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    9,750

    2554

    ..

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    2 17 1. 1) 2) .. 3) .. 4).. 5) 6)

    7) .. 8) .. 9)2.1) 2) 3) .. 4) .. 5) 6)

    .. 7) : 8)

    ..

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    -

    -

    -

    --

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    37

    38

    64

    72

    76

    77

    ..

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    3 ..

    ( 37 )

    2,500

    7 - 8

    1.

    2.

    (Rampant caries)

    Rampant caries

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    4 ..

    3.

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    5 ..

    /

    (Xerostomia)

    4.

    3-7

    (Iron)

    atrophic

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    6 ..

    (Romito, 2003)

    53%

    (denture stomatitis)

    (oral candidiasis) (traumatic ulcer) (oral mucosal

    varicosities) (pigmented lesions)

    (angular cheilitis) (leukoplakia)

    (lichen planus) (Kuc IM , 1999,

    Lin HC , 2001 Moskona D , 1995, TaiyebAli TB , 1995)

    (predisposing factor)

    (Martin, 1991)

    (Konis, 1991) Sweeney (1994)

    37

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    7 ..

    5.

    34-36

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    8 ..

    (Pneumonia)

    2

    (the relative risk of death)

    2.4

    6.

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    9 ..

    7.(Stroke)

    (stroke) transient

    bacteremia

    (acute myocardial infarction) (chronicheart disease)

    C-reactive protein serum inflammatory marker

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    10 ..

    8.(Rheumatoid Arthritis)

    (soft and hard tissue)

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    12 ..

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    13 ..

    1.

    2. 1.

    2.

    3.

    -

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    3. 1.

    2.

    3.

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    15 ..

    1

    -

    - -

    -

    - -

    -

    -

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    16 ..

    4. 4.1

    " "

    - -

    -

    4.2

    1.5

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    17 ..

    2.2 ( )

    3.

    4.

    -

    -

    -

    4.3

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    1. 87.4

    5 1-3

    2. 1.

    2.

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    3. 1.

    2.

    3.

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    20 ..

    9-12, 18 30

    - -

    -

    - -

    -

    -

    -

    -

    -

    -

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    21 ..

    4. 9-12 18 30

    4.1

    1.)

    4

    1)

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    22 ..

    2)(

    )

    3)

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    23 ..

    2)

    1)

    2)

    3)

    3)1)

    1 2

    2)

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    24 ..

    3)

    4)

    4.2

    1.

    2. 6

    1 3.

    4.

    5.2

    6.

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    25 ..

    7. 2

    8.

    4.3

    4.4

    5. /

    /

    PCU /

    -

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    26 ..

    - PCU /

    -

    -

    - - .CUP-

    CUP

    -

    -

    -

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    27 ..

    9

    -

    12

    0

    9

    1

    18

    0

    9

    1

    24

    0

    9

    1

    30

    0

    9

    1

    1.

    2.

    1

    3.

    4.

    5.

    2

    6.

    (

    )

    7.

    8.

    9

    -

    30

    ../................................................

    ...............

    .......................

    .....................................................

    ...............

    .

    ...............

    1)

    2)

    (0

    =

    //1

    =

    //9

    =

    /

    /

    )

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    28 ..

    9.

    10.

    ()

    11.

    white

    spot

    ()

    12.

    ()

    13.

    ........................................

    ..............................

    14.

    15.

    /

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    29 ..

    1.2.3.4.

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    30 ..

    -

    -/

    -

    -

    / .

    -

    -

    -

    -

    CUP / PCU

    -

    -

    -

    /

    -

    -

    . //

    1.

    2.

    -

    -

    -

    -

    3.

    4.

    /

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    31 ..

    1.

    -

    -

    -

    -

    - 3

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    32 ..

    - 2 - 3

    - - 3

    -

    -

    1.

    1.1

    1)

    2)

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    33 ..

    -

    -

    -

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    34 ..

    1.2

    -

    -

    1.3

    (1)

    -

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    35 ..

    -

    -

    - 3

    -

    -

    - 2 / / . /

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    (2)-

    1,000 ppm

    (3)

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    37 ..

    1.4

    -

    -

    -

    -

    -

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    38 ..

    2.

    (1)

    (2)

    (3) ""

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    (4)5 ( 1 - 10 )

    (5) 2

    -

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    40 ..

    - - 1 -10 2

    (6)4

    4

    5 ( 1- 10 )

    1

    2

    3

    4 (7)

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    41 ..

    (8)

    (9)

    (10)

    "" "" " "

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    42 ..

    2.

    1.

    - - 3 - 5 /

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    43 ..

    -

    -

    2.2.1

    "" " "

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    1 - 2

    1) "

    /"

    2

    3

    2) 1/4 1/3

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    45 ..

    -

    -

    -

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    46 ..

    3.

    - - - -

    -

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    47 ..

    4.

    2 1)

    2)

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    48 ..

    /

    (1)

    (2) .

    (3)(4) (/

    . ) (5)(6)(7)

    (8)

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    49 ..

    2550 5.15 1.30

    (manday)

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    1.1

    Mutans Streptococci Lactobacilli

    (pH 5.5-5.7)

    2

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    52 ..

    (

    )

    1.2

    ()

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    53 ..

    () (

    )

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    54 ..

    ( 2)

    ()

    1.3

    30

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    55 ..

    ()

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    1.-

    *-(Modified Bass Technique)

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    1.()2.(

    )3.(2

    )

    4. ()

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    61 ..

    2. * ()

    1. (Cotton bud)1

    2.

    3.

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    62 ..

    3. ? ?

    ?

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    1.(Soft)

    (Medium) (hard)

    2.

    3.

    2 - 2.5 2-3

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    (

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    1. 1 2

    2.2

    3.

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    -

    -

    2 1.

    2.

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    30

    () Menthol, Peppermint (Antiseptic)Dettol Chlorhexidine

    Listerine, Parodontax Peppermint (Clorette, Doubleamplex)

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    -

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    4.

    6 6

    3 2 pH 30 -60

    bufferpH

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    buffer

    1

    2 100-150 () 5%

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    6 () 80

    1995 (Global School Health Initiative) 6

    (1)

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    1

    .. 2545

    10 /

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    74 ..

    2 2

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    5

    1. :

    2.

    3.:

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    4.

    5.

    ( 1-4)

    5 6

    7

    5 : .11 .1-6

    6 : .1-.6

    7 : ()

    " "

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    (specificprotection)

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    -

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    ? :

    2

    1.

    /

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    80 ..

    2.

    ()

    ?:

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    1.

    2.

    3.

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    28

    10 - 14 7 - 8

    1)

    2)

    3) 2