դȻʿż£̣ϣ

԰Ԥλʰդ

2010ǯ05

Frare014t

ݥå¬ä³Ǥ

ᥤƥʥˡ桹äȤ򤱤֡
ϡݥå¬ͤ礭ʤ

⤪ޤʬȡ

˻˱ɤʼ줿ˡŪ¬ͤ礭ʤˡ
˾ʬäƤ
Ӽ

Ȥ䤾ˡ

˥ҥӡʤ⤷ϵˤä
ޤ줿

Ȥ꤬ȤͤʤФʤޤ

ʤߤˡˤξϡܤˤƤꡢз줷ƤȤԤܿͤˤפˤʤäƤ뤳Ȥ¿ˤޤ

ޤˤϡɽ¤äΤǤפĹܹˤϡإǥ륰봬ˤƤ褦ʾ֤ǥץ֤ˤʤäƤǤ顢बˤХץ֤äƤޤޤʤޤǡ᡼Ȥơˡ

ΣĤϡץåȥΩľʤɤǡʥƥʥ󥹴֤ˤޤŪñнǤ뤳Ȥ¿褦Ǥ

Ǥ⺤ʤΤϡˤؤнǤ

ˤĤƤϡᥤƥʥ󥹤ƤĶƤޤΤǡϳ䰦ޤ
ʤޤƤ뤫⤷ޤ

Fm811

ϡʷϤΥߥʡ˽ʤƤޤ

ֻդϡ䤬ľᤴܺ긩䲬ԤǤȤ
;ޤФơ餷Ȥߤΰ屡夲Ƥä㤤ޤ

ʰ屡ȤȿϡٴȤʤʰդȤ̣бĤΤʤͤȥåפüʶ֡
Τᡢ꤬͡ޤ

Ȱ衢ʬʤˤٶꡢϤΥݡȤ˽줿ꤷƤʤȤäƤޤФ餯ʬθ³ߤʤΤ򴶤Ƥ⤬Ƥ褦ʵʬ

ΤȤФä꤬åդ²˸äƤ⤢ꡢʬǤʤʤĤϤǤ򤫤Ƥޤ


ΥߥʡǤɤ鿷ޤꤽʵƤƤޤ
ˡޤ޶ˤڤʤƤꡢߥʡˤ뤯äƤ˰ߤƤޤ

ޤϡǤ뤳Ȥ򥳥ĥĤäƤޤ󤬡ƤǤ礭ʼϤäǤ











ܤƤǤ
ޤŤäФǤȡäƤޤΤǡʾСˡä٤ߤǤ

Ƕᡢɤ򤫤äܡ

ϪäǤܿͤΤȡȤƤ⿴ưޤ
ʤƤФäʬ⤢ޤĶơĿͤϤȤΤˤưʡȡäƱͦڤǧ













⡢֤ؤפäƻפ蘆줿ܡ

˾νȤñΤäƤΤȤ¤ϡʤȤäȤʬǧ­Ƽ´

ʤߤˣɤ򤫤äΤϡ

̾ơԤס¼ɧ
֥ҥȥ顼ηкסġι
ֻȤ̿ˤĤơסСʸ
ֱʱΤȤʤ
ϹXƷ襤ޤǻפˡסʼƣȬ


Ǥ礦

Ƹȡबʤ쥯ȤǤ͡ʡ




Frare014t

ޤޤĤ³ޤ

ᥤƥʥ󥹤οǺˡݥå¬οͤʤֻ̡ס

츫ǡǤϿͤäɤвΤ褦˻פ쾡Ǥ󤽤ˤ٤ޤ



¤μؤɸϡ

֤ʾ塢åȥ򵯤ʤ
֤ʾ塢ܡ򵯤ʤ

ȤȤ˿ԤȻפޤ

ξ硢̤ǥݥå¬ͤƤ⡢줬åȥȼʤɤȤʤФʤʤʡȹͤƤޤ

׾θǤϤʤʤޤΤˤϲޤ

