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\/>\u3000\u65e5\u672c\u3067\u306f\u540c\u3058\u3088\u3046\u306b\u7528\u3044\u3089\u308c\u3066\u3044\u308b\uff12\u3064\u306e\u7528\u8a9e\u3067\u3059\u304c\uff0c\u53b3\u5bc6\u306b\u300c\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u300d\u3068\u300c\u5b9a\u671f\u691c\u8a3a\u300d\u306f\u7570\u306a\u308a\u307e\u3059\uff0e\u300c\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u300d\u3068\u306f\u5b9a\u671f\u7684\u306b\u51e6\u7f6e\u3092\u7d99\u7d9a\u3059\u308b\u3053\u3068\u3067\u826f\u597d\u306a\u72b6\u614b\u3092\u4fdd\u3064\u3053\u3068\u3067\u3059\uff0e\u300c\u5b9a\u671f\u691c\u8a3a\u300d\u306f\u8aad\u3093\u3067\u5b57\u306e\u3054\u3068\u304f\u5b9a\u671f\u7684\u306b\u691c\u67fb\u30fb\u8a3a\u67fb\u3092\u884c\u3046\u3053\u3068\u3067\u3059\uff0e\u300c\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u300d\u306f\u7d99\u7d9a\u7684\u306a\u6cbb\u7642\u306e\u4e00\u74b0\u3068\u3057\u3066\u884c\u308f\u308c\u308b\u3082\u306e\u3067\uff0c\u300c\u60aa\u304f\u306a\u3089\u306a\u3044\u300d\u3053\u3068\u3092\u76ee\u7684\u306b\u5b9f\u65bd\u3059\u308b\u3082\u306e\uff0e\u300c\u5b9a\u671f\u691c\u8a3a\u300d\u306f\u4e00\u9023\u306e\u6d41\u308c\u304c\u7d42\u4e86\u3057\u3066\uff0c\u307e\u305f\u65b0\u305f\u306b\u691c\u67fb\u3092\u3059\u308b\u3068\u3044\u3046\u7d30\u5207\u308c\u306e\u6cbb\u7642\u3067\u300c\u60aa\u304f\u306a\u3063\u3066\u3044\u306a\u3044\u304b\u767a\u898b\u3059\u308b\u300d\u3053\u3068\u3092\u76ee\u7684\u306b\u5b9f\u65bd\u3059\u308b\u3082\u306e\u3067\u3059\uff0e\u3053\u306e\uff12\u3064\u3092\u6df7\u540c\u3057\u3066\u3057\u307e\u3046\u3068\u8a71\u304c\u3061\u3093\u3077\u3093\u304b\u3093\u3077\u3093\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u306e\u3067\uff0c\u3057\u3063\u304b\u308a\u3068\u533a\u5225\u3057\u3066\u7406\u89e3\u3057\u305f\u307b\u3046\u304c\u3088\u3044\u3067\u3057\u3087\u3046\uff0e<\/p>\n<p>\n\u3000\u60a3\u8005\u3055\u3093\u306b\u300c\u3044\u3064\u7d42\u308f\u308a\u307e\u3059\u304b\uff1f\u300d\u300c\u3042\u3068\u4f55\u56de\u3050\u3089\u3044\u304b\u304b\u308b\u306e\u3067\u3059\u304b\uff1f\u300d\u3068\u8cea\u554f\u3055\u308c\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f\u304d\u3063\u3068\u8cea\u554f\u3057\u305f\u60a3\u8005\u3055\u3093\u306f\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u610f\u7fa9\u3084\u30b7\u30b9\u30c6\u30e0\u3092\u7406\u89e3\u3067\u304d\u3066\u3044\u307e\u305b\u3093\uff0e\u4e88\u9632\u6b6f\u79d1\u3084\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306b\u7d42\u308f\u308a\u306f\u306a\u3044\u3082\u306e\u3067\u3059\uff0e\u3057\u304b\u3057\uff0c\u65e5\u672c\u306e\u60a3\u8005\u3055\u3093\u304c\u6b6f\u79d1\u901a\u9662\u304b\u3089\u65e9\u304f\u89e3\u653e\u3055\u308c\u305f\u3044\u3068\u9858\u3046\u306e\u3082\u7406\u89e3\u3067\u304d\u306a\u304f\u3042\u308a\u307e\u305b\u3093\uff0e\u4e88\u9632\u6b6f\u79d1\u306b\u643a\u308f\u308b\u3082\u306e\u3068\u3057\u3066\u300c\u4e88\u9632\u6b6f\u79d1\u3084\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306b\u7d42\u308f\u308a\u3068\u3044\u3046\u6982\u5ff5\u306f\u3042\u308a\u307e\u305b\u3093\u300d\u3068\u3044\u3046\u3053\u3068\u3092\u7c98\u308a\u5f37\u304f\u7406\u89e3\u3057\u3066\u3082\u3089\u3046\u3079\u304d\u3060\u3068\u8003\u3048\u3066\u3044\u307e\u3059\uff0e<\/p>\n<p>&nbsp;<\/p>\n<h2>\uff12\uff0e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u76ee\u7684\u30fb\u6709\u52b9\u6027\u306f\uff1f<