸪ᑠ㔝ᘪ⤮**㸪ᑠᯘ ๛*㸪୸ᑿ຾୍㑻*㸪Ⳣ㔝ிᏊ*㸪∦ᒸຍዉᏊ*㸪᐀ീ※༤*㸪ΎỈ⤫ኴ*㸪ᓥ⏣ ῟*,***㸪࿴Ẽ⿱அ***㸪⋢⨨຾ྖ*,****⚄ዉᕝṑ⛉኱Ꮫ㢡ညྜᶵ⬟ᅇ᚟⿵⥛་Ꮫㅮᗙ㸪**᫂἞኱Ꮫ኱Ꮫ㝔⌮ᕤᏛ◊✲⛉㟁ẼᕤᏛᑓᨷ㸪***⚄ዉᕝṑ⛉኱Ꮫ௜ᒓ⑓㝔≉Ṧ⩏ṑ࣭ညྜ࢚ࣜࢰࣥデ⒪⛉Brain activity during swallowing by the position of the palatal bar in upper jaw
Ikuta R*, Sakurai K**, Ono Y**, Kobayashi G*,Maruo K*,Kanno K*,Kataoka K*, Munakata M*, Shimizu
T* ,Shimada A*,***, Wake H***, Tamaki K*,***
Dept. of Prosthodontic dentistry for function of TMJ and Occlusion, Kanagawa Dental University*, Graduate
School of Science and Engineering, Meiji University**, Dept. of Special Denture࣭Occlusion & Liaison,
Kanagawa Dental University Hospital***Ϩ㸬 ┠ⓗṑ∳ࢆ႙ኻࡋࡓᝈ⪅࡟࡜ࡗ࡚㸪⩏ṑ࡞࡝⿵⥛⿦⨨ࡣࠕཱྀ࠿ࡽ㣗࡭ࡿࠖᶵ⬟ࡢᅇ᚟࡟Ḟ࠿ࡏ࡞࠸㸬୍᪉࡛⿵⥛⿦⨨ࡣ⿦╔ࡍࡿ఩⨨࡟ࡼࡾ㐪࿴ឤࡀ␗࡞
ࡾ㸪ᄟୗ㞀ᐖࡸⓎ㡢㞀ᐖࢆᘬࡁ㉳ࡇࡍཎᅉ࡟ࡶᡂ
ࡾ࠺ࡿ㸬ᮏᐇ㦂ࡣ㸪኱㐃⤖⿦⨨࡛࠶ࡿୖ㢡ࣃࣛࢱࣝࣂ࣮ࡢタᐃ఩⨨࡟࠾࠸࡚ࡑࢀࡒࢀࡢᄟୗࡢ⬻άື1)ࢆNear-infrared spectroscopy (NIRS)ࢆ⏝࠸࡚ィࡋ㸪఩⨨࡟ࡼࡿᄟୗࡋ᫆ࡉ࡜⬻άື࡜ࡢ㛵ಀᛶࢆ᳨ウࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᅗ㸯࡟㸪௦⾲ⓗ࡞⿕㦂⪅ࡢF8఩⨨㸦ࢳࣕࣥࢿࣝ1㸧࡟࠾ࡅࡿᄟୗ᫬⬻άືࡢ㸪ࣂ࣮఩⨨ࡢ㐪࠸࡟ࡼࡿኚ໬ࢆ♧ࡍ㸬ࣂ࣮ࢆධࢀ࡞࠸ᄟୗἼᙧ࡜๓㸪୰㸪ᚋࣃࣛࢱࣝࣂ࣮࡜ࡢẚ㍑࡛ࡣ୰ࣃࣛࢱࣝࣂ࣮ࡀ᭱
ࡶࣂ࣮ࢆධࢀ࡚࠸࡞࠸Ἴᙧ࡟㏆࠿ࡗࡓ㸬ࡲࡓᚋࣃࣛࢱࣝࣂ࣮ࡢᄟୗ᫬Ἴᙧࡣ௚ࡢἼᙧ࡜␗࡞ࡿᙧ≧ࢆࡋ࡚࠾ࡾ㸪ᄟୗࢆ⾜࠺ࡓࡵࡢດຊάືࡀ཯ᫎࡉ
ࢀ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡿ㸬⿕㦂⪅ࡢ୺ほ࡜⬻άື࡟ࡣ㸪࡝ࡢ⿕㦂⪅࡟࠾࠸࡚ࡶ࠶ࡿ⛬ᗘࡢ୍⮴ࡀࡳࡽࢀࡓ㸬 ௒ᚋ㸪ࣃࣛࢱࣝࣂ࣮ࡢタᐃ఩⨨࡟ࡼࡿᄟୗࡋࡸࡍࡉࡢホ౯ࢆᩘ್໬ࡍࡿࡇ࡜ࡀ࡛ࡁࢀࡤ㸪⾡⪅ࡸᝈ⪅࡟࠾࠸࡚ࢃ࠿ࡾࡸࡍࡃ᭱㐺࡞ࣃࣛࢱࣝࣂ࣮఩
⨨࡟ࡘ࠸࡚ࡢุ᩿ࡀ࡛ࡁࡿࡼ࠺࡟࡞ࡿ࡜⪃࠼ࡽࢀࡿ㸬ࣂ࣮࡞ࡋࡢ⬻άືἼᙧࢆᇶ‽࡜ࡋ࡚㸪ࣂ࣮࠶ࡾࡢ⬻άືἼᙧ࡟⏕ࡌࡓኚ໬ࢆホ౯ࡍࡿࡇ࡜ࢆ┠ⓗ࡟㸪ᅇᖐศᯒ࡟ࡼࡿゎᯒࢆ⾜࠺ணᐃ࡛࠶ࡿ㸬ϩ㸬 ᪉ἲ ⿕᳨⪅ࡣḞᦆṑ∳ࡢ࡞࠸12ྡ㸦࠺ࡕ⏨ᛶ9ྡ㸪ᖹᆒᖺ㱋26.4ṓ㸧࡛࠶ࡿ㸬ୖ㢡ࣃࣛࢱࣝࣂ࣮ࡢศ㢮ࡢ࠺ࡕ㸪๓㸪୰㸪ᚋࡢ3✀㢮ࡢࣂ࣮ࢆసᡂࡋ㸪ࣂ࣮࡞ࡋࡶྵࡵ࡚ィ4ࣃࢱ࣮ࣥࢆィ ࡋࡓ㸬ࣃࣛࢱࣝࣂ
࣮ࡢᙧ≧ࢆᖜ6m㹫㸪㧗ࡉ1.5mm࡟⤫୍ࡋCo-Crྜ㔠ࢆ౑⏝ࡋసᡂࡋࡓ㸬ࣃࣛࢱࣝࣂ࣮ࢆಖᣢࡍࡿᗋࡢ
㒊ศࡣྍཬⓗ࡟ᑠࡉࡃࡋࡓ㸬ྠ᫬࡟visual analog
scale 㸦0~100㸧ࢆ⏝࠸࡚㸪᭱ࡶᄟୗࡋࡸࡍ࠸≧ែࢆ㸦0㸧㸪᭱ࡶᄟୗࡋ࡟ࡃ࠸≧ែࢆ㸦100㸧࡜ࡋ࡚㸪ࡑࢀࡒࢀࡢࣂ࣮఩⨨࡟ᑐࡍࡿ୺ほⓗ࡞ᄟୗࡢࡋࡸ
ࡍࡉࢆ⏦࿌ࡉࡏࡓ㸬 ๓㢌㒊ࡢNIRSィ ࡣ㸪࢔ࢫࢸ࣒♫〇Hb-13ࢆ⏝࠸࡚⾜ࡗࡓ㸬4ࡘࡢࣉ࣮ࣟࣈࢆᅜ㝿10-20ἲ࡟࠾ࡅࡿF7㸪 Fp1㸪 Fp2㸪 F8ࡢ఩⨨࡟㓄⨨ࡋࡓ㸬ᐇ㦂࡛ࡣ⿕㦂⪅ࡣᗙ఩ࢆಖࡕ㸪30⛊ࡢᏳ㟼ᚋཱྀ⭍ෆ࡟ࢩࣜࣥࢪ࡛5mlࡢỈࢆᤄධࡋࡓ㸬ཱྀ⭍࿘ᅖ➽ࡢືࡁ࡟ࡼࡿࣀ࢖ࢬࡢΰධࢆ㜵ࡄࡓࡵ㸪ཱྀ⭍ෆ࡟20⛊㛫Ỉࢆಖᣢࡉࡏ࡚࠿ࡽ㸪⿕㦂⪅ࡢ⮬⏤࡞ࢱ࢖࣑ࣥࢢᅗ  ࣃࣛࢱࣝࣂ࣮ࡢ᮲௳࡜ᄟୗ᫬⬻άື࡛ᄟୗࢆ⾜ࢃࡏࡓ㸬ࡇࢀࢆ1ᅇࡢヨ⾜࡜ࡋ㸪୍✀㢮ୖ㸸ᕥ࠿ࡽ࡞ࡋ㸪๓㸪୰㸪ᚋࣃࣛࢱࣝࣂ࣮
ࡢࣂ࣮఩⨨࡟ࡘ࠸࡚5ᅇࡢヨ⾜ࢆ⧞ࡾ㏉ࡋࡓ㸬ྛᅇୗ㸸ࡑࢀࡒࢀࣃࣛࢱࣝࣂ࣮ࡢ Oxy-Hb Ἴᙧࡢኚ໬
ᄟୗືసࡢ⤊஢ᚋ㸪⏥≧㌾㦵ࡢ㝆ୗࡀ⤊஢ࡋࡓࢱ࢖࣑ࣥࢢ࡛⿕㦂⪅࡟࣎ࢱࣥࢆᢲࡋ࡚ࡶࡽ࠸㸪࣎ࢱࣥᢲࡋࡢࢱ࢖࣑ࣥࢢࢆࢺࣜ࢞࡜ࡋ࡚5ᅇศࡢᄟୗ᫬
ϫ㸬ᩥ⊩⬻άື㸦㓟⣲໬࣊ࣔࢢࣟࣅࣥ⃰ᗘኚ໬㔞, Oxy-Hb㸧
1) Kobayashi G. Ono Yumie. Prefrontalࡢࢹ࣮ࢱࢆຍ⟬ᖹᆒࡋࡓ㸬ຍ⟬ᖹᆒࡋࡓOxy-Hbࢹ
Hemodynamic Changes Associated with࣮ࢱࡣ࣮࣋ࢫࣛ࢖ࣥ⿵ṇ࡜ṇつ໬ࢆ⾜ࡗࡓࡢࡕ㸪
Subjective Sense of Occlusal Discomfort. Bio␗࡞ࡿ᮲௳㛫࡛ࡢ⬻άືࡢẚ㍑ࢆ⾜ࡗࡓ㸬
Med Reseach International 395705,2015

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 58೺ᖖ⪅࡟࠾ࡅࡿ╧╀᫬ࡢぬ㓰཯ᛂ࡜㝶క㐠ື࡜ࡢ㛵㐃‫୕ۑ‬ᮌ᫓ዉ㸪Ỉཱྀ ୍㸪ୖᯞ㯞཭ 㸪㔜ᮏಟఛ  㸪㕥ᮌၿ㈗ 㸪๓ᕝ㈼἞㸪ᯇ㤶ⰾ୕ 㸪❑ᮌᣅ⏨ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝㸪 ᚨᓥ኱Ꮫ኱Ꮫ㝔࣊ࣝࢫࣂ࢖࢜ࢧ࢖࢚ࣥࢫ◊✲㒊㢡ᶵ⬟ညྜ෌ᘓᏛศ㔝㸪 㭯ぢ኱ᏛṑᏛ㒊ࢡࣛ࢘ࣥࣈࣜࢵ
ࢪ⿵⥛Ꮫㅮᗙ
Incidences Comparison of Comorbidity during Sleep/Micro Arousal in Healthy Subjects
Miki H, Minakuchi H, Ueda M*, Shigemoto S*,**, Suzuki Y*, Maekawa K, Matsuka Y*, Kuboki T
Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of
Medicine, Dentistry and Pharmaceutical Sciences. *Department of Stomatognathic Function and Occlusal
Reconstruction, The University of Tokushima Graduate School. **Department of Fixed Prosthodontics,
Tsurumi University School of Dental MedicineϨ㸬 ┠ⓗ ╧╀᫬ࣈࣛ࢟ࢩࢬ࣒㸦SB㸧ࡢከࡃࡣ㸪╧╀᫬ࡢぬ㓰⌧㇟㸦SA㸧࡟⥆Ⓨࡋ࡚Ⓨ⏕ࡍࡿࡇ࡜࠿ࡽ㸪SA
ࡣSBⓎ⑕ᶵᗎ࡟ఱࡽ࠿ࡢ㛵㐃ࢆ᭷ࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀ࡚࠸ࡿ㸬୍᪉㸪SAⓎ⑕᫬࡟ࡣయື㸪ᄟୗ࡜࠸ࡗࡓ⌧㇟ࡢⓎ⏕ࡶሗ࿌ࡉࢀ࡚࠸ࡿࡀ㸪SB࡜ࡢ㛵㐃࡟ࡘ࠸࡚ࡣ༑ศゎ᫂ࡉࢀ࡚࠸࡞࠸㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪SAⓎ⏕᫬ࡢ㝶క㐠ືࡢヲ⣽ࢆ᳨ウࡍࡿ࡜࡜ࡶ࡟SB࡜ࡢ㛵㐃ࢆゎ᫂ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ ⿕㦂⪅ࡣ㸪ᮏ◊✲ࡢ㊃᪨ࢆ஦๓࡟ㄝ᫂ࡋྠពࡀ
ᚓࡽࢀࡓಶᛶṇᖖညྜࢆ᭷ࡍࡿ೺ᖖ⪅17ྡ㸦⏨ᛶ
11ྡ㸪ዪᛶ6ྡ㸪ᖹᆒᖺ㱋31.5s5.2ṓ㸧࡜ࡋ㸪ࡇࡢ⿕㦂⪅࡟୍⤊ኪ࣏ࣜࢯ࣒ࣀࢢࣛࣇ㸦PSG㸧᳨ᰝࢆ⾜ࡗࡓ㸬ࡍ࡞ࢃࡕ㸪⬻Ἴィ㸦Neurofax EEG-9200㸪
᪥ᮏග㟁ᕤᴗᰴᘧ఍♫㸧ࢆ⏝࠸࡚⬻Ἴ㸪║㟁ᅗ㸪ᚰ㟁ᅗ㸪➽㟁ᅗ㸦㢇➽㸪୧ഃည➽㸪୧ഃ๓⬯㦵➽㸧㸪࿧྾㸪య఩㸪⾑୰㓟⣲㣬࿴ᗘ㸦SpO2㸧࡟ຍ࠼㡢ኌື⏬᧜ᙳࢆ⾜ࡗࡓ㸬ࡇࡢ᳨ᰝࡣ㸪஦๓࡟༑ศ࡞࢟ࣕࣜࣈ࣮ࣞࢩࣙࣥࢆ⾜ࡗࡓ1ྡࡢ◊✲⪅ࡀ඲౛᪋⾜ࡋࡓ㸬╧╀ࢫࢸ࣮ࢪุᐃࡣእ㒊ゎᯒ᪋タ࡟ጤクࡋ㸪Rechishaffen & Kalesࡢ╧╀ẁ㝵ุᐃᅜ㝿ᇶ‽ 1 㸧 ࡟ᇶ࡙ࡁ㸪⥲╧╀᫬㛫㸪╧╀ຠ⋡㸪╧╀₯᫬㸪╧╀ࢫࢸ࣮ࢪࡢศᕸࢆ⟬ฟࡋࡓ㸬SAࡢゎᯒࡣ
American Sleep Disorders Association ࡢᇶ‽2㸧࡟ᇶ࡙࠸࡚⟬ฟࡋࡓ㸬ࡇࡢ࠺ࡕ㸪3ศ௨ୖࡢぬ㓰཯ᛂࡣᑐ㇟࠿ࡽ㝖እࡋࡓ㸬SBホ౯ࡣ㸪Lavigneࡽࡢᇶ‽ࢆཧ⪃࡟୧ഃည➽ࡢ➽㟁ᅗἼᙧࢆ᭱኱ჶࡳࡋࡵ࡟ᑐ
ࡍࡿẚ⋡㸦% MVC㸧࡟ኚ᥮ࡋ㸪᭱኱ည➽➽άື㔞
ࡀ10% MVCࡢࡶࡢࢆ᥇⏝ࡋࡓ㸬ࡲࡓ㸪㝶క㐠ືࡣ㡢ኌື⏬グ㘓࡜๓⬯㦵➽➽㟁ᅗ࠾ࡼࡧయ఩ࢭࣥࢧ
࣮࠿ࡽୗ⫥యື㸪ᄟୗ㸪ୖ⫥యື㸪ᥙ⑛㸪యື㸪ࡑࡢ௚࡟ศ㢮ࡋࡓ㸬 ࡇࢀࡽࡼࡾSBⓎ⑕ࢆక࠺SA㸦SAwSB㸧࡜㸪కࢃ࡞࠸SA㸦SAw/oSB㸧࡟ศࡅ㸪㝶క㐠ືࡢヲ⣽࡞ࡽࡧ࡟Ⓨ⑕⋡ࡢẚ㍑ࢆ⾜ࡗࡓ㸦  㸧㸬࡞࠾㸪ᮏ◊✲ࡣ㸪ᮏᏛ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉␿Ꮫ◊✲೔⌮ጤဨ఍ࡢᢎㄆࡢᚋ࡟᪋⾜ࡋࡓ㸦➨602ྕ㸧㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᑐ㇟⿕㦂⪅ࡢ࠺ࡕ╧╀ຠ⋡ࡀ80%௨ୗ࡛࠶ࡗࡓ3ྡࢆゎᯒᑐ㇟࠿ࡽ㝖እࡋࡓ⤖ᯝ㸪ゎᯒᑐ㇟⪅ࡣ14
ྡ㸦⏨ᛶ10ྡ㸪ዪᛶ4ྡ㸪ᖹᆒᖺ㱋31.5s5.7ṓ㸧࡜࡞ࡗࡓ㸬ᖹᆒSAᅇᩘࡣ102.5s37.2㸦╧╀᫬ぬ㓰
31.4s18.5㸪ᚤᑠぬ㓰71.1s23.0㸧࡛࠶ࡾ㸪SAwSB࡞ࡽࡧ࡟SAw/oSBࡢᅇᩘࡣࡑࢀࡒࢀ10.6s7.63ᅇ㸪
91.9 s 36.2 ᅇ ࡔ ࡗ ࡓ 㸬 㝶 క 㐠 ື ࡢ Ⓨ ⏕ ⋡ ࡣ 㸪
SAwSBࡀSAw/oSB࡟ ẚ࡭ ᭷ ព࡟ከ ࡃ㸦 ࡑ ࢀࡒࢀ
95.1s6.6%㸪69.2s19.5%㸪p<0.01㸪  㸧㸪ࡑࡢෆヂࡣ㸪ୗ⫥యື㸪ᄟୗ㸪ୖ⫥యື㸪ᥙ⑛࡛࠶ࡗ
ࡓ㸦ᅗ㸧㸬ୗ⫥యືࡢⓎ⑕㢖ᗘࡣ㸪SAwSB࡟࡚᭷ព࡟ከࡃㄆࡵࡽࢀࡓ(p<0.01㸪  )㸬
 ௨ୖࡢ⤖ᯝ࠿ࡽSBࡢⓎ⑕࣓࢝ࢽࢬ࣒࡟ࡣ㸪╧╀᫬ぬ㓰࡟ຍ࠼㸪ୗ⫥ࡢືࡁࡸᄟୗࡢⓎ⑕࡟㛵㐃ࡋࡓ⚄⤒άືࡢ㈿άࡶఱࡽ࠿ࡢ㛵㐃ᛶࢆ᭷ࡋ࡚࠸ࡿ
ྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬ᅗ SB Ⓨ⑕ࢆక࠺㸭కࢃ࡞࠸ぬ㓰⌧㇟᫬ࡢ㝶క㐠ືࡢⓎ⑕㢖ᗘϫ㸬 ᩥ⊩1) Rechtschaffen A. and Kales A. A manual ofstandardized terminology, techniques and scoring
techniques for sleep stage of human subject㸬! " # $ %   " &'' 㸬1968㸹NIH Publication No. 204㸬2) Michael Bonnet 㸪 David Carley 㸪 Mary
Carskadon et al㸬EEG arousals: scoring rules andexamples㸬 㸬1992㸹15㸸173-184㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 59㦵ⱆ⣽⬊ࡢ࣐࢖ࢡ࣭ࣟࢼࣀࣃࢱ࣮ࣥ໬ࢮࣛࢳࣥࢩ࣮ࢺ࡬ࡢ⣽⬊௜╔ᛶཬࡧ㓄ྥᛶ‫ۑ‬ຍᡃබ⾜㸪ᶓᒣᩔ㑻㸪ྜྷ⏣㟹ᘯ*໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ᶵ⬟⿵⥛Ꮫᩍᐊ*໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ཱྀ⭍೺ᗣ⛉Ꮫㅮᗙ⏕యᮦᩱᕤᏛᩍᐊ
Cell adhesion and alignment of osteoblast on micro/nano patterned gelatin
Kaga N㸪Yokoyama A㸪Yoshida Y*
Department of Oral Functional Prosthodontics, Division of Oral Functional Science, Graduate School of
Dental Medicine, Hokkaido University, *Department of Biomaterials and Bioengineering, Graduate School of
Dental Medicine, Hokkaido UniversityϨ㸬 ┠ⓗ ࢖ࣥࣉࣛࣥࢺ࡟ࡼࡿ⿵⥛ฎ⨨ࡣ㸪Ḟᦆ⿵⥛࡜ࡋ࡚ᗈࡃ⮫ᗋ࡟ᬑཬࡋ࡚࠸ࡿࡀ㸪ᵝࠎ࡞ၥ㢟Ⅼࡀሗ࿌ࡉࢀ࡚࠸ࡿ㸬≉࡟㏆ᖺ㸪ྜే⑕࡜ࡋ࡚࢖ࣥࣉࣛ
ࣥࢺṑ࿘⅖ࡀὀ┠ࡉࢀ㸪ಖᏑⓗ἞⒪ἲཬࡧእ⛉ⓗ἞⒪ἲ࡟ࡘ࠸࡚ᇶ♏㸪⮫ᗋࢆྵࡵ࡚ከࡃࡢ◊✲ࡀ࡞ࡉࢀ࡚࠸ࡿ㸬ᡃࠎࡣ㸪࢖ࣥࣉࣛࣥࢺ࿘ᅖ⅖࡟ࡼࡾ㟢ฟࡋࡓ࢖ࣥࣉࣛࣥࢺ⾲㠃࡟࣐࢖ࢡ࣭ࣟࢼࣀࣃ
ࢱ࣮ࣥࢆ௜୚ࡋ㸪࢖ࣥࣉࣛࣥࢺ⾲㠃࡟⣽⬊ࢆㄏᑟ㸪᥋╔ࡉࡏࡿࡇ࡜࡛࢜ࢵࢭ࢜࢖ࣥࢸࢢ࣮ࣞࢩࣙࣥࢆ
෌⋓ᚓࡍࡿࡇ࡜ࢆ⪃᱌ࡋࡓ㸬௒ᅇ㸪ᡃࠎࡣᚤ⣽࡞ᵓ㐀ࢆᣢࡘᆺ㸦࣮ࣔࣝࢻ㸧ࢆ⏝࠸࡚㸪௚ࡢᮦᩱ࡬
ᚤ⣽ᵓ㐀ࢆ㌿෗ࡍࡿᢏ⾡࡛࠶ࡿࢼࣀ࢖ࣥࣉࣜࣥࢺ
ἲࢆ฼⏝ࡋࡓ㸬ࢼࣀ࢖ࣥࣉࣜࣥࢺἲࢆ฼⏝ࡍࡿࡇ࡜࡛㸪Ᏻ౯࡟࣐࢖ࢡ࣭ࣟࢼࣀᵓ㐀ࢆᣢࡘヨᩱࡢస〇࡟ᡂຌࡋࡓ㸬ᮏ◊✲࡛ࡣ㸪ᇶ♏᳨ウ࡜ࡋ࡚࣐࢖
ࢡ࣭ࣟࢼࣀࢢ࣮ࣝࣈࢆᣢࡘࢮࣛࢳࣥࢩ࣮ࢺࢆㄪ〇ࡋ㸪㦵ⱆ⣽⬊ࡢ௜╔ᣲືཬࡧ㓄ྥᛶࢆẚ㍑ࡋࡓ㸬ϩ㸬 ᪉ἲ ࡣࡌࡵ࡟࣐࢖ࢡ࣭ࣟࢼࣀࣃࢱ࣮ࣥ໬ࢮࣛࢳࣥࢩ࣮ࢺࡢㄪ〇ࢆ᳨ウࡋࡓ㸬ࣃࢱ࣮ࣥࢆᣢࡘ▼ⱥ࣐ࢫࢱ࣮࣮ࣔࣝࢻୖ࡟ࢢࣜࢥ࣮ࣝኚᛶ࣏࢚ࣜࢳࣞࣥࢸ
ࣞࣇࢱ࣮ࣞࢺࣇ࢕࣒ࣝ㸦PET-G㸧ࢆ㍕ࡏ㸪⇕ࢼࣀ࢖ ࣥ ࣉ ࣜ ࣥ ࢺ ⿦ ⨨ 㸦 AH-1TC 㸧 ࡟ ࡚ 㸪 0.2Mpa 㸪105Υ㸪5ศ㛫ࣉࣞࢫࡋࡓ㸬ᚓࡽࢀࡓࣞࣉ࣮ࣜ࢝ࣔ
ࣝࢻୖ࡟10%ࢮࣛࢳࣥ⁐ᾮࢆ⁲ୗࡋ㸪24᫬㛫஝⇱ᚋ㸪࣮ࣔࣝࢻ࠿ࡽࣃࢱ࣮ࣥ໬ࢮࣛࢳࣥࢩ࣮ࢺࢆࡣ
ࡀࡋࡓ㸬ࡑࡢᚋ㸪200Υ/2᫬㛫ຍ⇕ᯫᶫࡋ㸪ᇵ㣴ࢹ࢕ࢵࢩࣗෆ࡛⭾₶࣭஝⇱ࡉࡏࡿࡇ࡜࡛㸪ࣃࢱ࣮ࣥ໬ࡋࡓࢮࣛࢳࣥࢩ࣮ࢺࢆᅛᐃࡋࡓ㸬⣽⬊௜╔ヨ㦂࡛ࡣ㸪ࣄࢺṇᖖ㦵ⱆ⣽⬊ NHOst㸪࣐࢘ࢫ㦵ⱆ⣽⬊
MC3T3-E1㸪㦵ⱆ⣽⬊ᵝ⣽⬊ Saos-2ࢆ5000ಶ/ੌ⃰ᗘ࡛᧛✀ࡋ㸪10%FBSࢆྵࡴDMEM୰࡛1᫬㛫௜╔ࡉࡏࡓ㸬ᅛᐃ⬺Ỉᚋ㸪㟁Ꮚ㢧ᚤ㙾㸦SEM㸧࡟࡚ᙧែほᐹ㸪ගᏛ㢧ᚤ㙾࡟࡚௜╔⣽⬊ᩘࡢ⟬ฟཬࡧ㓄ྥᛶࡢほᐹࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ࢮࣛࢳࣥ⁐ᾮࢆ⏝࠸࡚ࢼࣀ࢖ࣥࣉࣜࣥࢺἲ࡛ࣃ
ࢱ࣮ࣥ໬ࡋࡓ⤖ᯝ㸪0.5 +m㸪1 +m㸪2 +mࡢGrooveᙧ≧ࡀ௜୚ࡉࢀࡓࢮࣛࢳࣥࢩ࣮ࢺࢆస〇ࡍࡿࡇ࡜ࡀ࡛ࡁࡓ㸬ḟ࡟㸪NHOst㸪MC3T3-E1㸪Saos-2ࢆ⏝࠸࡚ࣃࢱ࣮ࣥ໬ࢩ࣮ࢺ࡬ࡢ⣽⬊௜╔ヨ㦂ࢆ⾜ࡗࡓ(ᅗ)㸬Grooveᵓ㐀ࢆ௜୚ࡍࡿࡇ࡜࡛⣽⬊௜╔ᩘࡣቑຍࡋࡓࡶࡢࡢGrooveࡢ኱ࡁࡉࡈ࡜࡛㸪⣽⬊௜╔ᩘ࡟኱ࡁ࡞㐪࠸ࡣほᐹࡉࢀ࡞࠿ࡗࡓ㸬⥆࠸࡚㸪ྛ⣽⬊✀ࡢᙧែࢆSEM࡟࡚ほᐹࡋࡓ⤖ᯝ㸪Grooveୖ࡛ࡣ⁁࡟ἢࡗ୍࡚㒊ࡢ⣽⬊ࡢ㓄ྥࡀほᐹࡉࢀࡓ㸬ࣃࢱ࣮ࣥࢧ࢖ࢬࡀᑠࡉࡃ࡞ࢀࡤ࡞ࡿ࡯࡝㸪⣽⬊ࡀࡼࡾࡼࡃఙᒎࡋ࡚࠸ࡿࡇ࡜ࡀほᐹࡉࢀࡓ㸬ࡲࡓ㸪
Groove᪉ྥࢆ0ᗘ࡜ࡋ࡚㸪㦵ⱆ⣽⬊ࡢ㓄ྥᛶࢆィࡋࡓ㸬Groove᪉ྥ࡟ἢࡗ࡚⣽⬊ࡀ0rࠥs20rࡢ⠊ᅖ࡟ከࡃఙᒎࡋ࡚࠸ࡿࡇ࡜ࡀほᐹࡉࢀࡓ㸬௨ୖࡼࡾ㸪ࢮࣛࢳࣥࢩ࣮ࢺ࡟࣐࢖ࢡ࣭ࣟࢼࣀGrooveᵓ㐀ࢆ௜୚ࡍࡿࡇ࡜࡛㸪࠾ࡅࡿ⣽⬊௜╔ᩘࡢቑຍ࡜⣽⬊ࡢఙᒎ᪉ྥ࡟ᙳ㡪ࢆཬࡰࡍࡇ࡜ࡀ♧ࡉࢀࡓ㸬

ᅗ NHOst, MC3T3-E1, Saos-2 ࡢ᧛✀ 1 ᫬㛫ᚋࡢ௜╔ヨ㦂⤖ᯝϫ㸬 ᩥ⊩
1)
S.S. Li, J. Shi, L. Liu, J.J. Li, L.M. Jiang, C.X.
Luo, K. Kamei, Y.Chen. Fabrication of gelatin
nanopatternsforcell
culturestudies.
Microelectoronic Engineering 2013; 110: 70-74− 249 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 60࣐࢘ࢫ࣮࢞ࢻࢩ࣮ࢺࡢ⇕཰⦰ࢆ฼⏝ࡋࡓᡂᆺ᪉ἲࡢ᳨ウ‫ۑ‬㧗ᶫ ╬㸪ᑠฟ 㤾㸪Ỉᶫ ྐ᪥ᮏṑ⛉኱Ꮫ᪂₲⏕࿨ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨㸯ㅮᗙInvestigation of Thermoforming Technique utilizing the Thermal Shrinkage of Mouthguard Sheet

Takahashi M, Koide K, Mizuhashi F
Department of Removable Prosthodontics, The Nippon Dental University School of Life Dentistry at NiigataϨ㸬 ┠ⓗ ࣐࢘ࢫ࣮࢞ࢻࡢཌࡉࡸᮦ㉁ࡣ㸪ࡑࡢຠᯝⓎ⌧ࡸᏳ඲ᛶ࡟┤᥋ᙳ㡪ࡍࡿ1)㸬ᡃࠎࡣࡇࢀࡲ࡛㸪ࢧ࣮ࣔࣇ࢛࣮࣑ࣥࢢ᫬࡟⏕ࡌࡿ࣐࢘ࢫ࣮࢞ࢻࢩ࣮ࢺࡢ≀ᛶኚ໬࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗ࡚ࡁࡓ㸬ࡑࡢ⤖ᯝ㸪㏻ἲ࡟ࡼࡾᡂᆺჾ࡛ࢩ࣮ࢺࢆຍ⇕ࡋࡓ㝿㸪ࢩ࣮ࢺࡢ㌾໬࣒ࣛࡀ㢧ⴭ࡛࠶ࡾ㸪ᡂᆺᚋ࣐࢘ࢫ࣮࢞ࢻࡢཌ
ࡉࡢῶᑡ࡟⧅ࡀࡿࡇ࡜ࢆ᫂ࡽ࠿࡟ࡋࡓ2)㸬⌧ᅾᕷ㈍ࡉࢀ࡚࠸ࡿ࣐࢘ࢫ࣮࢞ࢻࢩ࣮ࢺࡣ㸪ᢲฟᡂᙧ࠶ࡿ
࠸ࡣᑕฟᡂᙧ࡟ࡼࡾ〇㐀ࡉࢀ࡚࠾ࡾ㸪EVAࢩ࣮ࢺࡢከࡃࡀᢲฟᡂᙧ࡟ࡼࡾ〇㐀ࡉࢀ࡚࠸ࡿ㸬ᢲฟᡂᙧ࡟ࡼࡾ〇㐀ࡉࢀࡓࢩ࣮ࢺࡣ㸪㧗 ࡟࡞ࡿ࡜〇㐀᫬࡟⏕ࡌࡓṍࡀ⦆࿴ࡉࢀ࡚ᢲฟ᪉ྥ࡟⦰ࡴᛶ㉁ࡀ
࠶ࡿࡓࡵ㸪ࢩ࣮ࢺ࡜ᶍᆺࡢタ⨨᪉ྥࡀ࣐࢘ࢫ࣮࢞
ࢻࡢཌࡉ࡟ᙳ㡪ࡍࡿ3)㸬ᮏ◊✲࡛ࡣ㸪ᡂᆺᚋ࣐࢘ࢫ
࣮࢞ࢻࡢཌࡉࡢῶᑡࢆᢚไࡍࡿࡓࡵࡢᡂᆺ᪉ἲ࡟
ࡘ࠸᳨࡚ウࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ࣐࢘ࢫ࣮࢞ࢻࢩ࣮ࢺࡣ㸪ᢲฟᡂᙧ࡟ࡼࡾ〇㐀ࡉࢀࡓEVAࢩ࣮ࢺ㸦ࢫ࣏࣮ࢶ࣐࢘ࢫ࣮࢞ࢻ®㸪4.0 mm㸪
Keystone㸧࡜ࡋ㸪᪉ᙧ㸦127127 mm㸧࡜㸪෇ᙧ㸦┤ᚄ125 mm㸧ࢆ౑⏝ࡋࡓ㸬సᴗ⏝ᶍᆺࡣୖ㢡୰ษṑ࡛20 mm㸪ୖ㢡➨୍኱⮻ṑ࡛15 mm ࡢ㧗ࡉ࡟ࢺ࣑ࣜࣥࢢࡋࡓ◳㉁▼⭯ᶍᆺ࡜ࡋࡓ㸬ᡂᆺ࡟ࡣ྾
ᘬᆺᡂᆺჾ㸦࢘ࣝࢺࣛࣇ࢛࣮࣐࣮®㸪Ultradent㸧ࢆ⏝࠸㸪ࢩ࣮ࢺࡢタ⨨ࡣᶍᆺṇ୰⥺࡜ࢩ࣮ࢺࡢᢲฟ
᪉ྥࢆᆶ┤࡟ࡋࡓࡶࡢ㸦௨ୗ㸪᮲௳V㸧࡜ᖹ⾜࡟ࡋࡓࡶࡢ㸦௨ୗ㸪᮲௳P㸧࡜ࡋࡓ㸬࡞࠾㸪᪉ᙧࡢࢩ࣮ࢺࡣᡂᆺჾࢡࣛࣥࣉᯟ࡛ᅛᐃࡋ㸪෇ᙧࡢࢩ࣮ࢺ
ࡣࢧ࣮ࢡࣝࢺ࣮ࣞ㸦ࢪࢫࢡࢺ࣮ࣞ®㸪127×127 mm㸪
෇┤ᚄ100 mm㸪ྡ༡ṑ⛉㈠᫆㸧࡛ࢩ࣮ࢺࡢୖୗࢆ
ᣳࡳࢡࣛࣥࣉ࡛ᅛᐃࡋࡓ㸬ࢩ࣮ࢺࡢຍ⇕᮲௳ࡣ㸪ࢩ࣮ࢺࣇ࣮࣒ࣞࢆ㏻ᖖ౑⏝࡛࠶ࡿᨭᰕୖ➃࡟఩⨨ࡋࡓ᮲௳㸦௨ୗ㸪᮲௳T㸧㸪ࢩ࣮ࢺࣇ࣮࣒ࣞࢆ㏻ᖖ
౑⏝࠿ࡽ50 mmୗࡆ࡚ຍ⇕ࡋࡓ᮲௳㸦௨ୗ㸪᮲௳L㸧࡜ࡋࡓ㸬ࢩ࣮ࢺࡢ྾ᘬᅽ᥋ࡣ㸪࠸ࡎࢀࡢ᮲௳ࡶ᪉
ᙧࡢࢩ࣮ࢺ୰ኸ㒊ࡀᇶᗏ㠃࠿ࡽ15 mm㸪෇ᙧࡢࢩ
࣮ࢺࡀ10 mm 㝆ୗࡋࡓ᫬Ⅼ࡜ࡋࡓ㸬ྛຍ⇕᮲௳࡟࠾࠸࡚㸪ຍ⇕㠃࡜㠀ຍ⇕㠃ࡢࢩ࣮ࢺ⾲㠃 ᗘࢆᨺᑕ ᗘィ㸦CT-2000D® 㸪CUSTOM㸧࡟ࡼࡾィ ࡋࡓ㸬ᡂᆺᚋ࣐࢘ࢫ࣮࢞ࢻࡢ๓ṑ㒊㸦ษ⦕㸪၁㠃㸧࡜⮻ṑ㒊㸦ည㢌㡬㸪㢋ഃ㠃㸧ࡢཌࡉࢆ࣓ࢪ࣮ࣕࣜࣥࢢࢹࣂ࢖ࢫ ® 㸦21-111㸪YDM㸧࡟ࡼࡾィ ࡋࡓ㸬⤫ィศᯒࡣ㸪ࢩ࣮ࢺࡢᢲฟ᪉ྥ
࡜ຍ⇕᪉ἲ࡟ࡼࡿᡂᆺᚋ࣐࢘ࢫ࣮࢞ࢻࡢཌࡉࡢ㐪࠸࡟ࡘ࠸࡚㸪஧ඖ㓄⨨ศᩓศᯒࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹᡂᆺ᫬ࡢຍ⇕㠃࡜㠀ຍ⇕㠃ࡢ ᗘᕪࡣ㸪᪉ᙧࡢࢩ࣮ࢺ࠾ࡼࡧ෇ᙧࡢࢩ࣮ࢺ࡟࠾࠸࡚㸪᮲௳Tࡼࡾࡶ
᮲௳Lࡀᑠࡉ࠿ࡗࡓ㸬ᡂᆺᚋ࣐࢘ࢫ࣮࢞ࢻࡢཌࡉࡣ㸪᪉ᙧࡢࢩ࣮ࢺ࠾ࡼࡧ෇ᙧࡢࢩ࣮ࢺ࡟࠾࠸࡚㸪᮲௳Pࡼࡾࡶ᮲௳Vࡀ㸪᮲௳Tࡼࡾࡶ᮲௳Lࡀཌࡃ࡞ࡾ㸪᮲௳V-Lࡀ᭱ࡶཌࡃ࡞ࡗࡓ㸬᪉ᙧࡢࢩ࣮ࢺࡣࡍ࡭࡚ࡢィ 㒊఩࡛㸪෇ᙧࡢࢩ࣮ࢺࡣษ⦕㸪၁㠃㸪㢋ഃ㠃࡛᭷ពᕪࡀㄆࡵࡽࢀࡓ㸦p<0.01㸧㸬௨ୖࡢࡇ࡜࠿ࡽ㸪ᢲฟᡂᙧࡉࢀࡓEVAࢩ࣮ࢺࢆ⏝࠸࡚࣐࢘ࢫ࣮࢞ࢻࢆ྾ᘬᡂᆺࡍࡿ㝿࡟ࡣ㸪ᡂᆺჾࢡࣛࣥࣉᯟ࡛ࢩ࣮ࢺࢆᅛᐃࡍࡿሙྜࡶ㸪ࢧ࣮ࢡࣝࢺ࣮࡛ࣞࢩ࣮ࢺࢆᣳࢇ࡛ᅛᐃࡍࡿሙྜࡢ࠸ࡎࢀ
࡟࠾࠸࡚ࡶ㸪ࢩ࣮ࢺࡢ㓄ྥ᪉ྥࢆసᴗ⏝ᶍᆺṇ୰⥺࡟ᑐࡋ࡚ᆶ┤᪉ྥ࡜࡞ࡿࡼ࠺タ⨨ࡋࡓ᪉ࡀᡂᆺ
ᚋࡢཌࡉࡢῶᑡࢆᢚไ࡛ࡁࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗ
ࡓ㸬ࡲࡓ㸪ᡂᆺჾࡢࢩ࣮ࢺࣇ࣮࣒ࣞࢆୗࡆ࡚ຍ⇕ࡍࡿࡇ࡜࡟ࡼࡾ㸪ࢩ࣮ࢺຍ⇕㠃ࡢ㐣⇕ࢆ㑊ࡅ㸪ᆒ୍࡞㌾໬≧ែ࡬ࡢࢥࣥࢺ࣮ࣟࣝ࡟᭷ຠ࡛࠶ࡿࡇ࡜
ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1)๓⏣ⰾಙ㸪ᒣ⏣⣧Ꮚ㸬࣐࢘ࢫ࣮࢞ࢻ⏝᪂⣲ᮦࡢᛂ⏝㛤Ⓨ ⌮᝿ⓗ࡞ᵓ㐀࡜ᮦ㉁ࢆồࡵ࡚㸬⮫ᗋࢫ࣏࣮ࢶ་Ꮫ 2003; 12: 1391-1399㸬
2)
Takahashi M, Koide K, Mizuhashi F. Variation inmouthguard thickness due to different heating
conditions during fabrication. J Prosthodont Res
2013; 57: 179-185.
3)  ➉ෆṇᩄ㸪㒔㈡㇂⣖ᏹ㸬ཱྀ⭍ෆ⿦⨨సᡂࡢࡓࡵࡢࢧ࣮ࣔࣇ࢛࣮࣑ࣥࢢᚭᗏά⏝㸬ᮾி㸪◁᭩ᡣ㸪2006㸪p.54-55㸬

− 250 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 61ప☢ᛶZr-14Nbྜ㔠࡜ᕷ㈍㝡ᮦ࡜ࡢ⏺㠃ᙉᗘࡢྥୖ࡟ᐤ
୚ࡍࡿ㓟໬ฎ⌮ᒙࡢᙳ㡪‫ۑ‬ຍᔱ♸ె㸪㧗ᕷᩔኈ㸪ᏳỤ㏱*㸪㧗ᶫⱥ࿴**㸪ⱝᯘ๎ᖾᅜ❧኱Ꮫἲேᮾி་⛉ṑ⛉኱Ꮫ㸦TMDU㸧㒊ศᗋ⩏ṑ⿵⥛Ꮫศ㔝㸪ṑෙಟ᚟ᢏᕤᏛศ㔝*㸪⏕యᮦᩱຍᕤᏛศ㔝**
Effect of surface oxidation layer on interfacial strength of commercially dental porcelain to Zr-14Nb alloy
with low magnetic susceptibility.
Kajima Y, Takaichi A, Yasue T*, Takahashi H**, Wakabayashi N
Removal Partial Prosthodontics, Fixed Prosthetic Engineering*, Oral Biomaterials Engineering**, Tokyo
Medical and Dental UniversityϪ㸬 ⤖ᯝ࡜⪃ᐹ⇕ฎ⌮ᚋࡢZr-14Nbྜ㔠ヨᩱ⾲ᒙࡢⓑⰍࡢ㓟໬⭷ࡣ㸪XRDࡢ⤖ᯝ࠿ࡽ୺࡟༢ᩳ⣔ࡢࢪࣝࢥࢽ࢔࡛ᵓ
ᡂࡉࢀ㸪SEMീࡼࡾࣈࣛࢫࢺฎ⌮ࡢࡳࡢヨᩱ㸦Z0㸧
ࡼࡾᚤ⣽࡞พฝᵓ㐀ࢆ᭷ࡋ࡚࠸ࡓ㸬ࡲࡓ㸪⾲㠃⢒
ࡉࡣZ5㸼Z10㸼Z20㸼Z0ࡢ㡰࡛࠶ࡗࡓ㸬ࡏࢇ᩿᥋╔ᙉᗘࡣZ5࡛᭱኱࡜࡞ࡾ㸪Z5࡜Z10ࡢ᮲௳࡛Tiࢆ᭷ព ࡟ ୖ ᅇ ࡗ ࡓ 㸦  㸺 0.05 㸧 㸦 ᅗ 㸧 㸬 ◚ ᩿ 㠃 ࡣ Zr14Nbྜ㔠࡜㝡ᮦࡀΰᅾࡍࡿΰྜ◚ቯ࡛࠶ࡗࡓ㸬⏺㠃ࡢSEMീ࠿ࡽࡣ㸪ᚤ⣽࡞㔠ᒓ㓟໬⭷ࡢพฝ㠃࡟㝡ᮦࡀᐦ࡟຺ྜࡋ࡚࠸ࡿᵝᏊࡀほᐹࡉࢀࡓ㸬
EDSศᯒ⤖ᯝ࠿ࡽࡣ㔠ᒓᡂศࡢ㝡ᮦഃ࡬ࡢᣑᩓࡀ
ほᐹࡉࢀ㸪≉࡟Z5㸪Z10ࡢヨᩱ࡛㢧ⴭ࡛࠶ࡗࡓ㸬௨ୖࡢ⤖ᯝࡼࡾ㸪Zr-14Nbྜ㔠ࡣᕷ㈍㝡ᮦ࡜ᶵᲔⓗ࣭໬Ꮫⓗ࡟⤖ྜࡋTi࡜ẚ㍑ࡋ࡚ඃࢀࡓ㝡ᮦ↝௜ᙉᗘࢆ♧ࡍࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡾ㸪࢖ࣥࣉࣛࣥࢺࡢ
ୖ㒊ᵓ㐀࡜ࡋ࡚᭷ᮃ࡛࠶ࡿࡇ࡜ࡀ♧ࡉࢀࡓ㸬    Ϩ㸬 ┠ⓗZr-14Nbྜ㔠ࡢ☢໬⋡ࡣTiࡢ⣙1/2㸪Co-Crྜ㔠ࡢ
⣙1/5 ࡜㸪ᚑ᮶ࡢṑ⛉⏝㔠ᒓࡼࡾప☢ᛶࢆ♧ࡍࡓࡵ㸪MRI᧜ീ᫬ࡢ࢔࣮ࢳࣇ࢓ࢡࢺࢆ㜵Ṇࡍࡿྜ㔠࡜ࡋ࡚ᮇᚅࡉࢀ࡚࠸ࡿ1)㸬₇⪅ࡽࡣྠྜ㔠ࡀ࢖ࣥࣉࣛࣥࢺࡢୖ㒊ᵓ㐀࡟ᛂ⏝࡛ࡁࡿඃࢀࡓᶵᲔⓗᛶ㉁࡜㸪Ti࡜ྠ⛬ᗘࡢ㗪㐀ᛶࢆ᭷ࡍࡿࡇ࡜ࢆሗ࿌ࡋࡓ1)㸬
ࡋ࠿ࡋୖ㒊ᵓ㐀࡟ࡣṑෙⰍࡢ௜୚ࡢࡓࡵ㝡ᮦ↝௜᧯సࡀ୙ྍḞ࡛࠶ࡿ㸬㝡ᮦ↝௜࡛ࡣ୍⯡ⓗ࡟㸪↝௜๓࡟⾜࠺ࢹ࢕ࢠࣕࢵࢩࣥࢢ࡛ᙧᡂࡉࢀࡿ㓟໬ᒙࡀ⏺㠃ᙉᗘ࡟ᙳ㡪ࢆ୚࠼ࡿࡓࡵ㸪᪂つྜ㔠࡛࠶ࡿ
Zr-14Nb࡜ࡇࢀ࡟㐺ࡋࡓᕷ㈍㝡ᮦ࡜ࡢ↝ࡁ௜ࡅᙉᗘ
ࢆྥୖࡉࡏࡿ⾲㠃ฎ⌮ࢆ᫂ࡽ࠿࡟ࡍࡿᚲせࡀ࠶ࡿ㸬ᮏ◊✲࡛ࡣZr-14Nbࡢ㓟໬⇕ฎ⌮ࡢ㐪࠸࡟ࡼࡿ㝡ᮦ࡜ࡢ⏺㠃ᙉᗘ࡬ࡢᙳ㡪ࢆ᳨ウࡋ㸪Ti࡜ࡢẚ㍑ࢆྵ
ࡵࡓホ౯ࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ
 Zr-14Nbྜ㔠ࡢ෇ᰕ≧ヨᩱ㸦┤ᚄ8 mm㸪㧗ࡉ8mm㸧ࢆ㐲ᚰ㗪㐀㸦MSE-50TMD-Z, Yoshida cast㸧࡛〇సࡋࡓ㸦n= 40㸧㸬㝡ᮦ↝௜㠃࡟ࢧࣥࢻࣈࣛࢫࢺ ฎ ⌮ ᚋ 㸪 4 ᮲௳ࡢ ⇕ฎ ⌮ 㸦Z0㸸⇕ ฎ⌮ ࡞ࡋ㸪
Z5㸸700qC 5ศ㸪Z10㸸700qC 10ศ㸪Z20㸸700qC 20ศ㸧ࢆ᪋ࡋࡓ㸬ࡑࢀࡒࢀࡢ᮲௳ࡼࡾ↓సⅭ࡟ヨᩱࢆ㑅ᢥࡋ㸦ྛ᮲௳࡛n=1㸧๓ฎ⨨㠃ࡢ⾲㠃⢒ࡉࢆ
profile micrometer 㸦VF-7510, Keyence㸧ࢆ⏝࠸࡚ᐃᚋ㸪㉮ᰝᆺ㟁Ꮚ㢧ᚤ㙾㸦SEM㸧ཬࡧ࢚ࢵࢡࢫ⥺ᅇᢡ⿦⨨㸦XRD㸧ࢆ⏝࠸࡚⤌⧊ほᐹ࣭⤖ᬗᵓ㐀ゎᯒࢆ⾜ࡗࡓ㸬ṧࡾࡢヨᩱࡣ㧗ࡉ8 mm࡜࡞ࡿࡼ࠺࡟
㝡ᮦ㸦Opaque㸸InitialTi㸪Dentine㸸InitialAL, GC㸧ࡢ⠏┒ࢆ⾜ࡗࡓ㸬㝡ᮦ⠏┒ᚋྛ᮲௳ࡼࡾ↓సⅭ࡟୍ࡘࡢヨᩱࢆ㑅ᢥࡋ㸪ࣞࢪࣥໟᇙࡋ୰ኸ㒊࡛ษ᩿࣭◊☻ࡋ㸪㝡ᮦ㔠ᒓࡢ⏺㠃ࢆSEMཬࡧ࢚ࢿࣝࢠ
࣮ศᩓᆺX⥺ศᯒ㸦EDS㸧ࢆ⏝࠸⤌⧊ほᐹ࣭ඖ⣲ศᯒࢆ⾜ࡗࡓ㸦ྛ᮲௳࡛n= 1㸧㸬ṧࡾࡢヨᩱࡣ୓⬟ヨ㦂ᶵ㸦AG-2000B㸪ᓥὠ㸧࡟࡚ࢡࣟࢫ࣊ࢵࢻࢫࣆ
࣮ࢻ1.0mm/minࡢ᮲௳ୗ࡛ࡏࢇ᩿ヨ㦂ࢆ⾜ࡗࡓ㸦ྛ᮲௳࡛n= 8㸧㸬ẚ㍑ࡢࡓࡵTi㸦Ti-࢔ࣟ࢖ H㸪GC㸧ࡶ࣓࣮࣮࢝ࡢᣦ♧㏻ࡾ࡟㝡ᮦ↝ᡂᚋ㸦InitialTi,㸪
GC㸧ࡏࢇ᩿ヨ㦂ࢆ⾜ࡗࡓ㸦n= 8㸧㸬

(< 0.05

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 ࡏࢇ᩿᥋╔ᙉࡉϫ㸬 ᩥ⊩1)  Kajima Y, Doi H, Takaichi A, Hanawa T,
Wakabayashi N. Surface characteristics andcastability of Zr-14Nb alloy dental castings. Dent
Mater J 2014 ; 33 : 631-7.

− 251 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 62

CAD/CAMࢡࣛ࢘ࣥࡢ㧗ᅽ⵨Ẽ⁛⳦ᚋࡢᑍἲኚ໬
‫ۑ‬ఀ⸨☻ᶞ㸪୰ᮧ೺ኴ㑻㸪ᒣᮏྖᑗ㸪㏆⸨ᗣྐ㸪᳃ᒣẎ*㸪⣽ᕝ⛱᫭**㸪⸨ᮏ㝯ᗈ**㸪 ᑠᯇཎᓫ**㸪ᐩᒣ㧗ᏹ***ᮾᾏᨭ㒊㸪*ᰴᘧ఍♫ᯇ㢼㸪**࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥ㸦ᰴ㸧㸪***ᰴᘧ఍♫ࢪ࣮ࢩ࣮Dimensional Chamge of CAD/CAM Crowns after High Pressure Steam Sterilization
Ito M, Nakamura K, Yamamoto M, Kondo Y, Moriyama T*, Hosokawa T**, Fujimoto T**,
Komatsubara T**, Tomiyama T***
Tokai Branch, *SHOFU INC., **KaVo Dental Systems Japan Co., Ltd., ***GC Co.

Ϩ㸬 ┠ⓗ ⿵⥛ศ㔝࡟࠾ࡅࡿ㝔ෆឤᰁᑐ⟇ࡣ㸪᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ࡢ࢞࢖ࢻࣛ࢖ࣥ࡟ឤᰁᑐ⟇ᣦ㔪ࡀ♧ࡉࢀ࡚࠸ࡿ㸬⿵⥛ṑ⛉἞⒪㐣⛬ࡢ࡞࠿࡛᭱⤊⿵⥛⿦⨨࡟ࡘ࠸࡚ࡣࣀࣥࢡࣜࢸ࢕࢝ࣝ࡞ᑐ㇟≀࡜ࡋ࡚ᢅ࠸㸪పỈ‽ᾘẘ⸆࡛ᑐᛂࡀྍ⬟࡛࠶ࡿ1)࡜ࡉࢀ࡚࠸ࡿ㸬ࡲࡓᾘẘᚋ࡟ᐦ㛢ໟ⿦ࡀ᥎ዡࡉࢀ࡚࠸ࡿࡀ㸪ᾘẘᚋࡣṧ␃⸆๣ࢆ㝖ཤࡍࡿࡓࡵ࡟㉸㡢ἼὙίࢆ⾜࠺ᚲせࡀ࠶ࡾ㸪ࡑࡢ㝿࡟෌ởᰁࡢ༴㝤ᛶࡀ࠶ࡿ㸬 ࡇࢀ࡟ᑐࡋ࡚㸪་⒪ᶵჾࡢ⁛⳦࡟ࡣ㧗ᅽ⵨Ẽ⁛⳦ἲࡀᗈࡃ⏝࠸ࡽࢀ࡚࠾ࡾಙ㢗ᛶࡶ㧗࠸㸬ᐦ㛢ໟ⿦ࡋ࡚⁛⳦ࡀྍ⬟࡛࠶ࡿࡢ࡛෌ởᰁࡢ࠾ࡑࢀࡀ࡞
࠸㸬ࡋ࠿ࡋࢡࣛ࢘ࣥࢆ㧗ᅽ⵨Ẽ⁛⳦ࡋ㸪⁛⳦๓ᚋࡢᑍἲኚ໬ࢆ᳨ウࡋࡓሗ࿌ࡣ࡞࠸㸬 㧗ᅽ⵨Ẽ⁛⳦࡟ᑐࡋ࡚㸪CAD/CAMࢡࣛ࢘ࣥࡣ
CAD/CAMࣈࣟࢵࢡ࠿ࡽᡂᙧຍᕤࢆ⾜࠺ࡓࡵࡑࡢ≀ᛶࡀᏳᐃࡋ࡚࠾ࡾᑍἲኚ໬ࡀᑠࡉ࠸ࡇ࡜ࡀண ࡉࢀࡿ㸬ࡑࡇ࡛௒ᅇࡣCAD/CAMࢡࣛ࢘ࣥࢆᑐ㇟࡜ࡋ㸪㧗ᅽ⵨Ẽ⁛⳦๓ᚋࡢᑍἲኚ໬ࢆẚ㍑᳨ウࡋࡓࡢ࡛
ሗ࿌ࡍࡿ㸬
ϩ㸬 ᪉ἲ
 ᑐ㇟ࡣୗ㢡➨2ᑠ⮻ṑࡢCAD/CAMࢡࣛ࢘ࣥ࡜ࡋ
ࡓ㸬ᨭྎṑࢆᶍᆺୖ࡛స〇ࡋ㸪CAD/CAMࢩࢫࢸ࣒
㸦ARCTICA㸪࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥ㸪ᮾி㸪᪥ᮏ㸧ࢆ⏝࠸࡚ᶍᆺࡢࢫ࢟ࣕࢽࣥࢢ㸪ࢡࣛ࢘ࣥࡢࢹࢨ࢖ࢽࣥࢢ㸪࣑ࣜࣥࢢࢆ⾜ࡗࡓ㸬 ࢡࣛ࢘ࣥ࡟⏝࠸ࡓCAD/CAMࣈࣟࢵࢡࡣ4✀㢮࡛
CAD/CAMຍᕤ⏝ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈࣟࢵࢡ㸦ᯇ㢼ࣈࣟࢵࢡHC㸪ᯇ㢼㸪ி㒔㸪᪥ᮏ㸧௨ୗHC㸪ṑ⛉ษ๐ຍᕤ⏝ࣞࢪࣥᮦᩱ㸦ENAMIC㸪࢝࣎ࢹࣥࢱ
ࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥ㸪ᮾி㸪᪥ᮏ㸧௨ୗEN㸪ࢪࣝ ࢥ ࢽ ࢔ ᙉ ໬ ࢞ ࣛ ࢫ ࢭ ࣛ ࣑ ࢵ ࢡ 㸦 VITA
SUPRINITY, VITA Zahnfabrik, Bad Säckingen,Germany㸧௨ୗSU㸪ṑ⛉ษ๐ຍᕤࣞࢪࣥᮦᩱ㸦CTemp㸪࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥ㸪ᮾி㸪᪥ᮏ㸧௨ୗCT࡜ࡋ㸪ྛ6ヨᩱࢆ〇సࡋࡓ㸬 ᐦ㛢ໟ⿦࡟ࡣ⁛⳦ࣂࢵࢢ㸦࣓ࣛࣇ࢛࣮ࣝࣟࣝࢱ
࢖ࣉᖜ5cm㸪GC㸪ᮾி㸪᪥ᮏ㸧࡟ࢡࣛ࢘ࣥࢆᤄධ

ࡋ㸪࣍ࢵࢺࢩ࣮࣮ࣛ㸦࣓ࣛࢩ࣮ࣝ100+㸪GC㸪ᮾி㸪᪥ᮏ㸧ࢆ⏝࠸࡚ᐦᑒࡋࡓ㸬ᐦᑒࡋࡓࢡࣛ࢘ࣥࢆࢡ
ࣛࢫB㧗ᅽ⵨Ẽ⁛⳦ჾ㸦ࣂ࢟ࣗࢡ࣮ࣞࣈ31B+㸪GC㸪ᮾி㸪᪥ᮏ㸧ࡢ⁛⳦ࣉࣟࢢ࣒ࣛUniversal Program࡛⁛⳦ࡋࡓ㸬 ⁛ ⳦ ๓ ᚋ ࡢ ࢡ ࣛ ࢘ ࣥ ࢆ ࢹ ࢪ ࢱ ࣝ ࣀ ࢠ ࢫ 㸦 CD15AX㸪࣑ࢶࢺࣚ㸪⚄ዉᕝ㸪᪥ᮏ㸧ࢆ⏝࠸࡚㸪ྠ୍⾡⪅ࡀ ᐃ㒊ࢆྛ5ᅇࡎࡘィ ࡋ㸪ᖹᆒ್ࢆ ᐃ್࡜ࡋࡓ㸬 ᐃ㒊ࡣ㏆㐲ᚰእᚄ㸦E㸧㸪ࢡࣛ࢘ࣥࡢṑ㢕㒊࣐࣮ࢪࣥ㒊࠿ࡽ㢋ഃည㢌㡬ࡲ࡛ࡢ㧗ࡉ㸦B㸧㸪
⯉ഃည㢌㡬ࡲ࡛ࡢ㧗ࡉ㸦L㸧࡜ࡋࡓ㸬 ⁛⳦๓ᚋࡢ ᐃ್ࡢゎᯒࡣpaired t-test࡛⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ 㧗ᅽ⵨Ẽ⁛⳦๓ᚋࡢCAD/CAMࢡࣛ࢘ࣥࡢᑍἲࢆ
ẚ㍑ࡋࡓ⤖ᯝ㸦ᅗ㸧㸪 1㸬 HCࡣE࡜L࡟࠾࠸࡚᭷ពᕪ㸦E㸸=0.037㸪
L㸸P=0.006㸧ࡀㄆࡵࡽࢀࡓ㸬 2㸬 ENࡣE࡛᭷ពᕪ㸦=0.008㸧ࡀㄆࡵࡽࢀࡓ㸬 3㸬 SUࡣB࡛᭷ពᕪ㸦=0.018㸧ࡀㄆࡵࡽࢀࡓ㸬 4㸬 CTࡣB࡛᭷ពᕪ㸦=0.0000005㸧ࡀㄆࡵࡽࢀࡓ㸬 ௨ୖࡢ⤖ᯝ࠿ࡽ㸪௒ᅇ㑅ᐃࡋࡓCAD/CAMࢡ ࣛ࢘ࣥࡣ㧗ᅽ⵨Ẽ⁛⳦࡟ࡼࡗ࡚ᑍἲኚ໬ࡀ㉳ࡇࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬㧗ᅽ⵨Ẽ⁛⳦๓ᚋࡢࢡࣛ࢘ࣥࡢ ᐃ್ϫ㸬 ᩥ⊩1) ♫ᅋἲே᪥ᮏ⿵⥛ṑ⛉Ꮫ఍⦅㸬⿵⥛ṑ⛉἞⒪㐣⛬࡟࠾ࡅࡿឤᰁᑐ⟇ᣦ㔪㸬2007㸸10㸬2) McDonaid SA,Ross KJ㸪Frank G.A study of− 252 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 63

CAD / CAMෙ⏝ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥᮦᩱࡢⰍㄪᏳᐃᛶ࡟ࡘ࠸
࡚‫ۑ‬Ᏻ⸨ᙲᾈ㸪ᒸ⏣Ⰻኴ㸪➉ᕷ༟㑻*㸪୰ᮧዲᚨ㸪Ἑྜ㐩ᚿ**㸪⏣୰㈗ಙ

ឡ▱Ꮫ㝔኱ᏛṑᏛ㒊᭷ᗋ⩏ṑᏛㅮᗙ㸪*ឡ▱Ꮫ㝔኱ᏛṑᏛ㒊ෙ࣭ᶫ⩏ṑᏛㅮᗙ**ឡ▱Ꮫ㝔኱ᏛṑᏛ㒊ṑ⛉⌮ᕤᏛㅮᗙThe Color Stability Study of CAD/CAM Hybrid Resin Materials
Ando A㸪Okada R㸪Takeichi T*㸪Nakamura Y㸪Kawai T**㸪Tanaka Y
Department of Removable Prosthodontics School of Dentistry Aichi-Gakuin University㸪*Department of
Fixed Prosthodontics School of Dentistry Aichi-Gakuin University, **Department of Dental Materials Science
School of Dentistry Aichi-Gakuin UniversityϨ㸬 ┠ⓗ 2014ᖺ4᭶࠿ࡽᑠ⮻ṑ㒊࡟ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈ
ࣟࢵࢡࢆ⏝࠸ࡓCAD/CAMෙࡀ೺ᗣಖ㝤ࡢᑐ㇟࡜ࡉ
ࢀࡓࡀ㸪ࡑࢀ㎾ࡣᑠ⮻ṑ㒊࡟඲㒊⿕そෙ࡟ࡼࡿ⿵
⥛ฎ⨨ࡀᚲせ࡜࡞ࡗࡓሙྜ㸪ᙉᗘⓗ࡞ほⅬ࠿ࡽ඲㒊㗪㐀ෙࢆ㑅ᢥࡋ㸪ᑂ⨾㠃࡛ጇ༠ࡏࡊࡿࢆᚓ࡞࠸
ࢣ࣮ࢫࡀከ࠿ࡗࡓ㸬ࡋ࠿ࡋ㸪᪂ࡓ࡟ಖ㝤㐺ᛂ࡜࡞
ࡗࡓCAD/CAMෙࡣ㸪ᙉᗘⓗ࡟ࡶඃࢀ㸪࠶ࡿ⛬ᗘࡢᑂ⨾ⓗ࡞せồࢆ‶ࡓࡍࡓࡵ㸪௒ᚋࡶከࡃࡢᝈ⪅࡟࡜ࡗ࡚⿵⥛ᮦᩱࡢ㑅ᢥ⫥ࡢ୍ࡘ࡜ࡋ࡚ὀ┠ࡉࢀࡿಟ᚟≀࡛࠶ࡿ㸬ࡇࡢᵝ࡟ኳ↛ṑࡢṑෙⰍ࡟㏆࠸Ⰽㄪࢆ᭷ࡍࡿᮦ
ᩱࡢⰍㄪᏳᐃᛶ࡟㛵ࡍࡿㄪᰝ1,2) ࡣ୍⯡⮫ᗋ་࡟࡜ࡗ࡚ࡶ኱ࡁ࡞㛵ᚰ஦࡛࠶ࡿࡀ㸪ヲ⣽࡞ሗ࿌ࡣࡲࡔ
ᑡ࡞࠸㸬ᮏ◊✲ࡢ┠ⓗࡣ㸪௦⾲ⓗ࡞ṑ⛉ᮦᩱ࣓࣮࣮࢝4♫
࠿ࡽ㈍኎ࡉࢀ࡚࠸ࡿ㸪೺ᗣಖ㝤㐺ᛂࡢCAD/CAMෙ
⏝ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈࣟࢵࢡࡢⰍㄪᏳᐃᛶࢆ㸪ᚑ᮶⏝࠸ࡽࢀ࡚ࡁࡓᮦᩱ࡜ẚ㍑᳨ウࡍࡿࡇ࡜࡛࠶ࡿ㸬ϩ㸬 ᪉ἲ ௒ᅇᐇ㦂ᑐ㇟࡜ࡋࡓCAD/CAMෙ⏝ࣁ࢖ࣈࣜࢵࢻ
ࣞࢪࣥࣈࣟࢵࢡࡣ㸪ࢭࣛࢫ࣐࣮ࢺ㸦ࢪ࣮ࢩ࣮㸧㸪ࣈ ࣟ ࢵ ࢡ HC 㸦 ᯇ 㢼 㸧 㸪 Lava ࢔ ࣝ ࢸ ࢕ ࣓ ࢵ ࢺ
㸦3M㸧㸪࢚ࢼ࣑ࢵࢡ㸦VITA㸧࡛࠶ࡿ㸬ࡲࡓ㸪ẚ
㍑ᑐ↷࡜ࡋ࡚㸪ࢪࣕࢣࢵࢺࢡࣛ࢘ࣥ࡞࡝࡟⏝࠸ࡽࢀ࡚ࡁࡓ⠏┒⏝◳㉁ࣞࢪࣥ㸪ࢯࣜࢹࢵࢡࢫ㸦ᯇ㢼㸧ࢆ⏝ពࡋࡓ㸬
ྛ✀ᮦᩱࢆ⏝࠸㸪0.6mmཌࡢヨᩱࢆస〇ࡋ㸪⮬ື◊☻⿦⨨࡟࡚᭱⤊ⓗ࡟࢔࣑ࣝࢼ⢊ᮎ0.3࣑ࢡࣟࣥࡲ࡛୧㠃ࢆ㙾㠃◊☻ࡋࡓ㸬ྛヨᩱࢆ⏕⌮㣗ሷỈ㸪ࢥ࣮ࣄ࣮㸪࣮࢝ࣞ࡟ᾐₕࡋ㸪37Υࡢᜏ ᵴ࡟ಀ␃ᚋ㸪ࡑࢀࡒࢀ1᪥㸪3᪥㸪7᪥㸪14᪥ᚋࡢⰍㄪࡢኚ໬ࢆほᐹࡋࡓ㸬Ⰽㄪኚ໬࡟ࡘ࠸࡚ࡣ㸪ⰍᙬⰍᕪィࢆ⏝࠸࡚ྛヨᩱࡢL*㸪a*㸪b* ࢆᐃ㔞ⓗ࡟ ᐃࡋ㸪ⰍᕪԥE*abࢆồࡵࡓ㸬ࡲࡓ㸪14᪥㛫ᾐₕࡋࡓྛヨᩱࢆ᧜ᙳࡋ㸪⫗║ⓗ࡟ࡶⰍㄪኚ໬ࢆほᐹࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ⏕⌮㣗ሷỈ࡟ᾐₕࡋࡓヨᩱ࡛ࡣ㸪ྛヨᩱ㛫࡟᭷ព࡞ኚ໬ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬ࢥ࣮ࣄ࣮࡟ࡼࡿヨ㦂࡛ࡣ㸪ྛヨᩱ࡟ⱝᖸࡢ⤒᫬ⓗ࡞Ⰽᕪࡢኚ໬ࡀㄆ
ࡵࡽࢀ㸦ᅗ㸧㸪࣮࢝ࣞ࡟ࡼࡿᾐₕヨ㦂ࡀ᭱ࡶ㢧ⴭ࡞ኚⰍࢆ♧ࡋࡓ㸬ࡲࡓ㸪4✀ࡢCAD/CAMෙ⏝ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈࣟࢵࢡࡣ㸪ᚑ᮶ࡢ◳㉁ࣞࢪࣥ࡜
ẚ㍑ࡋⰋዲ࡞ⰍㄪᏳᐃᛶࡀ☜ㄆࡉࢀࡓ㸬◳㉁ࣞࢪࣥࡣ௚࡟ẚ࡭㸪Ⰽㄪኚ໬ࡀ᫂ࡽ࠿࡛࠶
ࡗࡓ㸬ࡇࢀࡣ㸪CAD/CAMෙ⏝ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥ
ࣈࣟࢵࢡࡀ㸪⌮᝿ⓗ࡞᮲௳ୗ࡛〇㐀ࡉࢀ࡚࠾ࡾ㸪ࣔࣀ࣐࣮ࡢ㔜ྜ⋡ࡀ㧗ࡃ㸪ẼἻࡢΰධࡀᴟࡵ࡚ᑡ
࡞࠸ࡇ࡜ࡸ㸪ศᏊᵓ㐀୰࡟୙㣬࿴஧㔜⤖ྜࡀᑡ࡞࠸ࡓࡵ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿ3)㸬

ᅗ ࢥ࣮ࣄ࣮ᾐₕ᫬ࡢԥE*abϫ㸬 ᩥ⊩1) ཭⏣⠜⮧㸪ᓊᮏᓫྐ㸪㛗ሯ⏤㤶࡯࠿㸬㙾㠃◊☻ࡉࢀࡓྛ✀ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࡢ⾲㠃ᛶ≧㸬ṑ⛉ᑂ⨾ 2014㸹27(1)㸸8-13㸬
2) ▼ᾆ㞝୍㸪ᐑ⏣ᮃ⨾㸪๭⏣◊ྖ࡯࠿㸬ṑෙ⏝◳㉁ࣞࢪࣥࡢࢥ࣮ࣄ࣮ᾮᾐₕ᫬ࡢⰍㄪኚ໬࡟
ࡘ࠸࡚㸬 Dental Med Res 2010㸹30(1)㸸9-14㸬
3) క Ύ἞㸪ᮧୖ ᘯ㸪Ỉᮏᮒ⨾࡯࠿㸬ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࡢ㉥እศගศᯒ㸬ឡ▱Ꮫ㝔኱ṑ఍ㄅ 1982㸹20(3)㸸307-313㸬

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 64ᅽ⦰ຊㄏᑟᛶmicroRNA࡜ᶵ⬟ࡢ᳨ウѸ miR-494-3p࡟ࡼࡿ⣽⬊ቑṪᢚไ Ѹ‫ۑ‬ᒾ⬥᭷㌶㸪ᷓᇉᐉ᫂㸪ᚋ⸨ᓫᬕ㸪Ώ㑓 ᜨ㸪཭➉೧๎*㸪ᕷᕝဴ㞝ᚨᓥ኱Ꮫ኱Ꮫ㝔࣊ࣝࢫࣂ࢖࢜ࢧ࢖࢚ࣥࢫ◊✲㒊ཱྀ⭍㢡㢦㠃⿵⥛Ꮫศ㔝㸪*ᚨᓥ኱Ꮫ⑓㝔ཱྀ⭍࢖ࣥࣉࣛࣥࢺࢭࣥࢱ࣮
Investigation of microRNAs induced by compressive force and their function.
¦ Inhibition of cell proliferation by miR-494-3p ¦Iwawaki Y㸪Higaki N㸪Goto T㸪Watanabe M㸪Tomotake Y*㸪Ichikawa T
Department of Oral and Maxillofacial Prosthodontics, Institute of Health Biosciences, Tokushima University
Graduate School, * Oral Implant Center, Tokushima University HospitalϨ㸬 ┠ⓗ ⏕యෆ⎔ቃ࡟࠾࠸࡚㸪㦵⤌⧊ࡣᵝࠎ࡞࣓࢝ࢽ࢝
ࣝࢫࢺࣞࢫࡢᙳ㡪ࢆཷࡅ࡚࠸ࡿ㸬࣓࢝ࢽ࢝ࣝࢫࢺ
ࣞࢫࡢᙉᗘࡣ㦵ࣔࢹࣜࣥࢢ/ࣜࣔࢹࣜࣥࢢࡢไᚚ࡟
㛵୚ࡍࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗ࡚࠾ࡾ1)㸪୰࡛ࡶ㸪୺࡟㦵ᙧᡂࢆᢸ࠺㦵ⱆ⣽⬊࡟ᑐࡍࡿ࣓࢝ࢽ࢝ࣝࢫࢺ
ࣞࢫ࡟ࡘ࠸࡚ࡣከᩘࡢሗ࿌ࡀ࠶ࡿ㸬ࡋ࠿ࡋ㸪ࡑࡢࢩࢢࢼࣝ⤒㊰ཬࡧ⣽⬊ቑṪ࡬ࡢᙳ㡪࡟ࡘ࠸࡚ࡣ㸪ࡲࡔ୙᫂࡞Ⅼࡀከࡃ㸪᭦࡞ࡿ᳨ウࡀᚲせ࡛࠶ࡿ㸬ᮏ◊✲࡛ࡣ㸪࢚ࣆࢪ࢙ࢿࢸ࢕ࢵࢡ࡞ࢩࢢࢼࣝไᚚ
ᶵᵓࡢ1ࡘ࡛࠶ࡿmicro RNA㸦miRNA㸧Ⓨ⌧࡟╔┠ࡋ㸪࣓࢝ࢽ࢝ࣝࢫࢺࣞࢫ࡟ࡼࡿmiRNAࡢⓎ⌧ኚື࡜ࡑࢀ࡟ࡼࡿ㦵ⱆ⣽⬊ቑṪ࡬ࡢᙳ㡪࡟ࡘ࠸࡚ࡢ᳨
ウࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ࣐࢘ࢫ㦵ⱆ⣽⬊ᵝ⣽⬊㸦MC3T3-E1⣽⬊㸧࡟ᑐࡋ
࡚294 Paࡢᣢ⥆ⓗᅽ⦰ᛂຊ㸦CF : Compressive Force㸧ࢆ24 ᫬㛫㈇Ⲵࡋ㸪Microarray Analysis㸪RT-qPCR࡟࡚ኚືࡍࡿmiRNAࢆ᳨ウࡋࡓ㸬ࡲࡓ㸪24 ᫬㛫CF㈇ⲴࡲࡓࡣmiRNA mimicᑟධᚋ࡟MTT Assayࢆ⾜࠸㸪ࡑࡢ24㸪48㸪72㸪96㸪120 ᫬㛫ᚋ࡟࠾ࡅࡿ
⣽⬊ቑṪࢆ᳨ウࡋࡓ㸬CF㈇Ⲵ࡟࡚ኚືࡍࡿmiRNA࡟ࡘ࠸࡚㸪  ࡟࠾ࡅࡿࢹ࣮ࢱ࣮࣋ࢫ㸦miRDB㸪Target Scan㸪microRNA-org.㸧࡟࡚ᶆⓗmRNAࢆணࡋ㸪CF㈇ⲴཪࡣmiRNA mimicᑟධୗ࡟࠾ࡅࡿࡑ
ࡢⓎ⌧ኚືࢆRT-qPCR㸪Western Blot࡟᳨࡚ウࡋࡓ㸬ᶆⓗmRNA࡟ࡘ࠸࡚ࡣ㸪3’ UTRࢆLuciferase㑇ఏᏊୗὶ࡟⤌ࡳ㎸ࢇࡔ࣏࣮ࣞࢱ࣮࣋ࢡࢱ࣮ࢆస〇ࡋ㸪
Luciferase Assay࡟࡚miRNA⤖ྜ㒊఩ࡢྠᐃࢆ⾜ࡗࡓ 㸬 ᭦࡟ siRNA ᑟ ධ ࡟ࡼ ࡗ ࡚ ᶆ ⓗ mRNA ࢆ knock
downࡋࡓ㝿ࡢ24㸪48㸪72㸪96 ᫬㛫ᚋ࡟࠾ࡅࡿ⣽⬊ቑṪ࡬ࡢᙳ㡪ࢆMTT Assay࡟᳨࡚ウࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 Microarray Analysis㸪RT-qPCRࡼࡾ㸪CF㈇Ⲵࢆཷ
ࡅࡓMC3T3-E1⣽⬊࡟࡚miR-494-3p㸪miR146a-5p㸪
miR-210-3p㸪miR-1247-3pࡢⓎ⌧ୖ᪼ࡀ☜ㄆ࡛ࡁࡓ㸬ࡇࡢෆ㸪ẚ㍑ⓗⓎ⌧㔞ࡀከࡃ㸪ኚືࡶ㢧ⴭ࡛࠶ࡗࡓmiR-494-3p࡟ࡘ࠸࡚ヲ⣽࡞᳨ウࢆ⾜ࡗࡓ㸬MTT

Assay ࡟ ࡼ ࡾ 㸪 CF ㈇ Ⲵ ᚋ 48 ᫬ 㛫 㸪 miR-494-3p
mimicᑟධᚋ72 ᫬㛫࡟࠾࠸࡚⣽⬊ቑṪᢚไࡀㄆࡵ
ࡽࢀࡓ㸬ࡲࡓ㸪  ࡟࠾࠸࡚)"'㸪 *ࡀ
miR-494-3pࡢᶆⓗೃ⿵࡜ࡋ࡚ᣲࡆࡽࢀ㸪RT-qPCR
ཬࡧWestern Blot࡟࡚㸪CF㈇Ⲵ᫬ཬࡧmiR-494-3p
mimicᑟධ᫬࡜ࡶ࡟Ⓨ⌧ᢚไࡀ☜ㄆ࡛ࡁࡓ㸬୍᪉㸪୧㑇ఏᏊࡢmRNA 3’ UTRࡣ2ࣧᡤࡢmiR-494-3p⤖ྜ㒊఩ࢆ᭷ࡍࡿ࡜ண᝿ࡉࢀࡿࡀ㸪ᐇ㝿miR-494-3pࡣ)"'࡟࠾ࡅࡿ୧㒊఩㸪 *࡟࠾ࡅࡿ∦㒊఩࡜⤖ྜࡍࡿࡇ࡜࡟ࡼࡗ࡚Ⓨ⌧ᢚไࡋ࡚࠸ࡿࡇ࡜ࡀ
Luciferase Assay࡟ࡼࡾྠᐃࡉࢀࡓ㸬siRNAᑟධ࡟ࡼࡿᶆⓗ㑇ఏᏊࡢknock down࡟ࡼࡿ⣽⬊ቑṪ࡬ࡢᙳ㡪ࢆ᳨ウࡋࡓ࡜ࡇࢁ㸪)"'࡜ *1୧㑇ఏᏊࡢ
knock down ࡟ ࠾ ࠸ ࡚ ࡣ 24 ᫬ 㛫 ᚋ 㸪 ∦ ᪉ ࡢ ࡳ ࡢknock down࡟࠾࠸࡚ࡣ96 ᫬㛫ᚋ࡟⣽⬊ቑṪᢚไࡀㄆࡵࡽࢀࡓ㸬 ࡇࢀࡽࡼࡾ㸪㦵ⱆ⣽⬊࡟࠾࠸࡚CF㈇Ⲵ࡟࡚Ⓨ⌧ୖ᪼ࡍࡿmiRNAࡢෆ㸪miR-494-3pࡣ㸪ᶆⓗ㑇ఏᏊ࡛࠶ࡿ)"'㸪 *ࡢmRNA 3’ UTR࡟⤖ྜࡋⓎ⌧ࢆᢚไࡍࡿࡇ࡜࡟ࡼࡗ࡚⣽⬊ቑṪࢆᢚไࡍࡿࡇ࡜
ࡀ♧ࡉࢀࡓ㸦ᅗ㸧㸬Compressive force&HOOPHPEUDQH

FGFR2Cell proliferation
ROCK1

FGFR2

5RFN mRNA)JIU mRNA

5RFN

)JIU

miR-494-3p

miR-494

1XFOHXVᅗ㸸ᅽ⦰ᛂຊ࡟ㄏᑟࡉࢀࡿ miR-494-3p ࡟ࡼࡿ⣽⬊ቑṪᢚไϫ㸬 ᩥ⊩1) H.M. Frost. Bone's mechanostat: A 2003 update. The
Anatomical Record Part A: Discoveries in Molecular,
Cellular, and Evolutionary Biology 2003; 275: 10811101.

