{"id":1085,"date":"2021-12-25T00:00:43","date_gmt":"2021-12-24T15:00:43","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=1085"},"modified":"2022-04-02T11:12:49","modified_gmt":"2022-04-02T02:12:49","slug":"1085","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=1085","title":{"rendered":"\u5927\u304d\u306a\u6839\u5c16\u75c5\u5909\u6d88\u5931\u301c#19 RCT\u5f8c\u7d044\u5e74\u7d4c\u904e"},"content":{"rendered":"\r\n

\u7d4c\u904e\u89b3\u5bdf\u51e6\u7f6e\u3002<\/p>\r\n\r\n\r\n\r\n

\u60a3\u8005\u306f30\u4ee3\u7537\u6027\u3002<\/p>\r\n\r\n\r\n\r\n

\u535a\u591a\u99c5\u6771\u306e\u307e\u3064\u3046\u3089\u6b6f\u79d1\u533b\u9662\u3067\u6cbb\u7642\u3057\u3066\u3044\u305f\u60a3\u8005\u3055\u3093\u3060\u3002<\/p>\r\n\r\n\r\n\r\n

\u4e3b\u8a34\u306f\u3069\u306e\u6b6f\u79d1\u533b\u9662\u306b\u884c\u3063\u3066\u3082\u5de6\u4e0b\u306e\u5965\u6b6f\u306f\u629c\u6b6f\u3060\u3068\u8a00\u308f\u308c\u308b\u3001\u6b8b\u3057\u305f\u3044\u306e\u3060\u304c\u2026\u3068\u3044\u3046\u3082\u306e\u3067\u3042\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u8853\u524d\u306e\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

#18 Cold+3\/4, Perc.(-), Palp.(-), BT(-),Perio probe(WNL), Mobility(WNL)<\/p>\r\n\r\n\r\n\r\n

#19 Cold NR, Perc.(-), Palp.(-), BT(-),Perio probe(WNL), Mobility(WNL)<\/p>\r\n\r\n\r\n\r\n

#20 Cold+2\/3, Perc.(-), Palp.(-), BT(-),Perio probe(WNL), Mobility(WNL)<\/p>\r\n\r\n\r\n\r\n

PA\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\"\"<\/figure>\r\n\r\n\r\n\r\n
\"\"<\/figure>\r\n\r\n\r\n\r\n

PA\u306f\u53e3\u8154\u5e95\u306b\u75db\u307f\u304c\u3042\u308b\u306e\u3067\u6839\u5c16\u307e\u3067\u304d\u3061\u3093\u3068\u64ae\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

#19\u306e\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

Pulp Dx: Previously initiated therapy<\/p>\r\n\r\n\r\n\r\n

Periapical Dx: Asymptomatic apical periodontitis<\/p>\r\n\r\n\r\n\r\n

Recommended TX: RCT<\/p>\r\n\r\n\r\n\r\n

Prognosis: Good<\/p>\r\n\r\n\r\n\r\n

\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

Prognosis\u304cGood??<\/p>\r\n\r\n\r\n\r\n

\u3053\u3093\u306a\u306b\u6839\u5c16\u75c5\u5909\u304c\u5927\u304d\u3044\u306e\u306b\u5618\u3092\u3064\u304f\u3093\u3058\u3083\u306d\u3048\uff01\u3068\u3044\u3046\u6b6f\u79d1\u533b\u5e2b\u306e\u58f0\u304c\u805e\u3053\u3048\u3066\u884c\u304d\u305d\u3046\u3060\u304c\u4e88\u5f8c\u306fGood\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u307f\u306a\u3055\u3093\u304c\u78ba\u5b9f\u306b\u899a\u3048\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u8ad6\u6587\u304c\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

1990\u5e74\u306eSjogren\u306e\u6b6f\u5185\u7642\u6cd5\u306e\u4e88\u5f8c\u306b\u95a2\u3059\u308b\u8ad6\u6587<\/a>\u3092\u7d39\u4ecb\u3057\u3088\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

