{"id":11647,"date":"2022-12-24T00:00:14","date_gmt":"2022-12-23T15:00:14","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=11647"},"modified":"2022-12-22T14:34:12","modified_gmt":"2022-12-22T05:34:12","slug":"%e5%8f%a3%e8%a7%92%e3%81%8c%e3%81%8b%e3%81%aa%e3%82%8a%e7%a1%ac%e3%81%84%e6%82%a3%e8%80%85%e3%81%95%e3%82%93%e3%81%ae%e5%a4%96%e7%a7%91%e6%b2%bb%e7%99%82%e3%80%9c19-apicoectomy","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=11647","title":{"rendered":"\u53e3\u89d2\u304c\u304b\u306a\u308a\u786c\u3044\u60a3\u8005\u3055\u3093\u306e\u5916\u79d1\u6cbb\u7642\u301c#19 Apicoectomy"},"content":{"rendered":"<p>\u30d0\u30a4\u30c8\u5148\u3067\u306e\u6cbb\u7642\u3002<\/p>\n<p>\u4e3b\u8a34\u306f<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>#19 \u54ac\u5408\u75db<\/strong><\/span><\/h1>\n<p>\u3067\u3042\u3063\u305f\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\uff082022.12.20\uff09<\/strong><\/span><\/h1>\n<p>#18 Cold+3\/3, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>#19 Cold N\/A, <span style=\"color: #ff0000;\"><strong>Perc.(+)<\/strong><\/span>, Palp.(-), <span style=\"color: #ff0000;\"><strong>BT(++)<\/strong><\/span>, Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>#20 Cold+2\/5, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>\u4e3b\u8a34\u304c\u691c\u67fb\u3067\u518d\u73fe\u3067\u304d\u3066\u3044\u308b\u3002<\/p>\n<p>\u3068\u8a00\u3046\u3053\u3068\u306f\u9069\u5207\u306a\u6cbb\u7642\u3092\u884c\u3048\u3070\u3001\u6cbb\u7652\u3059\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>PA\uff082022.12.20\uff09<\/strong><\/span><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11648\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/0f3797c0b269b099aef8a5618ec37a10.jpg\" alt=\"\" width=\"1328\" height=\"1016\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/0f3797c0b269b099aef8a5618ec37a10.jpg 1328w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/0f3797c0b269b099aef8a5618ec37a10-300x230.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/0f3797c0b269b099aef8a5618ec37a10-1024x783.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/0f3797c0b269b099aef8a5618ec37a10-768x588.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/0f3797c0b269b099aef8a5618ec37a10-660x505.jpg 660w\" sizes=\"auto, (max-width: 1328px) 100vw, 1328px\" \/><\/p>\n<p>M\u306f\u6839\u5c16\u307e\u3067\u6df1\u304f\u6839\u7ba1\u5145\u586b\u304c\u306a\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n<p>D\u306f\u3084\u3084\u30a2\u30f3\u30c0\u30fc\u6c17\u5473\u3060\u3002\u6839\u5c16\u75c5\u5909\u304c\u3042\u308c\u3070\u3053\u3061\u3089\u306f\u518d\u6839\u7ba1\u6cbb\u7642\u3067\u3044\u3044\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u5206\u5c90\u90e8\u306e\u75c5\u5909\u3082\u9ac4\u5e8a\u5e95\u306e\u5074\u679d\u304c\u539f\u56e0\u3067\u3042\u308c\u3070\u30b3\u30a2\u3092\u3084\u308a\u76f4\u3057\u305f\u6642\u306b\u6839\u7ba1\u6d17\u6d44\u3092\u884c\u3048\u3070\u6cbb\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002<\/strong><\/span><\/h1>\n<p>\u30a8\u30f3\u30c9\u304c\u539f\u56e0\u3067\u3042\u308c\u3070\u3001\u3060\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>CBCT\uff082022.12.20\uff09<\/strong><\/span><\/h1>\n<h2><span style=\"color: #008000;\"><strong>M\u6839<\/strong><\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11651\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/ddef38babf729c005d7cea8232966fb8.jpg\" alt=\"\" width=\"500\" height=\"500\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/ddef38babf729c005d7cea8232966fb8.jpg 344w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/ddef38babf729c005d7cea8232966fb8-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/ddef38babf729c005d7cea8232966fb8-150x150.jpg 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<p>\u5206\u5c90\u90e8\u306b\u75c5\u5909\u304c\u3067\u304d\u3066\u3044\u308b\u3002<\/p>\n<p>\u30da\u30ea\u30aa\u7531\u6765\u304b\uff1f\u30a8\u30f3\u30c9\u7531\u6765\u304b\uff1f\u3068\u3044\u3048\u3070\u3069\u3061\u3089\u304b\u306f\u308f\u304b\u3089\u306a\u3044\u304c\u3001\u6b21\u306e\u753b\u50cf\u3067\u5168\u3066\u3092\u7269\u8a9e\u3063\u3066\u3044\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11652\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/27c81020b0300d98f272a1d5cee86240.jpg\" alt=\"\" width=\"500\" height=\"500\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/27c81020b0300d98f272a1d5cee86240.jpg 344w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/27c81020b0300d98f272a1d5cee86240-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/27c81020b0300d98f272a1d5cee86240-150x150.jpg 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<p>\u5206\u5c90\u90e8\u3067Stripping Perforation\u3055\u305b\u3066\u3044\u308b\u3002<\/p>\n<p>\u524d\u533b\u306f\u6839\u7ba1\u6cbb\u7642\u306e\u4ed5\u65b9\u304c\u5206\u304b\u3089\u306a\u304b\u3063\u305f\u306e\u3060\u308d\u3046\u304b\uff1f<\/p>\n<p>\u305d\u308c\u3068\u3082\u76ee\u304c\u898b\u3048\u306a\u304b\u3063\u305f\u306e\u3060\u308d\u3046\u304b\uff1f<\/p>\n<p>\u3044\u305a\u308c\u306b\u3057\u3066\u3082\u4f55\u5ea6\u3082\u8a00\u3046\u304c\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u81ea\u5206\u3067\u3067\u304d\u306a\u3044\u306a\u3089\u3067\u304d\u308b\u4eba\u306b\u7d39\u4ecb\u3059\u308b<\/strong><\/span><\/h1>\n<p>\u3079\u304d\u6848\u4ef6\u3067\u3042\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11649\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/e5838da4cda6894f8c4eb2261685b746.jpg\" alt=\"\" width=\"500\" height=\"500\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/e5838da4cda6894f8c4eb2261685b746.jpg 344w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/e5838da4cda6894f8c4eb2261685b746-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/e5838da4cda6894f8c4eb2261685b746-150x150.jpg 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<p>\u30aa\u30c8\u30ac\u30a4\u5b54\u3001\u4e0b\u6b6f\u69fd\u795e\u7d4c\u306f#19 M\u306e\u6839\u5c16\u90e8\u3088\u308a\u9065\u304b\u4e0b\u65b9\u306b\u3042\u308b\u3002<\/p>\n<p>\u6cbb\u7642\u3067\u4e8b\u6545\u304c\u8d77\u304d\u308b\u3053\u3068\u306f\u307b\u307c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n<p>\u305d\u3057\u3066\u3001\u8fd1\u5fc3\u6839\u306b\u3082\u9060\u5fc3\u6839\u306b\u3082\u6839\u5c16\u75c5\u5909\u304c\u3042\u308b\u3002<\/p>\n<p>\u304c\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u9060\u5fc3\u6839\u306f\u6839\u7ba1\u5f62\u6210\u30fb\u6839\u7ba1\u5145\u586b\u304c\u3042\u307e\u3044\uff08Foramen\u304b\u3089\u304b\u306a\u308a\u9060\u3044\uff09\u306e\u3067\u518d\u6839\u7ba1\u6cbb\u7642\u3067\u3069\u3046\u306b\u304b\u306a\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002<\/strong><\/span><\/h1>\n<p>\u5206\u5c90\u90e8\u306e\u7a7f\u5b54\u306f\u975e\u5916\u79d1\u7684\u306a\u6cbb\u7642\u6642\u306b\u54ac\u5408\u9762\u304b\u3089\u4fee\u5fa9\u3059\u308b\uff08\u3068\u8a00\u3063\u3066\u3082BC