All language subtitles for [Japanese (auto-generated)] Dental Breakthroughs To Save Your Smile - Medical Frontiers [DownSub.com]
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[Music]
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eingspeakingsmiling
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ourtesupportthese
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simpleeveryday
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actionbutadisease
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cancreepupwithoutus
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evennoticing
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estimatedtoaffect
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morethanonebillion
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peopleworldwide
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periodontaldisease
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oftenshowingno
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symptomsinearlystag
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Gley[音楽]
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atrisk
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in[音楽]
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between
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oneanother.
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Peoplewiththe
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conditionare2.8
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timesmorelikelyto
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haveastroke.They're
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abouttwiceaslikely
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todevelopdiabet
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Japanese[音楽]resad
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groundaking
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innovation
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andregenerating[音楽]
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preserveandprotect
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ourte
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はい。
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最近は弱ってるのかなぐらいに思ってたんですけど。
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あんま痛くはないけどもこう晴れてちょっと産んでたんです。
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Butxraythat
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shouldbeenleaving
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darkareas.
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Thediseaseoccurs
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whenbacteriagather
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onthesurfaceofthe
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tee.
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Evenpeoplewhobrush
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theirteethoftenare
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saidtohavebetween
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100billionand200
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billionbacteriain
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theirmouths.
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[音楽]
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Ifyoudon'tcleanyour
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teeth,awhitish
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stickysubstance
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calledplsupontheir
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surface.
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PLhasbeenfoundtobe
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formedbythe[音楽]
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bacteriathemselves.
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It'sknownasbiilm
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[音楽]
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Onemajor
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characteristicof
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biilmisiltores[音楽]
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attsfromincluding
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drugsandells
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thisexperentshows
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howbiofilmgrowsover
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timeinenvironthat
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mimicstheinsideof
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themouth.
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Thegreenclustersare
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groupsofbacteriathe
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biil
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24[音楽]hourson
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experly
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touseinfationgspaal
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[音楽]
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pockets
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asthepocketsto
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deepenthegums[音楽]
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mayasignofgingus
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asgingusworsens
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toxins[音楽]released
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bytheperiodontal
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pathogensgradually
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destroythealveol
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bonethefoundation
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that[音楽]support
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[音楽]
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ble
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abouthalfofthebone
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hasbeendestroyed.
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Badbreathworsensand
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theteen[音楽]
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[音楽]asthegumsedand
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thetebecomemore
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unstablemorethan
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halfofthebonehas
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beenl
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atthisstagechewing
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becomes
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Pog[音楽]don'tjustatt
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thetissuearoundthe
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teerbloodvessel
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aroundthebody
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isbelieved[音楽]that
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diabetesstrokeand
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otherserescan
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throughthe
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primary
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hasworkwithsuff
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fromontal
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diseaseistreil
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inside
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今刺繍病の治療をしてもその刺繍病の信を
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止めてると思っていただいた方がいいん
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ですよ。最大のその原因であるその細菌が
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やはりその増えてったり内しはその細菌と
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抵抗力が減ったりということでやはり刺繍
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病が再発するというケースが多くなってき
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てます。
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Completeremoval
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becomesdifficult.
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[音楽]Thiscancauseit
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tospreadagain.
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Aresearchteaminthe
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UnitedStatesstudied
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300[音楽]patientswho
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hadcompleted
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periodaltreatment.
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Theyfoundthatover
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60%[音楽]needed
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treatmentagain
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later.
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Anotherstudyinthe
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UnitedKingdomshowed
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thatevenpawhoedlong
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caretreatabout25%
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[音楽]thedis
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aresearchteamat
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tookuunityreported
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ininternational
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journalthattheyhad
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developedanew
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treatmentthatkills
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biilmbacteriathe
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causeofperiodaldise
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[音楽]
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Theteamleader
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spyearsdeveloping
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[音楽]devicecanill
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biilm.
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Soprofessorcanyou
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explainthis
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incredible
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technologylooking
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andseeingthis
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incrediblyfineこの直径が
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ですね、大体先端で0.3mぐらいで
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ございます。
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[音楽]
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刺繍ポケットが深くなっていて、え、いう
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ところにですね、このデバイスのせ、金属
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のチップを中[音楽]に挿入してああげて
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、で、ここでスイッチを入れて、ま、
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スッチそうなんです。
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で、スタートさせてみますね。
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Thedeviceesliquid
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andbluelightintothe
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pocket.
