{"id":1294,"date":"2022-01-24T17:32:20","date_gmt":"2022-01-24T08:32:20","guid":{"rendered":"https:\/\/yobou.work\/?p=1294"},"modified":"2022-08-31T10:02:37","modified_gmt":"2022-08-31T01:02:37","slug":"%e3%80%90%e3%82%a8%e3%83%93%e3%83%87%e3%83%b3%e3%82%b9%e3%80%91%e9%9d%9e%e3%81%86%e8%9d%95%e6%80%a7%e6%ad%af%e9%a0%b8%e9%83%a8%e6%ac%a0%e6%90%8dnon-carious-cervical-lesion-nccl%e3%81%ae%e5%8e%9f","status":"publish","type":"post","link":"https:\/\/yobou.work\/?p=1294","title":{"rendered":"\u3010\u30a8\u30d3\u30c7\u30f3\u30b9\u3011\u975e\u3046\u8755\u6027\u6b6f\u9838\u90e8\u6b20\u640d(Non Carious Cervical Lesion\/NCCL)\u306e\u539f\u56e0\u3068\u6cbb\u7642\u3000\uff5eWSD(\u304f\u3055\u3073\u72b6\u6b20\u640d)\u304b\u3089NCCL\u3078\uff5e"},"content":{"rendered":"

\"\"<\/p>\n

 <\/p>\n

\u3000\u975e\u3046\u8755\u6027\u6b6f\u9838\u90e8\u6b20\u640d\u306f\u81e8\u5e8a\u7684\u306b\u591a\u304f\u307f\u3089\u308c\u308b\u75c5\u614b\u3067\u3042\u308a\uff0c\u9577\u5e74\u305d\u306e\u539f\u56e0\u306f\u54ac\u5408\u5fdc\u529b(\u5916\u50b7\u6027\u54ac\u5408)\u3067\u3042\u308b\u3068\u3055\u308c\u3066\u304d\u307e\u3057\u305f\uff0e\u6211\u304c\u56fd\u3067\u306f\u304f\u3055\u3073\u72b6\u6b20\u640d(Wedge Shaped Defect\/WSD)\u3068\u3057\u3066\u4fdd\u967a\u7528\u8a9e\u306b\u3082\u306a\u308a\u5b9a\u7740\u3057\u3066\u3044\u307e\u3059\uff0e\u8fd1\u5e74\uff0c\u672c\u75c5\u614b\u306f\u975e\u3046\u8755\u6027\u6b6f\u9838\u90e8\u6b20\u640d(Non Carious Cervical Lesion\/NCCL)\u3068\u3055\u308c\uff0c\u305d\u306e\u539f\u56e0\u306ftooth wear\u3067\u3042\u308b\u3068\u3044\u3046\u6982\u5ff5\u306b\u5909\u9769\u3092\u8fce\u3048\u3066\u3044\u307e\u3059\uff0e<\/p>\n

\u3000\u4eca\u56de\u306f\u975e\u3046\u8755\u6027\u6b6f\u9838\u90e8\u6b20\u640d(\u4ee5\u4e0bNCCL)\u306e\u6982\u5ff5\u306b\u3064\u3044\u3066\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u7d10\u89e3\u304d\uff0c\u6587\u732e\u7684\u8003\u5bdf\u306b\u3088\u3063\u3066\u6b63\u3057\u3044\u539f\u56e0\u3068\u6cbb\u7642\u6cd5\u306a\u3069\u306b\u3064\u3044\u3066\u8003\u3048\u3066\u307f\u305f\u3044\u3068\u601d\u3044\u307e\u3059\uff0e\u6587\u732e\u306e\u62bd\u51fa\u306b\u5f53\u305f\u3063\u3066\u306f\u30bb\u30ec\u30af\u30b7\u30e7\u30f3\u3092\u639b\u3051\u305a\uff0c\u3067\u304d\u308b\u3060\u3051\u591a\u304f\u306e\u8ad6\u6587\u3092\u5f15\u7528\u3057\u307e\u3057\u305f\u304c\uff0c2020\u5e74\u4ee3\u4ee5\u964d\u306e\u6bd4\u8f03\u7684\u65b0\u3057\u3044\u8ad6\u6587\u3084\uff0c\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u306a\u3069\u9ad8\u3044\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u6709\u3059\u308b\u6587\u732e\u3092\u512a\u5148\u3057\u3066\u53d6\u308a\u4e0a\u3052\u3066\u3044\u307e\u3059\uff0e<\/p>\n

 <\/p>\n

\uff11\uff0e\u539f\u56e0<\/h2>\n

\n\u3000\u4ee5\u524d\uff0cNCCL\u306e\u539f\u56e0\u306b\u95a2\u3057\u3066\u306f\u4e3b\u306b\u54ac\u5408\u5fdc\u529b\u306b\u3088\u308b\u3082\u306e\u3068\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u304c\uff0c\u73fe\u5728\u306f\u69d8\u3005\u306a\u8981\u56e0\u304c\u95a2\u4e0e\u3057\u3066\u3044\u308b\u591a\u56e0\u5b50\u75be\u60a31,2)<\/sup>\u3068\u3044\u3046\u8003\u3048\u65b9\u306b\u5909\u308f\u3063\u3066\u304d\u3066\u3044\u307e\u3059\uff0e\u73fe\u5728\uff0c\u54ac\u5408\u5fdc\u529b\u306f\u5426\u5b9a\u3055\u308c\u3066\u3044\u308b\u306a\u3069\u3068\u4e3b\u5f35\u3059\u308b\u5148\u751f\u3082\u3044\u307e\u3059\u304c\uff0c\u6587\u732e\u7684\u306b\u306f\u3069\u3046\u306a\u3063\u3066\u3044\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff0e<\/p>\n

