{"id":1240,"date":"2021-01-09T22:32:18","date_gmt":"2021-01-09T13:32:18","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=1240"},"modified":"2021-06-18T22:14:43","modified_gmt":"2021-06-18T13:14:43","slug":"8-apicoectomy-3%e5%b9%b42%e3%83%b6%e6%9c%88%e5%be%8c%e3%81%ae%e4%ba%88%e5%be%8c","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=1240","title":{"rendered":"#9 Apicoectomy 3\u5e742\u30f6\u6708\u5f8c\u306e\u4e88\u5f8c"},"content":{"rendered":"\n

\u65e7\u307e\u3064\u3046\u3089\u6b6f\u79d1\u533b\u9662\u3067\u6cbb\u7642\u3057\u305f\u60a3\u8005\u3055\u3093\u306e\u3001\u30d0\u30a4\u30c8\u5148\u3067\u306e\u7d4c\u904e\u89b3\u5bdf\u3002<\/p>\n\n\n\n

\u60a3\u8005\u3055\u3093\u306f50\u4ee3\u5973\u6027\u3002<\/p>\n\n\n\n

\u4e3b\u8a34\u306f\u524d\u6b6f\u306e\u6b6f\u8089\u304c\u5316\u81bf\u3057\u305f\u3002<\/span><\/strong><\/p>\n\n\n\n

\u7d0430\u5e74\u524d\u306b\u304b\u3076\u305b\u3066\u304a\u308a\u305d\u306e\u969b\u306b\u6839\u7ba1\u6cbb\u7642\u3092\u521d\u3081\u3066\u53d7\u3051\u3066\u3044\u308b\u305d\u3046\u3060\u3002<\/p>\n\n\n\n

2017.9\u306bSinus tract\u306b\u6c17\u304c\u4ed8\u3044\u305f\u305d\u3046\u3067\u3042\u308b\u3002\uff08\u305d\u308c\u307e\u3067\u306b\u306f\u9055\u548c\u611f\u304c\u3042\u3063\u305f\u3068\u306e\u3053\u3068\uff09<\/p>\n\n\n\n

\u75db\u307f\u306b\u5ea6\u5408\u3044\u306b\u95a2\u3057\u3066\u306f\u3001\u904e\u53bb\u306b\u306f10\/10\u306e\u6642\u3082\u3042\u3063\u305f\u304c\u521d\u8a3a\u6642\u306f2\/10\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\u7523\u5a66\u4eba\u79d1\u95a2\u4fc2\u3067\u8ca7\u8840\u304c\u3042\u3063\u305f\u304f\u3089\u3044\u3067\u5065\u5eb7\u72b6\u614b\u306f\u826f\u597d\u3068\u306e\u3053\u3068\u3002<\/p>\n\n\n\n

Sinus tract\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002<\/p>\n\n\n\n

\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u3092\u884c\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

#8 Cold+3\/6, Perc.(-), Palp(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n\n\n\n

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

#10 Cold+3\/3, Perc.(-), Palp(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n\n\n\n

PA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n\n\n\n

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

\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u75c5\u540d\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

Pulp Dx: Previously Treated<\/p>\n\n\n\n

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

\u3055\u3066\u6cbb\u7642\u306f\u3069\u3046\u306a\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\n\n\n\n

\u60a3\u8005\u306f\u75db\u304f\u3082\u306a\u3093\u3068\u3082\u306a\u3044\u306e\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u518d\u6cbb\u7642\u304b\uff1f\u5916\u79d1\u6cbb\u7642\u304b\uff1f<\/p>\n\n\n\n

\u30d2\u30f3\u30c8\u306b\u306a\u308b\u8ad6\u6587\u306f\u7686\u3055\u3093\u304c\u5927\u597d\u304d\u306a\uff1fRicucci\u306e\u8ad6\u6587<\/a>\u304b\u3089\u5f15\u7528\u3057\u3066\u307f\u3088\u3046\u3002<\/p>\n\n\n\n

In vivo, histo-evaluated study<\/p>\n\n\n\n

N=24 had PARL with Sinus Tract.<\/p>\n\n\n\n

Extracted and evaluated \u201cAre there Extraradicular Infection?\u201d histologically.<\/p>\n\n\n\n

\u3053\u306e\u8ad6\u6587\u3067\u306fSinus Tract\u306b\u95a2\u3057\u3066\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u307e\u3068\u3081\u3089\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

Prevalence 8.5~18%<\/p>\n\n\n\n

More common in teeth with large lesions(5mm>)<\/p>\n\n\n\n

Route of drainage of the abscess<\/p>\n\n\n\n

Usually asymptomatic<\/span><\/strong><\/p>\n\n\n\n

longstanding infectious processes.<\/span><\/strong><\/p>\n\n\n\n

May present biofilms adhering to the outer root surface<\/span><\/strong> or cohesive actinomycotic bacterial colonies present within the lesion body<\/p>\n\n\n\n

