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  • 石原 弘文, 三浦 宏之, 岡田 大蔵, 新木 敏之, 徳田 彩子, 森川 理, 星野 紘子, 池田 あゆみ, 岡野 雄一郎, 松本 潔, 中尾 政之
    日本顎口腔機能学会雑誌
    2002年 9 巻 1 号 66-67
    発行日: 2002/11/30
    公開日: 2010/10/13
    ジャーナル フリー
  • 巣瀬 賢一, 福島 理恵, 阿部 真之介, 時安 喜彦, 渡部 茂
    小児歯科学雑誌
    2000年 38 巻 2 号 400
    発行日: 2000/04/25
    公開日: 2013/01/18
    ジャーナル フリー
  • 全部鋳造冠支台歯について
    塩沢 育巳, 中野 雅徳, 三間 清行, 森川 昭彦, 中里 紀之, 兼子 晴美, 田端 恒雄
    日本補綴歯科学会雑誌
    1978年 22 巻 3 号 515-520
    発行日: 1978年
    公開日: 2010/08/10
    ジャーナル フリー
  • 新里 祐一, 山内 盛泰, 園田 世里夏, 福島 淳一
    耳鼻と臨床
    2016年 62 巻 2 号 48-51
    発行日: 2016/03/20
    公開日: 2017/03/02
    ジャーナル フリー

    基礎疾患として慢性閉塞性肺疾患(COPD)があり、治療のための器具使用を契機として、隆鼻術施行時鼻背部に留置したプロテーゼ周囲に蜂窩織炎を起こしたため、摘出した 2 例を経験したので報告する。プロテーゼ摘出例は、美容外科関連の文献にて頻出するが、COPD のために病院での内科的治療が必要であり、容易に美容外科にて治療できない症例が高齢化社会の到来とともに増加することが予想され、一般病院の耳鼻咽喉科医も留意しておくべきと考えられる。

  • 長谷 誠, 相馬 邦道
    日本顎口腔機能学会雑誌
    1997年 3 巻 2 号 169-172
    発行日: 1997/01/30
    公開日: 2010/10/13
    ジャーナル フリー
    本研究の目的は, 咬合状態と咬合終末期における顎運動パターンとの関連性を, 食塊の破壊粉砕効率を基に検討することである.
    検討の方法および結果は, 以下のとおりである.
    1. 被験者として, アングルII級症例2名と正常咬合症例1名を選択した.これらの上下顎歯の咬合面形状と位置関係, および咀嚼運動と咬合力を用いて, 有限要素法非線形動解析により食塊の破壊粉砕効率を求めた.その結果, 症例間に著明な経時的咀嚼効率の差異は認められなかった.
    2. 顎運動記録より, それぞれの症例について, 咬合終末期め下顎第一大臼歯の運動方向を観察した.その結果, アングルII級症例の下顎第一大臼歯の運動方向は, 正常咬合症例のそれに比較して前後成分が大きかった.
    3. アングルII級症例について, 咬合終末期における下顎第一大臼歯の運動方向を, 正常咬合症例のそれと入れ換えて食塊の破壊粉砕効率を求めた.その結果, 経時的咀嚼効率は著しく低下することが認められた.
    このことにより, 咀嚼運動方向は, 上下顎歯の位置の差異を補い, 食塊の破壊粉砕効率を高めている可能性があることが示唆された.
  • 臼歯部ブリッジの場合
    清水 忠明, 中村 善治, 中村 幸博, 福島 俊士
    日本補綴歯科学会雑誌
    1984年 28 巻 2 号 247-256
    発行日: 1984/04/01
    公開日: 2010/08/10
    ジャーナル フリー
    Many investigators have studied on influences of preparation of vital teeth and associated prosthetic treatments on the pulp. Only a few, however, have referred to discomforts which patients actually suffered.
    In this study, patient's discomforts after preparation were investigated. The material consisted of 119 vital abutment teeth that were prepared for fixed bridges on 77 patients at the Students' Clinic of Tsurumi University.
    Furthermore, the follow-up examination was held 6-14 months after final cementation.
    The results were as follows:
    1. 19 teeth (16%) exhibited discomforts such as hypersensitivity against cold foods or pain while occluding. Through application of diammine silver fluoride and/or occlusal equilibration, the discomforts in 18 teeth were cured, but the pulp of one tooth had to be removed.
    2. Concerning sex, age and types of teeth with discomforts, higher frequency was found in women, in fifties and at upper premolars and lower molars.
    3. 9 patients complained first at the stage of preparation and 10 patients just at the stage of temporary fixation of bridges. There were no patients who felt discomforts first after final cementation.
