{"id":1459,"date":"2021-02-13T00:50:14","date_gmt":"2021-02-12T15:50:14","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=1459"},"modified":"2023-04-19T23:38:56","modified_gmt":"2023-04-19T14:38:56","slug":"%e6%b2%bb%e7%99%82%e9%96%8b%e5%a7%8b%e3%81%97%e3%81%a63%e5%b9%b4%e7%b5%8c%e9%81%8e15-intentional-replantation%e3%81%a7%e7%ad%94%e3%81%88%e3%81%af%e5%87%ba%e3%82%8b%e3%81%8b%ef%bc%9f%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=1459","title":{"rendered":"\u6839\u7ba1\u6cbb\u7642\u958b\u59cb\u3057\u30663\u5e74\u7d4c\u904e\u2026#15 Intentional Replantation\u3067\u7b54\u3048\u306f\u51fa\u308b\u304b\uff1f\uff1f"},"content":{"rendered":"\n

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

\u60a3\u8005\u3055\u3093\u306f30\u4ee3\u5973\u6027\u3002<\/p>\n\n\n\n

\u4e3b\u8a34\u306f\u54ac\u5408\u75db\u304c\u3042\u308a\u565b\u3081\u306a\u3044\u3068\u3044\u3046\u3082\u306e\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

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

#15 Perc.(++), Palp.(+), BT(+), Perio pocket(WNL), Mobility(WNL)<\/p>\n\n\n\n

#14 Cold+3\/5, Perc.(-), Palp.(-), BT(-), Perio pocket(WNL), Mobility(WNL)<\/p>\n\n\n\n

PA\u306f\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

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

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

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

Periapical Dx: Symptomatic apical preiodontitis<\/p>\n\n\n\n

\u3053\u306e\u60a3\u8005\u3055\u3093\u306b\u95a2\u3057\u3066\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u60c5\u5831\u304c\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\n

2018\u5e749\u670826\u65e5\u306b\u5f37\u3044\u81ea\u767a\u75db\u30fb\u6253\u8a3a\u75db,\u6b6f\u9ac4\u306b\u81f3\u308b\u30ab\u30ea\u30a8\u30b9\u306e\u305f\u3081\u629c\u9ac4\u3002 \u304b\u306a\u308a\u592a\u3044\u6839\u7ba1\u3067#50-19mm\u306b\u3066\u62e1\u5927\u3057\u3001\u75c7\u72b6\u306e\u6d88\u5931\u3092\u78ba\u8a8d\u3057\u305f\u306e\u3067\u540c\u5e7411\u670820\u65e5\u306b\u6839\u7ba1\u5145\u586b\u3002 \u305d\u306e\u5f8c\u3001\u540c\u5e7412\u67086\u65e5\u306b\u540c\u90e8\u4f4d\u306e\u54ac\u5408\u75db\u3092\u8a34\u3048\u305f\u305f\u3081\u54ac\u5408\u8abf\u6574\u306b\u3066\u7d4c\u904e\u3092\u898b\u3066\u3044\u305f\u304c\u3001\u6253\u8a3a\u75db\u306e\u6539\u5584\u304c\u898b\u3089\u308c\u306a\u3044\u305f\u30812019\u5e741\u670817\u65e5\u518d\u5ea6\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u3046\u3002 \u9060\u65b9\u304b\u3089\u6765\u9662\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u6839\u7ba1\u8cbc\u85ac\u3092\u6708\u306b1\u5ea6\u306e\u30da\u30fc\u30b9\u3067\u3057\u3066\u3044\u305f\u304c\u75c7\u72b6\u6d88\u5931\u305b\u305a\u3002\u30d3\u30bf\u30da\u30c3\u30af\u30b9\u3092\u5165\u308c\u3066CT\u64ae\u5f71\u3057\u305f\u3068\u3053\u308d\u3001\u6839\u5c16\u90e8\u3088\u308a\u4e0a\u984e\u6d1e\u3078\u306e\u7a7f\u5b54\u3092\u78ba\u8a8d\u3002\u6050\u3089\u304f\u904e\u5ea6\u306e\u6839\u5c16\u90e8\u306e\u62e1\u5927\u3068\u30d5\u30a1\u30a4\u30eb\u64cd\u4f5c\u304c\u539f\u56e0\u3068\u8003\u3048\u3089\u308c\u308b\u3002<\/strong><\/p>\n<\/blockquote>\n\n\n\n

\u305d\u306e\u969b\u306b\u6b8b\u3063\u3066\u3044\u305f\u753b\u50cf\u304c\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

2018.9.26<\/p>\n\n\n\n

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

\u3068\u8a00\u3046\u3053\u3068\u3067\u6b8b\u5ff5\u306a\u304c\u3089\u975e\u5916\u79d1\u7684\u6b6f\u5185\u7642\u6cd5\u3067\u3053\u306e\u6b6f\u3092\u6551\u3046\u3053\u3068\u306f\u3067\u304d\u306a\u3044\u3068\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n\n\n\n