24\u4eba\u306e\u60a3\u8005\u3092\u5206\u6790\u3059\u308b\u3068\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

17\/24 had Extraradicular Infection(71%)<\/p>\n\n\n\n

\u305d\u3057\u3066\u305d\u306e17\u4eba\u3067\u3042\u308b\u304c\u3001<\/p>\n\n\n\n

10\/17 had Calculus on the surface of Apex(60%)<\/p>\n\n\n\n

\u3053\u3053\u304b\u3089Sinus tract\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/p>\n\n\n\n

Sinus Tract\u306e\u5b58\u5728<\/strong><\/h2>\n\n\n\n

1. Sinus Tract\u306e\u5b58\u5728\u306fExtra radicular Infection, Apices\u3067\u306ePlaque, Calculus\u306e\u4ed8\u7740\u3092\u60f9\u304d\u8d77\u3053\u3055\u305b\u308b\u306e\u3067\u3001\u30e1\u30f3\u30c6\u30ca\u30f3\u30b9\u6642\u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981<\/h2>\n\n\n\n

2. \u6cbb\u7642\u304c\u5fc5\u8981\u306a\u7406\u7531\u3092\u60a3\u8005\u306b\u8aac\u660e\u3059\u308b\u5fc5\u8981\u6027\u3042\u308a<\/h2>\n\n\n\n

3. \u96e3\u6cbb\u6027\u306e\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u6cbb\u7642\u524d\u306b\u5916\u79d1\u6cbb\u7642\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u4f1d\u3048\u308b\u5fc5\u8981\u6027\uff08\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u3092\u5165\u308c\u3066\u306e\u30c7\u30f3\u30bf\u30eb\u64ae\u5f71\u5fc5\u9808\uff09<\/h2>\n\n\n\n

4. \u30e1\u30f3\u30c6\u30ca\u30f3\u30b9\u306b\u5bfe\u3057\u3066\u30ea\u30b9\u30af\u3092\u4e0e\u3048\u308b\u305f\u3081\u3001\u885b\u751f\u58eb\u3078\u306e\u5468\u77e5\u30fb\u6559\u80b2\u304c\u5fc5\u8981<\/h2>\n\n\n\n

Sinus tract\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u306f\u6839\u5c16\u75c5\u5909\u3068\u53e3\u8154\u5185\u304c\u4ea4\u901a\u3057\u3066\u3044\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u6839\u5c16\u75c5\u5909\u306f\u53e3\u8154\u5185\u306b\u5c0e\u304b\u308c\u308b\u304c\u540c\u6642\u306b\u53e3\u8154\u5185\u306e\u553e\u6db2\u306a\u3069\u306fsinus tract\u3092\u4ecb\u3057\u3066\u6839\u5c16\u90e8\u306b\u4ed8\u7740\u3059\u308b\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u306f\u75c5\u7406\u7684\u306b\u306f\u6b6f\u77f3\u304c\u6839\u5c16\u90e8\u306b\u4ed8\u7740\u3059\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u3053\u306e\u8ad6\u6587\u306b\u306f\u75c5\u7406\u306e\u5199\u771f\u3082\u8f09\u3063\u3066\u3044\u305f\u3002\u305d\u3053\u306b\u306f\u6b6f\u77f3\u304c\u6c88\u7740\u3057\u305f\u6839\u5c16\u90e8\u304c\u30a2\u30c3\u30d7\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u6b6f\u77f3\u304c\u6839\u5c16\u90e8\u306b\u4ed8\u7740\u3057\u305d\u3053\u306b\u30d0\u30af\u30c6\u30ea\u30a2\u304c\u4ed8\u7740\u3057\u3066\u3057\u307e\u3048\u3070\u96e3\u6cbb\u6027\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u3053\u308c\u306f\u5916\u79d1\u7684\u306b\u53d6\u308a\u9664\u304f\u3057\u304b\u9053\u304c\u306a\u3044\u3001\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

\u3057\u305f\u304c\u3063\u3066Apicoectomy\u3092\u884c\u306a\u3063\u305f\u3002\uff082017.11.18)<\/p>\n\n\n\n

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

\u305d\u306e\u5f8c\u3001\u6b6f\u830e\u306e\u816b\u8139\u3084Sinus tract\u306f\u6d88\u5931\u3057\u305f\u3002<\/p>\n\n\n\n

1\u5e74\u304c\u7d4c\u904e\u3057\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306aPA\u304c\u5f97\u3089\u308c\u305f\u3002(2018.11.17)<\/p>\n\n\n\n