    4. Duration of discomforts ranged from within 2 weeks to over 8 weeks at almost the same proportion.
    5. The teeth which displayed discomforts once were in worse situation than the control, according to the follow-up examination.
  • 山下 潤朗
    日本補綴歯科学会雑誌
    1996年 40 巻 5 号 952-963
    発行日: 1996/10/01
    公開日: 2010/08/10
    ジャーナル フリー
    Surface strain of crowns and bridges were measured by the strain gauge method. A static load was applied with occlusal force in vivo and with a universal testing machinein vitro.
    The conclusions were as follows:
    1. The marginal portion under the cusp loaded in function was strained largely in the crowns bothin vivoand in vitro. The strain tended to be localized.
    2. In the bridges, the marginal portion under the cusp loaded in function was strained largelyin vitro.However, the whole portion of the bridges was strained in vivo.
    3. The bridge's strain value was large on the buccal and the lingual marginal portions of the distal retainer and on the distal connectorin vivo. The magnitude ranged between 700 and 1, 000 με under the occlusal force of 200 N.
    4. The strain distribution of the bridges which differ from those of the crowns is complex and is affected by many factors such as abutment tooth mobility and jaw deformation, in addition to span length, marginal shapes, and metal thickness.
  • 藍 稔, 古屋 良一, 森川 昭彦
    日本補綴歯科学会雑誌
    1973年 17 巻 2 号 133-137
    発行日: 1973/10/30
    公開日: 2010/08/10
    ジャーナル フリー
  • ―鋳造用合金による影響―
    杉田 拓也, 高久田 和夫, 宮入 裕夫
    口腔病学会雑誌
    2000年 67 巻 1 号 52-57
    発行日: 2000/03/31
    公開日: 2010/10/08
    ジャーナル フリー
    Experimental crowns with uniform thickness at their axial surfaces were made of dental casting goldsilver-palladium alloy (12 % gold) and dental casting gold alloy (Type IV) . They were cemented on model teeth for abutment and their deformations under applied loads were measured with strain gages. The effect of axial metal thickness on the crown's rigidity and the cement fracture strength were examined. Among the structures of cemented crowns and abutment teeth, that of the axial metal thickness of 0.3 mm had cement failure at the smallest loads. As the metal thickness was increased, the crown's deformation decreased and the cement failure load increased. For a thickness greater than 0.7 mm, however, the increase in failure load was not obvious. The difference of the casting alloy had no significant effect on the cement fracture. Accordingly, the rigidity of dental prostheses should be one of the most important design factors for preventing failure under occlusal load, and it is recommended that the thickness of the axial surface should be more than 0.7mm.
  • 秋本 覚, 大沼 智之, 清水 公夫, 澤口 正俊, 小司 利昭, 森田 修己
    日本補綴歯科学会雑誌
    1996年 40 巻 2 号 255-259
    発行日: 1996/04/01
    公開日: 2010/08/10
    ジャーナル フリー
    The present study was made to elucidate the training effect of examiner's palpation force on the evaluation of pressure pain examination. Using our newly-developed simulator, right and left second fingers' palpation forces in 29 dental students were determined by giving them no special indication (P 1) and making them reproduce the forces of 1, 500gf/cm2after making them practice the latter by monitor (P 2).
    The results were as follows:
    1. The difference of palpation force in P 1 was great compared with that in P 2.
    2. Palpation force in P 1 and P 2 showed no significant laterality.
    3. Palpation force after training tended to be near the appropriate palpation force.
    The above results suggest that training for fingers' palpation force may be effective for formation of quantitative kinesthesis and elevating the reliability of the evaluation of pressure pain examination.
  • 最大活動量との比較
    鳥巣 哲朗, 橋本 信行, 吉松 正, 菅 浩二, 大安 努, 藤井 弘之
    日本補綴歯科学会雑誌
    1992年 36 巻 5 号 1162-1168
    発行日: 1992/10/01
    公開日: 2010/08/10
    ジャーナル フリー
    EMG activities of sternocreidomastoid and trapezius muscles during the isometric maximum voluntary exercises of the head, neck, shoulder, back and mandible were studied in 10 healthy examinees.
    These results obtained were as follows:
    1. In the sternocreidomastoid muscle, the mean of integrated EMG values showed its maximum on the exercise of the head in which one rotated his mentum contralaterally-rostally forward; in the nuchal and shoulder regions of the trapezius muscle, on the exercise in which one raised his shoulder rostally; and in its back region, on the exercise in which one pulled his shoulder backward.
