8020 健 闘 資 料 2000 年 5 月 発 行 フォーラム8020
# EBM EBP # 21 50 1 : 1 2000.
1 1 1 2 2 5 6 6 6 6 8 8 10 11 12 12 14 15 16 17 17 18 18 18 18 19 22 23 25 26 27 28 30
11 18 8020 1994 11 13 1 8020 2 3 4 8020 5 8020 6 7 8020 8-1-
5 5 1995.9 1997.2 1998.3 1999.3 2000.2 1-2 3 1 1 CO 1995 1 1988 92 WHO ICS- DMFT 2-2-
2 1993 80 3.5 75 5.8 1997 98 8020 80 6.0 8020 1970 1993 50 1975 24 49% 3 4 3 1993 5 2 1 20 372 6 G5 6 0 7 21 4-3-
2 170 1 5 3 148.6 0.35 382 1284 6 3 1 719 6 3 20 10.3 3.1 7 7 2 70 80 2715 8 QOL 1.5 9 QOL 8-4-
9 - -1 - -2 - -3 2 21-5-
5 10 4% 10 3 3-6-
11,12 EBM Evidence Based Medicine -7-
10 4-8-
-9-
- - 1 NHK 4 1. 2. 3. 4. ex. 4 4 13 2-10-
3 14 22 24 15,16 4 9 5 6-11-
-12-5 1 1 3%
2 3 2 1 17 18 2 3 3 - - 1 10 1980 10% 70% 19-13-
-14-4 21 3 22 5 23 6 1 - - 1 10 10 % 20 15% 10
2 1 PTC Professional Tooth Cleanimg PTC IBM 22 23 3 24 4 overhung 1 1980 25 25, 26 1997 27,28 57% 2-15-
25 29 30 27,28 54% 6 11-16-
1 - - 2 13 - - 5 14 - - 6 14 - - 3 13 90 31 32 23 0.2%NaF 33 2 - - 1 12 13 3 Streptcoccus Mutans Streptcoccus Mutans 1 - - 1 12 13 - - 2 13 - - 3 13 - - 2 14 - - 2 14 - - 2 14 2 - - 1 14 - - 2 15-17-
1 - - 1 12 13 34 21 - - 2 13 - - 3 13 - - 2 14 2 - - 1 14 - - 2 15 - - 3 15 - - 1 15 - - 1 15 16 1 1 1 6 892 3 6 3 6 4 dmfs 47.5 2 47 3 307-312 1997-18-
2 1990 10 dmft 35 2 :212, 1997 2 184 41.0% 37.9% 5% 50.0% 54.2% 5% 46 80-94, 1996 3 1987 1991 0.02%NaF 3ml NaF dft 1997 0.35 Taura K. et al Effects of toothbrushing with 0.02% sodium fluoride solution on caries prevalence on deciduous teeth in Japanese infants, Dentistry in Japan, 36: 88-92, 2000. -19-
1 1 6 1991 1 15 20 6 20 41;738-740 1991. 2 1982 93 12 DMFT 6 1970 1982 85 1986 1993 82 85 45.1% 86 31.1% 12 DMFT, 45 3 ;440-447, 1995. 1990 1990 3 8040 3781 10 1. 44: 170-184 1994. -20-
3 18 31 0.05%NaF 950ppmF DMFS 1.96 2.22 3.17 DMFS-index 38.2% 30.0% 47.5% 473 281-291 1997 2 1970 1989 7 1996 DMFT 1989 73% No.699; 9-111998.7-21-
3 1 CPITN 40 10 1088: 1993. 1 CPITN CPITN 3,4 CPITN 0 8% 40% CPITN 39: 21-26 1997 2 1996 97 TBI TBI Professional Tooth Cleaning PTC CPITN TBI TBI PTC 40 : 330 1998.4-22-
3 244 117 10 15.0% 17.3% 17.1% 28.2% 49 5 ; 809-815 1999.10 1 59 42.7 20 PTC Professional Tooth Cleaning 82 40.0 0.37 1.39 45-54 1994-23-
2 10 40 50 0.076 481 : 95-1051998. 3 1984 1994, 46; 339-345, 1996. -24-
1 629 12% 24%, 44: 857-864, 1997 2 41 267 29 2 14 48: 532-533 1998. 1998-25-
30 EBM Evidence-Based Medicine EBH Evidence-Based Healthcare EBM Meta-Anlysis Systematic Review -26-
1993-1 -2-3 ex. 1940-27-
