{"id":1319,"date":"2021-01-21T00:49:32","date_gmt":"2021-01-20T15:49:32","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=1319"},"modified":"2021-03-11T23:41:00","modified_gmt":"2021-03-11T14:41:00","slug":"%e6%ad%af%e5%86%85%e7%99%82%e6%b3%95%e5%a4%96%e7%a7%91%e3%81%a0%e3%81%91%e3%81%ae%e5%b8%8c%e6%9c%9b%e3%81%a0%e3%81%a3%e3%81%9f%e3%81%8c%e3%82%ab%e3%82%a6%e3%83%b3%e3%82%bb%e3%83%aa%e3%83%b3","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=1319","title":{"rendered":"\u6b6f\u5185\u7642\u6cd5\u5916\u79d1\u3060\u3051\u306e\u5e0c\u671b\u3060\u3063\u305f\u304c\u2026\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3067\u5e0c\u671b\u304c\u5909\u66f4\u301c#10,11 Apicoectomy"},"content":{"rendered":"\n

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

40\u4ee3\u5973\u6027\u3002<\/p>\n\n\n\n

\u4e3b\u8a34\u306f\u6b6f\u3092\u6b8b\u3057\u305f\u3044<\/p>\n\n\n\n

\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

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

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

#12 Cold+3\/5, Perc.(-), Palp.(-), BT(-), Perio pocket(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

\u75c5\u540d\u306f\u4ee5\u4e0b\u306e\u3088\u3046\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

Recommended Tx: Apicoectomy\uff08\u30d0\u30a4\u30c8\u5148\u306e\u5148\u751f\u306b\u4f9d\u983c\u3057\u305f\u5148\u751f\u306e\u5e0c\u671b\uff09<\/p>\n\n\n\n

Apicoectomy\u3092\u884c\u3046\u6642\u306b\u5fc5\u305a\u8a00\u308f\u308c\u308b\u306e\u306f\u3001\u6b6f\u51a0\u90e8\u304b\u3089\u306e\u611f\u67d3\u3092\u7121\u8996\u3057\u3066\u3044\u3044\u306e\u304b\uff1f\u3068\u3044\u3046\u76f4\u7403\u8cea\u554f\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u7406\u8ad6\u7684\u306b\u306f\u7121\u8996\u3067\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

\u3057\u304b\u3057\u3001\u81e8\u5e8a\u306f\u4e0d\u601d\u8b70\u306a\u3053\u3068\u304c\u8d77\u304d\u308b\u306e\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

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

\u5b9f\u969b\u306e\u4eba\u3067\u884c\u308f\u308c\u3066\u3044\u3066\u3001\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\u6210\u529f\u7387\u306f90%\u3067\u3042\u308a\u3001Apicoectomy\u306e\u4e88\u5f8c\u3068\u4e00\u81f4\u3057\u3066\u3044\u308b\u4f8b\u306e\u8ad6\u6587\u3060\u3002<\/p>\n\n\n\n

\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\u3002<\/p>\n\n\n\n

\u304c\u3001\u306a\u305c\u305d\u3082\u305d\u3082\u3053\u306e\u3088\u3046\u306a\u75c5\u6c17\u306b\u306a\u308b\u306e\u3060\u308d\u3046\u304b\uff1f\u3068\u3044\u3046\u8a71\u3092\u3057\u305f\u3002<\/p>\n\n\n\n

\u3068\u3044\u3048\u3070\u3001\u52ff\u8ad6\uff1f\u30e9\u30d0\u30fc\u30c0\u30e0\u3092\u305b\u305a\u306b\u535a\u591a\u99c5\u5468\u56f2\u306e\u5be9\u7f8e\u6b6f\u79d1\u533b\u5e2b\u304c\u6cbb\u7642\u3057\u305f\u3053\u3068\u3082\u554f\u984c\u3068\u3057\u3066\u306f\u3042\u308b\u3060\u308d\u3046\u3002\u3057\u304b\u3057\u305d\u308c\u4ee5\u4e0a\u306b\u554f\u984c\u306a\u306e\u306f\u88dc\u7db4\u306e\u4e0d\u9069\u5408\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

