{"id":2058,"date":"2026-08-08T10:31:42","date_gmt":"2026-08-08T01:31:42","guid":{"rendered":"https:\/\/www.kawasato-do.jp\/case\/?p=2058"},"modified":"2026-08-08T10:53:55","modified_gmt":"2026-08-08T01:53:55","slug":"%e4%b8%8a%e9%a1%8e%e5%b7%a6%e5%81%b4%e4%b8%ad%e5%88%87%e6%ad%af%e6%ac%a0%e6%90%8d%e3%81%ae%e5%af%a9%e7%be%8e%e9%9a%9c%e5%ae%b3%e3%82%92%e3%82%82%e3%81%a4%e6%82%a3%e8%80%85%e3%81%ab%ef%bc%92%e3%83%bb","status":"publish","type":"post","link":"https:\/\/www.kawasato-do.jp\/case\/archives\/2058\/","title":{"rendered":"\u4e0a\u984e\u5de6\u5074\u4e2d\u5207\u6b6f\u6b20\u640d\u306e\u5be9\u7f8e\u969c\u5bb3\u3092\u3082\u3064\u60a3\u8005\u306b \uff12\u30fb\uff13\u30fb\uff14 \u4ee3\u66ff\u306b\u3066\u54ac\u5408\u518d\u69cb\u6210\u3092\u884c\u3063\u305f\u75c7\u4f8b"},"content":{"rendered":"<p><span style=\"font-size: 110%\"><strong>\u4e0a\u984e\u5de6\u5074\u4e2d\u5207\u6b6f\u6b20\u640d\u306e\u5be9\u7f8e\u969c\u5bb3\u3092\u3082\u3064\u60a3\u8005\u306b<\/strong><\/span><span style=\"font-size: 110%\"><strong>\uff12\u30fb\uff13\u30fb\uff14 \u4ee3\u66ff\u306b\u3066\u54ac\u5408\u518d\u69cb\u6210\u3092\u884c\u3063\u305f\u75c7\u4f8b<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>A case report of occlusal reconstruction for a esthetic disorders patient<\/p>\n<p>with missing upper left central incisor\u00a0 applied\u00a0 2\/3\/4 substitution<\/p>\n<p>&nbsp;<\/p>\n<p>\u5ddd\u91cc\u3000\u90a6\u592b\u00a0 Kunio Kawasato<\/p>\n<p>\u6b6f\u79d1\u533b\u5e2b\u30fb\u65e5\u672c\u81e8\u5e8a\u6b6f\u79d1\u5b66\u4f1a\u5927\u962a\u652f\u90e8\u3000\u304b\u308f\u3055\u3068\u6b6f\u79d1\u3000Kawasato dental office<\/p>\n<p>\u5927\u962a\u5e02\u5317\u533a\u66fd\u6839\u5d0e\u65b0\u57301-4-20\u685c\u6a4bIM\u30d3\u30eb4F<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_2061\" style=\"width: 613px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-2061\" class=\" wp-image-2061\" src=\"https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/15fe25a37b42d0d50b2b7b89e84ce2ea-1024x835.png\" alt=\"\u521d\u8a3a\u6642\" width=\"603\" height=\"491\" srcset=\"https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/15fe25a37b42d0d50b2b7b89e84ce2ea-1024x835.png 1024w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/15fe25a37b42d0d50b2b7b89e84ce2ea-300x245.png 300w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/15fe25a37b42d0d50b2b7b89e84ce2ea-768x627.png 768w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/15fe25a37b42d0d50b2b7b89e84ce2ea.png 1140w\" sizes=\"auto, (max-width: 603px) 100vw, 603px\" \/><p id=\"caption-attachment-2061\" class=\"wp-caption-text\">\u521d\u8a3a\u6642<\/p><\/div>\n<p>&nbsp;<\/p>\n<p><strong>\u6284\u9332 <\/strong><\/p>\n<p><strong>\u3010\u75c7\u4f8b\u306e\u6982\u8981\u3011<\/strong>\u3000\u521d\u8a3a\u65e52019\u5e749\u6708. \u60a3\u800530\u6b73\u5973\u6027\u3067, \u6765\u9662\u6642\u306e\u4e3b\u8a34\u306f,\u300c\u524d\u6b6f\u304c\u51f8\u51f9\u3057\u3066\u3044\u308b, \u898b\u305f\u76ee\u3092\u7dba\u9e97\u306b\u3057\u305f\u3044\u300d\u3068\u3044\u3046\u3082\u306e\u3067\u3042\u3063\u305f. \u5341\u5e74\u524d\u306b21\u6b6f\u306f\u5916\u50b7\u3067\u6b20\u640d\u3057, 36\u6b6f\u306f\u6b6f\u8089\u7e01\u4e0b\u30ab\u30ea\u30a8\u30b9\u306e\u305f\u3081\u4fdd\u5b58\u4e0d\u53ef\u80fd\u3067\u3042\u3063\u305f. \u4e0a\u4e0b\u984e\u524d\u6b6f\u306b\u306f\u53e2\u751f\u304a\u3088\u3073\u5507\u5074\u50be\u659c\u3092\u8a8d\u3081, \u30bb\u30d5\u30a1\u30ed\u5206\u6790\u306e\u7d50\u679c, \u9aa8\u683c\u6027\u2161\u7d1a\u3067\u3042\u3063\u305f. \u53e3\u84cb\u9686\u8d77\u30fb\u4e0b\u984e\u9686\u8d77\u304c\u8a8d\u3081\u3089\u308c\u305f. \u6cbb\u7642\u65b9\u91dd\u3068\u3057\u3066, 21\u6b6f\u304c\u6b20\u640d\u3057\u3066\u3044\u308b\u305f\u3081, \u5be9\u7f8e\u7684\u5bfe\u5fdc\u304c\u5fc5\u8981\u3068\u5224\u65ad\u3057, \u5de6\u53f3\u5bfe\u79f0\u6027\u3092\u512a\u5148\u3055\u305b\u308b\u305f\u3081\u306b, 21\u6b6f22\u6b6f23\u6b6f\u306b\u4ee3\u66ff\u3059\u308b\u3053\u3068\u3068\u3057\u305f. \u5168\u984e\u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642\u3067\u4e0a\u984e\u524d\u6b6f\u5507\u5074\u50be\u659c\u3092\u6539\u5584\u3057,\u00a0 22\u6b6f23\u6b6f24\u6b6f\u309221\u6b6f22\u6b6f23\u6b6f\u306b\u5f62\u614b\u5909\u66f4\u3059\u308b\u305f\u3081\u304a\u3088\u3073\u8272\u8abf\u306e\u8abf\u548c\u306e\u305f\u3081\u306b, \u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642\u30fb\u88dc\u7db4\u6b6f\u79d1\u6cbb\u7642\u3092\u884c\u3063\u305f. \u629c\u6b6f\u3068\u306a\u3063\u305f36\u6b6f\u306b\u3064\u3044\u3066\u306f\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u3092\u7528\u3044\u305f\u6b20\u640d\u88dc\u7db4\u6cbb\u7642\u3092\u884c\u3063\u305f.