{"id":1289,"date":"2021-01-15T00:30:30","date_gmt":"2021-01-14T15:30:30","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=1289"},"modified":"2021-12-10T14:49:57","modified_gmt":"2021-12-10T05:49:57","slug":"%e7%9f%b3%e7%81%b0%e5%8c%96%e3%81%97%e3%81%9fpreviously-initiated-therapy-previously-treated%e3%81%ae%e5%86%8d%e6%b2%bb%e7%99%82%e3%82%92%e8%a1%8c%e3%81%86%e4%b8%8a%e3%81%a7%e8%80%83%e3%81%88","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=1289","title":{"rendered":"\u77f3\u7070\u5316\u3057\u305fPreviously Initiated Therapy, Previously Treated\u306e\u518d\u6cbb\u7642\u3092\u884c\u3046\u4e0a\u3067\u91cd\u8981\u306a\u4e8b\u3068\u306f\uff1f\u301c#2 Re-RCT"},"content":{"rendered":"\n

\u30d0\u30a4\u30c8\u5148\u3067\u306e\u6cbb\u7642\u3002<\/p>\n\n\n\n

\u60a3\u8005\u306f50\u4ee3\u7537\u6027\u3002<\/p>\n\n\n\n

\u3053\u306e\u30d0\u30a4\u30c8\u5148\u306b\u9662\u5916\u306e\u5148\u751f\u304c\u7d39\u4ecb\u3057\u3066\u304f\u3060\u3055\u3063\u305f\u75c7\u4f8b\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\u4e3b\u8a34\u306a\u3069\u306f\u7279\u306b\u306a\u3044\u304c\u3001\u526f\u9f3b\u8154\u708e\u7684\u306a\u75c7\u72b6\u304c\u3042\u308b\u3089\u3057\u3044\u3002<\/p>\n\n\n\n

\u60a3\u6b6f\u306f#2\u3067\u3042\u308b\u3002Provisional Restoration\u306f\u5916\u308c\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

\u307e\u305f\u3001#3\u306f\u3059\u3067\u306bImplant\u304c\u633f\u5165\u3055\u308c\u3066\u3044\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

#2 Cold N\/A, Perc.(-), Palp.(-), BT(-), Perio probe(WNL), Mobility(WNL)<\/p>\n\n\n\n

#4 Cold+3\/6, 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

\u3053\u306e\u72b6\u614b\u3060\u3051\u3067\u306f\u4f55\u306e\u3053\u3068\u306a\u306e\u304b\uff1f\uff1f\uff1f\u306a\u306e\u3067\u3001CBCT\u3092\u64ae\u5f71\u3057\u8a73\u7d30\u3092\u30c1\u30a7\u30c3\u30af\u3057\u305f\u3002<\/p>\n\n\n\n

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

MB\u3068DB\u306b\u306f\u6839\u5c16\u75c5\u5909\u306f\u306a\u3055\u305d\u3046\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

P\u306b\u95a2\u3057\u3066\u306f\u6839\u5c16\u75c5\u5909\u304c\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

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

\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u4e0a\u984e\u6d1e\u3068\u306e\u4ea4\u901a\u306f\u306a\u3055\u305d\u3046\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

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

Pulp Dx\uff1aPreviously initiated therapy<\/p>\n\n\n\n

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

\u3055\u3066\u3001\u3053\u306e\u6b6f\u306b\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u3092\u304a\u3053\u306a\u3046\u3060\u308d\u3046\u304b\uff1f\u3068\u8a00\u3063\u3066\u3082\u3001\u7d39\u4ecb\u5148\u304cRe-RCT\u3092\u5e0c\u671b\u3057\u3066\u3044\u308b\u306e\u3067Re-RCT\u3092\u884c\u3046\u3053\u3068\u306b\u3057\u305f\u3002<\/p>\n\n\n\n