Ray, Trope 1995<\/a>\u3092\u8aad\u3093\u3067\u307f\u308b\u3053\u3068\u3092\u52e7\u3081\u308b\u3002<\/p>\n\n\n\n

\u3053\u308c\u306f\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u306b\u3082\u4f7f\u7528\u3067\u304d\u308b\u6709\u52b9\u306a\u8ad6\u6587\u3060\u3002\uff08\u3082\u3061\u308d\u3093\u3053\u306e\u9006\u306e\u7d50\u679c\u306b\u306a\u3063\u3066\u3044\u308b\u8ad6\u6587\u3001\u4e21\u65b9\u5927\u4e8b\u3060\u3068\u3059\u308b\u8ad6\u6587\u3082\u3042\u308b\u304c\uff09<\/p>\n\n\n\n

\u8cea\u306e\u9ad8\u3044\u6839\u7ba1\u6cbb\u7642\uff08Good Endo\uff1dGE\uff09\u3092\u884c\u3044\u3001\u8cea\u306e\u9ad8\u3044\u4fee\u5fa9\u6cbb\u7642\uff08Good Restoration\uff1dGR\uff09\u3092\u884c\u3046\u3068\u3001\u6839\u5c16\u75c5\u5909\u304c\u3067\u304d\u306a\u3044\u53ef\u80fd\u6027\u304c91.4%\u3082\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/span><\/strong><\/h2>\n\n\n\n
\"\"<\/a><\/figure>\n\n\n\n

\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u8cea\u306e\u9ad8\u3044\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u306a\u3063\u3066\u3082\uff08Good Endo=GE\uff09\u3001\u8cea\u306e\u60aa\u3044\u4fee\u5fa9\u6cbb\u7642\u304c\u306a\u3055\u308c\u3066\u3044\u308b\u3068\uff08Poor Restoration=PR\uff09\u305d\u306e\u4e88\u5f8c\u306f44.1%\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u9006\u306b\u8cea\u306e\u60aa\u3044\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u306a\u3063\u3066\u3082\uff08Poor Endo\uff09\u3001\u8cea\u306e\u9ad8\u3044\u4fee\u5fa9\u6cbb\u7642\u3092\u884c\u3046\u3068\u6839\u5c16\u75c5\u5909\u306f67.6%\u3082\u3042\u308b\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u3053\u306e\u3053\u3068\u306f\u3001\u6839\u7ba1\u6cbb\u7642\u3088\u308a\u3082\u4fee\u5fa9\u6cbb\u7642\u306e\u65b9\u304c\u6839\u5c16\u75c5\u5909\u306e\u9632\u6b62\u306b\u6709\u52b9\u7684\u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u3053\u308c\u306b\u306f\u8272\u3005\u306a\u610f\u898b\u304c\u3042\u308a\u8ad6\u6587\u3067\u306f\u3053\u306e\u9006\u306e\u610f\u898b\u3082\u3042\u308b\u3057\u3001\u4e21\u65b9\u5927\u5207\u3060\u3068\u3044\u3046\u610f\u898b\u3082\u3042\u308b\u304c\u3001\u611f\u899a\u7684\u306b\u306f\u79c1\u306f\u6b63\u3057\u3044\u3068\u601d\u3063\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u305d\u306e\u3088\u3046\u306a\u81e8\u5e8a\u4f53\u9a13\u304c\u4f55\u5ea6\u3082\u3042\u308b\u304b\u3089\u3060\u3002<\/p>\n\n\n\n