\/h2>\n<p>\n\u3000\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u76ee\u7684\u306b\u3064\u3044\u3066\u65e5\u672c\u306e\u6559\u79d1\u66f8\u3092\u53c2\u7167\u3057\u3066\u307f\u308b\u3068\uff0c\u5c02\u9580\u5bb6\u304c\u305d\u308c\u305e\u308c\u306e\u7acb\u5834\u304b\u3089\u306e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\u8a18\u3057\u3066\u3044\u307e\u3059\uff0e\u4f8b\u3048\u3070\u6b6f\u5468\u75c5\u5b66\u306e\u5148\u751f\u304c\u6b6f\u5468\u75c5\u5b66\u306e\u89b3\u70b9\u304b\u3089\u306e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\uff0c\u3046\u8755\u4e88\u9632\u5b66\u306e\u5148\u751f\u304c\u3046\u8755\u4e88\u9632\u5b66\u306e\u89b3\u70b9\u304b\u3089\u306e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3068\u3044\u3046\u3088\u3046\u306b\uff0e\u3057\u304b\u3057\uff0c\u958b\u696d\u6b6f\u79d1\u533b\u30fb\u6b6f\u79d1\u885b\u751f\u58eb\u306b\u3068\u3063\u3066\u306f\u3046\u8755\u3082\u6b6f\u5468\u75c5\u3082\u77ef\u6b63\u3082\u7fa9\u6b6f\u3082\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u3082\u5168\u3066\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\u5b9f\u65bd\u3059\u308b\u5fc5\u8981\u6027\u304c\u3042\u308a\u307e\u3059\uff0e\u4e00\u822c\u6b6f\u79d1\u533b\u9662\u306b\u52e4\u52d9\u3057\uff0c\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\u62c5\u5f53\u3059\u308b\u6b6f\u79d1\u885b\u751f\u58eb\u306f\u5e83\u3044\u8996\u91ce\u304b\u3089\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\u5b9f\u65bd\u3059\u308b\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u308b\u308f\u3051\u3067\u3059\uff0e\u307e\u305f\uff0c\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306b\u9650\u3089\u305a\uff0c\u4e88\u9632\u6b6f\u79d1\u5b66\u306f\u4e88\u6e2c\u6b6f\u79d1\u5b66\u3067\u3059\u306e\u3067\uff0c\u5c06\u6765\u7684\u306a\u4e88\u5f8c\u3092\u4e88\u6e2c\u3057\u306a\u304c\u3089\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\u5b9f\u65bd\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\uff0e<\/p>\n<p>\n\u3000\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306b\u3064\u3044\u3066\u8a9e\u308b\u3068\u304d\u306b\u7d76\u5bfe\u306b\u8aad\u3080\u3053\u3068\u306b\u306a\u308b\u30a4\u30a8\u30c6\u30dc\u30ea\u5927\u5b66\u306ePer Axelsson\u6559\u6388\u306e\u8ad6\u6587\u306b\u306f\u300c\u9069\u5207\u306a\u53e3\u8154\u885b\u751f\u7fd2\u6163\u3092\u8eab\u306b\u3064\u3051\u308b\u3088\u3046\u306b\u4fc3\u3059\u5b9a\u671f\u7684\u306a\u4e88\u9632\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\uff0c\u6b6f\u8089\u708e\u3092\u89e3\u6c7a\u3057\u6b6f\u5468\u75c5\u3084\u3046\u8755\u306e\u9032\u884c\u3092\u9632\u3050\u3053\u3068\u304c\u3067\u304d\u305f\u300d\u300c\u3046\u8755\u3084\u6b6f\u5468\u75c5\uff0c\u55aa\u5931\u6b6f\u306e\u4e88\u9632\u306e\u305f\u3081\uff0c\u5b9a\u671f\u7684\u306b\u9ad8\u3044\u6c34\u6e96\u306e\u53e3\u8154\u885b\u751f\u72b6\u614b\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u308b\u300d\u3068\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u6709\u7528\u6027\u30fb\u5fc5\u8981\u6027\u306b\u3064\u3044\u3066\u66f8\u304b\u308c\u3066\u3044\u307e\u3059<sup>1)<\/sup>\uff0e\u4ed6\u306b\u3082\u6b6f\u79d1\u306b\u304a\u3051\u308b\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u6709\u52b9\u6027\u306b\u3064\u3044\u3066\u69d8\u3005\u306a\u5206\u91ce\u304b\u3089\u6570\u591a\u304f\u306e\u8ad6\u6587\u304c\u767a\u8868\u3055\u308c\u3066\u3044\u307e\u3059\uff0e\u305d\u306e\u591a\u304f\u306e\u8ad6\u6