【LIVEダイジェスト】デジトーク!第8回 カウンセリングツールとしてのIOS活用術with小池軍平先生・DH吉久保典子さん

ドクターブックアカデミー【公式】
25 Jan 202211:13

Summary

TLDRThe video script outlines a digital dentistry discussion featuring a panel of dental professionals, including Dr. Harumitsu Toyonaga, President of Kasuga Dental Clinic, and dental hygienist Yoshiko Koike from Koike Dental Clinic. The conversation revolves around the innovative use of intraoral scanners (referred to as IOS) as counseling tools in dental practice. The speakers discuss the evolution of digital dentistry, from the early days of 3D printing to the current integration of IOS in various dental procedures such as implant planning, restoration, and preventive care. The script highlights the transition from traditional to digital workflows, emphasizing the role of IOS in enhancing patient communication and the collaborative approach between dentists and dental hygienists in leveraging digital tools for better patient outcomes. The discussion also touches on the importance of training and defining the roles of dental hygienists in utilizing digital technology to improve patient education and oral hygiene instruction.

Takeaways

  • 🎙️ The video transcript is from a dental talk show discussing the use of intraoral scanners (IOS) in dental practices.
  • 📈 The speaker, a dental professional, has been using IOS since 2003 and has seen its evolution over the years.
  • 🌐 The use of IOS has expanded from just creating dental prosthetics to being integrated into various aspects of dental care, including implant planning and orthodontics.
  • 💡 IOS technology has enabled the sharing of dental data in the cloud, allowing for remote collaboration and the creation of dental prosthetics.
  • 🔄 The long-term success of dental prosthetics created with IOS is highlighted, with examples of prosthetics lasting over a decade.
  • 🛠️ Dental technicians and hygienists are both utilizing IOS for different purposes, from manufacturing to patient counseling.
  • 📱 The mention of a specific IOS device, the Prime Scan, indicates a preference for certain technologies in dental practices.
  • 🌟 The importance of training and sharing best practices among dental staff for the effective use of IOS is emphasized.
  • 📈 The digital counseling and instruction using IOS are seen as a modern approach to enhance patient communication and understanding of their dental health.
  • 🔗 The integration of IOS with other digital tools and software packages has streamlined the dental prosthetics creation process.
  • 🏥 The video transcript suggests that the adoption of digital technology, like IOS, is becoming a standard in dental clinics for both doctors and hygienists.

Q & A

  • What is the main topic of discussion in the provided transcript?

    -The main topic of discussion in the transcript is the use of intraoral scanners (referred to as IOS) as a counseling tool in the dental field.

  • Who is the guest speaker from the field of digital dentistry in the transcript?

    -The guest speaker is Mr. Kunpei Komai, who is the director of the Okinaka Dental Hospital and also serves as a director of the Japan Digital Dental Association.

  • What is the significance of the 3D printer in the context of the discussion?

    -The 3D printer is significant as it was a topic of discussion over 10 years ago, highlighting the long-standing innovation in digital dentistry and its impact on the field.

  • How is the intraoral scanner (IOS) utilized by dental hygienists in the context of the script?

    -In the script, dental hygienists are using IOS not only for its original purpose of aiding dentists in creating dental prosthetics but also for enhancing patient communication and providing educational guidance on oral hygiene.

  • What is the role of the IOS in the production of dental prosthetics?

    -The IOS is used for taking digital impressions of the patient's mouth, which are then used to design and fabricate dental prosthetics in-house, supporting a complete in-house production system.

  • What are some of the materials mentioned for dental prosthetics that can be used with IOS?

    -The materials mentioned include hybrid materials, PMMA, zirconia, and glass ceramics, which can be used for various types of dental restorations, including implant prosthetics.

  • How has the use of IOS evolved in recent years according to the discussion?

    -The use of IOS has evolved to include not just the creation of dental prosthetics but also for patient counseling, with hygienists using the technology for educational purposes and to improve patient understanding of their oral health.

  • What is the role of digital data obtained from IOS in patient communication?

    -The digital data obtained from IOS is used to provide a detailed and visual representation of the patient's oral condition, which aids in better communication and understanding between the patient and dental professionals.

  • What is the significance of the term 'Digital OHI' mentioned in the transcript?

    -Digital OHI refers to the use of digital tools, such as IOS, to enhance the process of Oral Hygiene Instruction, providing a more interactive and informative experience for patients.

  • How has the sharing of IOS among dental professionals facilitated their work?

    -The sharing of IOS among dental professionals allows for more efficient use of the technology, with hygienists and dentists alike using it for various tasks, from patient education to prosthetics creation.

