{"id":15091,"date":"2023-06-07T00:00:20","date_gmt":"2023-06-06T15:00:20","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=15091"},"modified":"2023-06-07T07:54:43","modified_gmt":"2023-06-06T22:54:43","slug":"26-rct","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=15091","title":{"rendered":"\u5916\u50b7\u3067\u8131\u96e2\u3057\u305f\u6b6f\u306e\u6839\u7ba1\u6cbb\u7642\u301c#26 RCT+Core build up wo Fiber Post"},"content":{"rendered":"<p>\u7d39\u4ecb\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u3002<\/p>\n<p>\u60a3\u8005\u3055\u3093\u306f\u6d77\u5916\u306b\u5728\u4f4f\u3057\u3066\u3044\u308b\u65b9\u3067\u3042\u308b\u3002<\/p>\n<p>\u4e3b\u8a34\u306f<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u5916\u50b7\u3067\u6b6f\u304c\u629c\u3051\u3066\u623b\u3057\u305f\u4e0b\u984e\u524d\u6b6f\u306e\u6839\u7ba1\u6cbb\u7642\u3092\u5e0c\u671b<\/strong><\/span><\/h1>\n<p>\u3067\u3042\u3063\u305f\u3002<\/p>\n<p>\u5916\u50b7\u306e\u75c7\u4f8b\u306a\u306e\u3067\u3001EPT\u3082\u884c\u3063\u3066\u3044\u308b\u3002<\/p>\n<p>\u4e45\u3005\u884c\u3063\u305f\u691c\u67fb\u3060\u3002<\/p>\n<p>EPT\u3067\u308f\u304b\u308b\u3053\u3068\u306f\u3001\u6b6f\u9ac4\u304c\u751f\u304d\u3066\u3044\u308b\u304b\uff1f\u6b7b\u3093\u3067\u3044\u308b\u304b\uff1f\u306e\u307f\u3067\u3042\u308b\u3002<\/p>\n<p>\u91cd\u7be4\u306a\u708e\u75c7\u304c\u3042\u308b\u304b\u306a\u3044\u304b\uff1f\u306a\u3069\u306f\u308f\u304b\u3089\u306a\u3044\u3002<\/p>\n<p>\u3064\u307e\u308a\u3001\u3053\u306e\u691c\u67fb\u3067Symptomatic irreversible pulpitis\u3068\u304b\u306f\u8a00\u3048\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n<p>\u307e\u305f\u3001EPT\u306f\u5916\u50b7\u5f8c\u306e\u8a66\u9a13\u3067\u306f\u6700\u3082\u4fe1\u7528\u3055\u308c\u308b\u8a66\u9a13\u3067\u3042\u308b\u3002<\/p>\n<h1><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24112609\/\"><span style=\"color: #0000ff;\"><strong>Bastos 2014 Pulpal response to sensibility tests after traumatic dental injuries in permanent teeth<\/strong><\/span><\/a><\/h1>\n<p>\u3053\u306e\u6587\u732e\u306b\u3088\u308c\u3070\u3001\u5916\u50b7\u5f8c\u5931\u6d3b\u3059\u308b\u304b2\u5e74\u9593\u307e\u3067\u691c\u67fb\u3092\u884c\u3063\u3066\u3044\u308b\u3002<\/p>\n<p>\u305d\u306e\u7d50\u679c\u3001<\/p>\n<p>The accuracy of each sensibility test at the initial and final appointments was, respectively, 55.1% and 67.8% for the heat test, 55.9% and 77.9% for the cold test, and 57.6% and <span style=\"color: #ff0000;\"><strong>89% for the electrical test.<\/strong><\/span><\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u5916\u50b7\u3067\u306f\u3001Heat\u3088\u308a\u3082\u3001Cold\u3088\u308a\u3082\u3001EPT\u304c\u6700\u3082\u4fe1\u983c\u6027\u304c\u9ad8\u3044\u691c\u67fb\u3068\u306a\u3063\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n<p>\u3069\u308c\u304f\u3089\u3044\u306e\u983b\u5ea6\u3067\u305d\u308c\u3092\u884c\u3046\u304b\uff1f\u306f\u81e8\u5e8a\u5bb6\u3068\u60a3\u8005\u306e\u5e0c\u671b\u306b\u3082\u3088\u308b\u3060\u308d\u3046\u3002<\/p>\n<p>\u305d\u3053\u306b\u30a8\u30d3\u30c7\u30f3\u30b9\u3084\u6c7a\u307e\u308a\u306f\u306a\u3044\u3068\u601d\u308f\u308c\u308b\u3002<\/p>\n<p>\uff08\u8ab0\u304b\u3088\u308a\u9069\u5207\u306a\u691c\u67fb\u65b9\u6cd5\u3084\u305d\u306e\u671f\u9593\u306a\u3069\u3054\u5b58\u3058\u306e\u65b9\u304c\u3044\u3089\u3063\u3057\u3083\u308c\u3070\u30e1\u30fc\u30eb\u3092\u304f\u3060\u3055\u3044\u3002\uff09<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\uff082023.5.13\uff09<\/strong><\/span><\/h1>\n<p>#25 Cold+2\/2, EPT+47\/80, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>#26 Cold NR\/20, EPT NR\/80, <span style=\"color: #ff0000;\"><strong>Perc.