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 65ࣛࢪ࢔ࣝࣇ࣮ࣟᆺࣂ࢖࢜ࣜ࢔ࢡࢱ࣮ࢆ⏝࠸ࡓ
hMSCs ࡢ୕ḟඖᇵ㣴㸫㦵ศ໬ᇵᆅࡢᙳ㡪㸫‫ۑ‬すᮧ㐓㑻㸨㸨㸨㸪ᑠᒣ ᣅ㸨㸪బ⸨ ஽㸨㸪ஂỌ❳୍㸨㸪⭜ཎ㍤⣧㸨㸪∦ᒣឡᏊ㸨㸪ཎ ⯙㸨㸨ᮾிṑ⛉኱Ꮫࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫㅮᗙ㸪ཱྀ⭍⛉Ꮫ◊✲ࢭࣥࢱཱྀ࣮⭍࢖ࣥࣉࣛࣥࢺᏛ㒊㛛㸨㸨

Three-Dimensional Culture of Human Mesenchymal Stem Cell Using Radial Flow Bioractor      - Effect of Osteogenic Differentiation Factor Nishimura I*, **, Koyama T*, Sato T*, Hisanaga R*, Koshihara T*, Katayama A*, Hara M**Department of Crown and Bridge Prothodontics, Tokyo Dental Collage**Division of Oral implants research, Oral health scienceϨ㸬┠ⓗ ࣄࢺ㦵㧊⏤᮶㛫ⴥ⣔ᖿ⣽⬊㸦K06&V㸧ࡣ⮬ᕫ㦵㧊࠿ࡽᐜ᫆࡟᥇ྲྀ࡛ࡁ㸪ࡲࡓ⮬ᕫ」〇⬟ཬࡧከศ໬⬟ࢆ᭷ࡋ㦵๓㥑⣽⬊࡬࡜ศ໬ㄏᑟࡉࢀࡿࡇ
࡜࠿ࡽ㦵෌⏕࡟࠾ࡅࡿ⣽⬊※࡜ࡋ࡚ὀ┠ࡉࢀ࡚࠸ࡿ㸬୍᪉㸪኱つᶍḞᦆ㒊࡬ࡢ⛣᳜ࢆ┠ⓗ࡜ࡋ࡚㸪,QYLWUR ࡛୕ḟඖⓗ࡟ᇵ㣴⤌⧊ࢆᵓ⠏ࡍࡿࡓࡵࡢ◊✲ࡀ㐍ࡵࡽࢀ࡚ࡁ࡚࠾ࡾ㸪℺ὶᇵ㣴ࢆ⾜࠺ࣂ࢖࢜ࣜ࢔ࢡࢱ࣮ࡀከᩘ㛤Ⓨࡉࢀ࡚࠸ࡿ㸬୰ ࡛ ࡶ ࣛ ࢪ ࢔ ࣝ ࣇ ࣟ ࣮ ᆺ ࣂ ࢖ ࢜ ࣜ ࢔ ࢡ ࢱ ࣮ 㸦 ᅗ㸧ࡣẚ㍑ⓗᆒ୍࡞ᇵ㣴⎔ቃࢆಖࡘࡇ࡜ࡀྍ⬟࡜ࡉࢀ࡚࠸ࡿ㸬ᡃࠎࡣ㸪ࣛࢪ࢔ࣝࣇ࣮ࣟᆺࣂ࢖࢜ࣜ
࢔ࢡࢱ࣮ࢆ⏝࠸ࡓ℺ὶᇵ㣴࡟ࡼࡾ㸪ࢫ࢟ࣕࣇ࢛
ࣝࢻ࡟᧛✀ࡋࡓ K06&V ࢆᆒ୍࡟ቑṪࡉࡏࡿࡇ࡜
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⏝࠸ࡓ℺ὶᇵ㣴ࢆ⾜࡞࠺ࡇ࡜࡛㸪K06&V ࡢቑṪ࡜㦵ⱆ⣽⬊࡬ࡢศ໬ࢆಁ㐍ࡉࡏࡿࡇ࡜ࡀ᫂ࡽ࠿
࡜࡞ࡗࡓ㸬
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  ᅗ㸸ࣛࢪ࢔ࣝࣇ࣮ࣟᆺࣂ࢖࢜ࣜ࢔ࢡࢱ࣮
ϫ㸬ᩥ⊩
1) Katayama A, Yoshinari M, HWDORadial-flowbioreactor enables uniform proliferation ofhuman mesenchymal stem cells throughout athree-dimensional scaffold.
Tissue Engineering : Part C 2013;19;109-16
2) Arano T, Yoshinari M, HWDO Osteoblastic
proliferation with uniform distribution in alarge scaffold using radial-flow bioreactor.
Tissue Engineering : Part C 2010;16;1387-98.

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 66࣐ࢡࣟࣇ࢓࣮ࢪ࡜ࡢඹᇵ㣴ୗ࡟࠾ࡅࡿ㦵㧊㛫㉁⣽⬊࡟ᑐࡍࡿ࣮࢝࣎ࣥࢼࣀ࣮࣍ࣥࡢᙳ㡪‫ۑ‬ᖹ⏣ᜨ⌮㸪ఀ⸨㐩㑻㸪㧗⏣⣪⌮㸪ᶓᒣᩔ㑻໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ཱྀ⭍ᶵ⬟⿵⥛ᏛᩍᐊThe effect of carbon nanohorns on mesenchymal stem cells co-culture with macrophages.

Hirata E, Ito T, Takada S, Yokoyama A.
Deaprtment of Oral Functional Prosthodontics, Graduate School of Dental Medicine, Hokkaido University

Ϩ. ┠ⓗ ࣮࢝࣎ࣥࢼࣀ࣮࣍ࣥ(CNHs)㸪ࡣⅣ⣲ࡢࡳ࠿ࡽ࡞
ࡿ᪂⣲ᮦ࡛࠶ࡾ㸪≀⌮ⓗ≉ᛶ࠾ࡼࡧ໬ᏛⓗᏳᐃᛶ࠿ࡽ་ᏛṑᏛ㡿ᇦࢆྵࡴࣂ࢖࢜㡿ᇦ࡟࠾࠸࡚ᇶ♏
◊✲ࡀ㛤ጞࡉࢀ࡚࠸ࡿ㸬ᡃ ࠎࡣࡇࢀࡲ࡛࡟㸪invivo࡟࠾࠸࡚CNHsࢆᅛ╔ࡋࡓGBR⭷ࡀ㦵෌⏕ࢆಁ㐍ࡋ㸪᪂⏕㦵࿘ᅖ࡟CNHsࢆ㈎㣗ࡋࡓ࣐ࢡࣟࣇ࢓࣮
ࢪࡀከᩘほᐹࡉࢀࡿࡇ࡜ࢆሗ࿌ࡋࡓ1)㸬ࡇࢀ࡟ࡼࡾ㸪
CNHs࡟ࡼࡿ࣐ࢡࣟࣇ࢓࣮ࢪ࡬ࡢ่⃭ࡀ㦵෌⏕࡟㛵୚ࡋ࡚࠸ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ᮏ◊✲࡛ࡣ㸪
CNHsᏑᅾୗ࡛࣐ࢡࣟࣇ࢓࣮ࢪ࡜㦵㧊㛫㉁⣽⬊ࡢඹᇵ㣴ࢆ⾜࠸㸪㦵㧊⣽⬊࡬ࡢศ໬࡟୚࠼ࡿᙳ㡪࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ϩ. ᪉ἲ
 ࣄࢺ඲⾑࠿ࡽࣄࢺᮎᲈ⾑༢᰾⣽⬊ࢆ᥇ྲྀࡋ㸪ᚓࡽࢀࡓ⣽⬊ࢆM-CSFῧຍᇵᆅ࡟࡚7᪥㛫ᇵ㣴ࡋࣄࢺ࣐ࢡࣟࣇ࢓࣮ࢪ(hMDM)࡬࡜ศ໬ࡉࡏࡓ㸬hMDMࢆ
96well plate࡟᧛✀ࡋ㸦150,000cells/well㸧㸪4᫬㛫ᚋ
࡟ CNHs ࢆ 5.0+g/mL ࡢ ⃰ ᗘ ࡛ ᇵ ᆅ ࡟ ศ ᩓ ࡉ ࡏ ࡓ
CNHsศᩓᇵᆅ࡟⨨᥮ࡋࡓ㸬24᫬㛫ᇵ㣴ᚋ㸪⣽⬊Ṛ࡟ࡘ࠸࡚ࣇ࣮ࣟࢧ࢖ࢺ࣓ࢺ࣮ࣜࢆ⏝࠸࡚ホ౯ࡋࡓ㸬ḟ ࡟ 㸪 ࣄ ࢺ 㦵 㧊 㛫 ㉁ ⣽ ⬊ (hMSC; Lonza,
5,000cells/well)࡜hMDM (50,000cells/well)ࡢඹᇵ㣴ࢆ⾜ࡗࡓ㸬ඹᇵ㣴ࡣ㸪hMSC᧛✀ᚋ࡟hMDMࢆ┤᥋᧛✀ࡋࡓin contact࡜㸪ࢭࣝ࢝ࣝࢳ࣮ࣕ࢖ࣥࢧ࣮ࢺ
࡟hMDMࢆ᧛✀ࡋࡓseparatedࡢ2᮲௳࡛⾜ࡗࡓ㸬⣽⬊᧛✀4᫬㛫ᚋ࡟CNHsศᩓᇵᆅࡲࡓࡣAlexa Fluor
488࡟࡚ࣛ࣋ࣝ໬ࡋࡓCNHs㸦Alexa-CNHs㸧ศᩓᇵᆅ࡟⨨᥮ࡋࡓ㸬24᫬㛫ᚋ㸪⺯ග㢧ᚤ㙾࡟ࡼࡾ㸪
Alexa-CNHsࡢືែࡢほᐹࢆ⾜ࡗࡓ㸬ࡲࡓ㸪㏱㐣ᆺ㟁Ꮚ㢧ᚤ㙾(TEM)࡟ࡼࡾCNHs࡜⣽⬊ᑠჾᐁࡢほᐹࢆ⾜ࡗࡓ㸬ࡉࡽ࡟㸪7᪥㛫࠾ࡼࡧ14᪥㛫ᇵ㣴ࢆ⾜࠸㸪hMSCࡢศ໬ࡢᣦᶆ࡜࡞ࡿALPάᛶࢆ ᐃࡋࡓ㸬ᑦ㸪ᮏ◊✲ࡣ໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉⮫ᗋ࣭␿Ꮫ◊✲೔⌮ᑂᰝጤဨ఍ࡢᢎㄆࢆᚓ࡚⾜ࢃࢀࡓ㸦2014➨6ྕ㸧㸬Ϫ. ⤖ᯝ࡜⪃ᐹ ࣇ࣮ࣟࢧ࢖ࢺ࣓ࢺ࣮ࣜࡢ⤖ᯝ㸪CNHsࡣ࣐ࢡࣟࣇ
࢓࣮ࢪࡢ࢔࣏ࢺ࣮ࢩࢫ࠾ࡼࡧࢿࢡ࣮ࣟࢩࢫ࡟ᙳ㡪ࢆ୚࠼࡞࠿ࡗࡓ㸬ࡲࡓ㸪࣐ࢡࣟࣇ࢓࣮ࢪࡢάᛶࢆ
♧ࡍCD86ࡣCNTsῧຍ࡟ࡼࡗ࡚ኚ໬ࡋ࡞࠿ࡗࡓࡇ
࡜࠿ࡽ㸪CNHsࡣ࣐ࢡࣟࣇ࢓࣮ࢪࡢ࢔࣏ࢺ࣮ࢩࢫ࠾
ࡼࡧάᛶ࡟ᙳ㡪ࢆ୚࠼࡞࠸ࡇ࡜ࡀ♧ࡉࢀࡓ㸬24᫬㛫ᚋ࡟࠾࠸࡚⺯ග㢧ᚤ㙾࡜TEM࡟ࡼࡿほᐹࡢ⤖ᯝ㸪CNHsࡣ㸪hMSCෆ㒊࡟࡯࡜ࢇ࡝ほᐹࡉࢀ࡞࠿ࡗࡓࡀ㸪hMDMࡢࣛ࢖ࢯࢰ࣮࣒ෆ㒊࡟ほᐹࡉࢀࡓ㸬ඹᇵ㣴࡟࠾࠸࡚ࡶ㸪CNHsࡣhMDMෆ㒊࡟ほᐹࡉࢀࡓࡀ㸪hMSCෆ㒊࡛ࡣほᐹࡉࢀ࡞࠿ࡗࡓ㸬
hMDM࡜hMSCࡢඹᇵ㣴࡟࠾࠸࡚㸪separate࡛ࡣ
CNHsࡢ᭷↓࡟ࡼࡿᕪࡀ↓࠿ࡗࡓࡀ㸪in contact࡛ࡣ㸪
CNHsࡢᏑᅾୗ࡟࡚ALPάᛶࡀ᭷ព࡟㧗࠸ࡇ࡜ࡀ᫂
ࡽ࠿࡟࡞ࡗࡓ㸦ᅗ㸧㸬 ௨ୖࡢ⤖ᯝࡼࡾ㸪hMDMࡀhMSC࡜┤᥋᥋ࡋ࡚࠸ࡿ ≧ ែ ࡟ ࠾ ࠸ ࡚ 㸪 CNHs ࢆ ྲྀ ࡾ ㎸ ࢇ ࡔ hMDM ࡀ
hMSCࡢศ໬࡟ᙳ㡪ࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡓ㸬ᇵ㣴 14 ᪥ᚋࡢ ALP άᛶ
ϫ. ᩥ⊩
1. Kasai T, Yokoyama A, et al. Carbon nanohorns
accelerate bone regeneration in rat calvarial bone
defect. Nanotechnology 2011; 22:065102-065110.

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 67㧗ᙉᗘከ㍈㘫㐀⣧ࢳࢱࣥ࣡࢖࣮ࣖࡢ⑂ປᑑ࿨
‫ۑ‬ᚨỤ ⸛㸪㕥ᮌ ࡳ࡝ࡾ㸪୕ᾆ༤ᕫ ᪩ᕝ ᚭ 㸪ᮌᮏඞᙪ 㸪኱ஂಖຊᘅ㭯ぢ኱ᏛṑᏛ㒊᭷ᗋ⩏ṑ⿵⥛Ꮫㅮᗙ㸪 ㇏ᶫᢏ⾡⛉Ꮫ኱ᏛᶵᲔᕤᏛ⣔㸪㭯ぢ኱ᏛṑᏛ㒊ṑ⛉⌮ᕤᏛㅮᗙ㸪 ⚄ዉᕝṑ⛉኱Ꮫ࿪ᄮᶵ⬟ไᚚ⿵⥛Ꮫㅮᗙ
Fatigue resistance of high strength pure titanium wire fabricated by Muli-Directional Frorging******
Tokue A, Suzuki M, Miura H , Hayakawa T , Kimoto K , Ohkubo C
Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine, Department of
Mechanical Engineering, Toyohashi University of Technology*, Department of Dental Engineering, Tsurumi
University School of Dental Medicine**, Department of Prosthodontics and Oral Rehabilitation, Kanagawa
Dental University***Ϩ㸬 ┠ⓗ 㒊ศᗋ⩏ṑࡢ㛗ᮇ౑⏝⑕౛࡛ࡣ㸪ࢡࣛࢫࣉࡢኚ
ᙧ㸪◚ᢡࡀᩓぢࡉࢀࡿ㸬≉࡟㖋⭎ࡢ◚ᢡ㢖ᗘࡣ㧗ࡃ㸪ࢳࢱࣥ࣡࢖࣮ࣖࡣࢥࣂࣝࢺࢡ࣒ࣟ࣡࢖࣮ࣖࡼ
ࡾ㸪୍⯡ⓗ࡟◚ᢡࡋࡸࡍ࠸࡜ゝࢃࢀ࡚࠸ࡿ㸬୰࡛ࡶ⣧ࢳࢱࣥࡣ㸪ࢳࢱࣥྜ㔠࡜ẚ㍑ࡋ࡚⏕య㐺ྜᛶࡣඃࢀ࡚࠸ࡿࡶࡢࡢ㸪⑂ປᑑ࿨ࡣຎࡿ࡜ࡉࢀ࡚࠾
ࡾ㸪⑂ປᑑ࿨ࡢྥୖࡀồࡵࡽࢀ࡚࠸ࡿ㸬 ୍᪉㸪㔠ᒓ࡟࠶ࡿ୍ᐃࡢᅽ⦰ࡦࡎࡳࢆ⧞ࡾ㏉ࡋຍ࠼ࡿᕧ኱ࡦࡎࡳຍᕤ࡟ࡼࡾ㸪㔠ᒓࡢ⤌ᡂࢆኚ࠼ࡿࡇ࡜࡞ࡃ㉸ᚤ⣽⤖ᬗ⢏࡟ኚ໬ࡉࡏ㸪ᙉᗘࢆ㧗ࡵࡿከ㍈㘫㐀ἲ㸦Multi-Directional Forging, MDFἲ㸧ࡀ㛤Ⓨࡉࢀ㸪⮫ᗋᛂ⏝ࡀᶍ⣴ࡉࢀ࡚࠸ࡿ1, 2) 㸬 ≉࡟MDFἲࢆᛂ⏝ࡋࡓ㸰✀⣧ࢳࢱࣥࡣ㸪ࢳࢱࣥྜ㔠࡟༉ᩛࡍࡿ᭤ࡆຍᕤᛶࡸ⪏ᦶ⪖ᛶࡀㄆࡵࡽࢀ࡚࠸ࡿ㸬 ࡑࡇ࡛௒ᅇࡣ㸪MDFἲࢆᛂ⏝ࡋࡓ㸰✀⣧ࢳࢱࣥ࣡࢖࣮ࣖࢆ〇సࡋ㸪⮫ᗋ࡛౑⏝ࡉࢀ࡚࠸ࡿࢳࢱࣥ
ྜ㔠࣡࢖࣮ࣖ࡜⑂ປᑑ࿨࡟㛵ࡋ࡚ᐇ㦂ⓗ࡟ẚ㍑᳨
ウࡋࡓ㸬ϩ㸬 ᪉ἲ ▴ᙧ≧㸰✀⣧ࢳࢱࣥヨᩱ࡟㘫㐀 ᗘT= 300 K࡛
MDFἲࢆ㐺⏝ࡋ㸦ᕝᮏ㔜ᕤ㸪රᗜ㸧㸪ࡑࡢᚋ㸪
88 %ࡢ෭㛫⥺ᘬࡁຍᕤࢆࡋ࡚㸪┤ᚄ0.9 mmࡢࢳࢱࣥ࣡࢖࣮ࣖࢆ〇సࡋࡓ㸬 MDFἲࢆ㐺⏝ࡋࡓ⣧ࢳࢱࣥ࣡࢖࣮ࣖ࡜㸪ࢥࣥࢺ࣮ࣟࣝ࡜ࡋ࡚┤ᚄ0.9 mmࡢ㠀㗪㐀⏝ࢳࢱࣥྜ㔠࣡࢖࣮ࣖ㸦Ti 80.5%, Mo 10.8%, 8.7%㸪ࢿ࢜ࢳࢱࣥ࣡
࢖࣮ࣖ㸪ᒣඵṑᮦᕤᴗ㸪ឡ▱㸧ࡢ㸰✀㢮ࢆ㛗ࡉ
30.0 mm࡟ษ᩿ࡋ㸪ヨᩱ࡜ࡋࡓ㸬 ヨᩱࢆᢕᣢ㒊࠿ࡽ⮬⏤➃ࡲ࡛ࡀ15.0 mmࡢ∦ᣢࡕᱱᙧᘧ࡜ࡋ࡚ᅛᐃᚋ㸪㟁☢ᘧᚤᑠヨ㦂⿦⨨㸦MMT-101NV㸪ᓥὠ〇సᡤ㸪ி㒔㸧ࢆ౑⏝ࡋ㸪ኚ఩㔞4.0 mm㸪20 Hzࡢᐃኚ఩⧞ࡾ㏉ࡋຍ㏿⑂ປヨ㦂ࢆ⾜࠸㸪ྛヨᩱࡢ◚ᢡᅇᩘࢆ ᐃࡋࡓ㸬ᚓࡽࢀࡓࢹ࣮ࢱࡣ㸪t᳨ᐃ㸦Ș=0.05㸧࡟ࡼࡾ⤫ィฎ⌮ࢆ⾜ࡗࡓ㸬 Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 MDFἲ⣧ࢳࢱࣥ࣡࢖࣮ࣖࡣ㸪㠀㗪㐀⏝ࢳࢱࣥྜ㔠࣡࢖࣮ࣖ࡜ẚ㍑ࡋ࡚㸪⣙1.4 ಸࡢ⑂ປᑑ࿨ࢆ♧ࡋ 㸪 ୧ ⪅ 㛫 ࡟ ࡣ ᭷ ព ᕪ ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ (< 0.05)㸦ᅗ㸧㸬ࢳࢱࣥ࣡࢖࣮ࣖࢡࣛࢫࣉࡢ⑂ປᑑ࿨ ௒ᅇ㸪࣡࢖࣮ࣖࢡࣛࢫࣉࡢ㛗ᮇ౑⏝ࢆ᝿ᐃࡋ㸪ຍ㏿⑂ປヨ㦂ࢆ⾜ࡗࡓ⤖ᯝ㸪MDFἲࢳࢱࣥࡣࢳࢱ
ࣥྜ㔠ࡼࡾ᫂ࡽ࠿࡟ඃࢀࡓ⑂ປᑑ࿨ࡀ☜ㄆࡉࢀࡓ㸬ᮏ◊✲࠿ࡽࡶ㸪⤌ᡂࢆኚ໬ࡉࡏࡿࡇ࡜࡞ࡃ㸪⤖ᬗ⤌⧊ࢆ㉸ᚤ⣽໬ࡍࡿࡇ࡜࡟ࡼࡾ㸪ᙉᗘࢆୖ᪼ࡉࡏ
ࡿMDFἲࡢ᭷ຠᛶࡀ♧၀ࡉࢀࡓࡇ࡜࠿ࡽ㸪MDFἲ
ࢳࢱࣥࡢ ࣡࢖࣮ࣖࢡࣛࢫࣉ࡬ࡢᛂ⏝ࡣ㸪㒊ศᗋ⩏ṑࡢ◚ᢡ㜵Ṇ࡟᭷ຠ࡛࠶ࡿࡇ࡜ࡀ♧ࡉࢀࡓ㸬 ௒ᚋࡣ㸪㒊ศᗋ⩏ṑࡢ࣡࢖࣮ࣖࢡࣛࢫࣉ௨እࡢ㔠ᒓᵓᡂせ⣲࡟ᑐࡋ࡚ࡶᮏἲࢆ㐺⏝ࡍࡿࡇ࡜࡟ࡼ
ࡾ㸪⏕య㐺ྜᛶ࡜㧗ᑑ࿨ࢆ୧❧ࡍࡿࢳࢱࣥᗋ⩏ṑࡢ〇సࢆ┠ᣦࡍணᐃ࡛࠶ࡿ㸬ϫ㸬 ᩥ⊩1) 㓇஭ ᣅ㸪୕ᾆ༤ᕫ㸬኱ࡦࡎࡳከ㍈ᵓ㐀࡟ࡼࡿ⤖ᬗ⢏ᚤ⣽໬ࣉࣟࢭࢫ࡜ᶵᵓ㸬㕲࡜㗰㸪
2008㸪94(12), 590-598.
2) ᫍ ᠇ᖾ㸪ᩧ⏣∾Ꮚ㸪⇃ᆏ▱ᑵ࡯࠿㸬㧗ᙉᗘ
MDF⣧ࢳࢱࣥࡢ㛤Ⓨ㸬᪥ᮏṑ⛉⌮ᕤᏛ఍㸪
2013㸪32(5), 405.

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第6会場

日補綴会誌

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ポスター発表1 ─ 6 ─ 68

Ccn4Ḟᦆ࣐࢘ࢫࢆ⏝࠸ࡓ㛵⠇㌾㦵๰യ἞⒵࡟࠾ࡅࡿCCN4ࡢᙺ๭ࡢゎ᫂‫ྜྷۑ‬ᒸ⿱ஓ*㸪኱㔝඘᫛*㸪๓⏣࠶ࡎࡉ*,**㸪⛅ᒣㅬኴ㑻*㸪ᅬᒣ ர*㸪
Marian F. Young**㸪❑ᮌᣅ⏨**ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝㸪**National Instituteof Dental and Craniofacial Research, National Institutes of Health
The role of CCN4 in the healing of articular cartilage defects investigated by Ccn4 knock out mice
Yoshioka Y*, Ono M*, Maeda A*,**, Akiyama K*, Sonoyama W*, Young MF**, Kuboki T*.
*Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School,**National Institute of Dental and Craniofacial Research, National Institutes of HealthϨ㸬 ┠ⓗ ኚᙧᛶ㛵⠇⑕ࡣせ௓ㆤ㧗㱋⪅࡟࠾ࡅࡿせᨭ᥼ཎᅉ⑌ᝈࡢ➨୍఩࡛࠶ࡿ࡟ࡶ࠿࠿ࢃࡽࡎ㸪ࡑࡢⓎ⑕ཎᅉࡣᮍࡔ୙᫂࡞Ⅼࡀከࡃ㸪⮫ᗋⓗ࣭་⒪⤒῭Ꮫⓗ࡟㔜せ࡞ㄢ㢟࡜ࡉࢀ࡚࠸ࡿ㸬ᡃࠎࡣ㸪ᵝࠎ࡞⤌⧊ࡢⓎ⏕ࡸศ໬࡬ࡢ㛵୚ࡀሗ࿌ࡉࢀ࡚࠸ࡿCCNࣇ࢓࣑࣮ࣜ࡟ὀ┠ࡋ㸪ࡇࢀࡲ࡛
࡟CCN4ࡀTGF-¢3ࡢᶵ⬟ࢆไᚚࡍࡿࡇ࡜࡛㸪㌾㦵
⣽⬊ศ໬ࢆಁ㐍ࡍࡿࡇ࡜ࢆin vitro࡟࠾࠸࡚᫂ࡽ࠿
࡟ࡋ࡚ࡁࡓ 1) 㸬ࡋ࠿ࡋ㸪ᮍࡔin vivo࡟࠾ࡅࡿCCN4ࡢᙺ๭ࡣ᫂ࡽ࠿࡛࡞࠸㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪Ccn4Ḟᦆ࣐࢘ࢫ (KO࣐࢘ࢫ)ࢆ⏝࠸㸪CCN4ࡀ㛵⠇㌾㦵ࡢᐇ㦂ⓗḞᦆࣔࢹࣝ
ࡢ἞⒵࡟ཬࡰࡍᙳ㡪ࢆ᳨ウࡋࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲึࡵ࡟㸪6㐌㱋ࡢKO࣐࢘ࢫ࡜㔝⏕ᆺ࣐࢘ࢫ (WT࣐࢘ࢫ) ࡢ㛵⠇㌾㦵࠿ࡽtotal RNAࢆᅇ཰ࡋ㸪㌾㦵
⣽⬊ศ໬࣐࣮࣮࡛࢝࠶ࡿSox9㸪Aggrecan (Acan)㸪
Type II collagen (Col2)ࡢmRNAⓎ⌧㔞ࢆᐃ㔞ᛶRTPCRἲ࡟࡚ホ౯ࡋࡓ㸬ḟ࡟㸪CCN4࡜㌾㦵἞⒵ࡢ㛵ࢃࡾࢆ᫂ࡽ࠿࡟ࡍࡿ
ࡓࡵ㸪ྠ㐌㱋ࡢKO࣐࢘ࢫ㸪WT࣐࢘ࢫࡢ኱⭣㦵㢛㒊୰ኸ࡟㸪Matsuokaࡽࡢ᪉ἲ࡟ᚑ࠸2)㸪27ࢤ࣮ࢪ㔪ࢆ⏝࠸࡚┤ᚄ⣙400 μmࡢ㌾㦵඲ᒙḞᦆࢆస〇ࡋࡓ2)㸬
4㐌ᚋ࡟ࢧࣥࣉࣜࣥࢢࢆ⾜࠸㸪⬺⅊ࣃࣛࣇ࢕ࣥษ∦ࢆస〇ࡋ㸪ࢺࣝ࢖ࢪࣥࣈ࣮ࣝᰁⰍ㸪ࢧࣇࣛࢽࣥO
ᰁⰍ㸪࠾ࡼࡧCOL2ࡢච␿⤌⧊ᰁⰍࢆ⾜࠸㸪἞⒵ࡢ
≧ែࢆ⤌⧊Ꮫⓗ࡟ẚ㍑᳨ウࡋࡓ㸬ࡉࡽ࡟㸪ホ౯⪅࡟ᑐࡋ࡚ࢧࣥࣉࣝࡀ࡝ࡕࡽࡢᐇ㦂⩌࡟ᒓࡍࡿ࠿ࢆ
ࣈࣛ࢖ࣥࢻ࡟ࡋ࡚㸪ᅜ㝿㌾㦵἞⒪Ꮫ఍㆟ࢫࢥ࢔ࢩࢫࢸ࣒ᨵኚ࡟ᚑ࠸㌾㦵Ḟᦆ㒊఩ࡢ἞⒵≧ែࢆࢫࢥ࢔໬ࡋ㸪ྜィⅬࡢᖹᆒࢆ⟬ฟࡋ࡚ẚ㍑᳨ウࡋࡓ(n=3)㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
KO࣐࢘ࢫࡢ㛵⠇㌾㦵࡟࠾ࡅࡿSox9㸪Acan㸪Col2
ࡢmRNAⓎ⌧㔞ࡣ㸪WT࣐࢘ࢫࡢࡶࡢ࡜ẚ㍑ࡋ࡚᭷

ព࡟పୗࡋ࡚࠸ࡓ (ᅗA)㸬 㛵⠇㌾㦵๰യ἞⒵ࣔࢹࣝ࡟࠾࠸࡚㸪KO࣐࢘ࢫ࡜ẚ ㍑ ࡋ 㸪 WT ࣐ ࢘ ࢫ ࡢ ㌾ 㦵 Ḟ ᦆ 㒊 ఩ ࡟ ࡣ ከ ࡃ ࡢ
COL2㝧ᛶࡢ㌾㦵ᇶ㉁ࡀ෌⏕ࡋ࡚࠸ࡿീࡀほᐹࡉࢀࡓ (ᅗB)㸬ࡲࡓ㸪㌾㦵Ḟᦆ㒊఩ࡢ἞⒵≧ែࢆࢫࢥ࢔໬ࡋẚ㍑᳨ウࡋࡓ⤖ᯝ㸪 WT࣐࢘ࢫ⩌࡜ẚ㍑ࡋ
KO࣐࢘ࢫ⩌࡟࠾࠸࡚㌾㦵Ḟᦆ㒊఩ࡢ἞⒵ࡀ᭷ព࡟
ᢚไࡉࢀ࡚࠸ࡿࡇ࡜ࡀ♧ࡉࢀࡓ (p<0.05, unpaired
T-test)㸬

 KO࣐࢘ࢫ࡟࠾࠸࡚ᐇ㦂ⓗ࡞㛵⠇㌾㦵๰യ἞⒵㐣
⛬ࡀⴭࡋࡃᢚไࡉࢀࡿࡇ࡜ࢆ♧ࡋࡓᮏᐇ㦂⤖ᯝࡣ㸪
CCN4ࡀ6㐌㱋ࡢ࣐࢘ࢫࡢ㛵⠇㌾㦵๰യ἞⒵࡟࠾࠸
࡚㔜せ࡞ᶵ⬟ࢆ᭷ࡋ࡚࠸ࡿࡇ࡜ࢆ♧ࡋ࡚࠸ࡿ࡜ᛮ
ࢃࢀࡓ㸬ࡇࢀࡣ㸪CCN4ࡀ㛵⠇㌾㦵࡟࠾ࡅࡿ㌾㦵⣽⬊ศ໬ࢆṇ࡟ไᚚࡋ࡚࠸ࡿ ࡜࠸࠺ࡇࢀࡲ࡛ࡢinvitroࡢ⤖ᯝ࡜ࡼࡃ୍⮴ࡋ࡚࠸ࡿ࡜⪃࠼ࡽࢀࡓ㸬ϫ㸬 ᩥ⊩1) ྜྷᒸ⿱ஓ, ኱㔝඘᫛, ௚. ㌾㦵ศ໬࡟࠾ࡅࡿ
CCN4/WISP-1ࡢᶵ⬟ゎᯒ. ᪥⿵⥛఍ㄅ 2014;6࣭123ᅇ≉ูྕ: 136㸬2) Matsuoka M, Iwasaki N, et al. An articularcartilage repair model in common C57Bl/6 mice.
Tissue Engineering Part C Methods. 2015: inpress.

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第1,2日

第6会場

ポスター発表1 ─ 6 ─ 69

ᢠRANKLᢠయ἞⒪ࡣཱྀ⭍ෆ๰യ἞⒵୙඲ࢆច㉳ࡋT⣽⬊ᛶච␿ᶵᵓࢆኚ໬ࡉࡏࡿ
‫ۑ‬㯮ᔱఙ୍㑻*,**㸪ᒣୗ₶ᮁ***㛗ᓮ኱Ꮫ⑓㝔ཱྀ⭍࣭㢡࣭㢦㠃࢖ࣥࣉࣛࣥࢺࢭࣥࢱ࣮㸪**࣑ࢩ࢞ࣥ኱ᏛṑᏛ㒊⏕≀ᮦᩱ⛉Ꮫㅮᗙ⿵⥛⛉
Altered Palatal Wound Healing and T Cell-Dependent Immune System by Anti-RANKL Antibody Treatment
Kuroshima S*,**, Yamashita J***Oral and Maxillofacial Implant Center, Nagasaki University Hospital **Division of Prosthodontics,
Department of Biologic Materials and Sciences, University of Michigan, School of DentistryϨ㸬 ┠ⓗ ࣅࢫࣇ࢛ࢫࣇ࢛ࢿ࣮ࢺ㸦BP㸧〇๣ࡣ㢡㦵ቯṚ
㸦ONJ㸧ࢆㄏⓎࡍࡿ㸬ᡃࠎࡣ᪤࡟BPㄏⓎᛶONJ࡟㛵ࡍࡿᇶ♏◊✲࠿ࡽ㸪๰യ἞⒵୙඲࡟ࡣTRAP㝧ᛶ༢᰾⣽⬊ࡀ㛵୚ࡍࡿྍ⬟ᛶࢆሗ࿌ࡋࡓ1)㸬୍᪉㏆ᖺ㸪᪥ᮏ࡛ㄆྍࡉࢀࡓᢠRANKL㸦Receptor Activator of
NF-kB Ligand㸧ᢠయࡣBP〇๣ࡼࡾ⸆๣ຠᯝࡀ㧗ࡃ⤒῭ⓗ࡛࠶ࡾ㸪௒ᚋࡣᅜෆ࡛ࡢ౑⏝㢖ᗘࡀቑຍࡍ
ࡿྍ⬟ᛶࡀ㧗࠸㸬࡜ࡇࢁࡀ᭱㏆㸪ᢠRANKLᢠయ἞⒪࡛ࡶBP〇๣἞⒪࡜ྠ⛬ᗘ࡟ONJࢆច㉳ࡍࡿࡇ࡜ࡀศ࠿ࡗ࡚ࡁࡓ2)㸬ONJࡣ㸪Ⓨ⌧㢖ᗘࡣప࠸ࡀ㸪Ⓨ⑕ࡍࡿ࡜㞴἞ᛶ࡛QOLࡣ㜼ᐖࡉࢀ㸪༑ศ࡞⿵⥛἞⒪ࡀ⾜࠼࡞࠸㸬୍᪉㸪ᢠRANKLᢠయ἞⒪ࡀ๰യ἞
⒵ࡸච␿ᶵᵓ࡟୚࠼ࡿᙳ㡪ࡣ୙࡛᫂࠶ࡿ㸬ࡑࡇ࡛ᡃࠎࡣ㸪ᢠRANKLᢠయ἞⒪࡛ࡣBP〇๣἞⒪࡜ྠᵝ
࡟㸪TRAP㝧ᛶ༢᰾⣽⬊ࡀ๰യ἞⒵୙඲࡟㛵୚ࡍࡿ࡜࠸࠺௬ㄝࢆ❧࡚ࡓ㸬ᮏ◊✲ࡢ┠ⓗࡣ㸪ᢠRANKLᢠయᢞ୚࣐࢘ࢫ࡟࠾ࡅࡿཱྀ⵹㒊ࡢ๰യ἞⒵࡜ච␿
ᶵᵓ࡬ࡢᙳ㡪ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜࡟࠶ࡿ㸬ϩ㸬 ᪉ἲ
 C57BL6J࣐࢘ࢫ㸦9㐌㱋㸧࡟ᢠRANKLᢠయࢆ3㐌㛫ࡈ࡜࡟⓶ୗὀᑕࡋ㸪3ᗘ┠ࡢᢞ୚1࠿᭶ᚋ࡟➨୍኱⮻ṑ㒊ࡢཱྀ⵹⢓⭷ࢆ㦵⭷࡜࡜ࡶ࡟ษ㝖ࡋ࡚㦵㠃ࢆ㟢ฟࡉࡏ㸪ࡑࡢ1࠿᭶ᚋ࡟࣐࢘ࢫࢆᒕẅࡋ㛗⟶㦵࡜ୖ㢡ࢆ᦬ฟࡋࡓ㸦mAb⩌㸪nӍ7㸧㸬ࢥࣥࢺ࣮ࣟ
ࣝ࡟ࡣ⏕⌮㣗ሷỈࡢᢞ୚࣐࢘ࢫࢆ⏝࠸ࡓ㸦VC⩌㸪
nӍ7㸧㸬ᢠRANKLᢠయࡢຠᯝࡣ㸪ྑഃ኱⭣㦵ࡢ࣐
࢖ࢡࣟCT࡟ࡼࡿ3ḟඖⓗᵓ㐀ゎᯒ࡜ᕥഃ⬯㦵ࡢ⤌⧊ᙧែᏛⓗ᳨⣴࡟ࡼࡾ☜ㄆࡋࡓ㸬ୖ㢡ࡢ⬺⅊ᚋ࡟స〇ࡋࡓࣃࣛࣇ࢕ࣥษ∦ࡢTRAPᰁⰍ࠿ࡽࡣTRAP㝧ᛶ⣽⬊ࡢᐃ㔞ࢆ⾜࠸㸪ࢺࣛ࢖ࢡ࣮࣒ࣟᰁⰍ࠿ࡽ
ࡣ⅖⑕ᛶ⣽⬊࡜㦵⣽⬊㸦㦵ቯṚ㸧ࡢᐃ㔞ࢆ⾜ࡗࡓ㸬୍᪉㸪ᕥഃ⬯㦵㦵㧊࠿ࡽࡣTRIZOLἲ࡛㑇ఏᏊࢆᅇ཰ࡋ㸪ᐃ㔞PCR࡛㑇ఏᏊゎᯒࢆ⾜ࡗࡓ㸬ࡉࡽ࡟ᕥഃ኱⭣㦵㦵㧊⣽⬊୰ࡢT⣽⬊ࢆࣇ࣮ࣟࢧ࢖ࢺ࣓࣮ࢱ
࣮࡛ᐃ㔞ゎᯒࢆࡋࡓ㸬⤫ィࡣstudent t-testࢆ⏝࠸ࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹmAb⩌ࡢ㛗⟶㦵࡟࠾ࡅࡿ◚㦵⣽⬊ࡢάືᢚไ࡜

㦵㔞࣭㦵ᐦᗘࡢ᭷ព࡞ቑ኱࠿ࡽ㸪ᢠRANKLᢠయࡣ㐺ษ࡞⸆๣ຠᯝࢆ♧ࡍࡇ࡜ࡀ☜ㄆࡉࢀࡓ㸬୍᪉㸪
mAb⩌ࡢ㦵㧊࡟ࡣVC⩌࡛ࡣᏑᅾࡋ࡞࠸TRAP㝧ᛶ༢᰾⣽⬊ࡀ኱㔞࡟ㄆࡵࡽࢀ㸪ࡇࡢࡇ࡜ࡣBP〇๣ࢆ౑⏝ࡋࡓᡃࠎࡢ㐣ཤࡢሗ࿌࡜ྠࡌࡔࡗࡓ1)㸬ࡇࡢ⌮⏤ࢆゎ᫂ࡍ࡭ࡃ㦵㧊⣽⬊ࡢ㑇ఏᏊ᳨⣴ࢆࡋࡓ⤖ᯝ㸪
mAb⩌࡛࣐ࢡࣟࣇ࢓࣮ࢪࢥࣟࢽ่࣮⃭ᅉᏊࡢཷᐜ
య㑇ఏᏊc-fms㸪◚㦵⣽⬊ศ໬ᅉᏊRANK࡜RANKL㸪࡞ࡽࡧ࡟⣽⬊Ṛࢆಁ㐍ࡍࡿBax࡜Bimࡢⴭࡋ࠸ቑ኱
ࢆㄆࡵࡓࡇ࡜࠿ࡽ㸪TRAP㝧ᛶ༢᰾⣽⬊ࡢቑ኱ᡤぢࡣ㑇ఏᏊ࡛ࣞ࣋ࣝࡶㄆࡵࡿࡀ㸪ṧᏑ◚㦵⣽⬊ࡲࡓ
ࡣቑຍTRAP㝧ᛶ༢᰾⣽⬊ࡢ୍㒊ࡣ⣽⬊ṚࢆㄏⓎࡋ࡚࠸ࡿྍ⬟ᛶࡀ⪃࠼ࡽࢀࡓ㸬ࡉࡽ࡟mAb⩌࡛ࡣ
CD3㝧ᛶT⣽⬊࡜Gammadelta T⣽⬊ࡀ኱㔞࡟Ꮡᅾࡋ㸪T⣽⬊౫Ꮡᛶච␿ᶵᵓ࡟኱ࡁ࡞ᙳ㡪ࢆ୚࠼࡚࠸ࡓ㸬௨ୖ࠿ࡽᢠRANKLᢠయࡣ㸪◚㦵⣽⬊࡟ᙳ㡪ࢆ୚࠼ࡿࡔࡅ࡛࡞ࡃ㸪㦵㧊ෆᚤᑠ⎔ቃࢆⴭࡋࡃኚ໬ࡉࡏ
ࡿࡇ࡜ࡀศ࠿ࡗࡓ㸬୍᪉㸪ཱྀ⵹⢓⭷ࡣษ㝖3㐌㛫ᚋ࡟ࡣ⫗║ⓗ࡟἞⒵ࡋ࡚࠸ࡓ㸬࡜ࡇࢁࡀ⤌⧊᳨⣴࡟࠾࠸࡚㸪mAb⩌࡛ࡣ◚㦵⣽⬊ࡢάືᛶࡀᢚไࡉࢀ࡚ⴭࡋ࠸⅖⑕ᛶ⣽⬊ࡢᾐ₶࡜ከࡃࡢቯṚ㦵ࡀᏑᅾࡋ㸪๰യ἞⒵୙඲
ࡀច㉳ࡉࢀ࡚࠸ࡓ㸬ࡲࡓmAb⩌࡛ࡣ㸪㛗⟶㦵㦵㧊
࡜ྠᵝ࡟෌⏕ཱྀ⵹⢓⭷࡟ࡶከࡃࡢTRAP㝧ᛶ༢᰾⣽⬊ࡀᏑᅾࡋ࡚࠸ࡓ㸬௨ୖ࠿ࡽ㸪ᢠRANKLᢠయ἞⒪ࡀច㉳ࡋࡓཱྀ⵹㒊๰യ἞⒵୙඲࡟ࡣ㸪BP〇๣἞⒪࡛ច㉳ࡉࢀࡓ๰യ἞⒵୙඲1)࡜ྠᵝ࡟㸪ᒁᡤ࠾ࡼࡧ
඲㌟ⓗ࡞TRAP㝧ᛶ༢᰾⣽⬊ࡢቑຍࡀ㛵୚ࡋ㸪␗࡞ࡿ⸆⌮స⏝ࢆࡶࡘ୧⸆๣࡟ࡣ㸪◚㦵⣽⬊ࡢᢚไ௨
እ࡟ඹ㏻ࡢ⸆๣ຠᯝࢆᣢࡘࡇ࡜ࡀド᫂ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) Kuroshima S, Go VA, Yamashita J. Increased
number of tarrate-resitant acid phosphate positive
cells on long-term zoledronic acid therapy in mice.
Endocrinology. 2012; 153: 17-28.
2) Peddi P, Lopez-Olivo MA, Pratt GF, SuarezAlmazor ME. Denosumab in patients with cancer
and skeletal metastases: a systematic review andmeta-analysis. Cancer Treat Rev. 2013; 39: 97-104.

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 70⃰࢔ࣝ࢝ࣜฎ⌮࡟ࡼࡾ⣧ࢳࢱࣥ㔠ᒓ⾲㠃࡟ᯒฟࡉࡏࡓࢼࣀᵓ
㐀࡬ࡢຍ⇕ฎ⌮ࡢᙳ㡪‫⸨ۑ‬ᑿ⨾✑㸪ᑠṇ ⪽㸪⸽ ⱥᩄ㸪㛵㔝 ᚭ*㸪ᴋᮏဴḟ**㸪すᓮ ᏹ㸪⏣୰ᫀ༤**㸪ᒸᓮᐃྖ኱㜰ṑ⛉኱ᏛḞᦆṑิ⿵⥛ညྜᏛㅮᗙ㸪*኱㜰኱Ꮫ⏘ᴗ⛉Ꮫ◊✲ᡤඛ➃ࣁ࣮ࢻᮦᩱ◊✲ศ㔝㸪**኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙ
The effect of the heat treatment on the nanostructure of titanium induced by alkali treatment
Fujio M, Komasa S, Su Y, Sekino T*, Kusumoto T**, Nishizaki H, Tanaka M**, Okazaki J
Osaka Dental University, Department of Removable Prosthodontics and Occlusion, * Osaka University, ISIRSANKEN, ** Osaka Dental University, Department of Fixed Prosthodontics and OcclusionϨ㸬 ┠ⓗ ࢃࢀࢃࢀࡣᐊ ᮲௳ୗ࡛ࡢ⃰࢔ࣝ࢝ࣜỈ⁐ᾮ୰࡟⣧ࢳࢱࣥࢆᾐₕࡍࡿࡇ࡜࡛㸪ࡑࡢ⾲㠃࡟ࢼࣀࢩ࣮ࢺᵓ㐀㸦TNS㸧ࢆᯒฟࡉࡏ㸪ࡑࡢ⾲㠃ᵓ㐀ࡀᮍศ໬㛫ⴥ⣽⬊ࡢ◳⤌⧊ศ໬⬟࡟ᙳ㡪ࢆ୚࠼ࡿ࡜⤖ㄽ࡙ࡅࡓ1㸬ࡋ࠿ࡋ㸪ࡇࡢᮦᩱࢆ་⒪ᮦᩱ࡜ࡋ࡚ᛂ
⏝ࡍࡿࡓࡵ࡟ࡣࢼࣀ⤖ᬗ໬ࡀᚲ㡲࡛࠶ࡾ㸪ຍ⇕ฎ⌮ࡀ㸪၏୍ࢼࣀᵓ㐀ࢆ㒊ศ⤖ᬗ໬ࡉࡏࡿࡇ࡜ࢆ᫂
ࡽ࠿࡟ࡋࡓ㸬ࡑࡇ࡛㸪ᮏ◊✲࡛ࡣᵝࠎ࡞ ᗘ࡟ࡼࡿຍ⇕ฎ⌮ࡀ⣧ࢳࢱࣥ㔠ᒓ⾲㠃ୖࡢࢼࣀᵓ㐀࡟࡝ࡢࡼ࠺࡞ᙳ㡪ࢆ୚࠼ࡿ࠿≀⌮Ꮫⓗゎᯒ࡟ࡼࡿ᳨ウࢆ⾜ࡗࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ ᐇ㦂ᮦᩱ࡜ࡋ࡚┤ᚄ10mmࡢᕷ㈍ࡢ⣧ࢳࢱࣥ㔠ᒓᯈࢆ౑⏝ࡋ㸪ᑐ↷⩌࡜ࡋ࡚㸡2000ࡲ࡛◊☻ࡋࡓྠᮦᩱࢆ౑⏝ࡋࡓ㸬TNSࡢᯒฟ࡟ࡣ㸪ྛヨᩱࢆ30Υ
ࡢ10 MࡢỈ㓟໬ࢼࢺ࣒ࣜ࢘Ỉ⁐ᾮ࡟ᾐₕࡋ㸪ᨩᢾࡋࡓ≧ែ࡛኱Ẽᅽ᮲௳ୗ࡛24 ᫬㛫཯ᛂࡉࡏࡓ㸬཯ᛂᚋ㸪ヨᩱࢆྲྀࡾฟࡋ㸪࢖࢜ࣥ஺᥮Ỉ࡟࡚ᑟ㟁⋡ࡀ5 ȣm௨ୗ࡟࡞ࡿࡲ࡛Ὑίࢆ⾜ࡗࡓ㸬ヨᩱࡣᐇ㦂⩌㸪ᑐ↷⩌࡜ࡶ࡟㸪࢔ࢭࢺࣥ㸪࢚ࢳࣝ࢔ࣝࢥ࣮
ࣝ㸪࢖࢜ࣥ஺᥮Ỉ࡛ྛ10ศ㛫㉸㡢ἼὙίᚋ㸪஝⇕⁛⳦ࢆ⾜ࡗࡓ㸬ࡑࡢᚋ㸪ྛヨᩱ࡟ࡘ࠸࡚200, 400,
600, 800Υ࡟࡚1᫬㛫ຍ⇕ฎ⌮ࢆ⾜ࡗࡓ㸬ヨᩱࡢ⾲㠃ᵓ㐀ࡣ㉮ᰝᆺ㟁Ꮚ㢧ᚤ㙾㸦SEM,SPM㸧࡟࡚ほᐹࡋࡓ㸬ヨᩱ⾲㠃࡟࠾ࡅࡿඖ⣲ศᯒࢆX⥺㟁Ꮚศගศᯒ⿦⨨㸦XPS㸧࡟࡚⾜ࡗࡓ㸬ࡲࡓ㸪ྛヨᩱ⾲㠃࡟࠾ࡅࡿ⤖ᬗᵓ㐀ࢆX⥺ᅇᯒ⿦⨨㸦XRD㸧࡟࡚ゎᯒࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ SEMࡢᡤぢ࡛ࡣ㸪ᑐ↷⩌࡛⁥ࡽ࠿࡞ീࡀほᐹࡉࢀࡿࡢ࡟ᑐࡋ㸪200Υ㸪400Υ㸪600Υࡢຍ⇕ฎ⌮ࢆ᪋ࡋࡓᐇ㦂⩌࡛ࡣࢼࣀࣞ࣋ࣝࢿࢵࢺ࣮࣡ࢡᵓ㐀ࡀほᐹࡉࢀࡓ㸦ᅗ1㸧㸬ࡋ࠿ࡋ㸪800Υࡢຍ⇕ฎ⌮ࢆ᪋ࡍ࡜ࡑࡢࢼࣀᵓ㐀ࡣ◚ቯࡉࢀࡓ㸬SPMࡢほᐹ࡛ࡣࢼࣀࣞ࣋ࣝࡢࣀࢪ࣮ࣗࣝࡢRa್ࡣ200Υ㸪400Υ㸪
600Υࡢຍ⇕ฎ⌮ࢆ᪋ࡋࡓᐇ㦂⩌࡛ࡣᑐ↷⩌࡜ẚ㍑
ࡋ࡚⣙13.0nm࡜ప࠸್ࢆ♧ࡋࡓ㸬ࡋ࠿ࡋ㸪800Υࡢຍ⇕ฎ⌮ࢆ᪋ࡋࡓᐇ㦂⩌࡛ࡣ㸪ᑐ↷⩌ࡢRa್࡜࡯ࡰྠ୍ࡢ್ࢆ♧ࡋࡓ㸬XPSࡢほᐹ࡛ࡣ㸪ᐇ㦂⩌࠾ࡼࡧᑐ↷⩌࡜ࡶ࡟Ti㸪O㸪C㸪NࡢᏑᅾࡀ☜ㄆࡉࢀࡓ㸬ຍ⇕ ᗘኚ໬࡟ࡼࡿᕪ␗ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬
XPSࡢ⤖ᯝ࠿ࡽࡣ㸪ᐇ㦂⩌ࡢ⾲ᒙ࡛ᑐ㇟⩌࡜ẚ㍑
ࡋ࡚ཌ࠸㓟໬⭷ࡢᒙࡀᙧᡂࡉࢀࡿࡇ࡜ࡀ᫂ࡽ࠿࡜
࡞ࡗࡓ㸬XRDࡢゎᯒ࡛ࡣ600Υ࡛⤖ᬗࡀᡂ㛗ࡋጞࡵ㸪
800Υ࡛ࢼࣀᵓ㐀ࡢ◚ቯ࡜࡜ࡶ࡟᏶඲⤖ᬗ໬ࡋ࡚࠸
ࡿ࡜࠸࠺⤖ᯝࢆ♧ࡋࡓ㸬ᡃࠎࡢ㐣ཤࡢሗ࿌࡛ࡣ㸪㒊ศ⤖ᬗ໬ࢼࣀᵓ㐀ࡀࣛࢵࢺࡢ◳⤌⧊ศ໬ㄏᑟ࡟
ᙳ㡪ࢆ୚࠼ࡿࡇ࡜࠿ࡽ㸪௒ᚋin vitro, in vivoࡢ୧㠃࠿ࡽࡢ᳨ウࡀᚲ㡲࡜ࡉࢀࡿ㸬 ௨ୖࡢ⤖ᯝ࡟ࡼࡾ㸪⃰࢔ࣝ࢝ࣜฎ⌮࡟ࡼࡾ⣧ࢳࢱࣥ㔠ᒓ⾲㠃࡟ᯒฟࡉࡏࡓࢼࣀᵓ㐀࡬ࡢ600Υຍ⇕ฎ⌮ࡀ㒊ศ⤖ᬗ໬ᆺࡢࢼࣀࣞ࣋ࣝࢿࢵࢺ࣮࣡ࢡᵓ
㐀ࢆᙧᡂࡉࡏࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬ᅗ 1 600Υຍ⇕ฎ⌮࡟ࡼࡾᙧᡂࡉࢀࡓ TNS ᵓ㐀ϫ㸬 ᩥ⊩1) Komasa S, Taguchi Y, Tanaka M. Bioactivity of
Nanostructure on Titanium Surface Modified by
Chemical Processing at Room Temperature. J.
Prosthodont. Res. 2012㸹56㸸170-177㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 71

7 Tesla㉸㧗☢ሙMRI࡟࠾ࡅࡿṑ⛉⏝㔠ᒓࡢᏳ඲ᛶ࡜artifactࡢᙳ㡪‫ۑ‬ᢡ♽◊ኴ㸪ᑠᯘ⌶ஓ㸪㨣ཎⱥ㐨㸪␊ᒣ⯟㸪୕ᾆ┿ᝅ㸪㐨ཪಇ㸪㏆⸨ᑦ▱ᒾᡭ་⛉኱ᏛṑᏛ㒊⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛㅮᗙ
Safety of dental metal and effects of artifact in 7 Tesla ultra-high field MRI

Oriso K,Kobayashi T,Kihara H,Hatakeyama W,Miura S,Michimata S,Kondo H
Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical UniversityϨ㸬 ┠ⓗ MRI᳨ᰝࡣ⏕య࡟ᑐࡋ࡚ప౵く࡛࠶ࡿࡇ࡜࠿ࡽ
་⛉㡿ᇦ࡟࠾࠸࡚ᛴ㏿࡞ᬑཬࢆ㐙ࡆࡓ㸬MRIࡣ㸪᳨ᰝࡢ㎿㏿ᛶࡸ⢭ᗘࢆồࡵ㸪⿦⨨ࡢ㧗☢ሙ໬㸪㧗ゎീᗘ໬ࡀ㐍ࢇ࡛࠸ࡿ㸬୍᪉㸪㏆ᖺࡢ་⒪ࡢⓎᒎ࡜㧗㱋໬࡟క࠸㸪⿵⥛⿦⨨ࡸ࢖ࣥࣉࣛࣥࢺ࡞࡝ࡢ
㔠ᒓ་⒪⿦⨨ࢆ⿦╔ࡋࡓ㧗㱋ࡢᝈ⪅ࡀቑຍࡋ࡚࠸
ࡿࡓࡵ㸪MRI᳨ᰝ࡟࠾ࡅࡿ㔠ᒓᮦᩱࡢᏳ඲ᛶ࠾ࡼ
ࡧ⏬ീ࡟୚࠼ࡿᙳ㡪ࡀ་⒪ୖ㔜せ࡞ㄢ㢟࡜࡞ࡗ࡚࠸ࡿ㸬ࡇࡢㄢ㢟࡜ࡣ㸪㔠ᒓ࡟ᑐࡋ࡚⏕ࡌࡿ≌ᘬຊ㸪㧗࿘Ἴ(RFἼ)࡟ࡼࡿ㔠ᒓࡢⓎ⇕㸪⏬ീデ᩿࡬ᙳ㡪ࢆ୚࠼ࡿ☢໬⋡artifact࡛࠶ࡿ㸬ࡇࢀࡽࡢṑ⛉⏝㔠ᒓ࡟ࡘ࠸࡚ࡢ᳨ウࡣ3 Tesla(3 T)⿦⨨ࡲ࡛ࡢሗ࿌ࡣ
Ꮡᅾࡍࡿࡀ7 Tesla(7 T)⿦⨨࡟ࡼࡿሗ࿌ࡣᑡ࡞࠸1)㸬
ࡑࡇ࡛㸪ᮏ◊✲ࡣ㉸㧗☢ሙMRI⿦⨨ࢆ⏝࠸ࡓ⏕య᳨ᰝ᫬ࡢṑ⛉⏝㔠ᒓࡢᏳ඲ᛶ࡜ṑ⛉⏝㔠ᒓࡀཬࡰࡍ⏬ീデ᩿࡬ࡢᙳ㡪ࢆ᳨ウࡍࡿࡇ࡜ࢆ┠ⓗ࡟ṑ⛉⏝㔠ᒓࡢ೫ྥゅ㸪Ⓨ⇕㸪artifactࡢ ᐃࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ᳨యࡣ8✀ࡢṑ⛉⏝㔠ᒓ(TypeϨ㔠ྜ㔠㸪Typeϫ㔠ྜ㔠㸪14K㔠ྜ㔠㸪ⓑ㔠ຍ㔠㸪12%Pdྜ㔠㸪㖟ྜ
㔠㸪Co-Crྜ㔠㸪Ni-Crྜ㔠)ࢆ᪤〇ࡢwax pattern࡛㗪㐀ࡋࡓFMC࡞ࡽࡧ࡟࢖ࣥࣉࣛࣥࢺయ࡜ࡋࡓ㸬
1. ೫ྥゅࡢ ᐃ೫ྥゅࡢ ᐃࡣ7 T㸪3 T⿦⨨ࢆ౑⏝ࡋࡓ㸬⡿ᅜヨ㦂ᮦᩱ༠఍(ASTM)ࡢdeflection angle test࡟๎ࡾ㸪᳨యࢆ⣒࡛ྞࡾୗࡆ㸪≌ᘬຊ࡟ࡼࡗ࡚⏕ࡌࡿ೫ྥゅࡀ ᐃ࡛ࡁࡿ⿦⨨ࢆసᡂࡋࡓ㸬ᮏィ ࡣணഛᐇ㦂࡟࡚⿦⨨ࡢ☢ሙ໙㓄ࡀ᭱኱࡛࠶ࡗࡓ఩⨨࡛⾜ࡗࡓ㸬
2. Ⓨ⇕ࡢ ᐃⓎ⇕ヨ㦂࡟ࡣ7 T⿦⨨ࢆ౑⏝ࡋ㸪᳨యࡣ࢔࣮࢞ࣟࢫࢤ࡛ࣝ〇సࡋࡓேయ➼౯ࣇ࢓ࣥࢺ࣒࡟ᇙධࡋࡓ㸬ᗘ ᐃ࡟ࡣගࣇ࢓࢖ࣂ࣮ ᗘ ᐃჾࢆ౑⏝ࡋ㸪᧜ീ୰ࡢ ᗘኚ໬ࢆグ㘓ࡋࡓ㸬control࡜ࡋ᳨࡚య
ࢆᇙධࡋ࡞࠸ࣇ࢓ࣥࢺ࣒ࡢࡳࡢ ᗘኚ໬ࡶ ᐃࡋࡓ㸬᧜ീࡣ6✀ࡢsequenceࢆタᐃࡋ㸪 ᐃࡣ1⛊ࡈ࡜࡟6ศ㛫㐃⥆ࡋ࡚⾜ࡗࡓ㸬
3. artifactࡢ ᐃ
artifactࡢ ᐃ࡟ࡣ7 T⿦⨨ࢆ౑⏝ࡋ㸪᳨యࡣ࢔࢞ࣟ

࣮ࢫ࡛ไసࡋࡓ¨8.3 cm × 4.3 cmࡢேయ➼౯ࣇ࢓ࣥࢺ࣒࡟ᇙධᅛᐃࡋࡓ㸬᧜ീ᮲௳ࡣࣄࢺࡢ㢌㒊ࡢタᐃ࡜ࡋ㸪ྛ᳨య4✀ࡢsequenceࢆタᐃࡋࡓ㸬axial࡜
coronalࡢ2✀ࡢslice⏬ീ࡟㛵ᚰ㡿ᇦ(ROI)ࢆタᐃࡋ㸪
artifact࡟ࡼࡾㄞᙳ୙⬟࡞⠊ᅖࡢ㠃✚ࢆ ᐃࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 1. ೫ྥゅࡢ ᐃ
Co-Crࡣ3 T࡛5.5°㸪7 T࡛18.0°㸪Ni-Crࡣ3 T࡛4.0°㸪
7 T࡛13.5°ࡢ೫ྥゅ࡛࠶ࡗࡓ㸬࢖ࣥࣉࣛࣥࢺయࡣ3T࡛0.5°㸪7 T࡛5.5°࡛࠶ࡗࡓ㸬௚ࡢ᳨యࡢ೫ྥゅࡣ࡝ࡕࡽࡢ⿦⨨࡟࠾࠸࡚ࡶ0°࡛࠶ࡗࡓ㸬
2. Ⓨ⇕ࡢ ᐃᑐ㇟࡜ࡋࡓࡍ࡭࡚ࡢ᳨యࡢ඲᧜ീ᮲௳࡛ ᗘୖ᪼ࢆㄆࡵࡓ㸬Typeϫ㸪ⓑ㔠ຍ㔠㸪࢖ࣥࣉࣛࣥࢺయࡣ
0.8Υ࡛᭱኱Ⓨ⇕ࢆㄆࡵࡓ㸬controlࡶྵࡵࡓ௚ࡢ᳨యࡢ ᗘୖ᪼ࡣ0.8Υ௨ୗ࡛࠶ࡗࡓ㸬
3. artifactࡢ ᐃ
Co-Crࡢartifactࡀ᭱ࡶ኱ࡁࡃ㸪axial㸪coronalඹ࡟᳨యࡢ㠃✚ࡢ⣙9-10ಸࡢ⠊ᅖ࡟ㄆࡵ㸪Ni-Crࡶ᳨యࡢ⣙9ಸ㸪࢖ࣥࣉࣛࣥࢺయࡣaxial࡛⣙10ಸ㸪coronal࡛
⣙5ಸࡢartifact ࢆㄆࡵࡓ㸬௚ࡢ᳨యࡣ⣙1.3-2.0ಸࡢ
artifactࢆㄆࡵࡓ㸬ࡲࡓ㸪᧜ീἲ࡟ࡼࡿ㐪࠸ࡣaxial
࡛3D-GRE T1WI㸪coronal࡛2D-SE T2WIࡀ᭱ࡶ኱ࡁ
࡞artifactࢆㄆࡵࡓ㸬 ㉸㧗☢ሙMRI⿦⨨࡟࠾࠸࡚≌ᘬຊࡀ㍍ᗘ࡛࠶ࡗ
ࡓTypeϨ㸪Typeϫ㸪14K㸪ⓑ㔠ຍ㔠㸪12%Pd㸪㖟ྜ㔠㸪࢖ࣥࣉࣛࣥࢺయࡣ⿦╔ࡋࡓ≧ែ࡛Ᏻ඲࡟᳨
ᰝࡀ⾜࠼ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬Co-Cr࡜Ni-Crࡣ㸪
ASTMࡢᏳ඲ᇶ‽࡛࠶ࡿ45°࡟ཬࡤ࡞࠸ࡶࡢࡢ኱ࡁ࡞೫ྥゅࢆㄆࡵࡓࡓࡵ㸪ྲྀࡾእࡋ࡚࠿ࡽࡢ᳨ᰝࡀ
ᮃࡲࡋ࠸࡜⪃࠼ࡿ㸬Ⓨ⇕ࡣ0.8Υᮍ‶࡜㍍ᗘ࡛࠶ࡿࡓࡵᏳ඲࡟᳨ᰝࡀ⾜࠼ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ࡲࡓ㸪
Co-Cr࡜Ni-Crࡣ᳨యࡢ⣙9-10ಸࡢartifactࡀ☜ㄆࡉࢀ㸪⏬ീデ᩿࡟࠾࠸࡚኱ࡁࡃᙳ㡪ࢆཬࡰࡍ㔠ᒓ࡛࠶ࡿࡓࡵ㸪ྲྀࡾእࡋ࡚࠿ࡽࡢ᳨ᰝࡀᚲせ࡜⪃࠼ࡿ㸬ϫ㸬 ᩥ⊩1) ᕝග⚽᫛㸪ᅵᶫಇ⏨࡯࠿㸬3T-MR⿦⨨ࡢᏳ඲ᛶ㸬᪥ᨺᢏᏛㄅ 2008; 64: 1575-1599− 261 −

第1,2日

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日補綴会誌

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ポスター発表1 ─ 6 ─ 72

GFP࣐࢘ࢫ㦵㧊⏤᮶㛫ⴥ⣔ᖿ⣽⬊ᰴࡢ㦵ศ໬࡟࠾ࡅࡿᡂ
㛗ᅉᏊࡢᙳ㡪
‫ۑ‬஬༑ᔒ㟹அ㸪ᶓ⏣₶㸪஭ୖᏛ㸪㨣ཎⱥ㐨㸪㏆⸨ᑦ▱ᒾᡭ་⛉኱ᏛṑᏛ㒊⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛㅮᗙ
Effects of growth factors in bone differentiation of GFP mouse bone marrow-derived mesenchymal stem cell

Igarashi Y, Yokota J, Inoue M, Kihara H, Kondo H
Department of Prosthodontics and Oral Implantology, School of dentistry, Iwate Medical UniversityϨ㸬 ┠ⓗ ṑ⛉࢖ࣥࣉࣛࣥࢺࢆࡣࡌࡵ࡜ࡍࡿḞᦆ⿵⥛ࡢᡂྰࡣ㢡㦵ࡢ㦵㔞࡟ࡼࡗ࡚ᕥྑࡉࢀࡿࡓࡵ㸪⏕యᮦᩱࡢ㛤Ⓨࡸྛ✀ᡂ㛗ᅉᏊ࠾ࡼࡧయᛶᖿ⣽⬊ࡢ฼⏝࡞࡝㦵⤌⧊෌⏕࡟㛵ࡍࡿᵝࠎ࡞ヨࡳࡀ࡞ࡉࢀ࡚࠸
ࡿ㸬࡜ࡃ࡟㦵ⱆ⣽⬊࡬ࡢศ໬⬟ࡢ㧗࠸㛫ⴥ⣔ᖿ⣽⬊㸦MSC㸧ࡣ㦵⤌⧊෌⏕⒪ἲ࡬ࡢᛂ⏝ࡀᮇᚅࡉࢀ
࡚࠸ࡿ㸬㦵࢝ࢵࣉࣜࣥࢢࣇ࢓ࢡࢱ࣮࡜ࡋ࡚▱ࡽࢀࡿ  bone morphogenetic protein (BMP) -2 ࡸtransforming growth factor (TGF) -¢1ࡣ㸪MSCࡢ㦵ⱆ⣽⬊ศ໬ࢆᙉຊ࡟ಁ㐍ࡍࡿ㸬ᶓ⏣ࡽࡣMSCࡢTGF¢ㄏᑟᛶ㦵ⱆ⣽⬊ศ໬ࢆPDGFࡀ┦஌ⓗ࡟ಁ㐍ࡍࡿࡇ࡜ࢆሗ࿌ࡋ㸪」ᩘࡢᡂ㛗ᅉᏊࡢᏑᅾࡣ㦵ⱆ⣽⬊ศ໬ࢆಁ㐍ࡍࡿྍ⬟ᛶࡀ♧ࡉࢀࡓ㸬ᮏ◊✲࡛ࡣ㸪
MSC࡟ࡼࡿ⣽⬊἞⒪ࡸ㑇ఏᏊ἞⒪࡟ᛂ⏝ࡍࡿࡇ࡜ࢆ᝿ᐃࡋ㸪㦵ᙧᡂࢆಁ㐍ࡍࡿtransforming growth
factor (TGF) -¢ superfamily࡟ᑐࡍࡿឤཷᛶࡢ㧗࠸
MSCᰴࡢ㑅ฟࢆヨࡳࡓ㸬ϩ㸬 ᪉ἲ ⛣᳜ᚋࡢMSCᰴࡢయෆືែࢆࢺ࣮ࣞࢫྍ⬟࡟ࡍ
ࡿࡓࡵ㸪GFP࣐࢘ࢫࡼࡾ㦵㧊⏤᮶MSCࢆ᥇ྲྀࡋ࡚
SV40࡜hTERTⓎ⌧࣋ࢡࢱ࣮ࢆᑟධᚋ㸪⸆๣⪏ᛶ࡞ࡽࡧ࡟㝈⏺ᕼ㔘ἲ࡟࡚༢୍⣽⬊⏤᮶⣽⬊ᰴࢆᶞ❧ࡋࡓ㸬ᶞ❧ࡋࡓ⣽⬊ᰴ࡟ࡘ࠸࡚MSC࣐࣮࣮࢝ࡢⓎ⌧ࢆࣇ࣮ࣟࢧ࢖ࢺ࣓ࢺ࣮࡛ࣜ☜ㄆࡋࡓ㸬ࡉࡽ࡟㦵ศ໬ㄏᑟ࡟࠾ࡅࡿBMP-2ࡢᙳ㡪࡜BMP-2่⃭࡟㉳ᅉࡍࡿSmad1/5/8ࡢࣜࣥ㓟໬㸪ࡉࡽ࡟ࡣTGF-¢1่⃭࡟㉳ᅉࡍࡿSmad2/3ࡢࣜࣥ㓟໬ࢆ࢙࢘ࢫࢱࣥࣈࣟࢵࢺ࡟࡚ホ౯ࡋࡓ㸬ྛMSCᰴࡢከศ໬⬟ຊ࡟ࡘ࠸࡚
ࡶ㸪㏻ἲ㏻ࡾ࡟ホ౯ࡋࡓ㸬࡞࠾㸪ᮏ◊✲ࡣᒾᡭ་⛉኱Ꮫື≀ᐇ㦂ጤဨ఍ࡢᢎㄆࢆᚓ࡚ᐇ᪋ࡉࢀࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 GFP࣐࢘ࢫࡢ㦵㧊ࡼࡾ3⣔⤫㸦SG2㸪SG3㸪SG5㸧
ࡢMSCᰴࢆᶞ❧ࡋࡓ㸬MSC࣐࣮࣮࢝ࡢⓎ⌧ࢆゎᯒࡋࡓ࡜ࡇࢁ㸪඲࡚ࡢ⣽⬊ᰴ࡟࠾࠸࡚୺せ࡞MSC࣐
࣮࣮࡛࢝࠶ࡿSca-1࡜CD44ࡀ㝧ᛶ࡛࠶ࡾ㸪㐀⾑ᖿ⣽⬊࣐࣮࣮࢝ࡢCD11b࡞ࡽࡧ࡟CD45ࡣ㝜ᛶ࡛࠶ࡗࡓ㸬ḟ࡟㸪ࡇࢀࡽࡢ⣽⬊ᰴࡢ㦵ⱆ⣽⬊ศ໬⬟ຊ࡟ࡘ࠸࡚☜ㄆࡍ࡭ࡃ㸪TGF-¢ superfamilyࢆྵࡲ࡞࠸㦵ⱆ⣽⬊ศ໬ㄏᑟᇶᮏᇵᆅ࡛ᇵ㣴ࡋࡓ࡜ࡇࢁ㸪SG2࡜
SG5ࡣ⣽⬊㛫ᇶ㉁▼⅊໬⬟ຊࢆ♧ࡋࡓࡀ㸪SG3ࡣࡑ
ࡢᛶ㉁ࢆ♧ࡉ࡞࠿ࡗࡓ㸬୍᪉㸪TGF-¢1࡞ࡽࡧ࡟
BMP-2่⃭࡟ࡼࡿྛMSCᰴࡢᛂ⟅ᛶࡢ㐪࠸ࢆ㸪ࡇࢀࡽࡢࢩࢢࢼࣝఏ㐩ᅉᏊࡢάᛶ໬࡟ὀ┠ࡋ࡚ㄪᰝࡋࡓ࡜ࡇࢁ㸪BMP-2ࡣSG3࡟࠾࠸࡚Smad1/5/8ࡢࣜ
ࣥ㓟໬ࢆ᭷ព࡟ಁ㐍ࡍࡿ࡜ඹ࡟㸪ࡇࡢ⣽⬊ࡢ⣽⬊㛫ᇶ㉁▼⅊໬⬟ຊࢆಁ㐍ࡋࡓ㸬ࡲࡓ㸪TGF-¢1ࡣ
SG2࡟࠾࠸࡚Smad2/3ࡢࣜࣥ㓟໬ࢆ᭷ព࡟ಁ㐍ࡋࡓ㸬
ຍ࠼࡚㸪SG2㸪SG3࡞ࡽࡧ࡟SG5ࢆ⬡⫫⣽⬊ศ໬ㄏᑟᇶᮏᇵᆅ࡛ᇵ㣴ࡋࡓ࡜ࡇࢁ㸪ࡇࢀࡽ඲࡚ࡢ⣽⬊ෆ࡟⬡⫫⁲ࡢ⏘⏕ࢆㄆࡵࡓ㸬 ௒ᅇᡃࠎࡣ㸪㦵ⱆ⣽⬊ࡸ⬡⫫⣽⬊࡟ศ໬ࡍࡿከ
ศ໬⬟ຊࢆ♧ࡍ㸱ࡘࡢMSCᰴSG2㸪SG3࡞ࡽࡧ࡟
SG5ࢆᚓࡿࡇ࡜࡟ᡂຌࡋࡓ㸬⯆࿡῝࠸ࡇ࡜࡟㸪SG2
ࡣTGF-¢1࡟ᛂ⟅ᛶࡀᙉࡃ㸪SG3ࡣBMP-2࡟ᑐࡍࡿᛂ⟅ᛶࡀᙉ࠸ࡀ㸪SG5ࡣࡇࢀࡽࡢ࠸ࡎࢀࡢ่⃭࡟ᑐࡋ࡚ࡶᛂ⟅ᛶࡀప࠿ࡗࡓ㸬ୖグࡼࡾ㸪㦵ᙧᡂࢩࢢࢼࣝ࡟ᑐࡍࡿឤཷᛶࡢ㧗࠸MSCࡢᏑᅾࡀ᫂ࡽ࠿
࡜࡞ࡾ㸪ࡇࢀࡽࢆ⣽⬊἞⒪࠾ࡼࡧ㑇ఏᏊ἞⒪࡟ᛂ
⏝ࡍࡿࡇ࡜࡛㸪ࡼࡾຠ⋡ࡢ㧗࠸㦵⤌⧊෌⏕ࡀྍ⬟࡜࡞ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) J YOKOTA, N CHOSA, S SAWADA, N
OKUBO, N TAKAHASHI, T HASEGAWA, H
KONDO and A ISHISAKI"PDGF-induced PI3K-mediated signal enhances
TGF-¢-induced osteogenic differentiation ofhuman mesenchymal stem cells in the TGF-¢activated MEK-dependent manner". International
Journal of Molecular Medicine, 33:534-542, 2014.

