{"created":"2024-02-13T05:22:45.747660+00:00","id":2001183,"links":{},"metadata":{"_buckets":{"deposit":"f4de04f2-19df-41c7-9d64-0ebfa00937ff"},"_deposit":{"created_by":4,"id":"2001183","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2001183"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:02001183","sets":["432:1291:1292:1707786791908","453:456"]},"author_link":[],"item_1627361970403":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"96","bibliographicPageStart":"91","bibliographicVolumeNumber":"48","bibliographic_titles":[{"bibliographic_title":"新潟歯学会雑誌","bibliographic_titleLang":"ja"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Bisphosphonate (BP) related osteonecrosis of the jaw (BRONJ) has become widely known, but there are few reports of orthognathic surgery for jaw deformity receiving BP. We report a case of jaw deformity taking oral BP treated by orthognathic surgery. A 16-year-old man visited our department with the complaint of abnormal occlusion. He was diagnosed as having mandibular protrusion, and orthognathic surgery was planned. However, he was diagnosed multiple sclerosis at the end of presurgical orthodontic treatment, so oral steroids therapy was started and oral BP was began for prevention of glucocorticoid-induced osteoporosis. The symptom of multiple sclerosis did not appear by the therapy, and the steroids were reduced in dose. At 19 years of age, orthognathic surgery was performed by Le Fort I osteotomy and sagittal splitting ramus osteotomy after discontinuance of BP for 6 months. The bone-fixed plates were removed 9 months later and then BP was restarted. During the perioperative period, care was given to avoid infection, and BRONJ did not occur. He has been followed up for 2 years after orthognathic surgery, and no abnormality has been observed.","subitem_description_language":"en","subitem_description_type":"Abstract"},{"subitem_description":"ビスフォスフォネート(BP)製剤関連顎骨壊死(BRONJ)は広く認知されるようになってきたが，BPの投与を受ける患者に対して顎矯正手術を行った報告は少ない。今回われわれは，BPを内服する患者に対して顎矯正手術を行ったので報告する。患者は16歳男性で不正咬合を主訴に当科を受診した。骨格性下顎前突症の診断となり，顎矯正手術を計画したが，術前矯正治療終了後に多発性硬化症の診断に至り，ステロイドの内服治療が開始され，ステロイド性骨粗鬆症の予防のためにBPの内服も開始された。治療により多発性硬化症の症状の出現はなく，ステロイドは減量されていった。19歳時に，BPを6か月間休薬し，Le Fort I型骨切り術と下顎枝矢状分割法による顎矯正手術を行って，9か月後にプレート除去を行い，BPを再開した。周術期は感染に留意し，BRONJの発症はなかった。顎矯正手術後2年が経過した現在も経過観察中であるが，異常経過は認めていない。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟歯学会","subitem_publisher_language":"ja"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0385-0153","subitem_source_identifier_type":"PISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"池田, 順行","creatorNameLang":"ja"},{"creatorName":"Ikeda, Nobuyuki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"小野, 和宏","creatorNameLang":"ja"},{"creatorName":"Ono, Kazuhiro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"阿部, 裕子","creatorNameLang":"ja"},{"creatorName":"Abe, Yuko","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"丹原, 惇","creatorNameLang":"ja"},{"creatorName":"Nihara, Jun","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"齋藤, 功","creatorNameLang":"ja"},{"creatorName":"Saito, Isao","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"高木, 律男","creatorNameLang":"ja"},{"creatorName":"Takagai, Ritsuo","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-02-13"}],"displaytype":"detail","filename":"48(2)_91-96.pdf","filesize":[{"value":"527KB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://niigata-u.repo.nii.ac.jp/record/2001183/files/48(2)_91-96.pdf"},"version_id":"d9b40f50-e328-41b6-af07-38fb0e1385fb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"orthognathic surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"顎矯正手術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"bisphosphonates","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ビスフォスフォネート","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"jaw deformity","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"顎変形症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"顎矯正手術を行ったビスフォスフォネートを内服する顎変形症の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"顎矯正手術を行ったビスフォスフォネートを内服する顎変形症の1例","subitem_title_language":"ja"},{"subitem_title":"A case of jaw deformity taking oral bisphosphonate treated by orthognathic surgery","subitem_title_language":"en"}]},"item_type_id":"7","owner":"4","path":["456","1707786791908"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-02-13"},"publish_date":"2024-02-13","publish_status":"0","recid":"2001183","relation_version_is_last":true,"title":["顎矯正手術を行ったビスフォスフォネートを内服する顎変形症の1例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-02-13T05:22:54.519475+00:00"}