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8/12/2019 PCU Manual Dentist
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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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-
-
-
--
1317
37
38
64
72
76
77
..
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1 ..
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( 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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11 ..
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12 ..
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13 ..
1.
2. 1.
2.
3.
-
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14 ..
3. 1.
2.
3.
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1
-
- -
-
- -
-
-
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4. 4.1
" "
- -
-
4.2
1.5
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17 ..
2.2 ( )
3.
4.
-
-
-
4.3
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18 ..
1. 87.4
5 1-3
2. 1.
2.
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19 ..
3. 1.
2.
3.
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9-12, 18 30
- -
-
- -
-
-
-
-
-
-
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21 ..
4. 9-12 18 30
4.1
1.)
4
1)
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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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9
-
12
0
9
1
18
0
9
1
24
0
9
1
30
0
9
1
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3.
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7.
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1)
2)
(0
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)
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28 ..
9.
10.
()
11.
white
spot
()
12.
()
13.
........................................
..............................
14.
15.
/
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1.2.3.4.
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-
-/
-
-
/ .
-
-
-
-
CUP / PCU
-
-
-
/
-
-
. //
1.
2.
-
-
-
-
3.
4.
/
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31 ..
1.
-
-
-
-
- 3
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- 2 - 3
- - 3
-
-
1.
1.1
1)
2)
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-
-
-
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1.2
-
-
1.3
(1)
-
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-
-
- 3
-
-
- 2 / / . /
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(2)-
1,000 ppm
(3)
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1.4
-
-
-
-
-
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2.
(1)
(2)
(3) ""
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(4)5 ( 1 - 10 )
(5) 2
-
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- - 1 -10 2
(6)4
4
5 ( 1- 10 )
1
2
3
4 (7)
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(8)
(9)
(10)
"" "" " "
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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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-
-
-
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3.
- - - -
-
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4.
2 1)
2)
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/
(1)
(2) .
(3)(4) (/
. ) (5)(6)(7)
(8)
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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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(
)
1.2
()
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() (
)
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( 2)
()
1.3
30
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()
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1.-
*-(Modified Bass Technique)
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1.()2.(
)3.(2
)
4. ()
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2. * ()
1. (Cotton bud)1
2.
3.
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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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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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2.
()
?:
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1.
2.
3.
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28
10 - 14 7 - 8
1)
2)
3) 2