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Thistreatmentissaid
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tokillbiilmbacteria
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hiing[音楽]deep
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beneaththegums.
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In2006
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[音楽]bytesting
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effectiveagainst
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バイオ自体をちょっとご説明させて
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いただきたいんですけど
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例えばお風呂のお水をですね、っぱなしにすると、え、壁がこうぬるぬるしてくれる。そう。あれがまさにバイオフィルムなんですね。じゃあ皆さんこのバイオフィルムをお風呂のぬるをどうやって掃除してますかってことを考えて欲しいんです。
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1
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つは一生懸命磨いてですね。そう、そうです。取る。
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もう1
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つは非常に高能濃度の薬剤で叩いてですね。そうです。そうです。そうそうです。
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この2つしか今やりがないんですね。です
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から、じゃあ磨いて取る。まさにこれが
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歯ブラシでですからバイオフィルム自体は
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ブラシやフロッシングそれから試観ブラシ
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によって除去は可能です。ただ薬剤も当然
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高濃度の薬剤を使えば叩くことはできるん
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ですけど、あのお風呂で使ってる薬剤を口
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の中でうがいできますかとなるととんでも
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ないことになってしまうわけでATIL
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[音楽]
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[音楽]howeffective
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eachonewas
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theexperimentused
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[音楽]
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about5mmindiamet
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[音楽]
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[音楽]
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bacteriaanill
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herearetheresults
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theverticalaxis
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showsthenumberof
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biofilmcoloniesand
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thehorizontalaxis
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showstimeamongthe
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threeantiseptics
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testedtheonethat
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reducedbiofilm
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coloniesthemost
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[音楽]
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H
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biilmhascounty[音楽]
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holeshydrogen
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peroxidecan
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throughill
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howeverhydrogen
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peroxidealsohada
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drawbackittookfour
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minutestokillthe
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bacteriainthebiofil
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じゃあ今度はこの加算化水槽に何か外からエネルギーを加えて、え、より殺菌力を高めてあげれば短時間でバイオフィの中が叩けるんじゃないかと言ってもう本当に様々なですね、あの外からかけるエネルギーを探しました。
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trialanderrorturned
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hisattentiontolight
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energy
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aroundusarexrays
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ultravoletrays[音楽]
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infraredraysandmany
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otherformsoflight
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energy
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[音楽]
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theycanchangethe
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propertiesof
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materials
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初めもうX線放射線かけてアクセルートし
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たらとか色々考えたんですけどなかなか口
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の中でそんなダンとやれないなという
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ところがあるので、この紫外線だとですね
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、ま、非常に効果的になのは分かってはい
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たんですけども、なかなか紫外線をここに
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当てるというのは難しいので、じゃあその
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1つ先のビジルライトというですね、目に
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入っても安全ですよっていう領域があり
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ます。
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[音楽]
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ener
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amongthesetypesblue
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lightwitha
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wavelengthof405
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nanomcaushydrogen
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peroxidetobreakdown
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creatinga[音楽]new
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substance
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thatsubstancewasthe
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hydroxrad
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Hal[音楽]ricaloDNA
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bactro
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itimmedi
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[音楽]buttheyonlyex
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forabriefmoment
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aboutmillionofa
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second[音楽]before
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theyreactand
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by[音楽]applyingblue
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lighttohydrogenpero
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theteam
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discoveredancethat
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[音楽]
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Thismicroscopic
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image[音楽]shows
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bacteriainabiofilm.
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Thegreenglow
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indicatestheones
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thatare
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whenonlyhdgenperois
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inredareas
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indicating
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stand
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[音楽]
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deareweriledand
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bacteria
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butwhenhydrogen
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peroxedandbluelight
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wasonitthewhole
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bioilmturnedred
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showingthatnearly
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allthebacteriawere
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destroyed
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evenfromthesideit
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wasallredthenumber
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ofbacter
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[音楽]
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Hper
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minut
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[音楽]
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in
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thetookuunity[音楽]
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teaminicalud
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on142te
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[音楽]
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Herearetheresults.