\u6b6f\u79d1\u5927\u5b66\u751f\u306b300\u4eba\u4ee5\u4e0a\u306e\u60a3\u8005\u3092\u6cbb\u7642\u3055\u305b\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u306e\u4e2d\u3067\u6b6f\u79d1\u5927\u5b66\u751f\u304c\u6839\u7ba1\u6cbb\u7642\u3092\u3057\u3066\u3044\u308b\u304c\u3001\u3069\u308c\u304f\u3089\u3044\u306e\u60a3\u8005\u3055\u3093\u304c\u6cbb\u7652\u3057\u3066\u3044\u308b\u3060\u308d\u3046\u304b\uff1f\uff0810\u5e74\u4e88\u5f8c\uff09<\/p>\r\n\r\n\r\n\r\n

\"\"<\/figure>\r\n\r\n\r\n\r\n

86%\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u304a\u3088\u305d90%\u306e\u60a3\u8005\u3055\u3093\u304c\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u3046\u3068\u6cbb\u7652\u3059\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u3057\u304b\u3057\u3001\u5927\u304d\u306a\u75c5\u5909\u304c\u3042\u308c\u3070\u7121\u7406\u3067\u3057\u3087\u3046\uff1f\u3068\u3044\u3046\u30c4\u30c3\u30b3\u30df\u306b\u306f\u3042\u306a\u305f\u306f\u3069\u3046\u7b54\u3048\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\r\n\r\n\r\n\r\n

\u305d\u306e\u7b54\u3048\u3082\u3053\u306e\u8ad6\u6587\u306b\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\"\"<\/figure>\r\n\r\n\r\n\r\n

\u6839\u5c16\u75c5\u5909\u306e\u30b5\u30a4\u30ba\u304c<\/p>\r\n\r\n\r\n\r\n

5mm\u2266\u3067\u308287%\u306e\u6b6f\u304chealed\u3057\u3066\u3044\u308b\u3002\uff08\u6839\u5c16\u75c5\u5909\u304c\u306a\u304f\u306a\u3063\u3066\u3044\u308b\uff09<\/p>\r\n\r\n\r\n\r\n

5mm>\u3067\u308283%\u306e\u6b6f\u304chealed\u3057\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u6839\u5c16\u75c5\u5909\u306e\u5927\u304d\u3055\u304c\u305f\u3068\u3048\u5927\u304d\u304f\u3066\u3082\u3001\u6839\u7ba1\u6cbb\u7642\u304c\u304d\u3061\u3093\u3068\u3067\u304d\u308b\u306e\u3067\u3042\u308c\u3070\u6839\u5c16\u75c5\u5909\u306f\u6cbb\u308b\u3068\u3044\u3046\u4e8b\u5b9f\u304c\u3053\u3053\u306b\u8a18\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u3042\u306a\u305f\u306f\u3053\u306e\u8a00\u8449\u3092\u4fe1\u7528\u3067\u304d\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\r\n\r\n\r\n\r\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u60a3\u8005\u3055\u3093\u304c\u3053\u306e\u8ad6\u6587\u306e\u7d50\u679c\u306b\u3061\u3087\u3046\u3069\u5408\u81f4\u3057\u305f\u306e\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u6839\u7ba1\u6cbb\u7642\u306f1\u56de\u3067\u7d42\u4e86\u3057\u305f\u3002\uff082018.6.12)<\/p>\r\n\r\n\r\n\r\n

\"\"<\/figure>\r\n\r\n\r\n\r\n

\u5b9f\u306f\u3053\u306e\u60a3\u8005\u3055\u3093\u306e\u8fd1\u5fc3\u6839\u306f3\u6839\u7ba1\u3067\u3042\u3063\u305f\u3002\uff082019.2.15. \u5012\u308c\u308b\u524d\u6700\u5f8c\u306e\u30ea\u30b3\u30fc\u30eb\uff09<\/p>\r\n\r\n\r\n\r\n

\"\"<\/figure>\r\n\r\n\r\n\r\n
\"\"<\/figure>\r\n\r\n\r\n\r\n

\u4e0b\u984e\u306e\u5927\u81fc\u6b6f\u304c3\u6839\u7ba1\u3067\u3042\u308b\u53ef\u80fd\u6027\u306f\u3069\u308c\u304f\u3089\u3044\u3060\u308d\u3046\u304b\uff1f<\/p>\r\n\r\n\r\n\r\n

Azim 2015\u306e\u8ad6\u6587<\/a>\u306b\u3088\u308c\u3070\u3001<\/p>\r\n\r\n\r\n\r\n

\u5168\u5927\u81fc\u6b6f\u306e15%\u306bMM\u306f\u3042\u308b\u3068\u3044\u3046\u3002<\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