<\/p>\n<p><strong>\u3010\u8003\u5bdf\u3011 <\/strong>22\u6b6f23\u6b6f24\u6b6f\u309221\u6b6f22\u6b6f23\u6b6f\u306b\u4ee3\u66ff\u3059\u308b\u305f\u3081\u306b\u306f, \u6b6f\u51a0\u5e45\u5f84\u3068\u9ad8\u5f84\u3092\u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642\u306b\u3066\u8abf\u6574\u3057, \u6b6f\u51a0\u5f62\u614b\u3068\u8272\u8abf\u3092\u88dc\u7db4\u6b6f\u79d1\u6cbb\u7642\u306b\u3066\u6539\u5584\u3059\u308b\u5fc5\u8981\u304c\u3042\u3063\u305f.<\/p>\n<p><strong>\u3010\u7d50\u8ad6\u3011<\/strong>\u8907\u96d1\u306a\u554f\u984c\u3092\u62b1\u3048\u308b\u60a3\u8005\u306b\u5bfe\u3057\u3066\u5be9\u7f8e\u7684\u30fb\u6a5f\u80fd\u7684\u6539\u5584\u3092\u9054\u6210\u3055\u305b\u308b\u305f\u3081\u306b\u306f, \u5305\u62ec\u7684\u6b6f\u79d1\u6cbb\u7642\u304c\u4e0d\u53ef\u6b20\u3067\u3042\u308b.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u30ad\u30fc\u30ef\u30fc\u30c9<\/strong>\uff1a2\u30fb3\u30fb4 \u4ee3\u66ff,\u00a0 \u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642,\u00a0 \u88dc\u7db4\u6b6f\u79d1\u6cbb\u7642,\u00a0 \u5305\u62ec\u7684\u6b6f\u79d1\u6cbb\u7642,<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_2062\" style=\"width: 621px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-2062\" class=\" wp-image-2062\" src=\"https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/67dcf23ac4c730cc2d033594b683722a-1024x911.png\" alt=\"\u521d\u8a3a\u6642\" width=\"611\" height=\"543\" srcset=\"https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/67dcf23ac4c730cc2d033594b683722a-1024x911.png 1024w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/67dcf23ac4c730cc2d033594b683722a-300x267.png 300w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/67dcf23ac4c730cc2d033594b683722a-768x683.png 768w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/67dcf23ac4c730cc2d033594b683722a.png 1250w\" sizes=\"auto, (max-width: 611px) 100vw, 611px\" \/><p id=\"caption-attachment-2062\" class=\"wp-caption-text\">\u521d\u8a3a\u6642<\/p><\/div>\n<p>&nbsp;<\/p>\n<p><strong>Abstract <\/strong><\/p>\n<p><strong>Patients : <\/strong>First visit data was September 2019 . The patient was female aged 30 years old and visited my office with the main complaint of anterior crowding and look neat. Ten years ago upper left central tooth was missing , lower left first molar was impossible to save due to subgingival caries. Upper and lower anterior teeth were crowded and upper anterior teeth were inclined to labial site, the patient was skeletal class\u2161from cephalometric analysis results. Palatal tours and mandible tours were observed. As a treat policy, upper left lateral\/canine\/first premolar teeth were changed to upper left central \/lateral\/canine, because upper left central tooth was missing, it was determined that esthetic treatment was<\/p>\n<p>necessary . \u00a0Inclined upper teeth were improved with full orthodontic treatment, and upper left lateral\/canine\/first premolar forms were changed to upper left central \/lateral\/canine forms with prosthetic treatment. The extracted lower left first molar was treated with implant prothetics.<\/p>\n<p><strong>Discussion : <\/strong>Upper left lateral\/canine\/first premolar substitution needed to treated with orthodontic treatment to control those crown width\/length and prosthetic treatment to improve those forms\/colors.<\/p>\n<p><strong>Conclusion : <\/strong>Comprehensive dental treatment was essential to improve the esthetics and functionality of patients with complex problems.<\/p>\n<p><strong>Keywords:<\/strong>\u00a0 2\/3\/4 substitution, orthodontic treatment, prosthetic treatment, comprehensive dentistry,<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u7dd2\u8a00<\/strong><strong>\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0<\/strong><strong>\u00a0\u00a0<\/strong><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>\u6210\u4eba\u306b\u304a\u3051\u308b\u6b6f\u79d1\u6cbb\u7642\u306f, \u65e2\u306b\u4fee\u5fa9\u88dc\u7db4\u51e6\u7f6e\u304c\u65bd\u3055\u308c\u3066\u3044\u305f\u308a, \u6b6f\u5217\u3084\u9aa8\u683c\u306b\u554f\u984c\u304c\u3042\u308b\u306a\u3069, \u4ed6\u79d1\u3068\u306e\u9023\u643a\u3092\u5fc5\u8981\u3068\u3059\u308b\u3053\u3068\u304c\u3042\u308b. \u307e\u305f, Canine substitution\u306f\u4e00\u822c\u306b\u3088\u304f\u77e5\u3089\u308c\u3066\u3044\u308b\u624b\u6cd5\u306b\u306a\u308b\u304c, \u4e0a\u984e\u306e\u5074\u5207\u6b6f\u3084\u7b2c\u4e00\u5c0f\u81fc\u6b6f\u306eSubstitution\u306f\u3042\u307e\u308a\u898b\u53d7\u3051\u3089\u308c\u306a\u3044. \u4eca\u56de, \u4e0a\u984e\u5de6\u5074\u4e2d\u5207\u6b6f\u304c\u6b20\u640d\u3057\u305f30\u6b73\u5973\u6027\u306eskeletal Class\u2161\u75c7\u4f8b\u306b\u5bfe\u3057\u3066\u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642\u30fb\u88dc\u7db4\u6b6f\u79d1\u6cbb\u7642\u3092\u4f75\u7528\u3057\u306622\u6b6f23\u6b6f24\u6b6f\u309221\u6b6f22\u6b6f23\u6b6f\u306b\u4ee3\u66ff\u3057, \u5be9\u7f8e\u7684\uff0c\u6a5f\u80fd\u7684\u306a\u6b6f\u3068\u6b6f\u5217\u304c\u5f97\u3089\u308c\u305f\u54ac\u5408\u518d\u69cb\u6210\u306e\u75c7\u4f8b\u3092\u5831\u544a\u3059\u308b.