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00:14:42,079 --> 00:14:42,880
Withconventional
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00:14:42,880 --> 00:14:43,720
treatment,
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00:14:43,720 --> 00:14:44,839
periodontalpockets
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00:14:44,839 --> 00:14:46,160
thatmeasuredabout7
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00:14:46,160 --> 00:14:47,839
mmremaineddeeper
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00:14:47,839 --> 00:14:50,040
than5mmevenafter12
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00:14:50,040 --> 00:14:51,839
weeks.Butwhenthe
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00:14:51,839 --> 00:14:53,079
device[音楽]wasused,
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00:14:53,079 --> 00:14:54,079
thepocketsbecame
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shallowerthan5mmin
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00:14:56,079 --> 00:14:57,920
justweeksandstayed
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00:14:57,920 --> 00:15:00,800
thatway12
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00:15:06,000 --> 00:15:08,550
Japan[音楽]
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00:15:16,120 --> 00:15:19,000
臨床ではなかなかやっぱりそのままその
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00:15:19,000 --> 00:15:21,639
小令数が[音楽]少ないのでなのでその
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00:15:21,639 --> 00:15:24,279
辺りちょっとこうあのやっていてま正直
317
00:15:24,279 --> 00:15:27,120
申し上げて8割ぐらいの方はなんか閉まっ
318
00:15:27,120 --> 00:15:28,360
た感じがするっていう[音楽]の
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00:15:28,360 --> 00:15:29,360
ま、本当に1
320
00:15:29,360 --> 00:15:32,360
年間の間で多いです。はい。やっぱり神田さんからのそういう反応が来るとすごくやっぱりね、嬉しいです。嬉しいしやっぱりあ、それって必要だなと思いますね。はい。
321
00:15:41,245 --> 00:15:43,265
[音楽]
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University[音楽]of
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Gothenbank
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00:15:49,680 --> 00:15:51,079
researchersare[音楽]
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00:15:51,079 --> 00:15:52,160
deviceforcavity
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00:15:52,160 --> 00:15:54,399
treatment.
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00:15:54,399 --> 00:15:55,399
SowhenIheardabout
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00:15:55,399 --> 00:15:57,040
thisandthatwenow
329
00:15:57,040 --> 00:15:57,959
haveanothertool,
330
00:15:57,959 --> 00:15:59,639
anotherpossibility
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00:15:59,639 --> 00:16:00,600
forakindof
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00:16:00,600 --> 00:16:01,440
antimicrobal
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00:16:01,440 --> 00:16:02,600
treatmentwherewecan
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00:16:02,600 --> 00:16:04,759
treatorworkwitha
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00:16:04,759 --> 00:16:06,000
biofilminadifferent
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00:16:06,000 --> 00:16:07,959
waythatsoundedvery
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00:16:07,959 --> 00:16:10,120
verypromising.Andof
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00:16:10,120 --> 00:16:11,600
coursethisisjustone
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00:16:11,600 --> 00:16:12,639
areawherethis
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00:16:12,639 --> 00:16:15,480
techniquecouldbe
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00:16:17,680 --> 00:16:20,680
operation
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00:16:22,839 --> 00:16:24,120
mayalsohavethe
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00:16:24,120 --> 00:16:26,759
possibilitytoadd
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00:16:26,759 --> 00:16:28,279
technology
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00:16:28,279 --> 00:16:29,000
treatmentofthe
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00:16:29,000 --> 00:16:30,880
actualcavitybefore
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00:16:30,880 --> 00:16:31,800
sealingwiththe
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00:16:31,800 --> 00:16:33,279
restorationfilling
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00:16:33,279 --> 00:16:34,040
maybesmall
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00:16:34,040 --> 00:16:34,639
differences
351
00:16:34,639 --> 00:16:36,160
sometimes
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00:16:36,160 --> 00:16:36,880
frompatient
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00:16:36,880 --> 00:16:38,160
perspectivebutalso
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00:16:38,160 --> 00:16:39,480
fromyouknowhowwe
355
00:16:39,480 --> 00:16:40,880
workintheclinic
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00:16:40,880 --> 00:16:41,639
clinicallyin
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00:16:41,639 --> 00:16:42,519
differentcountries
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00:16:42,519 --> 00:16:44,680
it's
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00:16:46,639 --> 00:16:48,440
aspectsregardless
360
00:16:48,440 --> 00:16:52,199
wheretheworldweare.
361
00:16:52,399 --> 00:16:53,759
Canweusethisto
362
00:16:53,759 --> 00:16:55,959
preventfuture
363
00:16:55,959 --> 00:16:56,920
disease?Forexample,
364
00:16:56,920 --> 00:16:59,000
canwedothewholeto
365
00:16:59,000 --> 00:17:01,240
preventure?