1 '95 1995 2 '96 No.656; 59-106 1997 3 1999 4 43: 369-376 1993 5 WHP 48; 60-681998.1 6 WHP 49 3 ; 341-347 1999 7 50: 183-206 1997 8 52; 947-957 1999. 9 49; 728-729 1999. 10 41 8 ; 30-421994. 11 1997 12 1992.6 13 84: 476-486 1994. 14 Evidence Based Medicine 1999 15 46; 339-345 1996. 16 440-448 1999. 17 47 3 : 307-312 1997. 18 19 10 : 37-44 1995.10 19 20; 11-21 1996. 20 3-3 208-215 1999. 21 No.669 9-11 1998.6 22 47; 703-716 1997. 23 46; 80-94 1996. 24Tonetti MSCigarette smoking and periodontal diseases: etiology and management of diseaseannals of Periodontology. 31 :88-101 1998 Jul. -28-
25 44: 857-864 1997. 26 52 5 ; 608-617 1999.8 27 8 1997 28 ASurveyonOral Health Care Support System for Homebound Elderly Persons in Japan 49 3 ;318-323 1999.7 29 1998.3 30Yoneyama T, Hashimoto K, Fukuda H et aloral hygiene reduces respiratory infections in elderly bed-bound nursing home patientarchives of Gerodontology and Geriatrics, 22: 11-19, 1996. 31 44 3 : 267-276, 1994.7 32 49 1 ; 124-125 1999. 33Katsuhiko Taura, Masako Kusumoto, Seizaburo SakamotoEffects of toothbrushing with 0.02% sodium fluoride solution on caries prevalence od deciduous teeth in Japanese infants, Dentistry in Japan, 36: 88-92, 2000. 34 50 9 ; 60-66 1996-29-
951-8152 5-23 Tel 025-265-0010 Fax 025-267-7764 951-8514 2-5274 Tel 025 2272861 Fax 025227 0807 E-mailandoy@dent.niigata-u.ac.jp akihiro@dent.niigata-u.ac.jp -30-
巻 末 資 料 各 種 歯 科 保 健 事 業 の 特 性 ( 有 効 性 など)に 関 する 評 価
1 1 2 2 3 3 4 3 5 4 6 4 1 5 5 1 5 2 7 3 8 4 9 10 11 11 1 11 2 13 3 13 14 1 14 2 14 3 15 15 1 15 2 16 16 1 16 2 17
1 1993 44% '97 47 3 : 307-312, 1997. 18 35 2 :212, 1997 19 49 3 ; 329-340 1999. 47; 179-1911997 1993 1 946 704 75% 1993 43.7% 3.2% 53.0% 19 10 : 37-44 1995.10 1 6 47 3 : 292-297 1997.7 9 10 1991 93 230 22.9% 8.0% dmft 0.77 0.28-1-
,37 3 : 261-272, 1987. 1979 80 1638 dmft 8020 1999 24% 49% 40% 11% 67% 10% 7% 7% No.666185-1911998.4 No.666 181-184 1998.4 44 4 472 473 1994 1993 9 3 2 1998 70% -2-
49 1 ; 124-125 1999 6 6 29 14 dmft 0.25 1.07 46 1 ; 80-94, 1996. 19 44 3 : 267-276, 1994 No.680; 141-157 1999 1981 97 dmft dmft 3 Katsuhiko Taura, Masako Kusumoto, Seizaburo SakamotoEffects of toothbrushing with 0.02% sodium fluoride solution on caries prevalence od deciduous teeth in Japanese infants, Dentistry in Japan, 36: 88-92, 2000. 19 4-3-
21 1998 10 49 4 ; 550-551 1999. 5 1995 46% 46 1 ; 80-94, 1996. 19 47 3 298-306 1997.7 52 130 54% 5 4 6-4-
33 10 ; 625-6351986. 1985 7 9 451 41 7 625-6281994. 62 12 63 11 878 40 5 : 678-694 1990.10 6 6 4 286 - - 58 4 ; 650-669 1991.12 62 484 ; 450-451 1998 15 1 6 3 1-5-
3% 12 DMFT 45 3 : 440-447, 1995.7 20 6 20, 41 5 ; 738-740, 1991.10 20 20 42 3 ; 359 370 1992 4 14 11 20 20 1/2 DMFS 1 60% 1/2 415 ; 716-722, 1991.10 Yamaguchi N Influence of the discontinuation of a school-based, supervised fluoride mouthrinsing programme on the prevalence of dental caries., Community Dental Health. 144 :258-61, 1997 Dec 1984 1992 1994 56 46 DMFT DMFS 100ppm 35 1 ; 14-34 1985. NaF 100ppmF 79 63 6 6 DMFT 52% DMFS 51% 8 No.658; 5-7 1997.8 1979 86 1986 6 1979 1986 44% 42% -6-
