第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪈

2⒳㘃䈱ຏวജ䈮䈍䈔䉎ຏวធ⸅⁁ᘒ䈏๰ྨ⢻ജ䈮෸䈿䈜ᓇ㗀䂾᧖ጊᘕᄥ㇢䋬ጟፒ␽ሶ䋬ᐔ੗⑲᣿䋬ศጟ䇭ᢥ䋬૒⮮䇭ᔀ䋬㊁᧛♿ઍᒾ䋬ᤊว๺ၮ䋬የỈ᣽ᖗ䋬ᱞㇱ䇭⚐ᗲ⍮ቇ㒮ᄢቇᱤቇㇱ᦭ᐥ⟵ᱤቇ⻠ᐳ
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Effect of occlusal contact state in two occlusal force on masticatory performance
Sugiyama S, Okazaki S, Hirai H, Yoshioka F, Sato T, Nomura K, Hoshiai K, Ozawa S, Takebe J
Department of Removable Prosthodontics, School of Dentistry, Aichi Gakuin University㸇䋮㩷⋡⊛䇭๰ྨ䈲㗶ญ⣧♽ᯏ⢻䈱ਛ䈪䉅ਥⷐ䈭ㇱಽ䉕භ䉄䈩䈍䉍䋬⑼ቇ⊛ᩮ᜚䈮ၮ䈨䈇䈢ຏวᴦ≮䈮䈍䈇䈩䈲䋬๰ྨ⢻ജ䈱ቴⷰ⊛䈭⹏ଔ䊌䊤䊜䊷䉺䈏ᔅⷐ䈫䈭䉎䋮๰ྨ⢻ജ䈫ຏวធ⸅⁁ᘒ䈫䈱㑐ଥ䈮䈧䈇䈩䈲એ೨䉋䉍ᵈ⋡䈘䉏䈩䈍䉍䋬․䈮䋬ຏ㗡፰ว૏䈱ຏวធ⸅⁁ᘒ
䈏㊀ⷐⷞ䈘䉏䋬ຏวធ⸅ὐᢙ䋬ຏวធ⸅㕙Ⓧ䋬䈠䈚䈩ຏว㕙䈱ᄢ䈐䈘䈭䈬䈏᷹ቯ䈘䉏䋬๰ྨ⢻ജ䈫䈱㑐ㅪᕈ䈏ᬌ⸛䈘䉏䈩䈇䉎䋮ᚒ䇱䈲䈖䉏䉁䈪䈮ຏวធ⸅ᬌ
ᩏ᧚䉕↪䈇䈩䋬ஜᏱ⠪䈱ຏ㗡፰ว૏䈮䈍䈔䉎ຏว⁁ᘒ䈫๰ྨ⢻ജ䈫䈱⋧㑐䉕⺞ᩏ䈚䋬シ䈒ຏว䈘䈞䈢䈫䈐䈱ຏวធ⸅䈏ᒝ䈒ຏว䈘䈞䈢䈫䈐䈱䉅䈱䉋䉍䉅䋬䉋䉍㑐ㅪᕈ䈏䈅䉎䈖䈫䉕ႎ๔䈚䈩䈐䈢1䋩䋮ᧄ⎇ⓥ䈪䈲䋬ຏวធ⸅⁁ᘒ䈮䈧䈇䈩䉋䉍⹦⚦䈮⹏ଔ䈚䋬ᬌᩏ᧚䈱ෘ䉂䈱ᬌ಴㑣୯䉕ᄌൻ䈘䈞䈢႐ว䈮䋬ຏวធ⸅㕙Ⓧ䈍䉋䈶ធ⸅ὐᢙ䈱ᄌൻ䈏๰ྨ⢻ജ䈫㑐ㅪ䈜䉎䈎䈮䈧䈇䈩ᬌ
⸛䈚䈢䋮
䇭
㸈䋮㩷ᣇᴺ
䇭ⵍ㛎⠪䈲⍶ᱜᱤ⑼ᴦ≮䈱ᣢᓔ䈏䈭䈒䋬⥄ⷡ⊛䈮䉅ઁⷡ⊛䈮䉅㗶㑐▵䈍䉋䈶ᱤ೉䈮⇣Ᏹ䈱⹺䉄䉌䉏䈭䈇ஜᏱ᦭ᱤ㗶⠪60ฬ䉕ㆬᛯ䈚䈢䋮ຏวធ⸅ಽᨆ䋨㕙Ⓧ䋬ὐᢙ䋩䈫䈚䈩䋬ຏวធ⸅ᬌᩏ᧚䋨䊑䊦䊷䉲䊥䉮䊷䊮䋬䉳䊷䉲䊷␠⵾䋬એਅBS䋩䉕ᱤ೉਄䈮ᵈ౉䈚䋬シ䈒ᒰ䈩䈢⁁ᘒ䈱ຏ㗡፰ว૏䋨Light㩷 Clenching䋬એਅLC䋩䈫ᦨᄢຏวജ䉕⊒ើ䈚䈢⁁ᘒ䈱ຏ㗡፰ว૏
䋨Heavy㩷 Clenching䋬એਅHC䋩䉕䈠䉏䈡䉏଻ᜬ䈘䈞
䈢䋮BS⎬ൻᓟ䋬䈠䉏䈡䉏䈱䊂䊷䉺䉕ຏวធ⸅ಽᨆⵝ
⟎䋨䊋䉟䊃䉝䉟BE㪄㸇䋬䉳䊷䉲䊷␠䋩䉕↪䈇䈩⸃ᨆ䈚䈢䋮ធ⸅⁁ᘒ䈱ᬌ಴㑣୯䈮䈧䈇䈩䋬10㱘m䈎䉌50㱘m
䉁䈪BS䈱ෘ䉂䉕ᄌൻ䈘䈞䈢䋮䉁䈢䋬⹦⚦䈭⸃ᨆ㗄⋡䈫䈚䈩䋬਄㗶㗠஥ຏ㗡ౝᢳ㕙䈫ਅ㗶㗠஥ຏ㗡ᄖᢳ㕙䈫䈱ຏวធ⸅ㇱ䋨એਅ䋬A䉮䊮䉺䉪䊃䋩䋬਄㗶ญ⬄஥ຏ

─ 122 ─㗡ౝᢳ㕙䈫ਅ㗶㗠஥ຏ㗡ౝᢳ㕙䈫䈱ຏวធ⸅ㇱ䋨એਅ䋬B䉮䊮䉺䉪䊃䋩䋬਄㗶ญ⬄஥ຏ㗡ᄖᢳ㕙䈫ਅ㗶⥠஥ຏ㗡ౝᢳ㕙䈫䈱ຏวធ⸅ㇱ䋨એਅ䋬C䉮䊮䉺䉪䊃䋩䈮䈍䈔䉎䈠䉏䈡䉏䈱ຏวធ⸅ὐᢙ䋬㕙Ⓧ䉅⸃ᨆ䈚䈢䋮๰ྨ⢻ജ䈱⹏ଔ䈮䈲䋬๰ྨ⢻ജ᷹ቯ↪䉫䊚䉷䊥䊷䋨䊡䊷䊊๧ⷡ♧␠⵾䋩䉕૶↪䈚䋬⥄↱๰ྨ䈪30࿁๰ྨ䈚䈢ᓟ䋬ຏᢿ ⴫㕙Ⓧ䈎䉌ṁ಴䈚䈢䉫䊦䉮䊷䉴Ớᐲ䉕⸘᷹䈚䋬ዊ㊁䉌2㪀䈱࿁Ꮻᑼ䈮ၮ䈨䈇䈩䋬ຏᢿ ⴫㕙Ⓧ
Ⴧട㊂䋨ຏᢿ⢻ജ䋩䉕▚಴䈚䈢䋮䇭ฦᢙ୯䈱▚಴ᓟ㪃ຏวធ⸅ಽᨆⵝ⟎䈪ᓧ䉌䉏䈢ຏวធ⸅ὐᢙ䋬㕙Ⓧ䈫ຏᢿ ⴫㕙ⓍჇട㊂䈫䈱Spearman䈱㗅૏⋧㑐䉕↪䈇䈩ฦ⟲㑆䈱⋧㑐䉕ᬌ⸛䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ຏวജ䉕10䋦MVC䈎䉌30䋦MVC䈮ᄌൻ䈘䈞䉎䈫䋬ຏวធ⸅㕙Ⓧ䈍䉋䈶ὐᢙ䈲Ⴧട௑ะ䉕␜䈚䈢䋮BS䈱ෘ䉂䈱ᬌ಴㑣୯䉕Ⴧട䈘䈞䉎䈫䋬ຏวធ⸅㕙Ⓧ䈲Ⴧട௑ะ䈏⹺䉄䉌䉏䈢䋮㩷ABC䉮䊮䉺䉪䊃䈫䈱㑐ଥ䈮䈧䈇
䈩䋬B䉮䊮䉺䉪䊃䈱⊒⃻ഀว䈏A䉮䊮䉺䉪䊃䉇C䉮䊮䉺䉪䊃䉋䉍䉅๰ྨ⢻ജ䈫䈱᦭ᗧ䈭⋧㑐䈏⹺䉄䉌䉏䈢䋮ᧄ⎇ⓥ
䉋䉍๰ྨㆇേ䈱⚳ᧃ૏䈮䈍䈇䈩䋬ຏวធ⸅⁁ᘒ䈏๰ྨ⢻ജ䈮ᓇ㗀䉕෸䈿䈚䈩䈇䉎䈖䈫䈏⠨䈋䉌䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 ᧖ጊᘕᄥ㇢䋬ศጟ䇭ᢥ䋬የỈ᣽ᖗ䈾䈎䋮ஜᏱ᦭ᱤ㗶⠪䈮䈍䈔䉎ຏวធ⸅㕙Ⓧ䈏๰ྨ⢻ജ䈮෸䈿䈜ᓇ㗀䋮ᣣ๰ྨ⹹ 2015䋻25(2)䋺59-65䋮
2䋩 ዊ㊁㜞⵨䋬቟੗ᩕ䋬㊁㚂ቁ␻䋮䉫䊚䉷䊥䊷䉕↪䈇䈢๰ྨ⢻ജ⹏ଔ䉲䉴䊁䊛䈱ዷ㐿䇭৻⋡䈪⷗䈩䉒䈎䉎䉴䉮䉝ᴺ䈎䉌㜞♖ᐲ䈱ో⥄േᴺ䉁䈪䋮FFI
䉳䊞䊷䊅䊦. 2013 ; 218 : 234-240.

日補綴会誌

第 1 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪈㪄㪉㜞㦂᦭ᱤ㗶⠪䈮䈍䈔䉎๰ྨ⢻ജ䂾ጊᧄᣧ❱䋬ਛፉ㇌ਭ䋬ᔒ⾐䇭ඳ䋬਄᧖⪇ሶ䋬ዊ⷗㊁⌀᪸ᕺ䋬↰ਛ䇭ᱞ䋬ᴒ䇭ᷕ䋬⮮੗㊀ᄈ䋬
ᦥᩮፒ೑㓷䋬ਛ㊁ᐘᄦ
ᣣᧄᱤ⑼ᄢቇ↢๮ᱤቇㇱᱤ⑼⵬✄ቇ╙1⻠ᐳ
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Masticatory performance of elderly dentate persons
Yamamoto S, Nakajima K, Shiga H, Uesugi H, Komino M, Tanaka T, Oki J, Fujii S, Sonezaki T,
Nakano Y
Department of Partial and Complete Denture, The Nippon Dental University School of Life Dentistry atTokyo.

㸇䋮㩷⋡⊛䇭๰ྨ⢻ജ䉕⹏ଔ䈜䉎ਥⷰ⊛䈭ᣇᴺ䈫䈚䈩䋬㘩ຠ៨ข䉝䊮䉬䊷䊃䉕↪䈇䈩㘩ຠ៨ข⢻ജ䉕⺞䈼䉎⹜䉂䈏ฎ䈒䈎䉌䈍䈖䈭䉒䉏䋬䉝䊮䉬䊷䊃⚿ᨐ䉕䉴䉮䉝ൻ䈜䉎⹜䉂䈏䈭䈘䉏䈩䈍䉍䋬䈠䈱᦭↪ᕈ䉅␜䈘䉏䈩䈇䉎1㪃2㪀䋮䉁䈢䋬๰ྨ⢻ജ䉕ቴⷰ⊛䈮⹏ଔ䈜䉎◲ଢ䈭ᣇᴺ䈫䈚
䈩䋬䉫䊚䉷䊥䊷๰ྨᤨ䈱䉫䊦䉮䊷䉴䈱ṁ಴㊂䈱᷹ቯ䈲䋬◲ଢ䈮↪䈇䉌䉏䋬ⴡ↢▤ℂ䈏◲න䈪䋬䉫䊚䉷䊥䊷䈱‛ᕈ䉇ᒻ⁁䉕ⷙᩰൻ䈪䈐䉎䋮䉁䈢䋬䈖䈱䉫䊦䉮䊷䉴䈱ṁ಴㊂䈱᷹ቯ䈮䉋䉎๰ྨ⢻ജ䈫㘩ຠ៨ข⢻ജ䈫䈱㑆䈮ᱜ䈱⋧㑐䈏ႎ๔䈘䉏䈩䈇䉎3㪀䋮䇭ᧄ⎇ⓥ䈪䈲䋬㜞㦂᦭ᱤ㗶⠪䈮䈍䈔䉎๰ྨ⢻ജ䉕᣿䉌䈎䈮䈜䉎⋡⊛䈪䋬㘩ຠ៨ข䉝䊮䉬䊷䊃䈮䉋䉎๰ྨ䉴䉮䉝䈫䉫䊦䉮䊷䉴䈱ṁ಴㊂䈮䈧䈇䈩ಽᨆ䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ᧄ⎇ⓥ䈲ᣣᧄᱤ⑼ᄢቇ↢๮ᱤቇㇱ䈱୶ℂᆔຬળ䈱ᛚ⹺䈱䉅䈫䈮ⴕ䈦䈢䋨ᛚ⹺⇟ภ䋺NDU㪄T2012㪄29䋩䋮ⵍ㛎⠪䈲䋬ฦ⒳䉟䊔䊮䊃䈮ෳട䈚䈢65ᱦએ਄䈱᦭ᱤ
㗶⠪157ฬ䋨↵ᕈ27ฬ䋬ᅚᕈ130ฬ䋬ᐔဋᐕ㦂72㪅7ᱦ䋩䉕ㆬᛯ䈚䈢䋮ⵍ㛎⠪䈮Sato䉌 1㪀 䈏ㆬᛯ䈚䈢20㘩ຠ䈫
Koshino䉌2㪀䈏ㆬᛯ䈚䈢25㘩ຠ䉕฽䉃ว⸘44⒳㘃䈱㘩
ຠ䈱៨ข⁁ᘒ䈮䈧䈇䈩࿁╵䈘䈞䈢䋮ᰴ䈇䈪䋬Sato䉌1㪀䈱ᣇᴺ䈪๰ྨ䉴䉮䉝MS1䋬Koshino䉌2㪀䈱ᣇᴺ䈪๰ྨ䉴䉮䉝MS2䉕▚಴䈚䈢䋮䉁䈢䋬44㘩ຠ䈱៨ข⁁ᘒ䉝䊮䉬䊷䊃⚿ᨐ䈮䈍䈇䈩䋬䇸ህ䈇䈣䈎䉌㘩䈼䈭䈇䋬㘩䈼䈢䈖䈫䈏䈭䈇䇹䈫࿁╵䈚䈢㘩ຠ䈫ᧂ⸥౉䈱㘩ຠ䉕䈪䈐䉎㒢䉍㒰䈇䈢㘩ຠ䈱ਛ䈎䉌20㘩ຠ䉕ㆬᛯ䈚䋬20㘩ຠਛ䇸᥉ㅢ䈮㘩䈼䉌䉏䉎䇹䈫࿁╵䈚䈢㘩ຠᢙ䉕5୚䈚䈢୯䉕๰ྨ䉴䉮䉝MS3䈫䈚䈩▚಴䈚䈢䋮๰ྨ⢻ജ䈱ቴⷰ⊛⹏ଔ䈫䈚䈩䋬䉫䊚䉷䊥䊷๰ྨᤨ䈱䉫䊦䉮䊷䉴䈱ṁ಴㊂䉕᷹ቯ䈚䈢䋮䉫䊦䉮䊷䉴䈱ṁ಴㊂䈲䋬䉁䈝ⵍ㛎⠪䈮䉫䊚䉷䊥䊷䉕ਥ๰ྨ஥䈪20⑽㑆๰ྨᓟ䋬⫳⇐᳓10㩷ml䈪ᵞญ䈚䋬䉫䊚䉷䊥䊷䈫䈫䉅䈮ỹㆊઃ䉮䉾䊒䈮ฯ䈐಴䈘䈞䈢䋮ᰴ䈇䈪䋬ỹᶧਛ䈱䉫䊦䉮䊷䉴Ớᐲ䉕䉫䊦䉮䊷䉴᷹ቯᯏེ䈪᷹ቯ䈚䈢䋮ಽᨆ䈲䋬䉫䊦䉮䊷䉴䈱ṁ಴㊂䋬๰ྨ䉴䉮䉝䋨MS1䋬MS2䋬MS3䋩䈫ᐕ㦂䈫䈱㑐ଥ䋬䉫䊦䉮䊷䉴䈱ṁ಴㊂䈫๰ྨ䉴䉮䉝䈫䈱㑐ଥ䋬3⒳㘃䈱๰ྨ䉴䉮䉝㑆䈱㑐ଥ䉕⺞䈼䈢䋮䈖䉏䉌䈱㑐ଥ䈲䋬Pearson䈱⋧㑐䊁䉴䊃䉕↪䈇䈩ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
䇭1㪅䇭䉫䊦䉮䊷䉴䈱ṁ಴㊂䋬๰ྨ䉴䉮䉝䈫ᐕ㦂䈫䈱㑐ଥ䈲䋬䉫䊦䉮䊷䉴䈱ṁ಴㊂䋬MS1䋬MS2䋬MS3䈱䈇䈝䉏䈮䈍䈇䈩䉅ᐕ㦂䈫䈱㑆䈮⋧㑐䈏⹺䉄䉌䉏䈭䈎䈦䈢䋮䈖䉏䉌䈱⚿ᨐ䈲䋬᦭ᱤ㗶⠪䈪䈲䋬ട㦂䈮䉋䉍๰ྨ⢻ജ䈏ૐਅ䈚䈩䈇䈭䈇䈖䈫䉕␜䈜䉅䈱䈫⠨䈋䉌䉏䉎䋮
䇭2㪅䇭䉫䊦䉮䊷䉴䈱ṁ಴㊂䈫๰ྨ䉴䉮䉝䈫䈱㑐ଥ䈲䋬
MS1䋬MS2䋬MS3䈱䈇䈝䉏䈮䈍䈇䈩䉅๰ྨ䉴䉮䉝䈫䉫䊦䉮䊷䉴䈱ṁ಴㊂䈫䈱㑆䈮৻ቯ䈱௑ะ䈏䈭䈒䋬䈠䉏䈡䉏ਔ⠪㑆䈮⋧㑐䈏⹺䉄䉌䉏䈭䈎䈦䈢䋮䈖䉏䉌䈱⚿ᨐ䈲䋬᦭ᱤ㗶⠪䈪䈲䋬ਥⷰ⊛๰ྨ⢻ജ䋬䈜䈭䉒䈤㘩ຠ៨ข⢻ജ䈫ቴⷰ⊛๰ྨ⢻ജ䈫䈱㑆䈮㑐ଥ䈏䈭䈇䈖䈫䉕␜䈜䉅䈱䈫⠨䈋䉌䉏䉎䋮䇭3㪅䇭3⒳㘃䈱๰ྨ䉴䉮䉝㑆䈱㑐ଥ䈲䋬䈇䈝䉏䈱2๰ྨ䉴䉮䉝㑆䈮䈍䈇䈩䉅ᱜ䈱⋧㑐䈏⹺䉄䉌䉏䈢䋮䈖䉏䉌䈱⚿ᨐ䈲䋬3⒳㘃䈱๰ྨ䉴䉮䉝䈲䋬㘩ຠ៨ข⢻ജ䈮䈍䈇䈩ห╬䈭⹏ଔ䉕␜䈜䉅䈱䈫⠨䈋䉌䉏䉎䋮䇭4㪅䇭䈖䉏䉌䈱⚿ᨐ䈎䉌䋬㜞㦂᦭ᱤ㗶⠪䈪䈲䋬ട㦂䈮䉋䉍๰ྨ⢻ജ䈏ૐਅ䈚䈭䈇䈖䈫䋬ਥⷰ⊛๰ྨ⢻ജ䈲ቴⷰ⊛๰ྨ⢻ജ䈫ή㑐ଥ䈪䈅䉎䈖䈫䈭䈬䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Sato Y, Minagi S, Akagawa Y, Nagasawa T. An
evaluation of chewing function of complete
denture wearers. J Prosthet Dent 1989; 62: 50-53.
2䋩 Koshino H, Hirai T, Toyoshita Y, Yokoyama Y,
Tanaka M, Iwasaki K, et al. Development of
new food intake questionnaire method forevaluating the ability of mastication in complete
denture wearers. Prosthodont Res Pract 2008; 7:
12-18.
3䋩 Shiga H, Ishikawa A, Nakajima K, Tanaka A.
Relationship between masticatory performanceusing a gummy jelly and food intake ability inJapanese complete denture wearers. Odontology
2015; 103: 356-9.

─ 123 ─

第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪊㜞㦂⠪䈮䈍䈔䉎૕ᩰ䈫๰ྨ⢻ജ䈫䈱㑐ଥ䂾ୖᜬᷕሶ䋬ਛፉ㇌ਭ䋬ᔒ⾐䇭ඳ䋬ጟ↰ᄢ๺䋬ᮮጊᱜ⿠䋬↰ਛ䇭ᱞ䋬⮮੗㊀ᄈ䋬㔍ᵄ㍰ਭ䋬ዊ᧻⟵ౖ䋬ౝ⮮䇭㗅
ᣣᧄᱤ⑼ᄢቇ↢๮ᱤቇㇱᱤ⑼⵬✄ቇ╙1⻠ᐳ
䇭

䇭

䇭

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䇭

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Relationship between physical condition and masticatory performance in elderly adults
Kuramochi A, Nakajima K, Shiga H, Okada Y, Yokoyama M, Tanaka T, Fujii S, Nanba N, Komatsu Y,
Naitoh T
Department of Partial and Complete Denture, The Nippon Dental University School of Life Dentistry atTokyo.

㸇䋮㩷⋡⊛䇭๰ྨ⢻ജ䈲䋬๰ྨᯏ⢻䉕ቴⷰ⊛䈮⹏ଔ䈜䉎䈢䉄䈱㊀ⷐ䈭ᜰᮡ䈱1䈧䈮䈅䈕䉌䉏䈩䈍䉍䋬䉲䊥䉮䊷䊮ශ⽎᧚䋬䉼䊠䊷䉟䊮䉧䊛䋬䊌䊤䊐䉞䊮䊪䉾䉪䉴䋬䈅䉎䈇䈲䉫䊚䉷䊥䊷䉕↪䈇䈢◲ଢ䈭ᣇᴺ䈏⹜䉂䉌䉏䋬䈠䈱᦭↪ᕈ䈏ႎ๔䈘䉏䈩䈇䉎䋮䈖䉏䉌䈱ਛ䈪䉫䊚䉷䊥䊷๰ྨᤨ䈱䉫䊦䉮䊷䉴䈱ṁ಴㊂䈱᷹ቯ䈮䉋䉎๰ྨ⢻ജ䈲䋬◲ଢ䈮↪䈇䉌䉏䋬ⴡ↢▤ℂ䈏◲න䈪䋬䉫䊚䉷䊥䊷䈱‛ᕈ䉇ᒻ⁁䉕ⷙᩰൻ䈪䈐䋬◎ಽᴺ䈮䉋䉎๰ྨ⢻ജ䈫䈱㑆䈮ᱜ䈱⋧㑐䈏ႎ๔䈘䉏䈩䈇䉎䋮๰ྨㆇേ䈱↵ᅚ㑆䈱Ყセ䈪䈲䋬ㆇേ㊂䈲䋬ᅚᕈ䈱䈾䈉䈏↵ᕈ䉋䉍䉅ዊ䈘䈒䋬䉰䉟䉪䊦䉺䉟䊛䈲䋬ᅚᕈ䈱䈾䈉䈏↵ᕈ䉋䉍䉅ᑧ㐳䈜䉎䈫ႎ๔䈘䉏䈩䈍䉍䋬๰ྨㆇേ䈱⹏ଔ䈮䈍䈇䈩䋬ᕈᏅ䈮⇐ᗧ䈜䉎ᔅⷐᕈ䈏␜ໂ䈘䉏䈩䈇䉎䋮䉁䈢䋬૕ᩰ䈮ᕈᏅ䈏⹺䉄䉌䉏䉎1㪃2㪀䈖䈫䈎䉌䋬૕ᩰ䈏๰ྨ⢻ജ䈮ᓇ㗀䈜䉎น⢻ᕈ䈏ุቯ䈪䈐䈭䈇䋮ᧄ⎇ⓥ䈲䋬㜞㦂⠪䈮䈍䈔䉎๰ྨ⢻ജ䈫૕ᩰ䈫䈱㑐ଥ䉕᣿䉌䈎䈮䈜䉎⋡⊛䈪䋬㜞㦂⠪䈮䈍䈔䉎り㐳䋬૕㊀䋬䉫䊦䉮䊷䉴䈱ṁ಴㊂䈮䈧䈇䈩ಽᨆ䈚䈢䋮
䇭㸈䋮㩷ᣇᴺ䇭ᧄ⎇ⓥ䈲䋬ᣣᧄᱤ⑼ᄢቇ↢๮ᱤቇㇱ䈱୶ℂᆔຬળ䈱ᛚ⹺䋨ᛚ⹺⇟ภ㩷NDU㪄T2012㪄29䋩䈱䉅䈫䈮ⴕ䈦䈢䋮
1㪅䇭ⵍ㛎⠪
䇭ⵍ㛎⠪䈲䋬ฦ⒳䉟䊔䊮䊃䈮ෳട䈚䈢ੱ䇱䈱ਛ䈎䉌䋬
70ᱦ䈱㜞㦂⠪134ฬ䋨↵ᕈ41ฬ䋬ᅚᕈ93ฬ䋩䉕ㆬᛯ䈚䈢䋮
2㪅䇭⸥㍳䈫ಽᨆᣇᴺ
䇭ታ㛎䈲䋬ⵍ㛎⠪䈮䉫䊚䉷䊥䊷䉕ਥ๰ྨ஥䈪20⑽㑆๰ྨ䈘䈞䈢ᤨ䈱䉫䊦䉮䊷䉴䈱ṁ಴㊂䉕᷹ቯ䈚䈢䋮䉫䊦䉮䊷䉴䈱ṁ಴㊂䈲䋬䉫䊚䉷䊥䊷䉕๰ྨᓟ䋬᳓10㩷ml䉕฽䉂䋬ỹㆊઃ䉮䉾䊒䈮ฯ䈐಴䈘䈞䈩ỹᶧ䉕ណข䈚䋬䈖䈱ỹᶧ䈱䉫䊦䉮䊷䉴Ớᐲ䉕䉫䊦䉮䊷䉴᷹ቯᯏེ䈪᷹ቯ䈚䋬๰ྨ⢻ജ䈱ᜰᮡ䈫䈚䈢䋮䉁䈢䋬䉝䊮䉬䊷䊃⺞ᩏ䈎䉌䋬ฦⵍ㛎⠪䈱り㐳䈫૕㊀䉕᳞䉄䋬૕ᩰ䉕⴫䈜ᜰᮡ䈫䈚䈢䋮ಽᨆ䈲䋬䉁䈝ోⵍ㛎⠪䋬↵ᕈ䋬ᅚᕈ䈮䈍䈔䉎૕ᩰ䈫๰ྨ⢻ജ䈫䈱㑐ଥ䉕⺞䈼䈢䋮ᰴ䈇䈪䋬૕ᩰ䈫๰ྨ⢻ജ䈮䈧䈇䈩䋬↵ᅚ㑆䈪Ყセ䈚䈢䋮䈭䈍䋬䈜䈼䈩䈱䊂䊷䉺䈲䋬⛔⸘䉸䊐䊃䉡䉣䉝䋨SPSS㩷for㩷Windows㩷10㪅
0J㪃㩷SPSS㪃㩷Chicago㪃㩷IL㪃㩷USA䋩䈪ಽᨆ䈚䈢䋮૕ᩰ䈫๰ྨ⢻ജ䈫䈱㑐ଥ䈲䋬Pearson䈱⋧㑐ଥᢙ䉕▚಴䈚䋬⋧㑐䈱᦭ή䉕⺞䈼䈢䋮↵ᅚ㑆䈱Ყセ䈲䋬independent㩷t㪄
test䈪ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
1㪅䇭૕ᩰ䈫๰ྨ⢻ജ䈫䈱㑐ଥ䇭り㐳䈫๰ྨ⢻ജ䋬૕㊀䈫๰ྨ⢻ജ䈫䈱㑐ଥ䈲䋬ోⵍ㛎⠪䋬↵ᕈ䋬ᅚᕈ䈱䈇䈝䉏䈮䈍䈇䈩䉅り㐳䋬૕㊀䈫䉫
䊦䉮䊷䉴䈱ṁ಴㊂䈫䈱㑆䈮৻ቯ䈱௑ะ䈏䈭䈒䋬⋧㑐䈏⹺䉄䉌䉏䈭䈎䈦䈢䋮䈖䉏䉌䈱⚿ᨐ䈲䋬૕ᩰ䈏๰ྨ⢻ജ䈮ᓇ㗀䉕෸䈿䈘䈭䈇䈖䈫䉕␜䈚䈩䈇䉎䈫⠨䈋䉌䉏䉎䋮
2㪅䇭૕ᩰ䈫๰ྨ⢻ജ䈱ᕈᏅ䇭り㐳䈲䋬↵ᕈ䈱䈾䈉䈏ᅚᕈ䉋䉍䉅㜞䈒䋬ਔ⠪㑆䈮᦭ᗧᏅ䈏⹺䉄䉌䉏䈢䋮૕㊀䈲䋬↵ᕈ䈱䈾䈉䈏ᅚᕈ䉋䉍䉅㊀䈒䋬ਔ⠪㑆䈮᦭ᗧᏅ䈏⹺䉄䉌䉏䈢䋮䉫䊦䉮䊷䉴䈱ṁ಴㊂䈲䋬↵ᕈ䈱䈾䈉䈏ᅚᕈ䉋䉍䉅ᄙ䈎䈦䈢䈏䋬ਔ⠪㑆䈮᦭ᗧᏅ䈏⹺䉄䉌䉏䈭䈎䈦䈢䋮䈖䉏䉌䈱⚿ᨐ䈲䋬↵ᕈ䈲ᅚᕈ䉋䉍䉅૕ᩰ䈪ఝ䉏䈩䈇䉎䈏䋬๰ྨ⢻ജ䈻⋥ធ⊛䈭ᓇ㗀䉕෸䈿䈚䈩䈇䈭䈇䈖䈫䉕␜䈜䉅䈱䈫⠨䈋䉌䉏䉎䋮
3㪅䇭䈖䉏䉌䈱䈖䈫䈎䉌䋬㜞㦂⠪䈮䈍䈔䉎䉫䊚䉷䊥䊷๰ྨᤨ䈱䉫䊦䉮䊷䉴䈱ṁ಴㊂䈪䉂䈢๰ྨ⢻ജ䈲䋬૕ᩰ䈫⋥ធ⊛䈭㑐ଥ䈏䉂䉌䉏䈭䈇䈖䈫䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂1䋩 ᬀደᷡ⷗䋬ዊጊᘕ৻. ᢥㇱ⑼ቇ⋭ᣂ૕ജ䊁䉴䊃䈮㑐䈜䉎㜞㦂⠪䈱૕ജ䊶ADL䊶QOL䈫ᣣᏱ↢ᵴታᘒ䈱㑐ㅪ. Ꮲ੩⑼ቇᄢቇ♿ⷐ 2011; 7: 25-34.
2䋩 ㆏႐ାቁ䋬૒⮮ᷕሶ䋬↲᢫䈭䉎⟤䋬㇊㗇⟤ᥓሶ䋬ᢧ⮮ᐘሶ䋬ୖㄞ᣿ሶ䈾䈎. ஜᏱ㜞㦂⠪䈱ᒻᘒ䋬ᯏ⢻䋬ᔃℂ䊶␠ળ⊛⹏ଔ Health Research
Volunteer Study䈱ᕈᏅ䈮㑐䈜䉎䉰䊑⸃ᨆ. ✚วஜ⸻ 2013; 40(3): 390-398.

─ 124 ─日補綴会誌

8・125 回特別号，2016

第 1 日 第 3 会場
一般口演発 表㪦㪈㪄㪋๰ྨㆇേ䈏ᐳ૏ᆫ൓଻ᜬᤨ䈱ᐳ࿶䈫⿷ᐩ࿶䈮෸䈿䈜ᓇ㗀䂾⍮㊁࿻૓䋬ဈญ䇭ⓥ䋬ᮮጊᢕ㇢

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ർᶏ㆏ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼ญ⣧ᯏ⢻ቇ⻠ᐳญ⣧ᯏ⢻⵬✄ቇᢎቶ
Effects of Masticatory Movemnets on Sitting and Foot Sole Pressures during Sitting Posture
Chino K, Sakaguchi K, Yokoyama A
Department of Oral Functional Prosthodontics, Division of Oral Functional Science, Graduate School of
Dental Medicine, Hokkaido University㸇䋮㩷⋡⊛ᚒ䇱䈲䈖䉏䉁䈪䈮䋬㗶ญ⣧ᯏ⢻䈫ోりᆫ൓䈱㑐ㅪᕈ䉕⸃᣿䈜䉎䈢䉄䈮䋬⋥┙ᆫ൓ᤨ䈮䈍䈔䉎ਅ㗶૏䈱ᄌൻ䈫๰ྨㆇേ䈏㗡ㇱ䋬૕ᐙ䈍䉋䈶り૕㊀ᔃേំ䈮෸䈿䈜ᓇ㗀䈮䈧䈇䈩ႎ๔䈚䈩䈐䈢䋮䈚䈎䈚䋬ㅢᏱ䊍䊃䈲ᐳ૏䈮䈩๰ྨ䉕ⴕ䈉䈏䋬๰ྨㆇേ䈏ᐳ૏ᆫ൓䈮෸䈿䈜ᓇ㗀䈮䈧䈇䈩䈱ႎ๔䈲ᭂ䉄䈩ዋ䈭䈒䋬⸃᣿䈘䉏䈩䈇䈭䈇䈖䈫䈏ᄙ䈇䈱䈏⃻⁁䈪䈅䉎䋮ᆫ൓೙ᓮ䈮䈍䈇䈩㗡ㇱ䈱቟ቯ䈲㊀ⷐ䈪䈅䉍䋬䈠䈱㗡ㇱ䈱ද⺞ㆇേ䉕઻䈉๰ྨㆇേ䈏䋬ᐳ૏ᆫ൓䈮෸䈿䈜ᓇ㗀䉕⸃ᨆ䈜䉎䈖䈫䈲䋬㗶ญ⣧ᯏ⢻䈫ᆫ൓೙ᓮ䈱㑐ㅪᕈ䉕⸃᣿䈜䉎䈉䈋䈪᦭ᗧ⟵䈫䈇䈋䉎䋮䇭ᧄ⎇ⓥ䈪䈲䋬๰ྨㆇേ䈏ᐳ૏ᆫ൓଻ᜬᤨ䈱ᐳ࿶䈫⿷ᐩ࿶䈮෸䈿䈜ᓇ㗀䈮䈧䈇䈩ᬌ⚝䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ⵍ㛎⠪䈮䈲䋬㗶ญ⣧♽䉇ᐔⴧᯏ⢻䈮ᯏ⢻㓚ኂ䉕⹺䉄䈭䈇ஜᏱ᦭ᱤ㗶⠪10ฬ䉕ㆬᛯ䈚䈢䋮䇭ਅ㗶቟㕒૏䋬ຏ㗡፰ว૏䈍䉋䈶䉧䊛๰ྨᤨ䈱3᧦ઙਅ䈮䈍䈇䈩䋬᫹ሶᐳ૏ᆫ൓䋨᫹ሶ䈮⢆㑐▵90㫦䋬
⤒㑐▵90㫦䈪⿷ᐩ䈏ో㕙ធ࿾䈜䉎┵ᐳ૏䋩ᤨ䈱ᐳ࿶
⩄㊀ಽᏓ䈫⿷ᐩ⩄㊀ಽᏓ䈱หᤨ⸘᷹䉕ⴕ䈦䈢䋮⸘᷹䈲䋬ਔ਄⢇䉕೨⢷ㇱ䈮䈩シ䈒⚵䉁䈞䋬㗡૏䈱቟ቯ䉕⋡ⷞ䈪⏕⹺䈚䈢ᓟ䋬ฦ᧦ઙਅ䈮䈍䈇䈩䋬㐿⌒䈪20⑽㑆ⴕ䈦䈢䋮ᐳ࿶⩄㊀ಽᏓ䈱⸘᷹䈲䋬ᐳ࿶ಽᏓ᷹ቯ䉲䉴䊁䊛
䋨CONFORMat®䋬䊆䉾䉺␠⵾䋩䉕↪䈇䈢䋮ᐳ૏ᆫ൓଻
ᜬᤨ䈮䈍䈔䉎ᐳ࿶䈱቟ቯᕈ䉕⹏ଔ䈜䉎䈢䉄䈱ቯ㊂⊛ᜰᮡ䈫䈚䈩䋬ᐳ࿶⩄㊀ਛᔃ⒖േ䈱✚゠〔㐳䈫⍱ᒻ㕙
Ⓧ䉕↪䈇䈢䋮ห᭽䈮䋬䊋䊤䊮䉴䈱⹏ଔ䈮䈲䋬೨ᓟ䋬Ꮐฝ䈱ᐳ࿶⩄㊀ಽᏓ୯䉕↪䈇䈢䋮䇭⿷ᐩ⩄㊀ಽᏓ䈱⸘᷹䈲䋬⿷ᐩ࿶ಽᏓ᷹ቯ䉲䉴䊁䊛䋨䊙䉾䊃䉴䉨䊞䊮®䋬䊆䉾䉺␠⵾䋩䉕↪䈇䈢䋮ᐳ૏ᆫ൓଻
ᜬᤨ䈮䈍䈔䉎⿷ᐩ࿶䈱቟ቯᕈ䉕⹏ଔ䈜䉎䈢䉄䈱ቯ㊂⊛ᜰᮡ䈫䈚䈩䋬⿷ᐩ⩄㊀ਛᔃ⒖േ䈱✚゠〔㐳䈫⍱ᒻ㕙Ⓧ䉕↪䈇䈢䋮ห᭽䈮䋬䊋䊤䊮䉴⹏ଔ䈮䈲䋬೨ᓟ䋬Ꮐฝ䈱⿷ᐩ⩄㊀ಽᏓ୯䉕↪䈇䈢䋮䇭⛔⸘ಣℂ䈲䋬䊐䊥䊷䊄䊙䊮ᬌቯ䈮䉋䉍⟲㑆Ყセ䉕ⴕ䈇䋬ᄙ㊀Ყセ䈮䈲䊗䊮䊐䉢䊨䊷䊆⵬ᱜ䉡䉞䊦䉮䉪䉸䊮ᬌቯ䉕↪䈇䈢䋮

䇭ᧄ⎇ⓥ䈲䋬ർᶏ㆏ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼⥃ᐥ䊶∉ቇ⎇ⓥ୶ℂክᩏᆔຬળ䈱ᛚ⹺䉕ฃ䈔䈩ⴕ䈦䈢䋨2015╙5ภ䋩䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
1㪅㩷ᐳ࿶⩄㊀ಽᏓ
1㪀㩷ਅ㗶቟㕒૏䋬ຏ㗡፰ว૏䉕䈠䉏䈡䉏20⑽㑆଻ᜬ䈚䈢䈫䈐䈱ᐳ࿶⩄㊀ਛᔃ⒖േ䈱✚゠〔㐳䈫⍱ᒻ㕙Ⓧ䈮᦭ᗧᏅ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮
2㪀㩷䉧䊛๰ྨᤨ䈱ᐳ࿶⩄㊀ਛᔃ⒖േ䈱✚゠〔㐳䈫⍱ᒻ㕙Ⓧ䈲䋬ਅ㗶቟㕒૏䋬ຏ㗡፰ว૏䉕䈠䉏䈡䉏20⑽㑆଻ᜬ䈚䈢䈫䈐䉋䉍䉅⍴䈒䋬ዊ䈘䈎䈦䈢䋨p㪓0㪅05䋩䋮
3㪀㩷Ꮐฝ䈱ᐳ࿶⩄㊀ಽᏓ୯䈲䋬3᧦ઙ㑆䈪᦭ᗧᏅ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮
4㪀㩷䉧䊛๰ྨᤨ䈱೨ᓟ䈱ᐳ࿶⩄㊀ಽᏓ୯䈲䋬ਅ㗶቟㕒૏䋬ຏ㗡፰ว૏䉕䈠䉏䈡䉏20⑽㑆଻ᜬ䈚䈢䈫䈐䉋䉍䉅ᓟᣇ䈮஍૏䈚䈢䋨p㪓0㪅05䋩䋮
2㪅㩷⿷ᐩ⩄㊀ಽᏓ
1㪀㩷ਅ㗶቟㕒૏䋬ຏ㗡፰ว૏䉕䈠䉏䈡䉏20⑽㑆଻ᜬ䈚䈢䈫䈐䈱⿷ᐩ⩄㊀ਛᔃ⒖േ䈱✚゠〔㐳䈫⍱ᒻ㕙Ⓧ䈮᦭ᗧᏅ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮
2㪀㩷䉧䊛๰ྨᤨ䈱⿷ᐩ⩄㊀ਛᔃ⒖േ䈱✚゠〔㐳䈫⍱ᒻ㕙Ⓧ䈲䋬ਅ㗶቟㕒૏䋬ຏ㗡፰ว૏䉕䈠䉏䈡䉏20⑽㑆଻ᜬ䈚䈢䈫䈐䉋䉍䉅⍴䈒䋬ዊ䈘䈒䈎䈦䈢䋨p㪓0㪅05䋩䋮
3㪀㩷Ꮐฝ䈱⿷ᐩ⩄㊀ಽᏓ୯䈲䋬3᧦ઙ㑆䈪᦭ᗧᏅ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮
4㪀㩷䉧䊛๰ྨᤨ䈱೨ᓟ䈱⿷ᐩ⩄㊀ಽᏓ୯䈲䋬ਅ㗶቟㕒૏䋬ຏ㗡፰ว૏䉕䈠䉏䈡䉏20⑽㑆଻ᜬ䈚䈢䈫䈐䉋䉍䉅ᓟᣇ䈮஍૏䈚䈢䋨p㪓0㪅05䋩䋮એ਄䈱⚿ᨐ䈎䉌䋬ਅ㗶቟㕒૏䋬ຏ㗡፰ว૏䉕20⑽㑆
଻ᜬ䈚䈢ᤨ䈫Ყセ䈚䋬䉧䊛๰ྨᤨ䈮䈍䈇䈩䈲䋬ᐳ࿶䈍䉋䈶⿷ᐩ࿶䊋䊤䊮䉴䈏ᓟᣇ䈮஍૏䈚䋬ᐳ࿶䈫⿷ᐩ࿶䈱㊀ᔃേំ䈏ዊ䈘䈒䈭䉎䈖䈫䈏᣿䉌䈎䈮䈭䈦䈢䋮䉧䊛๰ྨ䈲䋬ᆫ൓೙ᓮ䈮ᓇ㗀䉕෸䈿䈚䋬૕ᐙ䈍䉋䈶ਅ⢇䈱േំ䉕ዊ䈘䈒䈚䋬ᐳ૏ᆫ൓䈱቟ቯᕈ䉕㜞䉄䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮

─ 125 ─

第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪌⇣䈭䉎ೋᦼ‛ᕈ䈱䉷䊥䊷៨ขᤨ䈮䈍䈔䉎⥠࿶䈱⛮ᤨ⊛ᄌൻ䇭䂾ᓼ↰૫༹ 㪈㪀䋬ዊ㊁㜞⵨ 㪉㪀䋬ၳ䇭৻ᶈ 㪉㪀䋬⮮ේ⨃ᒄ 㪉㪀䋬⊝ᧁ␽઻ 㪈㪀䋬᧛਄๺⵨ 㪈㪀䋬೨↰⧐ା 㪈㪀
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ᄢ㒋ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼᦭ᐥ⟵ᱤ⵬✄ቇ䊶㜞㦂⠪ᱤ⑼ቇಽ㊁䋬 㪉㪀ᣂẟᄢቇᄢቇ㒮කᱤቇ✚ว⎇ⓥ⑼൮᜝ᱤ⑼⵬✄ቇಽ㊁䇭䇭Over time influence of jelly texture on tongue pressure in squeezing
Tokuda Y 1), Ono T 2), Hori K 2), Hujiwara S 2), Minagi Y 1), Murakami K 1), Maeda Y 1)
1)
Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate Schoolof Dentistry, 2)Division of Comprehensive Prosthodontics , Niigata University Graduate School of Medical
and Dental Science㸇䋮㩷⋡⊛๰ྨ䊶ྚਅ࿎㔍⠪↪㘩ຠ䈱ၮ᧚䈫䈚䈩ᐢ䈒↪䈇䉌䉏䈩䈇䉎䉷䊥䊷䈲䋬ญ⬄䈫⥠䈱㑆䈪᛼䈚䈧䈹䈚䈩៨ข䈘䉏䉎䈢䉄䋬୘䇱䈱ᖚ⠪䈱⥠ᯏ⢻䈮ᔕ䈛䈢቟ో䈪㘩䈼䉇䈜䈇䉷䊥䊷䈱‛ᕈ䉕ㆬᛯ䈜䉎ᔅⷐ䈏䈅䉎䈫⠨䈋䉌䉏䉎䋮䈠䈱䈢䉄䈮䈲䋬ᓥ᧪䈱ᯏེ᷹ቯ䉇ቭ⢻⹏ଔ䈮䉋䉎‛ᕈ⹏ଔ䈪䈲㒢⇇䈏䈅䉎䈢䉄䋬䉋䉍↢૕䈮ㄭ䈇ᯏེ᷹ቯⅣႺ 1㪀 䉇⥠࿶䉕ᜰᮡ䈫䈚䈢↢૕⸘᷹ 2㪀 䈮䉋䉎䉷䊥䊷䈱‛ᕈ⹏ଔ䉕ⴕ䈉ᔅⷐ䈏䈅䉎䋮䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬⥠࿶䉶䊮䉰䉲䊷䊃䉲䉴䊁䊛䉕↪䈇䈩⎬ญ⬄ㇱ5䈎ᚲ䈮䈍䈔䉎⥠࿶䉕᷹ቯ䈚䋬䉷䊥䊷䈱ೋᦼ‛ᕈ䈏᛼䈚䈧䈹䈚㐿ᆎ䈎䉌ྚਅ䈮⥋䉎ㆊ⒟䈱⥠࿶⊒⃻᭽⋧䈮෸䈿䈜ᓇ㗀䈮䈧䈇䈩ᬌ⸛䈚䈢䋮䇭㸈䋮㩷ᣇᴺ⧯ᐕஜᏱ᦭ᱤ㗶⠪↵ᕈ7ฬ䋨ᐔဋᐕ㦂28㪅0㫧3㪅7ᱦ䋩䉕ኻ⽎䈫䈚䋬⥠䈮䉋䉎䉷䊥䊷䈱᛼䈚䈧䈹䈚៨ขᤨ䈱⥠࿶䉕᷹ቯ䈚䈢䋮䉷䊥䊷⹜ᢱ䈲ਃᩕḮ䉣䊐䊶䉣䊐䊶䉝䉟␠⵾䈱‛ᕈ䈱⇣䈭䉎9⒳㘃䈱䉷䊥䊷⹜ᢱ5ml䋨⴫1䋩䉕↪
䈇䈢䋮ಽᨆ䈮వ┙䈤䋬⥠䈮䉋䉎ᦨೋ䈱᛼䈚䈧䈹䈚䉕
㪲Initial㩷squeeze㪴䋬ᦨᓟ䈱᛼䈚䈧䈹䈚䉕㪲Last㩷squeeze㪴䋬䈠䈱㑆䈱᛼䈚䈧䈹䈚䉕㪲Middle㩷squeeze㪴䈫ቯ⟵䈚䋬ྚਅ䉕㪲Swallow㪴䈫ቯ⟵䈚䈢䋮䉷䊥䊷⹜ᢱ䈱⎕ᢿ⩄㊀䊶⎕
ᢿᱡ䈏ฦಽᨆ඙㑆䈱⥠࿶䈮෸䈿䈜ᓇ㗀䉕ᬌ⸛䈜䉎䈢䉄䋬ฦᗵ࿶ὐ䈮䈍䈔䉎⥠࿶䈫䉷䊥䊷⹜ᢱ䈱⎕ᢿ⩄㊀䈍䉋䈶⎕ᢿᱡ䈫䈱㑆䈪➅䉍㄰䈚䈱䈅䉎ੑర㈩⟎ಽᢔಽᨆ䉕ⴕ䈇䋬᦭ᗧᏅ䈏⹺䉄䉌䉏䈢㓙䈮䈲Tukey䈱ᣇᴺ䈮䉋䉍ᄙ㊀Ყセ䉕ⴕ䈦䈢䋮䈭䈍ᧄ⎇ⓥ䈲䋬ᄢ㒋ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼୶ℂᆔຬળ䈱ᛚ⹺䉕ᓧ䈩ታᣉ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
㪲Initial㩷squeeze㪴䈍䉋䈶㩷㪲Middle㩷squeeze㪴䈮䈍䈔䉎⥠࿶ᦨᄢ୯䈲䋬䉷䊥䊷䈱ೋᦼ⎕ᢿ⩄㊀䈏ᄢ䈐䈇⒟ᄢ䈐䈒䋬䉷䊥䊷䈱ೋᦼ⎕ᢿᱡ䈏ᄢ䈐䈇⒟ዊ䈘䈎䈦䈢䋨࿑1䋬
2䋩䋮․䈮䋬㪲Initial㩷squeeze㪴㩷䈮䈍䈇䈩䈲⥠࿶ᦨᄢ୯䈱ᄌേ᏷䈲䉷䊥䊷㑆䈪⚂3୚䈫ᄢ䈐䈒䋬ᦨ䉅㜞䈇⥠࿶䉕␜䈚䈢䉷䊥䊷䈪䈲䋬ᦨᄢ᛼䈚ઃ䈔⥠࿶䈱90䋦䈮෸䉖䈪䈇䈢䋮৻ᣇ䋬㩷㪲Last㩷squeeze㪴䈍䉋䈶㪲Swallow㪴䈮䈍䈇䈩䈲䋬䉷䊥䊷㑆䈪⥠࿶ᦨᄢ୯䈮᦭ᗧ䈭Ꮕ䈲⹺䉄䉌䉏䈝䋬ᦨᄢ᛼䈚ઃ䈔⥠࿶䈱20䌾37䋦䈪䈅䈦䈢䋨࿑3䋬4䋩䋮䇭એ਄䈱⚿ᨐ䉋䉍䋬⥠䈲䉷䊥䊷䈱ೋᦼ䈱⎕ᢿ․ᕈ䈮ᔕ䈛䈩ญ⬄䈫䈱ធ⸅ᒝ䈘䉕᏷ᐢ䈒⺞ᢛ䈚䈭䈏䉌㘩႙䉕ᒻᚑ䈚䋬ᦨ⚳⊛䈮᛼䈚䈧䈹䈚䉋䉍ዊ䈘䈒䋬৻ቯ䈱▸࿐䈮෼᧤䈚䈢⥠࿶䈪ྚਅ䈚䈩䈇䉎䈖䈫䈏␜ໂ䈘䉏䈢䋮䈚䈎䈚䋬๰ྨ䊶ྚਅ࿎㔍⠪䈮䈍䈇䈩䈲䋬䈖䈉䈚䈢⺞ᢛ䉕චಽⴕ䈉䈖䈫䈏䈪䈐䈭䈇น⢻ᕈ䈏䈅䉍䋬⥠ᯏ⢻䉕⠨ᘦ䈚䈢ㆡಾ䈭ೋᦼ‛ᕈ䈱䉷䊥䊷䉕ㆬᛯ䈜䉎ᔅⷐ䈏䈅䉎䈫⠨䈋䉌䉏䉎䋮䇭㸊䋮㩷ᢥ₂1䋩 Ishihara S, Nakao S, Nakamura M, et al.
Compression test of food gels on artificial
tongue and its comparison with human test. J
Tex Stud, 2013; 44:104-114
2䋩 Yokoyama S, Hori K, Tamine K, et al. Tongue
pressure modulation for initial gel consistency ina different oral strategy. Plos One, 2014; 18:e91920.
⴫1䋮䉷䊥䊷⹜ᢱ䈱ೋᦼ‛ᕈ䇭

࿑1䌾4䋮ฦಽᨆ඙㑆䈱⥠࿶ᦨᄢ୯䇭

─ 126 ─日補綴会誌

第 1 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪈㪄㪍᧲ർᄢቇ∛㒮䈮䈍䈔䉎៨㘩䊶ྚਅ䉶䊮䉺䊷䈱ข䉍⚵䉂䈫៨㘩䊶ྚਅ㓚ኂ䈱ታᘒ⺞ᩏ䂾⍹ᴡℂ⚓ 㪈㪃㪉㪀䋬ዊጊ㊀ੱ 㪈㪃㪉㪀䋬ട⮮ஜ๋ 㪊㪀䋬㚅ขᐘᄦ 㪊㪀䋬૒䇱ᧁ໪৻ 㪉㪀
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᧲ർᄢቇ∛㒮㗶ญ⣧ౣᑪᴦ≮ㇱ䋬㪉㪀᧲ർᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼ญ⣧䉲䉴䊁䊛⵬✄ቇಽ㊁䋬
᧲ർᄢቇ∛㒮⡊㥦ຜ༄䊶㗡㗪ㇱᄖ⑼䇭㪊㪀䇭Team approach of Swallowing center in Tohoku University Hospital and Survey of Dysphagia
Ishiko R 1,2), Koyama S 1,2), Kato K 3), Katori Y 3), Sasaki K 2)
1)
Maxillofacial Prosthetics Clinic, Tohoku University Hospital, 2)Division of Advanced Prosthetic Dentistry,
Tohoku University Graduate School of Dentistry, 3)Otolaryngology-Head and Neck Surgery, Tohoku
University Hospital㸇䋮㩷⋡⊛⚻ญ៨ข䈱㊀ⷐᕈ䈏ᐢ䈒⹺⼂䈘䉏䉎䉋䈉䈮䈭䈦䈢䈖䈫䈮઻䈇䋬ㄭᐕ䋬៨㘩䊶ྚਅ㓚ኂ䈏ᵈ⋡䉕㓸䉄䈩䈇䉎䋮᧲ർᄢቇ∛㒮䈪䈲䈖䉏䉁䈪㗶ญ⣧ౣᑪᴦ≮ㇱ䉕䈲䈛䉄䈫䈜䉎⵬✄♽⸻≮⑼䈮䈍䈇䈩䋬PAP䉇㗶⟵ᱤ䈱ⵝ⌕䈮䉋䉍䋬ญ⣧ᦼ䈮໧㗴䉕ᛴ䈋䈢៨㘩䊶ྚਅ㓚ኂᖚ⠪䈱ᴦ≮䈮ᒰ䈢䈦䈩䈐䈢䋮䈚䈎䈚䈭䈏䉌䋬៨㘩ྚਅ㓚ኂᖚ⠪䈱䈉䈤䋬ญ⣧ᦼ䈮㓚ኂ䉕᦭䈜䉎䉅䈱䈱ഀว䉇⵬✄ⵝ⟎䈱ⵝ⌕䈮䉋䉎៨㘩䊶ྚਅ㓚ኂ䈱ᡷༀ⁁ᴫ䈱ቴⷰ⊛ലᨐ䈏ਇ᣿⍎䈪䈅䈦䈢䋮䈠䈖䈪䋬2015ᐕ10᦬䈮ᒰ㒮⡊㥦ຜ༄䊶㗡㗪ㇱᄖ⑼䈫
䈫䉅䈮┙䈤਄䈕䈢៨㘩䊶ྚਅ䉶䊮䉺䊷䉕ฃ⸻䈚䈢៨㘩䊶ྚਅ㓚ኂᖚ⠪䉕ኻ⽎䈫䈚䋬ේ∔ᖚ䉇㓚ኂ䈱ⷐ࿃䋬ญ⣧ౝ⁁ᘒ䋬⵬✄ቇ⊛੺౉䈱㗫ᐲ䈍䉋䈶䈠䈱ലᨐ䈮䈧䈇䈩ᬌ⸛䉕ⴕ䈦䈢䋮䇭㸈䋮㩷ᣇᴺ
2015ᐕ10᦬䈎䉌2016ᐕ1᦬䉁䈪䈮᧲ർᄢቇ∛㒮៨㘩䊶ྚਅ䉶䊮䉺䊷䉕ฃ⸻䈚䈢ᖚ⠪䈪䋬ญ⣧ౝ⸻ᩏ䈍䉋䈶ญ⣧ᯏ⢻ᬌᩏ䉕ታᣉ䈚䈢䉅䈱䉕ኻ⽎䈫䈚䈢䋮䈭䈍䋬៨㘩䊶ྚਅ䉶䊮䉺䊷ฃ⸻⠪䈱ᱤ⑼⸻ᩏฃ⸻₸䈲81㪅
3㩼䈪䈅䈦䈢䋮
⺞ᩏ㗄⋡䈲䋬ᐕ㦂䋬ᕈ೎䋬៨㘩䊶ྚਅ㓚ኂ䈱ේ∔ᖚ䋬⢖Ἳᣢᓔ䈱᦭ή䋬㘩ᒻᘒ䋬ᧂ⵬✄ᰳ៊䈱᦭ή䋬⟵ᱤⵝ⌕䈱᦭ή䋬ญ⣧ੇ῎䈱᦭ή䋬⥠䈱นേᕈ䋬⥠࿶䈫䈚䈢䋮䇭ญ⣧ੇ῎䈱⹏ଔ䈮䈲ญ⣧᳓ಽ⸘䊛䊷䉦䉴
㩿LIFE㪃Saitama㪃Japan㪀䉕䋬⥠࿶᷹ቯ䈮䈲JMS⥠࿶᷹ቯེ㩿JMS㪃Hiroshima㪃Japan㪀䉕↪䈇䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤኻ⽎ᖚ⠪䈲52ฬ㩿ᑧ䈼65ฬ㪀䋬ᐕ㦂䈲19䌾84ᱦ㩿ᐔဋ
65㪅6ᱦ㪀䋬↵ᕈ36ฬ䋬ᅚᕈ16ฬ䈪䈅䈦䈢䋮䇭៨㘩䊶ྚਅ㓚ኂ䈱ේ∔ᖚ䈫䈚䈩䈲䋬㗡㗪ㇱ⣲≌䈏
59㪅6䋦䋬⣖ⴊ▤㓚ኂ䈏5㪅8㩼䋬䈠䈱ઁ䈏34㪅6㩼䈪䈅䉍䋬㗡㗪ㇱ⣲≌䈱ౝ⸶䈲਄㗶ᱤ⡺≸3㪅2㩼䋬ਅ㗶ᱤ⡺≸9㪅
7㩼䋬⥠≸29㪅0㩼䋬ญᐩ≸6㪅5㩼䋬ਛຜ㗡≸25㪅8㩼䋬ਅຜ㗡≸16㪅1㩼䋬䈠䈱ઁ9㪅7㩼䈪䈅䈦䈢䋮䇭⢖Ἳ䈱ᣢᓔ䈏䈅䉎䉅䈱䈲28㪅3㩼䈪䈅䉍䋬㘩ᒻᘒ䈲Ᏹ㘩䈏ᦨ䉅ᄙ䈒㩿45㪅6㩼㪀䋬㕖⚻ญ៨ข䈲21㪅1㩼䉕භ䉄䈩䈇䈢䋮⵬✄䈘䉏䈩䈇䈭䈇ᰳ៊䉕᦭䈜䉎⠪䈲43㪅8㩼䈪䈅䉍䋬⟵ᱤ䉕ⵝ⌕䈚䈩䈇䉎⠪䈲37㪅5㩼䈪䈅䈦䈢䋮ญ⣧ੇ῎ᗵ䉕⸷䈋䈢䉅䈱䈲49㪅0㩼䈪䈅䈦䈢䈏䋬ญ⣧᳓ಽ⸘䈱⸘᷹୯䈪᣿䉌䈎䈭ૐ୯䉕␜䈚䈢䉅䈱䈲ዋ䈭䈎䈦䈢䋮⥠࿶䈲ᐔဋ19㪅9㫧13㪅1䈪䈅䈦䈢䈏䋬5ᧂḩ䈱ᭂ┵䈮ૐ䈇୯䉕␜䈜䉅䈱䈏21㪅6㩼䉕භ䉄䈢䋮⥠࿶䈱ૐ䈇∝଀䈪䈲䋬⥠䈱นേᕈ䈏⦟ᅢ䈪䈅䈦䈩䉅෻ᓳໜᶧྚਅ䊁䉴
䊃㩿RSST㪀䈱⚿ᨐ䈏ਇ⦟䈪䈅䈦䈢䋮

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日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪎᧲ᣣᧄᄢ㔡ἴⵍἴ⠪䈮䈍䈔䉎ᱤ๟∛䈫ਇ⌁∝䈱㑐ㅪ䂾࿯⼱᣽ᐢ 㪈㪀䋬⪤ේཅᑝ 㪉㪀䋬ᷰㇱ⧐ᒾ 㪊㪀䋬ᷰㆺ䇭⺈ 㪈㪀

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᧲ർ⑔␩ᄢቇᗵᕈ⑔␩⎇ⓥᚲ䋬㪉㪀᧲ർᄢቇකቇ♽⎇ⓥ⑼ᢛᒻᄖ⑼ቇಽ㊁䋬㪊㪀᧲ർ⑔␩ᄢቇ
✚ว䊙䊈䉳䊜䊮䊃ቇㇱ

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Periodontal Disease Is Associated with Insomnia among Victims of the Great East Japan Earthquake.
Tsuchiya M 1), Hagiwara Y 2), Watanabe Y 3), Watanabe Y 1)
1)
Kansei Fukushi Research Institute, Tohoku Fukushi University, 2)Division of Orthopaedica Surgery,
Tohoku University, 3)Faculty of Genral Maneagement, Tohoku Fukushi University

㸇䋮㩷⋡⊛䇭2011ᐕ3᦬11ᣣ䈱᧲ᣣᧄᄢ㔡ἴ䈫䈠䈱ᵤᵄ䈮䉋䉍䋬᧲ർᄥᐔᵗᴪጯ࿾ၞ䈱ක≮䈍䉋䈶␠ળ⑔␩૕೙䈲↟ᄢ䈭䉻䊜䊷䉳䉕ฃ䈔䋬䈠䉏䉌䈱ᓳ⥝䈲ᧂ䈣ㅜ਄䈫䈇䈋䉎䋮੹䈭䈍ⵍἴ⠪䈏ᛴ䈋䉎ஜᐽ໧㗴䈲ᷓೞ䈭⁁ᴫ䈮䈅䉍䋬ਇ⌁∝䈭䈬䈱ᘟᕈ∔ᖚ䈱⟕ᖚ₸䈲⃻࿷䈪䉅㜞䈇䋮䈠䉏䉌䈲㔡ἴᓟ䉅⛯䈒り૕⊛䋬䈍䉋䈶ᔃℂ⊛䉴䊃䊧䉴䉕Ⴧᖡ䈚䋬൮᜝⊛䈭౏ⴐⴡ↢ኻᔕ䈱ᔅⷐᕈ䉕㜞䉄䈩䈇䉎1䋩䋮䇭ㄭᐕ䋬⌧⌁㓚ኂ䈫ᱤ๟∛䈱⋧੕⊛䈭⋧㑐䈏␜䈘䉏2㪀䋬ญ⣧䉕੺䈚䈢⌧⌁㓚ኂ䈻䈱䉝䊒䊨䊷䉼䈱น⢻ᕈ䉅␜ໂ䈘䉏䈩䈇䉎䋮৻ᣇ䈪䋬⌧⌁䈱ᜬ⛯⊛䈭⾰⊛ૐਅ䈫ቯ⟵䈘䉏䉎ਇ⌁∝䈮䈧䈇䈩䋬࿾ၞ૑᳃䉕ኻ⽎䈫䈚䈢䉮䊖䊷䊃⎇ⓥ䈪䈱ႎ๔䈲⹺䉄䉌䉏䈭䈇䋮ਇ⌁∝䈲り૕⊛䈍䉋䈶♖␹⊛∔ᖚ䈫ኒធ䈮㑐ㅪ䈚䋬઀੐䈭䈬䈱␠ળᕈ䈮䉅ᄢ䈐䈭ᓇ㗀䉕䉅䈢䉌䈜䈖䈫䈎䉌䉅䋬ᄢⷙᮨἴኂᓟ䈱࿾ၞᡰេ䈮䈍䈇䈩㊀ⷐ䈭ኻ⽎䈪䈅䉎䋮ᧄ⎇ⓥ䈪䈲ਇ⌁∝䈮ኻ䈜䉎㑐ㅪ࿃ሶ䈫䈚䈩䋬ญ⣧∝⁁䈮䈧䈇䈩ᬌ⸛䈜䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ
䇭2011ᐕᐲ䌾2013ᐕᐲ䋨2011ᐕ6᦬䈮㐿ᆎ䋬ඨᐕᲤ䈱⸘4࿁䋩䈮ታᣉ䈘䉏䈢䇸ⵍἴ⠪ஜᐽ⺞ᩏ䇹䋨ችၔ⋵䈮䈍䈔䉎᧲ᣣᧄᄢ㔡ἴⵍἴ⠪䈱ஜᐽ⁁ᘒ䈮㑐䈜䉎⺞ᩏ䋨H24㪄ஜෂ㪄ᜰቯ㪄002䋨ᓳ⥝䋩䋩䈪ᓧ䉌䉏䈢䋬ችၔ⋵઄บᏒ䈱⧯ᨋ඙䋬⍹ᏎᏒ䈱㓶ൎ࿾඙䊶‖㣮࿾඙䊶✂࿾ፉ࿾඙䋬৾䊱ᵿ↸䈱ᴪጯㇱ૑᳃䋬8㪃015ฬ䋨18ᱦએ਄䋬䉝䊮䉬䊷䊃ㅍઃኻ⽎⠪䋺31㪃009ฬ䋬࿁╵₸䋺36㪅
8䋦䋩䈱䊂䊷䉺䉕↪䈇䈢䋮౒ᄌ㊂䈱ᰳ៊䊂䊷䉺䈮䈲ᄙ
㊀ઍ౉ᴺ䉕↪䈇䈩⵬ቢ䈚䋬10⚵䈱䊂䊷䉺䉶䉾䊃䉕૞ᚑ䈚䋬䈠䈱ᓟ䈱⸃ᨆ䈮↪䈇䈢䋮䇭⋡⊛ᄌᢙ䈲ਇ⌁∝䈱᦭ή䋨Athens㩷Insomnia㩷Scale䉕೑↪䋬6ὐએ਄䉕ਇ⌁∝䈮඙ಽ䋩䈫䈚䋬ਥⷐᄌᢙ䈫䈚䈩䈲3⒳㘃䈱ญ⣧ౝ䈱⸷䈋䋨䇸ᱤ䈱∩䉂䇹䋬䇸ᱤ䈓䈐䈱⣲䉏䊶಴ⴊ䇹䋬䇸䈎䉂䈮䈒䈇䇹䋩䉕૶↪䈚䋬౒ᄌ㊂䈫䈚䈩ᕈ೎䋬ᐕ㦂䋬⚻ᷣ⁁ᴫ䋬BMI䋬ోり∔ᖚ䋬㘶㈬䊶༛ᾍ⠌ᘠ䈱᦭ή䋬Kesselar䈉䈧ዤᐲ䋨K6䋩䋬ᔃ⊛ᄖ்ᓟ䉴䊃䊧䉴෻ᔕ䋨PTSR䋩䉕౒ᄌ㊂䈫䈚䈩⠨ᘦ䈚䈢䋮ᄙ㊀䊨䉳䉴䊁䉞䉾䉪࿁Ꮻಽᨆ䈮䈲STATA㩷Ver㪅13㪅1䉕↪䈇䋬⺞ᢛ䉥䉾䉵Ყ䋨OR䋩䈫䈠䈱95㩼ା㗬඙㑆䋨CI䋩䉕▚಴䋬᦭ᗧ᳓Ḱ䈲㩷P㪓0㪅05䈫䈚䈩⸃ᨆ䉕ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ⵍἴ⠪䈮䈍䈇䈩ਇ⌁∝䈲2㪃892ฬ䋨38㪅9䋦䋩䈪䈅䈦䈢䋮䈠䈱䈉䈤䋬䇸ᱤ䈱∩䉂䇹䋬䇸ᱤ䈓䈐䈱⣲䉏䊶಴ⴊ䇹䋬䇸䈎䉂䈮䈒䈇䇹䈫⸷䈋䈢䉅䈱䈏䋬䈠䉏䈡䉏6㪅5䋦䋬7㪅1䋦䋬
6㪅3䋦䋨ో૕䈪䈲3㪅9䋦䋬3㪅9䋦䋬3㪅2䋦䋩䈪䈅䈦䈢䋮䇭౒ᄌ㊂䈱⵬ᱜᓟ䈮䈍䈇䈩䋬ਇ⌁∝䈫䇸ᱤ䈓䈐䈱⣲䉏䊶಴ⴊ䇹䋬䈍䉋䈶䇸䈎䉂䈮䈒䈇䇹䈱㑆䈮䈲᦭ᗧ䈭⋧㑐䈏␜䈘䉏䈢䋨OR㩷㪔㩷2㪅16䋬95䋦CI㩷㪔㩷1㪅43㪄3㪅26㪃㩷p㩷㪓㩷0㪅001㪒㩷OR㩷㪔㩷2㪅22䋬95䋦CI㩷㪔㩷1㪅40㪄3㪅51㪃㩷p㩷㪓㩷0㪅01䋩䋮䈠䈱৻ᣇ䈪䇸ᱤ䈱∩䉂䇹䈫䈲᦭ᗧ䈭㑐ㅪ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋨p㩷㪔㩷0㪅45䋩䋮䇭ਇ⌁∝䈫䇸ᱤ䈓䈐䈱⣲䉏䊶಴ⴊ䇹䋬䇸䈎䉂䈮䈒䈇䇹䈱⋧
㑐䈲K6䉇PTSR䈭䈬䈱♖␹⊛䉴䊃䊧䉴䈮䉋䉎⵬ᱜᓟ䈮䈍䈇䈩䉅᦭ᗧ䈪䈅䈦䈢䈖䈫䈎䉌䋬䈠䉏એᄖ䈱࿃ሶ䈱੺࿷䈏␜ໂ䈘䉏䈢䋮䉁䈢䋬䇸ᱤ䈱∩䉂䇹䈲ਇ⌁∝䈫䈱⋧㑐䈏⹺䉄䉌䉏䈭䈎䈦䈢䈖䈫䈎䉌䋬න⚐䈭∩䉂䈮䉋䉎⌧⌁㓚ኂ䈫䈇䈉㑐ଥ䈪䈲ή䈇䉅䈱䈫ផኤ䈘䉏䉎䋮䇭੹࿁䋬ญ⣧ౝ䈱⸷䈋䋨䇸ᱤ⨍䈱⣲䉏䊶಴ⴊ䇹䋬䇸䈎䉂䈮䈒䈇䇹䋩䈫ਇ⌁∝䈱㑆䈮䈲㕖Ᏹ䈮㜞䈇⋧㑐䈏⹺䉄䉌䉏䈢䋮䈠䉏䉌䈱࿃ᨐ㑐ଥ䈮䈧䈇䈩䈲ਇ᣿䈪䈅䉎䈏䋬዁᧪⊛䈭ᱤ⑼⊛੺౉䈮䉋䉍⌧⌁䈮ਈ䈋䉎ᓇ㗀䉕᣿䉌䈎䈮䈜䉎䈖䈫䈪䋬䈠䈱䊜䉦䊆䉵䊛䈲᣿⏕䈮䈭䉎䉅䈱䈫⠨䈋䉌䉏䉎䋮䈠䈱৻ᣇ䈪䋬ஜᐽ໧㗴䈮⧰䈚䉃ⵍἴ⠪䈻䈱ญ⣧ⴡ↢ᜰዉ╬䈱ᱤ⑼⊛▤ℂ䈲㊀ⷐ䈪䈅䉍䋬ⵍἴᓟᣧᦼ䈱੺౉䈏ᄙ᭽䈭⥃ᐥ⊛ᗧ⟵䉕䉅䈢䉌䈜䈖䈫䈏␜ໂ
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1䋩 Ishigaki A, et al., Tohoku J Exp Med. 229(4):287-99, 2013.
2䋩 Al-Jewair TS, et al., Sleep Breath 19:1111-20,
2015.

