@article{oai:hsuh.repo.nii.ac.jp:00007160, author = {加藤, 凞}, issue = {2}, journal = {東日本歯学雑誌}, month = {Dec}, note = {P(論文), In this paper, the present concepts of the etiology and the pathogenesis of periodontal diseases (gingivitis and periodontitis) are described, and the role of occlusion and systemic factors related to the etiology of periodontal disease, which are controversial, are discussed. Further, the outline of periodontal treatment which have been attempted by author at Higashi Nippon Gakuen University, is explained. Although many ethiological factors of periodontal disease are considered and discussed in the past, it is clear that the most important factor is the formation of "dental plaque" (bacteria and bacterial substances in the dental plaque) which initiates the inflamation of the gingiva. All of the other factors are considered to be "modifying factors", which increase the accumulation of plaques and increase the inflamatory destructions of periodontium initiated by the plaque. The principle of periodontal treatment is the elimination of etiologic factors, and thus the most important factor for treatment and prevention of periodontal disease is to eliminate the dental plaque which initiates periodontal disease. Therefore, the first step in the treatment is the education and motivation of the patient and instructions for oralhygiene. The next step is the elimination of the modifying factor to increase plaque retention and to enable the patient to attain a sufficient cleaning of his teeth by himself.}, pages = {115--138}, title = {<総説>歯周病学の現状と未来}, volume = {3}, year = {1984} }