{"id":14921,"date":"2023-05-24T00:00:46","date_gmt":"2023-05-23T15:00:46","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=14921"},"modified":"2023-05-18T00:21:10","modified_gmt":"2023-05-17T15:21:10","slug":"4-apicoectomy-2","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=14921","title":{"rendered":"\u7a7f\u5b54\uff1f\u306b\u898b\u3048\u308b\u9006\u6839\u7ba1\u5145\u586b\uff1f\uff1f\u304c\u65bd\u3055\u308c\u305f\uff1f\uff1f\uff1f\u5916\u79d1\u7684\u6b6f\u5185\u7642\u6cd5\u301c#4 Apicoectomy"},"content":{"rendered":"<p>\u7d39\u4ecb\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u3002<\/p>\n<p>\u3053\u306e\u60a3\u8005\u3055\u3093\u3082\u718a\u672c\u306e<\/p>\n<h1><a href=\"https:\/\/www.keyaki.org\"><span style=\"color: #0000ff;\"><strong>\u3051\u3084\u304d\u901a\u308a\u6b6f\u79d1\u30fb\u77ef\u6b63\u6b6f\u79d1<\/strong><\/span><\/a><\/h1>\n<p>\u304b\u3089\u306e\u7d39\u4ecb\u60a3\u8005\u3055\u3093\u3067\u3042\u308b\u3002<\/p>\n<p>\u4e3b\u8a34\u306f<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u518d\u6839\u7ba1\u6cbb\u7642\u3057\u305f\u90e8\u5206\u304c\u75db\u3044<\/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\uff082023.4.27\uff09<\/strong><\/span><\/h1>\n<p>#4 Cold N\/A, <span style=\"color: #ff0000;\"><strong>Perc.(+), Palp.(++)<\/strong><\/span>, BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>#5 Cold+3\/2, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>Palpation\u306b\u5727\u75db\u304c\u3072\u3069\u304f\u307f\u3089\u308c\u305f\u3002<\/p>\n<p>\u518d\u6839\u7ba1\u6cbb\u7642\u304c\u594f\u529f\u3057\u3066\u3044\u306a\u3044\u3088\u3046\u3060\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>PA\uff082023.4.27\uff09<\/strong><\/span><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-14924 size-large\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI7-9-1-1024x785.jpg\" alt=\"\" width=\"640\" height=\"491\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI7-9-1-1024x785.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI7-9-1-300x230.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI7-9-1-768x589.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI7-9-1-1536x1178.jpg 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI7-9-1.jpg 1949w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-14925 size-large\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI8-6-1024x786.jpg\" alt=\"\" width=\"640\" height=\"491\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI8-6-1024x786.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI8-6-300x230.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI8-6-768x589.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI8-6-1536x1179.jpg 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI8-6.jpg 1944w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<h1><span style=\"color: #008000;\"><strong>CBCT\uff082023.4.27\uff09<\/strong><\/span><\/h1>\n<p>\u518d\u6cbb\u7642\u3092\u884c\u3063\u305f\u6642\u306eCBCT\u3082\u5b58\u5728\u3057\u3066\u3044\u305f\u3002<\/p>\n<p>\u3053\u308c\u306f\u305d\u306e\u969b\u306e\u8853\u524d\u306e\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n<h2><span style=\"color: #008000;\"><strong>Pre-op CBCT\uff082022.9.28\uff09<\/strong><\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-14926\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/384c19dfac5382289ada1884d69dd1ef-300x235.png\" alt=\"\" width=\"300\" height=\"235\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/384c19dfac5382289ada1884d69dd1ef-300x235.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/384c19dfac5382289ada1884d69dd1ef-768x601.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/384c19dfac5382289ada1884d69dd1ef.png 802w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-14927\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/b3382d1feff6ae43c5d46471412ab0ef-300x266.png\" alt=\"\" width=\"300\" height=\"266\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/b3382d1feff6ae43c5d46471412ab0ef-300x266.