\u3057\u304b\u3057\u3001\u9577\u671f\u7684\u306b\u6b6f\u3092\u6a5f\u80fd\u3055\u305b\u3088\u3046\u3068\u601d\u3048\u3070\u8cea\u306e\u9ad8\u3044\u6839\u7ba1\u6cbb\u7642\u3001\u4fee\u5fa9\u6cbb\u7642\u306e\u4e21\u65b9\u306e\u6cbb\u7642\u304c\u5927\u5207\u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u306f\u8ad6\u3092\u5f85\u305f\u306a\u3044\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u3055\u3066\u3053\u306e\u3088\u3046\u306a\u8aac\u660e\u3092\u884c\u3046\u3068\u60a3\u8005\u3055\u3093\u306e\u5e0c\u671b\u304c\u5909\u5316\u3057\u305f\u3002<\/p>\n\n\n\n

\u5f7c\u5973\u304c\u79c1\u306b\u3053\u306e\u3088\u3046\u306a\u8cea\u554f\u3092\u6295\u3052\u304b\u3051\u3066\u304d\u305f\u306e\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u300c\u5916\u79d1\u6cbb\u7642\u5f8c\u306b\u88dc\u7db4\u6cbb\u7642\u3092\u3084\u308a\u76f4\u3059\u3068\u3044\u3046\u306e\u306f\u30c0\u30e1\u3067\u3057\u3087\u3046\u304b\uff1f\u300d<\/p>\n\n\n\n

\u7b54\u3048\u306fOK\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u9806\u5e8f\u304c\u9006\u3060\u308d\u3046\u3068\u3044\u3046\u610f\u898b\u3082\u3042\u308b\u3060\u308d\u3046\u304c\u3001\u79c1\u306f\u305d\u306e\u3088\u3046\u306a\u3084\u308a\u65b9\u3067\u3082\u554f\u984c\u304c\u8d77\u304d\u3066\u3044\u306a\u3044\u75c7\u4f8b<\/a>\u3092\u591a\u3005\u898b\u3066\u304d\u3066\u3044\u308b\u3002<\/a><\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u6cbb\u7642\u524d\u306b\u6ce8\u610f\u4e8b\u9805\u3092\u8aac\u660e\u3057\u5916\u79d1\u7684\u6b6f\u5185\u7642\u6cd5\uff08Apicoectomy\uff09\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n\n\n\n

#9 \u306f\u9006\u6839\u7ba1\u5f62\u6210\u304c\u3057\u3066\u3042\u3063\u305f\u304c\u9006\u6839\u7ba1\u5145\u586b\u6750\u304c\u5165\u3063\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n

\u30ab\u30c4\u30e9\u3092\u4f5c\u3063\u305f\u306e\u306b\u88ab\u308a\u5fd8\u308c\u305f\u304b\u306e\u3088\u3046\u3060\u2026<\/p>\n\n\n\n

#10\u306f\u6839\u5c16\u90e8\u304c\u304b\u306a\u308a\u8907\u96d1\u3067\u86c7\u306e\u3088\u3046\u306b\u30c8\u30b0\u30ed\u3092\u5dfb\u3044\u3066\u3044\u308b\u6839\u5c16\u90e8\u3067\u3042\u3063\u305f\u3057\u3001\u5074\u65b9\u306b\u5074\u679d\u3082\u5b58\u5728\u3057\u305f\u3002\u9060\u5fc3\u306b\u306f\u9aa8\u6b20\u640d\u306f\u306a\u304b\u3063\u305f\u3002\u3064\u307e\u308a\u3001\u8853\u524d\u306b\u307f\u305fCBCT\u306e\u7d75\u306f\u3084\u306f\u308a\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u3067\u3042\u3063\u305f\u3068\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n\n\n\n

\u3053\u306e\u6b6f\u79d1\u533b\u9662\u306f\u76f8\u5909\u308f\u3089\u305a\u5199\u771f\u304c\u64ae\u308c\u306a\u3044\u81e8\u5e8a\u74b0\u5883\u3067\u3042\u308b\u306e\u3067\u7d75\u306b\u63cf\u3044\u3066\u8aac\u660e\u3059\u308b\u3002<\/p>\n\n\n\n