− 262 −

日補綴会誌 7･124 回特別号，2015

第1,2日

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ポスター発表1 ─ 6 ─ 73

CAD/CAMࣞࢪࣥࣈࣟࢵࢡ࡜ࣞࢪࣥࢭ࣓ࣥࢺࡢṑ㉁᥋╔ᛶ࡟㛵ࡍࡿ◊✲‫ۑ‬㣤⏣⚈୚㸪ධỤṇ㑻 㸪すᕝᝅ㑻㸪୸ᑿᖾ᠇㸪ྜྷཎஂ⨾ᏊⲨᮌ኱௓ 㸪ⴙ⏣㝧௓ 㸪ᯇᮏ༟ஓ 㸪ⓙᮌ┬࿃ 

㸪๓⏣┤ே

㸪

ᒸᒣ኱Ꮫ⑓㝔ညྜ࣭⩏ṑ⿵⥛⛉㸪 ᒸᒣ኱Ꮫ་ṑ⸆Ꮫ⥲ྜ◊✲⛉⏕యᮦᩱᏛศ㔝㸪 ᒸᒣ኱Ꮫ⑓㝔᪂་⒪㛤Ⓨࢭࣥࢱ࣮㸪 ᒸᒣ኱Ꮫ་ṑ⸆Ꮫ⥲ྜ◊✲⛉ညྜ࣭᭷ᗋ⩏ṑ⿵⥛Ꮫศ㔝
A Study for the Bond Strength of Tooth Substrate subjected to a CAD/CAM Resin Block and Resin Cements
Iida S, Irie M*, Nishigawa G, Maruo Y, Yoshihara K**, Maeda N***, Araki D***, Manda Y***,
Matsumoto T*, Minagi S***
Occlusion & Remobable Prosthodontics, *Dept. of Biomaterials, **Center for Innovative Clinical Medicine,***Dept. of Occlusal & Oral Funcctional Rehabilitation, Okayama UniversityϨ㸬┠ⓗ
 &$'&$0ࢩࢫࢸ࣒ࢆ⏝࠸ࡓࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈ
ࣟࢵࢡ࡟ࡼࡿṑෙ⿵⥛ࡀಖ㝤デ⒪࡟཰㍕ࡉࢀ㸪᪥ᖖࡢ⿵⥛⮫ᗋ࡟࠾ࡅࡿ౑⏝ࡶቑຍࡋ࡚ࡁࡓ㸬ࡲࡓ㸪㏆ᖺࣞࢪࣥࢭ࣓ࣥࢺࡶ᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺࡸࢭ
ࣝࣇ࢔ࢻࣄ࣮ࢩࣈࣞࢪࣥࢭ࣓ࣥࢺ࡞࡝ᩘከࡃࡢᮦ
ᩱࡀᕷ㈍ࡉࢀ࡚࠸ࡿ㸬&$'&$0⏝ࡢࣁ࢖ࣈࣜࢵࢻࣞ
ࢪࣥ࡜ࣞࢪࣥࢭ࣓ࣥࢺࡢṑ㉁᥋╔ᛶ ࡟ࡘ࠸᳨࡚ウࢆຍ࠼ࡿࡇ࡜ࡣ㸪⿵⥛⮫ᗋࢆ⾜࠺࠺࠼࡛㔜せ࡞᝟ሗࢆ୚࠼ࡿࡶࡢ࡜ᛮࢃࢀࡿ㸬ࡑࡇ࡛㸪௒ᅇ&$'&$0⏝ࡢࣞࢪࣥࣈࣟࢵࢡࢆࣞࢪ
ࣥࢭ࣓ࣥࢺࢆ⏝࠸࡚ṑ㉁࡟᥋╔ࡉࡏ㸪୍᪥ᚋࡢࡏ
ࢇ᩿᥋╔ᙉࡉ࡟ࡘ࠸᳨࡚ウࢆຍ࠼ࡓ㸬ϩ㸬᪉ἲ
 &$'&$0ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈࣟࢵࢡ࡟ࡣࢭࣛࢫ
࣐࣮ࢺ㸦*&㸧ࢆ⏝࠸ࡓ㸬ࣞࢪࣥࣈࣟࢵࢡࢆ┤ᚄ⣙
PP㸪㧗ࡉ⣙PP࡟ᡂᆺࡋ㸪⿕╔⾲㠃ࢆ㸡ࡢ⪏Ỉ◊☻⣬࡛◊☻ࡋࡓ㸬 ࣞࢪࣥࢭ࣓ࣥࢺ࡟ࡣ㸪ࢭࣝࣇ࢔ࢻࣄ࣮ࢩࣈࣞࢪ
ࣥࢭ࣓ࣥࢺࡢࢪ࣮ࢭ࣒ࢭࣛࢫ࣐࣮ࢺ㸦*&㸧㸪ࢪ࣮ࢭ࣒ࣜࣥࢡ࢚࣮ࢫ㸦*&㸧㸪ࣅ࣮ࣗࢸ࢕ࢭ࣒6$㸦ᯇ㢼㸧㸪ࣜࣛ࢖࢚ࢵࢡࢫࣘࢽࢭ࣒ࢡࣜࢵ࣮࢝
㸦0(63(㸧㸪6$࣮ࣝࢸ࢕ࣥࢢࣉࣛࢫ㸦ࢡࣛࣞࣀࣜ
ࢱࢣࢹࣥࢱࣝ㸧࡜㸪᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺࡢࣃࢼ
ࣅ࢔9㸦ࢡࣛࣞࣀࣜࢱࢣࢹࣥࢱࣝ㸧ࢆ⏝࠸ࡓ㸬 ヨᩱࡣࡢ⪏Ỉ◊☻⣬࡛◊☻ࡋࡓ࢚ࢼ࣓ࣝ㉁࡜㇟∳㉁⾲㠃࡟ࣞࢪࣥࢭ࣓ࣥࢺࢆ⏝࠸࡚ᡂᙧࡋࡓ
ࣞࢪࣥࣈࣟࢵࢡࢆ᥋╔ࡉࡏࡿࡇ࡜࡟ࡼࡗ࡚స〇ࡋࡓ㸬ṑ㉁࡟ᑐࡍࡿ⾲㠃ฎ⌮ࡣ㸪᥋╔ᛶࣞࢪࣥࢭ࣓
ࣥࢺࡢࣃࢼࣅ࢔9ࡢࡳ௜ᒓࡢࣃࢼࣅ࢔9ࢺ࣮ࢗࢫ
ࣉࣛ࢖࣐࣮ࢆ⏝࠸࡚⛊㛫⾜ࡗࡓ㸬୍᪉㸪ࣞࢪࣥࣈࣟࢵࢡࡢ⿕╔㠃ࡣ㸪ȣPࡢ࢔࣑ࣝࢼࢧࣥࢻࣈ
ࣛࢫࢺฎ⌮࡜ศ㛫ࡢ⵨␃Ỉ࡟ࡼࡿ㉸㡢ἼὙίࢆ⾜ࡗࡓᚋ㸪࢚࢔࣮ࣈ࣮ࣟ࡟ࡼࡿ஝⇱ࢆ⾜ࡗࡓ㸬ࡑࡢᚋ㸪ྛࢭ࣓ࣥࢺࡢᣦᐃ࡟ᚑ࠸㸪ࢪ࣮ࢭ࣒ࢭࣛࢫ
࣐࣮ࢺ࡜ࢪ࣮ࢭ࣒ࣜࣥࢡ࢚࣮ࢫ࡛ࡣࢭ࣑ࣛࢵࢡࣉ
ࣛ࢖࣐࣮ϩࡢሬᕸ㸪ࣅ࣮ࣗࢸ࢕ࢭ࣒6$࡛ࡣ࣏࣮ࢭ
ࣞࣥࣉࣛ࢖࣐࣮ࡢ⛊㛫ሬᕸ㸪ࣜࣛ࢖࢚ࢵࢡࢫࣘ

ࢽࢭ࣒ࢡࣜࢵ࣮࡛࢝ࡣࢫࢥࢵࢳ࣎ࣥࢻࣘࢽࣂ࣮ࢧ
ࣝࡢ⛊㛫ሬᕸ㸪6$࣮ࣝࢸ࢕ࣥࢢࣉࣛࢫ࡜ࣃࢼࣅ
࢔9࡛ࡣ.࢚ࢵࢳࣕࣥࢺࡢ⛊㛫ฎ⌮ᚋ࡟ࢡࣜ࢔
ࣇ࢕ࣝࢭ࣑ࣛࢵࢡࣉࣛ࢖࣐࣮ࡢሬᕸࢆ⾜ࡗࡓ㸬ࣉࣛ࢖࣐࣮ฎ⌮ᚋ࢚࢔࣮ࣈ࣮ࣟࢆ⾜ࡗࡓᚋ࡟㸪ࣞࢪࣥࣈࣟࢵࢡࢆࣞࢪࣥࢭ࣓ࣥࢺࢆ⏝࠸࡚ṑ㉁࡟᥋╔ࡉࡏࡓ㸬᪥㛫ࡢΥ⵨␃Ỉᾐₕᚋ㸪ࡏࢇ᩿᥋╔ᙉࡉࢆࢡࣟࢫ࣊ࢵࢻࢫࣆ࣮ࢻPPPLQ࡛ ᐃࡋࡓ Q  㸬Ϫ㸬⤖ᯝ࡜⪃ᐹ ṑ㉁࡟ᑐࡍࡿࡏࢇ᩿᥋╔ᙉࡉ㸦0HDQs6'03D㸧ࡣ㸪㇟∳㉁࡜࢚ࢼ࣓ࣝ㉁ࡣ࡯ࡰྠ⛬ᗘࡢ್ࢆ♧ࡋ㸪㇟∳㉁࡛ࡣ㸪ࢭࣝࣇ࢔ࢻࣄ࣮ࢩࣈࣞࢪࣥࢭ࣓ࣥࢺ
ࡢࢪ࣮ࢭ࣒ࢭࣛࢫ࣐࣮ࢺ࡛ࡣs03D㸪ࢪ࣮ࢭ࣒ࣜࣥࢡ࢚࣮ࢫ࡛ࡣs03D㸪ࣅ࣮ࣗࢸ࢕
ࢭ࣒6$࡛ࡣs03D㸪ࣜࣛ࢖࢚ࢵࢡࢫࣘࢽࢭ
࣒ࢡࣜࢵ࣮࡛࢝ࡣs03D㸪6$࣮ࣝࢸ࢕ࣥ
ࢢࣉࣛࢫ࡛ࡣs03Dࡢ್ࢆ♧ࡋࡓ㸬ࡲࡓ㸪᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺࡢࣃࢼࣅ࢔9ࡢ㇟∳㉁࡟ᑐ
ࡍࡿࡏࢇ᩿᥋╔ᙉࡉࡣ㸪s03D࡛࠶ࡗࡓ㸬ࡏࢇ᩿᥋╔ᙉࡉヨ㦂ᚋࡢ◚᩿㠃ࡣ㸪࢚ࢼ࣓ࣝ㉁࡟ᑐࡍࡿ᥋╔ヨ㦂࡛ࡣ㸪࢚ࢼ࣓ࣝ㉁⾲㠃࡟࠾ࡅࡿ⏺㠃◚ቯࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࡀ㸪ࣞࢪࣥࢭ࣓ࣥࢺ
ෆ࡛ࡢจ㞟◚ቯ࡟ຍ࠼࡚㸪ẚ㍑ⓗከࡃࡢヨᩱ࡛࢚
ࢼ࣓ࣝ㉁⾲㠃࡟࠾ࡅࡿΰྜ◚ቯࡀほᐹࡉࢀࡓ㸬୍᪉㸪㇟∳㉁࡟ᑐࡍࡿ᥋╔ヨ㦂࡛ࡣ㸪6$࣮ࣝࢸ࢕ࣥ
ࢢࣉࣛࢫࡢヨᩱ࡛ṑ㉁⾲㠃࡟࠾ࡅࡿΰྜ◚ቯࢆㄆࡵࡓ௨እࡣ඲࡚ࡢヨᩱ࡟࠾࠸࡚ࣞࢪࣥࢭ࣓ࣥࢺෆ
࡛ࡢจ㞟◚ቯࡀほᐹࡉࢀࡓ㸬ࡇࡢࡼ࠺࡟㸪࠸ࡎࢀࡢࣞࢪࣥࢭ࣓ࣥࢺ࡟࠾࠸࡚ࡶ࢚ࢼ࣓ࣝ㉁࠶ࡿ࠸ࡣ
㇟∳㉁࡟ᑐࡍࡿ᥋╔࡜ࡶ㸪ࣞࢪࣥࣈࣟࢵࢡ⾲㠃࡛ࡢ⏺㠃◚ቯࡣほᐹࡉࢀ࡞࠿ࡗࡓ㸬ϫ㸬ᩥ⊩  ⠛ཎ⥤஀㸪㙊⏣ᖾ἞㸪ᖹ᭙㍜࡯࠿㸸&$'&$0⏝ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࡢ᥋╔࡟ᑐࡍࡿ⾲㠃ฎ⌮๣ࡢຠᯝ㸬᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ㄅ㸹㸸(㸬

− 263 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 74ࢽࢵࢣࣝ࢔ࣞࣝࢠ࣮ࣔࢹ࣐ࣝ࢘ࢫࡢస〇࡜⅖⑕ᒁᡤࡢࢧ࢖ࢺ
࢝࢖ࣥάᛶ࡟ࡘ࠸࡚
‫ۑ‬⣽ᮌ┿⣖㸪すᕝၨ௓㸪኱ᮏ຾ᘯ㸪ୖᯞ㯞཭㸪⏣ᓥⓏ㄃Ꮚ㸪ᯇ㤶ⰾ୕ᚨᓥ኱Ꮫ኱Ꮫ㝔࣊ࣝࢫࣂ࢖࢜ࢧ࢖࢚ࣥࢫ◊✲㒊㢡ᶵ⬟ညྜ෌ᘓᏛศ㔝Inflammatory cytokine activity of nickel allergy model mice

Hosoki M, Nishigawa K, Omoto K, Ueda M, Tajima T, Matsuka Y
Department of Stomatognathic Function and Occlusal Reconstruction, Tokushima University Institute of
Health Biosciences㸬Ϩ㸬 ┠ⓗ ṑ⛉⏝㔠ᒓ࢔ࣞࣝࢠ࣮ࡣ᭷⑓⪅ᩘࡢቑຍࡀሗ࿌
ࡉࢀ࡚࠾ࡾ㸪࡜ࡃ࡟ࢽࢵࢣࣝࡣ㸪Ⓨ⑕㢖ᗘࡀ㧗࠸㔠ᒓඖ⣲࡜ࡋ࡚▱ࡽࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪㔠ᒓ࢔ࣞࣝࢠ࣮࡟࠾ࡅࡿヲ⣽࡞ච␿ᛂ⟅࡟ࡘ࠸࡚ࡣ
༑ศ࡟᫂ࡽ࠿࡛ࡣ࡞࠸㸬ᮏ◊✲ࡢ┠ⓗࡣࢽࢵࢣࣝ
ࢆ⏝࠸ࡓ࢔ࣞࣝࢠ࣮ࣔࢹ࣐ࣝ࢘ࢫࢆ᪂ࡓ࡟స〇ࡋ㸪
⅖⑕ᛶࢧ࢖ࢺ࢝࢖ࣥࡢ㑇ఏᏊⓎ⌧㔞ࢆゎᯒࡍࡿࡇ࡜࡟ࡼࡗ࡚㸪ࢽࢵࢣࣝ࢔ࣞࣝࢠ࣮ࡢឤసⓎ⌧ࡢ≉ᛶ࡟ࡘ࠸᳨࡚ウࡍࡿࡇ࡜࡛࠶ࡿ㸬ϩ㸬 ᪉ἲ ◲㓟ࢽࢵࢣࣝ㸦ϩ)㸦ࢩࢢ࣐࢔ࣝࢻࣜࢵࢳࢪࣕࣃ
ࣥ㸦ᰴ㸧㸧ࢆⓑⰍ࣡ࢭࣜࣥ ( ᪥ᮏ⸆ᒁ᪉㐺ྜရ㸪೺ᰤ〇⸆ᰴᘧ఍♫〇㸧࡜ΰྜࡋ㸪࣡ࢭࣜࣥࡢࡳ㸪
10㸪15࠾ࡼࡧ20㸣㸦w/w㸧ࡢ㌾⭯๣ࢆసᡂࡋࡓ㸬
ICR࣐࢘ࢫ㸦㞝㸪5㐌㱋㸪᪥ᮏࢳ࣮ࣕࣝࢫࣜࣂ࣮㸧ࡢ⫼㒊๋ẟ㒊࡟㸪Mouse Ear Swelling Test࡟‽ࡌ㸪ࡇࢀࡽࢆ0.2㹥㸪㝸᪥࡛ィ4ᅇሬᕸࡋࡓ1-2㸧㸬ច㉳⏝ヨᩱᾮࡣሷ໬ࢽࢵࢣࣝ㸦ϩ)㸦࿴ග⣧⸆ᕤᴗ㸦ᰴ㸧㸧㸸0.4%ࢆ⏝࠸࡚㸪20ȣlࢆྑᚋ⫥㊊㋲㒊
(footpad) ࡟⓶ෆ㏆ഐࡢ⓶ୗ࡟ὀᑕࡋࡓ㸬ࡲࡓ㸪࣐࢘ࢫࡢᕥfootpad࡟ࡣ⏕⌮㣗ሷỈࢆྠᵝ࡟ᢞ୚ࡋࡓ㸬⓶ୗὀᑕ࡟ࡼࡿច㉳ᚋ㸪24᫬㛫㸪48᫬㛫㸪72᫬㛫࠾ ࡼ ࡧ 96 ᫬ 㛫 ᚋ ࡟ footpad ࡢ ཌ ࡉ ࢆ ABS Super
Caliper CD67-S20PM (࣑ࢶࢺࣚ♫〇) ࡛ ᐃࡍࡿ࡜࡜ࡶ࡟㸪⅖⑕ᛶࢧ࢖ࢺ࢝࢖࡛ࣥ࠶ࡿIFN-Ț㸪
TNF-Ș➼ࡢ㑇ఏᏊⓎ⌧㔞ࢆ࣐࢘ࢫ㊊ᗏ㒊ࢆ᳨య࡜ࡋ㸪ࣜ࢔ࣝࢱ࢖࣒PCRἲ࡟࡚ゎᯒࡋ㸪◲㓟ࢽࢵࢣࣝ⃰ᗘ࡟ࡼࡿẚ㍑᳨ウ࠾ࡼࡧྠ୍ಶయࡢ⏕⌮㣗ሷỈ࡟ࡼࡿច㉳ഃ࡜ࡢẚ㍑᳨ウࢆ⾜ࡗࡓ㸬 ᮏᐇ㦂ࡣ㸪ᚨᓥ኱Ꮫ⑓㝔࡟࠾ࡅࡿࠕᐇ㦂ື≀ጤဨ఍ࠖ࡟ㄆドࡉࢀ㸪ࠕᐇ㦂ື≀࡟࠾ࡅࡿ⟶⌮࡜౑⏝࡟㛵ࡍࡿᣦ㔪ࠖ࡟ἢࡗ࡚⾜ࡗࡓ㸦ᢎㄆ␒ྕ㸹ᚨື≀13107㸧㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ሷ໬ࢽࢵࢣ࡛ࣝច㉳ࡋࡓྑഃ࡛ࡣሬᕸࡋࡓ◲㓟ࢽࢵࢣࣝ⃰ᗘࡀ㧗࠸᪉ࡀࡼࡾ⫧ཌࡍࡿഴྥࡀㄆࡵ
ࡽࢀࡓ㸦ᅗ1㸧㸬ࡲࡓ㸪⏕⌮㣗ሷỈ࡛ច㉳ࡋࡓᕥഃࡣྑഃ࡟ẚ࡭࡚⫧ཌ㔞ࡀᑡ࡞࠿ࡗࡓ㸦ᅗ2㸧㸬ࡲࡓ㸪IFNȚࡢⓎ⌧㔞ࡣ㸪◲㓟ࢽࢵࢣࣝሬᕸ⩌ࡀ࣡ࢭࣜࣥ
ሬᕸ⩌ࡼࡾ㸪ࡲࡓ㸪ሷ໬ࢽࢵࢣࣝ࡟ࡼࡿច㉳ഃࡀ⏕⌮㣗ሷỈ࡟ࡼࡿច㉳ഃࡼࡾ᭷ព࡟ୖ᪼ࡋ࡚࠸ࡓ㸬 ࡇࡢ⤖ᯝ㸪㔠ᒓ࢔ࣞࣝࢠ࣮ࡢ⤒⓶ឤస࡟㢮ఝࡋࡓ཯ᛂࢆ࿊ࡍࡿࢽࢵࢣࣝ࢔ࣞࣝࢠ࣮ࣔࢹ࣐ࣝ࢘ࢫ
ࢆసᡂࡍࡿࡇ࡜ࡀྍ⬟࡜࡞ࡗࡓ㸬௒ᚋᮏ᪉ἲࢆ⏝࠸࡚㸪ヲ⣽࡞ゎᯒࢆ⾜࠸㸪㔠ᒓ࢔ࣞࣝࢠ࣮ࡢឤస
Ⓨ⌧ࡢ≉ᛶࢆ᳨ウࡋ࡚࠸ࡃணᐃ࡛࠶ࡿ㸬(%) 40control

30

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15%

20

20%
10
0
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-20 ᅗ1 footpadࡢ⫧ཌ⋡㸦ሷ໬ࢽࢵࢣࣝច㉳ഃ㸧
(%) 40control
30

10%
15%

20

20%

10
0
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24h

48h

72h

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-20

㸦n=12㸧    ᅗ2 footpadࡢ⫧ཌ⋡㸦ᑐ↷ഃ㸧ϫ㸬 ᩥ⊩1) Asherson GL, Ptak W. Contact and delayed
hypersensitivity in the mouse. I. Active
sensitization and passive transfer. Immunology.
1968;15(3):405-16.
2) ୸ᒣⓏஂᏊ㸪∦ᒸ⿱⨾㸪ᡪ㛫ᫀつ ఀ⸨㄃ᚿ⏨㸪࣐࢘ࢫ࡟࠾ࡅࡿࢽࢵࢣࣝ࢔ࣞࣝࢠ࣮ࡢホ౯ 㸬 YAKUGAKU  ZASSHI 㸪 2003;123(8):
707-715.

− 264 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 75᰾ึᮇ໬ࢱࣥࣃࢡ㉁」ྜయࡢศ㞳ἲࡢ☜❧‫ۑ‬㙊㔝ඃᘺ*,**㸪▮㇂༤ᩥ**㸪Ụⲡ ᏹ*,***ᮾ໭኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ ศᏊ࣭෌⏕ṑ⛉⿵⥛Ꮫศ㔝㸪**኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝
Establishing a Method for Isolating Pluripotency-Inducing Proteins as Complexes
Kamano Y*,**, Yatani H**, Egusa H*,*** Division of Molecular and Regenerative Prosthodontics, Tohoku University Graduate School of Dentistry,**Department of Fixed Prosthodontics, Graduate School of Dentistry, Osaka UniversityϨ㸬 ┠ⓗ ᝈ⪅ࡢయ⣽⬊࠿ࡽస〇ྍ⬟࡞iPS⣽⬊ࡣ㸪ኻࢃࢀࡓṑࡸṑᵴ㦵ࡢ෌⏕࡞࡝ࡢ᪂ࡓ࡞ṑ⛉་⒪ᢏ⾡ࡢ☜❧࡟㈉⊩ࡍࡿࡇ࡜ࡀᮇᚅࡉࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪㏆ᖺiPS⣽⬊ࡢ୰࡟ࡣศ໬࡟᢬ᢠᛶࢆ᭷ࡍࡿ
ࡶࡢࡀᏑᅾࡋ࡚࠸ࡿࡇ࡜ࡀሗ࿌ࡉࢀ 1) 㸪iPS⣽⬊ࡢ⮫ᗋᛂ⏝࡟ࡣiPS⣽⬊ࡢ㉁ࡢྥୖࢆ┠ⓗ࡜ࡋࡓ᰾ึ
ᮇ໬ᶵᵓࡢ᭦࡞ࡿゎ᫂ࡀ㔜せ࡜࡞ࡗ࡚࠸ࡿ㸬 ᰾ึᮇ໬ᶵᵓࡢ◊✲ࡣ㸪ࡇࢀࡲ࡛᰾ึᮇ໬ᅉᏊ
㸦Oct3/4㸪Sox2㸪Klf4㸪c-Myc㸧࡟࠾ࡅࡿ㑇ఏᏊࣞ
࣋ࣝࡢⓎ⌧ゎᯒࡀ୰ᚰ࡟⾜ࢃࢀ࡚ࡁࡓ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪ࡇࢀࡽ㑇ఏᏊࡢⓎ⌧ᚋ࡟⏕ࡌࡿࢱࣥࣃࢡ㉁ࡢ⩻ヂ࣭ಟ㣭ࡸ㸪ࡑࡢᚋ࡟ᙧᡂࡉࢀࡿ⺮ⓑ㉁」ྜ
య࡟ࡘ࠸࡚ࡣᮍࡔ୙᫂࡞Ⅼࡀከ࠸㸬ࡲࡓ㸪ࡇࢀࡲ࡛ࡢ◊✲࡛ゎᯒࡉࢀࡓ᰾ึᮇ໬㛵㐃ࢱࣥࣃࢡ㉁ࡣ㸪ศ㞳⢭〇ࡢ㐣⛬࡛ኚᛶࡉࢀ࡚࠾ࡾ㸪⣽⬊ෆ࡛ᐇ㝿࡟㉳ࡇࡗ࡚࠸ࡿ≧ែࢆṇ☜࡟ࡣ෌⌧࡛ࡁ࡞࠸㸬 ᮏ◊✲࡛ࡣ㸪⣽⬊ෆ࠿ࡽኚᛶࡉࡏࡎ࡟ᢳฟࡋࡓ
᰾ึᮇ໬ࢱࣥࣃࢡ㉁࠾ࡼࡧࡑࡢ」ྜయࡢゎᯒࢆ┠ⓗ࡜ࡋ㸪ࡇࢀࢆྍ⬟࡜ࡍࡿࣉࣟࢺࢥࣝࡢసᡂࢆ⾜
ࡗࡓ㸬
ϩ㸬 ᪉ἲ
 Native pure࣋ࢡࢱ࣮㸦Invitrogen♫㸧ࢆ⏝࠸࡚స〇ࡋࡓ᰾ึᮇ໬ᅉᏊ㸦Oct3/4㸪Sox2㸪Klf4㸧Ⓨ⌧࣋ࢡࢱ࣮ࢆHEK293⣽⬊࡟㑇ఏᏊᑟධࡋ㸪3᪥ᚋࡢ┠ⓗࢱࣥࣃࢡ㉁ࡢⓎ⌧ࢆWestern blottingἲ࡛☜ㄆࡋࡓ㸬
ࢱࣥࣃࢡ㉁」ྜయࡢゎᯒࢆ⾜࠺ࡓࡵ㸪┠ⓗࢱࣥ
ࣃࢡ㉁ࡢ኱㔞⏕⏘ࢆྍ⬟࡟ࡍࡿ⣽⬊ᇵ㣴᪉ἲࢆ᳨ウࡋࡓ㸬ᚓࡽࢀࡓ⣽⬊ヨᩱࡣᾮయ❅⣲࡟ࡼࡿ෾⤖⼥ゎἲࢆ⏝࠸㸪⣽⬊㉁ෆࡼࡾࢱࣥࣃࢡ㉁ࢆ㠀ኚᛶࡢ」ྜయ࡜ࡋ࡚ᢳฟࡍࡿヨࡳࢆ⾜ࡗࡓ㸬ᢳฟࢱࣥࣃࢡ㉁ࢆBlue Native PAGE࡛ศ㞳ࡋ㸪┠ⓗࢱࣥࣃࢡ㉁ࢆWestern blottingἲ࡟ࡼࡾ᳨ฟࡋࡓ㸬ࡲࡓ㸪ᢳฟࢱࣥࣃࢡ㉁ࢆ࣒࢝ࣛࢡ࣐ࣟࢺࢢࣛࣇ࢕
࡟ࡼࡾศ㞳ࡋ㸪┠ⓗࢱࣥࣃࢡ㉁ࢆWestern blottingἲ࡟ࡼࡾ᳨ฟࡋࡓ㸬ᢳฟࢱࣥࣃࢡ㉁ࢆSDS PAGE࡛ศ㞳ࡋ㸪ᐃ㔞ᆺMassゎᯒ࡟ࡼࡾ」ྜయࡢ⤌ᡂࢆ᳨ฟࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ స〇ࡋࡓⓎ⌧࣋ࢡࢱ࣮ࢆᑟධࡋࡓHEK293⣽⬊ࡣᑟධ3᪥ᚋ࡛᰾ึᮇ໬ᅉᏊࢆ㧗Ⓨ⌧ࡋ㸪స〇ࡋࡓ࣋ࢡࢱ࣮࡟ࡼࡗ࡚᰾ึᮇ໬ᅉᏊࡀຠ⋡ࡼࡃㄏᑟ࡛ࡁ
ࡿࡇ࡜ࡀ♧ࡉࢀࡓ㸬ࢱࣥࣃࢡ㉁ࡢ኱㔞⏕⏘ἲࢆ᳨ウࡋࡓ⤖ᯝ㸪ᾋ㐟ᆺHEK293⣽⬊࠾ࡼࡧᜏ ᣺┞ᇵ㣴ჾࢆ⏝࠸ࡓᾋ㐟ᇵ㣴ἲࡀ᭷ຠ࡛࠶ࡗࡓ㸬 ᢳฟࢱࣥࣃࢡ㉁ࢆBlue Native PAGE࡛ศ㞳ࡋࡓ⤖ᯝ㸪┠ⓗࢱࣥࣃࢡ㉁ࡢศᏊ㔞ࡣ」ྜయࡢᙧᡂࢆ♧ࡍ኱ࡁࡉ㸦⣙1,200 kDa㸧࡛࠶ࡗࡓ㸦ᅗᕥ㸧㸬ࡲࡓ㸪࣒࢝ࣛࢡ࣐ࣟࢺࢢࣛࣇ࢕࡛ศ㞳ࡋࡓ⤖ᯝ㸪㧗ศᏊࡢศ⏬࡟࠾࠸࡚┠ⓗࡢࢱࣥࣃࢡ㉁ࡀ᳨ฟࡉࢀࡓ㸬ᐃ㔞ᆺMassゎᯒ࡟ࡼࡾ㸪」ྜయࢆᵓᡂࡍࡿ13ࡢೃ⿵ᅉᏊࢆぢฟࡋࡓ㸬 ௨ୖࡢ⤖ᯝࡼࡾ㸪⣽⬊ෆ࡛᰾ึᮇ໬ᅉᏊࢱࣥࣃ
ࢡ㉁ࢆ኱㔞࡟స〇ࡋ㸪㠀ኚᛶ࡛ᢳฟࡋࡓୖ࡛」ྜ
య࡜ࡋ᳨࡚ฟࡍࡿ୍㐃ࡢࣉࣟࢺࢥࣝࡀ♧ࡉࢀࡓ㸬௒ᚋ㸪」ྜయࢆᵓᡂࡍࡿࢱࣥࣃࢡ㉁ࢆヲࡋࡃ᳨ウࡍࡿࡇ࡜࡟ࡼࡾ㸪iPS⣽⬊ࡢ㉁ࢆྥୖࡋ㸪᪂ࡓ࡞ṑ⛉་⒪ᢏ⾡ࡢ☜❧࡟ࡘ࡞ࡆ࡚࠸ࡁࡓ࠸࡜⪃࠼ࡿ㸬ᅗ㸬᰾ึᮇ໬ᅉᏊ࡟ࡼࡾㄏᑟࡉࢀࡿ」ྜయ㸬ϫ㸬 ᩥ⊩1) Koyanagi-Aoi M et al. Differentiation defective
phenotypes revealed by large scale analysis ofhuman pluripotent stem cells. PNAS 2013; 110:20569̽20574.

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 76

S-PRG㓄ྜ๓⿦ෙ⏝ࣞࢪࣥ࡬ࡢStreptococcus mutansࡢ௜╔ᛶ‫⏣⃝ۑ‬ᏘᏊ㸪᳃ ᫛ᚨ㸪⬥ ▱㑥㸪ᮧᯇⰋᘺ㸪㊊❧᠇ṇ㸪㔝ࠎᇉ㱟࿃㸪ᯇ஭Ꮥ௓㸪ᶓᒣ㈗⣖㸪Ᏹ㔝ග஌㸪ᮧ⏣㎮ኵ㸪ຍ⸨Ὀ஧㸪ᒸ ಇ⏨㸪಴▱ṇ࿴㸨㸪▼⚄ ඖᮅ᪥኱ᏛṑᏛ㒊ཱྀ⭍ᶵ⬟ಟ᚟Ꮫㅮᗙṑ⛉⿵⥛Ꮫศ㔝㸪㸨ᮅ᪥኱ᏛṑᏛ㒊ṑ⛉་Ꮫᩍ⫱᥎㐍ࢭࣥࢱ࣮
Adherennce of Streptococcus mutans to S-PRG Filler Containing Resin Used for Facing Crown.
Sawada T, Mori A, Waki T, Muramatsu R, Adachi N, Nonogaki R, Matsui K,Yokoyama T, Uno M, Murata
T,Kato T, Oka T,Kurachi M㸨,Ishigami H.
Department of Prosthodontics, Division of Oral Functional Science and Rehabilitation, Asahi University
School of Dentistry. 㸨Dental Education Promotion Center, Asahi University School of Dentistry.

Ϩ㸬 ┠ⓗ 㧗㱋໬♫఍ࢆ㏄࠼ࡓ⌧ᅾ㸪ࣉ࣮ࣛࢡࢥࣥࢺ࣮ࣟ
ࣝࡣ೺ᗣಖᣢ㸪⑌⑓ண㜵ࡢࡓࡵ࡟ࡶ㔜せ࡜⪃࠼ࡽࢀ㸪᭱⤊⿵⥛≀ࡢணᚋ࡟ࡶ኱ࡁࡃᙳ㡪ࡍࡿࡇ࡜ࡀ
⪃࠼ࡽࢀࡿ㸬ࡇࢀࡲ࡛ࡢ◊✲࡛㸪㓟཯ᛂᛶࣇࣝ࢜
ࣟ࢔࣑ࣝࣀࢩࣜࢣ࣮ࢺ࢞ࣛࢫࣇ࢕࣮ࣛ㸦௨ୗ㸪SPRGࣇ࢕࣮ࣛ࡜␎ࡍ㸧ࢆྵ᭷ࡋࡓ඘ሸ⏝ࢥ࣏ࣥࢪࢵࢺࣞࢪࣥ࡟ࡣ⣽⳦௜╔ࡢᢚไຠᯝࡀ࠶ࡿࡇ࡜ࡀሗ࿌ 1) ࡉࢀ㸪⿵⥛㡿ᇦ࡟࠾࠸࡚ࡶMMAᖖ 㔜ྜࣞࢪࣥ࡬ࡢᛂ⏝ࡀ᳨ウࡉࢀ࡚࠸ࡿ2)㸬ࡑࡇ࡛㸪๓ṑ㒊࡟ᗈࡃᛂ⏝ࡉࢀ࡚࠸ࡿࣞࢪࣥ๓⿦ෙ๓⿦㒊࡟SPRGࣇ࢕࣮ࣛࢆῧຍࡋ㸪ࡑࡢ⣽⳦௜╔ᛶ࡟ࡘ࠸࡚
᳨ウࡋࡓ㸬
ϩ㸬 ᪉ἲ
1㸬ヨᩱ
๓⿦ෙ⏝ࣞࢪࣥ࡜ࡋ࡚㸪ࢯࣜࢹࢵࢡࢫ㸦ᯇ㢼♫〇㸧ࢆ౑⏝ࡋࡓ㸬ࣞࢪࣥ࡟ࡣ㸪S-PRGࣇ࢕࣮ࣛࢆ
0wt% 㸦 ࢥ ࣥ ࢺ ࣟ ࣮ ࣝ 㸸 cont 㸧 㸪 3wt% 㸪 9wt% 㸪
18wt%㸪27wt%ྵ᭷ࡋࡓࡶࡢࢆ౑⏝ࡋࡓ㸬ヨᩱ〇సࡣ4×4×1mmࡢ㔠ᆺ࡟ሸධᚋ㸪࢞ࣛࢫᯈ࡟࡚ᅽ᥋ࡋ
ྍどග⥺࡟࡚㔜ྜࢆ⾜ࡗࡓ㸬ࡑࡢᚋ㸪◊☻⣬࡟࡚#10000ࡲ࡛◊☻ࡋࡓᚋ㸪㉸㡢ἼὙίࢆ⾜࠸㸪⮬↛஝⇱ᚋ㸪࢞ࢫ⁛⳦ࡋࡓࡶࡢࢆ౑⏝ࡋࡓ㸬
2㸬⣽⳦௜╔ᛶヨ㦂౪ヨ⣽⳦࡟ࡣ࠺⼃ཎᛶ⳦࡜ࡋ࡚㔜せ࡜⪃࠼ࡽࢀ࡚ ࠸ ࡿ Streptococcus mutans ATCC25175 㸦 ௨ ୗ 㸪
S.mutans࡜␎ࡍ㸧ࢆ⏝࠸ࡓ㸬S.mutansࡣ᭱⤊⃰ᗘ
74kBq/mlࡢ㹙6-3H㹛thymidinࢆῧຍࡋࡓTSBYᾮయᇵᆅ࡟᥋✀ࡋࡓᚋ㸪37Υ18᫬㛫᎘Ẽ᮲௳ୗ࡛ࣛ࣋
ࣝࡋࡓ㸬ᇵ㣴ᚋ㸪ὶື໬ࡢࣛ࣋ࣝࡉࢀࡓྛㄪᩚ⳦
ᾮ୰࡟㸪ᮏከࡽ3)ࡢ᪉ἲ࡟ᚑ࠸㸪72᫬㛫ࣄࢺၚᾮ࡟
ᾐₕࡋࡓヨᩱ࠾ࡼࡧ↓ฎ⌮ࡢヨᩱࢆ37Υ㸪2᫬㛫ᾐₕࡋࡓ㸬ᾐₕᚋ㸪඲⮬ືヨᩱ⇞↝⿦⨨㸦ASC113㸪
Aloka㸧ࢆ⏝࠸࡚㸪㐟㞳ࡋࡓࣛࢪ࢜࢔࢖ࢯࢺ࣮ࣉ
㸦RI㸧ࢆ㹙6-3H㹛ࡣH2O࡜ࡋ࡚㸪ᾮయࢩࣥࢳ࣮ࣞࢩ
ࣙࣥ࢝࢘ࣥࢱ࣮㸦LSC5100㸪Aloka㸧࡟࡚ ᐃࡋࡓ㸬࡞࠾㸪1ヨᩱ࡟ࡘࡁྛ4ಶࡎࡘヨ㦂ࢆ⾜࠸㸪ࡑࡢᖹᆒ್ࢆ⟬ฟࡋࡓ㸬 ၚᾮ᥇ྲྀ࡟㛵ࡋ࡚ࡣ㸪ᮅ᪥኱ᏛṑᏛ㒊೔⌮ጤဨ఍ࡢᢎㄆ㸦ཷ௜␒ྕ25156ྕ㸧ࢆᚓ࡚⾜ࡗࡓ㸬᥇ྲྀࡋࡓၚᾮࡣ㸪5+ml㸪0.45+mlࡢℐ㐣ჾࢆ౑⏝ࡋ࡚ℐ㐣ࡋࡓ㸬ࡲࡓ㸪⣽⳦௜╔ヨ㦂࡟⏝࠸ࡓヨᩱࢆ2%ࢢࣝࢱ࣮
ࣝ࢔ࣝࢹࣄࢻ࡟࡚ᅛᐃࡋ㸪1%ᅄ㓟໬࢜ࢫ࣑࣒࢘࡟
࡚஧ḟᅛᐃࢆ⾜࠸㸪50㸪60㸪70㸪80㸪90㸪95㸪
100%ࡢ࢚ࢱࣀ࣮ࣝ࡟ࡑࢀࡒࢀᾐₕࡋࡓᚋ㸪T-ࣈࢳࣝ࢔ࣝࢥ࣮ࣝ࡟ᾐₕࡋ㸪෾⤖஝⇱ἲ࡟ࡼࡾヨᩱࡢ஝⇱ࢆ⾜ࡗࡓ㸬ࡇࡢヨᩱࢆヨᩱྎ࡟࣮࢝࣎ࣥࢸ࣮
ࣉࢆ⏝࠸࡚㟼⨨ࡋ㸪࢜ࢫ࣑࣒࢘ࢥ࣮ࢸ࢕ࣥࢢ⿦⨨㸦HPC-1C㸪┿✵ࢹࣂ࢖ࢫ㸧࡟࡚ᑟ㟁ฎ⌮ࢆ᪋ࡋࡓᚋ㸪㉮ᰝ㟁Ꮚ㢧ᚤ㙾㸦S-4500㸪᪥❧〇సᡤ㸧࡟࡚⾲㠃ࡢ⣽⳦௜╔≧ែࡢほᐹࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ⣽⳦௜╔ᛶヨ㦂࡛ࡣ㸪↓ฎ⌮ࡢヨᩱ࡟࠾࠸࡚ᕪ
ࡣㄆࡵ࡞࠿ࡗࡓ㸬ၚᾮᾐₕࢆ⾜ࡗࡓヨᩱ࡟࠾࠸࡚
ࡣS-PRGࣇ࢕࣮ࣛྵ᭷㔞ࡀከࡃ࡞ࡿ࡟ᚑ࠸ῶᑡࡍ
ࡿഴྥࢆㄆࡵࡓ㸬ࡲࡓ㸪⾲㠃ࡢほᐹ࡛ࡣ㸪S-PRG
ࣇ࢕࣮ࣛྵ᭷㔞࡟㛵ಀ࡞ࡃS.mutansࡢ௜╔ࡀㄆࡵ
ࡽࢀࡓ㸬
ϫ㸬 ᩥ⊩
1) Saku S㸪Kotake H㸪Scougall-Vilchis R㸪Ohashi
S㸪Hotta M㸪Horiuchi S㸪et al㸬Antibacterial
activity of composite resin with glass-ionomer
filler particles㸬Dent Mater J㸬2010㸹29㸸193198㸬
2) Ώ㑓୍ᘯ㸪┾ᒸ▱ྐ㸪℧⏣ྐᏊ㸪ᒾᇼṇಇ㸪㒔ᑿඖᐉ㸬S-PRGࣇ࢕࣮ࣛྵ᭷MMAᖖ 㔜ྜࣞࢪࣥࡢᢠࣉ࣮ࣛࢡᛶ㸬ᒱṑᏛㄅ㸬2013㸹
39㸸127-139㸬
3) ᮏከᛅஅ㸪సㄔኴ㑻㸪ᒣᮏᏹ἞㸬S-PRGࣇ࢕࣮ࣛ㓄ྜࣞࢪࣥ⏺㠃࡟ᙧᡂࡉࢀࡿࣇ࢕࣒ࣝᵝᵓ㐀≀㸬᪥ṑಖᏑㄅ㸬2004㸹47㸸391-402㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 77Ỉᖹ㠃ほ࡟࠾ࡅࡿ࿪ᄮ㐠ື㊰࣭ഃ᪉⁥㉮㐠ື㊰ࡢ㌶㊧‫ۑ‬෠⏣┿୍㸪୰ᮧ೺ኴ㑻*㸪ᒣᮏྖᑗ*㸪⚟ἑ⿱ᇶ㸪஭ᅵ᱇௓㸪㧗⏣๛㸪⁁஭ඃ⏕㸪 ኴ⏣ᚿ㯞㸪Ἔ㇂ᚁᙪ㸪బ఑ගつ㸪⣽ᕝ⛱᫭**㸪H. W. Lang**㛵すᨭ㒊㸪*ᮾᾏᨭ㒊㸪**࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥ㸦ᰴ㸧
Trace of Masticatory Movement Path, Lateral Mandibular Translation Path at Horizontal Plane View

Tomita S, Nakamura K*, Yamamoto M*, Fukuzawa H, Ido K, Takada T, Mizoi M, Ota S, Yutani M, Saeki M,
Hosokawa T**, Lang HW**
Kansai Branch, *Tokai Branch, **KaVo Dental Systems Japan Co., Ltd.

Ϩ㸬 ┠ⓗࢃࢀࢃࢀࡣࡇࢀࡲ࡛࿪ᄮ㐠ື࡟ὀ┠ࡋ㸪ࡑࡢ⤊ᮎ఩ࡣ೺ᖖ᭷ṑ㢡⪅࡛ࡣည㢌ᔐྜ఩࡟୍⮴ࡍࡿࡇ࡜ࢆሗ࿌ࡋ࡚ࡁࡓ1,2)㸬ࡑࡢ࡞࠿࡛ည㢌ᔐྜ఩௜㏆ࡢ࿪ᄮ㐠ື㊰ࡀ๓㢌㠃ୖ࡛ഃ᪉⁥㉮㐠ື㊰࡜㔜࡞ࡗ࡚ぢ࠼ࡿࡓࡵ㸪⁥㉮㐠ືࡀ࿪ᄮ㐠ື࡟ᙳ㡪ࢆ࠾ࡼࡰࡍࡇ࡜ࡀ᥎ᐹࡉࢀࡿ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪ࢃࢀࢃࢀࡀ⾜ࡗࡓ࿪ᄮ㐠ືࡢィ ࡛ࡣ㸪Ỉᖹ㠃࡟࠾ࡅࡿ࿪ᄮ㐠ື㊰ࢆほᐹࡍࡿ࡜㸪ഃ᪉⁥㉮㐠ື㊰࡜ྠ㌶㊧ࢆࡋࡵࡍ⑕౛ࡣ࡯࡜ࢇ࡝ㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬ࡇࡢࡼ࠺࡞Ỉᖹ㠃࡟࠾ࡅࡿഃ᪉⁥㉮㐠ື㊰࡜࿪ᄮ㐠ື㊰ࡢ㐠ືᵝ┦ࢆ᳨ウࡋࡓሗ࿌ࡣ࡯࡜ࢇ࡝࡞࠸㸬ࡑࡇ࡛࿪ᄮ㐠ື㊰࡜ഃ᪉⁥㉮㐠ື㊰࡜ࡢ㛵ಀࢆ᫂ࡽ࠿࡟ࡍࡿ┠ⓗ࡛㸪௒ᅇࡣỈᖹ㠃࡟࠾ࡅࡿ࿪ᄮ
㐠ື㊰࡟ࡘ࠸࡚ㄪᰝࢆ⾜ࡗࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ ᑐ㇟⪅ࡣ㢡㐠ື᳨ᰝࢆ⾜ࡗࡓᝈ⪅ࡢ࠺ࡕ㸪௨ୗࡢ᮲௳ࢆ‶ࡓࡍ↓సⅭ࡟ᢳฟࡉࢀࡓ80ྡ࡛࠶ࡿ㸬࣭㔜ᗘࡢṑ࿘⑓࡟⨯ᝈࡋ࡚࠸࡞࠸㸬࣭ྍ᧔ᛶ⩏ṑࢆ⿦╔ࡋ࡚࠸࡞࠸㸬࣭㢡ᶵ⬟㞀ᐖ࠾ࡼࡧ࿪ᄮ㞀ᐖࢆ⮬ぬࡋ࡞࠸㸬࣭⏨ᛶ27ྡ㸦23ࠥ68ṓ㸸ᖹᆒ47.7ṓ㸧㸪ዪᛶ53ྡ㸦20ࠥ62ṓ㸸ᖹᆒ36.8ṓ㸧 㢡㐠ື᳨ᰝ࡟ࡣࢹࢪࢱࣝᘧ㢡㐠ືィ ⿦⨨
㸦ARCUSdigmaϩ㸪࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥ㸪 ᮾி㸪 ᪥ᮏ㸧 ࡢィ ࣔࢪࣗ ࣮ࣝ㸦Motion
Analysis㸧ࢆ⏝࠸ࡓ㸬ィ ᑐ㇟ࡣᕥྑഃ⁥㉮㐠ື㸪ᕥྑഃ࿪ᄮ㐠ື࡛㸪࿪ᄮヨ㦂㣗ရ࡟ࡣ࣒࢞㸦ࣇ࣮ࣜࢰ࣮ࣥ㸪ࣟࢵࢸ㸪ᮾி㸪᪥ᮏ㸧1/2ᯛࢆ౑⏝ࡋࡓ㸬 㢡㐠ືࡢศᯒࡣṑ⛉་ᖌ1ྡࡀ⤫ྜࣉࣟࢢ࣒ࣛ
㸦KaVo integrated Desktop㸪࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒
ࢬࢪࣕࣃࣥ㸪ᮾி㸪᪥ᮏ㸧ୖ࡛⾜ࡗࡓ㸬 ഃ᪉⁥㉮㐠ື㊰࡟ࡘ࠸࡚ࡣ㸪Ỉᖹ㠃࡟࠾࠸࡚ည
㢌ᔐྜ఩࠿ࡽࡢᕥྑ⁥㉮㐠ື㊰ࡀY㍈ᇶ‽⥺࡟ᑐࡋ๓᪉༊ᇦࡶࡢࢆMᆺ㸪ᚋ᪉༊ᇦ࡟఩⨨ࡍࡿࡶࡢ
ࢆDᆺ࡜ࡋࡓ㸬ࡇࡢ࡞࠿࡛3.0mm௨ୖ⁥㉮㐠ື㊰࡜
࿪ᄮ㐠ື㊰ࡀྠࡌ㌶㊧ࢆࡓ࡝ࡿࡶࡢࢆྠ㌶㊧࡜ุᐃࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᑐ㇟⪅80ྡ㸦ᕥྑ160ഃ㸧࡟ࡘ࠸࡚㸪Ỉᖹ㠃ほ࡟࠾ࡅࡿഃ᪉⁥㉮㐠ື࡜࿪ᄮ㐠ືࢆㄪᰝࡋࡓ⤖ᯝ㸪
 1.  ྠ ㌶ ㊧㸦 ᅗ 㸧 ࡛࠶ ࡿ࡜ ุ ᐃ ࡋࡓ ࡢࡣ 11ഃ
㸦6.9%㸧࡛࠶ࡗࡓ㸬 2. Mᆺࡣ121ഃ㸦75.6%㸧㸪Dᆺ39ഃ㸦24.4%㸧࡛࠶ࡾ㸪ྠ㌶㊧࡛࠶ࡗࡓࡢࡣMᆺ࡛8ഃ
㸦5.0%㸧㸪Dᆺ࡛3ഃ㸦1.9%㸧࡛࠶ࡗࡓ㸬ഃ᪉⁥㉮㐠ື㊰ࡢ㌶㊧ࡢ୍౛ ௨ୖࡢ⤖ᯝ࠿ࡽ㸪࿪ᄮ㐠ື᫬࡟ṑ࡟ࡼࡗ࡚つᐃࡉࢀࡿ⁥㉮㐠ື㊰࡜ྠࡌ㌶㊧ࢆࡓ࡝ࡿ⑕౛ࡀᑡᩘ
࡛࠶ࡿࡇ࡜ࡀࢃ࠿ࡗࡓ㸬ᑡᩘ࡛ࡣ࠶ࡿࡀ⁥㉮㐠ື㊰࡜࿪ᄮ㐠ື㊰ࡀ୍⮴ࡍࡿ⑕౛ࡀㄆࡵࡽࢀࡿࡇ࡜
࠿ࡽ㸪⿵⥛἞⒪࡟ඛ❧ࡕ㢡㐠ື᳨ᰝࡀᚲせ࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬 ᮏ◊✲ࡢ⤖ᯝࢆ㋃ࡲ࠼࿪ᄮᶵ⬟ࡢᅇ᚟࡟⁥㉮㐠ືࢆ⪃៖ࡍ࡭ࡁ⑕౛ࢆࡉࡽ࡟ㄪᰝࡍࡿணᐃ࡛࠶ࡿ㸬ϫ㸬 ᩥ⊩1) ᒣᮏྖᑗ㸪୰ᮧ೺ኴ㑻㸪ᯘᚨಇ㸪㏆⸨ᗣྐ㸪ᑠᓥᰤ἞㸪಴⏣㇏࡯࠿㸬࿪ᄮᶵ⬟㞀ᐖ⪅࡟࠾ࡅࡿ࿪ᄮ⤊ᮎ఩ࡢ᳨ウ㸫೺ᖖ᭷ṑ㢡⪅࡜ࡢẚ
㍑㸫㸬᪥⿵⥛఍ㄅ 2013㸹5࣭122ᅇ≉ูྕ㸸137.
2) ୰ᮧ೺ኴ㑻㸪ᯘᚨಇ㸪ᒣᮏྖᑗ㸪㏆⸨ᗣྐ㸪ᑠᓥᰤ἞㸪಴⏣㇏࡯࠿㸬㣗ရᛶ≧ࡢ㐪࠸ࡀ࿪ᄮ⤊ᮎ఩࡟ཬࡰࡍᙳ㡪㸫㣗ရࡢ࠿ࡓࡉ࡟ࡘ࠸
࡚㸫㸬᪥⿵⥛఍ㄅ 2013㸹5࣭122ᅇ≉ูྕ㸸
146.

− 267 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 78ࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡ⒪ἲ࡟ࡼࡿࣈࣛ࢟ࢩࢬ࣒ࡢᢚไࡀ╧╀᫬ࢫࢺࣞࢫ࡟୚࠼ࡿᙳ㡪‫ ۑ‬እ㛫ᏹ஽㸪ྥᆓኴ㑻㸪ṇᮌ༓ᑜ㸪㧗ᶫⱥᩗ㸪㏆⸨♸௓㸪୕㝮Ἃ⥴⌮㸪ᖹ⏣♸ᇶ㸪୰ᮏဴ⮬㸪⣽ᕝ㝯ྖ஑ᕞṑ⛉኱Ꮫཱྀ⭍෌ᘓࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛศ㔝The effect of nighttime electromyogram biofeedback on sleep quality and stress

Hokama H, Mukaibo T, Masaki C, Takahashi H, Kondo Y, Misumi S, Hirata Y, Nakamoto T, Hosokawa R
Department of Oral Reconstruction and Rehabilitation Kyushu Dental UniversityϪ㸬 ⤖ᯝ࡜⪃ᐹ ⿕㦂⪅7ྡ࡛SleepGuardTMࡢࣈࣛ࢟ࢩࢬ࣒ᢚไ㡢࡟ࡼࡾࣈࣛ࢟ࢩࢬ࣒ᅇᩘࡀ8.15s3.15ᅇ/h᭷ព࡟ῶ

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ϩ㸬 ᪉ἲ
 ⿕㦂⪅ࡣ10ྡ㸦⏨ᛶ5ྡዪᛶ5ྡ㸧࡛㸪 㐃⥆ࡋࡓ3ኪࢆ1ࢡ࣮ࣝ࡜ࡋ࡚ྜィ3ࢡ࣮ࣝࡢ╧╀᳨ᰝࢆ⾜ࡗࡓ㸬➨1ࢡ࣮ࣝࡣBaseline࡜ࡋ࡚SleepScopeTMࡢࡳࢆ౑⏝ࡋ⬻Ἴࢆ ᐃࡋࡓ㸬➨2㸪3ࢡ࣮࡛ࣝࡣࡑࢀࡒ
ࢀSleepGuardTM ࡢࣈࣛ࢟ࢩࢬ࣒ᢚไ㡢㸦ࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡ㸧ࢆon࡜off࡟ࡋࡓሙྜࡢࣈࣛ࢟ࢩࢬ
࣒ࡢᅇᩘ࡜᫬㛫㸪࠾ࡼࡧ⬻Ἴࢆ ᐃࡋ㸪 ࣈࣛ࢟ࢩࢬ࣒ࡢᢚไຠᯝ࡜╧╀ẁ㝵࡬ࡢᙳ㡪࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ࣈࣛ࢟ࢩࢬ࣒ᢚไ㡢ࡢon࡜offࡢ㡰ᗎ࡟ࡘ࠸࡚ࡣ⿕㦂⪅ࡢ༙ᩘࡎࡘࢆࡑࢀࡒࢀ㏫࡟⾜࠺ࢡࣟࢫ࣮࢜ࣂ࣮ࢹࢨ࢖ࣥ࡜ࡋࡓ㸬㏵୰㟁ᴟࡢ⿦╔୙ഛ࡟
ࡼࡾ1ྡࡀᐇ㦂࠿ࡽ㝖እࡉࢀࡓ㸬ࡲࡓྛࢡ࣮ࣝ᭱⤊᪥ࡢᑵᐷ๓࡜㉳ᗋᚋ࡟ၚᾮ᥇ྲྀ࡜STAIグධࢆ⾜࠸㸪ࡉࡽ࡟ၚᾮ୰CgA࡜ࢥࣝࢳࢰ࣮ࣝ⃰ᗘࢆ ᐃࡍࡿࡇ࡜࡟ࡼࡾ╧╀᫬ࢫࢺࣞࢫ࡟ࡘ࠸࡚ࡢホ౯ࢆ⾜ࡗࡓ㸬⤫ィᏛⓗゎᯒ࡛ࡣ2⩌㛫ࡢẚ㍑࡟ࡣWilcoxon
singned-rank testࢆ㸪3⩌㛫ࡢẚ㍑࡟ࡣFriedman testࢆ⾜࠸㸪P<0.05ࢆ᭷ព࡜ࡋࡓ㸬ᑡࡋࡓ㸦ᅗ㸧㸬ࡲࡓ㸪㉳ᗋ᫬ၚᾮ୰ࢥࣝࢳࢰ࣮ࣝ⃰ᗘࡣSleepGuardTM ࡢࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡ࡟ࡼ
ࡾୖ᪼ഴྥࢆ♧ࡋࡓ㸬୍᪉㸪SleepGuardTM ࡢࣈࣛ࢟ࢩࢬ࣒ᢚไ㡢ࡢ᭷↓ࡣ╧╀ẁ㝵㸪ၚᾮ୰CgA⃰ᗘ㸪࠾ࡼࡧSTAI࡟ᙳ㡪ࡋ࡞࠿ࡗࡓ㸬ᮏ◊✲࠿ࡽ㸪
SleepGuardTM ࡣ╧╀ࡢ㉁࡟ᙳ㡪ࢆ୚࠼ࡿࡇ࡜࡞ࡃ
ࣈࣛ࢟ࢩࢬ࣒ࡢᅇᩘࢆῶᑡࡉࡏࡿࡇ࡜ࡀุ᫂ࡋࡓ㸬ࣈࣛ࢟ࢩࢬ࣒ࡣேయࡢࢫࢺࣞࢫᛂ⟅཯ᛂ࡛࠶ࡿ2)࡜
⪃࠼ࡽࢀࡿࡇ࡜࠿ࡽ㸪ࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡ⒪ἲ
࡟ࡼࡿࣈࣛ࢟ࢩࢬ࣒ࡢᢚไࡣ╧╀ࡢ㉁࡟ࡣᙳ㡪ࡋ࡞࠸ࡶࡢࡢ㸪⫗యⓗࢫࢺࣞࢫࢆቑຍࡉࡏࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬2Ϩ㸬 ┠ⓗ 㢡㛵⠇③ࡸ⿵⥛⿦⨨ࡢ◚ᦆ㸪ṑ᰿◚ᢡ࡞࡝ṑ⛉἞⒪ୖࡢࢺࣛࣈࣝࡢཎᅉ࡜࡞ࡿ╧╀᫬ࣈࣛ࢟ࢩࢬ
࣒ࢆᢚไࡍࡿ᪉ἲࡢ㸯ࡘ࡜ࡋ࡚㸪㏆ᖺࣂ࢖࢜ࣇ࢕
࣮ࢻࣂࢵࢡ⒪ἲࡀὀ┠ࡉࢀ࡚࠸ࡿ1)㸬୍᪉࡛ࣈࣛ࢟
ࢩࢬ࣒ࡢᢚไࡀ╧╀᫬ࢫࢺࣞࢫ࡟୚࠼ࡿᙳ㡪࡟ࡘ࠸࡚ࡣ᫂ࡽ࠿࡛ࡣ࡞࠸㸬ᮏ◊✲࡛ࡣ㸪ᦠᖏᆺ➽་⒪ᶵჾ⬻Ἴィ㸦SleepScopeTM㸧࡜ࣂ࢖࢜ࣇ࢕࣮ࢻࣂ
ࢵࢡ⒪ἲ࡟ᇶ࡙ࡃࣈࣛ࢟ࢩࢬ࣒ᢚไ⿦⨨(SleepGuardTM)ࢆ౑⏝ࡋ㸪 ୍ᐃࡢ᮲௳ୗ࡟࠾ࡅࡿ
╧╀᫬ࣈࣛ࢟ࢩࢬ࣒㢖ᗘࢆ ᐃࡍࡿࡇ࡜࡟ࡼࡾ╧╀᫬ࣈࣛ࢟ࢩࢬ࣒ࡢᢚไ᪉ἲ࡟ࡘ࠸᳨࡚ウࡋ㸪 ࡉࡽ࡟╧╀๓ᚋࡢࢫࢺࣞࢫࢆ ᐃࡍࡿࡇ࡜࡛ࣈࣛ࢟
ࢩࢬ࣒ࡢᢚไ࡜ࢫࢺࣞࢫࡢⓎᩓ࡟ࡘ࠸࡚▱ぢࢆᚓࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬

SleepGurad ࡟ࡼࡿᑵᐷ᫬ࣈࣛ࢟ࢩࢬ࣒ࡢᢚไຠᯝϫ㸬 ᩥ⊩1) Sato M, Iizuka T, Watanabe A, Iwase N, Otsuka H,
Terada N, Fujisawa M. Electromyogram biofeedback
training for daytime clenching and its effect on sleep
bruxism. J Oral Rehabil. 2014 Sep 25.
2) Slavicek R, Sato S. [Bruxism-a function of themasticatory organ to cope with stress]. Wien Med
Wochenschr. 2004;154:584-9.

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 79ཱྀ⭍஝⇱⑕ᝈ⪅࡟࠾ࡅࡿ཯᚟ၚᾮᄟୗヨ㦂࡜ၚᾮ㔞࠾ࡼࡧᢠ⳦⺮ⓑ㉁ࡢ㛵ಀ‫ۑ‬Ỉᶫ ྐ㸪ᑠฟ 㤾㸪ᡞ㇂཰஧*㸪㧗ᶫ ╬᪥ᮏṑ⛉኱Ꮫ᪂₲⏕࿨ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨1ㅮᗙ㸪*᪥ᮏṑ⛉኱Ꮫ᪂₲⑓㝔ཱྀࡢ࠿ࢃࡁ἞⒪እ᮶
Relationship among swallowing function, salivary flow rate, and salivary level of antimicrobial protein in oral
dryness
Mizuhashi F, Koide K, Toya S*, Takahashi M
Department of Removable Prosthodontics, The Nippon Dental University School of Life Dentistry at Niigata,* Dry Mouth Clinic, The Nippon Dental University Niigata HospitalϨ㸬 ┠ⓗ ㏆ᖺࡢ㧗㱋♫఍࡟࠾࠸࡚㸪ཱྀ⭍஝⇱ࢆッ࠼ࡿᝈ⪅ࡀቑຍࡋ࡚࠸ࡿ㸬ཱྀ⭍஝⇱⑕ᝈ⪅ࡣ㸪఍ヰᅔ㞴ࡸ࿡ぬ㞀ᐖࡢ࡯࠿㸪ᄟୗᅔ㞴ࢆッ࠼ࡿࡇ࡜ࡀ࠶ࡿ㸬཯᚟ၚᾮᄟୗヨ㦂㸦RSST㸧ࡣ㸪ᄟୗࡢᶵ⬟పୗࢆุᐃࡍࡿ⡆౽࡞ࢫࢡ࣮ࣜࢽࣥࢢ᳨ᰝ࡜ࡋ࡚ࡢ᭷ຠ
ᛶࡀሗ࿌ࡉࢀ࡚࠸ࡿ1)㸬
 ᮏ◊✲࡛ࡣ㸪ཱྀ⭍஝⇱ᝈ⪅ࡢ཯᚟ၚᾮᄟୗヨ㦂࡜ၚᾮ㔞㸪ᢠ⳦⺮ⓑ㉁࡛࠶ࡿࢡࣟࣔࢢࣛࢽࣥAࡢ
㛵ಀ࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗࡓ㸬ࡵࡽࢀࡓ㸦r=0.459, p<0.05㸧㸬ϩ㸬 ᪉ἲ ⿕㦂⪅ࡣ㸪⸆๣ᛶࡢཱྀ⭍஝⇱⑕ᝈ⪅26ྡ㸦⏨ᛶ6
ྡ㸪ዪᛶ20ྡ㸪ᖹᆒᖺ㱋73.3s8.2ṓ㸧࡛࠶ࡿ㸬཯᚟ၚᾮᄟୗヨ㦂ࡣ㸪ႃ㢌㝯㉳࠾ࡼࡧ⯉㦵࡟ᣦ⭡ࢆ࠶࡚㸪㐃⥆ⓗ࡞ၚᾮࡢᄟୗࢆᣦ♧ࡋ㸪30⛊㛫ࡢᄟୗᅇᩘࢆᩘ࠼࡚⾜ࡗࡓ㸬ၚᾮ㔞ࡣ㸪10ศ㛫ࡢᏳ㟼᫬ၚᾮ㔞࡜ࢧࢡࢯࣥࢸࢫࢺ࡟ࡼࡿ2ศ㛫ࡢ่⃭ၚᾮ㔞ࢆ ᐃࡋࡓ㸬ၚᾮ୰ࡢᢠ⳦⺮ⓑ㉁࡛࠶ࡿࢡࣟࣔࢢ ࣛ ࢽ ࣥ A ࡣ 㸪 Chromogranin A (342-355) Prepro
Human ELISA kit 㸦 Phoenix Pharmaceuticals Inc.,
USA㸧ࢆ⏝࠸࡚ELISAἲ࡟ࡼࡾᐃ㔞ࡋࡓ㸬 ศᯒࡣ㸪཯᚟ၚᾮᄟୗᅇᩘ࡜Ᏻ㟼᫬ၚᾮ㔞࠾ࡼࡧ่⃭ၚᾮ㔞ࡢ㛵ಀ㸪Ᏻ㟼᫬ၚᾮ㔞࡜ࢡࣟࣔࢢࣛ
ࢽࣥA㔞ࡢ㛵ಀ㸪཯᚟ၚᾮᄟୗᅇᩘ࡜ࢡࣟࣔࢢࣛ
ࢽࣥA㔞ࡢ㛵ಀ࡟ࡘ࠸࡚㸪ࢫࣆ࢔࣐ࣥࡢ㡰఩┦㛵ಀᩘࡢ᳨ᐃࢆ⏝࠸࡚⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ཯᚟ၚᾮᄟୗᅇᩘ࡜Ᏻ㟼᫬ၚᾮ㔞ࡢ㛫࡟ࡣ᭷ព࡞┦㛵㛵ಀࡀㄆࡵࡽࢀ㸪Ᏻ㟼᫬ၚᾮ㔞ࡢᑡ࡞࠸ᝈ
⪅࡟࠾࠸࡚཯᚟ၚᾮᄟୗᅇᩘࡢῶᑡࢆㄆࡵࡓ
㸦r=0.585, p<0.01㸧㸦ᅗ1㸧㸬཯᚟ၚᾮᄟୗᅇᩘ࡜
่⃭ၚᾮ㔞ࡢ㛫࡟ࡣ᭷ព࡞┦㛵㛵ಀࡀㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬 Ᏻ㟼᫬ၚᾮ㔞࡜ࢡࣟࣔࢢࣛࢽࣥA㔞ࡢ㛫࡟ࡣ᭷ព࡞┦㛵㛵ಀࡀㄆࡵࡽࢀ㸪Ᏻ㟼᫬ၚᾮ㔞ࡢᑡ࡞࠸ᝈ⪅࡛ࡣࢡࣟࣔࢢࣛࢽࣥA㔞ࡢῶᑡࢆㄆࡵࡓ
㸦r=0.735, p<0.01㸧㸦ᅗ2㸧㸬཯᚟ၚᾮᄟୗᅇᩘ࡜
ࢡࣟࣔࢢࣛࢽࣥA㔞ࡢ㛫࡟ࡶ᭷ព࡞┦㛵㛵ಀࡀㄆᅗ 1 ཯᚟ၚᾮᄟୗᅇᩘ࡜Ᏻ㟼᫬ၚᾮ㔞ࡢ㛵ಀᅗ 2 Ᏻ㟼᫬ၚᾮ㔞࡜ࢡࣟࣔࢢࣛࢽࣥ A ࡢ㛵ಀ௨ୖࡢ⤖ᯝ࠿ࡽ㸪ཱྀ⭍஝⇱⑕ᝈ⪅ࡢᏳ㟼᫬ၚᾮ㔞ࡢᨵၿࡣ㸪ᄟୗᶵ⬟ࡸᢠ⳦⺮ⓑ㉁ࡢ⥔ᣢ࡟᭷⏝࡜࡞ࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) Hongama S, Nagao K, Toko S, Tanida K,
Akutagawa M, Kinouchi Y, et al. MI sensor-aided
screening system for assessing swallowing
dysfunction: application to the repetitive salivaswallowing test. J Prosthodont Res 2012; 56: 5357.

− 269 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 80᪥୰ࡢࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡカ⦎ࡀኪ㛫ࡢࢢࣛ࢖ࣥࢹ࢕ࣥࢢ
࡟ཬࡰࡍᙳ㡪࡟ࡘ࠸࡚

‫ۑ‬ᩧ⸨ᑠኟ㸪బ⸨㞞௓㸪኱ሯⱥ⛱㸪Ώ㑓᫂㸪㣤ሯ▱᫂㸪ᒾ℩┤ᶞ㸪኱ஂಖభ㤶㸪ཬᕝ⣧ 㸪
࿴㈡ᾈᖾ 㸪⸨⃝ᨻ⣖᫂ᾏ኱ᏛṑᏛ㒊ᶵ⬟ಖᏑᅇ᚟Ꮫㅮᗙṑ⛉⿵⥛Ꮫศ㔝ᮾ໭࣭໭ᾏ㐨ᨭ㒊Effect of EMG Biofeedback Training for Daytime Clenching on Nocturnal Grinding‫ۑ‬Saito K, Sato M, Otsuka H, Watanabe A, Iizuka T, Iwase N, Okubo Y, Oikawa J*, Waga H*, Fujisawa M
Division of Fixed Prosthodontics, School of Dentistry, Meikai University*
Tohoku-Hokkaido Branchࣥࢺᩘ࡟᭷ព࡞ኚ໬ࢆㄆࡵ࡞࠿ࡗࡓ㸦ᅗ㸧㸬ࡇࢀࡲ࡛ࠊ᪥୰ࡢBFຠᯝࡀኪ㛫╧╀᫬ࡢࢡࣞࣥ
ࢳࣥࢢ࢖࣋ࣥࢺࢆῶᑡࡉࡏࡓ࡜࠸࠺ሗ࿌3 ࡶ࠶ࡿࡇ࡜࠿ࡽ㸪ᮏᐇ㦂ࡢburst࢖࣋ࣥࢺᩘࡀῶᑡഴྥࢆ♧ࡋࡓࡇ࡜ࡶ㸪BFカ⦎࡟ࡼࡿຠᯝ࡛࠶ࡗࡓྍ⬟ᛶࡀ⪃࠼ࡽࢀࡿ㸬ࡲࡓ㸪CO⩌࡟࠾࠸࡚ࡣ࠸ࡎࢀࡢ ᐃ㐌࡟࠾࠸࡚ࡶྠࣞ࣋ࣝࡢ࢖࣋ࣥࢺᩘࢆಖࡗ࡚࠸ࡓ
ࡇ࡜࠿ࡽEMG-BF⿦⨨ࡢ⿦╔⮬యࡀ࢖࣋ࣥࢺᩘࡢ
ῶᑡࢆᣍࡃࣉࣛࢭ࣎ຠᯝ࡛ࡣ࡞࠿ࡗࡓࡶࡢ࡜⪃࠼ࡿ㸬௒ᅇࡢ⤖ᯝ࠿ࡽ㸪᪥୰ࡢࢡࣞࣥࢳࣥࢢ࡟ᑐࡍࡿ
ࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡカ⦎ࡀ㸪ኪ㛫ࡢࢢࣛ࢖ࣥࢹ
࢕ࣥࢢ࢖࣋ࣥࢺᩘࢆῶᑡࡉࡏࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬
Ύ
Ύ㻌
150
%)⩌
ᖹᆒ࢖࣋ࣥࢺᩘ ᅇϨ㸬┠ⓗ ࣈࣛ࢟ࢩࢬ࣒ࡣ㢡ᶵ⬟㞀ᐖࡢᐤ୚ᅉᏊ࡜ࡋ࡚኱
ࡁࡃᙳ㡪ࡋ࡚࠸ࡿ㸬ᡃࠎࡣࡇࢀࡲ࡛ࣈࣛ࢟ࢩࢬ࣒
࡟ᑐࡍࡿᦠᖏᆺ➽㟁ィࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡ⿦⨨㸦EMG-BF⿦⨨㸧ࡢ㛤Ⓨࢆ⾜࠸㸪ࢡࣞࣥࢳࣥࢢ⮬ぬ⪅࡟ᑐࡍࡿ↓ᣊ᮰࡛ࡢഃ㢌➽➽㟁ᅗ㸦EMG㸧ᐃ 1 ࡸ㸪ࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡカ⦎ BFカ⦎ ࡟ࡼࡿ᪥୰2 ࠾ࡼࡧኪ㛫3 ࡢࢡࣞࣥࢳࣥࢢᢚไຠᯝ࡟
ࡘ࠸࡚ሗ࿌ࢆ⾜ࡗࡓ㸬ࡋ࠿ࡋ࡞ࡀࡽ㸪BFカ⦎ࡀኪ㛫ࡢࢢࣛ࢖ࣥࢹ࢕ࣥࢢࢆ୺య࡜ࡍࡿphasic࢖࣋ࣥࢺ࡟ཬࡰࡍᙳ㡪ࡣᮍࡔゎ᫂ࡉࢀ࡚࠸࡞࠸㸬௒ᅇ㸪᪥୰ࡢࢡࣞࣥࢳࣥࢢ࡟ᑐࡍࡿBFカ⦎ࡀኪ㛫╧╀᫬ࡢࢢࣛ࢖ࣥࢹ࢕ࣥࢢ࡟ཬࡰࡍᙳ㡪ࢆㄪ࡭ࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚ᮏᐇ㦂ࢆ⾜ࡗࡓ㸬ϩ㸬᪉ἲ ᪥୰ࡢࡃ࠸ࡋࡤࡾࢆ⮬ぬࡍࡿ㸪࠿ࡘኪ㛫ࡢṑࡂࡋࡾࢆᣦ᦬ࡉࢀࡓ⿕㦂⪅12ྡ ⏨ᛶ11ྡ㸪ዪᛶ1ྡ㸪ᖹᆒᖺ㱋25.8±2.9ṓ ࢆࡑࢀࡒࢀࣛࣥࢲ࣒࡟ࣂ࢖࢜
ࣇ࢕࣮ࢻࣂࢵࢡ⩌ BF⩌ 7ྡ࡜ࢥࣥࢺ࣮ࣟࣝ⩌CO⩌ 5ྡ࡟ศࡅ㸪㐃⥆ࡋࡓ3㐌㛫ࡢ᪥୰࠾ࡼࡧ
ኪ㛫╧╀᫬ࡢEMG ᐃࢆྛ5᫬㛫⾜ࡗࡓ㸬EMG
ᐃ㒊఩࡜ࡋ࡚୺࿪ᄮഃഃ㢌➽㒊ࢆ㑅ᢥࡋࡓ㸬BF⩌
࡛ࡣ㸪ࢡࣞࣥࢳࣥࢢ᫬࡟BFಙྕ࡜ࡋ࡚ࣈࢨ࣮㡢ࡀⓎ⏕ࡋ㸪ࡑࡢ⾜ືࢆᮏே࡟ㄆ㆑ࡉࡏࡿBFカ⦎ࢆ2㐌┠࡟⾜ࡗࡓ㸬CO⩌ࡣ࠸ࡎࢀࡢ㐌࡟ࡶBFカ⦎ࢆ⾜ࢃࡎ㸪EMG ᐃࡢࡳᐇ᪋ࡋࡓ㸬ࡑࡢᚋ㸪ᚓࡽࢀࡓ
EMGグ㘓࠿ࡽ㸪20㸣MVC௨ୖ0.25⛊௨ୖࡢᣢ⥆᫬㛫ࡢburst࢖࣋ࣥࢺᩘࢆ⟬ฟࡋࡓ㸬⟬ฟࡋࡓburst࢖࣋ࣥࢺᩘ࠿ࡽBF⩌࡜CO⩌ࡢࡑࢀࡒࢀ࡟ࡘ࠸࡚ィ ᪥ࡢᖹᆒ࢖࣋ࣥࢺᩘࢆồࡵࡓ㸬⤫ ィ ฎ ⌮ ࡟ ࡣ SPSS ver. 20.0 ࢆ ౑ ⏝ ࡋ 㸪 two-way
repeated measures ANOVA࡜㸪ࡑࡢᚋࡢከ㔜ẚ㍑࡟
TukeyࡢHSD᳨ᐃࢆ⾜ࡗࡓ㸬࡞࠾㸪ᮏ◊✲ࡣ᫂ᾏ኱ᏛṑᏛ㒊೔⌮ጤဨ఍ࡢᢎㄆࢆᚓ࡚ᐇ᪋ࡋࡓ㸬Ϫ㸬⤖ᯝ࡜⪃ᐹ
 BF⩌࡟࠾࠸࡚3㐌┠ࡢᖹᆒ࢖࣋ࣥࢺᩘࡀ㸪1㐌┠࡟ᑐࡋ࡚᭷ព࡞ῶᑡࢆㄆࡵࡓ㸬ࡲࡓ㸪3㐌┠ࡢBF⩌ࡢ࢖࣋ࣥࢺᩘࡣCO⩌࡟ᑐࡋ᭷ព࡞ῶᑡࢆㄆࡵࡓ㸬୍᪉㸪CO⩌࡟࠾࠸࡚ࡣ࠸ࡎࢀࡢ㐌࡟࠾࠸࡚ࡶ࢖࣋

&2⩌

100

S.D.

mean
50
* 㹮 < 0.05
(Tukey’s HSD)
0
㐌┠
㐌┠
㐌┠
 ᖹᆒ࢖࣋ࣥࢺᩘࡢ᥎⛣ϫ㸬ᩥ⊩
1) Fujisawa M, Kanemura K, Tanabe N, Gohdo Y,
Watanabe A, Iizuka T et al. Determination of
daytime clenching events in subjects with andwithout self-reported clenching. J Oral Rehabil
2013; 40: 731-736.
2) Watanabe A, Kanemura K, Tanabe N, Fujisawa
M㸬Effect of electromyogram biofeedback on
daytime clenching behavior in subjects withmasticatory muscle pain. J Prothodont Res 2011;55: 75-81.
3) Sato M, Iizuka T, Watanabe A, Iwase N, Otsuka
H, Terada N et al. Electromyogram biofeedback
training for daytime clenching and its effect on
sleep bruxism. J Oral Rehabil 2015; 42: 83-89.

− 270 −



日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 81㧗㱋⪅ࡢ᭷ᗋ⩏ṑ⿦╔ࡀဗ㢌ᮇᄟୗ᫬ࡢཱྀ⭍࡜ဗ㢌ࡢ㐠ື࡟୚࠼ࡿᙳ㡪‫ۑ‬ᑠ㔝ᑎᙲᖹ㸪ྂᒇ⣧୍㸪ᒣᮏᑦᚨ㸪బ⸨཭⚽㸪ཎ ῟㸪Ᏻ⸤⣪⧊㸪⋢⏣ὈႹ㸪㏆⸨ᑦ▱ᒾᡭ་⛉኱ᏛṑᏛ㒊⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛㅮᗙ
Impacts of wearing complete dentures on the movement of oropharyngeal organs during pharyngeal
swallowing in the elderly edentulous people.
Onodera S㸪Furuya J㸪Yamamoto H㸪Sato T㸪Hara A㸪Aki S㸪Tamada Y㸪Kondo H
Department of Prosthodontics and Oral Implantlogy㸪School of Dentistry㸪Iwate Medical UniversityϨ㸬 ┠ⓗ ㉸㧗㱋♫఍࡟࠾࠸࡚ࡣ㸪඲㌟⑌ᝈ࡟ࡼࡿᦤ㣗ᄟୗ㞀ᐖࡸຍ㱋ኚ໬࡟ࡼࡿᦤ㣗ᄟୗᶵ⬟ࡢணഛຊప
ୗࢆ᭷ࡍࡿ㧗㱋⪅ࡀቑຍࡋ࡚࠸ࡿࡀ㸪ࡑࢀࡽ࡟ᑐ
ࡍࡿṑ⛉ⓗࢧ࣏࣮ࢺࡀ༑ศ࡟⾜ࢃࢀ࡚࠸࡞࠸ࡢࡀ
⌧≧࡛࠶ࡿ㸬ࡑࡢࡼ࠺࡞㧗㱋⪅ࡣ᭷ᗋ⩏ṑ࡟ࡼࡿ⿵⥛἞⒪ࡀᚲせ࡛࠶ࡿ࡟ࡶ㛵ࢃࡽࡎ㸪᭷ᗋ⩏ṑࡀ⿦╔ࡉࢀ࡚࠸࡞࠸ࡇ࡜ࡀከ࠸㸬඲㒊ᗋ⩏ṑ࡞࡝ࡢ኱ᆺࡢ᭷ᗋ⩏ṑࡢ⿦╔ࡣ㸪࿪ᄮᶵ⬟ࡢᅇ᚟ࡔࡅ࡛
ࡣ࡞ࡃ㸪ဗ㢌ᮇᄟୗ᫬ࡢ⯉㦵ᣲୖࡸ⯉ཱྀ⵹᥋ゐ࡟ᚲせ࡞ୗ㢡ࡢᅛᐃࢆຓࡅ㸪⯉㦵ࡸဗႃ㢌ࡢ㐠ືࢆ⿵ຓࡍࡿ࡜᥎ᐹࡉࢀࡿ 1 㸧 㸬ࡋ࠿ࡋ㸪඲㒊ᗋ⩏ṑࡢ⿦╔ࡢ᭷↓ࡀᦤ㣗ᄟୗ᫬ࡢཱྀ⭍࡜ဗ㢌ࡢ㐠ື࡟୚࠼ࡿᙳ㡪࡟ࡘ࠸࡚ࡣ㸪༑ศ࡟ࡣ᫂ࡽ࠿࡟࡞ࡗ࡚࠸
࡞࠸㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪↓ṑ㢡⪅ࡢᦤ㣗ᄟୗ㐠ືࢆほᐹࡋ㸪඲㒊ᗋ⩏ṑࡢ⿦╔ࡀဗ㢌ᮇᄟୗ᫬ࡢ
ཱྀ⭍࡜ဗ㢌ࡢჾᐁࡢ㐠ື⠊ᅖ࡟୚࠼ࡿᙳ㡪ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ ᒾᡭ་⛉኱ᏛṑᏛ㒊೔⌮ጤဨ఍ࡢᢎㄆ㸦No㸬
01150㸧ࢆᚓ࡚㸪◊✲࡟ྠពࡢᚓࡽࢀࡓ㸪㧗㱋⥲⩏ṑ⿦╔ᝈ⪅5ྡ㸦ᖹᆒᖺ㱋㸸79.1ṓ㸧ࢆᑐ㇟࡜ࡋࡓ㸬↓ṑ㢡࡛ࡶᦤ㣗ྍ⬟࡞ࣂ࣒ࣜ࢘ྵ᭷้ࡳᐮኳࢆ⮬⏤࡟ᦤ㣗ᄟୗࡉࡏ㸪ᄟୗ㐀ᙳഃ㠃ീ࡟࡚ほᐹࢆ⾜ࡗࡓ㸬ᚓࡽࢀࡓࢹ࣮ࢱࢆ⏬ീゎᯒࢯࣇࢺ㸦DippMotion V, Ditect㸧ࢆ⏝࠸࡚ゎᯒࡋ㸪௨ୗࡢ㡯┠࡟ࡘ࠸࡚㸪ဗ㢌ᮇᄟୗ᫬ࡢཱྀ⭍࡜ဗ㢌ࡢ㐠ືࢆ⩏ṑ⿦╔᫬࡜᧔ཤ᫬࡛ẚ㍑ࡋࡓ㸬1㸧࢜ࢺ࢞࢖ࡢ㐠ື⠊ᅖ(Menton: Me, ୗ㢡㦵࢜ࢺ࢞࢖㒊ࡢ᭱ୗ᪉Ⅼ)㸪2㸧
⯉㦵(Hyoid: HYO, ⯉㦵య᭱ୖ๓᪉Ⅼ)㸪3㸧ႃ㢌(Larynx: LRX㸪ኌ㛛ୗair columnࡢ᭱ୖ๓᪉Ⅼ)㸪4)
ဗ㢌ᚋቨ(Posterior pharyngeal wall: PPW㸪➨2㢕᳝๓ ୗ ⦕ ๓ ᪉ ࣞ ࣋ ࣝ ) 㸪 5) ୖ 㣗 㐨 ᣓ ⣙ ➽ (Upper
esophagus sphincter: UES)㸬HYO࡜LRXࡢ㐠ື⠊ᅖ㸪
PPW཰⦰㔞㸪UES㛤኱㔞࡟ࡘ࠸࡚ࡣ㸪⯉㦵ᣲୖ㛤ጞ࠿ࡽ㣗㐨ධཱྀ㒊㛤኱⤊஢ࡲ࡛ࡢ㐠ືࢆゎᯒࡋ㸪Meࡢ㐠ື⠊ᅖ࡟ࡘ࠸࡚ࡣ㸪⯉ࡢཱྀ⵹᥋ゐ㛤ጞ࠿ࡽᄟୗ཯ᑕ୰ࡢ࢜ࢺ࢞࢖᭱኱ᣲୖ᫬ࡲ࡛ࡢ㐠ືࢆゎᯒࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᐃᛶⓗ࡞ホ౯࡛ࡣ㸪ဗ㢌ᮇᄟୗ㛤ጞࡢࡓࡵࡢMeࡢ㐠ືࡣ㸪⩏ṑ᧔ཤ᫬࡟࠾࠸࡚๓ୖ᪉࡬ࡢ㐠ືࡀቑຍࡍࡿഴྥࢆㄆࡵࡓ㸦ᅗ㸧㸬ࡲࡓ㸪ဗ㢌ᮇᄟୗ
᫬ࡢHYOࡢᣲୖ๓㐍㐠ືࡣ㸪⩏ṑ᧔ཤ᫬࡟๓᪉࡬
ࡢ㐠ື⠊ᅖࡀቑຍࡍࡿഴྥࢆㄆࡵࡓ㸬ྠᵝ࡟㸪
LRXࡶ㸪⩏ṑ᧔ཤ᫬࡟๓ୖ᪉࡬ࡢ㐠ື⠊ᅖࡀቑຍࡍࡿഴྥࢆㄆࡵࡓ㸬PPW཰⦰㔞࡜UES㛤኱㔞ࡣ㸪⩏ṑ᧔ཤ᫬࡟ቑ኱ࡍࡿഴྥࢆㄆࡵ㸪UES࡟ࡘ࠸࡚ࡣ ᭷ ព ࡞ ᕪ ࢆ ㄆ ࡵ ࡓ 㸦 Wilcoxn signed rank test,
p<0.05㸧㸬⩏ṑࡢ᧔ཤ࡟ࡼࡾညྜᨭᣢࡀ႙ኻࡋࡓ㝿࡟ࡣ㸪ဗ㢌ᮇᄟୗ᫬ࡢ࢔࣮ࣥ࢝࡜࡞ࡿୗ㢡ࡢᅛᐃࡀኻࢃ
ࢀࡿࡓࡵ㸪⯉㦵ࡸႃ㢌ࡣ㸪⩏ṑ⿦╔᫬ࡼࡾ኱ࡁ࠸
௦ൾᛶࡢ㐠ືࢆࡍࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ࡲࡓ㸪ဗ㢌ᚋቨࡢ཰⦰ࡸ㣗㐨ධཱྀ㒊ࡢᘱ⦆ࡢ㝿࡟ࡶ㸪ᄟୗࡢ㐙⾜ࡢࡓࡵ࡟㸪௦ൾᛶࡢኚ໬ࢆཬࡰࡍࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬௨ୖࡼࡾ㸪⩏ṑࡢ⿦╔ࡣ⮬⏤ᦤ㣗᫬ࡢဗ㢌ᮇᄟୗ࡟ࡶᙺ❧ࡘྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬ဗ㢌ᮇᄟୗ᫬ࡢཱྀ⭍ဗ㢌ჾᐁࡢ㐠ື㌶㊧ϫ㸬 ᩥ⊩1) Yamamoto H㸪Furuya J㸪Tamada Y㸪Kondo H㸬
Impacts of wearing complete dentures on bolustransport during feeding in elderly edentulous㸬J
Oral Rehabil㸬2013; 40: 923-931㸬

− 271 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 82

せ௓ㆤ㧗㱋⪅ࡢཱྀ⭍೺ᗣ࡜୺ࡓࡿ௓ㆤ⪅ࡢ௓ㆤ㈇ᢸឤ࡜ࡢ㛵㐃‫ۑ‬ᒣᮏ㐨௦*, **㸪኱㔝 ᙬ***㸪ᑠᒣ⤮⌮*㸪୕㔝༟ဢ*㸪㯮㷂㝧Ꮚ*㸪୰ᕝ᫴㍜*㸪℧ෆ
༤ஓ*㸪Ỉཱྀ┿ᐇ*㸪స⏣⠜௦*㸪Ỉཱྀ ୍*㸪๓ᕝ㈼἞*㸪❑ᮌᣅ⏨**ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝**㸦་㸧㟷ᮌෆ⛉ᑠඣ⛉་㝔 ࠶࠸ࡢ㔛ࢡࣜࢽࢵࢡ࣭ṑ⛉***ᒸᒣ኱Ꮫ⑓㝔 ᪂་⒪◊✲㛤Ⓨࢭࣥࢱ࣮
Relationship between oral health status of the older people with nursing care and burden of their caregiver.