366
00:17:01,240 --> 00:17:03,440
もちろん、あの、全額をですね、ま、治療
367
00:17:03,440 --> 00:17:05,959
することによって、予防は可能だと思い
368
00:17:05,959 --> 00:17:08,880
ます。で、通常の視界衛生資産が予防で
369
00:17:08,880 --> 00:17:12,439
使ってるような器具の中で、え、やる治療
370
00:17:12,439 --> 00:17:14,600
でございますから、まあ、意思がですね、
371
00:17:14,600 --> 00:17:15,799
なんか手術をするとかそういうことでは
372
00:17:15,799 --> 00:17:18,079
ございません。しかSS資産がやっている
373
00:17:18,079 --> 00:17:20,280
、ま、治療の
374
00:17:20,280 --> 00:17:22,120
器具をこれに交換していただければいい
375
00:17:22,120 --> 00:17:25,160
だけでございますから、え、ストレスの
376
00:17:25,160 --> 00:17:30,079
ない治療になってるかなと思ってます。
377
00:17:45,480 --> 00:17:47,007
However,
378
00:17:47,007 --> 00:17:47,679
[音楽]
379
00:17:47,679 --> 00:17:49,200
andhisresearchteam
380
00:17:49,200 --> 00:17:50,799
publishedanew
381
00:17:50,799 --> 00:17:51,440
international
382
00:17:51,440 --> 00:17:54,960
journalin
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00:17:58,840 --> 00:17:59,960
theyreportedthatfor
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00:17:59,960 --> 00:18:00,960
thefirsttimeinthe
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00:18:00,960 --> 00:18:02,360
worldatreatment
386
00:18:02,360 --> 00:18:03,640
usingcellsfromfat
387
00:18:03,640 --> 00:18:05,159
tissuesuccessfully
388
00:18:05,159 --> 00:18:07,367
regener[音楽]
389
00:18:21,200 --> 00:18:24,200
奥島
390
00:18:27,600 --> 00:18:30,600
急になんか物が噛めないぐらいの痛みでその痛いところが分からないほどま全部だと思ったんですね。
391
00:18:34,600 --> 00:18:37,600
全部だったんだろうけど、だからこれは全部歯を抜かなきゃいけないんじゃないかなと。
392
00:18:40,320 --> 00:18:43,320
ものすごく恐怖になって
393
00:18:47,268 --> 00:18:49,288
[音楽]
394
00:18:54,320 --> 00:18:57,320
are
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00:18:59,713 --> 00:19:02,760
[音楽]g
396
00:19:03,720 --> 00:19:06,720
exped
397
00:19:11,503 --> 00:19:12,880
[音楽]
398
00:19:12,880 --> 00:19:17,559
torestoregand
399
00:19:18,559 --> 00:19:21,383
stell[音楽]
400
00:19:23,280 --> 00:19:25,320
oneistransformmusle
401
00:19:25,320 --> 00:19:27,760
nblboneandotherkind
402
00:19:27,760 --> 00:19:30,000
of
403
00:19:36,600 --> 00:19:38,159
istheiltoencourage
404
00:19:38,159 --> 00:19:42,080
adjacentellsto
405
00:19:44,559 --> 00:19:45,280
thetreatment[音楽]
406
00:19:45,280 --> 00:19:46,919
usesstemcellstaken
407
00:19:46,919 --> 00:19:48,360
fromthepaabdominal
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00:19:48,360 --> 00:19:51,360
fat
409
00:19:51,840 --> 00:19:53,280
becauseabdominalfat
410
00:19:53,280 --> 00:19:54,400
containsmanystem
411
00:19:54,400 --> 00:19:55,400
cellsandthe
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00:19:55,400 --> 00:19:56,520
procedureputslittle
413
00:19:56,520 --> 00:19:59,159
strainonthe
414
00:20:05,520 --> 00:20:07,360
STSareculturedfor
415
00:20:07,360 --> 00:20:11,520
abouttoweeks.
416
00:20:11,760 --> 00:20:12,919
Theculturedmassof
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00:20:12,919 --> 00:20:14,200
stemcellsisplaced
418
00:20:14,200 --> 00:20:15,280
intotheareawhere
419
00:20:15,280 --> 00:20:16,760
tissuewaslost
420
00:20:16,760 --> 00:20:17,760
togetherwithabone
421
00:20:17,760 --> 00:20:19,000
graftmaterialthat
422
00:20:19,000 --> 00:20:22,640
servesasascaffold.