\u7121\u8ad6\u3001\u3046\u307e\u304f\u3044\u304b\u306a\u3051\u308c\u3070Intentional Replantation\u304c\u5fc5\u8981\u3067\u3042\u308b\u3053\u3068\u306a\u3069\u3082\u4f1d\u3048\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u60a3\u8005\u3055\u3093\u306f\u4e86\u627f\u3057\u3001\u6839\u7ba1\u6cbb\u7642\u304c\u958b\u59cb\u3055\u308c\u305f\u3002<\/p>\n\n\n\n

\u307e\u305aP\u6839\u304b\u3089\u6cbb\u7642\u306f\u884c\u308f\u308c\u305f\u3002\u3059\u3067\u306b\u5145\u586b\u3057\u3066\u3042\u3063\u305f\u30b9\u30ab\u30b9\u30ab\u306eGutta Percha Point\u3092OK\u30de\u30a4\u30af\u30ed\u30a8\u30ad\u30b9\u30ab\u3067\u9664\u53bb\u3057\u3001\u4f5c\u696d\u9577\u3092\u6e2c\u5b9a\u3057\u6839\u7ba1\u518d\u5f62\u6210\u3092\u884c\u3046\u3002<\/p>\n\n\n\n

MB\u306b\u3082Gutta Percha\u304c\u5165\u3063\u3066\u3044\u305f\u304c\u30ec\u30f3\u30c8\u30b2\u30f3\u306b\u306f\u5199\u3063\u3066\u3044\u306a\u304b\u3063\u305f\u3002CBCT\u306b\u3082\u3060\u3002<\/p>\n\n\n\n

DB\u306f\u304b\u306a\u308a\u306e\u6642\u9593\u304b\u3051\u3066\u63a2\u7d22\u3057\u305f\u304c\u3001\u898b\u3064\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n

\u4f5c\u696d\u9577\u306a\u3069\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

MB\uff1aWL=\u9589\u9396, MAF=#40.04\u307e\u3067\u5f62\u6210<\/p>\n\n\n\n

DB\uff1a\u79c1\u306e\u6280\u8853\u3067\u306f\u898b\u3064\u304b\u3089\u305a\u3002\u77f3\u7070\u5316\u304b\uff1f\uff1f CBCT\u3067\u306f\u305d\u308c\u3089\u3057\u3044\u3082\u306e\u304c\u898b\u3048\u308b\u304c\u2026<\/p>\n\n\n\n

P\uff1aRIL\uff1d16.5mm, Reference point=P, MAF=#60.02<\/p>\n\n\n\n

Gutta Percha Point\u3092\u633f\u5165\u3057\u3001PA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n\n\n\n

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

\u554f\u984c\u306a\u3044\u3068\u5224\u65ad\u3057\u3001Gutta Percha Point\u3068BC sealer\u3092\u7528\u3044\u3066\u6839\u7ba1\u5145\u586b\u3057\u305f\u3002<\/p>\n\n\n\n

\u6839\u5145\u6750\u306e\u4e0a\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u7f6e\u304d\u3001\u305d\u306e\u4e0a\u306bFuji \u2167(Pink Fuji\uff09\u3067\u4eee\u5c01\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u30b3\u30a2\u306e\u5370\u8c61\u6642\u306b\u306fPink Fuji\u3092\u524a\u3063\u3066\u5916\u3057\u3066imp\u3057\u3066\u3082\u3089\u3046\u3088\u3046\u306b\u4f9d\u983c\u3057\u305f\u3002<\/p>\n\n\n\n

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

\u3055\u3066\u6839\u7ba1\u5145\u586b\u5f8c\u306ePA\u3092\u898b\u308b\u3068\u30b7\u30fc\u30e9\u30fc\u304c\u30d1\u30d5\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u3053\u308c\u306f\u4e0a\u984e\u6d1e\u306b\u884c\u3063\u3066\u3057\u307e\u3063\u305f\u306e\u304b\uff1f\u3068\u3044\u3048\u3070\u3001\u3082\u3046\u4e00\u5ea6\u8853\u524d\u306eCBCT\u3092\u601d\u3044\u51fa\u3057\u3066\u307b\u3057\u3044\u3002<\/p>\n\n\n\n