8020 5% 7% 25% 63% 1992 12 624 12 16 33 15% 2 7 2 ; 42-48, 1977 1 2 NaF NaF 2 4 5 10 47 362 123 120 119 NaF DMFT-index 16.3 10 2 ; 346-345 1983.2 APF APF APF 70 66-7-
DMFT 22% DMFS 33% APF 3 1998 70% 35 3 ; 393-401 1985. 57 891 308 21% 47% 40% 6 48 3 ; 303-309 1998.7 NaF 6 1061 NaF 900ppm 6 0.97% NaF 900ppm F 6 DMFS NaF+ 6 48 4 : 426-427 1998. 44 3 : 267-276, 1994-8-
1997 81% 33 1 ; 79 88 1983 4 1 502, 1, 3, 40% 37 2 ; 106-118, 1987. DMFT DMFT 4 No.669 9-11 1998.6 21 44 3 : 260-266, 1994.7 1989 356 1990 109 465 1992 175-9-
18.7 1.9 93 8020 62 63 90% DMFT 8020 24% 24% 36% 16% 44 4 472 473 1994 1993 9 12 8020 GO 47% 30% 11% 13% -10-
GO 81% 10% 4% 2% 2% 40 10 1088 1993. 22 502 : 264-271 2000 CPI Community Periodontal Index 2 111 CPI 1 2 3 0 CPITN 22 2 : 15-26, 1992. 39 274-285, 1989. 1 20% 8020 1% 15% -11-
55% 22% 7% 2% 20%, 46; 339-345, 1996. 24 1994 19% 43% 65% 20% 440-448 1999. 42 2 : 170-175 1992.4 198 265 35 44 48 3 : 294-302 1998.7 2887 88.6% 20-39 9% 40 19.2% 3/4-12-
2 8020 50% 25% 21 49% 14% 11 20% 12% 10% 16% 32% 481 : 95-105 1998. 24 48 5 : 685-690 1998. 6 3 Professional Tooth Cleaning 45-54 1994 23-13-
1 44 4 ; 384-385 1994 49 5 ; 809-815 1999. 23 2 46% '98 42 9 777-782 1995 31 49 40 55 CPITN 48 3 : 294-302 1998.7 2887 88.6% 20-39 13% 40 46% 3-14-
PMTC IBM CPITN 1997 39: 21-26 22 40 : 330 1998.4 22 63 6 ; 385-388 1999. IBM 63 6 ; 389-393 1999.6 44; 584-585 1994 20 44 CPITN 1 47 3 281-291 1997.7 21-15-
2 70% 47 3 281-291 1997.7 21 1 57%, 44: 857-864, 1997. 25 52 5 ; 608-617 1999.8 70 ADL QOL ADL QOL 8 1997 A Survey on Oral Health Care Support System for Homebound Elderly Persons in Japan 49 3 ;318-323 1999.7 400 57% 54% -16-
2 54% Yoneyama T Oral hygiene reduces respiratory infections in elderly bed-bound nursing home patient, Archives of Gerodontology and Geriatrics, 22: 11-19, 1996. silent aspiration improve degradation 1998.3 25 48 4 : 532-533 1998. 25 1999 Vol.13No.3 ; 59-67 1999 3-3 208-215 1999.1 21 41 9 : 903-909 1994 38 5 : 311-314 1992.5 1 87 5, 1218-1225, 1996.5 1 87 6, 1425-1437, 1996.6 15,, 75; 1407-1418, 1990. -17-
発 行 フォーラム8020 作 成 責 任 者 安 藤 雄 一 ( 新 潟 大 学 歯 学 部 予 防 歯 科 学 講 座 ) 葭 原 明 弘 ( 新 潟 大 学 歯 学 部 予 防 歯 科 学 講 座 ) 池 主 憲 夫 (フォーラム8020 幹 事 長 ) 坂 井 剛 (フォーラム8020 副 幹 事 長 ) 大 久 保 満 男 (フォーラム8020 副 幹 事 長 ) 連 絡 先 池 主 憲 夫 951-8152 新 潟 市 信 濃 町 5-23 ( Tel) 025-265-0010 ( Fax) 025-267-7764 安 藤 雄 一 葭 原 明 弘 951-8514 新 潟 市 学 校 町 2-5274 新 潟 大 学 歯 学 部 予 防 歯 科 学 講 座 ( Tel) 025( 227) 2861 ( Fax) 025( 227) 0807 ( E-mail) andoy@dent.niigata-u.ac.jp( 安 藤 ) 印 刷 akihiro@dent.niigata-u.ac.jp( 葭 原 ) 大 創 951-8127 新 潟 市 関 屋 下 河 原 町 1 丁 目 2 番 地 2 ( Tel) 025( 233) 4240 ( Fax) 025( 233) 4888