423
00:20:22,799 --> 00:20:23,880
Thestemcellsthen
424
00:20:23,880 --> 00:20:25,200
attachtothetissue
425
00:20:25,200 --> 00:20:25,919
andbeginthe
426
00:20:25,919 --> 00:20:26,640
regeneration[音楽]
427
00:20:26,640 --> 00:20:28,799
process
428
00:20:34,720 --> 00:20:36,760
G[音楽]24weeksafter
429
00:20:36,760 --> 00:20:37,600
thestemcell
430
00:20:37,600 --> 00:20:39,159
transplant.
431
00:20:39,159 --> 00:20:40,039
Comparedwithbefore
432
00:20:40,039 --> 00:20:41,520
theprocedurethegap
433
00:20:41,520 --> 00:20:42,720
inthegumsbecome
434
00:20:42,720 --> 00:20:44,320
smallershowingsigns
435
00:20:44,320 --> 00:20:47,520
ofregeneration.
436
00:20:48,240 --> 00:20:50,039
Thesexrayimagesshow
437
00:20:50,039 --> 00:20:51,080
thebonesupporting
438
00:20:51,080 --> 00:20:53,360
theteeth.
439
00:20:53,360 --> 00:20:54,520
Thecircledarea
440
00:20:54,520 --> 00:20:55,960
appearswithanbefore
441
00:20:55,960 --> 00:20:58,320
treatment
442
00:21:06,320 --> 00:21:06,720
はい。
443
00:21:06,720 --> 00:21:09,720
あの、いい感じにの色はしてるかなっていうところで結果も良かなって思います。
444
00:21:12,640 --> 00:21:15,640
神が今日まずまず頑張っていただけてるかなと思いますんで、その状態継続して
445
00:21:17,559 --> 00:21:19,640
いいかな。
446
00:21:19,640 --> 00:21:22,640
私も先生のあのご縁ができてが変わった。
447
00:21:26,434 --> 00:21:28,454
[笑い]
448
00:21:28,640 --> 00:21:31,640
歯医者料理につきますね。
449
00:21:34,949 --> 00:21:36,969
[音楽]
450
00:21:40,190 --> 00:21:42,210
[音楽]
451
00:21:46,085 --> 00:21:46,799
[音楽]
452
00:21:46,799 --> 00:21:48,679
shows
453
00:21:48,679 --> 00:21:50,120
theverticalaxis
454
00:21:50,120 --> 00:21:51,279
represthepercentage
455
00:21:51,279 --> 00:21:53,039
ofregeneratedbone
456
00:21:53,039 --> 00:21:53,960
andthehorizontal
457
00:21:53,960 --> 00:21:57,240
axisshowstime
458
00:21:57,240 --> 00:21:58,799
all12pashowed
459
00:21:58,799 --> 00:21:59,679
regenerationof
460
00:21:59,679 --> 00:22:02,440
period[音楽]tis
461
00:22:02,440 --> 00:22:04,120
monthelbone
462
00:22:04,120 --> 00:22:08,279
regeneratedbyageof
463
00:22:10,600 --> 00:22:13,640
inJapanmin[音楽]appr
464
00:22:13,640 --> 00:22:15,679
theprocedanmedical
465
00:22:15,679 --> 00:22:18,679
treat
466
00:22:19,490 --> 00:22:23,520
[音楽]teamthe
467
00:22:27,840 --> 00:22:31,960
arenoweff[音楽]
468
00:22:31,960 --> 00:22:35,440
couldnottreen
469
00:22:37,640 --> 00:22:40,520
30例という患者さん3省少例数ですね。
470
00:22:40,520 --> 00:22:43,360
これも統計学的な処理によって選出された
471
00:22:43,360 --> 00:22:46,000
ものですので、その中でどういった患者
472
00:22:46,000 --> 00:22:49,240
さんに適した治療なのかということを
473
00:22:49,240 --> 00:22:52,559
しっかりと判断していく。加えてその有効
474
00:22:52,559 --> 00:22:55,640
性というものも紳摯に評価していくという
475
00:22:55,640 --> 00:22:58,400
ことが今私たちが求められている課題だと
476
00:22:58,400 --> 00:23:02,000
考えています。
477
00:23:08,480 --> 00:23:10,760
Todaylearntipstopr
478
00:23:10,760 --> 00:23:12,720
thebuildupofbiilm
479
00:23:12,720 --> 00:23:15,720
can
480
00:23:16,799 --> 00:23:18,760
effid
481
00:23:18,760 --> 00:23:22,799
our[音楽]brush
482
00:23:22,880 --> 00:23:25,240
forexforsomepeople
483
00:23:25,240 --> 00:23:30,200
howbrushsomepeople
484
00:23:30,720 --> 00:23:33,559
howbrushproperlyその
485
00:23:33,559 --> 00:23:35,240
よく
486
00:23:35,240 --> 00:23:37,960
歯ブラシだけで、まぜ全ての歯を磨いて
487
00:23:37,960 --> 00:23:40,640
ですね、あの航空ケアが終わったって方
488
00:23:40,640 --> 00:23:43,400
いらっしゃるけど実はそれ、え、半分で
489
00:23:43,400 --> 00:23:46,080
ございまして効果的なのは例えばこの奥場
490
00:23:46,080 --> 00:23:48,799
を磨くとなると、ま、歯ブラシ届くところ
491
00:23:48,799 --> 00:23:53,039
はこの表とですね、この裏側、この2箇所
492
00:23:53,039 --> 00:23:55,000
だけなんです。で、僕らよく4
493
00:23:55,000 --> 00:23:58,000