─ 128 ─日補綴会誌

第 1 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪈㪄㪏♧ዩ∛䈮䉋䉎ญ⣧ੇ῎∝⊒∝䊜䉦䊆䉵䊛䈱⸃᣿䂾ቬ᡽䇭⠍ 㪈㪀䋬ㄭ⮮␭੺ 㪈㪀䋬ะဌᄥ㇢ 㪈㪀䋬ᬮ↰ఝ৻㇢ 㪈㪀䋬ችၔാᄢ 㪈㪀䋬ᨩ䇭ᘕᄥ㇢ 㪈㪀䋬ᱜᧁජ዆ 㪈㪀䋬ਛᧄື⥄ 㪉㪀䋬⚦Ꮉ㓉ม 㪈㪀㪈㪀਻Ꮊᱤ⑼ᄢቇญ⣧ౣᑪ䊥䊊䊎䊥䊁䊷䉲䊢䊮ቇಽ㊁䋬 㪉㪀᧻ᧄᱤ⑼ᄢቇᱤ⑼⵬✄ቇ⻠ᐳ
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Mechanism of Xerostomia Induced by Diabetes Mellitus
Munemasa T 1), Kondo Y 1), Mukaibo T 1), Kusuda Y 1), Miyagi Y 1), Tsuka S 1), Masaki C 1), Nakamoto T 2),
Hosokawa R 1)
1)
Department of Oral Reconstruction and Rehabilitation, Kyushu Dental University, 2)Department of
Prosthodontics, Matsumoto Dental University㸇䋮㩷⋡⊛ญ⣧ੇ῎∝䈲䉦䊥䉣䉴䊥䉴䉪䈱਄᣹䉇ᱤ๟∛䈱Ⴧᖡ䋬⟵ᱤ䈱⛽ᜬ࿎㔍䈍䉋䈶౞Ṗ䈭๰ྨ䋬ྚਅ䈱㒖ኂ䈭䈬䉕ᒁ䈐⿠䈖䈚䋬⵬✄ᴦ≮䈮䈫䈦䈩䊥䉴䉪䈫䈭䉎∔ᖚ䈪䈅䉎䋮ญ⣧ੇ῎∝䈫㑐ㅪ䈜䉎ోり∔ᖚ䈫䈚䈩♧ዩ∛䈏ᐢ䈒⍮䉌䉏䈩䈇䉎䈏䋬䈠䈱⹦⚦䈭䊜䉦䊆䉵䊛䈮䈧䈇䈩䈲ਇ᣿䈭ὐ䈏ᄙ䈇䋮䈠䈖䈪ᧄ⎇ⓥ䈪䈲2ဳ♧ዩ∛䊝䊂䊦䊙䉡䉴䈪䈅䉎KK㪄Ay䉕↪䈇䈩↢ℂቇ⊛䊶⚵❱ቇ⊛䈮ໜᶧ⣼ᯏ⢻䉕⹏ଔ䈜䉎䈖䈫䈪䋬♧ዩ∛䈏ญ⣧ੇ῎∝䉕ᗖ⿠䈜䉎䊜䉦䊆䉵䊛䈮䈧䈇䈩⸃᣿䈜䉎䈖䈫䉕⋡
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ታ㛎䈮䈲♧ዩ∛䊝䊂䊦䊙䉡䉴䈫䈚䈩KK㪄Ay䉕䋬䉮䊮䊃䊨䊷䊦䈫䈚䈩C57Bl㪆6J䉕↪䈇䈢䋮ໜᶧಽᴲ⢻䈱⹏ଔ䈮䈲䋬㗶ਅ⣼䈱ᡰ㈩േ⣂䉕೬಴䈚૕ᄖ䈪േ⣂䉋䉍↢ℂ㘩Ⴎ᳓䉕ἠᵹ䈚䋬ዉ▤䈎䉌ໜᶧ䉕࿁෼䈜䉎ex㩷vivo㗶ਅ⣼ἠᵹᴺ䉕↪䈇䋬䊛䉴䉦䊥䊮ᕈೝỗ⮎䈪䈅䉎
Carbachol㩷㩿CCh㪑0㪅3μM㪀㩷䈮䉋䉎ಽᴲ㊂䉕᷹ቯ䈚䈢䋮ട䈋䈩䋬ಽᴲໜᶧਛ䈱䉟䉥䊮Ớᐲ䋨Na㪂䈍䉋䈶Cl㪄䋩䉕↢ൻቇ⥄േಽᨆⵝ⟎䋨ን჻䊄䊤䉟䉬䊛7000䋬ን჻䊐䉟䊦䊛␠⵾䋩䉕↪䈇᷹ቯ䈚䈢䋮⚵❱ቇ⊛ⷰኤ䈮䈲8ㅳ㦂䈱䊙䉡䉴䉕↪䈇䈢䋮䊂䉳䉺䊦䊙䉟䉪䊨䉴䉮䊷䊒䋨VHX㪄5000䋬KEYENCE␠⵾䋩䈱㕙Ⓧ᷹ቯᯏ⢻䉕૶↪䈚䋬HEᨴ⦡௝䈎䉌⣼ᚱ⚦⢩䈫ዉ▤⚦⢩䈱භ䉄䉎㕙
Ⓧ₸䉕▚಴䈚䈢䋮䈘䉌䈮ໜᶧ⣼㊀㊂䈍䉋䈶㕙Ⓧ₸䉋䉍⣼૕䈅䈢䉍䈱⣼ᚱ⚦⢩䈍䉋䈶ዉ▤⚦⢩䈱ኈⓍ䉕▚಴䈚䋬䈠䉏䈡䉏Ყセᬌ⸛䈚䈢䋮䉁䈢䋬఺∉⚵❱ൻቇᴺ䈮
䈩ໜᶧ⣼⣼ᚱ⚦⢩䈱᳓䉼䊞䊈䊦䈪䈅䉎Aquaporin5
䋨AQP5䋩䈫䉟䉥䊮ャㅍᜂ૕䈪䈅䉎Na㪂㪄K㪂㪄2Cl㪄౒ャㅍᜂ૕䋨NKCC1䋩䈍䉋䈶䉦䊦䉲䉡䊛ଐሽဳႮ⚛䉼䊞䊈䊦
䈪䈅䉎TMEM16A䈱⊒⃻䈮䈧䈇䈩ᬌ⸛䈚䈢䋮䈘䉌䈮Ca2㪂 ᜰ␜⮎䈪䈅䉎Fura㪄2䉕⽶⩄䈚䈢⣼ᚱ⚦⢩䉕↪
䈇䋬CCh䈮䉋䉎⚦⢩ౝCa2㪂Ớᐲ਄᣹䉕᷹ቯ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤໜᶧಽᴲ㊂䈲䈜䈼䈩䈱ㅳ㦂䈮䈍䈇䈩KK㪄Ay䈪᦭ᗧ䈮ዋ䈭䈒䋬♧ዩ∛䈱⊒∝䈮䉋䉍ໜᶧಽᴲ㊂䈏ᷫዋ䈜䉎䈖䈫䈏␜䈘䉏䈢䋮⣼ᚱ⚦⢩㕙Ⓧ₸䈲KK㪄Ay䈪᦭ᗧ䈮ᷫዋ䈚䈩䈇䈢䈏䋬ዉ▤⚦⢩㕙Ⓧ₸䈲᦭ᗧ䈮Ⴧട䈚䈩䈇䈢䋮⣼૕䈅䈢䉍䈱ዉ▤⚦⢩ኈⓍ䈲㕙Ⓧ₸䈫ห᭽䈮KK㪄Ay䈪᦭ᗧ䈮㜞୯䉕␜䈚䈢䈏䋬⣼ᚱ⚦⢩ኈⓍ䈮䈲᦭ᗧᏅ䈲䈭䈎䈦䈢䋮఺∉⚵❱ൻቇᴺ䈮䈍䈇䈩

AQP5䋬NKCC1䈍䉋䈶TMEM16A䈲ਔ⟲䈮⊒⃻䈚䈩䈍䉍䋬⚦⢩ᯏ⢻䈱ૐਅ䉕␜ໂ䈜䉎䉋䈉䈭᣿䉌䈎䈭ᚲ⷗䈱Ꮕ䈲⹺䉄䈭䈎䈦䈢䋮৻ᣇ䈪䊛䉴䉦䊥䊮ᕈೝỗ䈮䉋䉎⚦⢩ౝCa2㪂Ớᐲ਄᣹䈲KK㪄Ay䈪᦭ᗧ䈮ૐ୯䉕␜䈚䈢䈖䈫䈎䉌䋬♧ዩ∛䈮䉋䉎ໜᶧಽᴲ㊂䈱ૐਅ䈲⚦⢩ౝ䈱䉦䊦䉲䉡䊛േᘒ⇣Ᏹ䈮䉋䉎䉅䈱䈪䈅䉎䈫␜ໂ䈘䉏䈢䋮䉁䈢䋬KK㪄Ay䈮䈍䈔䉎ዉ▤⚦⢩ኈⓍ䈱Ⴧട䈲䋬ಽᴲໜᶧਛ䈱Na㪂䈍䉋䈶Cl㪄Ớᐲ䈱ᷫዋ䈮ነਈ䈚䈩䈇䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮

࿑1䋮ໜᶧಽᴲ㊂䋨਄䋩䈍䉋䈶⣼ᚱ⚦⢩ኈⓍ䋨Ꮐਅ䋩䋬ዉ▤⚦⢩ኈⓍ䋨ฝਅ䋩䈱Ყセ䇭࿑2䋮⣼ᚱ⚦⢩ౝ䉦䊦䉲䉡䊛䉟䉥䊮Ớᐲ਄᣹䇭

─ 129 ─

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一般 口 演 発 表㪦㪈㪄㪐⵬✄ᴦ≮䈮㑐䉒䉎ໜᶧᕈ⁁䈱ၮ␆⎇ⓥ
䂾Ꮉ⷏▸❥ 㪈㪀䋬ᤊ䇭ᙗᐘ 㪈㪀䋬ᢧ↰’ሶ 㪈㪀䋬⨹੗૓テ 㪈㪀䋬᧖ᧄ᣽ᒄ 㪉㪀䋬ᧁᧄసᒾ 㪈㪀

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␹ᄹᎹᱤ⑼ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼ญ⣧ᯏ⢻ୃᓳቇ⻠ᐳ㩷๰ྨᯏ⢻೙ᓮ⵬✄ቇಽ㊁䋬 㪉㪀ᘮᙥ⟵Ⴖᄢቇ䇭వ┵↢๮⑼ቇ⎇ⓥᚲ

䇭䇭Basic observation of salivary properties related to the prosthetic treatment
Kawanishi N 1), Hoshi N 1), Saita M 1), Arai Y 1), Sugimoto M 2), Kimoto K 1)
1)
Division of Prosthodontics & Oral Rehabilitation Department of Oral Function and Restoration, Graduate
School of Dentistry Kanagawa Dental University, 2)Institute for Advanced Biosciences, Keio University㸇䋮㩷⋡⊛䇭ㄭᐕᱤ⑼ฃ⸻䈜䉎ᖚ⠪䈱ਛ䈮᭽䇱䈭ญ⣧ਇᔟ∝⁁䉕⸷䈋䉎ᖚ⠪䈲Ⴧട௑ะ䈮䈅䉎䋮䈚䈎䈚䋬᣿⏕䈭∝⁁䉕઻䉒䈭䈇੐䈏ᄙ䈒䋬ᖚ⠪䈱ਥⷰ⊛䈭⸷䈋䈮ኻᔕ䈜䉎䈚䈎䈭䈇䋮೨࿁䉁䈪䈱ႎ๔䈪⵬✄ᴦ≮䈮䉋䉍ໜᶧᵹ಴㊂䋨․䈮ೝỗᤨໜᶧᵹ಴㊂䋩䈏Ⴧട䈚䋬ญ⣧ౝ∝⁁䈏ᡷༀ䈜䉎น⢻ᕈ䉕␜ໂ䈚䈢䋮ᰴ䈮䋬䊜䉺䊗䊨䊷䊛⸃ᨆ䉕↪䈇቟㕒ᤨໜᶧ䈫ೝỗᤨໜᶧ䈱ઍ⻢‛⾰䈱㑆䈮Ꮕ䈏ሽ࿷䈜䉎䈖䈫䉕⏕⹺䈚䈢䋮䈠䈖䈪੹࿁䈲䋬ฦໜᶧ䈮䈍䈔䉎ᣣౝ䊶ᣣ㑆ᄌേ䈏䈬䈱᭽䈮ໜᶧ䈱ઍ⻢‛⾰䈮ᓇ㗀䈜䉎䈱䈎䉕ᬌ⸛䈚䈢䈱䈪ႎ๔䈜䉎䋮䇭㸈䋮㩷ᣇᴺ䇭␹ᄹᎹᱤ⑼ᄢቇ䈱ᄢቇ㒮䋬⎇ୃකਗ䈶䈮⡯ຬ䈱䈉䈤ᧄ⎇ⓥ䈱หᗧ䉕ᓧ䉌䉏䈢㩷13㩷ฬ䉕ኻ⽎䈮䋬቟㕒ᤨໜᶧ䈫ೝỗᤨໜᶧ䉕ណข䈚䈢䋮ណขᤨ㑆䉕㩷 9㪑00
䋨ᦺ䋩䋬13㪑00䋨ᤤ䋩䋬17㪑00䋨ᄕ䋩㩷䈱㩷1㩷ᣣ㩷3㩷࿁䈫䈚䋬ណขᣣ䉕䋨᦬䋩䋬䋨᳓䋩䋬䋨㊄䋩䈱㩷3㩷ᣣ㑆䈫䈚䈢䋮ណข䈮ᒰ䈢䉍䋬䈭䉎䈼䈒ห৻ⅣႺਅ䈪ᦨೋ䈮቟㕒ᤨໜᶧ䉕䋬ᰴ䈮ೝỗᤨໜᶧ䉕ណข䈜䉎䉋䈉䈮⛔৻䉕࿑䈦䈢䋮ណข䈚䈢ໜᶧ䈲಄ಓ଻ሽ䈱⁁ᘒ䈪ᘮᙥ⟵Ⴖᄢቇవ┵↢๮⑼ቇ⎇ⓥᚲ䈮ㇷㅍ䈚䈢䋮䈠䈱ᓟ䋬㩷4㩷㷄䈪㩷2㪅5㩷ᤨ㑆㆙ᔃಽ㔌䉕ⴕ䈦䈢ᓟ䈮䉨䊞䊏䊤䊥䊷㔚᳇ᵒേ−⾰㊂ಽᨆⵝ⟎䋨CE㪄MS䋩䉕↪䈇䈩䉟䉥䊮ᕈઍ⻢↥‛䈱᷹ቯ䉕ⴕ䈇䋬ฦ᧦ઙਅ䈪䈱቟㕒ᤨໜᶧ䈫ೝỗᤨໜᶧ䈮䈍䈔䉎ᕈ⁁䈱㆑䈇䉕ಽᨆ䈚䈢䋮䈭䈍䋬ᧄ⎇ⓥ䈲␹ᄹᎹᱤ⑼ᄢቇ୶ℂᆔຬળ䋨㩷No䋮㩷260㩷䋩ᛚ⹺䈱䉅䈫ⴕ䉒䉏䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ਥᚑಽಽᨆ䈱Score㩷plots䋨࿑㩷1㩷䋩䈱⚿ᨐ䈎䉌䋬ೝỗᤨໜᶧ䉋䉍䉅቟㕒ᤨໜᶧ䈱ᣣౝᄌേ䈏ᄢ䈐䈇௑ะ䈏⹺䉄䉌䉏䈢䋮䈖䈱௑ะ䈲቟㕒ᤨໜᶧᵹ಴㊂䈮䉂䉌䉏䉎ᣣౝᄌേ䈫ᓇ㗀䈚ว䈦䈩䈇䉎น⢻ᕈ䈏⠨䈋䉌䉏䈢䋮䉁䈢䋬ਥᚑಽಽᨆ䈱Loading㩷plots䋨࿑㩷2㩷 䋩䈱⚿ᨐ䈎䉌䋬ᄙ䈒䈱‛⾰䈏৻ᭂ䈮㓸ਛ䈚䈩䈇䉎䈖䈫䈎䉌䋬ᣣౝᄌേ䈱ᄌൻ䈲䋬Ớᐲ䊌䉺䊷䊮䈲଻䈦䈢⁁ᘒ䈱䉁䉁䋬ో૕⊛䈭Ớ᷆䈏ᄌേ䈚䈩䈇䉎น⢻ᕈ䈏⠨䈋䉌䉏䈢䋮䇭੹࿁䈱ታ㛎䈎䉌䋬ೝỗᤨໜᶧ䈮Ყ䈼቟㕒ᤨໜᶧ䈱ណข䈮䈲චಽ䈭᧦ઙᬌ⸛䈏ᔅⷐ䈪䈅䉎䈖䈫䈏␜ໂ䈘
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1䋩 Sugimoto M, Wong D.T., Hirayama A, Soga T, &Tomita M. Physiological and environmental
parameters associated with mass spectrum-based
salivary metabolomics profile. Metabolomics, 9 ,454 - 63

࿑ 1 : Score plots䇭࿑ 2 : Loading Plots䇭─ 130 ─日補綴会誌

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一般口演発 表㪦㪈㪄㪈㪇ஜᏱ䊙䉡䉴䈮䈍䈔䉎㘺ᢱᕈ⁁䈱㆑䈇䈮䉋䉎GLP㪄1䈱ᄌൻ䂾⩲䇭ᖘᏗ 㪈㪀䋬⼾ਅ␽ผ 㪈㪀䋬૒䇱ᧁ䉂䈨䈾 㪈㪀䋬Ꮉ⷏సᒎ 㪈㪀䋬ᦩ↰⧷♿ 㪈㪀䋬ጊਛ㓉⵨ 㪉㪀䋬⧃↰⋿ᴦ 㪉㪀䋬ዊ⷏ᵗᰴ 㪉㪀䋬㜞ፒ⧷ੳ 㪉㪀䋬દ᧲↱♿ᄦ 㪉㪀䋬⿧㊁䇭ኼ 㪈㪀㪈㪀ർᶏ㆏ක≮ᄢቇᱤቇㇱຏวౣᑪ⵬✄ቇಽ㊁䋬 㪉㪀᧲ർ䊶ർᶏ㆏ᡰㇱ
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The state of feed changes serection of GLP-1 in healthy mice
Kan Y 1), Toyoshita Y 1), Sasaki M 1), Kawanishi K 1), Aita H 1), Yamanaka T 2), Ashida S 2), Konishi Y 2),
Takasaki H 2), Ito Y 2), Koshino H 1)
1)
Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of Hokkaido, 2)
Tohoku-Hokkaido Branch㸇䋮㩷⋡⊛䇭䉫䊦䉦䉯䊮䊤䉟䉪䊕䊒䉼䊄䋭1䋨GLP㪄1䋩䈲䉟䊮䉪䊧䉼䊮䊖䊦䊝䊮䈱1䈧䈪䋬⤟㱎⚦⢩䈮૞↪䈚䈩䉟䊮䉴䊥䊮ಽᴲ䉕ଦㅴ䈚䋬਄᣹䈚䈢ⴊ♧䉕ᛥ೙䈜䉎૞↪䉕ᜬ䈧䋮
GLP㪄1䈲ዊ⣺䈱⣺ౝಽᴲ⚦⢩䈪䈅䉎L⚦⢩䈎䉌ಽᴲ䈘䉏䋬ਥ䈫䈚䈩ⴊ♧୯䈱਄᣹䋬㘩‛䈮䉋䉎⣺▤䈻䈱ᯏ᪾⊛ೝỗ䈍䉋䈶ㅅ⿛␹⚻䈮䉋䉍⺞ᢛ䉕ฃ䈔䈩䈇䉎㫯㶥䋮੹࿁ᚒ䇱䈲䋬๰ྨ䈏ㅅ⿛␹⚻䉕੺䈚䋬GLP㪄1䈱ಽᴲ䉕਄᣹䈘䈞䉎䈫䈇䈉઒⺑䈱ਅ䋬ஜᏱ䊙䉡䉴䈮䈍䈇䈩䋬࿕ᒻ㘺⢒㘺ᢱ䉁䈢䈲ᶧ૕㘺⢒㘺ᢱ䈱៨ข䈮䉋䉎๰ྨേᘒ䈱⋧㆑䈏䋬ⴊ♧୯䈱⺞▵䈮㑐ਈ䈜䉎GLP㪄1䈱ಽᴲ䈻ਈ䈋䉎ᓇ㗀䈮䈧䈇䈩ᬌ⸛䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ታ㛎േ‛䈮䈲16ㅳ㦂㓶ᕈc57BL㪆6J䊙䉡䉴60඘䉕↪
䈇䈢䋮䊙䉡䉴䉕⚻ญ䊶⚻▤ਔ↪ᩕ㙃೷䋨䉣䊮䉲䊠䉝䊥䉨䉾䊄䋬ᩣᑼળ␠᣿ᴦ䋩䉕៨ข䈜䉎⟲㩿㕖๰ྨ⟲㪀䈫⚻ญ䊶⚻▤ਔ↪ᩕ㙃೷䈫ห৻䈱ᩕ㙃ᚑಽ䈎䉌䈭䉎࿕ᒻ㘺ᢱ䉕៨ข䈜䉎⟲䋨๰ྨ⟲䋩䉕⸳ቯ䈚䈢䋮24ᤨ㑆⛘㘩䈘䈞䈢ᓟ䋬䈠䉏䈡䉏䈱㘺ᢱ䉕2㩷kcal៨ข䈘䈞䈢䋮㘺ᢱ៨ข㐿ᆎ೨䋬៨ข㐿ᆎ30ಽᓟ䋬60ಽᓟ䋬90ಽᓟ䈍䉋
䈶120ಽᓟ䈮ⴊਛGLP㪄1䉕ಽ⸃䈚ਇᵴൻ䈜䉎DPP㪄4䈱㒖ኂ೷䉕ᷝട䈚䈢ណⴊ▤䉕↪䈇䈩ᔃ⤳䉋䉍ណⴊ䉕ⴕ䈦䈢䋮ណข䈚䈢ⴊᶧ䉕↪䈇䈩ⴊ♧୯䋬ⴊᷡਛ䈱ᵴ
ᕈဳGLP㪄1Ớᐲ䋬䉟䊮䉴䊥䊮Ớᐲ䉕᷹ቯ䈚䈢䋮ⴊᷡਛ
䈱ᵴᕈဳGLP㪄1Ớᐲ䈲GLP㪄1㪃active㩷form㩷assay㩷kit䋨ᩣᑼળ␠఺∉↢‛⎇ⓥᚲ䋩䋬䉟䊮䉴䊥䊮Ớᐲ䈲⿥㜞ᗵᐲ䊙䉡䉴䉟䊮䉴䊥䊮᷹ቯ䉨䉾䊃䋨ᩣᑼળ␠᫪᳗↢⑼ቇ
⎇ⓥᚲ䋩䉕↪䈇䈩᷹ቯ䈚䈢䋮䇭ᰴ䈮䉝䊃䊨䊏䊮䉕↪䈇䈩ㅅ⿛␹⚻䉕䊑䊨䉾䉪䈚䈢႐ว䈱㘺ᢱ៨ขᓟ䈱ⴊ♧୯䋬ⴊᷡਛ䈱ᵴᕈဳGLP㪄1Ớᐲ䈍䉋䈶䉟䊮䉴䊥䊮Ớᐲ䈱ᬌ⸛䉕ⴕ䈦䈢䋮๰ྨ⟲䋬㕖๰ྨ⟲䈱2⟲䉕24ᤨ㑆⛘㘩䈘䈞䋬㘺ᢱ៨ข5ಽ೨䈮䉝䊃䊨䊏䊮⎫㉄Ⴎ0㪅01㩷mg㪆kg䉕⣻⣧ౝᛩਈ䈚䋬㘺ᢱ៨ข ᓟ 30 ಽ 䈱 ᤨ ὐ 䈪 䈱 ⴊ ♧ ୯ 䈫 ⴊ ᷡ ਛ 䈱 ᵴ ᕈ ဳ
GLP㪄1Ớᐲ䋬䉟䊮䉴䊥䊮Ớᐲ䉕᷹ቯ䈚䈢䋮⛔⸘ಣℂ䈲SPSS䉕↪䈇䈩Mann㩷Whitney䈱Uᬌቯ䉕ⴕ䈇䋬᦭ᗧ᳓Ḱp㩷㪓0㪅05䈫䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ㘺ᢱ៨ขᓟ䈱ⴊ♧୯䈍䉋䈶䉟䊮䉴䊥䊮Ớᐲ䈲䋬㘺ᢱ៨ข䈱⚿ᨐ䈫䈚䈩ⴊ♧୯䈏਄᣹䈚䈩䈇䉎䈖䈫䈲⏕⹺䈪䈐䈢䈏䋬ਔ⟲㑆䈮᦭ᗧ䈭Ꮕ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮ⴊᷡਛ䈱ᵴᕈဳGLP㪄1Ớᐲ䈲㘺ᢱ៨ขᓟ30ಽ䈱ᤨὐ䈪๰ ྨ ⟲ 62㪅2㫧7㪅3㩷 pmol㪆l 䋬 㕖 ๰ ྨ ⟲ 䈪 44㪅1㫧5㪅4pmol㪆l䈫䈭䉍䋬๰ྨ⟲䈲㕖๰ྨ⟲䈫Ყ䈼䈩᦭ᗧ䈮㜞䈇୯䉕␜䈚䈢㩷㩿p㪓0㪅05㪀㩷䋨࿑1䋮䋩䋮䉁䈢䈠䈱᦭ᗧᏅ䈲䉝䊃䊨䊏䊮䉕↪䈇䈩ㅅ⿛␹⚻䊑䊨䉾䉪䈜䉎䈖䈫䈪ᶖᄬ䈚䈢䋮੹࿁䈱⚿ᨐ䈮䉋䉍䋬๰ྨ䈲ஜᏱ䊙䉡䉴䈮䈍䈇䈩ⴊᷡਛ䈱ᵴᕈဳGLP㪄1Ớᐲ䈱⛽ᜬ䈮᦭ല䈪䈅䉍䋬䈠䈱ലᨐ䈲⥄ᓞ␹⚻䉕੺䈜䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Janssen P, Rotondo A, Mulé F, et al. A
comparison of glucagon-like peptides 1 and 2.
Aliment Pharmacol Ther 2013䋻37䋺18-36

ஜᏱ䊙䉡䉴䈮䈍䈔䉎㘺ᢱ៨ขᓟ䈱๰ྨ⟲䈫㕖๰ྨ⟲䈱ⴊᷡਛ䈱ᵴᕈဳGLP-1Ớᐲ䈱⚻ᤨ⊛ᄌൻ䇭─ 131 ─

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一般 口 演 発 表㪦㪈㪄㪈㪈ญ⣧਄⊹䈮䈍䈔䉎BMP㪄7䈱ᯏ⢻䈱⸃᣿䂾⷏የஜ੺ 㪈㪀䋬ᶆ↰ஜᄥ㇢ 㪈㪀䋬દ⮮ᕀᄩ 㪉㪀䋬ਣ㊁䇭ల 㪉㪀䋬ጟ↰⌀ᴦ 㪉㪀䋬᦭ベ⧐᣿ 㪈㪀䋬ጊፒᓆ໪ 㪈㪀䋬␧࿦⊕ାੳ 㪈㪀㪈㪀ᣣᧄᄢቇᱤቇㇱᱤ⑼⵬✄ቇ╙㸇⻠ᐳ䋬 㪉㪀ᣣᧄᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼ᔕ↪ญ⣧⑼ቇಽ㊁

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Elucidation of the function of BMP-7 in the oral epithelium
Nishio K 1), Urata K 1), Ito R 2), Maruno M 2), Okada S 2), Ariwa Y 1), Yamazaki A 1), Gionhaku N 1)
1)
Department of Complete Denture Prosthodontics, Nihon University School of Dentistry,, 2)Division ofApplied Oral Sciences, Nihon University Graduate School of Dentistry㸇䋮㩷⋡⊛䇭Bone㩷morphogenetic㩷protein㩷㩿BMP㪀㩷䈲㛽䉕⺃ዉ䈜䉎䉺䊮䊌䉪⾰䈪䈅䉍1㪀䋬䈠䈱ᒝ䈇㛽⺃ዉ⢻䈏⵬✄ᱤ⑼⥃ᐥ䈮䈍䈇䈩䉅ᵈ⋡䈘䉏䈩䈇䉎䋮ㄭᐕ䈪䈲㛽⺃ዉએᄖ䈱ᯏ⢻䉅ႎ๔䈘䉏䈩䈍䉍䋬BMP䈱䉰䊑䉺䉟䊒䈱৻䈧
䈪䈅䉎BMP㪄7䈮䈍䈇䈩䈲䋬㛽⺃ዉ䈱䉂䈪䈭䈒䋬⣢⤳䈱ዩ⚦▤਄⊹䈮䈍䈔䉎ୃᓳᯏ⢻2㪀䈭䈬䋬਄⊹⚦⢩䈮䈍䈔䉎ᯏ⢻䈱ሽ࿷䈏᣿䉌䈎䈫䈭䈦䈩䈐䈢䋮䉁䈢ญ⣧਄⊹䈮䈍䈔䉎BMP䈱⊒⃻䈲ႎ๔䈘䉏䈩䈇䉎䈏3㪀䋬䈠䈱ᯏ⢻䈱⹦⚦䉕ႎ๔䈜䉎䉅䈱䈲⹺䉄䈭䈇䋮䇭䈠䈖䈪䋬ᧄታ㛎䈪䈲ญ⣧਄⊹⚦⢩䈮ኻ䈜䉎BMP㪄7䈱ᯏ⢻䈮䈧䈇䈩ᬌ⚝䈜䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭⚦⢩䈲ญ⣧≸↱᧪ᩣൻ⚦⢩䈪䈅䉎Ca9㪄22䈍䉋䈶
HSC㪄3䉕↪䈇䋬䈲䈛䉄䈮↪䈇䉎⚦⢩䈱BMP㪄7䊧䉶䊒䉺 䊷 䈱 ⊒ ⃻ 䈱 ᦭ ή 䉕 RT㪄PCR ᴺ 䈮 䈩 ⏕ ⹺ 䈚 䈢 䋮Ca9㪄22䈍䉋䈶HSC㪄3䉕Ớᐲ䈱⇣䈭䉎rhBMP㪄7㩷㩿50䊶
100䊶250ng㪆ml㪀㩷䈪⚻ᤨ⊛䈮ೝỗ䈚䋬BMP䉲䉫䊅䊥䊮䉫䈱෻ᔕ䈱ᜰᮡ䈪䈅䉎Smad1㪆5㪆8䈱䊥䊮㉄ൻ䈱᦭ή䉕western㪄blotᴺ䈮䈩⸃ᨆ䈚䋬BMP㪄7䈫䈱෻ᔕ䉕⏕⹺䈚䈢䋮䉁䈢Ca9㪄22䈮䈍䈇䈩䋬rhBMP㪄7㩷ೝỗ㩷㩿100ng㪆
ml䊶1ᤨ㑆㪀㩷䈮䉋䉎ㆮવሶ⊒⃻䈱ᄌൻ䉕䊙䉟䉪䊨䉝䊧䉟䈮䉋䉍✂⟜⊛䈮⸃ᨆ䈚䈢䋮ᄌൻ䉕⹺䉄䈢ㆮવሶ䈱ਛ
䈎䉌IL㪄17F䈮⌕⋡䈚䋬real㩷time㪄PCRᴺ䈪⚻ᤨ⊛䈭ೝỗ䈮䉋䉎ㆮવሶ⊒⃻㊂䈱ᄌൻ䉕⸃ᨆ䈚䈢䋮䈘䉌䈮䋬IL㪄17Fㆮવሶ⺞▵㗔ၞ䉕↪䈇䈢䊦䉲䊐䉢䊤䊷䉷䉝䉾䉶䉟䈮䉋䉍⊒⃻᭽ᑼ䈮䈧䈇䈩䉅ᬌ⚝䈚䋬䉁䈢䉺䊮䊌䉪⾰䊧䊔䊦䈪䈱↥↢䈲ELISA䈮䈩⏕⹺䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
䇭BMP䊧䉶䊒䉺䊷䈱⊒⃻䈲䋬Ca9㪄22䈍䉋䈶HSC3䈮䈍䈇䈩䋬㸇ဳ䊧䉶䊒䉺䊷䈪䈅䉎ALK2䋬3䋬6䋬㸈ဳ䊧䉶䊒䉺䊷䈪䈅䉎BMPR2䋬ACVR2䋬ో䈩䈱⊒⃻䈏⏕⹺䈘䉏䈢䋮rhBMP㪄7䈱ೝỗ䈮䉋䉎Smad1㪆5㪆8䈱䊥䊮㉄ൻ䈱ᄌൻ䈲䋬Ca9㪄22䈮䈍䈇䈩100ng㪆mlએ਄䈱Ớᐲ䈪䈱ೝỗ䈪䊥䊮㉄ൻ䈱੣ㅴ䈏⹺䉄䉌䉏䋬Ca9㪄22䈮䈍䈇䈩䈲rhBMP㪄7䈱ೝỗ䈮䉋䉍BMP䉲䉫䊅䊦䈱෻ᔕ䈏⿠䈐䈩䈇䉎䈖䈫䈏⏕⹺䈘䉏䈢䋮ᰴ䈮䊙䉟䉪䊨䉝䊧䉟䈱⚿ᨐ䈪䈲䋬ᄙ䈒䈱ㆮવሶ⊒⃻䈏ᄌേ䈜䉎䈖䈫䈏⏕⹺䈘䉏䋬䈖䈱䈉䈤⊒⃻䈏਄᣹䈚䈢IL㪄17F䈮⌕⋡䈚䈘䉌䈮⸃ᨆ䉕ⴕ䈦䈢䋮rhBMP㪄7ೝỗᓟ1ᤨ㑆䈪⚂2୚એ਄䈱ㆮવሶ⊒⃻䈱਄᣹䉕⹺䉄䋬䉺䊮䊌䉪⾰䊧䊔䊦䈪䉅IL17F↥↢䈱Ⴧᒝ䉕⏕⹺䈚䈢䋮䉁䈢BMP㪄7䈱㒖ኂ೷䈪䈅䉎
DM3189䉕⚦⢩䈮૞↪䈘䈞䈢ᓟ䈮ห᭽䈱ೝỗ䉕ⴕ䈦䈢⚿ᨐ䈪䈲䋬IL17F䈱↥↢䈏ᛥ೙䈘䉏䈢䋮䉋䈦䈩IL17F
䈱↥↢䈲rhBMP㪄7䈱ೝỗ䈮䉋䉎䉅䈱䈫⏕⹺䈘䉏䈢䋮
䇭IL17F䈲᛫Ἳ∝૞↪䉇᛫⩶૞↪䉕᦭䈚䈩䈍䉍䋬ᣣ๺
⷗ᗵᨴ⩶䈪䈅䉎㤛⦡䊑䊄䉡⃿⩶䈱☼⤑ᗵᨴ䈮ኻ䈚䈩ᒝ䈇ᛶ᛫ᕈ䈏䈅䉎䈖䈫䈏ႎ๔䈘䉏䈩䈇䉎 4㪀 䋮䉋䈦䈩IL㪄17F䈱↥↢䈏਄᣹䈚䈢䈖䈫䈪䋬ญ⣧਄⊹⚦⢩䈮䈍
䈔䉎BMP㪄7䈱ᣂ䈢䈭ᯏ⢻䈱น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂1䋩 ๺ ᴰ 䇭 ᱜ ਂ 䋬 Ꮉ ญ 䇭 ల 䋬 ጊ ญ 䇭 ⑲ 㕏 䋮 Bonemorphogenetic protein (BMP) 䈱ᄙဳᕈ䈫ᯏ⢻․ᕈ䋮ᱤ⑼ቇႎ䋮2002䋻102 (10) 䋺764-761䋮
2䋩 Yanagita M 䋬 Oka M 䋬 Watanabe T 䋬 et al 䋮
USAG-1: a bone morphogenetic protein
antagonist abundantly expressed in the kidney䋮
Biochem Biophys Res Commun䋮 2004 Apr 2䋻
316(2)䋺490-500䋮
3䋩 ਃ↰᧛䇭ᴦ㇢䋬ਛ⇌䇭ẜ䋬Ỉᧁ䇭ஜ䋮ญ⣧≸䈍䉋䈶ᱜᏱ਄⊹⚦⢩䈱in vitro䈮䈍䈔䉎BMPㆮવሶ䈱⊒⃻䈮䈧䈇䈩䋮᧲ᣣᧄᱤቇ㔀⹹䋮1997䋻16(1)䋺159
4䋩 Saijo S䋬Ikeda S䋬Yamabe K䋬et al䋮Dectin-2
recognition of alpha-mannans and induction of
Th17 cell differentiation is essential for hostdefense against Candida albicans 䋮 Immunity 䋬
2010䋻32 (5) 䋺681-691䋮

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一般口演発 表㪦㪈㪄㪈㪉⿥ዊဳ⿥㖸ᵄ䊒䊨䊷䊑䉕↪䈇䈢⚵❱䈱ෘ䉂⸘᷹䈮䈧䈇䈩䈱ၮ␆⎇ⓥ䂾቟ᢧ᣽ᾖ 㪈㪃㪉㪀䋬ਣየൎ৻㇢ 㪈㪀䋬ᤊ䇭ᙗᐘ 㪈㪀䋬ᧁᧄసᒾ 㪈㪀

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␹ᄹᎹᱤ⑼ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼ญ⣧ᯏ⢻ୃᓳቇ⻠ᐳ䇭๰ྨᯏ⢻೙ᓮ⵬✄ቇಽ㊁䋬 㪉㪀䈅䉖䈙䈇ᱤ⑼ක㒮䇭䇭

A pilot study for measurments of soft and hard tissue thickness by using compact ultrasound probe.
Anzai M 1,2), Maruo K 1), Hoshi N 1), Kimoto K 1)
1)
Division of Prosthodontics & Oral Rehabilitation Department of Oral Function and Restoration, Graduate
School of Dentistry Kanagawa Dental University, 2)Anzai dental office㸇䋮㩷⋡⊛ㄭᐕ䋬⿥㖸ᵄ䈱ක≮ᔕ↪䈲⋡ⷡ䈚䈇ㅴᱠ䉕ㆀ䈕䈩䈇䉎䋮䈚䈎䈚䋬ᱤ⑼䈪䈱ᔕ↪䈲䉁䈣චಽ䈮ᚑᾫ䈚䈩䈇䉎䈫䈲⸒䈋䈭䈇䋮1㪃㩷2㪀੹䉁䈪㛽䈭䈬⎬⚵❱䈱ෘ䉂䈲X✢
䉕↪䈇䉎CBCT䈮䉋䉍᷹ቯ䈘䉏䈩䈐䈢䋮䈚䈎䈚䋬᡼኿✢䈱ⵍᦑ䈮䉋䉎ᖚ⠪䈻䈱⽶ᜂ䈲ዋ䈭䈒䈭䈇䋮৻ᣇ䋬☼⤑䈭䈬䈱エ⚵❱䉕ᱜ⏕䈮᷹ቯ䈜䉎ౕེ䈲᥉෸䈚䈩䈇䈭䈇䋮䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬⿥ዊဳ⿥㖸ᵄ䊒䊨䊷䊑䉕↪
䈇䈩⎬⚵❱䈍䉋䈶エ⚵❱䈱ෘ䉂䉕⸘᷹䈚䋬⦟ᅢ䈭⚿ᨐ䈏ᓧ䉌䉏䈢䈱䈪ႎ๔䈜䉎䋮䇭㸈䋮㩷ᣇᴺ⎬⚵❱䈱᷹ቯ䈫䈚䈩䋬ዊ⥓ᱤ䈱ᛮ෰ᱤ䉕䊤䊮䉻䊛䈮10ᱤㆬᛯ䈚䈢䋮㗠஥ຏ㗡䈱వ┵ㇱ䉋䉍ᱤゲ䈮ᴪ䈦䈩3㪅
0mm㔌䉏䈢ㇱ૏䈱ໃ஥䉣䊅䊜䊦⾰䈱ෘ䉂䉕䊕䊮ဳ䈱⿥ዊဳ⿥㖸ᵄ䊒䊨䊷䊑䈮䈩᷹ቯ䈚䈢䋮エ⚵❱䈱᷹ቯ䈫䈚䈩䋬10㗡䈱⽋㗶䉕↪䈇䋬ዊ⥓ᱤㇱ䈱⥠஥ᱤ㗪ㇱ
䉋䉍2㪅0mm㩷4㪅0mm㩷6㪅0mm䉕ၮḰὐ䈫䈚䋬ห᭽䈮⿥ዊဳ⿥㖸ᵄ䊒䊨䊷䊑㩿࿑㸇㪀䈮䈩☼⤑䈱ෘ䉂䉕᷹ቯ䈚䈢䋮⸘᷹⋥ᓟ䋬䈠䉏䈡䉏⚵❱ಾ 䉕૞ᚑ䈚䊉䉩䉴䈮䈩᷹ቯ䈚䈢ታ᷹୯䈫Ყセᬌ⸛䉕䈍䈖䈭䈇䋬paired㩷tᬌቯ䉕↪䈇䈩⛔⸘ಣℂ䉕䈍䈖䈭䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ⎬䊶エ⚵❱౒䈮⿥㖸ᵄ⟲䈫ታ᷹⟲䉕Ყセ䈚䈢㓙䋬⛔
⸘ቇ⊛᦭ᗧᏅ䈲⹺䉄䉌䉏䈝䋬ᱜ⏕䈭⸘᷹୯䉕␜䈚䈢䋮⿥㖸ᵄ⸘᷹㩿࿑㸈㪀䈮䈲ᬌ૕䈱ၮḰ㖸ㅦ䉕⍮䉎ᔅⷐ䈏䈅䉍䋬ᱜ⏕䈭⸘᷹୯䉕ᓧ䉎䈢䉄䈮䈲ᔅⷐਇนᰳ
䈪䈅䈦䈢䋮䉁䈢䋬ၮḰ䈫䈭䉎⿥㖸ᵄ䊒䊨䊷䊑䈲䋬⚵❱䈎䉌䈱෻኿䉕䊒䊨䊷䊑䈪⺒䉂ข䉎䈢䉄䋬ᱜ⏕䈭୯䉕ᓧ䉎䈢䉄䈮䈲⚵❱䈮ኻ䈚䈩䈧䈰䈮⋥ⷺ䈮䊒䊨䊷䊑䉕ᒰ䈩䉎ᔅⷐ䈏䈅䉎䋮੹ᓟ䈲ⷺᐲ䈱ὐ䉕⠨ᘦ䈚䈢ᒻᘒ䋬⸘
᷹ᣇᴺ䉕ᬌ⸛䈚䈩䈇䈒ᔅⷐ䈏䈅䉎䋮ᧄ⎇ⓥ䈱⚿ᨐ䉋䉍䋬⿥ዊဳ⿥㖸ᵄ䊒䊨䊷䊑䉕↪䈇䈩䈱ᱤ⑼ಽ㊁䈪䈱⥃ᐥᔕ↪䈏น⢻䈪䈅䉎䈖䈫䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Fabrice CP, Juliana M, Stefan W, Joachim T,
Klaus R, Stefan H. High-frequency ultrasound as

an option for scanning of prepared teeth: an invitro study. Ultrasound in Med & Biol 2015; 41:
309–316.
2䋩 Khalid HS, Nigel LB, Diana LG, Joseph AE. In
vitro enamel thickness measurments withultrasound. Ultrasound in Med & Biol 2015; 41:
301–308.

࿑㸇: ⿥ዊဳ⿥㖸ᵄ䊒䊨䊷䊑䇭࿑㸈: ⿥㖸ᵄ⸘᷹⚿ᨐ䇭

─ 133 ─

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一般 口 演 発 表㪦㪈㪄㪈㪊ᦨᄢຏวജ䈫䉧䊛䈱㊂䈱㆑䈇䈮䉋䉎♖␹⊛䉴䊃䊧䉴✭๺ലᨐ䇭䇭䂾㥲⮮␭ᄥ 㪈㪀䋬↰ဈᓆⷙ 㪉㪀䋬ᶏ㊁䇭⥶ 㪈㪀䋬ᳰ↰৻ᵗ 㪉㪀䋬㕍ᧁବᙗ 㪈㪀䋬⩵࿾ᗲ⾆ 㪈㪀䋬ਛ⷏ᐽテ 㪈㪀䋬਄↰⾆ਯ 㪈㪀䋬ጊਅ⑲৻㇢ 㪉㪀䋬ᰞ੗䇭⮍ 㪈㪀㪈㪀᧲੩ᱤ⑼ᄢቇ⠧ᐕᱤ⑼⵬✄ቇ⻠ᐳ䋬 㪉㪀᧲੩ᱤ⑼ᄢቇ䊌䊷䉲䊞䊦䊂䊮䉼䊞䊷⵬✄ቇ⻠ᐳ
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Influence of Maximun Occlusal Force and Gum Amount on Mental Stress Release by Chewing
Saitou Y 1), Tasaka A 2), Unno W 1), Ikeda K 2), Aoki T 1), Kikuchi M 1), Nakanishi K 1), Ueda T 1), Yamashita S 2),
Sakurai K 1)
1)
Department of Removable Prosthodontics and Gerodontology, Tokyo Dental College, 2)Department ofRemovable Partial Prosthodontics, Tokyo Dental College㸇䋮㩷⋡⊛䇭๰ྨ䈮䉋䉎♖␹⊛䉴䊃䊧䉴✭๺䈮䈧䈇䈩᭽䇱䈭⎇ⓥ
䈏䈅䉎䋮䈠䈱ਛ䈪䋬Tahara㩷䉌䈲♖␹⊛䉴䊃䊧䉴⽶⩄ᓟ䈮䉼䊠䊷䉟䊮䉫䉕ⴕ䈉䈖䈫䈮䉋䈦䈩䋬♖␹⊛䉴䊃䊧䉴䈱ᜰᮡ䈪䈅䉎ໜᶧਛ䉮䊦䉼䉹䊷䊦Ớᐲ䈏䋬ᷫዋ䈜䉎䈖䈫䉕᣿䉌䈎䈮䈚䈢1㪀䋮䈖䉏䉁䈪䉼䊠䊷䉟䊮䉫ᤨ䈱䉧䊛䈱㊂䈏䋬♖␹⊛䉴䊃䊧䉴✭๺䈮෸䈿䈜ᓇ㗀䈮䈧䈇䈩䉅ᬌ⸛䈚䋬䉧䊛2୘䉋䉍䉅1୘䈱䈾䈉䈏䉴䊃䊧䉴✭๺䈮᦭ല䈪䈅䈦䈢䈖䈫䉕᣿䉌䈎䈮䈚䈩䈐䈢2㪀䋮䈠䈖䈪䇸䉧䊛䈱㊂䈮䉋䉎䉴䊃䊧䉴✭๺ലᨐ䈱㆑䈇䈮䈲୘ੱ䈱ᦨᄢຏวജ䈏䋬ᓇ㗀䉕෸䈿䈜䇹䈫䈇䈉઒⺑䉕┙䈩䈢䋮੹࿁ᚒ䇱䈲䋬䉧䊛䈱㊂䈱㆑䈇䈮䉋䉎♖␹⊛䉴䊃䊧䉴✭๺ലᨐ䈫ᦨᄢຏวജ䈫䈱㑐ㅪ䈮䈧䈇䈩ᬌ⸛䈜䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ⵍ㛎⠪䈲ஜᏱ᦭ᱤ㗶⠪16ฬ䋨ᐔဋᐕ㦂28㪅3㫧2㪅2ᱦ䋩䈫䈚䋬30ಽ㑆቟㕒ᓟ䈮䉴䊃䊧䉴⽶⩄䈫䈚䈩ᥧ▚䉕30ಽ㑆ⴕ䉒䈞䈢䋮䈠䈱ᓟ10ಽ㑆䈱䉼䊠䊷䉟䊮䉫䉕ⴕ䈇
10ಽ㑆቟㕒䈮䈚䋬ታ㛎䉕⚳ੌ䈫䈚䈢䋮䉮䊮䊃䊨䊷䊦䈲䉼䊠䊷䉟䊮䉫䈭䈚㩿቟㕒㪀䈫䈚䈢䋮䉧䊛䈱㊂䈱ᄌൻ䈫䈚䈩
䉧䊛1୘䈍䉋䈶䉧䊛2୘䈪䈱䉼䊠䊷䉟䊮䉫䉕ⴕ䈦䈢䋮䉼䊠䊷䉟䊮䉫⹜ᢱ䈲䉸䊐䊃䉺䉟䊒䈱ή๧䉧䊛1g䋨Rotte␠⵾䋩䉕૶↪䈚䈢䋮♖␹⊛䉴䊃䊧䉴⁁ᘒ䈱⹏ଔ䈱ᜰᮡ䈫䈚䈩ໜᶧਛ䉮䊦䉼䉹䊷䊦Ớᐲ䉕᷹ቯ䈚䋬䉴䊃䊧䉴⽶⩄⋥ᓟ䈎䉌䉴䊃䊧䉴⽶⩄10ಽᓟ䈱ᄌൻ₸䉕▚಴䈚䈢䋮䉮䊦䉼䉹䊷䊦Ớᐲ䈲Salivette䋨SARSTED␠⵾䋩䈮䈩ណข䈚䈢ໜᶧ䈎䉌㱏䉦䉡䊮䉺䊷䋨ᣣ┙䉝䊨䉦䊜䊂䉞䉦䊦␠⵾䋩䉕↪䈇䈩RIAᴺ䈮䈩⸘᷹䈚䈢䋮╭㔚⸘ME3000P
䋨Mega㩷Electronics␠⵾䋩䉕↪䈇䈩䋬ਔ஥ຏ╭䈱⴫㕙╭㔚࿑䉕ዉ಴䈚䋬10ಽ㑆䈱䉼䊠䊷䉟䊮䉫࿁ᢙ෸䈶╭ᵴേ㊂䉕▚಴䈚䈢䋮ᦨᄢຏวജ䈲䉥䉪䊦䊷䉱䊦䊐䉤䊷䉴䊜䊷䉺䊷GM10䋨㐳㊁⸘ེ␠⵾䋩䉕↪䈇䈩䋬Ꮐฝ╙৻ᄢ⥓ᱤ䈪䈱ᦨᄢຏวജ䉕ฦ5࿁᷹ቯ䈚䋬Ꮐฝ䈱ᐔဋ୯䉕᳞䉄䈢䋮䉴䊃䊧䉴⽶⩄30ಽᓟ䈎䉌ฦ᧦ઙᓟ䈱䉮䊦䉼䉹䊷䊦Ớᐲ䈱ᄌൻ䈮䈧䈇䈩㪃৻ర㈩⟎ಽᢔಽᨆᓟ䋬Bonferroniᬌቯ䉕ⴕ䈦䈢䋮䉧䊛䈱୘ᢙ䈮䉋䉎䉼䊠䊷䉟䊮䉫࿁ᢙ෸䈶╭ᵴേ㊂䈱Ყセ䈲ኻᔕ䈱䈅䉎tᬌቯ䉕ⴕ䈦䈢䋮ฦ᧦ઙᓟ䈱䉮䊦䉼䉹䊷䊦䈱Ớᐲ䈱ᄌൻ₸䈫ᦨᄢຏวജ䈫䈱⋧㑐䈮䈧䈇䈩䊏䉝䉸䊮䈱⋧㑐ଥᢙ䉕▚಴䈚䈢䋨㱍㪔0㪅05䋩䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭䉴䊃䊧䉴⽶⩄⋥ᓟ䈎䉌䉴䊃䊧䉴⽶⩄10ಽᓟ䈱ໜᶧਛ䉮䊦䉼䉹䊷䊦Ớᐲ䈱ᄌൻ₸䈲䋬䉧䊛1୘䈱䉼䊠䊷䉟䊮䉫䈮䈍䈇䈩⪺䈚䈒ᷫዋ䈚䋬቟㕒䈫䉧䊛1୘䈍䉋䈶䉧䊛1
୘䈫䉧䊛2୘䈫䈱㑆䈮᦭ᗧᏅ䉕⹺䉄䈢䋮቟㕒䈫䉧䊛2୘䈫䈱㑆䈮䈲᦭ᗧᏅ䉕⹺䉄䈭䈎䈦䈢䋮
䇭10ಽ㑆䈱䉼䊠䊷䉟䊮䉫࿁ᢙ䈍䉋䈶╭ᵴേ㊂䈲䉧䊛1୘䉋䉍䉅2୘䈱ᣇ䈏ᄙ䈒䋬᦭ᗧᏅ䉕⹺䉄䈢䋮ᦨᄢຏวജ䈲513㪅7㫧148N䈪䈅䈦䈢䋮䉧䊛1୘䈱䉼䊠䊷䉟䊮䉫ᤨ䈱ໜᶧਛ䉮䊦䉼䉹䊷䊦Ớᐲ䈱ᄌൻ₸䈫ᦨᄢຏวജ
䈫䈱㑆䈮⋧㑐㑐ଥ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮䉧䊛2୘䈱䉼䊠䊷䉟䊮䉫ᤨ䈱ໜᶧਛ䉮䊦䉼䉹䊷䊦Ớᐲ䈱ᄌൻ₸䈫ᦨᄢຏวജ䈫䈱㑆䈮䈲⋧㑐㑐ଥ䋨r㪔㪄0㪅501㪃㩷 P㪔0㪅048䋩䈏⹺䉄䉌䉏䈢䋮䇭䇭䇭䉧䊛䈱㊂䈱㆑䈇䈏䉼䊠䊷䉟䊮䉫䈮䉋䉎䉴䊃䊧䉴✭๺ലᨐ䈮ᓇ㗀䉕෸䈿䈚䋬䉧䊛2୘䉋䉍䉅1୘䈪䉼䊠䊷䉟䊮䉫䈜䉎ᣇ䈏䉴䊃䊧䉴✭๺䈮᦭ല䈪䈅䈦䈢䋮䈖䉏䈲䉧䊛䈱㊂䈏Ⴧട䈜䉎䈖䈫䈮䉋䉍䋬䉼䊠䊷䉟䊮䉫࿁ᢙ䋬╭ᵴേ㊂䈏Ⴧട䈮䉋䉎╭∋ഭ䈏ᓇ㗀䈚䈢䈖䈫䈏⠨䈋䉌䉏䈢䋮䇭䉧䊛1୘䈪䈱䉴䊃䊧䉴✭๺䈮䈲ᦨᄢຏวജ䈲ᓇ㗀䉕෸䈿䈘䈭䈇䈏䋬䉧䊛2୘䈪䈱䉴䊃䊧䉴✭๺䈮䈲䋬ᦨᄢຏวജ䈏ᄢ䈐䈇ੱ䈾䈬ലᨐ䈏䈅䉎น⢻ᕈ䈏␜ໂ䈘䉏
䈢䋮
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㸊䋮㩷ᢥ₂
1䋩 Tahara Y, Sakurai K, Ando T. Influence ofChewing and Clenching on Salivary Cortisol
Levels as an Indicator of Stress. J Prosthodont
2007; 16: 129-135.
2䋩 ᶏ㊁䇭⥶䋬↰ဈᓆⷙ䋬⩵࿾ᗲ⾆䋬ਛ⷏ᐽテ䋬㕍ᧁବᙗ䋬ᢪ⮮␭ᄥ䋬ᩮᵤ⵨৻䋬਄↰⾆ਯ䋬ᰞ੗䇭⮍䋮ᣣᧄ⵬✄ᱤ⑼ቇળ⹹7䋬124࿁․೎ภ
2015䋻148䋮

─ 134 ─日補綴会誌

第 1 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪈㪄㪈㪋ਥᯏ⢻ㇱ૏䈮䈍䈔䉎ຏวജ䈫ຏวធ⸅㕙Ⓧ䈱ᬌ⸛䇭䇭䂾ਛ᧛ஜᄥ㇢ 㪈㪀䋬ጊᧄม዁ 㪈㪀䋬ਭ㊁ᓆม 㪈㪀䋬ోਗ䇭අ 㪈㪀䋬ኹየ㓁৻ 㪈㪀䋬㐳ᳯ䇭ආ 㪈㪀䋬᧻የஜ↢ 㪈㪀䋬᫪䇭࿻ฝ 㪈㪀䋬ጊ᧛᣽ᒄ 㪈㪀䋬ዊ㊁ᴛ⑲᮸ 㪉㪀㪈㪀Shurenkai䋬 㪉㪀ᩣᑼળ␠䉳䊷䉲䊷

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Examination of occlusal force and occlusal contact area from main occluding area
Nakamura K 1), Yamamoto M 1), Kuno S 1), Zennami T 1), Terao Y 1), Nagae T 1), Matsuo T 1), Mori K 1),
Yamamura M 1), Onozawa H 2)
1)
Shurenkai, 2)GC Co.

㸇䋮㩷⋡⊛䇭ਥᯏ⢻ㇱ૏䈲๰ྨ䈮㊀ⷐ䈭ᒻᘒ⊛․ᓽ䈪䈅䉎䈣䈔䈪䈭䈒䋬ຏวᕈᄖ்䋬㘩 ࿶౉䈍䉋䈶䉟䊮䊧䊷ㄝ✼ᱤ⾰䈱⎕᛬䈫䈇䈦䈢㓚ኂ䉕ᒁ䈐⿠䈖䈜䈖䈫䈏䈅䉎䋮䈖䈱䉋䈉䈭ਥᯏ⢻ㇱ૏䈏ේ࿃䈫䈭䉎㓚ኂ䉕⵬✄ᴦ≮䈮䉋䈦䈩ᡷༀ䈜䉎႐ว䈮䈲䋬╙1ᄢ⥓ᱤ䈱ᯏ⢻ຏ㗡ౝᢳ㕙ㇱ䈮✕ኒ䈭ຏว䉕ઃਈ䈜䉎䈖䈫䈏ᔅⷐ䈪䈅䉎䋮ઃਈ䈜䉎ຏว䈲5㬍5mm⒟ᐲ䈱▸࿐䈪䋬㘩‛☳⎈䈮㑐ਈ䈜䉎▸࿐䈏⋥ᓘ3mm⒟ᐲ䋨⚂7mm2䋩䈫䈭䉎䉋䈉䈮䈜䉎䈖䈫䈏ឭ໒䈘䉏䈩䈇䉎1㪀䋮䈚䈎䈚䈭䈏䉌ઃਈ䈚䈢ຏวធ⸅⁁ᘒ䈏ㆡಾ䈎䈬䈉䈎䈲䋬ญ⣧ౝ䈪䈱䉴䊃䉾䊏䊮䉫䈮䉋䉎ᬌᩏ䉕ⴕ䈉䉁䈪⏕⸽䈏ᓧ䉌䉏䈭䈇䋮䇭䈠䈖䈪੹࿁䈲ਥᯏ⢻ㇱ૏䉕࿁ᓳ䉁䈢䈲ᡷༀ䈜䉎㓙䈱ᜰᮡ䉕ᓧ䉎⋡⊛䈪䋬ਥᯏ⢻ㇱ૏䈮⊒⃻䈜䉎ຏวജ䈫ຏวធ⸅㕙Ⓧ䈮⌕⋡䈚⺞ᩏ䉕ⴕ䈦䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ⵍ㛎⠪䈲ታ㛎䈻䈱หᗧ䈏ᓧ䉌䉏䈢ᱜᏱ᦭ᱤ㗶⠪100ฬ䋨↵ᕈ21ฬ䋬ᅚᕈ79ฬ䋬18ޯ72ᱦ䋺ᐔဋ30㪅5ᱦ䋩䈪䈅䉎䋮䈠䈱᧦ઙ䈲⍶ᱜ䈱ᣢᓔ䈏䈭䈒䋬╙3ᄢ⥓ᱤએᄖ䈮ᰳ៊䈏⹺䉄䉌䉏䈝䋬ਛ╬ᐲએ਄䈱ᱤ๟∔ᖚ䈮⟕ᖚ䈚䈩䈍䉌䈝䋬⪺䈚䈇ᱤ೉ਇᱜ䈏⹺䉄䉌䉏䈝䋬⥓ᱤ䈏䈜䈼䈩᦭㜑ᱤ䈪䈅䉍䋬∛⊛䈭⽎‎⾰䈱㔺಴䈏⹺䉄䉌䉏䈭䈇䈖䈫䈪䈅䉎䋮䇭ਥᯏ⢻ㇱ૏䈱್ቯ䈲ട⮮䈱ᣇᴺ1㪀䈮ᓥ䈇䋬⋥ᓘ3㪅
4mm㬍4㪅0mm䈱䉴䊃䉾䊏䊮䉫䋨䊁䊮䊘䊤䊥䊷䉴䊃䉾䊏䊮䉫䋬䉳䊷䉲䊷䋬᧲੩䋩䉕↪䈇䈩ི䉂䉇䈜䈇ㇱ૏䈮䈍䈇
䈩1࿁䈱ི䉂䈚䉄䉕ⴕ䉒䈞䋬䈖䉏䉕Ꮐฝ஥䈮䈧䈇䈩䈠䉏䈡䉏3࿁ⴕ䈦䈢䋮䈖䈱࿶ᐔ䈘䉏䈢䉴䊃䉾䊏䊮䉫䉕䋬ၮᐩ㕙䈎䉌ຏวᐔ㕙䉁䈪䈱〒㔌䉕18mm䈮⺞ᢛ䈚䈢ਅ㗶ᮨဳ਄䈮Ꮐฝ1୘䈝䈧ㆡว䈘䈞䈢⁁ᘒ䉕ౣ⃻䈚䋬ᱤធ⸅ಽᨆⵝ⟎䋨䊋䉟䊃䉝䉟BE㪄I䋬䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䈪᠟ᓇ䈚䈢䋮᠟ᓇ᧦ઙ䈲Shoot㩷mode䈪᠟ᓇ୚₸60㩼䈫䈚䋬䊂䉞䉴䊒䊧䉟਄䈱චሼ✢䈱❑✢䉕ਅ㗶ਛಾᱤ䈱㓞ធ㕙ធ⸅ὐ䈮䋬ᮮ✢䉕Ꮐฝ╙2ዊ⥓ᱤ䈫╙1ᄢ⥓ᱤ䈱㓞ធ㕙ធ⸅ὐ䈮⸳⟎䈚䋬↹௝䊂䊷䉺䈫䈚䈩⸥㍳䈚䈢䋮䇭ຏวജ䈱᷹ቯ䈮䈲ຏวജ᷹ቯ䉲䉴䊁䊛䋨DePROS䋬䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䉕↪䈇䋬ຏวജ᷹ቯ䊐䉟䊦䊛䋨䊂䊮䉺䊦䊒䊧䉴䉬䊷䊦50H䊶䉺䉟䊒R䊶䉰䉟䉵L䋬䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䉕ਛ᧛䈱ᣇᴺ2㪀䈮ᓥ䈦䈩ណᓧ䈚䋬セᱜ䈘䉏䈢ຏวജ᷹ቯⵝ⟎䋨䉥䉪䊦䊷䉱䊷709䋬䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䈪⸃ᨆ䈚䈢䋮⸃ᨆ䈘䉏䈢ᱤ೉ో૕䈱䊂䊷䉺䈎䉌䉴䊃䉾䊏䊮䉫ᬌᩏ䈪ᓧ䉌䉏䈢▸࿐䈱ຏวജ䉕䋬䉪䊨䊷䉵䉝䉾䊒ᯏ⢻䉕૶↪䈚䈩᛽಴䈚䈢䋮䇭ຏวធ⸅⁁ᘒ䈱᷹ቯ䈮䈲ຏวធ⸅ᬌᩏ᧚䋨䊑䊦䊷䉲䊥䉮䊷䊮䇭䊨䊷䊐䊨䊷䋬䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䉕↪
䈇䈩ណᓧ䈚䋬ᱤធ⸅ಽᨆⵝ⟎䈪⸃ᨆ䉕ⴕ䈦䈢䋮⸃ᨆ䈘䉏䈢ᱤ೉ో૕䈱䊂䊷䉺䈎䉌䉴䊃䉾䊏䊮䉫ᬌᩏ䈪ᓧ䉌䉏䈢㗔ၞ䈱ຏวធ⸅㕙Ⓧ䉕᛽಴䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ᱜᏱ᦭ᱤ㗶⠪䉕ኻ⽎䈫䈚䈩ਥᯏ⢻ㇱ૏䈮⊒⃻䈜䉎ຏวജ䈍䉋䈶ຏวធ⸅㕙Ⓧ䉕⺞ᩏ䈚䈢⚿ᨐ䋬ో䈩䈱ⵍᬌ⠪䈮䈍䈇䈩䉴䊃䉾䊏䊮䉫䈱࿶ᐔ䈮䉋䉍␜䈘䉏䈢ਥᯏ⢻ㇱ૏䈱▸࿐ౝ䈮ຏวജ䈏⊒⃻䈜䉎㗔ၞ䈫ຏวធ⸅䈏⹺䉄䉌䉏䋬
䇭1㪅䇭ਥᯏ⢻ㇱ૏䈮⊒⃻䈚䈢ຏวജ䈱ᐔဋ୯䈲䋬Ꮐ
஥108㪅7N䋨SD㩷220㪅3䋩䋬ฝ஥69㪅6N䋨SD㩷53㪅8䋩䋬ਔ஥
89㪅2N䋨SD㩷161㪅1䋩䈪䈅䈦䈢䋮
䇭2㪅䇭ਥᯏ⢻ㇱ૏䈮⊒⃻䈚䈢ຏวജ⴫␜㕙Ⓧ䈱ᐔဋ୯䈲䋬Ꮐ஥2㪅7mm2䋨SD㩷1㪅6䋩ฝ஥2㪅1mm2䋨SD㩷1㪅6䋩䋬
ਔ஥2㪅4mm2䋨SD㩷1㪅6䋩䈪䈅䈦䈢䋮䇭3㪅䇭ਥᯏ⢻ㇱ૏䈱㗔ၞౝ䈱ຏวធ⸅㕙Ⓧ䈲䋬Ꮐ஥
6㪅6mm2䋨SD㩷4㪅3䋩ฝ஥6㪅6mm2䋨SD㩷5㪅3䋩䋬ਔ஥6㪅6mm2
䋨SD㩷4㪅8䋩䈪䈅䈦䈢䋮䇭એ਄䈱⚿ᨐ䈲䋬ਥᯏ⢻ㇱ૏䉕࿁ᓳ䉁䈢䈲ᡷༀ䈜䉎㓙䈱ຏวജ䈫ຏวធ⸅㕙Ⓧ䈱ᜰᮡ䈫䈭䉎น⢻ᕈ䈏␜
ໂ䈘䉏䈢䋮
䇭
㸊䋮㩷ᢥ₂
1䋩 ട⮮ဋ䋮ਥᯏ⢻ㇱ૏䈮ၮ䈨䈒ታ〣⊛ຏว⺰䋮᧲੩䋺䊂䊮䉺䊦䉻䉟䊟䊝䊮䊄␠䋻2010䋮
2䋩 ਛ᧛ஜᄥ㇢䋮䊂䊮䉺䊦䊒䊧䉴䉬䊷䊦䊶䊁䉪䊆䉦䊦䊶䉟䊮䊐䉤䊜䊷䉲䊢䊮䇸䊂䊮䉺䊦䊒䊧䉴䉬䊷䊦䈱਄ᚻ䈭ຏ䉁䈞ᣇ䇹䋮ᩣᑼળ␠䉳䊷䉲䊷䋬2003䋮

─ 135 ─

第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪈㪌⿥㜞ㅦMRI䉕↪䈇䈢䊑䊤䉨䉲䉵䊛ਛ䈮䈍䈔䉎ਅ㗶㗡䈱ᄌ૏㊂䂾᧲䇭㜞჻䋬ਛ᧛ஜᄥ㇢䋬ጊᧄม዁䋬ᄖၔ⧷ੑ䋬ဈ੗⟵ᤐ䋬㜞ᵿ⌀৻䋬ንỈ䇭୶䋬⦁ᧁ䇭ᒄ

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Shurenkai
Displacement of temporomandibular joint during bruxism movement to deglutition using ultra-high-speed
MRI
Higashi T, Nakamura K, Yamamoto M, Gaijo E, Sakai Y, Takahama S, Tomizawa O, Funaki H
Shurenkai㸇䋮㩷⋡⊛䇭䉒䉏䉒䉏䈲㗶㑐▵䈱ㆇേⷐ⚛䈪䈅䉎ਅ㗶㗡䉇㑐▵౞᧼䈮䈧䈇䈩േ↹⊛䋬ㅪേ⊛䈮േᘒ䈱ⷰኤ䈏น⢻䈪䈅䉎⿥㜞ㅦMR᠟௝ᴺ䈮䈧䈇䈩ႎ๔䉕ⴕ䈦䈩䈐䈢䋮䈠䈱䈭䈎䈪㘩ຠ๰ྨ䈎䉌ྚਅ䈮䈇䈢䉎䉁䈪䈱㗶㑐▵ㇱ䈱േᘒ䉕⿥㜞ㅦMRI䈪᠟௝䈚䋬䈠䈱䈫䈐䈱ਅ㗶㗡
䈱⒖േ〒㔌䉕⸘᷹䈚䈢䈫䈖䉐䋬ஜᏱ᦭ᱤ㗶⠪䈍䉋䈶㗶ᯏ⢻㓚ኂ⠪䈫䉅䈮Ꮐฝ஥๰ྨ஥䈪䈱⒖േ〒㔌䈲䋬ᦨᄢ㐿ญᤨ䈫Ყセ䈚䈩ዊ䈘䈒䋬㐽ญᤨ䈫Ꮕ䈏䈭䈇䈖䈫䉕ႎ๔䈚1㪀䋬๰ྨㆇേ䈮䈍䈇䈩䈲㗶㑐▵ㇱ䈱㑐ਈ䈏㕖Ᏹ䈮ዋ䈭䈇䈖䈫䉕᣿䉌䈎䈮䈚䈢䋮䇭䈠䈖䈪੹࿁䈲䋬㗶㑐▵ㇱ䈮ᒝ䈇⽶⩄䈏䈎䈎䉎䈫⠨䈋䉌䉏䈩䈇䉎䊑䊤䉨䉲䉵䊛ਛ䈱㗶㑐▵ㇱ䉕⿥㜞ㅦMRI䈪᠟௝䈚䋬䈠䈱േᘒⷰኤ䈍䉋䈶ਅ㗶㗡䈱⒖േ〒㔌䉕⸘᷹䈚䋬㐽ญᤨ䈫䈱Ყセ䉕ⴕ䈦䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ⵍ㛎⠪䈲䋬ታ㛎䈮หᗧ䈏ᓧ䉌䉏䈢䋬㗶㑐▵∝∝⁁䈭䉌䈶䈮๰ྨ㓚ኂ䉕᦭䈘䈭䈇ஜᏱ᦭ᱤ㗶⠪䋨NA䋩↵
ᕈ1ฬ䋺34ᱦ䋬䈍䉋䈶๰ྨ㓚ኂ䉕⥄ⷡ䈜䉎㗶ᯏ⢻㓚ኂ⠪䋨UA䋩↵ᕈ1ฬ䋺39ᱦ䈪䈅䉎䋮2ฬ䈫䉅䊑䊤䉨䉲䉵䊛䉕⥄ⷡ䈚䈩䈇䉎䋮䇭MRIⵝ⟎䋨Acheiva㩷Nova㩷Dual㩷1㪅5T䋬䊐䉞䊥䉾䊒䉴䋬䉝䊛䉴䊁䊦䉻䊛䋬䉥䊤䊮䉻䋩䉕૶↪䈚䋬᠟ᓇ↪䉮䉟䊦䈮䈲⋥ᓘ47mm㩷Surface㩷Microscopy㩷Coil䉕↪䈇䈢䋮᠟௝
ᣇᴺ䈲Balanced㩷FFE䉕૶↪䈚䋬㑐▵౞᧼䈱േᘒ䈏ᦨ䉅⏕⹺䈪䈐䉎ห৻⍫⁁ᢿ㕙਄䈮䈩䋬50⑽㑆䈮100᠟௝䈫䈚䈢䋮䇭᠟௝᧦ઙ䈲FHᐔ㕙䈏᠟௝บ䈫ု⋥䈮䈭䉎䉋䈉㗡ㇱ䉕࿕ቯ䈚䋬50⑽㑆ౝ䈪䉪䊧䊮䉼䊮䉫䋬Ꮐฝ஥䈻䈱䉫䊤䉟䊂䉞䊮䉫䈍䉋䈶䉺䉾䊏䊮䉫䈮䈧䈇䈩⥄ⷡ䈜䉎䊑䊤䉨䉲䉵䊛䈫ห᭽䈱ㆇേ䉕ᗧ⼂⊛䈮ⴕ䉒䈞䈢䋮䇭ਅ㗶㗡䈱⒖േ〒㔌䈱⸘᷹䈮䈲DICOM䊎䊠䊷䉝䋨OsiriX2䋬OsiriX⽷࿅䋬䉳䊠䊈䊷䊑䋬䉴䉟䉴䋩䉕૶↪䈚䈢䋮⸘᷹ὐ䈲㗶㑐▵┃਄✼㛽ౝ㕙䈎䉌ਅ㗶㗡਄✼䉁䈪䈫䈚䋬䈠䈱〒㔌䉕⸘᷹䈚䈢䋮䉮䊮䊃䊨䊷䊦䈲㐽ญᤨ䈮䈍䈔䉎ਅ㗶㗡䈱૏⟎䋨CC䋩䈫䈚䈢䋮Ყセኻ⽎䈫䈚䈢ㆇ

─ 136 ─േ䈲䉪䊧䊮䉼䊮䉫䋨CL䋩䋬䉫䊤䉟䊂䉞䊮䉫䋨GR䋩䋬䉺䉾䊏䊮䉫䋨TA䋩䈪⸘᷹〒㔌䈏ᦨ䉅ዊ䈘䈒䈭䉎ㆇേᤨ䈱〒㔌䉕5࿁⸘᷹䈚䈢䋮
䇭⸘᷹䈚䈢ਅ㗶㗡䈱〒㔌䉕Dunnett䈱ᄙ㊀Ყセᴺ䈮䈩⸃ᨆ䉕ⴕ䈦䈢䋮
䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭䉪䊧䊮䉼䊮䉫䋬䉫䊤䉟䊂䉞䊮䉫䈍䉋䈶䉺䉾䊏䊮䉫ਛ䈱㗶㑐▵ㇱ䈱േᘒ䉕⿥㜞ㅦMRI䈪᠟௝䈚䋬㗶㑐▵ㇱ䈱േᘒ䉕ⷰኤ䈚䋬ਅ㗶㗡䈱⒖േ〒㔌䉕⸘᷹䈚䈢⚿ᨐ䋨⴫䋩䋬
䇭1㪅䇭㗶㑐▵ㇱ䈱േᘒⷰኤ䈎䉌䋬ో䈩䈱ㆇേ䈮䈍䈇䈩ਅ㗶㗡䈲ᓸዊ䈭േ䈐䉕⹺䉄䈢䋮
䇭2㪅䇭ⵍᬌ⠪NA䈪䈲Ꮐ஥㗶㑐▵䈮䈍䈔䉎CL䈫GRએᄖ䈪CC䈫䈱㑆䈮᦭ᗧᏅ䈏⹺䉄䉌䉏䈢䋮᦭ᗧᏅ䈏⹺䉄䉌䉏䈢ㆇേ䈪䈲CC䉋䉍䉅〒㔌䈏ᄢ䈐䈎䈦䈢䋮䇭3㪅䇭ⵍᬌ⠪UA䈪䈲ฝ஥㗶㑐▵䈮䈍䈔䉎GRએᄖ䈪
CC䈫䈱㑆䈮᦭ᗧᏅ䈏⹺䉄䉌䉏䈢䋮᦭ᗧᏅ䈏⹺䉄䉌䉏䈢ㆇേ䈪䈲CC䉋䉍䉅〒㔌䈏ዊ䈘䈎䈦䈢䋮䇭એ਄䈱䈖䈫䈎䉌䋬䊑䊤䉨䉲䉵䊛ਛ䈱ਅ㗶㗡䈲㐽ญᤨ䈱㗶㑐▵┃਄✼㛽ౝ㕙䉁䈪䈱〒㔌䈫1mmએਅ䈱▸࿐䈪⒖േ䈜䉎䈖䈫䈏䉒䈎䈦䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 ጊᧄม዁䋬ਛ᧛ஜᄥ㇢䋬ㄭ⮮ᐽผ䋬ᨋ⵨ਭ䋬ᚑ↰⵨♿䋮⿥㜞ㅦMRI䉕↪䈇䈢๰ྨㆇേᤨ䈱ਅ㗶㗡䈱ᄌ૏㊂䋮ᣣ⵬✄ળ⹹䇭2015䋻7䊶124࿁․೎
ภ䋺143䋮
㗶㑐▵┃਄✼㛽ౝ㕙䈎䉌ਅ㗶㗡਄✼䉁䈪䈱〒㔌䇭

日補綴会誌

第 1 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪈㪄㪈㪍᳓ᐔ㕙ⷰ䈮䈍䈔䉎๰ྨㆇേ〝䈫஥ᣇṖ⿛ㆇേ〝㵪ห৻゠〔⠪䈱⺞ᩏ㵪䇭䇭䂾౷↰⌀৻ 㪈㪀䋬ਛ᧛ஜᄥ㇢ 㪈㪀䋬ጊᧄม዁ 㪈㪀䋬ᄥ↰ᔒ㤗 㪈㪀䋬ጟਅᘮᄥ㇢ 㪈㪀䋬૒⮮ᱜᓆ 㪈㪀䋬ᴤ⼱ᓕᒾ 㪈㪀䋬⚦Ꮉ⒤ᤩ 㪉㪀䋬H㪅W㪅Lang 㪉㪀䋬ዊ㊁ᴛ⑲᮸ 㪊㪀㪈㪀Shurenkai䋬 㪉㪀䉦䊗䊂䊮䉺䊦䉲䉴䊁䊛䉵䉳䊞䊌䊮䋨ᩣ䋩䋬 㪊㪀ᩣᑼળ␠䉳䊷䉲䊷

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Trace of masticatory movement path and lateral mandibular translation path at horizontal plane view
- Investigation of the same trace subjects Tomita S 1), Nakamura K 1), Yamamoto M 1), Ota S 1), Okashita K 1), Sato M 1), Yutani M 1), Hosokawa T 2),
Lang H 2), Onozawa H 3)
1)
Shurenkai, 2)KaVo Dental Systems Japan Co., Ltd., 3)GC Co.

