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IRUCAA@TDC : 糖尿病患者に歯周治療を行った1症例

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(1)Title Author(s) Journal URL. 糖尿病患者に歯周治療を行った1症例 森山, 貴史; 上島, 文江; 松本, 信哉; 古澤, 成博; 槇 石, 武美 歯科学報, 108(2): 128-136 http://hdl.handle.net/10130/477. Right. Posted at the Institutional Resources for Unique Collection and Academic Archives at Tokyo Dental College, Available from http://ir.tdc.ac.jp/.

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(9) ¬€‰ñ. Vol#-,4"No#.*.,,4+. -/1. Œ°Q¬³êVÞãêOÍCZþ„<¼>NHJ7. PèýÁ"NXSO¬³­!ÜPŸ¡b_O:7J. EPK"­!ÕÒOWHJu~AEmgk'dnt. ¬€{¨PEC÷ŠP¶ýÁ]¦ä®AE!. Vjo'`cths'q<úvO ëAEUPL  9X[E! ¤ Pº%KQ"Œ°OÞãêL¬³êLPŽ–. ò'íPý«QÐ.40 ڑ¬€Ï‰‰ƒÊƒ*.,,3å-,› .,â"Äü+ O:7JæéA"¥×ÀÅ]²?EUPK6Z!. ]•YïAÃõA"jo'`cths'qP†ÆO ÙTIIeb'pta$q'hjr'itaOWH J¬á|ºP†Æ]¿ZL78¬³ò­!PӇ O:7J"ÑÛ¬€{¨<EAE÷ŠQÏ= ;HE!CN\G"Œ°OLHJ¬€x©WY¾” ŅLBX[Z¬€{¨<"ó •YïAà õCZ@LOWHJ"Œ°Pþ„<ËAELU 9 X[E!ÛÇ"¬€{¨Q¤ PÞãꌰ]Ñ ÛCZO6EY"ÞãêPêÎNMOI7JùTð ’AŒ°PöOUÝ9X[ZW8O¸ç]AJ½ !O$^F™"¬³êLÞãêLPŽ&ÁOI7 JU"ÑÛ¬€x©LßûPÃõ<K=E!@PW 8N¬€{¨PÙ#U¤ PW8N"7™<à X[EýyPRLIK6ZL 9X[E!¤ Pº %]ØBJ"¬³­!O:?Z¬€{¨<EC ÷ŠP¶ýÁ]¦ä®AE!. ! " ¤ ‚&Q".—ÞãêO(ŒAôÁî}Á¬³ |]øCZŒ°OÍA"ÿ¯ŒPŽ&ÁOI7JŒ °OµìÃõAþ„]¼T"jo'`:WSšÞP cths'qOÍCZmgk'dnt]¢7"¬³ ò­!]ªAE™ÖõN¬á|ºP†Æ<äT X["DPžP¬³ˆ€±·V¬‹´ë¹Ô<e l'fOÀwAEº%]˜œAE! ¤ Pº%]ØBJ"ÞãêPW8NȾ¯Œ] øCZŒ°O¬³­!]¢8»£"Ⱦ¯ŒL¬³. ). (. -+Palmer, R., Soory, M. : Diabetes mellitus, Clinical Peri*Lindhe J, Karodontology and Implant Dentistry 4th ed. ring T, Lang NP ed.+ , -35)-4/, Blackwell Munksgaard, Oxford, .,,/# .+Westfelt, E., Rylander, H., Blohme, G., Joanasson, P., Lindhe, J. : The effect of periodontal therapy in diabetes. J Clin Periodontol, !"%5.)-,,"-552# /+Stewart, J. E., Wager, K. A., Friedlander, A. H., Zadeh, H. H. : The effect of periodontal treatment on glycaemic control in patients with type 2 diabetes mellitus. J Clin Periodontol, !&%/,2)/-,".,,-# 0+Williams, R. C., Paquette, D. : Periodontitis as a risk for systemic disease, Clinical Periodontology and Implant *Lindhe J, Karring T, Lang NP ed.+ , 366 Dentistry 4th ed. 386, Blackwell Munksgaard, Oxford, .,,/# 1+Lu, H. K., Yang, P. C. : Cross-sectional analysis of different variables of patients with non-insulin dependent diabetes and their periodontal status. Int Periodontics Restorative Dent, !#%3,)35".,,0# 2+Jansson, H., Lindholm, E., Lindh, C., Groop, L., Bratthall, G. : Type 2 diabetes and risk for periodontal disease : a role for dental health awareness. J Clin Periodontol, ""% 0,4)0-0".,,2# 3+Tervonen, T., Karjalainen, K., Kntauttila, M., Huumonen, S. : Alveolar bone loss in type 1 diabetic subjects. J Clin Periodontol, !%%123)13-".,,,# 4+Collin, H. L., Uusitupa, M., Niskanen, L., Kontturi-Nurhi, V., Markkanen, H., Koivisto, A. M., Meurman, J. H. : Periodontal findinga in elderly patients with non-insulin dependent diabetes mellitus. J Periodontol, $'%52.)522" -554# 5+Faria-Almeida, R., Navarro, A., Bascones A. : Clinical and metabolic changes after conventional treatment of type 2 diabetic patients with chronic periodontitis. J Periodontol, %%%15-)154".,,2# -,+Williams, R. C., Offenbacher, S. : Periodontal medicine : the emergence of a new branch of periodontology. Periodontology 2000, !"%5)-.".,,,#. ê<ɝOz“CZ@L]Œ°OW>ÃõCZ@L. ( 0- (.

(10) (*,. :4! ;#<=>270586?13/.(9@. Periodontal treatment for diabetes mellitus : a case report Takafumi MORIYAMA('!Fumie UESHIMA)'!Shinya MATSUMOTO(' Masahiro FURUSAWA*'!Takemi MAKIISHI(' ('. Division of Conservative Dentistry, Department of Clinical Oral Health Science,. Tokyo Dental College )'. Section of Dental Hygiene, Suidobashi Hospital, Tokyo Dental College. *'. Division of General Dentistry, Department of Clinical Oral Health Science, Tokyo. Dental College Key words : diabetes mellitus, periodontal disease, periodontal treatment. The patient was a 54-year old woman with type 2 diabetes" At the initial visit!periodontal examination revealed that a probing pocket depth of !4mm!accountsing for !30% of the entire region examined and the Gingival Bleeding Index &GBI' was 30.4%" X-ray photography revealed bone resorption of onethird to three-quarters of the root length" This case was diagnosed as moderate periodontitis!and periodontal therapy was initieted" Firstly!in order to increase her motivation!the effects of brushing and the importance of blood glucose control in periodontal treatment were explained repeatedly to enhance a better understanding of the importance of plaque control and stabilization of blood glucose level through self-care" As a result!significant improvement in gingival inflammation was observed after scaling and root planing" Flap operation was then conducted on the remaining inflammatory region!and maintenance was begun after prosthetic therapy" In this case!decreased risk for periodontal disease was observed through excellent blood glucose control and appropriate oral care" We believe that this result was obtained through the patient gaining a proper underatanding of the relationship between periodontal &The Shikwa Gakuho!"!##()-%(*,!2008'. disease and diabetes". $ +) $.

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