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Establishment of a rational clinical guide to treatment for caries based on MI concept and evidence

Research Project

Project/Area Number 23592802
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Conservative dentistry
Research InstitutionNagasaki University

Principal Investigator

KUBO SHISEI  長崎大学, 大学病院, 准教授 (80145268)

Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2011: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
KeywordsMI / 長期臨床成績 / ランダム化比較試験 / 補修修復 / モニタリング / う蝕の進行速度 / 判定基準 / 意思決定
Research Abstract

Our clinical trials demonstrated that the main clinical problem of resin composites restored with current adhesives seemed to be marginal discoloration. Although the incidence of marginal discoloration increased over time, it was likely to reach a plateau after 8 years in clinical service. Most of the marginal discoloration was probably caused by the accumulation of stains at marginal steps and it appeared to be still superficial. A half number of monitored restorations with secondary caries were replaced within 10 years. However, brown lesions and approximal caries without cavity in adults seemed to be arrested. Repaired restorations showed lower 10-year survival rate compared to resin composite restorations, but the difference was not statistically significant.
The findings of our clinical studies recommend monitoring of defective restorations and repair of clinically unacceptable defects in order to extend the longevity of restorations and restored teeth.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (39 results)

All 2014 2013 2012 2011 Other

All Journal Article (15 results) (of which Peer Reviewed: 9 results) Presentation (20 results) (of which Invited: 3 results) Book (4 results)

  • [Journal Article] コンポジットレジン修復の長期経過とリペア2014

    • Author(s)
      久保至誠
    • Journal Title

      日本歯科医師会雑誌

      Pages: 202-212

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 審美歯科修復に必要な基礎知識と臨床応用~う蝕除去からレジン修復テクニックまで~ 6.メインテナンスと補修修復の実際2013

    • Author(s)
      久保至誠
    • Journal Title

      季刊歯科医療夏号

      Volume: 27 Pages: 39-46

    • Related Report
      2013 Final Research Report
  • [Journal Article] 特集 : 「歯質に対する接着性を考える」接着耐久性の臨床的評価2013

    • Author(s)
      久保至誠
    • Journal Title

      日本歯科理工学会機関誌DE

      Volume: 186 Pages: 273-276

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Challenges to the clinical placement and evaluation of adhesively-bonded, cervical composite restorations2013

    • Author(s)
      Kubo S, Yokota H, Yokota H, Hayashi Y.
    • Journal Title

      Dent Mater

      Volume: 29 Pages: 10-27

    • NAID

      120006986667

    • URL

      http://hdl.handle.net/10069/34347

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 接着耐久性の臨床的評価2013

    • Author(s)
      久保至誠
    • Journal Title

      日本歯科理工学会誌

      Volume: 32 Pages: 273-276

    • NAID

      110009635020

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] メインテナンスと補修修復の実際2013

    • Author(s)
      久保至誠
    • Journal Title

      歯科医療

      Volume: 夏 Pages: 39-46

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Challenges to the clinical placement and evaluation of adhesively-bonded, cervical composite restorations2013

    • Author(s)
      Kubo S
    • Journal Title

      Dental Materials

      Volume: 29 Issue: 1 Pages: 10-27

    • DOI

      10.1016/j.dental.2012.08.003

    • NAID

      120006986667

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical guidelines for treating caries in adults following a minimal intervention policy-Evidence and consensus based report2012

    • Author(s)
      Momoi Y, Hayashi M, Fujitani M, Fukushima M, Imazato S, Kubo S, Nikaido T, Shimizu A, Unemori M, Yamaki C.
    • Journal Title

      J Dent

      Volume: 40 Pages: 95-105

    • NAID

      120006986655

    • URL

      http://hdl.handle.net/10069/34361

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Clinical guidelines for treating caries in adults following a minimal intervention policy-Evidence and consensus based report2012

    • Author(s)
      Momoi Y, Hayashi M, Fujutani M, Fukushima M, Imazato S, Kubo S, et al.
    • Journal Title

      Journal of Dentistry

      Volume: 40 Pages: 95-105

    • NAID

      120006986655

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] 補修(つぎはぎ)修復の実際、「う蝕治療を見直す-歯髄保存の観点から」2011