<\/p>\n<p>\u672c\u5831\u544a\u306f\u30d8\u30eb\u30b7\u30f3\u30ad\u5ba3\u8a00\u3092\u9806\u5b88\u3057, \u884c\u3063\u305f. \u521d\u8a3a\u304b\u3089\u6cbb\u7642\u7d42\u4e86\u6642\u307e\u3067\u306e\u9854\u9762\u5199\u771f, \u53e3\u8154\u5185\u5199\u771f, \u30a8\u30c3\u30af\u30b9\u7dda\u5199\u771f\u7b49\u306e\u8cc7\u6599, \u306a\u3089\u3073\u306b\u5404\u7a2e\u8a3a\u5bdf\u7d50\u679c, \u5206\u6790\u7d50\u679c, \u8a3a\u65ad\u7d50\u679c, \u6cbb\u7642\u65b9\u91dd, \u6cbb\u7642\u7d4c\u904e\u7b49\u3092\u8a18\u3057\u305f\u66f8\u985e\u3092\u672c\u75c7\u4f8b\u5831\u544a\u306b\u4f7f\u7528\u3059\u308b\u3053\u3068\u3092\u60a3\u8005\u672c\u4eba\u306b\u8aac\u660e\u3057, \u75c7\u4f8b\u5831\u544a\u306b\u63b2\u8f09\u3059\u308b\u627f\u8afe\u3092\u5f97\u305f.<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li><strong>\u75c7\u4f8b<\/strong><strong>\u306e\u6982\u8981<\/strong><\/li>\n<\/ol>\n<p><strong>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/strong><\/p>\n<p>1,\u3000\u521d\u8a3a\u6642\u60a3\u8005\u60c5\u5831<\/p>\n<p>30\u6b73\u5973\u6027, \u4e0a\u4e0b\u984e\u524d\u6b6f\u304c\u51f8\u51f9\u3057\u3066\u3044\u308b, \u898b\u305f\u76ee\u3092\u7dba\u9e97\u306b\u3057\u305f\u3044\u3068\u306e\u4e3b\u8a34\u30672019\u5e749\u6708\u306b\u5f53\u533b\u9662\u3092\u53d7\u8a3a\u3057\u305f.<\/p>\n<p>&nbsp;<\/p>\n<p>2,\u3000\u53e3\u8154\u5185\u6240\u898b\uff08\u56f31\uff09<\/p>\n<p>\u3059\u3079\u3066\u306e\u6b6f\u306e\u6b6f\u8089\u306b\u767a\u8d64\u30fb\u816b\u8139\u304c\u3042\u308a, \u591a\u6570\u6b6f\u306b\u4e0d\u9069\u5408\u306a\u4fee\u5fa9\u30fb\u88dc\u7db4\u51e6\u7f6e\u304c\u65bd\u3055\u308c, \u4e8c\u6b21\u30ab\u30ea\u30a8\u30b9\u304c\u8a8d\u3081\u3089\u308c\u305f. 21\u6b6f\u306f\u6b20\u640d, \u4e0a\u984e\u524d\u6b6f\u306f\u5507\u5074\u50be\u659c\u3057, \u5be9\u7f8e\u7684\u306b\u5927\u304d\u306a\u969c\u5bb3\u3068\u306a\u3063\u3066\u3044\u305f. \u4e0a\u4e0b\u984e\u524d\u6b6f\u90e8\u306b\u306f\u53e2\u751f\u304c\u8a8d\u3081\u3089\u308c, \u54ac\u5408\u63a5\u89e6\u306e\u306a\u3044\u54ac\u5408\u95a2\u4fc2\u3067, \u30a2\u30f3\u30c6\u30ea\u30a2\u30ab\u30c3\u30d7\u30ea\u30f3\u30b0\u306f\u826f\u597d\u3067\u306f\u306a\u304b\u3063\u305f. \u54ac\u5408\u95a2\u4fc2\u306f\u2160\u7d1a\u3067, \u4e0a\u4e0b\u984e\u306e\u6b63\u4e2d\u306f\u4e0a\u984e\u306b\u5bfe\u3057\u3066\u4e0b\u984e\u304c<\/p>\n<p>\u5de6\u5074\u306b2mm\u504f\u4f4d\u3057, \u54ac\u5408\u9ad8\u5f84\u306e\u4f4e\u4e0b\u306f\u306a\u304f, \u984e\u95a2\u7bc0\u306e\u75c7\u72b6\u306f\u306a\u304b\u3063\u305f. 36\u6b6f\u306f\u6b8b\u6839\u72b6\u614b\u3067\u3042\u3063\u305f.<\/p>\n<p>&nbsp;<\/p>\n<p>3, \u691c\u67fb\u30fb\u8a3a\u65ad<\/p>\n<p>\u30d1\u30ce\u30e9\u30de\u30a8\u30c3\u30af\u30b9\u7dda\u5199\u771f\uff08\u56f32\uff09\u304b\u3089\u54ac\u5408\u5e73\u9762\u306e\u4e71\u308c\u304c\u8a8d\u3081\u3089\u308c\u308b\u304c, \u9aa8\u683c\u306e\u975e\u5bfe\u79f0\u6027\u306f\u898b\u3089\u308c\u306a\u304b\u3063\u305f.\u30c7\u30f3\u30bf\u30eb\u30a8\u30c3\u30af\u30b9\u7dda\u304b\u3089\uff08\u56f33\uff09, 21\u6b6f\u6839\u5c16\u76f8\u5f53\u90e8\u306b\u91d1\u5c5e\u69d8\u306e\u30a8\u30c3\u30af\u30b9\u7dda\u4e0d\u900f\u904e\u50cf\u304c\u78ba\u8a8d\u3055\u308c, 22\u6b6f\u306e\u88dc\u7db4\u88c5\u7f6e\u306f\u4e0d\u9069\u5408\u3067, 17\u6b6f16\u6b6f26\u6b6f27\u6b6f37\u6b6f46\u6b6f47\u6b6f\u306b\u306f\u4e8c\u6b21\u30ab\u30ea\u30a8\u30b9\u304c\u3042\u308a, 36\u6b6f\u306b\u306f\u7e01\u4e0b\u30ab\u30ea\u30a8\u30b9\u30fb\u30d1\u30fc\u30d5\u30a9\u30ec\u30fc\u30b7\u30e7\u30f3\u304c\u8a8d\u3081\u3089\u308c\u305f. 31 \u6b6f\u306e\u6839\u5c16\u306b\u306f\u30a8\u30c3\u30af\u30b9\u7dda\u900f\u904e\u50cf\u304c\u307f\u3089\u308c\u305f. \u6b6f\u5468\u7d44\u7e54\u691c\u67fb(\u88681)\u306e\u7d50\u679c, BoP(\uff0b)32.7\uff05, PPD over 4mm 32.1\uff05\u3067\u3042\u3063\u305f\u304c, 5mm\u4ee5\u4e0a\u306e\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u306f\u306a\u304f, \u52d5\u63fa\u6b6f\u30fb\u6839\u5206\u5c90\u90e8\u75c5\u5909\u3082\u306a\u304b\u3063\u305f. CR\u30de\u30a6\u30f3\u30c8\uff08\u56f34\uff09\u304b\u3089, 27\u6b6f37\u6b6f\u306b\u65e9\u671f\u63a5\u89e6\u304c\u898b\u3089\u308c\u305f\u304c, MIP-CR\u306e\u30ba\u30ec\u306f\u306a\u304b\u3063\u305f. \u9854\u8c8c\u5199\u771f\uff08\u56f35\uff09\u304b\u3089, \u6b63\u8c8c\u306f\u5de6\u53f3\u975e\u5bfe\u79f0\u3067\u3042\u308a, \u9854\u9762\u6b63\u4e2d\u306b\u5bfe\u3057\u3066\u4e0b\u984e\u304c\u5de6\u5074\u306b\u504f\u4f4d\u3057, \u5074\u8c8c\u306f\u4e0b\u984e\u304c\u5f8c\u9000\u3057\u305f\u2161\u7d1a\u69d8\u306e\u9854\u8c8c\u3067\u3042\u3063\u305f. \u4e0b\u984e\u5b89\u9759\u4f4d\u306b\u304a\u3044\u3066\u50c5\u304b\u306b\u6b6f\u304c\u53e3\u5507\u304b\u3089\u9732\u51fa\u3057\u3066\u3044\u305f. \u9854\u9762\u6b63\u4e2d\u306b\u5bfe\u3057\u3066\u4e0a\u984e\u306e\u6b63\u4e2d\u306f\u4e00\u81f4\u3057\u3066\u3044\u305f. \u5074\u65b9\u982d\u90e8\u30a8\u30c3\u30af\u30b9\u7dda\u5199\u771f\uff08\u56f36\uff09\u304b\u3089, SNA 