  • What is the importance of training and shared knowledge among dental staff regarding the use of IOS?

    -Training and shared knowledge among dental staff ensure that everyone is proficient in using IOS, leading to a more cohesive and effective approach to patient care and treatment planning.

  • What is the future outlook on the use of digital technology in dental counseling as per the discussion?

    -The future outlook is positive, with an emphasis on continued integration of digital tools like IOS in counseling to improve patient engagement, education, and the overall quality of dental care.

Outlines

00:00

🎙️ Introduction and Overview of Digital Dentistry

The video begins with a brief introduction to the show, which is a discussion program featuring various guests to talk about the present and future of digital dentistry. The host for the day is not the regular MC, Dr. Isshuku, but a substitute host who is introduced. The main host of the show is Dr. Touya Haruyama, the director of Haruyama Dental Clinic. The guest for the day is Mr. Gunpei Konomoto, the director of Konomoto Dental Hospital and a director of the Japan Digital Dental Association. Another guest is Ms. Yukiko Koike, a dental hygienist from Koike Dental Hospital. The theme for the discussion is the use of intraoral scanners (IOS) as a counseling tool. The substitute host expresses his admiration for Mr. Konomoto's contributions to the digital dentistry field in Japan and Asia. The host also mentions Mr. Konomoto's involvement in a large Facebook group where he shares a lot of useful information.

05:02

📈 Evolution and Applications of IOS in Dentistry

The speaker discusses the evolution and various applications of intraoral scanners (IOS) in dentistry over the years. Initially, IOS was mainly used by dentists for fabricating prosthetic devices. In the last 10 years, there has been significant progress in IOS technology. It has been integrated with cone-beam CT for implant planning and guided surgery. In recent years, IOS has been connected to in-house CAD/CAM systems and cloud platforms for efficient workflow. IOS has also been utilized for a wide range of materials like PMMA, zirconia, and glass-ceramic for various prosthetic restorations. The speaker also talks about the use of IOS for implant prosthodontics and various types of dental rehabilitation. However, the speaker acknowledges that the use of IOS by dentists is quite common and not very interesting. The focus then shifts to how dental hygienists can utilize IOS in their practice.

10:03

🦷 Role of Dental Hygienists in Utilizing IOS for Patient Education

The speaker, a dental hygienist named Yuko Yoshikubo from Koike Dental Hospital, talks about how dental hygienists can effectively use intraoral scanners (IOS) for patient education and communication. At her clinic, all the dental hygienists are trained to operate the IOS device. They have established rules on when and how to use the IOS during patient consultations. While IOS was originally designed for dentists to fabricate restorations, the hygienists realized that the high-quality visual images captured by IOS can be a powerful tool for patient education. For example, it can help visualize the progression of dental caries over time and the effectiveness of preventive measures. The hygienists at Koike Dental Hospital have fully embraced the use of IOS in their daily practice to enhance patient communication and understanding.

Mindmap

Keywords

💡デジタルデンティストリー

デジタルデンティストリー (Digital Dentistry) refers to the integration of digital technology into the field of dentistry. It encompasses a wide range of applications from digital imaging to 3D printing and computer-aided design (CAD) in dental prosthetics. In the video, it is the central theme as the discussion revolves around the use of digital tools and their impact on dental practices.

💡カウンセリングツール

カウンセリングツール (Counseling Tools) are instruments or methods used by dental professionals to communicate with patients, explain procedures, and provide guidance. In the context of the video, digital tools such as intraoral scanners are highlighted as modern counseling tools that enhance patient understanding and participation in their dental care.

💡イントラオーラルスキャナー

イントラオーラルスキャナー (Intraoral Scanner) is a device used to digitally capture the structure of the teeth and oral cavity. It is a key component of digital dentistry, replacing traditional impression methods with a more accurate and patient-friendly approach. The video discusses the evolution and use of intraoral scanners in dental counseling and treatment planning.

💡3Dプリンター

3Dプリンター (3D Printer) is a machine that creates three-dimensional objects from digital models. In dentistry, it is used for fabricating dental prosthetics, models, and guides for implant placement. The script mentions the impact of 3D printing technology, which was a significant revelation to the speaker over a decade ago and continues to be a transformative technology in the field.

💡デンタルCAD

デンタルCAD (Dental CAD) stands for Computer-Aided Design in the context of dentistry. It refers to the use of computer software to design dental restorations and prosthetics. The video highlights the progression from traditional methods to CAD, which allows for more precise and efficient dental restoration design and fabrication.