    • Author(s)
      久保至誠
    • Journal Title

      日本歯科評論

      Volume: 71 Pages: 55-62

    • Related Report
      2013 Final Research Report
  • [Journal Article] MI Dentistry-Science Materialが可能にしたNew Trends、歯質・歯髄保存して患者満足度アップを可能にしたCR修復2011

    • Author(s)
      久保至誠
    • Journal Title

      クインテッセンス

      Volume: 30 Pages: 3-5

    • Related Report
      2013 Final Research Report
  • [Journal Article] Factors associated with the longevity of resin composite restorations2011

    • Author(s)
      Kubo S, Kawasaki A, Hayashi Y.
    • Journal Title

      Dent Mater J

      Volume: 30 Pages: 374-383

    • NAID

      10029136928

    • URL

      http://hdl.handle.net/10069/25489

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Factors associated with the longevity of resin composite restorations2011

    • Author(s)
      Kubo S, Kawasaki A, Hayashi Y
    • Journal Title

      Dental Materials Journal

      Volume: 30 Issue: 3 Pages: 374-383

    • DOI

      10.4012/dmj.2010-191

    • NAID

      10029136928

    • ISSN
      0287-4547, 1881-1361
    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] 歯質・歯髄保存して患者満足度アップを可能にしたCR修復2011

    • Author(s)
      久保至誠
    • Journal Title

      クインテッセンス

      Volume: 30 Pages: 3-5

    • Related Report
      2011 Research-status Report
  • [Journal Article] 補修(つぎはぎ)修復の実際2011

    • Author(s)
      久保至誠
    • Journal Title

      日本歯科評論

      Volume: 71 Pages: 55-62

    • Related Report
      2011 Research-status Report
  • [Presentation] Longevity of repaired defective restorations2014

    • Author(s)
      Kubo S, Hayashi Y.
    • Organizer
      43^<rd> AADR
    • Place of Presentation
      Charlotte
    • Related Report
      2013 Final Research Report
  • [Presentation] Longevity of repaired defective restorations2014

    • Author(s)
      Kubo S, Hayashi Y
    • Organizer
      American Association for Dental Research
    • Place of Presentation
      Charlotte, North Carolina, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] Long-term clinical studies of adhesive restorations2013

    • Author(s)
      Kubo S.
    • Organizer
      Joint Symposium on adhesive restorations for Japan Society for Adhesive Dentistry and University of Minnesota
    • Place of Presentation
      St. Paul
    • Year and Date
      2013-06-17
    • Related Report
      2013 Final Research Report
  • [Presentation] Seven-year clinical evaluation of two one-step self-etch adhesives2013

    • Author(s)
      Kubo S, Yokota H, Yokota H, Hayashi Y.
    • Organizer
      5^<th> International Congress on Adhesive Dentistry
    • Place of Presentation
      Philadelphia
    • Related Report
      2013 Final Research Report
  • [Presentation] Twelve-year Clinical Evaluation of Two adhesives in Non-carious Cervical Lesions2013

    • Author(s)
      Kubo S, Yokota H, Yokota H, Hayashi Y.
    • Organizer
      91^<st> IADR
    • Place of Presentation
      Seattle
    • Related Report
      2013 Final Research Report
  • [Presentation] Seven-year clinical evaluation of two one-step self-etch adhesives2013

    • Author(s)
      Kubo S, Yokota H, Yokota H, Hayashi Y
    • Organizer
      The 5th International Congress on Adhesive Dentistry
    • Place of Presentation
      Philadelphia, Pennsylvania, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] Long-term clinical studies of adhesive restorations2013

    • Author(s)
      Kubo S
    • Organizer
      Joint Symposium on adhesive restorations for Japan Society for Adhesive Dentistry and University of Minnesota
    • Place of Presentation
      St. Paul, Minnesota, USA
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] Twelve-year clinical evaluation of two adhesives in non-carious cervical lesions2013

    • Author(s)
      Kubo S
    • Organizer
      International Association for Dental Research
    • Place of Presentation
      Seattle, USA
    • Related Report
      2012 Research-status Report
  • [Presentation] Multivariate analyses of factors influencing the longevity of resin composite restorations2012