 <\/p>\n

(1)\u54ac\u5408\u5fdc\u529b(\u54ac\u5408\u56e0\u5b50)<\/strong>
\n\u3000\u5f93\u6765\uff0cNCCL\u306f\u54ac\u5408\u63a5\u89e6\u9762\u7a4d3)<\/sup>\u3084\u30d6\u30e9\u30ad\u30b7\u30ba\u30e04)<\/sup>\u3068\u306e\u95a2\u9023\u6027\u304c\u6307\u6458\u3055\u308c\uff0c\u54ac\u5408\u5fdc\u529b(abfraction\/\u30a2\u30d6\u30d5\u30e9\u30af\u30b7\u30e7\u30f3)\u3067\u767a\u75c7\u3059\u308b\u3068\u3055\u308c\u3066\u304d\u307e\u3057\u305f\uff0e\u3057\u304b\u3057\u54ac\u5408\u5fdc\u529b\u3068NCCL\u3068\u306e\u95a2\u9023\u3092\u652f\u6301\u3057\u306a\u30445)<\/sup>\u3068\u3059\u308b\u5831\u544a\u3084\uff0c\u54ac\u5408\u8ca0\u8377\u304cCEJ\u306b\u304a\u3051\u308b\u6b6f\u8cea\u306e\u55aa\u5931\u306e\u539f\u56e0\u3068\u306a\u308b\u3088\u3046\u306a\u5f15\u5f35\u5fdc\u529b\u3092\u767a\u751f\u3055\u305b\u308b\u3069\u3046\u304b\u306b\u3064\u3044\u3066\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u304c\u5f97\u3089\u308c\u3066\u3044\u306a\u30446)<\/sup>\u306a\u3069\u3068\u54ac\u5408\u5fdc\u529b\u306b\u3088\u308b\u767a\u75c7\u3092\u5426\u5b9a\u3059\u308b\u5831\u544a\u304c\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\uff0e<\/p>\n

\u3000\u73fe\u5728\u3067\u306f\u9178\u8755\u3084\u6469\u8017\u306b\u3088\u3063\u3066\u3082\u767a\u75c7\u3059\u308b\u3068\u8003\u3048\u308b\u306e\u304c\u4e00\u822c\u7684\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u304c\uff0c\u54ac\u5408\u306f\u4e00\u5207\u95a2\u4fc2\u306a\u3044\u3068\u65ad\u5b9a\u3057\u3066\u3088\u3044\u306e\u3067\u3057\u3087\u3046\u304b\uff1fNCCL\u306e\u60a3\u8005\u3067\u306f\u5e73\u5747\u54ac\u5408\u6642\u9593\u304c\u5ef6\u9577\u3057\u305f\u3068\u3059\u308b\u5831\u544a7)<\/sup>\u3084\uff0c\u54ac\u5408\u5fdc\u529b\u3068\u9178\u8755\u306e\u76f8\u4e92\u4f5c\u7528\u3060\u3068\u3059\u308b\u7814\u7a76\u7d50\u679c8)<\/sup>\u3082\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\uff0e\u907a\u4f1d\u5b50\u5225\u306b\u7d71\u8a08\u5b66\u7684\u8abf\u67fb\u3092\u5b9f\u65bd\u3057\u305f\u7814\u7a76\u3067\u54ac\u5408\u5fdc\u529b\u304cNCCL\u3068\u95a2\u9023\u3057\u3066\u3044\u308b\u3068\u6307\u6458\u3057\u305f\u7814\u7a769)<\/sup>\u3082\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\u3057\uff0c2017\u5e74\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u5927\u591a\u6570\u306e\u6587\u732e\u3067\u54ac\u5408\u5fdc\u529b\u3068NCCL\u3068\u306e\u95a2\u9023\u304c\u652f\u6301\u3055\u308c\u3066\u3044\u308b10)<\/sup>\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\uff0e<\/p>\n

\u3000\u54ac\u5408\u5fdc\u529b\u304c\u5b8c\u5168\u306b\u5426\u5b9a\u3055\u308c\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u306a\u304f\uff0c\u5b9f\u969b\u306f\u6469\u8017(abrasion)\u3084\u9178\u8755(erosion)\uff0c\u54ac\u5408\u5fdc\u529b(abfraction)\u304c\u8907\u96d1\u306b\u95a2\u4e0e\u3059\u308b\u75be\u60a311)<\/sup>\u3068\u3059\u308b\u898b\u65b9\u304c\u6b63\u3057\u3044\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\uff0e<\/p>\n

 <\/p>\n

(2)\u5e74\u9f62<\/strong>
\n\u3000\u5e74\u9f62\u3068\u3068\u3082\u306b\u5897\u52a0\u3059\u308b\u3068\u3044\u3046\u7814\u7a76\u3082\u898b\u3089\u308c\u307e\u3057\u305f3,12,13)<\/sup>\uff0e\u591a\u304f\u306e\u8ad6\u6587\u3067\u5e74\u9f62\u3068\u306e\u95a2\u4fc2\u6027\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\u304c\uff0c\u5e74\u9f62\u304c\u76f4\u63a5\u7684\u306a\u539f\u56e0\u306b\u306a\u3063\u3066\u3044\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u306f\u306a\u304f\uff0c\u52a0\u9f62\u306b\u4f34\u3046\u30a8\u30ca\u30e1\u30eb\u8cea\u3068\u8c61\u7259\u8cea\u306e\u69cb\u9020\u5909\u5316\u3084\u553e\u6db2\u306e\u8cea\u3084\u91cf\u7684\u306a\u5909\u5316\uff0c\u5929\u7136\u6b6f\u5217\u306e\u55aa\u5931\u306a\u3069\u69d8\u3005\u306a\u767a\u751f\u539f\u56e0\u306b\u3088\u308bNCCL\u304c\uff0c\u52a0\u9f62\u3068\u3068\u3082\u306b\u84c4\u7a4d\u30fb\u5897\u52a0\u3057\u3066\u3044\u304f\u3068\u3044\u3046\u3053\u3068\u306a\u306e\u3060\u3068\u601d\u3044\u307e\u3059\uff0e<\/p>\n