587\u306f\u6b6f\u5468\u75c5\u5b66\u306e\u6cbb\u7642\u5f8c\u306e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306b\u3064\u3044\u3066\u66f8\u304b\u308c\u3066\u304a\u308a\uff0c\u6b6f\u5468\u75c5\u6cbb\u7642\u5f8c\u306e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\u9075\u5b88\u3059\u308b\u3053\u3068\u306f\uff0c\u6b6f\u306e\u55aa\u5931\u306e\u9632\u6b62\u3068\u95a2\u9023\u3057\u3066\u3044\u308b<sup>2)<\/sup>\u3068\u5831\u544a\u3059\u308b\u5185\u5bb9\u3068\u610f\u56f3\u3092\u540c\u3058\u304f\u3059\u308b\u6587\u732e\u304c\u591a\u304f\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\uff0e\u3064\u307e\u308a\uff0c\u75c7\u72b6\u304c\u3042\u308b\u6642\u306b\u6b6f\u79d1\u533b\u9662\u306b\u901a\u9662\u3059\u308b\u3088\u308a\u3082\u7d99\u7d9a\u7684\u306b\u901a\u9662\u3057\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\u5b9f\u65bd\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u826f\u597d\u306a\u53e3\u8154\u5185\u3092\u7372\u5f97\u3059\u308b\u3053\u3068\u304c\u51fa\u6765\u308b\u3053\u3068\u306f\uff0c\u591a\u304f\u306e\u7814\u7a76\u306b\u3088\u3063\u3066\u8a3c\u660e\u3055\u308c\u78ba\u304b\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u306a\u3063\u3066\u3044\u307e\u3059\uff0e<\/p>\n<p>&nbsp;<\/p>\n<h2>3\uff0e\u5927\u5207\u306a\u306e\u306f\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3088\u308a\u3082\u30bb\u30eb\u30d5\u30b1\u30a2\u306e\u78ba\u7acb<\/h2>\n<p>\n\u3000\u3053\u308c\u307e\u3067\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u6982\u8981\u306b\u3064\u3044\u3066\u3054\u7d39\u4ecb\u3057\u3066\u304d\u307e\u3057\u305f\u304c\uff0c\u6b6f\u79d1\u533b\u9662\u3067\u306e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3088\u308a\u3082\u30bb\u30eb\u30d5\u30b1\u30a2\u306e\u78ba\u7acb\u304c\u5927\u5207\u3068\u3044\u3046\u304a\u8a71\u3067\u3059\uff0e\u8aad\u8005\u306e\u65b9\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\uff0c\u30b5\u30dd\u30fc\u30c6\u30a3\u30d6\u30da\u30ea\u30aa\u30c9\u30f3\u30bf\u30eb\u30bb\u30e9\u30d4\u30fc(SPT)\u3084\u6b6f\u5468\u75c5\u91cd\u75c7\u5316\u4e88\u9632\u51e6\u7f6e(P\u91cd\u9632)\uff0c\u3042\u308b\u3044\u306f\u81ea\u8cbb\u8a3a\u7642\u3067\u306e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3067\u4f55\u3092\u3057\u3066\u3044\u307e\u3059\u304b\uff1f\u300c\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3067PMTC\u3092\u5b9f\u65bd\u3057\u3066\u3044\u308b\u300d\u3068\u3044\u3046\u3068\u3053\u308d\u304c\u307b\u3068\u3093\u3069\u3060\u3068\u601d\u3044\u307e\u3059\uff0ePMTC\u3092\u30d7\u30e9\u30fc\u30af\u3092\u843d\u3068\u3059\u3053\u3068\u3084\u6b6f\u306e\u8868\u9762\u3092\u78e8\u304f\u3053\u3068\u3068\u7406\u89e3\u3057\u3066\u3044\u307e\u305b\u3093\u304b\uff1f\u30dd\u30ea\u30c3\u30b7\u30f3\u30b0(polishing)\u3084\u30d7\u30ed\u30d5\u30a3\u30e9\u30ad\u30b7\u30b9(prophylaxis)\u3068\u306e\u9055\u3044\u3092\u7406\u89e3\u3067\u304d\u3066\u3044\u307e\u3059\u3067\u3057\u3087\u3046\u304b\uff1f\u672c\u30bb\u30af\u30b7\u30e7\u30f3\u3067\u306f\uff0c\u5c11\u3057\u3060\u3051\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306b\u3088\u308bPMTC\u306b\u95a2\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u3054\u7d39\u4ecb\u3057\u3066\u307f\u305f\u3044\u3068\u601d\u3044\u307e\u3059\uff0e<br \/>\n\u3000\u307e\u305a\uff0c\u3054\u7d39\u4ecb\u3057\u305f\u3044\u306e\u304c\u300c\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u6642\u306ePMTC\u304c\u3069\u306e\u7a0b\u5ea6\u6709\u52b9\u306a\u306e\u304b\u300d\u306b\u95a2\u3059\u308b\u8ad6\u6587\u3067\u3059\uff0e\u6b6f\u79d1\u533b\u9662\u3067\u306ePMTC\u309248\u6642\u9593\u3054\u3068\u306b\u5b9f\u65bd\u3059\u308c\u3070\u6b6f\u8089\u708e\u306e\u72b6\u614b\u306f\u60aa\u5316\u3057\u306a\u3044\uff0e\u3057\u304b\u305772\u6642\u9593\u4ee5\u4e0a\u7a7a\u3051\u308b\u3068\u60aa\u5316\u3059\u308b\u3068\u3044\u3046\u7814\u7a76\u30c7\u30fc\u30bf\u304c\u3042\u308a\u307e\u3059<sup>3)<\/sup>\uff0e\uff12\u65e5\u306b\uff11\u5ea6\u6b6f\u79d1\u533b\u9662\u306b\u901a\u9662\u3055\u305b\u308b\u3053\u3068\u306f\u73fe\u5b9f\u7684\u306b\u51fa\u6765\u307e\u305b\u3093\u304b\u3089\uff0c\u300c\u6b6f\u79d1\u533b\u9662\u3067\u5b9f\u65bd\u3059\u308bPMTC\u3067\u6b6f\u5468\u75c5\u3092\u4e88\u9632\u3059\u308b\u300d\u3053\u3068\u306f\u56f0\u96e3\u3067\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3059\uff0e<\/p>\n<p>\n\u3000\u305d\u308c\u3067\u306f\uff0c\u306a\u305c\u5b9a\u671f\u7684\u306a\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3067PMTC\u3092\u5b9f\u65bd\u3059\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u307c\u304f\u304c\u8003\u3048\u308b\uff13\u3064\u306e\u610f\u7fa9\u3092\u3054\u7d39\u4ecb\u3057\u3066\u307f\u305f\u3044\u3068\u601d\u3044\u307e\u3059\uff0e\uff11\u756a\u76ee\u306f\u30bb\u30eb\u30d5\u30b1\u30a2\u3067\u306f\u30b1\u30a2\u51fa\u6765\u306a\u3044\uff0c\u30cf\u30a4\u30ea\u30b9\u30af\u90e8\u4f4d\u3078\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u53ef\u80fd\u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\uff0e\uff12\u756a\u76ee\u306f\u30bb\u30eb\u30d5\u30b1\u30a2\u306e\u30e2\u30c1\u30d9\u30fc\u30b7\u30e7\u30f3\u3092\u7dad\u6301\u30fb\u5411\u4e0a\u3055\u305b\uff0c\u30bb\u30eb\u30d5\u30b1\u30a2\u3092\u30b5\u30dd\u30fc\u30c8\u3059\u308b\u3053\u3068\uff0e\uff13\u756a\u76ee\u306f\u30d7\u30e9\u30fc\u30af\u30ea\u30c6\u30f3\u30b7\u30e7\u30f3\u30d5\u30a1\u30af\u30bf\u30fc(\u30d7\u30e9\u30fc\u30af\u91cd\u7a4d\u56e0\u5b50)\u3092\u65e9\u671f\u306b\u767a\u898b\u3057\u662f\u6b63\u3059\u308b\u3053\u3068\u3067\u3059\uff0e\u3082\u3061\u308d\u3093\uff0c\u500b\u4eba\u7684\u306a\u610f\u898b\u3067\u306f\u3042\u308a\u307e\u3059\u304c\uff0c\u65e5\u3005\u4e88\u9632\u6b6f\u79d1\u81e8\u5e8a\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u308b\u5148\u751f\u65b9\u306b\u306f\u304d\u3063\u3068\u5171\u611f\u3057\u3066\u3082\u3089\u3048\u308b\u306e\u3067\u306f\uff1f\u3068\u601d\u3044\u307e\u3059\uff0e\u30b9\u30a6\u30a7\u30fc\u30c7\u30f3\u306e\u4e88\u9632\u6b6f\u79d1\u3067\u306fPMTC\u306e\u3088\u3046\u306a\u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30eb\u30b1\u30a2\u3088\u308a\u3082\u30bb\u30eb\u30d5\u30b1\u30a2\u304c\u512a\u5148\u3055\u308c\u307e\u3059\uff0e\u4ee5\u524d\uff0c\u8a2a\u745e\u3057\u305f\u969b\u306b\u30c0\u30f3\u5148\u751f\u304c\u300c\u30b9\u30a6\u30a7\u30fc\u30c7\u30f3\u3067\u306f\u30bb\u30eb\u30d5\u30b1\u30a2\u304c\u51fa\u6765\u306a\u3044\u60a3\u8005\u3055\u3093\u306b\u306f\u7d76\u5bfe\u306b\u6cbb\u7642\u306b\u5165\u3089\u306a\u3044\u300d\u3068\u6559\u3048\u3066\u304f\u308c\u307e\u3057\u305f\uff0e\u6b6f\u30d6\u30e9\u30b7\u304c\u51fa\u6765\u306a\u3044\u60a3\u8005\u3055\u3093\u306b\u30b9\u30b1\u30fc\u30ea\u30f3\u30b0\u3092\u3057\u305f\u308a\uff0c\u30d5\u30c3\u5316\u7269\u3092\u6442\u53d6\u3057\u306a\u3044\u60a3\u8005\u3055\u3093\u306b\u4fee\u5fa9\u6cbb\u7642\u3092\u3057\u3066\u3082\u518d\u767a\u3057\u3066\u3057\u307e\u3046\u3060\u308d\u3046