ΤƿǺܤ˥˥륢åȥο¬⤤ƤޤߤϤäƤޤʤäƤʰ屡ΤΤäƤޤˡ

᤿ͳΰĤˡޤ֤᤮ȤȤ󤲤ޤ
򤹤ȡǺ֤ǣ֤ĶƤޤޤ

ܽѡʤɤλ֤ͤȡΥݥȤȾ֤ȤʤäƤޤޤ
ޤޤǻ֤򤫤Ĵ٤Ȥǡ¬ͤ鷺Ѳ򸫤ĤΤϻΥ略

Ǥ顢ǤϥХȤʤΤɴ⾵ΤǸ̿򻲹ͤˤꡢʪεΥ¬ʤɤȽǤƤޤ

Frare014t

ǡŪȤΤո⤤Ƥޤޤ
⤦դ礤

ơ⿨줿֥ݥå¬͡פѲ

󡢸§ŪˤϿͤʤ뤳Ȥ˾ޤΤǤʤä¿Ȥ櫓Ǥ⤢ޤ

ޤɤह뤳Ȥˤäƿͤʤϡɤȸޤ

ޤΥ饤ѲʤͤʤäϡۤȤɤΥĹܹˤ (Long junctional epitherium) γˤ뤳Ȥ¿ȹͤޤ
ξ硢ԤˤƤߤаּ֡äפȤ´䤹졼ޤФޤ

Ϸ翥Ȱۤʤꡢΰˤ԰¤ĤǤ͡

äˡ碌Τ򤷤Ȥ˻Υ饤ѲꤹȡåǤľʤȤ⤢ޤ

ȿФˡ࿦ˤͤʤäϡδ֤˶ޤפ©ϳ롢ܤˤʤȤä졼बаפȾ̡ΰŪ극ˤޤ


ᥤƥʥ󥹤οǺˡݥå¬οͤʤäƤϡ嵭ͤơᥤƥʥ󥹤ޤǤδ֤ʤɤθʤФʤޤ

Faw1548r

ϡعʰôƤʿع˻ʷǤȡԤΣлǡ

عϡǯȣǯΰǤ˥ॷФäʡäȻפޤ

ۤȤɤλƸ׼Żޤ
ޤꥨե꡼ޤ

عʰϤ᤿Ρϥ֥饷ǿǤƤȤ󤤱󤤲ΤȤΤ褦Ǥ

ܸȤƤǮʤ뿩Υϥߥ夷Ƥ褦ǡη̤Ǥ礦͡


ޤ޸ηǤǰˤʤäʻԤηǤϡʰգ̾ˤƱضعôäΤǤ⤳ǯǥॷФ㸺ȤΤȤǤ


Ѥ餺֥ॷ粦פϿͷߤǡθξ֤ϻ뤿Ρ

Ҥɤ˺ϤʤΤǤ顢ݸԤΰռäѤäƤСȻǰʵˤʤޤ

ˤƤ⡢ޤǤϼźѤߤȴƥꥨե꡼ˤʤǯλƸ¿äΤǤΣǯϤǤȱʵ׻κˤäꥫꥨե꡼

ʷɼˡʥॷФΤʤΰˤ¤ǤʤƸʤʤꤽǤ͡

СηǤפ֤⤤Ĥäû̡

ꥨե꡼ϡλŻڤˤƤޤ

Frare014t

ᥤƥʥ󥹻οǺܤǡǤŪǤʤѲˤʤΤ BOP ȥݥåȿͤǤϤʤǤ礦

ǡޤݥåȿͤʤιͤ

Ȥȡץ֤ˤݥåȤο¬ϡɬ⿿ΥݥåޤǤοͤ¬ǤƤ櫓ǤϤޤ

ˤĤƤϡ1980ǯ Listgarten "Periodontal probing;What does it mean?" ȤĶͭ̾ʸޤ