 <\/p>\n

(3)\u98f2\u98df\u7269\u30fb\u55dc\u597d\u54c1\u3068\u553e\u6db2<\/strong>
\n\u3000NCCL\u306f\u98f2\u98df\u7269\u3084\u553e\u6db2\u3068\u306e\u95a2\u4fc2\u6027\u304c\u591a\u304f\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\uff0e\u67d1\u6a58\u985e\u3092\u983b\u7e41\u306b\u6442\u53d6\u3059\u308b\u4eba\u306fNCCL\u306e\u983b\u5ea6\u304c\u9ad8\u304b\u3063\u305f\u3068\u3044\u3046\u7814\u7a76\u3067\u306f\uff0c\u6b6f\u9838\u90e8\u304c\u6b6f\u8089\u7e01\u3068\u8fd1\u3044\u305f\u3081\u306b\u81ea\u6d44\u6027\u304c\u4f4e\u304f\uff0c\u98f2\u98df\u7269\u306e\u9178\u304c\u6b6f\u9762\u306b\u6d78\u8755\u3059\u308b\u6642\u9593\u304c\u9577\u304412)<\/sup>\u3068\u3044\u3046\u8003\u5bdf\u306b\u306a\u3063\u3066\u3044\u307e\u3057\u305f\uff0e\u540c\u8ad6\u6587\u3067\u306f\u30ac\u30e0\u3092\u3088\u304f\u565b\u3080\u4eba\u306fNCCL\u306e\u767a\u75c7\u983b\u5ea6\u304c\u4f4e\u304f\uff0c\u30ac\u30e0\u3092\u565b\u3080\u3053\u3068\u3067\u553e\u6db2\u306e\u5206\u6ccc\u304c\u5897\u52a0\u3057\uff0c\u4fb5\u8755\u6027\u306e\u3042\u308b\u9178\u6027\u6210\u5206\u306e\u4e2d\u548c\u304c\u9032\u3080\u306e\u3060\u3068\u3057\u3066\u3044\u307e\u3059\uff0e<\/p>\n

\u3000\u307e\u305f\uff0c\u55ab\u7159\u7fd2\u6163\u3082NCCL\u3068\u306e\u95a2\u4fc2\u6027\u304c\u3042\u308b\u3068\u4e3b\u5f35\u3059\u308b\u8ad6\u658714,15)<\/sup>\u304c\u3042\u308a\u307e\u3059\uff0e\u7406\u7531\u3068\u3057\u3066\u55ab\u7159\u306b\u3088\u308b\u6b6f\u8089\u9000\u7e2e\u304c\u9593\u63a5\u7684\u306bNCCL\u306e\u767a\u751f\u6761\u4ef6\u3092\u4e0e\u3048\uff0cNCCL\u3092\u8a98\u767a\u3059\u308b\u3068\u4e3b\u5f35\u3057\u3066\u3044\u307e\u305915)<\/sup>\uff0e<\/p>\n

 <\/p>\n

(4)\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u306e\u65b9\u6cd5\u3084\u5727<\/strong>
\n\u3000\u6b6f\u78e8\u304d\u306e\u65b9\u6cd5\u3084\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u5727\u306e\u95a2\u4e0e\u3092\u652f\u6301\u3059\u308b\u8ad6\u6587\u306f\u6bd4\u8f03\u7684\u591a\u304f\u307f\u3089\u308c\u307e\u3057\u305f\uff0e\u6a2a\u78e8\u304d\u3092\u3057\u3066\u3044\u308b\u4eba\u306b\u591a\u304416,17)<\/sup>\u3068\u3059\u308b\u7814\u7a76\u3084\uff0e\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u5727\u306e\u95a2\u4e0e\u3092\u652f\u6301\u3059\u308b\u8ad6\u65873,17,19)<\/sup>\u304c\u591a\u304f\u5b58\u5728\u3057\u3066\u3044\u307e\u3057\u305f\uff0e<\/p>\n

\u3000\u307e\u305f\uff0c\u9ad8\u983b\u5ea6\u306b\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u3059\u308b\u8005\u306f\u9ad8\u3044\u6709\u75c5\u7387\u3060\u3063\u305f14)<\/sup>\u3068\u3059\u308b\u7814\u7a76\u3084\uff0c\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u306b\u95a2\u9023\u3057\u3066\u624b\u52d5\u6b6f\u30d6\u30e9\u30b7\u306f\u96fb\u52d5\u6b6f\u30d6\u30e9\u30b7\u3088\u308a\u3082\u6b6f\u8089\u9000\u7e2e\u304c\u5927\u304d\u304417)<\/sup>\u3068\u3059\u308b\u5831\u544a\u304c\u3042\u308a\u307e\u3057\u305f\uff0e<\/p>\n

 <\/p>\n

(5)\u6b6f\u30d6\u30e9\u30b7\u306e\u6bdb\u306e\u786c\u3055<\/strong>
\n\u3000\u6b6f\u30d6\u30e9\u30b7\u306e\u6bdb\u306e\u786c\u3055\u306b\u95a2\u3057\u3066\u306f\u95a2\u4fc2\u304c\u3042\u308b\u3068\u3044\u3046\u5831\u544a7,16,18)<\/sup>\u3068\u95a2\u4fc2\u304c\u306a\u3044\u3068\u3044\u3046\u5831\u544a12)<\/sup>\u304c\u3042\u308a\u307e\u3057\u305f\uff0e<\/p>\n

 <\/p>\n

(6)\u305d\u306e\u4ed6<\/strong>
\n\u3000NCCL\u306e\u4e00\u98a8\u5909\u308f\u3063\u305f\u539f\u56e0\u3068\u3057\u3066\u306f\uff0c\u30b5\u30c3\u30ab\u30fc\u9078\u624b\u3092\u5bfe\u8c61\u3068\u3057\u305f\u7814\u7a76\u3067\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u6642\u9593\u304cNCCL\u306e\u30ea\u30b9\u30af\u306b\u306a\u308b20)<\/sup>\u3068\u3044\u3046\u7814\u7a76\u304c\u3042\u308a\u307e\u3057\u305f\uff0e<\/p>\n

 <\/p>\n

\uff12\uff0e\u6709\u75c5\u8005\u7387\u3068\u597d\u767a\u90e8\u4f4d<\/h2>\n

\u3000\u3069\u306e\u304f\u3089\u3044\u306e\u4eba\u304cNCCL\u3092\u6709\u3057\u3066\u3044\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u6587\u732e\u306e\u6709\u75c5\u8005\u7387\u3068\u597d\u767a\u90e8\u4f4d\u306b\u95a2\u3059\u308b\u90e8\u4f4d\u3092\u53d6\u308a\u51fa\u3057\u3066\u307f\u307e\u3057\u305f\uff0e<\/p>\n

