{"created":"2023-06-23T12:15:36.121452+00:00","id":5401,"links":{},"metadata":{"_buckets":{"deposit":"b3a9ee60-b630-4081-a1eb-dcfe4569b597"},"_deposit":{"created_by":21,"id":"5401","owners":[21],"pid":{"revision_id":0,"type":"depid","value":"5401"},"status":"published"},"_oai":{"id":"oai:asahi-u.repo.nii.ac.jp:00005401","sets":["46:348:365"]},"author_link":["4128","4022","4126","8892","4134","492","3802","4159","3971","8022","8802"],"item_10002_biblio_info_77":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"123","bibliographicPageStart":"117","bibliographicVolumeNumber":"44","bibliographic_titles":[{"bibliographic_title":"岐阜歯科学会雑誌"},{"bibliographic_title":"The Journal of Gifu Dental Society","bibliographic_titleLang":"en"}]}]},"item_10002_description_80":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Case: The patient, a 40-year-old female, presented complaining of pus discharge from the lower anterior teeth. Periodontal examination revealed gingival recession, tooth mobility in lower anterior lesion; 21.1% of sites bled on probing, 21.1% of the sites had a periodontal pocket depth 4mm. In particular #32 and #41 exhibited a probing pocket depth of 7mm. There was grade II mobility in #32, and grade I in #41. Based on the clinical and radiographic findings, the patient was diagnosed with localized chronic periodontitis. Clinical procedure and outcome: Periodontal treatment was initiated with mechanical therapy, including systematic scaling and planning of all accessible root surfaces and the introduction of meticulous oral hygiene. After the thorough initial phase of mechanical therapy, the patient was motivated to achieve better plaque control. Flap surgery was performed including the application of enamel matrix protein to limited lesions. Reevaluation revealed decreased sites of bleeding on probing, plaque control and improvement in the probing pocket depth. A postoperative radiograph 12 months later showed significant bone formation. However, the gingiva between the interdental embrasures is shaped irregularly, which requires careful selfcare and professional treatment. The patient was put on regular recall appointments for supportive periodontal therapy. The oral hygiene maintenance and compliance of the patient was excellent, and there were no signs of recurrence of the disease throughout the maintenance period of more than two years.\nConclusion: This case suggests that collaboration between the patient and dental professionals can maintain irregular gingival shape conditions. ","subitem_description_type":"Abstract"}]},"item_10002_description_81":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"【症例】\n40歳女性。下顎前歯歯肉からの排膿を主訴に来院した。歯周組織検査の結果、歯肉退縮、4mm以上のポケットデプスが21.1%、BOP21.1%であった。#32は7mmのポケットデプスと動揺度Ⅱ度、#41は7mmのポケットデプスと動揺度Ⅰ度がみとめられた。エックス線検査および歯周組織検査から限局性慢性歯周炎と診断した。\n【治療内容と結果】\n歯周基本治療として口腔清掃指導とスケーリング・ルートプレーニングを行った。歯周基本治療中に患者のモチベーションの向上を誘い、良好なプラークコントロールが確立された。再評価後に数部位にエナメルタンパクを用いた歯周組織再生療法を行った。ポケットデプスは概ね改善され、4mm以上のポケットは1.1%となり、エックス線検査からも歯槽骨の改善を認めた。しかしながら、歯肉退縮による歯間鼓形空隙の増大や、歯肉形態の多様性のため、セルフケアとプロフェショナルケアの重要性が予見された。サポーティブペリオドンタルセラピィーに移行し、2年間を経過しているが、再発の徴候は無く良好な状態を維持している。\n【結論】\n限局性歯周炎の治療の結果、部分的歯間部歯肉退縮による清掃性の低下を予見したが、良好な状態を維持している。本症例では、患者のセルフケアと歯科衛生士によるプロフェショナルケアの相互理解と協力が重要であることが示唆された。","subitem_description_type":"Other"}]},"item_10002_radio_89":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_radio_item":"application/pdf"}]},"item_10002_source_id_82":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2433-0191","subitem_source_identifier_type":"ISSN"}]},"item_10002_textarea_76":{"attribute_name":"所属","attribute_value_mlt":[{"subitem_textarea_value":"Division of oral hygiene in Asahi University Hospital\n朝日大学歯学部付属病院歯科衛生部"},{"subitem_textarea_value":"Division of oral hygiene in Asahi University Hospital\n朝日大学歯学部付属病院歯科衛生部"},{"subitem_textarea_value":"Department of Periodontology, Division of Oral Infection and Disease, Asahi University School of Dentistry\n朝日大学歯学部口腔感染医療学講座歯周病学分野"},{"subitem_textarea_value":"Department of Periodontology, Division of Oral Infection and Disease, Asahi University School of Dentistry\n朝日大学歯学部口腔感染医療学講座歯周病学分野"},{"subitem_textarea_value":"Department of Periodontology, Division of Oral Infection and Disease, Asahi University School of Dentistry\n朝日大学歯学部口腔感染医療学講座歯周病学分野"},{"subitem_textarea_value":"Department of Periodontology, Division of Oral Infection and Disease, Asahi University School of Dentistry\n朝日大学歯学部口腔感染医療学講座歯周病学分野"},{"subitem_textarea_value":"Department of Periodontology, Division of Oral Infection and Disease, Asahi University School of Dentistry\n朝日大学歯学部口腔感染医療学講座歯周病学分野"},{"subitem_textarea_value":"Department of Periodontology, Division of Oral Infection and Disease, Asahi University School of Dentistry\n朝日大学歯学部口腔感染医療学講座歯周病学分野"},{"subitem_textarea_value":"Department of Periodontology, Division of Oral Infection and Disease, Asahi University School of Dentistry\n朝日大学歯学部口腔感染医療学講座歯周病学分野"},{"subitem_textarea_value":"Department of Periodontology, Division of Oral Infection and Disease, Asahi University School of Dentistry\n朝日大学歯学部口腔感染医療学講座歯周病学分野"},{"subitem_textarea_value":"Department of Periodontology, Division of Oral Infection and Disease, Asahi University School of Dentistry\n朝日大学歯学部口腔感染医療学講座歯周病学分野"}]},"item_10002_version_type_95":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"TSUCHIKURA, 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therapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"重度限局性歯周炎患者にサポーティブペリオドンタルセラピーを行なっている一症例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"重度限局性歯周炎患者にサポーティブペリオドンタルセラピーを行なっている一症例"},{"subitem_title":"Supportive periodontal therapy for severe localized periodontitis","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"21","path":["365"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-10-02"},"publish_date":"2017-10-02","publish_status":"0","recid":"5401","relation_version_is_last":true,"title":["重度限局性歯周炎患者にサポーティブペリオドンタルセラピーを行なっている一症例"],"weko_creator_id":"21","weko_shared_id":-1},"updated":"2024-03-29T08:45:28.709704+00:00"}