    • Author(s)
      Kubo S.
    • Organizer
      Inter-national Symposium for Adhesive Dentistry
    • Place of Presentation
      Tokyo
    • Year and Date
      2012-05-19
    • Related Report
      2013 Final Research Report
  • [Presentation] Challenges to the clinical placement and evaluation of adhesively-bonded, cervical composite restorations2012

    • Author(s)
      Kubo S.
    • Organizer
      Academy of Dental Materials Annual Meetings
    • Place of Presentation
      Lake Buena Vista
    • Related Report
      2013 Final Research Report
  • [Presentation] 修復治療の意思決定におけるに臨床研修の影響2012

    • Author(s)
      久保至誠、山邉芳久、林善彦
    • Organizer
      第31回日本歯科医学教育学会
    • Place of Presentation
      岡山
    • Related Report
      2013 Final Research Report
  • [Presentation] Six-year Clinical Evaluation of Two Types of Resin Composite Restorations2012

    • Author(s)
      Kubo S, Yokota H, Yokota H, Hayashi Y.
    • Organizer
      90^<th> IADR
    • Place of Presentation
      Iguaçu
    • Related Report
      2013 Final Research Report
  • [Presentation] Multivariate analyses of factors influencing the longevity of resin composite restorations2012

    • Author(s)
      Kubo S
    • Organizer
      Japan Society for Adhesive Dentistry
    • Place of Presentation
      Tokyo, Japan
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 修復治療の意思決定におけるに臨床研修の影響2012

    • Author(s)
      久保至誠
    • Organizer
      日本歯科医学教育学会
    • Place of Presentation
      岡山、日本
    • Related Report
      2012 Research-status Report
  • [Presentation] Challenges to the clinical placement and evaluation of adhesively-bonded, cervical composite restorations2012

    • Author(s)
      Kubo S
    • Organizer
      Academy of Dental Materials
    • Place of Presentation
      Orlando, USA
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] う蝕・修復治療における意思決定に関するアンケート調査2011

    • Author(s)
      久保至誠、山邉芳久、林善彦
    • Organizer
      第30回日本歯科医学教育学会
    • Place of Presentation
      東京
    • Related Report
      2013 Final Research Report
  • [Presentation] 辺縁着色への対処法に関する研究2011

    • Author(s)
      久保至誠、林善彦
    • Organizer
      第134回日本歯科保存学会
    • Place of Presentation
      千葉
    • Related Report
      2013 Final Research Report
  • [Presentation] 辺縁着色への対処法に関する研究2011

    • Author(s)
      久保至誠,林善彦
    • Organizer
      日本歯科保存学会
    • Place of Presentation
      千葉
    • Related Report
      2011 Research-status Report
  • [Presentation] う蝕・修復治療における意思決定に関するアンケート調査2011

    • Author(s)
      久保至誠,山邉芳久,林善彦
    • Organizer
      日本歯科医学教育学会
    • Place of Presentation
      東京
    • Related Report
      2011 Research-status Report
  • [Presentation] Six-year clinical evaluation of two types of resin composite restorations

    • Author(s)
      Kubo S
    • Organizer
      International Association for Dental Research
    • Place of Presentation
      Iguazu, Brazil
    • Related Report
      2012 Research-status Report
  • [Book] 削るう蝕・削らないう蝕(今里聡監修、伊藤中、林美加子編集)2013

    • Author(s)
      久保至誠
    • Publisher
      クインテッセンス出版
    • Related Report
      2013 Final Research Report
  • [Book] 削るう蝕 削らないう蝕2013

    • Author(s)
      今里聡
    • Total Pages
      215
    • Publisher
      クインテッセンス出版株式会社
    • Related Report
      2012 Research-status Report
  • [Book] 日本歯科評論別冊2011高齢者にやさしい歯冠修復・補綴治療-Biocompatibility(生体調和性)に基づいた対応(高橋英登・編著)2011

    • Author(s)
      久保至誠
    • Publisher
      ヒョーロン・パブリッシャーズ
    • Related Report
      2013 Final Research Report
  • [Book] 高齢者にやさしい歯冠修復・補綴治療-Biocompatibility(生体調和性)に基づいた対応2011

    • Author(s)
      高橋英登・編著  分担執筆 久保至誠
    • Total Pages
      160
    • Publisher
      日本歯科評論別冊
    • Related Report
      2011 Research-status Report

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Published: 2011-08-05   Modified: 2019-07-29  

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