㸇䋮㩷⋡⊛䇭䉒䉏䉒䉏䈲╙124࿁ᣣᧄ⵬✄ᱤ⑼ቇળቇⴚᄢળ䈮䈍䈇䈩䋬ஜᏱ᦭ᱤ㗶⠪䈱᳓ᐔ㕙ⷰ䈮䈍䈔䉎๰ྨㆇേ᭽⋧䉕ⷰኤ䈚䋬๰ྨㆇേᤨ䈮ᱤ䈮䉋䈦䈩ⷙቯ䈘䉏䉎Ṗ⿛ㆇേ〝䈫ห䈛゠〔䉕䈢䈬䉎∝଀䈏6㪅9㩼䈅䉎䈖䈫䉕ႎ๔䈚䈢1㪀䋮
䇭Ṗ⿛ㆇേ䈲㗶ㆇേ䈱䈉䈤਄ਅ㗶䈱ᱤ೉䈮䉋䉎ធ⸅Ṗ⿛䈪䈅䉍䋬๰ྨㆇേ〝䈲ຏ㗡፰ว૏ઃㄭ䈮䈍䈔䉎ᱤ䈱ធ⸅Ṗ⿛䈱᦭ή䉇ຏ㗡௑ᢳ䈫䈱㑐ଥ䈏ㅀ䈼䉌䉏䈩䈇䉎2㪀䋮䈧䉁䉍๰ྨㆇേ〝䈮䈍䈔䉎Ṗ⿛ㆇേ䈲ᱤ౰ᒻᘒ䉇๰ྨ䈮䉋䉎ຏ⠻䈫ኒធ䈭㑐ଥ䈏䈅䉎䈖䈫䈏⠨䈋䉌䉏䉎䋮๰ྨㆇേ䈮㑐ㅪ䈚䈢ຏ⠻䈪䈅䉏䈳䋬⵬✄ᴦ≮䈮䉋䈦䈩ᱤ౰ᒻᘒ䉕࿁ᓳ䈜䉎㓙䈮䈲๰ྨ䉕౞Ṗ䈮ⴕ䈉䈢䉄䈮ห᭽䈱ᒻᘒ䉕ઃਈ䈜䉎ᔅⷐ䈏䈅䉎䋮䇭䈠䈖䈪੹࿁䈲๰ྨㆇേ〝䈫஥ᣇṖ⿛ㆇേ〝䈫䈏ห゠〔䉕䈢䈬䉎ኻ⽎⠪䈮ኻ䈚䈩䋬⸃೬ቇ⊛ᒻᘒ䈫ຏว
ធ⸅㕙Ⓧ䉕⺞ᩏ䈚䈢䈱䈪ႎ๔䈜䉎䋮䇭㸈䋮㩷ᣇᴺ䇭ኻ⽎⠪䈲೨ㅀ䈱ႎ๔䈪㗶ㆇേᬌᩏ䉕ⴕ䈦䈢ᖚ⠪䈱䈉䈤䋬᳓ᐔ㕙ⷰ䈮䈍䈔䉎๰ྨㆇേ䈫஥ᣇṖ⿛ㆇേ䈏ห゠〔䉕␜䈚䈢7ฬ䋨↵ᕈ3ฬ䋺54ޯ68ᱦ䋻ᐔဋ59㪅3
ᱦ䋬ᅚᕈ4ฬ䋺22ޯ50ᱦ䋻ᐔဋ37㪅8ᱦ䋩䈪䈅䉎䋮ㆬᛯ䈚䈢ᖚ⠪䈱᧦ઙ䈲䋬㊀ᐲ䈱ᱤ๟∛䈮⟕ᖚ䈚䈩䈇䈭䈇䋬น᠗ᕈ⟵ᱤ䉕ⵝ⌕䈚䈩䈇䈭䈇䋬㗶ᯏ⢻㓚ኂ䈍䉋䈶๰ྨ㓚ኂ䉕⥄ⷡ䈚䈭䈇⠪䈪䈅䉎䋮䇭㗶ㆇേᬌᩏ䈮䈲䊂䉳䉺䊦ᑼ㗶ㆇേ⸘᷹ⵝ⟎䋨ARCUSdigma㸈䋬䉦䊗䊂䊮䉺䊦䉲䉴䊁䊛䉵䉳䊞䊌䊮䋬᧲੩䋬ᣣᧄ䋩䈱⸘᷹䊝䉳䊠䊷䊦䋨Motion㩷Analysis䋩䉕↪䈇䈢䋮⸘᷹ኻ⽎䈲Ꮐฝ஥Ṗ⿛ㆇേ䋬Ꮐฝ஥๰ྨㆇ
േ䈪䋬๰ྨ⹜㛎㘩ຠ䈮䈲䉧䊛䋨䊐䊥䊷䉹䊷䊮䋬䊨䉾䊁䋬᧲੩䋬ᣣᧄ䋩1㪆2ᨎ䉕૶↪䈚䈢䋮஥ᣇṖ⿛ㆇേ〝䈲ᱤ⑼කᏧ1ฬ䈏᳓ᐔ㕙䈮䈍䈇䈩ຏ㗡፰ว૏䈎䉌3㪅0mm
એ਄䈱〒㔌䉕Ṗ⿛ㆇേ〝䈫๰ྨㆇേ〝䈏ห䈛゠〔䉕䈢䈬䉎䉅䈱䉕ห゠〔䈫್ቯ䈚䋬⛔ว䊒䊨䉫䊤䊛䋨KaVo
integrated㩷 Desktop䋬䉦䊗䊂䊮䉺䊦䉲䉴䊁䊛䉵䉳䊞䊌䊮䋬᧲੩䋬ᣣᧄ䋩਄䈪Ṗ⿛ㆇേ〒㔌䉕⸘᷹䈚䈢䋮䇭⸃೬ቇ⊛ᒻᘒ䈱ಽᨆ䈲⎇ⓥ↪ᮨဳ䉕↪䈇䈩ᱤ⑼කᏧ1ฬ䈏⋡ⷞਅ䈪ⴕ䈦䈢䋮

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䇭1㪅䇭⪺䈚䈇ຏ⠻䉕⹺䉄䉎䋮
䇭2㪅䇭ຏวᒭᦛ䈏✭䈇䋮
䇭3㪅䇭೨ᱤㇱ䈱ု⋥⊛䈭ⵍ⬄䈏ᵻ䈇䈎䋬䉅䈚䈒䈲ሽ࿷䈚䈭䈇䋮䇭4㪅䇭ᱤ೉ᑿ䈏✭䈇Uဳ䈪䈅䉍䋬›ᱤ䈱૏⟎䈏೨ᱤ䈮ㄭ䈇೨ᣇ䈮૏⟎䈚䈩䈇䉎䋮
䇭5㪅䇭ᄢ⥓ᱤㇱ䈮ᱤ౰⵬✄ಣ⟎䉕⹺䉄䉎䋮
䇭6㪅䇭ห゠〔䈱Ṗ⿛〒㔌䈱ᐔဋ䈲3㪅38mm䋨SD㩷0㪅69䋩䈪䈅䈦䈢䋮䇭7㪅䇭ຏวធ⸅㕙Ⓧ䈱ᐔဋ䈲35㪅2mm2䋨SD㩷14㪅5䋩䈪䈅䉍䋬ຏวធ⸅㕙Ⓧ䈫Ṗ⿛〒㔌䈱㑆䈮䈲᦭ᗧᏅ䈏⹺䉄䉌䉏䈭䈎䈦䈢䋮
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第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪈㪎

CAD㪆CAM㩷䊊䉟䊑䊥䉾䊄䊧䉳䊮䉕↪䈇䈢ᄢ⥓ᱤ䉪䊤䉡䊮䈱⎕᛬᭽⋧䈫⎕უᒝᐲ
䂾ⷐ䇭ᥓሶ䋬⧯ᨋ৻㆏䋬Ⴎ⷗ᐘሶ䋬JeisonCARBAJAL䋬ਛ᧛㓉ᔒ䋬⍫⼱ඳᢥ

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ᄢ㒋ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼䉪䊤䉡䊮䊑䊥䉾䉳⵬✄ቇಽ㊁
Fracture behaviors and strengths of hybrid resin molar crown restorations fabricated with CAD/CAM
systemKaname T, Wakabayashi K, Shiomi S, Carbajal J, Nakamura T, Yatani H
Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry㸇䋮㩷⋡⊛䇭ᱤ⑼↪CAD㪆CAM䉲䉴䊁䊛䉕↪䈇䈢⵬✄ᱤ⑼ᴦ≮䈏⥃ᐥ䈪৻⥸⊛䈮ⴕ䉒䉏䉎䉋䈉䈮䈭䉍䋬ㄭᐕ䈪䈲䋬ᱤ౰ୃᓳ᧚ᢱ䈫䈚䈩㪃㩷CAD㪆CAM↪䊊䉟䊑䊥䉾䊄䊧䉳䊮䊑䊨䉾䉪䈏ฦ⒳㐿⊒䈘䉏䈩䈇䉎䋮䈖䉏䉌䈱䊑䊨䉾䉪䈲䋬䊐䉞䊤䊷䈱㜞ኒᐲలႯᛛⴚ䈱⊒㆐䉇✕ኒ䈭㊀ว䈮䉋䉍䋬ఝ䉏䈢ᯏ᪾․ᕈ䉕᦭䈜䉎䈫ႎ๔䈘䉏䈩䈇䉎䋮ᚒ䈏࿖䈪䈲䋬⃻࿷ዊ⥓ᱤ䈮䈍䈇䈩଻㒾ㆡᔕ䈘䉏䈩䈇䉎䈏䋬੹ᓟᄢ⥓ᱤ䈻䈱ᔕ↪䉅ᦼᓙ䈘䉏䈩䈇䉎䋮ᄢ⥓ᱤ䈪䈲ዊ⥓ᱤ䉋䉍ᒝ䈇ຏวജ䈏⽶⩄䈘䉏䉎䈢䉄䋬⎕᛬䈮ኻ䈜䉎䉋䉍৻ጀ䈱⠨ᘦ䈏ᔅⷐ䈪䈅䉎䈫⠨䈋䉌䉏䉎䋮䇭䈠䈖䈪ᧄ⎇ⓥ䈲䋬䉪䊤䉡䊮䈱⎕᛬䈮ᵈ⋡䈚䋬⥃ᐥ䈪ᣢ䈮ᔕ↪䈘䉏䈩䈇䉎䉥䊷䊦䉶䊤䊚䉾䉪䉪䊤䉡䊮䈫Ყセ䈜䉎䈖䈫䈪䋬CAD㪆CAM䊊䉟䊑䊥䉾䊄䊧䉳䊮䉪䊤䉡䊮䈱ᄢ⥓ᱤㇱ䈻䈱ᔕ↪䈮㑐䈜䉎␜ໂ䉕ᓧ䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺታ㛎1䋮ᄢ⥓ᱤ㩷CAD㪆CAM㩷䊊䉟䊑䊥䉾䊄䊧䉳䊮䉪䊤䉡䊮䈱⎕უ⹜㛎
䇭ታ㛎↪ᡰบᱤ䈱૞⵾䈮䈲㩷CAD㪆CAM㩷䉪䊤䉡䊮↪䈱ᡰบᱤᒻᘒ䈮ടᎿ䈚䈢਄㗶Ꮐ஥╙৻ᄢ⥓ᱤ䉣䊘䉨䉲ᮨဳ䋨䊆䉾䉲䊮䋩䉕૶↪䈚䋬ᱤ⑼↪㩷CAD㪆CAM㩷䉲䉴䊁䊛䈮䈩䉣䊘䉨䉲ᮨဳ䈫หᒻ⁁䈱⚐䉼䉺䊮⵾㊄ዻᡰบᱤ䉕㩷120㩷୘૞⵾䈚䈢䋮CAD㪆CAM㩷䉪䊤䉡䊮䈱૞⵾䈮䈲䋬Ꮢ⽼䈱㩷CAD㪆CAM㩷↪䊊䉟䊑䊥䉾䊄䊧䉳䊮䊑䊨䉾䉪 䈪 䈅 䉎 ᧻ 㘑 䊑 䊨 䉾 䉪 㩷 HC 䋨 ᧻ 㘑 䋬 એ ਅ 㩷 HC 䋩 䋬
CERASMART䋨GC䋬એਅ㩷CS䋩䋬KZR㪄CAD㩷HR㩷䊑䊨䉾
䉪2㩷䋨YAMAKIN䋬એਅKZR䋩䋬ENAMIC䋨Vita䋬એਅ
EN䋩䋬AVENCIA䋨䉪䊤䊧䊉䊥䉺䉬䊂䊮䉺䊦䋬AV䋩䈱㩷5㩷⒳㘃䈫䋬䉮䊮䊃䊨䊷䊦䈫䈚䈩ੑ䉬䉟㉄䊥䉼䉡䊛䉧䊤䉴䉶䊤䊚䉾䉪䊑䊨䉾䉪䈱㩷IPS㩷e㪅max㩷CAD㩷䋨Ivoclar㩷Vivadent䋬એਅ㩷EMAX䋩䉕↪䈇䈢䋮䉪䊤䉡䊮䈱㩷CAD㩷䊝䊂䊦䈱૞ᚑ䈮䈲䉻䊑䊦䉴䉨䊞䊮ᴺ䉕↪䈇䋬ฦ䊑䊨䉾䉪㩷20㩷୘䋬⸘120㩷 ୘䈱䉪䊤䉡䊮䉕૞⵾䈚䈢䋮䉪䊤䉡䊮䈱ⵝ⌕䈲䋬ฦ䊜䊷䉦䊷ផᅑ䈱䊒䊨䊃䉮䊷䊦䈮ᓥ䈦䈩ⴕ䈦䈢䋮20㩷୘䈱⹜ᢱ䈱䈉䈤䋬10㩷୘䈲ⵝ⌕㩷24㩷ᤨ㑆ᓟ䈮䋬ᱷ䉍㩷10㩷୘䈲㩷37㷄㩷 䈱᳓ਛ䈮㩷30㩷 ᣣ㑆ᶐẃᓟ䈮䋬ਁ⢻⹜㛎ᯏ䋨Autograph㩷AGS㪄500D䋬ፉᵤ⵾૞ᚲ䋩䉕↪䈇䋬⋥ᓘ
8㩷mm㩷䈱䉴䉼䊷䊦䊗䊷䊦⃿䉕੺࿷䈘䈞䋬䉪䊨䉴䊓䉾䊄䉴䊏䊷䊄㩷0㪅5㩷mm㪆min㩷䈪⎕უ⹜㛎䉕ⴕ䈦䈢䋮䈘䉌䈮䋬⎕ უ ⹜ 㛎 䈮 㓙 䈚 䈩 䋬 2㩷 บ 䈱 䊊 䉟 䉴 䊏 䊷 䊄 䉦 䊜 䊤 䋬
PHANTOM㩷 V10䋨Nobby㩷 Tech䋩㩿9㪃411㩷 䉮䊙㪆⑽㪀䈫

VW㪄6000䋨KEYENCE䋩䋨1㪃000㩷䉮䊙㪆⑽䋩䉕↪䈇䈩㗠⥠ᣇะ䈎䉌㜞ㅦ᠟ᓇ䈚䈩䉪䊤䉡䊮䈱⎕᛬᭽⋧䉕ⷰኤ䈚䈢䋮ታ㛎2䋮᦭㒢ⷐ⚛ᴺ䉕↪䈇䈢ᔕജ⸃ᨆ䇭ታ㛎㩷1㩷䈪ᓧ䉌䉏䈢⎕᛬ᤨ䈱᭽⋧䉕⹏ଔ䈜䉎䈢䉄䋬CAD㪆CAM㩷䊊䉟䊑䊥䉾䊄䊧䉳䊮䉪䊤䉡䊮䈫㩷CAD㪆CAM䉥䊷䊦䉶䊤䊚䉾䉪䉪䊤䉡䊮䈮⩄㊀䉕⽶⩄䈚䈢㓙䈱ᔕജಽᏓ䉕᦭㒢ⷐ⚛䊝䊂䊦䉕↪䈇䈩⸃ᨆ䈚䈢䋮⩄㊀ὐ䈲ታ㛎1䈫ห৻䈫䈚䋬1㪃200㩷N㩷䋬䈘䉌䈮䋬ታ㛎㩷1㩷䈪ᓧ䉌䉏䈢⎕უ⩄㊀㩷2㪃400㩷N㩷䉕⽶⩄䈚䈢䋮䈠䈚䈩ᦨᄢਥ䈵䈝䉂䈮䈧䈇䈩⸃ᨆ䉕ⴕ䈇䋬䈵䈝䉂䈱ㇱ૏䋬ᄢ䈐䈘䈮䈧䈇䈩⹏ଔ䈚䈢䋮
䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ⵝ⌕24ᤨ㑆ᓟ䈮䈍䈔䉎⎕უ⩄㊀䈱ᐔဋ୯䈲䋬HC
䈏㩷1㪃963㩷N㩷䋬CS㩷䈏㩷2㪃361㩷N㩷䋬KZR䈏㩷2㪃693㩷N㩷䋬EN
䈏㩷1㪃936㩷N㩷䋬AV㩷䈏3㪃140㩷N䋬EMAX㩷䈏㩷2㪃345㩷N㩷䈪䈅䉍䋬᳓ਛᶐẃ㩷30㩷ᣣᓟ䈮䈍䈔䉎⎕უ⩄㊀䈱ᐔဋ୯䈲䋬HC㩷 䈏㩷922㩷N㩷 䋬CS㩷 䈏㩷1㪃892㩷N㩷 䋬KZR䈏㩷2㪃245
N䋬EN㩷 䈏㩷1㪃949㩷N㩷 䋬㩷AV㩷 䈏2㪃488㩷N䋬EMAX䈏㩷2㪃
479㩷N㩷䈪䈅䈦䈢䋮HC㩷䋬CS䋬KZR䋬㩷AV䈪䈲ⵝ⌕24ᤨ㑆ᓟ䈫Ყセ䈚䋬᳓ਛᶐẃ㩷30㩷ᣣᓟ䈮᦭ᗧ䈮ૐ䈇୯䉕␜䈚䈢䋨P㩷㪓㩷0㪅05䋩䋮䇭㜞ㅦ᠟ᓇ䈱⚿ᨐ䋬CAD㪆CAM㩷䊊䉟䊑䊥䉾䊄䊧䉳䊮䉪䊤䉡䊮䈫㩷CAD㪆CAM㩷䉥䊷䊦䉶䊤䊚䉾䉪䉪䊤䉡䊮䈪䈲⇣䈭䉎⎕᛬᭽⋧䈏ⷰኤ䈘䉏䈢䋮䉁䈢䋬᦭㒢ⷐ⚛ᴺ⸃ᨆ
䈮䈍䈇䈩䉅䋬䈵䈝䉂䈱ಽᏓ䈮㆑䈇䈏⹺䉄䉌䉏䈢䋮䈖䉏䉌䈱⚿ᨐ䉋䉍䋬䈵䈝䉂䈱⊒↢ㇱ૏䈫䋬੉ⵚ䈱⊒↢ㇱ૏䈏ㄭૃ䈚䈩䈍䉍䋬᦭㒢ⷐ⚛䊝䊂䊦䈲ታ㓙䈱䉪䊤䉡䊮䈫㜞䈇╬ଔᕈ䉕᦭䈚䈩䈇䉎䉅䈱䈫⠨䈋䉌䉏䈢䋮䇭એ਄䉋䉍䋬CAD㪆CAM㩷 䊊䉟䊑䊥䉾䊄䊧䉳䊮䉪䊤䉡䊮䈲䋬䊍䊃䈱ᄢ⥓ᱤㇱ䈮䈍䈔䉎ᦨᄢຏวജ䉋䉍䉅㜞䈒䋬䈎
䈧㩷CAD㪆CAM㩷䉧䊤䉴䉶䊤䊚䉾䉪䉪䊤䉡䊮䈫ห╬䈱⎕უᛶ᛫䉕᦭䈚䈩䈍䉍䋬⎕᛬䈱ⷰὐ䈎䉌䈲䋬ᄢ⥓ᱤㇱ䈻䈱ᔕ↪䈏น⢻䈪䈅䉎䈫⠨䈋䉌䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Potency DJ, Klim J. CAD/CAM in-officetechnology: innovations after 25 years forpredictable, esthetic outcomes. J Am Dent Assoc,
2010; 141: 5S-9S

─ 138 ─日補綴会誌

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一般口演発 表㪦㪈㪄㪈㪏⒳䇱䈱CAD㪆CAM䉲䉴䊁䊛䈪ಾ೥䈘䉏䈢CAD㪆CAM౰䈱⴫㕙ᕈ⁁䈮䈧䈇䈩
䂾⣶ේノ⚐ 㪈㪀䋬ේ䇭⥰ 㪈㪀䋬૒⮮䇭੧ 㪈㪀䋬ᨋේ⾆ᓼ 㪈㪀䋬Ⴧ↰ᥓବ 㪈㪀䋬ᣂ⼱᣿᣽ 㪈㪀䋬ቛ㑆⵨੺ 㪈㪀䋬྾䉿⼱䇭⼔ 㪈㪀䋬㜞ᯅବਯ 㪉㪀䋬ၴਅ⨃᮸ 㪊㪀㪈㪀᧲੩ᱤ⑼ᄢቇ䉪䊤䉡䊮䊑䊥䉾䉳⵬✄ቇ⻠ᐳ䋬 㪉㪀᧲੩ᱤ⑼ᄢቇජ⪲∛㒮✚ว⸻≮⑼䋬 㪊㪀ᩣᑼળ
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Evaluation of surface texture of CAD/CAM crown among various types of CAD/CAM milling system.
Koshihara T 1), Hara M 1), Sato T 1), Hayashibara T 1), Masuda T 1), Shinya A 1), Takuma Y 1), Yotsuya M 1),
Takahashi T 2), Doshita S 3)
1)
Department of Fixed Prosthodontics, Tokyo Dental College, 2)Division of General Dentistry, Tokyo
Dental College Chiba hospital, 3)ATOM CORPORATION㸇䋮㩷⋡⊛ᐔᚑ21ᐕ䉋䉍ታᣉ䈘䉏䈢వㅴක≮䈱⚿ᨐ䉕ฃ䈔䈩䋬
ᐔᚑ26ᐕ䉋䉍ዊ⥓ᱤ䈱න౰ᴦ≮䈮ኻ䈚䋬CAD㪆CAM౰䈏଻㒾ㆡᔕ䈫䈭䈦䈢1㪀㩷䋮⃻࿷䋬CAD㪆CAM౰↪䈱䊧䉳䊮䊑䊨䉾䉪䈲ⶄᢙᏒ⽼䈘䉏䈩䈍䉍䋬ടᎿ䈮↪䈇䉎CAD㪆CAM䉲䉴䊁䊛䉅ᄙ᭽䈪䈅䉎䋮CAD㪆CAM౰↪
䈱䊧䉳䊮䊑䊨䉾䉪䈲䋬⎬⾰䊧䉳䊮䉳䊞䉬䉾䊃䉪䊤䉡䊮䈫Ყセ䈚䈩ဋ⾰䈭⚛᧚䈪ᯏ᪾⊛ᒝᐲ䉅቟ቯ䈚䋬⦣⪭䈤䈚䈮䈒䈇᧚ᢱ䈫䈭䈦䈩䈇䉎䋮䈘䉌䈮䋬䉧䊤䉴䉶䊤䊚䉾䉪䉴䉋䉍⎕᛬䈚䈮䈒䈇ᕈ⾰䉇䊃䊧䊷䉰䊎䊥䊁䉞䈱⏕଻䋬㊄ዻ䈱୯Ბ䈱㜞㛛䈭䈬䈎䉌䋬CAD㪆CAM౰䈱㔛ⷐ䈲㜞䉁䈦䈩䈇䈒䈫⠨䈋䉌䉏䉎䋮䈚䈎䈚଻㒾ዉ౉6䊱᦬ᓟ䈱CAD㪆
CAM౰䈱⥃ᐥᚑ❣䈎䉌䋬2㩼䈱⎕᛬䈫9㩼䈱⣕㔌䈏䉂䉌䉏䉎䈫䈇䈉䉅ႎ๔䈏䈅䉎2㪀㩷䋮
䇭CAD㪆CAM౰↪䈱䊧䉳䊮䊑䊨䉾䉪䈲⒳䇱䈅䉍䋬㈩ว
䈘䉏䈩䈇䉎䊐䉞䊤䊷䈱ᚑಽ䉇ᒻ⁁䋬㊀ว૕䈱᭴ㅧ䈱㆑䈇䈏ᯏ᪾⊛ᒝᐲ䉇ធ⌕䈮ᓇ㗀䉕ਈ䈋䈩䈇䉎น⢻ᕈ䈏䈅䉎䈖䈫䈏ႎ๔䈘䉏䈩䈇䉎3㪀㩷䋮䇭䉁䈢䋬ടᎿ䈜䉎CAD㪆CAM䉲䉴䊁䊛䉅ᄙ᭽䈪䈅䉎4㪀㩷䋮․䈮ੇᑼ䋬Ḩᑼ䈱ಾ೥ടᎿ䈱㆑䈇䈲䋬ಾ೥ᤨ㑆䋬䊚䊥䊮䉫䊋䊷䈱ᒻᘒ䉇⠴ਭᕈ䋬ᦨ⚳⊛䈮䈲⵬✄ⵝ⟎䈱ㆡวᕈ䈏⇣䈭䈦䈩䈒䉎䈫⠨䈋䉌䉏䉎䈏䋬CAD㪆CAM䉲䉴
䊁䊛䉇ಾ೥䊋䊷䈱૶↪࿁ᢙ䈱㆑䈇䈮䉋䉎CAD㪆CAM౰䈱⴫㕙ᕈ⁁䈮䈧䈇䈩䈱ႎ๔䈲ዋ䈭䈇䋮䇭ᧄ⎇ⓥ䈱⋡⊛䈲䋬CAD㪆CAM䉲䉴䊁䊛䈍䉋䈶ಾ೥䊋䊷䈱૶↪࿁ᢙ䈏⴫㕙☻䈘䈮ਈ䈋䉎ᓇ㗀䉕ᬌ⸛䈜䉎䈖䈫䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ
Lava™㩷 Ultimate㩷 䋨 3M㩷 ESPE 䋩 䊑 䊨 䉾 䉪 䉕 ૶ ↪ 䈚 䋬
PRODIA㪄M45㩷 䋨PRODIA䋩䋬DWX㪄50㩷 䋨Roland䋩䋬
BELLEZZA㩷4X㩷MILLING㩷MACHINE㩷䋨i㪄CAST䋩䈱ฦCAD㪆CAM䉲䉴䊁䊛䈮䈩CAD㪆CAM౰䉕૞⵾䈚䈢䋮ታ㛎↪䈮ᒻᚑ䈘䉏䈢਄㗶╙৻ዊ⥓ᱤ䉕ᡰบᱤ䈫䈜䉎૞ᬺᮨဳ䈱䉴䉨䊞䊮䉕ⴕ䈇䋬䈠䈱ᓟCAD䉸䊐䊃䈮䈩ฦ䉲䉴䊁䊛䈪ห৻ᒻᘒ䈮䈭䉎䉋䈉䈮䊂䉱䉟䊮䈚䋬CAD㪆CAM౰䉕૞⵾䈚䈢䋮ቢᚑ䈚䈢⹜ᢱ䈲3D㪄SEM䈮䈩୚₸500୚䈪ⷰኤ䉕ⴕ䈇䋬㗠㕙䈱3ὐ䉕⸘᷹䈚ᐔဋ⴫㕙☻䈘㩷䋨Sa䋩䉕⸘᷹䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤCAD㪆CAM౰䈱⴫㕙☻䈘䈲ฦ䉲䉴䊁䊛䈪⇣䈭䉎௑ะ䈪䈅䈦䈢䋮ಾ೥䊋䊷䈱࿁ォᢙ䋬೥䉍ᷓ䈘䋬೥䉍䊏䉾䉼䈭䈬䈱ಾ೥䉸䊐䊃䈱⸳ቯ䋬ಾ೥䊋䊷䈱⋡䈱⨹䈘䈫䉶䉾䊁䉞䊮䉫䊋䊤䊮䉴䈭䈬䈏䋬CAD㪆CAM౰䈱⴫㕙☻䈘䈮ᓇ㗀䈜䉎䈫⠨䈋䉌䉏䈢䋮䊋䊷䈱ೋᦼ૶↪࿁ᢙ䈲⴫㕙☻䈘䈮᣿⏕䈭Ꮕ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮੹ᓟ䈲૶↪࿁ᢙ䉕Ⴧ䉇䈚䈩䈇䈐䋬૶↪࿁ᢙ䈫⴫㕙ᕈ⁁䈱㑐ଥ䉕ᬌ⸛䈚䈩䈇䈐䈢䈇䈫⠨䈋䈩䈇䉎䋮䇭㸊䋮㩷ᢥ₂
1䋩 ⇸↰ ৻ᵗ䋬 ⥰↰ ஜᄦ䋬 Ꮉ਄ ᥓผ䈾䈎䋬 :CAD/CAM↪䊊䉟䊑䊥䉾䊄䊧䉳䊮䊑䊨䉾䉪䈮䉋䉍⵾૞䈚䈢䉪䊤䉡䊮䈱⥃ᐥ⹏ଔ. ᣣᧄ⵬✄ᱤ⑼ቇળ
⹹, 1:64-70, 2009.
2䋩 ၳ↰ ᐽᒄ: CAD/CAM䊧䉳䊮䊑䊨䉾䉪. ᣣᧄᱤ⑼ℂᎿቇળ⹹, 34:25-26, 2015.
3䋩 ᧃἑ৻ᒾ: CAD/CAM䉲䉴䊁䊛䈮䉋䉎ᱤ౰ୃᓳ䉕ᝄ䉍㄰䈦䈩. ᣣᧄᱤ⑼↥ᬺቇળ⹹, 29:3-8, 2015.
4䋩 ᧃἑ৻ᒾ: CAD/CAM䈱ၮ␆⍮⼂䇭ฦ⒳CAD/
CAMᯏེ䈱․ᓽ, ⵬✄⥃ᐥ ೎ౠᦨᣂCAD/
CAMᱤ౰ୃᓳᴦ≮, pp44-50. කᱤ⮎಴ , ᧲
੩, 2014.

ฦCAD/CAM䉲䉴䊁䊛䈪ಾ೥䈘䉏䈢CAD/CAM౰䈱⴫㕙☻䈘䇭─ 139 ─

第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪈㪐

CAD㪆CAM↪䉶䊤䊚䉾䉪䉴䈮䈍䈔䉎⋧੕៺⠻䈱ಽᨆ䂾ඨ↰๺ਯ 㪈㪀䋬᧛਄ᄹᵤሶ 㪈㪀䋬㜞ᯅ⧷๺ 㪉㪀䋬⧯ᨋೣᐘ 㪈㪀
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᧲੩ක⑼ᱤ⑼ᄢቇ䇭ᄢቇ㒮කᱤቇ✚ว⎇ⓥ⑼㩷ญ⣧ᯏ⢻ౣ᭴▽ቇ⻠ᐳ䇭ㇱಽᐥ⟵ᱤ⵬✄
ቇಽ㊁䋬 㪉㪀᧲੩ක⑼ᱤ⑼ᄢቇ䇭ᄢቇ㒮කᱤቇ✚ว⎇ⓥ⑼㩷කᱤℂᎿ♽ኾ᡹㩷ญ⣧ᯏ᧚㐿⊒Ꮏ
ቇಽ㊁
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Ball-on-disk wear analysis of paired CAD/CAM machinable ceramics
Handa K 1), Murakami N 1), Takahashi H 2), Wakabayashi N 1)
1)
Removable Partial Prosthodontics, Department of Masticatory Function Rehabilitation, Division of Oral
Health Sciences, Graduate School, Tokyo Medical and Dental University, 2)Oral Biomaterials Engineering,
Course of Oral Health Engineering, School of Oral Health Care Sciences, Tokyo Medical and Dental
University㸇䋮㩷⋡⊛䇭ㄭᐕ䋬ୃᓳ䊶⵬✄䈮↪䈇䉌䉏䉎᧚ᢱ䈏ᄙ᭽ൻ䈚䋬㜞㕤ᕈ䈪⎕᛬ᛶ᛫ᕈ䈱㜞䈇䉶䊤䊚䉾䉪᧚ᢱ䈏㐿⊒䈘䉏䈩䈇䉎䋮䈖䉏䉌䉶䊤䊚䉾䉪䉴䈱៺⠻ᕈ䈮㑐䈜䉎⎇ⓥႎ๔
䈪䈲䋬䉣䊅䊜䊦⾰䈮ኻ䈜䉎៺⠻ᕈ䈱ႎ๔䈏ᱴ䈬䈪䈅䉍䋬ኻวᱤ䈏ୃᓳ䈘䉏䈩䈇䉎੐䉕ᗐቯ䈚䈢᧚ᢱห჻䈱⋧੕៺⠻䈮㑐䈜䉎ႎ๔䈲ዋ䈭䈇䋮ᧄ⎇ⓥ䈱⋡⊛䈲䋬․ቯ᧚ᢱ䈮ኻ䈜䉎៺⠻䉕⠨ᘦ䈚䈢᧚ᢱㆬᛯ䈱ၮḰ䉕᣿⏕䈮䈜䉎䈢䉄䋬⇣䈭䉎䉶䊤䊚䉾䉪᧚ᢱ䈏ኻว䈜䉎䈫䈐䈱៺⠻․ᕈ䉕ᬌ⸛䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭᧚ᢱ䈮䈲CAD㪆CAMಾ೥ടᎿ↪䊑䊨䉾䉪3⒳䋬㐳⍹♽ 䉶 䊤 䊚 䉾 䉪 䉴 䋨 VITABLOCS㩷 Mark㸈㪃VITA
Zahnfabrik䋩䋨MK䋩䋬䊊䉟䊑䊥䉾䊄䉶䊤䊚䉾䉪䉴䋨VITA
ENAMIC㪃㩷VITA㩷Zahnfabrik䋩䋨EN䋩䋬ੑ䉬䉟㉄䊥䉼䉡䊛䋨IPS㩷e㪅max㩷CAD㪃㩷Ivoclar㩷Vivadent䋩䋨EX䋩䉕↪䈇䈢䋮៺⠻⹜㛎䈮䈲䋬⋥ᓘ4mm䈱ඨ⃿ဳ䊗䊷䊦⹜ᢱ䈫⋥ᓘ
8mmෘ䈘2mm䈱䊂䉞䉴䉪ဳ⹜ᢱ䉕ฦ᧚ᢱ䉋䉍ಾ೥ടᎿ䈪ᚑᒻ䈚䈢䋮᧚ᢱᲤ䈮⥃ᐥ䈮Ḱ䈛䈢ᣇᴺ䈪⎇⏴ಣℂ䉕ᣉ䈚䋬1ㅳ㑆36㷄䈱⫳⇐᳓ਛ䈮଻ሽ䈚䈢ᓟ䋬៺⠻⹜㛎䉕ⴕ䈦䈢䋮䊂䉞䉴䉪⁁⹜ᢱ䈫៺⠻࿶ሶ䈫䈚䈩䈱䊗䊷䊦ဳ⹜ᢱ䉕ᯏ᪾䈮䈫䉍䈧䈔䋬50N䈱⩄㊀䈱䉅䈫䋬15㫦௑ᢳ䉕䈧䈔䈢3㪅7mm䈱䉴䊤䉟䊂䉞䊮䉫䊌䉴䈪1㪅
2Hz䋬3000࿁➅䉍㄰䈚䈢䋮㩷៺⠻㊂䈱⸥㍳䈲1000࿁Ფ䈮ⴕ䈦䈢䋮䇭ฦ⹜ᢱ䈱៺⠻㊂䈲䋬⹜ᢱ䉕ญ⣧ౝ䉴䉨䊞䊅
䋨CEREC㩷Omnicam㪃㩷Sirona䋩䈪3ᰴర⊛䈮⸥㍳䈚䋬ᓧ䉌䉏䈢ᒻ⁁䊂䊷䉺䉕䊜䉾䉲䊠䊂䊷䉺✬㓸䉸䊐䊃䉡䉢䉝
䋨Geomagic㩷Studio㪃㩷3D㩷Systems䋩਄䈪૕Ⓧ䈱᷹ቯ䉕ⴕ䈦䈢䋮䇭៺⠻⹜㛎䈮䈍䈔䉎䋬ฦ⹜ᢱ䈱ᔕജ䈍䉋䈶䈵䈝䉂ಽᏓ䉕▚಴䈜䉎䈢䉄䋬䊗䊷䊦⹜ᢱ䈫䊂䉞䉴䉪⹜ᢱ䈱ਃᰴర᦭㒢ⷐ⚛䊝䊂䊦䉕᭴▽䈚䋬៺⠻⹜㛎䈱⩄㊀㊂䈫䉴䊤䉟䊄䉕ౣ⃻䈚䈢ធ⸅⸃ᨆ䋨ANSYS㩷11㪅0㪃㩷ANSYS䋩䉕ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭៺⠻⹜㛎䈮䉋䉍ᓧ䉌䉏䈢䋬ฦ᧚ᢱ䈱⚵䉂ว䉒䈞䈫៺⠻㊂䈱㑐ଥ䉕࿑1䈮␜䈜䋮࿑1䈪䈲䋬ὐ✢䈪࿐䉁䉏䈢ㇱಽ䈏਄䈱᫔䉫䊤䊐䈪␜䈜៺⠻㊂䈮ኻᔕ䈜䉎᧚ᢱ䈱䉮䊷䊄䈪䈅䉎䋮㩷᧚ᢱ䈱៺⠻ౕว䉕Ყセ䈚䈢䈫䈖䉐䋬MK
䈫EN䈱៺⠻䈘䉏䉇䈜䈘䈏ㄭ䈒䋬EX䈲៺⠻䈘䉏㔍䈇䋬䉁䈢៺⠻䈘䈞䉇䈜䈘䈫䈚䈩䈲MK䈫EX䈏䈫ห⒟ᐲ䈪៺⠻䈘䈞䉇䈜䈒䋬EN䈏៺⠻䈘䈞㔍䈇䈖䈫䈏ಽ䈎䈦䈢䋮⎬䈘䉇㕢ᕈ୯䈭䈬᧚ᢱ䈱ᒝᐲ䉕␜䈜‛ᕈ୯䈏ᒝ䈒ᓇ㗀䈚䈢䈖䈫䈏␜ໂ䈘䉏䉎⚿ᨐ䈫䈭䈦䈢䋮᦭㒢ⷐ⚛⸃ᨆ䈱⚿ᨐ䈫៺⠻⹜㛎䈱⚿ᨐ䉕Ყセ䈚䈢䈫䈖䉐䋬ห䈛᧚ᢱห჻䈱⚵䉂ว䉒䈞䉕㒰䈇䈩䋬䊗䊷䊦䈫䊂䉞䉴䉪䈪ᦨᄢਥᱡ䉂䈱୯䈏ᄢ䈐䈇஥䈱⹜ᢱ䈏䉋䉍ᄙ䈒䈱៺⠻㊂䉕␜䈚䈢䋮䇭ຏ㗡䈫ຏว㕙䈱䈬䈤䉌䈏ᄙ䈒៺⠻䈜䉎䈎䈮䈧䈇䈩䈲䉶䊤䊚䉾䉪䉴䈱ᯏ᪾⊛ᕈ⾰䉕ర䈮੍᷹䈜䉎䈖䈫䈏น⢻䈪䈅䈦䈢৻ᣇ䋬៺⠻㊂⥄૕䉕੍᷹䈜䉎䈢䉄䈮䈲ⶄว⊛䈭࿃ሶ䉕฽䉃੍᷹૞ᬺ䈏ᔅⷐ䈪䈅䉎䈫␜ໂ䈘䉏
䈢䋮
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㸊䋮㩷ᢥ₂
1䋩 Koottathape N, Takahashi H, Iwasaki N,
Kanehira M, Finger WJ. Two- and three-bodywear of composite resins. Dent Mater. 2012;28:
1261-1270

࿑1䇭᧚ᢱ䈱⚵䉂ว䉒䈞䈫៺⠻㊂䈱㑐ଥ䇭

─ 140 ─日補綴会誌

8・125 回特別号，2016

第 1 日 第 3 会場
一般口演発 表㪦㪈㪄㪉㪇

12㩼㊄㌁䊌䊤䉳䉡䊛ว㊄䉕↪䈇䈢㊄ዻⵣⵝ䊘䊮䊁䉞䉾䉪䈱䊂䉱䉟䊮䈱ᬌ⸛
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᧲ᶏᡰㇱ
Investigation of pontic design using 12% gold-silver-palladium alloys.
Kawashita K
Tokai Branch㸇䋮㩷⋡⊛䇭ஜᐽ଻㒾ㆡ↪䈱䊑䊥䉾䉳䈱䊘䊮䊁䉞䉾䉪䈱⒳㘃䈲䋬㍌
ㅧ䋬㊄ዻⵣⵝ䋬䊧䉳䊮೨ⵝ㊄ዻ䈱3⒳㘃䈮ಽ䈎䉏䈩䈇䉎䋮䈠䈱ਛ䈪㊄ዻⵣⵝ䈲㊄ዻ䈱⒳㘃䈪䋬14K䋬㊄䊌䊤䋬䈠䈱ઁ䋨䊆䉾䉬䊦䉪䊨䊛ว㊄䋬㌁ว㊄䋩䈫೎䉏䈩䈇
䉎䋮㊄ዻⵣⵝ䊘䊮䊁䉞䉾䉪䈏૶↪䈪䈐䉎䈱䈲೨ᱤ䋬ዊ⥓ᱤㇱ䈫䈭䈦䈩䈍䉍䋬ᄢ⥓ᱤㇱ䈪䈲⹺䉄䉌䉏䈩䈇䈭䈇䋮䇭ᦨㄭ䈪䈲೨ᱤㇱ䈪䈲೨ⵝ㍌ㅧ䊘䊮䊁䉞䉾䉪䋬⥓ᱤㇱ䈪䈲㍌ㅧ䊘䊮䊁䉞䉾䉪䈏৻⥸⊛䈣䈏䋬⸻≮ႎ㈽䈮䈍䈇
䈩㊄ዻⵣⵝ䊘䊮䊁䉞䉾䉪䈲320ὐ䈏ട▚䈘䉏䋬ੱᎿᱤᢱ䉅▚ቯ䈪䈐䉎䈱䈪䋬ㆬᛯ䈜䉎㗫ᐲ䉅㜞䈇䈖䈫䈏੍ᗐ䈘䉏䉎䋮㊄ዻⵣⵝ䊘䊮䊁䉞䉾䉪䈱⸳⸘䈮䈧䈇䈩䈲䉧䉟䊄䊤䉟䊃䈭䉎䉅䈱䈏䈭䈒䋬㒻ᱤ䉕↪䈇䉎ᣇᴺ䈪䈲䋬ㄭᐕ䉼䊠䊷䊑㒻ᱤ䉅౉ᚻ࿎㔍䈫䈭䉍䋬ᛛᎿ჻છ䈞䈮䈚䈩䈇䉎ᱤ⑼කᏧ䉅ᄙ䈇䈖䈫䈏੍ᗐ䈘䉏䉎䋮䈠䈖䈪੹࿁䈖䈱ಽ䈎䉍䈨䉌䈇㊄ዻⵣⵝ䊘䊮䊁䉞䉾䉪䈱䊂䉱䉟䊮䈮䈧䈇䈩ᬌ⸛䈚䈢䋮
䇭㸈䋮㩷ᣇᴺ䇭૞ᚑ䈚䈢䊝䊂䊦䈲㊄㌁䊌䊤䉳䉡䊛࠶ߟ࠘䊑䊥䉾䉳
䈪䋬㊄ዻ䈲䉨䊞䉴䊃䉡䉢䊦䋨䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䋬ੱᎿᱤ䈲⎬⾰䊧䉳䊮ᱤ䋬䉣䊮䊂䊠䊤䊘䉴䊁䊥䉥䋨᧻㘑䋬੩ㇺ䋬ᣣᧄ䋩䉕↪䈇䈢䋮ੱᎿᱤ䉕೥ว䈚ၮᐩ㕙䈲䊜䉺䊦䈪ធ⸅䈜䉎ᒻᘒ䈫䋬ੱᎿᱤ䈏ធ⸅䈜䉎ᒻᘒ䉕૞⵾䈚䈢䋮䉮䊮䊃䊨䊷䊦䈫䈚䈩㍌ㅧ䊘䊮䊁䉞䉾䉪䈱⓹㐿䈔䉺䉟䊒䈱䉅䈱䉅૞⵾䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭䊘䊮䊁䉞䉾䉪䈱ၮᐩ㕙䈱᧚⾰䈮䈧䈇䈩⠨ኤ䈜䉎䈫䋬㊄ዻ䋬㒻᧚䋬䊧䉳䊮䈱3⒳㘃䈱䈉䈤䋬㒻᧚䈏ᦨ䉅⑼ቇ⊛䈮቟ቯ䈪ᄌ⾰䈞䈝䋬↢૕ⷫ๺ᕈ䈮䉅ఝ䉏䋬䊒䊤䊷䉪䈱ઃ⌕䈏ዋ䈭䈇䈫䈘䉏䈩䈇䉎䋮㒻ᱤ䉕↪䈇䈢㊄ዻⵣⵝ䊘䊮䊁䉞䉾䉪䈱⸳⸘䈲ฎ䈒䈎䉌⎇ⓥ䈘䉏䈩䈐䈩䈇䉎䈏䋬৻ᣇ㒻ᱤ䈱ടᎿ䈮࿎㔍䉕ⷐ䈚䋬䉼䊠䊷䊑㒻ᱤ䉅౉ᚻ࿎㔍䈭䈖䈫䉕⠨䈋䉎䈫䋬⃻ታ⊛䈭ᴦ≮ᴺ䈫䈲⸒䈇㔍䈇䋮䇭⎬⾰䊧䉳䊮ᱤ䈲3ጀ᭴ㅧ䈮ಽ䈎䉏䈩䈍䉍ၮᐩ㕙䈫䈭䉎䊔䊷䉴䈲ᐥ↪䊧䉳䊮䈫䈱ធ⌕䉕㊀ⷞ䈚䈢PMMA䈏↪䈇䉌䉏䈩䈍䉍䋬䈬䉖䈭䈮Ṗᴛ䈮⎇⏴䈚䈩䉅䊒䊤䊷䉪䈱ઃ⌕䈱䈖䈫䉕⠨ᘦ䈜䉎䈫☼⤑㕙䈮⋥ធធ⸅䈘䈞䉎䈱䈲ㆱ䈔䉎䈼䈐䈪䈅䉎䋮䇭੹࿁䈱䉋䈉䈮⎬⾰䊧䉳䊮ᱤ䉕↪䈇䉎႐ว䈲䋬ၮᐩ㕙䈮䊧䉳䊮ᱤ䈱ㇱಽ䈪䈭䈒㊄ዻ䈪ធ⸅䈜䉎䉋䈉䈮䊂䉱䉟䊮䉕⠨ᘦ䈜䈼䈐䈪䈅䉎䋮䇭㸊䋮㩷ᢥ₂
1䋩 㕍ᧁ⧷ᄦ䈾䈎✬䋮䉪䊤䉡䊮䊶䊑䊥䉾䉳⵬✄ቇ䋨╙2䋩䋮කᱤ⮎಴ 䋮᧲੩䋮1996.277-296.
2䋩 ⠀⾐ㅢᄦ䈾䈎✬䋮ᮡḰ䉪䊤䉡䊮䊶䊑䊥䉾䉳⵬✄ቇ䋨╙1 ╙2೚䋩䋮කቇᦠ㒮䋮᧲੩䋮1993.29-30.
3䋩 ᱤ⑼ὐᢙ⴫䈱⸃㉼䋮ᐔᚑ26ᐕ4᦬ 䋮␠ળ଻㒾⎇ⓥᚲ䋮᧲੩䋮2014.356-357

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一般 口 演 発 表㪦㪈㪄㪉㪈ᄙጀ᭴ㅧ䉕᦭䈜䉎䉳䊦䉮䊆䉝䈱⎕᛬ᒝᐲ䈮䈧䈇䈩䇭䂾਄↰৻ᒾ 㪈㪀䋬ἑᚭቬ༹ 㪈㪀䋬ൎ↰ᐽᒄ 㪉㪀䋬ዊỈ䇭⺈ 㪉㪀䋬ᷰㆺᢥᒾ 㪉㪀
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ᣣᧄᱤ⑼ᄢቇᣂẟ∛㒮ญ⣧䉟䊮䊒䊤䊮䊃⑼䋬 㪉㪀ᣣᧄᱤ⑼ᄢቇᣂẟ↢๮ᱤቇㇱᱤ⑼⵬✄ቇ╙
䋲⻠ᐳ
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Fracture strength of a multi-layered zirconia material
Ueda K 1), Seto M 1), Katsuta Y 2), Ozawa M 2), Watanabe F 2)
1)
Oral Implant Care Unit, The Nippon Dental Univ. Niigata Hospital, 2)Dept. of Crown & Bridge
Prosthodontics, The Nippon Dental Univ. School of Life Dentistry at Niigata㸇䋮㩷⋡⊛䇭ㄭᐕ䋬䉳䊦䉮䊆䉝䈱․ᕈ䈪䈅䉎↢૕ⷫ๺ᕈ䋬㜞㕤ᕈ䋬ክ⟤ᕈ䉇CAD㪆CAMᛛⴚ䈱ㅴᱠ䈮䉋䉎ടᎿ♖ᐲ䈱ะ਄䈮䉋䉍䋬⥃ᐥ䈮䈍䈇䈩䉳䊦䉮䊆䉝䉕ᔕ↪䈚䈢䉪䊤䉡䊮䈏ᐢ䈒↪䈇䉌䉏䈩䈇䉎䋮․䈮↢૕ⷫ๺ᕈ䋬㜞㕤ᕈ䈱ὐ䈎䉌䊝䊉䊥䉲䉾䉪䉳䊦䉮䊆䉝䉪䊤䉡䊮䈱⥓ᱤㇱ䈻䈱ᔕ↪䈏Ⴧട䈚䈩䈇䉎䈏䋬න⦡䈪䈅䉎䈢䉄⦡⺞ౣ⃻ᕈ䈮ഠ䉎䋮䈠䈱䈢䉄ᄤὼᱤ䈮ㄭૃ䈚䈢⦡⺞䉕ౣ⃻䈜䉎䈮䈲䋬䊘䊷䉶䊧䊮䈱䊧䉟䊟䊥䊮䉫䈏ᔅⷐ䈫䈭䉎䈏䊧䉟䊟䊥䊮䉫䊘䊷䉶䊧䊮䈱䉼䉾䊏䊮䉫䈏⥃ᐥ਄ ᔨ䈘䉏䈩䈇䉎䋮䈖䈱䈖䈫䈎䉌⦡⺞䈱⇣䈭䉎䉳䊦䉮䊆䉝䉕ᄙጀ᭴ㅧ䈮䈚䈢䉅䈱䈏䋬㐿⊒䈘䉏⥃ᐥᔕ↪䈘䉏䈩䈇䉎䋮Ṷ⠪䉌䈲䉪䊤䊧䊉䊥䉺䉬䊂䊮䉺䊦␠⵾䊉䊥䉺䉬䉦䉺䊅䉳䊦䉮䊆
䉝ML䋨એਅML䋩䈱ฦጀ䈮䈍䈔䉎శㅘㆊᕈ䈏⇣䈭䉎䈖䈫䉕ႎ๔1㪀䈚䈢䈏䋬⎕უᒝ䈘䉇ᄙጀ᭴ㅧ䈏⎕᛬䈮ਈ䈋䉎ᓇ㗀䈮䈧䈇䈩䈲᣿䉌䈎䈮䈭䈦䈩䈇䈭䈇䋮䇭ᧄ⎇ⓥ䈱⋡⊛䈲ᄙጀ᭴ㅧ䉕᦭䈜䉎䉳䊦䉮䊆䉝䈮ኻ䈚䈩ᦛ䈕⹜㛎䉕ⴕ䈇䋬⎕უᒝᐲ䋬⎕უ᭽ᑼ䈮䈧䈇䈩ᬌ⸛䉕ⴕ䈉䈖䈫䈪䈅䉎䋮䇭㸈䋮㩷ᣇᴺ䇭ታ㛎᧚ᢱ䈮䈲4ጀ䈱⇣䈭䉎⦡⺞䉕᦭䈜䉎ᄙጀ᭴ㅧ䈱䉟䉾䊃䊥䉝♽䉳䊦䉮䊆䉝䈪䈅䉎ML䉕↪䈇䈢䋮4ጀో䈩䈏⹜ᢱ䈱㐳ゲ䈮ኻ䈚ᮮᢿ䈜䉎᭽䈮ඨ὾⚿૕䈱䊂䉞䉴䉪䉕⸳⟎䈚䈩೥䉍಴䈚䉕ⴕ䈇䋬䈠䈱ᓟ䋬ቢో὾⚿૕䈮὾ᚑ䈚䈢䋨࿑䋩䋮⹜ᢱᢙ䈲6୘䈫䈚䋬ISO6872䈮Ḱ᜚䈚䈩䋬㐳䈘25㪅0mm䋬᏷4mm䋬ෘ䉂2mm䈫䈚䋬ⷺ䈱㕙ข䉍䉕ⴕ䈦䈢ᓟ䈮䋬⴫㕙䉕䋤800⇟䈪઀਄䈕⎇⏴䈚⵾૞䈚䈢䋮⹜㛎䈲ਁ⢻⹜㛎ᯏ䋨AG㪄㸇䋬Shimadzu䋩䉕૶↪
䈚䋬ᡰὐ㑆〒㔌15mm䋬䉪䊨䉴䊓䉾䊄䉴䊏䊷䊄0㪅1mm㪆
min䈪3ὐᦛ䈕⹜㛎䉕ⴕ䈦䈢䋮䉁䈢䋬⎕ᢿ䈚䈢⹜ᢱ䈲⿛ᩏဳ㔚ሶ㗼ᓸ㏜䈮䈩⎕ᢿ㕙䈱ᒻᘒ䉕ⷰኤ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ

䇭3ὐᦛ䈕⹜㛎䈱⚿ᨐ䈎䉌䋬ᦛ䈕ᒝ䈘䈲1053㫧65MPa
䈪䈅䉍ἑᚭ䉌䈱ႎ๔2㪀䈚䈢䉟䉾䊃䊥䉝♽䉳䊦䉮䊆䉝䈱ᦛ䈕⹜㛎⚿ᨐ䈫Ყセ䈚䈩㜞䈇୯䉕␜䈚䈢䋮⿛ᩏဳ㔚ሶ㗼ᓸ㏜䈮䉋䉎⎕ᢿ㕙䈱ⷰኤ䈮䈍䈇䈩䋬⎕ᢿ㕙䉇⎕ᢿ૏⟎䈮․⇣⊛䈭ᚲ⷗䈲⷗䉌䉏䈝ฦጀ㑆䈪䈱೸㔌䉕␜䈜௝䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮
䇭ML䈱䉋䈉䈮⇣䈭䉎‛ᕈ䈏ᷙ࿷䈚䈩䈇䉎⹜ᢱ䈪䈲䋬ฦጀ䈪೸㔌䈜䉎䉋䈉䈭⎕უ䈏↢䈛䉎䈫⠨䈋䉌䉏䈢䈏䋬ᧄታ㛎䈮䈍䈇䈩䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮䈖䉏䈲䋬ฦጀ㑆䈮䈍䈇䈩⦡⺞䈱Ꮕ䋬శㅘㆊᕈ䈲⇣䈭䉎䈏䊝䊉䊥䉲䉾䉪䉳䊦䉮䊆䉝䈫䈚䈩৻૕ൻ䈚䈩䈇䉎䈖䈫䈏␜ໂ䈘䉏䋬ᦛ䈕ᔕജ䈲ฦጀ䈱⇇㕙䈮ᵄ෸䈜䉎䈖䈫䈭䈒ฦ䇱䈱ጀ䉕౞Ṗ䈮વ៝䈚䈢䉅䈱䈫⠨䈋䉌䉏䉎䋮䇭એ਄䈱⚿ᨐ䉋䉍ML䈲ᱤ౰ୃᓳ᧚ᢱ䈫䈚䈩චಽ䈭ᒝᐲ䉕᦭䈚䈩䈍䉍䋬䊝䊉䊥䉲䉾䉪䉳䊦䉮䊆䉝䉪䊤䉡䊮䈫䈚䈩⥃ᐥᔕ↪䈏น⢻䈪䈅䉎䈖䈫䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Ueda K, Güth JF, Erdelt K, Stimmelmayr M,
Kappert H, Beuer F: Light Transmittance by aMulti-coloured Zirconia Material, Dent Mater J,
34(3): 310-314, 2015.
2䋩 ἑᚭቬ༹,ᷰㆺᢥᒾ:ᱤ⑼ୃᓳ᧚ᢱ䈱䈰䈛䉍⹜㛎,ᣣᱤℂᎿ⹹,33:313-320,2014ታ㛎⹜ᢱណขㇱ䇭

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一般口演発 表㪦㪈㪄㪉㪉䊝䊉䊥䉲䉾䉪䉳䊦䉮䊆䉝䉪䊤䉡䊮3ᐕ㑆䈱੍ᓟ⺞ᩏ䇭䂾㜟ᳯᵮ䇭㓶䋬᧻ᶆዏᔒ䋬૒⮮ඳା䇭䇭

⑔ጟᱤ⑼ᄢቇຏวୃᓳቇ⻠ᐳ౰ᯅ⟵ᱤቇಽ㊁
Three-year follow-up survey of the monolithic zirconia Crown
Takaesu Y, Matuura T, Sato H
Department of Oral Rehabilitation, Section of Fixed Prosthodontics, Fukuoka Dental College㸇䋮㩷⋡⊛ㄭᐕ㪃㩷CAD㪆CAMᛛⴚ䈱⊒ዷ㪃㩷䉳䊦䉮䊆䉝䈱⊓႐䈮䉋䉍㪃㩷ክ⟤ᕈ䉇↢૕ⷫ๺ᕈ䈮ఝ䉏䈢䉥䊷䊦䉶䊤䊚䉾䉪䉪䊤䉡䊮䈏⥃ᐥ䈪᥉෸䈚䈩䈇䉎㪅㩷䉳䊦䉮䊆䉝䉮䊷䊏䊮䉫਄䈮㒻᧚䉕▽⋓䈜䉎䉅䈱䈏৻⥸⊛䈪䈅䉎䈏㪃㩷ᄢ䈐䈭ຏวജ䈏ട䉒䉎ᄢ⥓ᱤㇱ䈪䈲▽⋓㒻᧚䈱⎕᛬଀䈏ᄙ䈒ႎ๔䈘䉏䈩䈇䉎㪅㩷 ໧㗴䉕࿁ㆱ䈜䉎ᣇᴺ䈱৻䈧䈫䈚䈩㪃㩷CAD㪆CAM䈮䉋䉍㪃㩷䉳䊦䉮䊆䉝䉕ᦨ⚳ᒻᘒ䉁䈪೥䉍䈣䈚૞⵾䈜䉎න৻᭴ㅧ䈱䉥䊷䊦䉶䊤䊚䉾䉪䉪䊤䉡䊮䈏㐿⊒䈘䉏䈢㪅㩷䈚䈎䈚䋬⥃ᐥ⚻ㆊႎ๔䈲ዋ䈭䈒஧⊒∝䉇੍⍮ᕈ䈮䈧䈇䈩䈲᣿⏕䈪䈭䈇㪅㩷ᧄ㒮䈪䈲2011ᐕ䈮䊝䊉䊥䉲䉾䉪䉳䊦䉮䊆䉝䉺䉟䊒䉕ዉ౉䈚䋬ਥ䈮⥓ᱤㇱ㗔ၞ䈪䈱ㆡ↪䉕䈚䈩䈐䈢㪅㩷ᧄ⎇ⓥ䈱⋡⊛䈲㪃㩷䊝䊉䊥䉲䉾䉪䉳䊦䉮䊆䉝䉺䉟䊒䉕ቴⷰ⊛䈮⹏ଔ䈪䈐䉎⹏ଔ⴫䉕૞⵾䈚㪃㩷⥃ᐥ⊛⠨ኤ䉕ⴕ䈉䈖䈫䈪䈅䉎㪅䇭㸈䋮㩷ᣇᴺኻ⽎䈲⑔ጟᱤ⑼ᄢቇක⑼ᱤ⑼✚ว∛㒮ౝ䈪૞⵾䈘䉏䈢2011ᐕ4᦬䈎䉌2015ᐕ2᦬䉁䈪䈮ᄢ⥓ᱤㇱ䈮ⵝ⌕䈘䉏䈢න౰䈱䊝䊉䊥䉲䉾䉪䉳䊦䉮䊆䉝䉪䊤䉡䊮䋨ZENOSTAR㩿WIELAND㩷DENTAL®㪀䈫䈚䈢㪅ォ㒮╬䈪⹏ଔ䈏䈪䈐䈭䈇∝଀䉕㒰䈒㪃㩷16∝଀23ⵝ⟎䈮ኻ䈚䈩㪃㩷䊌䊤䊐䉜䊮䉪䉲䊢䊮䈱᦭ή㪃㩷ຏ⠻ᐲ㪃㩷ᣧᦼធ⸅䈱᦭ή㪃㩷஥ᣇㆇേᤨ䈱ᐓᷤ䈱᦭ή㪃㩷ᡰบᱤ䊶ኻวᱤ㪃㩷䉪䊤䉡䊮䈱⁁ᘒ㪃㩷ᱤ๟⚵❱䈱⁁ᘒ䉕ⵝ⌕ᤨ䉇䊜䊮䊁䊅䊮䉴ᤨ䈮⹏ଔ䈚㪃㩷CDA㩷quality㩷evaluation㩷system䉕↪䈇䈩㪃㩷䊙䊷䉳䊮䈱ㆡว㪃㩷⸃೬ቇ⊛ᒻᘒ㪃㩷⦡⺞䈫⴫㕙 ᕈ ⁁ 䉕 㪃㩷 ኻ ว ᱤ 䈱 ៺ ⠻ 䈮 䈧 䈇 䈩 䈲 Smith㩷 andKnight㩷tooth㩷wear㩷index䉕↪䈇䈩ᦨ㐳䈪ⵝ⌕䈎䉌3ᐕ
10䊱᦬䈱⚻ㆊ䈮䈧䈇䈩⹏ଔ䈚䈢㪅䈭䈍ᧄ⎇ⓥ䈲⑔ጟᱤ⑼ᄢቇᱤቇㇱ୶ℂክᩏᆔຬળ䋨䋤250䋩䈱ᛚ⹺䈱䉅䈫ᣉⴕ䈚䈢㪅
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6∝଀23ⵝ⟎ਛ㪃㩷1∝଀䈮䈍䈇䈩䊝䊉䊥䉲䉾䉪䉳䊦䉮䊆䉝䉪䊤䉡䊮䈱䉼䉾䊏䊮䉫䈏ⷰኤ䈘䉏䈢㪅㩷ઁ䈱∝଀䈮䈍䈇䈩㪃㩷䊝䊉䊥䉲䉾䉪䉳䊦䉮䊆䉝䉪䊤䉡䊮䈱⎕᛬㪃㩷஧⊒∝䈲ⷰኤ䈘䉏䈝㪃㩷⥃ᐥ⊛䈮චಽ䈭ᒝᐲ䉕᦭䈜䉎䈖䈫䈏␜ໂ䈘䉏䈢㪅㩷䉁䈢ᱤ๟⚵❱䈱⁁ᘒ䈲⦟ᅢ䈪㪃㩷ኻวᱤ䈱േំ䈭䈬䈱ᄌൻ䉅⹺䉄䉌䉏䈭䈎䈦䈢㪅㩷 䊙䊷䉳䊮䈱ㆡว㪃㩷⸃೬ቇ⊛ᒻᘒ㪃㩷⦡⺞䈫⴫㕙ᕈ⁁䈮䈲໧㗴䈲⹺䉄䈭䈎䈦䈢㪅㩷ኻวᱤ䈱៺⠻䈭䈬䈱ᄌൻ䉅ᱴ䈬⹺䉄䈭䈎䈦䈢䈏㪃㩷ኻวᱤ䈱㒻᧚὾ઃ㍌ㅧ౰䈱䉼䉾䊏䊮䉫䈏1∝଀䈮䈍䈇䈩ⷰኤ䈘䉏䈢㪅㩷੹ᓟ㪃㩷䈘䉌䈮㐳ᦼ䈮䉒䈢䉎੍ᓟ䉕ⷰኤ䈚䈩䈇䈒䈖䈫䉕⠨ኤ䈚䈢㪅䇭㸊䋮㩷ᢥ₂
1䋩 Quality evaluation for dental care : guidelines
for the assessment of 䇭 clinical quality andprofessional
performance.Sacramento,Calif. :California Dental Association, 1977.
CDA quality evaluation system California Dental
Association, 1977 䉋䉍ᡷᄌ䇭

─ 143 ─

第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪉㪊䊨䉾䉪䊂䊮䉼䊞䊷䈮䉳䊦䉮䊆䉝䉡䉞䊮䉫䉕ᔕ↪䈚䈢∝଀䂾ᄢደ౏િ 㪈㪀䋬ጊ⾐䇭଻ 㪉㪀
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㑐⷏ᡰㇱ䋬 㪉㪀㑐⷏ᡰㇱ䇭

A Case Report of Lock Denture Applied a Zirconia WingOya K 1), Yamaga T 2)
1)
a branch of Kansai, 2)a branch of Kansai㸇䋮㩷⻉⸒ਛ㑆ᱤᰳ៊⵬✄䈮㑐䈚䈩䈲⃻࿷䇭䉟䊮䊒䊤䊮䊃ᴦ≮䈏ਛᔃ䈫䈭䈦䈩䈐䈩䈇䉎䈏䋬㜞㦂ൻ␠ળ䉕ㄫ䈋ోり∔ᖚ䉇ᛩ⮎䈱⁁ᴫ䈭䈬䈮䉋䉍⟵ᱤ䈮䈩ኻᔕ䈜䉎䉬䊷䉴䈏
䈅䉎䋮․䈮೨ᱤㇱ䈮䈍䈇䈩䈲䉪䊤䉴䊒䈱ክ⟤ᕈ䈱໧㗴䈎䉌䊉䊮䉪䊤䉴䊒䊂䊮䉼䊞䊷䈏ᔕ↪䈘䉏䈩䈇䉎䈏䋬㐳ᦼ䈱૶↪䈮䈲ะ䈇䈩䈇䈭䈇⁁ᴫ䈪䈅䉎䋮੹࿁䇭䊨䉾䉪䊂䊮䉼䊞䊷䉕↪䈇䈩ክ⟤ᕈ䈱ᡷༀ䈮䉳䊦䉮䊆䉝䉡䉞䊮䉫䉕ᔕ↪䈚䋬⦟ᅢ䈭⚿ᨐ䈏ᓧ䉌䉏䈢䈱䈪ႎ๔䈜䉎䋮䇭㸈䋮㩷∝଀䈱᭎ⷐ෸䈶ᴦ≮ౝኈᖚ⠪䈲ઁක㒮䈮䈩޾଻ሽਇน䈫䈱⸻ᢿ䉕ฃ䈔䋬૗䈫䈎଻ሽ಴᧪䈭䈇䈎䈫ᒰ䉪䊥䊆䉾䉪䈮2013ᐕ11᦬䈮᧪㒮䈚䈢63ᱦ䈱ᅚᕈ䈪䈅䉎䋮䈲䈛䉄䈮䋬ᱤ๟ၮᧄᴦ≮䈫ᱷሽᱤ䈱ᩮ▤ᴦ≮䉕ⴕ䈦䈢䋮޾䈲ญ⬄ᩮ䈱䉦䊥䉣䉴䈏⪺䈚䈎䈦䈢䈢䉄ᛮᩮ䉕ⴕ䈇䋬઒FMCⵝ⌕䋮਄㗶䈮䈲ᥳ㑆⟵ᱤ䉕ⵝ⌕䈚䋬ຏว䈱⏕଻䉕ⴕ䈦䈢䋮ᩮ▤ᴦ≮⚳ੌᓟਅ㗶䈎䉌ຏวᐔ㕙䉕⠨ᘦ䈚䈭䈏䉌⵬✄ᴦ≮䉕ⴕ䈦䈩䈇䈦䈢䋮਄㗶䈲޾㩷ߊએᄖ䈲೨ᱤㇱ䈱䉂䈱∝଀䈫䈭䉎䋮޾㩷߆䈮䊧䉴䊃ᐳ䈭䈬䈱೨ಣ⟎䉕ᣉ䈚䈢䊜䉺䊦䊗䊮䊄䉪䊤䉡䊮䉕ⵝ⌕䈚䋬䊏䉾䉪䉝䉾䊒ශ⽎䉕ⴕ䈇⟵ᱤ䈱૞ᚑ䉕ⴕ䈦䈢䋮ⵝ⌕ᤨ䈮䈲⌕⣕ᣇᴺ෸䈶▤ℂ䈱઀ᣇ䉕චಽ䈮ᜰዉ䈚䈢䋮䇭㸉䋮㩷⚻ㆊ䈭䉌䈶䈮⠨ኤ੹࿁䇭䉝䉟䊍䊅䊷䈱B4∝଀䈮ኻ䈚䈩䋬ᱷሽᱤ䈮⌕⣕ᤨᄖജ䈏ട䉒䉌䈭䈇ὐ䈫ክ⟤ᕈ䈱ᡷༀ䈮䇭䉳䊦䉮䊆䉝䉡䉞䊮䉫䉕ᔕ↪䈚䈢䊨䉾䉪䊂䊮䉼䊞䋭䉕ណ↪䈚䈢䋮䊨䉾䉪䊂䊮䉼䊞䊷䈲⸳⸘Ბ㓏䈪2ᐲ䈱䉰䊔䉟䊮䉫䉕ⴕ䈇䋬ᰳ៊஥㓞ធ㕙ㇱ䈱䉝䊮䉻䊷䉦䉾䊃䉕᦭ല䈮೑↪䈚䋬ᒝ࿕䈭⛽ᜬ䉕ᓧ䉎੐䈏಴᧪䈩䋬⌕⣕ᤨ䈮䈲䊨䉾䉪ㇱ䉕㐿᡼䈜䉎੐䈮䉋䉍㋭ᱤ䈮஥ᣇജ䈏䈎䈎䉌䈭䈇䉋䈉䈮䈚䈩䈇䉎䊂䊮䉼䊞䊷䈪䈅䉎䋮䇭ຏว䈮䉋䉎ᡰᜬജ䈱⺞ᢛ䈭䈬ቯᦼ⊛䈭⸻ኤᤨ䈮䇭䈍䈔䉎䉼䉢䉾䉪䈲❫⚦䈮䈚䈭䈔䉏䈳䈭䉌䈭䈇䈏䋬ᱷሽᱤ䈱૛๮䈏⍴䈇䉝䉟䊍䊅䊷B4∝଀䈮ኻ䈚䈩䋬䊨䉾䉪䊂䊮䉼䊞䊷䉕↪䈇䉎ᗧ⟵䈲චಽ䈮䈅䉎䈫ᕁ䉒䉏䉎䋮䉁䈢䋬䉳䊦䉮䊆䉝䉡䉞䊮䉫䉕ណ↪䈚䈢੐䈮䉋䉍䋬䉪䊤䉴䊒ㇱ䈱⎕៊䈱ᷫዋ෸䈶䈮ክ⟤ᕈ䈱

─ 144 ─ะ਄䈏⸘䉌䉏䈢䈱䈪䈲䈭䈇䈎䈫ᕁ䉒䉏䉎䋮12䈎᦬⚻ㆊ䈱∝଀䈪䈅䉎䈏⃻࿷䉁䈪䈮໧㗴䈲䈭䈒䋬ᖚ⠪䈲㕖Ᏹ䈮ḩ⿷䈚䈩䈇䉎䋮䇭㸊䋮㩷ᢥ₂
1䋩 ᦥᚒᐘผ䋬ጊ⾐䇭଻䋬㊁㚂ቁ␻䋮䊨䉾䉪ᯏ᭴䉕⚵䉂ㄟ䉖䈣ಽഀ⟵ᱤ䋨䊨䉾䉪䊂䊮䉼䊞䊷䋩䈱⥃ᐥᔕ↪䋮㒋ᄢᱤቇ㔀⹹䇭1993䋻38䋨2䋩䋺535-541䋮
2䋩 ጊ⾐䇭଻䋬ᄢደ౏ม䋮⌕⣕⚻〝䈮Ꮏᄦ䉕ട䈋䈢⟵ᱤ䈱⥃ᐥ଀㵪BLK䊨䉾䉪䊂䊮䉼䊞䊷䈫䉸䊐䊃䊶䊐䉞䉾䊃䊶䊂䊮䉼䊞䊷䈱ᔕ↪㵪䋮ᱤ⑼ᛛᎿ䇭2000䋻
28(10)䋺1258-1271䋮

ⵝ⌕ᤨ䇭ᱜ㕙ⷰ䇭ⵝ⌕ᤨ䇭஥ᣇ㕙ⷰ䇭

日補綴会誌

第 1 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪈㪄㪉㪋㥦ຜ⣧ౝⷞ㏜䈮䉋䉎ᯏ⢻⹏ଔ䉕䉴䊏䊷䉼䉣䉟䊄䈱ᒻᘒ䈮෻ᤋ䈘䈞䈢৻∝଀䂾₹↰ᵏ༹ 㪈㪀䋬ฎደ⚐৻ 㪉㪀䋬㊁᧛ᄥ㇢ 㪈㪀䋬᧛਄ᥓᒾ 㪈㪀䋬੖ᣣᏒ⚐ብ 㪈㪀䋬ㄭ⮮ዏ⍮ 㪈㪀

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ጤᚻක⑼ᄢቇᱤቇㇱ⵬✄䊶䉟䊮䊒䊤䊮䊃ቇ⻠ᐳ䋬 㪉㪀᧲੩ක⑼ᱤ⑼ᄢቇᄢቇ㒮කᱤቇ✚ว⎇ⓥ⑼࿾ၞ䊶⑔␩ญ⣧଻ஜⴡ↢ቇಽ㊁䇭䇭A case report of speech aid prosthesis using nasopharyngeal endoscopy
Tamada Y 1), Furuya J 2), Nomura T 1), Murakami T 1), Itsukaichi A 1), Kondo H 1)
1)
Department of Prosthodontics and Oral Implantology,School of Dentistry,Iwate Medical University, 2)
Department of Oral Health Care Science for Community and Welfare,Graduate School of Medical and
Dental Sciences,Tokyo Medical and Dental University㸇䋮㩷⋡⊛エญ⬄ᰳ៊䈭䈬ེ⾰⊛䈭㥦ຜ⣧㐽㎮ᯏ⢻ਇో䈮ኻ䈚䈩䈲䋬䊋䊦䊑ဳ䉴䊏䊷䉼䉣䉟䊄䈏↪䈇䉌䉏䉎䈖䈫䈏ᄙ䈇䈏 1䋩䋬䊋䊦䊑ㇱ䈱ᒻᘒ䈮䈧䈇䈩䈲䋬ⴚ⠪䈱⚻㛎䈮ᆔ䈰䉌䉏䉎ㇱಽ䈏ᄙ䈒䋬Ᏹ᷷㊀ว䊧䉳䊮䉇䊁䉞䉾䉲䊠䉮䊮䊂䉞䉲䊢䊅䊷䉕↪䈇䈢േ⊛ශ⽎䈮䉋䈦䈩ᒻᘒ䉕ઃਈ䈜䉎ᣇᴺ䈏䈇䈒䈧䈎ႎ๔䈘䉏䈩䈇䉎䈱䉂䈪䈅䉎䋮৻ᣇ䋬േ⊛ශ⽎䉕↪䈇䈢ᒻᘒ᳿ቯ䈮䈧䈇䈩䉅䋬䈠䈱ౕ૕⊛䈭⵾૞ᣇᴺ䉕⸥䈚䈢ᚑᦠ╬䈲ዋ䈭䈒䋬ⴚ⠪䈱ᛛ㊂䉇⚻㛎䈮ଐሽ䈜䉎ㇱಽ䈏ᄙ䈇䋮਄⸥ℂ↱䈎䉌䋬⵬✄ⵝ⟎⵾૞䈮᦭ല䈎䈧ቴⷰ⊛䈭⹏ଔᴺ䈏᳞䉄䉌䉏䈩䈇䉎䋮੹࿁䋬ེ⾰⊛䈭㥦ຜ⣧㐽㎮ᯏ⢻ਇో䈮ኻ䈚䈩䋬㥦ຜ⣧ౝⷞ㏜䈮䉋䉎ᯏ⢻⹏ଔ䉕䉴䊏䊷䉼䉣䉟䊄䈱ᒻᘒ᳿ቯ䈮䊐䉞䊷䊄䊋䉾䉪䈚䈩⵾૞䈚䋬⦟ᅢ䈭⚿ᨐ䈏ᓧ䉌䉏䈢৻∝଀䉕ႎ๔䈜䉎䋮䇭
㸈䋮㩷ᣇᴺᖚ⠪䋺48ᱦ䋬↵ᕈ䋮ਥ⸷䋺઀੐䈪⹤䉕䈜䉎䈖䈫䈏ᄙ䈇䈢䉄䋬ᄢ䈐䈭ჿ䈪䈲䈦䈐䉍䈫⹤䉕䈚䈢䈒䋬⵬✄ⵝ⟎䈱⵾૞䉕Ꮧᦸ䈚᧪㒮䈚䈢䋮⃻∝䋺ೋ⸻ᤨ䈮૶↪䈚䈩䈇䈢䉴䊏䊷䉼䉣䉟䊄䉕ⵝ⌕䈚䈩䈇䉎⁁ᘒ䈪䈲䋬ᣣᏱળ⹤䈲น⢻䈪䈅䉎䈏䋬⊒ჿ䈏ዊ䈘䈒䋬⡞䈐ข䉍䈨䉌䈇㖸䉕⹺䉄䈢䋮ⵝ⌕䈚䈩䈇䈭䈇⁁ᘒ䈪䈲䋬㐿㥦ჿ䈏ᒝ䈒ᣣᏱળ⹤䈜䉌࿎㔍䈪䈅䈦䈢䋮⃻∛ᱧ䋺1992ᐕ䈮エญ⬄ㇱ䈱ⴊ▤✢⛽⣲ಾ㒰䉕ฃ䈔䋬ⴚᓟ䈮䊋䊦䊑ဳ䉴䊏䊷䉼䉣䉟䊄䉕⵾૞䈚䈢䋮䇭2009ᐕ䈮䉴䊏䊷䉼䉣䉟䊄ㅪ⚿ㇱಽ䈏⎕៊䈚䋬ୃℂ䉕ⴕ䈦䈢䋮2015ᐕ䈮㋭ᱤ䈏㦏ⲁ䈮䈭䉍䋬ㄭක䉕᧪㒮䈚䈢䈏䋬ᄢቇ∛㒮䈪䈱ᴦ≮䉕൘䉄䉌䉏᧪㒮䈚䈢䋮䈠䈱ઁ䋬ోり⊛ᣢᓔᱧ䊶ᱤ⑼⊛ᣢᓔᱧ䈫䉅䈮․⸥੐㗄䈲䈭䈎䈦䈢䋮⚻ㆊ䋺ೋ⸻ᤨ䈮䋬䈉ⲁᴦ≮䈍䉋䈶਄ਅ㗶᭎ᒻශ⽎ណᓧ䉕ⴕ䈇䋬㥦ᕷ㏜䉕↪䈇䈢
Blowingᬌᩏ䉕ⴕ䈦䈢䋮䉴䊏䊷䉼䉣䉟䊄ⵝ⌕䊶㕖ⵝ⌕䈇䈝䉏䈱⁁ᘒ䈪䉅㥦ຜ⣧㐽㎮ਇో䈏⇼䉒䉏䈢䋮䉁䈢䋬䉴䊏䊷䉼䉣䉟䊄䉕ⵝ⌕䈚䈢⁁ᘒ䈪䈱஥㕙䉣䉾䉪䉴✢౮⌀䈪䈲䋬䊋䊦䊑ㇱ䈏ญ⬄㛽䈱ᑧ㐳✢਄䉋䉍䉅㜞䈇䈖䈫䈏⏕⹺䈘䉏䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤㅢ㒮2࿁⋡䈮୘ੱ䊃䊧䊷䉕↪䈇䈢♖ኒශ⽎䉕ⴕ䈇䋬䉁䈢䋬䉴䊏䊷䉼䉣䉟䊄ⵝ⌕䊶㕖ⵝ⌕䈱⁁ᘒ䈪㥦ຜ⣧ౝⷞ
㏜ᬌᩏ䉕ታᣉ䈚䈢䋮ⵝ⌕ᤨ䈪䉅㥦ຜ⣧㐽㎮ਇో䈏⏕⹺䈘䉏䈢䋮ㅢ㒮3࿁⋡䈮䋬ᣂ⵾૞ਛ䈱䉴䊏䊷䉼䉣䉟䊄䈱㊄ዻㇱಽ䉕⹜ㆡ䈚䈩䋬஥ᴺ䉣䉾䉪䉴✢᠟ᓇ䉕ⴕ䈇䋬᠟ᓇ䈚䈢౮⌀䈎䉌䊋䊦䊑ㇱ䈱㜞䈘䉕᳿ቯ䈚䈢䋮䈠䈱ᓟ䋬Ᏹ᷷㊀ว䊧䉳䊮䈪⵾૞䈚䈢䊋䊦䊑ㇱ䈮䊁䉞䉾䉲䊠䉮䊮䊂䉞䉲䊢䊅䊷䉕▽⋓䈚䋬䊋䊦䊑ㇱ䈱േ⊛ශ⽎䈫ౝ
ⷞ㏜䈮䉋䉎ྚਅᤨ䊶⊒㖸ᤨ䈱㥦ຜ⣧㐽㎮ᯏ⢻䈱⹏ଔ䉕ⴕ䈇䈭䈏䉌䋬䊋䊦䊑䈱ᒻᘒ䉕᳿ቯ䈚䈢䋮ㅢ㒮4࿁⋡䈮䋬ቢᚑ䈚䈢䊋䊦䊑ဳ䉴䊏䊷䉼䉣䉟䊄䉕ⵝ⌕䈚䈢䋮ⵝ⌕ᓟ䈱⊒ჿ䈱䈚䉇䈜䈘䋬ჿ䈱ᄢ䈐䈘䈱ḩ⿷ᐲ䈍䉋䈶ⵝ⌕ᤨ䈱㆑๺ᗵ䈮䈲᦭ᗧ䈮ᡷༀ䈏⹺䉄䉌䉏䈢䋨࿑
1䋩䋮એ਄䉋䉍䋬஥ᣇ䉣䉾䉪䉴✢᠟ᓇ䈮䉋䉎⸃೬ቇ⊛䈭⹏ଔ䉇㥦ຜ⣧ౝⷞ㏜䉕↪䈇䈢㥦ຜ⣧㐽㎮ᯏ⢻⹏ଔ䈮䉋䈦䈩䋬䊋䊦䊑ㇱ䈱ᒻᘒ䉕ㆡಾ䈭ᒻᘒ䈫䈚䋬ᖚ⠪䈱ḩ⿷ᐲะ਄䈮䈧䈭䈏䉎⵬✄ⵝ⟎䈱⵾૞䈏น⢻䈫䈭䉎䈖䈫䈏᣿䉌䈎䈫䈭䈦䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Gibbons,P., Bloomer,H.:A supportative-type
prosthetic speech aid. J. Pros. Dent., 8:362-369,
1958.䋮

࿑1䇭ᖚ⠪ḩ⿷ᐲ䈮㑐䈜䉎VAS୯
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一般 口 演 発 表㪦㪈㪄㪉㪌਄㗶ήᱤ㗶䈮ኻ䈜䉎䉟䊮䊒䊤䊮䊃䉥䊷䊋䊷䊂䊮䉼䊞䊷䈱৻∝
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ᄢಽᏒ㐿ᬺጯᧄᱤ⑼A Case Report:A Maxillary Implant Overdenture
Kishimoto M
Oita City Kishimoto Dental Office㸇䋮㩷⋡⊛䇭ᧄᖚ⠪䈲1990ᐕ9᦬䋨ೋ⸻ᤨᐕ㦂42ᱦ䋬ળ␠ຬ䋩䈮㗶䈱∩䉂䉕⸷䈋䈩᧪㒮䈚䋬ૐ૏ຏว䋬⥓ᱤㇱຏว፣უ䈱ᴦ≮䉕ⴕ䈇∝⁁䈲ᴦ≹䈚䈢䋮੹࿁਄㗶ήᱤ㗶䈮ኻ䈚䈩䉟䊮䊒䊤䊮䊃䉥䊷䊋䊷䊂䊮䉼䊞䊷䉕ㆡ↪䈚䈢䈱䈪䈠䈱ᴦ≮⚻ㆊ䈮䈧䈇䈩ႎ๔䈜䉎䋮䇭㸈䋮㩷∝଀䇭㊀◊䈭ᱤ๟∛䈱䈢䉄44㪃45㪃46㪃47䉕ᛮᱤ䈚ਅ㗶ዪㇱᐥ⟵ᱤ䉕૞⵾䈚䈢䈏䈬䈉䈚䈩䉅૶䈋䈭䈇䈫䈱䈖䈫䈪㪃
2008 ᐕ 3 ᦬ 䈮 44㪃45㪃46㪃47 䈮 䊁 䊷 䊌 䊷 䊄 Screw
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䈏2011ᐕ9᦬26䉟䊮䊒䊤䊮䊃䈱േំ䈮᳇ઃ䈇䈢䋮䉁䈢ᱤ๟∛䈏ㅴⴕ䈚䈢16㪃15㪃14䉕ᛮᱤ䈚ήᱤ㗶䈱䉟䊮䊒䊤䊮䊃䉥䊷䊋䊷䊂䊮䉼䊞䊷䈮䈜䉎䈖䈫䈮䈚䈢䋮2012ᐕ2
᦬26䉟䊮䊒䊤䊮䊃䉕᠗෰䈚䈢䋮2012ᐕ3᦬14㪃17㪃27䈮2
࿁ᴺ䊁䊷䊌䊷䊄Screw㩷VentHA㩺4㪅7䉕ၒ౉䈚䈢䋮5᦬䈮േំ⪺䈚䈇24䉟䊮䊒䊤䊮䊃䉅᠗෰䈚䈢䋮6᦬䈮25䈮2
࿁ᴺ䊁䊷䊌䊷䊄Screw㩷 VentHA㩺3㪅7㪃8mm䉕ၒ౉䈚䈢䋮
䇭2013ᐕ2᦬17㪃14㪃25㪃27䈮⏛ᕈ䉝䉺䉾䉼䊜䊮䊃䈱䈢䉄䈱䉝䊋䉾䊃䊜䊮䊃䉕ⵝ⌕䈚䋬㊄ዻᐥ⟵ᱤ☼⤑㕙䉕⺞ᢛ䈚䈩૶↪䈪䈐䉎䉋䈉䈮䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ᄙᢙᱤᰳ៊䋬ήᱤ㗶䈱႐ว䉟䊮䊒䊤䊮䊃ၒ౉ᓟ䈱఺⩄ᦼ㑆ਛ⟵ᱤ䈱⛽ᜬ䉕࿑䉍૶↪䈪䈐䉎䉋䈉䈮䈜䉎䈖䈫䈲ᖚ⠪QOL䉕⛽ᜬ䈜䉎਄䈪㊀ⷐ䈪䈅䉎䋮ᦨೋ䈮ၒ౉䈚䈢䉟䊮䊒䊤䊮䊃䈏ᣧᦼ䈮⣕㔌䈚䈢䈱䈪ㇱ૏䉕ዋ䈚䈝䉌䈚ᓟᣣౣᐲၒ౉䈚䈢䋮4ᧄ2࿁ᴺ䈪ၒ౉䈚఺⩄ᦼ㑆䉕⸳䈔䈢䋮ᥳ㑆䊚䊆䉟䊮䊒䊤䊮䊃䈍䉋䈶䉟䊮䊒䊤䊮䊃䈱ᣧᦼ⣕㔌䈱ਥ䈭ේ࿃䈫䈚䈩䈲䋬఺⩄ᦼ㑆ਛ䈱䉥䊷䊋䊷䊨䊷䊂䉟䊮䉫䈏╙৻䈮⠨䈋䉌䉏䉎䋮䊍䊷䊥䊮䉫䉦䊤䊷䈏૗ᐲ䉅✭䉖䈣䉍⣕㔌䈚䈩䈐䈢䈖䈫䈎䉌䈠䉏䈮䈧䈇䈩ᣧ䈒ኻᔕ䈜䈼䈐䈪䈅䈦䈢䋮ᧄᖚ⠪䈲ㆊ෰䈮㗶㑐▵∝䈱ᴦ≮䉕䈚䈢䈏䋬㊀◊䈭ᱤ๟∛䈏ຏว፣უ䈱ේ࿃䈫⠨䈋䈩䈍䉍⇣Ᏹᯏ⢻䉕฽䉄㗶㑐▵∝䈱⊒∝࿃ሶ䉁䈪䈲⠨䈋䈏෸䈳䈭䈎䈦䈢䋮ᦨೋ䈮ၒ౉䈚䈢8mm䈱㐳䈘䋬
3㪅7mm䈱ᓘ䉅ਇ೑䈭ⷐ࿃䈫⠨䈋䉌䉏䉎䋮⃻࿷䈲Ꮐ஥䈮
2ᧄ䋬ฝ஥䈮2ᧄ䈫䊋䊤䊮䉴䈏ข䉏䈩䈇䉎䈫ᕁ䉒䉏䋬੍ᓟ⦟ᅢ䈮⚻ㆊ䈚䈩䈇䉎䋮੹ᓟ䉅䉟䊮䊒䊤䊮䊃䈮⽶⩄䈏㓸ਛ䈚䈭䈇䉋䈉䈮ቯᦼ⊛⚻ㆊⷰኤ䉕⛯䈔䉎੍ቯ䈪䈅
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1䋩 ㇺ▽ዅ.䊚䊆䉟䊮䊒䊤䊮䊃䉲䉴䊁䊛ᔕ↪䈱䉟䊮䊒䊤䊮䊃䉥䊷䊋䊷䊂䊮䉼䊞䊷.ᱤ⑼ක≮ 30䋺44䋭51,2016.
2䋩 ੉↰ⴕ㓶.䉟䊮䊒䊤䊮䊃䉥䊷䊋䊷䊂䊮䉼䊞䊷䈻䈱ᥳ㑆䊚䊆䉟䊮䊒䊤䊮䊃䈱ᔕ↪.ᣣᧄᱤ⑼⹏⺰ 75:41
䋭52䋬2015.