\u6839\u5c16\u90e8\u306f\u8457\u3057\u304f\u6e7e\u66f2\u3057\u86c7\u306e\u3088\u3046\u306b\u30c8\u30b0\u30ed\u3092\u5dfb\u3044\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

\u305d\u3057\u3066\u5074\u65b9\u90e8\u306b\u306f\u5074\u679d\u304c\u5b58\u5728\u3057\u305d\u306e\u5468\u56f2\u306b\u5927\u304d\u306a\u9aa8\u6b20\u640d\uff08PARL\uff09\u304c\u3067\u304d\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

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

\u3053\u308c\u3092\u51e6\u7406\u3059\u308b\u306b\u306f\u8272\u3005\u306a\u3084\u308a\u65b9\u304c\u3042\u308b\u304c\u72ac\u6b6f\u3067\u6b6f\u6839\u304c\u9577\u3044\u6b6f\u3067\u3042\u308b\u306e\u3067\u79c1\u306f\u5074\u679d\u306e\u76f4\u4e0a\u307e\u3067\u6b6f\u6839\u3092\u5207\u65ad\u3059\u308b\u6c7a\u610f\u3092\u3057\u305f\u3002<\/p>\n\n\n\n

\u305d\u308c\u305e\u308c\u9006\u6839\u7ba1\u5f62\u6210\u3057\u3001\u9006\u6839\u7ba1\u5145\u586b\u3057\u305f\u3002<\/p>\n\n\n\n

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

\u305d\u308c\u305e\u308c\u554f\u984c\u304c\u306a\u3044\u3068\u5224\u65ad\u3057\u3001\u6b62\u8840\u306e\u305f\u3081\u306b\u6dfb\u4ed8\u3057\u3066\u3044\u305fBC Putty\u3092\u53d6\u308a\u9664\u304d\uff08\u53d6\u308a\u9664\u304f\u5fc5\u8981\u3082\u306a\u3044\u304c\uff09\u3001\u7e2b\u5408\u3057PA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n\n\n\n

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

\u6b21\u56de\u306f\u629c\u7cf8\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u7d4c\u904e\u89b3\u5bdf\u306f\u5916\u79d1\u6cbb\u7642\u306e\u5834\u5408\u901a\u5e381\u5e74\u3067\u3042\u308b\u304c\u3001Molven 1996<\/a>\u306b\u3082\u898b\u3089\u308c\u308b\u3088\u3046\u306b\u30ec\u30f3\u30c8\u30b2\u30f3\u7684\u306a\u6cbb\u7652\u304c\u770b\u677f\u3057\u304f\u306a\u3051\u308c\u3070\u9577\u304f\u5f85\u3063\u3066\u3082\u69cb\u308f\u306a\u3044\u3002<\/p>\n\n\n\n

\u4e8b\u5b9f\u3001Molven 1996\u3067\u306f\u5916\u79d1\u6cbb\u7642\u5f8c\u6700\u592718\u5e74\u3082\u5f85\u3063\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u8a71\u3092\u6cbb\u7642\u524d\u306b\u884c\u3063\u3066\u3044\u308b\u306e\u3067\u60a3\u8005\u3055\u3093\u306e\u5916\u79d1\u6cbb\u7642\u306f\u4f55\u4e8b\u3082\u306a\u304f\u7d42\u4e86\u3057\u305f\u3002<\/p>\n\n\n\n

\u6b21\u56de\u306f\u629c\u7cf8\u306b\u3044\u3089\u3063\u3057\u3083\u308b\u4e88\u5b9a\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

\u30d0\u30a4\u30c8\u5148\u3067\u306e\u6cbb\u7642\u3002 40\u4ee3\u5973\u6027\u3002 \u4e3b\u8a34\u306f\u6b6f\u3092\u6b8b\u3057\u305f\u3044 \u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002 #10 Cold NR, Perc.(-), Palp.(-), BT(-), Perio pocket(WNL), Mobi 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