(+)<\/strong><\/span>, Palp.(-), <span style=\"color: #ff0000;\"><strong>BT(+)<\/strong><\/span>, Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>#27 Cold+3\/3, EPT+67\/80,, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>\u518d\u690d\u3057\u305f#26\u306fCold\u306b\u3082\u3001EPT\u306b\u3082\u53cd\u5fdc\u304c\u306a\u3044\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>PA\uff082023.5.13\uff09<\/strong><\/span><\/h1>\n<h1><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-15102\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI4-11-2.jpg\" alt=\"\" width=\"1481\" height=\"1940\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI4-11-2.jpg 1481w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI4-11-2-229x300.jpg 229w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI4-11-2-782x1024.jpg 782w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI4-11-2-768x1006.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI4-11-2-1173x1536.jpg 1173w\" sizes=\"auto, (max-width: 1481px) 100vw, 1481px\" \/><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-15103\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI5-14-1.jpg\" alt=\"\" width=\"1484\" height=\"1945\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI5-14-1.jpg 1484w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI5-14-1-229x300.jpg 229w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI5-14-1-781x1024.jpg 781w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI5-14-1-768x1007.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/CI5-14-1-1172x1536.jpg 1172w\" sizes=\"auto, (max-width: 1484px) 100vw, 1484px\" \/><\/p>\n<h1><span style=\"color: #008000;\"><strong>CBCT\uff082023.5.13\uff09<\/strong><\/span><\/h1>\n<h1><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-15104 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/2b5907154b2dd2cca41ad098872b23a0-e1685760715323.png\" alt=\"\" width=\"352\" height=\"318\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/2b5907154b2dd2cca41ad098872b23a0-e1685760715323.png 352w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/2b5907154b2dd2cca41ad098872b23a0-e1685760715323-300x271.png 300w\" sizes=\"auto, (max-width: 352px) 100vw, 352px\" \/><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-15105 size-medium\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/81e6b66f24acf5746e2f74760333a747-247x300.png\" alt=\"\" width=\"247\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/81e6b66f24acf5746e2f74760333a747-247x300.png 247w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/05\/81e6b66f24acf5746e2f74760333a747.png 734w\" sizes=\"auto, (max-width: 247px) 100vw, 247px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-15266\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/fe4eb14b646bd360e9448c447dce8964-300x283.png\" alt=\"\" width=\"300\" height=\"283\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/fe4eb14b646bd360e9448c447dce8964-300x283.