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

\u4e0a\u984e\u6d1e\u3068P\u6839\u306f\u4ea4\u901a\u3057\u3066\u3044\u306a\u3044\u306e\u3067\u30b7\u30fc\u30e9\u30fc\u30d1\u30d5\u304c\u4e0a\u984e\u6d1e\u3078\u57cb\u5165\u3059\u308b\u3053\u3068\u306f\u3042\u308a\u3048\u306a\u3044\u3002<\/p>\n\n\n\n

MB\u306eGutta Percha\u306f#40.04\u306e\u65b9\u304c\u30ab\u30c3\u30b3\u3088\u304f\uff1f\u898b\u3048\u305f\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n\n\n\n

DB\u306b\u95a2\u3057\u3066\u306f\u63a2\u3057\u3066\u3082\u898b\u3064\u304b\u3089\u306a\u304b\u3063\u305f\u306e\u3067\u6839\u7ba1\u5f62\u6210\u3057\u3088\u3046\u304c\u306a\u3044\u304c\u3001\u6839\u5c16\u75c5\u5909\u304c\u306a\u3044\u306e\u3067\u3042\u308b\u3002\u3068\u3044\u3046\u3053\u3068\u306f\u305d\u3053\u307e\u3067\u4e00\u751f\u61f8\u547d\u306b\u898b\u3064\u3051\u306b\u884c\u304f\u5fc5\u8981\u6027\u306f\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

\u3057\u304b\u3057\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u75c7\u4f8b\u3067\u3042\u3063\u305f\u3089\u3069\u3046\u3060\u308d\u3046\u304b\uff1f\uff1f<\/p>\n\n\n\n

USC\u6642\u4ee3\u306e\u75c7\u4f8b\u3067\u3042\u308b\u3002\u53f3\u4e0b6\u306b\u75db\u307f\u304c\u3042\u308a\u3001\u6b6f\u79d1\u6cbb\u7642\u6050\u6016\u75c7\u3067\u6cbb\u7642\u4e2d\u3082\u5e38\u306bipod\u3092\u5927\u97f3\u91cf\u3067\u805e\u3044\u3066\u3044\u308b\u5973\u6027\u3060\u3063\u305f\u3002<\/span><\/strong><\/p>\n\n\n\n

RCT\u3068\u306a\u3063\u305f\u304c\u3001\u3053\u306e\u30b1\u30fc\u30b9\u3067\u306f\u79c1\u306fM, D\u3068\u3082\u306b\u7a7f\u901a\u3055\u305b\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

\u6839\u5c16\u75c5\u5909\u304c\u3042\u308b\u304b\u3089\u3060\u3002<\/p>\n\n\n\n

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

\u3057\u304b\u3057\u3001\u79c1\u306e\u62d9\u3044\u6280\u8853\u3067\u306fM\u6839\u306e\u6839\u7ba1\u304c\u898b\u3064\u304b\u3089\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n

\u305d\u306e\u5f8c\u4e8c\u4eba\u306eFaculty\uff08\u6b6f\u79d1\u533b\u5e2b\u3001\u3044\u308f\u3086\u308b\u6307\u5c0e\u533b\uff09\u306e\u30d8\u30eb\u30d7\u3092\u4ef0\u3044\u3060\u304c\u7121\u7406\u3060\u3063\u305f\u2026<\/p>\n\n\n\n

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

\u7d50\u5c40\u75db\u307f\u306f\u53d6\u308c\u305a\u3001\u79c1\u306f\u5916\u79d1\u6cbb\u7642\u3092\u884c\u3046\u3053\u3068\u306b\u306a\u3063\u305f\u304c\u305d\u308c\u3067\u672c\u5f53\u306b\u3044\u3044\u306e\u3060\u308d\u3046\u304b\uff1f\uff1f<\/p>\n\n\n\n