80.5\u00b0SNB 72.5\u00b0ANB 8.0\u00b0\u8fd1\u9060\u5fc3\u7684\u984e\u9593\u95a2\u4fc2\u306fskeletal Class\u2161\u3067\u3042\u3063\u305f. FMA 39.0\u00b0\u304b\u3089\u5782\u76f4\u7684\u984e\u9593\u95a2\u4fc2\u306f\u30cf\u30a4\u30a2\u30f3\u30b0\u30eb\u3067\u3042\u3063\u305f. U1 to FH 115.5\uff08\u6a19\u6e96\u5024111.2\u00b15.2\u00b0\uff09, L1 to Mp 91.0\u00b0\uff08\u6a19\u6e96\u502494.7\u00b16.9\u00b0<\/p>\n<p>\uff09\u304b\u3089\u4e0a\u984e\u524d\u6b6f\u304c1.8mm\u5507\u5074\uff08\uff08115.5\u2212111\uff1d4.5\uff09\u00f72.5\uff1d1.8mm\uff09\u306b\u3042\u308a, \u4e0b\u984e\u524d\u6b6f\u306f1.8mm\u820c\u5074\uff08\uff0891.0\u221295\uff1d\u22124.5\uff09\u00f72.5\uff1d\u22121.8mm\uff09\u306b\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f. \u4e0a\u984e\u524d\u6b6f\u304c\u5507\u5074\u50be\u659c\u3057, interincisal angle\u306f115.5\u00b0\uff08\u6a19\u6e96\u5024128.3\u00b0\u00b18.8\u00b0\uff09\u3068\u5c0f\u3055\u3044\u5024\u3067\u3042\u3063\u305f\uff08\u88682\uff09.<\/p>\n<p>&nbsp;<\/p>\n<p>4, \u6cbb\u7642\u8a08\u753b<\/p>\n<p>1)\u3000\u30b9\u30b1\u30fc\u30ea\u30f3\u30b0\u304a\u3088\u3073\u30d6\u30e9\u30c3\u30b7\u30f3\u30b0\u6307\u5c0e<\/p>\n<p>2) \u00a0SRP, \u30ab\u30ea\u30a8\u30b9\u6cbb\u7642, 14\u6b6f36\u6b6f44\u6b6f\u629c\u6b6f, 22\u6b6f\u30d7\u30ed\u30d3\u30b8\u30e7\u30ca\u30eb\u30ec\u30b9\u30c8\u30ec\u30fc\u30b7\u30e7\u30f3, 27\u6b6f37\u6b6f\u54ac\u5408\u8abf\u6574, \u5168\u984e\u77ef\u6b63<\/p>\n<p>3)\u3000\u518d\u8a55\u4fa1\u5f8c\u306b\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u57cb\u516536\u6b6f<\/p>\n<p>4)\u3000\u518d\u8a55\u4fa1\u5f8c\u306b\u554f\u984c\u70b9\u306e\u6539\u5584<\/p>\n<p>5)\u3000\u6700\u7d42\u88dc\u7db4\u6b6f\u79d1\u6cbb\u7642<\/p>\n<p>6)\u3000\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9<\/p>\n<p>&nbsp;<\/p>\n<p>\u88dc\u7db4\u8a2d\u8a08\u306f, 22\u6b6f36\u6b6f\u30aa\u30fc\u30eb\u30bb\u30e9\u30df\u30c3\u30af\u30af\u30e9\u30a6\u30f3, 12\u6b6f23\u6b6f\u30e9\u30df\u30cd\u30fc\u30c8\u3079\u30cb\u30a2, 34\u6b6f\u30ea\u30f3\u30ac\u30eb\u30e9\u30df\u30cd\u30fc\u30c8, 17\u6b6f16\u6b6f26\u6b6f27\u6b6f37\u6b6f46\u6b6f47\u6b6f\u30bb\u30e9\u30df\u30c3\u30af\u30a4\u30f3\u30ec\u30fc\u30fb\u30a2\u30f3\u30ec\u30fc\u3068\u3057\u305f.<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_2064\" style=\"width: 641px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-2064\" class=\" wp-image-2064\" src=\"https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/71daf8cd7bf12cecb1bafde95866eed0-1024x895.png\" alt=\"\u6cbb\u7642\u6642\" width=\"631\" height=\"552\" srcset=\"https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/71daf8cd7bf12cecb1bafde95866eed0-1024x895.png 1024w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/71daf8cd7bf12cecb1bafde95866eed0-300x262.png 300w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/71daf8cd7bf12cecb1bafde95866eed0-768x671.png 768w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/71daf8cd7bf12cecb1bafde95866eed0.png 1208w\" sizes=\"auto, (max-width: 631px) 100vw, 631px\" \/><p id=\"caption-attachment-2064\" class=\"wp-caption-text\">\u6cbb\u7642\u6642<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>5, \u6cbb\u7642\u7d4c\u904e<\/p>\n<p>\u6b6f\u5468\u57fa\u672c\u6cbb\u7642\u306b\u3066\u30e2\u30c1\u30d9\u30fc\u30b7\u30e7\u30f3, TBI, SRP, \u30ab\u30ea\u30a8\u30b9\u6cbb\u7642\u3092\u884c\u3063\u305f. \u305d\u306e\u5f8c, 22\u6b6f\u306e<\/p>\n<p>\u88dc\u7db4\u88c5\u7f6e\u3092\u9664\u53bb\u305711\u6b6f\u3068\u540c\u3058\u6b6f\u51a0\u5e45\u5f84\u306e\u5373\u6642\u91cd\u5408\u30ec\u30b8\u30f3\u306b\u3066\u88fd\u4f5c\u3057\u305f\uff08\u30d7\u30ed\u30d3\u30ca\u30a4\u30b9, \u677e\u98a8\uff09\u30d7\u30ed\u30d3\u30b8\u30e7\u30ca\u30eb\u30ec\u30b9\u30c8\u30ec\u30fc\u30b7\u30e7\u30f3\u3092\u88c5\u7740\u3057\uff08\u56f37\uff09, 27\u6b6f37\u6b6f\u306b\u54ac\u5408\u8abf\u6574\u3092\u884c\u3044, \u5168\u984e\u77ef\u6b63\u3092\u958b\u59cb\u3057, 14\u6b6f36\u6b6f\u8fd1\u5fc3\u683944\u6b6f\u3092\u629c\u6b6f\u3057\u305f\uff08\u56f38\uff09. \u305d\u306e\u969b\u306b, 37\u6b6f\u306e\u8fd1\u5fc3\u79fb\u52d5\u306b\u3088\u308b\u30b9\u30da\u30fc\u30b9\u4e0d\u8db3\u3092\u9632\u6b62\u3059\u308b\u76ee\u7684\u306736\u6b6f\u9060\u5fc3\u6839\u306f\u5f8c\u306b\u629c\u6b6f\u3059\u308b\u3053\u3068\u3068\u3057\u305f.