Yamamoto M*,**, Kimura-Ono A***, Koyama E*, Mino T*, Kurosaki Y*, Nakagawa S*, Takiuchi H*,
Inoue-Minakuchi M*,Sakuda A*, Minakuchi H, Maekawa K, Kuboki T. *Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of
Medicine, Dentistry and Pharmaceutical Sciences, **Ainosato Dental Clinic, ***Center for Innovative
Clinical Medicine, Okayama University HospitalϨ㸬┠ⓗ
ᮏ㑥ࡢせ௓ㆤ㧗㱋⪅ࡣᖺࠎቑຍࡢ୍㏵ࢆࡓ࡝ࡾ㸪
௓ㆤ㈇ᢸࡀ኱ࡁࡃ࡞ࡗࡓ⤖ᯝ㸪௓ㆤࡢ㉁ࡢపୗࡸ
௓ㆤ⪅ࡢ೺ᗣ㞀ᐖࢆᣍࡃࡇ࡜ࡀሗ࿌ࡉࢀ࡚࠸ࡿ㸬ᚑࡗ࡚㸪௓ㆤ㈇ᢸࢆ㐺ษ࡟ホ౯ࡋ㸪ᚲせ࡞௓ධࢆ⾜࠺ࡇ࡜ࡀồࡵࡽࢀ࡚࠸ࡿ㸬ࡇࢀࡲ࡛࡟㸪せ௓ㆤ⪅ࡢ㌟యᶵ⬟ࡀప࠸ࡇ࡜㸪ㄆ▱⑕࠾ࡼࡧࡑࡢ࿘㎶⑕≧ࡀ࠶ࡿࡇ࡜㸪௓ㆤ⪅ࡢ೺ᗣ≧ែࡀప࠸ࡇ࡜࡞
࡝ࡀ௓ㆤ㈇ᢸឤࢆ㧗ࡵࡿࡇ࡜ࡀሗ࿌ࡉࢀ࡚࠸ࡿ㸬୍᪉࡛ᦤ㣗⾜ືࡢ௓ㆤࡣ㸪ࡑࡢ㧗࠸㢖ᗘࡸ㸪❅ᜥ㸪ㄗᄟᛶ⫵⅖➼࡬ࡢ㓄៖ࡀᚲせ࡞ࡇ࡜࠿ࡽ㸪௓ㆤ⪅
ࡢ኱ࡁ࡞㈇ᢸ࡜࡞ࡗ࡚࠸ࡿྍ⬟ᛶࡀ࠶ࡿ㸬ࡋ࠿ࡋ㸪ᦤ㣗⾜ືࡢ௓ㆤࡸ㛵㐃ࡍࡿせ௓ㆤ⪅ࡢཱྀ⭍೺ᗣࡀ㸪
௓ㆤ㈇ᢸឤ࡟࡝ࡢࡼ࠺࡞ᙳ㡪ࢆ୚࠼ࡿ࠿ࡣ༑ศ᫂
ࡽ࠿࡟࡞ࡗ࡚࠸࡞࠸㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪᪋タධᡤ࠾ࡼࡧᅾᏯ⒪㣴୰ࡢせᨭ᥼࣭せ௓ㆤ㧗㱋⪅ࢆᑐ㇟࡟㸪ཱྀ⭍೺ᗣ࠾ࡼࡧ
ᦤ㣗࡟㛵㐃ࡍࡿᅉᏊ࡜୺ࡓࡿ௓ㆤ⪅ࡢ௓ㆤ㈇ᢸឤ
࡜ࡢ㛵㐃ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡟ᶓ᩿ㄪᰝࢆ⾜ࡗࡓ㸬ϩ㸬᪉ἲ
ᑐ㇟ࡣ㸪ᖹᡂ  ᖺ  ᭶࡟ᒸᒣᕷෆࡢ࠶ࡿ⪁ேಖ೺᪋タ࡟㏻ᡤ㸦ᅾᏯ⩌㸧ࡶࡋࡃࡣධᡤ㸦᪋タ⩌㸧ࡋ࡚࠸ࡿ඲せᨭ᥼࣭せ௓ㆤ㧗㱋⪅࡜ࡋࡓ㸬඲ᑐ㇟⪅  ྡ㸦ᅾᏯ⩌㸭᪋タ⩌㸸㸭 ྡ㸧ࡢ࠺ࡕ㸪ྠពࢆᚓࡓ  ྡࢆㄪᰝᑐ㇟࡜ࡋࡓ㸬 ྡࢆᑐ㇟࡟㸪ձཱྀ⭍ෆデᰝ㸦ṧᏑṑᩘ㸪ᶵ⬟ṑᩘ㸪⩏ṑࡢ᭷↓㸪ཱྀ⭍⾨⏕ᗘ㸧㸪ղ୺ࡓࡿ௓ㆤ
⪅࡬ࡢ࢔ࣥࢣ࣮ࢺㄪᰝ㸦᪥ᮏㄒ∧ =DULW ௓ㆤ㈇ᢸᑻᗘ㸸=%, 㸧 㸧㸪ճ௓ㆤ࣭་⒪グ㘓ㄪᰝ㸦ཱྀ⭍ࢣ࢔ᣄྰࡢ᭷↓㸪㐣ཤ  ࠿᭶௨ෆࡢṑ⛉ཷデࡢ᭷↓㸪ㄪᩚ㣗ࡢせྰ㸪㣗஦᫬㛫㸪せ௓ㆤᗘ㸪ㄆ▱⑕ࡢ㔜⑕ᗘ㹙⮫ᗋⓗㄆ▱⑕ᑻᗘ㹛㸪ᇶᮏⓗ᪥ᖖ⏕άືస
㹙%DUWKHO,QGH[㹛㸪௓ㆤ⪅ࡢᖺ㱋㸪ᛶู㸧ࢆ⾜ࡗࡓ㸦೔⌮ጤဨ఍ᢎㄆ␒ྕ 㸧㸬ࡍ࡭࡚ࡢ⤫ィゎᯒࡣ㸪ᅾᏯ⩌࡜᪋タ⩌࡟ศࡅ᳨࡚ウࢆ⾜ࡗࡓ㸬ࡲࡎ㸪ᑐ㇟⪅ࡢᇶ♏≉ᛶࢆ
.UXVNDO:DOOLV᳨ᐃࡲࡓࡣ࢝࢖஧஌᳨ᐃࢆ⏝࠸࡚୧⩌㛫࡛ẚ㍑ࡋࡓ㸬ࡑࡋ࡚㸪ᦤ㣗ࡸཱྀ⭍࡟㛵ࡍࡿせᅉࡀ௓ㆤ㈇ᢸឤ࡟㛵㐃ࡍࡿ࠿ࢆ᳨ウࡍࡿࡓࡵ࡟㸪㔜ᅇᖐศᯒࢆ⾜ࡗࡓ㸬ᚑᒓኚᩘࡣ =%, ᚓⅬ࡜ࡋ㸪ㄝ᫂ኚᩘࡣ㸪ከ㔜ඹ⥺ᛶࢆຍ࿡ࡋ࡚㑅ᢥࡋ㸪ṧᏑṑᩘ㸪ཱྀ⭍ࢣ࢔ࡢᣄྰࡢ᭷↓㸪ṑ⛉ཷデࡢ᭷↓㸪⤒ཱྀ㸭⤒⟶ᦤྲྀࡢู㸪ㄪᩚ㣗ࡢせྰ㸦ᅾᏯ⩌㸧㸪㣗஦᫬㛫㸦᪋タ⩌㸧࡜ࡋ㸪せ௓ㆤᗘ㸪せ௓ㆤ⪅ࡢᛶู㸪௓ㆤ⪅ࡢᛶู࡛ㄪᩚࡋࡓ㸬Ϫ㸬⤖ᯝ࡜⪃ᐹࢹ࣮ࢱ࡟୙ഛࡀ࠶ࡗࡓ  ྡࢆ㝖እࡋ㸪ゎᯒᑐ㇟ࡣᅾᏯ⩌  ྡ㸦ᖹᆒᖺ㱋㸸s ṓ㸪⏨㸭ዪ 㸸  㸭  ྡ 㸧 㸪 ᪋ タ ⩌  ྡ 㸦 ᖹ ᆒ ᖺ 㱋 㸸s ṓ㸪⏨㸭ዪ㸸㸭 ྡ㸧࡜࡞ࡗࡓ㸬せ௓ㆤ⪅ࡢᖹᆒṧᏑṑᩘࡣᅾᏯ⩌ s ᮏ㸪᪋タ⩌ s ᮏ࡛㸪ᅾᏯ⩌ࡢ  ྡ㸦㸣㸧㸪᪋タ⩌ࡢ  ྡ㸦㸣㸧ࡀ⩏ṑࢆ᭷ࡋ࡚࠸ࡓ㸬ᅾᏯ⩌࡜᪋タ⩌ࡢ =%, ᚓⅬࡣ㸪ࡑࢀࡒࢀ sⅬ㸦 Ⅼ‶Ⅼ㸧㸪s Ⅼ㸦 Ⅼ‶Ⅼ㸧࡛࠶ࡗࡓ㸬㔜ᅇᖐศᯒࡢ⤖ᯝ㸪ᅾᏯ⩌࡛ࡣཱྀ⭍ࢣ࢔ࡢᣄྰ
ࡀ࠶ࡿࡇ࡜㸪ㄪᩚ㣗ࡀᚲせ࡛࠶ࡿࡇ࡜㸪せ௓ㆤᗘࡀ㧗࠸ࡇ࡜㸪せ௓ㆤ⪅ࡀ⏨ᛶ࡛࠶ࡿࡇ࡜㸪௓ㆤ⪅ࡀ⏨ᛶ࡛࠶ࡿࡇ࡜ࡀ㸪᪋タ⩌࡛ࡣ㸪ṧᏑṑᩘࡀከ࠸ࡇ࡜㸪⤒ཱྀᦤྲྀ࡛࠶ࡿࡇ࡜㸪㣗஦᫬㛫ࡀ  ศᮍ‶࡛࠶ࡿࡇ࡜㸪せ௓ㆤᗘࡀ㧗࠸ࡇ࡜㸪௓ㆤ⪅ࡢᛶูࡀ⏨ᛶ࡛࠶ࡿࡇ࡜ࡀ㸪௓ㆤ㈇ᢸឤࡀ㧗࠸ࡇ࡜࡜᭷ព࡟㛵㐃ࡋ࡚࠸ࡓ㸦ᅾᏯ⩌㸸5 㸪᪋タ⩌㸸
5 㸻㸧㸬୍᪉࡛㸪ᶵ⬟ṑᩘ࠾ࡼࡧ⩏ṑࡢ᭷↓࡜ =%, ᚓⅬ࡟ࡣ㛵㐃ࡀ࡞࠿ࡗࡓ㸬ᮏ◊✲ࡢ⤖ᯝ㸪ཱྀ⭍࡟㛵ࡍࡿ࠸ࡃࡘ࠿ࡢ㡯┠ࡀ㸪௓ㆤ㈇ᢸឤ࡜㛵㐃ࡍࡿྍ⬟ᛶࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬
௒ᚋࡣ㏣㊧ㄪᰝࢆ⥅⥆ࡋ㸪ᅉᯝ㛵ಀࢆ᳨ドࡍࡿᚲ
せࡀ࠶ࡿ࡜⪃࠼ࡿ㸬ϫ㸬ᩥ⊩
1)Arai Y㸪Kudo K㸪Hosokawa T㸪et al㸬Reliability
and Validity of the Japanese version of the Zarit
Caregiver Burden Interview㸬Psychiatry Clin Neurosci
1997㸹51㸸281-287㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 83

⪁ᖺⓗ㉸㉺࡜ཱྀ⭍㛵㐃QOL࡜ࡢ㛵㐃࡟ࡘ࠸࡚ࡢ᳨ウ‫୕ۑ‬ཎభ௓㸪ᯇ⏣ㅬ୍㸪ụ㑓୍඾㸪ᑠᕝὈ἞㸪ᴮᮌ㤶⧊㸪ከ⏣⣪ᘺኟ㸪⊦ಛ༓㔛㸪Ṋୗ⫕㸪㨶⏣┿ᘯ㸪ඵ⏣᪸኱㸪๓⏣ⰾಙ኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟෌ᘓᏛㅮᗙ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝
Association gerotranscendence with oral health-related qualitay of lifeࠐMihara Y, Matsuda K, Ikebe K, Ogawa T, Enoki K, Tada S, Inomata C, Takeshita H, Uota M, Hatta K,
Maeda YDepartment of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of
DentistryϨ㸬 ┠ⓗ ㏆ᖺ㸪㧗㱋⪅࡟࠾ࡅࡿᚰ⌮ⓗ࡞ኚ໬࡜ࡋ࡚㸪⪁ᖺⓗ㉸㉺࡜࠸࠺ᴫᛕࡀᚰ⌮Ꮫࡢศ㔝࡛ὀ┠ࡉࢀ࡚࠸ࡿ㸬⪁ᖺⓗ㉸㉺࡜ࡣ㸪୰ᖺᮇࡲ࡛ࡢ≀㉁୺⩏ⓗ࡛ྜ⌮ⓗ࡞ែᗘ㸪౯್ほ㸪⾜ື≉ᛶࡀ㸪㧗㱋ᮇ࡟࡞ࡗ࡚Ᏹᐂⓗ㸪㉸㉺ⓗ㸪㠀ྜ⌮ⓗ࡞ࡶࡢ࡬࡜ኚ໬
ࡍࡿࡇ࡜ࢆᣦࡍ㸬ࡇࡢኚ໬ࡣ㸪㧗㱋ᮇ࡟⏕ࡌࡿᵝࠎ࡞႙ኻ㸪౛࠼ࡤ㌟యᶵ⬟ࡢపୗࡸ♫఍ⓗᆅ఩ࡢ႙ኻ࡞࡝࡟㐺ᛂࡋ㸪ᚰ⌮ⓗwell-beingࡢ⥔ᣢ࡟㔜せ࡛࠶ࡿࡇ࡜ࡀᣦ᦬ࡉࢀ࡚࠸ࡿ1) 㸬ࡋࡓࡀࡗ࡚㸪⪁ᖺⓗ㉸㉺࡜࠸࠺㧗㱋⪅≉᭷ࡢᚰ⌮ⓗ࡞ኚ໬ࡀ㸪⏕άࡢ‶㊊ᗘ࡟ᙳ㡪ࡍࡿࡇ࡜ࡣ༑ศ
⪃࠼ࡽࢀࡿ㸬ࡉࡽ࡟㸪ṑࡢ႙ኻ࡞࡝࡟ࡼࡾཱྀ⭍ᶵ⬟ࡀపୗࡋ࡚࠸ࡿ㧗㱋⪅࡟࠾࠸࡚ࡣ㸪ಶேࡢࡶࡘ
⪁ᖺⓗ㉸㉺ࡢ⛬ᗘ࡟ࡼࡗཱྀ࡚⭍㛵㐃QOLࡀ␗࡞ࡗ࡚࠸ࡿྍ⬟ᛶࡀ࠶ࡿ㸬ࡑࡇ࡛㸪ᮏ◊✲࡛ࡣཱྀ⭍㛵
㐃QOL࡜⪁ᖺⓗ㉸㉺࡜ࡢ㛵㐃࡟ࡘ࠸᳨࡚ウࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ ᑐ㇟⪅ࡣ㸪኱㜰኱Ꮫ㸪ᮾி㒔೺ᗣ㛗ᑑ་⒪ࢭࣥࢱ ࣮ 㸪 ៞ ᛂ ⩏ ሿ ኱ Ꮫ ࡢ ඹ ྠ ᐇ ᪋ ࡟ ࡼ ࡿ SONIC(Septuagenarians,
Octogenarians,
Nonagenarians
Investigetion with Centenarians) Study࡟ཧຍࡋࡓ70ṓ
⩌ (n=1000㸪⠊ᅖ㸸69~71ṓ)࡜80ṓ⩌(n=507㸪⠊ᅖ㸸79~81ṓ)࡜ࡋࡓ㸬ᑐ㇟⪅ࡢࣜࢡ࣮ࣝࢺࡣ㸪ᮾி㒔࡞ࡽࡧ࡟රᗜ┴ࡢ㒔ᕷ㒊㸦ఀ୹ᕷ㸪ᯈᶫ༊㸧࡜㠀㒔ᕷ㒊㸦ᮅ᮶ᕷ㸪すከᦶ㒆㸧࡟タᐃࡉࢀࡓ4ࡘࡢᆅᇦ࡟࠾ࡅࡿᑐ㇟ᖺ㱋ࡢ⪅඲ဨ࡟⾜ࡗࡓ㸬 ㄪᰝ㡯┠ࡣ㸪ᒃఫᆅᇦ㸪ṑᩘ㸪ཱྀ⭍㛵㐃QOL㸪⪁ᖺⓗ㉸㉺ࡢ࡯࠿㸪♫఍⤒῭ⓗᅉᏊ࡜ࡋ࡚㸪ᩍ⫱ᖺᩘ㸪⤒῭≧ἣࢆ⫈ྲྀࡋࡓ㸬ཱྀ⭍㛵㐃QOLࡣ12㡯┠ ࡢ ㉁ ၥ ࡟ ࡚ ᵓ ᡂ ࡉ ࢀ ࡿ GOHAI (General Oral
Health Index) ࢆ⏝࠸㸪0~60ࡢࢫࢥ࢔࡛ホ౯ࢆ⾜ࡗࡓ㸬⪁ᖺⓗ㉸㉺ࡣ㸪8ᅉᏊᵓ㐀ࢆ࡜ࡾ㸪27㡯┠ࡢ㉁ၥ࡟࡚ᵓᡂࡉࢀࡿ᪥ᮏ∧⪁ᖺⓗ㉸㉺ᑻᗘᨵゞ∧(Japanese Gerotranscendence Scale Revised; JGS-R) 1)
ࢆ⏝࠸㸪0~81ࡢࢫࢥ࢔࡛ホ౯ࡋࡓ㸬⤫ィᏛⓗศᯒ࡟ࡣGOHAIࢫࢥ࢔࡜JGS-Rࢫࢥ࢔࡜ࡢ㛵㐃ࢆ᳨ウࡍࡿࡓࡵ࡟㸪Spearmanࡢ㡰఩┦㛵ಀᩘ㸪㔜ᅇᖐศᯒࢆ⏝࠸ࡓ㸬᭷ព☜⋡ࡣ5%࡜ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
GOHAIࢫࢥ࢔࡜᭱ࡶᙉ࠸┦㛵㛵ಀࡢㄆࡵࡽࢀࡓ
ṑᩘ(㡰఩┦㛵ಀᩘ=0.418㸪<0.01)ࡢ࡯࠿㸪ᖺ㱋㸪ᛶู㸪ᒃఫᆅᇦ㸪ᩍ⫱ᖺᩘ㸪⤒῭≧ἣࢆㄪᩚࡋࡓ
㔜ᅇᖐศᯒࡢ⤖ᯝ㸪JGS-Rࢫࢥ࢔ࡣGOHAIࢫࢥ࢔࡜᭷ព࡞㛵㐃ࡀㄆࡵࡽࢀࡓ(ᶆ‽໬೫ᅇᖐಀᩘ
¢=0.091㸪<0.01㸪⾲)㸬
 ᮏ◊✲ࡼࡾ㸪㧗㱋⪅࡟࠾࠸࡚㸪ṑᩘࡸ♫఍⤒῭ᏛⓗᅉᏊࢆㄪᩚࡋࡓ࠺࠼࡛ࡶ㸪⪁ᖺⓗ㉸㉺࡜ཱྀ⭍
㛵㐃QOL࡜ࡢ㛫࡟㛵㐃ࡀ࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ࡋࡓࡀࡗ࡚㸪ཱྀ⭍ᶵ⬟ࡀపୗࡋ࡚࠸ࡿ㧗㱋⪅࡛࠶ࡗ࡚ࡶ㸪⪁ᖺⓗ㉸㉺ࡀᙉࡃ⏕ࡌ࡚࠸ࢀࡤ㸪ࡑࡢᶵ⬟పୗࢆཷᐜࡋ࡚ࡋࡲ࠸㸪ᦤྲྀᅔ㞴࡞㣗ရࢆ㑊ࡅ㸪ࡑࡢ⤖ᯝ㸪ᰤ㣴ᦤྲྀࡀ୙༑ศ࡜࡞ࡿྍ⬟ᛶࡀ⪃࠼ࡽࢀࡿ㸬ࡑࡢࡓࡵ㸪⪁ᖺⓗ㉸㉺ࡀᙉࡃ⏕ࡌ࡚࠸ࡿ㧗㱋⪅࡟ᑐࡋ࡚ࡣ㸪ᐈほⓗ࡞ホ౯࡟ࡼࡿཱྀ⭍ᶵ⬟ࡢᢕᥱࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿ㸬ཱྀ⭍㛵㐃 QOL ࢆᚑᒓኚᩘ࡜ࡋࡓ㔜ᅇᖐศᯒࡢ⤖ᯝᚑᒓኚᩘ㸸GOHAI ࢫࢥ࢔¢*1㸸ᶆ‽໬೫ᅇᖐಀᩘ㸪*2㸸᭷ព☜⋡ᖺ㱋⩌ 㸸1=70 ṓ⩌㸪2=80 ṓ⩌ᒃఫᆅᇦ 㸸1=㒔ᕷ㒊㸪2=㎰ᮧ㒊⤒῭≧ἣ 㸸1=୙‶㸪2=ᬑ㏻㸪3=‶㊊ϫ㸬 ᩥ⊩1) ቑ஭ᖾᜨ㸪୰ᕝጾ㸪ᶒ⸨ᜤஅ࡯࠿㸬᪥ᮏ∧⪁ᖺⓗ㉸㉺㉁ၥ⣬ᨵゞ∧ࡢጇᙜᛶ࠾ࡼࡧಙ㢗ᛶࡢ᳨ウ㸬⪁ᖺ♫఍Ꮫ 2013㸹35㸸49-59㸬

− 273 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 84ࣂࣝࢧࣝࣂἲࢆ⏝࠸ࡓయᖿᅛᐃ᫬ࡢୗ㢡఩ࡢ᳨ウ‫⚟ۑ‬ᮏ㈗ᏹ㸪㭯㌟ᬡᏊ㸪む㐨ᫀᶞ㸪ఀᮾඃᶞ㸪୰ᕝಟభ㸪ྥ஭᠇ኵ㸪⏣୰㡰Ꮚ㸪⏣୰ᫀ༤኱㜰ṑ⛉኱Ꮫ᭷ṑ⿵⥛ညྜᏛㅮᗙ
A Study of Mandibular Position during the Trunk Fixation by Valsalva Method
Fukumoto T, Tsurumi A, Kakudo M, Ito Y, Nakagawa S, Mukai N, Tanaka J, Tanaka M
Depertment of Fixed Prosthodontics and Occlusion, Osaka Dental UniversityϨ㸬 ┠ⓗ ㌟య㐠ື᫬㸪≉࡟యᖿᅛᐃ᫬ࡢ෗┿ࡸື⏬➼ࢆほᐹࡍࡿ࡜㸪ᵝࠎ࡞ୗ㢡఩ࢆㄆࡵࡿ㸬ᚲࡎࡋࡶည
㢌ᔐྜ఩࡛ࡣ࡞࠸㸬㐣ཤ࡟㸪ୗ㢡ࡣࡑࡢ㐠ື࡟㐺ࡋࡓ఩⨨࡟ᅛᐃࡉࢀ࡚࠸ࡿ࡜ࡢሗ࿌ࡀ࠶ࡿࡀ㸪࡝ࡢࡼ࠺࡞㢡ཱྀ⭍⣔ࡢ࣓࢝ࢽࢬ࣒࡟ࡼࡾᅛᐃࡉࢀ࡚
࠸ࡿ࠿ࡣ᫂ࡽ࠿࡛ࡣ࡞࠸㸬ࡇࢀࡽࢆゎ᫂ࡍࡿࡇ࡜
ࡣ㸪㌟యάື᫬࡟࠾ࡅࡿ㢡ཱྀ⭍⣔ࡢᙺ๭ࢆ᫂ࡽ࠿
࡟ࡍࡿ࠺࠼࡛㔜せ࡛࠶ࡿ࡜⪃࠼ࡿ㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪㌟యάື᫬ࡢୗ㢡఩ࢆゎ᫂ࡍࡿ୍ຓ࡜ࡋ࡚㸪ࣂࣝࢧࣝࣂἲ 1 㸧 ࢆ⏝࠸ࡓయᖿᅛᐃ᫬ࡢୗ㢡఩ࡢ᳨ウࡢ㢡ཱྀ⭍࿘ᅖ➽ࡢ➽άືᵝ┦ࡢ᳨ウࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ⿕᳨⪅ࡣ㸪㢡ཱྀ⭍⣔ࡸ㌟యᖹ⾮ᶵ⬟࡟␗ᖖࢆㄆ
ࡵ࡞࠸ᡂே⏨ᛶ9 ྡ㸦ᖹᆒᖺ㱋26.2s6.8 ṓ㸧࡜ࡋࡓ㸬⿕᳨➽ࡣ⿕᳨⪅ࡢ฼ࡁᡭഃࡢည➽㸪⬚㙐ங✺➽࠾࠾ࡧ㢡஧⭡➽๓⭡࡜ࡋࡓ㸬⾲㠃➽㟁఩ࡢィࡣ㖟ሷ໬─⾲㠃㟁ᴟ㸦N-00-Sm㸪ࢽ࣍ࣥࢧࣥࢸࢡ㸧ࢆ㟁ᴟ㛫㊥㞳20.0 ੈ㸪཮ᴟㄏᑟ࡜ࡋ㸪ࢧࣥࣉࣜࣥ
ࢢ࿘Ἴᩘ4.0 kHz࡟タᐃࡋࡓ㸬➽άືࡢィ ࡟ࡣ➽㟁ィ࠾ࡼࡧゎᯒࢯࣇࢺ࢙࢘࢔㸦AcqKnowledge㸪
BIOPAC Systems㸧ࢆ⏝࠸ࡓ㸬ィ ࡟ඛ❧ࡕ㸪⿕᳨⪅࡟᭱኱㛤ཱྀ㸪㢌㒊᭱኱᪕ᅇ࠾ࡼࡧ᭱኱ညࡳࡋࡵࢆᣦ♧ࡋ㸪3 ᅇࡢヨ⾜ࡢ➽㟁ᅗໟ⤡⥺ᩚὶἼᙧࡢ᭱኱್ࢆᖹᆒࡋ㸪ࡑࡢ್ࢆྛಶேࡢ100 %ࡢ್࡜ࡋࡓ㸬⿕᳨㐠ື࡜ࡋ࡚㸪ࣂࣝࢧࣝࣂἲ㸦⬚㒊௜㏆࡛ᡭᤸࢆ⤌ࡳ㸪ྜᅗ࡜࡜ࡶ࡟
⤌ࡳྜࡗࡓᡭᤸࢆ᭱኱ࡢຊ࡛እഃ࡟ᘬࡃࡼ࠺ᣦ♧㸪⿕᳨⪅ࡀ㝈⏺࡜ឤࡌ㸪ᡭᤸࢆ㞳ࡋࡓ᫬Ⅼ࡛ィ ⤊஢㸧ࢆ㑅ᢥࡋ㸪3 ᅇࡢヨ⾜ࢆ⾜ࡗࡓ㸬㐠ື㛤ጞࡢྜᅗࡣ㡢่⃭࡜ࡋࡓ㸬ࡲࡓ㸪ྛヨ⾜๓࡟10 ⛊㛫㸪Ᏻ㟼᫬ࡢ⾲㠃➽㟁఩ࢆィ ࡋ㸪Ᏻ㟼᫬ࡢ➽㟁ᅗໟ⤡⥺ᩚὶἼᙧࡢᖹᆒ್࡟࠾ࡅࡿ2 SDࢆ㉸࠼ࡓ᫬Ⅼࢆ㸪➽άືࡢ㛤ጞⅬ࡜ุᐃࡋࡓ㸬ゎᯒ㡯┠ࡣ㸪ձྛ⿕᳨➽࡟࠾ࡅࡿ᭱኱㝶ព➽άື࡟ᑐࡍࡿࣂࣝࢧࣝࣂືస࡛ࡢ᭱኱➽ຊⓎ᥹᫬ࡢ➽άືࡢ┦ᑐẚ⋡㸪ղྛ⿕᳨➽࡟࠾ࡅࡿ㡢่⃭㛤ጞ࠿ࡽࡢ➽άື㛤ጞ᫬㛫࡜ࡋࡓ㸬⤫ィᏛⓗゎᯒࡣ㸪ղ࡟ࡘ࠸࡚ྛ⿕᳨➽ࢆせᅉ࡜ࡍࡿ୍ඖ㓄⨨ศᩓศᯒ㸦᭷ពỈ‽5 %㸧ࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ձ࡟ࡘ࠸࡚㸪ࡍ࡭࡚ࡢ⿕᳨➽࡟࠾࠸࡚➽άືࡀㄆࡵࡽࢀ ࡓ㸦 ᖹᆒ್ࡣ ည➽ 27.5 %, ⬚㙐ங✺➽
32.0 %, 㢡஧⭡➽๓⭡36.6 %㸧㸪9 ྡࡢ࠺ࡕ7 ྡࡢ⿕᳨⪅࡟࠾࠸࡚㢡஧⭡➽๓⭡ࡢ➽άືࡀည➽ࡢ➽άືࡼࡾࡶ኱ࡁ࡞๭ྜࢆ♧ࡋࡓ㸬   ղ࡟ࡘ࠸࡚㸪୍ඖ㓄⨨ศᩓศᯒࡢ⤖ᯝ㸪᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸦ୗᅗ㸧㸬ࡋ࠿ࡋ㸪ࡍ࡭࡚ࡢ⿕᳨⪅࡟࠾࠸࡚ည➽ࡢ➽άື㛤ጞ᫬㛫ࡀ᭱ࡶ㐜ࢀ࡚άືࡋࡓ㸬㐣ཤࡢሗ࿌࡛㸪ᛴ㏿࡞᭱኱ညࡳࡋࡵ
㐠ື࡟࠾࠸࡚⬚㙐ங✺➽ࡣည➽ࡢάື㛤ጞᚋ࡟άືࡋ㸪ࡲࡓ㸪ᛴ㏿࡞᭱኱㛤ཱྀ᫬࡟ࡣ⬚㙐ங✺➽ࡀ㢡஧⭡➽๓⭡ࡢάື࡟ඛ⾜ࡶࡋࡃࡣ࡯ࡰྠ᫬࡟ά
ືࡍࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗ࡚࠸ࡿ㸬௒ᅇࡢ⤖ᯝ࡛ࡶ㸪⬚㙐ங✺➽࠾ࡼࡧ㢡஧⭡➽๓⭡ࡀည➽ࡢάື࡟ඛ⾜ࡋ࡚άືࢆ㛤ጞࡍࡿഴྥࡀㄆࡵࡽࢀࡓࡇ࡜
࠿ࡽ㸪యᖿᅛᐃ᫬ࡣ㛤ཱྀ᪉ྥ࡟ྥ࠿࠺㢡ཱྀ⭍࿘ᅖ➽ࡢ➽άືࡀㄆࡵࡽࢀࡓ࡜⪃࠼ࡽࢀࡿ㸬ࣂࣝࢧࣝࣂἲࢆ⏝࠸ࡓయᖿᅛᐃ᫬᫬ࡣ㸪ୗ㢡Ᏻ㟼఩ࡼࡾࡶ㛤ཱྀ᪉ྥ࡟ୗ㢡ࡀ೫఩ࡋ㸪㢡ཱྀ⭍࿘ᅖ➽ࡢ༠ㄪࡀ㸪ୗ㢡ࡢᅛᐃ࡟ᐦ᥋࡟㛵୚ࡍࡿࡇ࡜ࡀ
♧၀ࡉࢀࡓ㸬

ྛ⿕᳨➽ࡢ➽άື㛤ጞ᫬㛫ࡢᖹᆒ್ϫ㸬 ᩥ⊩1) Shirao K, Tsurumi A, Iwai R, et al. A study ofstress on the oral and maxillofacial complex injudo. Journal of Osaka Dental University 2011;45(2): 247-257㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 85㱘⼃ᢚไᮦᩱ࡜ࡋ࡚ࡢ௦⏝⏑࿡ᩱ࣐ࣝࢳࢺ࣮ࣝࡢ᭷⏝ᛶ‫ۑ‬୰⃝ᝆ㔛㸪ᑠṇ ⪽㸪⸨ᑿ⨾✑㸪⏣ཱྀὒ୍㑻㸪㧘ᶫ୍ஓ㸪ᒸᓮᐃྖ㸪ᑠṇ ⿱኱㜰ṑ⛉኱Ꮫ㧗㱋⪅ṑ⛉Ꮫㅮᗙ㸪኱㜰ṑ⛉኱ᏛḞᦆṑิညྜᏛㅮᗙ㸪኱㜰ṑ⛉኱Ꮫṑ࿘⑓Ꮫㅮᗙ
 \[ \ [  [ \  ]    ! ""^ [_` }{ | ^ {  { ! }{ `  |{ `` { | ^  }"^  \   !   { "^  \ ^ @][     !   !![\    [ {  `  [  @ Ϩ㸬 ┠ⓗ ㏆ᖺ㸪ᡃࡀᅜ࡛ࡣ㧗㱋໬⋡ࡀ㸣ࢆ㉸࠼㉸㧗㱋♫఍࡜࡞ࡗ࡚࠸ࡿ㸬ࡑࡢ୰࡛㸪㧗㱋⪅ࡀ೺ᗣ࡛㇏࠿࡞⏕άࢆ㏦ࡿࡇ࡜ࡀฟ᮶ࡿ㸪ࡍ࡞ࢃࡕ¬ࢆ⥔ᣢࡍࡿ࡟ࡣ㣗⏕άࡣ㔜せ࡞ᅉᏊ࡛࠶ࡿ㸬ࡋ࠿ࡋ㸪㧗㱋⪅ࡢṑ⛉⑌ᝈ࡜ࡋ࡚㱘⼃ࡣᮍࡔ࡟ከࡃ㸪㣗⏕άࡢᨵၿ࡟ࡣṑ⛉ண㜵ࡀᚲ㡲࡛࠶ࡿ㸬ᵝࠎ࡞㣗ရ࡟౑⏝ࡉࢀ࡚࠸ࡿࢫࢡ࣮ࣟࢫࡀ㱘⼃ࡢࣜࢫࢡࣇ࢓ࢡࢱ࣮࡟࠶ࡆࡽࢀ࡚࠸ࡿࡼ࠺࡟㱘⼃ࡢண㜵࡟ࡣ⢾ࡢᦤྲྀไ㝈ࡀ᭷ຠ࡛࠶ࡿ㸬୺せ࡞௦⏝⏑࿡ᩱࡢ୍ࡘ࡛࠶ࡿ࣐ࣝࢳࢺ࣮ࣝࡣ㸪ࡑࡢ㠀㱘⼃ᛶࡸప࣮࢝ࣟࣜᛶࢆጞࡵ࡜ࡍࡿᶵ⬟ᛶ࡟ඃࢀ࡚࠾ࡾ㸪ࢩ࣮ࣗ࢞ࣞࢫ㣗ရ࡬ࡢᛂ⏝ࡀྍ⬟࡛࠶ࡿࡇ࡜ࢆព࿡
ࡍࡿ㸬ࡑࢀࡣ㸪せ௓ㆤ㧗㱋⪅ࢆጞࡵ࡜ࡍࡿ㱘⼃ឤཷᛶࡢ㧗࠸᪉࡟ᑐࡋ࡚ࡶ¬ࢆಖ㞀㸪ᥦ౪࡛ࡁࡿ
㣗ရ〇సࡀྍ⬟࡜࡞ࡿࡇ࡜ࢆព࿡ࡍࡿ㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪㱘⼃ࡢཎᅉ࡜ࡋ࡚▱ࡽࢀࡿ
࢚ࢼ࣓ࣝ㉁ࡢ⾲ᒙୗ⬺⅊࡟╔┠ࡋ㸪ཱྀ⭍ෆၚᾮ୰ࡢ"࠾ࡼࡧ࢚ࢼ࣓ࣝ㉁⾲ᒙࡢ▼⅊໬⛬ᗘ࡟ࢫࢡࣟ
࣮ࢫ࡜࣐ࣝࢳࢺ࣮ࣝࡀ࡝ࡢࡼ࠺࡞ᙳ㡪ࢆ୚࠼ࡿࡢ
࠿ẚ㍑᳨࣭ウࢆ⾜ࡗࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ ᐇ㦂ヨᩱ࡟ࡣ㸪▹ṇⓗ⌮⏤࡟ࡼࡾᢤཤࡉࢀࡓᑠ
⮻ṑࡢ೺඲࡞ညྜ㠃࢚ࢼ࣓ࣝ㉁ࢆ⏝࠸ࡓ㸬 ኱ṑ་೔➨ྕ ヨᩱࡣໟᇙ㸪ညྜ㠃࡟ᑐࡋỈᖹ࡟ษ᩿ࡋࡑࡢᚋ㸪⪏Ỉ◊☻⣬࡟࡚㸡ࡲ࡛◊☻ࢆ⾜ࡗࡓᚋ㸪࢚ࢼ࣓ࣝ㉁⾲ᒙࡢࡳࢆ㟢ฟࡉࡏࡓ㸬௵ពࡢ⿕㦂⪅࡟࣒࣮࢞࣋ࢫࡢ࿪ᄮࢆᣦ♧ࡋ^[ࡢၚᾮࢆ᥇ྲྀࡋ㸪ᮏࡢ࣓ࢫࢩࣜࣥࢲ࣮࡟ศࡅ㸪ձၚᾮ࡟㸣࣐ࣝࢳࢺ࣮ࣝࢆῧຍࡋࡓࡶࡢ㸪ղၚᾮ࡟㸣ࢫࢡ࣮ࣟࢫࢆῧຍࡋࡓࡶࡢࢆస〇ࡋࡓ㸬ࡑࢀࡽ࡟๓
㏙ࡋࡓヨᩱࢆධࢀ㸪Υࡢᜏ ᵴෆ࡛㐌㛫ᾐₕࡋࡓ㸬⾲㠃ࢆ⫗║࡛ほᐹᚋ㸪㉮ᰝᆺ㟁Ꮚ㢧ᚤ㙾࡟࡚ࡶほᐹࢆ⾜ࡗࡓࡢࡕ㸪⏬ീゎᯒࢩࢫࢸ࣒࡛▼⅊໬⛬ᗘࢆゎᯒࡋࡓ㸬ࡲࡓ㸪ᾐₕ๓ᚋࡢ"ࢆ ᐃࡋẚ
㍑᳨ウࡋࡓ㸬{ "^ 

>⏬ീ࡟࡚࢚ࢼ࣓ࣝ㉁⾲ᒙ࡟ࡣ᫂ࡽ࠿࡞ᕪࡀㄆ
ࡵࡽࢀࡓ㸬࣐ࣝࢳࢺ࣮࡛ࣝࡣ࢚ࢼ࣓ࣝ㉁⾲ᒙ࡟⬺⅊ᒙࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࡀᅗ$㸪ࢫࢡ࣮ࣟࢫ࡛ࡣ
㢧ⴭ࡟ㄆࡵࡽࢀࡓᅗ]$㸬ࡲࡓ㸪⏬ീゎᯒࢩࢫࢸ࣒
࡟ࡼࡾ㸪ࢫࢡ࣮ࣟࢫ࡛ࡣ࢚ࢼ࣓ࣝ㉁ࡢ῝ᒙࡲ࡛⬺⅊ࡀ♧ࡉࢀࡓࡢ࡟ᑐࡋ㸪࣐ࣝࢳࢺ࣮࡛ࣝࡣㄆࡵ࡞࠿ࡗࡓ㸬 ࡲࡓ㸪ᐇ㦂๓ࡢ࣐ࣝࢳࢺ࣮ࣝῧຍၚᾮ୰ࡢ"ࡣ'㸪ࢫࢡ࣮ࣟࢫῧຍၚᾮ୰ࡢ"ࡣ࡜࡯ࡰ୰ᛶ
࡟㏆࠿ࡗࡓ㸬ࡋ࠿ࡋ୍㐌㛫ᚋࡢ࣐ࣝࢳࢺ࣮ࣝῧຍ
ၚᾮ୰ࡢ"ࡣ'㸪ࢫࢡ࣮ࣟࢫῧຍၚᾮ୰ࡢ"ࡣ࡜࡞ࡾ㸪ࢫࢡ࣮ࣟࢫῧຍ࡟ࡼࡾၚᾮࡢ"ࡣ㓟ᛶ࡟ഴࡃࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡾ㸪๓㏙ࡢ࢚ࢼ࣓ࣝ㉁⾲ᒙୗ⬺⅊ࢆㄏᑟࡋࡓࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬௨ୖࡢࡇ࡜࠿ࡽ㸪ࢫࢡ࣮ࣟࢫ࡜ẚ㍑ࡋ࡚࣐ࣝࢳࢺ࣮
ࣝࡣ࢚ࢼ࣓ࣝ㉁࡟ᑐᝏᙳ㡪ࡀᑡ࡞ࡃ㸪㱘⼃ᢚไຠᯝࡀᮇᚅࡉࢀࡿ࡜♧၀ࡉࢀࡿ㸬ᅗ㸬࢚ࢼ࣓ࣝ㉁⬺⅊ീϫ㸬 ᩥ⊩$ᑠ㯮❶ỤᕝᗈᏊᮏ㛫࿴௦⢾㉁Ỉ⁐ᾮὙཱྀ࡟ࡼࡿ࢚ࢼ࣓ࣝ㉁⾲㠃 "ࡢ⤒᫬ⓗኚ໬ᚤᑠ᥋ゐᆺ"㟁ᴟࡢ@ @ ᛂ⏝᫂೔ṑ⛉ಖ೺ᢏᕤᏛ㞧ㄅ㸹  㸸'Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ࣐ࣝࢳࢺ࣮ࣝ࡜ࢫࢡ࣮ࣟࢫࢆẚ㍑ࡋࡓ⤖ᯝ㸪

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 86᪥ᖖ⏕ά࡟࠾ࡅࡿ㣗஦᫬➽㟁ᅗ㸣MVC್࡜᭱኱ညྜຊࡢ㛵ಀ‫ۑ‬୰ᓥ฼ᚨ㸪ᒣཱྀὈᙪ㸪୕ୖ⣪Ꮨ*㸪⳻ᕝ㱟ᶞ**㸪ᩪ⸨ᮍ౗㸪ᒸ⏣࿴ᶞ*㸪ᚋ⸨⏣❶ே*㸪㇂ෆ⏣΅໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ෙᶫ⩏ṑ⿵⥛Ꮫᩍᐊ㸪*໭ᾏ㐨኱Ꮫ⑓㝔㧗ḟཱྀ⭍་⒪ࢭࣥ
ࢱ࣮㢡㛵⠇἞⒪㒊㛛㸪**໭ᾏ㐨኱Ꮫ⑓㝔ṑ⛉ᨺᑕ⥺⛉
Relation between %MVC value of electromyographic bursts during meal time and maximum bite force
Nakajima T㸪Yamaguchi T㸪Mikami S*㸪Hishikawa R**㸪Saito M㸪Okada K*㸪Gotouda A*㸪YachidaW
Department of Crown and Bridge Prosthodontics School of Dentistry Hokkaidou University㸪* Center for
Advanced Oral Medicine, Hokkaido University Hospital, ** Dept. of Dental Radiology, Hokkaido University
HospitalϨ㸬 ┠ⓗ 㢡ᶵ⬟㞀ᐖᝈ⪅ࡢ⑓ែࡸᨭ㞀ᗘࡢᢕᥱ࡟ࡣ㣗஦᫬ࡢ࿪ᄮ᫬➽άື≧ែࢆほᐹࡍࡿࡇ࡜ࡣ㠀ᖖ࡟㔜せ࡛࠶ࡿ㸬ࡇࢀࡲ࡛㣗஦᫬➽άືࡢほᐹࡣእ᮶࠶
ࡿ࠸ࡣ◊✲ᐊࢆ୰ᚰ࡟⾜ࢃࢀ࡚ࡁࡓ㸬ࡋ࠿ࡋ㸪㏆ᖺࡢ࢙࢘࢔ࣛࣈࣝ➽㟁ィࡢⓎᒎ࡛㸪᪥ᖖ⏕ά࡛ࡢ㣗஦᫬➽άືࡢほᐹࡀྍ⬟࡜࡞ࡗ࡚ࡁࡓ1 㸧 㸬࿪ᄮ➽άືࡣ᭱኱㝶ពညࡳࡋࡵ㸦MVC㸧࡟ᑐࡍࡿ┦ᑐ್࡛࠶ࡿ㸣MVC್࡛⾲ࡉࢀࡿࡇ࡜ࡀከ࠸㸬ࡋ࠿ࡋ㸪㏆ᖺ㸪╧╀᫬ࣈࣛ࢟ࢩࢬ࣒ࡢ㸣MVC್࡜᭱኱ညྜ
ຊࡢ㛫࡟㈇ࡢ┦㛵ࡀ࠶ࡿࡇ࡜ࡀሗ࿌ࡉࢀ2 㸧 㸪➽㟁ᅗࡢ㸣MVC್ࡔࡅ࡟ࡼࡿࣈࣛ࢟ࢩࢬ࣒ࡢ኱ࡁࡉࡢ
ุᐃ࡟ࡣὀពࢆせࡍࡿࡇ࡜ࡀ♧ࡉࢀ࡚࠸ࡿ㸬୍᪉㸪㣗஦᫬➽άື࡟࠾࠸࡚ࡶྠᵝࡢഴྥࡀᏑᅾࡍࡿ࠿
࡝࠺࠿ࡣ᫂ࡽ࠿࡛ࡣ࡞࠿ࡗࡓ㸬ࡑࡇ࡛㸪ᮏ◊✲࡛ࡣ᪥ᖖ⏕ά࡛ࡢ㣗஦᫬➽㟁ᅗ㸣MVC್࡜᭱኱ညྜ
ຊࡢ㛵ಀࢆ᳨ウࡋࡓ㸬ϩ㸬 ᪉ἲ⿕㦂⪅ࡣ㸪໭ᾏ㐨኱Ꮫ⑓㝔ṑ⛉デ⒪ࢭࣥࢱ࣮ࢆ
ཷデࡋ㸪㢡㛵⠇⑕ࡲࡓࡣࣈࣛ࢟ࢩࢬ࣒㸪࠶ࡿ࠸ࡣ୧᪉ࡢデ᩿ࢆཷࡅࡓ24ྡ㸦⏨ᛶ9ྡ㸪ዪᛶ15ྡ㸪ᖹᆒᖺ㱋38.7㸦SD 12.5㸧ṓ㸧࡛࠶ࡿ㸬࢙࢘࢔ࣛࣈࣝ
㉸ᑠᆺ➽㟁ィFLA-500-SD㸦ᰴᘧ఍♫ࣇࣝࢧ࣡ࣛ
࣭࣎࢔ࣉࣛ࢖࢔ࣥࢫ〇㸧ࢆည➽㒊⓶⭵࡟㈞ࡾ௜ࡅ㸪ኪ㛫㸪᪥୰ࡢည➽➽άືࢆ ᐃࡋࡓ㸬 ᐃ2᪥┠ࡢ㣗஦᫬㛫ᖏࡢࢹ࣮ࢱࢆゎᯒᑐ㇟࡜ࡋ㸪Chart5ࡶࡋࡃࡣChart7㸦ඹ࡟ADInstruments♫〇㸧ࢆ⏝࠸࡚Ἴᙧゎᯒࢆ⾜ࡗࡓ㸬Ἴᙧᣢ⥆᫬㛫0.08⛊௨ୖ㸪Ἴᙧ
㛫㝸0.08⛊௨ୖ࡛㸪ᇶ⥺᣺ᖜ3ಸ௨ୖࡢ᣺ᖜࡢἼᙧ
ࢆᢳฟࡋࡓ1 㸧㸬㣗஦᫬࡟࠾ࡅࡿྛἼᙧࡢ᭱኱᣺ᖜ
ࢆồࡵ㸪MVC᫬ࡢἼᙧ᣺ᖜ࡛㝖ࡋࡓ㸣MVC್ࢆ⟬ฟࡋ㸪⿕㦂⪅ࡈ࡜࡟ᖹᆒࢆồࡵࡓ㸬᭱኱ညྜຊࡣࢹࣥࢱࣝࣉࣞࢫࢣ࣮ࣝ®ࢆ⏝࠸࡚⿕㦂⪅ࡈ࡜࡟2ᅇ ᐃࡋ㸪ࡑࡢᖹᆒ್ࢆ⏝࠸ࡓ㸬⤫ィゎᯒ࡟ࡣࢫࣆ࢔࣐ࣥ㡰఩┦㛵ಀᩘ᳨ᐃࢆ⏝࠸ࡓ㸬᭷ពỈ‽ࡣ5㸣࡜ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ⿕ 㦂 ⪅ 24 ྡ ࡢ ᭱ ኱ ည ྜ ຊ ࡢ ᖹ ᆒ ࡣ 571.8 㸦 SD
304.6㸧N࡛࠶ࡗࡓ㸬ࡲࡓ㸪㣗஦᫬➽㟁ᅗ㸣MVC್
ࡢᖹᆒࡣ66.1㸦SD 30.1㸧㸣࡛࠶ࡗࡓ㸬 ྛ⿕㦂⪅ࡢ᭱኱ညྜຊ࡜㣗஦᫬㸣MVC್ࡢᖹᆒ್ࡣᅗࡢࡼ࠺࡞ศᕸࢆ♧ࡋ㸪୧⪅ࡢ㛫࡟ࡣ᭷ព࡞㈇ࡢ┦㛵ࡀㄆࡵࡽࢀࡓ㸬ࡍ࡞ࢃࡕ㸪ྠࡌ㣗஦᫬➽άື࡛ࡶ᭱኱ညྜຊࡀᑠࡉ࠸ᝈ⪅࡛ࡣ┦ᑐⓗ࡟኱ࡁ࠸㸣MVC್࡛⾲⌧ࡉࢀ㸪᭱኱ညྜຊࡀ኱ࡁ࠸ᝈ
⪅࡛ࡣࡑࡢ㏫࡛࠶ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬╧╀᫬ࣈࣛ࢟ࢩࢬ࣒ࡢ㸣MVC್⾲♧ྠᵝ㸪㣗஦᫬ࡢ➽άື㔞ࡢホ౯࡟࠾࠸࡚ࡶ㸪᭱኱ညྜຊࡢ್

᭱኱ညྜຊ࡜㣗஦᫬➽㟁ᅗ㸣MVC ್(ᖹᆒ್)ࡶ⪃៖࡟ධࢀ࡚ゎ㔘ࡍࡿᚲせᛶࡀ⪃࠼ࡽࢀࡓ㸬ϫ㸬 ᩥ⊩1) Ώ㎶୍ᙪ㸪ᒣཱྀὈᙪ㸪ᚋ⸨⏣❶ே࡯࠿㸬㉸ᑠᆺ࢙࢘࢔ࣛࣈࣝ➽㟁ᅗ ᐃࢩࢫࢸ࣒ࢆ⏝࠸ࡓ↓ ᣊ ᮰ ⤊ ᪥ ည ➽ ➽ ά ື ゎ ᯒ 㸬 㢡 ᶵ ⬟ ㄅ
2013㸹19㸸125-136.
2) ⳻ᕝ㱟ᶞ㸪ᒣཱྀὈᙪ㸪ᩪ⸨ᮍ౗࡯࠿㸬╧╀᫬ࣈࣛ࢟ࢩࢬ࣒ࡢ➽㟁ᅗ㸣MVC⾲♧࡜᭱኱ညྜຊࡢ㛵ಀ㸬㢡ᶵ⬟ㄅ 2013㸹19㸸111-124.

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 87ࢱࣈࣞࢵࢺࡸ⯉ࣈࣛࢩ࡟ࡼࡿ⯉ⱏΎᤲຠᯝ࡟ᙳ㡪ࢆ୚࠼ࡿᅉ
Ꮚ࡟ࡘ࠸࡚‫ۑ‬㯏⏣⳯✑㸪㧘ᶫ୍ஓ㸪᳃ᒸ⿱㈗㸪῰㇂཭⨾㸪ᯇᑿග⮳㸪ᑠṇ ⿱኱㜰ṑ⛉኱ᏛṑᏛ㒊㧗㱋⪅ṑ⛉ᏛㅮᗙThe Effects of Age, Denture, The Pressure of Tongue and Habits of Tongue cleaning on Removing TongueCoating by Protease Tablets and Tongue Scraper.
Mugita N㸪Takahashi K㸪Morioka H㸪Shibuya T㸪Matsuo K㸪Komasa Y
Department of Geriatric Dentistry, Osaka Dental UniversityϨ㸬 ┠ⓗ ㏆ᖺ㸪㧗㱋⪅ࡢㄗᄟᛶ⫵⅖ண㜵࡜ࡋཱྀ࡚⭍ࢣ࢔ࡀὀ┠ࡉࢀ࡚࠸ࡿ㸬ࡓࡔࡋ⿵⥛⿦⨨࡟ࡼࡗཱྀ࡚⭍ෆ⣽⳦ᩘࡀቑຍࡍࡿࡇ࡜ࡶ▱ࡽࢀ࡚࠾ࡾ㸪᭷ຠ࡞Ύᤲ᪉ἲࡢ㛤Ⓨࡣṑ⛉ࡢㄢ㢟࡛࠶ࡿ㸬ࡑࡇ࡛㸪₇⪅ࡽࡣ⯉ⱏ࡟ὀ┠ࡋࡓ㸬⯉ⱏࡣཱྀ⭍ෆࣂ࢖࢜ࣇ࢕
࣒ࣝࡢ୍ࡘ࡛࠶ࡾ㸪ཱྀ⭍஝⇱࡞࡝࠿ࡽ࡜ࡃ࡟㧗㱋⪅࡛ࡣ㝖ཤᅔ㞴࡜࡞ࡾࡸࡍ࠸㸬㏆ᖺ㸪⯉ⱏࢆ㝖ཤࡍࡿ᪉ἲ࡜ࡋ࡚ࣉࣟࢸ࢔࣮ࢮ㓄ྜࢱࣈࣞࢵࢺࡀὀ
┠ࡉࢀ࡚࠸ࡿ㸬 1) ࡋ࠿ࡋ㸪ࣉࣟࢸ࢔࣮ࢮ㓄ྜࢱࣈࣞࢵࢺࡣཱྀ⵹࡟ᢲࡋᙜ࡚࡚ຠ⋡ࡼࡃ⯉ⱏࢆ㝖ཤࡍࡿࡇ࡜ࡀ᫂ࡽ࠿࡜ࡉࢀ࡚࠸ࡿࡀ㸪⩏ṑ౑⏝ࡢ᭷↓࡜ࢱࣈࣞࢵࢺࡢ⯉Ύᤲຠᯝࢆẚ㍑ࡋࡓሗ࿌ࡣ࡞࠸㸬ࡑࡇ࡛௒ᅇ₇⪅ࡽࡣ㸪⩏ṑࡢ᭷↓࡜ࢱࣈࣞࢵࢺ࡟
ࡼࡿ⯉Ύᤲຠᯝ࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ϩ㸬 ᪉ἲ ⿕㦂⪅ࡣ㸪㏻ᡤࢧ࣮ࣅࢫ฼⏝୰࠶ࡿ࠸ࡣࣜࣁࣅ
ࣜࢸ࣮ࢩࣙࣥ⑓㝔ධ㝔୰ࡢ65ṓ௨ୖࡢ୰㏵㞀ᐖ㧗㱋⪅18ྡ(⏨ᛶ8ྡ㸪ዪᛶ10ྡ㸪ᖹᆒᖺ㱋79.1s8.5ṓ)࠾ࡼࡧ೺ᖖⱝᖺᡂே9ྡ(⏨ᛶ6ྡ㸪ዪᛶ3ྡ㸪ᖹᆒᖺ㱋26.3s2.2ṓ)ࢆ㑅ฟࡋࡓ㸬 ௓ධ᪉ἲࡣ㸪⾡⪅࡟ࡼࡿ⯉ࣈࣛࢩ࡜ࡋ࡚࣑ࢽࣔ
࢔ࣈࣛࢩ(Oral Care♫〇)࡟ࡼࡿΎᤲ࡜ࣉࣟࢸ࢔࣮ࢮ
ྵ᭷พฝࢱࣈࣞࢵࢺ2㘄ᦤྲྀ࡟ࡼࡿΎᤲࢆ⏝࠸ࡓ㸬ࡍ࡭࡚ࡢ⿕㦂⪅ࡀࡍ࡭࡚ࡢ௓ධ᪉ἲ࡛ᐇ㦂ࡍࡿࢡࣟࢫ࣮࢜ࣂ࣮ẚ㍑໬ヨ㦂࡜ࡋࡓ㸬 ᳨ᰝ㡯┠ࡣ㸪⯉⫼ୖ⣽⳦ᩘ㸪ၚᾮ୰⣽⳦ᩘ㸪⯉ᅽ㸪ᖺ㱋㸪⩏ṑࡢ᭷↓࠾ࡼࡧ⯉Ύᤲ⩦័ࡢ㢖ᗘ࡜ࡋࡓ㸬⯉⫼ୖ⣽⳦ᩘࡣ㸪⯉ṇ୰ࢆ3 ᚟᧿㐣ࡋࡓ⁛⳦⥥Წࢆ⣽⳦࢝࢘ࣥࢱ(Panasonic♫〇)࡟࠿ࡅ࡚㸪ၚᾮ୰⣽⳦ᩘࡣᏳ㟼᫬ၚᾮ500μεࢆ⣽⳦࢝࢘ࣥࢱ࡟
࠿ࡅ࡚ᚓࡓ㸬⯉ᅽࡣJMS⯉ᅽ ᐃჾ(ࢪ࣮ࢩ࣮♫〇)ࢆ⏝࠸࡚ᚓࡓ㸬 ᐇ㦂ࡣཱྀ⭍ෆ⣽⳦ᩘࡢᏳᐃࢆࡣ࠿ࡾ㸪᫨㣗ᚋ30ศ௨ୖ⤒㐣ࡋࡓ᫬Ⅼ࠿ࡽ㛤ጞࡋࡓ㸬௓ධ┤๓ࡢ⯉⫼ୖ⣽⳦ᩘ㸪ၚᾮ୰⣽⳦ᩘࢆᚓࡓࡢࡕ㸪⯉ࣈࣛࢩ࠶ࡿ࠸ࡣࢱࣈࣞࢵࢺ࡟ࡼࡿ௓ධࢆ⾜࠸㸪௓ධ┤ᚋࡢ⯉⫼ୖ⣽⳦ᩘ㸪ၚᾮ୰⣽⳦ᩘࢆᚓࡓ㸬୍ேࡢ⿕㦂⪅࡟ࡘࡁ᭱ప1㐌㛫ࡢὙ࠸ὶࡋᮇ㛫ࢆタࡅ࡚ḟࡢᐇ㦂ࢆ⾜ࡗࡓ㸬 ⤫ィᏛⓗฎ⌮ࡣ㸪⤒᫬ⓗ࡞⣽⳦ᩘࡢኚ໬ࡢゎᯒ࡟ࡣᑐᛂࡢ࠶ࡿ2ඖ㓄⨨ศᩓศᯒ࠾ࡼࡧBonferroniἲࢆ㸪⣽⳦ᩘ࡜㸪⩏ṑࡢ᭷↓㸪ᖺ㱋㸪⯉ᅽ㸪FIM㸪
࠾ࡼࡧ⯉Ύᤲ⩦័ࡢ┦㛵㛵ಀࡢゎᯒ࡟ࡣ㔜ᅇᖐศᯒࢆ⏝࠸࡚⾜ࡗࡓ㸬⤫ィᏛⓗฎ⌮࡟ࡣ㸪SPSS 22.0
J for Windows(SPSS Inc., USA) ࢆ⏝࠸ࡓ㸬 ᐇ㦂ࡣ኱㜰ṑ⛉኱Ꮫ་ࡢ೔⌮ጤဨ఍ࡢᢎㄆࢆᚓ
࡚⾜ࡗࡓ(኱ṑ་೔➨110797ྕ)㸬ࡲࡓ㛤♧ࡍ࡭ࡁ฼┈┦཯ࡣ࡞࠸㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ୍⯡࡟⿵⥛⿦⨨࡟ࡼࡾཱྀ⭍ෆ⣽⳦ᩘࡀቑຍࡍࡿ
ࡇ࡜ࡀ▱ࡽࢀ࡚࠸ࡿࡀ㸪௒ᅇࡣ⩏ṑࡢ᭷↓ࡢࡳ࡞ࡽࡎ㸪ᖺ㱋㸪⯉ᅽ㸪FIM࠾ࡼࡧ⯉Ύᤲ⩦័࡞࡝୰㏵㞀ᐖ㧗㱋⪅࡛ኚ໬ࡋࡸࡍ࠸㡯┠ࡶྵࡵ࡚㛵ಀᛶࢆ᳨ウࡋࡓ㸬 ௓ධ┤๓ࡢ⯉⫼ୖ⣽⳦ᩘ࡟ࡣᖺ㱋ࡀ᭷ព࡟┦㛵ࡋ࡚࠸ࡓ㸬㧗㱋⪅ࡢࡳ࡟ὀ┠ࡍࡿ࡜㸪⯉ࣈࣛࢩ࡟ࡼࡿΎᤲ࡛ࡣ௓ධᚋࡢ⣽⳦ῶᑡ⋡࡟ࡣ࡜ࡃ࡟࡝ࡢ
㡯┠ࡶ┦㛵ࡋ࡞࠿ࡗࡓࡢ࡟ᑐࡋ㸪ࢱࣈࣞࢵࢺ࡟ࡼ
ࡿΎᤲ࡛ࡣ㸪⣽⳦ᩘῶᑡ⋡࡜⩏ṑ㸪⯉ᅽ࠾ࡼࡧ௓
ධ┤๓ࡢ⯉⫼ୖ⣽⳦ᩘ࡜ࡢ㛫࡛᭷ព࡞㈇ࡢ┦㛵ࡀㄆࡵࡽࢀࡓ㸬 ᑐࡋ࡚㸪ၚᾮ୰⣽⳦ᩘࡣ㸪௓ධ┤๓࠾ࡼࡧ௓ධ
ᚋࡢ⣽⳦ᩘῶᑡ⋡ࡣ㸪ࢱࣈࣞࢵࢺ࡜⯉ࣈࣛࢩ࠸ࡎ
ࢀࡢΎᤲ࡛ࡶ㸪࡝ࡢ㡯┠ࡶ┦㛵㛵ಀ࡟࡞࠿ࡗࡓ㸬ࡋࡓࡀࡗ࡚㸪ಖ᭷ࡍࡿ⯉⫼ୖ⣽⳦ᩘࡀከ࠸ࡇ࡜㸪⯉ᅽࡢపୗ㸪⩏ṑࡢ╔⏝ࡣ㸪୰㏵㞀ᐖ㧗㱋⪅࡟࠾࠸࡚ࢱࣈࣞࢵࢺ࡟ࡼࡿ⯉⫼Ύᤲຠᯝࢆጉࡆࡿࡇ࡜
ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) ྜྷᯇ኱௓㸪ᮡᮧ┿ྖ㸪஭ᒸಇஅ㸪ⓑ▼ᾈⲮ㸪⡿㇂ ಇ㸪ᒣ㈡Ꮥஅ㸪ᐑᓮ⚽ኵ㸬ࣉࣟࢸ࢔࣮
ࢮྵ᭷ࢱࣈࣞࢵࢺࡢ⯉ⱏ㝖ཤຠᯝ㸬ཱྀ⭍⾨⏕
఍ㄅ 2006㸹56㸸37-41.

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 88㛢ሰᆺ╧╀᫬↓࿧྾⑕ೃ⩌ᝈ⪅࡟ᑐࡍࡿཱྀ⭍ෆ⿦⨨ࡢ౑⏝≧ἣ࠾ࡼࡧ἞⒪ຠᯝࡢ᳨ウ‫ۑ‬ᵞཎ⤮⌮㸪Ἑ㔝⛱ᗈ㸪ᐑᔱ㝯୍㑻㸪㫟ぢ㐍୍஑ᕞṑ⛉኱Ꮫཱྀ⭍ᶵ⬟Ꮫㅮᗙ㢡ཱྀ⭍Ḟᦆ෌ᵓ⠏Ꮫศ㔝Assessment of Utilization Review and Treatment Effects of the Oral Appliance for the Patients with
Obstructive Sleep Apnea Syndrome
Makihara E, Kawano T, Miyajima R, Masumi S
Division of Occlusion & Maxillofacial Reconstruction, Department of Oral Function, School of Dentistry,
Kyushu Dental UniversityϨ㸬 ┠ⓗ ௒᪥㸪㛢ሰᆺ╧╀᫬↓࿧྾⑕ೃ⩌㸦OSAS㸧࡟ᑐࡍࡿࡉࡲࡊࡲ࡞ཱྀ⭍ෆ⿦⨨ࡀሗ࿌ࡉࢀ࡚࠸ࡿ1)㸬௒ᅇࡢ┠ⓗࡣ㸪OA࡟ࡼࡿ἞⒪ࢆཷࡅࡓOSASᝈ⪅࡟ᑐࡋ㸪OAࡢ౑⏝≧ἣࡸ౑⏝ឤ࡟ࡘ࠸࡚࢔ࣥࢣ࣮ࢺ
ㄪᰝࢆ⾜࠸㸪OA౑⏝⥅⥆ࢢ࣮ࣝࣉ࠾ࡼࡧOA౑⏝୰Ṇࢢ࣮ࣝࣉ࡟࠾ࡅࡿ἞⒪ຠᯝ࡟ࡘ࠸࡚ẚ㍑᳨ウࡋࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ ࢔ࣥࢣ࣮ࢺᑐ㇟⪅ࡣ㸪2006ᖺ1᭶ࠥ2013ᖺ7᭶ࡢᮇ㛫୰࡟஑ᕞṑ⛉኱Ꮫ㝃ᒓ⑓㝔⩏ṑ⛉࡟࡚OA࡟ࡼ
ࡿ἞⒪ࢆཷࡅࡓOSASᝈ⪅135ྡ࡜ࡋࡓ㸬 ࡇࢀࡽࡍ࡭࡚ࡢᝈ⪅ࡣ㸪Thera Snore ApplianceTM
㸦DISTAR, USA㸧ࢆ㸪ୗ㢡50%๓᪉఩ࡢୗ㢡఩࡟࠾࠸࡚〇సࡋࡓOAࢆᥦ౪ࡋࡓ⪅࡛࠶ࡿ2㸧㸬௒ᅇ㸪
OAࡢ౑⏝≧ἣ࡟㛵ࡍࡿ࢔ࣥࢣ࣮ࢺㄪᰝࢆ⾜࠺࡟㝿ࡋ㸪ୖ㏙ࡢ135ྡࡍ࡭࡚࡟࢔ࣥࢣ࣮ࢺࢆ㒑㏦ࡋࡓ㸬OAࢆ౑⏝୰ࡢᝈ⪅⩌࡟ᑐࡋ࡚ࡣ㸪OAࡢ౑⏝㢖ᗘ㸪⌧ᅾࡢ἞⒪⏝㢡఩㸪୙ᛌឤ㸪ᨵၿࡋࡓ⮬ぬⓗ⑕≧ࡢ᭷↓࡜ࡑࡢ⑕≧࡟ࡘ࠸࡚ᅇ⟅ࡋ࡚ࡶࡽࡗࡓ㸬ࡲࡓ㸪OAࡢ౑⏝ࢆ୰Ṇࡋࡓᝈ⪅⩌࡟ࡣ㸪ࡑࡢ⌮⏤࡟ࡘ࠸࡚ᅇ⟅ࡋ࡚ࡶࡽࡗࡓ㸬ᅇ⟅ᚋ㸪࢔ࣥࢣ࣮ࢺࢆ
㏉㏦ࡋ࡚ࡶࡽࡗࡓ㸬 ࡉࡽ࡟㸪OA࡟ࡼࡿ἞⒪๓ᚋ࡟⤊ኪ࣏ࣜࢯ࣒ࣀࢢ
ࣛࣇ࢕㸦PSG㸧グ㘓ࢆ⾜ࡗࡓᝈ⪅࡟ᑐࡋ࡚ࡣ㸪OA
౑⏝ࡢ᭷↓࡜ࡢ㛵㐃࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗࡓ㸬 ᮏ◊✲ࡣ㸪஑ᕞṑ⛉኱Ꮫ◊✲೔⌮ጤဨ఍ࡢᢎㄆ
ࢆᚓ࡚⾜ࡗࡓ㸦2012ᖺ10᭶31᪥ᢎㄆ㸸ᢎㄆ␒ྕ2417㸧㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᅇ⟅ࡢ࠶ࡗࡓ48ྡࡢ࠺ࡕ㸪OA౑⏝⩌ࡣ33ྡ㸪
OA౑⏝୰Ṇ⩌ࡣ16ྡ࡛㸪୧⩌㛫ࡢ἞⒪๓ࡢࢹ࣮ࢱ
࡟⤫ィᏛⓗ᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬 OA౑⏝⩌࡟࠾࠸࡚㸪⣙70㸣ࡀ㐌࡟ᑡ࡞ࡃ࡜ࡶ3
᪥ࡣOAࢆ⿦╔ࡋ࡚࠾ࡾ㸪63.6㸣ࡀ἞⒪⏝㢡఩ࡣୗ
㢡50㸣๓᪉఩ࡢࡲࡲ౑⏝ࡋ࡚࠸ࡓ㸬⿦⨨ࢆ⿦╔ࡍࡿࡇ࡜࡛἞⒪ຠᯝࡀ࠶ࡿ࡜ឤࡌ࡚࠸ࡿ⪅ࡣ30ྡ࡛㸪ᨵၿࡋࡓ⮬ぬⓗ⑕≧ࡣ㸪࠸ࡧࡁ㸦n=32㸧㸪↓࿧྾(n=21)㸪᪥୰ഴ╀(n=11)㸪ᮅࡢ┠ぬࡵ(n=10)࡟㛵ࡍࡿࡶࡢࡀከ࠿ࡗࡓ㸬OAࡢ୙ᛌឤ࡛᭱ࡶከ࠿ࡗࡓࡢ
ࡣὶၚ࡛࠶ࡗࡓ(n=10)㸬 ࡲࡓ㸪⾡๓⾡ᚋ࡟࠾ࡅࡿ
PSGグ㘓ࡼࡾ㸪AI, AHI㸪᭱పື⬦⾑㓟⣲㣬࿴ᗘ࡟ࡣ᭷ពᕪࡀㄆࡵࡽࢀࡓࡀ㸦p<0.05㸧, ぬ㓰཯ᛂ࡟ࡣ᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬
OA౑⏝୰Ṇ⩌࡟࠾࠸࡚㸪౑⏝୰Ṇࡢ⌮⏤ࡣ㸪⿦⨨࡟ࡼࡿ἞⒪ຠᯝࡀᚓࡽࢀ࡞࠿ࡗࡓࡓࡵࡀ᭱ࡶከ
࠿ࡗࡓ㸦n=5㸧㸬ࡲࡓ㸪⾡๓⾡ᚋ࡟࠾ࡅࡿPSGグ㘓ࡼࡾ㸪AI, AHI㸪᭱పື⬦⾑㓟⣲㣬࿴ᗘ㸪ぬ㓰཯ᛂ࠸ࡎࢀࡶ᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬 OA౑⏝⩌ࡣ㸪OAࢆ⿦╔ࡍࡿࡇ࡜࡟ࡼࡾ⮬ぬ⑕≧ࡔࡅ࡛࡞ࡃPSGグ㘓࡟ࡼࡿ᳨ᰝ㡯┠ࡶᨵၿࡋ࡚
࠸ࡿࡇ࡜ࡀࢃ࠿ࡗࡓ㸬୍᪉㸪OA౑⏝୰Ṇ⩌ࡣ㸪⿦⨨ࢆ⿦╔ࡋ࡚ࡶᮇᚅࡉࢀࡿ἞⒪ຠᯝࡀ⮬ぬⓗ࡟ࡶ௚ぬⓗ࡟ࡶᚓࡽࢀ࡚࠸࡞࠸ࡇ࡜ࡀࢃ࠿ࡗࡓ㸬 OSASᝈ⪅࡟࡜ࡗ࡚OAࡢ౑⏝ࢆ⥅⥆ࡉࡏࡿࡓࡵ࡟ࡣ㸪OAࡢ୙ᛌឤࡢᨵၿ࡜἞⒪ຠᯝࢆྥୖࡉࡏࡿ
ᕤኵࡀᚲせ࡜ᛮࢃࢀࡿ㸬 ࡞࠾㸪ᮏ◊✲ࡣᖹᡂ23ࠥ26ᖺᗘ⊂❧⾜ᨻἲே᪥ᮏᏛ⾡᣺⯆఍⛉Ꮫᢏ⾡◊✲㈝ຓᡂ㔠࣭ⱝᡭ◊✲㸦B㸧ࠕ㛢ሰᆺ╧╀᫬↓࿧྾⑕ೃ⩌ࡢཱྀ⭍ෆ⿦⨨἞⒪࡟
࠾ࡅࡿ㐺ṇ἞⒪㢡఩ࡢ᳨ウࠖ㸦ㄢ㢟␒ྕ23792242㸧
࡟ࡼࡾ⾜ࢃࢀࡓ㸬 ࡲࡓ㸪ᮏ◊✲࡟㛵ࡋ㛤♧ࡍ࡭ࡁCOI㛵ಀ࡟࠶ࡿ௻ᴗ➼ࡣ࡞ࡃ㸪Ⓨ⾲⪅඲ဨ࡟฼┈┦཯ࡣ࡞࠸㸬ϫ㸬 ᩥ⊩1) American sleep disorders association report: practiceparameters for the treatment of snoring andobstructive sleep apnea with oral appliances. Sleep
1995; 18: 511-513.
2㸧㫟ぢ㐍୍㸪ᵞཎ⤮⌮㸬╧╀᫬↓࿧྾⑕ೃ⩌ࡢ἞⒪࡟ᑐࡍࡿṑ⛉ࡢᙺ๭࡜㛫᥋ἲ࡟ࡼࡿṑ⛉ⓗ⿦⨨ࡢ〇సἲ㸬ṑ⛉ᢏᕤ 2004; 32: 1084-1095.

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 89⤊᪥グ㘓ည➽➽㟁ᅗ࡜ṑ᰿⭷ឤぬ㜈್ࢆ฼⏝ࡋࡓ㢡㛵⠇⑕⨯ᝈ≧ែ࡟ࡘ࠸࡚ࡢ᳨ウ‫ۑ‬ᖹ⏣ᩔಇ㸪ຍ⸨⪷ஓ㸪*ᯇỌ໷ྖ㸪⇃ᓮὒᖹ㸪Ⲩᮌ኱௓㸪⨾⏑┿㸪ᶫᮏ᭷ᕼ㸪ⴙ⏣㝧௓㸪⏣୰♸㈗㸪Ύ℧ඃஓ㸪ཎ ဴஓ㸪Ἀ ࿴ᗈ㸪ⓙᮌ┬࿃ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ညྜ࣭᭷ᗋ⩏ṑ⿵⥛Ꮫศ㔝*୰ᅜ࣭ᅄᅜᨭ㒊
Relationship between periodontal sensation threshold and EMG activity in TMD patient and non-TMD patient

Hirata A, Kato S, Matsunaga T,Kumazaki Y, Araki D, Mikamo S, Hashimoto Y, Manda Y, Tanaka Y,
Kiyotaki Y, Hara T, Oki K, Minagi S
Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry andPharmaceutical Sciences, Okayama University*Chugoku-Shikoku BranchϨ㸬 ┠ⓗ㢡㛵⠇⑕㸦TMD㸧ࡢⓎ⑕せᅉ࡜ࡋ࡚㸪㏆ᖺ᪥୰࡟࠾ࡅࡿపᙉᗘࡢᣢ⥆ⓗࢡࣞࣥࢳࣥࢢࡀ᭷ຊ࡞せᅉ࡜ࡋ࡚ὀ┠ࡉࢀ࡚࠸ࡿ1)㸬ࡋࡓࡀࡗ࡚㸪ည➽➽㟁ᅗ㸦EMG㸧ࢆ฼⏝ࡋࡓ⑓ែᢕᥱࡀ᭷ຠ࡛࠶ࡿ࡜࠸
࠼ࡿ㸬୍᪉㸪TMDᝈ⪅ࡢ୰࡟ࡣညྜឤぬ࡟㛵ࡍࡿ୙ᐃឋッࢆッ࠼ࡿ⪅ࡶᏑᅾࡋ࡚࠸ࡿ㸬௨ୖࡼࡾᮏ◊✲ࡢ┠ⓗࡣ㸪TMD࡟⨯ᝈࡋ࡚࠸ࡿ
⪅࡜⨯ᝈࡋ࡚࠸࡞࠸⪅ࡢ⤊᪥ည➽EMG࡜ṑ᰿⭷ឤぬࢆグ㘓ゎᯒࡍࡿࡇ࡜࡟ࡼࡗ࡚㸪TMDࡢ⨯ᝈ≧ែ࡟ᑐࡍࡿࡇࢀࡽࡢ㛵୚ࢆ᳨ウࡍࡿࡇ࡜࡜ࡋࡓ㸬ϩ㸬 ᪉ἲ⿕㦂⪅ࡣ㸪ᒸᒣ኱Ꮫ⑓㝔ညྜ࣭⩏ṑ⿵⥛⛉ึデᝈ⪅࡛㢡㛵⠇⑕࡜デ᩿ࡉࢀࡓᝈ⪅10ྡࢆ㢡㛵⠇⑕⩌㸦TMD⩌㸧㸪ྠ⛉ཷデᝈ⪅ࡢ࠺ࡕ㢡㛵⠇⑕࡛ࡣ࡞࠸ᝈ⪅11ྡࢆ㠀㢡㛵⠇⑕⩌㸦nTMD⩌㸧࡜ࡋࡓ㸬➽㟁ᅗ㸦EMG㸧グ㘓ࡣ㸪ᙜㅮᗙࡀ㛤ⓎࡋࡓᦠᖏᆺEMGࣞࢥ࣮ࢲ࣮ࢆ౑⏝ࡋ࡚⤊᪥グ㘓ࢆ⾜ࡗࡓ㸬
EMGゎᯒࡢࣂ࣮ࢫࢺ㜈್ࡣ㸪᭱኱ჶࡳࡋࡵ᫬᣺ᖜ
ࡢ 5% 㸦 5%MVC 㸧 㸪 20% 㸦 20%MVC 㸧 㸪 ࠾ ࡼ ࡧ500g㔜⮬Ⓨჶࡳࡋࡵ᫬᣺ᖜ᭱኱್㸦500-VC㸧࡜ࡋࡓ㸬EMGゎᯒᑐ㇟࢚ࣆࢯ࣮ࢻࡣ㸪phasic࢚ࣆࢯ࣮ࢻ㸪tonic࢚ࣆࢯ࣮ࢻ㸪࠾ࡼࡧphasic࡜tonicࣂ࣮ࢫࢺࡢΰᅾࡋࡓMixed࢚ࣆࢯ࣮ࢻ࡜ࡋ㸪ྛ࢚ࣆࢯ࣮ࢻࡢ
ᅇᩘ࡜ᖹᆒᣢ⥆᫬㛫ࢆ᪥୰࡜ኪ㛫࡟ศࡅ࡚ゎᯒࡋࡓ㸬࡞࠾㸪࿪ᄮ᫬EMGࡣ㝖እࡋࡓ㸬ṑ᰿⭷ឤぬࡢィ ࡣ㸪㝵ẁἲ࡟ࡼࡿᚰ⌮≀⌮Ꮫⓗ᪉ἲࢆࣉࣟࢢ࣒ࣛࡋࡓࢥࣥࣆ࣮ࣗࢱไᚚ࡟ࡼࡿ
ᧁຊⓎ⏕Ⲵ㔜⿦⨨࡟ࡼࡗ࡚㸪ᧁຊ่⃭࡟క࠺ຍ㏿ᗘࢆ᳨ฟࡋ࡚⾜ࡗࡓ㸬ィ ᑐ㇟ṑࡣୖ㢡୧ഃ➨୍኱⮻ṑࡶࡋࡃࡣṧᏑ᭱ᚋ᪉⮻ṑ࡜ࡋ㸪ࡇࢀࡽࡢ㒊఩࡛ࡢィ ್ࡢᖹᆒ್ࢆṑ᰿⭷ឤぬ㜈್࡜ࡋࡓ㸬ྛ⩌ࡢṑ᰿⭷ឤぬ㜈್࡜᪥୰࠾ࡼࡧኪ㛫ࡢEMG
ྛ࢚ࣆࢯ࣮ࢻࡢᅇᩘ࡜ᖹᆒᣢ⥆᫬㛫ࡢ⩌㛫ẚ㍑ࡣ᳨ᐃ࡟ࡼࡗ࡚⾜ࡗࡓ㸬ࡲࡓ㸪ྛ࢚ࣆࢯ࣮ࢻࡢᅇᩘ
࠶ࡿ࠸ࡣᖹᆒᣢ⥆᫬㛫࡜ṑ᰿⭷ឤぬ㜈್ࢆㄝ᫂ኚ
ᩘ࡜ࡋࡓࣟࢪࢫࢸ࢕ࢵࢡᅇᖐศᯒࢆ⾜࠸㸪TMD⨯ᝈ≧ែࡢ᭷↓࡟ᑐࡍࡿࡇࢀࡽࡢ㛵୚࡟ࡘ࠸࡚ࡢ᳨

ウࢆ⾜ࡗࡓ㸬⤫ィゎᯒࡣ᭷ពỈ‽0.05㸪୧ഃ᳨ᐃ࡟࡚⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
TMD⩌ࡢṑ᰿⭷ឤぬ㜈್ࡣ㸪nTMD⩌࡟ẚ࡭࡚᭷ព࡟኱ࡁ࡞್ࢆ♧ࡋࡓ㸦1685s660 v.s. 1037s389
m/s2, p = 0.012㸧㸦ᅗ㸧㸬᪥୰EMGࡢྛ࢚ࣆࢯ࣮ࢻ
ࡢᅇᩘ࠾ࡼࡧᖹᆒᣢ⥆᫬㛫࡟ࡣ㸪࠸ࡎࢀࡢ㜈್タᐃ࡟࠾࠸࡚ࡶ୧⩌࡟࠾ࡅࡿ᭷ពᕪࡣࡳࡽࢀࡎ㸪ኪ
㛫EMGࡶྠᵝ࡛࠶ࡗࡓ㸬ྛ࢚ࣆࢯ࣮ࢻࡢᅇᩘ࡜ṑ᰿⭷ឤぬ㜈್ࢆㄝ᫂ኚᩘ࡜ࡋࡓࣟࢪࢫࢸ࢕ࢵࢡᅇ
ᖐศᯒࡢ⤖ᯝ㸪᭷ព࡞ㄝ᫂ኚᩘࡣ᪥୰㸪ኪ㛫࡜ࡶ࡟ṑ᰿⭷ឤぬ㜈್ࡢࡳ࡛࠶ࡗࡓ㸬ࡇࡢഴྥࡣྛ࢚
ࣆࢯ࣮ࢻࡢᖹᆒᣢ⥆᫬㛫࡜ṑ᰿⭷ឤぬ㜈್ࢆㄝ᫂ኚᩘ࡜ࡋࡓሙྜ࡛ࡶྠᵝ࡛࠶ࡗࡓ㸬ᮏ◊✲ࡢ⤖ᯝ࠿ࡽ㸪ṑ᰿⭷ㄆ▱ຍ㏿ᗘࡣTMDⓎ⑕ࡢ᭷↓࡟᭷ຠ࡞ᣦᶆ࡜࡞ࡾᚓࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ࡲࡓ㸪ᚑ᮶ࡢゎᯒ࢔ࣝࢦࣜࢬ࣒࡟‽ࡌ࡚ゎᯒࡋࡓEMGྛ࢚ࣆࢯ࣮ࢻࡢᅇᩘ࡜ᖹᆒᣢ⥆᫬㛫ࡣ㸪
TMDࡢ⨯ᝈ≧ែࢆ཯ᫎࡋ࡚࠸ࡿ࡜ࡣ࠸࠼ࡎ㸪᪂ࡓ
࡞EMGゎᯒ᪉ἲࡢ㛤Ⓨࢆྵࡵࡓ᳨ウࢆຍ࠼ࡿᚲせࡀ࠶ࡿ࡜࠸࠼ࡿ㸬࠙ᅗ㸬ṑ᰿⭷ឤぬ㜈್ࠚϫ㸬 ᩥ⊩1) Glaros AG, Burton E. Parafunctional clenching,pain, and effort in temporomandibular disorders. J
Behav Med. 2004 Feb;27(1):91-100.