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/b3382d1feff6ae43c5d46471412ab0ef.png 666w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\u6839\u5c16\u90e8\u306b\u75c5\u5909\u304c\u3042\u308b\u3002<\/p>\n<p>\u3053\u306e\u6642\u306fImplant\u306f\u306a\u304b\u3063\u305f\u306e\u3060\u304c\u3001\u5f8c\u65e5\u3053\u306e\u6b20\u640d\u90e8\u4f4d\u306bImplant\u304c\u57cb\u5165\u3055\u308c\u305f\u3002<\/p>\n<p>\u307e\u305f#4\u306fRe-RCT\u3092\u884c\u3063\u3066\u3044\u305f\u304c\u6cbb\u7652\u304c\u82b3\u3057\u304f\u306a\u304b\u3063\u305f\u3088\u3046\u3060\u3002<\/p>\n<p>\u3053\u3053\u304b\u30897\u30f6\u6708\u304c\u7d4c\u904e\u3057\u3066\u3044\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-14928 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/0fa43daf66e50e98dc91d07227633b95.png\" alt=\"\" width=\"1124\" height=\"870\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/0fa43daf66e50e98dc91d07227633b95.png 1124w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/0fa43daf66e50e98dc91d07227633b95-300x232.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/0fa43daf66e50e98dc91d07227633b95-1024x793.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/0fa43daf66e50e98dc91d07227633b95-768x594.png 768w\" sizes=\"auto, (max-width: 1124px) 100vw, 1124px\" \/><\/p>\n<p>Implant\u306b\u6839\u5c16\u75c5\u5909\u304c\u63a5\u8fd1\u3057\u3064\u3064\u3042\u308b\u3002<\/p>\n<p>\u3053\u306e\u307e\u307e\u653e\u7f6e\u3059\u308c\u3070\u2026<\/p>\n<p>\u3053\u306eImplant\u306b\u3082\u6839\u5c16\u75c5\u5909\u304c\u3067\u304d\u3066\u3057\u307e\u3046\u3002<\/p>\n<p>Peri-Implantitis\u3067\u3042\u308b\u3002<\/p>\n<p>\u305d\u308c\u306f\u907f\u3051\u305f\u3044\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-14929\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/6c2df0580bda865452ef1156260e9154-246x300.png\" alt=\"\" width=\"246\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/6c2df0580bda865452ef1156260e9154-246x300.png 246w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/6c2df0580bda865452ef1156260e9154-840x1024.png 840w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/6c2df0580bda865452ef1156260e9154-768x936.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/6c2df0580bda865452ef1156260e9154.png 1080w\" sizes=\"auto, (max-width: 246px) 100vw, 246px\" \/><\/p>\n<p>CEJ\u3088\u308aApex\u307e\u3067\u306f13mm\u3067\u3042\u308b\u3002<\/p>\n<p>3mm\u3067\u5207\u65ad\u3059\u308b\u3068\u982c\u820c\u7684\u306b\u4f55mm\u5207\u65ad\u3059\u308c\u3070\u3044\u3044\u3060\u308d\u3046\u304b\uff1f<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-14930\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/58fa4becf1ab886566475a6ed738b052-300x300.png\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/58fa4becf1ab886566475a6ed738b052-300x300.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/58fa4becf1ab886566475a6ed738b052-150x150.png 150w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/58fa4becf1ab886566475a6ed738b052.png 738w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>5.5mm\u3067\u3042\u308b\u3002<\/p>\n<p>\u30ea\u30f3\u30c7\u30de\u30f3\u30d0\u30fc\u306e\u534a\u5206\u3060\u3002<\/p>\n<p>\u3053\u3053\u3067\u5207\u65ad\u3059\u308b\u30681\u6839\u7ba1\u306eGutta Percha\u304c\u898b\u3048\u308b\u306f\u305a\u3067\u3042\u308b\u3002<\/p>\n<p>\u305d\u308c\u307b\u3069\u96e3\u3057\u304f\u306a\u3044\u3002<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u4e0a\u984e\u3084\u4e0b\u984e\u306e\u5927\u81fc\u6b6f\u3068\u306f\u3082\u306f\u3084\u3048\u3089\u3044\u9055\u3044\u3060\u3002<\/strong><\/span><\/h1>\n<p>\u4e0a\u984e\u7b2c2\u5c0f\u81fc\u6b6f\u306f\u307b\u307c\u524d\u6b6f\u306e\u3088\u3046\u306a\u6839\u7ba1\u5f62\u614b\u3067\u3042\u308b\u3002<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u8a3a\u65ad\u306f\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n<h1><strong><span style=\"color: #008000;\">\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082023.4.27\uff09<\/span><\/strong><\/h1>\n<p>#4<\/p>\n<p>Pulp Dx: Previously treated<\/p>\n<p>Periapical Dx: Symptomatic apical