<\/p>\n<p>&nbsp;<\/p>\n<p>\u2460\u3000\u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642<\/p>\n<p>\u4e0a\u4e0b\u984e\u524d\u6b6f\u306e\u53e2\u751f\u30fb\u4e0a\u984e\u524d\u6b6f\u306e\u5507\u5074\u50be\u659c\u30fbskeletal Class\u2161\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306b, \u4e0a\u4e0b\u984e\u306b\u30de\u30eb\u30c1\u30d6\u30e9\u30b1\u30c3\u30c8\u88c5\u7f6e\uff08\u30b9\u30d4\u30ea\u30c3\u30c8MB .018\u00d7025\uff0c\u30b9\u30ed\u30c3\u30c8, \u30aa\u30fc\u30e0\u30b3\uff09\u3067\u6cbb\u7642\u3092\u884c\u3046\u3053\u3068\u3068\u3057\u305f. \u6700\u521d\u306b, 23\u6b6f\u309222\u6b6f\u306b\u4ee3\u66ff\u3059\u308b\u305f\u3081\u306b, 23\u6b6f\u3092\u633a\u51fa\u3055\u305b, \u5207\u7aef\u306e\u5f62\u614b\u4fee\u6b63\u3092\u884c\u3044, \u4e0a\u984e\u5074\u5207\u6b6f\u306e\u5f62\u614b\u306b\u8fd1\u3065\u3051\u305f.\u305d\u306e\u969b\u306b, \u96a3\u63a5\u9762\u306eInter Proximal Reduction\uff08\u4ee5\u4e0b\uff1aIPR\uff09\u3092\u884c\u3063\u305f\uff08\u56f39\uff09. \u305d\u3057\u3066, 24\u6b6f\u306e\u5074\u65b9\u904b\u52d5\u6642\u306e\u54ac\u5408\u5e72\u6e09\u3092\u6e1b\u3058\u308b\u305f\u3081\u306b\u5727\u4e0b\u3057, \u3067\u304d\u305f\u30b9\u30da\u30fc\u30b9\u306e\u5207\u7aef\u3068\u54ac\u5408\u9762\u306b\u30d3\u30eb\u30c9\u30a2\u30c3\u30d7\u3092\u884c\u3063\u305f\uff08\u56f310\uff09.<\/p>\n<p>\u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642\u306b\u306622\u6b6f23\u6b6f24\u6b6f\u309221\u6b6f22\u6b6f23\u6b6f\u3078\u306e\u6b6f\u51a0\u5e45\u5f84\u3068\u9ad8\u5f84\u306e\u5909\u66f4\u3092\u884c\u3044, 2\u5e7410\u30ab\u6708\u306e\u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642\u306e\u7d50\u679c, \u72ac\u6b6f\u2160\u7d1a\u30fb\u81fc\u6b6f\u2160\u7d1a\u306e\u54ac\u5408\u3092\u78ba\u7acb\u3057\u305f. \u7d42\u4e86\u5f8c, \u518d\u8a55\u4fa1\u3092\u884c\u3063\u305f. \u305d\u306e\u3068\u304d\u306e\u9846\u982d\u4f4d\u306f\u9846\u982d\u5b89\u5b9a\u4f4d\u306b\u3042\u308a, \u54ac\u5408\u9ad8\u5f84\u304a\u3088\u3073\u54ac\u5408\u5e73\u9762\u306f\u6b63\u5e38\u3067\u3042\u3063\u305f.<\/p>\n<p>&nbsp;<\/p>\n<p>\u2461\u3000\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u6cbb\u7642<\/p>\n<p>\u60a3\u8005\u306f\u6cbb\u7642\u306b\u5354\u529b\u7684\u3067\u53e3\u8154\u885b\u751f\u72b6\u614b\u3082PCR 9\uff05\u3068\u6539\u5584\u3057\u826f\u3044\u72b6\u614b\u304c\u7dad\u6301\u3067\u304d\u3066\u3044\u305f\u305f\u3081, 36\u90e8\u3078\u306e\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u306e\u8aac\u660e\u3092\u884c\u3044, \u540c\u610f\u3092\u5f97\u3066\u884c\u3063\u305f. \u30b5\u30fc\u30b8\u30ab\u30eb\u30b9\u30c6\u30f3\u30c8\u3092\u4f7f\u7528\u3057\u3066CT\u64ae\u5f71\u3092\u884c\u3044, \u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u306e\u57cb\u5165\u4f4d\u7f6e\u3092\u691c\u8a0e\u3057\u305f. \u7d50\u679c, 36\u90e8\u306b1\u672c\u306e\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u57cb\u5165\u3092\u8a08\u753b\u3057, \u30b5\u30fc\u30b8\u30ab\u30eb\u30ac\u30a4\u30c9\u3092\u4f5c\u88fd\u3057, \u30a4\u30f3\u30d7\u30e9\u30f3\u30c8(Screw-line implant Promote plus, \u76f4\u5f844.3 mm, \u9577\u305511mm, Camlog\u793e, \u30c9\u30a4\u30c4)\u3092\u4e00\u56de\u6cd5\u306b\u3066\u57cb\u5165\u3057\u305f\uff08\u56f311\uff09. 3\u30ab\u6708\u306e\u6cbb\u7652\u671f\u9593\u3092\u304a\u3044\u3066, \u30b8\u30eb\u30b3\u30cb\u30a2\u30a2\u30d0\u30c3\u30c8\u30e1\u30f3\u30c8\uff08\u30d7\u30ed\u30bb\u30e9, \u30ce\u30fc\u30d9\u30eb\u30d0\u30a4\u30aa\u30b1\u30a2\uff09, \u30d7\u30ed\u30d3\u30b8\u30e7\u30ca\u30eb\u30ec\u30b9\u30c8\u30ec\u30fc\u30b7\u30e7\u30f3\uff08\u30d7\u30ed\u30d3\u30ca\u30a4\u30b9, \u677e\u98a8\uff09\u3092\u88c5\u7740\u3057\u305f.<\/p>\n<p>&nbsp;<\/p>\n<p>\u2462\u3000\u88dc\u7db4\u6b6f\u79d1\u6cbb\u7642<\/p>\n<p>\u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642\u30fb\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u57cb\u5165\u5f8c\uff08\u56f312\uff09\u306b, \u6700\u7d42\u88dc\u7db4\u88c5\u7f6e \u306e\u4f5c\u88fd\u306b\u53d6\u308a\u639b\u304b\u3063\u305f. \u307e\u305a, \u8a3a\u65ad\u7528\u30ef\u30c3\u30af\u30b9\u30a2\u30c3\u30d7\u304b\u3089\u5f62\u6210\u7528\u30b8\u30b0\u3092\u4f5c\u88fd\u3057\u5f62\u6210\u3057, 24\u6b6f\u306e\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3\u306e\u30d3\u30eb\u30c9\u30a2\u30c3\u30d7\u3092\u30ea\u30f3\u30ac\u30eb\u30e9\u30df\u30cd\u30fc\u30c8\u30d9\u30cb\u30a2 (\u4e8c\u30b1\u30a4\u9178\u30ea\u30c1\u30a6\u30e0, Ivoclar)\u306b\u7f6e\u304d\u63db\u3048, \u6b6f\u79d1\u63a5\u7740\u7528\u30bb\u30e1\u30f3\u30c8\uff08\u30ec\u30b8\u30bb\u30e0\u30af\u30ea\u30a2\u30fc, \u677e\u98a8\uff09\u306b\u3066\u88c5\u7740\u3057\u305f\uff08\u56f313\uff09. \u305d\u3057\u3066, \u5f62\u614b\u3068\u8272\u8abf\u3092\u8abf\u6574\u3059\u308b\u305f\u3081\u306b, 