 <\/p>\n

(1)<\/strong>\u6709\u75c5\u8005\u7387<\/strong><\/p>\n

\u3000\u6709\u75c5\u8005\u7387\u306b\u95a2\u3059\u308b\u5831\u544a\u306b\u306f\u3068\u3066\u3082\u3070\u3089\u3064\u304d\u304c\u3042\u308a\uff0c\u3053\u308c\u306f\u5bfe\u8c61\u3068\u306a\u308b\u4eba\u3084\u8a3a\u65ad\u57fa\u6e96\u3084\u5206\u985e\u65b9\u6cd5\u306e\u9055\u3044\u306b\u3088\u308b\u3082\u306e\u3068\u601d\u308f\u308c\u307e\u3059\uff0e<\/p>\n

1%22)<\/sup>\u304b\u308974%23)<\/sup>\u307e\u3067\u69d8\u3005\u306a\u5831\u544a\u304c\u3042\u308a\u307e\u3057\u305f\u304c\uff0c\u4eca\u56de\u306e\u5bfe\u8c61\u8ad6\u658712,13,14,21,22,23)<\/sup>\u3092\u3056\u3063\u3068\u898b\u305f\u611f\u3058\uff0c\u5e73\u574730%\u3068\u3044\u3046\u3068\u3053\u308d\u3067\u3057\u3087\u3046\u304b\uff0e<\/p>\n

\u6027\u5dee\u306b\u95a2\u3057\u3066\u306f\u6709\u610f\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3059\u308b\u3082\u306e12)<\/sup>\u3084\u5973\u6027\u306f\u4f4e\u304b\u3063\u305f14)<\/sup>\u3068\u3059\u308b\u8ad6\u6587\u304c\u3042\u308a\u307e\u3057\u305f\uff0e<\/p>\n

 <\/p>\n

(2)<\/strong>\u597d\u767a\u90e8\u4f4d<\/strong><\/p>\n

\u3000\u5c0f\u81fc\u6b6f\u306b\u591a\u3044\u3068\u3059\u308b\u5831\u544a3,12,20)<\/sup>\u304c\u591a\u304f\uff0c\u4e0a\u984e\u306b\u591a\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u30593)<\/sup>\uff0e<\/p>\n

\u307e\u305f\uff0c\u53e3\u84cb\u5074\u3068\u6bd4\u8f03\u3057\u3066\u982c\u5074\u306b\u591a\u3044\u3068\u3059\u308b\u5831\u544a\u304c\u5b58\u5728\u3057\uff0c\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u52d5\u4f5c\u306e\u95a2\u4e0e\u3092\u6307\u6458\u3059\u308b\u5831\u544a12)<\/sup>\u304c\u3042\u308a\u307e\u3057\u305f\uff0e<\/p>\n

\u80c3\u6db2\u306a\u3069\u306e\u9178\u8755\u3068\u306e\u95a2\u4e0e\u3092\u6307\u6458\u3059\u308b\u7814\u7a76\u3067\u306f\uff0c\u76bf\u72b6\u306e\u6b20\u640d\u304c\u4e0a\u984e\u524d\u6b6f\u306e\u53e3\u84cb\u5074\u306b\u591a\u304f\u307f\u3089\u308c\u308b\u3068\u5831\u544a11)<\/sup>\u3057\u3066\u3044\u307e\u3059\uff0e<\/p>\n

 <\/p>\n

\uff13\uff0e\u6cbb\u7642\u6cd5<\/strong><\/h2>\n

\u3000\u3055\u3066\uff0cNCCL\u306e\u6cbb\u7642\u6cd5\u306f\u4f55\u304c\u6b63\u3057\u3044\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u6d77\u5916\u3067\u306f\u8cbb\u7528\u5bfe\u52b9\u679c\u306e\u9762\u304b\u3089\u30b0\u30e9\u30b9\u30a2\u30a4\u30aa\u30ce\u30de\u30fc\u5145\u586b\u306e\u983b\u5ea6\u304c\u9ad8\u304f\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u304c\uff0c\u65e5\u672c\u3067\u306f\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u306b\u3066\u4fee\u5fa9\u3059\u308b\u306e\u304c\u4e00\u822c\u7684\u304b\u3068\u601d\u3044\u307e\u3059\uff0e\u3057\u304b\u3057\uff0c\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u5145\u586b\u5f8c\u306e\u8131\u96e2\u3092\u7d4c\u9a13\u3057\u305f\u81e8\u5e8a\u533b\u3082\u591a\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1fNCCL\u306b\u5bfe\u3059\u308b\u4fee\u5fa9\u65b9\u6cd5\u306b\u3088\u308b\u9055\u3044\u3084\u524d\u51e6\u7406\u306b\u3064\u3044\u3066\u6587\u732e\u3067\u306e\u5831\u544a\u3092\u898b\u3066\u307f\u305f\u3044\u3068\u601d\u3044\u307e\u3059\uff0e<\/p>\n