\uff1f\u305d\u3093\u306a\u3053\u3068\u3092\u3057\u3066\u8ab0\u304c\u559c\u3076\u306e\u3060\uff1f\u305d\u3093\u306a\u3053\u3068\u306b\u4f55\u306e\u610f\u5473\u304c\u3042\u308b\u306e\u3060\uff1f\u3068\u8a00\u308f\u308c\u3066\u3044\u308b\u3088\u3046\u3067\u3057\u305f\uff0e\u3064\u307e\u308a\uff0cPMTC\u306f\u300c\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306b\u3088\u3063\u3066\u5065\u5eb7\u306a\u53e3\u8154\u5185\u3092\u7372\u5f97\u3059\u308b\u300d\u3068\u3044\u3046\u76ee\u7684\u9054\u6210\u306e\u305f\u3081\u306e\u624b\u6bb5\u3067\u3042\u3063\u3066\uff0cPMTC\u3092\u3059\u308b\u3053\u3068\u304c\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u76ee\u7684\u30fb\u76ee\u6a19\u306b\u306a\u3063\u3066\u306f\u3044\u3051\u306a\u3044\u3068\u601d\u3046\u306e\u3067\u3059\uff0e<\/p>\n<p>&nbsp;<\/p>\n<h2>4\uff0e\u9069\u5207\u306a\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u9593\u9694\u306f\u3069\u306e\u304f\u3089\u3044\u304b\uff1f<\/h2>\n<p>\n\u3000\u305d\u308c\u3067\u306f\uff0c\u9069\u5207\u306a\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u9593\u9694\u306f\u3069\u306e\u7a0b\u5ea6\u306a\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u4eca\u56de\u8abf\u3079\u305f\u7814\u7a76\u3067\u306f\uff0c\u77ed\u3044\u3082\u306e\u30672\u304b\u6708<sup>4)<\/sup>\u304b\u3089\u9577\u3044\u3082\u306e\u306718\u304b\u6708<sup>5)<\/sup>\u306e\u5831\u544a\u304c\u3042\u308a\uff0c\u6d77\u5916\u3067\u306f\u4f1d\u7d71\u7684\u306b6\u304b\u6708\u306b\uff11\u5ea6\u306e\u53d7\u8a3a\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u3044<sup>6)<\/sup>\u3068\u306e\u5831\u544a\u304c\u3042\u308a\u307e\u3057\u305f\uff0e\u56fd\u5185\u30fb\u5916\u306e\u8272\u3005\u306a\u8cc7\u6599\u3068\u5408\u308f\u305b\u308b\u30683\uff5e4\u304b\u6708\u306b\uff11\u5ea6\u306e\u9593\u9694\u3092\u63a8\u5968\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u3044\u3088\u3046\u3067\u3059\uff0e<\/p>\n<p>\u3000\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u9593\u9694\u306b\u95a2\u3059\u308b\u7814\u7a76\u306b\u306f\uff12\u3064\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u304c\u5b58\u5728\u3057\u3066\u304a\u308a\uff0c\u300c24\u304b\u6708\u3054\u3068\u306e\u30ea\u30b3\u30fc\u30eb\u30686\u304b\u6708\u3054\u3068\u306e\u30ea\u30b3\u30fc\u30eb\u3067\u306f\uff0c\u3046\u8755\u3084\u6b6f\u8089\u51fa\u8840\u306b\u307b\u3068\u3093\u3069\u5dee\u304c\u7121\u304b\u3063\u305f<sup>6)<\/sup>\u300d\u3068\u3059\u308b\u5831\u544a\u304c\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\uff0e\u307e\u305f\u300c\u5b9a\u671f\u7684\u306a\u30b9\u30b1\u30fc\u30ea\u30f3\u30b0\u3068\u30dd\u30ea\u30c3\u30b7\u30f3\u30b0\u3092\u884c\u3063\u305f\u5834\u5408\u3068\u884c\u308f\u306a\u304b\u3063\u305f\u5834\u5408\u3067\u306f\u6b6f\u8089\u708e\u3084\u30d7\u30ed\u30fc\u30d3\u30f3\u30b0\u30c7\u30d7\u30b9\u306b\u307b\u3068\u3093\u3069\u5dee\u304c\u306a\u304b\u3063\u305f<sup>7)<\/sup>\u300d\u3068\u3059\u308b\u5831\u544a\u304c\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\uff0e\u3057\u304b\u3057\uff0c\u81e8\u5e8a\u7684\u306a\u611f\u899a\u3067\u306f\u300c\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u9593\u9694\u306b\u3088\u308b\u5dee\u306f\u306a\u304b\u3063\u305f\u300d\u3068\u7247\u4ed8\u3051\u3066\u3057\u307e\u3046\u3053\u3068\u306b\u9055\u548c\u611f\u3092\u899a\u3048\u307e\u3059\uff0e\u3053\u3046\u3044\u3063\u305f\u9593\u9694\u306b\u3088\u308b\u5dee\u306f\u306a\u304b\u3063\