    2. In average, the rates of integrated EMG value on the mandibular exercises to the maximal value on the head, neck, shoulder and back exercises were 9.2 and 19.6% in the superior and inferior regions of the sternocreidomastoid muscle, and 15.4, 1.1 and 8.4% in the nuchal, shoulder and back regions of the trapezius muscle, respectively.
    3. These results were discussed in relation to unpleasant sensations on the neck, shoulder and back regions in occlusal diseases.
  • ヒト象牙質中の音速値
    両角 益資
    日本補綴歯科学会雑誌
    1985年 29 巻 1 号 15-29
    発行日: 1985/02/01
    公開日: 2010/08/10
    ジャーナル フリー
  • 小林 博, 河野 正司, 石岡 靖
    下顎運動機能とEMG論文集
    1991年 9 巻 71-78
    発行日: 1991年
    公開日: 2010/10/13
    ジャーナル フリー
  • 川和 篤史
    口腔病学会雑誌
    2002年 69 巻 1 号 1-14
    発行日: 2002/03/31
    公開日: 2010/10/08
    ジャーナル フリー
    The purpose of this study was to determine the surface strain distribution of a crown and bridge, and to compare the biomechanical behavior of a crown and bridge.
    The complete crown and 3-unit bridge, whose abutments were the second premolar and the second molar, for three cases of first molar deficit in the mandible, were produced, and the surface strain of prostheses under static loading was measured with strain gauges.
    When a load was applied, although only a small strain was observed near the margin of the crown, a comparatively large tensile strain was observed near the deficit side margin of the distal retainer on the bridge.
    In the case of a 3-unit bridge, since there is the possibility that strain will occur in the distal retainer, it is necessary to consider the design of the distal retainer during preparation.
  • 小林 博
    口腔病学会雑誌
    1990年 57 巻 3 号 385-392
    発行日: 1990年
    公開日: 2010/10/27
    ジャーナル フリー
    Electromyographic coactivation of the sternocleidomastoid muscle (SCM) during masticatory function was observed. To analyze the mechanism of the coactivation, we studied the reflex responses of the SCM induced by mechanical stimulations and tooth-tapping movements. Six healthy subjects with an average age of 26 years were asked to make various kind of efforts using SCM and masseter muscles, then the mechanical taps were applied to a forehead and an upper anterior tooth, and the surface EMG from the SCM and masseter were recorded. The head position during the recordings was controlled in the upright or the rotation position. The gingiva of the tapped teeth was anesthetized in two subjects. EMG signals were rectified and digitized and then analyzed using the signal average program on a computer (NEC SANEI 7T17) .
    Results:
    1. Reflex responses of the SCM with a latency of ca. 30ms were induced by mechanical taps to the forehead and to the anterior tooth. It can result from a stretch reflex.
    2. During tooth-tapping movement at 1Hz, the SCM activated at ca. 90ms after teeth contacts. It is Possible that the activity was derived from a central control mechanism or from another reflex other than the stretch reflex.
  • 関矢 泰樹, 遠藤 輝久, 伊藤 聖, 高橋 究理, 秋本 和宏, 伊藤 賢, 中村 正和, 伊藤 充雄
    日本口腔インプラント学会誌
    2018年 31 巻 1 号 21-28
    発行日: 2018/03/31
    公開日: 2018/04/20
    ジャーナル フリー

    インプラント治療においてアバットメントが緩むことは,アバットメントとインプラント体の破折や骨吸収に影響する重要な因子であると考えられる.したがって,本研究はアバットメントをインプラント体に20Ncmで嵌合させた状態を緩みのない試験体とし,アバットメントの緩みは角度によって設定を行い,90°(1/4回転),180°(1/2回転),360°(1回転)とした.緩みを設定した各試験体は万能試験機にセットし,清涼菓子が破断するまでの荷重とインプラントカラー部に生じるひずみはひずみゲージを用いて測定し,アバットメントの緩みとインプラントカラー部のひずみの関係について検討を行った.また,アバットメントの緩みとインプラントの最大曲げ荷重およびたわみの関係についても検討を行った.

    その結果,以下の結論が得られた.各アバットメントの緩みと清涼菓子の破断荷重には有意差が認められず85.1±4.0Nであった.清涼菓子が破断するときの1/2回転と1回転緩ませた試験体のカラー部に生じるひずみは0.1%以上であった.この測定値は骨の吸収の危険性が示唆された.また,アバットメントが緩んだ状態の試験体のカラー部のひずみは20Ncmで嵌合した試験体の200Nから300Nの荷重負荷時のひずみと同様の値であった.緩みが1回転の試験体の最大曲げ荷重とたわみは緩みのない試験体と比較して約23%減少した.上部構造を装着後は定期的にアバットメントの緩みが生じていないかを精査することが必要であると考えられた.