פ˻αɤ٤ˤäƻΰޤٹ礤ۤʤäƤΤǡץ֤䤹ѤꡢͤѤäƤޤ櫓Ǥ͡

ɤ¸ߤСºݤΥݥåץ֤ͤȴƤޤ䤹ʿͤ礭ǤˤǤȿФ˱ɤޤˤʤʿͤǤˤ櫓Ǥ


ݥåȤ¬ϡͤ礭ʤ뤫ʤ뤫⤷ѲʤΣ̤ꤷޤ

ͤʤΤϡ

αɤष
Ĺܹˤ夬줿
̤

Ȥä

ȿФˡͤ礭ʤΤϡ

αɤ
ı
Ӽ

ȤäȤǤ礦ʺ󡢤ʤ˽ʬƤޤˡ

񤯤ȡʤñʤ褦Ǥºݤ׾ǤϤñˤϤޤ

Frare014t

Ÿᥤƥʥ󥹤Ȥ̤̾ꡢѶŪʼŸǤ顢ȤѲİ˺ȯɤݥȤˤʤޤ

ᥤƥʥ󥹻˿Ǻܤϡ롼ƥȤơ

ץåȥξ
ư
ȯ֡ı̵ͭ
BOP (Bleeding on Probing)
CPD (Clinical probing depth)

ʤɤ󤲤ޤ

¾ˤ⡢CAL(Clinical attachment loss) ʪξ֤եƥʤɤ¸ߤʤȤäȤޤ

ơ񤤤褦ˡǺ̡ʥǡˤ򤤤ɤǤܽƤꤹפʥݥȤǤ

äˡBOP CPD ˤĤƤϿͤǽФޤΤǡͤλỊ̇ǤʤФʤޤ

CPD ϡݥåȤο

ץӥ͡῿ΥݥåȤοǤϤޤ
ޤͤѲθȤӤʤǤƤȤפǤ

Frare014t

ܤƤǤ

ᥤƥʥ󥹤ʬΣܤϡŸᥤƥʥ󥹡

ѶŪưŪŤ򤷤ԤФᥤƥʥ󥹤ȤȤǤ
ʽŪˤϡäȤŪʥᥤƥʥ󥹤ƤϤޤȤǤ͡

ѶŪưŪŤȤϸäƤ⡢󥰤롼ȥץ졼˥󥰤ȤäֻšפȸƤФ֤ǽλƤΤȤֻʽ֡פܤƤΤ

ޤγʽ֤ϤɤΤ褦ʽѼǹԤäΤˤäơᥤƥʥ󥹻դʤФʤʤݥȤѤäƤޤ


ڤʤȤϡᥤƥʥ󥹤٤Ȥ˵ϿǡɤɤफȤȤ


Ȥ⤹Сᥤƥʥ󥹤Ȥȡƥ˥åŪʤȤܤ쾡Ǥϥǡ򤤤ɤफ
ˤäơᥤƥʥ󥹻ˤ٤ᥤƥʥ󥹤δ֤ɤ줯餤ꤹΤϤ뤫˽פȻפäƤޤ

F3791t

顢餿˻ʱιμ½Ϥޤޤ

ǷޤΤϡǣܡ

ȤȿʤƧޤˤϣơܤȤȤ⤢ꡢȤѤƤߤ褦ȻפäƤޤ


ȤǡϹαٶ
󤫤顢ѤƤߤޤ

ޤǤϡʽΤ褦ܤȤäƤޤ󤫤ʸ

伫ȡر˻Ĥä櫓ǤϤʤΤʸɤϲʤΤǤǤʸ˿ڤϿȤˤߤƤޤ
ơåդˤʸ˿ڤ򴶤äƤ餤Ȼפʥ󥸤Ǥ

츫̵̣ʸˡФΤ褦ˤ᤯̤񤫤Ƥ뤳Ȥ˵ŤȤβ

Τȡ빽򤤤Ǥ

ΥڡΥȥåץ