− 279 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 90⢭⚄ⓗ㈇Ⲵࡀཱྀ⵹࡬ࡢ่⃭࡟ࡼࡿၚᾮ୰ࢫࢺࣞࢫ࣐࣮࣮࢝ࡢ
཯ᛂ࡟ཬࡰࡍᙳ㡪‫ۑ‬ཎ ᘪຍ㔛㸪๓⏣ ↷ኴ* 㸪ᒸᓮ ᐃྖ኱㜰ṑ⛉኱ᏛḞᦆṑิ⿵⥛ညྜᏛㅮᗙ㸪*኱㜰ṑ⛉኱Ꮫ⮫ᗋ◊ಟᩍ⫱⛉
Influence of Phychological Stress on response of salivary stress maker to mechanical stimulus on palate
Hara Y㸪Maeda T*㸪Okazaki J
Department of Removable Prosthodontics and Occlusion, Osaka Dental University* Department of Postguraduate Clinical Trainig, Osaka Dental Universityϩ㸬 ᪉ἲ ᮏ◊✲ࡢ୺᪨ࢆㄝ᫂ࡋᢎㅙࡋࡓ೺ᖖ᭷ṑ㢡⪅⏨ዪィ8ே(24.6s2.4ṓ)ࢆ⿕㦂⪅࡜ࡋࡓ㸬ᐇ㦂࡟ඛ❧ࡕᐇ㦂ⓗཱྀ⵹ᗋ{1,㐪࿴ឤ่⃭ࢆ௜୚ࡍࡿࡓࡵࡢཱྀ
⵹ᚋ᪉ࡲ࡛⿕そࡉࡏࡓࡶࡢ(௨ୗd)㸪2, ⑊③่⃭ࢆ௜୚ࡍࡿࡓࡵ࡟ୖグཱྀ⵹ᗋ࡟┤ᚄ2.5mmཌࡉ0.5mm
ࡢ࢔ࢡࣜࣝᯈࢆཱྀ⵹୰ኸ㒊࡟㈞௜ࡅࡓࡶࡢ(௨ୗp)}
ࢆ〇సࡋࡓ㸬㈇Ⲵ᮲௳࡜ࡋ࡚ୖグࡢཱྀ⵹ᗋ2✀㢮࡜㸪ࢥࣥࢺ࣮ࣟࣝ࡜ࡋ࡚㠀⿦╔ࡢ3✀(d㸪p㸪cont)࡜ࡋ㸪ࡑࢀࡒࢀ↓సⅭ࡞㡰ᗎ࡛᪥ࢆኚ࠼࡚௨ୗࡢ᪉ἲ࡛
⾜ࡗࡓ㸬 ᐇ㦂ࡣ⿕㦂⪅ࢆධᐊᚋ10ศ㛫Ᏻ㟼࡟ࡉࡏ㸪
30ศ㛫ཱྀ⵹࡬ࡢ᮲௳ࢆ௜୚ࡋࡓ㸬ࡑࡢᚋ30ศఇ᠁ࢆ࡜ࡾ෌ࡧ⿦╔ࡉࡏࡓ㸬๓༙㸪ᚋ༙࡝ࡕࡽ࠿࡛5ศ⤒㐣᫬࡟⢭⚄ⓗ㈇Ⲵࢆᶍࡋࡓᬯ⟬ࢆ5ศ㛫ࡉࡏࡓ㸬ཱྀ⵹ᗋ⿦╔┤๓࡜௨ᚋ5ศẖ࡟30ศࡲ࡛ィ7ᅇၚᾮࢆ᥇ྲྀࡋࡓ㸬ྠ୍ࡢ⾜⛬ࢆ᪥ࢆኚ࠼࡚2ᅇ⾜ࡗࡓ㸬ၚᾮࡢ᥇ྲྀࡣSalivette(Sarsted♫〇㸪ࢻ࢖ࢶ)ࢥࢵࢺ
࣮ࣥࣟࣝࢆ2ศ㛫࿪ᄮᵝ㐠ືࡉࡏ㸪ࡑࡢᚋ㸪⯉ୗᑠୣ㒊࡟⛣ືࡉࡏၚᾮࢆ᥇ྲྀࡋࡓ㸬⿕㦂⪅࡟ࡣ③ࡳࡢ୺ほⓗホ౯࡜ࡋ࡚どぬⓗホ౯ࢫࢣ࣮ࣝ㸪ၚᾮ᥇ྲྀ᫬ࡢ⢭⚄≧ែࡢホ౯࡜ࡋ࡚ࢫࢺࣞࢫࢳ࢙ࢵࢡࣜ
ࢫࢺ(ࣃࣈࣜࢵࢡ࣊ࣝࢫࣜࢧ࣮ࢳࢭࣥࢱ࣮〇)㸪ၚᾮ᥇ྲྀ᫬ࡢ୙Ᏻ≧ែࡢホ౯࡜ࡋ࡚≧ែ-≉ᛶ୙Ᏻ᳨ᰝ
࡟グධࡉࡏࡓ㸬᥇ྲྀࡋࡓၚᾮࡣྍཬⓗ㏿ࡸ࠿࡟4Υ
3000rpm࡛30ศ㛫㐲ᚰศ㞳ᶵ(ࣘࢽࣂ࣮ࢧࣝ෭༷㐲ᚰᶵ5930 KUBOTA♫〇)࡛㐲ᚰศ㞳ࡋࡓࡢࡕ㸪ᐃࡲ࡛ࡢ㛫㸪㸫80Υ࡟࡚෭෾ಖᏑࡋ㸪ᚓࡽࢀࡓヨᩱࢆ ᐃ᪥࡟ゎ෾ࡋࡓ㸬-࢔࣑࣮ࣛࢮάᛶᗘ㸪ࢥࣝࢳࢰ࣮ࣝ㸪NGF㸪sIgA㸪ࢡࣟࣔࢢࣛࢽࣥA⃰ᗘࢆ⏝࠸㸪ELISAἲ(EndopointࠊKinetic)࡛ศᯒࡋࡓ㸬ᚓࡽࢀࡓࢹ࣮ࢱ࡜㸪㸮ศ᫬࡟᥇ྲྀࡋࡓၚᾮࡢ⤖ᯝࢆᇶ‽࡜ࡋ࡚ẚ⋡࡟ኚ᥮ࡋࡓ್ࢆ⤫ィゎᯒࢯࣇࢺ
SPSS(19.0J)ࢆ⏝࠸࡚᮲௳(n=3)㸪᫬㛫(n=6)㸪ᅇᩘ(n=2)㸪ᬯ⟬ࡢ᭷↓(n=2)ࢆ୺ኚືᅉᏊ࡜ࡋ࡚⧞ࡾ㏉ࡋࡢ࠶ࡿศᩓศᯒࢆ⾜࠸㸪ྛ✀࢔ࣥࢣ࣮ࢺ࡟ࡘ࠸
࡚ᅇᖐ⤫ィศᩓศᯒ࡟࡚┦㛵ಀᩘࢆồࡵ᭷ពỈ‽
0.05࡟࡚ẚ㍑᳨ウࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ィ⟬㈇Ⲵ᫬࡟ࡣ㸪ࢡࣟࣔࢢࣛࢽࣥA㸪NGF㸪࢔࣑࣮ࣛࢮࡀ᭷ព࡟ୖ᪼ࡋࡓ㸬ཱྀ⵹᮲௳࡟ࡘ࠸࡚ࡣ
࢔࣑࣮ࣛࢮࡣcont࡜ẚ㍑ࡋd㸪p࡛ୖ᪼ࡋ㸪NGF࡛
ࡣῶᑡࢆ♧ࡋࡓ(p<0.05)㸬ࡑࡢ୰࡛ࡶCgAࡣ᮲௳p࡛᭷ព࡟㧗࠸್ࢆ♧ࡋࡓ(ᅗ)㸬 sIgA࡛ࡣ᭷ព࡞ኚ
໬ࢆㄆࡵࡽࢀ࡞࠿ࡗࡓࡢࡣᛴᛶࢫࢺࣞࢫ࡟཯ᛂࢆ
♧ࡋ࡟ࡃ࠸ࡓࡵ࡛࠶ࢁ࠺㸬ࡋ࠿ࡋ㸪≉ᛶ୙Ᏻ࡜ࡣ
(r=0.57)୰➼ᗘࡢ┦㛵ࢆ♧ࡋ៏ᛶࢫࢺࣞࢫࡢᣦᶆ࡜
ࡋ࡚᭷⏝࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬࣐࣮࣮࢝ࡑࢀ
ࡒࢀ่⃭࡟ᑐࡋ࡚ྠࡌࡼ࠺࡟᭷ព࡞཯ᛂࢆ♧ࡍࡀ㸪
CgAࡣ⢭⚄ⓗࢫࢺࣞࢫࡀ࠶ࡿ࡜⑊③ࢆࡼࡾឤ▱ࡋࡸࡍࡃ㸪ࡑࡢᣦᶆ࡜ࡋ࡚CgAࡀ᭷⏝࡛࠶ࡿࡇ࡜ࡀ
♧၀ࡉࢀࡓ㸬
5
Relative concentrationϨ㸬 ┠ⓗ ⿵⥛⿦⨨࡟ࡼࡿࢫࢺࣞࢫホ౯ࡣ୺ほⓗ࡞ࡶࡢࡀከࡃ㸪ᐈほⓗ࡟ホ౯ࡍࡿࡇ࡜ࡣᅔ㞴࡛࠶ࡿࠋ⮫ᗋ࡟࠾࠸࡚ࡶᝈ⪅ࡢ୺ほ࡜⾡⪅ࡢデ᩿࡜ࡢࡎࢀࢆ⤒㦂ࡍࡿ㸬ࡇࢀࡲ࡛ࡢ◊✲࡛㸪ࣂ࢖࣐࣮࣮࢜࢝ࡀᚰ
⌮ⓗ㸪㌟యⓗࢫࢺࣞࢫᑐࡋ࡚཯ᛂࢆ♧ࡍࡇ࡜ࡣࢆ
ㄆࡵࡽࢀ࡚ࡁࡓࡀ1)㸪ࡑࢀࡒࢀࡢ┦㛵ࡣ᫂ࡽ࠿࡜
࡞ࡗ࡚࠸࡞࠸㸬ࡑࡇ࡛㌟యⓗ㸪ᚰ⌮ⓗࢫࢺࣞࢫࢆ
⤌ࡳྜࢃࡏࡑࢀࡒࢀࡢ่⃭࡟ᑐࡋ࡚ࡢ࣐࣮࣮࢝ࡢ
཯ᛂࡢ㐪࠸ࢆศᯒࡋ㸪୺ほⓗホ౯࡜ࡢ㛵㐃࡟ࡘ࠸᳨࡚ウࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋࡓ㸬


4
3
2
1
0
cont

d
conditionspᅗ. ཱྀ⵹᮲௳࡜ィ⟬᭷↓࡟ࡼࡿຠᯝ(CgA ⃰ᗘ)I㸸95㸣ಙ㢗༊㛫ϫ㸬 ᩥ⊩1) Effect of psychological stress on the salivary cortisol
and amylase levels in healthy young adults. Takai
N,Yamaguchi M,Aragaki.Arch Oral Biol 2004;963968− 280 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 91⮫ᗋᐇ⩦࡟࠾ࡅࡿCADࢩࢫࢸ࣒ࡢᑟධ࡜ࡑࡢホ౯‫ۑ‬㔝㟢ᾈṇ㸪ᒾ℩┤ᶞ㸪ຍ⸨ᬛஓ㸪☾㈅▱⠊㸪బ⸨㞞௓㸪Ώ㑓᫂㸪ສ౑Ἑཎ኱㍜㸪᪥㧗㐩ဢ㸪Ἑྜ⨾㈗Ꮚ㸪⊦㔝↷ኵ㸪ᐑୗⱥ୍㑻*㸪⸨⃝ᨻ⣖᫂ᾏ኱ᏛṑᏛ㒊ᶵ⬟ಖᏑᅇ᚟Ꮫㅮᗙṑ⛉⿵⥛Ꮫศ㔝*㛵㉺ᨭ㒊
Evaluation of CAD system in clinical training in Undergraduate Dental Students²Noro H, Iwase N, Kato T, Isogai T, Sato M, Watanabe A, Teshigawara D, Hidaka T, Kawai M, Ino T,
Miyashita E*, Fujisawa M. Division of Fixed Prosthodontics, Department of Restorative & Biomaterials
Sciences, Meikai University School of Dentistry, *Kanetsu BranchϨ㸬 ┠ⓗ ㏆ᖺ㸪ᛴ㏿࡞ࢹࢪࢱࣝᶵჾࡢⓎ㐩࡟ࡼࡾṑ⛉㡿ᇦ࡟࠾ࡅࡿCAD/CAMࡢ⮫ᗋᛂ⏝ࡀ┒ࢇ࡟⾜ࢃࢀ࡚࠸ࡿ㸬ᮏᏛ࡛ࡣ㸪ᖹᡂ25ᖺᗘࡼࡾ5ᖺ⏕ࡢ⮫ᗋᐇ⩦ࡢ୍⎔࡜ࡋ࡚⾜ࡗ࡚࠸ࡿࢢ࣮ࣝࣉ࣮࣡ࢡ㸦1ࢢ࣮ࣝࣉ8ྡ㸧࡟ࠗCAD᧯స࠘ࢆ᥇⏝ࡋࡓ㸯㸧㸬⌧ᅾ㸪ࢢ࣮ࣝࣉ࣮࣡ࢡࡢㄢ㢟࡜ࡋ࡚ࠗṑෙⰍ Ⰽ࠘㸪ࠗṑ㠃◊☻࠘㸪ࠗ༳㇟᥇ᚓ࠘㸪ࠗညྜჾㄪ⠇࠘㸪ࠗ἞⒪ィ
⏬❧᱌࠘࡜ేࡏࡓ6ㄢ㢟ࢆᐇ᪋ࡋ࡚࠸ࡿ㸬 ࡲࡓ㸪ᣦᑟෆᐜ࣭᪉ἲࡢࣇ࢕࣮ࢻࣂࢵࢡࢆᚓࡿ
ࡓࡵㄢ㢟⤊஢ᚋ࡟࢔ࣥࢣ࣮ࢺㄪᰝࢆᐇ᪋ࡋ࡚࠸ࡿ㸬 ௒ᅇ㸪ࠗCAD᧯స࠘ࡢᐇ⩦ࢆホ౯ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚㸪࢔ࣥࢣ࣮ࢺࢆࡶ࡜࡟௚ࡢㄢ㢟࡜ẚ㍑᳨
ウࡋࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ ᖹᡂ25ᖺᗘࡢᮏᏛ5ᖺ⏕110ྡࡢ࠺ࡕ85ྡࢆᑐ㇟࡜ࡋ࡚↓グྡࡢ࢔ࣥࢣ࣮ࢺㄪᰝࢆᐇ᪋ࡋࡓ㸬 ࢢ࣮ࣝࣉ࣮࣡ࢡࡢ඲6ㄢ㢟࡟ࡘ࠸࡚㸪ᐇ⩦࡟⯆࿡ࢆࡶ࡚ࡓ࠿㸦௨ୗࠕ⯆࿡ࠖ㸧㸪Ꮫ⩦ࡍࡿࡁࡗ࠿ࡅ
࡟࡞ࡗࡓ࠿㸦௨ୗࠕࡁࡗ࠿ࡅࠖ㸧㸪୺యⓗ࡟⾜࠺ࡇ࡜ࡀ࡛ࡁࡓ࠿㸦௨ୗࠕ୺యᛶࠖ㸧㸪஦๓࡟ண⩦ࢆ⾜࠺ࡇ࡜ࡀ࡛ࡁࡓ࠿㸦௨ୗࠕண⩦ࠖ㸧㸪ᣦᑟࡣ㐺ษ࡛࠶ࡗࡓ࠿㸦௨ୗࠕᣦᑟࠖ㸧ࡢ5㡯┠ࡢタၥ࡟ࡘ࠸࡚㸪0㸦᭱ప㸧㹼10㸦᭱㧗㸧ࡢNumerical Rating
Scale࡟࡚࢔ࣥࢣ࣮ࢺࢆᐇ᪋ࡋࡓ㸬 ⤫ィゎᯒ࡜ࡋ࡚ࡣSPSS Statistics 20.0㸦᪥ᮏIBM㸧
࡟࡚㸪Mann-Whitney U-testࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ྛタၥ࡛᭱㧗್࡜࡞ࡗࡓㄢ㢟ࡣ௨ୗࡢ࡜࠾ࡾ࡛
࠶ࡿ㸬ࠕ⯆࿡࡛ࠖࡣࠗCAD᧯స࠘㸪ࠕࡁࡗ࠿ࡅࠖ
࡛ࡣࠗ༳㇟᥇ᚓ࠘㸪ࠕ୺యᛶ࡛ࠖࡣࠗṑ㠃◊☻࠘㸪ࠕண⩦࡛ࠖࡣࠗ἞⒪ィ⏬❧᱌࠘㸪ࠕᣦᑟ࡛ࠖࡣ
ࠗCAD᧯స࡛࠘࠶ࡗࡓ㸬ࡲࡓ㺀ண⩦㺁࡟㛵ࡋ࡚ࡣ㸪6ㄢ㢟࡛඲యⓗ࡟ప್࡛࠶ࡗࡓ㸬 ࠗCAD᧯స࠘࡟࠾ࡅࡿࠕ⯆࿡ࠖࡣ௚ࡢ5ㄢ㢟࡟ᑐࡋ࡚᭷ព࡟㧗್ࢆ♧ࡋࡓࡀ㺀ண⩦㺁࡟࠾࠸࡚᭷ព࡟

ప್ࢆ♧ࡋࡓ( p㸺0.05 Mann-Whitney U-test 㸧㸬ࡑࢀ௨እࡢ㡯┠࡛ࡣ᭷ពᕪࡣㄆࡵ࡞࠿ࡗࡓ㸬

CAD ࡜ࡑࡢ௚ࡢㄢ㢟࡜ࡢẚ㍑
ࠗCAD᧯స࠘ࡀࠕ⯆࿡࡛ࠖ᭱㧗್ࡔࡗࡓࡢࡣ㸪⏬㠃ୖ࡛≀ࢆసࡗ࡚࠸ࡃឤぬࡀ㸪ࢹࢪࢱࣝ᫬௦ࡢ
Ꮫ⏕ࡢ㛵ᚰࢆ㞟ࡵࡓ࡜ᛮࢃࢀࡿ㸬ࡇࡢࡇ࡜ࡣ㸪࣡ࢵࢡࢫ࢔ࢵࣉ➼ࡢᚑ᮶ࡢᢏᕤ࡟ⱞᡭព㆑ࢆᢪࡃᏛ
⏕࡛࠶ࡗ࡚ࡶ㸪⿵⥛ṑ⛉⮫ᗋ࡬ࡢࣔࢳ࣮࣋ࢩࣙࣥ
ࢆᢪࡃࡁࡗ࠿ࡅ࡟࡞ࡾ࠺ࡿࡶࡢ࡜ᛮࢃࢀࡓ㸬ࡋ࠿ࡋ㸪ࠕࡁࡗ࠿ࡅࠖࠕ୺యᛶࠖ࡟࠾࠸࡚ࠗ༳㇟᥇
ᚓ࠘㸪ࠗṑ㠃◊☻࠘ࡼࡾࡶప್࡜࡞ࡗࡓ㸬ࡇࢀࡣୖグࡢ2ㄢ㢟ࡀᮏᏛ⮫ᗋᐇ⩦࡛Ꮫ⏕ࡢ⮬㦂ࢣ࣮ࢫ࡜ࡋ࡚ㄢࡉࢀ࡚࠸ࡿࡇ࡜࡟ຍ࠼㸪Ꮫ⏕㛫࡟ࡼࡿ┦஫ᐇ⩦࡜࠸࠺ᐇ⩦ᙧᘧࢆᐇ᪋ࡋ࡚࠸ࡿࡇ࡜ࢆ཯ᫎࡋ
ࡓࡶࡢ࡜⪃࠼ࡽࢀࡿ㸬ࡲࡓ㸪ࠗCAD᧯స࠘࡟࠾࠸
࡚ࠕᣦᑟࠖࡀ㧗್ࢆ♧ࡋ㸪ࠕண⩦ࠖࡀప್ࢆ♧ࡋࡓࡇ࡜࠿ࡽ㸪ண⩦ࢆ⾜࠺ࡓࡵࡢ᪉ἲࢆྵࡵ㸪௒ᚋᏛ⏕⮬㌟ࡀ୺యⓗ࡟ᐇ⩦࡟ྲྀࡾ⤌ࡴࡓࡵࡢ᪉⟇࡟ࡘ࠸᳨࡚ウࡍࡿᚲせࡀ࠶ࡿ࡜ᛮࢃࢀࡿ㸬ϫ㸬 ᩥ⊩  ຍ⸨ᬛஓ㸪㔝㟢ᾈṇ㸪⊦㔝↷ኵ㸪ᒾ℩┤ᶞ㸪⸨⃝ᨻ⣖㸬ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫࡢࢢ࣮ࣝ
ࣉ࣮࣡ࢡᐇ⩦࡟ᑐࡍࡿ࢔ࣥࢣ࣮ࢺホ౯㸸ṑ⛉ᩍ⫱Ꮫ఍㸪− 281 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 92ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮࡟ࡼࡿࢹࢪࢱࣝ࢖ࣥࣉࣞࢵࢩࣙࣥࡢ㐺ྜホ౯‫ۑ‬ΎỈἋஂⰋ*㸪᪂㇂୍᫂*,**㸪᪂ጔ⍛⣖*㸪㯮⏣⪽୍*㸪஬࿡἞ᚨ*㸪᪂㇂᫂႐**᪥ᮏṑ⛉኱Ꮫ⏕࿨ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨㸰ㅮᗙ**ࢺࢗࣝࢡ኱Ꮫ
Accuracy of the CAD/CAM crown with the intra oral scanner

Shimizu S*, Shinya A*,**, Niitsuma A*, Kuroda S*, Gomi H*, Shinya A**The Nippon Dental University School of Life Dentistry at Tokyo㸪Department of Crown and Bridge**Department of Biomaterials Science㸪BioCity Turku Biomaterials Research Program Institute of
Dentistry㸪University of TurkuϨ㸬 ┠ⓗ㏆ᖺ㸪ṑ⛉ศ㔝࡛ࡣᵝࠎ࡞ࢹࢪࢱࣝᶵჾࡢⓎᒎࡀㄆࡵࡽࢀ࡚࠸ࡿ㸬ࡑࡢ୰࡛ࡶ㸪ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮ࡣ㸪⡆౽࡞⏬ീ⟶⌮㸪ឤᰁࣜࢫࢡࡢ㍍ῶ㸪ࣜ࢔ࣝࢱ࢖࣒
࡛ࡢ⏬ീ☜ㄆ㸪༳㇟᥇ᚓ᫬ࡢ჎ྤ཯ᑕࡢ㍍ῶ࡞࡝ᵝࠎ࡞฼Ⅼࡀ࠶ࡿ㸪௒ᚋ CAD/CAM ࢩࢫࢸ࣒ࡢ
࣮࢜ࣉࣥࢩࢫࢸ࣒໬ࡀ㐍ࡴ࡟ࡘࢀཱྀ⭍ෆࢫ࢟ࣕࢼ࣮
࡟ࡼࡗ࡚ᚓࡓࢹ࣮ࢱࢆ⏝࠸࡚⿵⥛⿦⨨ࢆ〇సࡍࡿ᪉ἲࡀቑ࠼ࡿ࡜ண᝿ࡉࢀࡿ㸬 ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮ࢆ⏝࠸ࡓ CAD/CAM ࢩࢫࢸ࣒ࡣ㸪ࢳ࢙࢔ࢧ࢖ࢻ࡛ᚓࡓࢹ࣮ࢱࢆඖ࡟㸪ࣛ࣎ࢧ࢖ࢻ࡛
タィ㸪࣑ࣜࣥࢢࢆ⾜࠺ࣛ࣎ࢧ࢖ࢻࢩࢫࢸ࣒࡜ࢳ࢙࢔ࢧ ࢖ ࢻ ࡛ タ ィ 㸪 ࣑ ࣜ ࣥ ࢢ ࢆ ⾜ ࠺ ࢳ ࢙ ࢔ ࢧ ࢖ ࢻ Ϫ㸬 ⤖ᯝࢩࢫࢸ࣒࡟኱ูࡉࢀࡿ㸬 ࢡࣛ࢘ࣥෆ㠃ࡢィ ⤖ᯝࢆTable.2࡟㸪ࢡࣛ࢘ࣥ ࡑࡇ࡛㸪ᮏᐇ㦂࡛ࡣᨭྎṑᙧែࢆᶍࡋࡓᨭྎṑ ࡢ㔠ᆺ࡟ᑐࡍࡿ㐺ྜ⢭ᗘࢆFig.1࡟♧ࡍ㸬ᮏᐇ㦂ࡢཎᆺ㔠ᆺ㸦㔠ᆺ㸧࡟ᑐࡋ㸪ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮࡟࡚ ⤖ ᯝ ࡼ ࡾ 㸪㔠ᆺ ࡟ ᑐ ࡋ ࡚᭱ࡶ ኱ ࡁ ࡞ ್ࡣT R I ࡢගᏛ༳㇟ࢆ⾜࠸㸪ᚓࡓࢹ࣮ࢱࢆඖ࡟㸪ࣛ࣎ࢧ࢖ࢻ 5.0mm㒊఩࡛࠶ࡾ㸪᭱ࡶᑠࡉ࠸್ࡣCOࡢ3.0mm
ཬࡧࢳ࢙࢔ࢧ࢖ࢻࢩࢫࢸ࣒࡛〇సࡉࢀࡓࢡࣛ࢘ࣥࡢ 㒊఩࡛࠶ࡗࡓ㸬࣐࣮ࢪࣥ㒊࡛ࡣTRIࡢ᪉ࡀCOࡼࡾ㐺ྜ⢭ᗘࢆ᳨ウࡋࡓ㸬ࡶ㔠ᆺ࡜ࡢᕪࡀᑠࡉ࠸ࡇ࡜ࡀ♧ࡉࢀࡓ㸬− 282 −


TRI

2.0

Measurement Point (mm)ϩ㸬 ᪉ἲTable࡟ᮏᐇ㦂࡟౑⏝ࡋࡓCAD/CAMࢩࢫࢸ࣒
ࡢᶵჾ࣭ჾᮦ࣓࣮࣮࢝ྡࢆ♧ࡍ㸬ᮏᐇ㦂࡛ࡣࣛ࣎ࢧ࢖ࢻࢩࢫࢸ࣒ࡣTRIࢩࢫࢸ࣒(TRI㸪DD, WM, ZS), ࢳ࢙࢔ࢧ࢖ࢻࢩࢫࢸ࣒ࡣCOࢩࢫࢸ࣒㸦CO㸪iL, CMX, V㸧ࢆ౑⏝ࡋࡓ㸬 㔠ᆺ࡟ᑐࡋCOࢩࢫࢸ࣒ࡣ㓟໬ࢳࢱࣥࣃ࢘ࢲ࣮
࡟ࡼࡿ๓ฎ⌮ࢆ⾜ࡗࡓ㸬୧ࢩࢫࢸ࣒࡜ࡶཱྀ⭍ෆࢫ࢟ࣕࢼ࣮ࢆ⏝࠸࡚ࢫ࢟ࣕࢽࣥࢢࢆ⾜࠸CADࢯࣇࢺ ࡟ ࡚ タ ィ ࢆ ⾜ ࡗ ࡓ 㸬 ࢡ ࣛ ࢘ ࣥ ࡣ ඲ ࿘ ࡢ ཌ ࡉ
1.0mmࢭ࣓ࣥࢺࢫ࣮࣌ࢫ120+㹫࡜ࡋࡓ㸬 タ ィ ࢆ ⾜ ࡗ ࡓ ᚋ  ࣑ ࣜ ࣥ ࢢ ᶵ ࡟ ࡚ ษ ๐ ࡉ ࢀ ࡓࢪࣝࢥࢽ࢔ࢡࣛ࢘ࣥࢆ㸪↝⤖⅔ Kavo Therme,
Kavo ࡟࡚↝⤖ࡋࡓ㸬TRIࢩࢫࢸ࣒㸪COࢩࢫࢸ࣒࡛
ࡑࢀࡒࢀ6ಶࡎࡘࡢࢡࣛ࢘ࣥ〇సࢆ⾜ࡗࡓ㸬ᐃࡣ〇సࡋࡓࢡࣛ࢘ࣥࢆࣛ࣎ࢫ࢟ࣕࢼ࣮࡟࡚
STLࢹ࣮ࢱ໬ࡋ㸪୕ḟඖࢹ࣮ࢱ᳨ᰝࢯࣇࢺ࢙࢘࢔
㸦GOM InspectGOM mBH㸧ࢆ⏝࠸⾜ࡗࡓ㸬ᐃ 㒊 ఩ ࡣ 㸪 ည ྜ 㠃 ෆ 㠃 ࠿ ࡽ 2 . 0 m m, 3 . 0 m m,
4.0mm,5.0mm࠾ࡼࡧ࣐࣮ࢪࣥ㒊࡜ࡋࡓ㸬

CO
S.D.

3.0
4.0
5.0
Margin

-20

0

20

40

60

Fig.1 Accuracy of the crown

80

100
(m)

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 93ᅛᐃᛶ⩏ṑᏛ࡟࠾ࡅࡿࠕࢳ࣮࣒ᇶ┙ᆺᏛ⩦(TBL)ࠖࡢ᭷⏝ᛶ‫ۑ‬Ᏹ㔝ග஌㸪㊊❧᠇ṇ㸪⃝⏣ᏘᏊ㸪㔝ࠎᇉ㱟࿃㸪ᯇ஭Ꮥ௓㸪ᶓᒣ㈗⣖㸪ኴ⏣⩏ே㸪ྂ㇂ᫀ⩏㸪ᒸ ಇ⏨㸪಴▱ṇ࿴㸨㸪▼⚄ ඖᮅ᪥኱ᏛṑᏛ㒊ཱྀ⭍ᶵ⬟ಟ᚟Ꮫㅮᗙṑ⛉⿵⥛Ꮫศ㔝㸪㸨ᮅ᪥኱ᏛṑᏛ㒊ṑ⛉་Ꮫᩍ⫱᥎㐍ࢭࣥࢱ࣮
The Effectiveness a Team-based Learning (TBL) for Fixed Bridge Prosthetics Education
Uno M, Adachi N,Sawada T, Nonogaki R,Matsui K,Yokoyama T, Ota Y,Furuya M, Oka T,Kurachi
M,Ishigami H. Department of Prosthodontics, Division of Oral Functional Science and Rehabilitation, Asahi
University School of Dentistry, 㸨Dental Education Promotion Center, Asahi University School of Dentistry.

Ϩ㸬 ┠ⓗ ᚑ᮶࠿ࡽṑᏛᩍ⫱࡛ࡣ㸪ᩍ♧ᆺᩍ⫱ࡀከࡃ⾜ࢃࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ㸪ඃࢀࡓࢫࣆ࣮ࢳຊ࡜㠀ซ࡞ࣉࣞࢮࣥࢸ࣮ࢩࣙࣥ⬟ຊࢆවࡡᥞ࠼ࡓᩍဨࡀㅮ⩏ࢆ⾜ࡗࡓ࡜ࡋ࡚ࡶ㸪㞟୰ຊࢆḞࡁ㸪ຊࢆᢤࡃᏛ⩦⪅ࡀᏑᅾࡍࡿࡇ࡜ࡶᑡ࡞ࡃ࡞࠸ࡢࡀ⌧≧࡛࠶ࡿ㸬ࡇࢀࡽᩍ♧ᆺᩍ⫱ࡢ㝈⏺࡟ᑐࡋ࡚㸪Ꮫ⩦⪅ࡢၥ㢟ⓎぢཬࡧゎỴ⬟ຊ㸪⬟ືⓗᏛ⩦ࢆಁ㐍ࡍࡿᩍ⫱ᡭἲ࡜ࡋ࡚㸪Team-based-learning(TBL)ࡀṑᏛᩍ⫱࡟࠾࠸࡚ὀ┠ࡉࢀ࡚࠸ࡿ㸬TBLࡣᤵᴗ㛤ጞ๓࡟ண⩦㈨ᩱ㸪ᤵᴗ㈨ᩱࡸၥ㢟ࡀ୚࠼ࡽࢀ㸪ಶே࡜ࢳ࣮࣒༢
఩ࡢ཮᪉࠿ࡽゎỴࡋ࡚࠸ࡃࣉࣟࢭࢫ࠿ࡽᏛ⩦ࢆ῝ࡵࡿࡇ࡜ࢆ≉ᚩ࡜ࡋ࡚࠸ࡿ㸬ᮏᏛ࡛ࡣTBL࡟ࡼࡿᏛ⩦ࢆᐇ᪋ࡍࡿࡓࡵࡢ‽ഛࡸࣇ࢓ࢩࣜࢸ࣮ࢱ࣮ࡢ
⫱ᡂ࡜ࡋ࡚㸪ṑᏛ㒊඲ᩍဨࢆᑐ㇟࡟FD◊ಟ఍ࡸ
WSࡀ⾜ࢃࢀࡓ㸬ࡑࡇ࡛㸪₇⪅ࡽࡣᅛᐃᛶ⩏ṑᏛࡢᤵᴗ࡟TBLࢆᑟධࡋ㸪ᤵᴗ⤊஢ᚋ࡟ᐇ᪋ࡋࡓ࢔ࣥ
ࢣ࣮ࢺㄪᰝ࠿ࡽᩍ⫱ຠᯝ࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ϩ㸬 ᪉ἲ TBLࡣ㸪2013㸪2014ᖺᗘᮏᏛṑᏛ㒊㸲ᖺ⏕ࢆᑐ㇟࡟ᐇ᪋ࡋࡓ㸬ࡑࢀࡒࢀᤵᴗ᫬㛫ࡣ1ᅇ90ศ࡛㸪ࡇࢀࢆ㸴ᅇᐇ᪋ࡋࡓ㸬Ꮫ⩦㐣⛬ࡣ㸪ձྛᏛ⩦ㄢ㢟ࢆ㸯㐌๓࡟Ꮫෆ࣮࣒࣮࣍࣌ࢪ࡟ᥖ㍕ࡋ㸪ࡑࢀࢆ⮬Ꮿ࡛ண⩦ࡉࡏࡿ㸬ղྛᤵᴗࡢ᭱ึ࡟ከ⫥㑅ᢥၥ㢟ࡢಶே‽ഛ☜ㄆࢸࢫࢺ(IRAT)ࢆ⾜࠺㸬ࡘ࠸࡛ճྛ⌜࡛ࢢ࣮ࣝࣉෆウㄽ࡟ࡼࡿࢳ࣮࣒‽ഛ☜ㄆࢸࢫࢺ(GRAT)ࢆ⾜࠺㸬ࡑࡢᚋ㸪մᏛ⩦⪅඲యウ㆟㸪ᩍဨ࠿ࡽࡢࣇ࢕࣮ࢻࣂࢵࢡࢆ⾜࠺㸬௨ୖࢆᏛ⩦⪅࡟༑ศㄝ᫂ࡋ㸪ྠពࡢୗ࡟ᐇ᪋ࡋࡓ㸬࡞࠾㸪࢔ࣥࢣ࣮
ࢺㄪᰝ(㉁ၥ10㡯┠㸪ゎ⟅⫥(㸲࢝ࢸࢦ࣮ࣜ) )ࡣ㸪↓グྡ࡛㸴ᅇ┠ࡢᤵᴗ⤊஢᫬࡟ᐇ᪋ࡋ࡚ᖺᗘࡈ࡜࡟
㞟ィࢆ⾜࠸㸪ࡑࢀࡒࢀࡢ࢔ࣥࢣ࣮ࢺ㡯┠࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ࡑࡢᚋ࢔ࣥࢣ࣮ࢺ㡯┠ẖ࡟㸲࢝ࢸࢦ࣮ࣜ࡟ࡘ࠸࡚⊂❧ᛶࡢ࢝࢖㸰஌᳨ᐃ(mn) (p㸺0.05)
ࢆ⾜࠸ᖺᗘ㛫ࡢẚ㍑㸪᳨ウࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 2013ᖺᗘࡢTBL࡟ᑐࡍࡿᏛ⏕ࡢ࢔ࣥࢣ࣮ࢺ⤖ᯝࡣ➨34ᅇ᪥ᮏṑ⛉་Ꮫᩍ⫱Ꮫ఍Ꮫ⾡኱఍1)࡟࡚ሗ࿌

ࡋࡓ㸬2014ᖺᗘࡢTBL࡟ᑐࡍࡿᏛ⏕ࡢ࢔ࣥࢣ࣮ࢺ
⤖ᯝ࠿ࡽࠕண⩦ࢆ✚ ᴟⓗ࡟⾜ࡗࡓ(㉁ၥ51) ࠖࡀ
44.5㸣࡛࠶ࡗࡓࡀࠕண⩦㸪᚟⩦ࡢ㔜せᛶࡀࡼࡃ⌮ゎ࡛ࡁࡓ(㉁ၥ59)࡛ࠖࡣ㸪83.4㸣ࡀ⮬ᕫᏛ⩦ࡢᚲせᛶࢆ⌮ゎࡋ࡚࠸ࡓ㸬⮬ᕫホ౯࡛ࡣ㸪65.3㸣ࡢᏛ⏕ࡀࠕࢢ࣮ࣝࣉウㄽ࡟✚ᴟⓗ࡟ཧຍࡋࡓ(㉁ၥ60)ࠖ࡜
ᅇ⟅ࡋࡓࡢ࡟ᑐࡋ࡚㸪73.6㸣ࡢᏛ⏕ࡀࠕࢢ࣮ࣝࣉ
࣓ࣥࣂ࣮ࡢᏛ⩦ពḧ࡟ಶேᕪࡀ኱ࡁ࠿ࡗࡓ(㉁ၥ58)ࠖ
࡜ゎ⟅ࡋ࡚࠸ࡿ㸬ࡇࢀࡣཷືⓗ࠿ࡽ⬟ືⓗᏛ⩦࡬ࡢኚ໬࡟ᑐᛂࡋ࡚࠸࡞࠸Ꮫ⏕ࡀከࡃᏑᅾࡋࡓࡓࡵ
࡜᥎ᐹࡍࡿࡀ㸪௒ᚋTBLࢆࡃࡾ㏉ࡋᤵᴗ࡟ྲྀࡾධ
ࢀᐇ㊶ࡍࡿࡇ࡜࡟ࡼࡗ࡚㸪⬟ືⓗᏛ⩦ࡀ㌟࡟௜ࡃ
࡜ᛮࢃࢀࡿ㸬୍᪉㸪TBL(⬟ືⓗ)Ꮫ⩦ἲࡣ㸪ᚑ᮶ࡢࠕㅮ⩏ᙧᘧࡼࡾᴦࡋ࠿ࡗࡓ(㉁ၥ52)ࠖࡀ79.1㸣㸪
ࠕㅮ⩏ᙧᘧࡼࡾᤵᴗෆᐜࡀࡼࡃ⌮ゎ࡛ࡁࡓ(㉁ၥ53)ࠖ
ࡀ81.9㸣ゎ⟅ࢆᚓࡓࡇ࡜࠿ࡽ㸪TBLࡢ᭷⏝ᛶࡣᏛ⏕ࡶ⌮ゎࡋ࡚࠸ࡿࡶࡢ࡜᥎ᐹࡍࡿ㸬୍᪉㸪ᖺᗘ㛫ࡢ
ẚ㍑࡛ࡣ㸪㸳ࡘࡢ㉁ၥ࡟᭷ពᕪࡀㄆࡵࡽࢀࡓ(⾲)㸬
᭷ពᕪࢆ♧ࡋࡓ㉁ၥࡣᏛ⩦᪉␎࡟㛵ࡍࡿࡇ࡜ࡀከ
ࡃ㸪2014ᖺᗘࡣ㸪㉁ၥ࡟ᑐࡋ࡚᭷ព࡟ࠕࡣ࠸ࠖࡀ
ቑຍࡋࠕ࠸࠸࠼ࠖࡀῶᑡ࡚࠸ࡿࡇ࡜࠿ࡽ㸪Ꮫ⩦⪅
ࡀTBLࢆⰋࡃ⌮ゎᑐᛂࡋ㸪2013ᖺᗘࡼࡾண⩦࣭᚟⩦ࢆ✚ᴟⓗ࡟⾜ࡗࡓࡇ࡜ࡀ᥎ᐹࡉࢀࡿ㸬ᖺᗘ㛫ࡢẚ㍑
㉁ၥ ᖺᗘ

䛿䛔

㻞㻜㻝㻟
㻞㻜㻝㻠
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䛹䛱䜙䛛䛸䛔䛘 䛹䛱䜙䛛䛸䛔䛘䜀䛭䛖ᛮ䛖䜀䛭䛖ᛮ䜟䛺䛔

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㻖㻖㻦㼜㻨㻜㻚㻜㻝㻖㻦㼜㻨㻜㻚㻜㻡
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㻖

௨ୖࡢ⤖ᯝ࠿ࡽ㸪ᅛᐃᛶ⩏ṑᏛࡢᤵᴗ࡟ᑐࡍࡿ
TBLࡢ᭷⏝ᛶࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩ Ᏹ㔝ග஌㸪㔝ࠎᇉ㱟࿃㸪ᶓᒣ㈗⣖࡯࠿㸬ࢳ࣮࣒ᇶ┙ᆺᏛ⩦(TBL)ࡢホ౯ 㸫Ꮫ⏕࢔ࣥࢣ࣮ࢺㄪᰝ
࡟ࡼࡿ㸫㸬᪥ṑᩍㄅ㸹2014㸹94㸬

− 283 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 94

᪂つ◳㉁ࣞࢪࣥ࡟࠾ࡅࡿࢹࣥࢳࣥཬࡧ࢚ࢼ࣓ࣝࡢගᏛⓗ≉ᛶ‫ۑ‬㧗⏣኱㍜㸪⇃㇂▱ᘯᰴᘧ఍♫ࢪ࣮ࢩ࣮㸪◊✲ᡤ
Optical properties of dentin and enamel layer in new indirect composite resin.
Takada D, Kumagai T
GC Corporation, Research and Development dept.

Ϩ㸬 ┠ⓗ ᰴᘧ఍♫ࢪ࣮ࢩ࣮࡛ࡣ඘ሸ⏝ࢥ࣏ࣥࢪࢵࢺࣞࢪ
ࣥࠕMIࣇ࢕ࣝࠖࡢࢼࣀࢸࢡࣀࣟࢪ࣮ࢆᛂ⏝ࡋ㸪◊☻᫬㛫ࡢ▷⦰ࡀྍ⬟࡛㸪ẖ᪥ࡢࣈࣛࢵࢩࣥࢢࡢࡳ
࡛Ⰿࢆ⥔ᣢࡍࡿࠕࢭࣝࣇࢩࣕ࢖ࢽࣥࢢຠᯝࠖࢆᣢ
ࡕ࡞ࡀࡽ㸪⮻ṑညྜ㠃࡟ࡶ㐺⏝ྍ⬟࡞ᙉᗘࢆᣢࡗ
ࡓ᪂つ◳㉁ࣞࢪࣥࠕࢹ࢕࢔࣮ࢼࠖࢆⓎ኎ࡋࡓࠋࡑ
ࡢᶵᲔⓗඃ఩ᛶ࡟ࡘ࠸࡚ࡣ㸪୍᫖ᖺࡢᮏᏛ఍࡟࡚
ሗ࿌ࡋ࡚࠸ࡿ1)㸬
୍⯡ⓗ࡞◳㉁ࣞࢪࣥ〇ရࡣ㸪ᵝࠎ࡞⑕౛࡟ᑐᛂ
࡛ࡁࡿࡼ࠺ᖜᗈ࠸Ⰽㄪࣛ࢖ࣥࢼࢵࣉࢆᥞ࠼࡚࠸ࡿ
ࡀኳ↛ṑ࡟ࡣ཯ᑕග࡛㟷ⓑࡃ㸪㏱㐣ග࡛࢜ࣞࣥࢪ
Ⰽࢆ࿊ࡍࡿගᏛⓗ≉ᛶ㸦࢜ࣃ࣮ࣝᛶ㸧ࢆ᭷ࡋ࡚࠾
ࡾ㸪ᑂ⨾ᛶࢆకࡗࡓ⿵⥛ಟ᚟࡟ࡣࡇࡢⰍㄪ෌⌧ࡶせồࡉࢀࡿ㸬ࡲࡓ๓⿦ෙࡢ⑕౛࡟ࡼࡗ࡚ࡣ㸪ࢡࣜ࢔ࣛࣥࢫࢆ☜ಖ࡛ࡁࡎ࡟ⷧࡃ࡞ࡗ࡚ࡋࡲ࠸㸪࣮࢜࣌ࢡࡢⰍㄪࡀᙉࡃฟ࡚ࡋࡲ࠺ࡓࡵ㸪ࡢࡗ࡮ࡾࡋࡓ
⿵⥛≀࡟࡞ࡗ࡚ࡋࡲ࠺࡜ࡢពぢࡶ࠶ࡗࡓ㸬ࡑࡇ࡛௒ᅇ᪂ࡓ࡟㛤Ⓨࡋࡓ࢚ࢼ࣓ࣝࢩ࢙࣮ࢻヨసရࡢගᏛⓗ≉ᛶࡢホ౯࡜ྜࢃࡏ࡚㸪ࢹࣥࢳࣥࢩ
࢙࣮ࢻࡢཌࡳࡢ㐪࠸࡟ࡼࡿⰍㄪ࡬ࡢᙳ㡪࡟ࡘ࠸࡚㸪ᚑ᮶〇ရ࡜ࡢẚ㍑㸪᳨ドࢆ⾜ࡗࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬᪉ἲ࢜ࣃ࣮ࣝᛶホ౯࡟ࡘ࠸࡚ࡣ㸪ヨసရDOP-171ࢆ
⏝࠸㸪ẚ㍑ᑐ㇟࡜ࡋ࡚ࢹ࢕࢔࣮ࢼE59㸪EI1ࢆ౑⏝ࡋࡓ㸬࣮࣌ࢫࢺࢆ1.5mmཌࡢ෇ᰕ㔠ᆺ࡬ሸධࡋ㸪㔜ྜࡉࡏ㸪ⓑ⫼ᬒ࠾ࡼࡧ㯮⫼ᬒ࡟࡚ Ⰽࢆ⾜ࡗࡓ(SPECTRO PHOTOMETER CM-3610d, ࢥࢽ࣑࢝ࣀࣝࢱ)㸬ᚓࡽࢀࡓ⤖ᯝࢆ⏝࠸࡚㸪௨ୗࡢᘧ࠿ࡽ࢜ࣃ࣮ࣝᗘԥC*ࢆ⟬ฟࡋࡓ㸬
ԥC*=³ (a*b- a*w)2+(b*b-b*w)2ࢹࣥࢳࣥཌࡳࡢⰍㄪ࡬ࡢᙳ㡪ࡣࠊࢹ࢕࢔࣮ࢼ
DA3㸪ODA3㸪OA3ࢆ⏝࠸㸪ẚ㍑ᑐ㇟࡜ࡋ࡚◳㉁ࣞ
ࢪࣥᚑ᮶〇ရDA3㸪OA3ࢆ౑⏝ࡋࡓ㸬෇ᰕ㔠ᆺ࡬࣮࢜࣌ࢡᒙࢆ2mmࡢཌࡳ࡛⠏┒㸪㔜ྜࡋࡓᚋ㸪ࢹࣥࢳࣥᒙࢆ⠏┒ࡋ࡚඲య࡛0.7mm, 1.0mm㸪1.5mm㸪
2.0mmࡢཌࡳ࡟࡞ࡿࡼ࠺࡟ࡋ࡚㔜ྜࡉࡏ㸪ヨ㦂∦࡜ࡋࡓ㸬ࡇࢀࢆⰍᕪィ(SPECTRO PHOTOMETER
CM-3610d, ࢥࢽ࣑࢝ࣀࣝࢱ)࡟࡚ Ⰽࢆ⾜࠸㸪ࣞࢪࣥࡢཌࡳ1.0mmࡢ࡜ࡁࢆᇶ‽Ⰽ࡜ࡋ࡚㸪ⰍᕪԥEࢆồࡵࡓ㸬ԥE*=³(L*b- L*w)2+(a*b- a*w)2+(b*b-b*w)2Ϫ㸬⤖ᯝ࡜⪃ᐹ࢜ࣃ࣮ࣝᛶホ౯࡛ࡣ㸪E59(ԥC*=10)㸪 EI1(ԥC*=11)࡜ẚ㍑ࡋ㸪DOP-171(ԥC*=17)ࡣ㧗࠸࢜ࣃ࣮ࣝᛶࢆ᭷ࡋ࡚࠸ࡿࡇ࡜ࡀࢃ࠿ࡗࡓ㸬ࡇࢀࡣ㓄ྜࡉࢀࡿᚤ⢏Ꮚࣇ࢕࣮ࣛࡢ⢏Ꮚᚄࡢไᚚ࡟ࡼࡗ࡚ᚓࡽ
ࢀࡓගᏛⓗ≉ᛶ࡜⪃࠼ࡽࢀࡿ㸬ࢹࣥࢳࣥࢩ࢙࣮ࢻ
ཌࡳࡢⰍㄪ࡬ࡢᙳ㡪࡛ࡣ㸪ᚑ᮶ရ࡛ࡣࢹࣥࢳࣥཌ
ࡳࡀ0.7mmࡢሙྜࠊԥE=3.1࡜᫂ࡽ࠿࡞Ⰽᕪࡀ࠶ࡗ
ࡓࡢ࡟ᑐࡋ㸪ࢹ࢕࢔࣮ࢼDA3/ OA3࡛ࡣ㸪ࡑࡢⰍᕪࡀᚑ᮶〇ရࡢ⣙༙ศ࡟ᢚ࠼ࡽࢀ࡚࠸ࡓ(ୗグ⾲ࢆཧ↷ࡢࡇ࡜)㸬ࡉࡽ࡟ODA3/OA3ࢆ౑⏝ࡋࡓሙྜ࡟ࡣࠊ
࡯ࡰཌࡳ࡟ࡼࡿⰍᕪࡣほᐹࡉࢀ࡞࠿ࡗࡓ㸬ࡇࢀࡣࢹࣥࢳࣥࡢ㏱᫂ᛶࡢ㐪࠸࡟ࡼࡿࡶࡢ࡜⪃࠼ࡽࢀࡿ㸬௨ୖࡢ⤖ᯝ࠿ࡽ㸪࣮࢜࣌࢝ࢫࢹࣥࢳࣥࢆ⏝࠸ࢀࡤ㸪ᨭྎṑࡢᙧᡂ㔞ࢆᑡ࡞ࡃࡍࡿࡇ࡜ࡀ࡛ࡁࡿࡓ
ࡵ㸪ᙧᡂ᫬㛫ࡢ▷⦰ࡀྍ⬟࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ࡲࡓ࢚ࢼ࣓ࣝࢩ࢙࣮ࢻヨసရࡢ౑⏝࡟ࡼࡾ㸪ᝈ⪅ࡢせᮃ࡟ᛂ࠼ࡽࢀࡿᑂ⨾ᛶࡢ㧗࠸⿵⥛≀ࡢస〇ࡀྍ⬟࡟࡞ࡗࡓ࡜⪃࠼ࡽࢀࡿ㸬⾲㸬 1.0mmཌࡢ࡜ࡁࢆᇶ‽Ⰽ࡜ࡋࡓ᫬ࡢⰍᕪԥEࣞࢪࣥᒙࡢཌࡳ
ᚑ᮶〇ရ
DA3/OA3ࢹ࢕࢔࣮ࢼ
DA3/OA3ࢹ࢕࢔࣮ࢼODA3/OA3

0.7mm

1.5mm

2.0mm

3.1

2.7

5.0

1.7

1.6

2.5

1.1

0.9

1.5

ϫ㸬 ᩥ⊩
1) ⏫⏣኱ᶞ㸪⇃㇂▱ᘯ㸬᪂つ◳㉁ࣞࢪࣥࡢ⇕ຎ໬࡟ࡼࡿᙳ㡪㸬⿵⥛ㄅ 2013㸹5(122)㸸205㸬

− 284 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 95࣐࢘ࢫ࣮࢞ࢻࢧ࣮ࣔࣇ࢛࣮࣑ࣥࢢ᫬ࡢཌࡳࡢ☜ಖ㹹➨㸲ሗ㹻

‫ۑ‬Ṋ⏣཭ᏕἙ㔝ඞ᫂ᑠ⃝༟඘୰ᓥ୍᠇Ლ㛫Ꮥᶞᓥ⏣῟㧗ᒣ࿴ẚྂబ⸨Ṋྖ㛵ཱྀ༓ᰤᏊ す㔝ோὈᕝୖⰋ᫂㕥ᮌ⩏ᘯᡂᯇ៞அ㑻⤃㔝೔௦▼ୖ᝴୍ᮾிṑ⛉኱Ꮫࢫ࣏࣮ࢶṑᏛ◊✲ᐊ
Thickness maintenance during custom-made mouthguard thermoforming-Part 4Takeda T, Kawano Y,Ozawa T, Nakajima K, Kajima T, Shimada A, Takayama K, Satoh T, Sekiguchi C,
Nishino M, Kawakami Y, Suzuki Y, Narimatsu K, Konno M, Ishigami K
Department of Sports Dentistry, Tokyo Dental CollegeϨ㸬 ┠ⓗ እയࡣ⏕యࡀチᐜࡋࡁࢀ࡞࠸እຊࡀ◚ቯ࢚ࢿࣝࢠ࣮࡜࡞ࡾ㉳ࡿࡶࡢ࡛࣐࢘ࢫ࣮࢞ࢻ㸦0*㸧ࡣࡇ ࡢ ◚ ቯ ࢚ ࢿ ࣝ ࢠ ࣮ ࢆ ศ ᩓ  ྾ ཰ ࡍ ࡿ ࡇ ࡜ ࡛  እയࡢῶᑡࡑࡢ⛬ᗘࢆ㍍ῶࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚౑ ⏝ ࡉ ࢀ ࡿ  㹋 㹅 〇 స ᫬ ࡢ ࢧ ࣮ ࣔ ࣇ ࢛ ࣮ ࣑ ࣥ ࢢ㸦 7) 㸧 ᧯ స ࡣ  ṇ ☜ ࡞ ᙧ ែ ௜ ୚  ᥋ ╔ ᛶ  㐺 ྜ ᛶ
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ࡳࢆ☜ಖࡍ࡭ࡁୖ㢡ษṑ၁㠃ࡢཌࡳࡣῶᑡࡋࡑ
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ࡍࡿ୧㠃ࢆᗘ࡜ࡍࡿࡇ࡜࡛ୖ㢡ษṑ၁㠃࡛ࡢࢆ⏝࠸ࡓᐇ㦂࡛ࡶຍᅽ㠃࡟ᑐࡍࡿᶍᆺࡢゅᗘࡀᛴ࡟ཌࡳࡢ☜ಖࡀᅗࢀࡓ㸦㡬Ⅼ࡟㏆࠸㸱ィ Ⅼ࡛ࠊ⣙࡞ࡿ࡟ᚑ࠸ཌࡳࡢῶᑡ⋡ࡣ᭷ព࡟ቑ኱ࡍࡿഴྥ࡛࠶
㸦ຍᅽ㸧࠿ࡽPP㸦྾ᘬ㸧㸸ᚑ᮶ࡢ᪉ἲ࡛ࡣ
ࡿࡇ࡜ࡀሗ࿌ࡉࢀ࡚࠸ࡿ  ࡉࡽ࡟㹒㹄᫬࡟㌾໬ୖ㢡ษṑ၁㠃࡛㹫㹫ᙅ㸻ᩥ⊩㸰ࡼࡾ㸧ࡲࡓ
ࡉࢀࡓ 0* ᮦࡀఙᒎࡉࢀࡿ㊥㞳ࡀ㛗࠸࡯࡝ཌࡳࡢῶ
ညྜ㠃࡟┦ᙜࡍࡿ㠃࡛ࡣ㸪ᚑ᮶࡟ẚ࡭ⷧࡃ࡞ࡾ㸪ᑡࡀ㉳ࡇࡿࡇ࡜ࡶሗ࿌  ࡉࢀ࡚࠸ࡿ࡜ࡇࢁ࠿ࡽ
࠿ࡘ㡬Ⅼ࠿ࡽ㎶⦕࡟⾜ࡃ࡟ᚑ࠸ཌࡳࡣῶᑡࡋࠊည
ୖ㢡ษṑ၁㠃ࡢཌࡳࡢῶᑡࢆᢚ࠼ࡿ࡟ࡣࡇࡢ㠃ྜㄪᩚࢆᐜ᫆࡟ࡍࡿࡶࡢ࡜ᛮࢃࢀࡿࢆ  ᗘ࡜ࡋ࡞࠸ᵝ࡟ᶍᆺࢆసᡂࡋ 7) ᫬ࡢ㊥㞳ࢆῶ௒ᅇࡢ7)ἲࡢᨵⰋࡣ࣐࢘ࢫ࣮࢞ࢻࡢᏳ඲ᛶࡢ☜ᑡࡉࡏࡿࡇ࡜ࡀ᭷ຠ࡛ࡣ࡞࠸࠿࡜⪃࠼ᐇ㦂ࢆ⾜࠸ࠊಖ〇స᫬ࡢ⡆౽ᛶࡢྥୖ౑⏝ᮦᩱࡢ㍍ῶ࡟ࡶࡑࡢຠᯝࢆ❧ドࡋࡘࡘ࠶ࡿ
ᐤ୚ࡍࡿࡶࡢ࡜ᛮࢃࢀࡿ
௒ᅇࡣᅗ࡟♧ࡍୖ㢡ษṑ၁㠃࠾ࡼࡧညྜ㠃࡟┦ᙜࡍࡿᖹ㠃ࢆࡑࢀࡒࢀ  ᗘ࡜ࡋ࠿ࡘୖ㢡ษṑ၁ϫ㸬ᩥ⊩
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࢘ࢫ࣮࢞ࢻࡢཌࡳ࡟ࡘ࠸࡚ ᙧᡂ᪉ἲ࡟ࡼࡿ㐪࠸
ࣉࡢ㈨ᩱ࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗࡓࢫ࣏࣮ࢶṑᏛ
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− 285 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 96

ࢹࢪࢱࣝタィࢯࣇࢺࡢ㐪࠸ࡀ⿵⥛⿦⨨ࡢ㎶⦕㐺ྜᛶ࡟ཬࡰࡍᙳ㡪㻌‫ۑ‬ῦ㔝 㝯㸪ᕝⰋ⨾బ㞝㸪ᒾ⏣ዲᘯ㸪ᒾᓮṇᩄ㸪⸀⏣⚈༤㸪஭ୖ⣪⏤⨾㸪ᮏᮌஂ⤮㸪▼ᕝ ᰤ*

᪥ᮏ኱ᏛᯇᡞṑᏛ㒊㢡ཱྀ⭍ᶵ⬟἞⒪Ꮫㅮᗙ
*᪥ᮏ኱ᏛᯇᡞṑᏛ㒊௜ᒓ⑓㝔ᢏᕤ㒊The effects of differences in digital design software on prosthetic device marginal fit
Asano T, Kawara M, Iwata Y, Iwasaki M, Komoda Y, Inoue S, Honki H, Ishikawa S*
Department of Oral Function and Rehabilitation, Nihon University School of Dentistry at Matsudo* Department of Dental Laboratory, Nihon University School of Dentistry Dental Hospital at MatsudoϨ㸬 ┠ⓗ ㏆ᖺ㸪ṑ⛉⏝ࢹࢪࢱࣝᶵჾࡢᬑཬ࡟ࡼࡾ㸪ᵝࠎ࡞⿵⥛⿦⨨ࡀ〇సࡉࢀ㸪⮫ᗋᛂ⏝ࡉࢀ࡚࠸ࡿ㸬≉࡟㸪CAD/CAMࢩࢫࢸ࣒࡛〇సࡉࢀࡿࣁ࢖ࣈࣜࢵ
ࢻࢥ࣏ࣥࢪࢵࢺࣞࢪࣥࢆ⏝࠸ࡓࢡࣛ࢘ࣥࡣ㸪ᑂ⨾ᛶ࡜〇స᫬㛫ࡢ▷⦰㸪ᮦ㉁ࡢᏳᐃᛶ㸯㸧࡞࡝ࡢ฼Ⅼࡀ࠶ࡾ㸪௒ᚋ㸪㔠ᒓಟ᚟࡟ኚࢃࡿṑෙಟ᚟࡜ࡋ࡚
኱ࡁࡃὀ┠ࡉࢀ࡚࠸ࡿ㸬ࡇࢀࢆ⮫ᗋᛂ⏝ࡢ㝿㸪ࡲࡎ⪃៖ࡍࡿⅬࡣ㎶⦕㐺ྜᛶ࡛࠶ࡾ㸪ᨭྎṑࡢணᚋࡸṑ࿘⤌⧊࡟ࡶᙳ㡪ࡍࡿࡇ࡜࠿ࡽ㸪〇సࡉࢀࡓࢡ
ࣛ࢘ࣥࡢ≉ᚩࢆ⌮ゎࡋ࡚࠾ࡃᚲせࡀ࠶ࡿ㸬୍᪉㸪⿵⥛⿦⨨ࢆ〇సࡍࡿCAD/CAMࢩࢫࢸ࣒ࡶከᩘᏑ
ᅾࡋ࡚࠾ࡾ㸪౑⏝ࡍࡿࢹࢪࢱࣝᶵჾࡢ≉ᚩࡀ〇సࡍࡿ⿵⥛⿦⨨ࡢ㎶⦕㐺ྜᛶ࡟ᙳ㡪ࡍࡿ࡜ᛮࢃࢀ㸪ᶵ✀ࡢ㑅ᢥࡶ⪃៖ࡍࡿᚲせࡀ࠶ࡿ㸬ࡑࡇ࡛௒ᅇ㸪ṑ⛉⏝CAD/CAMࢩࢫࢸ࣒ࢆ⏝࠸࡚㸪ࢹࢨ࢖ࣥ㸪࠾ࡼࡧ࣑ࣜࣥࢢࢆไᚚࡍࡿࢯࣇࢺ
࢙࢘࢔ࡢ㐪࠸ࡀ⿵⥛⿦⨨ࡢ㎶⦕㐺ྜᛶ࡟ཬࡰࡍᙳ
㡪࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ϩ㸬 ᪉ἲ ṑᆺࡣ㸪ᑠ⮻ṑࢆ᝿ᐃࡋࡓ㔠ᒓ㔠ᆺࢆࢫ
ࢸࣥࣞࢫ㗰㸦SUS304㸧࡟࡚〇సࡋࡓ㸬ᨭྎṑ㔠ᆺ࡟࠾࠸࡚ࡣ㸪ṑ㢕㒊┤ᚄ8mm㸪㧗ࡉࡣ5mm㸪
㍈ 㠃 ࢸ ࣮ ࣃ ࣮ ࡣ ∦ ഃ 6r࡜ ࡋ ࡓ 㸬 ᮏ 㔠 ᆺ ࡢ ࣐ ࣮ࢪࣥᙧែࡣ㸪࣊ࣅ࣮ࢩࣕࣥࣇ࢓࣮࡛㸪ࢲ࢖ࣖࣔࣥ ࢻ ࣂ ࣮ FGSF106RD㸦ᯇ㢼㸪ி㒔㸧ࡢ ᙧ ែ ࢆ ௜୚ࡋࡓ㸬㔠ᆺࢆࢩࣜࢥ࣮ࣥ༳㇟ᮦ࡟࡚༳㇟᥇ᚓࡋ 㸪 ㉸ ◳ ㉁ ▼ ⭯ ࡟ ࡚ స ᴗ ᶍ ᆺ ࢆ 6ಶ 〇 స ࡋ ࡓ 㸬ࢫ ࢟ࣕ ࣥ ࡣ స ᴗᶍᆺ ࢆᯇ 㢼 S-WAVEࢫ ࢟ ࣕࢼ࣮
D810㸦ᯇ㢼㸪ி㒔㸧࡟࡚⾜ࡗࡓ㸬ࢹࢨ࢖ࣥࡣ㸪2✀ 㢮 ࡢ ࢯ ࣇ ࢺ ࢘ ࢙ ࢔ 㸪 3shape Dental Manager
Dental system 2012-1 Panasonic 㸪 ᮾ ி 㸪 ௨ ୗ 㸹Panasonic ࡜GO2dental㸦ᯇ㢼㸪ி㒔㸧ࢆ⏝࠸ࡓ㸬タィࡣ㸪ࢡ ࣛ ࢘ࣥࢆ᝿ᐃ ࡋ ࡓ෇㗹ྎヨ 㦂 యෆ㠃ࡢࢭ࣓ࣥࢺࢫ࣮࣌ࢫࢆ㎶⦕࠿ࡽ1mmࡲ࡛ࡢ⠊ᅖ
࡛0ȣm࡜ࡋ㸪㍈㠃ࡢ㝮ゅ㒊࠿ࡽညྜ㠃㒊࡛90ȣ
㹫࡜ࡋࡓ㸬ヨ㦂యࡢຍᕤࡣ㸪ࣁ࢖ࣈࣜࢵࢻࢥ࣏ࣥࢪ ࢵ ࢺ ࣞ ࢪ ࣥ ࣈ ࣟ ࢵ ࢡ 㸦 ᯇ 㢼 ࣈ ࣟ ࢵ ࢡ HC 㸧 ࢆ

DWX-50㸦Roland♫〇㸪὾ᯇ㸧࡛๐ࡾฟࡋࡓ㸬᏶ᡂࡋࡓヨ㦂యࡣ㸪ෆ㠃ࡢㄪᩚࢆ⾜ࢃࡎ㸪సᴗᶍᆺ࡟
ᡭᅽ࡟࡚ᅽ᥋ᚋ㸪⣙10kgfࡢⲴ㔜ࢆຍ࠼㸪ᅛᐃࡋࡓ㸬▼⭯ໟᇙᚋ㸪ṑᆺࢆ2ศ๭ࡋ㸪ᨭྎṑ࡜〇సࡋࡓヨ㦂యࡢ㎶⦕࡜ညྜ㠃㒊ࡢᆶ┤ⓗᾋࡁୖࡀࡾ㔞࡟ࡘ࠸࡚㸪ᐇయ㢧ᚤ㙾࡟࡚64ಸ࡟ᣑ኱ࡋ ᐃࡋࡓ㸬㎶⦕࡟ࡘ࠸࡚ࡣ㸪1ศ๭㠃࡟ࡘ࠸࡚ᕥྑ2⟠ᡤ㸪ညྜ㠃㒊࡟ࡘ࠸࡚ࡣ1⟠ᡤࡢィ ࢆ⾜࠸㸪ᖹᆒ್ࢆ⟬ฟࡋࡓ㸬ᚓࡽࢀࡓࢹ࣮ࢱࡼࡾ㸪ྛࢯࣇࢺ㛫࡟࠾ࡅࡿ㎶⦕࡜ညྜ㠃㒊ࡢᨭྎṑ࡜ヨ㦂యࡢᾋࡁୖࡀࡾ㔞
࡟ࡘ࠸࡚Studentࡢt ᳨ᐃࢆ⏝࠸࡚༴㝤⋡5㸣࡛᭷ពᕪࢆ᳨ウࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ྛ6ಶࡢヨ㦂యࡢ㎶⦕࡟࠾ࡅࡿィ12⟠ᡤࡢᆶ┤ⓗᾋࡁୖࡀࡾ㔞ࡢᖹᆒ್ࡣ㸪Panasonic࡛ࡣ㸪3.89(SD5.5)ȣm㸪GO2dental࡛ࡣ㸪3.11 (SD4.0)ȣm࡛࠶ࡗࡓ㸬ࡲࡓ㸪ညྜ㠃㒊࡟࠾ࡅࡿᆶ┤ⓗᾋࡁୖࡀࡾ
㔞ࡢᖹᆒ್ࡣ㸪Panasonic࡛ࡣ㸪205.80 (SD6.6)ȣm㸪
GO2dental࡛ࡣ㸪195.95 (SD8.8)ȣm࡛࠶ࡗࡓ㸬ྛヨ㦂య㛫ࡢ㎶⦕㸪ညྜ㠃ࡢᆶ┤ⓗᾋࡁୖࡀࡾ㔞ࡢ⤫ィᏛⓗ᭷ពᕪ࡟ࡘ࠸᳨࡚ウࡋࡓ࡜ࡇࢁ㸪᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸦p㸼0.05㸧㸬ࡇࡢࡇ࡜࠿ࡽ㸪㎶⦕࠾ࡼࡧညྜ㠃㒊࡟࠾࠸࡚ࡣ㸪ࢯࣇࢺ࡟ࡼࡿᙳ㡪ࡀ࡞࠸ࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ࡋ࠿ࡋ㸪ညྜ㠃㒊࡛ࡣ
90ȣmࡢࢭ࣓ࣥࢺࢫ࣮࣌ࢫ௜୚࡟ᑐࡋ࡚⣙2ಸ⛬ᗘࡢ㛫㝽ࡀィ ࡉࢀ㸪〇సୖ㸪ࡑࡢ≉ᚩࡀ࠶ࡿࡇ࡜ࡀほᐹࡉࢀࡓ㸬ࡲࡓ㸪㎶⦕ ᐃ㒊௨እࡢࢩࣕࣥࣇ
࢓࣮㒊࡛ヨ㦂య࡜ᨭྎṑࡢ࣮࢝ࣈࡀ୍⮴ࡋ࡚࠸࡞࠸㒊ศࡶほᐹࡉࢀࡓ㸬௨ୖࡼࡾ㸪㏆ᖺࡢṑ⛉⏝CAD/CAMࢩࢫࢸ࣒࡟ࡼࡾ〇సࡉࢀࡓࣁ࢖ࣈࣜࢵࢻࢥ࣏ࣥࢪࢵࢺࣞࢪࣥ
ࢡࣛ࢘ࣥࡢ㎶⦕㐺ྜᛶࡣ⮫ᗋᛂ⏝ୖၥ㢟ࡀ࡞࠸ࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) ␭ ⏣ ୍ ὒ 㸪 ⯙ ⏣ ೺ ኵ 㸪 ᑠ ᯘ ᅧ ᙪ ࡯ ࠿ 㸬
CAD/CAMࢩࢫࢸ࣒࡟ࡼࡗ࡚〇సࡋࡓࢥ࣏ࣥ
ࢪࢵࢺࣞࢪࣥࢡࣛ࢘ࣥࡢ㎶⦕㐺ྜᛶ㸬᪥⿵⥛ㄅ 21㸸294 - 301㸪2002㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 97࣒࢞࿪ᄮࡢ཯ᛂ᫬㛫࡬ࡢᙳ㡪㸦୰㧗ᖺ⪅ࢆᑐ㇟࡜ࡋ࡚㸧‫ۑ‬す㔝ோὈ㸪ᡂᯇ៞அ㑻㸪୰ᓥ୍᠇㸪ᑠ⃝༟඘㸪㕥ᮌ⩏ᘯ㸪Ἑ㔝ඞ᫂㸪ᕝୖⰋ᫂㸪⤃㔝೔௦㸪Ṋ⏣཭Ꮥ㸪▼ୖ᝴୍ᮾிṑ⛉኱Ꮫࢫ࣏࣮ࢶṑᏛ◊✲ᐊEffect of Gum Chewing on Reaction Time in Middle and Old Age Group
Nishino M , Narimatsu K , Nakajima K , Ozawa T , Suzuki Y , Kawano Y , Kawakami Y , Konno M , Takeda
T , Ishigami K
Department of Sports Dentistory Tokyo Dental CollageϨ㸬 ┠ⓗ࡚㸪ᑐᛂࡢ࠶ࡿ㹒᳨ᐃࢆ㸳㸣༴㝤⋡࡛⾜ࡗࡓ㸬 ࣄࢺࡣຍ㱋࡟క࠸ᵝࠎ࡞㌟యᶵ⬟ࡀపୗࡍࡿ㸬㐠ືᶵ⬟࡟㛵୚ࡍࡿ㸪඲㌟ࡢ➽ຊ㸪ᖹ⾮ᶵ⬟㸪▐Ⓨຊ㸪ᣢஂຊ࡞࡝ࡶ౛እ࡛ࡣ࡞࠸㸬཯ᛂ᫬㛫ࡣ㸪⏕య࡟୚࠼ࡽࢀࡓ่⃭࡟ᑐࡍࡿ㸪ᡤᐃࡢ཯ᛂ࡟せࡍࡿ᫬㛫ࢆほᐹࡍࡿࡶࡢ࡛㸪่⃭ࡢ▱ぬ㸪ุ᩿㸪㐠ືᐇ⾜࡞࡝ࡢせ⣲ࡀᙳ㡪ࢆཬࡰࡍ࡜⪃࠼ࡽࢀ㸪⬻ᶵ⬟㸪㌟యᶵ⬟ࢆ཯ᫎࡍࡿࡶࡢ࡜ࡉࢀ࡚࠸ࡿ㸬ࡑࡋ࡚㸪཯ᛂࡢⰋྰࡣ㸪᪥ᖖ⏕άࡸࢫ࣏࣮ࢶ࡞࡝
ࡢ㐠ືᶵ⬟࡬ࡶᙉࡃᙳ㡪ࡍࡿࡶࡢ࡜ᛮࢃࢀ࡚࠸ࡿ㸬ࡲࡓ㸪ຍ㱋࡟ࡼࡿᶵ⬟ࡢపୗࡢᙳ㡪ࢆᙉࡃཷࡅࡿ
ࡶࡢ࡜ᛮࢃࢀࡿ㸬୍᪉㸪࿪ᄮ࡟ࡣ㸪ᮏ᮶⏕࿨άືࢆᨭ࠼ࡿ㔜せ࡞ാࡁ࡜ࡋ࡚㸪㣗≀ࢆ⢊○ࡋ㸪⯉ࡸ㢋࡜༠ㄪࡋࡓ㐠ືࢆ⾜࠸㸪ᾘ໬㓝⣲ࢆྵࡴၚᾮ࡜඘ศΰࡐྜࢃࡏ
ࡿࡇ࡜࡛㣗ሢࢆᙧᡂࡍࡿࡇ࡜࡟ࡼࡾᾘ໬ᶵ⬟ࢆಁ㐍ࡍࡿࡇ࡜ࡀ࠶ࡿ㸬ࡋ࠿ࡋ㸪࿪ᄮ࡟ࡣ㸪ࡇࡢᾘ໬ᶵ⬟௨እ࡟ࡶぬ㓰స⏝㸪㐲㝸㒊➽ࡢάືᙉ໬㸪ࣜࣛࢵࢡࢫస⏝㸪⬻ᶵ⬟ࡢಁ㐍࡞࡝ࡢᵝࠎ࡞㌟యᶵ
⬟࡬ࡢຠᯝࡀ࠶ࡿ࡜⪃࠼ࡽࢀ࡚࠸ࡿ㸬ࡋࡓࡀࡗ࡚㸪㌟యᶵ⬟࡬ࡢ࿪ᄮ㐠ືࡢ㛵୚ࡀ⪃࠼ࡽࢀࡿ㸬ࡋ࠿ࡋ㸪࿪ᄮ㐠ື࡜཯ᛂ᫬㛫ࡢ㛵ಀࢆ᳨ウࡋࡓሗ࿌ࡣᑡ࡞࠸㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪࣒࢞࿪ᄮࡀ୰㧗ᖺ⪅ࡢ཯ᛂ᫬㛫࡟࡝ࡢࡼ࠺࡟ᙳ㡪ࡍࡿࡢ࠿࡟ࡘ࠸᳨࡚ウࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹϩ㸬 ᪉ἲ 40௦㹼70௦ࡢ⏨ዪ29ྡ㸦ᖹᆒᖺ㱋60.3ṓ㸧࡟࣒࢞࿪ᄮࢆ⾜ࢃࡏ㸪ࡑࡢ๓ᚋ࡟࠾࠸࡚ྛ5ᅇࡎࡘ཯ᛂ
᫬㛫ࡢ ᐃࢆ⾜ࡗࡓ㸬࡞࠾㸪ᮏ◊✲ࡣᮾிṑ⛉኱Ꮫ೔⌮ဨ఍(ᢎㄆ␒ྕNo.437)ࡢᢎㄆࢆᚓ࡚⾜ࡗࡓ㸬౑⏝ࡋࡓ࣒࢞ࡣXYLITOL(LOTTE)ࢆ⏝࠸㸪࣒࢞࿪ᄮࡣ⣙15ศ㛫⮬⏤࡟⾜ࢃࡏࡓ㸬཯ᛂ᫬㛫ࡢ ᐃ࡟ࡣ㸪཯ᛂ᫬㛫 ᐃࢯࣇࢺ࢚࢘࢔ࠕReactࠖࢆ⏝࠸㸪
どぬ࠾ࡼࡧ㡢่⃭࡟ᑐࡋ࡚⾜ࡗࡓ㸬ࡇࢀࡣ㸪ࢥࣥࣆ࣮ࣗࢱ࡟࡚࿊♧ࡉࢀࡓ⏬ീࡲࡓࡣ㡢࡟㸪࡛ࡁࡿ㝈ࡾ᪩ࡃ࣐࢘ࢫࢆࢡࣜࢵࢡࡍࡿࡇ࡜࡛཯ᛂ᫬㛫ࢆᐃࡍࡿࡶࡢ࡛࠶ࡿ㸬⤫ィฎ⌮ࡣ࢚ࢡࢭࣝ⤫ィ࡟ 㧗ᖺ⩌࡛ࡣ㸪⏬ീ࠾ࡼࡧ㡢่⃭࡟ᑐࡋ࡚᭷ព࡟
཯ᛂ᫬㛫ࡀ▷⦰ࡉࢀࡓ㸬୰ᖺ⩌࡛ࡣ㸪㡢่⃭࡟ᑐࡋ࡚᭷ព࡟཯ᛂ᫬㛫ࡀ▷⦰ࡉࢀ㸪⏬ീ่⃭࡟ᑐࡋ࡚ࡣ▷⦰ഴྥࢆ♧ࡋࡓ㸬඲⿕㦂⪅ࡢࢺ࣮ࢱࣝ࡜ࡋ
࡚ࡳࡿ࡜㸪⏬ീ࠾ࡼࡧ㡢่⃭࡟ᑐࡋ࡚᭷ព࡟཯ᛂ
᫬㛫ࡀ▷⦰ࡉࢀࡓ㸬㌟యᶵ⬟ࡢ㔜せ࡞せ⣲ࡢ୍ࡘ࡛࠶ࡿ཯ᛂ᫬㛫ࡣ㸪࣒࢞࿪ᄮࢆ⾜࠺ࡇ࡜࡟ࡼࡾ▷⦰ࡍࡿഴྥࡀ࠶ࡿࡇ
࡜ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬ࡇࢀࡣ࿪ᄮ࡟ࡼࡗ࡚ṑ᰿⭷
ෆࡢゐᅽ่⃭࡟ࡼࡿ᢯ᾘ⚄⤒ࡢ⯆ዧࡀ୕ཫ⚄⤒ࢆ⤒⏤ࡋ⬻ᖿࡢᘏ㧊࡞࡝࡟ఏ㐩ࡋ㸪኱⬻ࡢឤぬ㡿࡟㐩ࡍࡿ࡜⪃࠼ࡽࢀࡿ࡜ࡇࢁ࠿ࡽ㸪ࡇࡢ࣒࢞࿪ᄮ࡟
ࡼࡿ่⃭ࡀ⬻ࡢ㐺ᗘ࡞⯆ዧ࡜࡞ࡾ㸪ືస࡬ࡢ཯ᛂ
ࡀᨵၿࡉࢀࡓ࡜⪃࠼ࡽࢀࡿ 1 㸧 㸬ࡲࡓ㸪࿪ᄮ᫬࡟⏕ࡌࡿ࿪ᄮ➽㸪⯉㸪㢡㛵⠇࡞࡝ࡼࡾࡢᵝࠎ࡞ឤぬ่⃭ࡀ㸪ୖ⾜ᛶẟᵝయ㈿ά⣔ࢆάᛶ໬ࡉࡏ࡚࠸ࡿࡇ
࡜ࡶᐤ୚ࡋ࡚࠸ࡿࡶࡢ࡜ᛮࢃࢀࡿ㸬ࡉࡽ࡟㸪ୖୗ㢡⚄⤒ࡢᮎᲈ࠿ࡽ୕ཫ⚄⤒⠇ࢆ௓ࡋ࡚㸪║⚄⤒࡬࡞ࢇࡽ࠿ࡢᙳ㡪ࢆཬࡰࡋࡓྍ⬟ᛶࡶ⪃࠼ࡽࢀࡿ㸰㸧㸬௒ᅇࡢᐇ㦂࡛ࡣ↓సⅭ࡟⿕㦂⪅ࢆ㑅ูࡋ ᐃࡋࡓࡶࡢ࡛࠶ࡾ㸪ညྜ㛵ಀࡸ㐠ື⤒㦂ࡢ᭷↓࡞࡝ࡣ⪃៖ࡋ࡚࠸࡞࠸㸬ࡑࡢࡓࡵ㸪௒ᚋࡣ࿪ᄮᅇᩘࡸ᫬㛫ࡀཬࡰࡍᙳ㡪ࡸ࣒࢞ࡢᛶ≧ࡶ⪃៖ࡋ㸪ࡑࡢస⏝ࡢゎ᫂ࢆྵࡵ᳨ウࡋࡓ࠸㸬ϫ㸬 ᩥ⊩⬥ᆏ ⪽, ᮏ㛫 ᚿಖ, ῿⨾ ཭ెᏊ. ୕ཫ⚄⤒୰⬻㊰᰾ࢽ࣮ࣗࣟࣥࡢࢩࢼࣉࢫ࡜ឤぬཷᐜჾ.
⬻ࡢ⛉Ꮫ 2003 ; 25 : 899-907.
2) ⏣ᮧ ಟ, 㜿㒊 ┿▱Ꮚ, 㧗ᒸ ᫂ᙪ. ║⌫㐠ື࡟ᑐࡍࡿ║➽⮬ᕫཷᐜჾࡢᙳ㡪. ឡ፾་Ꮫ1991 ; 10 : 1-2.
1)

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 98ගᏛࢫ࢟ࣕࢼ࠾ࡼࡧcone-beam CT࡟ࡼࡿ୕ḟඖṑิᙧ≧ィࡢ⢭ᗘホ౯‫ۑ‬ᮌཎ⌶ஓ㸪⏣ᆅ ㇦㸪Ἑཎ࿴Ꮚ㸪୕ᮧ⣧௦㸪㤳⸨ᓫ⿱㸪஧ᕝᾈᶞᗈᓥ኱Ꮫ኱Ꮫ㝔་ṑ⸆ಖ೺Ꮫ◊✲⛉⤫ྜ೺ᗣ⛉Ꮫ㒊㛛ཱྀ⭍⏕≀ᕤᏛศ㔝
Accuracy evaluation of three-dimensional scanning by optical scanner and cone-beam CT in Dental
CAD/CAM system
Kihara T, Taji T, Kawahara K, Mimura S, Shuto T, Nikawa H
Department of Oral Biology and Engineering Integrated Health Sciences, Institute of Biomedical and Health
Sciences, Hiroshima UniversityϨ㸬 ┠ⓗ ṑ⛉࡬ࡢCAD/CAMࡢᑟධࡣ㸪⿵⥛⿦⨨ࡢ㧗ရ㉁໬㸪ຍᕤ⢭ᗘࡢつ᱁໬㸪ࡲࡓస〇ᕤ⛬ࡢ⡆␎໬ࡸᢏᕤ᧯సࡢᨵၿ࡞࡝ከࡃࡢ฼Ⅼࢆࡶࡓࡽࡋ࡚࠸ࡿ㸬㏆ᖺ㸪ṑ⛉⏝CAD/CAMࢩࢫࢸ࣒࡜ࡋ࡚ᵝࠎ࡞〇ရࡀᕷሙ࡟ฟ࡚࠾ࡾ㸪⮫ᗋ࡛ࡢά⏝ࡸホ౯ࡀ࡞ࡉࢀ
࡚࠸ࡿ 1) 㸬Trophyࢩࢫࢸ࣒ࡣCarestream Health♫ࡢ࣮࢜ࣉࣥ᪉ᘧCAD/CAMࢩࢫࢸ࣒࡛㸪ࢫ࢟ࣕࢽࣥࢢ
࡟ගᏛࢫ࢟ࣕࢼࡶࡋࡃࡣcone-beam CTࢆ⏝࠸ࡿࡇ࡜ࡀྍ⬟࡛࠶ࡿ㸬Cone-beam CTࡣCAD/CAMࢩࢫ
ࢸ࣒࡟࠾࠸࡚༳㇟యࢆᑐ㇟࡜ࡋ࡚౑⏝ࡋ㸪᩿ᒙࢹ࣮ࢱࢆ୕ḟඖ෌ᵓ⠏ࡍࡿࡇ࡜࡛ṑิᙧែࢆ෌⌧ࡍࡿ㸬௒ᚋ⮫ᗋᛂ⏝ࡀぢ㎸ࡲࢀ࡚࠸ࡿࡀ㸪ࡑࡢヲ⣽࡟ࡘ࠸࡚ࡣ୙᫂࡞Ⅼࡀከ࠸㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪ṑ⛉⏝CAD/CAMࢩࢫࢸ࣒ࡢගᏛࢫ࢟ࣕࢼ࠾ࡼࡧ
cone-beam CTࢆ⏝࠸࡚ࢫ࢟ࣕࢽࣥࢢࡋࡓṑิᙧែࡢ୕ḟඖࣔࢹࣝࡢ≉ᚩ࡜⢭ᗘ࡟ࡘ࠸᳨࡚ウࡋࡓ㸬ϩ㸬 ᪉ἲ ᑐ㇟ࡣୗ㢡ᕥഃ➨୍኱⮻ṑࢆᨭྎṑᙧᡂࡋࡓṑิ▼⭯ᶍᆺ࡜ࡋࡓ㸬ỗ⏝㠀᥋ゐᘧ୕ḟඖᙧ≧ィ⿦⨨࠾ࡼࡧTrophyගᏛࢫ࢟ࣕࢼ㸦Carestream Health♫㸧ࢆ⏝࠸࡚ṑิᶍᆺࢆィ ࡋ㸪ࡑࢀࡒࢀṑิࡢ୕ḟඖࣔࢹࣝࢆྲྀᚓࡋࡓ㸬ࡲࡓ㸪ṑิᶍᆺࡢ༳㇟
᥇ᚓࢆ⾜࠸㸪ࡑࡢ༳㇟యࢆTrophy cone-beam CT
㸦Carestream Health♫㸧࡛᧜ᙳࡋ㸪୕ḟඖ෌ᵓ⠏ࡍࡿࡇ࡜࡟ࡼࡾṑิࡢ୕ḟඖࣔࢹࣝࢆ⏕ᡂࡋࡓ㸬ྛࢫ࢟ࣕࢽࣥࢢࡢ≉ᚩ࡜⢭ᗘ࡟ࡘ࠸࡚ࡣ㸪ࢹ࣮ࢱࡢゎീᗘ࡜ᙧ≧෌⌧ᛶࢆホ౯㡯┠࡜ࡋ࡚ẚ㍑᳨ウࡋࡓ㸬ࢹ࣮ࢱゎീᗘ࡟㛵ࡋ࡚ࡣⅬᩘ࡜࣏ࣜࢦࣥᩘ࡛
ホ౯ࡋ㸪ᙧ≧෌⌧ᛶ࡟㛵ࡋ࡚ࡣྛ୕ḟඖࣔࢹࣝࡢ
㔜ࡡྜࢃࡏࢆ⾜ࡗࡓᚋ㸪୍ṑࡎࡘ࡜ṑิ඲య࡛ホ౯ࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ࢹ࣮ࢱࡀ᭱ࡶ㧗ゎീᗘ࡛࠶ࡗࡓࣔࢹࣝࡣගᏛࢫ
࢟ࣕࢼ࡛ྲྀᚓࡋࡓ୕ḟඖࣔࢹ࡛ࣝ࠶ࡾ㸪ᑠ❐⿣⁁ࡸࣇ࢕ࢽࢵࢩࣗࣛ࢖ࣥࡶ௚ࡢࣔࢹࣝࡼࡾ⢭⣽࡟෌⌧ࡉࢀ࡚࠸ࡓ㸦ᅗ㸧㸬ගᏛࢫ࢟ࣕࢼ࡛ṑิ඲యࢆ᧜ᙳࡋࡓሙྜ㸪⏕ᡂࡋࡓࢹ࣮ࢱࡢ㏲ḟ㔜ࡡྜࢃࡏࡢㄗᕪ࡟ࡼࡾṑิᖜᚄ࡞࡝ṑิ඲యࡢ኱ࡁࡉࡣ෌
⌧ᛶࡀపࡃ࡞ࡗ࡚ࡋࡲ࠺ࡀ㸪ࢥࣥࣆ࣮ࣗࢱୖ࡛ࡢ
⿵⥛⿦⨨タィࡢ㝿࡟ࡣ㸪ᨭྎṑ࿘㎶ࡢ3ṑศࡢࢹ࣮ࢱ࡛స〇ࡀ࡛ࡁࡿࡓࡵ㸪ࢡࣛ࢘ࣥ➼ࢆస〇ࡍࡿୖ࡛ࡣࡑࡢㄗᕪࡣᙳ㡪ࡀᑡ࡞࠸࡜⪃࠼ࡽࢀࡿ㸬Conebeam CT࡟ࡼࡾ⏕ᡂࡋࡓṑิࡢ୕ḟඖࣔࢹࣝࡣヲ⣽࡞ᙧ≧ࢆ෌⌧ࡍࡿࡇ࡜ࡣᅔ㞴࡛࠶ࡗࡓࡀ㸪ṑิ඲యࡢ෌⌧ࡣ㧗⢭ᗘ࡛࠶ࡗࡓ㸬ྛ୕ḟඖᙧ≧ィ⿦⨨࡛ྲྀᚓࡋࡓ୕ḟඖࣔࢹࣝ

㸦A㸸ỗ⏝㠀᥋ゐᘧ୕ḟඖᙧ≧ィ⿦⨨㸪B㸸ගᏛ

ࢫ࢟ࣕࢼ㸪C㸸Cone-beam CT㸧ᮏ◊✲࡟ࡼࡾ㸪ṑ⛉⏝CAD/CAMࢩࢫࢸ࣒ࡢගᏛ
ࢫ࢟ࣕࢼࡣ㒊ศⓗ࡞ṑෙᙧែࢆ㧗⢭ᗘ࡟෌⌧ࡍࡿࡇ࡜ࡀ࡛ࡁ㸪cone-beam CTࡣ඲యⓗ࡞ṑิᙧែࢆ㧗⢭ᗘ࡟ࣔࢹࣝ໬ྍ⬟࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) Boitelle P, Mawussi B, Tapie L, Fromentin O. A
systematic review of CAD/CAM fit restoration
evaluations. J Oral Rehabil 2014; 41:853-874.