  • 平林 寛史
    口腔病学会雑誌
    2007年 73and74 巻 3-1 号 14-20
    発行日: 2007/03/31
    公開日: 2010/10/08
    ジャーナル フリー
    The aim of this study was to develop a three-dimensional small occlusal force sensor which could be set up inside the crown of the tooth and measure both the three-dimensional occlusal force and the tooth displacement path during function at the same time in vivo. The measurement error of this occlusal force sensor was 11.9%, 8.7%, and 5.9% at maximum in the mesio-distal, bucco-lingual and colono-apical directions, respectively. The subject was a Japanese male who had good periodontal conditions and an acceptable centric occlusion. After this occlusal force sensor and tooth displacement transducer were set up at the upper left first molar, the three-dimensional occlusal force and the tooth displacement were measured simultaneously during clenching at the intercuspal position and biting a ready-made monoaxial occlusal force meter. During clenching at the intercuspal position, the tooth displaced toward the palato-disto-apical direction and this was almost the same direction in which the occlusal force acted. The difference between the values measured by this sensor and a ready-made monoaxial occlusal force meter was about 9.5% at maximum. This three-dimensional occlusal force sensor is able to reveal how occlusal force is diffused.
  • 杉田 拓也
    歯科材料・器械
    1999年 18 巻 6 号 472-479
    発行日: 1999/11/25
    公開日: 2018/12/21
    ジャーナル フリー
    均一な厚みの軸面を持つクラウンを作製して,荷重負荷時の変形をひずみゲージを用いて解析し,軸面金属の厚みが歯科補綴物の剛性と合着セメント層の破壊強度におよぼす影響を調べた.その結果,試適状態よりもセメント合着をした方が辺縁部のひずみは小さくなり,セメント合着により支台とクラウンが一体構造となり,荷重によるクラウンの変形が抑制されることがわかった.またクラウンをセメント合着した状態では,クラウン軸面の金属の厚さが0.3mmではセメント層の破壊が比較的容易に生じるが,金属の厚みを増すとともにクラウン辺縁部の変形は小さくなり,セメント層に破壊が生じる荷重も増加した.しかし金属の厚さが0.7mm以上になると,強度の増加は顕著ではなくなった.したがって歯科補綴物の設計においては,セメント層の破壊を防止するためにクラウンの剛性が十分大きくなるように配慮し,軸面金属の厚みが0.7mm程度あることが望ましい.
  • 松本 直樹
    口腔病学会雑誌
    2003年 70 巻 2 号 104-113
    発行日: 2003/06/30
    公開日: 2010/10/08
    ジャーナル フリー
    This study investigated the effect on the vibratory characteristics of a Class I Kennedy maxillary removable partial denture when varying its major connector design. Three types of major connector were used : the U-shaped palatal connector type (UPCD), the single palatal bar type (SPBD), and the anteriorposterior palatal bars type (APBD) . Three types of denture were excited by a shaker, and frequency response functions were recorded on an FFT analyzer to identify their modal shapes. In addition, transient response simulations were carried out and the maximum displacement of each denture was obtained. The maximum displacements were statistically analyzed by ANOVA and Scheffe's F test (p<0.01) . In the modal shapes of SPBD, there were no nodal points on the major connector at all natural modes. The maximum displacement of SPBD was significantly smaller than that of UPCD and APBD. This study indicated that SPBD was a more rigid design than UPCD and APBD from the standpoint of vibratory characteristics.
  • 術者の位置が加圧速度に及ぼす影響
    鈴木 千恵子, 大沼 智之, 清水 公夫, 渡辺 秀昭, 小司 利昭, 森田 修己
    日本補綴歯科学会雑誌
    1994年 38 巻 6 号 1205-1211
    発行日: 1994/12/01
    公開日: 2010/08/10
    ジャーナル フリー
    In order to clarify the influence of the examiner's standing position during palpation (right side of simulation model: PR, central: PC, left side: PL) on the palpable pressure speeds of fingers, 10 dentists of 10.3 year-mean clinical experience were examined for palpable pressure speeds of second fingers (F 2) and third fingers (F 3) of left (L) and right (R) sides of a simulation model.
    The following results were obtained.
    1. Palpable pressure speeds of F 2 and F 3 were influenced by the examiner's standing position.
    2. For both F 2 and F 3, pressure speed was higher for L than R in PR and for R than L in PL or PC.
    3. Pressure speeds of F 2 and F 3 in PC showed small laterality.
    4. Palpable pressure speeds of F 2 and F 3 showed greater laterality in PR and PL than in PC.
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