\u30ad\u30e3\u30c3\u30c1\u30e3\u30fc\u306e\u6253\u7387\u304f\u3089\u3044\u3060\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u306e\u4e2d\u3067\u3001<\/p>\r\n\r\n\r\n\r\n

MM \u5b8c\u5168\u72ec\u7acb 10%\u3000<\/p>\r\n\r\n\r\n\r\n

MM\u306ffin\u3068\u3057\u3066\u5b58\u5728\u3001\u305d\u308c\u304c\u6839\u5c16\u307e\u3067\u7d9a\u304f\u300010%<\/p>\r\n\r\n\r\n\r\n

MM\u3042\u308b\u304c\u3001MB\u304bML\u3082\u3057\u304f\u306fMB,ML,MM\u304c\uff11\u3064\u306b\u5408\u6d41 \u00a0 80%<\/p>\r\n\r\n\r\n\r\n

\u3060\u3068\u3044\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

\u3064\u307e\u308a\u307b\u3068\u3093\u3069\u306e\u5834\u5408\u96a3\u63a5\u6839\u7ba1\u3068\u5408\u6d41\u3059\u308b\u306e\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\"\"<\/figure>\r\n\r\n\r\n\r\n

\u305d\u3057\u3066\u3053\u306e\u75c7\u4f8b\u306f\u4e0a\u8a18\u30b9\u30e9\u30a4\u30c9\u306e\u3069\u308c\u306b\u8a72\u5f53\u3059\u308b\u304b\uff1f\u308f\u304b\u3063\u305f\u3060\u308d\u3046\u304b\uff1f<\/p>\r\n\r\n\r\n\r\n

\u3055\u3066\u3053\u306ePA\u3092\u64ae\u5f71\u3057\u305f\u306e\u304c2019.2.15\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u79c1\u306f\u3053\u306e1\u30f6\u6708\u5f8c\u306b\u8133\u51fa\u8840\u3067\u5012\u308c\u610f\u8b58\u3092\u5931\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n\r\n\r\n

\u3057\u304b\u3057\u3001\u65b0\u3057\u304f\u958b\u9662\u3057\u305f\u6b6f\u79d1\u533b\u9662\u3067\u518d\u3073\u4f1a\u3046\u3053\u3068\u304c\u3067\u304d\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u4e45\u3005\u306b\u304a\u4f1a\u3044\u3057\u305f\u304c\u5168\u304f\u3069\u3046\u3082\u306a\u3044\u3068\u3044\u3046\u3002<\/p>\r\n

\u6cbb\u7642\u304b\u30893\u5e74\u534a\u7d4c\u904e\u3057\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

PA\u3092\u64ae\u5f71\u3057\u305f\u3002(2021.12.8)<\/p>\r\n\r\n\r\n\r\n

\"\"<\/figure>\r\n\r\n\r\n\r\n

\u6839\u5c16\u75c5\u5909\u306f\u6d88\u3048\u3066\u7121\u304f\u306a\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

Sjogren 1990\u306e\u8ad6\u6587\u901a\u308a\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u3053\u308c\u304c\u3042\u308b\u304b\u3089\u30a2\u30e1\u30ea\u30ab\u3067\u306f\u6b6f\u79d1\u533b\u5e2b\u306f\u5c0a\u656c\u3055\u308c\u308b\u4ed5\u4e8b\u3068\u3057\u3066\u6bce\u5e74\u30c8\u30c3\u30d710\u306b\u5fc5\u305a\u3042\u3052\u3089\u308c\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

2020\u5e74\u306f2\u4f4d\u3060\u3002<\/a><\/p>\r\n\r\n\r\n\r\n

\u65e5\u672c\u3067\u540c\u3058\u8abf\u67fb\u3092\u3057\u305f\u3089Top100\u306b\u3082\u5165\u3089\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

\u30a2\u30e1\u30ea\u30ab\u3067\u306f\u6b6f\u79d1\u533b\u5e2b\u304c\u591a\u304f\u3066\u5927\u5909\u3067\u3059\u306d\u3001\u306a\u3069\u3068\u3044\u3046\u3053\u3068\u306f\u306a\u3044\u306e\u3060\u3002<\/p>\r\n\r\n\r\n\r\n