 <\/p>\n

(1)<\/strong>\u4fee\u5fa9\u65b9\u6cd5\u306b\u3064\u3044\u3066<\/strong><\/p>\n

\u3000\u6df1\u3044NCCL\u306a\u3069\u306f\u5f53\u7136\uff0c\u4fee\u5fa9\u306e\u5bfe\u8c61\u3068\u306a\u308a\u307e\u3059\uff0e\u826f\u597d\u306a\u4fdd\u6301\u529b\uff0c\u30d5\u30c3\u7d20\u5f90\u653e\u6027\u306a\u3069\u306e\u5229\u70b9\u304b\u3089\u30b0\u30e9\u30b9\u30a2\u30a4\u30aa\u30ce\u30de\u30fc\u30bb\u30e1\u30f3\u30c8\u304c\u9069\u3057\u3066\u3044\u308b23)<\/sup>\uff0e\u3068\u3059\u308b\u8ad6\u6587\u3082\u3042\u308c\u3070\uff0c\u30b0\u30e9\u30b9\u30a2\u30a4\u30aa\u30ce\u30de\u30fc\u30bb\u30e1\u30f3\u30c8\u3068\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u4fee\u5fa9\u306e\u751f\u5b58\u671f\u9593\u306b\u5dee\u306f\u306a\u304424)<\/sup>\u3068\u3059\u308b\u5831\u544a\uff0c\u30b0\u30e9\u30b9\u30a2\u30a4\u30aa\u30ce\u30de\u30fc\u30bb\u30e1\u30f3\u30c8\u306f\u4fdd\u6301\u306b\u95a2\u3057\u3066\u6709\u610f\u306b\u9ad8\u3044\u81e8\u5e8a\u6027\u80fd\u3092\u793a\u3057\u305f\u304c\u8fba\u7e01\u306e\u5909\u8272\u3084\u9069\u5408\uff0c\u4e8c\u6b21\u3046\u8755\u306a\u3069\u306f\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u3068\u540c\u7a0b\u5ea6\u3060\u3063\u305f25)<\/sup>\u3068\u3059\u308b\u8ad6\u6587\u304c\u307f\u3089\u308c\u307e\u3057\u305f\uff0e<\/p>\n

\u3000\u6211\u304c\u56fd\u3067\u306f\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u3067\u4fee\u5fa9\u3059\u308b\u306e\u304c\u4e00\u822c\u7684\u304b\u3068\u601d\u3044\u307e\u3059\u304c\uff0c\u6bd4\u8f03\u7684\u65b0\u3057\u3044\u8ad6\u6587\u3067\u306f\u512a\u308c\u305f\u5be9\u7f8e\u6027\u3068\u81e8\u5e8a\u7684\u6027\u80fd\u304b\u3089\uff0c\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u306b\u3088\u308b\u4fee\u5fa9\u304c\u4e00\u822c\u7684\u3067\u3042\u308b26)<\/sup>\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059(J Esthet Dent.\u3060\u304b\u3089\u3068\u3044\u3046\u306e\u3082\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c)\uff0e\u307e\u305f\uff0c\u30da\u30fc\u30b9\u30c8\u72b6\u306e\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u4fee\u5fa9\u3068\u30d5\u30ed\u30fc\u72b6\u306e\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u4fee\u5fa9\u306f\uff0c\u81e8\u5e8a\u6210\u7e3e\u306f\u540c\u7b49\u3067\u3042\u308b\u304c\uff0c\u30d5\u30ed\u30fc\u72b6\u306e\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u306e\u307b\u3046\u304c\u30de\u30fc\u30b8\u30f3\u306e\u9069\u5408\u304c\u826f\u597d\u3060\u3063\u305f27)<\/sup>\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\uff0e<\/p>\n

\u3000\u30b0\u30e9\u30b9\u30a2\u30a4\u30aa\u30ce\u30de\u30fc\u4fee\u5fa9\u3092\u5831\u544a\u3059\u308b\u8ad6\u6587\u3067\u306f\uff0c\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u4fee\u5fa9\u3068\u6bd4\u8f03\u3057\u3066\u4fdd\u6301\u529b\u306a\u3069\u306b\u512a\u4f4d\u6027\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u304c\uff0c\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u3067\u4fdd\u6301\u529b\u3092\u5411\u4e0a\u3055\u305b\u308b\u5834\u5408\uff0c\u524d\u51e6\u7406\u304c\u30dd\u30a4\u30f3\u30c8\u306b\u306a\u3063\u3066\u304d\u307e\u3059\uff0e<\/p>\n

\u00a0<\/strong><\/p>\n

(2)<\/strong>\u524d\u51e6\u7406\u306b\u3064\u3044\u3066<\/strong><\/p>\n

\u3000\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u4fee\u5fa9\u3067\u306f\uff0c\u524d\u51e6\u7406(\u7c97\u9020\u5316\u3084\u30a8\u30c3\u30c1\u30f3\u30b0)\u3092\u884c\u308f\u305a\u306b\u5145\u586b\u3057\u305f\u4fee\u5fa9\u7269\u306f\u9ad8\u3044\u8131\u96e2\u7387\u3060\u3063\u305f28)<\/sup>\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u901a\u308a\uff0c\u63a5\u7740\uff0e\u4fdd\u6301\u529b\u304c\u8ab2\u984c\u306b\u306a\u308a\u307e\u3059\uff0e\u3057\u304b\u3057\uff0c\u30a8\u30c3\u30c1\u30f3\u30b0\u3084EDTA\u306a\u3069\u3067\u524d\u51e6\u7406\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u63a5\u7740\u5f37\u5ea6\u304c\u5411\u4e0a29,30,31)<\/sup>\u3059\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\uff0e\u307e\u305f\uff0c\u30b0\u30e9\u30b9\u30a2\u30a4\u30aa\u30ce\u30de\u30fc\u30bb\u30e1\u30f3\u30c8\u5145\u586b\u3067\u3042\u3063\u3066\u3082EDTA\u524d\u51e6\u7406\u306b\u3088\u308a\u63a5\u7740\u5f37\u5ea6\u3092\u5897\u3059\u3053\u3068\u304c\u53ef\u80fd\u3068\u306e\u5831\u544a32)<\/sup>\u3082\u3042\u308a\u307e\u3057\u305f\uff0e\u3061\u306a\u307f\u306b\uff0c\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u4fee\u5fa9\u306b\u304a\u3051\u308b\u30bb\u30eb\u30d5\u30a8\u30c3\u30c1\u30f3\u30b0\u306e1\u30b9\u30c6\u30c3\u30d7\u30682\u30b9\u30c6\u30c3\u30d7\u306f\u540c\u7b49\u306e\u81e8\u5e8a\u52b9\u679c\u3060\u3063\u305f33)<\/sup>\u3068\u3059\u308b\u5831\u544a\u304c\u3042\u308a\u307e\u3057\u305f\uff0e<\/p>\n