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一般口演発 表㪦㪈㪄㪉㪍SBᖚ⠪䈮䈍䈔䉎๭ๆ䉟䊔䊮䊃ᓟ䈱RMMA⊒↢䈮㑐䉒䉎↢ℂቇ⊛ⷐ࿃䇭䂾ㄞ㒋੫ሶ 㪈㪀䋬ේᧁ⌀๋ 㪈㪀䋬ℰ᫪ፏᒄ 㪈㪀䋬⍫⼱ඳᢥ 㪈㪀䋬ട⮮㓉ผ 㪉㪀
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ᄢ㒋ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼㗶ญ⣧ᯏ⢻ౣᑪቇ⻠ᐳ䉪䊤䉡䊮䊑䊥䉾䉳⵬✄ቇಽ㊁䋬 㪉㪀ᄢ㒋ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼㜞ᰴ⣖ญ⣧ᯏ⢻ቇ⻠ᐳญ⣧⸃೬ቇ╙ੑᢎቶ䇭䇭

Physiologic factor about the RMMA occurrence after the respiratory in the SB subjects.
Tsujisaka A 1), Haraki S 1), Mizumori T 1), Yatani H 1), Kato T 2)
1)
Department of Fixed Prosthodontics, Graduate School of Dentistry, Osaka University, Osaka, Japan, 2)
Department of Oral Anatomy and Neurobiology, Graduate School of Dentistry㸇䋮㩷⋡⊛䇭⌧⌁ᤨ䊑䊤䉨䉲䉵䊛䋨sleep㩷bruxism䋺એਅSB䋩䈲䊥䉵䊛 ᕈ ๰ ྨ ╭ ᵴ േ 䋨 rhythmic㩷 masticatory㩷 muscle
activity䋺એਅRMMA䋩䈮઻䈉ᱤ䈑䈚䉍䉕․ᓽ䈫䈚䋬䈠䈱⊒↢䈮వ┙䈤䋬⣖ᵄ਄䈪䈱ⷡ㉕䉕␜䈜arousal䈏಴⃻䈜䉎䋮৻ᣇ䋬㐽Ⴇᕈ⌧⌁ᤨή๭ๆ䋨obstructive㩷sleep
apnea䋺એਅOSA䋩䈲䈇䈶䈐䉇ᣣਛ䈱ㆊᐲ䈱⌁᳇䉕․ᓽ䈫䈚䋬⌧⌁ᤨ䈮➅䉍㄰䈜ή๭ๆ䉇ૐ๭ๆ䈏arousal䉕㗫࿁䈮⊒↢䈘䈞䋬⌧⌁䈱㓚ኂ䈫䈭䉎䋮వⴕ⎇ⓥ䈮䉋
䉍䋬SB䈫OSA䈏ዋ䈭䈎䉌䈝૬ሽ䈜䉎䈖䈫䉇䋬OSA䈏SB䈱䊥䉴䉪࿃ሶ䈫䈭䉍ᓧ䉎䈖䈫䈏ႎ๔䈘䉏䈩䈇䉎䈮䉅䈎䈎䉒䉌䈝䋬SB䈫OSA䈱∛ᘒ↢ℂቇ⊛㑐ㅪ䈲ᧂ䈣᣿䉌䈎䈪䈲䈭䈇䋮䈖䈱ℂ↱䈫䈚䈩䋬ㆊ෰䈱⎇ⓥ䈪䈲䋬ኻ⽎ⵍ㛎⠪䈏ਛ㜞ᐕ䈎䈧㊀∝OSAᖚ⠪⟲䈪䈅䉎䈖䈫䈏ᄙ䈒䋬㗫࿁䈮↢䈛䉎⌧⌁ಽᢿ䉇⌧⌁᭴▽䈱⎕უ䈮䉋䈦
䈩SB䈫OSA䈱∛ᘒ↢ℂቇ⊛㑐ㅪ䈏ୃ㘼䈘䉏䋬ⶄ㔀ൻ䈚䈩䈇䈢น⢻ᕈ䈏⠨䈋䉌䉏䉎䋮䇭䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬SB䈫OSA⊒↢䈱↢ℂቇ⊛㑐ㅪ䈮⠨ኤ䉕ട䈋䉎䈖䈫䉕⋡⊛䈫䈚䈩䋬⌧⌁᭴▽䈏ᱜᏱ▸࿐ౝ䈮䈅䉎ਛ╬ᐲએ਄䈱SB䉕᦭䈜䉎⧯ᐕⵍ㛎⠪䈮䈍䈇䈩䋬๭ๆ䉟䊔䊮䊃ᓟ䈱RMMA⊒↢䈮㑐ㅪ䈜䉎↢ℂቇ⊛ⷐ࿃䉕⺞䈼䈢䋮䇭㸈䋮㩷ᣇᴺ1䋮ⵍ㛎⠪䈍䉋䈶ᬌᩏᣇᴺ䇭ⵍ㛎⠪䈲䋬㗶ญ⣧♽䈮⇣Ᏹ䉕⹺䉄䈝䋬ᧄ⎇ⓥ⑼䈱
䊘䊥䉸䊛䊉䉫䊤䊐䉞䊷䋨Polysomnography䋺એਅPSG䋩ᬌᩏ䈪䋬RMMA䈱⊒↢㗫ᐲ䋨RMMA㩷index䋩䈏Ფᤨ4࿁એ਄䈱ਛ╬ᐲ䊧䊔䊦એ਄䈱SB䉕᦭䈜䉎22ฬ䉕⸃ᨆ䈮↪䈇䈢䋮
䇭PSGᬌᩏ䈲2ᄛㅪ⛯䈪ⴕ䈦䈢䋮ᬌᩏ䈪䈲䋬⣖ᵄ䋬⌒㔚࿑䋬╭㔚࿑䋨⥠㛽਄╭䋬ਔ஥ຏ╭䊶஥㗡╭䋬೨⣊㛽╭䋩䋬䈇䈶䈐㖸䋬๭ๆᦛ✢䋬േ⣂ⴊ㉄⚛㘻๺ᐲ䋬ᔃ㔚࿑䋬૕૏䈱᷹ቯ䋬䈍䉋䈶䊎䊂䉥᠟ᓇ䉕ⴕ䈦䈢䋮ⵍ㛎⠪䈮 䈲 䋬 Pittsburgh㩷 sleep㩷 quality㩷 index 䋬 Epworth
sleepiness㩷scaleᣣᧄ⺆ 䋬䈍䉋䈶SB䈫OSA䈮㑐䈜䉎⥄ⷡ⊛䋬ઁⷡ⊛∝⁁䉕໧䈉⾰໧␿䈮࿁╵䈘䈞䈢䋮
2䋮⌧⌁䋬RMMA䋬䈍䉋䈶๭ๆ䉟䊔䊮䊃䈱⸃ᨆ─ 147 ─䇭⌧⌁⸃ᨆ䈮䈲2ᄛ⋡䈱䊂䊷䉺䉕↪䈇䈢䋮ㅢᴺ䈮ᓥ䈦䈩䋬⌧⌁ᄌᢙ䉇ฦ⌧⌁Ბ㓏䈱භ᦭₸䈍䉋䈶ή๭ๆ䊶ૐ๭ๆ䉟䊔䊮䊃䈱⊒↢㗫ᐲ䋨apnea㩷hypopnea㩷index䋺એਅAHI䋩䉕▚಴䈚䈢䋮䉁䈢䋬RMMA䉕ຏ╭╭㔚࿑䈫䊎䊂䉥↹௝䈮ၮ䈨䈇䈩್ቯ䈚䋬RMMA㩷index䉕▚಴䈚䈢䋮AHI㪓5䈱ⵍ㛎⠪䉕SB⟲䋬AHI㪕5䈱ⵍ㛎⠪䉕SB䋫
OSA⟲䈫䈚䈢䋮
3䋮RMMA䈫๭ๆ䉟䊔䊮䊃䈱㑐ㅪ䇭ฦ⌧⌁Ბ㓏䈮䈍䈔䉎RMMA䋬๭ๆ䉟䊔䊮䊃䈱⊒↢₸䋬䈍䉋䈶๭ๆ䉟䊔䊮䊃ᓟ10⑽એౝ䈱RMMA䈱⊒↢₸䉕2⟲㑆䈪Ყセ䈚䈢䋮䉁䈢ోⵍ㛎⠪䈮䈍䈇䈩䋬⌧⌁Ბ㓏䈗䈫䈮๭ๆ䉟䊔䊮䊃ᓟ10⑽એౝ䈱RMMA䈱⊒↢₸䈫AHI䉕▚಴䈚䋬䈠䈱⋧㑐䉕᳞䉄䈢䋮䈘䉌䈮SB䋫
OSA⟲䈮䈍䈇䈩䋬arousal䈮ኻ䈜䉎RMMA䈱⊒↢₸䉕▚಴䈚䈢䋮
4䋮⛔⸘⸃ᨆ
䇭⸃ᨆ䈮䈲Fisherᬌቯ䋬Mann㪄Whitney䈱Uᬌቯ䋬
Wilcoxon䈱㗅૏๺ᬌቯ䋬䈍䉋䈶Pearson䈱⋧㑐ଥᢙ䉕↪䈇䋬᦭ᗧ᳓Ḱ䈲㱍䋽0㪅05䈫䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
䇭SB䋫OSA⟲䈫SBᖚ⠪䈪䈲䋬ਥⷰ⊛⌧⌁䋬⌧⌁᭴▽䋬䈍䉋䈶RMMA㩷index䈮䈲Ꮕ䈏䈭䈒䋬SB㪂OSA⟲䈪䈲๭ๆ䉟䊔䊮䊃䈮䉋䉎⌧⌁⺞▵䈻䈱ᓇ㗀䈏䈾䈫䉖䈬䈭䈎䈦䈢䋮2⟲䈫䉅䋬RMMA䈱⚂70䋦એ਄䈏ᵻ䈇⌧⌁Ბ
㓏䈪䈅䉎Stage㩷N1䋫Stage㩷N2䈪䋬๭ๆ䉟䊔䊮䊃䈱⚂
40䋦䈏Stage㩷REM䈪⊒↢䈚䋬RMMA䈱⚂10㪅9䋦䈏๭ๆ䉟䊔䊮䊃ᓟ10⑽એౝ䈮⊒↢䈚䈢䋮䈚䈎䈚䋬ోⵍ㛎⠪
䈪䈲䋬Stage㩷N1䋫Stage㩷N2䈪䈱䉂䋬RMMA㩷index䈫
AHI䈫䈱㑆䈮᦭ᗧ䈭ᱜ䈱⋧㑐䉕⹺䉄䈢䋮SB䋫OSA⟲䈪䈲䋬๭ๆ䉟䊔䊮䊃ᓟ䈮↢䈛䈢arousal䈱⚂15㪅3䋦䈪
RMMA䈏⊒↢䈚䈢䈏䋬arousal䈏⊒↢䈚䈭䈇䈫RMMA
䈲಴⃻䈚䈭䈎䈦䈢䋮䈚䈢䈏䈦䈩䋬๭ๆ䉟䊔䊮䊃䈏Stage
N1䋫Stage㩷 N2䈮㗫࿁䈮⊒↢䈚䋬๭ๆ䉟䊔䊮䊃ᓟ䈮
arousal䈏⊒↢䈜䉎䈖䈫䈏䋬๭ๆ䉟䊔䊮䊃ᓟ䈮RMMA䈏
⊒↢䈜䉎↢ℂቇ⊛ⷐ࿃䈪䈅䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮

第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪉㪎㔚᳇ೝỗ䉕↪䈇䈢㗶ႇ☼⤑䈱−∩⠴ᕈ㑣୯䈱᷹ቯ䈮㑐䈜
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䂾ਛፉ⟵㓶 㪈㪀䋬ฎἑାᒾ 㪉㪀䋬ዊᎹ⾆ᄢ 㪉㪀䋬ዊ಴ᕶઍ 㪈㪀䋬ᧃశᒄቱ 㪈㪀䋬੖ච፲ᙗᄥ㇢ 㪉㪀䋬ᧁ᧛䇭⚐ 㪈㪀䋬ᩊ䇭㓉ਃ 㪈㪀䋬⑔੗ବ੺ 㪈㪀䋬ᄢਭ଻᣽๺ 㪈㪀䋬㇭มᢕሶ 㪈㪀䋬ᧁᧄ䇭⛔ 㪈㪀䋬ᴡ⋧቟ᒾ 㪈㪀㪈㪀ᣣᧄᄢቇ᧻ᚭᱤቇㇱ᦭ᐥ⟵ᱤ⵬✄ቇ䋬㪉㪀ᣣᧄᄢቇᄢቇ㒮᧻ᚭᱤቇ⎇ⓥ⑼᦭ᐥ⟵ᱤ⵬✄ቇ
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Study of pain tolerance threshold by applying an electrical stimulus on the alveolar ridge
Nakashima Y 1), Furuse N 2), Ogawa T 2), Koide Y 1), Suemitsu H 1), Igarashi K 2), Kimura J 1), Shiba R 1),
Fukui S 1), Ookubo M 1), Gunji A 1), Kimoto S 1), Kawai Y 1)
1)
Removable Prothodontics, Nihon University School of Dentistry at Matsudo, 2)Removable Prothodontics,
Nihon University Graduate School of Dentistry at Matsudo㸇䋮㩷⋡⊛䇭㜞㦂ൻ␠ળ䈮䉋䉍⟵ᱤⵝ⌕⠪䈲Ⴧട䈜䉎䈫੍ᗐ䈘䉏䉎 1㪀䋮䈠䉏䈮઻䈇ᱤ⑼⸻≮䈮䈍䈇䈩⟵ᱤⵝ⌕⠪䉕ᴦ≮䈜䉎ᯏળ䈲Ⴧട䈜䉎䈫⠨䈋䉌䉏䉎䋮⟵ᱤⵝ⌕⠪䈱ਥ⸷䈱1䈧䈫䈚䈩⟵ᱤ૶↪ᤨ䈱∩䉂䈏᜼䈕䉌䉏䉎䈏䋬㗶ႇ☼⤑䈮⇣Ᏹᚲ⷗䈏ή䈇䈮䉅䈎䈎䉒䉌䈝∩䉂䉕⸷䈋䉎⟵ᱤⵝ⌕⠪䈏ሽ࿷䈜䉎䋮䈖䈱⇣Ᏹ䈭∩䉂䈱ේ࿃䈫䈚䈩䉝䊨䊂䉞䊆䉝䉇−∩ㆊᢅ䈏⠨䈋䉌䉏䉎䈏䋬⃻࿷䈱ᱤ⑼⸻≮䈪䈲㗶ႇ☼⤑䈎䉌䈖䉏䉌䈱ේ࿃䉕⸻ᢿน⢻䈭ᯏེ䈲ሽ࿷䈚䈭䈇䋮䈠䈖䈪㔚᳇ೝỗ䉕↪䈇䈩C✢⛽䈍䉋䈶A㱐✢⛽䉕ㆬᛯ⊛䈮ೝỗ䈚−∩⠴ᕈ㑣୯㩿Pain㩷Tolerance㩷Threshold㪃㩷એਅPTT㪀䈏᷹ቯน®

⢻ 䈭 Neurometer㩷 CPT㪆C 㩷 㩿Neurotron㩷 Inc㪅㪃
Baltimore㪃㩷MD㪃㩷USA㪃㩷એਅN㪄CPT㪆C㪀㩷䈮ᵈ⋡䈚䈢䋮N㪄CPT㪆C䉕㗶ႇ☼⤑䈮ᔕ↪䈚䈢ႎ๔䈏ή䈇䈢䉄䋬ᐕ㦂䋬ᕈ೎䈍䉋䈶ຏวᡰᜬ䈎䉌䈱ᓇ㗀䉕ᬌ⸛䈚ၮᧄ⊛․ᓽ䉕ᛠី䈜䉎੐䉕⋡⊛䈮ᧄ⎇ⓥ䉕ⴕ䈦䈢䋮䇭㸈䋮㩷ⵍ㛎⠪䈍䉋䈶ᣇᴺ䇭ⵍ㛎⠪䈲ᣣᧄᄢቇ᧻ᚭᱤቇㇱઃዻ∛㒮䈮ൕ䉄䉎ᢎ⡯ຬ䈍䉋䈶ᴦ≮⋡⊛᧪㒮䈚䈩䈇䉎ᖚ⠪䈫䈚䋬↵ᕈ
51ฬ㩷㩿ᐔဋᐕ㦂58㪅7ᱦ㪀䋬ᅚᕈ49ฬ㩷㩿ᐔဋᐕ㦂60㪅7ᱦ㪀㩷䈫䈚䈢䋮᷹ቯᯏེ䈲N㪄CPT㪆C䉕૶↪䈚᷹ቯㇱ૏䈲Ꮐ஥䈱ᄢญ⬄ሹ⋧ᒰㇱ䈱㗶ႇ☼⤑䈫䈚䋬5Hz㩷㩿C✢⛽㪀㩷䈍䉋䈶250Hz㩷㩿A㱐❫⛽㪀䈱2⒳㘃䈱᷹ቯ๟ᵄᢙ䉕↪䈇䈩䈠䉏䈡䉏䈱PTT䉕᷹ቯ䈚䈢䋮䉁䈢ญ⣧ౝ䈮㔚䇭ᕈ೎㑆䈮䈍䈇䈩䈲᦭ᗧ䈭Ꮕ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮䉝䉟䊍䊅䊷ಽ㘃䈮䈍䈇䈩䉅᦭ᗧ䈭Ꮕ䉕⹺䉄䈭䈎䈦䈢䋮ᐕ㦂䈫䈱㑐ㅪ䈪䈲5Hz䈱PTT䈮䈍䈇䈩↵ᕈ䈪䈲ട㦂䈫䈫
䉅䈮䋬PTT䈏ૐਅ䈜䉎᦭ᗧ䈭㑐ㅪ䈏⹺䉄䉌䉏䈢㩿r㩷㪔㪄0㪅33㪃㩷p㩷㪔㩷0㪅017㪀䋮䈚䈎䈚250Hz䈱PTT䈮䈍䈇䈩䈲↵ᅚ䈫䉅䈮᦭ᗧ䈭㑐ㅪ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮੹࿁䈱⚿ᨐ䈎䉌㔚᳇ೝỗ䉕↪䈇䈢㗶ႇ☼⤑䈱−∩⠴ᕈ㑣୯䈱ၮᧄ⊛․ᓽ䈏␜䈘䉏䈢䋮−∩㑣୯䈮㑐䈜䉎ㆊ෰䈱ႎ๔䈪䈲䋬ᕈ೎䉇ᐕ㦂䈎䉌ᓇ㗀䈘䉏䉎䈫䈚䈩䈇䉎2㪀䋮䈚䈎䈚㗶ႇ☼⤑PTT䈲䋬ᕈ೎䋬ᐕ㦂䈍䉋䈶ຏวᡰᜬ䈎䉌ᓇ㗀䈘䉏䈮䈒䈇੐䈏␜䈘䉏䈢䋮੹ᓟ䈱ᬌ⸛⺖㗴䈫䈚䈩㗶ႇ☼⤑PTT䈮ᓇ㗀䈜䉎࿃ሶ䈱․ቯ䈫䋬䉝䊨䊂䉞䊆䉝䉇−∩ㆊᢅ䈭䈬䈎䉌㗶ႇ☼⤑PTT䈮ᓇ㗀䈘䉏䉎䈱䈎ᬌ⸛䈜䉎੍ቯ䈪᦭䉎䋮䇭㸊䋮㩷ᢥ₂
1䋩 Carlsson GE, Omar R. The future of complete
dentures in oral rehabilitation. A critical review.
Journal of oral rehabilitation. 2010;37(2):143-56.
Epub 2009/12/17
2䋩 Riley JL, 3rd, Robinson ME, Wise EA, Myers
CD, Fillingim RB. Sex differences in theperception of noxious experimental stimuli: ameta-analysis. Pain. 1998;74(2-3):181-7. Epub
1998/03/31.

®

ᭂ䉕࿕ቯ䈜䉎䈢䉄䈮ᾲน႟ᕈ䉲䊷䊃㩷 㩿Erkodur 㩷 㪒
Erkodent㩷Inc㪅㪃㩷Baden㪄Württemberg㪃㩷Germany㪀䉕↪䈇䈩ⵍ㛎⠪Ფ䈮㔚ᭂ࿕ቯᐥ䉕⵾૞䈚䈢䋮䉁䈢୘䇱䈱ຏวᡰᜬၞ䈮䈧䈇䈩䉝䉟䊍䊅䊷ಽ㘃䉕↪䈇䈩䉕⹏ଔ䈚䈢䋮⛔⸘ಽᨆ䈲ฦ๟ᵄᢙPTT䈱ᕈ೎㑆䈱Ყセ䉕Mann㪄Whitney㩷U㪄test㪃㩷ฦ๟ᵄᢙPTT䈫ᐕ㦂䈫䈱㑐ㅪ
䉕Spearman㩷rank㩷correlation㪃㩷ฦ๟ᵄᢙPTT䈱䉝䉟䊍䊅䊷ಽ㘃㑆䈱Ყセ䉕Kruskal㪄Wallis㩷test䈪ಽᨆᓟ᦭ᗧᕈ䉕⹺䉄䈢႐วMann㪄Whitney㩷Utest䈮䈩䈠䉏䈡䉏ಽᨆ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤPain tolerance threshold measuring system䇭─ 148 ─日補綴会誌

第 1 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪈㪄㪉㪏㐽ญ䉳䉴䊃䊆䉝䈱๰ྨᤨ㗶㗪╭ᵴേ䇭䂾⍹੗ᥓᶈ 㪈㪀䋬ᚑ↰♿ਯ 㪈㪃㪉㪀䋬㆙⮮ඳผ 㪊㪀䋬␹⼱๺િ 㪈㪀䋬ᐔጊᤩᐽ 㪉㪀
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㪈㪀
ᣣᧄᄢቇ᧻ᚭᱤቇㇱ᦭ᐥ⟵ᱤ⵬✄ቇ⻠ᐳ䋬㪉㪀ᣣᧄᄢቇකቇㇱ⣖␹⚻ᄖ⑼ቇ⻠ᐳ䋬㪊㪀࿖┙⎇ⓥ㐿⊒ᴺੱ㩷↥ᬺᛛⴚ✚ว⎇ⓥᚲੱ㑆ᖱႎ⎇ⓥㇱ㐷䇭り૕ㆡᔕᡰេᎿቇ⎇ⓥ䉫䊦䊷䊒

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Jaw and neck muscle activities of jaw closing dystonia in chewing
Ishii T 1), Narita N 1,2), Endo H 3), Kamiya K 1), Hirayama T 2)
1)
Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, 2)
Department of Neurlogical Surgery, Nihon University School of Medicine, 3)Human Technology ResearchInstitute, National Institute of Advanced Industrial Science and Technology (AIST)㸇䋮㩷⋡⊛䇭䈖䉏䉁䈪䈮䋬વ㆐㑐ᢙ䈫䉮䊍䊷䊧䊮䉴㑐ᢙ䉕ᔕ↪䈚䈩䋬㗶㗪╭ᵴേ䈫ਅ㗶ㆇേ䈱ද⺞ᕈ䈮䈧䈇䈩ᬌ⸛䉕ⴕ䈦䈩䈇䉎䋮੹࿁䈲䋬㐽ญ䉳䉴䊃䊆䉝∝଀䈮䈍䈔䉎๰ྨᤨ䈱㗶㗪╭ᵴേ䈫ਅ㗶ㆇേ䈱ද⺞ᕈ䈮䈧䈇䈩䋬ஜᏱ⠪䈫Ყセᬌ⸛䈚䈢䈱䈪ႎ๔䈜䉎䋮䇭㸈䋮㩷ᣇᴺ䇭ⵍ㛎⠪䈲䋬ᣣᧄᄢቇ∛㒮⣖␹⚻ᄖ⑼䈮᧪㒮䈚䈢䋬㐽ญ䉳䉴䊃䊆䉝䈱ᖚ⠪8ฬ㩿↵ᕈ3ฬ䋬ᅚᕈ5ฬ䋬ᐔဋᐕ
㦂56㪅1ᱦ㪀䈫ஜᏱ⠪8ฬ㩿↵ᕈ6ฬ䋬ᅚᕈ2ฬ䋬ᐔဋᐕ㦂
44㪅5ᱦ㪀㩿ᣣᧄᄢቇ᧻ᚭᱤቇㇱ୶ℂᆔຬળᛚ⹺⇟ภ
EC㩷14㪄13㪄010㪄1㪀䈪䈅䉎䋮䇭⺖㗴䈮䈲䋬ⵍ㛎㘩ຠ䈮䉼䊠䊷䉟䊮䉫䉧䊛㩿䊐䊥䊷䉹䊷䊮䋬䊨䉾䊁㪀1ᨎ䉕↪䈇䋬๰ྨਛ䈱⴫㕙╭㔚࿑䈭䉌䈶䈮ਅ㗶ㆇേ䈱หᤨ⸘᷹䉕ⴕ䈦䈢䋮ਔ஥䈱ຏ╭䋬஥㗡╭䋬㗶ੑ⣻╭䋬⢷㎮੃⓭╭╭ᵴേ䉕↢૕䉝䊮䊒
㩿POLYGRAPH㩷 BIOELECTRIC㩷 AMPL㪀䉕↪䈇䈩ዉ಴䈚䋬ోᵄᢛᵹ䉕ⴕ䈦䈢䋮䉁䈢䋬ਅ㗶ㆇേ䈱⸘᷹䈮䈲㗶ㆇേ⸃ᨆⵝ⟎㩿MKG㪄K7I㪀䉕↪䈇䈢䋮䇭⸃ᨆ䈲䋬๰ྨ஥䈫㕖๰ྨ஥䈱ຏ╭䋬஥㗡╭䋬㗶ੑ⣻╭䋬⢷㎮੃⓭╭䈱╭ᵴേ䉕౉ജାภ䋬ਅ㗶䈱ု⋥ㆇ േ 䉕 ಴ ജ ା ภ 䈫 䈚 䋬 PC 䊒 䊨 䉫 䊤 䊛 㩿MultiScope
EMG㪆Ver1㪅8䋬Medical㩷Try㩷System㪀䉕↪䈇䈩䋮વ㆐㑐ᢙ䈮䉋䉍વ㆐ᕈ㩿Gain㪀䈫૏⋧․ᕈ㩿Phase㪀䉕䋬䉮䊍䊷䊧䊮䉴㑐ᢙ䈮䉋䉍ද⺞ᕈ㩿Coherence㪀䉕▚಴䈚䈢䋮䇭 䉁 䈢 䋬 ⛔ ⸘ ቇ ⊛ ⸃ ᨆ 䈮 䈲 Two㩷 way㩷 repeatedmeasured㩷 ANOVA 䈫 Bonferroni㩷 t㪄test㩷 䈭 䉌 䈶 䈮Mann㪄Whitney㩷Rank㩷Sum㩷test㩷䉕↪䈇䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
1䋮䉳䉴䊃䊆䉝ᖚ⠪䈱๰ྨᤨ䈱㐿ญ㊂Power୯䈲䋬ஜᏱ⠪䈫Ყセ䈚䈩᦭ᗧ䈮ૐ䈇୯䉕␜䈚䈢㩿࿑㪀䋮
2䋮䉳䉴䊃䊆䉝ᖚ⠪䈱㗶㗪╭ᵴേ䈱Power୯䈲䋬ஜᏱ⠪䈫Ყセ䈚䈩᦭ᗧ䈭Ꮕ䈲␜䈘䈭䈎䈦䈢䋮
3䋮䉳䉴䊃䊆䉝ᖚ⠪䈲䋬㗶╭䈱Gain䈮䈲䋬ஜᏱ⠪䈫᦭ᗧ䈭Ꮕ⇣䉕␜䈘䈭䈎䈦䈢䈏䋬๰ྨ஥䈫㕖๰ྨ஥䈱㗪╭
䈱Gain䈪䈲䋬ஜᏱ⠪䈫Ყセ䈚䈩᦭ᗧ䈮ૐ䈇୯䉕␜䈚䈢䋮
4䋮䉳䉴䊃䊆䉝ᖚ⠪䈲䋬Phase䈮䋬㐿ญ╭╭ᵴേ䈫㐽ญ╭╭ᵴേ䈫䈱หᦼᕈ䉕␜䈚䈢䋮

5䋮䉳䉴䊃䊆䉝ᖚ⠪䈲䋬๰ྨ஥䈫㕖๰ྨ஥䈱㐽ญ╭䈱
Coherence䈮䋬ஜᏱ⠪䈫Ყセ䈚䈩᦭ᗧ䈮ૐ䈇୯䉕␜䈚䈢䋮䇭㐽ญ䉳䉴䊃䊆䉝ᖚ⠪䈪䈲䋬๰ྨ䈮䈍䈇䈩㐿ญ䈏ஜᏱ⠪䈮Ყ䈼䈩᦭ᗧ䈮೙㒢䈘䉏䈩䈍䉍䋬䈘䉌䈮䋬㗶㗪╭ᵴേ䈱Power୯䈏ஜᏱ⠪䈫Ꮕ⇣䈱䈭䈇䈖䈫䈎䉌䋬㐽ญ䉳䉴䊃䊆䉝ᖚ⠪䈪䈱᦭ᗧ䈭Gain䈱ૐਅ䈲⠨䈋䉌䉏䉎䋮䉁䈢䋬㐽ญ䉳䉴䊃䊆䉝ᖚ⠪䈪␜䈘䉏䉎䋬㐿ญ╭䈫㐽ญ╭䈫䈱หᦼᕈ䈲䋬๰ྨ䈱䊥䉵䊛ᕈද⺞䈱㓚ኂ䉕␜ໂ䈚䈩䈇䉎䋮䈘䉌䈮䋬䉳䉴䊃䊆䉝ᖚ⠪䈮䈍䈔䉎㐽ญ╭
Coherence䈱᦭ᗧ䈭ૐਅ䈲䋬㗶╭ᵴേ䈫ਅ㗶ㆇേ䈫䈱ද⺞ᕈ䈱ૐਅ䉕␜ໂ䈚䈩䈇䉎䋮䇭એ਄䈱䈖䈫䈎䉌䋬વ㆐㑐ᢙ䈭䉌䈶䈮䉮䊍䊷䊧䊮䉴㑐ᢙ䉕↪䈇䉎䈖䈫䈪䋬㐽ญ䉳䉴䊃䊆䉝ᖚ⠪䈮䈍䈇䈩๰ྨᤨ㗶㗪╭ᵴേ䈱ቯ㊂⊛䈭⹏ଔ䈏น⢻䈫⠨䈋䉌䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Bakke M, Møller E, Thomsen CE, Dalager T,
Werdelin LM.䇭Chewing in patients with severe
neurological impairment.䇭Arch Oral Biol. 2007
Apr;52(4):399-403.
2䋩 Bakke M, Werdelin LM, Dalager T, FuglsangFrederiksen A, Prytz S, Møller E. Reduced jaw
opening from paradoxical activity of mandibular
elevator muscles treated with botulinum toxin.
Eur J Neurol. 2003 Nov;10(6):695-9.

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一般 口 演 発 表㪦㪈㪄㪉㪐ഃ்ᴦ≹ㆊ⒟䈮䈍䈔䉎ኋਥ㛽㜑↱᧪㑆⪲♽ᐙ⚦⢩䈏䉅䈢䉌䈜఺∉ኡኈᕈ䈫䈠䈱䊜䉦䊆䉵䊛䂾ฎ๧૫ሶ 㪈㪀䋬⑺ጊ⻞ᄥ㇢ 㪈㪀䋬ศጟ⵨਽ 㪈㪀䋬࿡෹㓷⟵ 㪈㪀䋬ዊ⋓ᄢᔒ 㪈㪀䋬࿡෹↱ℂ 㪈㪀䋬ᄢ㊁లᤘ 㪉㪀䋬೨Ꮉ⾫ᴦ 㪈㪀䋬┄ᧁᜏ↵ 㪈㪀㪈㪀ጟጊᄢቇᄢቇ㒮කᱤ⮎ቇ✚ว⎇ⓥ⑼䇭䉟䊮䊒䊤䊮䊃ౣ↢⵬✄ቇಽ㊁䋬 㪉㪀ጟጊᄢቇᄢቇ㒮කᱤ⮎ቇ✚ว⎇ⓥ⑼䇭ಽሶකൻቇಽ㊁
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Immune tolerance and its underlying mechanism induced by host bone-marrow-derived mesenchymal stem
cells after long bone injury
Komi K 1), Akiyama K 1), Yoshioka Y 1), Kunitomo M 1), Komori T 1), Kunitomo Y 1), Ono M 2), Maekawa K 1),
Kuboki T 1)
1)
Department of Rehabilitation and Regenerative Medicine, Okayama University Graduate School of
Medicine, Dentistry and Pharmaceutical Sciences, 2)Department of Molecular Biology and Biochemistry,
Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences㸇䋮㩷⋡⊛䇭㛽㜑↱᧪㑆⪲♽ᐙ⚦⢩䉕↪䈇䈢ᱤᮏ㛽ౣ↢≮ᴺ
䈲䋬৻ቯ䈱ലᨐ䉕਄䈕䈩䈇䉎䉅䈱䈱䋬ᐙ⚦⢩䉕⒖ᬀ䈚䈢䈱䉂䈪䈲䋬⒖ᬀᓟ䈱ᐙ⚦⢩䈱᜛ᢔ䉇⚦⢩ᱫ䈮䉋䉍⚵❱ౣ↢䈏ਇචಽ䈭႐ว䉅䈅䉎1㪀䋮䈖䈱䉋䈉䈭⃻⽎䈲䋬ㅢᏱ䈱Ἳ∝ౣ↢ㅪ㑐䈮䈍䈇䈩䉅䋬Ἳ∝䈮䉋䉍㑆⪲♽ᐙ⚦⢩䈏ㆆ⿛䈘䉏䋬ౣ↢⃻႐䈮⛽ᜬ䈘䉏䉎ᯏᐨ䈱ሽ࿷䉕ᒝ䈒␜ໂ䈚䈩䈇䉎䋮䈘䉌䈮䋬ㆆ⿛䈘䉏䈢⥄Ꮖ㑆⪲♽ᐙ⚦⢩䈲ዪᚲ䈪఺∉ኡኈᕈ䉇᛫Ἳ∝૞↪䉕⺃ዉ䈚䋬ౣ↢⃻႐䈱ᦨㆡൻ䈮㑐䉒䉎䈫␜ໂ䈘䉏䉎䋮䈖䈱䊜䉦䊆䉵䊛䈏᣿䉌䈎䈮䈭䉏䈳䋬⒖ᬀᐙ⚦⢩䉕↪䈇䈝䈫䉅䋬ౝ࿷ᕈ䈱ኋਥᐙ⚦⢩䉕೑↪䈜䉎䈖䈫䈪䋬⚵❱ౣ↢䉇Ἳ∝ᕈ∔ᖚ䈱ᡷༀ䈮❬䈕䉎䈖䈫䈏䈪䈐䉎2㪀䋮䈚䈎䈚䋬⚵❱ഃ்ᴦ≹ㇱ૏䈮䈍䈔䉎ኋਥ㑆⪲♽ᐙ⚦⢩䈱᜼േ䋬఺∉⺞▵⢻䋬᛫Ἳ∝૞↪䈮䈧䈇䈩䈲චಽ᣿䉌䈎䈪䈭䈇䋮䇭䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬ഃ்ᴦ≹ㇱ૏䈮䈍䈔䉎ኋਥ㑆⪲♽ᐙ⚦⢩䈱㓸Ⓧ䋬䈭䉌䈶䈮Ἳ∝ᕈ䉰䉟䊃䉦䉟䊮䈏㓸Ⓧᐙ⚦⢩䈮ਈ䈋䉎ᓇ㗀䉕ᬌ⸛䈚䈢䋮䇭㸈䋮㩷ᣇᴺ
䇭C57BL㪆6J䊙䉡䉴䈱ᄢ⣽㛽䉕ోり㤗㈮ਅ䈪㔺಴䈘䈞䈢ᓟ䋬⋥ᓘ1㪅0mm䈱䊤䉡䊮䊄䊋䊷䉕↪䈇䈩ᄢ⣽㛽⊹⾰㛽⣻஥䉕⓫ሹ䈚㪃ഃ்ᴦ≹䊝䊂䊦䉕૞⵾䈚䈢䋮⓫ሹᓟ1䋬3䋬5䋬7ᣣ䈮ዼᲕ䈚䋬એ㒠䈱ታ㛎䈮૶↪䈚䈢䋮䉁䈝䋬ഃ்ᴦ≹䊝䊂䊦䈱ᄢ⣽㛽䈱ಓ⚿ಾ 䉕૞⵾䈚䋬
HEᨴ⦡䋬఺∉⚵❱ൻቇᨴ⦡䈮䈩CD146㓁ᕈ⚦⢩䈭䉌䈶䈮Ἳ∝ᕈ䉰䉟䊃䉦䉟䊮䋨TNF㪄㱍䋩䈱⚵❱ቇ⊛ᬌ⸛䉕ⴕ䈦䈢䋮䉁䈢䋬ഃ்ᴦ≹䊝䊂䊦ᄢ⣽㛽㛽㜑䈮䈍䈔䉎㑆⪲♽ᐙ⚦⢩⴫㕙᛫ේ䋨CD146䋬CD90䋬Sca㪄1䋩䈭䉌䈶䈮T⚦⢩䉝䊘䊃䊷䉲䉴䉕䊐䊨䊷䉰䉟䊃䊜䊃䊥䊷䈮䈩⸃ᨆ䈚䋬Ἳ∝ᕈ䉰䉟䊃䉦䉟䊮䋨Il1b䋬Il6䋬Ifng䋬Tnfa䋩䈱ㆮવሶ⊒⃻䉕䊥䉝䊦䉺䉟䊛RT㪄PCRᴺ䉕↪䈇䈩⹏ଔ䈚䈢䋮䈘䉌䈮䋬in㩷vitro䈮䈍䈔䉎TNF㪄㱍䈱䊙䉡䉴㛽㜑↱᧪

─ 150 ─㑆⾰⚦⢩䋨mBMSCs䋩䈮ਈ䈋䉎ᓇ㗀䉕ᬌ⸛䈜䉎䈢䉄
䈮䋬CD146䈱⊒⃻䉕䊐䊨䊷䉰䉟䊃䊜䊃䊥䊷䈮䈩䋬⚦⢩Ⴧᱺ⢻䉕MTS⹜㛎䈮䈩䋬⚦⢩⿛ൻᕈ䉕䉴䉪䊤䉾䉼䉝䉾䉶
䉟ᴺ䈮䈩⹏ଔ䈚䈢䋮ᦨᓟ䈮䋬TNF㪄㱍䈏mBMSCs䈱఺∉ᛥ೙⢻䈮ਈ䈋䉎ᓇ㗀䉕ᬌ⸛䈜䉎䈢䉄䋬FasL䈱⊒⃻䉕䊐䊨䊷䉰䉟䊃䊜䊃䊥䊷䈭䉌䈶䈮఺∉⚦⢩ൻቇᨴ⦡䈮䈩⸃ᨆ䈚䈢䋮䈘䉌䈮䋬T⚦⢩䈫౒ၭ㙃䈚䋬T⚦⢩䈱䉝䊘䊃䊷䉲䉴⺃ዉ䈭䉌䈶䈮೙ᓮᕈT⚦⢩䈱ಽൻ⺃ዉ䈮ਈ䈋䉎ᓇ㗀䉕䊐䊨䊷䉰䉟䊃䊜䊃䊥䊷䈪⹏ଔ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ഃ்ᴦ≹ㇱ૏䈮䈍䈔䉎Ἳ∝ᕈ䉰䉟䊃䉦䉟䊮䈲⚵❱៊
்ᓟ1ᣣ䈪Ⴧട䈚䋬䈠䉏䈮ว䉒䈞䈩ኋਥ㑆⪲♽ᐙ⚦⢩䈏㓸Ⓧ䈜䉎੐䈏᣿䉌䈎䈫䈭䈦䈢䋮䉁䈢䋬In㩷vitro䈮䈍
䈔䉎TNF㪄㱍䈏䋬mBMSCs䈱Ⴧᱺ⢻䉕ᛥ೙䈚䋬⿛ൻᕈ䉕ଦㅴ䈚䈢䋮ᧄ⚿ᨐ䈲䋬Ἳ∝ᕈ䉰䉟䊃䉦䉟䊮䈮䉋䈦䈩៊்ㇱ૏๟࿐䈱ኋਥ㑆⪲♽ᐙ⚦⢩䈱㓸Ⓧ䈏⺃ዉ䈘䉏䈢น⢻ᕈ䉕␜䈜䈫⠨䈋䉌䉏䈢䋮䈘䉌䈮䋬TNF㪄㱍䈱ೝỗ
䈮䉋䈦䈩FasL䈱⊒⃻䈏ଦㅴ䈘䉏䋬౒ၭ㙃T⚦⢩䈱䉝䊘䊃䊷䉲䉴䉕⺃ዉ䈚䈢䋮䈖䉏䉌䈲䋬ഃ்ᴦ≹ㇱ૏䈮ᣈ䈇
䈩䉅㓸Ⓧᐙ⚦⢩䈮䉋䉎ኋਥT⚦⢩䉝䊘䊃䊷䉲䉴䈏⺃ዉ䈘䉏䋬ዪᚲ䈱ᕆᕈἻ∝䉕⺞▵䈚䈩䈇䉎น⢻ᕈ䉕␜ໂ䈜䉎䉅䈱䈫ᕁ䉒䉏䈢䋮䇭㸊䋮㩷ᢥ₂1䋩 Liu Y, Wang L, et al. Mesenchymal stem cellbased tissue regeneration is governed byrecipient T lymphocytes via IFN㪄㱏㩷and TNF㪄㱍㪅
Nature Medicine 2011; 17: 1594-1601.
2䋩 Aikawa E, Fujita R et al. Systemic high-mobility
group box 1 administration suppresses skininflammation by inducing an accumulation of
PDGFR㱍㩿㪂㪀㩷 mesenchymal cells from bonemarrow. Scientific Report 2015; 5: 11008.

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第 1 日 第 3 会場
一般口演発 表㪦㪈㪄㪊㪇ᯏ⢻․ൻ䊒䊤䉟䊚䊮䉫⚦⢩䉦䉪䊁䊦䈮䉋䉎ᄙ㕙⊛㛽ᒻᚑᴺ䂾⑺⪲㓁੺䋬ᳯญ㚅㉿䋬⑺⪲ᄹ⟤䋬㝼ፉൎ⟤

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ᣂẟᄢቇᄢቇ㒮කᱤቇ✚ว⎇ⓥ⑼↢૕ᱤ⑼⵬✄ቇಽ㊁
Bone regeneration with Functional specialized priming cell coctail
Akiba Y, Eguchi K, Akiba N, Uoshima K
Division of Bio-Prosthodontics, Niigata University Graduate School of Medical and Dental Sciences㸇䋮㩷⋡⊛ᱤ⑼㗔ၞ䈪䈱㛽ౣ↢≮ᴺ䈱ᔅⷐᕈ䈲⼏⺰䉕ᓙ䈢䈭䈇䋮䈚䈎䈚䋬ᚑ㐳࿃ሶ䉇⮎೷䈱ዪᚲᛩਈ䈲䋬ଔᩰ䉇೽૞↪䋬ᓢ᡼Ớᐲ೙ᓮ䈱࿎㔍䈘䋬ᄙ⒳ᄙ᭽䈭ᚑ㐳࿃ሶ䈱ᷝട䈱䉺䉟䊚䊮䉫╬䈱໧㗴䈏䈅䉎䋮৻ᣇ䋬⚦⢩⒖
ᬀ䈪䈲⒖ᬀ䈘䉏䈢⚦⢩䈲⒖ᬀవ䈱⁁ᴫ䋬ⅣႺ䈮ᔕ䈛䈩ᔅⷐ䈭ᯏ⢻䉕⊒ើ䈚ᓧ䉎䈫⠨䈋䉌䉏䉎䋮ㄭᐕ䋬⚦⢩⒖ᬀ䉕઻䈉㛽ౣ↢ᴺ䈮䈍䈇䈩䋬⒖ᬀ⚦⢩䈱⋥ធ⊛䈭㛽ᒻᚑએᄖ䈮䋬ኋਥ⚦⢩⺃ዉ䋬ⴊ▤ᣂ↢ଦㅴ䋬ᚑ㐳࿃ሶଏ⛎䈭䈬䈱ᯏ⢻⊛ᗧ⟵䈏ႎ๔䈘䉏䈩䈇䉎䋮ᧄ⎇ⓥ䈲⚦⢩䉕୘೎䈮ಣℂ䈚䋨ᯏ⢻․ൻ䊒䊤䉟䊚䊮䉫䋩䋬䊒䊤䉟䊚䊮䉫⚦⢩⟲䉕ᧂಣℂ䈱⚦⢩䈫ᷙ๺䈚䈢⚦⢩႙䋨⚦⢩䉦䉪䊁䊦䋩䉕૞⵾䈚䋬⒖ᬀ⚦⢩䈮ᦼᓙ䈘䉏䉎䈘䉁䈙䉁䈭ᯏ⢻䉕⾮ᵴൻ䈘䉏䈢⁁ᘒ䈪ౕ஻䈚䋬᧦ઙ䈮ᔕ䈛䈩ᯏ⢻䉕⊒ើ䈚䈉䉎䉴䊙䊷䊃⒖ᬀၮ᧚䈫䈚䈩䈱㵰㛽ᒻᚑᯏ⢻․ൻ䊒䊤䉟䊚䊮䉫⚦⢩䉦䉪䊁䊦㵱⒖ᬀ䈮䉋䉎䋬ᄙ㕙⊛䉝䊒䊨䊷䉼䈮䉋䉎㛽ౣ↢≮ᴺ䉕㐿⊒䈜䉎䈖䈫䉕⋡⊛䈫䈚䈩䈇䉎䋮
䇭㸈䋮㩷ᣇᴺ
4ㅳ㦂SD䊤䉾䊃㛽㜑䋬GFP䊤䉾䊃㛽㜑䉋䉍ណข䈚䈢㛽㜑㑆⾰⚦⢩䋨BMSC䋩䉕㽲㛽⧘⚦⢩ಽൻೝỗ䋬㽳IL㪄8䈮䉋䉎ⴊ▤ౝ⊹⚦⢩Ⴧᱺ࿃ሶ䋨VEGF䋩᡼಴ೝỗ䋬㽴
Valproic㩷acid䋨VPA䋩䈮䉋䉎ㆮવሶ⊒⃻ଦㅴೝỗ䋬╬䈱ᯏ⢻․ൻ䊒䊤䉟䊚䊮䉫䉕න⁛䋬෶䈲⚵䉂ว䉒䈞䈩ⴕ䈉䋮䊒䊤䉟䊚䊮䉫⚦⢩䈫ᧂಣℂ⚦⢩䈲ᧂಣℂ⚦⢩䈱
GFPᮡ⼂䈮䉋䈦䈩඙೎䈜䉎䋬ೝỗᓟ72ᤨ㑆䋬1ㅳ㑆ᓟ䈮ቯ㊂⊛ㆮવሶ⊒⃻⸃ᨆ䉕ታᣉ䈜䉎䋮⚦⢩䉕࿁෼䈚න⁛䈱䋬䉅䈚䈒䈲⚦⢩䉕ᷙ๺䈚䈢⚦⢩႙䋨⚦⢩䉦䉪䊁䊦䋩䉕૞ᚑ䈚䋬ฦᯏ⢻․ൻ䊒䊤䉟䊚䊮䉫⚦⢩䉦䉪䊁䊦䉕䉮䊤䊷䉭䊮䉭䊦䈮᠞⒳䈚䈩⒖ᬀၮ᧚䉕૞ᚑ䈜䉎䋮⚦⢩䉦䉪䊁䊦૞⵾䋬ၭ㙃ᓟ䈮FACS䈮䉋䉍⚦⢩䉕ಽ㔌䈚䋬䊒䊤䉟䊚䊮䉫⚦⢩䈱ᧂಣℂ⚦⢩䈻䈱ᓇ㗀䉕ᬌ⚝䈜䉎䋮
12ㅳ㦂SD䊤䉾䊃䈱㗡⬄㛽䈮⋥ᓘ5䋘䈱౞╴ᒻ㛽ᰳ៊䉕૞ᚑ䋬䊒䊤䉟䊚䊮䉫⚦⢩䋬⚦⢩䉦䉪䊁䊦䉕⒖ᬀ䈚䋬❔
ว䈜䉎䋮4ㅳ㑆ᓟ䈮ᮡᧄ䉕ណข䈚䋬μCT䈮䉋䉍㛽ᒻᚑ䉕⹏ଔ䈜䉎䋮⚦⢩ၭ㙃䈮↪䈇䈢ၭ㙃਄ᷡ䈲㛽㜑↱᧪⚦⢩⺃ዉታ㛎䈮૶↪䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤಽൻೝỗ1ㅳ㑆ᓟ䈮䈲ኻᾖ⟲䈮ኻ䈚Runx2㩿1vs1㪅43㪀䋬
Angpt1㩿1vs1㪅3㪀䈱਄᣹䈏ⷰኤ䈘䉏䋬ಽൻೝỗ䋫VPA䈮 䉋 䉍 䋬 Runx2㩿1vs2㪅26㪀 䋬 Angpt1㩿1vs2㪅06㪀 䋬 Cxcl12

㩿1vs1㪅55㪀⊒⃻䈱਄᣹䈏⏕⹺䈘䉏䈢䋮৻ᣇVegf㩿1vs0㪅
8vs1㪅05㪀⊒⃻䈱਄᣹䈲⏕⹺䈘䉏䈭䈎䈦䈢䋮IL㪄8ೝỗ䈮䉋䉍Vegf㩿1vs2㪅01㪀⊒⃻਄᣹䈏ⷰኤ䈘䉏䋬IL㪄8䋫
VPA㩿1vs2㪅3㪀䈮䉋䉍ᦝ䈭䉎਄᣹䈏ⷰኤ䈘䉏䈢䋮ၭ㙃਄ᷡ䈮䉋䉎⚦⢩⺃ዉታ㛎䈪䈲ኻᾖ⟲䈮Ყセ䈚䈩ಽൻೝỗ䋬ಽൻೝỗ䋫VPA1㩿1vs2㪅3vs3㪅1㪀䈮䈍䈇䈩᦭ᗧ䈮⺃ዉ⚦⢩ᢙ䈏਄᣹䈚䈢䋮㱘CT↹௝䉋䉍ಽൻೝỗ䋬ಽൻೝỗ䋫VPA䋬䊒䊤䉟䊚䊮䉫⚦⢩䉦䉪䊁䊦⒖ᬀ䈮䈍䈇䈩ኻᾖ⟲䈮Ყセ䈚䈩᦭ᗧ䈭㛽ᒻᚑ䈱੣ㅴ䈏᷹ⷰ䈘䉏
䈢䋮FACS䈮䉋䉎⚦⢩ಽ㔌䈮䈍䈇䈩ಽൻೝỗ䉕ട䈋䈢⚦ ⢩ 䈫 ᷙ ๺ 䈘 䉏 䈢 ᧂ ಣ ℂ ⚦ ⢩ 䈲 Runx2㩿1vs1㪅2㪀 䋬Angpt1㩿1vs1㪅5㪀 䋬 Cxcl12㩿1vs1㪅4㪀 䋬 Vegf㩿1vs1㪅3㪀 䈱 ⊒⃻਄᣹䈏᷹ⷰ䈘䉏䈢䋮ᧄ⎇ⓥ䉋䉍ᯏ⢻․ൻ䊒䊤䉟䊚䊮䉫⚦⢩䉦䉪䊁䊦⒖ᬀ䈮䉋䉎㛽ౣ↢ᴺ䈱᦭↪ᕈ䈏␜ໂ䈘䉏䈢䋮ᯏ⢻․ൻ䊒䊤䉟䊚䊮䉫⚦⢩䉦䉪䊁䊦⒖ᬀ䇭䊒䊤䉟䊚䊮䉫⚦⢩䉦䉪䊁䊦⒖ᬀ䈫㛽ᒻᚑଦㅴ䇭

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一般 口 演 発 表㪦㪈㪄㪊㪈⏛႐ೝỗ䉕↪䈇䈢ᱤ㜑ᐙ⚦⢩䈱㛽⚵❱ౣ↢ᴦ≮䈻䈱ᬌ⸛䇭䇭

䂾⒌䇭ᱜ᮸ 㪈㪀䋬ᄢ⷗⌀⴩ሶ 㪈㪀䋬⑔Ỉ䇭⯗ 㪈㪀䋬ዊፉⷙ᳗ 㪈㪀䋬ᚑἑ᩵ሶ 㪉㪀䋬የỈ᣽ᖗ 㪈㪀䋬᧻ේ㆐ᤘ 㪉㪀䋬ᱞㇱ䇭⚐ 㪈㪀
㪈㪀ᗲ⍮ቇ㒮ᄢቇᱤቇㇱ᦭ᐥ⟵ᱤቇ⻠ᐳ䋬 㪉㪀ᗲ⍮ቇ㒮ᄢቇᱤቇㇱౝ⑼ቇ⻠ᐳ
䇭

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Magnetic field activated ostogenic capability of dental pulp stem cell for bone generation
Hata M 1), Omi M 1), Fukuzawa R 1), Kojima N 1), Naruse K 2), Ozawa S 1), Matsubara T 2), Takebe J 1)
1)
Department of Removable Prosthodontics, School of Dentistry, Aichi Gakuin University, 2)Department ofInternal Medicine, School of Dentistry, Aichi Gakuin University㸇䋮㩷⋡⊛䇭ญ⣧㗶㗻㕙㗔ၞ䈮䈍䈔䉎⵬✄ᱤ⑼ᴦ≮䈮䈍䈇䈩䋬ᖡᕈ⣲≌䋬ญໃญ⬄ⵚ䋬ᄖ்䈮䉋䉎ᐢ▸࿐䈱㗶㛽ᰳ៊䉇䋬㗶ႇๆ෼䈱⪺䈚䈇∝଀䈮ኻ䈚䈩㛽⚵❱ౣ↢ᴦ≮䈲᦭ല䈫⠨䈋䉌䉏䉎䋮㑆⪲♽ᐙ⚦⢩䈱৻⒳䈪䈅䉎
ᱤ㜑ᐙ⚦⢩䈲䋬⍶ᱜᱤ⑼ᴦ≮䈮䈍䈔䉎ଢቱᛮᱤ䉇ᥓᱤ䈱ᛮᱤ䈮䉋䉍Ყセ⊛⧯ᐕᤨ䈮ណขน⢻䈪䈅䉎䈫䈇䈉ὐ䈎䉌䋬ోり∔ᖚ䉇⚦⢩⠧ൻ䈱ᓇ㗀䉕ฃ䈔䈮䈒䈇䈢䉄䋬ౣ↢ක≮䈮䈍䈔䉎⚦⢩ଏ⛎Ḯ䈫䈚䈩ᵈ⋡䈘䉏䈩䈇䉎䋮䈠䈱․ᕈ䈫䈚䈩䋬㜞䈇Ⴧᱺ⢻䋬ᄙಽൻ⢻䋬఺∉ᛥ೙૞↪䋬ಓ⚿଻ሽᓟ䈱․ᕈ⛽ᜬ䈏᜼䈕䉌䉏䋬⒖ᬀᴦ≮䈮ㆡ䈚䈢⚦⢩䈱৻䈧䈫⠨䈋䉌䉏䉎䋮⃻࿷䋬ᱤ㜑ᐙ⚦⢩䈱⥃ᐥᔕ↪䈮䉃䈔䈩䋬㛽⚵❱䉕฽䉄䈢᭽䇱䈭⚵❱䈮䈍䈔䉎ౣ↢ᴦ≮䈻䈱᦭↪ᕈ䈏ႎ๔䈘䉏䈩䈇
䉎1㪀䋮৻ᣇ䋬⏛႐ೝỗ䈲㛽᛬䈱ᴦ≹ଦㅴ䈮ᔕ↪น⢻䈪䈅䉎䈫ႎ๔䈘䉏䈩䈇䉎2㪀䋮ᚒ䇱䈲䋬䈖䉏䉁䈪䈮⏛႐ೝỗ䈏㛽ㅧᚑ䈮㑐䉒䉎㛽⧘⚦⢩䈱Ⴧᱺ䉇ಽൻ䉕ଦㅴ䈘䈞䉎䈖䈫䉕᣿䉌䈎䈮䈚䈩䈐䈢3㪀䋮䇭ᧄ⎇ⓥ䈪䈲䋬ᱤ㜑ᐙ⚦⢩䈱㛽⚵❱ౣ↢ᴦ≮䈻䈱ᔕ↪䉕⋡⊛䈫䈚䈩䋬⏛႐ೝỗઃਈ䈱ലᨐ䈮䈧䈇䈩ᬌ⸛
䉕ⴕ䈦䈢䋮
䇭
㸈䋮㩷ᣇᴺ
䇭6ㅳ㦂㓶ᕈSD䊤䉾䊃䈱਄ਅ㗶ਛಾᱤ䉕ᛮᱤᓟ䋬㉂⚛
ಣℂ䈮䉋䈦䈩ᱤ㜑ᐙ⚦⢩䋨dental㩷 pulp㩷 stem㩷 cells䋺
DPSCs䋩䉕ಽ㔌䊶ၭ㙃䈚એਅ䈱ታ㛎䈮↪䈇䈢䋮
㩿1㪀㩷ᱤ㜑ᐙ⚦⢩䈱หቯ
䇭1䋩⴫㕙᛫ේ⸃ᨆ䋺CD29䋬CD34䋬CD45䋬CD49d䋬䈍
䉋䈶CD90᛫૕䈮䉋䉍䊐䊨䊷䉰䉟䊃䊜䊃䊥䊷䉕↪䈇䈩หቯ䉕ⴕ䈦䈢䋮䇭2䋩ಽൻ⢻䋺ಽൻ⺃ዉ↪ၮ␆ၭ࿾䉕↪䈇䈩䋬⢽⢌ಽൻ䋬㛽ಽൻ⺃ዉ䉕ⴕ䈦䈢䋮ಽൻ⺃ዉᓟ䋬㩷Oil㪄red㪄Oᨴ⦡䋬FABP㪄4ᨴ⦡䋬ALPᨴ⦡䈍䉋䈶Osteocalcinᨴ⦡䉕ⴕ䈦䈢䋮㩿2㪀㩷⏛႐ೝỗ䈮ኻ䈜䉎෻ᔕ
䇭DPSCs䉕6well㩷䊒䊧䊷䊃਄䈪ၭ㙃䈚䋬⏛⇇⊒↢ⵝ⟎䋨᧲⧷Ꮏᬺ䋩䈮ข䉍ઃ䈔䋬⏛႐ᒝᐲ䋨0㪅4T䋬0㪅17Hz䋩䉕
6ᤨ㑆䈮⸳ቯ䈚ᦑ⏛䉕ⴕ䈦䈢䋮ᦑ⏛ᓟ䋬⚦⢩Ⴧᱺᵴᕈ
䉕MTT㩷assay㩷䉕↪䈇䈩⹏ଔ䈚䈢䋮䉁䈢䋬㛽ಽൻ⢻䋬⍹Ἧൻᒻᚑ⢻䈮䈧䈇䈩䈲䋬ALPᨴ⦡䋬Osteocalcinᨴ
⦡䋬Alizalin㩷Red㩷Sᨴ⦡䉕↪䈇䈩⸃ᨆ䉕ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
䇭DPSCs䈱⴫㕙᛫ේ⊒⃻䈲䋬CD29䋬CD49d䋬CD90䋺
positive䋬CD34䋬CD45䋺negative䈪䈅䈦䈢䋮⢽⢌䋬㛽ಽൻ⺃ዉ䈮䉋䉍⢽⢌⚦⢩䋬㛽⧘⚦⢩䈻䈱ಽൻ䈏⏕⹺䈘䉏䈢䋮䉁䈢䋬DPSCs䈻䈱⏛႐ೝỗ䈮䉋䉍⚦⢩Ⴧᱺ⢻䈱ᵴᕈൻ䋬㛽ಽൻ⢻䈱ଦㅴ䈏␜䈘䉏䈢䋮⍹Ἧൻᒻᚑ⢻䈲control⟲䈫Ყセ䈚䈩Ꮕ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮䇭䈖䉏䉌䈱⚿ᨐ䉋䉍䋬⏛႐ೝỗ䈲ᱤ㜑ᐙ⚦⢩䈱㛽ಽൻ⢻䈮ᓇ㗀䉕ਈ䈋䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂1䋩 Liu, J., et al., Concise reviews: Characteristics
and potential applications of human dental tissuederived mesenchymal stem cells. Stem Cells,
2015. 33(3): 627-638.
2䋩 Bassett CA 䋬 Mitchell SN 䋬 Gaston SR 䋮
Treatment of ununited tibial diaphyseal fractureswith pulsing electromagnetic fields䋮J Bone Joint
Surg Am. 1981. 63(4):511-523.
3䋩 Fukuzawa R, Ozawa S, Anuudari E et al.
Different Responses of Osteoblasts andFibroblasts to a Changing Magnetic Field.
Journal of Hard Tissue Biology. 2013 22(2):183-188

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第 1 日 第 3 会場
一般口演発 表㪦㪈㪄㪊㪉㛽㜑↱᧪㑆⪲♽ᐙ⚦⢩䈍䉋䈶iPS⚦⢩䈱㛽⧘⚦⢩ಽൻ䈮䈍
䈔䉎PKC㒖ኂ೷䈱ᓇ㗀᧻ጟ䇭⑲䇭ᄢ㒋ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼Effects of PKC inhibitor in the osteoblastic differentiation of a mesenchyma system stem cell derived frombone marrow and induced pluripotent stem cells
Matsuoka S
Osaka University Graduate School of Dentistry㸇䋮㩷⋡⊛ᛮᱤ䉇ᱤ๟∛䈮䉋䈦䈩ᄬ䉒䉏䈢ᱤᮏ㛽䉕ౣ↢䈜䉎䈖䈫䈲䋬ᯏ⢻⊛䋬ክ⟤⊛䈭䉟䊮䊒䊤䊮䊃ᴦ≮䉕฽䉄䈢⵬✄ᱤ⑼ᴦ≮䉕ⴕ䈉਄䈪㕖Ᏹ䈮㊀ⷐ䈭⺖㗴䈪䈅䉎䋮㛽Ⴧ↢䉕⏕ታ䈮ⴕ䈉䈢䉄䈮↢ℂᵴᕈ‛⾰䉕ᔕ↪䈜䉎䈖䈫䈲᦭↪䈪䈅䉎䈏䋬৻ᣇ䈪ᣢሽ䈱BMP╬䈱䉺䊮䊌䉪⾰↱᧪䈱↢ℂᵴᕈ‛⾰䈮䈲䋬㜞ଔ䈪䈅䉎䋬↢૕ౝ䈪䈱቟ቯᕈ䈏ૐ䈇╬䈱ᰳὐ䈏䈅䉎䋮䈖䉏䈮ኻ䈚䈩䋬ಽሶ㊂䈏ዊ䈘䈒䋬วᚑ䈏ኈᤃ䈪䋬቟ଔ䈪䈅䉍䋬ᄙ䈒䈱↢ℂᵴ
ᕈ䉕䉅䈧ዊಽሶൻว‛䈮ᵈ⋡䈏㓸䉁䈦䈩䈇䉎1㪀䋮䈠䉏䉌䈱ਛ䈪䋬䊒䊨䊁䉟䊮䉨䊅䊷䉷C䋨PKC䋩䈏㛽⧘⚦⢩ಽൻ䈮㑐ਈ䈚䈩䈇䉎䈖䈫䈏᣿䉌䈎䈘䉏䈧䈧䈅䉎䋮䈠䈖䈪ᧄ⎇ⓥ䈲䋬PKC㒖ኂ೷䈪䈅䉎ዊಽሶൻว‛䈱
H㪄7䈫䋬䈠䈱⇣ᕈ૕䈪䈅䉎iso㪄H㪄7䈏㛽⧘⚦⢩ಽൻ䈮ਈ䈋䉎ᓇ㗀䉕䋬䊙䉡䉴㛽㜑↱᧪㑆⪲♽ᐙ⚦⢩
䋨BMSC䋩䈫䊙䉡䉴ੱᎿᄙ⢻ᕈᐙ⚦⢩䋨iPS⚦⢩䋩䈱ੑ䈧䈱⚦⢩䉕↪䈇䈩ᬌ⸛䈚䈢䋮䇭㸈䋮㩷ᣇᴺ
BMSC䈍䉋䈶iPS⚦⢩䉕Ⴧᱺၭ࿾䋬H㪄7฽᦭Ⴧᱺၭ࿾
䈍䉋䈶iso㪄H㪄7฽᦭Ⴧᱺၭ࿾䈪6ᣣ㑆ၭ㙃䈚䋬WST㪄1⚦⢩Ⴧᱺ⹜㛎䈮䉋䉍ൻว‛䈏⚦⢩Ⴧᱺ䈮෸䈿䈜ᓇ㗀䉕⹏ଔ䈚䈢䋮䉁䈢䋬BMSC䉕㛽⧘⚦⢩ಽൻ⺃ዉၭ
࿾䋬H㪄7฽᦭㛽⧘⚦⢩ಽൻ⺃ዉၭ࿾䈍䉋䈶iso㪄H㪄7฽᦭㛽⧘⚦⢩ၭ࿾䈪28ᣣ㑆ၭ㙃䈚䋬㛽⧘⚦⢩䈻䈱ಽൻ⺃ዉ䉕ⴕ䈦䈢䋮䊥䉝䊦䉺䉟䊛RT㪄PCR⸃ᨆ䉕↪䈇䈩㛽⧘⚦⢩ಽൻ․⇣⊛ㆮવሶ䈱⊒⃻䉕⏕⹺䈚䈢䋮䈘
䉌䈮䋬Alizarin㩷Redᨴ⦡䈮䉋䉍⚦⢩ᄖၮ⾰䈱⍹Ἧൻ䉕ⷰኤ䈚䈢䋮
iPS⚦⢩䉅䊧䉼䊉䉟䊮㉄ಣℂᓟ䋬BMSC䈫ห᭽䈱᧦ઙ䈱㛽⧘⚦⢩ಽൻ⺃ዉၭ࿾䈪28ᣣ㑆ၭ㙃䈚䋬䊥䉝䊦䉺
䉟䊛RT㪄PCR⸃ᨆ䉕↪䈇䈩㛽⧘⚦⢩ಽൻ․⇣⊛ㆮવሶ䈱⊒⃻䉕⏕⹺䈚䋬Alizarin㩷Redᨴ⦡䈮䉋䉍⚦⢩ᄖၮ⾰䈱⍹Ἧൻ䉕ⷰኤ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ

WST㪄1⚦⢩Ⴧᱺ⹜㛎䈱⚿ᨐ䋬ၭ㙃6ᣣᓟ䈮䈍䈇䈩䋬
1䌾50㩷μM䈱iso㪄H㪄7㪃H㪄7䈱ሽ࿷ਅ䈪䋬⚦⢩Ⴧᱺ䈏⿠䈖䉎䈖䈫䈏⏕⹺䈘䉏䈢䋮
䉁䈢䋬BMSC䈪䈲䋬H㪄7䈫iso㪄H㪄7䈲䈫䉅䈮ㅢᏱ䈱㛽⧘⚦⢩ಽൻ⺃ዉၭ࿾䈫Ყ䈼䈩䋬㛽⧘⚦⢩ಽൻ․⇣⊛ㆮવሶ㩿osteocalcin㪃Runx2㪃osterix㪀䈱⊒⃻䉕᦭ᗧ䈮ଦ
ㅴ䈚䈢㩿P㪓0㪅01㪀䋮䈘䉌䈮䋬H㪄7䈫iso㪄H㪄7䈲䈫䉅䈮ㅢᏱ䈱㛽⧘⚦⢩ಽൻ⺃ዉၭ࿾䈫Ყ䈼䈩BMSC䈱⚦⢩ᄖၮ⾰䈱⍹Ἧൻ䉕᦭ᗧ䈮ଦㅴ䈚䈢㩿P㪓0㪅01㪀䋮H㪄7䈫iso㪄
H㪄7䈱㑆䈮䈲㛽⧘⚦⢩ಽൻଦㅴ⢻䈮᦭ᗧ䈭Ꮕ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮䉁䈢䋬m㪄iPS⚦⢩䈪䈲䋬H㪄7䈫iso㪄
H㪄7䈲䈫䉅䈮ㅢᏱ䈱㛽⧘⚦⢩ಽൻ⺃ዉၭ࿾䈫Ყ䈼䈩 䋬 㛽 ⧘ ⚦ ⢩ ಽ ൻ ․ ⇣ ⊛ ㆮ વ ሶ 㩿osteocalcin㪃
Runx2㪃㩷osterix㪀䈱⊒⃻䉕᦭ᗧ䈮ଦㅴ䈚䈢㩿P㪓0㪅01㪀䋮䈘
䉌䈮䋬H㪄7䈫iso㪄H㪄7䈲䈫䉅䈮⚦⢩ᄖၮ⾰䈱⍹Ἧൻ䉕᦭ᗧ䈮ଦㅴ䈚䈢㩿P㪓0㪅01㪀䋮એ਄䈱⚿ᨐ䈎䉌䋬H㪄7䈫iso㪄H㪄7䈲䋬䈫䉅䈮BMSC䈍䉋䈶iPS⚦⢩෺ᣇ䈱㛽⧘⚦⢩ಽൻ䉕ଦㅴ䈜䉎䈖䈫䈏᣿䉌䈎䈮䈭䈦䈢䋮䈖䉏䈲䋬PKC㒖ኂ೷䈏㛽ౣ↢䈮᦭ല䈪䈅䉎น⢻ᕈ䉕␜ໂ䈜䉎䉅䈱䈪䈅䉎䋮䇭㸊䋮㩷ᢥ₂
1䋩 Egusa H, Saeki M, Fukuyasu S, Matsumoto T,
Kamisaki Y, Yatani H et al. A small-molecule
approach to bone regenerative medicine indentistry. J Oral Biosci 2010; 52:107-118.

BMSC䈮䈍䈔䉎iso-H-7, H-7䈮䉋䉎 ⍹Ἧൻ੣ㅴ(Alizarin Redᨴ⦡௝)䇭─ 153 ─

第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪊㪊ടᾲಣℂ䊅䊉᭴ㅧᨆ಴⚐䉼䉺䊮㊄ዻ䈏㛽㜑⚦⢩䈱ೋᦼធ⌕⢻䈮ਈ䈋䉎ᓇ㗀䈮䈧䈇䈩䂾⮮የ⟤Ⓞ 㪈㪀䋬ዊᱜ䇭⡡ 㪈㪀䋬⯃䇭⧷ᢅ 㪈㪀䋬⷏ፒ⌀ℂሶ 㪈㪀䋬㑐㊁䇭ᔀ 㪉㪀䋬ᬮᧄືᰴ 㪊㪀䋬⷏ፒ䇭ብ 㪈㪀䋬↰ਛ᣽ඳ 㪊㪀䋬ጟፒቯม 㪈㪀㪈㪀ᄢ㒋ᱤ⑼ᄢቇᰳ៊ᱤ೉⵬✄ຏวቇ⻠ᐳ䋬 㪉㪀ᄢ㒋ᄢቇ↥ᬺ⑼ቇ⎇ⓥᚲవ┵䊊䊷䊄᧚ᢱ⎇ⓥ
ಽ㊁䋬 㪊㪀ᄢ㒋ᱤ⑼ᄢቇ᦭ᱤ⵬✄ຏวቇ⻠ᐳ
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The effect of the heat treatment to the nanostructure of titanium on initial adhesion of rat bone marrow cells
Fujio M 1), Komasa S 1), Su Y 1), Nishizaki M 1), Sekino T 2), Kusumoto T 3), Nishizaki H 1), Tanaka M 3),
Okazaki J 1)
1)
department of removable prosthodontics and occlusion, osaka dental university, 2)isir-sanken, osaka
university, 3)department of fixed prosthodontics and occlision, osaka dental university㸇䋮㩷⋡⊛䊅䊉䉟䊮䊒䊤䊮䊃᧚ᢱ䉕ක≮᧚ᢱ䈫䈚䈩ᔕ↪䈜䉎䈢䉄䈮䈲䊅䊉⚿᥏ൻ䈏᦭↪䈪䈅䉍䋬ടᾲಣℂ䉅䈠䈱৻䈧䈪䈅䉎䋮䉒䉏䉒䉏䈲䉼䉺䊮ว㊄䉕Ớ䉝䊦䉦䊥ୃ㘼䈚䋬
ടᾲಣℂ䉕ᣉ䈜䈖䈫䈪䋬䊅䊉᭴ㅧ䉕ㇱಽ⚿᥏ൻ䈘䈞㛽㜑⚦⢩䈱ೋᦼធ⌕䈍䉋䈶⎬⚵❱ಽൻ⺃ዉ⢻䈱ะ਄䈮ነਈ䈜䉎䈖䈫䉕᣿䉌䈎䈮䈚䈢䋮䈚䈎䈚䋬ਥⷐ䈭䉟䊮䊒䊤䊮䊃᧚ᢱ䈪䈅䉎⚐䉼䉺䊮㊄ዻ䈮ኻ䈜䉎⹏ଔ䈲᣿䉌䈎䈪䈲䈭䈇䋮䈠䈖䈪䋬ᧄ⎇ⓥ䈪䈲ടᾲಣℂ䉕ઃਈ䈚䈢䊅䊉᭴ㅧᨆ಴⚐䉼䉺䊮㊄ዻ䈏䊤䉾䊃䈱㛽㜑⚦⢩䈱ೋᦼធ⌕⢻䈮ਈ䈋䉎ᓇ㗀䈮䈧䈇䈩Ყセᬌ⸛䈜䉎䈖䈫䉕⋡
⊛䈫䈚䈢䋮
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ታ㛎᧚ᢱ䈫䈚䈩Ꮢ⽼䈱JIS2⚖⚐䉼䉺䊮㊄ዻ᧼䉕૶↪
䈚䋬⴫㕙䈮TNS䉕ᨆ಴䈘䈞䈢䉅䈱䉕ታ㛎⟲䋬䋤2000䉁䈪⎇⏴䈚䈢䉅䈱䉕ኻᾖ⟲䈫䈚䈩૶↪䈚䈢䋮䈠䈱ᓟ䋬ฦ⒳⹜ᢱ䉕200㪃㩷400㪃㩷600㪃㩷800㷄䈮䈩ടᾲಣℂ䉕ⴕ䈦䈢䋮⹜ᢱ䈱⴫㕙᭴ㅧ䈲SEM㪃SPM䈮䈩ⷰኤ䈚䈢䋮⹜ᢱ⴫㕙䈮䈍䈔䉎ర⚛ಽᨆ䉕XPS䈮䈩ⴕ䈦䈢䋮䉁䈢䋬ฦ⹜ᢱ⴫㕙䈮䈍䈔䉎⚿᥏᭴ㅧ䉕XRD䈮䈩⸃ᨆ䈚䈢䋮↢ᓟ7ㅳ㦂䈱SD♽㓶ᕈ䊤䉾䊃䈱ਔ஥ᄢ⣽㛽䈎䉌㛽㜑㑆⪲⚦⢩䉕ណขᓟ䋬3ઍ⋡䉕ታ㛎䈮ଏ䈚䈢䋮ၭ㙃1㪃
3㪃㩷 6㪃㩷 24ᤨ㑆ᓟ䈱㛽㜑⚦⢩䈱ೋᦼធ⌕⢻䉕Cell
Titer㩷Blue㩷Assay㩷Kit䈮䉋䈦䈩ᬌ⸛䈚䈢䋮䉁䈢䋬ၭ㙃㐿
ᆎ1㪃㩷3㪃㩷6㪃㩷24ᤨ㑆ᓟ䈱䉡䉲ⴊᷡ䉝䊦䊑䊚䊮䈱ๆ⌕㊂䈮䈧䈇䈩Ყセ䊶ᬌ⸛䈚䈢䋮⛔⸘ቇ⊛⸃ᨆ䈮䈲䋬ฦ᷹ቯ୯䈮৻ర㈩⟎ಽᢔಽᨆ䉕ⴕ䈦䈢ᓟ䋬Tukey䈱ᄙ㊀Ყセᬌቯ䉕ⴕ䈦䈢䋮᦭ᗧ᳓Ḱ䈲5㩼䈫䈚䈢䋮
䇭㸉䋮㩷⚿ᨐ䈫⠨ኤSEM䋬SPM䈱ᚲ⷗䈪䈲䋬ኻᾖ⟲䈪Ṗ䉌䈎䈭௝䈏ⷰኤ䈘䉏䉎䈱䈮ኻ䈚䋬200㷄䋬400㷄䋬600㷄䈱ടᾲಣℂ䉕ᣉ䈚䈢ታ㛎⟲䈪䈲䊅䊉䊧䊔䊦䈱䊈䉾䊃䊪䊷䉪䊉䉳䊠䊷䊦᭴ㅧ䈏ⷰኤ䈘䉏䈢䋮䊅䊉䊧䊔䊦䈱䊉䉳䊠䊷䊦䈱Ra୯䈲
200㷄䋬400㷄䋬600㷄䈱ടᾲಣℂ䉕ᣉ䈚䈢ታ㛎⟲䈪䈲ኻᾖ⟲䈫Ყセ䈚䈩⚂13㪅0nm䈫ૐ䈇୯䉕␜䈚䈢䋮䈚䈎
䈚䋬800㷄䈱ടᾲಣℂ䉕ᣉ䈚䈢ታ㛎⟲䈪䈲䋬ኻᾖ⟲䈱
Ra୯䈫䈾䈿ห৻䈱୯䉕␜䈚䈢䋮XPS䈱ⷰኤ䈪䈲ടᾲ᷷ᐲᄌൻ䈮䉋䉎Ꮕ⇣䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮XRD䈱⸃ᨆ䈪䈲600㷄䈪⚿᥏䈏ᚑ㐳䈚ᆎ䉄䋬800㷄䈪䊅䊉᭴ㅧ䈱⎕უ䈫䈫䉅䈮ቢో⚿᥏ൻ䈚䈩䈇䉎䈫䈇䈉⚿ᨐ䉕␜䈚䈢䋮䊤䉾䊃㛽㜑⚦⢩䈱ೋᦼធ⌕⢻䈲ో䈩䈱⸘᷹ᤨ㑆䈮䈍䈇䈩䋬ታ㛎⟲䈪ኻᾖ⟲䈫Ყセ䈚䈩᦭ᗧᏅ䈏⹺䉄䉌䉏
600㷄䈪ᦨ䉅㜞䈇୯䉕␜䈚䈢䋮䉁䈢䋬䉝䊦䊑䊚䊮䈱ๆ⌕㊂䉅600㷄䈪ᦨ䉅㜞䈇୯䉕␜䈚䈢䋮એ਄䈱⚿ᨐ䈮䉋䉍䋬Ớ䉝䊦䉦䊥ಣℂ䈮䉋䉍⚐䉼䉺䊮㊄ዻ⴫㕙䈮ᨆ಴䈘䈞䈢䊅䊉᭴ㅧ䈻䈱600㷄ടᾲಣℂ䈏䊤䉾䊃䈱㛽㜑⚦⢩䈍䉋䈶䉝䊦䊑䊚䊮䈱ೋᦼធ⌕⢻䉕ᦨ䉅ะ਄䈘䈞䉎䈖䈫䈏᣿䉌䈎䈫䈭䈦䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Su Y, Komasa S, Sekino T, Nishizaki H,
Okazaki J. Characterization and Bone
Differentiation of Nanoporous Structure
Fabricated on Ti6Al4V Alloy. J Nanomater.

