報 告 書 - jads.jp

1 I III 1 III 2 3 5 7 8 9 9 11 11 12

2 13 14 14 14 14 15 16 16 16 17 18 18 18 18 19 19 19 22 24 25 25 25 25 25 4 26 26 GTR 26 27 27

3 27 28 28 28 28 29 29 30 5 8020 17 8 73 36 61 39 29 23 10 70 1.

4 2. 3. 4. 5. supportive periodontal therapy SPT 6. 7. 8. 6 SPT SPT QOL ADL 2007 7 8 /

5 / 9 3 10 a 1 3 3 5mm b 1 3 1 2 4 7mm c 1 2 6mm 10mm 2 3 10 30

6 Actinobacillus actinomycetemcomitans a 10 Actinobacillus actinomycetemcomitans b 20 30 Actinobacillus actinomycetemcomitans c Down Papillon-Lef vre Ch diak-Higashi CEJ 11 2 3 Actinomyces CEJ

7 CEJ Porphyromonas gingivalis Tannerella forsythia(Bacteroides forsythus)

8 , Treponema denticola 12 1 , supportive periodontal therapy SPT SPT SPT

9 13 Down Papillon-Lef vre Ch diak-Higashi