 <\/p>\n

(3) <\/strong>\u305d\u306e\u4ed6<\/strong><\/p>\n

\u3000NCCL\u3067\u54ac\u5408\u5fdc\u529b\u304c\u539f\u56e0\u3068\u601d\u308f\u308c\u308b\u75c7\u4f8b\u3092\u898b\u305f\u3068\u304d\uff0c\u9032\u884c\u4e88\u9632\u30fb\u6291\u5236\u3092\u76ee\u7684\u3068\u3057\u3066\u54ac\u5408\u8abf\u6574\u3092\u9078\u629e\u3059\u308b\u5148\u751f\u3082\u3044\u308b\u3068\u601d\u3044\u307e\u3059\u304c\uff0c\u6587\u732e\u7684\u306b\u306f\u54ac\u5408\u8abf\u6574\u306f\u63a8\u5968\u3055\u308c\u306a\u30445)<\/sup>\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u3063\u3066\u3044\u307e\u3059\uff0e<\/p>\n

 <\/p>\n

 <\/p>\n

\uff14\uff0e\u307e\u3068\u3081<\/strong><\/h2>\n

\u3000\u3044\u304b\u304c\u3060\u3063\u305f\u3067\u3057\u3087\u3046\u304b\uff0e\u4eca\u56de\u306fNCCL\uff0c\u304a\u5c4a\u3051\u3057\u307e\u3057\u305f\uff0eNCCL\u306b\u306f\u591a\u69d8\u3067\u6570\u591a\u304f\u8ad6\u6587\u304c\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\uff0e\u4ee5\u4e0b\uff0c\u307e\u3068\u3081\u3067\u3059\uff0e\u3054\u610f\u898b\u30fb\u3054\u611f\u60f3\u7b49\u306f\u3053\u3061\u3089<\/a>\u304b\u3089\u304a\u77e5\u3089\u305b\u3044\u305f\u3060\u3051\u307e\u3059\u3068\u5e78\u3044\u3067\u3059\uff0e<\/p>\n

 <\/p>\n

(1)<\/strong>\u539f\u56e0\u306b\u3064\u3044\u3066<\/strong><\/p>\n

 <\/p>\n

\u30fb\u73fe\u5728NCCL\u306f\u9178\u8755(erosion)\u3084\u6469\u8017(abrasion)\uff0c\u54ac\u8017(attrition)\u54ac\u5408\u5fdc\u529b(abfraction)\u306a\u3069\u3092\u7dcf\u79f0\u3057\u305f\u300ctooth wear\u300d\u306b\u3088\u308b\u75be\u60a3\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\uff0e<\/p>\n

\u30fb\u539f\u56e0\u3068\u3057\u3066\u54ac\u5408\u5fdc\u529b(abfraction)\u306f\u5426\u5b9a\u3055\u308c\u3066\u3044\u308b\u3068\u4e3b\u5f35\u3059\u308b\u4eba\u3082\u3044\u308b\u3088\u3046\u3067\u3059\u304c\uff0c\u5426\u5b9a\u3055\u308c\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u306e\u3067\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\uff0e<\/p>\n

\u30fb\u306a\u3093\u3089\u304b\u306e\u5f71\u97ff\u3067\u6b6f\u8cea\u304c\u8106\u304f\u306a\u3063\u3066\u3044\u308b\u3068\u3053\u308d\u306b\u54ac\u5408\u5fdc\u529b\u3084\u6b6f\u30d6\u30e9\u30b7\u306a\u3069\u306e\u5916\u7684\u8981\u56e0\u306b\u3088\u3063\u3066\u6b20\u640d\u304c\u751f\u3058\u3066\u3057\u307e\u3046\u306e\u3067\u306f\u306a\u3044\u304b\uff1f\u3068\u8003\u3048\u307e\u3057\u305f\uff0e<\/p>\n

\u30fbNCCL\u306e\u5f62\u72b6\u3068\u767a\u75c7\u539f\u56e0\u306b\u3064\u3044\u3066\u306e\u8ad6\u65872,26)<\/sup>\u3092\u8aad\u3093\u3067\u307f\u308b\u3068\uff0c\u5f62\u72b6\u304c\u92ed\u89d2\u306a\u300c\u304f\u3055\u3073\u72b6\u300d\u300cV\u5b57\u72b6\u300d\u306e\u5834\u5408\u306b\u306fabfraction\u3092\uff0c\u920d\u89d2\u306a\u300c\u76bf\u72b6\u300d\u300cU\u5b57\u72b6\u300d\u306e\u5834\u5408\u306b\u306ferosin\u3084abrasion\u3092\u7591\u3046\u3079\u304d\u3067\u3059\u304c\uff0c\u8907\u5408\u578b\u3082\u3042\u308a\u3048\u308b\u306e\u3067\u5358\u7d14\u306a\u6c7a\u3081\u3064\u3051\u3068\u3044\u3046\u306e\u3082\u3088\u304f\u306a\u3044\u3068\u601d\u3044\u307e\u3057\u305f\uff0e<\/p>\n

 <\/p>\n

(2)<\/strong>\u6cbb\u7642\u306b\u3064\u3044\u3066<\/strong><\/p>\n

 <\/p>\n

\u30fbNCCL\u306ftooth wear\u3067\u3059\u304b\u3089\uff0c(\u3042\u304d\u3089\u304b\u306b\u904e\u9ad8\u306e\u5834\u5408\u3092\u9664\u304d)\u5f93\u6765\u306e\u54ac\u5408\u8abf\u6574\u306f\u63a8\u5968\u3055\u308c\u3066\u304a\u3089\u305a\u98df\u7fd2\u6163\u3092\u542b\u3081\u305f\u6b6f\u30d6\u30e9\u30b7\u6307\u5c0e\u304c\u5fc5\u8981\u4e0d\u53ef\u6b20\u3060\u3068\u8003\u3048\u307e\u3057\u305f\uff0e<\/p>\n

\u30fbNCCL\u3092\u898b\u305f\u3068\u304d\u306b\u300c\u3042\uff0cCR\u8a70\u3081\u306a\u304d\u3083\u300d\u3068\u8003\u3048\u308b\u3088\u308a\u3082\u300c\u3069\u3046\u3057\u3066\u8d77\u3053\u3063\u305f\u3093\u3060\u308d\u3046\u300d\u300c\u3053\u306e\u60a3\u8005\u3055\u3093\u306b\u5408\u3063\u305f\u4e88\u9632\u65b9\u6cd5\u306f\uff1f\u300d\u3068\u8003\u3048\u308b\u306e\u304c\u6b63\u3057\u3044\u3068\u8003\u3048\u307e\u3057\u305f\uff0e<\/p>\n