u305f\u3068\u3059\u308b\u30ec\u30d3\u30e5\u30fc\u306e\u4e00\u65b9\uff0c\u65e5\u672c\u306e\u8ad6\u6587\u306b\u76ee\u3092\u5411\u3051\u3066\u307f\u308b\u3068\uff0c\u5ca1\u5c71\u5927\u5b66\u6b6f\u5b66\u90e8\u306e\u7814\u7a76\u3067\u300cAL(\u30a2\u30bf\u30c3\u30c1\u30e1\u30f3\u30c8\u30ec\u30d9\u30eb)\u3067\u306f\uff12\u304b\u6708\u3068\uff13\u304b\u6708\u306e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u9593\u9694\u306e\u60a3\u8005\u306b\u6709\u610f\u306a\u5dee\u304c\u307f\u3089\u308c\u306a\u304b\u3063\u305f\u304c\uff0cPD(\u30d7\u30ed\u30fc\u30d3\u30f3\u30b0\u30c7\u30d7\u30b9)\u306e6mm\u4ee5\u4e0a\u3092\u6709\u3059\u308b\u6b6f\u6570\u3067\u5dee\u304c\u307f\u3089\u308c\u305f\u300d\u3068\u5831\u544a<sup>8)<\/sup>\u3055\u308c\u3066\u3044\u308b\u306e\u3092\u898b\u304b\u3051\u307e\u3057\u305f\uff0e<\/p>\n<p>\u3000\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u9593\u9694\u306b\u3064\u3044\u3066\uff12\u3064\u306e\u30b3\u30af\u30e9\u30f3\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u304c\u5b58\u5728\u3057\uff0c\u9593\u9694\u306b\u3088\u308b\u9055\u3044\u306f\u660e\u3089\u304b\u3067\u306f\u306a\u3044\u3068\u7d50\u8ad6\u4ed8\u3051\u3089\u308c\u3066\u3044\u307e\u3059\u304c\uff0c\u8abf\u67fb\u5bfe\u8c61\u3068\u3057\u305f\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u304c\u30d0\u30e9\u30d0\u30e9\u3067\uff0c\u9069\u5207\u306a\u30ec\u30d3\u30e5\u30fc\u306b\u306a\u3063\u3066\u3044\u306a\u3044\u3088\u3046\u306b\u3082\u611f\u3058\u307e\u3059\uff0e\u3053\u306e\u7d50\u8ad6\u3078\u306e\u7406\u89e3\u306f\u975e\u5e38\u306b\u96e3\u3057\u304f\uff0c\u305d\u306e\u307e\u307e\u81e8\u5e8a\u306b\u53d6\u308a\u5165\u308c\u308b\u3053\u3068\u306f\u96e3\u3057\u3044\u3068\u611f\u3058\u307e\u3057\u305f\uff0e\u305f\u3060\uff0c\uff12\u3064\u306e\u30ec\u30d3\u30e5\u30fc\u306f\uff13\u304b\u6708\u3054\u3068\uff0c\uff14\u304b\u6708\u3054\u3068\u3042\u308b\u3044\u306f\uff16\u304b\u6708\u3054\u3068\u3068\u3044\u3046\u3088\u3046\u306a\u5358\u7d14\u306a\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u9593\u9694\u306b\u306f\uff0c\u305d\u3082\u305d\u3082\u610f\u5473\u304c\u306a\u3044\u306e\u3060\u3068\u3044\u3046\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u3044\u308b\u306e\u304b\u3082\u3057\u308c\u306a\u3044\u306a\u3068\u8003\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\uff0e<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>\uff15\uff0e\u3069\u3046\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u9593\u9694\u3092\u6c7a\u3081\u308b\u304b<\/h2>\n<p>\n\u3000\u5358\u7d14\u306b\uff13\u304b\u6708\u3068\u304b\uff14\u304b\u6708\u3068\u8a2d\u5b9a\u3059\u308b\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u9593\u9694\u306b\uff0c\u8cea\u306e\u9ad8\u3044\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u898b\u3064\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u305b\u3093\u3067\u3057\u305f\uff0e\u65e5\u672c\u3067\u306f\u500b\u3005\u306e\u60a3\u8005\u3055\u3093\u306e\u75be\u75c5\u30ea\u30b9\u30af\u3092\u7121\u8996\u3057\u3066\u4e00\u5f8b\uff13\u304b\u6708\u306b\uff11\u56de\u3084\uff14\u304b\u6708\u306b\uff11\u56de\u306a\u3069\u3068\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u9593\u9694\u304c\u8a2d\u5b9a\u3055\u308c\u3066\u3044\u308b\u3088\u3046\u306b\u611f\u3058\u3066\u3044\u307e\u3059\uff0e\u5b9f\u969b\u306b\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u9593\u9694\u3092\u6c7a\u3081\u308b\u969b\u306b\u306f\u4f55\u3092\u8a3a\u67fb\u3057\uff0c\u5224\u65ad\u3059\u308b\u3079\u304d\u304b\u3092\u8003\u3048\u3066\u307f\u307e\u3057\u305f\uff0e<\/p>\n<table