{"id":15242,"date":"2023-06-08T00:00:53","date_gmt":"2023-06-07T15:00:53","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=15242"},"modified":"2023-06-05T22:32:06","modified_gmt":"2023-06-05T13:32:06","slug":"15242","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=15242","title":{"rendered":"\u4e0b\u984e\u306e\u5927\u81fc\u6b6f\u306f\u6b6f\u5185\u7642\u6cd5\u5c02\u9580\u533b\u306b\u4efb\u305b\u305f\u65b9\u304c\u7121\u96e3\u306a\u7406\u7531\u301c#18 Initial RCT 1\u56de\u6cd5"},"content":{"rendered":"

\u7d39\u4ecb\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u3002<\/p>\n

\u4e3b\u8a34\u306f<\/p>\n

\u5de6\u4e0b\u5965\u6b6f\u304c\u3082\u3084\u3063\u3068\u3059\u308b\u3002\u91cd\u3044\u611f\u3058\u3082\u3059\u308b\u3002\u75db\u307f\u3082\u3042\u308b\u6642\u306f pain scale 5\/10\u3067\u3042\u308b<\/strong><\/span><\/h1>\n

\u3067\u3042\u3063\u305f\u3002<\/p>\n

\u5f53\u6b6f\u79d1\u533b\u9662\u3067\u691c\u67fb\u3092\u884c\u3046\u6642\u306f\u3001\u4ee5\u4e0b\u306eUSC\u6642\u4ee3\u306b\u4f7f\u7528\u3057\u3066\u3044\u305fEndodontic Diagnostic Record\u3092\u7528\u3044\u3066\u3044\u308b\u3002\uff08\u4ee5\u4e0b\u306e\u7528\u7d19\u3092\u53c2\u8003\u306b\u3055\u308c\u305f\u3044\uff09<\/p>\n

\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\uff082023.5.19\uff09<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\u6771\u4eac\u306e\u6b6f\u5468\u5185\u79d1\u5c02\u9580\u533b\uff08\u4f55\u3060\u305d\u308c\u306f\uff1f\uff09\u306eDr.\u306e\u6b6f\u79d1\u533b\u9662\u306b\u901a\u3063\u3066\u3044\u305f\u3068\u3044\u3046\u3002<\/p>\n

\u305d\u3053\u3067\u3001<\/p>\n

\u3042\u306a\u305f\u306e\u6b6f\u830e\u306f\u60aa\u3044<\/p>\n

\u3042\u306a\u305f\u306f\u6b6f\u5468\u75c5\u3067\u3042\u308b<\/p>\n

\u3068\u8a00\u308f\u308c\u3066\u30014\u30f6\u6708\u306b1\u56de\u30e1\u30f3\u30c6\u30ca\u30f3\u30b9\u306b\u901a\u3063\u3066\u3044\u305f\u305d\u3046\u3060\u3002<\/p>\n

\u6b6f\u5468\u5185\u79d1\u3068\u3044\u3046\u306e\u306f\u4f55\u3060\u308d\u3046\u304b\uff1f\u79c1\u306f\u305d\u3093\u306a\u3082\u306e\u306e\u5b58\u5728\u3092\u7c73\u56fd\u3067\u805e\u3044\u305f\u3053\u3068\u304c\u306a\u3044\u3002<\/strong><\/span><\/h1>\n

#18 Cold+20\/10, Perc.(+), Palp.(+), BT(-), Perio Probe(WNL), Mobility(WNL), Sinus tract(+)<\/p>\n

#19 Cold++1\/24, Perc.(+), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n

\u521d\u8a3a\u6642PA\uff082023.5.15\uff09<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\"\"<\/p>\n

#18\u306b\u306f\u5927\u304d\u306a\u6839\u5c16\u75c5\u5909\u304c\u3042\u308b\u3002<\/p>\n

\u305d\u308c\u306a\u306e\u306b\u3001Cold+20\/10\u3060\u3002<\/p>\n

\u306a\u305c\u3060\u308d\u3046\u304b\uff1f\u3068\u8a00\u3048\u3070\u3001<\/p>\n

\u3053\u306e\u6642\u70b9\u3067\u4ee5\u4e0b\u306e\u53ef\u80fd\u6027\u304c\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n