23\u6b6f\u306b\u5507\u50740.7mm\u306e\u524a\u9664\u91cf\u3092\u5f62\u6210\u7528\u30b8\u30b0\u306b\u3066\u78ba\u8a8d\u3057,\u8010\u706b\u6a21\u578b\u306b\u3066\u30dd\u30fc\u30bb\u30ec\u30f3\u30e9\u30df\u30cd\u30fc\u30c8\u30d9\u30cb\u30a2\uff08\u30f4\u30a3\u30f3\u30c6\u30fc\u30b8Halo, \u677e\u98a8\uff09\u3092\u4f5c\u88fd\u3057\u305f. \u30dd\u30fc\u30bb\u30ec\u30f3\u30e9\u30df\u30cd\u30fc\u30c8\u30d9\u30cb\u30a2\u3092\u6b6f\u79d1\u63a5\u7740\u7528\u30bb\u30e1\u30f3\u30c8\uff08\u30d1\u30ca\u30d3\u30a2\u3079\u30cb\u30a2LC\u30da\u30fc\u30b9\u30c8, \u30af\u30e9\u30ec\uff09\u306b\u3066\u88c5\u7740\u3057\u305f. \u306a\u304a, \u53cd\u5bfe\u5074\u306e12\u6b6f\u306e\u6b6f\u51a0\u304c\u5c0f\u3055\u304b\u3063\u305f\u305f\u3081\u306b, \u540c\u69d8\u306b\u30dd\u30fc\u30bb\u30ec\u30f3\u30e9\u30df\u30cd\u30fc\u30c8\u30d9\u30cb\u30a2\u3092\u88c5\u7740\u3057, \u6b6f\u51a0\u306e\u5927\u304d\u3055\u3092\u5de6\u53f3\u5bfe\u8c61\u306b\u3057\u305f\uff08\u56f314\uff09.<\/p>\n<p>22\u6b6f\u306f\u30b8\u30eb\u30b3\u30cb\u30a2\u30d5\u30ec\u30fc\u30e0\uff08\u677e\u98a8\u30c7\u30a3\u30b9\u30afZR-SS\u30ab\u30e9\u30fc\u30c9, \u677e\u98a8\uff09\u306b\u524d\u88c5\u7528\u9676\u6750\uff08\u30f4\u30a3\u30f3\u30c6\u30fc\u30b8ZR, \u677e\u98a8\uff09\u3092\u7528\u3044\u305f\u30aa\u30fc\u30eb\u30bb\u30e9\u30df\u30c3\u30af\u30af\u30e9\u30a6\u30f3\u3092\u4f5c\u88fd\u3057, \u6b6f\u79d1\u63a5\u7740\u7528\u30bb\u30e1\u30f3\u30c8\uff08\u30d1\u30ca\u30d3\u30a2V5, \u30af\u30e9\u30ec\uff09\u3067\u88c5\u7740\u3057\u305f. \u305d\u306e\u969b\u306b, \u53cd\u5bfe\u5074\u3068\u6b6f\u8089\u30ec\u30d9\u30eb\u3092\u63c3\u3048\u308b\u305f\u3081\u306b, Morphological tooth augmentation procedure\uff08\u4ee5\u4e0b\uff1aMTAP\uff09 \u3067\u652f\u53f0\u6b6f\u5f62\u6210\u3092\u884c\u3044, \u6b6f\u9838\u90e8\u8fd1\u5fc3\u3092\u30cf\u30fc\u30d5\u30dd\u30f3\u30c6\u30a3\u30c3\u30af\u3067\u8c4a\u9686\u3092\u8abf\u6574\u3057\u305f\uff08\u56f315\uff09. \u307e\u305f36\u90e8\u306f, \u30b8\u30eb\u30b3\u30cb\u30a2\u30d5\u30ec\u30fc\u30e0\uff08\u677e\u98a8\u30c7\u30a3\u30b9\u30afZR-SS\u30ab\u30e9\u30fc\u30c9, \u677e\u98a8\uff09\u306b\u524d\u88c5\u7528\u9676\u6750\uff08\u30f4\u30a3\u30f3\u30c6\u30fc\u30b8ZR, \u677e\u98a8\uff09\u3092\u7528\u3044\u305f\u30aa\u30fc\u30eb\u30bb\u30e9\u30df\u30c3\u30af\u30af\u30e9\u30a6\u30f3\u3092\u4f5c\u88fd\u3057, \u4eee\u7740\u7528\u30bb\u30e1\u30f3\u30c8\uff08\u30d5\u30ea\u30fc\u30b8\u30ce\u30fc\u30eb\u30c6\u30f3\u30dd\u30e9\u30ea\u30fc\u30d1\u30c3\u30af, \u30b8\u30fc\u30b7\u30fc\uff09\u3067\u88c5\u7740\u3057\u305f. \u305d\u306e\u5f8c, \u30d6\u30e9\u30ad\u30b7\u30ba\u30e0\u3078\u306e\u5bfe\u5fdc\u3068\u3057\u3066\u30ca\u30a4\u30c8\u30ac\u30fc\u30c9\u3092\u4f5c\u88fd\u88c5\u7740\u3057, \u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9(2023.7.)\u306b\u79fb\u884c\u3057\u305f\uff08 \u56f316.17.\u3000\u88683.\uff09.<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_2063\" style=\"width: 632px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-2063\" class=\" wp-image-2063\" src=\"https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/8d62caf1a38ef954e58434c7b174b64e-1024x847.png\" alt=\"\u6cbb\u7642\u7d42\u4e86\u6642\" width=\"622\" height=\"515\" srcset=\"https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/8d62caf1a38ef954e58434c7b174b64e-1024x847.png 1024w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/8d62caf1a38ef954e58434c7b174b64e-300x248.png 300w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/8d62caf1a38ef954e58434c7b174b64e-768x636.png 768w, https:\/\/www.kawasato-do.jp\/case\/wp-content\/uploads\/sites\/4\/2026\/08\/8d62caf1a38ef954e58434c7b174b64e.png 1276w\" sizes=\"auto, (max-width: 622px) 100vw, 622px\" \/><p id=\"caption-attachment-2063\" class=\"wp-caption-text\">\u6cbb\u7642\u7d42\u4e86\u6642<\/p><\/div>\n<ol start=\"2\">\n<li><strong>\u8003\u5bdf<\/strong><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u672c\u75c7\u4f8b\u306f, \u4e0a\u984e\u5de6\u5074\u4e2d\u5207\u6b6f\u6b20\u640d\u3092\u4f34\u3046skeletal Class\u2161\u75c7\u4f8b\u3067, 22\u6b6f23\u6b6f24\u6b6f\u309221\u6b6f22\u6b6f23\u6b6f\u306b\u4ee3\u66ff\u3059\u308b\u5fc5\u8981\u304c\u3042\u3063\u305f.\u305d\u306e\u305f\u3081\u306b\u306f, \u6b6f\u51a0\u5e45\u5f84\u3068\u9ad8\u5f84\u3092\u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642\u306b\u3066\u8abf\u6574\u3057, \u6b6f\u51a0\u5f62\u614b\u3068\u8272\u8abf\u3092\u88dc\u7db4\u6b6f\u79d1\u6cbb\u7642\u306b\u3066\u6539\u5584\u3059\u308b\u5fc5\u8981\u304c\u3042\u3063\u305f. \u305d\u3057\u3066, \u5be9\u7f8e\u7684\u30fb\u6a5f\u80fd\u7684\u6539\u5584\u3092\u9054\u6210\u3055\u305b\u308b\u305f\u3081\u306b,\u5305\u62ec\u7684\u6b6f\u79d1\u6cbb\u7642\u304c\u4e0d\u53ef\u6b20\u3067\u3042\u3063\u305f.\u305d\u3082\u305d\u3082Canine substitution\u306f\u4e00\u822c\u306b\u3088\u304f\u77e5\u3089\u308c\u3066\u3044\u308b\u624b\u6cd5\u306b\u306a\u308b\u304c, \u4e0a\u984e\u306e\u5074\u5207\u6b6f\u3084\u7b2c\u4e00\u5c0f\u81fc\u6b6f\u306e\u4ee3\u66ff\u306f\u3042\u307e\u308a\u898b\u53d7\u3051\u3089\u308c\u306a\u3044.