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 99ྛ✀௬ᑒᮦࡢᑒ㙐ᛶ࡟㛵ࡍࡿ◊✲‫ۑ‬ᮧཎ㈆᫛㸪Ლཎ㞝ኴ㑻*㸪ᓠඖ㔛Ꮚ*㸪ᰗ⏣ᘅ᫂㸪ᮧཱྀᾈ୍*㸪㛛ᕝ᫂ᙪ㸪㕥ᮌྖ㑻**
ᕊᓮⰋே*㸪༡ ᘯஅ㮵ඣᓥ኱Ꮫ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ညྜᶵ⬟⿵⥛Ꮫศ㔝㸪*㮵ඣᓥ኱Ꮫ་Ꮫ㒊࣭ṑᏛ㒊㝃ᒓ⑓㝔 ෙ࣭ࣈࣜࢵࢪ⛉㸪**࢔ࣛࣂ࣐኱Ꮫࣂ࣮࣑ࣥࢢࣁ࣒ᰯṑᏛ㒊ࣂ࢖࣐࢜ࢸࣜ࢔ࣝศ㔝A study on sealing properties of temporary filling materials.
Murahara S, Kajihara Y*, Minemoto S*, Yanagida H, Muraguchi K*, Kadokawa A, Suzuki S**,
Minesaki Y*, Minami H
Department of Fixed Prosthodontics Kagoshima University Graduate School of Medical and Dental Sciences,*Fixed Prosthodontic Clinic Kagoshima University Medical and Dental Hospital,**Division of Biomaterials University of Alabama at Birmingham School of DentistryϨ㸬 ┠ⓗ ௬ᑒᮦ࡟ồࡵࡽࢀࡿᡤせᛶ㉁ࡣ㸪⡆౽࡞᧯సᛶ㸪௬ᑒᮇ㛫୰ࡢ⬺ⴠࡢࡋ㞴ࡉ㸪❐Ὕ࠿ࡽࡢ᧔ཤࡢࡋ
᫆ࡉ࡟ຍ࠼࡚㸪᭱኱ࡢ┠ⓗࡓࡿⰋዲ࡞ᑒ㙐ᛶ࡛࠶ࡿ1)㸬ᮏ◊✲࡛ࡣ㸪ᩘ✀ࡢ௬ᑒᮦ࡟ࡘ࠸࡚㸪ࡑࡢᑒ㙐ᛶࡢホ౯ࢆⰍ⣲ᾐධヨ㦂࡟࡚⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ ᐇ㦂࡟ࡣࣄࢺᢤཤᑠ⮻ṑࢆ౑⏝ࡋࡓ㸬⏝࠸ࡓ௬ᑒᮦࡣ⢊ᾮࢱ࢖ࣉࡢᖖ 㔜ྜᆺࣞࢪࣥ⣔௬ᑒᮦ㸸
PRGࣉࣟࢸࢡࢺࢩ࣮ࣝ㸦ᯇ㢼㸪௨ୗPR㸧㸪ࣇ࢕ࢵࢺࢩ࣮ࣝ㸦ࢪ࣮ࢩ࣮㸪௨ୗFI㸧㸪ࣉࣛࢫࢺࢩ࣮ࣝ
㸦᪥ᮏṑ⛉⸆ရᕤᴗ㸪௨ୗPL㸧㸪ග◳໬ᆺࣞࢪࣥ
⣔௬ᑒᮦ㸸ࣇ࢓࣮࣑ࢵࢺ㸦࢖࣎ࢡ࣮ࣛࣝ㸪௨ୗ
FE㸧㸪Ỉ◳ᛶࢭ࣓ࣥࢺ㸸࢟ࣕࣅࢺࣥ㸦ࢪ࣮ࢩ࣮㸪
௨ୗCA㸧㸪⇕ྍረᛶᶞ⬡⣔௬ᑒᮦ㸸ࢸ࣏࣮ࣥࣛࣜ
ࢫࢺࢵࣆࣥࢢ㸦ࢪ࣮ࢩ࣮㸪௨ୗST㸧ࡢ6✀㢮࡜ࡋࡓ㸬ᢤཤṑࢆṑ㢕㒊ࡢ࢚ࢼ࣓̺ࣝࢭ࣓ࣥࢺቃ࡟࡚ษ
᩿ࡋ㸪ṑෙഃࡢษ᩿㠃ࢆࢥ࣏ࣥࢪࢵࢺࣞࢪࣥ࡟࡚
ᑒ㙐ࡋࡓ㸬ṑෙ㒊㞄᥋㠃࡟㸪ὀỈୗ࢚࢔࣮ࢱ࣮ࣅ
ࣥ࡟࡚ࢲ࢖ࣖࣔࣥࢻ࣏࢖ࣥࢺ㸦No.202-ISO#021㸪
ᯇ㢼㸧ࡀ῝ࡉ4 mmධࡾ㎸ࡴ≧ែࡢ㇟∳㉁࡟ཬࡪ❐Ὕࢆᙧᡂࡋࡓ㸬❐ὝࢆỈὙ㸪࢚࢔ࣈ࣮ࣟᚋ࡟௬ᑒ
ࢆ᪋ࡋ㸪ヨ㦂∦ࢆ᏶ᡂࡋࡓ㸬᏶ᡂࡋࡓヨ㦂∦ࡣ37 ΥࡢỈ୰࡟24᫬㛫ᾐₕࡋࡓᚋ㸪5 Υ࡜55 Υྛ1ศ㛫ࡢỈ୰⇕ࢧ࢖ࢡࣝࢆ1,500ᅇ௜୚ࡋࡓ㸬ࡑࡢᚋ㸪
2 㸣࢚ࣜࢫࣟࢩࣥỈ⁐ᾮ࡟24 ᫬㛫ᾐₕࡋ㸪Ⰽ⣲ᾐධヨ㦂ࢆ⾜ࡗࡓ㸬Ⰽ⣲ᾐධヨ㦂ᚋ㸪㏱᫂ࡢᖖ 㔜ྜࣞࢪࣥ࡟ໟᇙࡋ㸪ప㏿ษ᩿ᶵ࡟࡚❐Ὕࡢ୰ኸࢆ
㏻ࡿ㠃࡛㏆㐲ᚰ᪉ྥ࡟ษ᩿ࡋࡓ㸬ษ᩿㠃ࢆගᏛ㢧ᚤ㙾࡟࡚ほᐹࡋ㸪Ⰽ⣲ᾐධᗘࢆ௨ୗ࡟♧ࡍࢫࢥ࢔࡟࡚ホ౯ࡋࡓ㸬ࢫࢥ࢔1㸸Ⰽ⣲ᾐධࢆㄆࡵ࡞࠸ࡶࡢ
ࢫࢥ࢔2㸸࢚ࢼ࣓ࣝ㉁ෆ࡟ཬࡪࡶࡢ
ࢫࢥ࢔3㸸㇟∳㉁࡟ཬࡪࡶࡢ ྠ୍᮲௳ࡢヨ㦂∦ᩘࡣ8࡜ࡋ㸪 ᐃ⤖ᯝࡣ୍ඖ㓄⨨ศᩓศᯒᚋ㸪Bonferroni/Dunn Test࡟ࡼࡿከ㔜ẚ
㍑࡟ࡼࡾ㸪༴㝤⋡5 㸣࡛᭷ពᕪุᐃࢆ⾜࡞ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹྛ✀௬ᑒᮦࡢⰍ⣲ᾐධᗘࡢᖹᆒࢫࢥ࢔

⤖ᯝࢆᅗ࡟♧ࡍ㸬Ⰽ⣲ᾐධᗘࡣᖖ 㔜ྜᆺࣞࢪࣥ⣔௬ᑒᮦࡀᑠࡉࡃ㸪ග◳໬ᆺࣞࢪࣥ⣔௬ᑒ๣ࡀࡇࢀ࡟⥆࠸ࡓ㸬⇕ࢧ࢖ࢡࣝᚋ࡟ࡣග◳໬ᆺࣞࢪࣥ
⣔௬ᑒᮦࡣⰍ⣲ᾐධᗘࡀቑ኱ࡋࡓ㸬ࡇࢀࡣ⇕⭾ᙇಀᩘࡀᙳ㡪ࡋ࡚࠸ࡿࡶࡢ࡜ᛮࢃࢀࡿ2)㸬
Ỉ◳ᛶࢭ࣓ࣥࢺࡣࢭ࣓ࣥࢺ◳໬≀ࡑࡢࡶࡢࡀⰍ
⣲࡛ᰁࡲࡗ࡚࠸ࡓ㸬ࡇࢀࡣ㸪ᡂศ࡟▼⭯ࢆྵࢇ࡛࠾ࡾ㸪◳໬≀ࡀከᏍ㉁࡛࠶ࡿࡓࡵ࡜⪃࠼ࡽࢀࡓ㸬⇕ྍረᛶᶞ⬡ࡢࢫࢺࢵࣆࣥࢢࡣⰍ⣲ᾐධࡀ᭱ࡶ
኱ࡁ࠿ࡗࡓ㸬ࡇࢀࡣ㸪⇕࡛㌾໬ࡉࡏ࡚඘ሸࡋࡓᚋ࡟㸪 ᗘࡀపୗࡍࡿ㝿࡟཰⦰ࢆ㉳ࡇࡋ࡚࠸ࡿࡓࡵ
࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿ㸬ϫ㸬 ᩥ⊩1)ᖹ஭⩏ே㸬௬ᑒ̿❐Ὕᙧᡂᚋࡢ௬ᑒ࡟ࡘ࠸࡚̿㸬 ᥋╔ṑᏛ 1992; 10(3): 243-244.
2)⏣ᮧࡺࡁ࠼㸪㧗ᶫྐ඾㸪ゅ㔝ዉὠ㸪ᕝᮏ ㄹ㸪㎷ᮏᬡṇ㸪ᒣ㐨 Ṍ㸪ᆤ⏣ᆂྖ㸪㯮ᕝᗣᘯ㸪ᐑᓮ┿⮳㸬ヨస SѸPRGࣇ࢕࣮ࣛྵ᭷ࣞࢪࣥ
⣔௬ᑒᮦࡢ㎶⦕ᑒ㙐ᛶ࡟㛵ࡍࡿ◊✲㸬᪥ṑಖᏑㄅ 2013; 56(3): 193-199.

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 100

Rapid Prototyping ᢏ⾡ࢆᛂ⏝ࡋࡓࢡࣛ࢘ࣥᨭྎṑᙧᡂᶍᆺṑࡢヨస‫➉ۑ‬ᕷ༟㑻㸪኱㔝බ⛱㸪ཎ⏣ ு㸪➉ෆ៞Ꮚ㸪ୗ⏣ኟᕼ㸪ຍ⸨ᙲᏊ*㸪ཎ⏣ ᓫ**Ọ஭┿Ώ***㸪Ọ᳃ ⼥****㸪᭹㒊ṇᕭ*****
ឡ▱Ꮫ㝔኱ᏛṑᏛ㒊ෙ࣭ᶫ⩏ṑᏛㅮᗙ㸪*ཱྀ⭍ゎ๗Ꮫㅮᗙ㸪**࣐ࣝࢳ࣓ࢹ࢕࢔ࢭࣥࢱ࣮㸪***ࢩࣟࢼࢹࣥࢱࣝࢩࢫࢸ࣒ࢬྡྂᒇᨭᗑ㸪****࣮ࣟࣛࣥࢻDGྡྂᒇႠᴗᡤ㸪*****㧗㱋⪅ṑ⛉Ꮫㅮᗙ
Trial Manufacture of Training Model Teeth Prepared for Crown by Application of Rapid Prototyping
Technology
Takeichi T, Ohno K, Harata R, Takeuchi K, Shimoda N, Kato A*, Harada T**, Nagai M***, Nagamori
T****, Hattori M*****
Department of Fixed Prosthodontics, School of Dentistry, Aichi Gakuin University, *Oral Anatomy, **MultiMedia Center, ***Sirona Dental Systems, ****Roland DG, *****GerodontologyϨ㸬 ┠ⓗ ⿵⥛἞⒪࡟࠾࠸࡚⌮᝿ⓗ࡞ᨭྎṑᙧែࢆ⌮ゎࡋ㸪࢖࣓࣮ࢪࡍࡿࡇ࡜ࡣ㐺ษ࡞ษ๐ࢆ⾜࠺ୖ࡛ᚲ㡲࡛࠶ࡿ㸬ࡲࡓᶍᆺṑࡣᐇ⩦࡟࠾࠸࡚ṑࡢᙧែࢆ❧యⓗ࡟࢖࣓࣮ࢪࡍࡿࡓࡵ࡟᭷⏝࡛࠶ࡾ㸪ෙᶫ⩏ṑᏛࢆࡣࡌࡵᵝࠎ࡞ᐇ⩦࡛ά⏝ࡉࢀ࡚࠸ࡿ㸬ࡋ࠿ࡋ௒᪥ࡲ࡛⌮᝿ⓗ࡞ᨭྎṑᙧែࢆ௜୚ࡋࡓᶍᆺṑࢆຠ⋡ࡼࡃᐇ⩦ㄢ㢟ࡈ࡜࡟స〇ࡍࡿࡇ࡜ࡣᅔ㞴࡛࠶ࡗࡓ㸬 ୍᪉㸪Rapid Prototyping࡛ࡣ✚ᒙ㐀ᙧἲ࡜࿧ࡤࢀ
ࡿ〇㐀ᡭἲࡀ⏝࠸ࡽࢀࡿ㸬✚ᒙ㐀ᙧἲࡢ㸯ࡘ࡛࠶ࡿග㐀ᙧ᪉ᘧࡣ⣸እ⥺ࢆ↷ᑕࡍࡿࡇ࡜࡛◳໬ࡍࡿᾮయᶞ⬡ࢆ⏝࠸ࡓ㐀ᙧἲ࡛࠶ࡿ㸬㠃୍ᣓ㟢ග࡟ࡼࡾ㐀ᙧࡍࡿᡭἲࡣ࣮࣡ࢡ࢚ࣜ࢔ෆ࡟」ᩘࡢ㐀ᙧ≀ࢆ୍ᗘ࡟స〇ࡍࡿࡇ࡜ࡀྍ⬟࡛࠶ࡾ㸪ຠ⋡ⓗ࡞
Rapid Prototyping Technology㸦RPT㸧࡛࠶ࡿ㸬RPTࢆᛂ⏝ࡋ࡚ᐇ⩦ᩍᮦࢆస〇ࡍࡿヨࡳࡣ་Ꮫ㡿ᇦ࡛ࡣሗ࿌ࡉࢀ࡚࠸ࡿ1)㸬ࡑࡇ࡛௒ᅇ㸪ࢡࣛ࢘ࣥ࡟ࡼࡿ
⿵⥛἞⒪ࢆ᝿ᐃࡋ࡚ᨭྎṑᙧᡂࢆ᪋ࡋࡓ᪤〇ࡢᶍᆺṑࢆࢫ࢟ࣕࣥࡋࡓᚋ㸪㠃㟢ගᘧග㐀ᙧ᪉ᘧࡢ
RPTࢆᛂ⏝ࡋ࡚ᶍᆺṑࡢヨసࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ
1. ᨭྎṑᙧᡂ ࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࣈࣟࢵࢡࢆ⏝࠸ࡓCAD/CAM
ෙ࡟ࡼࡿ⿵⥛἞⒪ࢆ᝿ᐃࡋ࡚㸪ୗ㢡ᕥഃ➨㸯ᑠ⮻ṑࡢᶆ‽ᐇ⩦⏝ᶍᆺṑ㸦A5A-500㸪ࢽࢵࢩࣥ㸧ࢆᙧᡂࡋࡓ㸬๐㝖㔞ࡣညྜ㠃㒊2mm㸪㍈㠃㒊1.5mm㸪
࣐࣮ࢪࣥ㒊1mm࡜ࡋ㸪࣐࣮ࢪࣥࡣ඲࿘ࢹ࢕࣮ࣉࢩ
ࣕࣥࣇ࢓࣮࡜ࡋࡓ㸬ࢲ࢖ࣖࣔࣥࢻ࣏࢖ࣥࢺ
㸦CAD/CAMࣉࣞࣃ࣮ࣞࢩࣙࣥ࢟ࢵࢺ㸪ᯇ㢼㸧ࢆ⏝࠸࡚ᙧᡂࡋ㸪ࢲ࢖ࣖࣔࣥࢻ࣏ࣜࢵࢩ࣮ࣕ㸦ࢥ࣏࣐ࣥࢫࢱ࣮ CA㸪ᯇ㢼㸧ࢆ⏝࠸࡚᭱⤊௙ୖࡆࡋࡓ㸬
2. ࢫ࢟ࣕࢽࣥࢢ ᙧᡂࡋࡓᶆ‽ᐇ⩦⏝ᶍᆺṑࢆィ ჾ㸦inEOSX5㸪
ࢩࣟࢼࢹࣥࢱࣝࢩࢫࢸ࣒ࢬ㸧࡟࡚ࢫ࢟ࣕࢽࣥࢢࡋ
ࡓ㸬
3. ࢹ࣮ࢱಟṇ ࢫ࢟ࣕࢽࣥࢢᚋ㸪3ḟඖࣔࢹࣜࣥࢢࢶ࣮ࣝ
㸦Rhinoceros㸪AppliCraft㸧ࢆ⏝࠸࡚STLࢹ࣮ࢱࢆಟ

ṇࡋࡓ㸬
4. ฟຊࢹ࣮ࢱ⏕ᡂ ࣉࣟࢪ࢙ࢡࢱ࣮࡟ࡼࡿ㠃㟢ගᘧග㐀ᙧ᪉ᘧ㸱Dࣉࣜࣥࢱ࣮㸦ARM-10㸪Roland DG㸧࡟௜ᒓࡋ࡚࠸
ࡿฟຊࢯࣇࢺ㸦monoFab player AM㸪Roland DG㸧ࢆ⏝࠸࡚ฟຊࢹ࣮ࢱࢆ⏕ᡂࡋࡓ㸬
5. ฟຊ
 ୖ㏙ࡢ㸱Dࣉࣜࣥࢱ࣮࡟࡚ᾮయᶞ⬡㸦PRH35-ST㸪
Roland DG㸧ࢆ౑⏝ࡋ࡚㐀ᙧࣆࢵࢳ0.05mm࡛ฟຊࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹᅗ Rapid Prototyping Technologyࢆᛂ⏝ࡋ࡚ヨసࡋࡓࢡࣛ࢘ࣥᨭྎṑᙧᡂᶍᆺṑ ௒ᅇࡢ◊✲࡛RPTࢆᛂ⏝ࡋ࡚ࢡࣛ࢘ࣥᨭྎṑᙧᡂᶍᆺṑࢆస〇ࡍࡿࡇ࡜ࡀྍ⬟࡛࠶ࡿࡇ࡜ࡀ♧ࡉࢀࡓ㸦ᅗ㸧㸬 ௒ᚋ㸪ᵝࠎ࡞ᨭྎṑᙧᡂࡸ❐Ὕᙧᡂࡢᶍᆺṑࢆస〇ࡋ㸪᳨ウࢆຍ࠼ࡿࡇ࡜࡛ᐇ⩦ᩍᮦ࡜ࡋ࡚ࡢ᭷
⏝ᛶࢆ㧗ࡵ࡚࠸ࡁࡓ࠸㸬ϫ㸬 ᩥ⊩1) Torres K, Stakiewicz G, nieyski M, Drop A,
Maciejewski R. Application of rapid prototyping
techniques for modelling of anatomical structuresin medical training and education. Folia Morphol
2011; 70:1-4.

− 290 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 101

ᙧᡂⓗホ౯࡟ࡼࡿ⮫ᗋ◊ಟṑ⛉་ᖌࡢᇶ♏⮫ᗋ⬟ຊྥୖࢆᅗ
ࡗࡓ୍౛‫ۑ‬ᑠṇ ⪽㸪ᮌᮧ ⯙㸪すᓮ ᏹ㸪ᒸᓮᐃྖ኱㜰ṑ⛉኱ᏛḞᦆṑิ⿵⥛ညྜᏛㅮᗙ
An example of efforts to basic clinical capacity improvement of clinical training dentist by the educational
evaluation
Komasa S, Kimura M, Nishizaki H, Okazaki J.
Osaka Dental Univesity, Department of Removable Prosthodontics and OclussionϨ㸬 ┠ⓗ 2006ᖺᗘ࡟࠾ࡅࡿ⮫ᗋ◊✲ࡢ᏶඲ᚲಟ໬࡟ࡼࡾ㸪ྛ኱Ꮫ࡛ࡶ⮫ᗋ◊ಟࢆ⾜࠺ྛ✀デ⒪ᐊࡀᩚഛࡉࢀ㸪ከࡃࡢ◊ಟṑ⛉་ᖌ࡟ࡼࡿデ⒪ࢆᨭ࠼࡚࠸ࡿ1)㸬ᮏ኱Ꮫ⿵⥛ညྜ἞⒪⛉࡛ࡶከᵝ໬ࡍࡿᝈ⪅ࡢࢽ࣮ࢬ࡟ᛂ࠼࡞ࡀࡽ㸪ᑗ᮶ࡢṑ⛉἞⒪ࢆᢸ࠺ṑ⛉་ᖌࢆ⫱ᡂࡋ࡚࠸࠿࡞ࡅࢀࡤ࡞ࡽ࡞࠸㸬ࡋ࠿ࡋ㸪ᮏㅮᗙ࡟࠾ࡅࡿ◊ಟࡣ㛤ᴗ᪋タ࡛ࡢ◊ಟᚋࡢ༙ᖺ㛫࡜࠸࠺▷ᮇ㛫࡛࠶ࡿࡇ࡜࠿ࡽ㸪ከࡃࡢ⮫ᗋᢏ⾡ࢆᚲ㡲࡜ࡍࡿ⿵⥛἞⒪ࡢᇶᮏᢏ⬟ࢆ⩦ᚓࡍࡿ࡜࠸࠺ࡢࡣ
Ỵࡋ࡚Ᏻ᫆࡞ࡇ࡜࡛ࡣ࡞࠸㸬ࡑࡇ࡛㸪ᮏㅮᗙ࡛ࡢ
⮫ᗋ◊ಟࢆᐇ᪋୰ࡢ⮫ᗋ◊ಟṑ⛉་ᖌ1ྡ࡜⮫ᗋࡢࣇ࢕࣮ࢻࣂࢵࢡ࡟ࡼࡿᇶ♏⮫ᗋ⬟ຊࢆᅗࡿヨࡳࢆ⾜ࡗࡓࡢ࡛㸪ࡇࡇ࡟ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ ホ౯⪅ࡣ኱㜰ṑ⛉኱Ꮫ⿵⥛ညྜ἞⒪⛉ࡢṑ⛉་
ᖌ1ྡ㸪ᐇ᪋⪅ࡣྠ἞⒪⛉࡟࠾࠸࡚⮫ᗋ◊ಟࣉࣟࢢ࣒ࣛᐇ᪋୰ࡢ⮫ᗋ◊ಟṑ⛉་ᖌ1ྡ࡜ࡍࡿ㸬ᐇ᪋ᮇ㛫ࡣᮏ⛉◊ಟ㛤ጞ᪥2014ᖺ10᭶1᪥ࡼࡾ2015ᖺ1᭶9
᪥ࡲ࡛㸦Ⓨ⾲᫬࡟ࡣ3᭶ࡲ࡛ࡢグ㘓ࢆሗ࿌ணᐃ࡛࠶
ࡿ㸬㸧࡜ࡋ㸪ྛ◊ಟ᪥ẖ࡟ࡑࡢ᪥࡟⾜ࡗࡓྛᝈ⪅ࡢデ⒪グ㘓ࢆᣦᑟ་ᣦᐃࡢ᪥ㄅᖒ࡟デ⒪ෆᐜ㸪デ⒪㒊఩㸪デ⒪ࡀ⮬ศ࡛⾜ࡗࡓ࠿⿵ຓ࡛ࡢデ⒪࡛࠶
ࡗࡓ࠿㸪デ⒪᫬࡟Ẽ࡙࠸ࡓࡇ࡜ࢆグ㍕ࡉࡏࡓ㸬1㐌㛫ẖ࡟⮫ᗋ◊ಟṑ⛉་ᖌ࡜ᣦᑟ་㛫࡛グ㍕ෆᐜ࡟㛵ࡋ࡚デ⒪࢝ࣝࢸࢆ౑⏝ࡋࡓࢹ࢕࣮࣋ࢺࢆ⾜࠸㸪ᚲせ࡟ᛂࡌ࡚࣏࣮ࣞࢺࢆᥦฟࡉࡏࡓ㸬ࡑࡢᚋ⮫ᗋ⾡ᘧẖ࡟㸪⮫ᗋṑ⛉་ᖌ࡟๓ᅇࡢᣦ♧஦㡯࡟㛵ࡋ࡚ᨵၿࡀ࡛ࡁࡓ࠿࡝࠺࠿VASἲࢆ฼⏝ࡋࡓ࢔ࣥࢣ
࣮ࢺࢆ⾜࠸㸪ᐇ᪋⪅ࡢ᪥ㄅグ㍕ෆᐜ࡟㛵ࡋ㸪ᮏ⛉◊ಟᮇ㛫୰࡟ኚ໬ࡀ⌧ࢀࡓ࠿࡝࠺࠿ㄪᰝࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 2014ᖺ10᭶1᪥࠿ࡽ2015ᖺ1᭶9᪥࡟࠿ࡅ࡚㸪ᮏ⛉⮫ᗋ◊ಟṑ⛉་ᖌ1ྡࡀᦠࢃࡗࡓ⮫ᗋ⑕౛ࡣ397⮫
ᗋ⾡ᘧ࡛࠶ࡗࡓ㸬ࡑࡢ࠺ࡕ㸪ࢡࣛ࢘ࣥࣈࣜࢵࢪ࡟
㛵ࡍࡿ⑕౛ࡣ116⮫ᗋ⾡ᘧ࡛㸪⩏ṑ࡟㛵ࡍࡿ⑕౛ࡣ
197⮫ᗋ⾡ᘧ࡛࠶ࡗࡓ㸬ᮏㅮᗙࡢ୺࡞ᣦᑟ㡯┠࡛࠶ࡿ⩏ṑ⑕౛࡟㝈ࡿ࡜㸪ᴫᙧ༳㇟35⮫ᗋ⾡ᘧ㸪ཱྀ⭍ෆ๓ฎ⨨࣭➽ᅽᙧᡂ࣭⢭ᐦ༳㇟26㸪ညྜ᥇ᚓ17㸪⻽⩏ṑヨ㐺17㸪⩏ṑ⿦╔16㸪⩏ṑㄪᩚ69㸪༳㇟ࢆᚲせ࡜ࡍࡿ⩏ṑಟ⌮17⮫ᗋ⾡ᘧ࡜࡞ࡾ㸪⩏ṑㄪᩚ࠾ࡼࡧ⩏ṑಟ⌮ࢆᢅࡗࡓ⮫ᗋ⾡ᘧࡀከ࠸ࡇ࡜ࡀ᫂
ࡽ࠿࡜࡞ࡗࡓ㸬⩏ṑㄪᩚ࣭ಟ⌮࡟㛵ࡋ࡚ࡣᣦᑟ་
ࡢᣦᑟࡢୗ㸪◊ಟ་ࡀ⮬ศ⮬㌟࡛⮫ᗋࢆ⾜ࡗ࡚࠸ࡿࢣ࣮ࢫࡀከࡃ㸪◊ಟṑ⛉་ᖌࡀ᭱ࡶ␲ၥࢆឤࡌ
⧞ࡾ㏉ࡋᏛ⩦ࢆ⾜ࡗࡓࡢࡣ➽ᅽᙧᡂ࠾ࡼࡧညྜ᥇
ᚓ࡛࠶ࡗࡓ㸬୧⮫ᗋ⾡ᘧඹ࡟㐺ษ࡞ᇶ♏▱㆑࠾ࡼࡧᡭᢏࡢ⋓ᚓࡀᚲ㡲࡛࠶ࡾ㸪᪋⾡ᅇᩘࢆ㔜ࡡࡿẖ࡟࢔ࣥࢣ࣮ࢺ⤖ᯝࡢVASᩘ್ࡣୖ᪼ࡋࡓ㸦ᅗ1㸧㸬デ⒪࡛ከࡃࡢᝈ⪅࡬ࡢᑐᛂ࡟ᛁẅࡉࢀࡿ୰㸪᚟⩦ࡍࡿᶵ఍ࡀᑡ࡞ࡃ㸪ᮏἲ࡟ࡼࡿᣦᑟ་࡟ࡼࡿ◊ಟṑ⛉་ᖌࡢᙧᡂⓗホ౯ἲࡣ☜ᐇ࡞᚟⩦࠾ࡼࡧ⮫ᗋ⾡ᘧ⧞ࡾ㏉ࡋࡢᐇ㊶ࡀྍ⬟࡜࡞ࡿࡓࡵ㸪᭷ព⩏࡞᪉ἲ࡛࠶ࡿ࡜࠸࠼ࡿ㸬௒ᚋ㸪⮫ᗋ◊ಟṑ⛉་ᖌ࡬
ࡢྠᵝ࡞᪉ἲ࡛ࡢᑐᛂᅇᩘࢆቑࡸࡋ㸪ヲ⣽࡞ሗ࿌ࢆ⾜࠺ணᐃ࡛࠶ࡿ㸬ᅗ㸯 ညྜ᥇ᚓᐇ᪋ 1 ᅇ┠࡜ 2 ᅇ┠ࡢᢏ⾡⩦⇍ᗘࡢẚ㍑ϫ㸬 ᩥ⊩1) ụ⏣ளᕼᏊ㸪຾㒊┤ே㸪㛗㇂ᕝ⠜ྖ㸬◊ಟ་ᢸᙜᝈ⪅࡟㛵ࡍࡿㄪᰝ ➨1ሗ ᫛࿴኱Ꮫṑ⛉⑓㝔⥲ྜデ⒪ṑ⛉࡟࠾ࡅࡿึデᝈ⪅ࡢືྥ࡜ࡢẚ㍑㸬᫛࿴ㄅ㸬2007; 27: 284-289− 291 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 102ᨭྎṑᙧᡂ࢖࣓࣮ࢪ࢞࢖ࢹࢵࢻࢩࢫࢸ࣒ࡢ㛤Ⓨ~࢔ࣥࢣ࣮ࢺホ౯࡟ࡘ࠸࡚~‫ۑ‬஭ᕝ▱Ꮚ㸪ᖹᯘ㔛኱㸪㔜⏣ඃᏊ㸪Ᏻ⸨ᰤ㔛Ꮚ㸪ᖹ஭೺ኴ㑻㸪㕥ᮌ⸅அ㸨㸪ᑠᕝ ໶㸬㭯ぢ኱ᏛṑᏛ㒊ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫㅮᗙ㸨ओࢫ࣮ࣜࢹ࢕࣮
Development of Tooth Preparation Image-Guided System-Questionnaire ResultsIkawa T, Hirabayashi R, Shigeta Y, Ando E, HiraiI K, Suzuki S*, Ogawa T.
Department of Fixed Prosthodontic, School of Dental Medicine, Tsurumi University, Yokohama, Japan*3D Incorporated, Engineering Division, Medical Engineering SectionϨ㸬 ┠ⓗ ṑ⛉⮫ᗋ࡟࠾࠸࡚ᨭྎṑᙧែࢆ㐺ษ࡟ᙧᡂࡍࡿ
ࡇ࡜ࡣᑂ⨾࣭ᶵ⬟࡟ඃࢀ㸪࠿ࡘ⢭ᗘࡢ㧗࠸⿵⥛⿦⨨ࡢ〇స࡟㔜せ࡞ࣉࣟࢭࢫ࡛࠶ࡿ㸬ࡋ࠿ࡋ㸪ᨭྎṑᙧᡂࡣཱྀ⭍ෆ࡛⾜࠺ṑ⛉ฎ⨨ࡢ୰࡛ࡶẚ㍑ⓗ㞴ࡋࡃ㸪ࡑࡢᢏ⾡ࡢಟᚓ࡟᫬㛫ࢆせࡍࡿ㸬ᮏᏛ࡛ࡣᨭྎṑᙧᡂࡢᏛ⏕ᩍ⫱࡜ࡋ࡚㸪ᒎ㛤ᅗ࡟ࡼࡿ⌮᝿ⓗ࡞ᨭྎṑᙧែࡢᢕᥱࡸ㸪࣐ࢿ࢟ࣥ࡟⿦╔ࡋࡓ࣓࣑ࣛࣥṑࢆᙧᡂࡉࡏ㸪ᙧᡂᚋࡢᨭྎṑᙧែࢆᐃᛶ
ⓗ㸪ᐃ㔞ⓗ࡞ホ౯࡟ࡼࡾࣇ࢕࣮ࢻࣂࢵࢡࢆ⾜࠺ࡇ࡜࡛ᢏ⾡⩦ᚓࡢಁ㐍ࢆ┠ᣦࡋ࡚࠸ࡿ㸯㸧㸬ࡋ࠿ࡋ㸪ࡇࢀࡽࡢ᪉ἲ࡛ࡣᨭྎṑᙧែࡢ⌮ゎࡣᚓࡽࢀ࡚ࡶ㸪ᙧᡂᢏ⾡ࡢྥୖ࡟ࡣ⧞ࡾ㏉ࡋࡢ⦎⩦ࢆࡏࡊࡿࢆᚓ
࡞࠸㸬ࡑࡇ࡛ᢏ⾡⩦ᚓࡢຠ⋡໬ࢆᅗࡿࡓࡵ㸪་⏝ᕤᏛᢏ⾡ࢆᛂ⏝ࡋࡓᨭྎṑᙧᡂᨭ᥼ࢩࢫࢸ࣒ࡢ㛤Ⓨࢆヨࡳࡓ㸬ᮏࢩࢫࢸ࣒ࡣ୕ḟඖຊぬࢹࣂ࢖ࢫ࡟ࡼࡿ᥋ゐឤぬࢆ᭷ࡋࡓᩍ⫱⏝ᨭྎṑᙧᡂࢩ࣑ࣗࣞࢩࣙ
ࣥ࠾ࡼࡧᙧᡂࢆどぬⓗ࡟ᨭ᥼ࡍࡿࢼࣅࢤ࣮ࢩࣙࣥ
࠿ࡽ࡞ࡿࢩࢫࢸ࣒࡛࠶ࡿ㸦ᅗ㸧㸬௒ᅇࡣ㸪㛤Ⓨࡋࡓࢼࣅࢤ࣮ࢩࣙࣥࢩࢫࢸ࣒ࢆᵓ⠏ࡋ㸪࢔ࣥࢣ࣮ࢺ
ホ౯ࢆ⾜ࡗࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ ᮏࢩࢫࢸ࣒ࡣࢩ࣑࣮ࣗࣞࢱࢯࣇࢺ࠾ࡼࡧ୕ḟඖࢹ࣮ࢱ㸦ᨭྎṑ㸪ࢱ࣮ࣅࣥ㸪ᙧᡂ⏝࣏࢖ࣥࢺ㸧࡜ᨭྎṑᙧᡂ⦎⩦⏝ࣇ࢓ࣥࢺ࣒㸪㢡ᶍᆺ㸪఩⨨ ᐃ⿦⨨㸦OPTOTRAK system㸧࡟ࡼࡾᵓᡂࡉࢀࡿ㸬ᐃࡋࡓ㢡ᶍᆺ࡜ᙧᡂ⏝ࢱ࣮ࣅࣥࡢ఩⨨᝟ሗࢆࣔࢽ
ࢱୖࡢṑิ࡜ࢱ࣮ࣅࣥ࡟ࣞࢪࢫࢺ࣮ࣞࢩࣙࣥࡍࡿ
ࡇ࡜࡛㸪ࣜ࢔ࣝࢱ࢖࣒࡟ᙧᡂ᫬ࡢᨭྎṑ㸪ࢱ࣮ࣅࣥ఩⨨㸪࠾ࡼࡧ๐ྜ࡟ࡼࡿኚᙧࢆࣔࢽࢱୖ࡛☜ㄆ࡛ࡁࡿᏛ⩦ᨭ᥼ࢩࢫࢸ࣒࡛࠶ࡿ㸬1 㸧 ୕ ḟ ඖ VR ࣔ ࢹ ࣝ ࡢ స 〇 㸸 ୕ ḟ ඖ ࢫ ࢟ ࣕ ࢼ㸦Rexcan DS㸧ࢆ⏝࠸࡚◊๐ࡍࡿᨭྎṑࣔࢹࣝࢆࢥ
ࣥࣆ࣮ࣗࢱ࡟ྲྀࡾ㎸ࡳ࣏ࣜࢦࣥᙧ≧ࡢ୕ḟඖVRࣔ
ࢹࣝ࡜ࡋ㸪ࢱ࣮ࣅࣥ㸪ᙧᡂ⏝࣏࢖ࣥࢺࡣ୕ḟඖ
CADࢯࣇࢺ㸦SolidWorks, SolidWorks co.㸧࡟࡚タィࡋࡓ㸬2㸧఩⨨᝟ሗࡢ᥇ᚓ㸸఩⨨ ᐃ⿦⨨ࡢගᏛᘧ࣐࣮࢝
࣮ࢆୗ㢡ṑิ࠾ࡼࡧࢱ࣮ࣅࣥ࡟ࢪࢢࢆ௓ࡋ࡚⿦╔ࡋ㸪఩⨨᝟ሗࢆᚓࡓ㸬
3㸧ࣞࢪࢫࢺ࣮ࣞࢩࣙࣥ㸸ࢩ࣑࣮ࣗࣞࢱࢯࣇࢺࡢᣦ
♧ࢶ࣮ࣝࢆ⏝࠸࡚ಶࠎࡢࣔࢹࣝࡢᙧែⓗ≉ᚩⅬࢆ࣏࢖ࣥࢺࡋ㸪VRࢹ࣮ࢱ࡜ࡢᗙᶆ⣔ࢆ୍⮴ࡉࡏࡓ㸬ࡇࢀ࡟ࡼࡾ㸪ࣔࢽࢱୖ࡟㢡ᶍᆺ࠾ࡼࡧࢱ࣮ࣅࣥࡀ
⾲♧ࡉࢀ㸪ᙧᡂ᫬࡟ᨭྎṑࡢᙧែኚ໬ࡀどぬⓗ࡟ࣇ࢕࣮ࢻࣂࢵࢡࡉࢀࡿ㸬
4㸧࢔ࣥࢣ࣮ࢺ㸸㭯ぢ኱ᏛṑᏛ㒊ࢡࣛ࢘ࣥࣈࣜࢵࢪ
⿵⥛Ꮫㅮᗙࡢ་ᒁဨ15ྡࢆᑐ㇟࡜ࡋ㸪ࢩࢫࢸ࣒౑
⏝ᚋ࡟⮫ᗋ⤒㦂࠾ࡼࡧࢩࢫࢸ࣒ࡢ౑⏝ឤ࡟㛵ࡍࡿㄪᰝࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᮏࢩࢫࢸ࣒ࡢ౑⏝࡟ࡼࡾᙧᡂ᫬ࡢ࣏ࢪࢩࣙࣥࡸᙧᡂ㔞ࡀどぬⓗ࡟☜ㄆ࡛ࡁࡿࡇ࡜࠿ࡽ㸪ᨭྎṑᙧᡂ⦎⩦࡟㧗࠸ᩍ⫱ຠᯝࡀᮇᚅࡉࢀࡓ㸬࢔ࣥࢣ࣮ࢺ
⤖ᯝ࠿ࡽ㸪୕ḟඖⓗᙧែࡀ☜ㄆࡋࡸࡍ࠸࡞࡝ࡢ㧗ホ౯ࢆᚓࡓࡀ㸪⾡⪅⛣ື࡟ࡼࡾ㸪ࢭࣥࢧ࣮ࡀࣈࣛ
࢖ࣥࢻ࡜࡞ࡗࡓࡓࡵ㸪ᙧᡂ㒊఩࡟ไ㝈ࡀ⏕ࡌ᧯స࡟୙ලྜࢆㄆࡵࡓ㸬௒ᚋࡣ㸪ࢭࣥࢧ࣮ࡢྲྀࡾ௜ࡅ఩⨨࠾ࡼࡧࢪࢢࡢ
ᨵⰋ࡟ࡼࡿ᧯సᛶࡢྥୖࡀᚲせ࡛࠶ࡿ㸬ϫ㸬 ᩥ⊩1㸧㔜⏣ඃᏊ㸪ᑠᕝ ໶㸪ᒾ୪ᜨ୍࡯࠿㸬ၥ㢟ゎỴᆺᩍ⫱ἲࡢᨭྎṑᙧᡂᐇ⩦࡬ࡢᛂ⏝㸬᪥ṑᩍㄅ
19(1): 67-73,2003.
ᮏ◊✲ࡣ⛉Ꮫ◊✲㈝ຓᡂ㔠㸦24592941㸧ࡢຓᡂࢆཷࡅ
࡚⾜ࢃࢀࡓ㸬

Overview of Image-Guided System− 292 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 103ཱྀ⭍࢖ࣥࣉࣛࣥࢺእ⛉ᡭ⾡ࡢࡓࡵࡢ⮫ᗋゎ๗ᐇ⩦ࡢྲྀࡾ⤌ࡳ኱㔝඘᫛㸪۵ᅬᒣ ர㸪኱㔝 ᙬ㸪୕㔝༟ဢ㸪Ỉཱྀ ୍㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝Clinical Anatomy Practice for Dental Implant Surgery

Ono M, Sonoyama W, Kimura-Ono A, Mino T, Minakuchi H, Maekawa K, Kuboki T
Department of Oral Rehabilitation and Regenerative Medicine㸪Okayama University Graduate School of
Medicine, Dentistry and Pharmaceutical Sciences.

Ϩ㸬 ┠ⓗ እ⛉ᡭ⾡࡟ᑐࡍࡿ་⒪Ᏻ඲࠿ࡽ㸪㑇యࢆ⏝࠸ࡓእ⛉ᡭ⾡ᐇ⩦ࡀᾏእ࡛ᗈࡃᐇ᪋ࡉࢀ࡚࠸ࡿ㸬ᡃࡀ
ᅜ࡛ࡶ་⒪Ᏻ඲࡬ࡢ♫఍ⓗ࡞㛵ᚰࡀ㧗ࡲࡾ㸪ᖹᡂ
24ᖺᗘ࠿ࡽཌ⏕ປാ┬࡟ࡼࡾࠕᐇ㊶ⓗ࡞ᡭ⾡ᡭᢏྥୖ◊ಟ஦ᴗࠖࡀタ❧ࡉࢀ㸪ᒸᒣ኱Ꮫࡀ◊ಟ஦ᴗࢆᐇ᪋ࡍࡿᅋయࡢ୍ࡘ࡟ᢎㄆࡉࢀࡓ㸬 ୍᪉㸪ᒸᒣ኱Ꮫࡣᖹᡂ22ᖺᗘࡼࡾࣃࢼࢯࢽࢵࢡ
♫࡜ඹྠ◊✲ࢆ㐍ࡵ㸪ࠕぢࡓ࠸᫬࡟㸪ぢࡓ࠸ሙᡤ࡛㸪ぢࡓ࠸᪉ྥ࠿ࡽ㸪ぢࡓ࠸῝ᗘ࡛ࠖࢆࢥࣥࢭࣉࢺ࡟㸪ከどⅬከᒙ3Dゎ๗࢔ࢺࣛࢫࡢస〇࡟ྲྀࡾ⤌ࢇ࡛ࡁࡓ1)㸬ࡑࡇ࡛㸪ᡃࠎࡣᮏᩍᮦࢆ⏝࠸ࡓேయゎ๗ࡢㅮ⩏࠾ࡼࡧ⊩యࢆ⏝࠸ࡓཱྀ⭍࢖ࣥࣉࣛࣥࢺእ
⛉ᡭ⾡ᐇ⩦ࢆᖹᡂ24ᖺᗘ࠿ࡽᐇ᪋ࡋ࡚ࡁࡓ㸬ᮏⓎ⾲࡛ࡣ㸪3ᖺ㛫ࡢྲྀࡾ⤌ࡳࢆሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ ཌ⏕ປാ┬࠾ࡼࡧᒸᒣ኱Ꮫ⑓㝔ࡢ೔⌮ጤဨ఍ᢎㄆ㸦#1504㸧ࡢࡶ࡜㸪⮫ᗋゎ๗࡟ྠពࡀᚓࡽࢀ⊩యࢆ⏝࠸㸪ᮏᐇ⩦ࢭ࣑ࢼ࣮ࢆᐇ᪋ࡋࡓ㸬 ᮏࢭ࣑ࢼ࣮࡟ࡣẖᖺබເ࡟ࡼࡾ㑅ᐃࡉࢀࡓ⣙12ྡࡢṑ⛉་ᖌࡀཧຍࡋࡓ㸬ࢭ࣑ࢼ࣮࡛ࡣ㸪ึࡵ࡟㸪ཱྀ⭍࢖ࣥࣉࣛࣥࢺእ⛉ᡭ⾡ࢆ⾜࠺㝿࡟ᚲせ࡞ゎ๗Ꮫⓗ▱㆑ࢆ㌟࡟ࡘࡅ࡚ࡶࡽ࠺ࡓࡵ㸪ከどⅬከᒙ3Dゎ๗࢔ࢺࣛࢫࢆ⏝࠸㸪ேయゎ๗ᏛⓗほⅬ࠾ࡼࡧ⮫ᗋⓗほⅬ࠿ࡽㅮ⩏ࢆ⾜ࡗࡓ㸬ᐇ⩦࡟ࡣẖᖺ3యࡢ⊩యࢆ౑⏝ࡋ㸪ࡍ࡭࡚ࡢ⊩యࡣ⤌⧊ࡢ◳໬ࡀᑡ࡞ࡃ㸪ゎ๗యࡢᛶ≧ࡀ࡯ࡰಖࡓࢀࡿThielἲࢆ⏝࠸࡚ᅛᐃࡉࢀࡓ⊩యࢆ౑⏝ࡋࡓ㸬ࡲࡓ㸪ཱྀ⭍࢖ࣥࣉࣛࣥࢺ
ᇙධᐇ⩦࡟ඛ❧ࡗ࡚⊩య㢌㒊ࡢCT᧜ᙳࢆ⾜࠸㸪࢖ࣥࣉࣛࣥࢺࡢᇙධ఩⨨ࡢࢩ࣑࣮ࣗࣞࢩࣙࣥࢆ⾜ࡗࡓ㸬ཷㅮ⪅ࡣ2ே୍⤌࡜࡞ࡾ㸪༙ษࡉࢀࡓ㢌㒊ࢆ⏝࠸㸪ึࡵ࡟ཱྀ⭍࢖ࣥࣉࣛࣥࢺᇙධ࠾ࡼࡧୖ㢡Ὕᗏᣲୖ⾡ࢆᐇ᪋ࡋࡓ㸬 ḟ࡟㸪ཷㅮ⪅ࡀᇙධࡋࡓ࢖ࣥࣉࣛࣥࢺయ࡜ࡑࡢ
࿘ᅖࢆ㉮⾜ࡋ࡚࠸ࡿ⾑⟶ࡸ⚄⤒࡜ࡢゎ๗Ꮫⓗ఩⨨㛵ಀࢆᢕᥱࡍࡿࡓࡵ㸪ேయゎ๗ᐇ⩦ࢆᐇ᪋ࡋࡓ㸬ึࡵ࡟㸪ୗ㢡㦵࡬ࡢ࢖ࣥࣉࣛࣥࢺᡭ⾡ࡢ㝿࡟ᦆയࡢ༴㝤ᛶࡀ㧗࠸࢜ࢺ࢞࢖ୗື⬦㸪⯉ୗື⬦㸪㢡⯉㦵➽ື⬦࠾ࡼࡧୗṑᵴື⬦࠾ࡼࡧక⾜ࡍࡿ⚄⤒ࡢ๗ฟࢆ⾜ࡗࡓ㸬ᐇ㝿࡟ࡣ㸪እ㢕ື⬦ࡢศᯞ࡛࠶ࡿ
㢦㠃ື⬦࠾ࡼࡧࡑࡢศᯞ࡛࠶ࡿ࢜ࢺ࢞࢖ୗື⬦㸪⯉ື⬦࠾ࡼࡧࡑࡢศᯞ࡛࠶ࡿ⯉ୗື⬦ࢆ๗ฟࡋ㸪ୗ㢡㦵࡟ᇙධࡋࡓ࢖ࣥࣉࣛࣥࢺయ࡜ࡢ఩⨨㛵ಀࢆ☜ㄆࡋࡓ㸬ࡲࡓ㸪ୗ㢡Ⳣࡢ๓ቨࢆ㛤ᨺࡋ㸪ୗṑᵴ⚄⤒㸪ື㟼⬦ࢆ㸪ࡲࡓୗṑᵴື⬦ࡀୗ㢡Ꮝ࡟ධࡿ┤๓࡟ฟࡍᯞ࡛࠶ࡿ㢡⯉㦵➽ື⬦ࢆ๗ฟࡋࡑࡢゎ๗Ꮫⓗ఩⨨ࢆ☜ㄆࡋࡓ㸬ୖ㢡࡛ࡣ㸪ୖ㢡Ὕ࠾ࡼࡧ኱ཱྀ⵹Ꮝࢆฟ࡚◳ཱྀ⵹ࢆ๓㐍ࡋ࡚࠸ࡿ኱ཱྀ⵹ື⬦࡜క⾜ࡍࡿ⚄⤒ࢆ๗ฟࡋ㸪ୖ㢡㦵࡟ᇙධࡋࡓ࢖ࣥ
ࣉࣛࣥࢺయ࡜ࡢ఩⨨㛵ಀࢆ☜ㄆࡋࡓ㸬᭱⤊ⓗ࡟ࡣ㢡㛵⠇ࡸୗ㢡ᯞ࡜ෆഃ⩼✺➽࡜ࡢ㛫࡟࠶ࡿ⩼✺ୗ㢡㝽ࢆ๗ฟࡋࡓ㸬 ࡲࡓ㸪ᐇ⩦⤊஢ᚋ࡟㸪ཷㅮ⪅࡟ᑐࡋ㸪ࠕ↓ព࿡ࠖ࠿ࡽࠕ᭷ព⩏ࠖࡢ5ẁ㝵㸦5Ⅼ‶Ⅼ㸧ࡢࣜࢵ࣮࢝ࢺ
ࢫࢣ࣮ࣝࢫࢱ࢖ࣝࡢ࢔ࣥࢣ࣮ࢺ⾲ࢆ⏝࠸㸪ᮏᐇ⩦ࡀ᭷ព⩏࡛࠶ࡗࡓ࠿ࢆㄪᰝࡋࡓ㸬 Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ⮫ᗋゎ๗ᐇ⩦ᚋࡢ࢔ࣥࢣ࣮ࢺࡢ⤖ᯝ㸪௒ᖺᗘࡢཷㅮ⪅ࡣ11ྡ୰9ྡࡀ᭷ព⩏࡛࠶ࡿ࡜ᅇ⟅ࡋࡓ㸦୰ኸ್㸦95%ಙ㢗༊㛫㸧㸸5㸦4.64-5.36㸧㸧㸬 ࡲࡓ㸪ࡇࢀࡲ࡛㸪ᮏ⮫ᗋゎ๗ᐇ⩦ࡣ1᪥㛫ࢥ࣮ࢫ࡛ࡢ㛤ദ࡛࠶ࡗࡓࡓࡵ㸪ㅮ⩏᫬㛫㸪ᐇ⩦᫬㛫ࡀ▷࠿ࡗࡓ࡜ࡢពぢࡀከࡃࡳࡽࢀࡓ㸬௒ᚋࡣ㸪2᪥㛫ࢥ࣮ࢫ࡛ࡢ㛤ദࡶ⪃៖࡟ධࢀ㸪⥅⥆ࡋᐇ᪋ࡋ࡚࠸ࡃ
ணᐃ࡛࠶ࡿ㸬ϫ㸬 ᩥ⊩1) ኱㔝඘᫛, ❑ᮌᣅ⏨, ௚. ୕ḟඖ࣭ከどⅬほᐹࡀྍ⬟࡞ཱྀ⭍㢡㢦㠃ゎ๗࢔ࢺࣛࢫࡢస〇. ᪥⿵⥛఍
ㄅ 2013; 6࣭122ᅇ≉ูྕ: 136㸬− 293 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 104

CAD/CAMேᕤṑࢆ౑⏝ࡋࡓ඲㒊ᗋ⩏ṑ ࢜ࢡ࣮ࣝࢨ࣐ࣝࢵࣉCAD/CAM໬ࡢヨࡳ۵ᒸᮏ ಙ㸪๓⏣┤ே*㸪ᒣᮏ⨾ᜨ*㸪Ᏺᒇె඾㸪㬼ᕝ⏤⣖Ꮚ**㸪Ὢ⬥㐨ᘯ㸪ゅ㇂┿୍㸪 ୰ᓥၨ୍ᮁ㸪᳃ៅ࿃㸪㷂㇂බᏊ㸪Ἀ࿴ᗈ*㸪すᕝᝅ㑻**㸪ⓙᮌ┬࿃*୰ᅜᅄᅜᨭ㒊㸪*ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ညྜ࣭᭷ᗋ⩏ṑ⿵⥛Ꮫศ㔝㸪**ᒸᒣ኱Ꮫ⑓㝔 ညྜ࣭⩏ṑ⿵⥛⛉
A case of complete denture using artificial posterior teeth made by CAD/CAM system
A try for constructing CAD/CAM system with Occlusal Map
Okamoto M, Maeda N*, Yamamoto Y*, Moriya K, Ugawa Y**, Suwaki M, Kadoya S, Nakashima K, MoriS, Sakiya M, Oki K*, Nishigawa G**, Minagi S*
Chugoku-Shikoku Branch*Department of Occlusal and Oral Functional Rehabilitation, Okayama

University Graduate School of Medhicine, Dentistry and Pharmaceutical Sciences**Occlusion andRemovable Prosthodontics, Okayama University HospitalϨ㸬┠ⓗ
࢜ࢡ࣮ࣝࢨ࣐ࣝࢵࣉ࡜ࡣୖୗ㢡ࡢᑐྥ㛵ಀࢆ⡆౽࡟どぬⓗ࡟᳨ᰝࡍࡿ᪉ἲ࡛࠶ࡾ㸪ညྜᖹ㠃࡟ᑐࡋ࡚ᆶ┤᪉ྥ࠿ࡽୖୗ㢡ࡢᑐྥ㛵ಀࢆほᐹࡍࡿࡇ࡜ࡀྍ⬟࡛࠶ࡿ1)㸬ᡃࠎࡣ࢜ࢡ࣮ࣝࢨ࣐ࣝࢵࣉࢆ⏝࠸࡚඲㒊ᗋ⩏ṑࡢ⮻ṑ㒊ேᕤṑ᤼ิࢆᶵ⬟ⓗ࡟⾜࠺᪉ἲ㸦௨ୗOMἲ㸧ࢆ⪃᱌ࡋᐇ㊶ࡋ࡚࠸ࡿ 2) 㸬
OMἲ࡜ࡣ∦ഃᛶညྜᖹ⾮ࡀᚓࡽࢀࡿ㡿ᇦ㸦UBArea㸧ࡢ᳨ᰝࢆ⾜࠸㸪࢜ࢡ࣮ࣝࢨ࣐ࣝࢵࣉୖ࡟࠾
࠸࡚ୖୗUB-Areaࡢ㔜࡞ࡿ㒊ศ㸦Overlap-Area㸧࡟㔜Ⅼⓗ࡟ညྜ᥋ゐⅬࢆ௜୚ࡍࡿ᪉ἲ࡛࠶ࡾ㸪⮫ᗋୖ᭷ຠ࡞ᡭἲ࡜⪃࠼࡚࠸ࡿ㸬OMἲ࡛ࡣOverlap-Areaࡢ㏆㐲ᚰᚄ࡟㐺ྜࡋࡓேᕤṑࢆ㑅ᢥࡍࡿᚲせࡀ࠶ࡾ㸪ညྜ᥋ゐⅬࢆOverlapAreaෆ࡟㓄⨨ࡍࡿࡓࡵ࡟ည㢌ࡸ❐ࢆ๐ྜࡍࡿሙྜ
ࡀከ࠸㸬ࡑࡢࡓࡵ୍⯡ⓗ࡞ᡭἲ࡜ẚ㍑ࡋ࡚ᢏᕤ᧯
సࡀ↹㞧࡛࠶ࡿ࡜࠸࠺ḞⅬࡀᏑᅾࡍࡿ㸬ࡑࡇ࡛ேᕤṑ᤼ิࡢᡭ㡰ࢆ⡆␎໬ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ㸪UB-Areaࡢ᝟ሗࢆCAD/CAMࢩࢫࢸ࣒࡟ㄞ
ࡳ㎸ࡳ㸪Overlap-Area࡟㐺ྜࡋࡓ࢝ࢫࢱ࣒ேᕤṑࢆస〇ࡋ㸪Ⰻዲ࡞⤖ᯝࡀᚓࡽࢀࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬᪉ἲ ᝈ⪅ࡣ87ṓዪᛶ㸪ୖୗ඲㒊ᗋ⩏ṑࡢ࿪ᄮ᫬࡟࠾
ࡅࡿືᦂ࡜⑊③ࢆ୺ッ࡟᮶㝔ࡋࡓ㸬ㅖ᳨ᰝࡢ⤖ᯝ㸪⢓⭷㠃ࡢ୙㐺ྜ࠾ࡼࡧேᕤṑ᤼ิ఩⨨ࡢ୙㐺ษ࡜デ᩿ࡋ㸪ୖୗ඲㒊ᗋ⩏ṑࡢస〇ࢆ⾜࠺ࡇ࡜࡜ࡋࡓ㸬ညྜ᥇ᚓࡢ㝿࡟UB-Areaࡢ᳨ᰝࢆ⾜࠸㸪࢜ࢡ࣮ࣝࢨ
࣐ࣝࢵࣉࢆస〇ࡋࡓ2)㸬ᑂ⨾࢚ࣜ࢔ࡢ᤼ิヨ㐺ᚋ㸪⮻ṑ㒊ᇶ♏ᗋୖ࡟㌿෗ࡋࡓUB-Areaࢆ㸪CAD/CAM
ࢯࣇࢺ࢙࢘࢔㸦inLab Software, SIRONA㸧࡟3Dࢹ࣮
ࢱ࡜ࡋ࡚ྲྀࡾ㎸ࢇࡔ㸬࢜ࢡ࣮ࣝࢨ࣐ࣝࢵࣉࢆ☜ㄆࡋ࡞ࡀࡽ㸪CAD/CAMࢯࣇࢺ࢙࢘࢔ࢆ⏝࠸࡚⮻ṑ㒊ேᕤṑࡢタィ࡜᤼ิࢆ⾜ࡗࡓ㸬ୗ㢡୰ᚰ⁁௜㏆࡟
ညྜ᥋ゐⅬࡀ఩⨨ࡍࡿࡼ࠺࡟ୖ㢡ည㢌㡬ࡢ఩⨨ࡸᙧែࢆタィࡋࡓ㸬࢜ࢡ࣮ࣝࢨ࣐ࣝࢵࣉ࡟ࡼࡿ࡜ᕥ
ഃᚋ᪉࡛ࡣୖ㢡UB-Areaࡀୗ㢡ࡼࡾෆഃ࡟఩⨨ࡋ࡚࠸ࡓࡓࡵ㸪ୖ㢡᭱ᚋ⮻ṑேᕤṑࡢ㢋⯉ᚄࢆᑠࡉࡃ

ࡋ㸪㢋⢓⭷ࡸ⯉ᡣࢆ㜼ᐖࡋ࡞࠸ࡼ࠺࡟ࡋࡓ㸬タィࡋࡓேᕤṑࢆࣞࢪࣥࣈࣟࢵࢡ࠿ࡽ๐ࡾฟࡋ㸦ᅗ1㸧㸪⾀⩏ṑ࡟௜୚ࡋ࡚᏶ᡂࡉࡏ㸪ᝈ⪅࡟⿦╔ࡋࡓ㸬ࡲࡓྠ⑕౛࡛㸪ᚑ᮶ࡢOMἲ࡛᪤ᡂேᕤṑࢆ๐ྜࡋ࡞ࡀࡽ᤼ิࢆ⾜࠸㸪CAD/CAMேᕤṑ࡜ࡢᙧែⓗ࡞ẚ㍑᳨ウࢆ⾜ࡗࡓ㸬  ᅗ 1 ๐ࡾฟࡋࡓ CAD/CAM ேᕤṑϪ㸬⤖ᯝ࡜⪃ᐹ ⩏ṑ⿦╔ᚋ2ᅇ┠ࡢㄪᩚ᫬࡟ࡣⰋዲ࡞⤒㐣࡛࠶ࡗࡓ㸬CAD/CAMேᕤṑࡣ๐ྜࡍࡿࡇ࡜࡞ࡃOverlapArea࡟㐺ྜࡉࡏࡿࡇ࡜ࡀྍ⬟࡛࠶ࡗࡓ㸬᪤ᡂேᕤṑ࡜ẚ㍑ࡋ࡚㸪CAD/CAMேᕤṑࡣညྜ᥋ゐⅬࢆୗ㢡୰ᚰ⁁௜㏆࡟ᥞ࠼ࡿࡇ࡜ࡀ࡛ࡁ㸪ညྜຊࡢఏ㐩ࡀຠ⋡ⓗ࡛࠶ࡿ࡜ᛮࢃࢀࡓ㸬ࡲࡓ⯉ᡣࢆᗈࡃࡍࡿ
஦ࡀᐜ࡛᫆࠶ࡗࡓ㸬 ᑗ᮶ⓗ࡟ࡣOMἲ⮬యࡢCAD/CAM໬ࢆ┠ᣦࡋ㸪ᶍᆺࡢࢫ࢟ࣕࢽࣥࢢᚋ㸪⮬ືⓗ࡟UB-Areaࢆㄆ㆑ࡋ㸪ேᕤṑࡢタィ࠿ࡽ᤼ิࡲ࡛ࡀྍ⬟࡞ࢩࢫࢸ࣒ࡢᵓ
⠏ࡀ࡛ࡁࢀࡤ㸪⮫ᗋⓗ౯್ࡀ㧗࠸࡜⪃࠼࡚࠸ࡿ㸬ϫ㸬ᩥ⊩
1) ᒸᮏ ಙ㸪ⓙᮌ┬࿃㸬ࢹࢪࢱࣝ⏬ീฎ⌮ࢆ⏝࠸ࡓḞᦆ⿵⥛἞⒪࡟࠾ࡅࡿᑐྥ㛵ಀࡢ᳨ᰝἲ㸬᪥⿵⥛఍ㄅ 2013㸹5㸸65-71㸬
2) ᒸᮏ ಙ㸪๓⏣┤ே㸪ᒣᮏ⨾ᜨ࡯࠿㸬᪂ࡋ࠸㢡ሐᑐྥ㛵ಀࡢ᳨ᰝἲ㸦࢜ࢡ࣮ࣝࢨ࣐ࣝࢵࣉ㸧ࢆ⏝࠸ࡓ඲㒊ᗋ⩏ṑࡢ⑕౛㸬᪥⿵⥛఍ㄅ
2013㸹5㸸300-308㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 105࣮࢜ࣛࣝ࢔ࣉࣛ࢖࢔ࣥࢫ(OA)⿦╔࡟ࡼࡾ╧╀᫬↓࿧྾ࡀᨵၿࡋࡓୖ㢡Ḟᦆ⑕౛‫ۑ‬Ώ㑓┿ኸ㸪எ୸㈗ྐ㸪⚽ᓥ㞞அ*㸪㇂ཱྀᑦᮾி་⛉ṑ⛉኱Ꮫ㸦TMDU㸧㢡㢦㠃⿵⥛㢡ศ㔝㸪TMDU ṑᏛ㒊㝃ᒓ⑓㝔ᛌ╀ṑ⛉(࠸ࡧࡁ࣭↓࿧྾)እ᮶*Improvement of Sleep Apnea using the Oral Appliance in a Maxillolectomy Patient.
Watanabe M, Otomaru T, Hideshima M *, Taniguchi H
Department of Maxillofacial Prosthetics, Tokyo Medical and Dental University(TMDU)
Dental Clinic for Sleep Disorders(Apnea and Snoring), University Hospital of Dentistry, TMDU *Ϩ㸬 ┠ⓗ 㛢ሰᆺ╧╀᫬↓࿧྾ࡢሙྜ㸪࣮࢜ࣛࣝ࢔ࣉࣛ࢖࢔ࣥࢫ(OA)ࡢ㐺ᛂ࡟ࡘ࠸࡚ሗ࿌ࡀࡉࢀ࡚ࡁࡓ㛢ሰᆺࡣ㸪ୖẼ㐨ࡢᙧែⓗኚ໬࡟ࡼࡗ࡚㸪Ẽ㐨ࡀ㛢ሰࡉࢀ࡚⏕ࡌࡿ{,tͿ㸬㢌㢕㒊⒴ษ㝖ᚋࡢሙྜࡶୖẼ㐨ᙧ ែ ࡀ ኚ ໬ ࡋ 㸪 ╧ ╀ ᫬ ↓ ࿧ ྾ ⑕ (Sleep Apnea
Syndrome: SAS)ࢆ࿊ࡋࡓ࡜ࡢሗ࿌ࡣ࠶ࡿuͿࡀ㸪OA
㐺ᛂ࡟㛵ࡍࡿሗ࿌ࡣᑡ࡞࠸㸬 ௒ᅇᡃࠎࡣ㸪ୖ㢡ᝏᛶ⭘⒆ษ㝖ᚋࡢୖ㢡Ḟᦆᝈ⪅࡛SAS࡜デ᩿ࡉࢀ㸪ኪ㛫⿦╔⏝ࡢOAࡢ⿦╔࡟ࡼࡗ࡚㸪SASࡀ⦆࿴ࡉࢀࡓ⑕౛ࢆ⤒㦂ࡋࡓࡢ࡛ሗ࿌
ࡍࡿ㸬

ϩ㸬 ᪉ἲ
 ᝈ⪅ࡣ41ṓ㸪⏨ᛶ㸦ᮾி་⛉ṑ⛉኱ᏛṑᏛ㒊㝃ᒓ⑓㝔㢡⩏ṑእ᮶ึデ᫬㸧㸬2010ᖺ3᭶࡟ྠ⑓㝔ཱྀ⭍እ⛉࡟࡚ୖ㢡㒊ศษ㝖⾡᪋⾜㸬๰㠃ࡢ἞⒵࡟࠶
ࢃࡏ࡚㸪ࢧ࣮ࢪ࢝ࣝ࢜ࣈࢳ࣮ࣗࣞࢱࢆㄪᩚ㸬ࡑࡢᚋ㸪๰㠃ࡀᏳᐃࡋࡓࡢ࡛ࢹ࢕ࣇ࢕ࢽࢸ࢕ࣈ࢜ࣈࢳ
࣮ࣗࣞࢱ࡜ࡋ࡚ࣞࢪࣥᗋ㢡⩏ṑࢆ〇స㸬ᩘᅇࡢㄪᩚࡢᚋ㸪2012ᖺ4᭶ࡼࡾ࣓࢖ࣥࢸࢼࣥࢫ࡟⛣⾜㸬
2012ᖺ11᭶㸪୍㐣ᛶ⬻⹫⾑࡟࡚⚄⤒ෆ⛉࡟⥭ᛴධ㝔㸬⩏ṑ⿦╔࡞ࡋ࡟࡚⡆᫆╧╀᳨ᰝ(࢔ࣉࣀࣔࢽࢱ࣮)ࡢ᳨ᰝࡢ⤖ᯝ㸪↓࿧྾ప࿧྾ᣦᩘ㸦AHI㸧㸻
39.7ࢆ♧ࡋࡓ㸬ࡑࡢᚋ㸪⩏ṑ⿦╔ࡋࡓ≧ែ࡛㸪⡆᫆╧╀᳨ᰝ࡟࡚AHI㸻12.2,╧╀୰ࡢ᭱ప⾑୰㓟⣲㣬࿴ᗘ(SpO2min)㸻89%࡛࠶ࡗࡓ㸬࿧྾ჾෆ⛉ᢸᙜ་ࡼࡾ㸪ኪ㛫⿦╔⏝ࡢOA〇స౫㢗ࡀ࠶ࡾ㸪ಶேࢺ࣮ࣞ࠾ࡼࡧࢩࣜࢥ࣮ࣥ༳㇟ᮦ㸦࢚ࢢࢨࣁ࢖ࣇࣞࢵ
ࢡࢫࣞࢠࣗࣛ㸫ࢱ࢖ࣉ㸪GC♫㸪ᮾி㸧࡟࡚ୖ㢡ṑิ࠾ࡼࡧḞᦆ㒊ࡢ༳㇟᥇ᚓࢆ⾜࠸㸪సᴗ⏝ᶍᆺ㸦㉸◳▼⭯㸪GC♫㸪ᮾி㸧ࢆ〇సࡋࡓ㸬ညྜ᥇ᚓࡣୗ㢡ࢆ๓᪉఩࡟ࡣㄏᑟࡏࡎ㸪ည㢌ᔐྜ఩࡟࡚OAࡢཌࡳศ࡜ࡋ࡚ࣃࣛࣇ࢕ࣥ࣡ࢵࢡࢫ㸦ࣃࣛࣇ࢕ࣥ
࣡ࢵࢡࢫ㸪GC♫㸪ᮾி㸧2ᯛࢆ㔜ࡡࡓ≧ែ࡛᥇ᚓࡋࡓ㸬OAࡣୖ㢡ࡢࡳ࡟㐺⏝ࡋ㸪㢡Ḟᦆ㒊࡜ṧᏑṑิࢆ⿕そࡍࡿᙧ≧࡜ࡋࡓ㸬OAࡢ⥔ᣢࡣṧᏑṑิࡢṑෙ࢔ࣥࢲ࣮࢝ࢵࢺ㒊࡟ồࡵ㸪ṑ㢕㒊ࡣྍཬⓗ࡟⿕そࡋ࡞࠸ࡼ࠺࡟ࡋ࡚㸪ṑ࿘⤌⧊࡬ࡢᙳ㡪ࢆ㓄៖ࡋࡓ㸬ࡲࡓ㸪ညྜ᥋ゐࡣࢼ࢖ࢺ࣮࢞ࢻ࡟‽ࡌ࡚ည㢌ᔐྜ఩㸪೫ᚰ఩࡟࡚ࣂࣛࣥࢫⰋࡃୗ㢡ṑิ࡟᥋ゐࡍࡿࡼ࠺ㄪᩚࡋ㸪ຍ⇕㔜ྜᗋ⏝ࣞࢪࣥ㸦࢔ࢡࣟࣥࢡࣜ࢔࣮㸪GC♫㸪ᮾி㸧࡟࡚OAࢆ〇సࡋࡓ㸬ᩘᅇࡢညྜㄪᩚ࠾ࡼࡧ㢡Ḟᦆ㒊ࡢ၁ഃ㇏㶾࡞࡝ࡢᙧែಟṇࡢᚋ㸪౑⏝୰ࡢ㐪࿴ឤࡀ࡞࠸ࡇ࡜ࢆ☜ㄆࡋ㸪෌ᗘ⡆᫆╧╀᳨ᰝࢆᐇ᪋ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 OA⿦╔᫬ࡢ⡆᫆╧╀᳨ᰝࡢ⤖ᯝ㸪 AHI㸻1.6㸪
SpO2min=89%࡜࡞ࡾ↓࿧྾ࡢᨵၿࡀㄆࡵࡽࢀࡓ㸬᪥୰ࡣ㢡⩏ṑ⿦╔㸪ኪ㛫ࡣOA⿦╔࡜㸪⿵⥛⿦⨨⿦╔᫬㛫ࡀ㛗ࡃ࡞ࡾ㸪ᨭྎṑ࠾ࡼࡧṑ࿘⤌⧊࡟㈇ᢸ
ࡀ኱ࡁࡃ࡞ࡿ࡜⪃࠼ࡽࢀࡓࡓࡵ㸪᪥୰࡟㢡⩏ṑࢆࡣࡎࡍ᫬㛫ࢆ㛗ࡃࡍࡿࡼ࠺࡟ᣦ♧ࡋࡓ㸬ᨭྎṑ࠾ࡼࡧṑ࿘⤌⧊㸪౑⏝୰ࡢ㢡⩏ṑࡢ㐺ྜ࡟␗ᖖࡣㄆ
ࡵࡎⰋዲ࡟⤒㐣ࡋ࡚࠸ࡿ㸬㏻ᖖSAS࡟㐺⏝ࡍࡿOAࡣୖୗ㢡࡟OAࢆ⿦╔ࡋ㸪ୗ㢡ࢆ๓᪉࡟ㄏᑟࡋ࡚Ẽ㐨ࡢᣑᙇࢆᅗࡿࡀ㸪௒ᅇ〇సࡋࡓOAࡣ㸪ୖ㢡Ḟᦆ(✸Ꮝ)㒊ࡢᑒ㙐ࢆ୺┠ⓗ࡜ࡋࡓࡓࡵୖ㢡ࡢࡳ࡟㐺⏝ࡋ㸪ୗ㢡ࡣ๓᪉ㄏᑟࡏ
ࡎࢼ࢖ࢺ࣮࢞ࢻ࡟‽ࡌࡓညྜ᥋ゐࢆ௜୚ࡋࡓ㸬ᮏ⑕౛࡛ࡣAHI್ࡀపୗࡋ㸪SASࡢᨵၿࡀぢࡽࢀࡓࡀ㸪ୖ㢡Ḟᦆ࣭SASࡢ≧ἣ࡟ࡼࡗ࡚ࡣୖୗOAࢆ⿦╔ࡋ㸪ୗ㢡๓᪉఩࡛Ẽ㐨☜ಖࢆᅗࡿᚲせࡀ࠶ࡿ࡜᥎ᐹࡉࢀࡿ㸬௒ᚋ་⛉⣔╧╀ࢡࣜࢽࢵࢡ࡜㐃ᦠࡋ࡚㸪㢡⿵⥛
⑕౛ࡢSASࡢ᳨ᰝ㸪⤒㐣ほᐹࡣᚲせ࡜⪃࠼ࡽࢀࡿ㸬
ϫ㸬 ᩥ⊩
1)
Guilleminault C, et al. The sleep apnea
syndromes.Ann RevMed 27:465-487, 1976㸬2)
㉥ᰘ ᜏே,௚. ╧╀᫬↓࿧྾⑕ೃ⩌ࡢ⮫ᗋ.
᪥኱་Ꮫ㞧ㄅ 68:67-72, 2009㸬3)
Willem Nesse, et al. Prevalence of obstructive
sleep apnea following head and neck cancer
treatment. Olal Oncology 42:108-114, 2006㸬

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 106⩏ṑᗋୗ࡟⸆๣㛵㐃㢡㦵ቯṚࢆⓎ⑕ࡋࡓ10⑕౛ࡢḞᦆṑิࡢホ౯‫ۑ‬㯤ᆅ೺ோ㸪᪂㒊㑥㏱ 㸪ᒾᓮⰋኴ㑻㸪᭷㤿ㄔு㸪すᒣ␃⨾Ꮚ㸪㕥ᮌၨ௓㸪㕥ᮌ₩㸪୰ᕝ✀᫛㸪ᇼỤఙ⾜៞᠕⩏ሿ኱Ꮫ་Ꮫ㒊ṑ⛉ཱྀ࣭⭍እ⛉Ꮫᩍᐊ㸪*ᮾ໭኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉࣭ṑᏛ㒊ศᏊ࣭෌⏕ṑ⛉⿵⥛Ꮫศ㔝Clinical evaluation of edentulous arch in 10 patients with medication-related osteonecrosis of the jaw under
dentures
Ouchi T, Niibe K*, Iwasaki R, Arima N, Nishiyama R, Suzuki K, Suzuki K, Nakagawa T, Horie N
Department of Dentistry and Oral Surgery, Keio University School of Medicine㸪* Division of Molecular and Regenerative Prosthodontics, Tohoku University Graduate School of DentistryϨ㸬 ┠ⓗ ⩏ṑ⿦╔ᝈ⪅࡟࠾࠸࡚㸪ࣅࢫࣇ࢛ࢫࣇ࢛ࢿ࣮ࢺ
⣔〇๣ཬࡧࢹࣀࢫ࣐ࣈࡀཎᅉ࡜⪃࠼ࡽࢀࡿ⸆๣㛵㐃㢡㦵ቯṚࢆⓎ⑕ࡋࡓࢣ࣮ࢫࡀᩓぢࡉࢀࡿ㸬ᡃࠎࡣ௨๓ࡼࡾᮏ⑌ᝈ࡜⿵⥛⿦⨨࡜ࡢ㛵㐃ᛶࢆሗ࿌ࡋ
࡚ࡁࡓ㸦ᩥ⊩1, 2㸧㸬௒ᅇ㸪ࡑࡢ୰࡛⩏ṑᗋୗ࡟⸆๣㛵㐃㢡㦵ቯṚࡀほᐹࡉࢀࡓᝈ⪅10ྡࢆྲྀࡾୖࡆ㸪Ḟᦆṑิࡢホ౯ࢆ⾜ࡗࡓ㸬ṑᗋୗࡢ⸆๣㛵㐃㢡㦵ቯṚⓎ⑕⪅࡟ᑐࡋ࡚ࡢ᫂☜࡞⿵⥛Ꮫⓗ࢔ࣉ࣮ࣟࢳࡀ♧ࡉࢀ࡚࠸࡞࠸ࡓࡵ㸪௒
ᚋࡑࡢⅬ࡟㛵ࡋ࡚ࡢ᥈⣴ࡀ㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿ㸬 10⑕౛ࡢḞᦆṑิࡢホ౯ϩ㸬 ᪉ἲ 2013ᖺ6᭶࠿ࡽ2014ᖺ12᭶ࡲ࡛ࡢ㛫࡛ᙜ⛉እ᮶ࢆཷデࡋࡓࣅࢫࣇ࢛ࢫࣇ࢛ࢿ࣮ࢺ⣔〇๣ཬࡧࢹࣀࢫ
࣐ࣈࡢᢞ୚ᝈ⪅ࡢ࠺ࡕ㸪⩏ṑᗋୗ࡟⸆๣㛵㐃㢡㦵ቯṚࢆⓎ⑕ࡋࡓᝈ⪅10ྡ࡟㛵ࡍࡿホ౯ࢆ⾜ࡗࡓ㸬⡿ᅜཱྀ⭍እ⛉Ꮫ఍ࡢデ᩿ᇶ‽ࢆඖ࡟㢡㦵ቯṚࡢデ᩿ࡀ☜ᐃࡋࡓ᫬Ⅼ࡛ࡢᝈ⪅ࡢᛶู㸪ᖺ㱋㸪ᇶ♏⑌ᝈ➼ࡢᝈ⪅᝟ሗ࡟ຍ࠼㸪Ḟᦆṑิ㸦Eichnerࡢศ㢮㸪
Cummerࡢศ㢮㸪ᐑᆅࡢညྜ୕ゅ㸧ࢆホ౯㡯┠࡜ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ௒ᅇホ౯ࢆ⾜ࡗࡓ10ྡࡢ࠺ࡕḞᦆṑิࡢホ౯࡟㛵ࡋ࡚ࡣ㸪Eichnerࡢศ㢮࡛ࡣညྜ㒊఩ࡀ๓ṑ㒊ࡢࡳ ࡛ ࠶ ࡿ B4 ࡀ 6 ౛ ࡜ ༙ ᩘ ௨ ୖ ࢆ ༨ ࡵ ࡓ 㸬 ࡲ ࡓ
Cummerࡢศ㢮࡛ࡣ୍ᐃࡢညྜᵝᘧࡢഴྥࡣぢࡽࢀ࡞࠿ࡗࡓ㸬ᐑᆅࡢညྜ୕ゅ࡛ࡣ㸪≉࡟➨2࢚ࣜ࢔㸪➨4࢚ࣜ࢔࡛ࡢ㞟୰ࡀぢࡽࢀࡓ㸦⾲㸧㸬 ࣅࢫࣇ࢛ࢫࣇ࢛ࢿ࣮ࢺ⣔〇๣ཬࡧࢹࣀࢫ࣐ࣈࡢ
ᢞ୚┠ⓗࡣ඲࡚⭘⒆ᛶ⑓ኚ࡛࠶ࡗࡓ㸬୍⯡ⓗ࡟⭘⒆ᛶ⑓ኚ࡟ᑐࡋ࡚㟼⬦ὀᑕ⸆ࢆᢞ୚ࡉࢀ࡚࠸ࡿሙ
ྜࡣ㸪ᢞ୚⸆ࡢ୰Ṇ➼ࡣ㞴ࡋࡃ⥅⥆ࡉࢀࡿ஦ࡀከ
࠸㸬௒ᅇࡢㄪᰝ࡟࠾࠸࡚㸪⩏ṑ⢓⭷ㄪᩚ➼࡟ࡼࡗ୍࡚᫬ⓗ࡟㦵㟢ฟࡀୖ⓶໬ࡋᨵၿࡉࢀࡓ࡜ࡋ࡚ࡶ㸪ࡑࡢᚋ෌ᗘ㦵㟢ฟࢆㄆࡵࡓ⑕౛ࡀᩓぢࡉࢀࡓࡇ࡜
ࢆ⪃៖ࡍࡿ࡜㸪⩏ṑㄪᩚࡸ⤒㐣ほᐹࡢ⥅⥆ࡢ㔜せᛶࡀ♧၀ࡉࢀࡿ㸬 ௒ᅇࡢㄪᰝ࡛ࡣ๓ṑ㒊ညྜࡢࡳࡢ⑕౛࡛ከࡃぢࡽࢀࡓࡀ㸪௒ᚋࡉࡽ࡞ࡿ⑕౛ᩘࢆほᐹࡋ㸪ࡑࡢഴྥࢆᚓࡿᚲせࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡿ㸬ࡲࡓ⌧ᅾࡣ⩏

Eichner ࡢศ㢮Cummer ࡢศ㢮ᐑᆅࡢညྜ୕ゅB4 : 6 ౛

41 : 3 ౛➨ 2 ࢚ࣜ࢔ : 5 ౛

C2 : 2 ౛

17 : 2 ౛➨ 4 ࢚ࣜ࢔ : 4 ౛

B3 : 1 ౛

46 : 2 ౛➨ 3 ࢚ࣜ࢔ : 1 ౛

C1 : 1 ౛

22 : 1 ౛
24 : 1 ౛

58 : 1 ౛ϫ㸬 ᩥ⊩1) Niibe K, Ouchi T, Iwasaki R, Nakagawa T, Horie
N. Osteonecrosis of the jaw in patients withdentalprostheses
being
treatedwithbisphosphonates or denosumab. Journal of
Prosthodontic Research 2015 ; 59 : 3̽5.
2)

− 296 −

㯤ᆅ೺ோ㸪᪂㒊㑥㏱㸪ᒾᓮⰋኴ㑻㸪᭷㤿ㄔு㸪すᒣ␃⨾Ꮚ㸪㕥ᮌၨ௓㸪㕥ᮌ₩㸪୰ᕝ✀᫛㸪ᇼỤఙ⾜㸬ᖹᡂ26ᖺᗘ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ᮾிᨭ㒊➨18ᅇᏛ⾡኱఍ ᢒ㘓㞟 2014 ; 28.