style=\"border-collapse: collapse; width: 93.302%;\">\n<tbody>\n<tr>\n<td style=\"width: 59.01%;\"><strong>\u30fb\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u3084\u6839\u5206\u5c90\u90e8\u75c5\u5909\u306a\u3069<\/strong><br \/>\n<strong>\u30fb\u7cd6\u5c3f\u75c5\u306a\u3069\u306e\u57fa\u790e\u75be\u60a3<\/strong><br \/>\n<strong>\u30fb\u55ab\u7159<\/strong><br \/>\n<strong>\u30fb\u6b6f\u5468\u57fa\u672c\u6cbb\u7642\u3084\u6b6f\u5468\u5916\u79d1\u624b\u8853\u304b\u3089\u306e\u671f\u9593<\/strong><br \/>\n<strong>\u30fb\u553e\u6db2\u5206\u6ccc\u901f\u5ea6(\u91cf)<\/strong><br \/>\n<strong>\u30fb\u30d7\u30e9\u30fc\u30af\u30ea\u30c6\u30f3\u30b7\u30e7\u30f3\u30d5\u30a1\u30af\u30bf\u30fc(\u30d7\u30e9\u30fc\u30af\u84c4\u7a4d\u56e0\u5b50)<\/strong><br \/>\n<strong>\u30fb\u30d6\u30e9\u30ad\u30b7\u30ba\u30e0\u306a\u3069\u306e\u7fd2\u7656<\/strong><br \/>\n<strong>\u30fb\u30e2\u30c1\u30d9\u30fc\u30b7\u30e7\u30f3\uff0c\u30bb\u30eb\u30d5\u30b1\u30a2\u30fb\u4e88\u9632\u3078\u306e\u95a2\u5fc3\u5ea6\u30fb\u5354\u529b\u5ea6<\/strong><br \/>\n<strong>\u30fb\u30d7\u30e9\u30fc\u30af\u7d30\u83cc\u306e\u75c5\u539f\u6027<\/strong><\/td>\n<td style=\"width: 60.0876%;\"><strong>\u30fb\u30d5\u30c3\u5316\u7269\u5fdc\u7528<\/strong><br \/>\n<strong>\u30fb\u98df\u7fd2\u6163<\/strong><br \/>\n<strong>\u30fb\u3046\u8755\u6d3b\u52d5\u6027<\/strong><br \/>\n<strong>\u30fb\u4fee\u5fa9\u7269\u3084\u7fa9\u6b6f\u306e\u9069\u5408\u5ea6<\/strong><br \/>\n<strong>\u30fb\u6b6f\u304e\u3057\u308a\u3084\u98df\u3044\u3057\u3070\u308a<\/strong><br \/>\n<strong>\u30fb\u7fa9\u6b6f\u306e\u4f7f\u7528\u983b\u5ea6\u3084\u6e05\u6383\u5ea6<\/strong><br \/>\n<strong>\u30fb\u30af\u30e9\u30b9\u30d7\u306e\u9069\u5408\uff0c\u30c6\u30f3\u30b7\u30e7\u30f3<\/strong><br \/>\n<strong>\u30fb\u7c98\u819c\u75be\u60a3<\/strong><br 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\/>\n\u3000\u30fb\u5358\u7d14\u306a\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u300c\u9593\u9694\u300d\u306b\u3088\u308b\u5dee\u306b\u8cea\u306e\u9ad8\u3044\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u306a\u3044\uff0e<br \/>\n\u3000\u30fb\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u9593\u9694\u304c\u826f\u5426\u3092\u6c7a\u3081\u308b\u306e\u3067\u306f\u306a\u304f\uff0c\u8cea\u306b\u3088\u3063\u3066\u826f\u5426\u306f\u6c7a\u307e\u308b\uff0e<br \/>\n\u3000\u30fb\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3067\u306f\uff0cPMTC\u3088\u308a\u30bb\u30eb\u30d5\u30b1\u30a2\u3078\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u5927\u5207\uff0e<br \/>\n\u3000\u30fb\u30d1\u30fc\u30bd\u30ca\u30e9\u30a4\u30ba(\u500b\u5225\u5316)\u3055\u308c\u305f\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\u63d0\u4f9b\u3059\u308b\uff0e<br \/>\n\u3000\u30fb\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3084PMTC\u3092\u3059\u308b\u3053\u3068\u304c\u76ee\u7684\u3067\u3042\u3063\u3066\u306f\u306a\u3089\u305a\uff0c\u53e3\u8154\u5185\u306e\u5065\u5eb7\u3092\u7dad\u6301\u30fb\u5897\u9032\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u306b\u3059\u308b\uff0e<br \/>\n\u3000\u30fb\u62c5\u5f53\u8005(\u591a\u304f\u306e\u5834\u5408\u6b6f\u79d1\u885b\u751f\u58eb)\u306f\u5e83\u3044\u8996\u91ce\u3068\u5c06\u6765\u7684\u306a\u4e88\u5f8c\u3092\u57fa\u306b\u30e1\u30a4\u30f3\u30c6\u30f3\u30ca\u30f3\u30b9\u3092\u5b9f\u65bd\u3059\u308b\u305f\u3081\uff0c\u9ad8\u3044\u30ec\u30d9\u30eb\u304c\u6c42\u3081\u3089\u308c\u308b\uff0e<\/p>\n<p>\u3000\u4eca\u56de\u306f\u9069\u5207\u306a\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u306e\u9593\u9694\u306f\u3069\u306e\u304f\u3089\u3044?