<\/p>\n<p>22\u6b6f23\u6b6f24\u6b6f\u306e\u6b6f\u9838\u7dda\u306f\u30ed\u30fc\u30fb\u30cf\u30a4\u30fb\u30ed\u30fc, \u9006\u306b21\u6b6f22\u6b6f23\u6b6f\u306e\u6b6f\u9838\u7dda\u306f\u30cf\u30a4\u30fb\u30ed\u30fc\u30fb\u30cf\u30a4\u306e\u95a2\u4fc2\u306b\u3042\u308b. \u305d\u306e\u305f\u3081, \u4e0a\u984e\u306e\u5074\u5207\u6b6f\u3084\u7b2c\u4e00\u5c0f\u81fc\u6b6f\u306e\u4ee3\u66ff\u306f, \u77ef\u6b63\u7684\u5727\u4e0b\u3068\u77ef\u6b63\u7684\u633a\u51fa\u306b\u3088\u3063\u3066\u6b6f\u9838\u7dda\u3092\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u5fc5\u8981\u3068\u306a\u308b. \u307e\u305f, \u4e0a\u984e\u7b2c\u4e00\u5c0f\u81fc\u6b6f\u306e\u4ee3\u66ff\u306f, \u5074\u65b9\u904b\u52d5\u6642\u306b\u975e\u4f5c\u696d\u5074\u306e\u820c\u5074\u54ac\u982d\u304c\u5e72\u6e09\u3057\u3084\u3059\u304f, \u6b6f\u30fb\u6b6f\u5468\u7d44\u7e54\u30fb\u7b4b\u8089\u30fb\u984e\u95a2\u7bc0\u306a\u3069\u306b\u969c\u5bb3\u3092\u3082\u305f\u3089\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b. \u307e\u305f, \u54ac\u5408\u8abf\u6574\u3092\u884c\u3063\u305f\u5834\u5408, \u9732\u9ac4\u306e\u5371\u967a\u6027\u304c\u3042\u308b. \u305d\u306e\u305f\u3081, \u4e0a\u984e\u7b2c\u4e00\u5c0f\u81fc\u6b6f\u306e\u4ee3\u66ff\u306f\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u306e\u5f97\u3089\u308c\u305f\u6cbb\u7642\u6cd5\u3068\u306f\u8a00\u3044\u96e3\u3044. \u305f\u3060, \u4e0a\u984e\u7b2c\u4e00\u5c0f\u81fc\u6b6f\u3092\u5727\u4e0b\u3055\u305b\u308b\u3053\u3068\u3067\u5e72\u6e09\u3092\u6e1b\u3058\u308b\u3053\u3068\u3067\u9732\u9ac4\u3092\u907f\u3051\u308b\u4e8b\u306f\u53ef\u80fd\u3067\u3042\u308b. \u305d\u306e\u7d50\u679c, \u6b6f\u9838\u7dda\u3082\u6539\u5584\u3055\u308c\u308b.<\/p>\n<p>\u305d\u3057\u3066, 23\u6b6f\u306eCanine substitution\u306f\u77ef\u6b63\u7684\u633a\u51fa\u306b\u3088\u3063\u3066\u6b6f\u9838\u7dda\u306e\u8abf\u548c\u306f\u5f97\u3089\u308c\u305f\u304c, \u8272\u8abf\u306e\u6539\u5584\u306e\u305f\u3081\u306b\u30dd\u30fc\u30bb\u30ec\u30f3\u30e9\u30df\u30cd\u30fc\u30c8\u3079\u30cb\u30a2\u3092\u88c5\u7740\u3057\u305f. \u305d\u306e\u969b\u306b, \u652f\u53f0\u6b6f\u306e\u8272\u8abf\u306e\u5f71\u97ff\u3092\u5c11\u306a\u304f\u3059\u308b\u305f\u3081\u306b\u30de\u30b9\u30ad\u30f3\u30b0\u3092\u884c\u3044, \u63a5\u7740\u7528\u30bb\u30e1\u30f3\u30c8\uff08\u30d1\u30ca\u30d3\u30a2\u3079\u30cb\u30a2LC\u30da\u30fc\u30b9\u30c8, \u30af\u30e9\u30ec\uff09\u306f\u30d6\u30ea\u30fc\u30c1\u8272\u3092\u4f7f\u7528\u3057, \u660e\u5ea6\u3092\u4e0a\u3052\u308b\u3053\u3068\u3068\u3057\u305f. \u5074\u5207\u6b6f\u306e\u6b6f\u51a0\u4e2d\u592e\u306f\u5e73\u5766\u3067, \u72ac\u6b6f\u306e\u6b6f\u51a0\u4e2d\u592e\u306f\u51f8\u578b\u306e\u305f\u3081, \u51f8\u578b\u306e\u90e8\u5206\u306e\u524a\u9664\u91cf\u3092\u591a\u304f\u3057\u5e73\u5766\u306a\u5f62\u614b\u306b\u3057\u305f.<\/p>\n<p>\u3055\u3089\u306b, 22\u6b6f\u306e\u4ee3\u66ff\u306f\u77ef\u6b63\u7684\u5727\u4e0b\u306b\u3088\u3063\u3066\u6b6f\u9838\u7dda\u3092\u4fee\u6b63\u3057, \u6b6f\u51a0\u4fee\u5fa9\u306b\u3088\u3063\u3066\u5074\u5207\u6b6f\u304b\u3089\u4e2d\u5207\u6b6f\u306b\u5f62\u614b\u3092\u8fd1\u3065\u3051\u305f. \u3057\u304b\u3057, \u8fd1\u5fc3\u6b6f\u9838\u90e8\u306e\u6b6f\u8089\u7e01\u306e\u5bfe\u79f0\u6027\u304c\u5f97\u3089\u308c\u306a\u304b\u3063\u305f\u305f\u3081, \u4e0a\u76ae\u6027\u4ed8\u7740\u3092\u4fb5\u3055\u306a\u3044\u7bc4\u56f2\u3067MTAP(Morphological tooth augmentation procedure) \u306b\u3088\u3063\u3066\u30de\u30fc\u30b8\u30f3\u3092\u6975\u529b\u7e01\u4e0b\u306b\u79fb\u52d5\u3057, \u30cf\u30fc\u30d5\u30dd\u30f3\u30c6\u30a3\u30c3\u30af\u306b\u3066\u6b6f\u8089\u7e01\u306e\u8abf\u6574\u3092\u884c\u3046\u5fc5\u8981\u304c\u3042\u3063\u305f. \u672c\u75c7\u4f8b\u306f2\u30fb3\u30fb4 \u4ee3\u66ff\u306e\u305f\u3081, \u4e0a\u4e0b\u5de6\u53f3\u4e0d\u898f\u5247\u306a\u629c\u6b6f\u90e8\u4f4d\u3068\u306a\u3063\u305f\u304c, \u5074\u65b9\u982d\u90e8\u30a8\u30c3\u30af\u30b9\u7dda\u5199\u771f\u306b\u304a\u3044\u3066, SNA \u306f\u5909\u5316\u306a\u304f, SNB \u306f72.5\u00b0\u304b\u308974.0\u00b0\u3068\u5927\u304d\u304f\u306a\u308a, ANB\u306f 8.0\u00b0\u304b\u30896.5\u00b0\u3068skeletal Class\u2161\u304c\u6539\u5584\u3055\u308c\u305f. FMA \u306f\u5909\u5316\u3057\u3066\u306a\u3044\u3053\u3068\u304b\u3089, \u4e0b\u984e\u304c<\/p>\n<p>\u524d\u65b9\u4f4d\u3092\u3068\u3063\u305f\u3068\u63a8\u6e2c\u3067\u304d\u308b.\u00a0 U1 to FH\u306f 115.5\u304b\u3089111.0\u00b0\u306b\u5c0f\u3055\u304f\u306a\u308a, L1 to Mp\u306f 91.0\u00b0\u304b\u308989.0\u00b0\u306b\u5c0f\u3055\u304f\u306a\u308a, \u7d50\u679c\u3068\u3057\u3066, \u4e0a\u984e\u524d\u6b6f\u306e\u5507\u5074\u50be\u659c\u306f\u6539\u5584\u3057, interincisal angle\u306f115.5\u00b0\u304b\u3089122.0\u00b0\u3068\u6539\u5584\u3057\u305f\uff08 \u56f318.\u3000\u88684.\uff09.