\u4e00\u65b9\u3001\u65e5\u672c\u3067\u306f\u6b6f\u79d1\u533b\u9662\u3068\u306f\u3069\u3093\u306a\u3068\u3053\u308d\u3060\u308d\u3046\u304b\uff1f<\/p>\r\n\r\n\r\n\r\n

\u30b1\u30c4\u306e\u6bdb\u307e\u3067\uff11\u672c\u6b8b\u3089\u305a\u6bdf\u308a\u3068\u3089\u308c\u3066\u3057\u307e\u3046\u3068\u3053\u308d\u3060\u308d\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u3057\u3066\u3042\u306a\u305f\u306f\u5c11\u3057\u306e\u3053\u3068\u3067\u6b6f\u79d1\u533b\u5e2b\u304b\u3089\u653b\u6483\u3055\u308c\u308b\u3060\u308d\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u3057\u3066\u30c7\u30bf\u30e9\u30e1\u306a\u6cbb\u7642\u3092\u7e70\u308a\u8fd4\u3055\u308c\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u3067\u3001\u6c17\u3065\u3051\u3070\u6b6f\u304c\u306a\u304f\u306a\u308b\u306e\u3060\u3002<\/p>\r\n\r\n\r\n\r\n

\u3053\u306e\u4e16\u306e\u4e2d\u306b\u6b6f\u79d1\u533b\u5e2b\u306f\u672c\u5f53\u306b\u5fc5\u8981\u306a\u306e\u3060\u308d\u3046\u304b\uff1f\u3068\u3055\u3048\u601d\u3063\u3066\u3057\u307e\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u3057\u3066\u3053\u306e\u60a3\u8005\u3055\u3093\u306b\u5225\u308c\u969b\u306b\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u3053\u3068\u3092\u8a00\u308f\u308c\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u201d\u5148\u751f\u304c\u5012\u308c\u305f\u3068\u805e\u3044\u305f\u6642\u3001\u4eca\u5f8c\u81ea\u5206\u306f\u3069\u3046\u3057\u305f\u3089\u3044\u3044\u306e\u304b\uff1f\u76ee\u306e\u524d\u304c\u771f\u3063\u6697\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u672c\u5f53\u306b\u5fa9\u5e30\u3057\u3066\u3044\u305f\u3060\u3044\u3066\u826f\u304b\u3063\u305f\u3067\u3059\u2026\u4eca\u5f8c\u3082\u305a\u3063\u3068\u6765\u307e\u3059\u306e\u3067\u3088\u308d\u3057\u304f\u304a\u9858\u3044\u3057\u307e\u3059\u3002\u3053\u306e\u79c1\u306b\u8d77\u304d\u305f\u51fa\u6765\u4e8b\u3092\u4e16\u306e\u4e2d\u306e\u591a\u304f\u306e\u4eba\u306b\u77e5\u3063\u3066\u3082\u3089\u3044\u305f\u3044\u3067\u3059\u3002\u305d\u3046\u3059\u308c\u3070\u3053\u306e\u3088\u3046\u306a\u554f\u984c\u3067\u5931\u6557\u3059\u308b\u60a3\u8005\u306f\u4e16\u306e\u4e2d\u304b\u3089\u3044\u306a\u304f\u306a\u308b\u3067\u3057\u3087\u3046\u3002\u5148\u751f\u306f\u305d\u306e\u3088\u3046\u306a\u60a3\u8005\u306e\u70ba\u306b\u307e\u3060\u751f\u304d\u3066\u3082\u3089\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/strong>\u3053\u308c\u304b\u3089\u3082\u4f53\u3092\u5927\u5207\u306b\u9811\u5f35\u3063\u3066\u304f\u3060\u3055\u3044\u3002\u79c1\u306e\u5468\u308a\u3067\u3053\u306e\u554f\u984c\u3067\u56f0\u3063\u3066\u3044\u308b\u60a3\u8005\u304c\u3044\u308c\u3070\u5168\u3066\u306e\u60a3\u8005\u306b\u5148\u751f\u306e\u3053\u3068\u3092\u7d39\u4ecb\u3057\u307e\u3059\u304b\u3089\u3002\u4eca\u5f8c\u3068\u3082\u3088\u308d\u3057\u304f\u304a\u9858\u3044\u3057\u307e\u3059\u3002\u201d<\/h2>\r\n\r\n\r\n\r\n

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