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 107᭱ᚋ᪉⮻ṑḞᦆ࡟ᑐࡋ࡚$5&86GLJPDϩࢆ⏝࠸࡚ညྜ᥇ᚓ
ࢆࡋࡓ⑕౛
‫⚟ۑ‬ἑ⿱ᇶ㸪୰ᮧ೺ኴ㑻*㸪ᒣᮏྖᑗ*㸪⣽ᕝ⛱᫭**㸪H. W. Lang**㛵すᨭ㒊㸪*ᮾᾏᨭ㒊㸪**࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥ㸦ᰴ㸧
A Case Report of Prosthetic Treatment for Missing Backward Molar Taken Bite Registration Using
ARCUSdigmaII
Fukuzawa Y, Nakamura K*, Yamamoto M*, Kondo Y*, Hosokawa T**, Lang HW**
Kansai Branch, *Tokai Branch, **KaVo Dental Systems Japan Co., Ltd.

Ϩ㸬 ┠ⓗ ည㢌ᔐྜ఩ࡢᏳᐃࢆᢸ࠺➨஧኱⮻ṑࡢḞᦆ⿵⥛
἞⒪࡟࠾࠸࡚㸪ᝈ⪅ᮏ᮶ࡢည㢌ᔐྜ఩ࢆᔂࡍࡇ࡜
࡞ࡃ⿵⥛⿦⨨ࢆ⿦╔ࡍࡿࡓࡵ࡟ࡣ⢭☜࡞ညྜ᥇ᚓࡀせồࡉࢀࡿ㸬᭱ᚋ᪉⮻ṑࡀḞᦆࡋࡓཱྀ⭍ෆ࡛ညྜ᥇ᚓࢆ⾜࠺ሙྜ㸪ᝈ⪅࡟ည㢌ᔐྜ఩ࢆ⥔ᣢࡉࡏ࠿ࡘࡑࡢ≧ែࢆ⢭☜࡟᥇ᚓࡍࡿࡇ࡜ࡣ㠀ᖖ࡟ᅔ㞴࡛࠶ࡿ1)㸬ࡇࢀࡲ࡛ࡢ᪥ᖖ⮫ᗋ࡟࠾࠸࡚ᔐྜࡉࡏࡿ
ညྜຊࡢ೫ࡾ࡟ࡼࡗ࡚㸪ୗ㢡ṑิࡀ೫఩ࡋࡓ≧ែ࡛ညྜ᥇ᚓࢆ⾜ࡗ࡚ࡋࡲ࠸㸪సᴗᶍᆺୖ࡛ࡣ⢭☜࡟స〇ࡉࢀࡓ⿵⥛⿦⨨ࡀ㸪ཱྀ⭍ෆ࡟⿦╔ࡉࢀࡿ࡜ညྜ᥋ゐ≧ែࡀ୙Ⰻ࡟࡞ࡗ࡚ࡋࡲࡗࡓࡇ࡜ࢆከᩘ
⤒㦂ࡋ࡚࠸ࡿ㸬 ࡑࡇ࡛௒ᅇ㸪ࢹࢪࢱࣝᘧ㢡㐠ືィ ⿦⨨
㸦ARCUSdigmaϩ㸧ࡢᶵ⬟ࡢ୍ࡘ࡛࠶ࡿAdductoin
Fieldࢆ౑⏝ࡋ࡚㸪ᝈ⪅ᮏ᮶ࡢည㢌ᔐྜ఩ࢆ⥔ᣢࡋࡓ≧ែ࡛᭱ᚋ᪉⮻ṑ⿵⥛⿦⨨ࢆ〇సࡍࡿࡓࡵࡢည
ྜ᥇ᚓࢆヨࡳࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ ᝈ⪅ࡣึデ᫬36ṓࡢዪᛶ㸬ୗ㢡ྑഃ➨2኱⮻ṑ႙ኻ࡟ࡼࡿ࿪ᄮ㞀ᐖࢆ୺ッ࡟᮶㝔㸬 ௚㝔࡛࢖ࣥࣉࣛࣥࢺ἞⒪ࢆ່ࡵࡽࢀࡓࡀ㸪἞⒪᪉ἲ࡟୙Ᏻࡀ࠶ࡾᙜ㝔ࢆཷデࡉࢀࡓ㸬ࡑࡇ࡛Ḟᦆ㒊⿵⥛࡟ࡣୗ㢡ྑഃ➨2ᑠ⮻ṑ࠾ࡼࡧ➨1኱⮻ṑࢆᨭྎṑ࡜ࡍࡿᘏ㛗ࣈࣜࢵࢪࢆ⏝࠸࡚⿵⥛ࢆ⾜࠺἞⒪ィ⏬ࢆ❧᱌ࡋࡓ㸬 ࡣࡌࡵ࡟἞⒪㛤ጞ᫬ࡢည㢌ᔐྜ఩ࡢ≧ែࢆ᳨ᰝࡍࡿࡓࡵ࡟㸪ࢹࢪࢱࣝᘧ㢡㐠ືィ⿦⨨
㸦ARCUSdigmaϩ㸪࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢪࣕࣃ
ࣥ㸪ᮾி㸪᪥ᮏ㸧ࡢୗ㢡㐠ືゎᯒࣔࢪ࣮ࣗࣝ
㸦Motion analysis㸧ࢆ⏝࠸࡚㸪⩦័ᛶ㛢ཱྀ⤊ᮎ఩࡜࿪ᄮ⤊ᮎ఩࡜ࡢ୕ḟඖⓗ఩⨨㛵ಀ࡟ࡎࢀࡀ࡞ࡃ୍
⮴ࡋ࡚࠸ࡿࡇ࡜ࢆ☜ㄆࡋࡓ㸬 ညྜ᥇ᚓ࡟ࡣࡇࡢည㢌ᔐྜ఩ࢆ⥔ᣢࡍࡿࡓࡵ࡟
ARCUSdigmaϩࡢညྜ᥇ᚓࣔࢪ࣮ࣗࣝ㸦Adduction
Field㸧ࢆ౑⏝ࡋࡓ㸬⩦័ᛶ㛢ཱྀ⤊ᮎ఩࡜୍⮴ࡋࡓည㢌ᔐྜ఩ࢆࢱ࣮ࢤࢵࢺ࢚ࣜ࢔࡜ࡋ࡚タᐃࡋ㸪⾡⪅࡜ᝈ⪅ࡢ୧⪅ࡀࡑࡢ࢚ࣜ࢔࡛ࡢୗ㢡఩ࢆࣔࢽࢱ
࣮ୖ࡛ᢕᥱࡋࡓ㸬ညྜ᥇ᚓἲࡣညྜ┙ࢆ⏝࠸ࡓညྜ༳グἲࢆ㑅ᢥࡋࡓ㸬ࡇࡢညྜ┙ࡣ༶᫬㔜ྜࣞࢪࣥ㸦ࣇ࢕ࢡࢫࣆ࣮ࢻ㸪GC㸪ᮾி㸪᪥ᮏ㸧ࢆ⏝࠸࡚స〇ࡋࡓ㸬㢡㛫グ㘓᥇ᚓࡢࡓࡵ࡟ཱྀ⭍ෆ࡛༶᫬㔜ྜࣞࢪࣥࢆညྜ┙ୖ࡟ῧຍࡋ◳໬᫬㛫㸦3ศ㛫㸧୰㸪ࣔࢽࢱ࣮ୖ࡛ࡑࡢ࢚ࣜ࢔ࢆ⾡⪅࡜ᝈ⪅ࡢ୧⪅࡛☜ㄆࡋ⥆ࡅୗ㢡఩ࢆ⥔ᣢࡋࡓ1)㸬ୖୗ㢡▼⭯ᶍᆺࡢᅛᐃ࡟ࡣ㸪᥇ᚓࡋࡓညྜ┙ࢆసᴗᶍᆺࡢᨭྎṑ࡟⿦╔ࡋᅛᐃຊࡀ೫ࡽ࡞࠸ࡼ࠺⮬సࡢ࢚࢘࢖ࢺࢆ౑⏝ࡋ࡚㸪ᆒ➼࡞ຊ࡛ୖୗ㢡ᶍᆺࡀᅛᐃ࡛ࡁࡿࡼ࠺࡟ࡋࡓ㸬 ညྜჾࡣ༙ㄪ⠇ᛶညྜჾ㸦PROTAR evo7㸪࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢪࣕࣃࣥ㸪ᮾி㸪᪥ᮏ㸧ࢆ౑⏝ࡋࡓ㸬ညྜჾ⿦╔࡛ࡣ࢖ࣥࢧ࢖ࢨࣝࣆࣥࡀ࢖ࣥࢧ
࢖ࢨࣝࢸ࣮ࣈࣝ࠿ࡽᾋࡁୖࡀࡽ࡞࠸ࡼ࠺㸪౑⏝ࡍࡿညྜჾ⿦╔⏝▼⭯ࡣྍཬⓗ࡟ᑡ㔞࡟࡜࡝ࡵࡓ㸬 ညྜ᥋ゐ≧ែࡢ᳨ᰝ࡟ࡣညྜ᥋ゐ᳨ᰝᮦ㸦ࣂ࢖ࢺࢳ࢙ࢵ࣮࢝㸪GC㸪ᮾி㸪᪥ᮏ㸧࡟ࡼࡿࣈࣛࢵࢡ
ࢩࣜࢥ࣮ࣥἲࢆ⏝࠸࡚㸪సᴗᶍᆺୖ࠾ࡼࡧཱྀ⭍ෆࡢညྜ᥋ゐ≧ែࢆホ౯ࡋࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ᭱ᚋ᪉⮻ṑḞᦆ࡟ᑐࡋᘏ㛗ࣈࣜࢵࢪ࡟ࡼࡿ⿵⥛ࢆ⾜࠺࡟࠶ࡓࡾ㸪ࡑࡢညྜ᥇ᚓ࡟ARCUSdigmaϩࢆ⏝࠸࡚⿵⥛⿦⨨ࢆస〇ࡋࡓ⤖ᯝ㸪
 1. ࣉࣟࣅࢪࣙࢼࣝࣞࢫࢺ࣮ࣞࢩࣙࣥ⿦╔᫬ࡢ
ညྜ᥋ゐ≧ែ࡜᭱⤊⿵⥛⿦⨨ࡢညྜ᥋ែࡀྜ⮴ࡋࡓ㸬
 2. ᭱⤊⿵⥛⿦⨨⿦╔᫬࡟ညྜㄪᩚࢆᚲせ࡜ࡋ࡞࠿ࡗࡓ㸬 ௨ୖࡢࡇ࡜࠿ࡽ㸪ညྜ᥇ᚓ᫬࡟ㄗᕪࢆ⏕ࡌࡸࡍ࠸᭱ᚋ᪉⮻ṑḞᦆᑐࡍࡿ⿵⥛⿦⨨〇స࡟࠾࠸࡚㸪ညྜ᥇ᚓ࡟ARCUSdigmaϩࢆ⏝࠸ࡿࡇ࡜࡛㸪ᝈ⪅ᮏ᮶ࡢည㢌ᔐྜ఩ࢆ⥔ᣢࡋࡓ⿵⥛⿦⨨ࡀ〇స࡛ࡁࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ϫ㸬 ᩥ⊩1) ᒸୗ៞ኴ㑻㸪୰ᮧ೺ኴ㑻㸪ᒣᮏྖᑗ㸪⣽ᕝ⛱᫭㸪㧗᲍▱ᏹ㸪H. W. Lang㸬ARCUSdigmaϩࢆ⏝࠸ࡓညྜ᥇ᚓ࡟ࡼࡿ⮻ṑ㒊Ḟᦆ⿵⥛⑕౛㸬᪥⿵⥛఍ㄅ 2014㸹6࣭123ᅇ≉ูྕ㸸303㸬

− 297 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 108

ARCUSdigmaϩࢆ⏝࠸ࡓညྜ᥇ᚓ࡟࡚ည㢌ᔐྜ఩ࢆಖᣢࡋࡓ
⑕౛۵㧗⏣๛㸪୰ᮧ೺ኴ㑻*㸪ᒣᮏྖᑗ*㸪⣽ᕝ⛱᫭**㸪H. W. Lang**㛵すᨭ㒊㸪*ᮾᾏᨭ㒊㸪**࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥ㸦ᰴ㸧
A Case Report in Consideration for Preservation of Intercuspal Position by Maxillomandibular Registration
using ARCUSdgmaϩ
Takada T, Nakamura K*, Yamamoto M*, Hosokawa T**, Lang HW**
Kansai Branch, *Tokai Branch, **KaVo Dental Systems Japan Co., Ltd.

Ϩ㸬 ┠ⓗ ⿵⥛⿦⨨ࢆཱྀ⭍ෆ࡟⿦╔ࡍࡿሙྜ㸪ཱྀ⭍ෆ࡟࠾࠸࡚ㄪ࿴ࡢ࡜ࢀࡓ⿵⥛⿦⨨࡛࡞ࡅࢀࡤ㸪⿦╔ᚋࡢཱྀ⭍ෆ࡟኱ࡁ࡞ኚ໬ࢆᘬࡁ㉳ࡇࡋ࠿ࡡ࡞࠸㸬ࡑࢀࡺ࠼࡟⿵⥛἞⒪࡟࠾࠸࡚㸪ည㢌ᔐྜ఩ࢆಖᣢࡍࡿ
ࡇ࡜ࡣ㠀ᖖ࡟㔜せ࡛࠶ࡿ㸬 ည㢌ᔐྜ఩ࡣ࿪ᄮ⤊ᮎ఩࡛࠶ࡾ㸪ࡲࡓ⩦័ᛶ㛢ཱྀ⤊ᮎ఩࡛ࡶ࠶ࡗ࡚㸪㢛㢌ࡣᏳᐃ఩࡛ᙧែⓗ࡟ࡶᶵ⬟ⓗ࡟ࡶㄪ࿴ࢆಖࡗ࡚࠸ࡿ1)࡜ࡉࢀ࡚࠸ࡿ㸬ࡼࡗ࡚ည㢌ᔐྜ఩ࡀ㐺ษ࡞㢡఩࡛࠶ࡿᝈ⪅ࡢ⿵⥛἞⒪࡛࠶ࡗ࡚ࡶ㸪ညྜ᥇ᚓࡢಙ㢗ᛶࡀஈࡋࡅࢀࡤ᭱⤊⿵⥛⿦⨨⿦╔᫬࡟ࡣ㸪ညྜㄪᩚࡀᚲせ࡜࡞ࡿሙྜ
ࡀከ࠸㸬ࡑࡢညྜㄪᩚ࡟ࡼࡗ࡚࿪ᄮᶵ⬟ࢆ⇍៖ࡋ࡚〇సࡉࢀࡓညྜ㠃ᙧែࡣኚ໬ࡋ㸪㐺ษ࡞఩⨨࡟࠶ࡗࡓည㢌ᔐྜ఩ࡶ୙☜ᐇ࡞ࡶࡢ࡜࡞ࡗ࡚ࡋࡲ࠺㸬ࡑࡇ࡛⿵⥛⿦⨨⿦╔᫬࡟࠾ࡅࡿညྜㄪᩚࢆᅇ㑊ࡋ㸪㐺ษ࡞ည㢌ᔐྜ఩ࢆኚ໬ࡉࡏ࡞࠸ညྜ᥇ᚓࢆ⾜࠺ࡇ࡜ࢆ┠ⓗ࡟㸪ࢹࢪࢱࣝᘧ㢡㐠ືィ ⿦⨨ࢆ⏝࠸࡚ညྜ᥇ᚓࢆ⾜࠸⿵⥛⿦⨨ࡢ〇సࢆ⾜ࡗࡓ⑕౛ࢆ
ሗ࿌ࡍࡿ㸬
ϩ㸬 ᪉ἲ
 ᝈ⪅ࡣึデ᫬41ṓࡢ⏨ᛶ㸬୺ッࡣୗ㢡ᕥഃ➨1኱⮻ṑࡢṑෙ◚ᢡ࡟ࡼࡿ࿪ᄮ㞀ᐖ࡛࠶ࡿ㸬἞⒪᪉㔪ࡣୗ㢡ᕥഃ➨1኱⮻ṑḞᦆ࡟ᑐࡋ࡚㸪ୗ㢡ᕥഃ➨2ᑠ⮻ṑ࡞ࡽࡧ࡟➨2኱⮻ṑࢆᨭྎ࡜ࡍࡿࣈࣜࢵࢪ࡟
ࡼࡿḞᦆ⿵⥛࡟ࡼࡗ࡚㸪࿪ᄮᶵ⬟ࢆᅇ᚟ࡍࡿ἞⒪ࢆ❧᱌ࡋࡓ㸬 ည㢌ᔐྜ఩ࡢ☜ㄆ࡟ࡣࢹࢪࢱࣝᘧ㢡㐠ືィ ⿦⨨㸦ARCUSdigmaϩ㸪࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪ
ࣕࣃࣥ㸪ᮾி㸪᪥ᮏ㸧ࡢୗ㢡㐠ືィ ࣔࢪ࣮ࣗࣝ
㸦Motion Analysis㸧ࢆ⏝࠸࡚⩦័ᛶ㛢ཱྀ⤊ᮎ఩࡜࿪ᄮ⤊ᮎ఩࡜ࡢ୕ḟඖⓗ఩⨨㛵ಀࢆ☜ㄆࡋࡓ㸬 ညྜ᥇ᚓ࡟ࡣARCUSdigmaϩࡢညྜ᥇ᚓࣔࢪࣗ
࣮ࣝ㸦Adduction Field㸧ࢆ฼⏝ࡋ㸪࿪ᄮ⤊ᮎ఩࡜୍⮴ࡍࡿ⩦័ᛶ㛢ཱྀ⤊ᮎ఩ࢆࢱ࣮ࢤࢵࢺ࢚ࣜ࢔࡜タᐃࡋ㸪ညྜ᥇ᚓ๓࡟⾡⪅࡜ᝈ⪅ࡀ࡜ࡶ࡟ࡑࡢ࢚ࣜ
࢔࡛ࡢ㢡఩ࢆ☜ㄆࡋࡓ2)㸬ညྜ᥇ᚓἲࡣညྜ┙࡟ࡼࡿညྜ༳グἲ࡜ࡋ㸪ညྜ┙࡟ࡣ༶᫬㔜ྜࣞࢪࣥ㸦ࣇ࢕ࢡࢫࣆ࣮ࢻ㸪GC㸪ᮾி㸪᪥ᮏ㸧ࢆ⏝࠸ࡓ㸬ཱྀ⭍ෆಖᣢ᫬㛫㸦3ศ㛫㸧୰ࡣ⾡⪅࡜ᝈ⪅࡛ࡑࡢಖᣢࡍࡿ࢚ࣜ࢔ࢆどㄆࡋ⥆ࡅࡓ㸬 ᥇ᚓࡋࡓညྜ┙ࢆ౑⏝ࡋୖୗ㢡ᶍᆺࢆᅛᐃࡋࡓ㸬ᅛᐃ࡟ࡣ⮬సࡢຍ㔜ࢡࣛࣥࣉࢆ⏝࠸㸪ྍཬⓗ࡟ᅛᐃࡍࡿຊࢆᆒ➼࡟࡞ࡿࡼ࠺࡟ࡋࡓ㸬༙ㄪ⠇ᛶညྜჾ㸦PROTAR evo7㸪࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕ
ࣃࣥ㸪ᮾி㸪᪥ᮏ㸧ࢆ⏝࠸㸪◳㉁▼⭯㸦ࣁ࢖࣐࢘ࣥࢺ㸪ࢧ࢚ࣥࢫ▼⭯㸪ᮾி㸪᪥ᮏ㸧࡟ࡼࡿညྜჾ
⿦╔࡟࠾࠸࡚ࡣ౑⏝ࡍࡿ▼⭯㔞ࢆྍཬⓗ࡟ᑡ࡞ࡃࡋࡓ㸬 ည㢌ᔐྜ఩࡛ࡢ⿵⥛⿦⨨࠾ࡼࡧṧᏑṑ㒊ࡢညྜ᥋ゐ≧ែࡢほᐹ࡟ࡣ㸪ညྜ᥋ゐ᳨ᰝᮦ㸦ࣈ࣮ࣝࢩࣜࢥ࣮࣮ࣥࣟࣇ࣮ࣟ㸪GC㸪ᮾி㸪᪥ᮏ㸧ࢆ⏝࠸࡚᥇ᚓࡋࡓ㸬ࡇࡢညྜ᥋ゐ᳨ᰝᮦࢆṑ᥋ゐศᯒ⿦⨨㸦ࣂ࢖ࢺ࢔࢖BE-I㸪GC㸪ᮾி㸪᪥ᮏ㸧࡛ညྜ᥋ゐ≧ែࡢゎᯒ㸪ホ౯ࢆ⾜ࡗࡓ㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ
 ARCUSdigmaϩࢆ⏝࠸ࡓညྜ᥇ᚓ࡟ࡼࡿ⮻ṑ㒊⿵⥛⿦⨨ࢆస〇ࡋࡓ⤖ᯝ㸪
 1. ⿵⥛⿦⨨⿦╔᫬࡟㸪ညྜㄪᩚࢆᚲせ࡜ࡋ࡞࠿ࡗࡓ㸬
 2. ࣉࣟࣅࢪࣙࢼࣝࣞࢫࢺ࣮ࣞࢩࣙࣥ⿦╔᫬ࡢ
ညྜ᥋ゐ≧ែ࡜᭱⤊⿵⥛⿦⨨⿦╔᫬ࡢ㸪ညྜ᥋ゐ≧ែࡢྜ⮴ࡀほᐹ࡛ࡁࡓ㸬 ௨ୖࡢࡇ࡜࠿ࡽ㸪ARCUSdigmaIIࢆ⏝࠸ࡓညྜ᥇
ᚓࢆ⏝࠸ࡿࡇ࡜࡛㸪ညྜㄪᩚࢆᚲせ࡜ࡏࡎ࡟ည㢌ᔐྜ఩ࢆኚ໬ࡉࡏ࡞࠸ညྜ᥇ᚓࢆ⾜࠺ࡇ࡜ࡀྍ⬟
࡛࠶ࡗࡓ㸬
ϫ㸬 ᩥ⊩
1) ྂᒇⰋ୍㸬ည㢌ᔐྜ఩㸬㛗㇂ᕝᡂ⏨㸪ᆏᮾỌ୍┘ಟ㸪⮫ᗋညྜᏛ஦඾㸪ᮾி་ṑ⸆ฟ∧㸹
1997㸪308-310㸬
2) బ⸨ṇᙲ㸪୰ᮧ ೺ኴ㑻㸪ᒣᮏྖᑗ㸪⣽ᕝ⛱᫭ 㸪 㧗 ᲍ ▱ ᏹ 㸪 H .W .Lang 㸬 ည ྜ ᥇ ᚓ ࡟
ARCUSdigmaϩࢆ⏝࠸࡚⾜ࡗࡓࣈࣜࢵࢪ⑕౛㸬᪥⿵⥛఍ㄅ 2014㸹6࣭123ᅇ≉ูྕ㸸304㸬

− 298 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 109

ARCUSdigmaϩࢆᛂ⏝ࡋࡓညྜ᥇ᚓ
㸫᭱ᚋ᪉⮻ṑ㒊ࢆྵࡴ⮻ṑ㒊⿵⥛⑕౛㸫۵㛗Ụ໷㸪୰ᮧ೺ኴ㑻㸪ᒣᮏྖᑗ㸪⣽ᕝ⛱᫭*㸪H. W. Lang*ᮾᾏᨭ㒊㸪*࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥ㸦ᰴ㸧
Maxillomandibular Registration using ARCUSdigmaII- A Case Report of Prosthesis of Backward Molar Nagae T, Nakamura K, Yamamoto M, Hosokawa T*, Lang HW*Tokai Branch, *KaVo Dental Systems Japan Co., Ltd.

Ϩ㸬 ┠ⓗ 㢡ཱྀ⭍⣔ࡀ෇⁥࡞ᶵ⬟ࢆႠࡴࡓࡵ࡟ࡣ㸪㢡ཱྀ⭍⣔ࢆᵓᡂࡍࡿྛせ⣲㛫ࡢㄪ࿴࡜ညྜ࡟㛵ࡍࡿ஬ࡘࡢせ௳ࡀ‶ࡓࡉࢀ࡚࠸࡞ࡅࢀࡤ࡞ࡽ࡞࠸࡜ࡢᥦゝࡀࡉࢀ࡚࠸ࡿ1)㸬
 ࡑࡢ୰࡛ည㢌ᔐྜ఩ࡢ㢡఩ࡀṇࡋ࠸ࡇ࡜࡜㸪ည㢌ᔐྜ఩࡟࠾࠸࡚Ᏻᐃࡋࡓညྜ᥋ゐࡀᏑᅾࡍࡿࡇ࡜ࢆ㔜どࡋ࡚⿵⥛἞⒪ࢆ⾜ࡗࡓ࡜ࡋ࡚ࡶ㸪ညྜ᥇ᚓࡢಙ㢗ᛶࡀஈࡋࡅࢀࡤ⿵⥛⿦⨨⿦╔᫬࡟ညྜㄪᩚࢆᚲせ࡜ࡋ㸪ṇࡋ࠸㢡఩࡜Ᏻᐃࡋࡓညྜ᥋ゐࢆ୙☜ᐇ࡞ࡶࡢ࡟ࡋ࡚ࡋࡲ࠸㸪ࡑࡢ⤖ᯝ෇⁥࡞㢡ཱྀ⭍⣔ᶵ⬟ࢆጉࡆ࡚ࡋࡲ࠺࠾ࡑࢀࡀ࠶ࡿ㸬 ࡑࡇ࡛௒ᅇࡣ㢡ཱྀ⭍⣔ࡢᶵ⬟ࢆ☜ᐇ࡟ᅇ᚟࡛ࡁ
ࡿࡼ࠺࡟㸪⿵⥛⿦⨨⿦╔᫬࡟࠾ࡅࡿညྜㄪᩚࢆᅇ
㑊ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ㸪ည㢌ᔐྜ఩ࢆኚ໬ࡉࡏ࡞
࠸ညྜ᥇ᚓࢆ⾜࠺ࡓࡵ࡟ࢹࢪࢱࣝᘧ㢡㐠ືィ ⿦⨨ࢆ⏝࠸࡚ညྜ᥇ᚓࢆ⾜ࡗࡓ⑕౛࡟ࡘ࠸࡚ሗ࿌ࡍ
ࡿ㸬ࣂ࢖ࢺ㸪ࣚࢩࢲ㸪ᮾி㸪᪥ᮏ㸧࡟ࡼࡿညྜ༳グἲࢆ⏝࠸ࡓ㸬ཱྀ⭍ෆಖ᫬᫬㛫㸦2ศ30⛊㛫㸧୰ࡣ⾡⪅࡜ᝈ⪅࡛ࡑࡢࢱ࣮ࢤࢵࢺ࢚ࣜ࢔ෆ࡟࠶ࡿ㢡఩ࢆどㄆࡋಖᣢࡋ⥆ࡅࡓ㸬 ᥇ᚓࡋࡓࢩࣜࢥ࣮ࣥ⣔ညྜ᥇ᚓᮦࢆ౑⏝ࡋୖୗ㢡ᶍᆺࢆᅛᐃࡋࡓ㸬ᅛᐃ࡟ࡣ⮬సࡋࡓ㔜ࡾ࡟ࡼࡿ⮬↛Ⲵ㔜࡜ࡋ㸪ྍཬⓗ࡟ᅛᐃࡍࡿຊࢆᆒ➼࡟ࡋࡓ㸬༙ㄪ⠇ᛶညྜჾ㸦PROTAR evo7㸪࢝࣎ࢹࣥࢱࣝࢩ
ࢫࢸ࣒ࢬࢪࣕࣃࣥ㸪ᮾி㸪᪥ᮏ㸧ࢆ⏝࠸㸪◳㉁▼⭯㸦ࣁ࢖࣐࢘ࣥࢺ㸪ࢧ࢚ࣥࢫ▼⭯㸪ᮾி㸪᪥ᮏ㸧࡟ࡼࡿညྜჾ⿦╔࡛ࡣ౑⏝ࡍࡿ▼⭯ࢆྍཬⓗ࡟ᑡ㔞࡜ࡋࡓ㸬 ည㢌ᔐྜ఩࡛ࡢ⿵⥛⿦⨨࠾ࡼࡧṧᏑṑ㒊ࡢညྜ᥋ゐ≧ែࡢほᐹ࡟ࡣ㸪ညྜ᥋ゐ᳨ᰝᮦ㸦ࣈ࣮ࣝࢩࣜࢥ࣮࣮ࣥࣟࣇ࣮ࣟ㸪GC㸪ᮾி㸪᪥ᮏ㸧ࢆ⏝࠸࡚᥇ᚓࡋࡓ᳨ᰝᮦࢆṑ᥋ゐศᯒ⿦⨨㸦ࣂ࢖ࢺ࢔࢖BEI㸪GC㸪ᮾி㸪᪥ᮏ㸧࡛ညྜ᥋ゐ≧ែࡢゎᯒࢆ⾜࠸㸪ညྜ᥋ゐⅬᩘࡢ㏆ఝࢆ☜ㄆࡋࡓ㸬ϩ㸬 ᪉ἲ ᝈ⪅ࡣึデ᫬25ṓࡢ⏨ᛶ㸬୺ッࡣୖ㢡ᕥഃ➨୍኱⮻ṑࡢညྜ③࠾ࡼࡧ࿪ᄮ᫬③࡟ࡼࡿ࿪ᄮ㞀ᐖ࡛࠶ࡿ㸬 ἞⒪᪉㔪ࡣୖ㢡ᕥഃ➨஧኱⮻ṑࡢညྜᨭᣢᇦࡢ
ᅇ᚟ࢆᅗࡿ࡜࡜ࡶ࡟㸪➨୍኱⮻ṑ࡟ࡼࡿ࿪ᄮᶵ⬟ࢆᅇ᚟ࡍࡿࡇ࡜ࢆ┠ⓗ࡟㸪ࢡࣛ࢘ࣥࢆ⏝࠸ࡓ⿵⥛ฎ⨨ࢆ⾜࠺἞⒪ィ⏬ࢆ❧᱌ࡋࡓ㸬 ⿵⥛ฎ⨨࡟ඛ❧ࡕ㸪⌧≧ࡢည㢌ᔐྜ఩࡟␗ᖖࡀ
࡞࠸࠿ࢆ᳨ᰝࡋࡓ㸬ࢹࢪࢱࣝᘧ㢡㐠ືィ ⿦⨨
㸦ARCUSdigmaϩ㸪࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕ
ࣃࣥ㸪ᮾி㸪᪥ᮏ㸧ࡢୗ㢡㐠ືィ ࣔࢪ࣮ࣗࣝ
㸦Motion Analysis㸧ࢆ⏝࠸࡚⩦័ᛶ㛢ཱྀ⤊ᮎ఩࡜࿪ᄮ⤊ᮎ఩࡜ࡢ୕ḟඖⓗ఩⨨㛵ಀࢆ᳨ᰝࡋࡓ࡜ࡇ
ࢁ㸪୧⪅ࡀ୍⮴ࡋ࡚࠸ࡿࡇ࡜ࡀ☜ㄆ࡛ࡁࡓ㸬 ညྜ᥇ᚓ࡟ࡣARCUSdigmaϩࡢညྜ᥇ᚓࣔࢪࣗ
࣮ࣝ㸦Adduction Field㸧ࢆ฼⏝ࡋ㸪࿪ᄮ⤊ᮎ఩࡜୍⮴ࡍࡿ⩦័ᛶ㛢ཱྀ⤊ᮎ఩ࢆࢱ࣮ࢤࢵࢺ࢚ࣜ࢔࡜ࡋ࡚タᐃࡋ㸪ညྜ᥇ᚓ๓࡟⾡⪅࡜ᝈ⪅ࡀ࡜ࡶ࡟ࡑࡢ
࢚ࣜ࢔࡛ࡢ㢡఩ࢆ☜ㄆࡋࡓ2)㸬
 ညྜ᥇ᚓἲࡣࢩࣜࢥ࣮ࣥ⣔ညྜ᥇ᚓᮦ㸦ࣝࢡࢧϪ㸬 ⤖ᯝ࡜⪃ᐹ
 ARCUSdigmaϩࢆ⏝࠸ࡓညྜ᥇ᚓ࡟ࡼࡿ⮻ṑ㒊⿵⥛⿦⨨ࢆస〇ࡋࡓ⤖ᯝ㸪
 1. ⿦╔᫬㸪ညྜㄪᩚࢆᚲせ࡜ࡋ࡞࠿ࡗࡓ㸬 2. ࣉࣟࣅࢪࣙࢼࣝࣞࢫࢺ࣮ࣞࢩࣙࣥ⿦╔᫬ࡢ
ညྜ᥋ゐ≧ែ࡜᭱⤊⿵⥛⿦⨨⿦╔᫬ࡢညྜ᥋ゐ≧ែࡢྜ⮴ࡀほᐹ࡛ࡁࡓ㸬 ௨ୖࡢࡇ࡜࠿ࡽ㸪ARCUSdigmaϩࢆ⏝࠸ࡓညྜ᥇ᚓࢆ⾜࠺ࡇ࡜࡛㸪ညྜㄪᩚࢆᚲせ࡜ࡏࡎ࡟ཱྀ⭍ෆ࡬ࡢ⿦╔ࡀྍ⬟࡛࠶ࡗࡓ㸬ϫ㸬 ᩥ⊩1) ୰㔝㞞ᚨ㸪ᆏᮾỌ୍⦅㸬ညྜᏛ࡜ṑ⛉⮫ᗋࡼࡃჶࡵ࡚㸪ჶࡳᚰᆅࡢⰋ࠸ညྜࢆ┠ᣦࡋ࡚㸬ᮾி㸸་ṑ⸆ฟ∧㸹2011㸪9㸬2) ᒣᮏྖᑗ㸪୰ᮧ೺ኴ㑻㸪ᯘᚨಇ㸪㏆⸨ᗣྐ㸪㧗᲍࿴ᘯ㸪⣽ᕝ⛱᫭࡯࠿㸬ࢥࣥࣆ࣮ࣗࢱどぬ᝟ሗࢆ฼⏝ࡋࡓညྜ᥇ᚓࡢホ౯㸫
ARCUSdigmaϩࢆ⏝࠸࡚㸫㸬⿵⥛ㄅ 2012㸹
4࣭121ᅇ≉ูྕ㸸125㸬

− 299 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 110⿵⥛๓ฎ⨨࡜ࡋ࡚ࡢ㌾⤌⧊࣐ࢿ࣮ࢪ࣓ࣥࢺ
㸫⤖ྜ⤌⧊⛣᳜࡟ࡼࡿṑ⫗ࣂ࢖࢜ࢱ࢖ࣉࡢᨵၿ㸫‫ۑ‬ᑠ⏣ᖌᕭ*, **㸪✄㔝┾἞*㸪Ⲩᕝ ග**㸪❑ᮌᣅ⏨***㛵すᨭ㒊㸪**ᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉A soft tissue management for prosthodontic rehabilitation: improvement of gingival biotype with subepithelial
connective tissue graft
Oda N*, **, Inano S*, Arakawa H**, Kuboki T***Kansai Branch, **Okayama University HospitalϨ. ⥴ゝ ๓ṑ㒊ࡢᑂ⨾ᅇ᚟࡟ࡣ㸪ࢩ࣓ࣥࢺ࣮ࣜ࡞ṑ㢕ࣛ࢖ࣥࡢ⋓ᚓࡣḞ࠿ࡏ࡞࠸㸬ࡉࡽ࡟㸪⋓ᚓࡋࡓᑂ⨾ࢆỌ⥆ࡉࡏࡿ࡟ࡣ㸪ኳ↛ṑ࠾ࡼࡧ࢖ࣥࣉࣛࣥࢺయ
࿘ᅖṑ⫗ࡢཌࡳࡢ☜ಖࡀ㔜せ࡜ࡉࢀࡿ㸬ࡑࡇ࡛௒ᅇ㸪඲㢡ⓗ࡞⿵⥛἞⒪ࡀᚲせ࡞ᑂ⨾ⓗせồࡀ㧗࠸ᝈ⪅࡟ᑐࡋ㸪᰿㠃⿕そ⾡ࡸ▹ṇⓗ᣿ฟ࡟ࡼࡾᑂ⨾ⓗ࡞ṑ㢕ࣛ࢖ࣥࢆ⋓ᚓࡋ㸪ࡉࡽ࡟ୖ⓶ୗ⤖ྜ⤌⧊⛣᳜⾡࡟ࡼࡗ࡚⿵⥛⿦⨨࿘ᅖࡢṑ⫗ࣂ࢖࢜ࢱ࢖ࣉ
ࡢᨵၿࢆᅗࡾ㸪ᑂ⨾ⓗ࠿ࡘᶵ⬟ⓗ࡞἞⒪⤖ᯝࢆᚓࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ. ⑕౛ࡢᴫせ ᝈ⪅ࡣ61ṓ⏨ᛶ㸪㠀ႚ↮⪅࡛㸪ୖ㢡ᕥഃ≟ṑࡢ⿵⥛⿦⨨⬺㞳࡟ࡼࡿᑂ⨾㞀ᐖࢆッ࠼2012ᖺ11᭶࡟᮶㝔ࡋࡓ㸬඲㢡ⓗ࡟ከᩘࡢ࢚࢝ࣜࢫࡸṧ᰿ࢆㄆࡵ㸪ညྜ᥋ゐࡣ๓ṑ㒊࠾ࡼࡧᕥഃᑠ⮻ṑ㒊ࡢࡳ࡜⮻ṑ㒊ࡢညྜࡣᔂቯࡋ࡚࠸ࡓ㸬ࡑࡋ࡚㸪ୖ㢡୧ഃ୰ษṑ⿵⥛⿦⨨ࡢ࣐࣮ࢪࣥࡀ㟢ฟࡋ࡚࠾ࡾ㸪ୖ㢡ྑഃ≟ṑ࡟ࡣṑ⫗㏥⦰ࡸᴂ≧Ḟᦆࢆㄆࡵࡓ㸬ṑ࿘⤌⧊᳨ᰝ࡛ࡣ኱⮻ṑ㒊࡟4mm௨ୖࡢṑ࿘࣏ࢣࢵࢺࡀᏑ
ᅾࡋ㸪BOPࡣ26㸣࡛࠶ࡗࡓ㸬ࡲࡓ㸪ࢹࣥࢱ࢚ࣝࢵ
ࢡࢫ⥺෗┿࡛ࡣୗ㢡୧ഃ⮻ṑ࠾ࡼࡧୖ㢡ᕥഃ⮻ṑ᰿ᑤ࡟࢚ࢵࢡࢫ⥺㏱㐣ീࢆㄆࡵࡓ㸬௨ୖ࠿ࡽ㸪23,
26, 27, 34, 36, 37, 44, 45, 47ࡣಖᏑ୙ྍ⬟࡜ุ᩿ࡋ㸪࢖ࣥࣉࣛࣥࢺ἞⒪ࢆྵࡵࡓໟᣓⓗ἞⒪ࡀᚲせ࡜ᛮࢃࢀࡓ㸬 ᝈ⪅ࡣ࿪ᄮᶵ⬟࡟ຍ࠼㸪ṑෙᙧែࡸⰍㄪࡢࡳ࡞
ࡽࡎṑ㢕ࣛ࢖ࣥࡢ୙ṇࡢᨵၿ࡜࠸ࡗࡓ๓ṑ㒊ࡢᑂ⨾ᅇ᚟ࢆᙉࡃᕼᮃࡋࡓ㸬ࡑࡇ࡛デ᩿⤖ᯝࢆ㋃ࡲ࠼㸪⮻ṑ㒊Ḟᦆ࡟ࡣ࢖ࣥࣉࣛࣥࢺ἞⒪࡟ࡼࡿညྜ☜ಖ㸪ୖ㢡๓ṑ࡟ࡣṑ⫗ࣂ࢖࢜ࢱ࢖ࣉࡢᨵၿ࡜ࢩ࣓ࣥࢺ
࣮ࣜ࡞ṑ㢕ࣛ࢖ࣥࡢ⋓ᚓࢆ┠ᣦࡋࡓୖ⓶ୗ⤖ྜ⤌⧊⛣᳜⾡࠾ࡼࡧ▹ṇⓗ᣿ฟࢆ⾜࠸, ࢭ࣑ࣛࢵࢡ࡟
ࡼࡿᑂ⨾ಟ᚟ࢆ⾜࠺ィ⏬࡜ࡋࡓ㸬ࡲࡎ㸪ࡇࢀࡽࡢ἞⒪ィ⏬ࢆලయ໬ࡍࡿࡓࡵ࡟デ᩿⏝࣡ࢵࢡࢫ࢔ࢵ
ࣉࢆ⾜࠸㸪ࡑࢀࢆᥦ♧ࡋ࡞ࡀࡽᝈ⪅࡜἞⒪ࢦ࣮ࣝࢆඹ᭷ࡋ㸪἞⒪ࡢྠពࢆᚓࡓ㸬2012ᖺ11᭶࠿ࡽṑ࿘ᇶᮏ἞⒪ࢆ㛤ጞࡋ㸪ᚭᗏࡋࡓឤᰁ※ࡢ㝖ཤ࡜ࣉ࣮ࣛࢡࢥࣥࢺ࣮ࣟࣝྥୖࢆᅗࡗࡓ㸬ࡑࡋ࡚㸪2013ᖺ2᭶࠿ࡽ6᭶ࡢ㛫࡟3ᅇ࡟ศࡅ࡚Ḟᦆ㒊࡟࢖ࣥࣉࣛ
ࣥࢺయࢆ7ᮏᇙධࡋ㸪ྠᖺ8᭶࡟ࣉࣟࣅࢪࣙࢼࣝࣞ
ࢫࢺ࣮ࣞࢩࣙࣥ࡟࡚⮻ṑ㒊ࡢညྜࢆ☜ಖࡋࡓ㸬ࡲ
ࡓྠᖺ3᭶㸪ୖ㢡๓ṑ㒊࡟ୖ⓶ୗ⤖ྜ⤌⧊⛣᳜⾡ࢆ᪋⾡ᚋ13ࡢ▹ṇⓗ᣿ฟࢆ⾜࠸㸪ࣉࣟࣅࢪࣙࢼࣝࣞ
ࢫࢺ࣮ࣞࢩࣙࣥ࡟࡚㐃⥆ࡋࡓṑ㢕ࣛ࢖ࣥࡢ⋓ᚓ࠾ࡼࡧṑ⫗ࡢᏳᐃࢆᅗࡗࡓ㸬ࡑࡋ࡚ྠᖺ12᭶㸪඲㢡ⓗ࡞ࢭ࢝ࣥࢻࣉࣟࣅࢪࣙࢼࣝࣞࢫࢺ࣮ࣞࢩࣙࣥࢆ
⿦╔ࡋ㸪タᐃࡋࡓညྜ㧗ᚄࡸ࢔ࣥࢸࣜ࢔࢞࢖ࢲࣥ
ࢫ㸪Ύᤲᛶ࣭⮬ίᛶࢆ☜ㄆࡋࡓ㸬ࡉࡽ࡟㸪ୗ㢡๓ṑࡢṑ㢕ࣛ࢖ࣥࡢ㐃⥆ᛶࢆ⋓ᚓࡍࡿࡓࡵ୧ഃ≟ṑ࡟᰿㠃⿕そ⾡ࢆ⾜ࡗࡓ㸬⣙༙ᖺ㛫ࡢࣉࣟࣅࢪࣙࢼ
ࣝࣞࢫࢺ࣮ࣞࢩࣙࣥ࡟࡚ᐈほⓗ࠾ࡼࡧᝈ⪅ࡢ୺ほⓗᶵ⬟ᛶ࡜ᑂ⨾ᛶࡀ☜ㄆ࡛ࡁࡓࡓࡵ㸪2014ᖺ8᭶࡟ࢡࣟࢫ࣐࢘ࣥࢺἲ࡟࡚᭱⤊⿵⥛⿦⨨࡟⛣⾜ࡋࡓ㸬Ϫ. ⪃ᐹ
 ⣙2ᖺ࡟Ώࡿ἞⒪ᮇ㛫࡟」ᩘᅇࡢእ⛉ฎ⨨ࢆせࡋࡓࡀ㸪⾡๓࡟デ᩿⏝࣡ࢵࢡࢫ࢔ࢵࣉࢆ⏝࠸࡚ᝈ⪅࡜ඹ᭷ࡋࡓᑂ⨾ᛶ㸪ᶵ⬟ᛶࢆ⋓ᚓ࡛ࡁࡓ㸬ࡑࡋ࡚㸪
ࡲࡔഹ࠿6࢝᭶࡛ࡣ࠶ࡿࡀ㸪⏕≀Ꮫⓗ㸪⿵⥛Ꮫⓗࢺࣛࣈࣝࡶㄆࡵࡎ㸪ᝈ⪅ࡢ‶㊊ᗘࡣ㧗࠸㸬 ྂࡃ࠿ࡽⷧ࠸ṑ⫗࡛ࡣ㸪⤒ᖺⓗ࡟ṑ⫗㏥⦰ࡀ㉳ࡇࡿ࡜ࡉࢀ1)㸪᪥ᖖ⮫ᗋ࡛ࡶ๓ṑ㒊⿵⥛⿦⨨ࡢ࣐࣮ࢪࣥ㟢ฟ࡟ࡼࡿᑂ⨾ⓗ࡞ၥ㢟࡟㢌ࢆᝎࡲࡉࢀࡿ㸬ࡑࡇ࡛௒ᅇ㸪⿵⥛๓ฎ⨨࡜ࡋ࡚ཌ࠸ṑ⫗࡬ࣂ࢖࢜ࢱ࢖ࣉࢆᨵၿࡍࡿࡓࡵୖ⓶ୗ⤖ྜ⤌⧊⛣᳜⾡ࢆ⾜ࡗࡓ㸬ࡋ࠿ࡋ㸪⿵⥛⿦⨨࿘ᅖṑ⫗ࡢཌࡳ࡜ṑ⫗㏥⦰࡜ࡢ㛵㐃ࢆ♧ࡋࡓ㛗ᮇࢹ࣮ࢱࡣ࡞ࡃ㸪௒ᚋࡶὀព῝࠸⤒㐣ほᐹࡀᚲせ࡜⪃࠼࡚࠸ࡿ㸬ϫ. ⤖ㄽ ୖ㢡๓ṑ㒊࡟ୖ⓶ୗ⤖ྜ⤌⧊⛣᳜⾡ࢆ⾜࠸ṑ⫗ࣂ࢖࢜ࢱ࢖ࣉࢆᨵၿࡋࡓࡇ࡜࡛㸪ᑂ⨾ⓗ㸪ᶵ⬟ⓗ࡟Ⰻዲ࡞⤖ᯝࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡓ㸬Ϭ.
1)− 300 −

ᩥ⊩
Maynard JG, Wilson RD. Diagnosis andmanagement of mucogingival problems inchildren. Dent Clin North Am 1980; 24: 683-703.

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 111

඲㌟㯞㓉ୗညྜㄪᩚ⏝⯉᤼㝖࢝ࣂ࣮ࡢຠᯝ
‫ۑ‬ᑠᯘᅧᙪ㸪ᒸ⏣࿴㝯㸪ᒣᓮ ⿱໭ᾏ㐨኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉೺ᗣ⛉Ꮫㅮᗙ㧗㱋⪅ṑ⛉Ꮫᩍᐊ>\\! \   !  \  !![ [  ^     [    | ]  |㸪` |㸪}^` }   [ { "^  \ [ [ !  !{  !
 @ Ϩ㸬 ⥴ゝ ṑ⛉἞⒪࡟༠ຊࡀᚓࡽࢀ࡞࠸㞀ᐖ⪅ࡸ␗ᖖ⤠ᢋ཯ᑕࡢᙉ࠸ᝈ⪅࡞࡝࡟ࡣ඲㌟㯞㓉ୗ࡛ࡢ἞⒪ࡀᗈ
ࡃ⾜ࢃࢀ࡚࠸ࡿ㸬ࡇࡢ㝿㸪ᅗᕥ࡟♧ࡍࡼ࠺࡟㸪⯉ࡢᐜ✚ࡀཱྀ⭍ෆ࡟࠾࠸࡚ᖹᖖ᫬ࡼࡾࡶ኱ࡁࡃ࡞ࡿ
ࡇ࡜ࡀࡋࡤࡋࡤぢࡽࢀࡿ㸬ࡇࡢࡼ࠺࡞⯉ࡣ≉࡟ညྜㄪᩚ࡟࠾࠸࡚኱ࡁ࡞ጉࡆ࡜࡞ࡾ㸪⾡⪅ࡣ⯉ࢆᢲࡋ㎸ࡳ㸪ṑࡀညࡳྜ࠺ࡼ࠺࡟ᕤኵࡋ࡞ࡀࡽ㸪ညྜㄪᩚࢆ⾜ࢃ࡞ࡅࢀࡤ࡞ࡽࡎ㸪ࡇࢀࡣ἞⒪᫬㛫ࡢᘏ㛗ࡔࡅ࡛ࡣ࡞ࡃ㸪ညྜㄪᩚࡢ⢭ᗘ࡟ࡶᙳ㡪ࡍࡿࡶࡢ࡜⪃࠼ࡽࢀࡿ㸬ࡑࡇ࡛㸪₇⪅ࡣညྜㄪᩚ᫬࡟⯉ࢆ᤼㝖ࡍࡿ⯉᤼㝖࢝ࣂ࣮ࢆ⪃᱌ࡋࡓ$㸬ᅗྑ࡟⿦╔ᚋࡢ≧ែࢆ♧ࡍ㸬 ⯉᤼㝖࢝ࣂ࣮࡟ࡼࡿ⯉ࡢ᤼㝖ຠᯝࢆ㸪ᅇࡢࢱࢵ
ࣆࣥࢢືస࡟せࡍࡿ᫬㛫࡛ホ౯ࡍࡿ࡜㸦 㸧㸪౑⏝ࡋࡓሙྜࡣ࡯࡜ࢇ࡝㏻ᖖࡢညྜㄪᩚ࡜ኚࢃࡽࡎ㸪´⛊࡛ືసࡀ᏶஢ࡍࡿࡀ㸪౑⏝ࡋ࡞࠸ሙྜࡣ㸪´⛊࠿࠿ࡿࡇ࡜ࡀ᫂ࡽ࠿࡟࡞ࡗࡓ $㸬ညྜㄪᩚࡣࡇࡢࢱࢵࣆࣥࢢࡢືసࢆ⧞ࡾ㏉ࡋ⾜࠺ࡇ࡜࡟࡞ࡿࡢ࡛㸪ࡑࡢຠᯝࡣ⤯኱࡛࠶ࡿ㸬௒ᅇࡣ඲㌟㯞
㓉ୗ࡛ୗ㢡఩ࡢಟṇࢆ⾜ࡗࡓ⑕౛ࢆ౪ぴࡍࡿ㸬ϩ㸬 ⑕౛ࡢᴫせᝈ⪅ࡣṓࢲ࢘ࣥ⑕ࡢ⏨ᛶ㸬▱ⓗ㞀ᐖࡀ࠶ࡾ㸪
ពᚿࡢ␯㏻ࡣᅔ㞴࡛࠶ࡿ㸬ୖୗ㢡ࢆ࠿ࡳྜࢃࡏࡿ
ືసࡢᣦ♧࡟ᚑ࠼࡞࠸࡜࠸࠺ࡇ࡜࡛㸪⤂௓ࡉࢀࡓ㸬౫㢗ࡉࢀࡓࡢࡣ   ' ࡢṑෙ⿵⥛࡛࠶ࡿ㸬᰿⟶἞⒪㸪ᨭྎ⠏㐀࡞࡝ࡢ἞⒪ࡣぬ㓰ୗ࡛⾜ࢃࢀ࡚࠸ࡓ㸬カ⦎ࢆヨࡳࡓࡀ㸪ညྜ᥇ᚓ㸪ညྜㄪᩚࡣ୙ྍ⬟࡜ุ᩿ࡋ㸪ࡇࢀࡽࡣ඲㌟㯞㓉ୗࡢ἞⒪ࢆ㑅ᢥࡋࡓ㸬  ' ࡣࡍ࡛࡟ᨭྎṑᙧᡂࡶ⤊ࢃࡗ࡚࠾ࡾ㸪ᅇ┠
ࡢ඲㌟㯞㓉ୗ἞⒪࡛ࡣညྜ᥇ᚓ࡜ࢸ࣏࣮ࣥࣛࣜࣈ
ࣜࢵࢪࡢస〇ࢆ⾜࠺ࡇ࡜࡜࡞ࡗࡓ㸬ࡋ࠿ࡋ㸪඲㌟
㯞㓉ୗ࡛ညྜデᰝࢆ⾜ࡗ࡚ࡳࡿ࡜㸪⩦័ᛶࡢည㢌ᔐྜ఩ࡣྑഃ࡟೫఩ࡋ࡚࠸ࡿࡇ࡜ࡀ᫂ࡽ࠿࡟࡞ࡗ
ࡓ㸬ᕥྑࡢ㢡㛵⠇࡟␗ᖖࡣㄆࡵ࡞࠿ࡗࡓ㸬ࡑࡇ࡛἞⒪ィ⏬ࢆኚ᭦ࡋ㸪'   ࡶྠ᫬࡟ࣈࣜࢵࢪࢆ⿦╔ࡋ㸪୰ᚰညྜ఩ࢆ☜❧ࡍࡿࡇ࡜࡜ࡋࡓ㸬 ᅇ┠ࡢ඲㌟㯞㓉ୗ἞⒪࡛㸪  ' '   ࡢᨭྎṑᙧᡂ㸪༳㇟᥇ᚓ㸪ಟṇࡋࡓୗ㢡఩࡛ࡢညྜ᥇ᚓ㸪[ \  [  ! {  `` ࢸ࣏࣮ࣥࣛࣜࣈࣜࢵࢪࡢస〇ࢆ⾜ࡗࡓ㸬ୗ㢡఩ࡢデᰝࡣྡࡢ᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ᑓ㛛་࣭ᣦᑟ་ࡀ⾜ࡗࡓ㸬ᅇ┠ࡢ඲㌟㯞㓉ୗ἞⒪࡛ࡣ㸪⾡๓࡟ẕぶ࠿ࡽ๓
ᅇ἞⒪ᚋࡢᝈ⪅ࡢ≧ែࢆ⪺ࡁྲྀࡾ㸪㐪࿴ឤࡢッ࠼ࡣ࡞ࡃ㸪㣗஦᫬㛫ࡀ▷⦰ࡋࡓ࡜࠸࠺ࡇ࡜ࢆ☜ㄆࡋ㸪タᐃࡋࡓୗ㢡఩࡛㸪୧ഃࡢࣈࣜࢵࢪࢆ⿦╔ࡋࡓ㸬⾡ᚋ㸪㣗஦᫬㛫ࡢ▷⦰㸪ᦤྲྀ㣗ရࡢቑຍ࡞࡝ࡀ
ࡳࡽࢀࡓ㸬
Ϫ㸬 ⪃ᐹ
἞⒪࡟༠ຊࡀᚓࡽࢀ࡞࠸ᝈ⪅ࡢညྜㄪᩚࡣ㠀ᖖ࡟ᅔ㞴࡛࠶ࡿ㸬඲㌟㯞㓉࡛ࡣ➽ᘱ⦆๣ࡶ౑⏝ࡋ࡚࠾ࡾ㸪ୗ㢡ࡢㄏᑟࡣぬ㓰᫬ࡢࡼ࠺࡞᢬ᢠࡀ࡞ࡃ㸪⡆༢࡟⾜࠼ࡿ㸬ࡇࢀ࡟⯉᤼㝖࢝ࣂ࣮ࢆ౑⏝ࡍࡿࡇ࡜࡛ညྜㄪᩚࡣ㠀ᖖ࡟ᐜ᫆࡟⾜࠼ࡿࡼ࠺࡟࡞ࡗࡓ㸬ϫ㸬 ⤖ㄽ⯉᤼㝖࢝ࣂ࣮ࢆ౑⏝ࡋࡓ඲㌟㯞㓉ୗညྜㄪᩚࡣ
἞⒪࡟༠ຊࡀᚓࡽࢀ࡞࠸ᝈ⪅ࡢ⿵⥛἞⒪࡟᭷ຠ࡛࠶ࡾ㸪¬ࡢྥୖ࡟ᐤ୚ࡍࡿࡶࡢ࡜⪃࠼ࡽࢀࡿ㸬       ⯉᤼㝖࢝ࣂ࣮⿦╔๓ᚋϫ㸬 ᩥ⊩
$ ᑠᯘᅧᙪ㸪஭ୖ㎰ኵ⏨㸬඲㌟㯞㓉ୗ࡟࠾ࡅࡿ
ညྜㄪᩚ᫬ࡢ⯉᤼㝖࢝ࣂ࣮ࡢ㛤Ⓨ㸬㞀ṑㄅ  
$ | ]  |{ ` |   _  !  @[ " \  !![ [  ^    [       ] [    [ [{'  

− 301 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 112⩏ṑࡢ㐺ྜᨵၿࢆዎᶵ࡟ᰤ㣴ࢆᨵၿ࡛ࡁࡓ167ࡢ⑕౛
‫ۑ‬ᯇᮌᗣ୍㸪ྂᒇ⣧୍㸪⋢⏣ὈႹ㸪ᒣᮏᑦᚨ㸪బ⸨཭⚽㸪㏆⸨ᑦ▱ᒾᡭ་⛉኱ᏛṑᏛ㒊⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛㅮᗙ
Improvement of a nutritional status by relining and adjusting dentures for a patient in Nutrition Support Team.
A case report.
Matuki K㸪Furuya J㸪Tamada Y㸪Yamamoto H㸪Satou T㸪Kondo H
Department of Prosthodontics and Oral Implantology㸪School of Dentistry㸪Iwate medical University

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ϩ㸬 ᪉ἲ
85 ṓࡢ⏨ᛶ㸪ஙᡣእࣃࢪ࢙ࢵࢺ⑓࡟࡚ᮏᏛ㝃ᒓ⑓㝔࡟ධ㝔㸬඲㌟㯞㓉ୗ࡟࡚⭘⒆ษ㝖⾡㸪᳜⓶⾡ࢆཷࡅࡓ㸬ධ㝔๓ࡣᦤ㣗ᄟୗᶵ⬟࡟ⴭ᫂࡞ၥ㢟ࡣㄆࡵࡎ㸪㣗஦ࡶ⡿㣤࣭ᬑ㏻㣗ࢆ඲㔞⤒ཱྀ࡟࡚ᦤྲྀ
ࡋ࡚࠸ࡓ㸬ᡭ⾡ᚋ㸪1 ᪥┠ࡼࡾ㣗஦㸦඲⢛้࣭ࡳ㣗㸧ࡀ㛤ጞࡉࢀ࡚࠸ࡓࡀ㸪1 ๭⛬ᗘࡋ࠿ᦤྲྀ࡛ࡁ
ࡎ㸪㣗஦୰ࡢ࣒ࢭ㸪㣗ᛮ୙᣺ࡀᙉࡃ࡞ࡗࡓࡓࡵ࡟㸪
6 ᪥┠࡟ NST ౫㢗࡜࡞ࡗࡓ㸬ࡲࡓ㸪4 ᪥┠࡟๰㒊ឤᰁ⑕ࢆㄆࡵࡓ㸬NST ึデ᫬࡛ࡣ㸪ព㆑ࣞ࣋ࣝࡣ
Ύ᫂㸪BMI ࡣ 26.2㸪⾑ᾮ⏕໬Ꮫࢹ࣮ࢱ࡛ࡣపᰤ㣴ࢆㄆࡵ㸦Alb 2.0 g/dl㸧㸪ᦤ㣗㔞ࡣ 1 ๭࡛࠶ࡗࡓ㸬ṑ⛉་ᖌ࡟ࡼࡿᦤ㣗ᄟୗᶵ⬟ࡢ᳨ᰝ࡛ࡣ㸪RSST 3
ᅇࠊMWST 5 Ⅼ㸪FT 5 Ⅼ࡛࠶ࡾ㸪ဗ㢌ᮇᄟୗࡸ⯉࡟ࡼࡿ㣗ሢࡢ㏦ࡾ㎸ࡳ࡟ࡣⴭ᫂࡞ၥ㢟ࢆㄆࡵ࡞࠿
ࡗࡓ㸬୍᪉࡛㸪ୖୗ↓ṑ㢡࡛࠶ࡾ㸪ୖୗ඲㒊ᗋ⩏ṑࡢᡤ᭷ࡣ࠶ࡿࡀ㸪⩏ṑ୙㐺ྜࢆㄆࡵ㸪࿪ᄮࡋ࡟ࡃ࠸ࡓࡵ࡟㸪ᦤ㣗᫬࡟ࡣ⩏ṑࢆ᧔ཤࡋ࡚࠸ࡓ㸬࡞࠾ࠊධ㝔๓ࡣࢃࡎ࠿࡟⩏ṑ୙㐺ྜࢆឤࡌࡿࡇ࡜ࡣ
࠶ࡗ࡚ࡶ㸪⩏ṑࢆ⿦╔ࡋ࡚ࡢ⤒ཱྀᦤྲྀ࡟୙౽ࢆឤ
ࡌࡿࡇ࡜ࡣ࡞࠿ࡗࡓ࡜࠸࠺㸬Ϫ㸬 ⤖ᯝ࡜⪃ᐹ▷ᮇ㛫ࡢධ㝔ணᐃࢆ⪃៖ࡋ㸪⾡ᚋ 8 ᪥┠࡟⩏ṑㄪᩚ࠾ࡼࡧ Tissue conditioner ࡟ࡼࡿ⿬⿦ࢆ⾜࠸㸪⩏ṑ୙㐺ྜࢆᨵၿࡋࡓ㸬⩏ṑࢆ⿦╔ࡋࡓ≧ែ࡛㣗஦ࢆヨ⾜ࡉࡏࡓ࡜ࡇࢁ㸪⤒ཱྀᦤྲྀ⬟ຊࡣ᭷ព࡟ᨵ
ၿࡉࢀ㸪࣒ࢭࡶㄆࡵࡽࢀ࡞࠿ࡗࡓ㸬ࡑࡇ࡛㸪⡿㣤୍ཱྀ࣭኱㣗࡬㣗ᙧែࢆୖࡆ㸪㣗஦ሙ㠃࠾ࡼࡧ㣗஦㔞ࡢほᐹࢆ⾜࠸࡞ࡀࡽ⤒㐣ࢆほᐹࡋࡓ࡜ࡇࢁ㸪㣗ᛮ୙᣺࠾ࡼࡧᦤ㣗㔞ࡀᛴ㏿࡟ᨵၿࡉࢀ㸪ᰤ㣴≧ែࢆ♧ࡍ⾑ᾮ᳨ᰝࢹ࣮ࢱࡶୖ᪼ࡍࡿഴྥࢆ♧ࡋࡓ㸦ᅗ㸧㸬ࡑࡢᚋ㸪୺㣗๪㣗ࡢ඲㔞ᦤྲྀࡀྍ⬟࡜࡞ࡗࡓࡓࡵ㸪ᮎᲈ㟼⬦ᰤ㣴ࢆ୰Ṇࡋ㸪๰㒊ឤᰁ⑕ࡶᨵၿࡉࢀࡓࡓࡵ㸪21 ᪥┠࡟ NST ௓ධ⤊஢࡜࡞ࡗࡓ㸬ࡇࡢ㛫㸪ㄗᄟᛶ⫵⅖࡞࡝ࡢᚩೃࡣㄆࡵࡽࢀ࡞࠿ࡗ
ࡓ㸬ᮏ⑕౛ࡢࡼ࠺࡟㸪⩏ṑ୙㐺ྜࡢᨵၿࡀ㸪ᰤ㣴≧ែࡢᨵၿ࡟㏻ࡎࡿࡇ࡜ࡣᑡ࡞ࡃ࡞࠸࡜⪃࠼ࡽࢀ㸪
NST ࡟ṑ⛉ࡀ✚ᴟⓗ࡟㛵୚ࡋ㸪ཱྀ⭍㛵㐃ࡢၥ㢟ࢆⓎぢࡋࠊᨵၿࡋ࡚࠸ࡃࡇ࡜ࡢ㔜せᛶࡀ♧၀ࡉࢀࡓ㸬

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Ϩ㸬 ┠ⓗ
㉸㧗㱋♫఍ࢆ㏄࠼ࡓ⌧ᅾ㸪ᦤ㣗ᄟୗ㞀ᐖ࡬ࡢṑ⛉ⓗᑐᛂࢆከ⫋✀㐃ᦠ་⒪ࡢ୰࡛ᒎ㛤ࡍࡿࡇ࡜ࡣ㔜せ࡞ㄢ㢟࡛࠶ࡿ㸬≉࡟㸪ᦤ㣗ᄟୗ㞀ᐖࢆ᭷ࡍࡿ
ᝈ⪅ࡣ㧗㱋࡛࠶ࡿࡇ࡜ࡀከࡃ㸪ṑิḞᦆࡸ⩏ṑ୙㐺ྜ㸪㐠ື㞀ᐖᛶࡢ⯉ᶵ⬟పୗ࡞࡝㸪ཱྀ⭍ᶵ⬟పୗࢆ᭷ࡍࡿሙྜࡶከ࠸㸬࡞࠿࡛ࡶ㸪᭷ᗋ⩏ṑ࡬ࡢṑ⛉⿵⥛Ꮫⓗᑐᛂࡣ㸪ṑ⛉་ᖌ࡟ࡋ࠿⾜࠺ࡇ࡜ࡀ࡛ࡁࡎ㸪ࡲࡓ㸪⩏ṑࡢ᧔ཤࡣᦤ㣗ᄟୗᶵ⬟࡟ࡶ㈇ࡢᙳ㡪ࢆ୚࠼ࡿ 㸯 ) ࡜⪃࠼ࡽࢀࡿࡇ࡜࠿ࡽ㸪ᰤ㣴ࢧ࣏࣮ࢺࢳ࣮࣒㸦NST㸧࡬ࡢṑ⛉་ᖌࡢཧ⏬ࡣ኱ኚ᭷ព⩏࡜᥎ᐹࡉࢀࡿࠋᒾᡭ་⛉኱Ꮫ㝃ᒓ⑓㝔࡛ࡣ㸪
H17 ᖺࡼࡾ NST ࡟ṑ⛉་ᖌࡀཧຍࡋ㸪ᦤ㣗ᄟୗ㞀ᐖ࡟ࡼࡿపᰤ㣴ᝈ⪅࡬ࡢṑ⛉ⓗᑐᛂࢆṑ⛉⾨⏕ኈ࡜࡜ࡶ࡟ᢸᙜࡋ࡚ࡁࡓ㸬ࡑࡇ࡛௒ᅇ㸪NST ᑐ㇟࡜࡞ࡗࡓ⤒ཱྀᦤྲྀ୙Ⰻࢆ᭷ࡍࡿపᰤ㣴ᝈ⪅࡟ᑐࡋ࡚㸪⩏ṑ࡟ᑐࡍࡿṑ⛉ⓗᑐᛂࢆ⾜ࡗࡓ࡜ࡇࢁ㸪పᰤ㣴ࡢᨵၿ࡟ࡘ࡞ࡀࡗࡓ 1 ⑕౛ࢆሗ࿌ࡍࡿ㸬᪥ᩘ䠄㻰㼍㼥䠅ᰤ㣴್ᦤ㣗㔞ᅗ ᦤ㣗㔞࡜ Alb ್ࡢኚ໬ϫ㸬 ᩥ⊩1) Yamamoto H㸪Furuya J㸪Tamada Y㸪Kondo H㸬
Impacts of wearing complete dentures on bolustransport during feeding in elderly edentulous㸬J
Oral Rehabil㸬2013; 40: 923-931㸬

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日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 113ගᏛࢫ࢟ࣕࢼ࣮ࢆ⏝࠸ࡓ༳㇟᥇ᚓ࠿ࡽ඲㒊ᗋ⩏ṑࢆ〇సࡋࡓ⑕౛‫Ⲩۑ‬ᮌ⏣ಇኵ㸪㔠⃝Ꮫ㸪ᒾᇛ㯞⾰Ꮚ㸪ᒣᮏಙኴ㸪୰ᮧᩄᡂ㸪Ᏻ⸨୍ኵ㸪Ỉཱྀಇ௓㸪༙⏣
࿴அ*㸪ⱝᯘ๎ᖾ*ᮾி་⛉ṑ⛉኱Ꮫ (TMDU) ኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ 㧗㱋⪅ṑ⛉Ꮫศ㔝㸪*㒊ศᗋ⩏ṑᏛ⿵⥛Ꮫศ㔝
A case report of fabricating complete dentures applying optimal scanar
Arakida T㸪Kanazawa M㸪Iwaki M㸪Yamamoto S㸪Nakamura T㸪Andou K㸪Minakuchi S㸪Handa K*㸪
Wakabayashi N*
Gerodontology and Oral Rehabilitation, *Removable Partial Prosthodontics㸪Graduate School of Medical and
Dental Sciences, Tokyo Medical and Dental University (TMDU)Ϩ㸬┠ⓗ ㏆ᖺ⿵⥛ṑ⛉㸪≉࡟ᅛᐃᛶ⿵⥛࡟࠾ࡅࡿගᏛࢫ
࢟ࣕࢼ࣮ࢆ⏝࠸ࡓගᏛ༳㇟ࡣ┠ぬࡲࡋ࠸Ⓨᒎࢆ㐙ࡆ࡚࠾ࡾ㸪ྍ᧔ᛶ⿵⥛࡟࠾ࡅࡿCAD/CAMᢏ⾡ࡢᛂ⏝࡟㛵ࡋ࡚ࡶࡑࡢྍ⬟ᛶࡀ♧၀ࡉࢀ࡚࠸ࡿ1)㸬ࡋ࠿ࡋ㸪↓ṑ㢡ᝈ⪅࡟ᑐࡋ࡚ගᏛ༳㇟ࢆ⾜࠸㸪඲㒊ᗋ⩏ṑࢆ〇సࡋࡓሗ࿌ࡣ↓࠸㸬௒ᅇᡃࠎࡣගᏛࢫ࢟
ࣕࢼ࣮ࢆ⏝࠸࡚↓ṑ㢡㢡ሐࢆࢫ࢟ࣕࣥ㸪ညྜ᥇ᚓࡢྍ⬟࡞ಶேࢺ࣮ࣞࢆ〇స㸪ࡑࢀ࡟ࡼࡿ⢭ᐦ༳㇟࡜ညྜ᥇ᚓࢆ⾜࠸㸪඲㒊ᗋ⩏ṑࢆ〇సࡋ㸪Ⰻዲ࡞⤖ᯝࢆᚓࡿࡇ࡜ࡀฟ᮶ࡓࡢ࡛ࡇࡇ࡟ሗ࿌ࡍࡿ㸬ϩ㸬᪉ἲ ⿕㦂⪅ࡣ㸪84ṓዪᛶ㸪ୖୗ↓ṑ㢡㸪඲㌟ⓗ࡞᪤ ࡟≉グ஦㡯ࡣ↓࠸㸬⿕㦂⪅࡟ᑐࡋගᏛࢫ࢟ࣕࢼ࣮ (CEREC omnicam㸪Sirona) ࢆ⏝࠸࡚ୖୗ㢡ࡢගᏛ༳㇟ࢆ⾜࠸㸪ྠ᪥࡟༳㇟᥇ᚓ⏝ࢺ࣮ࣞ(ࣂ࢖ࢺࢺ࣮ࣞ㸪GC) ࡜ࢩࣜࢥࣥ༳㇟ᮦ (ࢯࣇࢺࣞࢵࢡࢫ㸪GC) ࢆ⏝࠸୍࡚ḟညྜ᥇ᚓࢆ⾜ࡗࡓ㸬༳㇟᥇ᚓ⏝ࢺ ࣞ ࣮ ࡛ ᚓ ࡽ ࢀ ࡓ ༳ ㇟ య ࢆ ࢥ ࣮ ࣥ ࣅ ࣮ ࣒ CT
(Finecube㸪ࣚࢩࢲ) ࡟࡚ࢫ࢟ࣕࣥࡋ㸪DICOMࢹ࣮ࢱࢆྲྀࡾ㎸ࢇࡔ㸬ࡇࡢDICOMࢹ࣮ࢱࢆCADࢯࣇࢺ࢙࢘࢔ (Mimics㸪Materialise) ୖ࡛STLࢹ࣮ࢱ࡟ኚ
᥮ࡋࡓ㸬CEREC࡟ࡼࡾᚓࡽࢀࡓ↓ṑ㢡STLࢹ࣮ࢱࢆCADࢯࣇࢺ࢙࢘࢔ (Mimics㸪Materialise) ࡟࢖࣏࣮ࣥࢺࡋ㸪ගᏛ༳㇟࡜ࣂ࢖ࢺࢺ࣮ࣞ࡟ࡼࡾᚓࡽࢀ
ࡓࢹ࣮ࢱࡢ㔜ࡡྜࢃࡏࢆ⾜࠸㸪ୖୗ㢡ࡢ㢡㛫㛵ಀࢆ グ 㘓 ࡋ ࡓ 㸬 㔜 ࡡ ྜ ࢃ ࡏ ᚋ ࡢSTL ࢹ ࣮ ࢱ࠿ ࡽ 㸪
CADࢯࣇࢺ࢙࢘࢔(FreeForm㸪3Dsystems) ୖ࡛ࢦࢩࢵࢡ࢔࣮ࢳᥥグ⿦⨨ࡀ௜୚ࡉࢀࡓಶேࢺ࣮ࣞࢆࢹࢨ ࢖ ࣥ ࡋ ࡓ 㸬 ࡇ ࡢ STL ࢹ ࣮ ࢱ ࢆ 3D ࣉ ࣜ ࣥ ࢱ ࣮(Eden㸪Objet) ࡟ࡼࡾRapid Prototyping࡛ฟຊࡋ㸪ညྜ᥇ᚓࡀྍ⬟࡞ಶேࢺ࣮ࣞࢆ〇సࡋࡓ㸬⢭ᐦ༳㇟ࡣࢩࣜࢥࣥ༳㇟ᮦ (࢚ࢢࢨࢹࣥࢳ࣮࣮ࣕ࣎ࢲ࣮
ࢱ࢖ࣉ㸪GC)࡛࣮࣎ࢲ࣮࣮ࣔࣝࢹ࢕ࣥࢢࢆ⾜࠸㸪ࢩࣜࢥࣥ༳㇟ᮦ (࢚ࢢࢨࢹࣥࢳ࣮ࣕ㸪GC)࡛࢛࢘ࢵ
ࢩࣗ࢖ࣥࣉࣞࢵࢩࣙࣥࢆ⾜ࡗࡓ㸬ᚓࡽࢀࡓ༳㇟య
ࢆཱྀ⭍ෆ࡟ᡠࡋ㸪ညྜ㧗ᚄỴᐃᚋ㸪ࢦࢩࢵࢡ࢔࣮
ࢳ⿦⨨࡟࡚୰ᚰ఩࡛ࡢညྜ᥇ᚓࢆ⾜ࡗࡓ㸬ᚓࡽࢀࡓ༳㇟య (ᅗ) ࢆࢥ࣮ࣥࣅ࣮࣒CT࡟࡚᧜ᙳࡋ㸪ᙜศ㔝࡟࠾ࡅࡿCAD/CAM඲㒊ᗋ⩏ṑ〇సࢩࢫࢸ࣒ࢆ
⏝࠸࡚㸪᭱⤊⩏ṑࢆ〇సࡋࡓ2)㸬
Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ගᏛ༳㇟ࢹ࣮ࢱ࠿ࡽ〇సࡋࡓୖ㢡ࡢࢺ࣮ࣞࡣ㢡ሐ࡜ࡢ㐺ྜࡀⰋዲ࡛࠶ࡗࡓ㸬ࡋ࠿ࡋ㸪ୗ㢡ࡢࢺ࣮ࣞࡣ୧ഃࡢ㢡⯉㦵➽⥺㒊ࡀヨ㐺᫬࡟ᖸ΅ࡋ㸪ࣞࢺ࣮ࣟࣔࣛࣃࢵࢻ㒊࡛ࡣࢺ࣮ࣞ࡜㢡ሐ࡜ࡢ㛫࡟ࢫ࣮࣌ࢫࡀฟ᮶ࡓ㸬ࡇࢀࡣ⏬ീࢹ࣮ࢱࡢࢫࢸ࢕ࢵࢳࣥ
ࢢ࡟ࡼࡿㄗᕪࡀ᭱㐲ᚰ㒊࡟ฟࡿࡇ࡜ࡀཎᅉ࡜⪃࠼ࡽࢀࡿ3)㸬ညྜ᥇ᚓ࡟ࡘ࠸࡚ࡣ㸪᏶ᡂࡋࡓ⩏ṑࡣ㐺ษ࡞ညྜ㧗ᚄ࡛Ỉᖹⓗ࡟ࡶ኱ࡁ࡞㢡఩ࡢ೫఩ࡣ↓ࡃ㸪ㄪᩚ㔞ࡣ㏻ᖖࡢ⩏ṑ࡜ኚࢃࡽ࡞࠿ࡗࡓ㸬ࡇࡢ⑕౛ࡼࡾ㸪ᮏᡭἲ࡟ࡼࡾ㐺ษ࡞඲㒊ᗋ⩏ṑࡢ〇సࡀྍ⬟࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬ᅗ ညྜ᥇ᚓᚋࡢୖୗ㢡᭱⤊༳㇟యϫ㸬 ᩥ⊩1) F.Beuer㸪et al㸬 Digital dentistry :an overview
of recent developments for CAD/CAM generated
restorations 㸬 British Dental Journal 2008 㸹
204 㸸505 – 511㸬2) 㔠⃝Ꮫ㸬CAD/CAM ᢏ⾡ࢆᛂ⏝ࡋࡓ඲㒊ᗋ⩏ṑ〇సἲ㸬Ann Jpn Prosthodont 2013㸹5㸸126129㸬
3) Ender㸪et al㸬In-vitro evaluation of the accuracyof conventional and digital methods of obtaining
full-arch dental impressions 㸬 Quintessence Int
2015㸹46㸸9-17㸬

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第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 114

㢡㐠ືࡢࢹࢪࢱࣝࢹ࣮ࢱ࡜CAD/CAMࢩࢫࢸ࣒ࢆ⏝࠸ࡓᶵ⬟ⓗṑෙᙧែࡢస〇 ➨2ሗ۵ụ⏣኱ᜨ㸪᭹㒊㇦அ㸪ᑿ㛵 ๰㸪ᅵᒇ῟ᘯ㸪㊊❧ ඘㸪ཎ⏣ ு㸪ᒣཎ ぬ㸪బஂ㛫㔜ග㸪㜿㒊ಇஅ㸪ᶫᮏ࿴ె㸪⸨ᮏ㝯ᗈ㸨㸪ఀ⸨ ⿱㸪᭹㒊ṇᕭ㸨㸨ឡ▱Ꮫ㝔኱ᏛṑᏛ㒊ෙ࣭ᶫ⩏ṑᏛㅮᗙ㸪㸨࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥᰴᘧ఍♫㸪㸨㸨ឡ▱Ꮫ㝔኱ᏛṑᏛ㒊㧗㱋⪅ṑ⛉Ꮫㅮᗙ
Manufacturing of Functional Crown Using CAD/CAM System with Digitalized Mandibular Movement:
2nd Report.
Ikeda H, Hattori H, Ozeki H, Tsuchiya A, Adachi M, Harata R, Yamahara S, Sakuma S, Abe T, Hashimoto K,
Fujimoto T*, Ito Y, Hattori M**
Department of Fixed Prosthodontics, School of Dentistry, Aichi Gakuin University㸪
*KaVo Dental Systems Japan Co., Ltd.
**Department of Gerodontology, School of Dentistry, Aichi Gakuin University.