600㷄ടᾲಣℂ䈮䉋䉍ᒻᚑ䈘䉏䈢TNS᭴ㅧ䇭─ 154 ─日補綴会誌

第 1 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪈㪄㪊㪋ᄙ᭽䈭䊙䉟䉪䊨䊶䊅䊉᭴ㅧ䉕᦭䈜䉎䉼䉺䊮᧚ᢱ䈮䉋䉎㛽⧘⚦⢩᜼േ䈱೙ᓮ䇭䂾ጤ↰ᄐሶ 㪈㪀䋬㊁ፒᶈ૓ 㪉㪀䋬ጊਅੳᄢ 㪊㪀䋬ਃᶆብਯ 㪈㪀䋬᳗੗੝Ꮧሶ 㪉㪀
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᧲੩ක⑼ᱤ⑼ᄢቇᄢቇ㒮㩷කᱤቇ✚ว⎇ⓥ⑼៨㘩ᯏ⢻଻ሽቇಽ㊁䋬 㪉㪀᧲੩ක⑼ᱤ⑼ᄢቇ
↢૕᧚ᢱᎿቇ⎇ⓥᚲ↢૕᧚ᢱᯏ⢻කቇಽ㊁䋬 㪊㪀᧲੩ක⑼ᱤ⑼ᄢቇ↢૕᧚ᢱᎿቇ⎇ⓥᚲήᯏ↢૕᧚ᢱቇಽ㊁䇭䇭䇭

Osteoblast behavior on controlled micro/nano structured titanium surface.
Iwata N 1), Nozaki K 2), Yamashita K 3), Miura H 1), Nagai A 2)
1)
Department of Fixed Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical
and Dental University, 2)Department of Material Biofunctions, Institute of Biomaterials andBioengineering, Tokyo Medical and Dental University, 3)Department of Inorganic Biomaterials, Institute of
Biomaterials and Bioengineering, Tokyo Medical and Dental University㸇䋮㩷⋡⊛䇭䉼䉺䊮䉟䊮䊒䊤䊮䊃䈲ఝ䉏䈢⎬⚵❱ㆡวᕈ䋬↢૕ⷫ๺ᕈ䈎䉌ᱤ⑼䋬ᢛᒻᄖ⑼㗔ၞ䈱䉟䊮䊒䊤䊮䊃᧚ᢱ䈫䈚䈩ᐢ䈒೑↪䈘䉏䈩䈇䉎䋮䉼䉺䊮䈱⴫㕙ᡷ⾰䈲ㄦㅦ䈭㛽ᒻᚑ₪ᓧ䈱䈢䉄䈮㊀ⷐ䈪䈅䉍䋬ਛ䈪䉅⴫㕙ᒻᘒ᭴ㅧ䈱೙ᓮ䈲㛽⧘⚦⢩䈱ᯏ⢻⊒⃻䉇㛽ᒻᚑ⢻䈮ᓇ㗀䈜䉎䈖䈫䈏ႎ๔䈘䉏䈩䈇䉎䋮䇭䊙䉟䉪䊨䉴䉬䊷䊦䈱᭴ㅧ䈲㛽⧘⚦⢩䈱ಽൻ䉕ଦㅴ䈜䉎䈖䈫䈏ႎ๔䈘䉏䋬ᣢ䈮ᐢ䈒⥃ᐥᔕ↪䈘䉏䈩䈇䉎䋮䈚䈎䈚䈭䈏䉌䋬䈠䈱⴫㕙᭴ㅧ䈲ਇቯဳ䉕␜䈚䈩䈍䉍䋬⚦⢩᜼േ䉕೙ᓮ䈜䉎ᦨㆡ䈭⴫㕙᭴ㅧ䈲᣿䉌䈎䈫䈭䈦䈩䈇䈭䈇䋮䉁䈢䋬ㄭᐕ㓁ᭂ㉄ൻಣℂ䈮䉋䉍૞⵾䈚䈢䊅䊉䉴䉬䊷䊦᭴ㅧ䈏⚦⢩િዷ䉇Ⴧᱺ⢻䉕ଦㅴ䈘䈞䉎䈖䈫䈏ႎ๔䈘䉏䈩䈍䉍1㪀䋬䊙䉟䉪䊨䊶䊅䊉᭴ㅧ䉕⚵䉂ว䉒䈞䉎䈖䈫䈪䉋䉍⹦⚦䈭㛽ᒻᚑ䈱೙ᓮ䈏ᦼᓙ䈘䉏䉎䋮䇭䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬⴫㕙᭴ㅧ䈮䉋䉎㛽⧘⚦⢩ᔕ╵䈱೙ᓮ䉕⋡⊛䈫䈚䋬䊙䉟䉪䊨䊶䊅䊉᭴ㅧ䉕䉼䉺䊮⴫㕙䈮ᒻᚑ䈚䋬䈠䈱䉨䊞䊤䉪䉺䊥䉷䊷䉲䊢䊮䈫㛽⧘⚦⢩᜼േ䈱⹏ଔ䉕ⴕ䈦䈢䋮
䇭㸈䋮㩷ᣇᴺ䇭⚐䉼䉺䊮䉕㏜㕙⎇⏴ᓟ䋬䈠䉏䈡䉏☸ᓘ30䋬90䋬
180μm䈱䉳䊦䉮䊆䉝䊎䊷䉵䉕↪䈇䈩䋬ᛩ኿࿶ജ0㪅
6MPa䈮䈩䉰䊮䊄䊑䊤䉴䊃ಣℂ㩿SB㪀䉕ⴕ䈦䈢䋮䈠䈱ᓟ㔚⸃ṁᶧ0㪅5㩷wt㩼㩷NaF㪃㩷1M㩷Na2SO4䉕↪䈇䈩20V㪃㩷3h㓁ᭂ㉄ൻಣℂ䈚䋬䉼䉺䊆䉝䊅䊉䉼䊠䊷䊑㩿TNT㪀䉕ᒻᚑ䈚䈢䋮ᓧ䉌䉏䈢⹜ᢱ䉕500oC䋬2h㩷 䉝䊆䊷䊦ಣℂ䉕ⴕ䈦䈢㪅䇭 ⴫ 㕙 ᓸ ⚦ ᭴ ㅧ 䉕 ⿛ ᩏ ဳ 㔚 ሶ 㗼 ᓸ ㏜ 䋨 SEM 䋬
S㪄3400NX䋬ᣣ┙䋩䋬⚿᥏᭴ㅧ䉕X✢࿁ᨆ䋨XRD䋺D8
Advance㩷 Bruker 䋩 䋬 ⴫ 㕙 ☻ 䈘 䉕 䊧 䊷 䉱 䊷 㗼 ᓸ ㏜
㩿VK8500㪃㩷Keyence㪀㪃㩷䈯䉏ᕈ䉕䋬᳓䉕↪䈇䈢㕒⊛ធ⸅᷹ⷺቯ䈮䈩⸃ᨆ䉕ⴕ䈦䈢䋮䇭䇭䊍䊃㛽⧘⚦⢩᭽⚦⢩䋨MG63䋩䉕↪䈇䈩䋬⚦⢩Ớᐲ
5x105㩷cells㪆㩷ml㩷䈮䈩ฦ⹜ᢱ䈮᠞⒳䈚㪃㩷1䋬3䋬7ᣣᓟჇᱺ⢻䉕MTT㩷assay䈮䈩⹏ଔ䈚䈢䋮㩷䉁䈢䋬㛽⧘⚦⢩䈱Ⴧᱺ⢻䉕䋬1䋬4䋬7ᣣᓟ䈮䉝䊦䉦䊥䊐䉤䉴䊐䉜䉺䊷䉷ᵴᕈ䋨ALP䋩⹜㛎䈮䈩⹏ଔ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭䉰䊮䊄䊑䊤䉴䊃䋬㓁ᭂ㉄ൻಣℂᓟ䈱SEM௝䉕࿑䈮␜䈜䋮䉳䊦䉮䊆䉝䊎䊷䉵䈮䉋䉍ᒻᚑ䈘䉏䈢⋥ᓘ⚂
10㪄70μm䈱౞ᒻ䈱ಳ䉂䈏ⷰኤ䈘䉏䈢䋮䈠䈱⴫㕙☻䈘䈲䋬䊎䊷䉵䈱☸ᓘ䈱Ⴧട䈮઻䈇Ⴧട䈚䈢䋮䉁䈢䋬ᒝ᜛ᄢ௝䈮䈩䋬⋥ᓘ⚂100nm䈱䉼䊠䊷䊑᭴ㅧ䉕⏕⹺䈪䈐䋬䊎䊷䉵䈱☸ᓘ䈮䉋䉌䈝ဋ৻䈭䉼䊠䊷䊑䈏ᒻᚑ䈘䉏䋬૞⵾䈚䈢⹜ᢱ䈲䊙䉟䉪䊨䊶䊅䊉᭴ㅧ䉕૬䈞ᜬ䈧䈖䈫䈏␜ໂ䈘䉏䈢䋮⴫㕙⚿᥏᭴ㅧ䈲䉝䊆䊷䊦ಣℂ䈮䉋䉍ᒻᚑ䈘䉏䈢䉝䊅䉺䊷䉷ဳTiO2䉕␜䈚䈢䋮䉁䈢䋬㕒⊛ធ⸅᷹ⷺቯ䈎䉌䋬㓁ᭂ㉄ൻಣℂ䈮䉋䉍⹜ᢱ䈱䈯䉏ᕈ䈏Ⴧട䈚䈢䈏䋬☸ᓘ䈱㆑䈇䈮䉋䉎䈯䉏ᕈ䈱ᄌൻ䈲ⷰኤ䈘䉏䈭䈎䈦䈢䋮
䇭㛽⧘⚦⢩Ⴧᱺ⢻䈲7ᣣ⋡䈮䈍䈇䈩TNT䈏SBTNT䉋䉍䉅㜞䈇୯䉕␜䈚䋬ALPᵴᕈ୯䈲7ᣣ⋡䈮䈍䈇䈩
SBTNT䈏TNT䉋䉍䉅㜞䈇୯䉕␜䈚䈢䋮એ਄䉋䉍䋬ห৻䈱䊅䊉᭴ㅧ䉕ᜬ䈧⹜ᢱ㑆䈪䉅䋬䊙䉟䉪䊨᭴ㅧ䈱ሽ࿷ਅ䈪䈲⇣䈭䉎⚦⢩᜼േ䉕␜䈚䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Zhang H et al. RSC Adv. 2015;5(48):38117-38124

࿑ 䉰䊮䊄䊑䊤䉴䊃䋬㓁ᭂ㉄ൻಣℂᓟ䈱⴫㕙᭴ㅧ䇭

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一般 口 演 発 表㪦㪈㪄㪊㪌

ᱤ⑼↪䊧䉳䊮䊝䊉䊙䊷䈮䉋䉎⎕㛽⚦⢩ಽൻ䈮෸䈿䈜ᓇ㗀䇭䂾Ⓑశብਯ䋬㜞ἑ৻㚍䋬㤥ᧁ໑ᢥ䋬᧛↰Ყํม䇭䇭䇭㐳ፒᄢቇᄢቇ㒮䇭කᱤ⮎ቇ✚ว⎇ⓥ⑼䇭ᱤ⑼⵬✄ቇಽ㊁
Influence of dental resin monomers on osteoclast differentiation
Inamitsu H, Takase K, Kurogi T, Murata H
Department of Prosthetic Dentistry,Graduate School of Biomedical Sciences,Nagasaki University㸇䋮㩷⋡⊛䇭䊧䉳䊮♽᧚ᢱ䈲ᱤ⑼㗔ၞ䈮䈍䈇䈩⟵ᱤ䈱ୃℂ䉇ᥳ㑆ⵍⷒ౰䈱૞⵾䋬ᱤ౰ୃᓳᴦ≮䈭䈬䈮ᰳ䈎䈞䈭䈇᦭ᯏ᧚ᢱ䈱䈵䈫䈧䈪䈅䉎䋮ㄭᐕ䊧䉳䊮䊝䊉䊙䊷䈮䉋䉎⚦⢩䈮ኻ䈜䉎ᓇ㗀䈮䈧䈇䈩㪃❫⛽⧘⚦⢩䉇਄⊹⚦⢩䉕↪䈇䈢⎇ⓥ䈏ᄙ䈒䈭䈘䉏䈩䈍䉍䋬ಽ⸃ਛ㑆↥‛䉇ᧂ෻ᔕ䊝䊉䊙䊷䈮䉋䉎Ქᕈ䈏᣿䉌䈎䈮䈘䉏䈧䈧䈅䉎㪅1㪃2㪀
䈚䈎䈚䈭䈏䉌㪃ᱤ๟∔ᖚ䈭䈬Ἳ∝ᕈ∔ᖚ䈮䈍䈔䉎㛽ๆ෼䈱ේ࿃⚦⢩䈪䈅䉎⎕㛽⚦⢩䈮ኻ䈜䉎䊝䊉䊙䊷䈱ᓇ㗀䈮䈧䈇䈩䈲䈇䉁䈣ႎ๔䈘䉏䈩䈇䈭䈇㪅䇭䈠䈖䈪ᧄ⎇ⓥ䈪䈲ઍ⴫⊛䈭䊧䉳䊮䊝䊉䊙䊷䈪䈅䉎䊍䊄䊨䉨䉲䉣䉼䊦䊜䉺䉪䊥䊧䊷䊃㩿HEMA㪀䈍䉋䈶䊃䊥䉣䉼䊧䊮䉫䊥䉮䊷䊦䉳䊜䉺䉪䊥䊧䊷䊃㩿TEGDMA㪀䉕↪䈇䈩㪃⎕㛽⚦⢩ಽൻ䈮䈍䉋䈿䈜ലᨐ䈮䈧䈇䈩ᬌ⸛䈚䈢㪅䇭㸈䋮㩷ᣇᴺ䇭䊙䉡䉴ᄢ⣽㛽䉋䉍㛽㜑⚦⢩䉕ណข䈚㪃10㩼FBS฽᦭䈍䉋䈶M㪄CSF䉕ᷝട䈚䈢㱍MEMਛ䈪37㷄㪃CO2 ਅ䈪3ᣣ㑆ၭ㙃䉕ⴕ䈇䊙䉪䊨䊐䉜䊷䉳䉕⺃ዉ䈚㪃৻ቯ䈱⚦⢩ᢙ㩿2㬍104cell㪆ml㪀䈮RANKLೝỗਅ䈪HEMA䈍䉋䈶TEGDMA䉕ᜰቯ䈱Ớᐲ㩿0㪃0㪅1㪃0㪅2㪃0㪅5㪃1㪅0mM㪀䈪ട䈋䈢㪅䈘䉌䈮37㷄㪃CO2ਅ䈪3ᣣ㑆ၭ㙃䈚䈢䋮⚦⢩Ქᕈ䉕®

᷹ቯ䈜䉎䈢䉄㪃cell㩷count㩷kit8 䈍䉋䈶䊙䉟䉪䊨䊒䊧䊷䊃䊥䊷䉻䊷䉕↪䈇䈩⚦⢩ᢙ䉕䉦䉡䊮䊃䈚㪃ฦỚᐲ䈮䈍䈔䉎⚦⢩↢ሽ₸䉕Ყセ䊶ᬌ⸛䈚䈢㪅䇭㩷䉁䈢㪃ฦỚᐲ䈮䈍䈔䉎⎕㛽⚦⢩䈱ಽൻ⢻䉕Ყセ䈜䉎䈢䉄䈮TRAPᨴ⦡䉕ⴕ䈇㪃ᄙⷺ⚦⢩ᢙ䉕䉦䉡䊮䊃䈚䈢㪅䈘䉌䈮cell㩷lysate䉕᛽಴䈚䈩⎕㛽⚦⢩䈱ಽൻ䊙䊷䉦䊷䉇䉲䉫䊅䊦࿃ሶ䈱⊒⃻䈮䈍䈔䉎䊝䊉䊙䊷䈱ലᨐ
䉕Western㩷Blotᴺ䉕↪䈇䈩ᬌ⸛䉕ⴕ䈦䈢㪅䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭࿑䈮␜䈜䉋䈉䈮㪃⚦⢩↢ሽ₸䈱⸃ᨆ䈪䈲㪃0㪅5mM䉁䈪䈱Ớᐲ䈮䈍䈇䈩⚦⢩ᢙ䈲ᷫዋ䈞䈝㪃䉃䈚䉐Ⴧട௑ะ䉕␜䈚䈢㪅৻ᣇ⚦⢩ಽൻ⢻䈱⸃ᨆ䈮䈍䈇䈩䈲㪃TRAPᨴ⦡䈮䈍䈇䈩Ớᐲଐሽ⊛䈮ᛥ೙௑ะ䉕␜䈚䈢㪅䈖䈱㓙0㪅2mMએ਄䈱Ớᐲ䈪䈲ਃᩭએ਄䈱ᩭ䉕᦭䈜䉎ᄙᩭ䈱⚦⢩䈲䈾䈫䉖䈬⏕⹺䈪䈐䈭䈎䈦䈢㪅
䇭䈘䉌䈮Western㩷Blotᴺ䉕↪䈇䈢⎕㛽⚦⢩ಽൻ䈮䈍䈔䉎ਥⷐ䈭䊙䊷䉦䊷䉺䊮䊌䉪䈍䉋䈶䊥䊮㉄ൻ䉲䉫䊅䊦࿃ሶ䈱⸃ᨆ䈪䈲㪃⒳䇱䈱․⇣⊛䊙䊷䉦䊷䉺䊮䊌䉪⊒⃻䈮䈍䈇䈩Ớᐲଐሽ⊛䈮ᛥ೙௑ะ䉕⹺䉄㪃䊥䊮㉄ൻ䉲䉫䊅䊦䈱⸃ᨆ䈮䈍䈇䈩䉅৻ㇱ䈱䉲䉫䊅䊦࿃ሶ䈪ᛥ೙௑ะ䈏␜䈘䉏䈢㪅HEMAห᭽TEGDMA䈮䈍䈇䈩䉅䈖䉏䉌䈫ห᭽䈱⚿ᨐ䈏ᓧ䉌䉏䈢㪅䇭એ਄䈱⚿ᨐ䈎䉌HEMA㪃TEGDMA䈲䈫䉅䈮0㪅5mMએਅ䈱ૐỚᐲ䈮䈍䈇䈩䈲⚦⢩Ქᕈ䉕␜䈘䈭䈇䉁䈪䉅䊙䉪䊨䊐䉜䊷䉳䈎䉌⎕㛽⚦⢩䈻䈱ಽൻ䉕ᛥ೙䈪䈐䉎䈖䈫䈏␜ໂ䈘䉏䈢㪅䉁䈢䈖䉏䉌䈱ᛥ೙䈮䈲䊝䊉䊙䊷䈮䉋䉎䊥䊮㉄ൻ䉲䉫䊅䊦⚻〝䈱ᛥ೙䈏㑐ਈ䈚䈩䈇䉎䈖䈫䈏␜ໂ䈘䉏䈢㪅䇭੹ᓟ㪃ಽൻᛥ೙⚻〝䈱䈘䉌䈭䉎⸃ᨆ䈫ฦỚᐲ䈮䈍䈔䉎㛽ๆ෼䈱᭽⋧䈮ਈ䈋䉎ᓇ㗀䈮䈧䈇䈩Ყセ䊶ᬌ⸛䉕ⴕ䈉੍ቯ䈪䈅䉎㪅
㪓⻢ㄉ㪕䇭ᧄ⎇ⓥ䈮㑐䈚䈗ᜰዉ䈇䈢䈣䈐䉁䈚䈢㐳ፒᄢቇᄢቇ
㒮කᱤ⮎ቇ✚ว⎇ⓥ⑼ᱤ⑼⮎ℂቇಽ㊁䈱╳ᵄ㓉ᐘᢎ᝼㪃ጟర㇌ᓆಎᢎ᝼㪃ဈ੗⹗ሶഥᢎ䈮ᷓ䈒ᗵ⻢䈇䈢
䈚䉁䈜㪅
䇭
㸊䋮㩷ᢥ₂
1䋩 Stephanie K,Karl-Anton H,Carola B,Christine
P,Gianrico S,Franz-Xaver R,Gottfried S,Helmut
S. Function of MAPK and downstream
transcription factors in monomer-induced
apoptosis. Biomaterials 2012:33:740-750
2䋩 Emmler J,Seiss M, Kreppel H,Reichl FX,Hickel
R,Kehe K. Cytotoxicity of the dental composite
component TEGDMA and selected metabolic
by-products in human pulmonary cells. Dent
Mater 2008:1670-1675

࿑.HEMAሽ࿷ਅ䈪䈱⚦⢩Ქᕈ䈍䉋䈶ಽൻ⢻⹏ଔ䇭

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䇭

䇭

䇭

䇭

䇭

䇭

ᐢፉᄢቇᄢቇ㒮කᱤ⮎଻ஜቇ⎇ⓥ㒮䇭ᔕ↪↢๮ቇㇱ㐷䇭వ┵⵬✄ቇ⎇ⓥቶ
Optimization of adsorption amount of polyphosphate to hydroxyapatite
Kato K, Morita K, Doi K, Kubo T, Abe Y, Tsuga K
Department of Advanced Prosthodontics, Applied Life Sciences, Institute of Biomedical & Health
Sciences, Hiroshima University㸇䋮㩷⋡⊛䇭ᐔဋ㎮㐳65䈱䊘䊥䊥䊮㉄䊅䊃䊥䉡䊛䋨એਅ䋬Poly㩿P㪀䋩䈲䋬㛽⧘⚦⢩ᚑᾫㆊ⒟䈱⺞▵࿃ሶ䈫䈚䈩䈱૞↪䈏᣿䉌䈎䈮䈭䉍䈧䈧䈅䉎䉅䈱䈱䋬䈠䈱ᛩਈᤨᦼ䉇Ớᐲ䈮䉋䉍⚿ᨐ䈏⇣䈭䉎1㪃㩷2䋩䋮䉁䈢䋬Poly㩿P㪀න૕䈱ዪᚲ䈻䈱ᔕ↪䈪䈲䋬ᒻᘒ଻ᜬ䈏㔍䈚䈒⍴ᦼ㑆䈪ઍ⻢䈘䉏䉎䈢䉄䋬ᒻᘒ଻ᜬ⢻䉕᦭䈜䉎䊊䉟䊄䊨䉨䉲䉝䊌䉺䉟䊃䋨એਅ䋬
HA䋩䉕scaffold䈫䈚䈩↪䈇䋬䈖䉏䈮Poly㩿P㪀䉕ๆ⌕䈘䈞䈩ᔕ↪䈜䉎䈖䈫䈏ᔅⷐ䈪䈅䉎䋮䈚䈎䈚䈭䈏䉌䋬HA䈮ๆ⌕䈘䈞䉎ᦨㆡPoly㩿P㪀㊂䈲ᧂ䈣᣿䉌䈎䈮䈘䉏䈩䈇䈭䈇䋮䇭䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬⇣䈭䉎Ớᐲ䈱Poly㩿P㪀ṁᶧ䈪ಣℂ䈚䈢HA㩷scaffold䈻䈱㛽⧘⚦⢩ᔕ╵䉕ಽᨆ䈜䉎䈖䈫
䈪䋬㩷HA䈮ᦨㆡPoly㩿P㪀㊂䉕ๆ⌕䈘䈞䉎䈢䉄䈱Poly㩿P㪀ṁᶧỚᐲ䉕᣿䉌䈎䈮䈜䉎䈖䈫䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ
䇭HA䊒䊧䊷䊃䋨10㩷mm㬍10㩷mm䋬ෘ䈘2㩷mm䋩䉕0㪅01–
10㩷mM䈮⺞ᢛ䈚䈢Poly㩿P㪀ṁᶧ䈪24ᤨ㑆ᶐẃ䊶ಣℂᓟ䋬⫳⇐᳓䈮䈩ᵞᵺ䋬ੇ῎ᓟ䋬䊃䊦䉟䉳䊮䊑䊦䊷䈪ᨴ⦡䈚Poly㩿P㪀ๆ⌕⁁ᘒ䉕ⷰኤ䈜䉎䈫䈫䉅䈮䋬⿛ᩏဳ㔚ሶ㗼ᓸ㏜䋨SEM䋩䈪⴫㕙ⷰኤ䈚䈢䋮䇭ᰴ䈮䋬HA䊂䉞䉴䉪䋨⋥ᓘ13㩷mm䋬ෘ䈘2㩷mm䋩䉕0㪅01–
10㩷mM䈮⺞ᢛ䈚䈢Poly㩿P㪀ṁᶧ䈪24ᤨ㑆ᶐẃ䊶ಣℂᓟ䋬⫳⇐᳓䈮䈩ᵞᵺ䋬ੇ῎䈚䋬ೋᦼ⚦⢩ធ⌕䈍䉋䈶⚦⢩Ⴧᱺ䈱⹏ଔታ㛎䈮ଏ䈚䈢䋮ฦ⹜ᢱ਄䈮MC3T3㪄
E1⚦⢩䉕᠞⒳䈚䋬ၮ␆ၭ࿾䈮䈩ၭ㙃䉕ⴕ䈇䋬0䋬1䋬3䋬
7䈍䉋䈶10ᣣᓟ䈮ធ⌕⚦⢩ᢙ䉕᷹ቯ䈚䈢䋮䈘䉌䈮䋬⚦⢩ಽൻ䈍䉋䈶⍹Ἧൻ䈱⹏ଔ䈫䈚䈩䋬ฦ⹜ᢱ਄䈮
MC3T3㪄E1⚦⢩䉕᠞⒳䈚䋬㛽ಽൻၭ࿾䈮䈩ၭ㙃䉕ⴕ䈇䋬3䋬6䋬9䈍䉋䈶12ᣣᓟ䈮real㪄time㩷PCR䈮䈩㛽ಽൻ䊙䊷䉦䊷䋨Alkaline㩷phosphatase㩷㩿ALP㪀䋬Osteopontin
㩿OPN㪀䋬Osteocalcin㩷㩿OCN㪀䋩䈱mRNA⊒⃻㊂䉕᷹ቯ䋬12ᣣᓟ䈮䉝䊥䉱䊥䊮䊧䉾䊄Sᨴ⦡䈪⍹Ἧൻ㊂䉕᷹ቯ䈚䈢䋮䇭ᓧ䉌䉏䈢䊂䊷䉺䈲䋬one㪄way㩷ANOVA䈍䉋䈶ᄙ㊀Ყ
セTukeyᴺ䉕↪䈇䋬᦭ᗧ᳓Ḱ5䋦䈪⛔⸘ቇ⊛ಽᨆ䉕ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭䊃䊦䉟䉳䊮䊑䊦䊷ᨴ⦡䈪Poly㩿P㪀䈏HA䈮ๆ⌕䈚䈩䈇䉎䈖䈫䈏⏕⹺䈘䉏䋬SEM௝䈪䈲䋬Poly㩿P㪀ṁᶧ䈱㜞Ớᐲൻ䈫Ყ଀䈚䈩䊥䊮㉄Ⴎ䈱⚿᥏䈏ⷰኤ䈘䉏䈢䋮䉁䈢䋬0㪅
1㩷mMએ਄䈱Poly㩿P㪀ಣℂ䈪ೋᦼ⚦⢩ធ⌕䈲ૐ䈇୯䉕␜䈚䋬Ⴧᱺ䉅ᛥ೙䈚䈩䈇䈢䋮⚦⢩ಽൻ䈪䈲䋬䈜䈼䈩䈱Ớᐲ䈱Poly㩿P㪀ಣℂ䈪䋬ၭ㙃3䈍䉋䈶6ᣣ䈮ALP䈏䋬ၭ
㙃6䈍䉋䈶9ᣣ䈮OPN䈏䋬ၭ㙃12ᣣ䈮OCN䈏ᄙ䈒⊒⃻䈚䈩䈇䈢䋮⍹Ἧൻ㊂䈲䋬1㩷mMએ਄䈱Poly㩿P㪀ಣℂ䈪ᷫዋ䈚䋬৻ᣇ䋬0㪅01㩷mM㩷Poly㩿P㪀ಣℂ䈪Ⴧട䈚䈢䋨࿑䋩䋮䇭એ਄䉋䉍䋬0㪅1㩷mMએ਄䈱Poly㩿P㪀ಣℂ䈲䋬㛽⧘⚦⢩䈱ೋᦼ⚦⢩ធ⌕䋬Ⴧᱺ䈍䉋䈶⍹Ἧൻ䉕ᛥ೙䈜䉎䋮৻ᣇ䋬0㪅01㩷mM㩷Poly㩿P㪀ಣℂ䈲䋬ೋᦼ⚦⢩ធ⌕䈍䉋䈶Ⴧᱺ䈮ᓇ㗀䉕ਈ䈋䈝䋬ಽൻ䈍䉋䈶⍹Ἧൻ䉕ଦㅴ䈘䈞䉎䈖䈫䈏᣿䉌䈎䈫䈭䈦䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Tsutsumi K, Saito N, Kawazoe Y, Ooi HK,
Shiba T. Morphogenetic study on the maturationof osteoblastic cell as induced by inorganic
polyphosphate. PloS One 2014; 9: e86834.
2䋩 Hoac B, Kiffer-Moreira T, Millán JL, McKee
MD. Polyphosphates inhibit extracellular matrix
mineralization in MC3T3-E1 osteoblast cultures.
Bone 2013; 53: 478–486.

࿑䇭⍹Ἧൻ㊂䇭─ 157 ─

第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪊㪎Iဳ䉮䊤䊷䉭䊮㪄䊊䉟䊄䊨䉨䉲䉝䊌䉺䉟䊃ⶄว૕䈮䉋䉎ᱤᩮ⤑⚦⢩᜼േ䈱೙ᓮ
䂾⮮↰๺ਭ 㪈㪀䋬㊁ፒᶈ૓ 㪉㪀䋬ጊਅੳᄢ 㪊㪀䋬ਃᶆብਯ 㪈㪀䋬᳗੗੝Ꮧሶ 㪉㪀
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᧲੩ක⑼ᱤ⑼ᄢቇᄢቇ㒮㩷කᱤቇ✚ว⎇ⓥ⑼㩷៨㘩ᯏ⢻଻ሽቇಽ㊁䋬 㪉㪀᧲੩ක⑼ᱤ⑼ᄢቇ
↢૕᧚ᢱᎿቇ⎇ⓥᚲ㩷↢૕᧚ᢱᯏ⢻කቇಽ㊁䋬 㪊㪀᧲੩ක⑼ᱤ⑼ᄢቇ㩷↢૕᧚ᢱᎿቇ⎇ⓥᚲήᯏ↢૕᧚ᢱቇಽ㊁䇭䇭䇭Type I collagen and hydroxyapatite composite controls periodontal ligament cell behavior
Fujita K 1), Nozaki K 2), Yamashita K 3), Miura H 1), Nagai A 2)
1)
Department of Fixed Prosthodontics, Graduate School of Medical and Dental Sciences, 2)Department ofMaterial Biofunctions, Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University.,3)
Department of Inorganic Biomaterials, Institute of Biomaterials and Bioengineering, Tokyo Medical and
Dental University.

㸇䋮㩷⋡⊛ᱤᩮ⤑䈲䉶䊜䊮䊃⾰䈫ᱤᮏ㛽䈮᜽䉁䉏䈢✢⛽ᕈ⚿ว⚵❱䈪䋬ᱤ‎䈫ᱤᮏ㛽䉕ᒝ࿕䈮ㅪ⚿䈜䉎䈫䈫䉅䈮ᱤ๟⚵❱䈱ᕡᏱᕈ䈱⛽ᜬ䉕ᜂ䈦䈩䈇䉎䋮䈠䈱⚦⢩ᚑಽ䈫䈚䈩䋬ᧂಽൻ㑆⪲♽⚦⢩䉕฽䉃ᱤᩮ⤑⚦⢩䈱ᄙಽൻ⢻䈏ᵈ⋡䈘䉏䈩䈍䉍ฦ⚦⢩䈻ಽൻ䈜䉎䈖䈫䈪ᱤ๟⚵❱䈱ᕡᏱᕈ䉕⛽ᜬ䈚䈩䈇䉎䈫⠨䈋䉌䉏䈩䈇䉎䋮ㄭᐕ䋬䊊䉟䊄䊨䉨䉲䉝䊌䉺䉟䊃㩿HAp㪀䉇䊥䊮㉄㉄䉦䊦䉲䉡䊛䈭䈬䈱䋬䊥䊮㉄䉦䊦䉲䉡䊛♽䉶䊤䊚䉾䉪䉴䈏㛽⵬Ⴏ᧚䈫䈚䈩ᐢ䈒⥃ᐥᔕ↪䈘䉏䈩䈇䉎䋮ᱤ๟⚵❱䈱ౣ↢䈮䈎䈎䉒䉎㑆⪲♽⚦⢩䈲䋬⚦⢩ᄖၮ⾰䈮䉟䊮䊁䉫䊥䊮䉕੺䈚䈩ធ⌕䈚䋬⚦⢩ᯏ⢻䈏೙ᓮ䈘䉏䉎䈖䈫䈏ႎ๔䈘䉏䈩䈇䉎䋮⚦⢩ធ⌕䈱⿷႐䈫䈭䉎↢૕᧚ᢱ䈱᭴ㅧ䋬⎬䈘䈭䈬䈲⚦⢩䈱ಽൻ䉇ᚑᾫ䉕೙ᓮ䈜䉎䈖䈫䈏⍮䉌䉏䈩䈍䉍䋬ⶄ㔀䈭ᱤᩮ⤑⚦⢩䉕ౣ↢䈜䉎䈢䉄䈮䈲䋬ฦ⚦⢩⒳䈮ㆡ䈚䈢᧚ᢱ䈱㐿⊒䈏ᔅ㗇䈪䈅䉎䋮䈠䈖䈪ᧄታ㛎䈪䈲䋬䉮䊤䊷䉭䊮䉮䊷䊃䉕ᣉ䈚䈢HAp਄
䈪䈱ᱤᩮ⤑⚦⢩䈱᜼േ䉕᣿䉌䈎䈮䈜䉎䈖䈫䉕⋡⊛
䈮䋬㩷HAp䈱䉨䊞䊤䉪䉺䊥䉷䊷䉲䊢䊮䈍䉋䈶䉮䊤䊷䉭䊮䈮䉋䉎䉮䊷䊁䉞䊮䉫䉕ⴕ䈇䋬ALP㩷assay䈮䈩ᱤᩮ⤑⚦⢩䈱㛽ᒻᚑ⢻⹏ଔ䉕ⴕ䈦䈢䋮䇭㸈䋮㩷ᣇᴺ
Wistar㩷Rat䋨6ㅳ㦂䋬㓶䋩䈱਄㗶╙৻䋬╙ੑ⥓ᱤ䉕ᛮᱤ䈚ᱤᩮ⤑⚦⢩䉕න㔌䊶⛮ઍၭ㙃䈚䈢䋮⹜ᢱ䈮䈲HAp
䉕૶↪䈚䈢䋮᳓㉄ൻ䉦䊦䉲䉡䊛᳓ṁᶧ䈮䊥䊮㉄᳓ṁᶧ䉕Ca㪆P㪔1㪅67䈮䈭䉎䉋䈉䈮Ṣਅ䈚䋬ᠣᜈ䊶ᾫᚑ䉕䈠䉏䈡
䉏24ᤨ㑆ⴕ䈦䈢䋮⌀ⓨỹㆊ䉕ⴕ䈇800㷄䈮䈩઒὾ᓟ䋬☳૕䉕৻ゲട࿶ᚑᒻ䈚䈢䋮⹜ᢱ䈲᳓⫳᳇㔓࿐᳇ਅ䈪1250㷄䈮䈩὾⚿䈘䈞䈢䋮૞⵾䈚䈢HAp䈲X✢࿁᛬䋨XRD䋩䋬䊐䊷䊥䉣ᄌ឵ဳ⿒ᄖಽశ䋨FT㪄IR䋩䋬⿛ᩏဳ㔚ሶ㗼ᓸ㏜䋨SEM䋩䈮䈩䉨䊞䊤䉪䉺䊥䉷䊷䉲䊢䊮䉕ⴕ䈦䈢䋮
HAp䈱䉮䊷䊁䉞䊮䉫䈮䈲Cellmatrix㩷TypeI㪄C㩿ᣂ↰䉷䊤䉼䊮ᩣᑼળ␠㪀㩷䈫cellnest㩷䊍䊃㸇ဳ䉮䊤䊷䉭䊮᭽䊥䉮䊮䊎䊅䊮䊃䊕䊒䉼䊄0㪅1㩼ṁᶧ䋨Fujifilm㩷corporation䋩䉕૶↪䈚䈢䋮૞⵾䈚䈢HAp䊕䊧䉾䊃䉕ᶖᲥᓟ䋬ฦṁᶧ䉕Ṣਅ䋬ੇ῎ᓟ䉮䊷䊁䉞䊮䉫⹜ᢱ䈫䈚䈢䋮⚦⢩ Ộᶧ䋨5㩷x㩷104୘㪆ml䋩䉕䋬ฦ⹜ᢱ਄䈮᠞⒳䋬৻ቯᦼ㑆ၭ㙃䈚䈢䋮ಽൻၭ࿾䈮੤឵ᓟ1䋬4䋬7ᣣ㑆ၭ㙃䈚 䋬 ALP㩷 assay 䉕 ⴕ 䈦 䈢 䋮 ALP ᵴ ᕈ 䈱 ⹏ ଔ 䈮 䈲
LabAssay㩷ALP㩷㩿Wako㪀䉕↪䈇䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ૞⵾䈚䈢⹜ᢱ䈲䋬XRD⸃ᨆ䈮䉋䉍HAp䈮৻⥌䈜䉎䊏 䊷 䉪 䈏 ⷰ ኤ 䈘 䉏 䈢 䋮 䉁 䈢 䋬 FT㪄IR ⸃ ᨆ 䈮 䉋 䉍 䋬
3600cm㪄1 ઃㄭ䈮䋬᳓㉄䉟䉥䊮䈱િ❗ᝄേ䈏ⷰኤ䈘䉏䋬૞⵾䈚䈢⹜ᢱ䈲HApන⋧䈪䈅䈦䈢䋮૞⵾䈚䈢HAp
⹜ᢱ䈮䉮䊤䊷䉭䊮䉕䉮䊷䊃䈚䈢⹜ᢱ䈱SEM↹௝䉕࿑䈮␜䈜䋮ᱤᩮ⤑⚦⢩䈱ALPᵴᕈ䈲䋬ၭ㙃4ᣣ⋡䈪䉮䊮䊃䊨䊷䊦⟲䋬cellnest⟲䈮Ყ䈼䋬Cellmatrix䉮䊷䊃⟲䈪䈲᦭ᗧ䈮ૐਅ䈚䈢䋮䈚䈎䈚䈭䈏䉌䋬cellnest䈫HAp⹜ᢱ䈮䈲᦭ᗧᏅ䈏⹺䉄䉌䉏䈭䈎䈦䈢䋮TypeI䉮䊤䊷䉭䊮䈱RGD㈩೉䉕฽䉃䊥䉮䊮䊎䊅䊮䊃䊕䊒䉼䊄䈪䈅䉎cellnest䈮䈍䈇䈩
ALPᵴᕈ䈱ૐਅ䈏⹺䉄䉌䉏䈭䈎䈦䈢䈖䈫䈎䉌䋬ᱤᩮ⤑⚦⢩䈱ALPᵴᕈ䈲䋬TypeI䉮䊤䊷䉭䊮䈱⎬䈘䈮䉋䉍೙ᓮ䈘䉏䈩䈇䉎䈖䈫䈏␜ໂ䈘䉏䈢䋮

࿑1䋮䉮䊤䊷䉭䊮䉮䊷䊁䉞䊮䉫䉕ᣉ䈚䈢HA䋨SEM䋩
䇭─ 158 ─日補綴会誌

第 1 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪈㪄㪊㪏ฦ⒳ᱤ౰⵬✄᧚ᢱ䈮䉋䉎ኻว䉣䊅䊜䊦⾰䈱៺⠻䋺⴫㕙ᕈ⁁䈫ធ⸅⁁ᘒ䈱㆑䈇䈮䉋䉎⹏ଔ䂾ᯌ䇭ᘮᎺ 㪈㪀䋬᪀㢬೑㚅 㪈㪀䋬▽ጊ⢻ᄢ 㪈㪀䋬ᾲ↰䇭↢ 㪈㪀䋬᫪↰ஜᢘ 㪉㪀䋬Ꮉ਄⵨༹ 㪊㪀䋬㊁㑆౏੺ 㪊㪀䋬᧻ਅᕶਯ 㪈㪀䋬Ỉᳯ⟵ೣ 㪉㪀䋬ฎ⼱㊁䇭ẖ 㪈㪀㪈㪀਻Ꮊᄢቇᄢቇ㒮ᱤቇ⎇ⓥ㒮ญ⣧ᯏ⢻ୃᓳቇ⻠ᐳ䉟䊮䊒䊤䊮䊃䊶⟵ᱤ⵬✄ቇಽ㊁䋬 㪉㪀਻Ꮊᄢቇᄢቇ㒮Ꮏቇ⎇ⓥ㒮ᯏ᪾Ꮏቇㇱ㐷⸳⸘Ꮏቇ⎇ⓥቶ䋬 㪊㪀਻Ꮊᄢቇ∛㒮ᱤ⑼ᛛᎿቶ
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Human enamel wear against prosthetic materials: effect of their surface roughness and contact conditions
Tachibana K 1), Kuwatsuru R 1), Tsukiyama Y 1), Atsuta I 1), Morita T 2), Kawakami Y 3), Noma K 3),
Matsushita Y 1), Sawae Y 2), Koyano K 1)
1)
Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, 2)Machine Elements andDesign Laboratory, Kyushu University, 3)Dental Laboratory, Kyushu University Hospital㸇䋮㩷⋡⊛ㄭᐕ䋬㜞ᒝᐲ䉶䊤䊚䉾䉪䉴䈱᥉෸䈮઻䈇ኻวᱤ䈱៺⠻䈏 ᔨ䈘䉏䈩䈇䉎䋮䉁䈢䋬⎇⏴䈏ਇචಽ䈭႐ว䈱ኻวᱤ䈱៺⠻䉅ᬌ⸛䈜䈼䈐੐㗄䈪䈅䉎䋮৻ᣇ䋬ኻวᱤ䈫䈱ធ⸅⁁ᘒ䈲ⴣ⓭Ṗ⿛ㆇേ䋬Ṗ⿛ㆇേ䋬ⴣ⓭ㆇേ䈭䈬ㇱ૏䈮䉋䈦䈩⇣䈭䉎น⢻ᕈ䈏䈅䉎䋮䈠䈖䈪ᧄ⎇ⓥ䈪
䈲䋬ฦᱤ౰⵬✄᧚ᢱ䈱⴫㕙ᕈ⁁䈫ធ⸅⁁ᘒ䈱㆑䈇䈮䉋䉎ኻว䉣䊅䊜䊦⾰䈱៺⠻䉕ታ㛎⊛䈮⹏ଔ䈜䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮
䇭㸈䋮㩷ᣇᴺ๰ྨ䉲䊚䊠䊧䊷䉺䊷਄ㇱ䈮䊍䊃ᛮ෰⥓ᱤ㕖ᯏ⢻ຏ㗡䉕䋬ਅㇱ䈮ฦ⒳ⵍ㛎᧚ᢱ䋨䉺䉟䊒3㊄ว㊄㩿Au㪀䋬ੑ⃯㉄䊥䉼䉡䊛㩿LD㪀䋬㜞ㅘశᕈ䉳䊦䉮䊆䉝㩿Zr㪀䈍䉋䈶䉣䊅䊜䊦⾰䋩䉕ข䉍ઃ䈔䋬䉲䊚䊠䊧䊷䉲䊢䊮ታ㛎䉕ⴕ䈦䈢䋮ⵍ㛎᧚ᢱ䈠䉏䈡䉏䈮⎇⏴⟲㩿ฦn㪔8㪀䈫䋬ຏว⺞ᢛᓟ⎇⏴䈘䉏䈩䈇䈭䈇⁁ᘒ䉕ᗐቯ䈚䈢⎇೥⟲㩿ฦn㪔8㪀䉕૞⵾䈚䈢䋮䉲䊚䊠䊧䊷䉺䊷Ⓙ௛᧦ઙ䈲ု⋥࿶49N䋬ု⋥ᣇ
ะ2mm䋬᳓ᐔᣇะ1mm䋬๟ᵄᢙ2Hz䈫䈚䋬ⴣ⓭Ṗ⿛ㆇേ䉕ᗐቯ䈚䈢ု⋥䋫᳓ᐔ䈱േ䈐䋨ታ㛎1䋩䋬ធ⸅Ṗ⿛ㇱ૏䉕ᗐቯ䈚䈢᳓ᐔ䈱䉂䈱േ䈐䋨ታ㛎2䋩䋬ὐធ⸅ㇱ૏䉕ᗐቯ䈚䈢ု⋥䈱䉂䈱േ䈐䋨ታ㛎3䋩䈱3⒳㘃䈱ታ㛎䉕ⴕ䈦䈢䋮ฦታ㛎䈮䈍䈇䈩䋬ⵍ㛎᧚ᢱ⴫㕙☻䈘䈫ኻวᱤ៺⠻㊂䉕䊧䊷䉱䊷㗼ᓸ㏜䈮䈩⸘᷹䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
Au䋬LD䋬Zr䈲⎇⏴䈜䉎䈖䈫䈪䉣䊅䊜䊦⾰䉋䉍䉅ዊ䈘䈭⴫㕙☻䈘䈏ᓧ䉌䉏䈢䋮Zrએᄖ䈲ో䈩䈱ታ㛎ᓟ䈮⴫㕙☻䈘䈏ᄌൻ䈚䈩䈇䈢䋮៺⠻㊂䈮䈧䈇䈩䈲એਅ䈮␜䈜ㅢ䉍䈪䈅䈦䈢䋮

ታ㛎1䋺Au䈲䉣䊅䊜䊦⾰䉋䉍䉅ኻวᱤ䉕៺⠻䈘䈞䉎䈖䈫䈲䈭䈎䈦䈢䋮LD䈲⎇⏴⟲䈫⎇೥⟲䈪ኻวᱤ៺⠻㊂䈮
Ꮕ䈏䈭䈒䋬៺⠻㊂䈮ኻ䈜䉎⴫㕙☻䈘䈱ᓇ㗀䈲ዊ䈘䈇น⢻ᕈ䈏␜䈘䉏䈢䋮Au䈫Zr䈲䋬⎇⏴䈏ኻวᱤ៺⠻䈱ᛥ೙䈮᦭ല䈪䈅䈦䈢䋮ታ㛎2䋺Au䈲ਔ⟲䈮䈍䈇䈩䉣䊅䊜䊦⾰䈫ห╬䈱៺⠻㊂䉕␜䈚䈢䋮䉁䈢ోⵍ㛎᧚ᢱ䈮䈍䈇䈩⎇⏴⟲䉋䉍䉅⎇೥⟲䈱ᣇ䈏ኻวᱤ៺⠻㊂䈏ᄢ䈐䈒䋬⎇⏴䈱ലᨐ䈏␜䈘䉏䈢䋮ታ㛎3䋺Au䈲ਔ⟲䈮䈍䈇䈩䉣䊅䊜䊦⾰䈫ห╬䈱៺⠻㊂䉕␜䈚䈢䋮LD䈫Zr䈱ኻวᱤ䈱៺⠻䈮ኻ䈜䉎⴫㕙☻䈘䈱ᓇ㗀䈲ਇ᣿⍎䈪䈅䉍䋬ਔ⟲䈫䉅䉣䊅䊜䊦⾰䉋䉍䉅ኻวᱤ䉕៺⠻䈘䈞䈢䋮䇭એ਄䉋䉍䋬Au䈲ኻวᱤ៺⠻䈱ⷰὐ䈎䉌ఝ䉏䈢᧚ᢱ䈪䈅䉎䈖䈫䈏␜䈘䉏䈢䋮䉁䈢Zr䈲䋬⴫㕙ᕈ⁁䈱ᄌൻ䈏ᭂ䉄䈩ዊ䈘䈇䈖䈫䈏␜䈘䉏䈢䋮LD䈫Zr䈱ኻวᱤ៺⠻㊂䈲䋬ᓔᓳṖ⿛ㆇേ䈮䈍䈇䈩䈲⴫㕙☻䈘䈱ᓇ㗀䉕ฃ䈔䉎䈫䈜䉎ㆊ෰䈱ႎ๔1㪀䈫৻⥌䈚䋬෻ᓳⴣ⓭ㆇേ䈮䈍䈇䈩䈲ㅒ䈮䋬⴫㕙☻䈘䈮䉋䉌䈝䉣䊅䊜䊦⾰ห჻䉋䉍䉅ኻวᱤ䉕៺⠻䈘䈞䉎น⢻ᕈ䈏␜䈘䉏䈢䋮䉁䈢ⴣ⓭Ṗ⿛ㆇേ䈮䈍䈔䉎ኻวᱤ䈱៺⠻䈲䋬Zr䈱䉋䈉䈮⎬䈘䉇⎕უ㕢ᕈ䈏ᭂ䉄䈩㜞䈇႐ว䋬⴫㕙☻䈘䈱ᓇ㗀䉕ฃ䈔䉇䈜䈇䈖䈫䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Preis V et al., Wear performance of substructure
ceramics and veneering porcelains. Dental
mateirals: official publication of Academy of
Dental Materials. 2011; 27: 796-804

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一般 口 演 発 表㪦㪈㪄㪊㪐⏛᳇ᦑ㔺䈏OSCC䈱䉰䉟䊃䉦䉟䊮䈱⊒⃻䈮෸䈿䈜ᓇ㗀䂾ᄢᨋ⟤Ⓞ 㪈㪀䋬የᦛᄢテ 㪉㪀䋬ᵻ㊁ᱜጪ 㪉㪀䋬᦬᧛⋥᮸ 㪈㪀䋬⍹੗䇭ᜏ 㪈㪀䋬⍹਄෹ᒾ 㪈㪀
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ᣣᧄᄢቇᱤቇㇱᱤ⑼⵬✄ቇ╙㸈⻠ᐳ䋬 㪉㪀ᣣᧄᄢቇᱤቇㇱ∛ℂቇ⻠ᐳ䇭

Effect of magnetic field exposure on the expression of cytokines of OSCC
Obayashi M 1), Omagari D 2), Asano M 2), Tsukimura N 1), Ishii T 1), Ishigami T 1)
1)
Department of Partial Denture Prosthodontics, Nihon University school of Dentistry, 2)Department of
Pathology, Nihon University school of Dentistry㸇䋮㩷⋡⊛䇭ㄭᐕ䋬᳗ਭ⏛⍹䈲䋬䊌䊷䉲䊞䊦䊂䊮䉼䊞䊷䈱⛽ᜬⵝ⟎䈫䈚䈩䈱⏛ᕈ䉝䉺䉾䉼䊜䊮䊃䉇䋬ฦ⒳ᬌᩏᯏེ䈫䈚䈩ᐢ䈒ᔕ↪䈘䉏䈩䈇䉎䋮䈚䈎䈚䋬↢૕䈻䈱⏛႐䈮ኻ䈜䉎ᓇ㗀1㪃2㪀䈭䈬䈲䉁䈣ਇ᣿䈭ὐ䉅ᄙ䈒䋬⎇ⓥ䈜䉎ᔅⷐ䉅䈅䉎䋮↢૕䈻䈱ᖡᓇ㗀䉅 ᔨ䈘䉏䈩䈇䉎䈏䋬ᧂ䈣⸃᣿䈘䉏䈩䈇䈭䈇䋮䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬䈠䈱৻┵䈫䈚䈩䋬䊍䊃ญ⣧≸↱᧪ၭ㙃⚦⢩䈮ਈ䈋䉎⏛႐䈱ᓇ㗀䈮䈧䈇䈩ᬌ⸛䉕ⴕ䈦䈢䋮
䇭㸈䋮㩷ᣇᴺ䇭ญ⣧ᚳᐔ਄⊹≸↱᧪ၭ㙃⚦⢩ᩣ䋨Oral㩷Squamous
Cell㩷 Carcinoma㩷 derived㩷 cell㩷 line䋻OSCC䋩䈲䋬㩷 10㩼
FCS㪄RPMI1640 䉁 䈢 䈲 10㩼FCS㪄MEM ၭ ࿾ 䈮 䉋 䉍 䋬37㷄䋬5㩼㩷CO2䉟䊮䉨䊠䊔䊷䉺䊷ౝ䈪ၭ㙃䈚䈢䋮⚦⢩䉕Super㩷Magnetic㩷plate䋨OZ㩷Bioscience␠⵾䋩䈱਄䈪ၭ㙃䈜䉎䈖䈫䈮䉋䉍䋬⏛᳇ᦑ㔺⟲䈫䈚䈢䋮৻ᣇ䋬㕖ᦑ㔺䋨control⟲䋩䈫䈚䈩⏛᳇䈮ᦑ㔺䈞䈝䈮ၭ㙃䈚䈢䉅䈱䉕↪䈇䈢䋮⚦⢩䈱Ⴧᱺㅦᐲ䈲TC20ో⥄േ䉶䊦䉦䉡䊮
䉺䊷䋨Bio㪄Rad␠⵾䋩䉕↪䈇䈩ၭ㙃0䋬1䋬3䋬5䋬7ᣣ⋡䈮⸘᷹䈚䈢䋮䈘䉌䈮OSCC⚦⢩䉕2x105㩷㪆24㪄well㩷plate䈮᠞⒳䈚䋬12ᤨ㑆䈱⏛᳇ᦑ㔺䈫control⟲䉕䈧䈒䉍䋬ၭ㙃਄ ᷡ 䉕 ࿁ ෼ 䈚 䋬 Proteome㩷 Profiler㩷 Human㩷 XL
Cytokine㩷Array㩷Kit䋨R䋧D㩷systems␠⵾䋩䉕↪䈇䈩ฦ⒳䉰䉟䊃䉦䉟䊮䈱⊒⃻䈱ᄌൻ䉕ᬌ⸛䈚䈢䋮䉁䈢䋬䈠䈱⚦⢩䉕⏛᳇ᦑ㔺䋬㩷 㕖ᦑ㔺䈪ೝỗᓟ䋬RNeasy䇭MINI
Kit䋨QIAGEN␠⵾䋩䉕↪䈇䈩RNA䉕᛽಴䈚䋬cDNA䉕૞⵾䈚䈢䋮䈠䈱ᓟ䋬real㪄time㩷PCR䉕ⴕ䈇ㆮવሶ䊧䊔䊦䈪ᬌ⸛䉕ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭⚦⢩Ⴧᱺㅦᐲ䈮㑐䈚䈩䈲⏛᳇ᦑ㔺⟲䋬control⟲䈱㑆䈮䈲᦭ᗧ䈭Ꮕ䈲⷗䉌䉏䈭䈎䈦䈢㪅㩷Cytokine㩷Array䈮䉋䉎ᬌ⸛䈪䈲ฦ⒳䉰䉟䊃䉦䉟䊮䈲⊒⃻䈱⒟ᐲ䈲⇣䈭䉎䉅䈱䈱ᕡᏱ⊛䈮⊒⃻䈘䉏䈩䈇䉎䉅䈱䈏䈅䉍䋬Platelet㪄─ 160 ─Derived㩷Growth㩷Factor㪄AA䋨PDGF㪄AA䋩䈍䉋䈶ST2䈱⊒⃻䈲control⟲䈮Ყ䈼ᦑ㔺⟲䈪䈲ᛥ೙䈘䉏䈩䈇䈢䋨࿑䋩䋮䈠䈖䈪PDGF㪄AA䈫ST2䈱⊒⃻䈮䈧䈇䈩real㪄time㩷PCR䉕ⴕ䈦䈢䈫䈖䉐䋬㛳䈒䈖䈫䈮ㆮવሶ䊧䊔䊦䈪䈱⊒⃻䈲⏛᳇ᦑ㔺⟲䈱䈾䈉䈏control⟲䉋䉍⚂1㪅5୚⒟ᐲ㜞䈎䈦䈢䋮એ਄䈱䈖䈫䈎䉌䋬⏛᳇ᦑ㔺⟲䈪ㆮવሶ⊒⃻䈮ᓇ㗀䉕෸䈿䈜䈖䈫䈏䉒䈎䈦䈢䋮PDGF㪄AA䈲㑆⪲♽⚦⢩䈱ㆆ⿛䉇Ⴧᱺ䈭䈬䈱⺞▵䈮㑐ਈ䈜䉎Ⴧᱺ࿃ሶ䈪䈅䉍䋬ST2䈲ኋਥ㒐ᓮ䉇఺∉⺞▵䋬Ἳ∝䈮䈍䈇䈩㊀ⷐ䈭ᓎഀ䉕ᜂ䈉IL㪄33䈱receptor䈪䈅䉎䋮䈖䈱䈖䈫䈲⏛႐䈏Ἳ∝䈱ᯏᐨ䈮ᓇ㗀䉕෸䈿䈜น⢻ᕈ䈏␜䈘
䉏䈢䋮
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1䋩 Vallbonaa C.Hazelwood CF,Jurida G. Responseof pain to static magnetic filds in postpolio
patient. A double-blind pilot study. A doubleblimd pilot study, Archives of Physucal andRehabilitative Medicine 78:1200-1203,1997
2䋩 ᄙ᳋᣽↢.㕒⏛႐䈱↢૕ᓇ㗀䈫ੱ૕ᦑ㔺䉧䉟䊄䊤
䉟䊮.ᣣᧄ⏛᳇ᱤ⑼ቇળ:2008;17(1):12-23

Cytokine Array䈮䉋䉎᷹ቯ⚿ᨐ䇭

日補綴会誌

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一般口演発 表㪦㪈㪄㪋㪇

᛫⩶ᕈ䉕ઃਈ䈚䈢䉟䉾䊃䊥䉝ㇱಽ቟ቯဳ䉳䊦䉮䊆䉝᧚ᢱ䈮䉋䉎䈉ⲁᛥ೙⹏ଔ
䂾ጊ↰ℂᴕ 㪈㪃㪉㪀䋬㊁ፒᶈ૓ 㪉㪀䋬ᩮᧄᕀᄹ 㪈㪀䋬ጊਅੳᄢ 㪊㪀䋬ਃᶆብਯ 㪈㪀䋬᳗੗੝Ꮧሶ 㪉㪀

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᧲੩ක⑼ᱤ⑼ᄢቇᄢቇ㒮䇭කᱤቇ✚ว⎇ⓥ⑼៨㘩ᯏ⢻଻ሽቇಽ㊁䋬 㪉㪀᧲੩ක⑼ᱤ⑼ᄢቇ
↢૕᧚ᢱᎿቇ⎇ⓥᚲ↢૕᧚ᢱᯏ⢻කቇಽ㊁䋬 㪊㪀᧲੩ක⑼ᱤ⑼ᄢቇ↢૕᧚ᢱᎿቇ⎇ⓥᚲήᯏ↢૕᧚ᢱቇಽ㊁䇭䇭䇭

Fabrication and evaluation of yttria-stabilized zirconia with antimicrobial properties
Yamada R 1,2), Nozaki K 2), Nemoto R 1), Yamashita K 3), Miura H 1), Nagai A 2)
1)
Department of Fixed Prosthodontics, Graduate School of Medical and Dental Science, Tokyo Medical and
Dental University, 2)Department of Material Biofunctions, Institute of Biomaterials and Bioengineering,Tokyo Medical and Dental University, 3)Department of Inorganic Biomaterials, Institute of Biomaterials
and Bioengineering, Tokyo Medical and Dental University㸇䋮㩷⋡⊛䇭ญ⣧ౝ䈮ⵝ⌕䈘䉏䈢⵬✄ⵝ⟎䈮⿠䈖䉍䈉䉎໧㗴ὐ䈱৻䈧䈫䈚䈩䋬⵬✄ⵝ⟎⴫㕙䈮ญ⣧ౝ⚦⩶䈱ઃ⌕䋬䊒䊤䊷䉪䈱⫾Ⓧ䈮⿠࿃䈜䉎ੑᰴ䈉ⲁ╬䈏ႎ๔䈘䉏䈩䈇䉎1䋩䋮䇭䈉ⲁ䈱ේ࿃䈮䈲䋬䈉ⲁේᕈ⚦⩶䈫䈚䈩ಽ㔌㗫ᐲ䈱㜞䈇䊚䊠䊷䉺䊮䉴⩶䈏㑐ਈ䈚䈩䈇䉎䋮䈉ⲁ੍㒐ᴺ䈮䈲䋬䊒䊤䊷䉪䈱ઃ⌕ᛥ೙䈫䈚䈩䊑䊤䉾䉲䊮䉫䈮䉋䉎ᯏ᪾⊛㒰෰ᴺ䈏᜼䈕䉌䉏䉎䋮৻ᣇ䋬ൻቇ⊛㒰෰䈫䈚䈩↢૕᧚ᢱ⴫㕙䈮᛫⩶ലᨐ䉕ઃਈ䈜䉎ὑ䈮䋬᛫⩶೷䉇᛫↢‛⾰╬䉕↪䈇䈢᭽䇱䈭ᣇᴺ䈏ႎ๔䈘䉏䈩䈇䉎䋮ⵝ⌕䈘䉏䈢⵬✄ⵝ⟎䈱㐳ᦼ⊛੍ᓟ䈱⏕┙䈱ὑ䈮䈲䋬ⴚᓟ䈱ᗵᨴ㒐ᱛ䈏น⢻䈭᛫⩶ᕈᱤ౰⵬✄ⵝ⟎䈱᧚ᢱ㐿⊒䈏ᕆോ䈪䈅䉎䋮
䇭ήᯏ♽᛫⩶೷䈪䈅䉎㌁䈲䋬ฎ䈒䈎䉌䈠䈱᦭↪ᕈ䈏ႎ๔䈘䉏䈩䈍䉍䋬᭽䇱䈭ᱤ⑼᧚ᢱ䈻䈱ᔕ↪䈏ႎ๔䈘䉏䈩䈇䉎䋮䈚䈎䈚䈭䈏䉌ㄭᐕ䋬ᱤ౰⵬✄ⵝ⟎↪᧚ᢱ䈫䈚䈩᏷ᐢ䈒⥃ᐥᔕ↪䈘䉏䈩䈇䉎䋬䉟䉾䊃䊥䉝ㇱಽ቟ቯဳ䉳䊦䉮䊆䉝㩿YSZ㪀䈻䈱㌁䈱ᔕ↪䈲ዋ䈭䈒䋬䉼䉢䉝䉰䉟䊄䈪䉅◲ଢ䈮䈠䈱ലᨐ䉕ઃਈ䈜䉎ᣇᴺ䈲ႎ๔䈘䉏䈩䈇䈭䈇䋮䈠䈖䈪ᧄታ㛎䈪䈲䋬YSZ䈮᛫⩶ലᨐ䉕ઃਈ䈜䉎䈖䈫䉕⋡⊛䈮䋬᛫⩶ᵴᕈ䉕᦭䈜䉎⒳䇱䈱Ớᐲ䈱㌁ṁᶧ䉕↪䈇䈩䋬YSZ䈮䉮䊷䊁䉞䊮䉫䉕ᣉ䈚䋬䈠䈱䉨䊞䊤䉪䉺䊥䉷䊷䉲䊢䊮෸䈶㤛⦡䊑䊄䉡⃿⩶䋬䊚䊠䊷䉺䊮䉴⩶䈮ኻ
䈜䉎᛫⩶ᵴᕈ䈱⹏ଔ䉕ⴕ䈦䈢䋮䇭㸈䋮㩷ᣇᴺ䇭⹜ᢱ䈮䈲YSZ☳ᧃ䋨TZ㪄3YSB㪄E㪃᧲䉸䊷䋩䉕૶↪䈚৻ゲട࿶ᚑᒻ䈮䉋䉍ᚑᒻ૕䉕૞⵾ᓟ䋬1450㷄䋬2ᤨ㑆὾ᚑ䈚䈢㪅ᓧ䉌䉏䈢὾⚿૕䉕ᵞᵺᓟ䋬⹜ᢱ⴫㕙䈮0㪅2㪃
0㪅5㪃1㪅0㪃2㪅5㪃5㪅0㩷mM䈱㌁ṁᶧ䉕Ṣਅ䈚䋬ੇ῎ᓟ䉝䊆䊷䊦ಣℂ䉕ⴕ䈦䈢䋮䈭䈍䋬䉮䊮䊃䊨䊷䊦⹜ᢱ䈲䋬㌁ṁᶧ䉕䉮䊷䊁䉞䊮䉫䈚䈩䈇䈭䈇䉅䈱䈫䈚䈢䋮⴫㕙ᓸ⚦᭴ㅧ䈱ⷰኤ䈲䋬⿛ᩏဳ㔚ሶ㗼ᓸ㏜䋨SEM䋬S㪄3400NX䋬ᣣ┙䋩䉕↪䈇䈩ⷰኤ䉕ⴕ䈦䈢䋮䉁䈢䉮䊷䊁䉞䊮䉫䈚䈢㌁䈱⚿ ᥏ ᭴ ㅧ ⸃ ᨆ 䈲 X ✢ ࿁ ᨆ 䋨 XRD 䋺 D8㩷 Advance
Bruker䋩䈮䈩⸃ᨆ䉕ⴕ䈦䈢䋮䇭 ᛫ ⩶ ᵴ ᕈ 䈱 ⹏ ଔ 䈮 䈲 㤛 ⦡ 䊑 䊄 䉡 ⃿ ⩶ 䋨 NBRC
102135䋩䋬䊚䊠䊷䉺䊮䉴⩶䋨MT8148䋩䉕↪䈇䈩᛫⩶ᕈ

─ 161 ─

⹜㛎䋨JIS㩷 Z㩷 2801䋩䉕ⴕ䈦䈢䋮䈠䉏䈡䉏೨ၭ㙃䉕ⴕ䈇䋬Ớᐲ⺞ᢛ䉕ⴕ䈦䈢⩶ᶧ䉕↪䈇䈩䋬૞⵾䈚䈢⹜ᢱ਄䈮᠞⒳䋬䈠䈱਄䈎䉌䊒䊤䉴䉼䉾䉪䊐䉞䊦䊛䉕ⵍⷒ䈚37㷄24ᤨ㑆ၭ㙃䈚䈢䋮ၭ㙃ᓟ䋬⹜ᢱ਄䈱⩶ᶧ䉕Ꮧ㉼䈚䋬ኙᄤၭ࿾䈮᠞⒳䈚䋬37㷄24ᤨ㑆ၭ㙃ᓟ䋬ᒻᚑ䈘䉏䈢䉮䊨䊆䊷䈱ᢙ䉕⸘᷹䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭㌁䉕䉮䊷䊁䉞䊮䉫䈚䈢⹜ᢱ䈱SEM௝䉕࿑䈮␜䈜䋮䉮䊷䊁䉞䊮䉫䈚䈢㌁䊅䊉☸ሶ䈲YSZ䈱⹜ᢱ⴫㕙䈮ಽᢔ䈚䈩䈇䈢䋮䉁䈢XRD࿁ᨆ䈱⚿ᨐ䋬ઃ⌕䈚䈩䈇䉎☸ሶ䈲㌁䈪䈅䉎䈖䈫䈏䉒䈎䈦䈢䋮䇭䉮䊷䊁䉞䊮䉫䈚䈢⹜ᢱ਄䈮䈩ၭ㙃䈚䈢⩶䈱䉮䊨䊆䊷ᢙ䉕⸘᷹䈚᛫⩶ᵴᕈ୯䉕᳞䉄䈢䈫䈖䉐䋬㌁䈱Ớᐲ䈱਄᣹䈮઻䈦䈩䉮䊨䊆䊷ᢙ䈱ᷫዋ䋬᛫⩶ᵴᕈ୯䈱਄᣹䈏⹺䉄䉌䉏䈢䋮
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1䋩 Shin-Fu Ou Research of antibacterial activity 䇭on silver containing yttria-stabilized-zirconia
bioceramic Ceram Int.2013;39:3591-3596

5.0mM䈱㌁䉮䊷䊁䉞䊮䉫䉕ᣉ䈚䈢YSZ⴫㕙䇭

第 1 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪈㪄㪋㪈S㪄PRG䊐䉞䊤䊷฽᦭☼⤑⺞ᢛ᧚䈱䉦䊮䉳䉻⩶ઃ⌕ᛥ೙ലᨐ
䈫ℂᎿቇ⊛ᕈ⾰䂾㜟⨲ᧁ⻞੺ 㪈㪀䋬╍ᧁ⾫ᴦ 㪈㪀䋬ႇ䇭ජ᣿ 㪈㪀䋬㜞ᯅ⧷๺ 㪉㪀䋬ᐔỈᱜᵗ 㪈㪀䋬⧯ᨋೣᐘ 㪈㪀
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࿖┙ᄢቇᴺੱ㩷᧲੩ක⑼ᱤ⑼ᄢቇ㩷ᄢቇ㒮කᱤቇ✚ว⎇ⓥ⑼ㇱಽᐥ⟵ᱤ⵬✄ቇಽ㊁䋬 㪉㪀࿖┙ᄢቇᴺੱ㩷᧲੩ක⑼ᱤ⑼ᄢቇ䇭ᄢቇ㒮කᱤቇ✚ว⎇ⓥ⑼ญ⣧ᯏ᧚㐿⊒Ꮏቇಽ㊁䇭䇭

Effect of S-PRG filler content on Candida biofilms adherence and physical properties of tissue conditioner
Takakusaki K 1), Fueki K 1), Tsutsumi C 1), Takahashi H 2), Hirasawa M 1), Wakabayashi N 1)
1)
Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental University (TMDU), 2)
Oral Biomaterials Engineering,Graduate School of Medical and Dental Sciences, Graduate School, Tokyo
Medical and Dental University (TMDU)㸇䋮㩷⋡⊛䇭Tissue㩷conditioner䋨TC䋩䈱⴫㕙䈮䈲ᓸ↢‛䈏ઃ⌕䈚䉇䈜䈒Candida㩷 albicans䉕ਥ૕䈫䈚䈢䊂䊮䉼䊞䊷䊒䊤䊷䉪䉕ᒻᚑ䈚⟵ᱤᕈญౝἻ䉕⊒∝䈜䉎䈖䈫䈏໧㗴䈫䈭䈦䈩䈇䉎䋮ᒰಽ㊁䈪䈲䋬Surface㩷reaction㪄type㩷pre㪄
reacted㩷glass㩷ionomer䋨S㪄PRG䋩䊐䉞䊤䊷䉕฽᦭䈜䉎⟵ᱤ↪Polymethyl㩷methacrylate䋨PMMA䋩䈏C㪅albicans䈱ઃ⌕䊶Ⴧᱺ䉕ᛥ೙䈜䉎䈖䈫䉕ႎ๔䈚䈩䈇䉎 1㪀 䋮䈠䈖䈪 䋬 ᧄ ⎇ ⓥ 䈪 䈲 S㪄PRG 䊐 䉞 䊤 䊷 䉕 ฽ ᦭ 䈜 䉎 TC 䈱C㪅albicansઃ⌕ᛥ೙ലᨐ䈫ℂᎿቇ⊛ᕈ⾰䈎䉌䉂䈢䋬⥃ᐥᔕ↪น⢻䈭฽᦭㊂䉕᣿䉌䈎䈮䈜䉎䈖䈫䉕⋡⊛䈫䈚
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䇭ታ㛎䈮䈲S㪄PRG㩷䊐䉞䊤䊷䋨᧻㘑䋩䉕0㩼䋬5㩼㪃㩷10㩼䋬20㩼
䋨㊀㊂㩼䋩฽᦭䈜䉎TC䋨᧻㘑䊁䉞䉾䉲䊠䉮䊮䊂䉞䉲䊢䊅䊷㸈䋬᧻㘑䋩䉕↪䈇䈢䋮ฦ฽᦭㊂䈱TC䉕ᷙ๺ᓟ䋬䉧䊤䉴✵᧼䈮᜽䉂⋥ᓘ10㩷mm䋬ෘ䈘2㩷mm䈱౞ᩇ⁁䈮䈒䉍䈯䈐䋬ห䉰䉟䉵䈱PMMA䊂䉞䉴䉪਄䈮⾍䉍ઃ䈔䈩⹜ᢱ䈫䈚䈢䋮᛫⩶ᕈ䈮䈧䈇䈩䈲䋬㩷⹜ᢱ䉕24䉡䉢䊦䊒䊧䊷䊃䈮౉䉏䋬YPDၭ࿾䈮C㪅albicans䋨JCM2085䋩䈱㉂Უဳ⩶૕䉕104cell㪆ml฽᦭䈜䉎䉋䈉⺞ᢛ䈚䋬ฦ䉡䉢䊦䈮1㩷ml䈝䈧౉䉏䈢䋮37㫦C䋬16ᤨ㑆ၭ㙃ᓟ䈮Colony㩷Forming
Unit 䋨 CFU 䋩 㩷 assay 䉕 ⴕ 䈇 䋬 ↢ ⩶ ᢙ 䉕 ቯ ㊂ ൻ 䈚 䈢䋨n㪔16䋩䋮
䇭ℂᎿቇ⊛ᕈ⾰䈮䈧䈇䈩䈲䋬䈤䉊䈉ᐲ⹜㛎䋨n㪔4䋩䈫㊎౉ᷓ䈘⹜㛎䋨n㪔5䋩䉕ⴕ䈦䈢䋮䉁䈢䋬⹜ᢱ䉕⿥⚐᳓䋨Milli㪄Q®䋩1㩷ml䈮ᶐẃ䈚24ᤨ㑆ᓟ䈱䉟䉥䊮Ớᐲ䉕䊐䉾⚛䉟䉥䊮㔚ᭂ䈫ICP⊒శಽᨆⵝ⟎䈪᷹ቯ䈚䈢䋨 n㪔5 䋩 䋮 䈘 䉌 䈮 䋬 䊧 䊷 䉱 䊷 ⿛ ᩏ ဳ 㗼 ᓸ ㏜ 㩿LEXT
OLS4000䋬OLYMPUS㪀䉕↪䈇䈩⹜ᢱ䈱⴫㕙☻䈘䉕᷹ቯ 䈚 䈢 䋨 n㪔5 䋩 䋮 ⛔ ⸘ ⸃ ᨆ 䈲 ৻ ర ㈩ ⟎ ಽ ᢔ ಽ ᨆ 䈫
Dunnett䈱ᄙ㊀Ყセ䉕ⴕ䈦䈢䋮᦭ᗧ᳓Ḱ䈲P㪓0㪅05䈫䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭᛫⩶ᕈ䈮䈧䈇䈩䋬CFU㩷assay䈪䈲䊐䉞䊤䊷฽᦭㊂䈱Ⴧട䈮઻䈇↢⩶ᢙ䈏ᷫዋ䈚䋬0㩼䈫Ყセ䈚䈩10㩼䋬20㩼䈪᦭ᗧᏅ䈏⹺䉄䉌䉏䈢㩿P㪓0㪅05㪀䋨࿑䋩䋮ℂᎿቇ⊛ᕈ⾰䈮䈧䈇䈩䋬䊐䉞䊤䊷฽᦭㊂䈱Ⴧട䈮઻䈇䋬䈤䉊䈉ᐲ䈫㊎౉ᷓ䈘䈏᦭ᗧ䈮ᄢ䈐䈒䈭䈦䈢㩿P㪓0㪅05㪀䈏䋬10㩼䈱⹜ᢱ䉁䈪䈲⵾ຠ䈱ⷙᩰ䉕ḩ䈢䈚䈩䈇䈢䋮䉟䉥䊮᡼಴㊂䈲䊐䉞
䊤䊷฽᦭㊂䈱Ⴧട䈮઻䈇᦭ᗧ䈮Ⴧട䈚䈢㩿P㪓0㪅05㪀䋮⴫㕙☻䈘䈲䊐䉞䊤䊷฽᦭㊂䈮䉋䉍᦭ᗧ䈮ᷫዋ䈚䈢
㩿P㪓0㪅05㪀䋮䇭એ਄䈱⚿ᨐ䈎䉌䋬TC䈮S㪄PRG㩷䊐䉞䊤䊷䉕฽᦭䈘䈞䉎䈖䈫䈪C㪅albicanઃ⌕䈱ᛥ೙ലᨐ䈏ᓧ䉌䉏䋬ℂᎿቇ⊛ᕈ⾰䈮෸䈿䈜ᓇ㗀䉕⠨ᘦ䈜䉎䈫䋬10㩼䈱฽᦭㊂䈏⥃ᐥᔕ↪䈮ㆡ䈚䈩䈇䉎䈫⠨䈋䉌䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Tsutsumi C, Takakuda K, Wakabayashi N.:
Reduction of Candida biofilm adhesion byincorporation of prereacted glass ionomer filler
in denture base resin. J Dent.2016;44(1):37-43.

࿑䇭S-PRG 䊐䉞䊤䊷฽᦭㊂䈫CFU䇭─ 162 ─日補綴会誌

第 1 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪈㪄㪋㪉៨㘩ྚਅ㓚ኂ䈮ኻ䈜䉎⥠ធ⸅⵬ഥᐥ䈱ᢎ⢒⊛ലᨐ╙4ႎ䇭ᱤቇㇱቇ↢ᢎ⢒䈻䈱ᔕ↪
䂾㘵↰⾆ବ 㪈㪀䋬ႇ䇭৻ノ 㪉㪀䋬৻⦡䉉䈎䉍 㪈㪃㪉㪀䋬⩲㊁੩ሶ 㪉㪀䋬₹⟎ൎม 㪉㪀

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␹ᄹᎹᱤ⑼ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼ోり▤ℂකᱤቇ⻠ᐳ䇭ోり▤ℂ㜞㦂⠪ᱤ⑼ቇಽ㊁䋬 㪉㪀
␹ᄹᎹᱤ⑼ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼␹ᄹᎹᱤ⑼ᄢቇญ⣧ᯏ⢻ୃᓳቇ⻠ᐳ䇭㗶ຏวᯏ⢻࿁ᓳ⵬✄කቇಽ㊁䇭䇭Educational Effect of Palatal Augmentation Prosthesis for Dysphagia Treatment-Part 4- Learning Through Experience about PAP for Dental School Student
Iida T 1), Tsusumi I 2), Isshiki Y 1,2), Kanno K 2), Tamaki K 2)
1)
Department of Critical Care Medicine and Dentistry, Division of Medically Compromised Geriatric
Dentistry Graduate School of Dentistry, Kanagawa Dental University, 2)Department of Oral Function and
Restoration, Division of Prosthodontic dentistry for function of TMJ and Occlusion, Graduate School of
Dentistry, Kanagawa Dental University㸇䋮㩷⋡⊛ᐔᚑ22ᐕ䈮៨㘩ᯏ⢻ᡷༀ䈱䈢䉄䈱⵬✄ⵝ⟎䈪䈅䉎⥠ ធ ⸅ ⵬ ഥ ᐥ 㩷 㩿palatal㩷 augmentation㩷 prosthesis㪒
PAP㪀㩷䈏଻㒾ㆡᔕ䈫䈭䈦䈢䋮䈚䈎䈚ቇ↢ታ⠌䈮䈍䈔䉎
PAP䈱⵾૞䊶૕㛎ታ⠌䈮䈧䈇䈩䈱ႎ๔䈲䈾䈫䉖䈬ሽ࿷䈚䈭䈇䋮PAP䈱⵾૞䈮䈍䈇䈩䈲៨㘩ྚਅ㓚ኂ䋬․䈮ญ⣧ᦼ㓚ኂ䋨ญ⣧䈎䉌ຜ㗡䈻䈱ㅍ䉍ㄟ䉂㓚ኂ䋩䈻䈱
ℂ⸃䈏ਇนᰳ䈪䈅䉎1㪀䋮䈠䈖䈪䋬೨࿁ᄢળ䈮䈍䈇䈩ஜᏱ⠪䈮ኻ䈚䈩ญ⣧ᦼ៨㘩ྚਅ㓚ኂ䉕⇼ૃ૕㛎䈪䈐䋬
䈘䉌䈮PAP䈱ലᨐ䉕૕㛎䈜䉎䈖䈫䈏䈪䈐䉎PAP૕㛎ታ⠌↪ⵝ⟎㐿⊒䉕ႎ๔䈚䈢䋮䈖䈱ⵝ⟎䉕೑↪䈚䋬ᱤቇㇱቇ↢䉕ኻ⽎䈮ታ⠌䉕⹜䉂䈢䈢䉄䈖䈖䈮ႎ๔䈜䉎䋮䇭㸈䋮㩷ᣇᴺኻ⽎䈲㩹៨㘩ྚਅ䊥䊊䊎䊥䊁䊷䉲䊢䊮ታ⠌㩹䈱ㆬᛯ⑼⋡䉕ㆬᛯ䈚䈢ᱤቇㇱቇ↢17ฬ䋨↵ᕈ11ฬ䋬ᅚᕈ6ฬ䋩䈫䈚䈢䋮਄㗶ශ⽎ណᓧᓟ䋬૞ᬺ↪ᮨဳ䉕૞⵾䈚䊙䉡䉴䊏䊷䉴㩷㩿䉣䊦䉮䊐䊧䉾䉪䉴䋬䉣䊦䉮䊂䊮䊃␠㪀㩷䉕૞䉍䋬䈠䈱⥓ᱤㇱຏว㕙䈮5mm䈱䊌䊤䊐䉞䊮䊪䉾䉪䉴䊒䊧䊷䊃䉕὾䈐ઃ䈔䋬䈘䉌䈮Ꮐฝ䈱╙৻ዊ⥓ᱤ䊶╙৻ᄢ⥓ᱤ㑆䉕䈠䉏䈡䉏ᯅᷰ䈚䈜䉎䉋䈉䈮䋬᫔⁁䈱䊒䊤䉴䉼䉾䉪 䉕⸳⟎䈚⥠ㆇേ㓚ኂ૕㛎↪䊙䉡䉴䊏䊷䉴㩷㩿Mousepieceas㩷 Impairment㩷 Simulatior㩷 for㩷 Lingual㩷 Action㪒
MISLA㪀㩷䉕૞⵾䈚䈢䋮䊙䉡䉴䊏䊷䉴ⵝ⌕೨㩷㩿PreM㪀㩷䈫
MISLAⵝ⌕ᓟ䋬⹏ଔ䉺䉴䉪䋨෻ᓳໜᶧྚਅ䊁䉴䊃
䋨RSST䋩䋬ᡷ⸓᳓㘶䉂䊁䉴䊃䋨MWST䋩䋬䊐䊷䊄䊁䉴䊃
䋨FT䋩䋬᭴㖸⹏ଔ䋩䉕䈍䈖䈭䈦䈢䋮䈠䈱ᓟ䋬䊙䉡䉴䊏䊷䉴ญ⬄ㇱ䈮ᒻᚑ᧚ᢱ䉕▽⋓䊶⥠ᯏ⢻ශ⽎䈚PAP䈮ᡷㅧ䈚䈢䋮PAP䉕ⵍ㛎⠪䈮ⵝ⌕䈘䈞䋬PAP೨䈫ห᭽䈱⹏ଔ䉺䉴䉪䉕䈍䈖䈭䈦䈢䋮PreM䋬MISLAⵝ⌕ᤨ䋬PAPⵝ⌕ᤨ䈱⚿ᨐ䉕Ყセ䈘䈞䋬ญ⣧ᦼ㓚ኂ䈱ℂ⸃䉕ଦ䈚䈢䋮ታ⠌೨ᓟ䈪៨㘩ྚਅ䉇PAP䈮㑐䈜䉎╩⸥⹜㛎䉕䈍䈖䈭䈇䋬⚿ᨐ䉕Ყセ䈚䈢䋨paired㩷t㪄test㪃㩷SPSS㩷ver㪅22㪅
0䋬IBM䋩䋮
䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
PreM䈪䈲RSST䋺7㪅3䋬MWST䋺5㪅0䋬FT䋺4㪅9䋬MISLAⵝ⌕ᤨ䈪䈲RSST䋺4㪅2䋬MWST䋺3㪅7䋬FT䋺2㪅2䋬PAPⵝ⌕ᤨ䈪䈲RSST䋺5㪅1䋬MWST䋺4㪅4䋬FT䋺3㪅4䈪䈅䈦䈢䋮⹜㛎⚿ᨐ䈱ᱜ╵₸䈲72㪅4䋦䋬੐ᓟ⹜㛎⚿ᨐ䈲80㪅0䋦䈪䈅䉍䋬੐ᓟ䈱ᣇ䈏᦭ᗧ䈮ᱜ╵₸䈏㜞䈎䈦䈢䋮ታ⠌ᤨ䈱໧㗴䈫䈚䈩䋬ཌྷฯ෻኿䈏ᒝ䈇ቇ↢䈻䈱ኻಣ䈏⺖㗴䈫䈚䈩਄䈕䉌䉏䈢䋮੹࿁䈱⚿ᨐ䈎䉌䋬MISLA䉕૶↪䈚䈢PAP૕㛎ታ⠌䈮䉋䉎ᱤቇㇱቇ↢䈮ኻ䈜䉎ᢎ⢒⊛ലᨐ䈏␜ໂ䈘䉏䈢䋮ਛ᧛䉌䈲ታ㛎⊛䈮ຏว᜼਄䈜䉎䈖䈫䈮䉋䉍ྚਅᤨ⥠㛽਄╭⟲䈱⥠࿶⊒⃻䊌䉺䊷䊮䈏ᄌ䉒䉎੐䉕⊒⷗䈚䋬
PAP䈮䉋䈦䈩ᡷༀ䈜䉎䈖䈫䉕᣿䉌䈎䈮䈚䈢2㪀䋮੹࿁䈲䈘䉌䈮⥠೨ᣇㇱ䈫ᅏ⥠䈮⋧ᒰ䈜䉎ญ⬄ㇱ⋥ਅ䈮㓚ኂ‛䉕⸳⟎䈜䉎䈖䈫䈮䉋䉍䋬ੱᎿ⊛䈮⥠᜼਄ਇో䉕૞䉍಴䈚䈢䋮એ਄䈱઀⚵䉂䈮䉋䉍MISLAⵝ⌕䈮䉋䉎៨㘩ྚਅ㓚ኂ䋨ญ⣧ᦼ㓚ኂ䋩䈱⇼ૃ૕㛎䋬䈘䉌䈮䈠䉏䉕PAP䈮ᡷㅧ䈜䉎䈖䈫䈮䉋䈦䈩PAP䈮䉋䉎ྚਅ䊶᭴㖸ᯏ⢻ᡷༀലᨐ䉅૕㛎䈪䈐䉎䋮ᧄⵝ⟎䉕૶↪䈜䉎䈖䈫䈮䉋䈦䈩㩹䈇䈎䈮ᱤ⑼⵬✄‛䈏㘩䈼䉎ᯏ⢻䈮ነਈ䈪䈐䉎䈎㩹䉕ஜᏱੱ䈏૕ᗵ䈪䈐䉎䈣䉐䈉䋮੹ᓟ䈲ታ⠌ᤨ䈱⺖㗴䉕⸃᳿䈚䋬䉋䉍ᄙ䈒䈱ቇ↢䉇䋬䈘䉌䈮䈲䉮䊜䊂䉞䉦䊦䈮ኻ䈜䉎ᢎ⢒䈮䉅ᔕ↪䈚䋬ലᨐᬌ⸽䉕䈍䈖䈭䈦䈩䈇䈒੍ቯ䈪䈅䉎䋮䇭㸊䋮㩷ᢥ₂1䋩 ᬀ↰⠹৻㇢䋬ะ੗⟤ᕺ䋬᫪↰ቇ䈾䈎䋮៨㘩䊶ྚਅ㓚ኂ䈮ኻ䈜䉎⥠ធ⸅⵬ഥᐥ䈱᦭ലᕈ䋬ᣣᧄ៨㘩ྚਅ䊥䊊䊎䊥䊁䊷䉲䊢䊮ቇળ㔀⹹. 2012;16(1):32-41.
2䋩 ਛ᧛ବ੺䋬ฎደ⚐৻䋬ዊ㊁㜞⵨䈾䈎䋮ታ㛎⊛䈭࿕᦭ญ⣧䈱᜛ᄢ䈮ኻ䈜䉎ญ⬄ᐥ䈱ⵝ⌕䈏ྚਅᤨ⥠ญ⬄ធ⸅䈮෸䈿䈜ᓇ㗀䋬ᣣᧄ៨㘩ྚਅ䊥䊊䊎䊥䊁䊷䉲䊢䊮ቇળ㔀⹹. 2011;15(3):274-83.