💡デンタルCAM

デンタルCAM (Dental CAM) represents Computer-Aided Manufacturing, which is the automated manufacturing process of dental prosthetics and restorations using computer-controlled machinery. It is often used in conjunction with CAD and is a significant part of modern dental prosthetics production, as discussed in the video.

💡デジタルインプレッション

デジタルインプレッション (Digital Impression) is the process of obtaining a digital representation of a patient's teeth and oral structures. It is used as an alternative to traditional physical impressions, offering benefits such as increased accuracy, reduced chair time, and better patient experience. The video emphasizes the role of digital impressions in modern dental practices.

💡ハイブリッド

ハイブリッド (Hybrid) in dentistry typically refers to dental materials or restorations that combine different types of dental ceramics or composites to achieve desired properties. The video mentions the use of hybrid materials in dental restorations, showcasing the diversity of materials that can be utilized with digital dentistry tools.

💡ジルコニア

ジルコニア (Zirconia) is a type of ceramic material used in dentistry for its high strength and aesthetic properties. It is commonly used in the fabrication of dental crowns, bridges, and implants. The video discusses zirconia as one of the materials that can be processed using digital dentistry techniques.

💡デジタルOHI

デジタルOHI (Digital Oral Health Instruction) refers to the use of digital tools and data to educate patients about their oral health. This can include using digital scans to highlight areas of concern and providing visual aids for better understanding. The video script mentions the concept of digital OHI as part of the evolving role of dental hygienists in patient education.

💡プライムスキャン

プライムスキャン (Prime Scan) likely refers to a specific brand or model of intraoral scanner used in dental practices. The video script indicates that Prime Scan is utilized by both dentists and dental hygienists in the dental clinic discussed, highlighting its role in digital diagnostics and patient communication.

Highlights

The discussion is about the use of digital technology in dentistry, specifically focusing on the application of intraoral scanners (IOS) as counseling tools.

Guests include Dr. Kunpei Ono, a director of Japan Digital Dental Association, and Yoshiko Koike, a dental hygienist at Koike Dental Clinic.

Dr. Ono has been influential in the digital dentistry field in Japan and Asia, with a history of over a decade.

The speaker shares a personal anecdote about being impressed by 3D printing in dentistry more than 10 years ago.

Dr. Ono is active in a large Facebook group with nearly 2000 members, sharing valuable information about digital dentistry.

The use of IOS has evolved from its original purpose of aiding in the creation of dental prosthetics to a broader application in counseling and patient communication.

The integration of IOS with CAD/CAM systems and cloud data has become a mainstream approach in dental practices.

Long-term success of dental restorations made with IOS is demonstrated through case studies showing maintenance over 16 years.

The versatility of IOS allows for the use of various materials in dental restorations, from hybrid to zirconia, meeting both functional and aesthetic demands.

The speaker discusses the use of IOS in implant dentistry, emphasizing its role in planning and support.

Digital counseling is being promoted at Koike Dental Clinic, leveraging the use of IOS for patient education and instruction.

All dental hygienists at Koike Dental Clinic are trained to use IOS, which is shared among staff for various patient interactions.

The use of digital data obtained from IOS is defined as 'Digital OHI' (Oral Health Instruction), emphasizing its role in enhancing patient understanding and communication.

The clinic has established rules on when and how to use IOS for patient counseling, ensuring its effective integration into practice.

The speaker, Yoshiko Koike, emphasizes the importance of training dental hygienists to utilize IOS for better patient communication and education.

The digital transformation in dentistry is not limited to technical procedures but also extends to patient care and counseling, enhancing the patient experience.

Transcripts

play00:01

[音楽]

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[音楽]