Ϩ. ┠ⓗ⏕య࡟ㄪ࿴ࡋㄪᩚ㔞ࡢᑡ࡞࠸ṑෙಟ᚟≀ࢆస〇ࡍࡿࡓࡵ࡟ࡣ㸪㢡㐠ືࢆ෌⌧ࡋ㸪ࡑࢀ࡟ᇶ࡙࠸ࡓ
ညྜ㠃ᙧែࢆ௜୚ࡍࡿࡇ࡜ࡀᮃࡲࡋ࠸㸯㸧㸬㏆ᖺ㸪㢡㐠ືࡢィ ࡟ࡣࢼࣀ࣊࢟ࢧࢢࣛࣇϪ
㸦GC㸧ࡸMM-J2㸦ᯇ㢼㸧ࢆࡣࡌࡵ࡜ࡍࡿࢹࢪࢱࣝ
⿦⨨ࡶ⏝࠸ࡽࢀ࡚࠸ࡿࡀ㸪ṑෙಟ᚟≀స〇࡟ࡣᚑ᮶ࡢ࢔ࢼࣟࢢ⿦⨨࡟ࡼࡿ㢡㐠ືࡢィ ࡜ㄪ⠇ᛶညྜჾࡀ⏝࠸ࡽࢀ࡚࠸ࡿ㸬ࡑࡇ࡛㸪ᡃࠎࡣ᪂ࡓ࡟㛤Ⓨࡉࢀࡓࢩࢫࢸ࣒ࢆ⏝࠸࡚㸪㢡㐠ືࢆࢹࢪࢱࣝࢹ࣮ࢱ࡛グ㘓㸪CADୖ࡛෌⌧ࡋ㸪㢡㐠ື࡟ㄪ࿴ࡋࡓᶵ⬟ⓗṑෙᙧែࢆࡶࡘ
ṑෙಟ᚟≀ࡢస〇ࢆヨࡳࡓ㸬 ௒ᅇࡣ㸪ࢩࢫࢸ࣒ࡢᴫせࢆ⤂௓ࡍࡿ࡜࡜ࡶ࡟㸪ࣇ࢓ࢭࢵࢺࡢ෌⌧≧ែࢆ୍⯡ⓗ࡞CAD/CAMἲࡸኳ↛ṑᙧែ࡜ẚ㍑᳨ウࡋࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ. ᪉ἲ ⿕㦂⪅ࡣည㢌ࢆ⿕そࡍࡿಟ᚟≀ࡀ࡞ࡃ㸪㢡ᶵ⬟࡟␗ᖖࡢ࡞࠸⏨ᛶ1ྡ࡜ࡋࡓ㸬ࡲࡎୖ㢡ṑิࢆࢩࣜࢥ࣮ࣥ༳㇟ᮦ㸦ࣇ࣮ࣗࢪࣙࣥϩ㸸GC㸧ࢆ⏝࠸࡚༳㇟᥇ᚓࡋ㸪ᚓࡽࢀࡓ༳㇟࡟㉸◳▼⭯㸦ࢽ࣮ࣗࣇࢪ
ࣟࢵࢡIMP㸸GC㸧ࢆὀධࡋᙧែẚ㍑⏝ࡢኳ↛ṑิᶍᆺࢆస〇ࡋࡓ㸬ࡲࡓྠᵝࡢ᪉ἲ࡛ୖୗ㢡ṑิᶍᆺࢆస〇ࡋࠊࡑࡢᶍᆺୖ࡛ୖ㢡ᕥഃ≟ṑ࡟ᑐࡋࢪࣕࢣࢵࢺࢡࣛ࢘ࣥࡢ௬᝿ᨭྎṑᙧᡂࢆ⾜ࡗࡓ㸬 㢡㐠ືࡢィ ࡟ࡣ㸪ࢹࢪࢱࣝᘧ㢡㐠ືィ ⿦⨨㸦࢔ࣝࢡࢫࢹ࢕ࢢ࣐2㸸KaVo㸧ࢆ⏝࠸ࡓ㸬ィ ᑐ㇟࡜ࡋࡓ㢡㐠ືࡣ㸪⩦័ⓗ࡞๓᪉ཬࡧᕥྑഃ᪉ࡢ
⁥㉮㐠ື࡜ࡋ㸪ࡑࢀࡒࢀ㸰ᅇࡎࡘィ ࢆ⾜ࡗࡓ㸬 ḟ࡟ࢫ࢟ࣕࢼ࣮㸦KaVo ARCTICA Auto Scan㸸
KaVo㸧ࢆ⏝࠸࡚ୖୗ㢡ࡢṑิᶍᆺࢆࢫ࢟ࣕࣥࡋ㸪
CADࢯࣇࢺ㸦KaVo multiCAD㸸KaVo㸧ୖ࡛ࢡࣛ࢘
ࣥࡢタィࢆ⾜ࡗࡓ㸬ࡇࡢࢯࣇࢺࡣ᪂ࡋ࠸ᶵ⬟࡜ࡋ࡚஦๓࡟グ㘓ࡋࡓ㢡㐠ືࡢࢹࢪࢱࣝࢹ࣮ࢱࢆࢥࣥ
ࣆ࣮ࣗࢱୖ࡛6⮬⏤ᗘࡢ㐠ື࡜ࡋ࡚ࢩ࣑࣮ࣗࣞࢩࣙ
ࣥࡀ࡛ࡁࡿᶵ⬟ࡀᦚ㍕ࡉࢀ࡚࠸ࡿ㸬 ࡑࡇ࡛ࡲࡎ㸪ィ ࡉࢀࡓ㢡㐠ືࢆࢩ࣑࣮ࣗࣞࢩ
ࣙࣥࡋ㸪ࡑࢀ࡟ㄪ࿴ࡍࡿࡼ࠺ညྜ㠃ᙧែࢆ௜୚ࡋ

ࡓࢡࣛ࢘ࣥࢆタィࡋࡓ㸬ࡲࡓ㸪ẚ㍑᳨ウࡍࡿࡓࡵ࡟୍⯡ⓗ࡞CAD/CAMἲ࡜ࡋ࡚㸪ᶆ‽ⓗ࡞ṑෙᙧែࢆ฼⏝ࡋࢡࣛ࢘ࣥࡢタィࢆ⾜ࡗࡓ㸬 ࡑࡢᚋ㸪஦๓࡟స〇ࡋࡓኳ↛ṑิᶍᆺࢆྠᵝࡢ᪉ἲ࡛ࢫ࢟ࣕࣥࡋ㸪ኳ↛ṑ࡜୍⯡ⓗ࡞CAD/CAMἲ࡛タィࡋࡓࢡࣛ࢘ࣥ㸪ᶵ⬟ⓗညྜ㠃ࢆ௜୚ࡋࡓࢡࣛ࢘ࣥࢆCADࢯࣇࢺ㸦geomagic STUDIO 2012㸸
geomagic㸧ୖ࡛㔜ࡡྜࢃࡏࢆ⾜࠸㸪࣮࣐࢝ࣛࢵࣆ
ࣥࢢࢆ⾜࠺࡜ྠ᫬࡟ࣇ࢓ࢭࢵࢺ㒊࡟࠾ࡅࡿᙧែⓗ࡞ᕪࢆほᐹࡋࡓ㸬Ϫ. ⤖ᯝ࡜⪃ᐹ ኳ↛ṑ࡜タィࡋࡓࢡࣛ࢘ࣥࡢᙧែⓗ࡞ᕪࢆᅗ࡟
♧ࡍ㸬ኳ↛ṑ࡜୍⯡ⓗ࡞CAD/CAMἲ࡛タィࡋࡓࢡࣛ࢘ࣥࡢẚ㍑࡛ࡣ᭱኱࡛1.203mmࡢ㐪࠸ࡀほᐹࡉࢀࡓ㸬ࡲࡓ㸪ኳ↛ṑ࡜ᶵ⬟ⓗညྜ㠃ࢆ௜୚ࡋࡓࢡ
ࣛ࢘ࣥࡢẚ㍑࡛ࡣ㸪᭱኱࡛0.314mmࡢ㐪࠸ࡀほᐹࡉࢀࡓ㸬 ௒ᅇࡢ⤖ᯝ࡛ࡣ㸪ᶵ⬟ⓗညྜ㠃ࢆ௜୚ࡋࡓࢡࣛ
࢘ࣥࡣ୍⯡ⓗ࡞CAD/CAMἲ࡛タィࡉࢀࡓࢡࣛ࢘ࣥ
࡜␗࡞ࡾ㸪ኳ↛ṑ࡜㏆ఝࡋࡓညྜ㠃ᙧែࡀᚓࡽࢀࡓ㸬ኳ↛ṑ࡜タィࡋࡓࢡࣛ࢘ࣥࡢᙧែⓗ࡞ᕪϫ. ᩥ⊩ 1) すᕝၨ௓㸪⸃ᦶⓏ㄃Ꮚ㸪㔜ᮏಟఛ࡯࠿㸬6⮬⏤ᗘညྜჾࢆ⏝࠸ࡓᶵ⬟ⓗညྜ㠃〇సἲࡢ㛤Ⓨ㸬⿵⥛ㄅ48㸸433-440㸪2004㸬

− 304 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 115ಖ㝤デ⒪࡟ᑟධࡉࢀࡓࠕCAD/CAMෙࠖࡢึᮇ⤒㐣࡟㛵ࡍࡿㄪᰝ◊✲‫ۑ‬ᮎ℩୍ᙪ

኱㜰ṑ⛉኱Ꮫṑ⛉ᑂ⨾Ꮫᐊ, ኱㜰ṑ⛉኱Ꮫṑ⛉ᢏᕤኈᑓ㛛Ꮫᰯ
Study on initial progress of "CAD/CAM crown" introduced into health insurance
Suese K
Department of Esthetic Dentistry and School of Dental Technicians, Osaka Dental University

Ϩ. ┠ⓗ ṑ⛉་⒪࡟࠾࠸࡚᭱㏆ࡢࢹࢪࢱࣝ࢖ࣀ࣮࣋ࢩࣙ
ࣥࡣ༢࡞ࡿṑ⛉་⒪ᢏ⾡ࡢྥୖࡔࡅ࡛࡞ࡃ㸪ṑ⛉
་⒪ࡢ࣮࣡ࢡࣇ࣮ࣟࢆ᰿ᮏⓗ࡟ኚ໬ࡉࡏࡘࡘ࠶ࡿ㸬࡜ࡾࢃࡅ&$'&$0ࢸࢡࣀࣟࢪ࣮ࡢᑟධࡣ㸪ࡇࢀࡲ࡛ࡢṑ⛉ᢏᕤ㸪⿵⥛἞⒪ࡢᴫᛕࢆ኱ࡁࡃኚ㠉ࡍࡿࡶࡢ࡛࠶ࡾ㸪⢭ᐦ㗪㐀ࡀṑ⛉࡟ᑟධࡉࢀ࡚௨᮶ࡢ⏬
ᮇⓗ࡞࢖ࣀ࣮࣋ࢩ࡛ࣙࣥ࠶ࡿ࡜⪃࠼ࡽࢀࡿ㸬ṑ⛉⏝&$'&$0ࢩࢫࢸ࣒ࢆ⏝࠸ࡓࣁ࢖ࣈࣜࢵࢻࣞࢪࣥࢡ
ࣛ࢘ࣥࠕ&$'&$0ෙࠖࡀᖹᡂᖺ᭶ࡢ་⒪ಖ㝤ᨵṇ࡟కࡗ࡚࡟ᑟධࡉࢀࡿࡇ࡜࡟࡞ࡗࡓࡀ㸪ࡇࡢᢏ⾡ࡣᖹᡂᖺ᭶࡟ཌ⏕ປാ┬࠿ࡽඛ㐍་⒪ࡢ᪂つ
་⒪ᢏ⾡࡜ࡋ࡚ࠕṑ⛉⏝&$'&$0ࢩࢫࢸ࣒ࢆ⏝࠸ࡓࣁ࢖ࣈࣜࢵࢻࣞࢪࣥ࡟࡟ࡼࡿṑෙ⿵⥛㸦඲㒊⿕そෙ࡟ࡼࡿṑෙ⿵⥛ࡀᚲせ࡞㔜ᗘ࠺⼃ᑠ⮻ṑ࡟㛵ࢃࡿࡶࡢ࡟㝈ࡿ㸧ࠖࡀᢎㄆࡉࢀࡓࡶࡢ࡛᪂ࡓ࡞〇సἲ࠾ࡼࡧᮦᩱࢆ⏝࠸ࡓṑෙಟ᚟἞⒪࡜ࡋ࡚ὀ┠ࡉࢀ࡚࠸ࡿ 㸬 ࡑࡇ࡛௒ᅇ㸪&$'&$0ෙࡀᗈࡃᅜẸ࡬ࡢ⿵⥛ฎ⨨ࡢ୍ࡘ࡜ࡋ࡚ᐃ╔ࡍࡿࡓࡵ࡟㸪ಖ㝤デ⒪ᑟධึᮇ࡟࠾ࡅࡿᐇែ࡟ࡘ࠸࡚ㄪᰝ◊✲ࢆ⾜ࡗࡓ㸬ϩ. ᪉ἲ
 &$'&$0ෙࡢึᮇᑟධ࠾ࡼࡧ▷ᮇ⤒㐣ෆᐜ࡟㛵ࢃࡿࣉࣟࢺࢥ࣮ࣝࢆసᡂࡋ㸪࿴⏣⢭ᐦṑ◊ᰴᘧ఍♫ࡢ༠ຊࢆᚓ࡚㸪඲ᅜ࠿ᡤࡢṑ⛉་㝔ࢆᑐ㇟࡟࢔
ࣥࢣ࣮ࢺㄪᰝࢆᐇ᪋ࡋࡓ㸬࡞࠾㸪ᅇ཰⋡ࢆ㧗ࡵࡿࡓࡵ࡟⪺ࡁྲྀࡾ᭩ࡁ㎸ࡳㄪᰝࢆ㔜Ⅼⓗ࡟⾜ࡗࡓ㸬ṑ⛉་㝔࡟࠾࠸࡚」ᩘࡢ&$'&$0ෙࡀ⿦╔ࡉࢀ࡚࠸ࡿࡓࡵㄪᰝᑐ㇟࡜ࡋ࡚ᢅࡗࡓࢡࣛ࢘ࣥࡣಶ
࡛࠶ࡗࡓ
Ϫ. ⤖ᯝ࡜⪃ᐹ
1. ㄪᰝᑐ㇟⪅ࣉࣟࣇ࢕࣮ࣝ࡟ࡘ࠸࡚
ㄪᰝᑐ㇟࡜࡞ࡗࡓ㒔㐨ᗓ┴ࡣ,໭ᾏ㐨࠿ࡽ஑ᕞᐑ
ᓮࡲ࡛ࡢ32㒔㐨ᗓ┴࡛,ᝈ⪅ࡢ65.7㸣ࡀዪᛶ࡛,40ṓ௦ ࡀ 29.7 㸣 ࡛ ᭱ ࡶ ከ ࡃ ,30 ṓ ௦ ࠾ ࡼ ࡧ 50 ṓ ௦ ࡢ
23.2㸣࡛࠶ࡗࡓ.ࡲࡓ,ᢸᙜࡋࡓṑ⛉་ᖌࡢ89.4㸣ࡣ⏨ᛶ࡛,50ṓ௦42.1㸣,40ṓ௦30.2㸣,30ṓ௦13.3㸣࡛ẚ㍑ⓗⱝ࠸ᖺ㱋ᒙࡢṑ⛉་ᖌࡀከ࠿ࡗࡓ.
1. &$'&$0ෙ⿦╔ᐇែ࡟ࡘ࠸࡚
 &$'&$0ෙࡀ⿦╔ࡉࢀࡓ㒊఩ࡣୖ㢡➨1ᑠ⮻ṑ
25.6㸣,➨2ᑠ⮻ṑ29.7㸣,ୗ㢡➨1ᑠ⮻ṑ23.7㸣,➨2ᑠ
⮻ṑ21.0㸣࡛,࡯ࡰᆒ➼࡟⿦╔ࡉࢀ࡚࠸ࡓ.&$'&$0ෙࡢ⣡ရᮇ㛫ࡣ5᪥௨ෆ30.2㸣,5㹼7᪥41.6㸣,10᪥௨
ୖࡣ28.1㸣࡛࠶ࡗࡓ.ࣜࢥ࣮ࣝࡲ࡛ࡢ᪥ᩘࡣ,ಖ㝤ᑟධ௨᮶ᙜึࡢ5࠿᭶࡛࠶ࡿࡇ࡜࠿ࡽ10᪥௨ෆ15.3㸣
࡛,᭱㛗ᮇ㛫ࡣ120᪥࡛࠶ࡗࡓ.
౑⏝ࣈࣟࢵࢡࡣ,ᯇ㢼HCࡀ᭱ࡶከࡃ,82.8㸣ࢆ༨ࡵ,ࢭࣛࢫ࣐࣮ࢺ㸦ࢪ࣮ࢩ࣮㸧14.5㸣,ࣦࣛ࢓࢔ࣝࢸ࢕
࣓ࢵࢺ㸦3M㸧2.7㸣࡛௚ࡢ〇ရࡣ࡞࠿ࡗࡓ.ᨭྎṑ࡛᭱ࡶከ࠿ࡗࡓࡢࡣ࣓ࢱࣝࢥ࢔࡛45.3㸣,ࢥ࣏ࣥࢪ
ࢵࢺࣞࢪࣥࢥ࢔ࡣ25.4㸣࡛,⏕άṑࡣ13.2%ࡔࡗࡓ.
ࡲࡓ,ᑐྜṑࡣ61.9㸣ࡀኳ↛ṑ,25.7㸣ࡀ㔠ᒓෙ࡛࠶
ࡗࡓ.&$'&$0ෙ⿦╔᫬ࡢࢭ࣓ࣥࢺࡣࡍ࡭࡚᥋╔ᛶࣞࢪࣥࢭ࣓ࣥࢺࡀ౑⏝ࡉࢀ࡚࠸ࡓ
3㸬&$'&$0ෙ⿦╔ᚋࡢணᚋ࡟ࡘ࠸࡚
&$'&$0ෙ⿦╔ᚋⰋዲ࡛࠶ࡿ࡜ุᐃࡉࢀࡓࡢࡣ
㸣⬺㞳ࡣ㸣◚ᢡࡣ㸣࡛࠶ࡗࡓ⿦╔๓࡟ࢧࣥࢻࣈࣛࢫࢺฎ⌮ࡀ⾜ࢃࢀࡓࡢࡣ㸣ࣉࣛ࢖࣐࣮ฎ⌮ࡀ⾜ࢃࢀࡓࡢࡣ㸣࡛࠶ࡗࡓ⬺㞳ࡋ
ࡓ&$'&$0ෙ࡟ࡘ࠸࡚ࢧࣥࢻࣈࣛࢫࢺฎ⌮ࡀ⾜ࢃࢀ࡚࠸࡞࠿ࡗࡓࡢࡣ㸣࡛⬺㞳࡜ࢧࣥࢻࣈࣛࢫࢺฎ
⌮ࡢ᭷↓࡟ࡘ࠸࡚Ȯ᳨ᐃࢆ⾜ࡗࡓ࡜ࡇࢁ᭷ពỈ‽㸣࡛㛵㐃ᛶࡀㄆࡵࡽࢀࡓ⌧ᅾᑠ⮻ṑ༢⊂ṑ࡟ᑐࡍࡿṑෙಟ᚟ฎ⨨ࡢ᪉ἲ࡜ࡋ࡚◳㉁ࣞࢪࣥࢪࣕࢣࢵ ࢺ ࢡ ࣛ ࢘ ࣥ $X3G$J ྜ 㔠 ࡟ ࡼ ࡿ 㔠 ᒓ ෙ ࡜&$'&$0ෙࡀ࠶ࡿࡀ๓⪅ࡢࡘ࡜&$'&$0ෙࢆẚ㍑
ࡋ࡚ࠕ౑⏝ࡋࡸࡍ࠸ࠖࡲࡓࡣࠕኚࢃࡽ࡞࠸ࠖ࡜ุ
ᐃࡉࢀࡓࡢࡣ࠾ࡼࡧ㸣࡛࠶ࡗࡓ
 &$'&$0ෙࡀ⿦╔ึᮇ࡟ࢺࣛࣈࣝࢆ⏕ࡌࡉࡏ࡞࠸
ࡓࡵ࡟ࡣ᥋╔᧯సࡀỴࡵ࡚㔜せ࡛࠶ࡿࡇ࡜࠿ࡽ☜ᐇ࡞ࢧࣥࢻࣈࣛࢫࢺฎ⌮ࣉࣛ࢖࣐࣮ฎ⌮ࡣᚲせ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿ
ϫ. ᩥ⊩1) ᮎ℩୍ᙪ,ᐑᓮ 㝯㸬᭱᪂&$'&$0ṑෙಟ᚟἞⒪⿵⥛⮫ᗋู෉ᮾி㸬

− 305 −

第1,2日

日補綴会誌

第6会場

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 116 ⿵⥛἞⒪௓ධ๓ࡢ୺せ࡞ࠕᅔࡾࡈ࡜ࠖ࡜ཱྀ⭍㛵㐃QOL࡜ࡢ㛵㐃‫ۑ‬୰ᕝ᫴㍜㸪኱㔝 ᙬ*㸪㯮㷂㝧Ꮚ㸪ᑠᒣ⤮⌮㸪୕㔝༟ဢ㸪㐂ᆏ ༟㸪Ỉཱྀ ୍㸪๓ᕝ㈼἞㸪❑ᮌᣅ⏨
ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝㸪*ᒸᒣ኱Ꮫ⑓㝔᪂་⒪◊✲㛤Ⓨࢭࣥࢱ࣮
Relationship between the patient's major complaint in the initial consultation and the oral health-related Qualityof Life level.
Nakagawa S, Kimura-Ono A*, Kurosaki Y, Koyama E, Mino T, Osaka S, Minakuchi H, Maekawa K, Kuboki T.
Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of
Medicine, Dentistry and Pharmaceutical Sciences㸪* Center for Innovative Clinical Medicine㸪Okayama
University HospitalϨ㸬┠ⓗከᵝ࡞⑕≧ࢆッ࠼ࡿ࣐ࣜ࢘ࢳᝈ⪅ࡸ⭜③ᝈ⪅➼࡛ࡣ㸪࡝ࡢࡼ࠺࡞ࠕᅔࡾࡈ࡜ࠖࡀᝈ⪅ࡢQuality ofLife(QOL)࡟ᙉࡃᙳ㡪ࡋ࡚࠸ࡿ࠿ࢆ㸪௓ධ㑅ᢥ࡟ᙺ❧࡚ࡿヨࡳࡀጞࡲࡗ࡚࠸ࡿ㸬ࡇࡢ࢔ࣉ࣮ࣟࢳࡣ㸪
QOLࡢ᪩ᮇᨵၿࢆྍ⬟࡜ࡋ㸪≉࡟㧗㱋⪅࡟࠾࠸࡚ࡣ㸪QOLࡢపୗ࡟⥆ࡃᢚ࠺ࡘ≧ែࡢᝏ໬ࢆண㜵࡛ࡁࡿྍ⬟ᛶࡀ⪃࠼ࡽࢀ࡚࠸ࡿ㸬୍᪉㸪ṑࡢḞᦆࢆ᭷ࡍࡿᝈ⪅ࡶ㸪࿪ᄮ㞀ᐖࡸᑂ⨾㞀ᐖ㸪⑊③࡞࡝ᵝࠎ࡞ࠕᅔࡾࡈ࡜ࠖࢆࡶࡗ࡚ṑ⛉ࢆཷデࡍࡿ㸬ࡇࢀࡽࡢᝈ⪅࡛ࡣ἞⒪๓ࡢཱྀ⭍㛵
㐃QOLࡀపୗࡋ࡚࠸ࡿሙྜࡀከࡃ㸪἞⒪࡟ࡼࡿᅇ᚟ࡶ㸪ࡑࡢᅔࡾࡈ࡜࡟࡝ࡢࡼ࠺࡟ᑐฎࡍࡿ࠿࡟኱
ࡁࡃ౫Ꮡࡍࡿ࡜ᛮࢃࢀࡿ㸬ࡋ࠿ࡋ㸪἞⒪๓ࡢࠕᅔࡾࡈ࡜ࠖࡀ㸪ཱྀ⭍㛵㐃QOLࡢపୗ࡟࡝ࡢࡼ࠺࡟㛵㐃ࡍࡿ࠿ࢆ᳨ウࡋࡓሗ࿌ࡣᑡ࡞ࡃ㸪ཱྀ⭍㛵㐃QOL
࡟ᇶ࡙࠸ࡓ௓ධ㑅ᢥࡶ⾜ࢃࢀ࡚࠸࡞࠸㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪ṑࡢḞᦆࢆ᭷ࡍࡿᝈ⪅ࡀッ࠼ࡿྛ✀ࠕᅔࡾࡈ࡜ࠖࡀ㸪ཱྀ⭍㛵㐃QOL࡟࡝ࡢࡼ࠺࡟㛵㐃ࡍࡿ࠿ࢆ᫂ࡽ࠿࡟ࡍࡿࡇ࡜ࢆ┠ⓗ࡟㸪ึデ᫬ࡢᶓ᩿ࢹ࣮ࢱࢆ⏝࠸᳨࡚ウࢆ⾜ࡗࡓ㸬ϩ㸬᪉ἲᑐ㇟ࡣ㸪2013ᖺ11᭶࠿ࡽ2014ᖺ10᭶࡟ᒸᒣ኱Ꮫ
⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛⛉ࡢึデᝈ⪅ࡢ࠺ࡕ㸪1ṑ௨ୖࡢḞᦆࢆ᭷ࡋ㸪἞⒪࡟ྠពࡀᚓࡽࢀ㸪࢔ࣥࢣ࣮ࢺᅇ⟅ࡀྍ⬟࡞඲ᝈ⪅࡜ࡋࡓ㸬㑅ᢥᇶ‽ࢆ‶ࡓࡋࡓ┠ⓗᑐ㇟ࡣ294ྡ㸦ᖹᆒᖺ㱋㸸63.1±13.6ṓ,⏨㸭ዪ㸸111㸭183ྡ㸧࡛࠶ࡗࡓ㸬ࡇࢀࡽࢆᑐ㇟࡟㸪ึデ᫬࡟ձ࢔ࣥࢣ࣮ࢺㄪᰝ㸦ཱྀ⭍㛵㐃QOL㉁ၥ⚊1㸧
㸪SF-8᪥ᮏㄒ∧㸪WHO-5⢭⚄ⓗ೺ᗣ≧ែ⾲㸧㸪ղၥデ㸦୺ッ㸪඲㌟⑌ᝈ㸧ճ⮫ᗋデᰝ㸦ṧᏑṑᩘ㸪἞⒪ࡀᚲせ࡞Ḟᦆṑᩘ㸪࢔࢖ࣄࢼ࣮ศ㢮㸪ṑ࿘⤌⧊᳨ᰝ㸧ࢆ⾜ࡗࡓ㸬ᝈ⪅ࡢ୺ࡓࡿࠕᅔࡾࡈ࡜ࠖ
㸦୺ッศ㢮㸧ࡣ㸪ၥデࡢ୺ッ᝟ሗ࠿ࡽᢳฟࡋ㸪5⩌࡟ศ㢮ࡋࡓ㸦⑊③㸭ᑂ⨾㸭࿪ᄮ㸭Ⓨ㡢㸭㐪࿴ឤ㸸
113㸭31㸭112㸭3㸭16ྡ㸧㸦೔⌮ጤဨ఍ᢎㄆ␒ྕ
629㸧㸬
ࡲࡎ㸪ᑐ㇟ࡢᇶ♏≉ᛶࢆ୺ッศ㢮ู࡟ẚ㍑ࡋࡓ

㸦Steel-Dwass᳨ᐃ㸪࢝࢖஧஌᳨ᐃ㸧㸬ࡑࡋ࡚㸪୺ッศ㢮ู࡟ཱྀ⭍㛵㐃QOLᚓⅬࢆẚ㍑ࡋࡓ㸦SteelDwass᳨ᐃ㸧㸬ḟ࡟㸪࡝ࡢࡼ࠺࡞ࠕᅔࡾࡈ࡜ࠖࡀཱྀ
⭍㛵㐃QOL࡟㛵㐃ࡍࡿ࠿ࢆ᫂ࡽ࠿࡟ࡍࡿࡓࡵ࡟㸪㔜ᅇᖐศᯒࢆ⾜ࡗࡓ㸬ᚑᒓኚᩘࡣཱྀ⭍㛵㐃QOLᚓ
Ⅼ࡜ࡋ㸪⊂❧ኚᩘࡣከ㔜ඹ⥺ᛶࢆຍ࿡ࡋ࡚㑅ᢥࡋ㸪୺ッศ㢮㸪ṧᏑṑᩘ㸪Ḟᦆṑᩘ㸪࢔࢖ࣄࢼ࣮ศ㢮࡜ࡋ㸪ᖺ㱋࠾ࡼࡧᛶู࡛ㄪᩚࡋࡓ㸬Ϫ㸬⤖ᯝ࡜⪃ᐹᅇ⟅࡟୙ഛࡀ࠶ࡗࡓ19ྡࢆ㝖እࡋ㸪ゎᯒᑐ㇟ࡣ275ྡ㸦ᖹᆒᖺ㱋㸸63.1±13.7ṓ, ⏨㸭ዪ㸸104㸭171ྡ㸪ᖹᆒṧᏑṑᩘ㸸20.0±8.0ᮏ㸪ᖹᆒḞᦆṑᩘ㸸
7.2±8.1ᮏ㸧࡜࡞ࡗࡓ㸬ゎᯒᑐ㇟ࡢᖹᆒཱྀ⭍㛵㐃
QOLᚓⅬࡣ42.7±14.2Ⅼ㸦64Ⅼ‶Ⅼ㸧࡛࠶ࡗࡓ㸬࢔࢖ࣄࢼ࣮ศ㢮ࡣ㸪A⩌ࡀ87ྡ㸪B⩌ࡀ124ྡ㸪C⩌ࡀ
64ྡ࡛࠶ࡗࡓ㸬୺ッศ㢮ู࡟ᖺ㱋㸪ṧᏑṑᩘ㸪Ḟᦆṑᩘ㸪ᛶู࠾ࡼࡧ࢔࢖ࣄࢼ࣮ศ㢮ࡢศᕸࢆẚ㍑
ࡋࡓ⤖ᯝ㸪࠸ࡎࢀࡶ᭷ពᕪࡣ࡞࠿ࡗࡓ㸬୺ッศ㢮ูࡢཱྀ⭍㛵㐃QOLᚓⅬࡢᖹᆒ್ࡣ㸪⑊③ 㸸 39.7±13.6 Ⅼ 㸪 ᑂ ⨾ 㸸 45.1±14.0 㸪 ࿪ ᄮ 㸸
45.1±14.7㸪Ⓨ㡢㸸42.3±5.9㸪㐪࿴ឤ㸸43.4±12.3࡛࠶
ࡗࡓ㸬୺ッศ㢮ู࡟ཱྀ⭍㛵㐃QOLᚓⅬࢆẚ㍑ࡋࡓ
⤖ᯝ㸪⑊③⩌ࡀ࿪ᄮ⩌࡟ẚ࡭࡚᭷ព࡟ప࠿ࡗࡓ
㸦p=0.02㸧㸬ࡉࡽ࡟㔜ᅇᖐศᯒࡢ⤖ᯝ㸪ึデ᫬ࡢ୺ࡓࡿࠕᅔࡾࡈ࡜ࠖࡀ⑊③࡛࠶ࡿࡇ࡜㸦p=0.04㸧㸪ṧᏑṑᩘࡀᑡ࡞࠸ࡇ࡜㸦p<0.01㸧ࡀ἞⒪௓ධ๓ࡢ
ཱྀ⭍㛵㐃QOLᚓⅬࡀప࠸ࡇ࡜࡟㛵㐃ࡍࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸦R²=0.12㸧.
௒ᚋࡣ㸪ࠕᅔࡾࡈ࡜ࠖࡸ἞⒪๓ཱྀ⭍㛵㐃QOL࡟
ࡼࡗ࡚ᒙู໬ࡋ࡚⿵⥛἞⒪ࡢຠᯝࢆ᳨ドࡋ㸪ཱྀ⭍㛵㐃QOL࡟ᇶ࡙࠸ࡓ⮫ᗋỴ᩿ศᯒࡢᴫᛕࢆ☜❧ࡋࡓ࠸࡜⪃࠼ࡿ㸬ϫ㸬ᩥ⊩1㸧ᒸᮏኊ୍㑻㸪㕥ᮌ⚽඾㸪᏶ᒣ Ꮫ࡯࠿㸬Ḟᦆṑิࢆ᭷ࡍࡿᝈ⪅࡟ᑐࡍࡿQOLホ౯㉁ၥ⚊ࡢಙ㢗ᛶ࣭ጇᙜᛶࡢ᳨ウ㸬᪥ᮏ⿵⥛ṑ⛉Ꮫ఍㞧ㄅ㸪
1999㸹43(4)㸸698㸫705㸬

− 306 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 117ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮࡟ࡼࡿ⢭ᐦ༳㇟᥇ᚓ࠿ࡽ඲㒊ᗋ⩏ṑ〇సࢆ⾜ࡗࡓ㸯⑕౛‫ۑ‬⡿⃝ ᝆ㸪ᑠᯘ⌶ஓ㸪ཎ⥲୍ᮁ㸪Ᏻ⸤⣪⧊㸪୰㔛ᩥ㤶㸪బ⸨ᏹ᫂㸪㏆⸨ᑦ▱ᒾᡭ་⛉኱ᏛṑᏛ㒊⿵⥛࣭࢖ࣥࣉࣛࣥࢺᏛㅮᗙA Cese Report of Conpletedentur Fabrication with Oral scanner.
‫ ۑ‬Yonezawa Y, Kobayashi T, Hara S, Aki S,Nakasato A, Sato H, Kondo H
Department of Prosthodontics and Oral Implantology School of Dentistry, Iwate Medical UniversityϨ㸬 ┠ⓗ ࢹࢪࢱࣝᢏ⾡ࡢⓎᒎ࡟క࠸㸪ṑ⛉་⒪ࢆྲྀࡾᕳࡃ⎔ቃࡣ኱ࡁࡃኚ໬ࡋ࡚ࡁ࡚࠸ࡿ㸬CAD/CAMᢏ⾡ࡢ⮫ᗋᛂ⏝ࡀ⌧ᐇࡢࡶࡢ࡜࡞ࡾ㸪⿵⥛㡿ᇦ࡟࠾ࡅࡿᵝࠎ࡞἞⒪ࢫࢸࢵࣉࢆࢹࢪࢱࣝಙྕ࡟⨨ࡁ᥮࠼ࡿࡇ࡜ࡀྍ⬟࡜࡞ࡗࡓ㸬᭷ᗋ⩏ṑ⿵⥛㡿ᇦ࡟࠾࠸࡚ࡶ㸪ညྜ᥇ᚓᚋࡢேᕤṑ᤼ิࡸṑ⫗ᙧᡂ࡞࡝ࡢ
ᢏᕤ᧯సࡣCADࢯࣇࢺୖ࡛⾜࠼ࡿࡼ࠺࡟࡞ࡾ㸪
CAM࡟ࡼࡾ⩏ṑ᏶ᡂࡲ࡛⾜࠼ࡿࡼ࠺࡟࡞ࡗࡓ㸬ࡋ࠿ࡋ㸪ୖグࡣ୍㒊ࡢࢫࢸࢵࣉ࡟㝈ࡽࢀࡓࡶࡢ࡛㸪ᗋ⩏ṑ〇సࡢ඲ᕤ⛬ࡢࢹࢪࢱࣝ໬ࡀྍ⬟࡜࡞ࡗࡓࢃࡅ࡛ࡣ࡞࠸㸬἞⒪ࡢᡂຌࢆᕥྑࡍࡿ༳㇟᥇ᚓࡸ
ညྜ᥇ᚓࡣ㸪⾡⪅ࡢᢏ⾡ࣞ࣋ࣝ࡟኱ࡁࡃ౫Ꮡࡍࡿ
ࡓࡵ㸪ᮍࡔࢹࢪࢱࣝ໬ࡀᅔ㞴࡞ࢫࢸࢵࣉ࡛࠶ࡿ㸬ࡇࡢ༳㇟᥇ᚓࡸညྜ᥇ᚓࢆࢹࢪࢱࣝ໬ࡍࡿࡇ࡜ࡀ
ྍ⬟࡜࡞ࢀࡤ㸪⾡⪅ࡢᢏ⾡࡟ᙳ㡪ࡉࢀ࡟ࡃ࠸෌⌧ᛶࡢ㧗࠸⩏ṑࡢ〇సࡀྍ⬟࡜࡞ࡿ㸬ࡉࡽ࡟㸪༳㇟ᮦ࡞࡝ࡢᮦᩱࢆཱྀ⭍ෆ࡛౑⏝ࡍࡿᚲせࡀ࡞ࡃ࡞ࡾ㸪㧗㱋⪅デ⒪᫬ࡸᅾᏯデ⒪᫬࡟࠾ࡅࡿ༳㇟᥇ᚓࡢࣜ
ࢫࢡࢆ᭱ᑠ㝈࡟ᢚ࠼ࡿࡇ࡜ࡀ࡛ࡁ㸪Ᏻ඲࠿ࡘ⡆౽࡟デ⒪ࢆ⾜࠺ࡇ࡜ࡀྍ⬟࡜࡞ࡿ㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪ୖୗ㢡↓ṑ㢡ሐ࡟ᑐࡋཱྀ࡚⭍ෆࢫ࢟ࣕࢼ࣮ࢆ
⏝࠸ࡓ⢭ᐦ༳㇟ࢆ⾜࠸඲㒊ᗋ⩏ṑࡢ〇సࢆヨࡳࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ᪉ἲ ᝈ⪅ࡣ㸪64ṓࡢዪᛶ࡛ୖୗ㢡↓ṑ㢡⑕౛ࢆ㑅ᢥࡋࡓ㸬ୖୗ㢡㢡ሐࡢ⢭ᐦ༳㇟࡟ࡣ㸪ཱྀ⭍ෆࢫ࢟ࣕ
ࢼ࣮TRIOS® (3Shape A/S Denmark)ࢆ⏝࠸࡚ගᏛ༳
㇟ࢆ⾜ࡗࡓ㸬ࢫ࢟ࣕࣥࢆ⾜࠺๓࡟㸪⩏ṑࡢ㎶⦕ࢆᙧᡂࡍࡿṑ⫗㢋⛣⾜㒊ࡢᙧࡀ୍ᐃ࡜࡞ࡿࡼ࠺࡟㸪
ཱྀゅ㕍࡟ཱྀ࡚၁࡜ྍື⢓⭷ࢆᗈࡆ⥔ᣢࡋࡓ㸬ࢫ࢟ࣕࣥ᫬࡟ࡣཱྀ⭍ෆ࡟ࣃ࢘ࢲ࣮ࡣ౑⏝ࡏࡎ㸪ᗙ఩࡟࡚⾜ࡗࡓ㸬ᚓࡽࢀࡓୖୗ㢡ࡢ↓ṑ㢡㢡ሐࡢࢹࢪࢱࣝ ࢹ ࣮ ࢱ ࢆ STL ࢹ ࣮ ࢱ ࡟ ኚ ᥮ ࡋ 㸪 3Shape Dental
System(3Shape A/S Denmark)ୖ࡛ࢹࢪࢱࣝసᴗ⏝ᶍᆺࢆస〇ࡋ㸪㸱Dࣉࣜࣥࢱ࣮㸦CONNEX500㸧࡟࡚సᴗ⏝ᶍᆺࡢල⌧໬ࢆ⾜ࡗࡓ㸬ࡑࡢᚋࡣ㸪సᴗ⏝
ᶍᆺୖ࡛㏻ἲ࡟ᚑ࠸ညྜᗋࢆ〇సࡋ㸪ᝈ⪅ࡢཱྀ⭍ෆ࡛ညྜ᥇ᚓࢆ⾜࠸⩏ṑ᏶ᡂࡲ࡛ࡢ⾜⛬ࢆ⾜ࡗࡓ㸬࡞࠾㸪ᮏ◊✲ࡣᒾᡭ་⛉኱ᏛṑᏛ㒊೔⌮ጤဨ఍ࡢᢎㄆࢆᚓ࡚⾜ࢃࢀࡓ㸬㸦ᢎㄆ␒ྕ01194㸧Ϫ㸬 ⤖ᯝ࡜⪃ᐹ ⩏ṑ〇స㐣⛬ࡢ୰࡛ࡶࢹࢪࢱࣝ໬ࡀ㞴ࡋ࠸࡜ࡉࢀ࡚࠸ࡿデ⒪ࢫࢸࢵࣉࡢ1ࡘ࡛࠶ࡿ⢭ᐦ༳㇟᥇ᚓࢆ㸪ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮ࢆ⏝࠸࡚⾜࠸㸪ࡑࡇ࠿ࡽᚓࡽࢀ
ࡓࢹࢪࢱࣝࢹ࣮ࢱࢆࡶ࡜࡟ୖୗ㢡඲㒊ᗋ⩏ṑࡢ〇సࢆ⾜࠺ࡇ࡜ࡀ࡛ࡁࡓ㸬ᮏ⑕౛࡛ࡢ⢭ᐦ༳㇟᥇ᚓ᫬࡟ᚲせ࡜ࡋࡓࢳ࢙࢔ࢱ࢖࣒ࡣ30ศ⛬ᗘ࡛࠶ࡗࡓ㸬ࢫ࢟ࣕࣥ᫬㛫ࡣ㸪ୖୗ㢡࡛ࡑࢀࡒࢀ5㹼10ศ⛬࡛࠶ࡗࡓ㸬ගᏛ༳㇟࠿ࡽᚓࡽࢀࡓࢹࢪࢱࣝࢹ࣮ࢱ࡟㛵ࡋ࡚ࡣ㸪STLࢹ࣮ࢱ࡟ኚ᥮ࡋPCୖ࡛෌⌧ࡋࡓ⤖ᯝ㸪⿕㦂⪅ࡢ㢡ሐᙧ≧࡜୍⮴ࡍࡿᙧࡀ෌⌧ࡉࢀ࡚࠸ࡓ
㸦ᅗ㸯㸧㸬༳㇟᥇ᚓࡢࢹࢪࢱࣝ໬ࢆ㜼ࡴ᭱ࡶ኱ࡁ࡞せᅉ࡛࠶ࡿ㎶⦕ᙧែࡢỴᐃ࡟㛵ࡋ࡚ࡣ㸪ࢫ࢟ࣕࣥ୰࡟ᶵ⬟㐠ືࢆ⾜ࢃࡏࡿࡇ࡜ࡀฟ᮶࡞࠸ࡓࡵ㸪௒ᚋ࡟ㄢ㢟ࢆṧࡋࡓ㸬௒ᅇࡣ㸪ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮
࡟ࡼࡿ↓ṑ㢡㢡ሐࡢ⢭ᐦ༳㇟࠿ࡽ⩏ṑ〇సࢆヨࡳ㸪ᚑ᮶ἲࢆΰࡐ࡚ࡢ⩏ṑ᏶ᡂ࡛ࡣ࠶ࡿࡀ㸪ཱྀ⭍ෆࢫ࢟ࣕࢼ࣮࡟ࡼࡿ⢭ᐦ༳㇟ࡀ⮫ᗋ࡟ᛂ⏝࡛ࡁࡿࡇ࡜
ࡀ᫂ࡽ࠿࡜࡞ࡗࡓࠋ௒ᚋ㸪ཱྀ⭍ࢫ࢟ࣕࢼ࣮࡟ࡼࡿ
༳㇟⢭ᗘࡢ᳨ドࡸᗋᙧែࡢタᐃ᪉ἲ㸪ညྜ᥇ᚓࡢ
ࢹࢪࢱࣝ໬࡞࡝㸪᭷ᗋ⩏ṑ἞⒪ࡢࢫࢸࢵࣉ඲࡚ࢆ
ࢹࢪࢱࣝ໬ࡍࡿ࡟ࡣゎỴࡋ࡞ࡃ࡚ࡣ࡞ࡽ࡞࠸ㄢ㢟ࡣ࠶ࡿࡶࡢࡢ㸪᭷ᗋ⩏ṑ〇స࡟࠾ࡅࡿཱྀ⭍ෆࢫ࢟ࣕࢼ࣮ࡢᛂ⏝ࡣ༑ศྍ⬟࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓ㸬㹺

− 307 −

ᅗ 1㸬ගᏛ༳㇟࡜ࢹࢪࢱࣝᶍᆺ

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 118ᵓ㡢㞀ᐖࡢᨵၿ┠ⓗ࡟స〇ࡋࡓ㌾ཱྀ⵹ᣲୖ⿦⨨ࡢ⑕౛‫ۑ‬ᑿᓮ ◊୍㑻㸪ᑎ୰ ᬛ㊊฼㉥༑Ꮠ⑓㝔 ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉Effects of Palatal Lift Prosthesis For Dysarthria: A Reports of Cases

Ozaki K, Teranaka S
Department of Physical Medicine and Rehabilitation, Ashikaga Red Cross HospitalϨ㸬 ┠ⓗ ㌾ཱྀ⵹ᣲୖ⿦⨨ Palatal Lift Prosthesis㸦PLP㸧ࡣ㸪㌾ཱྀ⵹ࡢ㐠ື㞀ᐖ࡟ࡼࡿ㰯ဗ⭍㛢㙐୙඲ࡀㄆࡵࡽ
ࢀࡿᝈ⪅࡟ᑐࡋ࡚⏝࠸ࡽࢀࡿཱྀ⭍ෆ⿦⨨࡛࠶ࡿ㸬  ௒ᅇ㸪ᙜ㝔࠾࠸࡚୺࡟ᵓ㡢㞀ᐖࡢᨵၿ┠ⓗ࡟సᡂࡋࡓPLPࡢ⑕౛࡟ࡘ࠸࡚ሗ࿌ࡍࡿ㸬⑕౛ࡣ඲౛
࡟࠾࠸࡚ゝㄒ⫈ぬኈ (ST)ࡢゝㄒ἞⒪ࢆ⾜ࡗࡓ㸬ϩ㸬 ⑕౛ෆᐜ
 ⑕౛1:
56ṓ ⏨ᛶ㸪࠺ࡘ⑓㸦20ᖺ㛫㸧㸪᭷ᶵࣜࣥ୰ẘ⢭⚄⛉࡟ධ㝔୰࡟ࣜࣁࣅࣜ౫㢗㸪ྥ⢭⚄⸆ࡢ㛗ᮇ᭹⏝ࡀཎᅉ࡜⪃࠼ࡽࢀࡿཱྀ⭍࿘ᅖ➽ࡢࢹ࢕ࢫࢿࢪ
࢔ࢆㄆࡵࡓ㸬Ⓨヰ᫂░ᗘ 3/5㸪࿧Ẽ㰯₃ฟ R4 L4㸪
blowing 4.2⛊㸪MPT 25.3⛊㸪⩏ṑࡢ౑⏝Ṕ↓ࡋ㸬 ⑕౛2:
60ṓ ⏨ᛶ㸪ᕥ⿕Ẇฟ⾑㸪㛤㢌⾑⭘㝖ཤ⾡ᚋ㛤㢌⾑⭘㝖ཤ⾡ᚋ࡟ࣜࣁࣅࣜ౫㢗㸪㧗ḟ⬻ᶵ⬟㞀ᐖ㸪ὶᾝ᭷ࡾ㸪Ⓨヰ᫂░ᗘ 4/5㸪࿧Ẽ㰯₃ฟ R4
L2㸪blowing 7.0⛊㸪MPT 10.4⛊㸪⩏ṑࡢ౑⏝Ṕ↓ࡋ㸬 ⑕౛3:
72ṓ ⏨ᛶ㸪⚄⤒ኚᛶ⑌ᝈ㸦⢭ᰝ୰㸧㸪⫵Ẽ⭘2ᖺ๓ࡼࡾ࿅ᚊ⦆៏㸪㍍ᗘᄟୗ㞀ᐖࢆㄆࡵࡓࡓࡵ⢭ᰝධ㝔ᚋࣜࣁࣅࣜ౫㢗㸪Ⓨヰ᫂░ᗘ 3/5㸪࿧Ẽ㰯
₃ฟ R4 L4㸪blowing 1.1⛊㸪MPT 11.7⛊㸪⩏ṑࡢ౑⏝Ṕ↓ࡋ㸬
 ⑕౛4:
89ṓ ዪᛶ㸪ୖဗ㢌ࡀࢇ㸦ᨺᑕ⥺἞⒪ᚋ㸧㸪ㄗᄟᛶ⫵⅖㸪㞴⫈㸪㧗ḟ⬻ᶵ⬟㞀ᐖ㸪PEG㐀タᚋ㸪⪥㰯⛉ࡼࡾࣜࣁࣅࣜ౫㢗㸪Ⓨヰ᫂░ᗘ 3.5/5㸪࿧Ẽ㰯₃
ฟ R5 L5㸪blowing 1.5⛊㸪MPT 7.0⛊㸪⩏ṑࡢ౑⏝Ṕ᭷ࡾ㸬 ⑕౛5:
70ṓ ⏨ᛶ㸪⬻᱾ሰ㸦ᶫ㸪୧ഃᇶᗏ᰾ࠥᨺ⥺ෙ㸧⪥㰯⛉ࡼࡾࣜࣁࣅࣜ⛉౫㢗㸪Ⓨヰ᫂░ᗘ 2.5/5㸪࿧Ẽ㰯₃ฟ R4 L5㸪blowing 2.0⛊㸪MPT 22.0⛊,⩏ṑࡢ౑⏝Ṕ↓ࡋ㸬Ϫ㸬 ⤖ᯝ ⑕౛1:Ⓨ⑕࠿ࡽPLP⿦╔ࡲ࡛ࡢᮇ㛫㸦76᪥㸧㸪PLP⿦╔ࡢࣜࣁࣅࣜᮇ㛫㸦87᪥㸧㸪PLPࣜࣁࣅࣜᚋホ౯ Ⓨヰ᫂░ᗘ 2/5㸪࿧Ẽ㰯₃ฟ R3 L5㸪blowing 3.7⛊㸪
MPT 32.5⛊㸪ᵓ㡢カ⦎࡟࡚Ⓨヰ㔞ࢆୖࡆ㸪Ⓨヰ㏿ᗘୗࡆࡓ㸬PLPࡣ1᪥1᫬㛫ࡢ⿦╔ࢆᣦ♧ࡋࡓ㸬 ⑕౛2:Ⓨ⑕࠿ࡽPLP⿦╔ࡲ࡛ࡢᮇ㛫㸦118᪥㸧㸪PLP⿦╔ࡢࣜࣁࣅࣜᮇ㛫㸦17᪥㸧㸪PLPࣜࣁࣅࣜᚋホ౯ Ⓨヰ᫂░ᗘ 3/5㸪࿧Ẽ㰯₃ฟ R3 L3㸪blowing 6.0⛊㸪
MPT 8.4⛊㸪PLP⿦╔࡟ࡼࡾࡉࡽ࡟ὶᾝࡀቑ࠼㸪ၚᾮᄟୗࡢᅔ㞴ឤࡀቑࡋࡓ㸬㐪࿴ឤࡶᙉ࠸ࡓࡵPLP⿦╔ࡣSTࣜࣁࣅࣜࡢ᫬ࡢࡳ࡛࠶ࡗࡓ㸬 ⑕౛3:Ⓨ⑕࠿ࡽPLP⿦╔ࡲ࡛ࡢᮇ㛫㸦545᪥㸧㸪PLP⿦╔ࡢࣜࣁࣅࣜᮇ㛫㸦137᪥㸧㸪PLPࣜࣁࣅࣜᚋホ౯ Ⓨヰ᫂░ᗘ 4/5㸪࿧Ẽ㰯₃ฟ R4 L4㸪blowing 3.6⛊㸪
MPT 11.5 ⛊ 㸪 ୺ ⑌ ᝈ ࡢ 㐍 ⾜ ࡟ క ࠸ ᵓ 㡢 ᝏ ໬ 㸬/p//t//k/ࡢ⏘⏕࠾ࡼࡧ஺஫཯᚟㐠ືᅔ㞴࡟࡞ࡗࡓ㸬ᚎࠎ࡟ὶᾝࡀቑ࠼PLP⿦╔ᅔ㞴࡜࡞ࡿ㸬 ⑕౛4:Ⓨ⑕࠿ࡽPLP⿦╔ࡲ࡛ࡢᮇ㛫㸦1,517᪥㸧㸪PLP⿦╔ࡢࣜࣁࣅࣜᮇ㛫㸦837᪥-⥅⥆୰㸧㸪PLPࣜࣁࣅࣜᚋ
ホ౯ Ⓨヰ᫂░ᗘ 3/5㸪࿧Ẽ㰯₃ฟ R5 L5㸪blowing
1.7⛊㸪MPT 7.1⛊㸪⯉ࡢᶵ⬟పୗࢆㄆࡵࡿ㸬1᪥1-2
᫬㛫㸪PLPࢆ⿦╔ࡋ࡚࠸ࡿ㸬 ⑕౛5:Ⓨ⑕࠿ࡽPLP⿦╔ࡲ࡛ࡢᮇ㛫㸦4,257᪥㸧㸪PLP⿦╔ࡢࣜࣁࣅࣜᮇ㛫㸦1,229᪥-⥅⥆୰㸧㸪PLPࣜࣁࣅࣜᚋホ౯ Ⓨヰ᫂░ᗘ 2.5/5㸪࿧Ẽ㰯₃ฟ R3 L3㸪
blowing 3.3⛊㸪MPT 24.0⛊㸪1᪥3-4᫬㛫㸪PLP⿦╔ࡋ࡚࠸ࡿ㸬஺஫㐠ື᫬㸪୙㝶ព㐠ືㄆࡵࡿ㸬ϫ㸬⪃ᐹ PLP⿦╔࡟ࡼࡾⱝᖸࡢⓎヰ᫂░ᗘࡢᨵၿࢆㄆࡵࡓ㸬
PLP࡟ࡼࡾ㰯ဗ⭍㛢㙐ᶵ⬟ࡀ௦ൾࡉࢀ࡚ࡶࡑࡢ௚ࡢ
ཱྀ⭍ࡸႃ㢌㛵㐃ჾᐁ࡟ၥ㢟ࡀ᭷ࡿሙྜࡣ㸪Ⓨヰ᫂░ᗘࡢᨵၿࡣஈࡋ࠸࡜⪃࠼ࡿ㸬㰯ဗ⭍࡟㝈ᒁࡋ࡚
㯞⑷ࡀṧᏑࡍࡿ⑕౛ࡣᑡᩘ࡛࠶ࡿ࡜ᛮࢃࢀࡿࡓࡵ
PLPᑟධ࡟࠾࠸࡚ࡣST࡜ࡢ㐃ᦠࡀ㔜せ࡛࠶ࡿ㸬− 308 −

日補綴会誌 7･124 回特別号，2015

第1,2日

第6会場

ポスター発表1 ─ 6 ─ 119᥋╔࠾ࡼࡧᚑ᮶ᆺࣈࣜࢵࢪࡢ㛗ᮇணᚋㄪᰝ
‫⏣ྜྷۑ‬฼ṇ㸪ᓟ ⠜ྐ*㸪㯮㷂㝧Ꮚ㸪኱㔝 ᙬ**㸪୰ᕝ᫴㍜㸪୕㔝༟ဢ㸪ᑠᒣ⤮⌮㸪
๓ᕝ㈼἞㸪▮㇂༤ᩥ*㸪❑ᮌᣅ⏨ᒸᒣ኱Ꮫ኱Ꮫ㝔་ṑ⸆Ꮫ⥲ྜ◊✲⛉ ࢖ࣥࣉࣛࣥࢺ෌⏕⿵⥛Ꮫศ㔝*኱㜰኱Ꮫ኱Ꮫ㝔ṑᏛ◊✲⛉ ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝**ᒸᒣ኱Ꮫ⑓㝔 ᪂་⒪◊✲㛤Ⓨࢭࣥࢱ࣮A Cohort study of resin bonded and conventional bridges.
Yohshida T, Mine A*, Kurosaki Y, KimuraѸOno A**, Nakagawa S, Mino T, Koyama E, Maekawa K,
Yatani H*, Kuboki T
Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of
Medicine, Dentistry, and Pharmaceutical Sciences,*Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry**Center for Innovative Clinical Medicine, Okayama University HospitalϨ㸬 ┠ⓗ᥋╔ࣈࣜࢵࢪࡣ㸪ඃࢀࡓ᥋╔ࣞࢪࣥࡢ㛤Ⓨ࡜┦ࡲࡗ࡚㸪ษ๐ࢆྍཬⓗ࡟࢚ࢼ࣓ࣝ㉁ෆ࡟㝈ᒁࡋࡓࣈࣜࢵࢪ࡜ࡋ࡚Ⓨᒎࡋ࡚ࡁࡓ㸬᪥ᮏ⿵⥛ṑ⛉Ꮫ఍ࡣ㸪2007ᖺ࡟ࠕ᥋╔ࣈࣜࢵࢪࡢ࢞࢖ࢻࣛ࢖ࣥࠖࢆ
సᡂࡋࡓࡀ㸪ࡑࡢᇶ࡜࡞ࡿ⮫ᗋⓗ࡞ணᚋㄪᰝࡀᑡ
࡞ࡃ㸪἞⒪ࡢ᰿ᣐࢆ♧ࡍ࢚ࣅࢹࣥࢫࡣᮍࡔ୙༑ศ
࡛࠶ࡿ⌧≧ࡀ᫂ࡽ࠿࡜࡞ࡗࡓ㸬ࡑࡇ࡛ᮏ◊✲࡛ࡣ㸪᥋╔ࣈࣜࢵࢪ࠾ࡼࡧᚑ᮶ᆺࡢࣈࣜࢵࢪࡢ⣼✚⏕Ꮡ⋡࡜ࣈࣜࢵࢪࡀኻᩋ࡟⮳ࡿᅉᏊࢆ᫂ࡽ࠿࡟ࡍࡿࡇ
࡜ࢆ┠ⓗ࡜ࡋ࡚㸪᥋╔ࣈࣜࢵࢪ࠾ࡼࡧᚑ᮶ᆺࣈࣜ
ࢵࢪࡢ㛗ᮇணᚋㄪᰝࢆ⾜ࡗࡓ㸬ϩ㸬 ᪉ἲ1989ᖺ4᭶㹼1990ᖺ3᭶࡟ᒸᒣ኱ᏛṑᏛ㒊㝃ᒓ⑓㝔➨୍⿵⥛⛉㸦⌧ᒸᒣ኱Ꮫ⑓㝔ࢡࣛ࢘ࣥࣈࣜࢵࢪ
⿵⥛⛉㸧࡛㸪ࣈࣜࢵࢪ἞⒪ࡀ⾜ࢃࢀ㸪ࣈࣜࢵࢪ࢝
ࣝࢸ࡟グ㍕ࡀ࠶ࡿ඲ᝈ⪅ࢆᑐ㇟࡜ࡋࡓ㸬ࡲࡓ㸪ࣈࣜࢵࢪ࢝ࣝࢸ࡜デ⒪㘓ࡢグ㍕ࡢ୙ഛࡸ୙୍⮴ࡀ࠶ࡗࡓሙྜࡣ㝖እࡋࡓ㸬ᮏ◊✲࡛⏝࠸ࡓࣈࣜࢵࢪ࢝
ࣝࢸ࡟ࡣ㸪࠶ࡽ࠿ࡌࡵண ᅉᏊࡀタᐃࡉࢀ࡚࠾ࡾ㸪グ㍕ࡣಶࠎࡢࣈࣜࢵࢪ⿦╔᫬࡟⾜ࢃࢀࡓ㸬2014ᖺ
11᭶ࡲ࡛ࡢデ⒪㘓ࢆ☜ㄆࡋ㸪ࢺࣛࣈࣝ㸦⬺㞳࣭⬺ⴠ㸪㝖ཤ㸪◚ᦆ㸧ࡢグ㍕ࡀ࠶ࡿࡶࡢࢆࠕ㠀⏕Ꮡࠖ࡜ࡋࡓ㸬࡞࠾ᮏ◊✲࡛ࡣ㸪᰿⟶἞⒪ࡢࡓࡵࡢ㝖ཤࡸཱྀ⭍ෆ࡛◚ᦆಟ⌮ࡋࡓሙྜࡶ㠀⏕Ꮡ࡜ࡋࡓ㸬⾡ᚋࡢࢺࣛࣈࣝࡢグ㍕ࡀㄆࡵࡽࢀ࡞࠸ࡶࡢࢆࠕ⏕Ꮡࠖ࡜ࡋ㸪᮶㝔ࡀ㏵⤯࠼ࡓሙྜࡣ᭱⤊᮶㝔᪥࡟࡚ࠕほᐹᡴࡕษࡾࠖ࡜ࡋࡓ㸬
2⩌㛫ࡢᇶ♏≉ᛶࡢẚ㍑ࡣ࢝࢖2஌᳨ᐃࡶࡋࡃࡣ
Kruskal-Wallis᳨ᐃࢆ ⏝࠸ 㸪 ⏕Ꮡศ ᯒ࡟ ࡣ KaplanMeierἲ㸪Log-rank᳨ᐃࢆ⏝࠸ࡓ㸬ࡓ㸬᥋╔⩌ࡢ 10 ᖺ࠾ࡼࡧ 18 ᖺ⣼✚⏕Ꮡ⋡ࡣ 55.4㸣
࡛࠶ࡗࡓ㸬ᚑ᮶ᆺ⩌ࡢ 10 ᖺ⣼✚⏕Ꮡ⋡ࡣ 59.1㸣㸪
18 ᖺ⣼✚⏕Ꮡ⋡ࡣ 29.6㸣㸪22 ᖺ⏕Ꮡ⋡ࡀ 23.7㸣࡛࠶ࡗࡓ㸬⣼✚⏕Ꮡ⋡࡟࠾࠸࡚ࡶ㸪୧⩌㛫ࡢ᭷ព࡞ᕪ
ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓ㸦p㸻0.80㸧㸦ᅗ㸧㸬
3 ࣘࢽࢵࢺࡢ᥋╔ࣈࣜࢵࢪࡣ 19 ⿦⨨㸦ᖹᆒ 49.4
ṓ㸪ṧᏑṑᩘ 25.2 ᮏ㸧࡛࠶ࡾ㸪10 ᖺ࠾ࡼࡧ 16 ᖺ⣼✚⏕Ꮡ⋡ࡀ 49.2㸣࡛࠶ࡗࡓ㸬3 ࣘࢽࢵࢺᚑ᮶ᆺࣈࣜ
ࢵࢪࡣ 31 ⿦⨨㸦ᖹᆒ 50.0 ṓ㸪ṧᏑṑᩘ 25.0 ᮏ㸧࡛࠶ࡾ㸪10 ᖺ⣼✚⏕Ꮡ⋡ࡀ 76.8㸣㸪16 ᖺ⣼✚⏕Ꮡ⋡ࡀ 56.2㸣㸪18 ᖺ⣼✚⏕Ꮡ⋡ࡀ 40.0㸣࡛࠶ࡗࡓ㸬୧⩌㛫࡟࠾ࡅࡿ⤫ィ⤖ᯝࡣ㸪඲ᩘࡢሙྜ࡜ྠࡌഴྥ࡛
࠶ࡗࡓ㸬ᮏ◊✲࡟ࡼࡾ㸪᥋╔ࣈࣜࢵࢪࡢ⣼✚⏕Ꮡ⋡ࡣ㸪ᚑ᮶ᆺࣈࣜࢵࢪࡢࡑࢀ࡜ᕪࡀ࡞࠸ࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗ
ࡓ㸬ࡲࡓ㸪᥋╔ࣈࣜࢵࢪ 110 ⿦⨨ࡢ 13-14 ᖺணᚋㄪᰝ ᫬ ࡢ complete survival rate ࡀ 44 㸣 㸪 functional
survival rate ࡀ 88㸣࡜ሗ࿌ࡋࡓ Tanoue ࡽ 1)㸪ࡢ⤖ᯝ࡜࡯ࡰྠ⛬ᗘࡢ⏕Ꮡ⋡࡛࠶ࡗࡓ㸬᥋╔࠾ࡼࡧᚑ᮶ᆺࣈࣜࢵࢪࡢ⣼✚⏕Ꮡ⋡㸦඲ᩘ㸧Ϫ㸬 ⤖ᯝ࡜⪃ᐹ᥋╔ࣈࣜࢵࢪ⩌ 41 ⿦⨨㸦ᖹᆒ 50.7 ṓ㸪ṧᏑṑᩘϫ㸬 ᩥ⊩
23.9 ᮏ㸧࡜ᚑ᮶ᆺࣈࣜࢵࢪ⩌ 75 ⿦⨨㸦ᖹᆒ 49.3 ṓ㸪 1㸧Tanoue N, Ide T, Kawasaki K   : Survival ofṧᏑṑᩘ 23.8 ᮏ㸧ࡢᖺ㱋㸪⏨ዪẚ㸪ṧᏑṑᩘ㸪⿦resin-bonded fixed partial dentures made from a╔㒊఩㸦ୖ㢡㸭ୗ㢡㸪๓㸭⮻ṑ㸧㸪ᨭྎṑᩘ㸦᥋╔silver-palladium-copper-gold alloy. Int Chin J Dent
2.58 ṑ㸪ᚑ᮶ᆺ 2.84 ṑ㸧࡟᭷ពᕪࡣࡳࡽࢀ࡞࠿ࡗ
2006; 6: 53-59.

− 309 −

第1,2日

第6会場

日補綴会誌

7･124 回特別号，2015

ポスター発表1 ─ 6 ─ 120➽ⴎ⦰ᛶഃ⣴◳໬⑕㸦ALS㸧࡟⯉᥋ゐ⿵ຓᗋࢆ⿦╔ࡋཱྀ⭍ᮇࡀᨵၿࡋࡓ㸯⑕౛‫ۑ‬ᑎ୰ᬛ*,**㸪ᑿ㷂◊୍㑻*,***㊊฼㉥༑Ꮠ⑓㝔ࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ⛉**ᮾி་⛉ṑ⛉኱Ꮫ(TMDU)኱Ꮫ㝔་ṑᏛ⥲ྜ◊✲⛉ 㧗㱋⪅ṑ⛉Ꮫศ㔝
A case report of oral stage improvement due to wearing the Palatal Augmentation Prothesis (PAP) for
Amyotrophic lateral sclerosis (ALS)
Teranaka S*,**㸪Ozaki K*,***Department of Rehabilitaion Ashikaga Redcross Hospital, **Division of Gerodontology and Oral
Rehabilitation, Tokyo Medical and Dental University Graduate School (TMDU).

Ϩ㸬 ⥴ゝ ➽ጤ⦰ᛶഃ⣴◳໬⑕㸦ALS㸧ࡣ㐍⾜ᛶ⚄⤒⑌ᝈ࡛࠶ࡾ㸪඲㌟ࡢ㐠ືᶵ⬟ࡀ౵ࡉࢀࡿࡀ㸪ឤぬᶵ⬟ࡣ౵ࡉࢀ࡞࠸㞴⑓࡛࠶ࡿ㸬ᮏ⑌ᝈࡣᄟୗ㞀ᐖࡀᚲ
Ⓨ࡛࠶ࡾ㸪ㄗᄟᛶ⫵⅖ࡸ࿧྾ᅔ㞴࡛Ṛ࡟⮳ࡿࡇ࡜
ࡀከ࠸㸬ALS࡟ࡣᵝࠎ࡞⑓ែࡀ࠶ࡿࡀ㸪ᮏ⑕౛ࡣ⌫㯞⑷⑕≧ࢆ୺࡜ࡍࡿ⑓ែ࡛࠶ࡗࡓ㸬௒ᅇ㸪ᦤ㣗ᄟୗ㞀ᐖࡢ࠶ࡿALSࡢ᪉ࡀධ㝔୰࡟⤒ཱྀᦤྲྀ࡟㝿ࡋ㸪ཱྀ⭍ᮇࡢᨵၿࢆ⯉᥋ゐ⿵ຓᗋ
㸦PAP㸧࡛ᨵၿࡋࡓࡢ࡛ሗ࿌ࡍࡿ㸬ϩ㸬 ⑕౛ࡢᴫせ⑕౛ࡣ67ṓࡢዪᛶ㸪㣧㣗ᗑ⤒Ⴀ⪅㸬㌟㛗151੉㸪య㔜38.6਻㸬ᙜ㝔⚄⤒ෆ⛉࡟࡚㐍⾜ᛶ⌫㯞⑷㸦PBP㸧࡛⤒㐣ほᐹࡋ࡚࠸ࡓࡀ㸪ᖹᡂ26ᖺ7᭶࡟ALS࡜デ᩿㸬⫶⒦㸦PEG㸧㐀タ┠ⓗ࡛ᙜ㝔࡟ධ㝔࡜࡞ࡗࡓ㸬ཱྀ⭍ෆᡤぢ࡜ࡋ࡚ࡣ⯉࡟⧄⥔᮰ᛶᨥ⦰ࢆㄆࡵ㸪୧ഃ⯉⦕࡟ⴎ⦰ࡶㄆࡵࡓ㸦ᅗ1㸧㸬ᕦጁ࡞⯉㐠ືࡀᅔ㞴࡛㸪ᵓ㡢㞀ᐖࡶㄆࡵࡓ㸬࿧྾ࢫࣃ࢖࣓ࣟࢺࣜ
࣮ࡣFVC㸸1.65L㸪%VC㸸72.4%ࡔࡗࡓ㸬ཱྀ⭍⾨⏕≧ែࡣࣉ࣮ࣛࢡࢥࣥࢺ࣮ࣟࣝࡀ୙Ⰻ࡛㸪୙Ⰻ⿵⥛≀㸪ṑ᰿◚ᢡࢆㄆࡵࡓ㸬 ᙜ⛉࡟࡚ṑ⛉ⓗึᮇ἞⒪ࢆ⤊࠼㸪ᄟୗෆど㙾᳨ᰝ㸦VE㸧ࢆ⾜ࡗࡓ࡜ࡇࢁ㸪ᄟୗ㞀ᐖ㔜⑕ᗘศ㢮
㸦DSS㸧࡟࡚㣗≀ㄗᄟࣞ࣋ࣝ㸦DSS3㸧࡛࠶ࡗࡓ㸬ࡲࡓ㸪ᄟୗ㐀ᙳ᳨ᰝ㸦VF㸧ࢆ⾜ࡗࡓ࡜ࡇࢁ㸪ဗ㢌ᮇ࡟⮳ࡿࡲ࡛ࡢ᫬㛫ࡀ࠿࠿ࡾ㸪4ੰࢆᄟୗࡍࡿࡢ࡟
ᩘᅇࡢ」ᩘᅇᄟୗࡀᚲせ࡜ࡉࢀࡓ㸬ࡲࡓ㸪ཱྀ⭍ෆࡢṧ␃ࡀከࡃ㸪㏣ຍᄟୗࡍࡿ࡜ㄗᄟࡍࡿࣜࢫࢡࡀ
࠶ࡗࡓ㸬ࡲࡓᕥྑᕪ࡛ࡣࡸࡸᕥഃࡢ㏻㐣ඃ఩ࢆㄆࡵࡓ㸬࿪ᄮ࡟࠾࠸࡚ࡣṧᏑṑࡀከࡃ࠶ࡿࡢ࡛࿪ᄮ
㐠ືࢆㄆࡵࡿࡀ㸪ᰂࡽ࠿࠸ᙧែ࡛ࡶ༑ศ࡟࿪ᄮ࡛
ࡁ࡚࠸࡞ࡃ㸪ࡑࡢࡲࡲstage ϩtransport࡬⛣⾜ࡋ୙Ᏻᐃ࡛࠶ࡗࡓ㸬PEGቑタ๓࡟⤒ཱྀᦤྲྀ࡜ࡋ࡚ࡣࢺ
࣑ࣟࢆ௜ࡅࡓ࣑࢟ࢧ࣮㣗ࡼࡾ㛤ጞࡋࡓ㸬VFࡢ⤖ᯝ㸪Ỉศㄗᄟࣞ࣋ࣝ㸦DSS2㸧࡛ဗ㢌ᮇࡢ㞀ᐖࡶ࠶ࡿࡀ㸪୺࡜ࡋ࡚ࡣཱྀ⭍ᮇ࡟ⴭࡋࡃ㞀ᐖࢆㄆࡵࡓ㸬ࡋࡓࡀࡗ࡚㸪PAPࡢస〇ࢆ㛤ጞࡋࡓ㸬PAP᏶ᡂᚋ㸪ᵓ㡢Ⅼࢆ௜୚ࡋ㸪⯉ࡀཱྀ⵹࡟᥋ゐࡋࡸࡍ࠸ࡼ࠺࡟ㄪᩚࡋ㸪ゝㄒ⫈ぬኈ㸦ST㸧࡟ࡼࡿⓎヰ᫂░ᗘࡢホ౯ࡶྠ᫬࡟⾜ࡗࡓ㸬PAP⿦╔㸦ᅗ1㸧ࡋࡓᚋ㸪VF࡟࡚ẚ㍑☜
ㄆࡋࡓ࡜ࡇࢁ㸪ཱྀ⭍㹼ဗ㢌ࡢᡤせ᫬㛫ࡀ▷⦰ࡉࢀ㸪ཱྀ⭍ᮇࡢⴭࡋ࠸ᨵၿࢆㄆࡵࡓ㸬ࡋ࠿ࡋ㸪ဗ㢌ṧ␃ࡣ౫↛࡜࠶ࡾ㸪1ᅇ㔞࡟ẚ౛ࡋ࡚ဗ㢌ṧ␃ࡀቑຍࡉ
ࢀ㸪ㄗᄟࡢࣜࢫࢡࡀ࠶ࡗࡓ㸬⤖ᯝ㸪㣗஦ࡣ㸯㣗࠿ࡽ㛤ጞࡋ㸪࿪ᄮ≀ࡲ࡛ࡢࣞ࣋ࣝࡣ࠾ᴦࡋࡳ⛬ᗘ࡛ࡢ⤒ཱྀᦤྲྀࡀྍ⬟࡜࡞ࡗࡓ㸬Ϫ㸬 ⪃ᐹ௒ᅇ㸪 ALSࡢ᪉࡟ᑐࡋ࡚PEG㐀タᚋ㸪⤒ཱྀᦤྲྀࢆᑡࡋ࡛ࡶྍ⬟࡟ࡍࡿ࡭ࡃ㸪PAPࢆస〇ࡋ㸪ཱྀ⭍ᮇࡢᨵၿࢆㄆࡵࡓ⑕౛࡛࠶ࡗࡓ㸬ྠᵝ࡞⑕౛ࡣᩓ
ぢࡉࢀࡿ1)㸬ϫ㸬 ⤖ㄽ௒ᚋ㸪⚄⤒ෆ⛉་㸪ࣜࣁࣅࣜ་㸪ṑ⛉་ᖌ㸪ST➼௚⫋✀ࡀ㛵ࢃࡿࢫ࣒࣮ࢬ࡞ࢳ࣮࣒㐃ᦠࡀᚲせ࡜ࡉࢀࡿ⑕౛࡛࠶ࡗࡓ㸬Ϭ㸬 ᩥ⊩1) Ọ㛗࿘୍㑻௚㸸ከ⫋✀㐃ᦠ࡟ࡼࡿཱྀ⭍ᶵ⬟⟶⌮− 310 −

(࣮࣐࢜ࣛࣝࢿࢪ࣓ࣥࢺ)ࡢຠᯝ:PLP,PAP ࢆ⿦╔ࡋࡓᵓ㡢࣭ᄟୗ㞀ᐖࡢ 2 ౛. ⪁ᖺṑ⛉་Ꮫ
2013; 28(2) : 168.