─ 163 ─第 2 日 第 3 会場

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一般 口 演 発 表㪦㪉㪄㪈ోㇱᐥ⟵ᱤⵝ⌕䈏㘩႙ᒻᚑᤨ䈱ਅ㗶䈍䉋䈶⥠㛽䈱ㆇേ䈮ਈ䈋䉎ᓇ㗀䂾ዊ㊁ኹᓆᐔ 㪈㪀䋬ฎደ⚐৻ 㪉㪀䋬ጊᧄዏᓼ 㪈㪀䋬૒⮮෹⑲ 㪈㪀䋬ේ䇭ᷕ 㪈㪀䋬቟⮫⚓❱ 㪈㪀䋬᧻ᧁᐽ৻ 㪈㪀䋬₹↰ᵏ༹ 㪈㪀䋬ㄭ⮮ዏ⍮ 㪈㪀㪈㪀ጤᚻක⑼ᄢቇᱤቇㇱ⵬✄䊶䉟䊮䊒䊤䊮䊃ቇ⻠ᐳ䋬 㪉㪀᧲੩ක⑼ᱤ⑼ᄢቇᄢቇ㒮කᱤቇ✚ว⎇ⓥ⑼࿾ၞ䊶⑔␩ญ⣧଻ஜⴡ↢ቇಽ㊁
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Impacts of wearing complete dentures on the movement of mandible and hyoid during bolus formation.
Onodera S 1), Furuya J 2), Yamamoto H 1), Sato T 1), Hara A 1), Aki S 1), Matsuki K 1), Tamada Y 1), Kondo H 1)
1)
Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University, 2)
Department of Oral Health Care Science for Community and Welfare, Graduate School of Medical and
Dental Sciences, Tokyo Medical and Dental University㸇䋮㩷⋡⊛䇭⿥㜞㦂␠ળ䈮䈍䈇䈩䈲䋬ోり∔ᖚ䉇ട㦂ᄌൻ䈮䉋䉎៨㘩ྚਅᯏ⢻䈱ૐਅ䉕᦭䈜䉎㜞㦂⠪䈏Ⴧട䈚䈩䈇䉎䈏䋬䈠䈱䉋䈉䈭㜞㦂⠪䈮ኻ䈜䉎ᱤ⑼⊛䉰䊘䊷䊃䈲චಽ䈮䈲ⴕ䉒䉏䈩䈇䈭䈇䈱䈏⃻⁁䈪䈅䉎䋮․䈮䋬㜞㦂⠪䈱ᄙ䈒䈲᦭ᐥ⟵ᱤ⵬✄䈏ᔅⷐ䈪䈅䉎䈮䉅㑐䉒䉌䈝䋬⟵ᱤ䈏㕖ⵝ⌕䈱䉁䉁䋬៨㘩䉕ⴕ䈦䈩䈇䉎䈖䈫䈏ᄙ䈇䋮ㄭᐕ䋬๰ྨ䈘䉏䈢㘩‛䈲䋬ญ⣧䈣䈔䈪䈭䈒䋬ྚਅ೨䈮ຜ㗡䈻៝ㅍ䊶㓸Ⓧ䈘䉏䋬ญ⣧䈫ຜ㗡䈮䈍䈇䈩䉅㘩႙ᒻᚑ䈘䉏䉎䈖䈫䈏᣿䉌䈎䈫䈭䈦䈩䈍䉍䋬㘩႙ᒻᚑ䈮䈍䈔䉎ญ⣧ຜ㗡ེቭ䈱ᓎഀ䈏㊀ⷐⷞ䈘䉏䈩䈇䉎䋮䉁䈢䋬㜞㦂ήᱤ㗶⠪䈮䈍䈇䈩䈲䋬⟵ᱤ䈱ⵝ⌕䈏ญ⣧䈫ຜ㗡䈱⸃೬ቇ⊛᭴ㅧ䉕ᢛ䈋䋬቟ో䈭㘩႙៝ㅍ䈮⽸₂䈜䉎䈖䈫䈏᣿䉌䈎䈫䈭䈦䈩䈇䉎䋮৻ᣇ䈪䋬⟵ᱤⵝ⌕䈏䋬ਅ㗶䈫⥠㛽䈱ㆇേ䉕䈬䈱䉋䈉䈮ᄌൻ䈘䈞䋬㘩႙ᒻᚑ䉕⚿ᨐ⊛䈮ᡷༀ䈚䈩䈇䉎䈎䈮䈧䈇䈩䈲䋬⸃᣿䈘䉏䈩䈇䈭䈇䋮䇭䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬㜞㦂ήᱤ㗶⠪䈻䈱ోㇱᐥ⟵ᱤⵝ⌕䈏䋬㘩႙ᒻᚑᤨ䈱ਅ㗶䈫⥠㛽䈱ㆇേ⚻〝䈮ਈ䈋䉎ᓇ㗀䉕᣿䉌䈎䈮䈜䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ኻ⽎䈲䋬⎇ⓥ䈮หᗧ䈱ᓧ䉌䉏䈢ోㇱᐥ⟵ᱤⵝ⌕䊗䊤䊮䊁䉞䉝18ฬ䋨ᐔဋᐕ㦂䋺77㪅5㫧7㪅3ᱦ䋩䈫䈚䈢䋮ήᱤ㗶䈪䉅៨㘩น⢻䈭䊋䊥䉡䊛฽᦭ೞ䉂ኙᄤ䉕⥄↱䈮៨㘩ྚਅ䈘䈞䋬ྚਅㅧᓇ஥㕙௝䈮䈩ⷰኤ䉕ⴕ䈦䈢1䋩䋮ᓧ䉌䉏䈢䊂䊷䉺䉕↹௝⸃ᨆ䉸䊐䊃䋨Dipp㪄Motion㩷 V䋬
Ditect䋩䉕↪䈇䈩⸃ᨆ䈚䋬એਅ䈱᷹ቯ㗄⋡䈮䈧䈇䈩䋬៨㘩㐿ᆎ䈎䉌ຜ㗡ྚਅ㐿ᆎ䉁䈪䈱ਅ㗶䈍䉋䈶⥠㛽䈱ㆇേ䉕⟵ᱤⵝ⌕ᤨ䈫⟵ᱤ㕖ⵝ⌕ᤨ䈮䈍䈇䈩Ყセ䈚䈢䋮䊶ਅ㗶䋺ㆇേ▸࿐䋬✚ㆇേ〒㔌䋬ᐔဋㆇേㅦᐲ䋬1䉰䉟䉪䊦䈱ਅ㗶ㆇേ〒㔌䋬ㆇേ࿁ᢙ䊶⥠㛽䋺ㆇേ▸࿐䋬✚ㆇേ〒㔌䋬ᐔဋㆇേㅦᐲ
䇭⛔⸘ቇ⊛ᚻᴺ䈲䋬Wilcoxn㩷signed㩷rank㩷test䉕↪䈇䋬᦭ᗧ᳓Ḱ5㩷䋦䈫䈚䈢䋮䈭䈍䋬ᧄ⎇ⓥ䈲ጤᚻක⑼ᄢቇ
ᱤቇㇱ୶ℂᆔຬળ䈱ᛚ⹺䋨No㪅01150䋩䉕ᓧ䈩ታᣉ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ਅ㗶䈫⥠㛽䈱ㆇേ▸࿐䈲䋬⟵ᱤ㕖ⵝ⌕ᤨ䈮䈍䈇䈩೨਄ᣇ䈻᦭ᗧ䈮᜛ᄢ䈚䈢䋨࿑1䋩䋮៨㘩㐿ᆎ䈎䉌ྚਅ
─ 164 ─㐿ᆎ䉁䈪䈱ਅ㗶䈫⥠㛽䈱✚ㆇേ〒㔌䋬ᐔဋㆇേㅦᐲ
䈲᦭ᗧ䈮Ⴧട䈚䈢䋮1䉰䉟䉪䊦䈱ਅ㗶ㆇേ〒㔌䈲䋬⟵ᱤ㕖ⵝ⌕ᤨ䈮᦭ᗧ䈮Ⴧട䈚䈢䋮䉁䈢䋬ྚਅ䉁䈪䈱ਅ㗶ㆇേ࿁ᢙ䈮᦭ᗧ䈭Ꮕ䈲⹺䉄䈭䈎䈦䈢䋮ోㇱᐥ⟵ᱤⵝ⌕⠪䈪䈲⟵ᱤ㕖ⵝ⌕ᤨ䈮䈲๰ྨᤨ䈱䊥䉵䊚䉦䊦䈭ਅ㗶ㆇേ䉕ⴕ䈉䈖䈫䈏䈪䈐䈭䈒䈭䉍䋬䉁䈢䋬ᱤ䈫㗶㛽䈏ᄬ䉒䉏㘩႙଻ᜬ䈏࿎㔍䈮䈭䉎䈖䈫䈪䋬ญ⣧ౝ䈮㘩႙䈏ᢔੂ䈚䉇䈜䈒䈭䉎䋮䈠䈱䈢䉄䋬⟵ᱤⵝ⌕ᤨ䉋䉍䉅ਅ㗶䈱ㆇേ▸࿐䉕᜛ᄢ䈘䈞䈩๰ྨ᭽䈱ㆇേ䉕ⴕ䈇䋬࿁ᢙ䉋䉍䉅䉃䈚䉐ㅦᐲ䉕䉋䉍Ⴧ䈜䈖䈫䈪䋬ญ⣧䈮䈍䈔䉎㘩႙䈱㓸Ⓧ䈫ຜ㗡䈻䈱៝ㅍ䉕ઍఘ䈚䋬ྚਅ䈱䈢䉄䈱㘩႙ᒻᚑ䉕㆐ᚑ䈚䈢䈫⠨䈋䉌䉏䈢䋮ਅ㗶䈫ㅪ⚿䈘䉏䈩䈇䉎⥠㛽䈱ㆇേ䈲䋬⟵ᱤ㕖ⵝ⌕ᤨ䈮᦭ᗧ䈮ਇ቟ቯ䈮䈭䉍䋬ቅ⊒ྚਅ䈭䈬䋬ᕆ䈭ྚਅ䈮ᔅⷐ䈭⥠㛽᜼਄䈱㓙䈱੍஻ജૐਅ䈮ㅢ䈝䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮䇭એ਄䉋䉍䋬ྚਅ೨䈱㘩႙ᒻᚑ䈮䈍䈔䉎ਅ㗶䈍䉋䈶⥠㛽䈱ㆇേ䉕ᡷༀ䈜䉎䈫䈇䈉ⷰὐ䈎䉌䋬㜞㦂ήᱤ㗶⠪䈻䈱⟵ᱤⵝ⌕䈱᦭↪ᕈ䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Yamamoto H䋬Furuya J䋬Tamada Y䋬Kondo H䋮
Impacts of wearing complete dentures on bolustransport during feeding in elderly edentulous䋮J
Oral Rehabil䋮2013; 40: 923-931䋮

࿑1䋮ਅ㗶䋨Me䋩䈫⥠㛽䋨HYO䋩䈱ㆇേ▸࿐䇭

日補綴会誌

第 2 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪉㪄㪉਄㗶ోㇱᐥ⟵ᱤⵝ⌕ᖚ⠪䈱⟵ᱤᡰᜬ☼⤑䈱ᒢᕈ₸䈱ផቯ䋭ታ᷹୯䈫᦭㒢ⷐ⚛⸃ᨆ䈱Ყセ䋭䂾㜟᧻⋥਽䋬૒⮮⵨ੑ䋬ർᎹ䇭᣹䋬ਅᐔ䇭ୃ䋬৾↰ବ᥍䋬⏷ㇱ᣿ᄦ䋬਄Ỉ␭ሶ䋬ዊᎹ⾆ᱜ䋬↰ਛ㉿ታᤘ๺ᄢቇᱤቇㇱ㜞㦂⠪ᱤ⑼ቇ⻠ᐳ

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Elastic Modulus Estimation of the Denture Support Mucosa of Maxillary All Denture Wearing Patients- Comparison of the Measured Value and Finite Element Analysis Takamatsu N, Sato Y, Kitagawa N, Shimodaira O, Shitita T, Isobe A, Kamisawa Y, Ogawa T, Tanaka S
Department of Geriatric Dentistry, Showa University School of Dentistry㸇䋮㩷⋡⊛⾰䈱㜞䈇ోㇱᐥ⟵ᱤᴦ≮䈮䈍䈇䈩䋬⟵ᱤᡰᜬ☼⤑䈱ജቇ⊛⸃ᨆ䉕ⴕ䈉䈖䈫䈲䋬⟵ᱤ䈱⸳⸘䈱䉂䈭䉌䈝䋬ಣ⟎ᓟ䈱⚻ㆊ䉕⍮䉎਄䈪ᄢ䈐䈭ᗧ⟵䈏䈅䉎䈫⠨䈋䉌䉏䉎䋮ᒰ⻠ᐳ䈪䈲䋬䈖䉏䉁䈪䈮᦭ᱤ㗶⠪1㪀䋬ήᱤ㗶⠪2㪀䈪ญ⬄ㇱ☼⤑䈱ᕈ⁁⸃ᨆ䉕ⴕ䈦䈩䈐䈢䋮䈚䈎䈚䋬⵬✄ᴦ≮䈮ᔕ↪䈜䉎䈮䈲䋬⟵ᱤᡰᜬ☼⤑䈱േ⊛ᄌൻ䉕ᝒ䈋䋬䉋䉍↢૕䈮ㄭૃ䈚䈢䊝䊂䊦䉕᭴▽䈚䋬⸃ᨆ䉕ⴕ䈉䈖䈫䈏ᔅⷐ䈪䈅䉎䋮ᧄ⎇ⓥ䈪䈲䋬਄㗶ోㇱᐥ⟵ᱤⵝ⌕ᖚ⠪䈱⟵ᱤᡰᜬ☼⤑䈱ᕈ⁁⸃ᨆ䉕⋡⊛䈮䋬ήᱤ㗶⠪䈱☼⤑ෘ䈘䋬෸䈶−∩䉕ᗵ䈛䉎䉁䈪䈱⩄㊀㊂䋬ᴉਅ㊂䈱ታ᷹୯䉕↪䈇䈩䋬ਃᰴర᦭㒢ⷐ⚛䊝䊂䊦䈎䉌↢૕䈮ㄭૃ䈚䈢⟵ᱤᡰᜬ☼⤑䊝䊂䊦䈱ᒢᕈ₸䈱ផቯ
ᣇᴺ䉕ᬌ⸛䈚䈢䋮
䇭㸈䋮㩷ᣇᴺⵍ㛎⠪䈲䋬వⴕ⎇ⓥ2㪀䈪☼⤑ᕈ⁁⸃ᨆ㩷㩿ෘ䈘䋬ᒢᕈ₸㪀䋬−∩㑣୯⸃ᨆ㩿࿶ജ䋬࿶❗₸䋬ᴉਅ㊂㪀㩷䉕ⴕ䈦䈢17ฬ䈱ήᱤ㗶⠪䋨↵ᕈ8ฬ䋬ᅚᕈ9ฬ䋬ᐔဋᐕ㦂78㪅4ᱦ䋩䈪䈅䉎䋮⸃ᨆㇱ૏䈲਄㗶Ꮐ஥ญ⬄ᱜਛㇱ䋬ญ⬄ਛ㑆ㇱ䋬ญ⬄஥ᣇㇱ䈱3䊱ᚲ䈫䈚䈢䋮㩷ਃᰴర᦭㒢ⷐ⚛⸃ᨆ䉸䊐䊃䉡䉢䉝䉕↪䈇䋬⸃ᨆㇱ૏3䊱ᚲ䈱⟵ᱤᡰᜬ☼⤑䊝䊂䊦䉕ฦ䇱᭴▽䈚䈢䋮⟵ᱤᡰᜬ☼⤑䊝䊂䊦䈲ᐩ㕙䉕10㬍10㩷mm䋬ෘ䈘䈏ฦ䇱䈱ⵍ㛎⠪䈱ታ᷹୯䈱⋥ᣇ૕䈫䈚䈢䋨࿑1䋩䋮䊝䊂䊦᭴▽䈮䈍䈇䈩䈲䋬⩄㊀㊂䉕৻ቯ䈫䈚䋬ᴉਅ㊂䈏ታ᷹୯䈫䈱⺋Ꮕ5㩷㩼એౝ䈮෼᧤䈜䉎䉋䈉䈭ᒢᕈ₸䉕ផቯ䈚䈢䋮䈠䈱ᓟ䋬ផቯ䈚䈢ᒢᕈ₸䈫⟵ᱤᡰᜬ☼⤑䈱ෘ䈘䈫䈱㑐ଥ䋬෸䈶ផቯ䈚䈢ᒢᕈ₸䈫ታ᷹୯䋨࿶ജ䋯࿶❗₸䋩䈱Ყセ䉕ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤផቯ䈚䈢ᒢᕈ₸䈲ో䈩䈱ㇱ૏䈪䋬ታ᷹୯䉋䉍᦭ᗧ䈮ዊ䈘䈭୯䉕␜䈚䈢䋨࿑2䋩䋮䉁䈢䋬☼⤑䈱ෘ䈘䈏ᦨ䉅ෘ䈇ญ⬄ਛ㑆ㇱ䈲䋬ផቯ୯䈏ᦨ䉅ዊ䈘䈎䈦䈢䋮䈘䉌䈮䋬ផቯ୯䈏ญ⬄ਛ㑆ㇱ䈪ᄢ䈐䈒䋬ญ⬄஥ᣇㇱ䈏ዊ䈘䈇ⵍ㛎⠪䊂䊷䉺䉅䈅䉍䋬୘ੱᏅ䉕⹺䉄䈢䋮䈚䈎䈚䋬ో䈩䈱ㇱ૏䈪ᒢᕈ₸䈫⟵ᱤᡰᜬ☼⤑䈱ෘ䈘䈫䈱㑆䈮᦭ᗧ䈭⋧㑐㑐ଥ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮਄㗶ోㇱᐥ⟵ᱤⵝ⌕ᖚ⠪䈱⟵ᱤᡰᜬ☼⤑䈱ᒢᕈ₸䈲䋬৻᭎䈮ෘ䈘䈎䉌ផቯ䈪䈐䈭䈇䈖䈫䈏␜ໂ䈘䉏䈢䋮એ਄䈱⚿ᨐ䈎䉌䋬ญ⬄ㇱ䈣䈔䈪䉅⟵ᱤᡰᜬ☼⤑䈱ᕈ⁁䈲᭽䇱䈪䈅䉍䋬⥃ᐥ⊛䈭⸃ᨆ䈮䈲ㇱ૏Ფ䈱ᒢᕈ₸䈱⸳ቯ䈏ᔅⷐ䈪䈅䉎䈖䈫䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂1䋩 Isobe, A., Sato, Y., Kitagawa, N., et al. The
influence of denture supporting tissue properties
on pressure-pain threshold:–Measurement indentate subjects– J. Prosthodont. Res, 2013; 57:
275-283.
2䋩 Kotani, Y., Sato, Y., Kitagawa, N., et al.
Relationship between palatal mucosa properties
and pressure-pain threshold in young dentulous
and elderly edentulous subjects J J Gerodont,
2015; 30: 68-79.

࿑1 ਃᰴర᦭㒢ⷐ⚛䊝䊂䊦䋨ᢿ㕙࿑䋩䇭

࿑2 ᒢᕈ₸䈮䈍䈔䉎ផቯ୯䈫ታ᷹୯䈱Ყセ䇭

─ 165 ─第 2 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪉㪄㪊㗶ႇᒻᘒ䈫⟵ᱤᒻᘒ䈏ਅ㗶ోㇱᐥ⟵ᱤ䈱⛽ᜬജ䈮෸䈿䈜ᓇ㗀䇭䂾⍹ේ㓷ᕺ䋬૒⮮⵨ੑ䋬ർᎹ䇭᣹䋬ਛᵤ⊖ᳯ䋬㕍ᩉ૫ᄹ䋬ⷺ↰ᜏ຦䋬㜟ጊ⌀㉿䋬ᬞ↰ஜ੺
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ᤘ๺ᄢቇᱤቇㇱ㜞㦂⠪ᱤ⑼ቇ⻠ᐳ
The Effect of Residual Ridge Form and Denture Form on the Retention Force of Mandibular Complete
Dentures.
Ishihara M, Sato Y, Kitagawa N, Nakatsu M, Aoyagi K, Kakuda T, Takayama M, Tsubakida K
Department of Geriatric Dentistry, Showa University School of Dentistry㸇䋮㩷⋡⊛䇭⟵ᱤ䈱⛽ᜬജ䈮ᓇ㗀䈜䉎࿃ሶ䈮䈧䈇䈩䈲੹䉁䈪䈮᭽䇱䈭⎇ⓥ䈏ⴕ䉒䉏䈩䈐䈢䋮ᒰ⻠ᐳ䈪䈲਄㗶ోㇱᐥ⟵ᱤ䈮䈍䈇䈩䋬᷹ቯㇱ૏䈱㆑䈇䈏⛽ᜬജ䈮෸䈿䈜ᓇ㗀䉕᣿䉌䈎䈮䈚䋬⛽ᜬജ䈱⹏ଔ䉕䈜䉎㓙䈱ᦨㆡ䈭ㇱ૏䈍䉋䈶⩄㊀ᣇᴺ䉕᳿ቯ䈚䈢1䋩䋮䈚䈎䈚䋬ਅ㗶ోㇱᐥ⟵ᱤ䈱⛽ᜬജ䈮㑐䈜䉎ⷐ࿃䈮䈲᭽䇱䈭䉅䈱䈏䈅䉎䈏䋬⹦⚦䈮䈲⸃᣿䈘䉏䈩䈍䉌䈝䋬⛽ᜬജ⹏ଔᣇᴺ䈲⏕┙䈘䉏䈩䈇䈭䈇䋮䉁䈢⥃ᐥ䈪䈲㐿ญ㊂䈏ᄢ䈐䈒䈭䉏䈳⛽ᜬജ䈲ૐਅ䈜䉎䈖䈫䈏⚻㛎⊛䈮⍮䉌䉏䈩䈇䉎䋮䈠䈱䈢䉄䋬ㆡᱜ䈭⛽ᜬജ᷹ቯ䈮䈲䋬㐿ญ㊂䈱ⷙቯ䈏ᔅⷐ䈪䈅䉎䋮䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬⛽ᜬജ᷹ቯ䈮䈍䈔䉎ㆡಾ䈭㐿ญ㊂䈫䋬ታ㓙䈮ᖚ⠪䈏૶↪䈚䈩䈇䉎⟵ᱤ䉕↪䈇䈩䋬㗶ႇᒻᘒ䈫⟵ᱤᒻᘒ䈏⛽ᜬജ䈮෸䈿䈜ᓇ㗀䉕᣿䉌䈎䈮䈜䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ⵍ㛎⠪䈲䋬䉟䊮䊐䉤䊷䊛䊄䉮䊮䉶䊮䊃䈏ᓧ䉌䉏䈢37ฬ
䋨↵ᕈ14ฬ䋬ᅚᕈ23ฬ䋬ᐔဋ83ᱦ䋩䈱ਅ㗶ోㇱᐥ⟵ᱤⵝ⌕⠪䈫䈚䈢䋮⟵ᱤ䈫☼⤑㕙㑆䈮䋬੺࿷ᶧ䈫䈚䈩ੱᎿໜᶧ䈫ญ⣧଻Ḩ೷䋨䉳䉢䊦䉺䉟䊒䋩䉕૶↪䈚䈢䋮਄⸥䈱੺࿷ᶧ䈮ട䈋䋬᧪㒮ᤨ䈱⛽ᜬജ䉕᷹ቯ䈚䈢䋮䊂䉳䉺䊦䊒䉾䉲䊠䊒䊦䉭䊷䉳®䉕↪䈇䈩䋬Ꮐฝਛಾᱤᱜਛ
ㇱ䈱ಾ✼䉕ຏวᐔ㕙䈮ኻ䈚䈩ᢳ䉄45㫦ਅᣇ䈮‧ᒁ䈚䋬⟵ᱤ䈏㔌⣕䈚䈢ᤨ䈱⩄㊀㊂䉕⛽ᜬജ䈫䈚䈢䋮᷹ቯᤨ䈮㐿ญ㊂䉕䋬1㩷cm䋬2㩷cm䋬3㩷cm䈮ⷙቯ䈚䈩ฦ4࿁䈝䈧᷹ቯ䈚䈢䋮䈢䈣䈚䋬᷹ቯ୯䈏20㩷N㩷䉕⿥䈋䈢႐ว䋬ᖚ⠪䈏−∩䉕⸷䈋䈢႐ว䈲᷹ቯ䉕ਛᱛ䈚䈢䋮2࿁ㅪ⛯䈚䈩᷹ቯ䉕ਛᱛ䈚䈢ㇱ૏䈲᷹ቯਇ⢻䈫䈚䈢䋮⥓ᱤㇱ㗶ႇ䈱㜞䈘䈫ᢿ㕙ᒻᘒ䈲䋬ᒰ⻠ᐳ䈪㐿⊒䈚䈢ST䉴
䉬䊷䊦䉕↪䈇䈩䋬ណᓧ䈚䈢⟵ᱤ䈱ශ⽎਄䈪᷹ቯ䈚䈢䋮䉁䈢䋬ਛಾᱤಾ✼䈎䉌೨ᱤㇱᱤᮏ㗂㑆〒㔌䋨એਅA䈫䈜䉎䋩䈫ਛಾᱤಾ✼䈎䉌⟵ᱤᓟ✼㑆〒㔌䋨એਅB䈫
䈜䉎䋩䉕䋬ⶄ⵾⟵ᱤ䉕⵾૞䈚᷹ቯ䈚䈢䋮ਛಾᱤಾ✼䊶೨ᱤㇱᱤᮏ㗂䊶⟵ᱤᓟ✼䈱૏⟎㑐ଥ䉕䋬⛽ᜬജ䈫Ყセ䈚䈢䋮⛔⸘ቇ⊛ಽᨆ䈲䋬Shapiro㪄Wilkᬌቯᓟ䋬
Wilcoxon䈱╓ภઃ㗅૏䊶Kruskal㪄Wallisᬌቯ䉕ⴕ䈦䈢䋮䉁䈢⋧㑐ಽᨆ䈲䋬Spearman䈱㗅૏⋧㑐ಽᨆ䉕↪
䈇䈢䋮䈭䈍ᧄ⎇ⓥ䈲䋬ᤘ๺ᄢቇᱤቇㇱක䈱୶ℂᆔຬળ䈱ᛚ⹺䉕ᓧ䈩ታᣉ䈚䈢䋨ᛚ⹺⇟ภ2015㪄005ภ䋩䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭㐿ญ㊂䈱Ⴧട䈫䈫䉅䈮䋬⛽ᜬജ䈲ᷫዋ䈚䈢䋨p䋼0㪅
05䋩䋮㐿ญ㊂1㩷cm䈮䈍䈇䈩ᄌേଥᢙ䈲ᦨ䉅ዊ䈘䈇୯䉕␜䈚䈢䋮੺࿷ᶧ䈱☼ᐲ䈏Ⴧട䈜䉎䈫䋬⟵ᱤ䈱⛽ᜬജ䉅Ⴧട䈚䈢䋨p䋼0㪅05䋩䋮A䈱〒㔌䈏Ⴧട䈜䉎䈮ᓥ䈇䋬⛽ᜬജ䈲ᷫዋ䈚䈢䋨r㩷䋽䋭0㪅733䋬p䋼0㪅01䋩䋮䉁䈢೨ᱤㇱᱤᮏ㗂䈱⋧ኻ⊛䈭૏⟎䋨A㪆B䋩䈏䉋䉍ᓟᣇ䈪䈅䉎႐ว䋬⛽ᜬജ䈲ᷫዋ䈚䈢㩷㩿r㩷䋽䋭0㪅608䋬p䋼0㪅01㩷࿑1㪀䋮⥓ᱤㇱ㗶ႇ䈱ᢿ㕙ᒻᘒ䈫⛽ᜬജ䈱㑆䈮᦭ᗧ䈭㑐ଥ䈲⹺䉄䉌䉏䈭䈎䈦䈢䈏䋬㗶ႇ㜞䈘䈮䈍䈇䈩䈲⛽ᜬജ䈫᦭ᗧ䈭㑐ଥ䈏⹺䉄䉌䉏䈢䋮એ਄䈱⚿ᨐ䉋䉍䋬ਅ㗶ోㇱᐥ⟵ᱤ䈱⛽ᜬജ᷹ቯ䈮䈍䈇䈩䈲䋬㐿ญ㊂䈱ⷙቯ䈏ᔅⷐ䈪䈅䉎䈖䈫䈏␜䈘䉏䋬㐿
ญ㊂1㩷cm䈏቟ቯ䈚䈩䈍䉍᷹ቯ䈮ᦨㆡ䈪䈅䉎䈫⠨䈋䉌䉏䉎䋮೨ᱤㇱಾ┵䉁䈪䈱㐳䈘䈫䋬೨ᱤㇱᱤᮏ㗂䈱⋧ኻ⊛䈭૏⟎䈏⛽ᜬജ䈮㑐ଥ䈜䉎䈖䈫䈏␜䈘䉏䈢䋮䉁䈢䋬⥓ᱤㇱ㗶ႇ䈱ᢿ㕙ᒻᘒ䈪䈲䈭䈒䋬㜞䈘䈏⛽ᜬജ䈮㑐ଥ䈜䉎䈖䈫䈏␜䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Kakuda T, Sato Y, Kitagawa N., et al.
Examination of optimal sites and loading
methods for measuring maxillary complete
denture retention. J J Gerodont. 2015; 30: 25-36.

࿑1䇭೨ᱤㇱᱤᮏ㗂䈱⋧ኻ⊛䈭૏⟎䈫⛽ᜬജ䇭─ 166 ─日補綴会誌

第 2 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪉㪄㪋䊥䊥䊷䊐䈏᦭ᱤ㗶ญ⬄ᐥ䈱ᡰᜬജ䈮෸䈿䈜ᓇ㗀䇭䂾↰ਛ㉿ታ䋬૒⮮⵨ੑ䋬ർᎹ䇭᣹䋬ਅᐔ䇭ୃ䋬⏷ㇱ᣿ᄦ䋬਄Ỉ␭ሶ䋬㜞᧻⋥਽䋬㘵ፉ⵨ਯ
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ᤘ๺ᄢቇᱤቇㇱ㜞㦂⠪ᱤ⑼ቇ⻠ᐳ
The influences of relief on supporting ability of palatal plates in dentate.
Tanaka S, Sato Y, Kitagawa N, Shimodaira O, Isobe A, Kamisawa Y, Takamatsu N, Iijima H
Department of Geriatric Dentistry, Showa University School of Dentistry㸇䋮㩷⋡⊛䇭⦟⾰䈭ోㇱᐥ⟵ᱤᴦ≮䈮䈍䈇䈩䋬⟵ᱤᡰᜬ☼⤑䈱ᕈ⁁䉕ቴⷰ⊛䈮⹏ଔ䈜䉎䈖䈫䈏ᭂ䉄䈩㊀ⷐ䈪䈅䉎䈫⠨䈋䉌䉏䉎䋮䈠䈖䈪ᒰ⻠ᐳ䈪䈲䋬−∩䉕↢䈛䉎䉁䈪䈱⩄㊀㊂䈫☼⤑ෘ䈘䈱ᄌൻ䉕หᤨ䈮᷹ቯน⢻䈭䉲䉴䊁䊛䉕㐿⊒䈚1䋩䋬᦭ᱤ㗶⠪䈫ήᱤ㗶⠪䈱⟵ᱤᡰᜬ☼⤑䈱ᕈ⁁㩿ෘ䈘䊶ᒢᕈ₸㪀䈫−∩㑣୯㩿࿶ജ䊶ᴉਅ㊂䊶࿶❗
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0㪅23䋘㩿᏷10䋘䈱䉲䊷䊃䊪䉾䉪䉴1ᨎ㪀ઃਈ䇹䇸ญ⬄ᱜਛㇱ䈮䊥䊥䊷䊐㊂0㪅46䋘㩿᏷10䋘䈱䉲䊷䊃䊪䉾䉪䉴2ᨎ㪀ઃਈ䇹䈱3⒳㘃䉕⵾૞䈚䈢䋮䇭ⵍ㛎⠪䈮䈲−∩䈏↢䈛䉎䉁䈪ི䉂䈚䉄䈘䈞䋬−∩⊒↢ᤨ䈮ାภ⊒↢ེ䈱䉴䉟䉾䉼䉕᛼ਅ䈜䉎䉋䈉ᜰ␜䈚䋬䈠䈱ᤨ䈱ญ⬄☼⤑ᴉਅ㊂䈫ི䉂䈚䉄ജ䉕หᤨ䈮᷹ቯ䈚䈢䋮ฦ䇱䈱⇼ૃญ⬄ᐥ䈪5ಽ㑆㓒䉕䈅䈔䋬3࿁䈱᷹ቯ䉕ⴕ䈦䈢䋮
䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭䊥䊥䊷䊐㊂䈗䈫䈱−∩⊒↢ᤨญ⬄☼⤑ᴉਅ㊂䈍䉋䈶ི䉂䈚䉄ജ䈱ᐔဋ୯䉕␜䈜㩿࿑1㪀䋮䇸䊥䊥䊷䊐䈭䈚䇹䈫䇸䊥
䊥䊷䊐㊂0㪅23䋘ઃਈ䇹䋬䇸䊥䊥䊷䊐䈭䈚䇹䈫䇸䊥䊥䊷䊐㊂0㪅
46䋘ઃਈ䇹䈱㑆䈮䈲䋬−∩⊒↢ᤨ䈱ญ⬄☼⤑ᴉਅ㊂䋬ི䉂䈚䉄ജ䈫䉅䈮᦭ᗧ䈭Ⴧട䈏⹺䉄䉌䉏䈢䋨P㪓0㪅
05䋩䋮䈚䈎䈚䇸䊥䊥䊷䊐㊂0㪅23䋘ઃਈ䇹䈫䇸䊥䊥䊷䊐㊂0㪅46䋘ઃਈ䇹䈱㑆䈮䈲䋬᦭ᗧᏅ䈲䈭䈎䈦䈢䋮䉁䈢䋬ⵍ㛎⠪䈱ਛ䈮䈲䋬䊥䊥䊷䊐㊂䉕Ⴧട䈜䉎䈖䈫䈪ญ⬄☼⤑ᴉਅ㊂䈫ི䉂䈚䉄ജ䈏ᷫዋ䈜䉎䉬䊷䉴䉅䉂䉌䉏䈢䋮䇭એ਄䈎䉌䋬ญ⬄ㇱ䈱ᡰᜬജ䉕ะ਄䈘䈞䉎䈢䉄䈮䈲䋬ญ⬄ᱜਛㇱ䈱䊥䊥䊷䊐䈲᦭ല䈣䈏䋬ㆡಾ䈭䊥䊥䊷䊐▸࿐䉇䊥䊥䊷䊐㊂䈲䋬ᖚ⠪䈱ญ⬄ᒻᘒ䉇☼⤑ᕈ⁁䈭䈬䈮䉋䉍⇣䈭䉎น⢻ᕈ䈏䈅䉎䈖䈫䈏␜ໂ䈘䉏䈢㪅䇭㸊䋮㩷ᢥ₂
1䋩 ┻ౝᴕ๺ሶ䋬૒⮮⵨ੑ䋬ർᎹ䇭᣹䈾䈎䋮ญ⣧☼⤑䈱☼ᒢᕈ᷹ቯ䈮㑐䈜䉎⎇ⓥ䋮ᣣ⵬✄ળ⹹
2010; 2: 70-77.
2䋩 Isobe A, Sato Y, Kitagawa N et al. The influenceof denture supporting tissue properties onpressure-pain threshold: -Measurement indentate subjects- J Prosthodont Res 2013; 57:
275-283.
3䋩 Kotani Y, Sato Y, Kitagawa N et al.
Relationship between palatal mucosa properties
and pressure-pain threshold in young dentulous
and elderly edentulous subjects. J J Gerodont
2015; 30: 68-79.

䇼࿑1䇽−∩⊒↢ᤨ䈱ญ⬄☼⤑ᴉਅ㊂䈫ི䉂䈚䉄ജ䇭

─ 167 ─第 2 日 第 3 会場

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一般 口 演 発 表㪦㪉㪄㪌ᱤ๟Ἳᖚ⠪䈱RPDᡰบᱤ๟࿐㛽䈱⚻ᤨ⊛ᄌൻ䊂䉳䉺䊦䉰䊑䊃䊤䉪䉲䊢䊮ᴺ䈮䉋䉎⹏ଔ䇭䂾ᷰㆺ⍮ᕺ 㪈㪀䋬๺↰ᷕ৻㇢ 㪈㪀䋬᳓⼱ᐘ༹ 㪉㪀䋬ᷰㆻ䇭⵨ 㪊㪀䋬⧯ᨋೣᐘ 㪈㪀
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᧲੩ක⑼ᱤ⑼ᄢቇᄢቇ㒮කᱤቇ✚ว⎇ⓥ⑼ㇱಽᐥ⟵ᱤ⵬✄ቇಽ㊁䋬㪉㪀᧲੩ක⑼ᱤ⑼ᄢቇ
ᄢቇ㒮ᱤ๟∛ቇಽ㊁䋬 㪊㪀᧲੩ක⑼ᱤ⑼ᄢቇᄢቇ㒮ญ⣧᡼኿✢කቇಽ㊁

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The change of alveolar bone surrounding abutment teeth with removable partial denture placement inpatients of periodontitis
A digital subtraction analysis
Watanabe C 1), Wada J 1), Mizutani K 2), Watanabe H 3), Wakabayashi N 1)
1)
Department of Removable Prosthodontics, Oral Health Sciences, Graduate School of Dentistry, Tokyo
Medical and Dental University, 2)Department of Periodontology, Tokyo Medical and Dental University, 3)
Department of Oral Radiology, Tokyo Medical and Dental University㸇䋮㩷⋡⊛䇭ᰳ៊ᱤ೉䉕᦭䈜䉎ᱤ๟Ἳᖚ⠪䈮ኻ䈚䈩䋬ㇱಽᐥ⟵ᱤ䋨Removable㩷Partial㩷Denture㪃㩷RPD䋩䉕ⵝ⌕䈜䉎⋡⊛䈮ᱷሽᱤ䈱଻⼔䈏᜼䈕䉌䉏䉎䋮䈖䉏䉁䈪ᱤ๟Ἳᖚ⠪䈮ኻ䈚䈩䋬ᰳ៊䉕᡼⟎䈚䈢႐ว䈫䈱Ყセ䋬ᱤ๟Ἳ䈱㊀∝ᐲ䈫⟵ᱤⵝ⌕䈮㑐䈜䉎⺞ᩏ䈭䈬䈏ⴕ䉒䉏䈩䈐䈢䈏䋬ᱷሽᱤ䈱䉝䉺䉾䉼䊜䊮䊃䊨䉴䋬ᱤ౰ᱤᩮᲧ䈭䈬䋬ᄢ䈐䈭ᄌൻ䉕⹏ଔ䈜䉎䈮⇐䉁䈦䈩䈍䉍䋬ᱤ๟⚵❱䈱଻ో䈮䈍䉋䈿䈜ᴦ≮ലᨐ䈱⹦⚦䈭ᬌ⸽䈲ዋ䈭䈇䋮৻ᣇ䋬ญ⣧ౝ䉣䉾䉪䉴✢౮⌀䉕⚻ᤨ⊛䈮ቯὐ᠟ᓇ䈚䋬ᱤᮏ㛽䈱⾰⊛䊶㊂⊛ᄌൻ䉕ⷞⷡ⊛䈮⹏ଔ䈜䉎䊂䉳䉺䊦䉰䊑䊃䊤䉪䉲䊢䊮ᴺ䈲䋬ౣ↢≮ᴺ䋬䉟䊮䊒䊤䊮䊃๟࿐㛽䈱
⹏ଔᴺ䈫䈚䈩᦭ല䈪䈅䉎䈖䈫䈏⍮䉌䉏䈩䈇䉎1㪀䋮䇭䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬ᱤ๟ၮᧄᴦ≮䉁䈢䈲ᱤ๟ᄖ⑼ᴦ≮ᓟ䈱ᘟᕈᱤ๟Ἳᖚ⠪䈮RPD䉕ⵝ⌕䈚䋬ᡰบᱤ๟࿐㛽䈱⚻ᤨ⊛ᄌൻ䉕䊂䉳䉺䊦䉰䊑䊃䊤䉪䉲䊢䊮ᴺ䉕↪
䈇䈩ⷞⷡ⊛䈮ᬌ⸽䈜䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ⵍ㛎⠪䈲᧲੩ක⑼ᱤ⑼ᄢቇᱤቇㇱ㒝ዻ∛㒮䉕ฃ⸻䈚䋬ೋ⸻ᤨ䈮ਛ╬ᐲએ਄䈱ᘟᕈᱤ๟Ἳ䈫⸻ᢿ䈘䉏䋬RPD䈮䉋䉎⵬✄䈏ᔅⷐ䈭⥓ᱤㇱᰳ៊䉕᦭䈜䉎ᖚ
⠪11ฬ䋨↵ᕈ䋺5ฬ䋬ᅚᕈ䋺6ฬ䋩䈫䈚䈢䋮䉁䈢䋬ⵍ㛎ᱤ䈲RPD䈱⋥ធᡰบⵝ⟎䉕⸳ቯ䈚䈢16ᱤ䈪䈅䉎䋮ᱤ๟ၮᧄᴦ≮䉅䈚䈒䈲ᱤ๟ᄖ⑼ᴦ≮⚳ੌᓟ䋬ⵍ㛎⠪䈮RPD䉕ⵝ⌕䈚䈢䋮⟵ᱤⵝ⌕ᣣ䉕䊔䊷䉴䊤䉟䊮䈫䈚䈩䋬1ᣣᓟ䋬1ㅳ㑆ᓟ䋬1䊱᦬ᓟ䋬3䊱᦬ᓟ䈮ⵍ㛎ᱤ䈱䊂䉳䉺䊦䉣䉾䉪䉴✢౮⌀䈱᠟ᓇ㩷䋬ຏวജᬌᩏ䋨䊒䊧䉴䉬䊷䊦䋬
GC䋬᧲੩䋩䋬ᱤ๟⚵❱ᬌᩏ䉕ⴕ䈦䈢䋮䊔䊷䉴䊤䉟䊮䈫ฦ᠟ᓇᣣ䈱䉣䉾䉪䉴✢౮⌀䈱䉰䊑䊃䊤䉪䉲䊢䊮௝䈲䋬↹
௝ಣℂ䉸䊐䊃䋨Emago㪃㩷Oral㩷Diagnotic㩷System㪃㩷䉥䊤䊮䉻䋩䉕↪䈇䈩૞ᚑ䈚䈢䋮⚻ᤨ⊛ᄌൻ䈱䈭䈇ㇱ૏䉕೑↪
䈚䈩䉫䊧䊷䉴䉬䊷䊦䉕䊙䉾䉼䊮䉫䈚䋬ⵍ㛎ᱤ๟࿐䈱ᒻᘒ䉕৻⥌䈘䈞䉎䉋䈉㊀䈰ว䉒䈞䋬䉰䊑䊃䊤䉪䉲䊢䊮䉕ⴕ䈦䈢䋨࿑䋩䋮㑐ᔃ㗔ၞ䋨Region㩷of㩷Interest㪃㩷ROI䋩䈲䋬ⵍ㛎ᱤᱤᩮ๟࿐6䊱ᚲ䋨ㄭ㆙ᔃ䈱㛽㗂ㇱ䋬ਛᄩㇱ䋬ᩮውㇱ䋩䈫䈚䈢䋮䉰䊑䊃䊤䉪䉲䊢䊮௝䈲0䋨㤥䋩䈎䉌255䋨⊕䋩䉁䈪䈱↹⚛୯䈪Ớ᷆䈏␜䈘䉏䋬ਛᄩ୯䋨127䋩䉕␜䈜ㇱ૏䈲ᄌൻ䉕↢䈛䈩䈇䈭䈇䈫⠨䈋䉌䉏䉎䋮ฦROI䈱↹⚛
୯䈱ᐔဋ䉕ઍ⴫୯䈫䈚䋬᠟ᓇᣣ㑆䈪䈱Ყセ䉕ⴕ䈦䈢䋮䉁䈢䋬䉰䊑䉫䊦䊷䊒䋨ᕈ೎䋬䉥䉪䊦䊷䉱䊦䊡䊆䉾䊃༚ᄬᢙ䋬䈭䈬䋩㑆䈪䈱ฦ᷹ቯᣣ䈗䈫䈱Ყセ䉕ⴕ䈦䈢䋮ዏ䋬ᧄ⎇ⓥ䈲᧲੩ක⑼ᱤ⑼ᄢቇᱤቇㇱ୶ℂክᩏᆔຬળ䈱ᛚ⹺䋨╙1105ภ䋩䈱䉅䈫䈮ታᣉ䈘䉏䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭䊂䉳䉺䊦䉰䊑䊃䊤䉪䉲䊢䊮ᴺ䉕↪䈇䉎䈖䈫䈪䋬ᘟᕈᱤ๟Ἳᖚ⠪䈱⥓ᱤㇱᰳ៊䈮RPD䉕ⵝ⌕䈚䈢㓙䈮䋬⋥ធᡰบⵝ⟎䉕⸳ቯ䈚䈢ᡰบᱤ๟࿐㛽䈮↢䈛䉎䊥䊝䊂䊥䊮䉫䈱᭽⋧䉕ⷞⷡ⊛䈮⹏ଔ䈜䉎䈖䈫䈏䈪䈐䈢䋮ᡰบᱤ๟࿐㛽䈮↢䈛䉎䊥䊝䊂䊥䊮䉫䈱᭽⋧䈲ᄙ᭽䈪䈅䉎䉅䈱䈱䋬↹⚛୯䈱ᄙ䈒䈲䋬123䌾140䈱▸࿐䈮෼䉁䈦䈩䈇䈢䋮ᧄ⎇ⓥ䉋䉍䋬RPDⵝ⌕ᓟ3䊱᦬䉁䈪䈱Ყセ⊛⍴ᦼ㑆䈪䈲䋬ᱤ๟⚵❱ᬌᩏ䈱⚿ᨐ䈫䉰䊑䊃䊤䉪䉲䊢䊮௝䈱䈇䈝䉏䈎䉌䉅䋬ᡰบᱤ๟࿐㛽䈱∛⊛ᄌൻ䉕␜ໂ䈜䉎ᓽ୥䈲⏕⹺䈘䉏䈭䈎䈦䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Carneiro LS, da Cunha HA, Leles CR,
Mendonça EF. Digital subtraction radiographyevaluation of longitudinal bone density changes
around immediate loading implants: a pilot study.
Dentomaxillofac Radiol. 2012;41(3):241-7࿑䋮↹௝ಣℂ䉸䊐䊃䈮䉋䉎䉰䊑䊃䊤䉪䉲䊢䊮௝䈱૞ᚑ䇭

─ 168 ─日補綴会誌

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第 2 日 第 3 会場
一般口演発 表㪦㪉㪄㪍ㆆ㔌┵ᰳ៊䈮ኻ䈜䉎ㄭᔃ䊧䉴䊃䈱ᗧ⟵䉕䈬䈉ᢎ⢒䈜䉎䈎䂾૒⮮⵨ੑ䋬ർᎹ䇭᣹䇭䇭ᤘ๺ᄢቇᱤቇㇱ㜞㦂⠪ᱤ⑼ቇ⻠ᐳHow to educate the advantages of mesial rests for free-end missing
Sato Y, Kitagawa N
Department of Geriatric Dentistry, Showa University School of Dentistry㸇䋮㩷⋡⊛䇭ㆆ㔌┵ᰳ៊䈮ኻ䈚䈩䋬ㄭᔃ䊧䉴䊃䈱ㆡ↪䈲᦭↪䈫⠨䈋䉌䉏䋬䇸㋕ೣ䇹䈫⸒䈇ಾ䉎⾗ᢱ䉅䈅䉎䋮ታ㓙䋬ో࿖29ᄢቇ䈱ቇ↢ᮨဳታ⠌䈪䈲䋬ㆆ㔌┵ᰳ៊䈮ኻ䈚䈩䋬ㄭᔃ䊧䉴䊃䉕↪䈇䈢⸳⸘䉕ⴕ䈦䈩䈇䉎䈱䈏24ᄢቇ䈪䈅䉎䋮䈚䈎䈚䋬ᢎ⑼ᦠ䉇ᢎ⢒↪⾗ᢱ䈮䉋䉍䋬䈠䈱ℂ↱䈱⺑᣿䈲᭽䇱䈪䈅䉍䋬චಽ䈪䈲䈭䈇䈫⠨䈋䉌䉏䉎⾗ᢱ䉅ᢔ⷗䈘䉏䉎䋮
䇭䈠䈖䈪䋬䈖䉏䉁䈪䈱ᢎ⑼ᦠ䉇ᢎ⢒䊶⸃⺑⾗ᢱ䉕䊧䊎䊠䊷䈚䈩䋬ㄭᔃ䊧䉴䊃䈱ᗧ⟵䈏䈬䈱䉋䈉䈮ᢎ⢒䈘䉏䈩䈇䉎䈎䈮䈧䈇䈩᣿䉌䈎䈮䈜䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭䊧䊎䊠䊷ኻ⽎䈲䋬Ყセ⊛౉ᚻ䈚䉇䈜䈇࿖ౝᄖ䈱䊌䊷䉲䊞䊦䊂䊮䉼䊞䊷㑐ㅪᢎ⑼ᦠ13⒳㘃䈍䉋䈶ᢎ⢒㑐ଥ⾗ᢱ䋨⸃⺑ᦠ䈭䈬䋩7⒳㘃䈫䈚䈢䋮ㄭᔃ䊧䉴䊃䈱ᗧ⟵䉕⸃⺑䈚䈢ㇱಽ䉕᛽಴䈚䈩䋬䈬䈱䉋䈉䈭ᗧ⟵䈏䈬䈱䉋䈉䈭࿑ᑼ䉕↪䈇䈩⸥ㅀ䈘䉏䈩䈇䉎䈎䉕ಽᨆ䈚䈢䋮䈭
䈍䋬RPI䈱᦭↪ᕈ䈭䈬䋬䊧䉴䊃એᄖ䈱᦭↪ᕈ䉕฽䉖䈣ㇱಽ䈮㑐䈚䈩䈲䋬䊧䉴䊃䈱ᗧ⟵䈱䉂䉕᛽಴䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭䊧䊎䊠䊷䈱⚿ᨐ䋬ㄭᔃ䊧䉴䊃䈱ᗧ⟵䈲એਅ䈱4ὐ䈮䉁䈫䉄䉌䉏䈢䋮
㽲☼⤑䈻䈱ജ䉕ု⋥䈮ㄭ䈨䈔䉎䇭ᡰὐ䈏ᰳ៊ㇱ䈎䉌㆙䈒䈭䉎䈱䈪䋬☼⤑䈮ኻ䈜䉎ജ䈱ᣇะ䈏ု⋥䈮ㄭ䈨䈒䋮㽳☼⤑䈻䈱ജ䉕ဋ╬䈮ㄭ䈨䈔䉎䇭⟵ᱤᐥ䈱ᦨㄭᔃㇱ䈎䉌䈱࿁ォਛᔃ䈱〒㔌䈏㆙䈒䈭䉎䈱䈪䋬ᦨㄭᔃㇱ䉅ᴉਅ䈜䉎䈖䈫䈪ജ䉕⽶ᜂ䈜䉎䉋䈉䈮䈭䉎䋮䇭㽴ᡰบᱤ䉕௑ᢳ䈘䈞䈮䈒䈇䇭ᯏ⢻ᤨ䈮ᡰบᱤ䉕ㄭᔃ䈮ୟ䈠䈉䈫䈜䉎䈏䋬ㄭᔃ㓞࿷ᱤ䈏䈠䉏䈮ᛶ᛫䈜䉎䋮㽵ᡰบᱤ䈻䈱࿁ォജ䉕ᷫ䈛䉎䇭㆙ᔃ䊧䉴䊃䈫䈲࿁ォਛᔃ䈏㆑䈉䈱䈪䋬㓞ធ㕙᧼䉇㋭ው䈏ᡰบᱤ䉕㆙ᔃ䈮ୟ䈜ജ䉕ᒙ䉄䉎䋮䇭એ਄䈱4㗄⋡䈮䉋䉍䋬✚ว⊛䈮䇸ᡰบᱤ䈱⽶ᜂ䉕ᷫ䈛䉎䇹䈫䈘䉏䈩䈇䉎䋮䇭䈖䉏䈲䋬1963ᐕ䈮Kratochvil1㪀䈏ㄭᔃ䊧䉴䊃䈱ᗧ⟵䉕⊒⴫䋨ේ⪺A㪀䈚䈢એ㒠䈱ᢎ⑼ᦠ䈮⸥タ䈘䉏䈩䈇䉎䈏䋬4㗄⋡ో䈩䉕✂⟜䈚䈢䉅䈱䈲䈭䈒䋬1䌾2㗄⋡䈱⸥ㅀ䈮⇐䉁䉎䉅䈱䈏ᄙ䈎䈦䈢䋨⴫䋩䋮䈘䉌䈮䋬⺑᣿䈮૶↪
䈘䉏䈩䈇䉎࿑ᑼ䉕⷗䉎䈫䋬ℂ⸃䈚䈮䈒䈇䉅䈱䉇ᱜ⏕ᕈ䈮ᰳ䈔䉎䉅䈱䉅⹺䉄䉌䉏䈢䋮䇭એ਄䈱⚿ᨐ䈎䉌䋬ㄭᔃ䊧䉴䊃䈱ᗧ⟵䈮㑐䈚䈩䋬4㗄⋡䉕✂⟜䈚䋬ㆡಾ䈭࿑ᑼ䉕↪䈇䈩䈠䈱ℂ↱䈱ℂ⸃䉕࿑䉎ᢎ⢒䈱ᔅⷐᕈ䈏␜ໂ䈘䉏䈢䋮䈠䉏䈮ၮ䈨䈇䈩૞ᚑ䈚䈢ⶄᢙ䈱࿑ᑼ䉕วᚑ䈚䈢䉅䈱䉕␜䈜䋨૶↪ᤨ䈮䈲㽲䌾㽵䈱ᗧ⟵䉕೎䇱䈮ឬ↹䋩䋮䇭㸊䋮㩷ᢥ₂
1䋩 Kratochvil FJ 䋮 Influence of occlusal rest
position and clasp design on movement of
abutment teeth. J Prosthet Dent 1963; 13:
114-124.
⺞ᩏ䈚䈢ᢎ⑼ᦠ䊶⸃⺑ᦠ䈮䈍䈔䉎⸥ㅀ䇭ㄭᔃ䊧䉴䊃䈱ᗧ⟵䉕␜䈜วᚑ䈚䈢࿑ᑼ䇭

─ 169 ─第 2 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪉㪄㪎ήᱤ㗶䈍䉋䈶ㆆ㔌┵ᰳ៊ㇱ㗶ႇ☼⤑䈮ኻ䈜䉎శቇශ⽎䈱♖ᐲᬌ⸽䂾↰ဈᓆⷙ 㪈㪃㪌㪀䋬ਃ੗ᥓᴦ 㪈㪃㪌㪀䋬═ේ㓳↵ 㪈㪀䋬਄┄␭ၮ 㪈㪀䋬㜞᪸℉਽ 㪉㪀䋬ᧄ㑆ᘕ਽ 㪉㪀䋬᧻᳗䇭ᥓ 㪊㪃㪌㪀䋬㒙ㇱિ৻ 㪊㪀䋬ᰞ੗䇭⮍ 㪋㪀䋬ጊਅ⑲৻㇢ 㪈㪀㪈㪀᧲੩ᱤ⑼ᄢቇ䊌䊷䉲䊞䊦䊂䊮䉼䊞䊷⵬✄ቇ⻠ᐳ䋬 㪉㪀᧲੩ᱤ⑼ᄢቇญ⣧䉟䊮䊒䊤䊮䊃ቇ⻠ᐳ䋬㪊㪀
᧲੩ᱤ⑼ᄢቇ⸃೬ቇ⻠ᐳ䋬 㪋㪀᧲੩ᱤ⑼ᄢቇ⠧ᐕᱤ⑼⵬✄ቇ⻠ᐳ䋬 㪌㪀᧲੩ᱤ⑼ᄢቇญ⣧⑼ቇ
⎇ⓥ䉶䊮䉺䊷
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Accuracy of morphological measurement using oral scanner for edentulous jaw and free-end partiallyedentulous region
Tasaka A 1,5), Mitsui T 1,5), Kasahara T 1), Uekubo Y 1), Takanashi T 2), Homma S 2), Matsunaga S 3,5), Abe S 3),
Sakurai K 4), Yamashita S 1)
1)
Department of Removable Partial Prosthodontics, Tokyo Dental College, 2)Department of Oral andMaxillofacial Implantology, Tokyo Dental College, 3)Department of Anatomy, Tokyo Dental College, 4)Department of Removable Prosthodontics and Gerodontology, Tokyo Dental College, 5)Oral Health
Science Center, Tokyo Dental College㸇䋮㩷⋡⊛䇭ㄭᐕ䈱䊂䉳䉺䊦䊂䊮䊁䉞䉴䊃䊥䊷䈱᥉෸䈮઻䈇䋬ญ⣧ౝ䉴䉨䊞䊅䊷䉕↪䈇䈢శቇශ⽎䈱ᛛⴚ㕟ᣂ䈏⋡ⷡ䈚䈒䋬䊐䊦䉦䊤䊷䈱3D↹௝䈫䈚䈩䉴䉨䊞䊆䊮䉫䈜䉎䈖䈫䈏น⢻䈫䈭䈦䈢䋮ᓧ䉌䉏䈢↹௝䊂䊷䉺䈎䉌ᱤ౰⵬✄ⵝ⟎䉕⵾૞䈪䈐䉎䊪䊷䉪䊐䊨䊷䈲䈜䈪䈮⏕┙䈘䉏䈧䈧䈅
䉎1㪀䋮৻ᣇ䋬น᠗ᕈ⟵ᱤ䈲☼⤑䈮ኻ䈜䉎ᯏ⢻⊛䈭ශ⽎ណᓧ䈏ᔅⷐ䈫䈭䉎䈢䉄䋬䈖䈱㗔ၞ䈮䈲ญ⣧ౝ䉴䉨䊞䊅䊷䈏᥉෸䈚䈩䈇䈭䈇䈱䈏⃻⁁䈪䈅䉎䋮䉁䈢䋬䈖䉏䉁䈪ቢో᦭ᱤ㗶⠪䈮ኻ䈜䉎శቇශ⽎䈱♖ᐲ䉕ᬌ⸛䈚䈩䈇䉎⎇ⓥ䈲ᄙ䈒䈅䉎䈏2㪀㪃㩷3䋩䋬ᰳ៊ㇱ㗶ႇ䈮ኻ䈜䉎♖ᐲ䈮㑐䈚䈩䈲ਇ᣿䈭ὐ䈏ᄙ䈇䋮䇭䈠䈖䈪䋬ᧄ⎇ⓥ䈪䈲ญ⣧ౝ䉴䉨䊞䊅䊷䉕↪䈇䈢㗶ႇ☼⤑䈮ኻ䈜䉎శቇශ⽎ᴺ䈱⏕┙䉕⋡ᮡ䈫䈚䈩䋬ήᱤ㗶䈍䉋䈶ㆆ㔌┵ᰳ៊ㇱ㗶ႇ☼⤑䈮ኻ䈜䉎శቇශ⽎䈱♖ᐲ䉕ᬌ⸽䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭䉲䊚䊠䊧䊷䉲䊢䊮䊝䊂䊦䈮䈲☼⤑ઃ䈐਄㗶ήᱤ㗶ᮨ
ဳG10FE㪄402K䈫ਅ㗶ㆆ㔌┵ᰳ៊ᮨဳP25㪄TP49
䋨䊆䉾䉲䊮␠⵾䋩䉕ㆬᛯ䈚䈢䋮ၮḰ䊂䊷䉺䈫䈚䈩ᱤ⑼ᛛ
Ꮏ↪䉴䉨䊞䊅䊷D900䋨3Shape␠⵾䋩䉕↪䈇䈩ᮨဳ䈱
3D䉴䉨䊞䊆䊮䉫䉕ⴕ䈦䈢䋮䇭శቇශ⽎䈮䈲ญ⣧ౝ䉴䉨䊞䊅䊷TRIOS䋨3Shape␠⵾䋩䉕↪䈇䈢䋮CAD䉸䊐䊃Dental㩷 System䋨3Shape␠⵾䋩਄䈪䋬ၮḰ䊂䊷䉺䈮ኻ䈜䉎శቇශ⽎䊂䊷䉺䈱㊀䈰ว䉒䈞䉕ⴕ䈇䋬శቇශ⽎䈱♖ᐲᬌ⸽䉕⹜䉂䈢䋮䇭ᬌ⸽ㇱ૏䈲䋬਄㗶䈲Ꮐฝ㗠ዊᏪ䉕⚿䈹೨㗡ᢿ㕙䋨ዊ⥓ᱤㇱ䋩䋬Ꮐฝ਄㗶⚿▵ᦨ㜞ὐ䉕⚿䈹೨㗡ᢿ㕙䋨ᄢ⥓ᱤㇱ䋩䈍䉋䈶ಾᱤ੃㗡ਛᄩ䈎䉌ญ⬄ዊ┃㑆ਛᄩ䉕⚿䈹䉕⍫⁁ᢿ㕙䋨ᱜਛㇱ䋩䈫䈚䈢䋮ਅ㗶䈲ਅ㗶ฝ஥╙ੑዊ⥓ᱤ䈱䊧䉴䊃䉲䊷䊃䈎䉌ฝ஥䊧䊃䊨䊝䊤䊷䊌䉾䊄ਛᄩ䋨ฝ஥䋩䈫ਅ㗶Ꮐ஥╙৻ዊ⥓ᱤ䈱䊧䉴䊃䉲䊷䊃䈎䉌Ꮐ஥䊧䊃䊨䊝䊤䊷䊌䉾䊄䈱ਛᄩ䋨Ꮐ஥䋩䉕⚿䈹ᰳ៊ㇱ⍫⁁ᢿ㕙䈫䈚䈢䋮
䇭ၮḰ䊂䊷䉺䈫శቇශ⽎䈱䊂䊷䉺䈱ᢿ㕙䈮↢䈛䈢⺋Ꮕ䈮䈧䈇䈩䋬䈠䈱ᦨᄢ୯䈍䉋䈶Ⓧಽ୯䈱2ᄌ㊂䉕ಽᨆኻ⽎䈫䈚䈢䋮ᱤ⑼කᏧ5ฬ䈏ห৻ᮨဳ䉕ฦ5࿁⸘᷹䈚䋬ⴚ⠪㑆Ყセ䉕ⴕ䈦䈢䋮⛔⸘ಣℂ䈮䈲Kruskal㪄
Wallisᬌቯ䉕ⴕ䈦䈢䋮᦭ᗧ᳓Ḱ䉕0㪅05䈮⸳ቯ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭਄㗶ήᱤ㗶䈱⺋Ꮕ䈱ᦨᄢ୯䈲ዊ⥓ᱤㇱ0㪅30㫧0㪅
24mm䋬ᄢ⥓ᱤㇱ0㪅18㫧0㪅04mm䋬ᱜਛㇱ0㪅18㫧0㪅
07mm䈪䈅䈦䈢䋮Ⓧಽ୯䈲ዊ⥓ᱤㇱ4㪅17㫧2㪅30mm2䋬ᄢ⥓ᱤㇱ6㪅82㫧2㪅48mm2䋬ᱜਛㇱ4㪅70㫧2㪅30mm2䈪䈅䈦䈢䋮ᱜਛㇱ䋬ዊ⥓ᱤㇱ䈱Ⓧಽ୯䈍䉋䈶ዊ⥓ᱤㇱ䈱ᦨᄢ୯䈮ⴚ⠪㑆䈪⛔⸘ቇ⊛᦭ᗧᏅ䈏⹺䉄䉌䉏䈢䋮䇭ਅ㗶ㆆ㔌┵ᰳ៊䈱⺋Ꮕ䈱ᦨᄢ୯䈲ฝ஥0㪅05㫧0㪅
01mm䋬Ꮐ஥0㪅08㫧0㪅05mm䈪䈅䈦䈢䋮Ⓧಽ୯䈲ฝ஥
0㪅78㫧0㪅21mm2䋬Ꮐ஥1㪅60㫧0㪅71mm2䈪䈅䉍䋬ᦨᄢ୯
䈍䉋䈶Ⓧಽ୯䈱䈇䈝䉏䉅ⴚ⠪㑆䈮⛔⸘ቇ⊛᦭ᗧᏅ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮䇭਄㗶ήᱤ㗶䈲ㇱ૏䈮䉋䈦䈩䈲ⴚ⠪㑆䈪᦭ᗧᏅ䈏⹺䉄䉌䉏䈢䈖䈫䈎䉌䋬ⴚ⠪䈮䉋䉎ᓇ㗀䉕ฃ䈔䉇䈜䈇䈫⠨䈋䉌䉏䈢䋮ਅ㗶ㆆ㔌┵ᰳ៊䈲⺋Ꮕ䈮᦭ᗧᏅ䈲⹺䉄䉌䉏䈭䈇䈢䉄ⴚ⠪䈮䉋䉎ᓇ㗀䈲ዋ䈭䈇䈫⠨䈋䉌䉏䈢䈏䋬ᰳ៊䈱▸࿐䈮䉋䈦䈩䈲⺋Ꮕ䈏ᄢ䈐䈒䈭䉎௑ะ䈏⹺䉄䉌䉏䈢䋮⥃ᐥ⊛䈮䈲☼⤑䈱ⵍ࿶ᄌ૏㊂0㪅7䌾1㪅0mm
䈪䈅䉎䈖䈫䉕⠨ᘦ䈜䉏䈳਄㗶ήᱤ㗶䋬ਅ㗶ㆆ㔌┵ᰳ៊䈫䉅䈮⺋Ꮕ䈱ᦨᄢ୯䈲⸵ኈ▸࿐ౝ䈫⠨䈋䉌䉏䈢䋮䇭㗶ႇ☼⤑䈮ኻ䈚䈩శቇශ⽎䉕ᔕ↪䈪䈐䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮
䇭㸊䋮㩷ᢥ₂
1䋩 Brawek PK, Wolfart S, Endres L, Kirsten A,
Reich S. The clinical accuracy of single crowns
exclusively fabricated by digital workflow-thecomparison of two systems. Clin Oral Investig.
2013; 17: 2119-2125.
2䋩 Ender A, Mehn A. Accuracy of complete-archdental impressions: a new method of measuring
trueness and precision. J Prosthet Dent. 2013;
109: 121-128.
3䋩 Patzelt SB, Emmanouilidi A, Stampf S, Strub JR,
Att W. Accuracy of full-arch scans using
intraoral scanners. Clin Oral Investig. 2014; 18:1687-1694.

─ 170 ─日補綴会誌

第 2 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪉㪄㪏䝺䞊䝄䞊὾⚿Ⓧጀ䈫ಾ೥䈱䊪䊮䊒䊨䉶䉴ㅧᒻടᎿ䈮䉋䉎น᠗ᛶᡰบⵝ⟎䈱⵾૞䂾ખ↰⼾↢䋬ᣂ଻⑲ੳ䋬ṭේ䇭ఝ䋬ᄢਭ଻ജᑝ

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㢬⷗ᄢቇᱤቇㇱ᦭ᐥ⟵ᱤ⵬✄ቇ⻠ᐳClasp fabrication using the one process molding by repeated laser sintering and high-speed milling.
Nakata T, Shimpo H, Urushibara Y, Ohkubo C
Dept. of Removable Prosthodontics, Tsurumi University School of Dental Medicine㸇䋮㩷⋡⊛䇭ㄭᐕ䋬CAD㪆CAM䉕↪䈇䈢⵬✄ⵝ⟎䈱⵾૞䈏ⴕ䉒䉏䈩䈇䉎䈏䋬᦭ᐥ⟵ᱤ䈱ᡰบⵝ⟎䉇䊐䊧䊷䊛䊪䊷䉪䈮㑐䈚䈩䈲ಾ೥ടᎿ䈏࿎㔍䈫䈘䉏䈩䈇䉎䋮৻ᣇ䋬㊄ዻ☳ᧃ䈮䊧䊷䉱䊷䉕ᾖ኿䈚䈩䋬ṁ⸃䋬ಝ࿕䉕➅䉍㄰䈚Ⓧ
ጀ䈜䉎Ⓧጀㅧᒻᴺ䉕ㆡ↪䈜䉎䈖䈫䈮䉋䉍䋬䉝䊮䉻䊷䉦䉾䊃䉕઻䈉ⶄ㔀䈭┙૕ᒻ⁁䉅ౣ⃻น⢻䈪䈅䉎䋮䈚䈎䈚䈭䈏䉌䋬ᓥ᧪䈱Ⓧጀㅧᒻᴺ䈪䈲⴫㕙ᒻ⁁䈏㕖Ᏹ䈮☻ㅧ䈫䈭䉎䈖䈫䈎䉌䋬ᡰบᱤ䈫䈱ㆡว♖ᐲ䈱ⷰὐ䈎䉌⥃ᐥᔕ↪䈮䈲⥋䈦䈩䈇䈭䈇䋮⸃᳿╷䈫䈚䈩䋬Ⓧጀㅧᒻ䈫ಾ೥ടᎿ䉕䊪䊮䊒䊨䉶䉴䈪ⴕ䈉䈖䈫䈮䉋䉍䋬⴫㕙ᒻ⁁䈮ఝ䉏䈢ᡰบⵝ⟎䉕⵾૞䈜䉎䈖䈫䈏น⢻䈫䈭䉎䋮䈠䈖䈪ᧄ⎇ⓥ䈲䋬Ⓧጀㅧᒻ䋫ಾ೥ടᎿ䈮䉋䉍⵾૞䈘䉏䈢ᡰบⵝ⟎䈱⥃ᐥᔕ↪䉕⋡⊛䈮䋬ㆡว♖ᐲ䈫⛽ᜬജ䈮㑐䈚䈩ታ㛎⊛䈭ᬌ⸛䉕ⴕ䈦䈢㪅䇭㸈䋮㩷ᣇᴺ䇭ᄢ⥓ᱤ䉕ᗐቯ䈚䈢㊄ဳᡰบ䈮ኻ䈚䈩એਅ䈱2᧦ઙ䋺
1䋩ㅢᴺㅢ䉍ශ⽎ណᓧᓟ䋬䊪䉾䉪䉴䉝䉾䊒䉕ⴕ䈇㍌ㅧ䋬
2䋩㊄ဳᡰบ䉕䉴䉨䊞䊮䈚䋬ᒻ⁁䊂䊷䉺䉕䉅䈫䈮䉮䊮䊏䊠䊷䉺䉸䊐䊃䉕೑↪䈚䈩䋬䉣䊷䉦䊷䉴䉪䊤䉴䊒䈱䊂䉱䉟 䊮 䉕 ⴕ 䈇 䋬 ㊄ ዻ శ ㅧ ᒻ ⶄ ว ട Ꮏ ᯏ 䋨 LUMEX
Avance㪄25䋬᧻ᶆ⵾૞ᚲ␠⵾䋩䈮䈩Ⓧጀㅧᒻ䋫ಾ೥ടᎿ䋬䈮䉋䉍䉣䊷䉦䉴䉪䊤䉴䊒䉕⵾૞䈚䈢䋮㊄ዻ䈲㍌ㅧ䈮䈩⵾૞䈚䈢䉅䈱䈲䉮䊋䊦䊃䉪䊨䊛ว㊄䈫
3⒳⚐䉼䉺䊮䉕䋬Ⓧጀㅧᒻ䋫ಾ೥ടᎿ䈮䈩⵾૞䈚䈢䉅䈱䈲䉮䊋䊦䊃䉪䊨䊛ว㊄☳ᧃ䉕૶↪䈚䈢䋮⹜ᢱ䈲X✢
䈮䉋䉎㕖⎕უᬌᩏ䉕ⴕ䈦䈢ᓟ䋬ਃᰴర᷹ቯⵝ⟎䈮䈩⴫㕙☻䈘䈱᷹ቯ䉕ⴕ䈦䈢䋮䈠䈱ᓟ䋬㊄ဳᡰบ䈫䈱ㆡว♖ᐲ䉕䉲䊥䉮䊷䊮ශ⽎᧚䈮䉋䉎ㆡว⹜㛎䈮䉋䉍⹏ଔ䈚䈢䋮⸘᷹ㇱ૏䈲㋭వ┵ㇱ䈎䉌0㪅5㩷mm䋨㋭ው䋩䋬12㪅0mm䋨㋭⢋䋩䈫䊧䉴䊃䈱3ㇱ૏䉕ㆬᛯ䈚䋬ਁ⢻ᛩᓇᯏ䉕↪
䈇䈩᷹ቯ䈚䈢䋮䉁䈢䋬ೋᦼ⛽ᜬജ䈍䉋䈶⌕⣕10㪃000࿁䉁䈪➅䉍㄰䈚⌕⣕䉕ⴕ䈇䋬⛽ᜬജ䈱ᄌൻ䉕᷹ቯ䈚䈢䋮⛽ᜬജ䈲ਁ⢻⹜㛎ᯏ䉕↪䈇䈩䉪䊨䉴䊓䉾䊄䉴䊏䊷䊄
50㩷mm㪆min䈮䈩ᒁᒛ⹜㛎䉕ⴕ䈇⸘᷹䈚䈢䋮ᓧ䉌䉏䈢䊂䊷䉺䈲৻ర㈩⟎ಽᢔಽᨆᓟ䋬Tukey䈱ᄙ㊀Ყセᬌቯ䉕ⴕ䈇䋬ෂ㒾₸5㩼䈮䈩⛔⸘⸃ᨆ䉕ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭⴫㕙☻䈘䈲Ⓧጀㅧᒻ䈫ಾ೥ടᎿ䈱䊪䊮䊒䊨䉶䉴䈮䉋䉎䉮䊋䊦䊃䉪䊨䊛ว㊄䈱ౝ㕙䈏0㪅8㱘m䈫䋬㍌ㅧ⵾૞䈚䈢䉅䈱䉋䉍䉴䊛䊷䉴䈭⴫㕙䈏ᓧ䉌䉏䈢䋮ㆡว⹜㛎䈱⚿ᨐ䈲ో䈩䈱⹜ᢱ䈮䈍䈇䈩㋭⣨ㇱ䋬㋭ውㇱ䈫Ყセ䈚䈩䊧䉴䊃ㇱ䈱ㆡว䈏ഠ䉎⚿ᨐ䈫䈭䈦䈢䋮䉁䈢䋬Ⓧጀㅧᒻ䈫ಾ೥ടᎿ䈱䊪䊮䊒䊨䉶䉴䈫㍌ㅧ䈮䉋䉎⹜ᢱ䈲䈾䈿ห╬䈭ㆡว♖ᐲ䈏⹺䉄䉌䉏䈢䋮
䇭Ⓧጀㅧᒻ䈫ಾ೥ടᎿ䈱䊪䊮䊒䊨䉶䉴䈮䉋䉎䉮䊋䊦䊃䉪䊨䊛ว㊄䈱ೋᦼ⛽ᜬജ䈲16㪅3N䈫ᦨ䉅ᄢ䈐䈒䋬ᰴ䈮㍌ㅧ䉮䊋䊦䊃䉪䊨䊛ว㊄䈱12㪅9N䋬㍌ㅧ3⒳⚐䉼䉺䊮䈱
11㪅3N䈫䈭䈦䈢䋨࿑䋩䋮䉁䈢⛽ᜬജ䈱ᄌൻ䉅㍌ㅧᴺ䈮䉋䉍⵾૞䈚䈢䉅䈱䈫䈾䈿ห╬䈱⠴ਭᕈ䉕␜䈚䈢䋮
䇭Ⓧጀㅧᒻ䈫ಾ೥ടᎿ䈱䊪䊮䊒䊨䉶䉴䈮䉋䈦䈩⵾૞䈚䈢䉪䊤䉴䊒䈲㍌ㅧᴺ䈮䉋䈦䈩⵾૞䈚䈢䉅䈱䈫䈾䈿ห╬䈭ㆡวᕈ䈫⛽ᜬജ䋬⠴ਭᕈ䉕␜䈚䈢䈖䈫䈮䉋䉍䋬ᧄᴺ䉕
⥃ᐥᔕ↪䈪䈐䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮੹ᓟ䈲ᧄᴺ䈮䉋䉎ᄢဳ䊐䊧䊷䊛䊪䊷䉪䈱⵾૞䈫䉼䉺䊮☳ᧃ⹜ᢱ䈱૶↪䉅ᬌ⸛䈜䉎ᚲሽ䈪䈅䉎䋮䇭㸊䋮㩷ᢥ₂
1䋩 Shimpo H. Effect of arm design and chemical
polishing on retentive force of cast titanium
alloy clasps. J Prosthodont. 2008; 17: 300-7.
2䋩 Diego M, Flaviana C, Manickavasagam K, et al.
From powders to dense metal parts:
Characterization of a commercial AlSiMg alloy
processed through direct metal laser sintering.
Materials 2013; 6: 856-69.

