J Health Care Dent. 2007; 9: 4-23 Printed in Japan. All rights reserved * Report of Dr. Mituhiro Tsukiboshi s Lecture Meeting Minimal Intervention Dentistry to Think about The Lifetime Health of the Patients This article reports the Dr. Tsukiboshi s lecture delivered in the Healthcare Meeting on November, 2007. His lecture began with the consideration on the general idea and the concept of Minimum Intervention Dentistry. He emphasized the importance of diagnosis of dental pulp by using electric pulp tester and called attention to active healing capacity of dental pulp by showing the case of transient apical breakdown, the dental pulp that once lost vital reaction and began changing color came alive, and the case of crown fracture with pulp exposure. Four healing progresses of root fracture: 1st: healing with calcified tissue, 2nd: interposition of connective tissue, 3rd: interposition of bone and connective tissue and 4th: interposition of granulation tissue, were presented with respective typical clinical cases. The treatment of dislocated tooth, reimplantation of traumatic desorbed tooth, reimplantation of deciduous tooth were also commentated mainly with the focus on the diagnosis of them. He presented the clinical cases to indicate that the apical lesion was not the index to measure the necrosis of pulp and that, regarding the total pulpitis derived from trauma, the younger the patients were, the more their dental pulp could be preserved. Finally, he showed the clinical case of autoplasty practiced on the wisdom tooth with incomplete root and positioned this treatment technique to be at the peak of minimal intervention dentistry. J Health Care Dent. 2007; 9: 4-23. Mitsuhiro TSUKIBOSHI, DDS Private Practice 6-8 Tsukiboshi Dental Clinic 6-8, Gakuto, kanie-cho, Ama-gun, Aichi 497-0050, Japan minimal intervention transient apical breakdown apexogenesis tooth fracture traumatic injuries transplantation X MJ Tyas2000 FDI * 2 MI MI MI MI * 2007 2007 11 11 *2 Tyas MJ, Anusavice KJ, Frencken JE, Mount GJ; Minimum Intervention Dentistry -a review. Int Dent J, 2000.
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TSUKIBOSHI 50 1. MI 1 1 11 MI 6 7 6 condensing osteitis 11 1 MI MI MI 1 2006 2 2 4 2. MI MI 1 2 13 2-a b c 2
X EPT electric pulp test 1 EPT 1 EPT 1 1 MI 2 2 1 2 1 1 1 1 2-d e f 3 transient apical breakdown 100 6 1 2-f2 2-i 3
TSUKIBOSHI 2 TAB a b 13 2 1 EPT 1 EPT 1 1 b c X d e 1 1 C&B 1 1 1 EPT 1 EPT e f X 1 g h 2 1 EPT 1 EPT h i X 1 j k 3 1 EPT 1 EPT k l X
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TSUKIBOSHI 4 a b c 8 b d e f g 2mm h 1 4 i 3 j 6 k l 8 m 7 1 n 7 1 CT CT o p 11 EPT
10 3 10 10 10 MI 4. 4 3 6 4 healing with calcified tissue interposition of connective tissue interposition of bone and connective tissue interposition of granulation tissue 3 2006 5 5 4 4 6
TSUKIBOSHI 1 EPT 6 9 2 3 1 EPT 3 6 EPT 2 EPT -- 3 50 m 3 4 EPT 1 2 2 6 4 1 EPT 1 1 8 1 11 CT
1 11 4 2006 5 5 3 10a z 5. 1 6 9 1 3 EPT 8 7 15 9 8 EPT 15 9 2 5 1 2 FM 1984 1986 5 2005 9 10 1 2 13 2 6 2 breakdown
TSUKIBOSHI EPT 6 5 6 2005 9 1 3 1 6. 6 CT 1 1 2 9 EPT 2 1 2 1 18 30 60 30 30 2 100 2 10 10 7
3 3 3 6 EPT 7 2005 9 1 4 2 11 11 9 9 2 1 1 4 10
TSUKIBOSHI MI 6. 8 1 8 8 1 2006 1 6 60 25
* 1 2 9 9 stage 1; stage 2; stage 3; stage 4; 2 2006 2 119 6 stage 3 50 stage 2 3 15 10 10 condensing osteitis 15 MTA* 1 3 3 condensing osteitis 24 10 2 2006 2 2 *1 Trowbridge H: Histology of pulp inflammation. In: Hargreaves KM, Goodies HE(eds). Seltzer and Bender s Dental Pulp. Chicago: Quintessence, 2002, 227-245. *2 Mineral Trioxide Aggregate, ProRoot MTA Dentsply 2007 4
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