sealer\u3092\u5145\u586b\u3057\u3066BC putty\u3092\u8a70\u3081\u308b\u3060\u3051\uff09\u304b\u5916\u79d1\u6642\u306b\u4fee\u5fa9\u3059\u308b\u304b\u3069\u3061\u3089\u304b\u3060\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11650\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/03492c1fec9c657ba96d0193a9cb06bc.jpg\" alt=\"\" width=\"500\" height=\"500\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/03492c1fec9c657ba96d0193a9cb06bc.jpg 344w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/03492c1fec9c657ba96d0193a9cb06bc-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/03492c1fec9c657ba96d0193a9cb06bc-150x150.jpg 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<p>\u8fd1\u5fc3\u6839\u306f\u5207\u65ad\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n<p>\u6b21\u304c\u9060\u5fc3\u6839\u3067\u3042\u308b\u3002<\/p>\n<h2><span style=\"color: #008000;\"><strong>D\u6839<\/strong><\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11653\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/2c592065239a3b9b68d1f3c79351bb8e.jpg\" alt=\"\" width=\"500\" height=\"500\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/2c592065239a3b9b68d1f3c79351bb8e.jpg 344w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/2c592065239a3b9b68d1f3c79351bb8e-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/2c592065239a3b9b68d1f3c79351bb8e-150x150.jpg 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<p>\u3053\u3053\u306f\u518d\u6cbb\u7642\u3067\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u3067\u304d\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u8a3a\u65ad\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082022.12.20\uff09<\/strong><\/span><\/h1>\n<p>#19<\/p>\n<p>Pulp Dx: Previously Treated<\/p>\n<p>Periapical Dx: Symptomatic apical periodontitis<\/p>\n<p>Recommended Tx: D\u6839\u21e8Re-RCT\u25b6\ufe0eM\u6839\u00a0Apicoectomy<\/p>\n<hr \/>\n<h1><span style=\"color: #ff0000;\"><strong>\u2606\u3053\u306e\u5f8c\u3001\u81e8\u5e8a\u753b\u50cf\/\u52d5\u753b\u304c\u51fa\u3066\u304d\u307e\u3059\u3002\u6c17\u5206\u3092\u5bb3\u3059\u308b\u65b9\u306fSkip\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/strong><\/span><\/h1>\n<hr \/>\n<p>\u518d\u6cbb\u7642\u3067\u307e\u305a\u9060\u5fc3\u6839\u3092\u6839\u7ba1\u5145\u586b\u3057\u76f4\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11654\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/4d761b56ee2b0223af6ff3c65539c25f.jpg\" alt=\"\" width=\"1324\" height=\"1014\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/4d761b56ee2b0223af6ff3c65539c25f.jpg 1324w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/4d761b56ee2b0223af6ff3c65539c25f-300x230.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/4d761b56ee2b0223af6ff3c65539c25f-1024x784.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/4d761b56ee2b0223af6ff3c65539c25f-768x588.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/4d761b56ee2b0223af6ff3c65539c25f-660x505.jpg 660w\" sizes=\"auto, (max-width: 1324px) 100vw, 1324px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11655\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/c17c97ebcad93266239ca7d13b4ac937.jpg\" alt=\"\" width=\"1336\" height=\"1024\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/c17c97ebcad93266239ca7d13b4ac937.jpg 1336w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/c17c97ebcad93266239ca7d13b4ac937-300x230.