periodontitis<\/p>\n<p>Recommended Tx: Apicoectomy<\/p>\n<p>\u6cbb\u7642\u306fApicoectomy\u4e00\u629e\u3060\u3002<\/p>\n<p>\u3053\u306e\u65e5\u3001\u6cbb\u7642\u3078\u3068\u79fb\u884c\u3057\u305f\u3002<\/p>\n<hr \/>\n<h1><span style=\"color: #ff0000;\"><strong>\u2606\u3053\u306e\u5f8c\u3001\u5916\u79d1\u52d5\u753b\u304c\u51fa\u3066\u304d\u307e\u3059\u3002\u4e0d\u5feb\u306b\u611f\u3058\u308b\u65b9\u306f\u8996\u8074\u3092Skip\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/strong><\/span><\/h1>\n<hr \/>\n<h1><span style=\"color: #008000;\"><strong>#4 Apicoectomy\uff082023.4.27\uff09<\/strong><\/span><\/h1>\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\/3L0n0jEm?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>#3\u306eImplant\u90e8\u4f4d\u306fSubmarginal\u7684\u306b\u5207\u958b\u3057\u3066\u3044\u308b\u3002<\/p>\n<p>\u7121\u7528\u306a\u6b6f\u5468\u7d44\u7e54\u306e\u554f\u984c\u3092\u4e0e\u3048\u306a\u304f\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u3001#4\u306eApex\u306f\u5bb9\u6613\u306b\u898b\u3064\u304b\u3063\u305f\u3002<\/p>\n<p>Root resection\u3057\u305f\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\/Jghn9HH2?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>\u9006\u6839\u7ba1\u5f62\u6210\u3057\u305f\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\/svFsVmCk?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>\u3044\u3064\u3082\u601d\u3046\u304c\u3053\u306eGutta Percha\u306e\u30da\u30ed\u30da\u30ed(\u6b8b\u6e23\uff09\u304c\u3046\u3056\u3044\u3002<\/p>\n<p>\u3069\u3046\u306b\u304b\u306a\u3089\u306a\u3044\u3060\u308d\u3046\u304b\uff1f\u3068\u3044\u3064\u3082\u601d\u3046\u3002<\/p>\n<p>\u6700\u5f8c\u306b\u9006\u6839\u7ba1\u5145\u586b\u3057\u305f\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\/BbI5UmkJ?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>PA\u3092\u64ae\u5f71\u3057\u3066\u3001\u7e2b\u5408\u3057\u305f\u3002<\/p>\n<p>\uff08PA\u306f\u6700\u5f8c\u306b\u51fa\u3059\u3002\uff09<\/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\/KyXTIKK3?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>PA\u306f\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-14942 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI9-7-1.jpg\" alt=\"\" width=\"1942\" height=\"1502\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI9-7-1.jpg 1942w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI9-7-1-300x232.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI9-7-1-1024x792.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI9-7-1-768x594.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI9-7-1-1536x1188.jpg 1536w\" sizes=\"auto, (max-width: 1942px) 100vw, 1942px\" \/><\/p>\n<p>\u3053\u306ePA\u3060\u3051\u898b\u308b\u3068\u2026<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u3053\u306e\u91ce\u90ce\u3001\u7a7f\u5b54\u3057\u304b\u304b\u3063\u3066\u308b\u3058\u3083\u306d\u3048\u304b\uff01\u3068\u304a\u6012\u308a\u306e\u58f0\u304c\u5c4a\u3044\u3066\u304d\u305d\u3046\u3060\u3002<\/strong><\/span><\/h1>\n<p>\u672c\u5f53\u306b\u7a7f\u5b54\u3057\u3066\u3044\u308b\u306e\u3060\u308d\u3046\u304b\uff1f<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u3053\u3046\u3044\u3046\u6642\u306f\u3001CBCT\u3092\u64ae\u5f71\u3059\u308b\u304b\u3001\u504f\u5fc3\u64ae\u5f71\u3092\u3059\u308b\u3053\u3068\u3092\u52e7\u3081\u308b\u3002<\/strong><\/span><\/h1>\n<p>\u3068\u8a00\u3063\u3066\u3082\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u306b\u306fCBCT\u304c\u306a\u3044\u306e\u3067\u3001\u3053\u3053\u306f\u504f\u5fc3\u64ae\u5f71\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-14944\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI10-3-1.jpg\" alt=\"\" width=\"1951\" height=\"1488\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI10-3-1.jpg 1951w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI10-3-1-300x229.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI10-3-1-1024x781.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI10-3-1-768x586.jpg 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