Library　Data of Dr. Tsuneo Katayama

Although I noticed those questions when I must settle a thought early when I entered the dental profession school,
the dentistry, the medical education were already subdivided in those days.
And the subjects such as physiology, anatomy and so on were carried forward for a mere class and a pass of examination respectively.
However, we didn’t have the time that we had a class of "the philosophy of the medicine" to think about basic "medicine".

When class contents were gradually understood, I noticed that there was the big difference between the dental treatment that received until then and the contents of education of the school.

WhenI felt even like a heterogeneous thing without the connection really and perplexed to understand the reason that why this happened to, the answer obtained from the leader was that “bread of the life” existed in the difference between "study and the fact" , "ideal and reality".
Is the medical care good in this?

I was not able to forget that I feel whether oneself go ahead through this way again helplessly, and to have spent time autistic for a long time.
I graduated as there was not an opportunity of the discussion either, not to mention a lecture to consider "what the doctor was" "what the medical care was" "what the medicine was" thought to be the pivot of the medical education.

And when the authorization as the dentist is given and stood in the world as a clinician, and for deciding not having had confidence and the faith about these basic problems and form of establishment and the practice of the idea as the clinician, I continued very painful struggling and was going to bury an ideal and a real valley earnestly.
It is really regretted back that many patients and friends left because of my stubbornness.

However, I am proud of having carried through an effort secretly.

While talking about the above-mentioned matter・・・

The dentistry is one medical department and medicine is study of the illness treatment and is the prevention, and is the maintenance and increase of health.

The medicine is a technique at the same time as a theory.
Theory that a technique is not accompanied by, technique without theoretical proof, they are not medical care.
If a technique is not compatible with a theory, I cannot expect satisfactory medical care.
The doctor who left the medical care does not exist.
The point where you should be careful about here is to regard a human being as only a creature and to think about treatment of illness only by science is not enough.
This technique is different from the work of use conveniently, control and conquer the natural world for a human.

I spoke the thought for our days gone by and wrote the article of 15,000 characters about readiness of the rest of life.

In the bone called the alveolar bone, the tooth root is buried well, and the tooth stands.
And the alveolar bone in the gums gradually melts when bacteria get from the border of the gums and the tooth and deepen.
Even if the tooth itself is healthy, the tooth shakes and will fall out at last.

In many cases, it is hard to notice because I do not feel a pain until I become seriously ill.
However, the various symptoms should come out when they are conscious and observe it.

For example, please see color of gingiva.
Turn up the lower lip quietly without putting power.
The backside of lips should be light pinkness.
When color of gingiva is at the same level or it is lighter than the backside of lips, it is good, but it may be said that it is unhealthy when it is darker than the backside of lips or there are the light and shade.

In addition, it will be a warning when gingiva surrounding a tooth turns red in shade approximately 1mm or interdental gingiva is red remarkably.

Then at first it is pyorrhea if you are bleeding at the time of toothbrushing, and there is that a toothbrush turns red several times.
In addition, I think that it is result such as the pus to drain from the gums when breath gives off a unique unpleasant smell.
When there is not a cavity, and gingiva sometimes swells up and aches, it is almost certainly seriously ill.

Both the operation and the tooth extraction are no use

Most dentists have often pulled a tooth conventionally when they suffered from such a pyorrhea, or there is the dentist operating on the gingiva..
However, I deny an operation.
It is a mistake "not to be cured at least if not operated on".
This is because it is cured even if not operated on.
As well as it, I assert that I should not operate for pyorrhea from various points of view.
This is because an evil is bigger than the advantage by being operated on.

A condition is included in the word "to be cured if operated on" by all means.
It is a condition called "completely removing plaque by brushing every day".
If plaque is left, it recurs immediately.
The complete recovery operation without this condition exists nowhere.
For a patient, an operation is a great event.
Therefore the patient feels relieved saying "it should be cured because I had you perform great operations" and makes light of "a condition" and comes back to the former life.

Surely the lesion of the tooth root part disappeared temporarily after an operation, but, the cause did not disappear.
If a lifestyle including the toothbrushing is restored, it recurs easily and turns worse more than before.

Therefore I tried the therapy that "performed only management without being operated on".
This therapy was the original form of the natural good talent activation therapy (Physiotherapy) that I proposed today, but it was good in progress and since then confirmed, "I did not need the operation" in the clinical practice experience for 40 years sufficiently even if I did not operate.

If you do not let plaque accumulate, strengthen the gums and mind systemic health and return the blood supply to the gums normally, an etiology is removed and the nature healing power of the body revives a bone even little by little and strengthens a bone basically.

Removal of plaque and gingival training are an aim

If a patient changes life and does not devote myself to good self-care, the complete healing of pyorrhea is not possible.
It recurs by all means even if I take the swelling by a symptomatic treatment.
When subjective symptoms begin to appear though this progress of illness is late, swelling and pains are frequent at an increasing tempo, and the pus quantity that begins to leak increases and cannot chew.
And it is common that the tooth falls off in several months or several years.

When continue living life that a tooth falls out for pyorrhea, bone itself of the chin gets thinner by all means, and dentures are not correct, and, as a result, not to mention work, the pleasure of the meal and the chattering are robbed of, and there is even a patient causing personality collapse because of too much bad humor.

Whether we can save this tooth greatly depends how long "the motivation" of the patient is continued keeping.
I think that it is a duty and a skill of the dentists to keep the will of the patient
In the case of me, I recorded gingiva with a color photo and, talked about how a condition was improved in comparison with "the first medical examination" and "the present conditions" with a patient until now.