\u30fbNCCL\u3092\u898b\u305f\u3068\u304d\u306b\u306f\u6b6f\u30d6\u30e9\u30b7\u306e\u786c\u3055\u3084\u5f53\u3066\u65b9\u3092\u5fc5\u305a\u78ba\u8a8d\u3057\u305f\u307b\u3046\u304c\u3088\u3044\u3068\u601d\u3044\u307e\u3057\u305f\uff0e<\/p>\n

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\u30fb\u539f\u56e0\u3068\u3057\u3066\u54ac\u5408\u5fdc\u529b\u306e\u8981\u56e0\u304c\u5426\u5b9a\u3055\u308c\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\uff0e\u54ac\u5408\u5fdc\u529b\u3092\u7591\u3046\u5834\u5408\uff0c\u54ac\u5408\u8abf\u6574\u3067\u306f\u306a\u304f\u30ca\u30a4\u30c8\u30ac\u30fc\u30c9(\u30bd\u30d5\u30c8\u30b9\u30d7\u30ea\u30f3\u30c8)\u3092\u9078\u629e\u3059\u308b\u306e\u3082\u6709\u52b9\u3060\u3068\u8003\u3048\u307e\u3057\u305f\uff0e<\/p>\n

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\uff15\uff0e\u53c2\u8003\u6587\u732e<\/strong><\/h2>\n

1) Senna P, Del Bel Cury A, R\u00f6sing C. Non-carious cervical lesions and occlusion: a systematic review of clinical studies. J Oral Rehabil. 2012 Jun;39(6):450-62.<\/p>\n

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3) \u9ad8\u91ce \u77e5\u627f, \u7af9\u539f \u9806\u6b21, \u68ee\u7530 \u5b66\u3000\u975e\u3046\u8755\u6027\u6b6f\u9838\u90e8\u6b20\u640d\u3068\u6b6f\u78e8\u304d\u7fd2\u6163,\u54ac\u5408\u529b,\u54ac\u5408\u63a5\u89e6\u9762\u7a4d\u304a\u3088\u3073\u5e73\u5747\u5727\u529b\u3068\u306e\u95a2\u4fc2\u3000\u53e3\u8154\u885b\u751f\u5b66\u4f1a\u96d1\u8a8c\/57 \u5dfb (2007) 5 \u53f7<\/p>\n

4)Xhonga FA. Bruxism and its effect on the teeth. J Oral Rehabil. 1977 Jan;4(1):65-76.<\/p>\n

5) Silva AG, Martins CC, Zina LG, Moreira AN, Paiva SM, Pordeus IA, Magalh\u00e3es CS. The association between occlusal factors and noncarious cervical lesions: a systematic review. J Dent. 2013 Jan;41(1):9-16.<\/p>\n

6) Bhundia S, Bartlett D, O’Toole S. Non-carious cervical lesions – can terminology influence our clinical assessment? Br Dent J. 2019 Dec;227(11):985-988.<\/p>\n

7)\u00a0 Haralur SB, Alqahtani AS, AlMazni MS, Alqahtani MK. Association of Non-Carious Cervical Lesions with Oral Hygiene Habits and Dynamic Occlusal Parameters. Diagnostics (Basel). 2019 Apr 12;9(2):43.<\/p>\n

8) Rees JS, Jagger DC. Abfraction lesions: myth or reality? J Esthet Restor Dent. 2003;15(5):263-71.\u00a0<\/p>\n

9)Nascimento BL, Vieira AR, Bezamat M, Ign\u00e1cio SA, Souza EM. Occlusal problems, mental health issues and non-carious cervical lesions. Odontology. 2021 Sep 27.<\/p>\n

10) Duangthip D, Man A, Poon PH, Lo ECM, Chu CH. Occlusal stress is involved in the formation of non-carious cervical lesions. A systematic review of abfraction. Am J Dent. 2017 Aug;30(4):212-220.<\/p>\n

11) Grippo JO, Simring M, Schreiner S. Attrition, abrasion, corrosion and abfraction revisited: a new perspective on tooth surface lesions. J Am Dent Assoc. 2004 Aug;135(8):1109-18; quiz 1163-5.<\/p>\n

12) Kolak V, Pe\u0161i\u0107 D, Melih I, Lalovi\u0107 M, Nikitovi\u0107 A, Jakovljevi\u0107 A. Epidemiological investigation of non-carious cervical lesions and possible etiological factors. J Clin Exp Dent. 2018;10(7):e648-e656. Published 2018 Jul 1.\u00a0<\/p>\n

13) Teixeira DNR, Thomas RZ, Soares PV, Cune MS, Gresnigt MMM, Slot DE. Prevalence of noncarious cervical lesions among adults: A systematic review. J Dent. 2020 Apr;95:103285.<\/p>\n

14) emarco FF, Cademartori MG, Hartwig AD, Lund RG, Azevedo MS, Horta BL, Corr\u00eaa MB, Huysmans MDNJM. Non-carious cervical lesions (NCCLs) and associated factors: A multilevel analysis in a cohort study in southern Brazil. J Clin Periodontol. 2022 Jan;49(1):48-58.<\/p>\n

15) Bomfim RA, Crosato E, Mazzilli LE, Frias AC. Prevalence and risk factors of non-carious cervical lesions related to occupational exposure to acid mists. Braz Oral Res. 2015;29:S1806-83242015000100280.<\/p>\n

16) \u5fd7\u6751 \u512a\u3000\u3044\u308f\u3086\u308b\u6954\u72b6\u6b20\u640d\u306e\u7d71\u8a08\u7684\u89b3\u5bdf\u88dc\u907a\u3000\u53e3\u8154\u75c5\u5b66\u4f1a\u96d1\u8a8c\/26 \u5dfb (1959) 3 \u53f7<\/p>\n

17) Heasman PA, Holliday R, Bryant A, Preshaw PM. Evidence for the occurrence of gingival recession and non-carious cervical lesions as a consequence of traumatic toothbrushing. J Clin Periodontol. 2015 Apr;42 Suppl 16:S237-55.<\/p>\n