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皆さんこんばんは診療終わりの

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皆様お疲れ様ですデジトークの時間です

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この番組をデジタルデンティストリーの

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現在と未来を多彩なゲストを呼んで

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語り合うトークばんかむです

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本日はいつも mc をつとめて

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いらっしゃいます1周か先生がお休みです

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ので代わりに私が務めさせていただきます

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怪しいですよろしくお願い致します

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本日もメインホストのマイスターしか

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マイスター春日歯科クリニック院長の

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遠山敏成先生とお送りしてまいります

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よろしくお願いしますよろしくお願い致し

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ます

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本日もご質問は瀬字チャットで募集して

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おりますので何かございましたらチャット

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にお寄せください

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さて本日のゲストをご紹介させていただき

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ます

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本日は根元からご参加いただいております

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ごいけ歯科医院院長であり日本デジタル

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歯科学会理事を務めていらっしゃいます

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小粋軍平先生です

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またお隣が小池歯科医院にお勤めの歯科

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衛生士さんでいらっしゃいますよろしく御

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紀子さんお二人をお招きして本日は

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カウンセリングツールとしての ios

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活用術というテーマでお話しを伺って

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まいりますよろしくお願い致します選手も

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お願いしますではまずとエマ先生からはい

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こ車変え少しお願いいたします

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あの小池軍平先生はですねまぁもうこの

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デジタルの業界でデザイン停止って本当に

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日本な医師はもうアジア世界を呼ぶ

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引っ張ってるケンケンしているですね先生

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でおそらく知らない先生がいらっしゃら

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ないと思うんですけども私とのつながりは

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ですねあの以前になのですスティック

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エクスプローラーするですね勉強会がまあ

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あるんですけれども

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そちらの方でもあれも中

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10年以上前だと思うんですが

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あの公園いただいてですね

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その時にですよまあ口腔内スキャナーの話

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はもちろんなんですけど

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僕のですね本当に衝撃だったのはその最後

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の方に

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3 d プリンターの話抑えたんですね

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10年以上前ですよ

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今でこそなんか当たり前当たり方が

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ちょっとこう皆さんが3 d プリン

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ターって言っているような時にですね

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10年以上前その話その公演されたので

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もう度肝抜かれてですねこんな絶世がいる

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んだと思ってですね

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そこから

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すごいやっぱデジタルってすごいなって

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いうところからですねまぁずっとこう

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フォローさせていただいてですね

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であのやはり最近はのフェイスブックの中

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で先生がもう結構2000人近いグループ

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でですね ios 墓でミートいうものを

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作られていらっしゃってですねまぁクロス

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の会ではあると思うんですけれども

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そちらでももうすごい情報を発信されて

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ですね

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でまぁ今回あのぜひ

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ちょっとコンデジ特にでていただけないか

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なということで口やぐべ舌にお声をかけ

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させていただいたということでございます

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そうです

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しかもさはそこでですねやはり今活躍され

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ていてですね

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こうぐべ生と一緒にまだ新しい使い方って

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いうのがですねどんどん子をあの工芸士会

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の中でですね発表されてますんでこれを

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ぜひみなさんに今日あのシェアせして

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いただければなと思っております宜しくお

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願いします

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宜しくお願いしますその入ってはそれでは

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さっそくこう言って先生よろしくお願い

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致しますはいえーとじゃあ画面共有の方さ

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せていただきます

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思っ

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これ見えてますこの今

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今まだ見えてないですね

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はい見えましたメーター

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おい止めますはい大丈夫です

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どこでいかがですかなっちゃう見えてます

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本日はですねカウンセリングツールとして

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の ios の活用術ということで私が

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メインではなくあの sc 歯科衛生士の

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吉久保がメインになるんですが少しだけ私

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も滑らせていただきたいということですね

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お話しさせていただきますよろしくね生私

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がよ椅子を購入して始めましたのが

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2003年へになりまして

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まああの立場的にもうメーカーさんがです

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ね販売前に持ってきていただいていると

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いろいろか評価して欲しいということで今

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色々と2019年までに使ってまいりまし

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た2020年には産紀州そして

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2021年はですねええええ相手の一番

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新しいやつ5 d +というものです

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そして2022年ですね実は昨日度とい

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送られてきたんですけども

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シャイニング3 d という会社の栄養

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らるスキャンツリーという

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ステイルはですねこれ中国製になるものな

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んですけれどもこういったものをいろいろ

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評価させていただいてええメーカーさんと