面磨きって言っているんですけど、ushental
494
00:24:01,016 --> 00:24:03,036
[音楽]
495
00:24:08,221 --> 00:24:10,241
[音楽]
496
00:24:15,426 --> 00:24:17,880
[音楽]is
497
00:24:21,976 --> 00:24:23,996
[音楽]
498
00:24:27,880 --> 00:24:30,880
こちらに向かってこの鳩と鼻の間で上下させるということ。ただ
499
00:24:33,120 --> 00:24:34,960
Idolikea
500
00:24:34,960 --> 00:24:37,960
そうなんですね。大事なのはやっぱりこうではなくこういう動きです。
501
00:24:41,480 --> 00:24:44,480
おらくこれだと同じところがもうずっとそのままになってしまうのでokesental
502
00:24:46,867 --> 00:24:48,887
[音楽]
503
00:24:54,727 --> 00:24:56,747
[音楽]
504
00:25:01,932 --> 00:25:03,952
[音楽]
505
00:25:05,159 --> 00:25:07,840
brush
506
00:25:11,640 --> 00:25:14,640
back、あの、これはですね、虫歯がお口の中にたくさんいる方と虫歯金がですね、それから刺繍病金がたくさんいる方でちょっと対応が違うんですね。
507
00:25:35,760 --> 00:25:38,760
で、虫歯の金っていうのは皆さんが食事する中の糖質が大好きですから。ですからエリカさんが食事をするイコールですね、虫歯金に餌を与えてるのと一緒なんです。
508
00:25:48,437 --> 00:25:50,457
[音楽]
509
00:25:58,917 --> 00:26:00,640
[音楽]
510
00:26:00,640 --> 00:26:03,640
reg
511
00:26:05,919 --> 00:26:06,960
1度[音楽]取り去るとですね、
512
00:26:06,960 --> 00:26:09,320
バイオフィル約1日ぐらいでまた成熟し
513
00:26:09,320 --> 00:26:11,320
始めるんですね。ですから、ま、少なく
514
00:26:11,320 --> 00:26:14,520
とも1日1回は綺麗に磨く時間をどっかで
515
00:26:14,520 --> 00:26:16,360
取っ[音楽]ていただくっていうことが
516
00:26:16,360 --> 00:26:18,600
まずこの大事なリズムになるんじゃないか
517
00:26:18,600 --> 00:26:20,640
なと思ってます。
518
00:26:20,640 --> 00:26:23,640
いや、一般的に言われてんのは、ま、
519
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3
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ヶ月、ま、一般の人が口を磨いてですね、バイオフィルムを取り去った時のパーセンテージ、それが大体全体の、え、
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[音楽]
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7割8
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割ぐらい取れてれば、ま、十分ですよというデータがたくさんあります。あとは残りの
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2
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割は歯医者さんに行って期的に取っていただくというのが、あの、本当人生の過ごし方として大事な、こうじゃないかなと思っております。
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[音楽]
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[音楽]
529
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regんそうです。
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[笑い]
531
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ありがとうございました。ありがとうございます。
532
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ありがとうございます。
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Periodontaldisease
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doesn'tjustbecome
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severeovernight.It
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developsgradually
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andoftenwithout
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symptoms.[音楽]And
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that'swhyconsistent
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dailycarebeforetoo
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lateisabsolutely
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essential.
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Andawarenessisour
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firstlineofdefense
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[音楽]safegardingnot
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justourteethbutour
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overallhealthfor
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yearstocom
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お
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[音楽]32900