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/fe4eb14b646bd360e9448c447dce8964-768x723.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/fe4eb14b646bd360e9448c447dce8964.png 826w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\u8131\u96e2\u3057\u305f\u6b6f\u3092\u518d\u690d\u3057\u3066\u5b9a\u7740\u3057\u3066\u3044\u308b\u304c\u3001\u6b8b\u5ff5\u306a\u304c\u3089\u6839\u5c16\u75c5\u5909\u304c\u3067\u304d\u3066\u3044\u308b\u3002<\/p>\n<p>\u3068\u3044\u3046\u3088\u308a\u3082\u72b6\u6cc1\u7684\u306b\u3053\u306e\u6b6f\u306f\u6839\u7ba1\u6cbb\u7642\u304c\u5fc5\u8981\u3060\u3002<\/p>\n<p>\u307e\u305f\u3001\u305d\u306e\u4ed6\u3082\u554f\u984c\u304c\u3042\u308b\u6b6f\u304c\u3042\u308b\u3088\u3046\u306b\u898b\u3048\u308b\u304c\u3001TAB\u306e\u53ef\u80fd\u6027\u3082\u3042\u308b\u3057\u3001\u4f55\u3088\u308a\u60a3\u8005\u3055\u3093\u672c\u4eba\u306e<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u201c\u554f\u984c\u304c\u51fa\u3066\u304b\u3089\u6cbb\u7642\u3057\u305f\u3044\u201d<\/strong><\/span><\/h1>\n<p>\u3068\u3044\u3046\u5e0c\u671b\u304c\u3042\u308b\u305f\u3081\u3053\u308c\u4ee5\u4e0a\u306e\u52a0\u7642\u306f\u52e7\u3081\u306a\u304b\u3063\u305f\u3002<\/p>\n<p>\u5f53\u305f\u308a\u524d\u3060\u3002<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u6b6f\u79d1\u533b\u5e2b\u306f\u6cbb\u7642\u8a08\u753b\u306f\u7acb\u3066\u308c\u308b\u304c\u3001\u6cbb\u7642\u5185\u5bb9\u3092\u5b9f\u969b\u306b\u6c7a\u5b9a\u3059\u308b\u306e\u306f\u60a3\u8005\u3055\u3093\u3067\u3042\u308b\u304b\u3089\u3060\u3002<\/strong><\/span><\/h1>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3053\u306e\u6b6f\u306e\u307f\u3092Focus\u3057\u3066\u6cbb\u7642\u3078\u79fb\u884c\u3057\u305f\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\uff082023.5.13\uff09<\/strong><\/span><\/h1>\n<p>Pulp Dx: Pulp Necrosis<\/p>\n<p>Periapical Dx: Asymptomatic apical periodontitis<\/p>\n<p>Recommended Tx: RCT<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u5225\u65e5\u306b\u6839\u7ba1\u6cbb\u7642\u3078\u79fb\u884c\u3057\u305f\u3002<\/p>\n<hr \/>\n<h1><span style=\"color: #008000;\"><strong>#26 RCT\uff082023.5.28\uff09<\/strong><\/span><\/h1>\n<p>\u3053\u306e\u6cbb\u7642\u3067\u306e\u6700\u5927\u306e\u7126\u70b9\u306f\u3001\u30c1\u30e3\u30f3\u30d0\u30fc\u30aa\u30fc\u30d7\u30f3\u3067\u3042\u308b\u3002<\/p>\n<p>\u30c1\u30e3\u30f3\u30d0\u30fc\u30aa\u30fc\u30d7\u30f3\u3092\u5927\u304d\u304f\u958b\u3051\u308c\u3070\u4e0b\u984e\u306e\u524d\u6b6f\u306f\u5927\u304d\u304f\u640d\u306a\u308f\u308c\u308b\u3002<\/p>\n<p>\u304c\u3001\u6850\u306e\u3088\u3046\u306b\u5c0f\u3055\u306a\u7a74\u306a\u3089\u7b2c\uff13\u8005\u306e\u76ee\u306b\u89e6\u308c\u3066\u3082\u5168\u304f\u308f\u304b\u3089\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n<p>\u3053\u306e\u6642\u6709\u52b9\u306a\u306e\u304c\u3001CBCT\u3068SS White\u306eEndo Guide Bur\u3060\u3002<\/p>\n<p>\u307e\u305aCBCT\u3092\u898b\u308b\u3068\u9732\u9ac4\u3055\u305b\u308b\u306b\u306f\u3069\u3053\u306b\u7a74\u3092\u958b\u3051\u308c\u3070\u3044\u3044\u3060\u308d\u3046\u304b\uff1f<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-15266\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/fe4eb14b646bd360e9448c447dce8964-300x283.png\" alt=\"\" width=\"300\" height=\"283\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/fe4eb14b646bd360e9448c447dce8964-300x283.