18) Bernhardt O, Gesch D, Schwahn C, Mack F, Meyer G, John U, Kocher T. Epidemiological evaluation of the multifactorial aetiology of abfractions. J Oral Rehabil. 2006 Jan;33(1):17-25.<\/p>\n

19) Alvarez-Arenal A, Alvarez-Menendez L, Gonzalez-Gonzalez I, Alvarez-Riesgo JA, Brizuela-Velasco A, deLlanos-Lanchares H. Non-carious cervical lesions and risk factors: A case-control study. J Oral Rehabil. 2019 Jan;46(1):65-75.<\/p>\n

20) Medeiros TLM, Mutran SCAN, Espinosa DG, do Carmo Freitas Faial K, Pinheiro HHC, D’Almeida Couto RS. Prevalence and risk indicators of non-carious cervical lesions in male footballers. BMC Oral Health. 2020 Jul 29;20(1):215.<\/p>\n

21) Matos DA, Teixeira ML, Pinto JH, Lopes JF, Dalben Gda S. Pattern of disocclusion in patients with complete cleft lip and palate. J Appl Oral Sci. 2006 Jun;14(3):157-61.<\/p>\n

22) Pikd\u00f6ken L, Akca E, G\u00fcrb\u00fczer B, Aydil B, Ta\u015fdelen B. Cervical wear and occlusal wear from a periodontal perspective. J Oral Rehabil. 2011 Feb;38(2):95-100.<\/p>\n

23) Kampanas NS, Antoniadou M. Glass Ionomer Cements for the Restoration of Non-Carious Cervical Lesions in the Geriatric Patient. J Funct Biomater. 2018 Jul 8;9(3):42.<\/p>\n

24) Schwendicke F, M\u00fcller A, Seifert T, Jeggle-Engbert LM, Paris S, G\u00f6stemeyer G. Glass hybrid versus composite for non-carious cervical lesions: Survival, restoration quality and costs in randomized controlled trial after 3 years. J Dent. 2021 Jul;110:103689.<\/p>\n

25) Bezerra IM, Brito ACM, de Sousa SA, Santiago BM, Cavalcanti YW, de Almeida LFD. Glass ionomer cements compared with composite resin in restoration of noncarious cervical lesions: A systematic review and meta-analysis. Heliyon. 2020 May 21;6(5):e03969. doi: 10.1016\/j.heliyon.2020.e03969.<\/p>\n

26) Peumans M, Politano G, Van Meerbeek B. Treatment of noncarious cervical lesions: when, why, and how. Int J Esthet Dent. 2020;15(1):16-42.<\/p>\n

27) Zhang H, Wang L, Hua L, Guan R, Hou B. Randomized controlled clinical trial of a highly filled flowable composite in non-carious cervical lesions: 3-year results. Clin Oral Investig. 2021 Oct;25(10):5955-5965.<\/p>\n

28) L\u00fchrs AK, Jacker-Guhr S, G\u00fcnay H, Herrmann P. Composite restorations placed in non-carious cervical lesions-Which cavity preparation is clinically reliable? Clin Exp Dent Res. 2020 Oct;6(5):558-567.<\/p>\n

29) Badavannavar AN, Ajari S, Nayak KUS, Khijmatgar S. Abfraction: Etiopathogenesis, clinical aspect, and diagnostic-treatment modalities: A review. Indian J Dent Res. 2020 Mar-Apr;31(2):305-311.<\/p>\n

30) Josic U, Maravic T, Mazzitelli Cradovic I, Jacimovic J, Del Bianco F, Florenzano F, Breschi L, Mazzoni A. Is clinical behavior of composite restorations placed in non-carious cervical lesions influenced by the application mode of universal adhesives? A systematic review and meta-analysis. Dent Mater. 2021 Nov;37(11):e503-e521.<\/p>\n

31) Rouse MA, May JT, Platt JA, Cook NB, Capin OR, Adams BN, Kirkup ML, Diefenderfer KE. Clinical evaluation of a universal adhesive in non-carious cervical lesions. J Esthet Restor Dent. 2020 Oct;32(7):691-698.<\/p>\n

32) Gon\u00e7alves DFM, Shinohara MS, Carvalho PRMA, Ramos FSES, Oliveira LC, Omoto \u00c9M, Fagundes TC. Three-year evaluation of different adhesion strategies in non-carious cervical lesion restorations: a randomized clinical trial. J Appl Oral Sci. 2021 Oct 22;29:e20210192.<\/p>\n

33) de Assis C, Lemos C, Gomes J, Vasconcelos B, Moraes S, Braz R, Pellizzer EP. Clinical Efficiency of Self-etching One-Step and Two-Step Adhesives in NCCL: A Systematic review and Meta-analysis. Oper Dent. 2020 Nov 1;45(6):598-607.<\/p>\n

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\u3010\u30a8\u30d3\u30c7\u30f3\u30b9\u3011\u6b6f\u78e8\u5264\u306b\u542b\u307e\u308c\u308b\u30e9\u30a6\u30ea\u30eb\u786b\u9178\u30ca\u30c8\u30ea\u30a6\u30e0(Sodium Lauryl Sulfate : SLS)\u306f\u672c\u5f53\u306b\u6709\u5bb3\u7121\u76ca\u306a\u306e\u304b\uff1f<\/a><\/p>\n

\u3010\u30a8\u30d3\u30c7\u30f3\u30b9\u3011\u91cd\u66f9(\u70ad\u9178\u6c34\u7d20\u30ca\u30c8\u30ea\u30a6\u30e0)\u6b6f\u78e8\u304d\u306e\u52b9\u679c\u3084\u5b89\u5168\u6027\u306b\u7b54\u3048\u307e\u3059\uff0e<\/a><\/p>\n

\u3010\u30a8\u30d3\u30c7\u30f3\u30b9\u3011\u30a4\u30a8\u30c6\u30dc\u30ea\u30fb\u30c6\u30af\u30cb\u30c3\u30af\u306f\u672c\u5f53\u306b\u52b9\u679c\u7684\u306a\u306e\uff1f\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u3042\u308b\u306e\uff1f\u306b\u7b54\u3048\u307e\u3059\u3002<\/a><\/p>\n

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