䋨࿑䋩ೋᦼ⛽ᜬജ䈱Ყセ䇭─ 171 ─第 2 日 第 3 会場

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CAD㪆CAM䈮䉋䉎䊌䊷䉲䊞䊦䊂䊮䉼䊞䊷䈱䊐䊦䊂䉳䉺䊦ടᎿ䂾ዊỈᄢテ䋬㜞ᧁ৻਎䋬ᩙේᄢ੺䋬㋈ᧁ㌁ᴡ䋬ᄢਭ଻ജᑝ

䇭

䇭

䇭

䇭

䇭

㢬⷗ᄢቇᱤቇㇱ᦭ᐥ⟵ᱤ⵬✄ቇ⻠ᐳ
Fully digital fabrication of removable partial denture using CAD/CAM
Ozawa D, Takagi I, Kurihara D, Suzuki G, Ohkubo C
Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine㸇䋮㩷⋡⊛⃻࿷ⴕ䉒䉏䈩䈇䉎䊨䉴䊃䊪䉾䉪䉴ᴺ䈮䉋䉎⟵ᱤ⵾૞ᴺ
䈲੹ᣣ䈮⥋䉎䉁䈪䋬⚂㩷70ᐕ㑆ᄌ䉒䉎䈖䈫䈭䈒⛯䈇䈩䈇䉎䋮䈚䈎䈚䈭䈏䉌䋬੹ᣣ䈱⵾૞ᴺ䈮䈍䈇䈩䉅䋬ᴦ≮䈫ᛛᎿⴕ⒟䈏ⶄ㔀䈪䈅䉎䈖䈫䋬䊁䉪䊆䉾䉪䉶䊮䉲䊁䉞䊑䈪䈅䉎䈖䈫䋬䈍䉋䈶⟵ᱤᐥ↪᧚ᢱ䈱ᳪᨴ䈫ᒝᐲ╬䈮໧㗴䈏ᱷ䈘䉏䈩䈇䉎䋮৻ᣇ䋬ᱤ⑼ක≮䈮䈍䈇䈩䉅⵬✄ⵝ⟎⵾૞䈱ᛛⴚ㕟ᣂ䈏ㅴ䉂䋬䈜䈪䈮䊂䉳䉺䊦ᯏེ䈮䉋䉎䉟䊮䊒䊤䊮䊃਄ㇱ᭴ㅧ䉇䉪䊤䉡䊮䊑䊥䉾䉳䈱CAD㪆CAM⵾૞䈏৻⥸⊛䈫䈭䉍䋬䉮䊮䊒䊥䊷䊃䊂䊮䉼䊞䊷䈮䈍䈇䈩
䉅CAD㪆CAM⵾૞䈏⹜ⴕ䈘䉏䉎䉋䈉䈮䈭䈦䈩䈐䈢䋮䈫䈖䉐䈏䋬䊌䊷䉲䊞䊦䊂䊮䉼䊞䊷䈮䈍䈇䈩䈲᭴ᚑⷐ⚛䈏ᄙ䈒ᒻᘒ䉅ⶄ㔀䈪䈅䉍䋬⟵ᱤᐥ䈮䊐䊧䊷䊛䊪䊷䉪䉕ౝ൮䈜䉎᭴ㅧ䈪䈅䉎䈢䉄䋬CAD㪆CAM䈮䉋䉎⵾૞䈲㕖Ᏹ䈮࿎㔍䈫䈘䉏䈩䈇䈢䋮⃻࿷䋬䊐䊧䊷䊛䊪䊷䉪䈮㑐䈚䈩䈲ಾ೥ടᎿ䉇Ⓧጀㅧᒻ䈮䉋䉎⵾૞䈏⹜䉂䉌䉏䈩䈇䉎䈏䋬⟵ᱤో૕䉕䊐䊦䊂䉳䉺䊦ടᎿ䈜䉎ᣇᴺ䈲ᧂ䈣⏕┙䈘䉏䈩䈇䈭䈇䋮䈠䈖䈪䋬ᚒ䇱䈲䊐䊦䊂䉳䉺䊦ടᎿ䈮䉋䉎䊌䊷䉲䊞䊦䊂䊮䉼䊞䊷䈱⵾૞䉕⹜䉂䈢䋮੹࿁䈱
⵾૞ᴺ䈲䋬⟵ᱤᐥၮᐩㇱ䋬⟵ᱤᐥ⎇⏴㕙ㇱ䋬䊐䊧䊷䊛䊪䊷䉪䋬ੱᎿᱤㇱ䈱ฦ䊌䊷䉿䉕೎䇱䈮䊂䉳䉺䊦ടᎿ䈚䋬ᦨ⚳⊛䈮৻૕ൻ䈜䉎䈖䈫䈪⟵ᱤ䉕ቢᚑ䈘䈞䉎䉲䉴䊁䊛䈪䈅䉎䋮⟵ᱤᐥ䈮䊐䊧䊷䊛䊪䊷䉪䉕ౝ࿷䈘䈞䋬䊌䊷䉲䊞䊦䊂䊮䉼䊞䊷䈱᭴ᚑⷐ⚛䈜䈼䈩䉕䊐䊦䊂䉳䉺䊦⵾૞䈜䉎ⴚᑼ䉕⠨᩺䈚䋬ታ㓙䈮ญ⣧ౝ䈮ⵝ⌕䈚䈢䈱䈪ႎ๔䈜䉎䋮
䇭㸈䋮㩷ᣇᴺ
ㅢᴺ䈮ᓥ䈇䋬ၮᧄ⸳⸘䋬೨ಣ⟎ᓟ䋬୘ੱ䊃䊧䊷䈮䉋䉎♖ኒශ⽎䉕ណᓧ䋬૞ᬺᮨဳ䉕⵾૞䈚䋬䉴䉨䊞䊅䊷
䋨ARCTICA㩷Scan㪅㩷KaVo䋩䈮䈩⺒䉂ㄟ䉂䋬䊯䉜䊷䉼䊞䊦૞ᬺᮨဳ䉕⵾૞䈚䈢䋮૞ᬺᮨဳ䊂䊷䉺਄䈪CAD䉸䊐䊃䉡䉣䉝䋨multi㩷CAD㪃㩷KaVo䋩䉕↪䈇䋬䉁䈝⟵ᱤᐥၮᐩㇱ䉕䊂䉱䉟䊮䈚䋬䊚䊥䊮䉫䊙䉲䊮䋨EVEREST㪅㩷KaVo䋩䉕↪䈇䈩䊧䉳䊮䊑䊨䉾䉪䋨ጊ౎ᱤ᧚Ꮏᬺ䋩䈎䉌ಾ೥ടᎿ䈚䈢䋮ᰴ䈮⟵ᱤᐥၮᐩㇱ䈱䊂䊷䉺䉕૞ᬺᮨဳ䊂䊷䉺䈫⛔ว䈚䈩䋬䊐䊧䊷䊛䊪䊷䉪⵾૞䈱䈢䉄䈱೽ᮨဳ䊂䊷䉺䈫䈚䈢䋮೽ᮨဳ䊂䊷䉺਄䈮䈩䋬䊐䊧䊷䊛䊪䊷䉪䉕CAD
䉸䊐䊃䉡䉣䉝㩿DWOS㩷PFW㪅㩷Dental㩷Wings㪀䈮䉋䉍䊂䉱䉟─ 172 ─䊮䈚䋬2⒳⚐䉼䉺䊮䊂䉞䉴䉪䈎䉌ಾ೥ടᎿ䈚䈢䋮⟵ᱤᐥၮᐩㇱ䈍䉋䈶䊐䊧䊷䊛䊪䊷䉪䈱ቢᚑᓟ䋬2䈧䈱䊌䊷䉿䉕฽൮䈚䈢ⱼឭ䉕⵾૞䈚䋬ຏวណᓧ䉕ⴕ䈦䈢䋮૞ᬺᮨဳ䋬⟵ᱤᐥၮᐩㇱ䈍䉋䈶䊐䊧䊷䊛䊪䊷䉪䉕⛔
ว䈚䈢䊂䊷䉺਄䈪⟵ᱤ⎇⏴㕙ㇱ䉕䊂䉱䉟䊮ᓟ䋬䊧䉳䊮䊑䊨䉾䉪䈎䉌ಾ೥ടᎿ䈚䈢䋮䈘䉌䈮⟵ᱤ⎇⏴㕙ㇱ䉕⛔
ว䈚䈢䊂䊷䉺਄䈮䈩ห᭽䈮ੱᎿᱤㇱ䉕䊂䉱䉟䊮䈚䋬䊊䉟䊑䊥䉾䊄䊧䉳䊮䊑䊨䉾䉪㩿ENAMIC㪅㩷VITA㪀䈎䉌ಾ೥ടᎿ䈚䈢䋮ᦨ⚳⊛䈮⵾૞䈘䉏䈢ฦ䊌䊷䉿䉕ญ⣧ౝ䈮䈩⚵┙䈩䋬ធ⌕䈮䉋䉍৻૕ൻ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䉝䉶䊮䊑䊥䊷ᑼ䈱䊂䉳䉺䊦⵾૞ⴚᑼ䉕↪䈇䉎䈖䈫䈮䉋
䉍䋬ᓥ᧪ᴺ䈫㆖⦡䈭䈇䊌䊷䉲䊞䊦䊂䊮䉼䊞䊷䉕⵾૞䈜䉎䈖䈫䈏䈪䈐䈢䋮䈚䈎䈚䈭䈏䉌䋬ᧄ⵾૞ᴺ䈲ฦ䊌䊷䉿䉕ធ⌕䈮䉋䉍৻૕ൻ䈚䈩䈇䉎䈖䈫䈎䉌䋬♖ᐲ䉇⠴ਭᕈ䈮㑐䈚䈩䈘䉌䈮චಽ䈭ᬌ⸽䈏ᔅⷐ䈫ᕁ䉒䉏䉎䋮
ᧄᴺ䈱೑ὐ䈫䈚䈩䈲䋬㽲⟵ᱤ䈱⸳⸘䉇᭴ᚑⷐ⚛䈏ⶄ㔀䈭∝଀䈪䉅⵾૞น⢻䋬㽳ฦ䊌䊷䉿䈱⚛᧚䉕⥄↱䈮ᄌᦝ䈪䈐䉎䋬㽴⟵ᱤ䈏⎕៊䋬ഠൻ䋬៺⠻䈚䈢႐ว䈮䈲䋬䊂䉳䉺䊦䊂䊷䉺䉕ၮ䈮ୃℂ↪䊌䊷䉿䈱䉂ౣ⵾૞䈚䋬੤឵ୃℂ䈏น⢻䋬╬䈏䈅䈕䉌䉏䉎䋮৻ᣇ䋬ᰳὐ䈫䈚䈩䈲䋬㽲૞ᬺᎿ⒟䈏ᄙ䈇䋬㽳ญ⣧ౝ䈪䈱⚵䉂┙䈩ᠲ૞䈮ᘠᾫ䉕ⷐ䈜䉎䋬㽴ធ⌕ಣℂ䈏ਇนᰳ䋬╬䈱໧㗴ὐ䉅ሽ࿷䈜䉎䋮䈚䈢䈏䈦䈩䋬੹ᓟ䉅䈘䉌䈭䉎ⴚᑼ䈱ᡷ⦟䋬ᡷༀ䉕ⴕ䈉䈫䈫䉅䈮䋬ญ⣧ౝ䉴䉨䊞䊮䈫䊋䊷䉼䊞䊦䉝䊷䊁䉞䉨䊠䊧䊷䉺䊷䉕ዉ౉䈚䈢䊐䊦䊂䉳䉺䊦⵾૞䉕⋡ᜰ䈜ᚲሽ䈪䈅䉎䋮䇭㸊䋮㩷ᢥ₂
1䋩 Kanazawa M, Inokoshi M, Minakuchi S,
Ohbayashi N.Trialof a CAD/CAM system forfabricating completedentures.DentMaterJ2011;
30:93㵧96.
2䋩 InokoshiM,KanazawaM,MinakuchiS.Evaluationofacompletedenturetrialmethodapplyingrapidprotot
yping.DentMaterJ2012;31:40㵧46.

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8・125 回特別号，2016

一般口演発 表㪦㪉㪄㪈㪇࿕ቯᕈ䊑䊥䉾䉳䈍䉋䈶ㇱಽᐥ⟵ᱤᖚ⠪䈱ญ⣧㑐ㅪQOL⹏ଔ䈮䈍䈔䉎ᦨዊ᦭ലᏅ䈱ᬌ⸛䂾ਛᎹ᤯テ 㪈㪀䋬ᄢ㊁䇭ᓀ 㪉㪀䋬㤥㦮㓁ሶ 㪈㪀䋬ዊጊ⛗ℂ 㪈㪀䋬ㅩဈ䇭ථ 㪈㪀䋬ᴧᧄ䇭⾫ 㪈㪀䋬ਃ㊁ථ຦ 㪈㪀䋬᳓ญ䇭৻ 㪈㪀䋬೨Ꮉ⾫ᴦ 㪈㪀䋬┄ᧁᜏ↵ 㪈㪀㪈㪀ጟጊᄢቇᄢቇ㒮කᱤ⮎ቇ✚ว⎇ⓥ⑼䉟䊮䊒䊤䊮䊃ౣ↢⵬✄ቇಽ㊁䋬 㪉㪀ጟጊᄢቇ∛㒮䇭ᣂක≮⎇ⓥ㐿⊒䉶䊮䉺䊷
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Determining Minimally Important Difference for Oral Health-related Quality of Life in Patients with Fixed
or Removable Partial Denture.
Nakagawa S 1), Kimura-ono A 2), Kurosaki Y 1), Koyama E 1), Osaka S 1), Numoto K 1), Mino T 1),
Minakuchi H 1), Maekawa K 1), Kuboki T 1)
1)
Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of
Medicine, Dentistry and Pharmaceutical Sciences, 2)Center for Innovative Clinical Medicine䋬Okayama
University Hospital㸇䋮㩷⋡⊛䇭Quality㩷of㩷life㩿QOL㪀䉕↪䈇䈩ᴦ≮䈱᦭ലᕈ䉕ᬌ⸽䈜䉎㓙䋬ਥᵹ䈫䈭䈦䈩䈇䉎䈱䈲ᴦ≮೨ᓟ䈱QOLᓧὐ䈱⛔⸘ቇ⊛᦭ᗧᏅ䉕ᬌ⸛䈜䉎ᚻᴺ䈪䈅䉎䋮䈚䈎䈚䋬
QOL᷹ቯ䈮䈲ஜᐽ⁁ᘒ䈮ᄌൻ䈏䈭䈒䈩䉅ᓧὐᏅ䈏↢䈛䉎⺋Ꮕ䈏䈅䉎䈖䈫䈏⍮䉌䉏䈩䈍䉍䋬⛔⸘ቇ⊛᦭ᗧᏅ䈱㒢⇇䈏ᜰ៰䈘䉏䈩䈇䉎䋮䈠䈚䈩ᦨㄭ䈪䈲䋬⥃ᐥ⊛䈮ᗧ๧䈱䈅䉎ᄌൻ䋬䈜䈭䉒䈤䇸ᖚ⠪䈏ᴦ≮೨ᓟ䈪᦭ല䈭ᄌൻ䈏䈅䈦䈢䈫ᗵ䈛䉎ᦨዊ䈱QOLᄌൻ㊂䋨ᦨዊ᦭ലᏅ䋩䇹䈮ၮ䈨䈐䋬⥃ᐥ⊛᦭ᗧᕈ䉕ᬌ⸛䈜䉎䈖䈫䈏᳞䉄䉌䉏䉎䉋䈉䈮䈭䈦䈢䋮䈚䈎䈚䋬ᣣᧄੱ䈮䈍䈔䉎ᦨዊ᦭ലᏅ䈏᣿䉌䈎䈮䈭䈦䈩䈇䉎ญ⣧㑐ㅪQOL⾰໧␿䈲ዋ䈭䈇䋮䇭䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬ᱤ䈱ᰳ៊䈮․⇣⊛䈭ญ⣧㑐ㅪQOL⾰໧␿ 1䋩䉕↪䈇䈩䋬䊑䊥䉾䉳䋨BR㪀䉅䈚䈒䈲ㇱಽᐥ⟵ᱤ㩿PD㪀ᴦ≮䉕ⷐ䈜䉎ዋᢙᱤᰳ៊ᖚ⠪䈱ᦨዊ᦭ലᏅ䉕▚಴䈜䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ኻ⽎䈲䋬2013ᐕ11᦬䈎䉌2015ᐕ8᦬䈮䋬ጟጊᄢቇ∛㒮䉪䊤䉡䊮䊑䊥䉾䉳⵬✄⑼䉕ฃ⸻䈚䈢ೋ⸻ᖚ⠪䈱䈉䈤䋬
8ᱤએਅ䈱ᰳ៊䈮BR䉁䈢䈲PDᴦ≮䉕ⷐ䈚䋬ᧄ⎇ⓥ䈮หᗧ䈚䈢ᖚ⠪䈫䈚䈢䋨୶ℂᆔຬળᛚ⹺⇟ภ629䋩䋮ㆬᛯၮḰ䉕ḩ䈢䈚䈢154ฬ䋨ᐔဋᐕ㦂䋺63㪅1㫧11㪅8ᱦ䋬↵㪆ᅚ䋺60㪆94ฬ䋬BR㪆PD䋺81㪆73ฬ䋩䉕⋡⊛ኻ⽎䈫䈚䋬ᴦ≮೨ᓟ䈱ญ⣧㑐ㅪQOL⹏ଔ䉕ⴕ䈦䈢䋮૶↪䈚䈢⾰໧␿䈲䋬Oral㩷Health㩷Impact㩷Profile䉕ర䈮㐿⊒䈘䉏䋬ᓧὐ䈏㜞䈇䈾䈬ญ⣧㑐ㅪQOL䈏㜞䈇䈖䈫䉕␜䈜䋮䇭 䉁 䈢 䋬 ᴦ ≮ ᓟ 䈮 䈲 Patient㩷 Global㩷 Impression㩷 of
Improvement2䋩䉕↪䈇䈩䇸㕖Ᏹ䈮ᖡൻ䇹䈎䉌䇸㕖Ᏹ䈮ᡷༀ䇹䈱7Ბ㓏䈪ᴦ≮ലᨐ䉕⹏ଔ䈚䋬ലᨐ䈭䈚䋨㕖Ᏹ䈮ᖡൻ䋯ᖡൻ䋯䉇䉇ᖡൻ䋯ᄌൻ䈭䈚䋩䋬ૐലᨐ䋨䉇䉇ᡷༀ䋩䋬㜞ലᨐ䋨ᡷༀ䋯㕖Ᏹ䈮ᡷༀ䋩䈱3⟲䈮ಽ㘃䈚䈢䋮ᦨዊ᦭ലᏅ䈱▚಴䈮䈲䋬ૐലᨐ⟲䈮䈍䈔䉎ᐔဋญ⣧㑐ㅪQOLᄌൻ㊂䉕ᦨዊ᦭ലᏅ䈫䈜䉎Anchor㪄
based㩷method3䋩䉕↪䈇䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ో䈩䈱䊂䊷䉺䈏ឥ䈦䈢⸃ᨆኻ⽎䈲BR⟲76ฬ䋨ᰳ៊ᱤᢙ䋺1㪅4㫧0㪅6ᧄ䋩䋬PD⟲68ฬ䋨ᰳ៊ᱤᢙ䋺3㪅5㫧1㪅9ᧄ䋩䈪䈅䈦䈢䋮ญ⣧㑐ㅪQOLᓧὐ䈲䋬BR⟲䈪ᴦ≮೨
49㪅3㫧12㪅1ὐ䋬ᴦ≮ᓟ54㪅4㫧9㪅6ὐ䈪䈅䉍䋬ᴦ≮ᓟ䈮᦭ᗧ䈮ᡷༀ䈚䈩䈇䈢䋨p㪔0㪅005䋩䋮䉁䈢䋬PD⟲䈪䈲ᴦ≮
೨44㪅0㫧15㪅6ὐ䋬ᴦ≮ᓟ50㪅0㫧13㪅1ὐ䈪䈅䉍䋬ᴦ≮ᓟ䈮᦭ᗧ䈭ᡷༀ䈏䉂䉌䉏䈢䋨p㪔0㪅018䋩䋮
䇭BR⟲䈮䈍䈔䉎ᴦ≮ലᨐ⹏ଔ䈪䈲䋬ലᨐ䈭䈚㪆ૐലᨐ㪆㜞ലᨐ䋺1㪆11㪆64ฬ䈪䈅䈦䈢䋮䈠䈚䈩䋬ᐔဋญ⣧㑐
ㅪQOLᄌൻ㊂䈲䋬ലᨐ䈭䈚㪆ૐലᨐ㪆㜞ലᨐ䋺㪄16㪅0㪆
9㪅2㪆4㪅8ὐ䈪䈅䉍䋬ᦨዊ᦭ലᏅ䈲9㪅2ὐ䈪䈅䈦䈢䋮
䇭PD⟲䈮䈍䈔䉎ᴦ≮ലᨐ⹏ଔ䈪䈲䋬ലᨐ䈭䈚㪆ૐലᨐ㪆㜞ലᨐ䋺2㪆9㪆57ฬ䈪䈅䈦䈢䋮ᐔဋญ⣧㑐ㅪQOL
ᄌൻ㊂䈲䋬ലᨐ䈭䈚㪆ૐലᨐ㪆㜞ലᨐ䋺㪄20㪆2㪅3㪆7㪅5ὐ䈪䈅䉍䋬ᦨዊ᦭ലᏅ䈲2㪅3ὐ䈪䈅䈦䈢䋮䇭ᦨዊ᦭ലᏅ䉕᣿䉌䈎䈮䈜䉎䈖䈫䈪䋬ዋᢙᱤᰳ៊ᖚ⠪䈮䈍䈔䉎⵬✄ᴦ≮䈱⥃ᐥ⊛᦭ᗧᕈ䉕ᬌ⸛䈜䉎䈖䈫䈏น⢻䈫䈭䈦䈢䋮䉁䈢䋬∝଀ᢙ⸳⸘䈮䈍䈔䉎ലᨐ㊂䈫䈚䈩ᦨዊ᦭ലᏅ䉕↪䈇䉎䈖䈫䈮䉋䉍䋬ญ⣧㑐ㅪQOL䉕䉝䉡䊃䉦䊛䈫䈚䈢੺౉⎇ⓥ䈮䉅ᵴ↪䈪䈐䉎䈫⠨䈋䉎䋮੹ᓟ䈲䋬ᄙᢙᱤᰳ៊䉇䉟䊮䊒䊤䊮䊃ᴦ≮䈮䈍䈔䉎ᧄ⾰໧␿䈱ᦨዊ᦭ലᏅ䉕▚಴䈚䋬ญ⣧㑐ㅪQOL⹏ଔᴺ䉕⏕┙
䈚䈢䈇䋮
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㸊䋮㩷ᢥ₂
1䋩 ጟᧄჽ৻㇢䋬㋈ᧁ⑲ౖ䋬ቢጊ䇭ቇ䈾䈎䋮ᰳ៊ᱤ೉䉕᦭䈜䉎ᖚ⠪䈮ኻ䈜䉎QOL⹏ଔ⾰໧␿䈱ା㗬ᕈ䊶ᅷᒰᕈ䈱ᬌ⸛䋮ᣣᧄ⵬✄ᱤ⑼ቇળ㔀⹹䋬
1999䋻43(4)䋺698䋭705䋮
2䋩 Yalchin L䋬Bump R. Validation of two global
impression questionnaires for incontinence. Am
J Obstet Gynecol. 2003 : 189(1) : 98-101.
3䋩 Juniper E, Guyatt G, Willan A et al. Determining
a minimal important change in a disease-specificquality of life questionnaire. J Clin Epidemiol.
1994 : 47(1) : 81-87.

─ 173 ─第 2 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪉㪄㪈㪈ᒻᘒ䈱⇣䈭䉎⟵ᱤ䈮ઃ⌕䈜䉎Candida㩷albicans㩷䈱᛫⌀⩶ᕈ⢻䈱㆑䈇䇭䂾⮮ፉ䇭ᘮ䋬᧛਄䇭ᩰ䋬ᧃᑝผ㓶䋬⷏䇭ᕶብ䋬⷏᧛ᱜብ
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㣮ఽፉᄢቇ䇭ᄢቇ㒮කᱤቇ✚ว⎇ⓥ⑼䇭ญ⣧㗶㗻㕙⵬✄ቇಽ㊁
The difference of antifungal ability of Candida albicans adhere to different denture form
Fujishima K, Murakami M, Suehiro F, Nishi Y, Nishimura M
Department of Oral and Maxillofacial Prosthodontics Graduate School of Medical and Dental Sciences
Kagoshima University㸇䋮㩷⋡⊛䇭䉦䊮䉳䉻⩶䈲⺋ྚᕈ⢖Ἳ䈱䊥䉴䉪䊐䉜䉪䉺䊷䈱৻䈧䈪䈅䉍䋬䉁䈢⟵ᱤ䈏ญ⣧ౝ䉦䊮䉳䉻⩶䈱䊥䉱䊷䊋䊷⊛஥㕙䉕ᜂ䈉䈖䈫䈏ႎ๔䈘䉏䈩䈇䉎1㪀㪅ญ⣧䉦䊮䉳䉻∝䉇⺋ྚᕈ⢖Ἳ䈱੍㒐䈮䈍䈇䈩䋬ญ⣧䉦䊮䉳䉻∝䈱ਥ∛
ේ࿃⩶䈪䈅䉎Candida㩷albicans䋨એᓟ㪃㩷C㪅㩷albicans䋩䈱ᢙ䉕ญ⣧ౝ䉋䉍㒢䉍䈭䈒ᷫዋ䈘䈞䉎䈖䈫䈲㕖Ᏹ䈮㊀ⷐ䈪䈅䉎䋮ⵍⷒ㕙Ⓧ䈱ዊ䈘䈇ㇱಽᐥ⟵ᱤ䈱☼⤑㕙䈲ోㇱᐥ⟵ᱤ䈱☼⤑㕙䉋䉍䉅ໜᶧਛ䈱᛫⩶ᕈᚑಽ䉇ᱤ⡺Ḵṡ಴ᶧ䈭䈬䈱↢૕఺∉ᯏ᭴䈱ᓇ㗀䉇㘶㘩ᤨ䈮䈍䈔䉎ญ⣧ౝ䈱᷷ᐲ䉇pH䈱ᄌേ䉕ฃ䈔䉇䈜䈇䈫⠨䈋䉌䉏䉎䈖䈫䈎䉌䋬ᚒ䇱䈲⟵ᱤ䈱ᒻᘒ䈱㆑䈇䈏ઃ⌕䈜䉎C㪅㩷 albicans䈱ᕈ⾰䈮ᓇ㗀䈚䈩䈇䉎䈱䈪䈲䈭䈇䈎䈫⌕ᗐ䈚䈢䋮䈧䉁䉍䋬C㪅㩷 albicans䈱↢⢒ⅣႺ䈫䈚䈩䈲ㇱಽᐥ⟵ᱤ☼⤑㕙䈱ᣇ䈏ోㇱᐥ⟵ᱤ☼⤑㕙䉋䉍䉅䉋䉍ㆊ㉃䈭↢⢒ⅣႺ䈪䈅䉐䈉䈫⠨䈋䉌䉏䉎䈖䈫䈎䉌䋬ᚒ䇱䈲ㇱಽᐥ⟵ᱤ☼⤑㕙䈎䉌ណข䈚䈢C㪅㩷albicans⥃ᐥಽ㔌ᩣ䈲ోㇱᐥ⟵ᱤ☼⤑㕙䈎䉌䈱䈠䉏䉋䉍䉅᛫⌀⩶ᕈ‛⾰䈮ኻ䈚䈩㜞䈇⠴ᕈ⢻䉕␜䈜䈱䈪䈲䈭䈇䈎䈫䈇䈉઒⺑䉕┙䈩䈢䋮䈠䈖䈪੹࿁ᚒ䇱䈲ᒻᘒ䈱⇣䈭䉎⟵ᱤ䈎䉌
C㪅㩷albicans⥃ᐥಽ㔌ᩣ䉕ណข䈚䈠䈱C㪅㩷albicans䈱᛫⌀⩶ᕈ⢻䈮䈧䈇䈩ᬌ⸛䉕ⴕ䈦䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ᧄ㒮⟵ᱤ⵬✄⑼ᄖ᧪䉕ฃ⸻䈘䉏䈢ᖚ⠪䈱਄㗶ోㇱᐥ⟵ᱤ16଀䈍䉋䈶ㇱಽᐥ⟵ᱤ26଀䈱ญ⬄ㇱ䈎䉌䊂䊮䉼䊞䊷䊒䊤䊷䉪䉕ណข䈚䋬㩷CHROMagarኙᄤၭ࿾䉕↪䈇䈩⥃ᐥಽ㔌ᩣ䈱ၭ㙃䉕ⴕ䈦䈢䋨㣮ఽፉᄢቇ∛㒮⥃ᐥ⎇ⓥ୶ℂᆔຬળᛚ⹺ᷣ䇭⇟ภ26䋭122䋩䋮ၭ㙃ᓟ䋬C㪅㩷albicans㩷䈫ᕁ䉒䉏䉎䉮䊨䊆䊷䉕䊏䉾䉪䉝䉾䊒䈚䋬
PCRᴺ䉕↪䈇C㪅㩷 albicans䈱หቯ䉕ⴕ䈦䈢䋮ណข䈚䈢⥃ᐥಽ㔌ᩣ䉕↪䈇䋬1䋩MIC䋨ᦨዊ⊒⢒㒖ᱛỚᐲ䋩ᴺ

─ 174 ─䈮䉋䉎amphotericinB䈮ኻ䈜䉎⠴ᕈ⹜㛎䋬2䋩᛫⩶ᵴᕈ
⹏ଔᴺ䈮䉋䉎᛫⩶ᕈᚑಽ䊍䉴䉺䉼䊮䈮ኻ䈜䉎⠴ᕈ⹜㛎䉕ⴕ䈇䋬C㪅㩷albicans䈱᛫⌀⩶ᕈ⹏ଔ䉕ⴕ䈦䈢䋮䉮䊮䊃䊨䊷䊦䈫䈚䈩䋬ℂൻቇ⎇ⓥᚲ䉋䉍⾼౉䈚䈢JCM1537ᩣ䉕↪䈇䈢䋮
䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ਄㗶ోㇱᐥ⟵ᱤ䈲16଀ਛ5଀䈎䉌䋬ㇱಽᐥ⟵ᱤ䈲26
଀ਛ5଀䈎䉌C㪅㩷albicans䈏ណข䈘䉏䋬C㪅㩷albicans䈱ណข₸䈲䈠䉏䈡䉏31㪅3㩼㪃㩷19㪅2㩼䈪䈅䈦䈢䋮JCM1537ᩣ䋬ోㇱᐥ⟵ᱤ䈭䉌䈶䈮ㇱಽᐥ⟵ᱤ䈎䉌ណข䈚䈢⥃ᐥಽ㔌ᩣ䈮䈍䈔䉎amphotericinB䈮ኻ䈜䉎ᦨዊ⊒⢒㒖ᱛỚ ᐲ 䋨 MIC 䋩 䈲 䈠 䉏 䈡 䉏 0㪅125㪃㩷 0㪅0625㪄0㪅125㪃㩷 0㪅
125㪄0㪅25䈪䈅䈦䈢䋮᛫⩶ᕈᚑಽ䊍䉴䉺䉼䊮䈮ኻ䈜䉎⠴ᕈ⹜㛎䉕ⴕ䈦䈢⚿ᨐ䋬ోㇱᐥ⟵ᱤ䉋䉍ណข䈘䉏䈢⥃ᐥಽ㔌ᩣ䈱䊍䉴䉺䉼䊮䈮ኻ䈜䉎ᐔဋ↢ሽ₸䈲54㪅9㩼㪃ㇱಽᐥ⟵ᱤ䉋䉍ណข䈘䉏䈢⥃ᐥಽ㔌ᩣ䈱ᐔဋ↢ሽ₸
䈲67㪅1㩼䈪䈅䈦䈢䋮એ਄䈱⚿ᨐ䈎䉌䋬ㇱಽᐥ⟵ᱤ☼⤑㕙䉋䉍ណข䈚䈢⥃ᐥಽ㔌ᩣ䈱ᣇ䈏ోㇱᐥ⟵ᱤ☼⤑㕙䈎䉌䈱䈠䉏䉋䉍䉅᛫⌀⩶ᕈ‛⾰䈮ኻ䈚䈩㜞䈇⠴ᕈ⢻䉕␜䈜௑ะ䈏⹺䉄䉌䉏䈢䋮ᧄ௑ะ䈲ㆊ㉃䈭↢⢒ⅣႺ
䉋䉍ណข䈘䉏䈢⥃ᐥಽ㔌ᩣ䈱ᣇ䈏᛫⌀⩶ᕈ‛⾰䈮ኻ䈚䉋䉍㜞䈇⠴ᕈ⢻䉕␜䈜䈫䈇䈉઒⺑䉕ⵣઃ䈔䉎䉅䈱䈪䈅䉎䈏䋬੹ᓟ⥃ᐥಽ㔌ᩣᢙ䉕Ⴧ䉇䈚⟵ᱤᒻᘒ䈫C㪅
albicans䈱᛫⌀⩶ᕈ‛⾰⠴ᕈ⢻䈫䈱㑐ㅪᕈ䈮䈧䈇䈩ᬌ⸛䉕ⴕ䈉ᔅⷐ䈏䈅䉎䈫⠨䈋䉌䉏䉎䋮䇭㸊䋮㩷ᢥ₂
1䋩 Jeniel E. Nett, Karen Marchillo, et. al.
Development and Validation of an In Vivo
Candida albicans Biofilm Denture Model. InfectImmun. 2010, p3650-3659

日補綴会誌

第 2 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪉㪄㪈㪉⮎೷㑐ㅪ㗶㛽უᱫ䈫᦭ᐥ⟵ᱤ䈱㑐ㅪᕈ䈮㑐䈜䉎⥃ᐥ⊛ᬌ⸛䂾ᶏ૑⋥᮸ 㪈㪀䋬㤛࿾ஜੳ 㪈㪀䋬⥓↰䇭㗉 㪈㪀䋬ᣂㇱ㇌ㅘ 㪈㪃㪉㪀䋬ጤ㦮⦟ᄥ㇢ 㪈㪀䋬᫪Ꮉ䇭ᥙ 㪈㪀䋬᦭㚍⺈੫ 㪈㪀䋬⷏ጊ⇐⟤ሶ 㪈㪀䋬㋈ᧁ໪੺ 㪈㪀䋬㋈ᧁ䇭ẖ 㪈㪀䋬ਛᎹ⒳ᤘ 㪈㪀䋬ၳᳯિⴕ 㪈㪀㪈㪀ᘮᙥ⟵Ⴖᄢቇකቇㇱᱤ⑼䊶ญ⣧ᄖ⑼ቇᢎቶ䋬 㪉㪀᧲ർᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼䊶ᱤቇㇱಽሶ䊶ౣ↢ᱤ⑼⵬✄ቇಽ㊁

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Clinical analysis on relationship between medication related osteonecrosis of the jaw (MRONJ) andremovable denture.
Kaiju N 1), Ouchi T 1), Usuda S 1), Niibe K 1,2), Iwasaki R 1), Morikawa S 1), Arima N 1), Nishiyama R 1),
Suzuki K 1), Suzuki K 1), Nakagawa T 1), Horie N 1)
1)
Department of Dentistry and Oral Surgery, Keio University School of Medicine, 2)Division of Molecular
and Regenerative Prosthodontics, Tohoku University Graduate School of Dentistry㸇䋮㩷⋡⊛䇭ォ⒖ᕈ㛽⣲≌䉇㛽☻㝃∝䈮ኻ䈚䈩䊎䉴䊐䉤䉴䊐䉤䊈䊷䊃⵾೷䋨BP⵾೷䋩䉇䊂䊉䉴䊙䊑䉕ᛩਈ䈘䉏䉎ᖚ⠪䈏ዋ䈭䈒䈭䈇䋮ᚒ䇱䈲ㆊ෰䈮BP⵾೷䈫䊂䊉䉴䊙䊑䈮䉋䉎 ⮎ ೷ 㑐 ㅪ 㗶 㛽 უ ᱫ 䋨 Medication㩷 Related
Osteonecrosis㩷of㩷the㩷Jaw㪒㩷MRONJ䋩䈫᦭ᐥ⟵ᱤ䈫䈱㑐ㅪ䉕ႎ๔䈚䈩䈐䈢䋮੹࿁MRONJ䉕⊒∝䈚䈢∝଀䉕ᬌ⸛䈜䉎䈫䈫䉅䈮䋬䈠䈱ઍ⴫∝଀䉕ឭ␜䈚䋬MRONJ∝⁁䉕᦭䈚䈢ᖚ⠪䈮ኻ䈜䉎᦭ᐥ⟵ᱤᴦ≮䈮㑐䈜䉎⥃ᐥ⊛ᬌ⸛䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ
䇭2015ᐕ1᦬䈎䉌12᦬䉁䈪䈱1ᐕ㑆䈮ᘮᙥ⟵Ⴖᄢቇ∛
㒮䈪BP⵾೷䋬䊂䊉䉴䊙䊑䉕ᛩਈ䈘䉏䈢ᖚ⠪䈱䈉䈤ᒰ㒮
ᱤ⑼ญ⣧ᄖ⑼䉕ฃ⸻䈚䈢ᖚ⠪344ฬ䉕ኻ⽎䈫䈚䈢䋮ⷰኤ㗄⋡䈫䈚䈩䈲ᕈ೎䋬ᐕ㦂䋬ⵝ⌕᦭ᐥ⟵ᱤ䈱᦭ή䋬ᛩਈ⵾೷䋬↹௝ᬌᩏ䈫䈚䈢䋮☨࿖ญ⣧ᄖ⑼ቇળ䈱⸻ᢿၮḰ䉕ర䈮MRONJ䉕⊒∝䈚䈢17ฬ䈮㑐䈜䉎⹏ଔ䉕ⴕ䈇䋬ᦝ䈮ήᱤ㗶ᖚ⠪䈮䈍䈔䉎ᴦ≮∝଀䉕᜼䈕ᬌ⸛䉕ⴕ䈦䈢䋮
䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭੹࿁䈱⚿ᨐ䈪䈲⮎೷ᛩਈᖚ⠪䈱䈉䈤↵ᕈ128ฬ䋬ᅚᕈ216ฬ䋬᦭ᐥ⟵ᱤⵝ⌕ᖚ⠪䈏113ฬ䋬ᧂⵝ⌕ᖚ⠪
䈏 231 ฬ 䈪 䈅 䈦 䈢 䋮 ᦭ ᐥ ⟵ ᱤ ⵝ ⌕ ᖚ ⠪ 䈱 䈉 䈤 䋬
MRONJ䉕⊒∝䈚䈢䈱䈲10ฬ䋬᦭ᐥ⟵ᱤᧂⵝ⌕ᖚ⠪
䈲7ฬ䈪䈅䈦䈢䋨⴫䋩䋮MRONJ⊒∝ᖚ⠪䈱䈉䈤䋬⚻ญ
ᛩਈ1ฬ䋬㕖⚻ญᛩਈ15ฬ䋬ਔ⠪૬↪䈏1ฬ䈪䈅䈦䈢䋮⮎೷ᛩਈ䈘䉏䈩䈇䈢ో૕䈱⚂ඨᢙ䉕60ઍ䋬70ઍ䈱ᐕ㦂ጀ䈏භ䉄䈩䈍䉍䋬MRONJ䈱⊒∝䉅ห᭽䈪䈅䈦䈢䋮䇭੹࿁䋬⟵ᱤᕈẩ≌䈮㘃ૃ䈚䈢ญ⣧ౝᚲ⷗䈪䈅䈦䈢䈏䋬ోり∔ᖚ䈱ᛠី䉇⥃ᐥ∝⁁䈮䉋䉍MRONJ䉕⇼䈇䋬ᣧᦼ⸻ᢿ䈚⊛⏕䈭᛫↢೷ᛩਈ䈫㛽㔺಴㕙䈮ኻᔕ䈚䈢☼⤑㕙⺞ᢛ䉕ታᣉ䈜䉎䈖䈫䈮䉋䉍MRONJᚲ⷗䈏⍴ᦼ㑆䈪ᶖᄬ䈚䈢∝଀䉕⚻㛎䈚䈢䋮䈖䈱∝଀䈮䈍䈇䈩䈲੹࿁䈱⺞ᩏኻ⽎⠪ਛ䋬໑৻⚻ญᛩਈන⁛䈪䈱MRONJ⊒∝⠪䈪䈅䈦䈢䋮ᖡᕈ⣲≌䈮ኻ䈜䉎ᛩਈᖚ⠪䈮䈍䈇䈩䈲⮎೷䈱ᛩਈਛᱛ䈲࿎㔍䈪䈅䉍䋬ᛩਈ⛮⛯ਅ䈪䈱᦭ᐥ⟵ᱤ䈱⺞ᢛ䈏ᔅⷐ䈫䈭䉎䋮䇭᦭ᐥ⟵ᱤ䈏㗶㛽უᱫ䈱⋥ធ⊛䈭ⷐ࿃䈫䈭䉎䉒䈔䈪䈲䈭䈇䈫ᕁ䉒䉏䉎䈏䋬ਇㆡว䈭᦭ᐥ⟵ᱤ䈏㗶㛽უᱫ䉕ᖡൻ䈘䈞䉎น⢻ᕈ䈲㜞䈇䋮䉁䈢䋬⟵ᱤᕈẩ≌䈫ೋᦼ䈱㗶㛽უᱫ䈱⥃ᐥ௝䈲㘃ૃ䈚䈩䈇䉎䈢䉄ోり∔ᖚ䈱ᛠី䈭䈬⊛⏕䈭⸻ᢿ䈏ᔅⷐ䈪䈅䉎䋮੹࿁䈱∝଀䈎䉌䉅⊛⏕䈭⟵ᱤ⺞ᢛ䈏ᯏ᪾⊛ೝỗ䈮䉋䉎MRONJ䈱ᖡൻ䉕ᛥ೙䈜䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Niibe K, Ouchi T, Iwasaki R et al. Osteonecrosisof the jaw in patients with dental prostheses
being treated with bisphosphonates ordenosumab. Journal of Prosthodontic Research2015 ; 59 : 3–5.
2䋩 㤛࿾ஜੳ䋬ᣂㇱ㇌ㅘ䋬ጤፒ⦟ᄥ㇢䈾䈎䋮ᰳ៊ᱤ⵬✄‛䉕᦭䈜䉎䊎䉴䊐䉤䉴䊐䉤䊈䊷䊃⵾೷෸䈶䊂䊉䉴䊙䊑ᛩਈ⠪䈱⥃ᐥ⛔⸘.ᐔᚑ26ᐕᐲᣣᧄ⵬
✄ᱤ⑼ቇળ᧲੩ᡰㇱ╙18࿁ቇⴚᄢળ䇭ᛞ㍳㓸
䇭2014 ; 28.
3䋩 㤛࿾ஜੳ䋬ᣂㇱ㇌ㅘ䋬ጤፒ⦟ᄥ㇢䈾䈎䋮⟵ᱤᐥਅ䈮⮎೷㑐ㅪ㗶㛽უᱫ䉕⊒∝䈚䈢10∝଀䈱ᰳ៊ᱤ೉䈱⹏ଔ.ᣣ⵬✄ળ⹹ 2015; 7Ꮞ ╙124࿁․೎ภ : 296.
4䋩 ੹੗⵨䋮ᣣ⵬✄ળ⹹ 2014; 6Ꮞ3ภ : 233-241ኻ⽎⠪䈮䈍䈔䉎MRONJ⊒∝⠪ᢙ䇭─ 175 ─第 2 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪉㪄㪈㪊ਅ㗶ㆆ㔌┵⟵ᱤ䈱ⵝ⌕䈏਄㗶೨ᱤ䈮ട䉒䉎ജ䈮ਈ䈋䉎ᓇ㗀䇭䂾᦭↰๟ᐔ䋬ᮭ↰⍮਽䋬೨↰⧐ା䇭䇭ᄢ㒋ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼㗶ญ⣧ᯏ⢻ౣᑪቇ⻠ᐳ᦭ᐥ⟵ᱤ⵬✄ቇ䊶㜞㦂⠪ᱤ⑼ቇ⻠ᐳInfluence of mandibular distal extension removable partial denture wearing on force applied on maxillaryanterior teeth.
Arita S, Gonda T, Maeda Y
Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate Schoolof Dentistry.

㸇䋮㩷⋡⊛䇭ਅ㗶ㆆ㔌┵ᰳ៊䈮䈍䈇䈩䋬ᰳ៊ᱤᢙ䈏Ⴧട䈜䉎䈾䈬਄㗶೨ᱤ䈱⽶ᜂ䈲Ⴧട䈚䋬䉋䉍ᰳ៊䈏᜛ᄢ䈚ຏว፣უ䈮⥋䉍䉇䈜䈇䈫⠨䈋䉌䉏䉎1䋩䋮ᰳ៊䈱᜛ᄢ䉕㒐ᱛ䈜䉎䈖䈫䈱㊀ⷐᕈ䈲એ೨䉋䉍ㅀ䈼䉌䉏䈩䈐䈢2䋩䈏䋬䈠䈱ᣇ╷䈲᣿䉌䈎䈪䈲䈭䈇䋮䇭䈠䈖䈪ᧄ⎇ⓥ䈪䈲䋬਄㗶೨ᱤ䈮ട䉒䉎ജ䈮⌕⋡䈚䋬ਅ㗶ㆆ㔌┵ᰳ៊䈮䈍䈇䈩਄㗶೨ᱤ䉕቞䉎⵬✄ᣇᴺ䉕ᬌ⸛䈜䉎䈖䈫䉕⋡⊛䈫䈚䈩ᮨဳታ㛎䉕ⴕ䈦䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ታ㛎↪ᮨဳ䈲䋬ᱤ䈱ข䉍ᄖ䈚䈏น⢻䈭਄ਅ㗶᦭ᱤ㗶ᮨဳ䋨D51FE㪄500A㪄QF䋬䊆䉾䉲䊮␠䋩䉕↪䈇䈢䋮਄㗶䈲ᰳ៊䈭䈚䋬ਅ㗶䈲ਔ஥4567ᰳ៊䈱⁁ᘒ䈫䈚ᰳ៊ㇱ㗶ႇ䈮ෘ䈘2mm䈱ᡆૃ㗶ႇ☼⤑䉕⸳ቯ䈚䈩ਔ஥ㆆ㔌┵⟵ᱤ䉕⵾૞䈚ⵝ⌕䈚䈢䋨એਅ䋬RPDⵝ⌕䈫䈜䉎䋩䋮䇭ᰴ䈮䋬ਅ㗶ਔ஥╙ੑᄢ⥓ᱤ⋧ᒰㇱ䈮⋥ᓘ4mm䋬㐳
䈘8mm䈱䉟䊮䊒䊤䊮䊃૕䉕ຏวᐔ㕙䈮ኻ䈚䈩ု⋥䈮ၒ౉䈚䋬㜞䈘4mm䈱䊍䊷䊥䊮䉫䉝䊋䉾䊃䊜䊮䊃䉕⸳⟎䈚䈩⟵ᱤ䉕ᡰᜬ䈜䉎䉟䊮䊒䊤䊮䊃䈫䈚䋬RPDⵝ⌕᧦ઙ䈪↪䈇䈢⟵ᱤ䉕ᡷᄌ䈚ⵝ⌕䈚䈢䋨એਅ䋬IRPDⵝ⌕䈫䈜䉎䋩䋮
IRPDⵝ⌕䈮䈧䈇䈩䈲䋬ຏวᤨ䈮⟵ᱤᐥ☼⤑㕙䈏⟵ᱤ䉕ᡰᜬ䈜䉎䉟䊮䊒䊤䊮䊃䈫ធ⸅䈜䉎䉋䈉䈮⺞ᢛ䈚䈢䋮䇭⸘᷹䈲䋬⟵ᱤ䈭䈚䋬RPDⵝ⌕䋬IRPDⵝ⌕䈱3᧦ઙ䉕⸳ቯ䈚䋬ਔ஥╙৻ᄢ⥓ᱤㇱ䈮49N䈱⩄㊀䉕ട䈋䈢㓙䈱਄㗶ਛಾᱤ䋬਄㗶›ᱤ䈮ട䉒䉎ജ䈮䈧䈇䈩ᬌ⸛䉕ⴕ䈦䈢䋮⸘᷹࿁ᢙ䈲ฦ᧦ઙ䈮䈧䈇䈩6࿁䈝䈧䈫䈚䈢䋮ᱤ䈮ട䉒䉎ജ䈲䋬㗠஥㕙䈫ญ⬄஥㕙䈮⾍ઃ䈚䈢2ᨎ䈱䈵䈝䉂䉭䊷䉳䈮䉋䉍ᱤ䈱䈵䈝䉂䉕⸘᷹䈚䋬ᩞᱜታ㛎䈮䉋䉍⩄㊀䈫ᱤ䈱䈵䈝䉂䈱㑐ଥ䈮䈧䈇䈩ᓧ䉌䉏䈢ᩞᱜଥᢙ䉕↪䈇䈩▚಴䈚䈢䋮䇭⛔⸘ቇ⊛⸃ᨆ䈲䋬ฦ᧦ઙ㑆䈮䈍䈔䉎ฦ䇱䈱ᱤ䈮ട䉒䉎ജ䈱Ꮕ䈮䈧䈇䈩䋬Kruskal㪄Wallisᬌቯ䉕ⴕ䈇䋬᦭ᗧᏅ䉕⹺䉄䈢႐ว䈮䈲Bonferroniᴺ䉕↪䈇䈩ᄙ㊀Ყセ䉕ⴕ䈦䈢㩿P㪓0㪅05㪀䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭਄㗶ਛಾᱤ䋬਄㗶›ᱤ䈫䉅䈮䋬⟵ᱤ䈭䈚䋬RPDⵝ
⌕䋬IRPDⵝ⌕䈱㗅䈮䋬ᱤ䈮ട䉒䉎ജ䈏᦭ᗧ䈮ዊ䈘䈒
䈭䈦䈢䋨P㪓0㪅05䋩䋮଀䈫䈚䈩䋬࿑䈮਄㗶ਛಾᱤ䈮ട䉒䉎ജ䉕␜䈜䋮䇭એ਄䈱䈖䈫䈎䉌䋬ㆆ㔌┵ᰳ៊䈏ㅴⴕ䈚䈢⁁ᘒ䈮䈍䈇䈩䋬น᠗ᕈ⟵ᱤ䈮䉋䉍䋬⥓ᱤㇱ䈱ຏวᡰᜬ䉕ᓧ䉎䈖䈫䈪਄㗶೨ᱤ䈱⽶ᜂ䈏ᷫዋ䈜䉎น⢻ᕈ䈏␜䈘䉏䈢䋮䉁䈢䋬䉟䊮䊒䊤䊮䊃ᡰᜬ⟵ᱤ䈮䉋䉍䋬䈘䉌䈮਄㗶೨ᱤ䈱⽶ᜂ䈲ᷫዋ䈜䉎䈖䈫䈎䉌䋬਄㗶೨ᱤ䉕቞䉎᦭ല䈭ᚻᲑ䈫䈭䉎䈫⠨䈋䉌䉏䋬ᰳ៊䈱᜛ᄢ䉕㒐ᱛ䈜䉎⵬✄ᴦ≮䈮䈭䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂1䋩 ች࿾ᑪᄦ䋮ᰳ៊ᱤ೉䈱⹏ଔ䈫䊥䉴䉪੍᷹䋺਄ਅ㗶ᱤᢙ䈱䉝䊮䊋䊤䊮䉴䈫䈠䈱䊥䉴䉪䋮ᣣ⵬✄ળ⹹
2013;5(1):21-27.
2䋩 ೨↰⧐ା䋮ᰳ៊䉕᜛ᄢ䈚䈭䈇⵬✄䉕⋡ᜰ䈚䈩䋺5ᐕએ਄䈱䊜䉟䊮䊁䊅䊮䉴∝଀䈱ⷰኤ⚿ᨐ䈎䉌䋮ᣣ⵬✄ળ⹹ 2012; 4(2): 178-182.

࿑䋮਄㗶ਛಾᱤ䈮ട䉒䉎ജ䇭

─ 176 ─日補綴会誌

第 2 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪉㪄㪈㪋䉟䊮䊒䊤䊮䊃ᡰᜬ䊉䊮䊜䉺䊦䉪䊤䉴䊒⟵ᱤ䈱∝଀䂾◉ፒ㓁੺ 㪈㪀䋬ጊญ㓶৻㇢ 㪈㪀䋬᧻ᶆዏᔒ 㪈㪀䋬ၔᚭኡผ 㪉㪀䋬૒⮮ඳା 㪈㪀

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㪈㪀
⑔ጟᱤ⑼ᄢቇຏวୃᓳቇ⻠ᐳ౰ᯅ⟵ᱤቇಽ㊁䋬 㪉㪀⑔ጟᱤ⑼ᄢቇຏวୃᓳቇ⻠ᐳญ⣧䉟䊮䊒䊤䊮䊃ቇಽ㊁䇭䇭

A case report. Treatment of implant-supported non metal clasp removable partial overdenture.
Shinozaki Y 1), Yamaguchi Y 1), Matsuura T 1), Kido H 2), Sato H 1)
1)
Department of Oral Rehabilitation, Section of Fixed Prosthodontics, Fukuoka Dental College, 2)
Department of Oral Rehabilitation, Section of Oral Implantology, Fukuoka Dental College㸇䋮㩷⋡⊛ㄭᐕᱤ‎ᰳ៊䈮䈍䈔䉎⵬✄ᴦ≮䈮䈍䈇䈩䈲᦭ᐥ⟵ᱤ䋬䊑䊥䉾䉳䋬䉟䊮䊒䊤䊮䊃⵬✄䈭䈬䈱ᴦ≮ᣇᴺ䈏᜼䈕䉌䉏䉎䋮䉟䊮䊒䊤䊮䊃⵬✄䉕ㆬᛯ䈜䉎႐ว䈲ᰳ៊ㇱ㗶ႇ䈱㛽㊂䈏ᚑഞ䈱ᄢ䈐䈭ⷐ࿃䈫䈭䉎䋮චಽ䈭㛽㊂䈏
ᓧ䉌䉏䈭䈇႐ว䈲㛽ౣ↢⺃ዉᴺ䋨GBR䋩䉕ⴕ䈇䋬䉟䊮䊒䊤䊮䊃ၒ౉䉕ⴕ䈉䋮ု⋥⊛䉅䈚䈒䈲ዪᚲ⊛䈭᳓ᐔ⊛䈭㛽ๆ෼䈱႐ว䈲GBR䉕ⴕ䈉䈖䈫䈪චಽ䈭㛽㊂䉕⏕଻น⢻䈪䈅䉎䈏䋬ᐢ▸࿐䈮䉒䈢䉎㗶ႇ᏷䈱ๆ෼䈮㑐䈚䈩䈲ᄢដ䈎䉍䈭㛽⒖ᬀᚻⴚ䈏ᔅⷐ䈫䈭䉎䋮䈖䈱䉋䈉䈭∝଀䈪䈲䋬䉟䊮䊒䊤䊮䊃ᡰบ䈱䉥䊷䊋䊷䊂䊮䉼䊞䊷䉅1䈧䈱ᴦ≮ᣇᴺ䈫䈭䈦䈩䈒䉎䋮੹࿁ਅ㗶Ꮐ஥⥓ᱤㇱ䈮䉟䊮䊒䊤䊮䊃ᴦ≮䉕ⴕ䈇䋬䉟䊮䊒䊤䊮䊃ᡰᜬ䉥䊷䊋䊷䊂䊮 䉼 䊞 䊷 䋨 Implant㪄supported㩷 removable㩷 partial
denture䋩䈮䈩ᴦ≮䉕ⴕ䈦䈢∝଀䉕⚻㛎䈚䈢䈱䈪ႎ๔
䉕ⴕ䈉䋮
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ᖚ⠪䈲64ᱦᅚᕈ䋮ਅ㗶Ꮐ஥⥓ᱤㇱ䉟䊮䊒䊤䊮䊃ᴦ≮Ꮧᦸ䈮䈩ᐔᚑ22ᐕ5᦬ᒰ⑼ೋ⸻䋮⃻∛ᱧ䋺10ᐕ೨䈮ਅ㗶Ꮐ஥╙ੑዊ⥓ᱤ䋬╙৻ᄢ⥓ᱤᛮᱤ䋮䈎䈎䉍䈧䈔
ᱤ⑼ක㒮䈮䈩ᐔᚑ22ᐕ5᦬䈮ਅ㗶Ꮐ஥╙ੑ䋬╙ਃᄢ⥓ᱤᛮᱤ䋮ᐔᚑ22ᐕ11᦬CT᠟ᓇ䉕ⴕ䈇䋬䉟䊮䊒䊤䊮䊃ၒ౉䈮㛽㊂䈏ਇචಽ䈪䈅䉎䈖䈫䋬GBR䈱ᔅⷐᕈ䉕⺑᣿䋮ᖚ⠪ᧄੱ䈱Ꮧᦸ䈮䉋䉍GBRή䈚䈪䈱䉟䊮䊒䊤䊮䊃ᡰบ䉥䊷䊋䊷䊂䊮䉼䊞䊷ᴦ≮䉕ⴕ䈉䈖䈫䈫䈚䈢䋮ᐔᚑ23ᐕ1᦬䈮⋥ᓘ4㪅0mm䋬㐳䈘7mm䈱䉟䊮䊒䊤䊮䊃1ᰴᚻⴚ䉕ᣉⴕ䋮หᐕ4᦬䈮2ᰴᚻⴚ䉕ⴕ䈦䈢䋮ᐔᚑ23ᐕ10

─ 177 ─᦬䈮䉟䊮䊒䊤䊮䊃䊨䊷䉬䊷䉺䉝䉺䉾䉼䊜䊮䊃䈮䉋䉎䊉䊮䊜䉺䊦䉪䊤䉴䊒⟵ᱤ䈱૞⵾䉕ⴕ䈇䋬ቯᦼ⊛䈭䊜䉟䊮䊁䊅
䊮䉴䈮⒖ⴕ䋮ᐔᚑ26ᐕ10᦬䈮⟵ᱤᐥ䈱ᄌ⦡䉕ℂ↱䈮ᣂ⟵ᱤ૞⵾䉕ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤቯᦼ⊛䈭䊜䉟䊮䊁䊅䊮䉴䈮⒖ⴕᓟ䈲䉝䉺䉾䉼䊜䊮䊃䈱⣕㔌䋬⟵ᱤ䈮䉋䉎−∩╬䈱⥄ⷡ∝⁁䉅䈭䈒4ᐕ⚻ㆊ䈚䈢䋮⟵ᱤᐥㇱ䈱ᄌ⦡䈮䉋䉍⟵ᱤ䈱ౣ૞⵾䉕ⴕ䈦䈢䈏䋬ᯏ⢻㕙䈪䈲໧㗴䈲⹺䉄䈭䈎䈦䈢䋮੹࿁䉟䊮䊒䊤䊮䊃䉕ᡰบ䈫䈚䈢䊉䊮䊜䉺䊦䉪䊤䉴䊒⟵ᱤ䈮䉋䉎ᴦ≮䉕⚻
㛎䈚䋬4ᐕ䉕⚻䈢䈏ᖚ⠪䈱ਇᔟᗵ䋬ᯏ⢻㕙䈮㑐䈚䈩䉅໧㗴䈭䈒⚻ㆊ䈚䈩䈇䉎䋮䊉䊮䊜䉺䊦䉪䊤䉴䊒⟵ᱤ䈮හᤨ
㊀ว䊧䉳䊮䈲ൻቇ⊛䈮⚿ว䈏࿎㔍䈪䈅䉎䈏䋬⟵ᱤ☼⤑㕙䈮䉝䊮䉻䊷䉦䉾䊃䉕૞⵾䈚䉝䉺䉾䉼䊜䊮䊃䈫⟵ᱤ䈱ᯏ᪾⊛⚿ว䉕᳞䉄䈢䈢䉄䋬✭䉂䉅䈭䈒⚻ㆊ䈲⦟ᅢ䈪䈅䉎䋮䉁䈢䋬䉟䊮䊒䊤䊮䊃䈮㑐䈚䈩䉅ၒ౉ᓟ5ᐕ⚻ㆊ䋮๟࿐㛽䈱ๆ෼䉅⹺䉄䉌䉏䈝⚻ㆊ䈲⦟ᅢ䈪䈅䉎䈫⠨䈋䉎䋮䉟䊮䊒䊤䊮䊃䉕ᡰบ䈫䈚䈢䉥䊷䊋䊷䊂䊮䉼䊞䊷ᴦ≮䉕ㆬᛯ䈚䈢䈖䈫䈪䋬ᄢⷙᮨ䈭㛽⒖ᬀ䉕ⴕ䉒䈝䈮䋬ᯏ⢻⊛䋬ክ⟤⊛䈮䉅ਇ⥄↱䈱䈭䈇ᴦ≮䈏น⢻䈪䈅䈦䈢䈏䋬੹ᓟ䈘䉌䈭䉎㐳ᦼ⊛䈭⚻ㆊ䉕ⷰኤ䈜䉎ᣇ㊎䈪䈅
䉎䋮
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1䋩 Advanced Removable Partial Dentures 1999
James S. Brudvik .

第 2 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪉㪄㪈㪌㗶ႇᒻᘒ䈫ຏวធ⸅䈏䉟䊮䊒䊤䊮䊃䉥䊷䊋䊷䊂䊮䉼䊞䊷䈱ᡰᜬ⚵❱䈮ਈ䈋䉎ജቇ⊛ᓇ㗀䇭䂾ౝጊ⡛਽䋬㜞ጊ⧐ᐘ䋬ᮮጊᢕ㇢䇭䇭ർᶏ㆏ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼ญ⣧ᯏ⢻ቇ⻠ᐳญ⣧ᯏ⢻⵬✄ቇᢎቶ
Mechanical effects of the shape of alveolar ridges and occlusal contacts on supporting tissue of implant
overdentures
Uchiyama S, Takayama Y, Yokoyama A
Department of Oral Functional Prosthodontics, Division of Oral Functional Science, Graduate School of
Dental Medicine, Hokkaido University㸇䋮㩷⋡⊛ήᱤ㗶ᖚ⠪䈮ኻ䈜䉎䉟䊮䊒䊤䊮䊃䉥䊷䊋䊷䊂䊮䉼䊞䊷䋨એਅIOD䋩䈲᦭ല䈭⵬✄ಣ⟎䈪䈅䉎䈖䈫䈏ႎ๔䈘䉏䈩䈇䉎䋮䈚䈎䈚䋬⪺䈚䈇㗶ႇๆ෼䈏⹺䉄䉌䉏䉎∝଀䈮
䈍䈔䉎IOD⵬✄䈲䋬⟵ᱤ䈮ട䉒䉎᳓ᐔᣇะ䈱ജ䈏Ⴧᄢ䈚㪃㩷 䉟䊮䊒䊤䊮䊃䈏⽶ᜂㆊ㊀䈫䈭䉎䈖䈫䈏ෂᗋ䈘䉏䉎䋮৻ᣇ䋬IOD䈮ઃਈ䈜䈼䈐ຏวធ⸅䈮䈧䈇䈩䈱ႎ๔䈲ዋ䈭䈇䋮䈠䈖䈪Ṷ⠪䉌䈲䋬㗶ႇᒻᘒ䈫ਅ㗶஥ᣇㆇേᤨ䈱ຏวធ⸅䈏IOD䈱ᡰᜬ⚵❱䈮ਈ䈋䉎ജቇ⊛ᓇ㗀䉕᦭㒢ⷐ⚛⸃ᨆ䈮䉋䉍ᬌ⸛䈚䈢䋮䇭㸈䋮㩷ᣇᴺਅ㗶ήᱤ㗶䉕ᗐቯ䈚䋬Ꮐฝ䈱›ᱤ⋧ᒰㇱ䈮䉟䊮䊒䊤
䊮䊃䉕2ᧄၒ౉䈚䈩䊨䉬䊷䉺䊷䉝䉺䉾䉼䊜䊮䊃䉕੺䈚䈢
IOD⵬✄䊝䊂䊦䉕૞⵾䈚䈢䋮㗶ႇᒻᘒ䈫䈚䈩ๆ෼䈱ዋ䈭䈇䉅䈱䋨એਅ䊝䊂䊦N䋩䈫䋬䊝䊂䊦N䈱ඨಽ⒟ᐲ䈱㜞䈘䉁䈪ๆ෼䈚䈢䉅䈱䋨એਅ䊝䊂䊦A䋩䈱2䈧䈱䊝䊂䊦䉕૞⵾䈚䈢䋨࿑1䋬2䋩䋮⟵ᱤ䈲ੱᎿᱤ䉕⋭⇛䈚䈩䉝䉪䊥䊦䊧䉳䊮䈱䉂䈫䈚䈢䋮䊝䊂䊦䈱᜔᧤᧦ઙ䈲䋬਄㗶ᄤὼᱤᱷሽ䉕ᗐቯ䈚䈢䋬ᄤὼᱤ䈫ห᭽䈱ⵍ࿶ᄌ૏ᕈ䉕᦭䈜䉎䉴䊒䊥䊮䉫䉕੺䈚䈩ຏว㕙䉕᜔᧤䈚䋬ਅ㗶㗡䈮䈲㗶㑐▵䈫ห᭽䈱ⵍ࿶ᄌ૏ᕈ䉕᦭䈜䉎䉴䊒䊥䊮䉫䉕੺䈚䈩᜔᧤䈚䈢䋮⟵ᱤ䈫☼⤑㑆䋬䈍䉋䈶䊨䉬䊷䉺䊷䉝䉺䉾䉼䊜䊮䊃䈱䊜䊷䊦䋬䊐䉞䊜䊷䊦㑆䈮䈲ធ⸅ⷐ⚛䉕ዉ౉䈚䋬䈠䉏䈡䉏0㪅02䋬0㪅4䈱៺ᡂଥᢙ䉕⸳ቯ䈚䈢䋮⩄㊀᧦ઙ䈲䋬ਅ㗶㛽䈱ຏ╭䋬஥㗡╭䋬ᄖ஥⠢⓭╭䋬ౝ஥⠢⓭╭䋬㗶ੑ⣻╭䈱஗ᱛㇱ૏䈮⩄㊀ὐ䉕⸳ቯ䈚䋬ਛᔃຏว૏䈪䈱䈎䉂䈚䉄䋨એਅCO䋩䋬䈍䉋䈶Ꮐ஥ᣇㆇേ
ᤨ䋨એਅLO䋩䈱╭䈱෼❗ജ䉕ᗐቯ䈚䈢⩄㊀䉕ട䈋䈢
1䋩䋮LOᤨ䈱ຏวធ⸅䈲䋬ਔ஥ᕈᐔⴧ䉕ઃਈ䈚䈢䊥䊮䉧䊤䉟䉵䊄䉥䉪䊦䊷䉳䊢䊮䋨એਅLO㪄B䋩䋬 ஥ᕈᐔⴧ䈱䊥䊮䉧䊤䉟䉵䊄䉥䉪䊦䊷䉳䊢䊮䋨એਅLO㪄U䋩䋬›ᱤ⺃ዉ䋨એਅLO㪄C䋩䈱3䈧䈫䈚䈢䋮⩄㊀㊂䈲䊝䊂䊦N䈮䈍䈇䈩IOD䈱ຏว㕙䈮ว⸘⚂130N䈱⩄㊀䈏ട䉒䉎䉋䈉䈮ⷙቯ䈚䋬㗶ႇ☼⤑䈫㗶㑐▵䈪䈱ᔕജ䋬䈍䉋䈶䉟䊮䊒䊤䊮䊃๟࿐䈱㛽䈮䈍䈔䉎䈵䈝䉂ಽᏓ䉕⸃ᨆ䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
䊝䊂䊦A䈪䈲䊝䊂䊦N䈫Ყセ䈚䋬ᦨᄢ⋧ᒰᔕജ䈫ᦨᄢ⋧ᒰ䈵䈝䉂䈏⚂20㪄50㩼Ⴧട䈚䈢䋮䉟䊮䊒䊤䊮䊃๟࿐㛽䈱ᦨᄢ䈵䈝䉂䈲䋬⊹⾰㛽䈪䈲ో䈩䈱᧦ઙ䈪Frost䈱ឭ໒䈜䉎↢૕ജቇ⊛䈮ㆡᱜ䈫䈘䉏䉎ᦨᄢ୯㩿3000
microstrain㪀2䋩એਅ䈣䈦䈢䈏䋬LO㪄U䈪஥ᣇ⩄㊀䉕ട䈋䈢ᤨ䈮䉟䊮䊒䊤䊮䊃๟࿐䈱ᶏ✎㛽䈪䈲䊝䊂䊦N䋬A౒
䈮㩷3000㩷microstrain㩷䉕⿥䈋䈢䋮ห৻䈱㗶ႇᒻᘒ䋬⩄㊀᧦ઙ䈪䈲䋬䉟䊮䊒䊤䊮䊃๟࿐䈱㛽䈮䈍䈔䉎䈵䈝䉂䈱ᦨᄢ୯䈲LO㪄U䋬LO㪄C䋬LO㪄B䈱㗅䈪䋬☼⤑䈪䈱ᔕജ䈱ᦨᄢ୯䈲LO㪄U䋬LO㪄B䋬
LO㪄C䈱㗅䈪䋬㗶㑐▵䈪䈱ຏว࿶⽶ᜂ䈲LO㪄C䋬LO㪄
U䋬LO㪄B䈱㗅䈪ᄢ䈐䈒䈭䈦䈢䋮䈖䉏䉌䈱⚿ᨐ䈎䉌䋬⪺䈚䈇㗶ႇๆ෼䈏⹺䉄䉌䉏䉎∝଀䈪䈲䋬㗶ႇๆ෼䈱ዊ䈘䈇∝଀䈫Ყ䈼䉎䈫䋬஥ᣇ⩄㊀ᤨ
䈱䉟䊮䊒䊤䊮䊃䈱⽶ᜂ䈏Ⴧᄢ䈜䉎䈖䈫䈏␜䈘䉏䈢䋮ຏวធ⸅䈮䈧䈇䈩䈲䋬䉟䊮䊒䊤䊮䊃䈱⽶ᜂシᷫ䉕㊀ⷞ䈜䉎႐ว䈲LO㪄B䋬㗶ႇ䈱⽶ᜂシᷫ䉕㊀ⷞ䈜䉎႐ว䈲
LO㪄C䈏ᅢ䉁䈚䈇䈫⠨䈋䉌䉏䈢䋮䉁䈢䋬LO㪄U䈪䈲㗶ႇ䈍䉋䈶䉟䊮䊒䊤䊮䊃෺ᣇ䈱⽶ᜂ䈏Ⴧᄢ䈜䉎น⢻ᕈ䈱䈅䉎䈖䈫䈏␜䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Korioth TWP䋬Hannam AG䋮Deformation of the
Human Mandible During Simulated Tooth
Clenching䋮J Dent Res 1994䋻73䋺56-66䋮
2䋩 Frost HM 䋮 Bone's mechanostat 䋺 A 2003
update䋮 Anat Rec A Discov Mol Cell Evol Biol
2003䋻275䋺1081-1101䋮

࿑1䇭䇭䇭䇭䇭䇭䇭䇭䇭䇭䇭䇭䇭䇭࿑2
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─ 178 ─日補綴会誌

第 2 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪉㪄㪈㪍⥃ᐥ䈮䈍䈔䉎䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷✭䉂䈱ⷰኤ㵪਄ㇱ᭴ㅧⵝ⌕䈎䉌1ㅳ㑆ᓟ䈱⹏ଔ㵪䂾ൎ↰ᐽᒄ 㪈㪀䋬◉ේ㓉੺ 㪈㪀䋬ዊỈ䇭⺈ 㪈㪀䋬਄↰৻ᒾ 㪉㪀䋬ᷰㆺᢥᒾ 㪈㪀

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ᣣᧄᱤ⑼ᄢቇᣂẟ↢๮ᱤቇㇱᱤ⑼⵬✄ቇ╙2⻠ᐳ䋬 㪉㪀ᣣᧄᱤ⑼ᄢቇᣂẟ∛㒮ญ⣧䉟䊮䊒䊤
䊮䊃⑼
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Observation of abutment screw loosening at clinical practice.
㵨 Assessment at one week after implant-supported crown setting –Katsuta Y 1), Shinohara R 1), Ozawa M 1), Ueda K 2), Watanabe F 1)
1)
Department of Crown and Bridge Prosthdontics, The Nippon Dental Univ. School of Life Dentistry at
Niigata, 2)Oral Implant Care Unit, The Nippon Dental Univ.Niigata Hospital㸇䋮㩷⋡⊛䇭䉟䊮䊒䊤䊮䊃ᴦ≮䈮䈍䈔䉎⵬✄⊛஧⊒∝䈱1䈧䈫䈚䈩䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷䈱✭䉂䈏䈅䉎䋮䈖䈱✭䉂䉕᡼⟎䈜䉎䈫䋬䈵䈇䈩䈲਄ㇱ᭴ㅧ䈱⣕㔌䉇⎕៊䈭䈬䈱ᓟ⛯⊛䈭ว૬∝䉕૬⊒䈜䉎䋮䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷䈱✭䉂䈮䈧䈇䈩䈲ㆊ෰䈮䉅䈘䉁䈙䉁䈭⎇ⓥ䉇ႎ๔䈏䈭䈘䉏䈩䈇䉎䈏䋬ታ㓙䈱ญ⣧ౝ䈮䈍䈔䉎਄ㇱ᭴ㅧⵝ⌕ᓟ䈱䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷䈱✭䉂䈮㑐䈜䉎ႎ๔䈲ዋ䈭䈇䋮䈠䈖䈪ᚒ䇱䈲䋬䉟䊮䊒䊤䊮䊃ᴦ≮ᓟ䈱ᖚ⠪䈱ญ⣧ౝ䈮䈍䈇䈩਄ㇱ᭴ㅧⵝ⌕ᓟ䈱䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷䈱✦⚿⁁ᘒ䉕᷹ቯ䈚䋬✭䉂䈏↢䈛䉎䈎䉕⏕⹺䈜䉎䈢䉄䋬ฦ⒳䉟䊮䊒䊤䊮䊃䉲䉴䊁䊛䉕ኻ⽎䈮਄ㇱ᭴ㅧⵝ⌕ᤨ䈫1ㅳ㑆⚻ㆊᓟ䈮䈍䈔䉎⚻ᤨ⊛䈭䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷䈱✭䉂䉕ᬌ⸽䈜䉎䈖䈫䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ᧄቇᣂẟ∛㒮ญ⣧䉟䊮䊒䊤䊮䊃⑼䈮䈩䋬ᣂⷙ䈮䉻䉟䊧䉪䊃᭴ㅧ䉕᦭䈜䉎䉴䉪䊥䊠䊷䊥䊁䉟䊮ᑼ਄ㇱ᭴ㅧ䉕ⵝ⌕䈜䉎ᖚ⠪䈪䋬ᧄ⎇ⓥ䈮หᗧ䈏ᓧ䉌䉏䈢6∝଀14⵬
✄‛䉕⎇ⓥኻ⽎䈫䈚䈢䋮૶↪䈚䈢䉟䊮䊒䊤䊮䊃䉲䉴䊁䊛䈲CAMLOG䋨K㩷 series䋩䋬Straumann䋨Tissue㩷 level䋬
Bone㩷level䋩䋬Dentsply䋨Osseo㩷speed䋩䈱3␠䈫䈚䈢䋮䇭਄ㇱ᭴ㅧ䈱ⵝ⌕䈮㓙䈚䋬ຏว⺞ᢛ䈫ᦨ⚳⎇⏴䉁䈪ⴕ䈦䈢⵬✄‛䉕ᱤ⑼↪䉟䊮䊒䊤䊮䊃ᚻⴚౕེ
newton㪄1䋨એਅnewton㪄1䋬੩ㇺᯏ᪾Ꮏౕᩣᑼળ␠
KTC䋩䉕䊃䊦䉪᷹ቯེ䈫䈚䈩↪䈇䋬䊜䊷䉦䊷ⷙቯ✦⚿୯䈮䈩䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷䉕✦⚿䈚਄ㇱ᭴ㅧ䉕ㅪ⚿࿕ቯ䈚䈢䋨䋽✦⚿䊃䊦䉪୯䋩䋮✦⚿ᓟ䋬䉝䉪䉶䉴䊖䊷䊦䈲✎⃿䈫䊂䊠䊤䉲䊷䊦䈮䈩઒ኽ䈚䈢䋮ᖚ⠪䈮䈲㘩੐䈱೙㒢䈭䈒ㅢᏱㅢ䉍ㆊ䈗䈚䈩䈇䈢䈣䈐䋬1ㅳ㑆ᯏ⢻䈘䈞䈢ᓟ䈱᧪㒮ᤨ䈮䋬newton㪄1䉕↪䈇䈩ㅒ࿁ォ䈮䈩䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷䉕✭䉄䉎㓙䈱䊃䊦䉪୯䉕᷹ቯ䈚䈢䋨䋽✭䉂䊃䊦䉪୯䋩䋮✦⚿䊃䊦䉪୯䈫1ㅳ㑆⚻ㆊᓟ䈱✭䉂䊃䊦䉪୯䉕Ყセ䈚䋬⊖ಽ₸䈮䈩✭䉂䈱⊒↢䉕▚಴䈚䈢䋨䋽䊃䊦䉪ᷫዋ₸䋩䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ฦ∝଀䈱ⵝ⌕1ㅳ㑆ᓟ䈮䈍䈔䉎䊃䊦䉪ᷫዋ₸䈲䋬ᦨ
ᄢ49㪅5䋦䈪䈅䉍ో∝଀䈱ᐔဋ䊃䊦䉪ᷫዋ₸䈲31㪅2䋦䈪䈅䈦䈢䋮14୘䈱⵬✄‛䈱䈉䈤1䈧䈱⵬✄‛䈮䈧䈇䈩䈲䋬✦⚿ᤨ䈱䊃䊦䉪୯䉋䉍✭䉄䈢㓙䈱䊃䊦䉪୯䈱ᣇ䈏ᄢ䈐䈇୯䉕↢䈛䈢䋮䇭ᧄ⎇ⓥ䉋䉍䋬਄ㇱ᭴ㅧ䉕ⵝ⌕䈚䈩1ㅳ㑆ᓟ䈫䈇䈉Ყセ⊛⍴ᦼ㑆䈪䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷䈱✭䉂䈏↢䈛䉎䈖䈫䈏᣿䉌䈎䈫䈭䈦䈢䋮✭䉂䈱⒟ᐲ䈲∝଀䉇䉟䊮䊒䊤䊮䊃䉲䉴䊁䊛䈮䉋䉍⇣䈭䉍䋬ㅪ⚿᭴ㅧ䈱㆑䈇䉇䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷䈻䈱ᔕജ䈱વ䉒䉍ᣇ䈱㆑䈇䈣䈔䈪䈭䈒䋬๰ྨ࿁ᢙ䉇ຏว⁁ᘒ䈱㆑䈇䋬ၒ౉૏⟎䋬ⵝ⌕ㇱ૏䋬ㆡว⁁ᘒ䈭䈬䈏㑐ਈ䈚䈩䈇䉎䈫⠨䈋䉌䉏䉎䋮ญ⣧ౝ䈪䈱ⵝ⌕ᓟ䈮䈍䈔䉎䉝䊋䉾䊃䊜䊮䊃䉴䉪䊥䊠䊷䈱✭䉂䈮䈧䈇䈩䈲䋬䈘䉁䈙䉁䈭ⷐ࿃䈏㑐ਈ䈜䉎䈢䉄䋬ᧄ⎇ⓥ䈱⚿ᨐ䈎䉌✭䉂䈱ේ࿃䉕⚿⺰ઃ䈔䉎䈱䈲㔍䈚䈇䈏䋬੹ᓟ䋬∝଀ᢙ䉕Ⴧ䉇䈜䈖䈫䈪ຏว⁁ᘒ䋬ㇱ૏䈱㆑䈇䈮䉋䉎⹏ଔ䉇䋬ⵝ⌕ᓟ䈱⚻ㆊᦼ㑆䉕ᄌ䈋䉎䈖䈫䈪䈘䉌䈭䉎ᬌ⸛䉕ട䈋䈩䈇䈐䈢䈇䋮䇭㸊䋮㩷ᢥ₂
1䋩 ⪤ේ⧐ᐘ䋺⵬✄ቇ⊛䈭䉰䉟䊮䈪⷗ᛮ䈒䇭䉟䊮䊒䊤䊮䊃䈱㊀◊ว૬∝䋨╙2࿁䋩䇭࿕ቯᕈ⵬✄ⵝ⟎䈮㑐ㅪ䈜䉎ว૬∝䇭䉴䉪䊥䊠䊷࿕ቯ਄ㇱ᭴ㅧ䈱✭䉂䈮㑐䈜䉎ว૬∝䋮 Quintessence Dent Imp䋮
2013䋻 20(2)䋺124-132䋮
✦⚿1ㅳ㑆ᓟ䈱䊃䊦䉪ᷫዋ₸䇭─ 179 ─第 2 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪉㪄㪈㪎ਅ㗶ㆆ㔌┵3ᱤᰳ៊䊝䊂䊦䈮䈍䈔䉎࿕ቯᕈ䉟䊮䊒䊤䊮䊃⟵ᱤ䈱ജቇ⊛⸃ᨆ
䂾቟↰⵨ᐽ䋬ᄢጊື↢䋬ਛᨋ᤯਽䋬↰ᚲ㉿⟤䋬ᷦ⼱ືാ䋬⍹੗䇭ᜏ䋬ᄢᨋ⟤Ⓞ䋬㥲⮮੖᦬䋬⍹਄෹ᒾᣣᧄᄢቇᱤቇㇱᱤ⑼⵬✄ቇ╙㸈⻠ᐳ

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Mechanical analysis of implant fixed dentures in mandibular free-end defect model
Yasuda H, Ohyama T, Nakabayashi S, Tadokoro S, Shibuya N, Ishii T, Obayashi M, Saito S, Ishigami T
Department of Partial Denture Prosthodontics, Nihon University School of Dentistry㸇䋮㩷⋡⊛䉟䊮䊒䊤䊮䊃ᴦ≮䈮䈍䈇䈩䈲䋬䉟䊮䊒䊤䊮䊃૕䈱ၒ౉ᢙ䈫ၒ౉૏⟎䈮઻䈉⵬✄ⵝ⟎䋬䈜䈭䉒䈤਄ㇱ᭴ㅧ䈱ᒻᘒ䈱㆑䈇䈏䋬੍ᓟ䈮ᄢ䈐䈒ᓇ㗀䈜䉎䋮䈠䈖䈪ᧄ⎇ⓥ
䈲䋬ਅ㗶 ஥ㆆ㔌┵3ᱤᰳ៊∝଀䈮䈍䈇䈩࿕ቯᕈ䉟䊮䊒䊤䊮䊃⟵ᱤ䉕↪䈇䈩ಣ⟎䉕ⴕ䈦䈢႐ว䉕ᗐቯ䈚䋬↢૕䈮䈍䈔䉎ི䉂䈚䉄ᤨ䈱╭෼❗䉕⠨ᘦ䈚䈢ਃᰴర᦭㒢ⷐ⚛ᴺ䉕↪䈇䈩䋬ᰳ៊ㇱ㗶ႇ䈻䈱䉟䊮䊒䊤䊮䊃૕䈱ၒ౉ᢙ䋬ၒ౉૏⟎䈱⋧㆑䈍䉋䈶਄ㇱ᭴ㅧ䈱㆑䈇䈏䉟䊮䊒䊤䊮䊃૕㗪ㇱ⊹⾰㛽䈮෸䈿䈜ജቇ⊛ᓇ㗀䉕ᬌ
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⸃ᨆ䊝䊂䊦䈲䋬ਅ㗶Ꮐ஥╙ੑዊ⥓ᱤ䋬╙৻ᄢ⥓ᱤ䈍䉋䈶╙ੑᄢ⥓ᱤ䈱3ᱤ䈏ᰳ៊䈚䈢ㆆ㔌┵ᰳ៊∝଀䉕ᗐቯ䈚䈢䋮ᰳ៊ㇱ૏䈱╙ੑዊ⥓ᱤ䋬╙৻ᄢ⥓ᱤ䋬╙ੑᄢ⥓ᱤ⋧ᒰㇱ䈮䉟䊮䊒䊤䊮䊃૕䉕3ᧄၒ౉䈚䋬਄ㇱ᭴ㅧ䉕3ㅪ⚿䈚䈢䊝䊂䊦䉕䊝䊂䊦A䈫䈚䋬╙ੑዊ⥓ᱤ䋬╙ੑᄢ⥓ᱤ⋧ᒰㇱ䈮䉟䊮䊒䊤䊮䊃૕䉕2ᧄၒ౉䈚䋬䊑䊥䉾䉳ᒻᘒ䈫䈚䈢䊝䊂䊦B䋬╙৻ᄢ⥓ᱤ⋧ᒰㇱ䋬╙ੑᄢ⥓ᱤ⋧ᒰㇱ䈮䉟䊮䊒䊤䊮䊃૕䉕2ᧄၒ౉䈚䋬ㄭᔃ஥䈻䈱ᑧ㐳䊑䊥䉾䉳ᒻᘒ䈫䈚䈢䊝䊂䊦C䋬䈍䉋䈶╙ੑዊ⥓ᱤ䋬╙৻ᄢ⥓ᱤ⋧ᒰㇱ䈮䉟䊮䊒䊤䊮䊃૕䉕2ᧄၒ౉䈚䋬㆙ᔃ஥䈻䈱ᑧ㐳䊑䊥䉾䉳ᒻᘒ䈫䈚䈢䊝䊂䊦D䈫䈚䋬⸘4䊝䊂䊦䉕⵾૞䈚䈢䋮⩄㊀᧦ઙ䈲䋬Ꮐฝਔ஥⥓ᱤㇱ䈮䈍䈔䉎ི䉂䈚䉄ᤨ䈱╭෼❗䉕ᗐቯ䈚䈢⩄㊀䈫䈚䋬᜔᧤᧦ઙ䈲䋬ਔ஥ਅ㗶㗡਄㕙䋬䈍䉋䈶ຏวធ⸅ὐ䉕ቢో᜔᧤䈫䈚䈢䋮⸃ᨆ㗄⋡䈲䋬䉟䊮䊒䊤䊮䊃૕㗪ㇱ⊹⾰㛽䈱㛽ๆ෼䈱⹏ଔ㗄⋡䈫䈚䈩䋬ᦨዊਥᔕജಽᏓ࿑䋬ᦨዊਥᔕജ୯䈫䈚䋬䉟䊮䊒䊤䊮䊃䋭㛽⇇㕙䈱⎕უ䈱⹏ଔ䈫䈚䈩䋬䈞䉖ᢿᔕജಽᏓ࿑䈍䉋䈶䈞䉖ᢿᔕജ୯䈮䈧䈇䈩ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䉟䊮䊒䊤䊮䊃૕㗪ㇱ⊹⾰㛽䈱ᦨዊਥᔕജಽᏓ䈲䋬╙ੑዊ⥓ᱤ⋧ᒰㇱ䈮ၒ౉䈚䈢䉟䊮䊒䊤䊮䊃૕䈲䋬㗠஥ㇱ䈮ᔕജ䈱㓸ਛ䈏⹺䉄䉌䉏䈢䋮╙৻ᄢ⥓ᱤ⋧ᒰㇱ䈮ၒ౉䈚䈢䉟䊮䊒䊤䊮䊃૕䈲䋬㆙ᔃ㗠஥ㇱ䈮䋬╙ੑᄢ⥓ᱤ⋧ᒰㇱ䈮ၒ౉䈚䈢䉟䊮䊒䊤䊮䊃૕䈲䋬㆙ᔃㇱ䈮ᔕജ䈏⹺䉄䉌䉏䈢䋮╙ੑዊ⥓ᱤ⋧ᒰㇱ䉟䊮䊒䊤䊮䊃૕㗪ㇱ⊹⾰㛽䈱ᦨዊਥᔕജ୯䈲䋬䊝䊂䊦A䈫Ყセ䈚䈩䊝䊂䊦
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1䋩 Rangert BR 䋬 Sullivan RM 䋬 Jemt TM 䋮 Loadfactor control for implants in the posterior
partially edentulous segment 䋮 Int J Oral
Maxillofac Implants䇭1997䋻12䋺360-370䋮
2䋩 Korioth TW䋬Hannam AG䋮Deformation of thehuman mandible during simulated tooth
clenching䋮J Dent Res 1994䋻73䋺56-66䋮

⸃ᨆ䊝䊂䊦䈱᭴ᚑⷐ⚛
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─ 180 ─日補綴会誌

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8・125 回特別号，2016

一般口演発 表㪦㪉㪄㪈㪏ຏว㜞ᓘนᄌᯏ᭴䉕᦭䈜䉎䉟䊮䊒䊤䊮䊃਄ㇱ᭴ㅧ䈮䉋䉎ຏวജ䈫ຏวធ⸅㕙Ⓧ䈱ᬌ⸛䇭䇭䂾ጊᧄม዁ 㪈㪀䋬ਛ᧛ஜᄥ㇢ 㪈㪀䋬᦭੗⽾᳁ 㪈㪀䋬ጟᧄ⋥᮸ 㪈㪀䋬శᧄብม 㪈㪀䋬㜞↰䇭೰ 㪈㪀䋬⷏ේ䇭⵨ 㪈㪀䋬⑔ᴛ⵨ၮ 㪈㪀䋬Ḵ੗ఝ↢ 㪈㪀䋬ዊ㊁ᴛ⑲᮸ 㪉㪀㪈㪀Shurenkai䋬 㪉㪀ᩣᑼળ␠䉳䊷䉲䊷

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Examination of occlusal force and occlusal contact area with implant superstructure having occlusal
vertical dimension variableness mechanism
Yamamoto M 1), Nakamura K 1), Arii K 1), Okamoto N 1), Mitsumoto K 1), Takada T 1), Nishihara H 1),
Fukuzawa H 1), Mizoi Y 1), Onozawa H 2)
1)
Shurenkai, 2)GC Co.