For complete cure of pyorrhea, it is essential to quits a bacterial follower primarily, and to make the gums with the resistance second
These two can be realized to a large extent by careful brushing.
The brushing serves as training gingiva not only to remove merely plaque, Do not forget this.

Then the toothpaste should prohibit it entirely.
Not only interfere of viewing whether a point of a brush is the place to aim at, or gingiva is damaged, but also root wears down with a toothpaste, and water soaks, and is because the next treatment often becomes difficult.
In addition, it lets blocking a patient from understanding taste and a smell of the bleeding, and there is the uneasiness of the health side for an additive, too.
A tooth turns black and dirty when I do not use a toothpaste, but it is patience for a while because a tooth whiten again when a patient continues polishing for several months.
Because removal of plaque and training are purposes, it is greatest meaning to continue.

Attentions in the everyday life

Primarily I want to expel sugar.
The sugar has an influence on not only the cavity but also pyorrhea more than expected.
The sugar makes plaque badness.

Second it is the examination of the eating habits, but I let a patient increase the number of times to chew and let a patient prepare for a shift to hard food
To that end, at first a patient should begin to chew a soft thing 50 times per one full mouth.
Saliva flows by chewing. A hormone in saliva helps the recovery of the bone. The blood circulation of the gums improves, too.

Third it is the improvement of the breathing method

The nerve in tooth (pulp), alveolar bone and periodontal membrane are supplied with nourishment and oxygen by blood, but the blood supply to the thin blood vessel around the tooth is apt to decrease.
Therefore, I want to gradually increase bloodstream.
To that end, jogging and cycling, swimming are good, but it is abdominal respiration vomiting air exhaustively that I can carry it out easily, and is very effective to the gums.

Fourth, the habit of grinding and the clenching will make an effort for a purulent discharge because it is very bad to check it.

And it may be important one more.
The health of the whole body greatly influences pyorrhea, too.

It is diabetes.
If blood sugar level is not controlled well, I cannot expect the purulent discharge recovery.
There is less influence than diabetes, but the arteriosclerosis is easy to disturb struggling with illness, too.
You will have to be careful about cholesterol and acylglycerol.

The stress is easy to influence a tooth, too.
Because originally a person with pyorrhea has weak gums, with stress, lack of sleep, fatigue, little unreasonableness, the gums turn worse immediately.

In addition, the point where you should be careful about is a lot, but there is not the specific medicine, "a purulent discharge recovers only in this" in the pivot.

I wait to be cured by oneself while helping a patient.
And, meanwhile, I bandage it to never re-infect it so that a pain does not become severe.
However, because bandage in itself does not function, I let the bandage which does not function to function, and it is a true purpose of the dental treatment that was cured by a bandage lasting a long time.

However, the cavity is not completely cured.
Ambroise Pare of the founder of the surgery tells you " I bandaged him and God healed him ".
The doctor can support a patient to cure, but it is power of a patient to really heal.
It is that a person understanding it clearly is a true doctor.

Let a patient notice by oneself

There are approximately 50 trillion cells in our body and they cooperate with each other and keep our health.
Bacteria more than twice the number of these cells live in a body together.
If there is the bacteria which do not harm a human being, and lives only by oneself, there is ones to harm.
Balance is kept while the symbiosis is in a state.
The balance collapses that is a human cell and bacterial symbiosis collapse, and only one improves and is ruined together.
The state is the present disease.
The adult diseases are all such a disease.

The organization is weak and narrows if we do not use a hand and the foot.
If we does not use the tooth, the tooth and the organization which supports a tooth weakens, and it will be natural to worsen.
They get worse at once if we eat without chewing the thing which should chew.

With a choice of right food, we eat definitely.
In other words, it means that we chew well and eat.

I think that it is a dentist to deserve to be a leader of such eating habits most, and we must contact in a manner "to have this person change for this person" with a sense of duty.
A doctor and a medical person do not tell a patient and contact so that drive them notice by oneself and, as a result, they notice by oneself and cures life.
I believe that it is the way of the true doctor.

On the other hand, without the intention that is going to educate such a person, social life itself may make a human being.
In other words, the influence by media so as politics, economy, custom, fashion, radio, TV, movie, newspaper and publication unexpectedly greatly has a strong influence on the modern society for the young people in particular as far as they live.

The education is the mental basic authority that is performed anytime wherever in the human, and this kind of education is named non-intentional education or non-formal education.

Actually, the non-intentional education is related to intentional education and gives plastic action to a human being.
Thus, while the person act and lives together , he is influenced unconsciously and is formed in some kind of directions.

In this social environment, there is the positive aspect to give big power for the human being formation, but, on the other hand, there is the obscene negative aspect of the anti-value so that cultural lag, a flood of the stimulation, the flooding of the defectiveness culture, social evil, pollution remain.
You must not forget this.

How the educational influence on child given by such a home or the workplace or environment is big, is shown by the allusion of Three moves by Mencius' mother.

　historical allusion　
Three moves by Mencius' mother；The importance of creating an environment conducive to a child's learning.

When Meng Ke, known later on as Mencius, was still a child, his mother and him lived near a graveyard. As Meng Ke played in the yard, what he imitated were all the rites of funerals. So his mother said:” This is not the right place for me and my son to live.” She moved to a house near a market. Then her son took pleasure in imitating the peddlers’ hawking and salesmen’s bargaining. Again the mother said:” This is not the place me and my son to live.” And she made another migration and housed themselves near a school. There her son behaved in the same polite manner as the teachers and students. The mother said:” Here we should live!” So they settled there. In the following years, Meng Ke acquired a wide range of knowledge, such as etiquette, music, archery, charioteer, reading, writing and arithmetic. When he grew up, he became one of the most famous scholars and representatives of Confucianism.