\u3057\u305f\u304c\u3063\u3066\u3001<\/p>\n\n\n\n

Recommended Tx: Intentional Replantation<\/p>\n\n\n\n

\u3068\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n\n\n\n

\u3053\u3093\u306a\u6b6f\u304c\u629c\u3051\u308b\u306e\u304b\uff1f\u3068\u3088\u304f\u805e\u304b\u308c\u308b\u304c\u9593\u9055\u3044\u306a\u304f\u629c\u6b6f\u3067\u304d\u308b\u3002<\/p>\n\n\n\n

\u305d\u306e\u7406\u7531\u306e\uff11\u3064\u306b\u6b6f\u6839\u306e\u5f62\u72b6\u304c\u30a2\u30a4\u30b9\u306e\u30b3\u30fc\u30f3\u306e\u3088\u3046\u306a\u5f62\u3092\u3057\u3066\u3044\u308b\u304b\u3089\u3060\u3002<\/span><\/strong><\/p>\n\n\n\n

\u982c\u820c\u5074\u306b\u52d5\u304b\u305b\u3070\u5bb9\u6613\u306b\u52d5\u63fa\u3059\u308b\u3002<\/p>\n\n\n\n

\uff11\u3064\u306e\u5fc3\u914d\u306f\u4e0a\u984e\u6d1e\u306e\u7a7f\u5b54\u304c\u307e\u3060\u5b58\u5728\u3059\u308b\u304b\u5426\u304b\uff1f\u3067\u3042\u308b\u304c\u3053\u308c\u306f\u3084\u3063\u3066\u307f\u306a\u3044\u3068\u308f\u304b\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

\u3082\u3046\u4e00\u3064\u61f8\u5ff5\u3055\u308c\u308b\u306e\u306f\u6b6f\u6839\u306e\u5207\u65ad\u91cf\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u6839\u5c16\u90e8\u3092\u30a2\u30b0\u30ec\u30c3\u30b7\u30d6\u306b\u5207\u65ad\u3059\u308b\u3068\u8853\u5f8c\u306e\u6b6f\u7259\u306e\u52d5\u63fa\u306b\u3064\u306a\u304c\u3063\u3066\u3057\u307e\u3046\u3002<\/p>\n\n\n\n

\u30a8\u30d3\u30c7\u30f3\u30b9\u30d9\u30fc\u30b9\u3067\u89e3\u91c8\u3059\u308b\u3068\u4ee5\u4e0b\u306e\u8ad6\u6587\u3057\u304b\u3053\u306e\u624b\u306e\u5207\u65ad\u91cf\u306b\u95a2\u3057\u3066\u306f\u898b\u3064\u304b\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

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

\u4ee5\u4e0a\u304b\u3089\u6839\u5c16\u90e8\u306b\u6b8b\u5b58\u3059\u308b\u5074\u679d\u3092\u6d88\u3057\u3066\u884c\u304f\u306b\u306f\u6700\u4f4e\u9650\u6839\u5c16\u90e83~4mm\u306e\u5207\u65ad\u304c\u6c42\u3081\u3089\u308c\u308b\u3002<\/p>\n\n\n\n

\u3068\u8a00\u3046\u3053\u3068\u3067\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n\n\n\n

\u307e\u305a\u9ebb\u9154\u3092\u884c\u3044\u3001\u652f\u53f0\u7bc9\u9020\u51e6\u7f6e\u304b\u3089\u884c\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

\u305d\u306e\u5f8c\u3001\u30a8\u30ec\u30d9\u30fc\u30bf\u30fc\u306a\u3069\u3067\u8131\u81fc\u3055\u305b\u305f\u3002<\/p>\n\n\n\n

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

\u629c\u6b6f\u7aa9\u3092\u89b3\u5bdf\u3057\u305f\u304c\u7a7f\u5b54\u7b49\u306f\u898b\u3089\u308c\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n

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

\u3068\u8a00\u3046\u3053\u3068\u3067\u6839\u5c16\u90e8\u3092\u9855\u5fae\u93e1\u4e0b\u30673mm\u5207\u65ad\u3057\u3001\u30e1\u30c1\u30ec\u30f3\u30d6\u30eb\u30fc\u3067\u67d3\u8272\u3057\u89b3\u5bdf\u3057\u305f\u3002<\/p>\n\n\n\n

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

\u9ec4\u8272\u306f\u30d3\u30bf\u30da\u30c3\u30af\u30b9\u3067\u5145\u586b\u3057\u305f\u3082\u306e\u3068\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n\n\n\n