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

\u305d\u3057\u3066\u3053\u306e\u5f8c\u306b\u79c1\u304c\u5012\u308c\u305f\u305f\u3081\u4e88\u5f8c\u304c\u8ffd\u3048\u306a\u304f\u306a\u3063\u3066\u3044\u305f\u306e\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u305d\u306e\u60a3\u8005\u3055\u3093\u304c\u3053\u306e\u6b6f\u79d1\u533b\u9662\u306b\u6765\u9662\u3057\u3066\u304f\u308c\u3066PA\u304c\u64ae\u5f71\u3067\u304d\u305f\u3002<\/p>\n\n\n\n

Apicoectomy\u3092\u3057\u3066\u304b\u30893\u5e742\u30f6\u6708\u7d4c\u904e\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

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

\u6839\u5c16\u75c5\u5909\u306f\u6d88\u5931\u3057\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

\u75db\u307f\u3084\u9055\u548c\u611f\u3082\u6b6f\u830e\u306e\u816b\u8139\u3001Sinus tract\u3082\u6d88\u5931\u3057\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

\u3055\u3066\u3053\u306e\u6642\u306b\u60a3\u8005\u3055\u3093\u3068\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u4f1a\u8a71\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

“\u3053\u306e\u6b6f\u306f\u3082\u3046\u629c\u304f\u3057\u304b\u306a\u3044\u3068\u3044\u3046\u6d41\u308c\u3067\u5f53\u6642\u8a71\u304c\u9032\u3093\u3067\u3044\u305f\u306e\u3067\u6b8b\u305b\u308b\u3068\u306f\u601d\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u2026\u305d\u308c\u304c\u3053\u306e\u3088\u3046\u306b\u6b8b\u3059\u3053\u3068\u304c\u3067\u304d\u3066\u672c\u5f53\u306b\u5b09\u3057\u3044\u3067\u3059\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u5148\u751f\u304c\u5012\u308c\u305f\u3068\u805e\u3044\u305f\u6642\u3001\u79c1\u306f\u4eca\u5f8c\u3069\u3046\u3059\u3079\u304d\u306a\u306e\u304b\uff1f\u304b\u306a\u308a\u60a9\u307f\u307e\u3057\u305f\u304c\u56de\u5fa9\u3055\u308c\u3066\u672c\u5f53\u306b\u826f\u304b\u3063\u305f\u3067\u3059\u3002\u3053\u308c\u304b\u3089\u3082\u5b9a\u671f\u7684\u306b\u30c1\u30a7\u30c3\u30af\u3057\u306b\u884c\u304d\u307e\u3059\u306e\u3067\u3088\u308d\u3057\u304f\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002\u201d<\/h2>\n\n\n\n

\u79c1\u306e\u4e2d\u3067\u306f\u7d4c\u904e\u89b3\u5bdf\u3067\u306f\u3053\u306e\u3088\u3046\u306a\u8a71\u3057\u304b\u901a\u5e38\u3057\u306a\u3044\u3002<\/p>\n\n\n\n

\u975e\u96e3\u3055\u308c\u305f\u308a\u3001\u6068\u307e\u308c\u305f\u308a\u3057\u305f\u3053\u3068\u304c\u306a\u3044\u3002<\/p>\n\n\n\n

\u305d\u308c\u306f\u3053\u306e\u4eba\u306b\u9650\u3089\u305a\u3001\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u305d\u308c\u306f\u306a\u305c\u306a\u306e\u3060\u308d\u3046\u304b\uff1f<\/p>\n\n\n\n

\u81ea\u5206\u304c\u4fe1\u3058\u3066\u3044\u308b\u3053\u3068\u3092\u3069\u308c\u307b\u3069\u60a3\u8005\u3055\u3093\u306b\u63d0\u4f9b\u3067\u304d\u308b\u304b\uff1f\u3060\u3068\u601d\u3046\u304c\u3001\u3053\u306e\u3088\u3046\u306a\u304a\u624b\u8efd\u306aApicoectomy\u306f\u79c1\u306b\u3068\u3063\u3066\u306f\u4f55\u306e\u554f\u984c\u3082\u306a\u3044\u51e6\u7f6e\u3067\u3042\u308b\u304b\u3089\u3060\u3002<\/p>\n\n\n\n

\u3055\u3066\u3001\u660e\u65e5\u306f\u79c1\u304c\u53d6\u308a\u7d44\u3093\u3060\u3082\u306e\u306e\u3046\u307e\u304f\u3044\u304b\u306a\u304b\u3063\u305fCase\uff08\u3046\u307e\u304f\u3044\u304b\u306a\u304b\u3063\u305f\u306e\u3067\u3084\u308a\u76f4\u3057\u305f\uff09\u3092\u7d39\u4ecb\u3057\u305f\u3044\u3002<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

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