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時スカッシュをさせていただいてるような

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立場ならメインはデンツプライ所な者の

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ですねプライムスキャンを現在活用して

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いるようになります

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でまぁ ios これはインパラオーラル

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スキャナ

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なんですけども

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最近ではをピカルインプレッションとか

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デジタルインプレッション様々な呼び方が

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あるとは思うんですが今日は ios と

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いうことで統一をさせていただきたいと

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思います

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で ios 一般的にやはり先生方は後

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歯科医師が活用するというイメージが強い

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と思うんですが歯科衛生士なんぞやという

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ことが多分頭にハテハテハテというのが

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あると思うんですが

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この歯科医師が活用するというのは時系列

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でいきますとやはりこの補綴装置の制作

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これが一般的であったと思います

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まあ遠山先生この10年前私公園に呼んで

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いただいたという時もまあ虎徹年一般的な

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を鉄道地の制作からまあ

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唐人町少しプリンターの話もしたと思うん

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ですけれどもそれからやはり号 ct と

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の連携によるインプラントを取りコメント

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のサポートガイドを作ったり

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そしてプランニングをするそして近年では

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このアライナーの政策ということを各社

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ですねにこのあ8 s 活用していくと

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いう歴史があります

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まあその ios を活用したものですと

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セリックを代表した院内完結型加工キー

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設計ソフトのをパッケージになったもの

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そして近年ではこの ios ネットワーク

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に接続しデータをクラウド上にあげま

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ギコさんにデータを送って作っていただく

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こういったものが主流になってきていると

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思いますこの辺の話は多くの先生方がお話

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をしていると思いますので割愛させて

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いただきますが一つこの院外完結型による

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補綴装置の製作

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この4つ星といったところではどうなのか

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というところなんですがまあこれは流

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サイト分散今日方がバランスしての3つ

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プロ cad というものをすごく古い

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材料になるんですがこれ指摘直後の映像に

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なりますまあ隔測がない状態で指摘されて

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いると思います

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こちらが

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セットをですね

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した状態になります

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そしてそれから予防を見ていきますと8年

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11年後

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そして14年後

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そして

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16年後ということですね

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このように ios でまぁ院内完結型の

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システムで作られたもの

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流星と分散許可たガラスセラミックて協働

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的には大したことないんです曲げ強さで

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言うとまあ100名が pa いたしか

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ないのでエマー

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まあ今言われているのは本当に白くにあっ

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て線とかそれ以上のものもあったりするん

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ですけどもこのようにフィッティングで

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あったり言える長期のよ知性と言った

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ところでは院内完結型の cad 化の

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装置というのはもう言うまでもないわけ

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ですね

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そしてこの ios を活用したもうと

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いうのは様々な材料は出てまいりました

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ハイブリッドだったり pmma そして

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汁ポニーや審美的な要件を応用する汁粉に

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はですねはいトランスなジルコニア

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そして全額にわたる修復にも対応すること

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ができ

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スキャンボディを使うことによって

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インプラント補綴

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様々な補綴修復にこの ios が活用さ

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れるようになったこれが一般的な歯科医師

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に対するこの横転したり便秘スリ ios

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を活用したところになってまいりました

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ここまでは良いですとまぁ大した面白みも

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ないんですが

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じゃあ歯科衛生士はどうなのかということ

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で現在

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小池歯科医院ではこういったことを提唱し

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ておりますデジタルカウンセリングと

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デジタル多い時代オーラル廃人

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インストラクションですが狭義の意味での

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まあいる患者さんまあのブラッシング指導

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であったりまあそういったところで考えて

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いただくといいと思うんですが

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どういった定義づけをしているかと言う

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どうこのデジタル ohi 荒漠印象

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スキャナーですねああいう os もう

play09:24

これで得られるデジタルデータこれを用い

play09:27

てデジタル化されたあー口腔内情報を活用

play09:30

するということ

play09:32

ということで院内のスタッフこの定義つけ

play09:37

て現在吉久保を中心に超えて歯科医院では

play09:41

行った

play09:42

さて英国から歯科衛生士の活用について吉

play09:45

久保にバトンタッチしたいと思います

play09:49

皆さんこんばんは小池歯科医に地下衛生士

play09:52

吉久保典子と申します

play09:54

普段私氏が行なっている

play09:57

デジタルを使ったカウンセリング

play10:00

コミュニケーションについて今日は話をし

play10:02

ていきます今ズっているが名はフラー私が

play10:06

仕事をしている場所になりますた単個室の

play10:10

状態でプライムスキャンが後ろにに雷を

play10:13

釣っていますけれども後ろにも2つ衛生士

play10:16

ルームがありまして3人の衛生士で未来の

play10:20

クライムスキャンを譲り合いながら使って

play10:22

いる状態です

play10:27

当院の歯科衛生士は所全員が ios を

play10:30

扱える状態になっています円みんなで

play10:34

それぞれトレーニングをし合ってどういう

play10:36

タイミングで使うかっていうのをすべて

play10:38

共有してルールを決めて使っています

play10:45

もちろんその ios はもともとは歯科

play10:48

医師が来て釣っを制作するという目的の

play10:50

ために作られた機械ではありますけれども

play10:53

それだけではもったいない

play10:56

地下衛生士がこの綺麗な画面を使って患者

play11:00

さんとのコミュニケーションに十分使える

play11:02

んではないかということで当院ではん近石

play11:06

も地下衛生士も ios を十分に民商の

play11:10

中で使っています

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