\u4e0a\u984e\u5de6\u5074\u6b6f\u6839\u304c\u50be\u659c\u3057\u3066\u3044\u308b\u304c, \u6b6f\u6839\u306e\u79fb\u52d5\u306f\u9aa8\u5185\u3067\u3042\u308b\u305f\u3081\u9650\u754c\u304c\u3042\u3063\u305f. \u307e\u305f, \u4e0a\u984e\u5de6\u5074\u81fc\u6b6f\u90e8\u306e\u9665\u51f9\u306f\u5916\u5074\u304b\u3089\u306e\u5fdc\u529b\u306b\u3088\u308b\u3082\u306e\u3068\u8003\u3048\u3089\u308c\u308b\u304c, \u77ef\u6b63\u5f8c\u306e\u9665\u51f9\u306b\u5bfe\u3057\u3066, 36\u90e8\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u88dc\u7db4\u88dc\u7db4\u306b\u3066\u5bfe\u5fdc\u3057\u305f. \u7d50\u679c, \u4e0b\u984e\u5de6\u5074\u5927\u81fc\u6b6f\u306e\u5e45\u5f84\u30fb\u6b6f\u8089\u30ec\u30d9\u30eb\u306b\u4e0d\u63c3\u3044\u304c\u751f\u3058\u305f.<\/p>\n<p>\u3057\u304b\u3057, \u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642\u30fb\u88dc\u7db4\u6b6f\u79d1\u6cbb\u7642\u306b\u3088\u3063\u3066, \u72ac\u6b6f\u2160\u7d1a\u30fb\u81fc\u6b6f\u2160\u7d1a\u306e\u54ac\u5408\u304c\u78ba\u7acb\u3055\u308c, \u54ac\u5408\u5e73\u9762\u306f\u6574\u3044, \u5074\u65b9\u904b\u52d5\u6642\u306b\u30c7\u30a3\u30b9\u30af\u30eb\u30fc\u30b8\u30e7\u30f3\u3092\u7372\u5f97\u3067\u304d\u305f. \u72ac\u6b6f\u30fb\u81fc\u6b6f\u95a2\u4fc2\u306f\u2160\u7d1a\u3067, \u7dca\u5bc6\u306a\u54ac\u5408\u304c\u5f97\u3089\u308c, \u54ac\u982d\u5d4c\u5408\u4f4d\u306e\u5b89\u5b9a\u304c\u5f97\u3089\u308c\u305f.<\/p>\n<p>&nbsp;<\/p>\n<ol start=\"3\">\n<li><strong>\u7d50\u8ad6<\/strong><\/li>\n<\/ol>\n<p><strong>\u00a0<\/strong><\/p>\n<p>\u672c\u75c7\u4f8b\u3067\u306f, \u4e0a\u984e\u5de6\u5074\u4e2d\u5207\u6b6f\u304c\u6b20\u640d\u3057\u305fskeletal Class\u2161\u75c7\u4f8b\u3092, 2\u30fb3\u30fb4 \u4ee3\u66ff\u3092\u884c\u3044, \u77ef\u6b63\u6b6f\u79d1\u6cbb\u7642\u3068\u88dc\u7db4\u6b6f\u79d1\u6cbb\u7642\u306b\u3088\u3063\u3066\u6b6f\u30fb\u6b6f\u5217\u306e\u6539\u5584\u3092\u884c\u3044, \u826f\u597d\u306a\u5be9\u7f8e\u6027\u3068\u6a5f\u80fd\u6027\u304c\u5f97\u3089\u308c\u305f.\u5305\u62ec\u7684\u6b6f\u79d1\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3042\u3063\u305f\u304c, \u826f\u597d\u306a\u30a2\u30f3\u30c6\u30ea\u30a2\u30ac\u30a4\u30c0\u30f3\u30b9\u3068\u30d0\u30fc\u30c6\u30a3\u30ab\u30eb\u30b9\u30c8\u30c3\u30d7\u304c\u5f97\u3089\u308c\u305f. \u6cbb\u7642\u671f\u9593\u306f3\u5e7410\u30ab\u6708\u3067, \u73fe\u57283\u30ab\u6708\u3054\u3068\u306e\u30e1\u30a4\u30f3\u30c6\u30ca\u30f3\u30b9\u3092\u884c\u3044, 2\u5e746\u30ab\u6708\u3067\u306f\u3042\u308b\u304c, \u6a5f\u80fd\u7684\u30fb\u5be9\u7f8e\u7684\u306b\u826f\u597d\u306a\u7d4c\u904e\u3092\u5f97\u3089\u308c\u3066\u3044\u308b.<\/p>\n<p>&nbsp;<\/p>\n<p>\u672c\u8ad6\u6587\u306b\u304a\u3044\u3066, \u4ed6\u8005\u3068\u306e\u5229\u76ca\u76f8\u53cd\u306f\u306a\u3044.<\/p>\n<p>&nbsp;<\/p>\n<p>\u6587\u732e<\/p>\n<p>1\uff09 \u5c71\ufa11\u9577\u90ce : \u5be9\u7f8e\u4fee\u5fa9\u6cbb\u7642\uff5e\u8907\u96d1\u306a\u88dc\u7db4\u306e\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\uff5e.\u3000\u7b2c1\u7248, \u6771\u4eac, \u30af\u30a4\u30f3\u30c6\u30c3\u30bb\u30f3\u30b9\u51fa\u7248, 1999\uff1a22-54<\/p>\n<p>2) \u00a0Vincent O. Kokichi Jr , Greggory A, Kinzer\u00a0 Managing Congenitally Missing Lateral Incisors. Part 1 : Canine Substitution \u00a0JERD 2005\uff1b17(1) : 5-10<\/p>\n<p>3)\u3000\u9577\u5ca1\u4e00\u7f8e : \u73fe\u4ee3\u65e5\u672c\u4eba\u6210\u4eba\u6b63\u5e38\u54ac\u5408\u8005\u306e\u982d\u90e8\uff38\u7dda\u898f\u683c\u5199\u771f\u304a\u3088\u3073\u6a21\u578b\u8a08\u6e2c\u306b\u3088\u308b\u57fa\u6e96\u5024\u306b\u3064\u3044\u3066. \u65e5\u77ef\u6b6f\u8a8c, 1993\uff1b52(5)\uff1a467-480<\/p>\n<p>4)\u00a0 Paniz G, Zarow M, Nart J, et al.\u3000Dual-Center Cross-Section Analysis of Periodontal Stability Around Anterior All-Ceramic Crowns with a Feather-Edge or Chamfer Subgingival \u00a0Preparation . \u00a0Int J PRD 2020\uff1b40(4) : 499-507<\/p>\n<p>5) William R Proffit \u8457\u3000\u4f5c\u7530\u5b88\u76e3\u4fee\u3000\u9ad8\u7530\u5065\u6cbb\u8a33\u3000\u30d7\u30ed\u30d5\u30a3\u30c8\u306e\u73fe\u4ee3\u6b6f\u79d1\u77ef\u6b63\u5b66\u3000\u7b2c\uff11\u7248, \u6771\u4eac, \u30af\u30a4\u30f3\u30c6\u30c3\u30bb\u30f3\u30b9\u51fa\u7248, 1989\uff1a168-198<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u4e0a\u984e\u5de6\u5074\u4e2d\u5207\u6b6f\u6b20\u640d\u306e\u5be9\u7f8e\u969c\u5bb3\u3092\u3082\u3064\u60a3\u8005\u306b\uff12\u30fb\uff13\u30fb\uff14 \u4ee3\u66ff\u306b\u3066\u54ac\u5408\u518d\u69cb\u6210\u3092\u884c\u3063\u305f\u75c7\u4f8b &nbsp; A case report of occlusal reconstruction for a esthetic disor [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-2058","post","type-post","status-publish","format-standard","hentry","category-casecollection"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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