\u3053\u306e\u3088\u3046\u306a\u6cbb\u7642\u306b\u5bfe\u3057\u3066\u793a\u5506\u3092\u4e0e\u3048\u3066\u304f\u308c\u308b\u8ad6\u6587\u304c\u3042\u308b\u3002<\/p>\n\n\n\n

Jonasson 2017<\/a>\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u3053\u306e\u7814\u7a76\u306f\u5b9f\u969b\u306e\u4eba\u3067\u884c\u308f\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u88dc\u7db4\u3092\u6562\u3048\u3066\u5916\u3055\u305a\u306b\u5916\u79d1\u7684\u6b6f\u5185\u7642\u6cd5\u3092\u884c\u3044\u3001\u305d\u306e2\u5e74\u4e88\u5f8c\u3092\u898b\u305f\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u6210\u529f\u7387\u306f90%\u3067\u3042\u3063\u305f\u3002<\/span><\/strong><\/p>\n\n\n\n

\u3053\u308c\u306fApicoectomy\u306e\u4e88\u5f8c\u3068\u4e00\u81f4\u3059\u308b\u3002<\/p>\n\n\n\n

\u3064\u307e\u308a\u3053\u3053\u304b\u3089\u4f55\u304c\u8a00\u3048\u308b\u304b\uff1f\u3060\u304c\u3001\u77ed\u671f\u7684\u306a\u4e88\u5f8c\u3067\u3042\u308c\u3070\u5916\u79d1\u6cbb\u7642\u3067\u6839\u5c16\u75c5\u5909\u3092\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u3067\u304d\u308b\u3068\u3044\u3046\u610f\u5473\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u79c1\u306f\u5916\u79d1\u6cbb\u7642\u3092\u63d0\u6848\u3057\u3001\u884c\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

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

\u3055\u3066\u3001\u3053\u306e1\u5e74\u5f8c\u3053\u306e\u60a3\u8005\u306f\u3069\u3046\u306a\u3063\u3066\u3044\u305f\u3060\u308d\u3046\u304b\uff1f\uff1f<\/p>\n\n\n\n

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

\u6839\u5c16\u75c5\u5909\u306f\u6d88\u5931\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u4e8b\u3067\u30e1\u30c7\u30bf\u30af\uff1f\u3053\u306e\u60a3\u8005\u306e\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u304c\u3067\u304d\u305f\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

\u4eca\u3067\u3082\u899a\u3048\u3066\u3044\u308b\u304c\u3001\u3053\u306e\u60a3\u8005\u306f\u5916\u79d1\u6cbb\u7642\u524d\u306b\u93ae\u9759\u5264\u3092\u670d\u7528\u3057\u3066\u304d\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

\u6cbb\u7642\u4e2d\u3082ipod\u306f\u96e2\u305b\u306a\u3044\u3002\u97f3\u697d\u5927\u97f3\u91cf\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\u5e30\u308a\u306f\u5bb6\u65cf\u306b\u8eca\u3067\u8fce\u3048\u306b\u304d\u3066\u3082\u3089\u3063\u3066\u3044\u305f\u306e\u304c\u8a18\u61b6\u306b\u3042\u308b\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u6839\u7ba1\u304c\u77f3\u7070\u5316\u3057\u305fPreviously Treated, Previously Initiated Therapy\u3067\u91cd\u8981\u306a\u3053\u3068\u306f\u6839\u5c16\u75c5\u5909\u304c\u3042\u308b\u306e\u304b\uff1f\u306a\u3044\u306e\u304b\uff1f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u305d\u3057\u3066\u3001\u305d\u306e\u6839\u7ba1\u304c\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u3067\u304d\u306a\u304f\u3066\u3082\u6839\u5c16\u75c5\u5909\u304c\u306a\u3051\u308c\u3070\u4e88\u5f8c\u306b\u306f\u305d\u308c\u307b\u3069\u5f71\u97ff\u3092\u4e0e\u3048\u306a\u3044\u3002<\/span><\/strong><\/h2>\n\n\n\n

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