㸇䋮㩷⋡⊛䇭䉟䊮䊒䊤䊮䊃਄ㇱ᭴ㅧ䈮ઃਈ䈜䉎ຏว᭽ᑼ䈮䈧䈇䈩䋬ᧄቇળ䈮䈍䈇䈩䈲䈇䉁䈣䉧䉟䊄䊤䉟䊮䉕╷ቯ䈪䈐䈩䈍䉌䈝䋬ᄤὼᱤ䈮Ḱ䈛䈢ຏวធ⸅⁁ᘒ䈏ᓧ䉌䉏䉏䈳⥃ᐥ਄໧㗴䈏䈭䈇䈫䈘䉏䈩䈇䉎1㪀䋮䈠䈱䈢䉄਄ㇱ᭴ㅧ䈱ຏวᬌᩏ䉅⏕┙䈚䈩䈍䉌䈝䋬䉟䊮䊒䊤䊮䊃૕䈮䈲ᗵⷡฃኈེ䈪䈅䉎ᱤᩮ⤑䈏ሽ࿷䈚䈭䈇䈢䉄䋬ᖚ⠪䈱ᗵⷡ䈮䉋䉎ຏวធ⸅䈱ㆡᱜ䉕⸻ᢿ䈜䉎䈖䈫䈲ਇน⢻䈪䈅䉎䋮䇭䈠䈖䈪ㆡᱜ䈭ຏวធ⸅⁁ᘒ䉕ቴⷰ⊛䈮⹏ଔ䈜䉎ᣇ
ᴺ䈧䈇䈩䋬ຏว㜞ᓘ䉕นᄌ䈪䈐䉎ᯏ᭴䉕ઃਈ䈚䈢਄ㇱ᭴ㅧ䉕↪䈇䈩䋬ຏวജ䈍䉋䈶ຏวធ⸅⁁ᘒ䈱ᄌൻ䉕ⷰኤ䈚ᬌ⸛䈜䉎䈖䈫䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ⵍ㛎⠪䈲ታ㛎䈮หᗧ䉕ᓧ䉌䉏䈢50ᱦ䈱ᱤ⑼කᏧ䈱↵ᕈ1ฬ䈪䈅䉎䋮ਅ㗶ฝ஥╙1䋬╙2ᄢ⥓ᱤ⋧ᒰㇱ䈮䉟䊮䊒䊤䊮䊃૕䈏ၒ౉䈘䉏䈩䈇䉎䋮䇭䈖䈱䉟䊮䊒䊤䊮䊃૕䈮ⵝ⌕䈘䉏䉎䉝䊋䉾䊃䊜䊮䊃䈲䊌䊤䊧䊦䊁䊧䉴䉮䊷䊒䈫䈚䋬਄ㇱ᭴ㅧ䈲㍌ㅧ౰䈮䉋䉎ᄖ౰䈫䈚䈢䋮䈠䈱ฦຏ㗡䈮䈲䉴䉪䊥䊠䊷䉕⸳⟎䈚䋬ຏว㜞ᓘ䉕ᄌൻ䈪䈐䉎䉋䈉䈮䈚䈢䋮䈖䈱ⵝ⟎䈱ຏว⁁ᘒ䈲䉲䊥䉮䊷䊮䊑䊤䉾䉪ᴺ䉕೑↪
䈚䋬਄ㇱ᭴ㅧએᄖ䈱ᱷሽᱤ䈱ຏวធ⸅⁁ᘒ䈏਄ㇱ᭴ㅧⵝ⌕೨䈫ห᭽䈭⁁ᘒ䋨㫧0㱘m䋩䈫䈚䈢䋮䇭╙1ᄢ⥓ᱤ䈍䉋䈶╙2ᄢ⥓ᱤ⋧ᒰㇱ਄ㇱ᭴ㅧ䈱䉴䉪䊥䊠䊷䉕200㱘m਄᣹䈚䈢⁁ᘒ䈎䉌䋬50㱘m䈝䈧ૐਅ䈘 䈞 䋬 㪂200㱘m 䋬 㪂150㱘m 䋬 㪂100㱘m 䋬 㪂50㱘m 䋬㫧0㱘m䋬㪄50㱘m䋬㪄100㱘m䋬㪄150㱘m䋬㪄200㱘m䈱⸘9࿁䋬ຏวജ䈍䉋䈶ຏวធ⸅㕙Ⓧ䉕᷹ቯ䈚䈢䋮䇭ຏวജ䈱᷹ቯ䈮䈲ຏวജ᷹ቯ䉲䉴䊁䊛䋨DePROS䋬䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䉕↪䈇䋬ຏวജ᷹ቯ䊐䉟䊦䊛䋨䊂䊮䉺䊦䊒䊧䉴䉬䊷䊦50H䊶䉺䉟䊒R䊶䉰䉟䉵L䋬䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䉕ⴚ⠪1ฬ䈏ណᓧ䈚䋬セᱜ䈘䉏䈢ຏวജ᷹ቯⵝ⟎䋨䉥䉪䊦䊷䉱䊷709䋬䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䈮䈩ຏวജ䋬ຏวജ⴫␜㕙Ⓧ䈍䉋䈶ᐔဋ࿶䉕⸃ᨆ䈚䈢䋮䇭ຏวធ⸅⁁ᘒ䈱᷹ቯ䈮䈲ຏวធ⸅ᬌᩏ᧚䋨䊑䊦䊷䉲䊥䉮䊷䊮䇭䊨䊷䊐䊨䊷䋬䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䉕↪
䈇䈩ⴚ⠪1ฬ䈏ណᓧ䉕ⴕ䈇䋬ᱤធ⸅ಽᨆⵝ⟎䋨䊋䉟䊃

䉝䉟BE㪄1䋬䉳䊷䉲䊷䋬᧲੩䋬ᣣᧄ䋩䈪ຏวធ⸅㕙Ⓧ䈫
ຏวធ⸅ὐ䈱⸃ᨆ䉕ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ਅ㗶ᄢ⥓ᱤ⋧ᒰㇱ䈮䈍䈔䉎䉟䊮䊒䊤䊮䊃਄ㇱ᭴ㅧ䈱ຏว㜞ᓘ䉕ᄌൻ䈘䈞䈢⚿ᨐ䋬
䇭1㪅䇭╙1ᄢ⥓ᱤ⋧ᒰㇱ䈪䈲ᱤ೉ో૕䈱ຏวജ䉕Ꮐฝ஥䈱ഀว䈫䈚䈩ಽᨆ䈜䉎䈫䋬㪂200㱘m䈎䉌㫧0㱘m䉁䈪䈲䉟䊮䊒䊤䊮䊃⵬✄஥䈱ഀว䈏ᄢ䈐䈎䈦䈢
䈏䋬㪄50㱘m䈎䉌㪄200㱘m䈪䈲䉟䊮䊒䊤䊮䊃⵬✄䈱෻ኻ஥䈱ഀว䈏ᄢ䈐䈒䈭䈦䈢䋮䉁䈢䋬㫧0㱘m䈮䈍䈇䈩Ꮐฝ஥䈱ຏวജ䈱ഀว䈏50䋺50䈮ㄭ䈒䈭䈦䈢䋮
䇭2㪅䇭╙2ᄢ⥓ᱤ⋧ᒰㇱ䈪䈲ᱤ೉ో૕䈱ຏวജ䈏ຏวធ⸅䈱ᄌൻ䈮㑐ଥ䈭䈒䈾䈿৻ቯ䈪䈅䈦䈢䈏䋬ຏวធ⸅䈱ૐਅ䈮䈫䉅䈭䈇䉟䊮䊒䊤䊮䊃⵬✄஥䈪䈲ຏวജ䉅ૐਅ䈚䋬䉟䊮䊒䊤䊮䊃⵬✄䈱෻ኻ஥䈪䈲ຏวജ䈏Ⴧട䈚䈢䋮䇭3㪅䇭ຏวធ⸅㕙Ⓧ䈲ᄌൻ䈏ዋ䈭䈒䈾䈿৻ቯ䈪䈅䉍䋬ຏวធ⸅ὐᢙ䈪䈲䉒䈝䈎䈭ᄌൻ䉕⹺䉄䉎䉅䈱䈱ຏวធ⸅⁁ᘒ䈱ᄌൻ䈮઻䈉௑ะ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮䇭એ਄䈱䈖䈫䈎䉌䋬਄ㇱ᭴ㅧⵝ⌕ᤨ䈱ຏว⺞ᢛ䈮䈍䈇䈩䋬ຏวធ⸅㕙Ⓧ䈍䉋䈶ຏวធ⸅ὐᢙ䈲ຏวធ⸅⁁ᘒ䈱್ቯ䈮↪䈇䉎䈖䈫䈏࿎㔍䈪䈅䉎䈏䋬ຏวജ᷹ቯ䈲᦭↪䈪䈅䉎น⢻ᕈ䈏␜ໂ䈘䉏䈢䋮䇭䉁䈢ਅ㗶╙2ᄢ⥓ᱤ⋧ᒰㇱ਄ㇱ᭴ㅧ䈱ຏว㜞ᓘ䈱ᄌൻ䈲䋬ຏว㜞ᓘ䉕਄᣹䈚䈢႐ว䈮䈲਄ㇱ᭴ㅧ䈮䈎䈎䉎ຏวജ䈏Ⴧട䈚䋬ຏว㜞ᓘ䈏ૐਅ䈚䈢႐ว䈮䈲෻ኻ஥䈱ຏวജ⽶ᜂ䈏Ⴧട䈚䈢䋮䇭䈖䉏䉌䈱䈖䈫䈎䉌ㆊ㜞䈭ຏว㜞ᓘ䉋䈦䈩਄ㇱ᭴ㅧ䉇䉟䊮䊒䊤䊮䊃૕䈱⎕៊䉕⿠䈖䈜น⢻ᕈ䈫ૐਅ䈮䉋䉎ຏวធ⸅䈱ᶖᄬ䈏෻ኻ஥⥓ᱤㇱ䈱ຏวᕈᄖ்䉕ᒁ䈐⿠䈖䈜น⢻ᕈ䈏⠨䈋䉌䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 ㄭ⮮ዏ⍮䋬የỈ᣽ᖗ䋬Ỉἑ㓉䋬ᮮጊᢕ㇢䋬㑐ᩮ⑲ᔒ䋬⥰↰ஜᄦ䈾䈎䋮ਅ㗶ᄢ⥓ᱤᰳ៊䈮ኻ䈚䉟䊮䊒䊤䊮䊃ᡰᜬ࿕ቯᕈ⵬✄ⵝ⟎䈮䉋䉎ᴦ≮੺౉ᤨ䈮ઃਈ䈜䈼䈐ຏว᭽ᑼ䋮ᣣ⵬✄ળ⹹䇭2016䋻
8䋺1-9䋮

─ 181 ─第 2 日 第 3 会場

日補綴会誌

8・125 回特別号，2016

一般 口 演 発 表㪦㪉㪄㪈㪐ㅪ⚿࿕ቯ䈮ኻ䈜䉎ᱤ⑼䉟䊮䊒䊤䊮䊃ᔕ↪䈱⹜䉂㵪ㅪ⚿䈘䉏䉎ᱤ䈱ㇱ૏䈮䉋䉎Ꮕ⇣㵪䂾ᩊේᩕ৻㇢ 㪈㪀䋬ጊ᫪ᔀ㓶 㪈㪀䋬㑐ᩮ⾆ੳ 㪈㪀䋬દ⮮䇭㓳 㪈㪀䋬૒⮮శ৻ 㪈㪀䋬᳗↰⵨♿ 㪈㪀䋬㜞ጊᶈผ 㪈㪀䋬᧛ፉ⋥㆏ 㪈㪀䋬㊁ਛᐽᐔ 㪈㪀䋬㑐㊁⾆ᄢ 㪈㪀䋬㜞ᯅஜੑ 㪉㪀䋬๺ᩙ▸ᐘ 㪉㪀㪈㪀ᅏ⠀ᄢቇᱤቇㇱᱤ⑼⵬✄ቇ⻠ᐳ䋬 㪉㪀᧲੩ᡰㇱ
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Application of Oral Implants to Tooth Splinting- Finite Element Analysis on the Differences among the Splinted Teeth Shibahara E 1), Yamamori T 1), Sekine T 1), Ito J 1), Sato K 1), Nagata Y 1), Takayama H 1), Murashima N 1),
Nonaka K 1), Sekino T 1), Takahashi K 2), Waguri N 2)
1)
Department of Prosthetic Dentistry, Ohu University School of Dentistry, 2)Tokyo Branch㸇䋮㩷⋡⊛䇭ㅪ⚿࿕ቯ䈱⋡⊛䈲䋬ᡰᜬ⢻ജ䈱ᷫᒙ䈚䈢ᱤ䈮ኻ䈜䉎ജ䈱䉮䊮䊃䊨䊷䊦䈫䋬䈠䉏䈮ၮ䈨䈒㐳ᦼ⊛ᯏ⢻⛽ᜬ䈪䈅䉎䋮䈚䈎䈚䋬ᄙᢙᱤ䈮േំ䈏䈅䉎∝଀䉇ᄙᢙᱤᰳ៊∝଀䈪䈲䋬࿕ቯḮ䈏ਇචಽ䈫䈭䉍䉇䈜䈇䋮䈖䉏䉌䈮ኻᔕ䈜䉎䈢䉄䋬േំᱤ䈮㓞ធ䈚䈩ᬀ┙䈚䈢䉟䊮䊒䊤䊮䊃䈫ㅪ⚿࿕ቯ䈜䉎䈖䈫䈮⌕ᗐ䈚䈢䋮ᄤὼᱤ䈫䉟䊮䊒䊤䊮䊃䉕ㅪ⚿䈜䉎䈖䈫䈮䉋䉍䋬ᄤὼᱤ䈱ᴉਅ䈭䈬䈱䊃䊤䊑䊦䈏ႎ๔䈘䉏䈩䈇䉎䈢䉄䋬৻⥸⊛䈮䈲ㅪ⚿䉕࿁ㆱ䈜䉎䋮䈚䈎䈚䋬䊉䊮䊥䉳䉾䊄䈭ㅪ⚿䈪䈲ᴉਅ䉕↢䈛䉎䈏䊥䉳䉾䊄䈭ㅪ⚿䈪䈲↢䈛䈭䈇䈫䈜䉎ႎ๔1䋩䉇䋬ᡰᜬ⢻ജ䈏ᷫᒙ䈚䈢ᱤ䈪䈲ㅪ⚿ᣇᴺ䈮㑐䉒䉌䈝ᴉਅ䉕↢䈛䈭䈇䈫䈜䉎ႎ๔2䋩䉅䉂䉌䉏䉎䋮ᒰ⻠ᐳ䈪䈲ㅪ⚿࿕ቯ䈮䈍䈔䉎䉟䊮䊒䊤䊮䊃䈱ᔕ↪䈮䈧䈇䈩ਃᰴర᦭㒢ⷐ⚛ᴺ䈮䉋䉍ᬌ⸛䈚䈩䈐䈢䋮䈠䈱⚿ᨐ䋬㛽䊧䊔䊦䈏ૐਅ䈚䈢ᄤὼᱤ䈫䉟䊮䊒䊤䊮䊃䉕ㅪ⚿䈜䉎䈫䋬ᄤὼᱤ๟࿐㛽䈱ᔕജ୯䈏ᱜᏱ䈭ᱤ๟⚵❱䈱႐ว䈮ㄭૃ䈜䉎䈏䋬䉟䊮䊒䊤䊮䊃૕๟࿐㛽䈱ᔕജ୯䈏Ⴧᄢ䈜䉎䈖䈫䋬ᄤὼᱤ䈫䉟䊮䊒䊤䊮䊃䈫䈱ㅪ⚿᧦ઙ䈱⸳ቯ䈮䉋䉍䉟䊮䊒䊤䊮䊃૕๟࿐㛽䈱ᔕജ㓸ਛ䉕࿁ㆱ䈪䈐䉎䈖䈫䉕ႎ๔䈚䈩䈐䈢3䋩䋮੹࿁䋬ㅪ⚿䈜䉎ᄤὼᱤ䈱ㇱ૏䉇ᱤ⒳䈮䉋䉎㆑䈇䈮䈧䈇䈩ᬌ⸛䈚䈢䈱䈪ႎ๔䈜䉎䋮䇭㸈䋮㩷ᣇᴺ䇭ਅ㗶㛽䈮6೨ᱤ䉕ᬀ┙䈚㪃Ꮐฝ஥ዊ⥓ᱤㇱ䈮䉟䊮䊒䊤䊮䊃૕䉕2ᧄ䈝䈧ၒ౉䈚䈢䊝䊂䊦A䉕૞ᚑ䈚䈢䋮䊝䊂
䊦A䈱6೨ᱤᱤ౰ㇱ䈫䉟䊮䊒䊤䊮䊃਄ㇱ᭴ㅧ䉕ㅪ⚿䈚䈢䉅䈱䉕䊝䊂䊦B䈫䈚䈢䋮䊝䊂䊦A䋬䊝䊂䊦B䈱㛽䊧䊔䊦䉕5㪅5mmૐਅ䈘䈞䈢䉅䈱䉕䈠䉏䈡䉏䊝䊂䊦C䋬䊝䊂䊦D䈫䈚䋬䊝䊂䊦D䈱Ꮐฝ஥›ᱤ䈫╙৻ዊ⥓ᱤㇱ਄ㇱ᭴ㅧ㑆䈮POM䉕੺࿷䈘䈞䈢䉅䈱䉕䊝䊂䊦E䈫䈚䈢㪅䉟䊮䊒䊤䊮䊃૕䈫๟࿐㛽㑆䈮Gapⷐ⚛䉕⸳ቯ䈚䋬ᱤᩮ⤑䉕⋥ⴕ⇣ᣇᕈᒢᕈ᧚ᢱ䈫⸳ቯ䈚䈩䈠䉏䈡䉏䈱ⵍ࿶ᄌ૏㊂䉕ౣ⃻䈚䈢䋮ਅ㗶㛽㆙ᔃᢿ㕙䉕ቢో᜔᧤䈚䋬ᄤὼᱤ䈫䉟䊮䊒䊤䊮䊃਄ㇱ᭴ㅧ䈱ຏว㕙ਛᄩㇱ䉕⩄㊀ὐ䈫
䈚䈩ຏวᐔ㕙䈮ኻ䈚䈩ု⋥䈮5kgf䈱⩄㊀䉕ઃਈ䈚䋬✢ᒻ㕒⸃ᨆ䈚䈢䋮
䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ਅ㗶ฝ஥ਛಾᱤ䋬஥ಾᱤ䋬›ᱤ๟࿐⊹⾰㛽䈮䈍䈔䉎ᦨᄢ⋧ᒰᔕജ䋨࿑1䋩䋬ᶏ✎㛽ㇱ䈮䈍䈔䉎ᦨᄢ⋧ᒰᔕജ䋨࿑2䋩䈎䉌䋬䊝䊂䊦A䈫䊝䊂䊦C䋬䊝䊂䊦B䈫䊝䊂䊦D䈱Ყセ䈮䉋䉍䋬㛽䊧䊔䊦ૐਅ䈮䉋䉎ᔕജ୯䈱Ⴧᄢ䈏␜䈘䉏䈢䋮䉁䈢䊝䊂䊦C䈫䊝䊂䊦D䋬䊝䊂䊦E䈱Ყセ䈮䉋䉍䋬Ⴧᄢ䈚䈢ᔕജ୯䈏ㅪ⚿䈮䉋䉍ૐਅ䈜䉎䈖䈫䈏䉒䈎䈦䈢㪅䈚䈎䈚ᔕജ୯Ⴧᷫ䈱Ყ₸䈲ᱤ⒳䈮䉋䉍⇣䈭䉍䋬ㅪ⚿ㇱ䈎䉌䈱〒㔌䉇ᱤᩮ⤑㕙Ⓧ䈱㆑䈇䈮䉋䉎ᓇ㗀䉕ฃ䈔䉎䉅䈱䈫⠨䈋䉌䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Ericsson I. Lekholm U, Brånemark PI et al. A
clinical evaluation of fixed-bridge restorations
supported by the combination of teeth andosseointegrated titanium implants. J Clin
Periodontol. 1986; 13: 307-312.
2䋩 Cordaro L, Ercoli C, Rossini C et al.
Retrospective evaluation of complete-arch fixed
partial dentures connecting teeth and implant
abutments in patients with normal and reduced
periodontal support. J Prosthet Dent. 2005; 94:
313-320.
3䋩 ᩊේᩕ৻㇢䋬ጊ᫪ᔀ㓶䋬᧛ፉ⋥㆏䈾䈎䇭ㅪ⚿࿕ቯ䈮䈍䈔䉎ᱤ⑼䉟䊮䊒䊤䊮䊃䈱ᵴ↪䋭ㅪ⚿᧦ઙ䈱ᓇ㗀䈮ኻ䈜䉎᦭㒢ⷐ⚛⸃ᨆ䋭䋮ᣣญ⣧䉟䊮䊒䊤䊮䊃⹹䋮2015䋻28․೎ภ䋺242䋮

࿑1䇭⊹⾰㛽ㇱ䈮䈍䈔䉎ᦨᄢ⋧ᒰᔕജ䇭࿑2䇭ᶏ✎㛽ㇱ䈮䈍䈔䉎ᦨᄢ⋧ᒰᔕജ䇭─ 182 ─日補綴会誌

第 2 日 第 3 会場

8・125 回特別号，2016

一般口演発 表㪦㪉㪄㪉㪇ญ⣧ౝ䉴䉨䊞䊅䊷䈱૏⟎ౣ⃻♖ᐲ䈮㑐䈜䉎⎇ⓥ䇭䂾ᷓỈ⠍ᄥ䋬ᄢᐔජਯ䋬๧ጟ䇭ဋ䋬㝩ේ⧷㆏䋬ዊᨋ℉਽䋬ㄭ⮮ዏ⍮
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ጤᚻක⑼ᄢቇᱤቇㇱ⵬✄䊶䉟䊮䊒䊤䊮䊃ቇ⻠ᐳ
Evaluation of accuracy and reproducibility of intraoral scanners
Fukazawa S, Odaira C, Ajioka H, Kihara H, Kobayashi T, Kondo H
Department of Prosthodontics and Oral Implantology, School of Dentistry Iwate Medical University㸇䋮㩷⋡⊛䇭ㄭᐕ䋬ᖱႎᎿቇ䋨Information㩷technology㪑IT䋩䈱⊒ዷ䈮䉋䉍䋬CAD㪆CAM䉲䉴䊁䊛䈏ᕆㅦ䈮᥉෸䈚䈧䈧䈅䉎䋮ญ⣧ౝ䉴䉨䊞䊅䊷䈮䉋䉎శቇශ⽎䈏ᵈ⋡䈘䉏䋬ᴦ≮ᦼ㑆䈱⍴❗䋬ᖚ⠪䈱⡺૕⊛⽶ᜂ䈱シᷫ䋬᧚ᢱ⾌䈱▵⚂䈭䈬䈏ᦼᓙ䈘䉏䈩䈇䉎䋮৻ᣇ䋬శቇශ⽎䈱♖ᐲ䈮㑐䈚䈩䈲ਇ᣿䈭ὐ䈏ᄙ䈒䋬ญ⣧䉟䊮䊒䊤䊮䊃ᴦ≮䈮䈍䈇䈩䈲ㆡ↪▸࿐䈏㒢䉌䉏䈩䈇䉎䋮ᧄ⎇ⓥ䈪䈲䋬ญ⣧ౝ䉴䉨䊞䊅䊷䈭䉌䈶䈮䊂䉴䉪䊃䉾䊒ဳ䉴䉨䊞䊅䊷䈱⌀ᐲ䋬♖ᐲ䋬ᄌൻ₸䈮䈧䈇䈩Ყセᬌ⸛䉕ⴕ䈇䋬ญ⣧ౝ䉴䉨䊞䊅䊷䉕↪䈇䈢శቇශ⽎䈱᦭↪ᕈ䉕ᬌ⸽䈜䉎䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷ᣇᴺ䇭ਅ㗶㗶ᱤᮨဳ䈱Ꮐ஥╙ੑዊ⥓ᱤ㩿A㪀䋬Ꮐ஥╙৻ᄢ⥓ᱤ㩿B㪀䋬ฝ஥╙ੑዊ⥓ᱤ㩿C㪀෸䈶ฝ஥╙ੑᄢ⥓ᱤ⋧ᒰㇱ㩿D㪀䈮䋬ᄖ஥ᕈ6ⷺ᭴ㅧ䉕᦭䈜䉎䉟䊮䊒䊤䊮䊃૕䉕
⸘4ᧄၒ౉䈚䋬䊗䊷䊦䉝䊋䉾䊃䊜䊮䊃ⵝ⌕䋬䈖䉏䉕ᧄ⎇ⓥ䈱ၮḰᮨဳ䈫䈚䈢䋮⛯䈇䈩䋬ធ⸅ᑼਃᰴర᷹ቯᯏ
䉕↪䈇䈩ၮḰᮨဳ䈱ਃᰴరᒻ⁁⸘᷹䉕10࿁ⴕ䈇䋬䊗䊷䊦䉝䊋䉾䊃䊜䊮䊃㑆䈱〒㔌䉕⸘᷹䈚䈢䋮䈘䉌䈮䋬3⒳㘃 䈱 ญ ⣧ ౝ 䉴 䉨 䊞 䊅 䊷 䋨 3M™㩷 True㩷 Definition
Scanner╙ੑ਎ઍ䋬3M™㩷True㩷Definition㩷Scanner╙ਃ਎ઍ㪃3shape㩷 TRIOS䋩䈫䊂䉴䉪䊃䉾䊒ဳ䉴䉨䊞䊅䊷㩿KaVo㩷ARCTICA㩷Auto㩷Scan㪀䉕↪䈇䈩ၮḰᮨဳ䈱ਃᰴరᒻ⁁䊂䊷䉺䉕10࿁ណᓧ䈚㪃㩷䊗䊷䊦䉝䊋䉾䊃䊜䊮䊃㑆䈱〒㔌䉕⸘᷹䈚䈢䋮䈠䉏䈡䉏ᓧ䉌䉏䈢ਃᰴరᒻ⁁䊂䊷䉺䉕䉅䈫䈮䋬A㪄B㑆㪃A㪄C㑆㪃A㪄D㑆䋬B㪄C㑆䋬B㪄
D㑆䋬C㪄D㑆䈱䋬䊗䊷䊦䉝䊋䉾䊃䊜䊮䊃㑆䈱〒㔌䈮㑐䈚䈩䋬ญ⣧ౝ䉴䉨䊞䊅䊷䈱⌀ᐲ䈫♖ᐲ䈭䉌䈶䈮䋬ᄌൻ₸䈮䈧䈇䈩Ყセᬌ⸛䉕ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭䊗䊷䊦䉝䊋䉾䊃䊜䊮䊃㑆䈱〒㔌䈮㑐䈜䉎⺋Ꮕ䈲䋬䊂䉴䉪䊃䉾䊒ဳ䉴䉨䊞䊅䊷䈏ญ⣧ౝ䉴䉨䊞䊅䊷䈫Ყセ䈚䈩᦭ᗧ䈮ዊ䈘䈎䈦䈢䋮৻ᣇ䋬஍Ꮕ䈱▸࿐䈲䈾䈿ห⒟ᐲ
䈪䈅䉎䈖䈫䈏᣿䉌䈎䈫䈭䈦䈢䋮䉁䈢䋬ญ⣧ౝ䉴䉨䊞䊅䊷䈲䋬䊗䊷䊦䉝䊋䉾䊃䊜䊮䊃㑆䈱〒㔌䈏Ⴧട䈜䉎䈾䈬⌀ᐲ䈱⺋Ꮕ䈏Ⴧᄢ䈜䉎௑ะ䈏⹺䉄䉌䉏䈢䋮䊂䉴䉪䊃䉾䊒ဳ䉴䉨䊞䊅䊷䈲䋬〒㔌䈏Ⴧട䈚䈩䉅቟ቯ䈚䈢⌀ᐲ䈫♖ᐲ䉕␜䈚䈢䋮એ਄䈱⚿ᨐ䉋䉍䋬䊂䉴䉪䊃䉾䊒ဳ䉴䉨䊞䊅䊷䈫ㄭૃ䈚䈢ౣ⃻♖ᐲ䉕᦭䈜䉎ญ⣧ౝ䉴䉨䊞䊅䊷䈏ሽ࿷䈜䉎䈖䈫䈏᣿䉌䈎䈫䈭䈦䈢䋮੹࿁䈱Ყセᬌ⸛䈎䉌䋬ญ⣧ౝ䉴䉨䊞䊅䊷䈮䉋䉎శቇශ⽎䈲䋬ⶄᢙᱤ䈮䈍䈔䉎䉟䊮䊒䊤䊮䊃ᴦ≮䈻䈱⥃ᐥᔕ↪䈏น⢻䈪䈅䉎䈖䈫䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Mehl A, Ender A, Mormann W, Attin T.
Accuracy testing of a new intraoral 3D camera.
Int J Comput Dent2009; 12:11-28.

䋨࿑䋩ၮḰᮨဳ
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─ 183 ─第 2 日 第 3 会場

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8・125 回特別号，2016

一般 口 演 発 表㪦㪉㪄㪉㪈䊂䉳䉺䊦䉟䊮䊒䊤䊮䊃䊃䊥䊷䊃䊜䊮䊃䈮䈍䈔䉎⵬✄䊒䊤䊮䊆䊮䉫䉮
䊮䉶䊒䊃
⥃ᐥ⊛஥㕙
䂾䉥䉼䉝䉟䊱䊮䊃䋬ጊਅᕡᒾ䇭䇭ධ䉦䊥䊐䉤䊦䊆䉝ᄢቇᱤቇㇱ
Digital Implant Treatment and Prosthodontic Planning Concept
Clinical Aspects
Ochiai K, Yamashita T
USC School of Dentistry㸇䋮㩷INTRODUCTION AND PURPOSE
The㩷fundamental㩷components㩷of㩷occlusal㩷design㩷areimportant㩷 determinates㩷 of㩷 diagnosis㩷 forreconstructive㩷 dentistry㪅㩷 While㩷 the㩷 importance㩷 ofesthetic㩷 evaluation㩷 cannot㩷 be㩷 understated㪃㩷 anevidence㩷 based㩷 understanding㩷 of㩷 the㩷 relationships
between㩷 esthetic㩷 evaluation㩷 and㩷 the㩷 assessment㩷 offunctional㩷 landmarks㩷 are㩷 important㩷 concepts㩷 oftreatment㩷design㪅㩷The㩷focus㩷of㩷this㩷presentation㩷will
review㩷the㩷areas㩷of㩷diagnosis㩷and㩷occlusal㩷evaluation
with㩷digital㩷restorative㩷dental㩷implant㩷design㩷and㩷theimportance㩷 of㩷 these㩷 relationships㩷 to㩷 conventional
prosthetic㩷treatment㪅
The㩷 purpose㩷 of㩷 this㩷 presentation㩷 is㩷 to㩷 provide㩷 areview㩷of㩷prosthodontic㩷treatment㩷planning㩷concepts
and㩷 their㩷 significance㩷 to㩷 digital㩷 implant㩷 treatment
planning㩷and㩷the㩷delivery㩷of㩷care㪅䇭㸈䋮㩷METHODSClinical㩷case㩷reports㩷following㩷patient㩷treatment㩷with
CAD㪄CAM㩷 technology㩷 restorative㩷 design㩷 andtreatment㩷procedures㪅䇭㸉䋮㩷RESULTS AND CONCLUSION
Although㩷 dental㩷 implants㩷 have㩷 been㩷 a㩷 ubiquitoustreatment㩷 methodology㩷 for㩷 providing㩷 dental㩷 supportin㩷 the㩷 partially㩷 and㩷 fully㩷 edentulous㩷 treatment
situations㪃㩷 various㩷 patient㩷 physical㩷 factors㩷 will
always㩷 require㩷 understanding㩷 and㩷 consideration㩷 ofimportant㩷 prosthodontic㩷 diagnostic㩷 concepts㩷 andrelationships㩷 used㩷 with㩷 conventional㩷 prosthodontics㪅
Digital㩷 design㩷 technology㩷 helps㩷 to㩷 better㩷 visualize
and㩷understand㩷these㩷concepts㩷and㩷most㩷importantly㪃
provides㩷 the㩷 technical㩷 benefits㩷 of㩷 improved㩷 fit㪃
function㩷and㩷economic㩷benefit㪅
Digital㩷 technology㩷 has㩷 facilitated㩷 the㩷 use㩷 of㩷 asystematic㩷 approach㩷 to㩷 treatment㩷 planning㩷 and㩷 theimportance㩷 of㩷 restorative㩷 prescription㪅㩷 Pre㪄㩷 andintra㪄treatment㩷 prosthodontic㩷 evaluations㩷 assists㩷 indetermining㩷the㩷best㩷course㩷of㩷treatment㩷for㩷desired
patient㩷outcomes㪅䊂䉳䉺䊦䊂䉱䉟䊮↹௝䇭─ 184 ─日補綴会誌

第 2 日 第 3 会場

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一般口演発 表㪦㪉㪄㪉㪉㛽☻㝃∝䊤䉾䊃䈮䈍䈔䉎䉟䊮䊒䊤䊮䊃૕๟࿐㛽䈱ᓸዊ᭴ㅧ䈮ኻ䈜䉎䉰䊒䊥䊜䊮䊃䈱ᓇ㗀䂾ᷰㄝਂ⚔ 㪈㪀䋬㜟ᯅථ⵨ 㪉㪀䋬૒⮮ඳ♿ 㪉㪀䋬⼱ᧄ቟ᶈ 㪊㪀䋬ਛ↰ᶈผ 㪈㪀䋬ᧁᧄ䇭⛔ 㪈㪀䋬ർ᧛䇭ᓀ 㪈㪀䋬૒⮮૫ᄹ⟤ 㪉㪀䋬㘵ፉ቞㓶 㪈㪀䋬ᴡ⋧቟ᒾ 㪈㪀㪈㪀ᣣᧄᄢቇ᧻ᚭᱤቇㇱ᦭ᐥ⟵ᱤ⵬✄ቇ䋬㪉㪀ᣣᧄᄢቇᄢቇ㒮᧻ᚭᱤቇ⎇ⓥ⑼᦭ᐥ⟵ᱤ⵬✄ቇኾ᡹䋬 㪊㪀ᣣᧄᄢቇ᧻ᚭᱤቇㇱᱤ⑼↢૕᧚ᢱቇ
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Effect of dietary supplement on peri-implant bone micro architecture in a rat model osteoporosis
Watanabe T 1), Takahashi T 2), Satou H 2), Tanimoto Y 3), Nakada H 1), Kimoto S 1), Kitamura A 1), Sato K 2),
Iijima M 1), Kawai Y 1)
1)
Department of Removable Prosthodontics, Nihon University of Dentistry at Matsudo, 2)Nihon University
Graduate School of Dentistry at Matsudo, Removable Prosthodontics, Matsudo, 3)Department of Dental
Biomaterials, Nihon University of Dentistry at Matsudo㸇䋮㩷⋡⊛䇭ᣣᧄ䈮䈍䈇䈩㛽☻㝃∝ᖚ⠪䈲㩷1000㩷ਁੱએ਄䈫ផቯ䈘䉏䈩䈇䉎䋮੹ᓟ䋬㜞㦂ൻ␠ળ䈏ㅴ䉃䈖䈫䈪㛽☻㝃∝ᖚ⠪䈲䈘䉌䈮Ⴧട䈜䉎䈫⠨䈋䉌䉏䉎䋮㛽☻㝃∝ᖚ⠪䈏䉟䊮䊒䊤䊮䊃ᴦ≮䉕Ꮧᦸ䈜䉎㓙䋬㛽ઍ⻢䈱ૐਅ䈎䉌䉟䊮䊒䊤䊮䊃૕๟࿐䈱㛽ᒻᚑ䈍䉋䈶㛽ᒝᐲ䈮ਇ೑䈭ᓇ㗀䉕෸䈿䈚ᴦ≮ᦼ㑆䈏ᑧ㐳䈜䉎䋮䈠䈱⚿ᨐ䋬ᐢ▸࿐䈭ᱤ‎ᰳ៊䈮䉋䉎๰ྨ㓚ኂ䉕๒䈚䈩䈇䉎ᖚ⠪䈱
QOL㩷䉕⪺䈚䈒㒖ኂ䈜䉎䋮ᓥ䈦䈩䈖䈱ᦼ㑆䉕⍴❗䈘䈞䉎䈖䈫䈲⥃ᐥ਄㊀ⷐ䈭⺖㗴䈪䈅䉎䋮ᴦ≮ᦼ㑆䉕᳿ቯ䈜䉎ᣇᴺ䈱৻䈧䈮䉟䊮䊒䊤䊮䊃૕䈱ੑᰴ࿕ቯ䈱ะ਄䈏䈅䉎䋮ᚒ䇱䈲ੑᰴ࿕ቯ䉕ะ਄䈘䈞䉎䈱䈮䉟䊮䊒䊤䊮䊃૕๟࿐㛽䈮ᒻᚑ䈘䉏䉎㛽䈱ᓸዊ᭴ㅧ䉕ᡷༀ䈘䈞䉎ᔅⷐ䈏䈅䉎䈫⠨䈋䈢䋮㛽䈱ᓸዊ᭴ㅧ䉕ᡷༀ䈘䈞䉎ᣇᴺ䈫
䈚䈩㩷Synthetic㩷bone㩷mineral䋨એਅ䋻SBM䋩䈱⚻ญ៨ข
䈏䈅䉎 1㪀 䋮䈠䈖䈪ᧄ⎇ⓥ䈲㛽☻㝃∝䊝䊂䊦䊤䉾䊃䈮
SBM㩷䉕⚻ญ៨ข䈘䈞ᄢ⣽㛽䈮ၒ౉䈚䈢䉟䊮䊒䊤䊮䊃૕๟࿐㛽䈱ᓸዊ᭴ㅧ䈮ਈ䈋䉎ᓇ㗀䉕ᬌ⸛䈚䈢䋮䇭㸈䋮㩷ᣇᴺ
䇭SBM㩷 䈲㩷 LeGeros㩷 RZ2㪀 䉌䈱ᣇᴺ䈮ᓥ䈇CaHPO4 䊶
2H2O䋬MgCl2㩷䈍䉋䈶㩷ZnCl2㩷䉕㩷NaF㩷䈍䉋䈶㩷K2CO3㩷䉕฽䉖䈣⫳⇐᳓䈪ṁ⸃䈚ട᳓ಽ⸃䈚䈩૞⵾䈚䈢䋮ታ㛎േ‛䈱㘺ᢱ䈲ኻᾖ⟲䈫䈚䈩ㅢᏱ㘩䋨AIN㪄93M䋩䉕૶↪䈚䋬ታ㛎⟲䈫䈚䈩㩷AIN㪄93M㩷䈍䉋䈶㩷SBM㩷䈪૞⵾䈘䉏䈢㘺ᢱ䉕૶↪䈚䈢䋮ታ㛎䈲㩷7㩷ㅳ㦂ᤨ䈮䊤䉾䊃䉕ኻᾖ⟲䋨n㪔18䋩䈍䉋䈶ታ㛎⟲䋨n㪔18䋩䈮ή૞ὑ䈮ഀ䉍ઃ䈔䋬㘺ᢱ䈱៨ข䉕㐿ᆎ䈚䈢䋮䉟䊮䊒䊤䊮䊃૕ၒ౉ᚻⴚ䈲㩷9ㅳ㦂ᤨ䈮ⴕ䈇䋬䉟䊮䊒䊤䊮䊃૕ၒ౉㩷2㩷䈍䉋䈶㩷4㩷ㅳ㑆ᓟ䈮䊤䉾䊃䉕቟ᭉᱫ䈘䈞ᄢ⣽㛽䉕៰಴䈚⹜ᢱ䈫䈚䈢䋮䉟䊮䊒䊤䊮䊃૕䈲⹜ᢱ䈎䉌ᒁ䈐ᛮ䈐ᒝᐲ⹜㛎䈮䉋䉍㒰෰䈚䈢䋮㛽䈱ᓸዊ᭴ㅧ䈱⹏ଔ䈲㩷CT㩷᠟௝䉕ⴕ䈇䋬㛽᪞᭴ ㅧ ⸘ ᷹ 䉸 䊐 䊃 䉕 ↪ 䈇 䈩 㩷 Bone㩷 Surface㪆Bone
Volume㩷 䋨 એ ਅ 䋻 BS㪆BV 䋩 䋬 Bone㩷 Volume㪆Tissue
Volume㩷 䋨એਅ䋻BV㪆TV䋩䋬Trabecular㩷 Thickness䋨એਅ䋻TbTh䋩䋬Trabecular㩷Number䋨એਅ䋻TbN䋩䈍䉋䈶䇭
Trabecular㩷Star㩷Volume䋨એਅ䋻Vtr䋩䈱ಽᨆ䉕ⴕ䈦䈢䋮
2㩷⟲㑆䈱᦭ᗧᏅᬌቯ䈲Mann–Whitney㩷U㩷ᬌቯ䉕↪䈇䈩ⴕ䈇䋬᦭ᗧ⏕₸䈲㩷5㩼㩷䈫䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭ᒁ䈐ᛮ䈐ᒝᐲ䋬BS㪆BV䋬BV㪆TV䋬TbTh䋬TbN㩷䈍䉋
䈶㩷Vtr䈱⚿ᨐ䉕㩷࿑㩷䈮␜䈜䋮BV㪆TV㩷䈍䉋䈶㩷BS㪆BV䈱⚿ᨐ䈎䉌ታ㛎⟲䈲㛽᪞᭴ㅧ䈏ኒ䈮䈭䈦䈩䈇䉎䈖䈫䉕␜䈚䋬䈠䉏䈮䉋䉍ኻᾖ⟲䈫Ყセ䈚䈩ታ㛎⟲䈱㩷TbTh
䈏㜞䈎䈦䈢䈫⠨䈋䉌䉏䉎䋮BV㪆TV䋬㩷BS㪆BV㩷 䈍䉋䈶
TbTh㩷䈱⚿ᨐ䉋䉍㛽᪞᭴ㅧ䈱ㅪ⛯ᕈ䈏ะ਄䈘䉏䈢䈢
䉄㩷Vtr㩷䈮䈍䈇䈩䉅ታ㛎⟲䈏ኻᾖ⟲㩷䈮Ყ䈼㜞䈇୯䉕␜䈚䈢䈫⠨䈋䉌䉏䉎䋮TbN㩷䈲ਔ⟲㑆䈮᦭ᗧ䈭Ꮕ䈲␜䈘䈭䈎䈦䈢䋮䈖䈱⚿ᨐ䈲㩷SBM㩷䈱ലᨐ䈏㩷㛽᪞ᢙ䈱Ⴧട䈪䈲䈭䈒㛽᪞᭴ㅧ䈱ᡷༀ䈮ലᨐ䉕⊒ើ䈚䈩䈇䉎䈢䉄䈣䈫⠨䈋䉌䉏䉎䋮㩷એ਄䈎䉌㩷SBM㩷䈲䉟䊮䊒䊤䊮䊃૕๟࿐㛽䈱ᓸዊ᭴ㅧ䉕ᡷༀ䈘䈞䉎䈖䈫䉕᣿䉌䈎䈮䈚䈢䋮ᒁ䈐ᛮ䈐ᒝᐲ䈲㛽䈱ᓸዊ᭴ㅧ㩷䈏ᡷༀ䈘䉏䉎䈖䈫䈪ታ㛎⟲䈏ኻᾖ⟲䈮Ყ䈼᦭ᗧ䈮㜞䈇୯䉕␜䈚䈢䈫⠨䈋䉌䉏䉎䋮䉋䈦䈩㩷SBM㩷䈱⚻ญ៨ข䈲䉟䊮䊒䊤䊮䊃ᴦ≮䈱ੑᰴ࿕ቯ䈏ᡷༀ䈏䈘䉏䉎น⢻ᕈ䉕␜ໂ䈚䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Mijares D, Kulkarni A, Lewis K, Yao F, Xi Q,
Tannous S, et al. Oral bone loss induced bymineral deficiency in a rat model: effect of asynthetic bone mineral (SBM) preparation.
Archives of oral biology 2012;57:1264-73.
2䋩 LeGeros RZ. Patent. 2008: US 7, B2 (submitted
2004,, issued September 2 UAC, March, 12 Cpbb, incorporating magnesium z, fluoride andcarbonate. ed., p. of.

ᒁ䈐ᛮ䈐ᒝᐲ䈍䉋䈶㛽䈱ᓸዊ᭴ㅧ䈱⹏ଔ䇭─ 185 ─第 2 日 第 3 会場

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一般 口 演 発 表㪦㪉㪄㪉㪊䉟䊮䊒䊤䊮䊃๟࿐䈱㛽ᒻᚑଦㅴ䉕⋡ᜰ䈚䈢䉼䉺䊮⴫㕙䈻䈱䉬䊮䊐䉢䊨䊷䊦䈱ᔕ↪
䂾᧖ᧄ࿻૓ 㪉㪀䋬࿯ደ๟ᐔ 㪈㪀䋬ේ䇭ᙗผ 㪈㪀䋬⮮የᱜੱ 㪉㪀䋬᧻ਅཅᵏ 㪈㪀䋬᧻↰䇭੫ 㪉㪀䋬૒਎䇭ᥙ 㪉㪀䋬ᣣᲧ⧷᥍ 㪉㪀
㪈㪀ฬฎደᄢቇකቇㇱ㒝ዻ∛㒮ᱤ⑼ญ⣧ᄖ⑼䋬㪉㪀ฬฎደᄢቇᄢቇ㒮කቇ♽⎇ⓥ⑼㗡㗪ㇱᗵⷡ
ེᄖ⑼ቇ⻠ᐳ㗶㗻㕙ᄖ⑼ቇ
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The application of kaempferol on the titanium surface to facilitate osseointegration
Sugimoto K 2), Tsuchiya S 1), Hara K 1), Fujio M 2), Matsushita Y 1), Matsuda R 2), Sayo A 2), Hibi H 2)
1)
Department of Oral and Maxillo facial Surgery, Nagoya University Hospital, 2)Department of Oral andMaxillofacial Surgery, Nagoya University Graduate School of Medicine㸇䋮㩷⋡⊛䉟䊮䊒䊤䊮䊃๟࿐䈱㛽ᒻᚑଦㅴ䈱䈢䉄䈱᭽䇱䈭䉼䉺䊮⴫㕙ୃ㘼ᴺ䈏ႎ๔䈘䉏䈩䈇䉎䋮䉒䉏䉒䉏䈲㛽ᒻᚑ䉕ଦㅴ䈘䈞቟ోᕈ䈏⏕⹺䈘䉏䈩䈇䉎䊘䊥䊐䉢䊉䊷䊦䈱৻⒳䈪䈅䉎䉬䊮䊐䉢䊨䊷䊦䈮⌕⋡䈚䈢䋮ᧄ⎇ⓥ䈱⋡⊛䈲䉟䊮䊒䊤䊮䊃⴫㕙䈮ઃ⌕䈚䈢䉬䊮䊐䉢䊨䊷䊦䈮䉋䉍䉟䊮䊒䊤䊮䊃๟࿐䈱㛽ᒻᚑ䈏ଦㅴ䈘䉏䉎䈎䈬䈉䈎䉕᣿䉌䈎䈮䈜䉎䈖䈫䈪䈅䉎䋮䇭㸈䋮㩷ᣇᴺ
1M㩷᳓㉄ൻ䊅䊃䊥䉡䊛ṁᶧ䈮140㷄䋬6ᤨ㑆䋬⛯䈇䈩䋬䊥䊮㉄✭ⴣᶧ䋨PBS䋩䈮37㷄䋬24ᤨ㑆䋬⚐䉼䉺䊮㩿JIS1⒳㪀
⵾䈱౞᧼䋨⋥ᓘ80mm䋩䋨Ti㪄P㪀䈫䉴䉪䊥䊠䊷䉟䊮䊒䊤䊮䊃䋨⋥ᓘ2mm䋻㐳䈘4㪅5mm䋩䋨Ti㪄S䋩䉕ᶐẃ䈚䈢䉅䈱䉕⹜㛎䈫䈚䈢䋨䈠䉏䈡䉏Ti㪄P㪄Alk䋬Ti㪄S㪄Alk䋩䋮䈠䈚䈩䋬ฦ⹜㛎 ⴫㕙䈮ဋ৻䈮䉬䊮䊐䉢䊨䊷䊦䉕ઃ⌕䈘䈞䉎䈢䉄䈮PBS䈪Ꮧ㉼䈚䈢5μM䉬䊮䊐䉢䊨䊷䊦䉕ႣᏓᓟ䋬⥄ὼੇ῎䈚䈢䋨Ti㪄P㪄Alk㪄Ka䋬Ti㪄S㪄Alk㪄Ka䋩䋮䈘䉌䈮䋬䉬䊮䊐䉢䊨䊷䊦䉕⹜㛎 ⴫㕙䈮౒ᴉᲚ䈘䈞䉎䈢䉄䈮䋬
5μM㩷䉬䊮䊐䉢䊨䊷䊦䉕ട䈋䈢PBSṁᶧ䈮䋬37㷄䋬24ᤨ㑆䋬ฦ⹜㛎 䉕ᶐẃ䈚䈢㩷䋨Ti㪄P㪄Alk㪄Kc䋬Ti㪄S㪄Alk㪄
Kc䋩䋮䈖䉏䉌䉕ታ㛎⟲䈫䈚䋬ήಣℂ‛䈱䉅䈱䉕ኻᾖ⟲䈫䈚䈢䋨Ti㪄P䋬Ti㪄S䋩䋮ో⟲䈱⴫㕙䉕ㅘㆊဳ㔚ሶ㗼ᓸ㏜
䋨SEM䋩䈮䈩ⷰኤ䈚䋬䉣䊈䊦䉩䊷ಽᢔဳX㩷✢ಽశᴺ
䋨EDX䋩䈮䈩⴫㕙䈮ๆ⌕䈚䈢ర⚛䈮䈧䈇䈩⸃ᨆ䈚䈢䋮
Ti㪄P⟲䋬Ti㪄P㪄Alk⟲䋬Ti㪄P㪄Alk㪄Ka⟲䋬Ti㪄P㪄Alk㪄
Kc⟲䈮䈍䈇䈩䋬䊤䉾䊃㛽㜑䈎䉌ណข䈚䈢㛽㜑㑆⾰⚦⢩䋨rBMSCs䋩䉕⹜㛎 ਄䈪ၭ㙃䈚䋬䉮䊮䊐䊦䉣䊮䊃ᓟ1䋬
3 䋬 7 ᣣ 䈮 㛽 㑐 ㅪ 䊙 䊷 䉦 䊷 㩿Runx㪄2㪃㩷 Osteocalcin㪃
Osteopontin㪃㩷Osteonectin㪃㩷Type㩷1㩷Collagen㪃㩷Alkaline
Phosphatase㪀䈱mRNA⊒⃻㊂䉕ቯ㊂RT㪄PCR䈮䈩᷹ቯ䈚䈢䋮SD䊤䉾䊃24඘䋨6ㅳ㦂䋬䊜䉴䋩䈱ᄢ⣽㛽䈮Ti㪄S⟲䋬Ti㪄S㪄Alk⟲䋬Ti㪄S㪄Alk㪄Ka⟲䋬Ti㪄S㪄Alk㪄Kc⟲䈱⹜㛎 䉕ၒ౉䈚䈢䋮ၒ౉ᓟ2䋬4ㅳᤨ䈮ᄢ⣽㛽䉕៰಴䈚䋬⎇⏴ᮡᧄ䉕૞⵾䈚䈩䋬䉟䊮䊒䊤䊮䊃䋭㛽ធ⸅₸
䋨BIC䋩䉕▚಴䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ
SEM↹௝䈎䉌䋬Ti㪄P㪄Alk㪄Ka⟲䈫Ti㪄P㪄Alk㪄Kc⟲䈲
Ti㪄P⟲䈫Ყ䈼䈩䋬䉁䈢Ti㪄S㪄Alk㪄Ka⟲䈫Ti㪄S㪄Alk㪄Kc⟲䈲Ti㪄S⟲䈫Ყ䈼䈩⹜㛎 ⴫㕙䈱㗰☸⁁ઃ⌕‛䈏ᄙ䈎䈦䈢䋮EDX䈎䉌䋬Ti㪄P㪄Alk㪄Ka⟲䈲Ti㪄P⟲䈫Ყ䈼䈩䋬䉁䈢Ti㪄S㪄Alk㪄Ka⟲䈲Ti㪄S⟲䈫Ყ䈼䈩὇⚛ේሶ䈱ഀว䈏㜞䈎䈦䈢䋮ቯ㊂RT㪄PCR䈎䉌Ti㪄P㪄Alk㪄Ka⟲ 䈫 Ti㪄P㪄Alk㪄Kc ⟲ 䈲 Ti㪄P ⟲ 䈫 Ყ 䈼 䈩 7 ᣣ ⋡ 䈪Runx㪄2㪃㩷Osteocalcin䈱⊒⃻㊂䈏㜞䈎䈦䈢䋮ၒ౉ᓟ2㩷䋬
4㩷ㅳᤨ䈱BIC䈲䋬Ti㪄S㪄Alk㪄Ka⟲䈫Ti㪄S㪄Alk㪄Kc⟲䈏
Ti㪄S⟲䈣䈔䈪䈭䈒Ti㪄S㪄Alk⟲䈫䉅Ყ䈼䈩㜞䈎䈦䈢䋮
Ti㪄S㪄Alk㪄Ka⟲䈫Ti㪄S㪄Alk㪄Kc⟲䈱㑆䈮Ꮕ䈲䈭䈎䈦䈢䋮એ਄䈱⚿ᨐ䈎䉌䋬䉟䊮䊒䊤䊮䊃⴫㕙䈮ઃ⌕䈚䈢䉬䊮䊐䉢䊨䊷䊦䈮䉋䉍䉟䊮䊒䊤䊮䊃๟࿐䈱㛽ᒻᚑ䈲ଦㅴ䈘䉏䉎䈖䈫䈏␜ໂ䈘䉏䈢䋮䇭㸊䋮㩷ᢥ₂
1䋩 Yang L et al. Kaempferol stimulates bonesialoprotein gene transcription and new boneformation. J Cell Biochem. 2010; 110(6):1342-55
2䋩 Kumar A et al. Identification of kaempferolregulated proteins in rat calvarial osteoblasts
during mineralization by proteomics. Proteomics.
2010;10(9):1730-9

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一般口演発 表㪦㪉㪄㪉㪋

MDF㩷⚐䉼䉺䊮䉕↪䈇䈢䉟䊮䊒䊤䊮䊃᧚ᢱ䈫䈚䈩䈱↢‛ቇ⊛⹏ଔ䂾⨹੗૓テ 㪈㪀䋬ᤊ䇭ᙗᐘ 㪈㪀䋬ᾢဈ⍮ዞ 㪈㪀䋬ਣየൎ৻㇢ 㪈㪀䋬᪁ේᷕਯ 㪈㪀䋬ᄢਭ଻ജᑝ 㪉㪀䋬ᧁᧄసᒾ 㪈㪀
㪈㪀
␹ᄹᎹᱤ⑼ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼䇭ญ⣧ᯏ⢻ୃᓳቇ⻠ᐳ䇭๰ྨᯏ⢻೙ᓮ⵬✄ቇಽ㊁䋬 㪉㪀㢬⷗ᄢቇᱤቇㇱ䇭᦭ᐥ⟵ᱤ⵬✄ቇ⻠ᐳ
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Biological evaluation of MDF pure titanium as implant material
Arai Y 1), Hoshi N 1), Kumasaka T 1), Maruo K 1), Kuwabara A 1), Ohkubo C 2), Kimoto K 1)
1)
Division of Prosthodontics & Oral Rehabilitation Department of oral Function and Restoration Graduate
School of Dentistry, Kanagawa Dental University, 2)Department of Removable Prosthodontics, Tsurumi
University School of Dental Medicine㸇䋮㩷⋡⊛䇭⃻࿷䋬䉼䉺䊮᧚ᢱ䈲ఝ䉏䈢᧚ᢱ․ᕈ䈎䉌ක≮↪᧚ᢱ䈫䈚䈩ᐢ䈒↪䈇䉌䉏䈩䈍䉍䋬⵬✄㗔ၞ䈮䈍䈇䈩䉅ᐢ䈒↪䈇䉌䉏䈩䈇䉎䋮㫯㶥䈠䈖䈪䋬೨࿁䉁䈪䈱⊒⴫䈪䋬ᚒ䇱
䈲䋬MDF䋨ᄙゲ㎊ㅧ䋩ᴺ䉕↪䈇䈢ᣂ䈢䈭⚐䉼䉺䊮䈱㐿⊒䈫䈠䈱․ᕈ䈮䈧䈇䈩ႎ๔䈚䈢䋮䇭੹࿁䈲䋬MDF㩷⚐䉼䉺䊮䈱䉟䊮䊒䊤䊮䊃᧚䈫䈚䈩䈱㉄
ಣℂᴺ䈱ലᨐ䉕ᬌ⸛䈜䉎䈢䉄䋬↢‛ቇ⊛⹏ଔ䉕ᬌ⸛䈚䈢䈱䈪ႎ๔䈜䉎䋮䇭㸈䋮㩷ᣇᴺ䇭䉼䉺䊮䊑䊨䉾䉪䋨᧲㇌䉼䉺䊆䉡䊛␠⵾䋩䈲䋬Grade㩷2㩷⚐䉼䉺䊮䋨એਅ䋬⚐䉼䉺䊮䋩䈫䋬䈖䉏䈮㩷MDF㩷ടᎿ䋨એਅ䋬
MDF㩷⚐䉼䉺䊮䋩䈚䈢㩷2⒳㘃䉕㱢20㩷mm䋬ෘ䈘1㪅0㩷mm
䈱౞⋚⁁䈱⹜㛎⹜ᢱ䈫䈚䈩૞⵾䈚䈢䋨Ꮉᧄ㊀Ꮏ⵾䋩䋮䇭㉄ಣℂ䈮䉋䉎ᓇ㗀䉕ᬌ⸛䈜䉎䈢䉄䈮䋬㉄ಣℂ䉕䈚䈩䈇䈭䈇⹜ᢱ䋨એਅ䋬䉮䊮䊃䊨䊷䊦䋩䈫67䋦H㶩SO㶫䋬120
㷄䋬75㩷 ⑽㑆㉄ಣℂᓟ䋬⿥⚐᳓䈪ᵞᵺ䉕ⴕ䈦䈢䉅䈱
䈫䋬40⑽䋬50⑽䋬60⑽䋬75⑽䈱᧦ઙ䈪㉄ಣℂᓟ䋬䊜䉺䊉䊷䊦䈮䈩ᵞᵺ䉕ⴕ䈦䈢䉅䈱䉕䋬⚐䉼䉺䊮䋬MDF㩷⚐䉼䉺䊮౒䈮↪ᗧ䈚䈢䋮䉁䈢䋬⴫㕙⚵❱ⷰኤ䈫䈚䈩䋬⿛ᩏဳ㔚ሶ㗼ᓸ㏜䋨JEOL㩷JSM㪄5600LV㩷 䋬ടㅦ㔚࿶㩷15
kV䋩䈮䉋䉎⴫㕙ⷰኤ䉕ⴕ䈦䈢䋮䇭䈘䉌䈮䋬䈖䉏䉌䈱⹜ᢱ䉕↪䈇䋬ೋᦼ⚦⢩ធ⌕䉕ᬌ⸛䈜䉎䈢䉄䈮䋬8ㅳ㦂䈱SD䊤䉾䊃䄟䈱ᄢ⣽㛽䈎䉌㛽㜑♽⚦⢩䉕ណข䈚䋬㱍㪄MEM䋨15㩼㩷fetal㩷bovine㩷serum䈫䋬50㩷 㱘g㪆ml㩷 ascorbic㩷 acid 䋬 10㩷 mM㩷 Na㪄㱎㪄glycerophosphate 䋬 10㪄8㩷 M㩷 dexamethasone㩷 㪃
antibiotic㪆antimycotic㩷 䉕 ᷝ ട 䈚 䈢 䋩 ၭ 㙃 ᶧ 䈮 䈩 䋬37㷄䋬5㩼㩷CO2䈱᧦ઙਅ䈪ၭ㙃䉕ⴕ䈦䈢䋮ၭ㙃ᶧ䈲
2㫕3ᣣ䈗䈫䈮੤឵䈚䋬80㩼㩷 䉮䊮䊐䊦䉣䊮䊃ᤨ䈮䋬0㪅25㩼
trypsin㪄1㩷 mM㩷 EDTA㪄4Na䉕↪䈇䈩ಣℂ䈚䋬⛮ઍ䉕ⴕ䈦䈢䋮ᓧ䉌䉏䈢㛽⧘᭽⚦⢩䉕ᔅⷐ⚦⢩ᢙ䉁䈪Ⴧᱺ䉕䈘䈞䋬12㩷well㩷䉦䊦䉼䊞䊷䊒䊧䊷䊃䈮ฦ᧦ઙ䈪૞⵾䈚䈢⚐䉼䉺䊮䋬MDF㩷 ⚐䉼䉺䊮䈱⹜ᢱ䉕⸳⟎䈚䋬6㪅2
㬍㩷10㪄4㩷cells㪆cm2䈪⚦⢩䉕᠞⒳䈚䋬ห᭽䈱᧦ઙ䈪ၭ㙃䉕ⴕ䈦䈢䋮3ᤨ㑆ᓟ䈱ೋᦼ⚦⢩ធ⌕䉕ⷰኤ䈜䉎䈢䉄䈮䋬WST㪄1䉕↪䈇1ᤨ㑆䉟䊮䉨䊠䊔䊷䊃ᓟ䋬96㩷well䊒䊧䊷䊃䈮100㱘l䈝䈧౉䉏䋬ᵄ㐳450nm㩷䈱ๆశᐲ䈪᷹ቯ䉕ⴕ䈦䈢䋮
䇭⛔⸘ಣℂ䈲৻ర㈩⟎ಽᢔಽᨆ䈍䉋䈶㩷Turkey㩷ᬌቯ䉕ⴕ䈇䋬ෂ㒾₸䈲㩷5㩷䋦䈫䈚䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤ䇭㉄ಣℂᓟ䈱⚐䉼䉺䊮䋬MDF㩷⚐䉼䉺䊮䈱SEMⷰኤ䉕ⴕ䈦䈢⚿ᨐ䋬⚐䉼䉺䊮䈲ሹ䈏ਇⷙೣ䈭ᣇะᕈ䉕ᜬ䈦䈩䈇䉎䈏䋬MDF㩷⚐䉼䉺䊮䈪䈲䋬1䈧1䈧䈱ሹ䈏౞ᒻ䈪ⷙೣᕈ䉕ᜬ䈦䈩䈇䉎䈖䈫䈏ⷰኤ䈘䉏䈢䋮䉁䈢䋬ಣℂᤨ
㑆䈗䈫䈮⷗䈩䉂䉎䈫䋬⚐䉼䉺䊮䋬MDF㩷⚐䉼䉺䊮䈫䉅䈮䋬
ಣℂᤨ㑆䈏㐳䈒䈭䉎䈫䋬ሹ䈏᣿⏕䈮䈭䈦䈩䈇䉎䈖䈫䈏ⷰኤ䈘䉏䈢䋮೨࿁䉁䈪䈱㉄ಣℂ᧦ઙ䈫Ყセ䈚䈩䉂䉎䈫䋬䊜䉺䊉䊷䊦䈪ᵞᵺ䉕ⴕ䈦䈢ᣇ䈏䋬䉋䉍᣿⏕䈮ⷰኤ䈘䉏䉎䈖䈫䈏⏕⹺䈘䉏䋬䈖䈱ᣇᴺ䈲ᵞᵺᕈ䈏⦟䈇䈖䈫䈏ુ䈋䈢䋮ೋᦼ⚦⢩ធ⌕䈱⚿ᨐ䈲䋬⚐䉼䉺䊮䋬MDF㩷⚐䉼䉺䊮䈫䉅䈮䉮䊮䊃䊨䊷䊦䈮Ყ䈼䋬Ⴧട௑ะ䉕␜䈚䋬ಣ
ℂᤨ㑆ଐሽᕈ䉕␜䈚䈢䋮䉁䈢䋬⚐䉼䉺䊮䋬MDF㩷⚐䉼䉺䊮䈫䉅䈮ห╬䈱ೋᦼ⚦⢩ធ⌕ᕈ䉕␜䈜䈖䈫䈏⏕⹺䈪䈐䈢䋮䇭੹࿁䋬㉄ಣℂ᧦ઙ䈮䉋䉍䋬⚐䉼䉺䊮䋬MDF㩷⚐䉼䉺䊮䈫䉅䈮䋬⴫㕙⚵❱᭴ㅧ䈱㆑䈇䈏ⷰኤ䈘䉏䈢䋮䉁䈢䋬ೋᦼ⚦⢩ធ⌕䈮䈍䈇䈩䈲䋬䈬䈤䉌䉅ห╬䈱ലᨐ䈏ᓧ䉌䉏䈢䈖䈫䈎䉌䋬MDF㩷⚐䉼䉺䊮䈲ᓥ᧪䈱⚐䉼䉺䊮䈫ห᭽䈱↢૕ㆡวᕈ䉕ᜬ䈧น⢻ᕈ䈏␜ໂ䈘䉏䈢䈖䈫䈎䉌䋬䉟䊮䊒䊤䊮䊃᧚ᢱ䈫䈚䈩᦭ലᕈ䈏㜞䈇䈖䈫䈏⠨䈋䉌䉏䈢䋮䇭੹ᓟ䈲䋬⚦⢩Ⴧᱺ╬䈱⎇ⓥ䉕ⴕ䈇䋬ᦝ䈭䉎↢‛ቇ⊛⹏ଔ䉕ⴕ䈦䈩䈇䈒੍ቯ䈪䈅䉎䋮䇭㸊䋮㩷ᢥ₂
1䋩 Sabirov, R. Z. Valiev, I. P. Semenova, R. Pippan.
Effect of equal channel angular pressing on thefracture behavior of commercially pure titanium.
Matellurgical and Materials Transactions A010;
41(3): 727-733.

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一般 口 演 発 表㪦㪉㪄㪉㪌ㅧᚑ䉕઻䈉਄㗶೨ᱤㇱ䉟䊮䊒䊤䊮䊃ᴦ≮䈮䈍䈔䉎㛽䈍䉋䈶エ⚵❱₪ᓧ㊂䈱⹏ଔ䂾⮮↰␭਽䋬ਛ㊁䇭Ⅳ䋬਄ਛᓆᶈ䋬ട⮮ᤨⷙ䋬᧻᧛ᷕผ䋬⍫⼱ඳᢥ

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ᄢ㒋ᄢቇᄢቇ㒮ᱤቇ⎇ⓥ⑼㗶ญ⣧ᯏ⢻ౣᑪቇ⻠ᐳ䇭䉪䊤䉡䊮䊶䊑䊥䉾䉳⵬✄ቇಽ㊁
Evaluation of bone and soft tissue gain in maxillary anterior implants with graft surgery
Fujita Y, Nakano T, Kaminaka A, Kato T, Matsumura A, Yatani H
Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry㸇䋮㩷⋡⊛೨ᱤㇱ䉟䊮䊒䊤䊮䊃ᴦ≮䈪䈲䋬਄ㇱ᭴ㅧⵝ⌕ᤨ䈮ᄤὼᱤ೉䈫⺞๺䈚䈢චಽ䈭㊂䈱䉟䊮䊒䊤䊮䊃૕๟࿐⚵❱䉕₪ᓧ䈜䉎䈢䉄䋬䉟䊮䊒䊤䊮䊃૕ၒ౉䈫หᤨ䈮㛽䋬エ⚵❱䈱ㅧᚑⴚ䉕૬↪䈜䉎䈖䈫䈏ᔅⷐ䈫䈭䉎႐ว䈏ᄙ䈇1㪀䋮䈚䈎䈚䈭䈏䉌䋬䈖䉏䉁䈪䉟䊮䊒䊤䊮䊃૕ၒ౉䈫หᤨ䈮ㅧᚑⴚ䉕ⴕ䈦䈢∝଀䈱ᚻⴚ೨ᓟ䈱㛽䋬エ⚵❱䉕หᤨ䈮⹏ଔ䈚䈢ႎ๔䈲䈭䈒䋬䉟䊮䊒䊤䊮䊃૕๟࿐䈮㛽䋬エ⚵❱䈏䈬䈱䉋䈉䈮₪ᓧ䈘䉏䉎䈎䈲᣿䉌䈎䈮䈭䈦䈩䈇䈭䈇䋮ᧄ⎇ⓥ䈲䋬Cone㩷Beam㩷CT䋨એਅCBCT䋩䈱㗶㛽䊂䊷䉺䈱㊀䈰ว䉒䈞䉕ⴕ䈉䈖䈫䈪䋬ⴚ೨䈫਄ㇱ᭴ㅧⵝ⌕ᤨ䈱CBCT↹௝䈱Ყセ䉕ⴕ䈇䋬ၒ౉ⴚᑼ䈱㆑䈇䈏㛽䈍䉋䈶エ⚵❱䈱₪ᓧ㊂䈮෸䈿䈜ᓇ㗀䈱⹏ଔ䉕ⴕ䈉䈖䈫䉕⋡⊛䈫䈚䈢䋮䇭㸈䋮㩷᧚ᢱ䈍䉋䈶ᣇᴺ
ᒰ⑼䈮䈩2012ᐕ2᦬䈎䉌2015ᐕ2᦬䉁䈪䈮਄㗶೨ᱤㇱ䈮ၒ౉䈘䉏䈢䉮䊆䉦䊦䉮䊈䉪䉲䊢䊮䉕᦭䈜䉎䉟䊮䊒䊤䊮䊃૕28ᧄ䈮䈧䈇䈩䋬ⴚ೨䋨T0䋩䈫਄ㇱ᭴ㅧⵝ⌕ᤨ
䋨T1䋩䈮᠟ᓇ䉕ⴕ䈦䈢CBCT䊂䊷䉺䉕᛽಴䈚䈢䋮↹௝⸻ᢿ䉸䊐䊃coDiagnostiX䋨Dental㩷Wings␠䋩਄䈪䋬T0䋬
T1䈱㗶㛽䊂䊷䉺䈱㊀䈰ว䉒䈞䉕ⴕ䈇䋬䉟䊮䊒䊤䊮䊃૕䈱૏⟎䉕ၮḰ䈫䈚䈩T0䋬T1䈱⸘᷹ᢿ㕙䉕₪ᓧ䈚䈢䋮᷹ቯㇱ૏䈲䋬䊒䊤䉾䊃䊐䉤䊷䊛૏⟎䈪䈱ᱤᮏ㛽䈫エ⚵❱䈱ෘ䈘䋨BW0䋬GW0䋩䋬䊒䊤䉾䊃䊐䉤䊷䊛䈎䉌2㩷mmਅᣇ䈪䈱ᱤᮏ㛽䈫エ⚵❱䈱ෘ䈘䋨BW2䋬GW2䋩䈫䈚䈢䋮ၒ౉ⴚᑼ䈱㆑䈇䈮䉋䉍䋬㽲ㅧᚑ䈭䈚⟲䋨ኻᾖ⟲䋩䋬㽳㛽ㅧᚑ䈱䉂䉕ⴕ䈦䈢⟲䋨BA⟲䋩䋬䈍䉋䈶㽴㛽䈍䉋䈶エ⚵❱ㅧᚑ䉕ⴕ䈦䈢⟲䋨BSA⟲䋩䈱3⟲䈮ಽ㘃䈚䋬ฦ⸘᷹㗄⋡䈮䈧䈇䈩T0䈫T1㑆䈪⛔⸘⊛Ყセ䉕ⴕ䈦䈢䋮᦭ᗧ᳓Ḱ䈲㱍䋽0㪅05䈫䈚䈢䋮䈭䈍䋬ᧄ⎇ⓥ䈲ᄢ㒋ᄢቇ୶
ℂክᩏᆔຬળ䈱ᛚ⹺䋨H23㪄E8䋩䉕ᓧ䈩ⴕ䈦䈢䋮䇭㸉䋮㩷⚿ᨐ䈫⠨ኤኻᾖ⟲䋨n㪔7䋩䈪䈲BW0䋬BW2䈏᦭ᗧ䈮ᷫዋ䈚䋬㼺
BW0㩷㪔㩷㪄0㪅4㩷㫧㩷㪄0㪅3㩷mm䋬㼺BW2㩷䋽㩷㪄0㪅5㩷䇭㫧㩷0㪅4mm䈫䈭䈦䈢䋮BA⟲䋨n㪔14䋩䈪䈲BW0䋬BW2䈏᦭ᗧ䈮Ⴧട䈚䋬㼺BW0㩷㪔㩷1㪅0㩷㫧㩷0㪅7㩷mm䋬㼺BW2㩷㪔㩷1㪅1㩷㫧
0㪅7㩷mm䈫䈭䈦䈢䋮BSA⟲䋨n㪔7䋩䈪䈲䈜䈼䈩䈱㗄⋡䈏᦭ᗧ䈮Ⴧട䈚䋬㼺BW0㩷㪔㩷1㪅7㩷㫧㩷0㪅9㩷mm䋬㼺BW2㩷㪔
2㪅0㩷㫧㩷1㪅1㩷mm䋬㼺GW0㩷㪔㩷1㪅4㩷㫧㩷1㪅0㩷mm䋬㼺GW2
䋽㩷1㪅3㩷㫧㩷0㪅5㩷mm䈫䈭䈦䈢䋮ኻᾖ⟲䈫BA⟲䈮䈍䈇䈩
䈲䋬T0䈫T1㑆䈱GW0䋬GW2䈮᦭ᗧᏅ䈲⹺䉄䉌䉏䈭䈎䈦䈢䋮એ਄䉋䉍㪃㩷㛽ㅧᚑ䈮ട䈋䈩エ⚵❱ㅧᚑ䉕૬↪䈜䉎䈖䈫䈪䉟䊮䊒䊤䊮䊃૕ໃ஥䈮චಽ䈭ෘ䉂䉕䉅䈦䈢⚵❱䉕₪ᓧ䈪䈐䉎䈖䈫䈏␜ໂ䈘䉏䈢䋮੹ᓟ䈲਄ㇱ᭴ㅧⵝ⌕䈎䉌1ᐕ⚻ㆊᓟ䈱ቯᦼᬌ⸻ᤨ
䋨T2䋩䈮᠟ᓇ䈚䈢CBCT↹௝䉕⹏ଔ㗄⋡䈮ട䈋䉎䈖䈫䈪䋬ㅧᚑⴚ䈮䉋䉍₪ᓧ䈘䉏䈢㛽䋬エ⚵❱䈱ᴦ≮ᓟ䈱⚻ᤨ⊛ᄌൻ䈮䈧䈇䈩⹏ଔ䉕ⴕ䈉੍ቯ䈪䈅䉎䋮䇭㸊䋮㩷ᢥ₂
1䋩 Grunder U, Gracis S, Capelli M:Influence of the
3-D bone-to-implant relationship on esthetics.Int
J Periodontics Restorative Dent. 2005 Apr;25(2):113-9.

T0 䈍䉋䈶 T1 䈱⸘᷹ᢿ㕙䇭─ 188 ─