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/fe4eb14b646bd360e9448c447dce8964-768x723.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/fe4eb14b646bd360e9448c447dce8964.png 826w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\u5207\u7aef\u306e\u3084\u3084\u5f8c\u308d\u306b\u5782\u76f4\u306b\u7a74\u3092\u958b\u3051\u308c\u3070\u9732\u9ac4\u3059\u308b\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n<p>\u305d\u3093\u306a\u30d0\u30fc\u304c\u3042\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\n<p>\u3068\u3044\u3048\u3070\u3001\u30a2\u30e1\u30ea\u30ab\u306b\u306f\u3042\u308b\u3002<\/p>\n<p>SS White\u306eEndoGuide Bur\u3067\u3042\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-15267 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/SS-White-EndoGuide-Bur.png\" alt=\"\" width=\"935\" height=\"629\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/SS-White-EndoGuide-Bur.png 935w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/SS-White-EndoGuide-Bur-300x202.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/SS-White-EndoGuide-Bur-768x517.png 768w\" sizes=\"auto, (max-width: 935px) 100vw, 935px\" \/><\/p>\n<p>\u3053\u306e\u4e2d\u3067\u4f7f\u3048\u308b\u3082\u306e\u306f\u3001\u30bf\u30fc\u30d3\u30f3\u306b\u53d6\u308a\u4ed8\u3051\u308c\u308b\u3082\u306e\u306e\u307f\u3067\u3042\u308b\u3002<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u306f\u305d\u308c\u304c\u3069\u308c\u3092\u793a\u3059\u306e\u304b\u306f\u3082\u3046\u308f\u304b\u308b\u3060\u308d\u3046\u3002<\/p>\n<p>\u30c1\u30e3\u30f3\u30d0\u30fc\u30aa\u30fc\u30d7\u30f3\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\/aqUPZOVt?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>\u9732\u9ac4\u306b\u8981\u3057\u305f\u6642\u9593\u306f<\/p>\n<p>1\u5206<\/p>\n<p>\u3067\u3042\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-15271 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/aeb742ec6a451dff94122d9a306b8032-1.png\" alt=\"\" width=\"1024\" height=\"576\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/aeb742ec6a451dff94122d9a306b8032-1.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/aeb742ec6a451dff94122d9a306b8032-1-300x169.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/aeb742ec6a451dff94122d9a306b8032-1-768x432.png 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p>\u3053\u306e\u307e\u307e\u4ee5\u4e0b\u306e\u5185\u5bb9\u3067\u6839\u7ba1\u5f62\u6210\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-15274 size-large\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/db9600722cb84ddbf1fa4736daa934fd-1-1024x367.png\" alt=\"\" width=\"640\" height=\"229\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/db9600722cb84ddbf1fa4736daa934fd-1-1024x367.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/db9600722cb84ddbf1fa4736daa934fd-1-300x108.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/db9600722cb84ddbf1fa4736daa934fd-1-768x276.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/db9600722cb84ddbf1fa4736daa934fd-1-1536x551.png 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2023\/06\/db9600722cb84ddbf1fa4736daa934fd-1-2048x735.png 2048w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>\u6cbb\u7642\u5f8c\u306bPA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" 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