\u3053\u3053\u3067\u9006\u6839\u7ba1\u5f62\u6210\u3092\u884c\u3044\u3001BC putty\u3067\u9006\u6839\u7ba1\u5145\u586b\u3092\u884c\u306a\u3063\u305f\u3002\u78ba\u8a8d\u3067PA\u3092\u64ae\u5f71\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

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

\u9006\u6839\u5145\u3057\u305f\u6b6f\u3092\u629c\u6b6f\u7aa9\u3078\u3068\u623b\u3057PA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n\n\n\n

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

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2\u30f6\u6708\u5f8c\u306b\u518d\u3073\u62dd\u898b\u3055\u305b\u3066\u3044\u305f\u3060\u304f\u7d04\u675f\u3092\u3057\u3053\u306e\u65e5\u306f\u304a\u5225\u308c\u3068\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

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\n

\u672c\u65e5\u306f\u5927\u5909\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\u3002\u611f\u52d5\u3057\u307e\u3057\u305f\u203c\ufe0e<\/span><\/strong>
\u3053\u308c\u3067\u6cbb\u7652\u3057\u3066\u304f\u308c\u308c\u3070\u3053\u306e\u6b6f\u3067\u7c98\u3063\u305f\u7532\u6590\u304c\u3042\u308a\u307e\u3059\u2026<\/p>\n\n\n\n

1\u30f6\u6708\u5f8c\u3001\u305d\u3057\u30662\u30f6\u6708\u5f8c\u306e\u7d4c\u904e\u89b3\u5bdf\u3069\u3046\u305e\u3088\u308d\u3057\u304f\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n<\/blockquote>\n\n\n\n

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\u5927\u3057\u305f\u611f\u52d5\u3059\u308b\u51e6\u7f6e\u3067\u3082\u306a\u3044\u3057\u3001\u3053\u308c\u3092\u3084\u3063\u3066\u4e00\u751f\u6b6f\u304c\u6b8b\u308b\u8a33\u3067\u3082\u306a\u3044\u3002<\/p>\n\n\n\n

\u91ce\u7403\u3067\u4f8b\u3048\u308b\u3068\u79c1\u306e\u4ed5\u4e8b\u306f\u3001\u3084\u3084\u9577\u3044\u30a4\u30cb\u30f3\u30b0\u3092\u4efb\u305b\u3089\u308c\u308b\u4e2d\u7d99\u304e\u6295\u624b\u306e\u3088\u3046\u306a\u5f79\u5272\u3092\u679c\u305f\u3059\u3053\u3068\u304c\u3067\u304d\u308c\u3070\u3044\u3044\u3068\u5e38\u3005\u601d\u3063\u3066\u3044\u308b\u3002<\/span><\/strong><\/p>\n\n\n\n

\u304c\u3001\u60a3\u8005\u3055\u3093\u306b\u4f1d\u3048\u305f\u3044\u3053\u3068\u306f\u3053\u306e\u3088\u3046\u306b\u6700\u5f8c\u65b9\u81fc\u6b6f\u3092\u4fdd\u5b58\u3059\u308b\u6700\u5f8c\u306e\u5207\u308a\u672d\u306fIntentional Replantation\u3067\u3042\u308b\u3068\u8a00\u3046\u4e8b\u5b9f\u3092\u3069\u3046\u305e\u899a\u3048\u3066\u3044\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n

\u305d\u3057\u3066\u305d\u306e\u9078\u629e\u80a2\u304c\u4eca\u901a\u9662\u3057\u3066\u3044\u308b\u6b6f\u79d1\u533b\u9662\u304b\u3089\u63d0\u793a\u3055\u308c\u306a\u3051\u308c\u3070\u3001\u3042\u306a\u305f\u306f\u305d\u306e\u6b6f\u79d1\u533b\u9662\u306b\u901a\u3046\u3053\u3068\u306f\u3082\u3046\u3084\u3081\u305f\u307b\u3046\u304c\u3044\u3044\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

\u3069\u308c\u304f\u3089\u3044\u306e\u65b9\u304c\u3053\u306e\u4e8b\u5b9f\u306b\u6c17\u304c\u3064\u304f\u3060\u308d\u3046\u304b\uff1f<\/span><\/strong><\/p>\n\n\n\n

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\u30d0\u30a4\u30c8\u5148\u3067\u306e\u6cbb\u7642\u3002 \u60a3\u8005\u3055\u3093\u306f30\u4ee3\u5973\u6027\u3002 \u4e3b\u8a34\u306f\u54ac\u5408\u75db\u304c\u3042\u308a\u565b\u3081\u306a\u3044\u3068\u3044\u3046\u3082\u306e\u3067\u3042\u3063\u305f\u3002 \u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308b\u3002 #15 Perc.(++), Palp.(+), BT(+), Perio pocket( 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