\u3068\u3044\u3046\u30c6\u30fc\u30de\u3067\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u57fa\u306b\u7d39\u4ecb\u3057\u3066\u307f\u307e\u3057\u305f\uff0e\u5358\u7d14\u306b\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u9593\u9694\u3092\uff13\u304b\u6708\u3084\uff14\u304b\u6708\u3068\u305b\u305a\u306b\uff0c\u75be\u75c5\u30ea\u30b9\u30af\u306a\u3069\u3092\u7dcf\u5408\u7684\u306b\u52d8\u6848\u3057\uff0c\u30d1\u30fc\u30bd\u30ca\u30e9\u30a4\u30ba\u3055\u308c\u305f\u9593\u9694\u3092\u7acb\u6848\u3059\u308b\u3068\u3088\u3044\u3068\u601d\u3044\u307e\u3059\uff0e\u307e\u305f\uff0c\u60a3\u8005\u3055\u3093\u306f\u30d7\u30e9\u30e2\u30c7\u30eb\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304b\u3089\uff0c\u9593\u9694\u3068\u540c\u69d8\u306b\uff0c\u5168\u3066\u306e\u65b9\u306b\u753b\u4e00\u7684\u306a\u5185\u5bb9\u3067\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\u63d0\u4f9b\u3057\u306a\u3044\u3088\u3046\u306b\u6ce8\u610f\u3057\u305f\u3044\u3082\u306e\u3067\u3059\uff0e<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>\uff17\uff0e\u53c2\u8003\u6587\u732e<\/h2>\n<p>\n1) Axelsson P, Nystr\u00f6m B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol. 2004 Sep;31(9):749-57.<\/p>\n<p>\n2) Fardal \u00d8, Johannessen AC, Linden GJ. Tooth loss during maintenance following periodontal treatment in a periodontal practice in Norway. J Clin Periodontol. 2004 Jul;31(7):550-5.<\/p>\n<p>\n3) Lang NP, Cumming BR, L\u00f6e H. Toothbrushing frequency as it relates to plaque development and gingival health. J Periodontol. 1973 Jul;44(7):396-405.<\/p>\n<p>\n4) Axelsson P, Lindhe J. Effect of controlled oral hygiene procedures on caries and periodontal disease in adults. Results after 6 years. J Clin Periodontol. 1981 Jun;8(3):239-48.<\/p>\n<p>\n5)Ros\u00e9n B, Olavi G, Badersten A, R\u00f6nstr\u00f6m A, S\u00f6derholm G, Egelberg J. Effect of different frequencies of preventive maintenance treatment on periodontal conditions. 5-Year observations in general dentistry patients. J Clin Periodontol. 1999 Apr;26(4):225-33.<\/p>\n<p>\n6) Fee PA, Riley P, Worthington HV, Clarkson JE, Boyers D, Beirne PV. Recall intervals for oral health in primary care patients. Cochrane Database Syst Rev. 2020 Oct 14;10(10):CD004346.<\/p>\n<p>\n7) Lamont T, Worthington HV, Clarkson JE, Beirne PV. Routine scale and polish for periodontal health in adults. Cochrane Database Syst Rev. 2018 Dec 27;12(12)<\/p>\n<p>\n8) \u5c71\u672c \u9f8d\u751f, \u7af9\u5185 \u502b\u5b50, \u5742\u672c \u53cb\u7d00, \u6751\u4e0a \u5343\u6625, \u53cb\u85e4 \u5b5d\u660e, \u6052\u77f3 \u7f8e\u767b\u91cc, \u6e21\u908a \u9054\u592b \u6b6f\u5468\u6cbb\u7642\u306e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u9593\u9694\u3092\u6c7a\u5b9a\u3059\u308b\u8981\u56e0. \u53e3\u8154\u885b\u751f\u5b66\u4f1a\u8a8c2005, vol55, no.3, P207-9<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>\uff18\uff0e\u304a\u3059\u3059\u3081<\/h2>\n<p>&nbsp;<\/p>\n<p><!-- START MoshimoAffiliateEasyLink --><\/p>\n<p><script 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