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/c17c97ebcad93266239ca7d13b4ac937-1024x785.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/c17c97ebcad93266239ca7d13b4ac937-768x589.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/c17c97ebcad93266239ca7d13b4ac937-660x506.jpg 660w\" sizes=\"auto, (max-width: 1336px) 100vw, 1336px\" \/><\/p>\n<p>\u305d\u306e\u5f8c\u3001\u5225\u65e5\u306bApicoectomy\u3092\u884c\u3063\u305f\u3002<\/p>\n<hr \/>\n<h1><span style=\"color: #008000;\"><strong>#19 Apicoectomy\uff082022.12.20\uff09<\/strong><\/span><\/h1>\n<p>\u53e3\u89d2\u304c\u304b\u306a\u308a\u786c\u3044\u306e\u3067\u7e26\u5207\u958b\u306f#22\u306e\u8fd1\u5fc3\u306b\u5165\u308c\u3066\u3044\u308b\u3002<\/p>\n<p>\u5e83\u7bc4\u56f2\u306a\u30d5\u30e9\u30c3\u30d7\u3067\u8853\u4e2d\u306e\u30d5\u30e9\u30c3\u30d7\u306e\u53cd\u8ee2\u3092\u3084\u308a\u3084\u3059\u304f\u3055\u305b\u3088\u3046\u3068\u8a00\u3046\u8a08\u753b\u3060\u3002<\/p>\n<p>\u305d\u3057\u3066#19\u306eM\u6839\u3092\u5207\u65ad\u3057\u3001\u9006\u6839\u7ba1\u5f62\u6210\u3092\u884c\u3063\u305f\u3002<\/p>\n<p>\u304c\u3001\u4e88\u60f3\u901a\u308a\u6975\u3081\u3066\u3084\u308a\u306b\u304f\u3044\u2026<\/p>\n<p>\u3057\u304b\u3082\u3053\u306e\u969b\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u524d\u6b6f\u90e8\u7528\u306e\u9006\u6839\u7ba1\u5f62\u6210\u30c1\u30c3\u30d7\u3057\u304b\u306a\u304f\u6cbb\u7642\u304c\u6975\u3081\u3066\u3084\u308a\u306b\u304f\u304b\u3063\u305f\u3002\u3053\u308c\u304b\u3089\u306f\u79c1\u304c\u9053\u5177\u306e\u5728\u5eab\u7ba1\u7406\u3092\u542b\u3081\u3066\u884c\u3046\u4e88\u5b9a\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n<p>\u3068\u8a00\u3046\u3088\u3046\u306b\u3001\u6cbb\u7642\u306b\u6975\u3081\u3066\u6642\u9593\u304c\u591a\u304f\u304b\u304b\u308b\u6848\u4ef6\u3067\u3042\u308b\u3002<\/p>\n<figure class=\"wp-block-videopress-video wp-block-jetpack-videopress jetpack-videopress-player\"><div class=\"jetpack-videopress-player__wrapper\"><iframe title=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" aria-label=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" src=\"https:\/\/videopress.com\/embed\/E3FEfvJT?at=0&#038;controls=1&#038;preloadContent=metadata\" width=\"640\"height=\"360\" frameborder=\"0\" allowfullscreen data-resize-to-parent=\"true\" allow=\"clipboard-write\"><\/iframe><\/div><\/figure>\n<p>\u3053\u306e\u5f8c\u3001\u9006\u6839\u7ba1\u5145\u586b\u3057\u3066\u7e2b\u5408\u3057\u6cbb\u7642\u306f\u7d42\u4e86\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11658\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/ddcfb278f7fd16e76f4b5c1a98a51fe2.jpg\" alt=\"\" width=\"1336\" height=\"1016\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/ddcfb278f7fd16e76f4b5c1a98a51fe2.jpg 1336w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/ddcfb278f7fd16e76f4b5c1a98a51fe2-300x228.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/ddcfb278f7fd16e76f4b5c1a98a51fe2-1024x779.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/12\/ddcfb278f7fd16e76f4b5c1a98a51fe2-768x584.jpg 768w, 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