\u2460\u8907\u6839\u7ba1\u306e\u3044\u305a\u308c\u304b\u306e\u6839\u7ba1\u306e\u6b6f\u9ac4\u304c\u6b7b\u3093\u3067\u3044\u308b\u3002\u305d\u306e\u4ed6\u306e\u751f\u6d3b\u6b6f\u9ac4\u304cCold test\u306b\u53cd\u5fdc\u3057\u3066\u3044\u308b<\/p>\n

\u2461Partial Pulp Necrosis\u306e\u53ef\u80fd\u6027\u3002\u6b6f\u9ac4\u58ca\u6b7b\u306e\u9014\u4e2d\uff1f<\/p>\n

\u8a73\u7d30\u306a\u60c5\u5831\u304c\u6b32\u3057\u3044\u306e\u3067CBCT\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n

CBCT\uff082023.5.15\uff09<\/strong><\/span><\/h1>\n

\u6839\u7ba1\u5f62\u6210\u3092\u884c\u3046\u9806\u756a\u306bCBCT\u3092\u898b\u3066\u3044\u3053\u3046\u3002<\/p>\n

\u307e\u305aD\u3067\u3042\u308b\u3002<\/p>\n

\"\"<\/p>\n

D\u306f1\u6839\u7ba1\u3067\u3042\u308b\u3002<\/p>\n

\u6839\u5c16\u75c5\u5909\u304c\u3042\u308b\u306e\u3067\u7a7f\u901a\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n

\u30b7\u30fc\u30e9\u30fc\u304c\u51fa\u3066\u3082\u4e8b\u6545\u306f\u8d77\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n

\u6b21\u304cML\u3067\u3042\u308b\u3002<\/p>\n

\"\"<\/p>\n

ML\u306fMB\u3088\u308a\u3082\u76f4\u7dda\u7684\u306a\u6839\u7ba1\u3067\u3042\u308b\u3002<\/p>\n

\u305d\u3057\u3066CBCT\u3092\u898b\u308b\u3068ML\u306fMB\u3068\u5408\u6d41\u3057\u3066\u3044\u308b\u3088\u3046\u306b\u898b\u3048\u308b\u3002<\/strong><\/span><\/h1>\n

\u3053\u308c\u304c\u3001CBCT\u306e\u6b6f\u5185\u7642\u6cd5\u81e8\u5e8a\u3078\u306e\u5fdc\u7528\u3068\u3044\u3046\u3084\u3064\u3060\u3002<\/p>\n

\u3082\u306f\u3084\u3001\u305d\u308c\u306a\u3057\u306b\u6b6f\u5185\u7642\u6cd5\u81e8\u5e8a\u306f\u3067\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n

\"\"<\/p>\n

MB\u306e\u4e0b\u90e8\u306b\u306f\u5927\u304d\u306a\u6839\u5c16\u75c5\u5909\u304c\u3042\u308b\u3002<\/p>\n

\u3053\u3053\u306b\u30b7\u30fc\u30e9\u30fc\u304c\u6f0f\u308c\u308b\u3068\u2026<\/p>\n

\u305d\u306e\u4e0b\u90e8\u306e\u4e0b\u6b6f\u69fd\u795e\u7d4c\u306b\u5230\u9054\u3057\u3001\u91cd\u5927\u306a\u4e8b\u6545\u304c\u751f\u3058\u308b\u3002<\/p>\n

\u3053\u3053\u306f\u7cbe\u67fb\u304c\u5fc5\u8981\u3060\u3002<\/p>\n

\"\"<\/p>\n

\u304c\u3001\u3060\u3002<\/p>\n

MB\u306fML\u3068\u5408\u6d41\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n

\u3064\u307e\u308a\u3001<\/p>\n

MB\u306e\u6839\u5c16\u5b54\u304b\u3089\u30b7\u30fc\u30e9\u30fc\u304c\u5927\u91cf\u306b\u6ea2\u51fa\u3059\u308b\u5371\u967a\u6027\u306f\u306a\u3044\u306e\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n

\u3053\u306e\u4e8b\u5b9f\u304b\u3089\u4f55\u304c\u308f\u304b\u308b\u304b\uff1f\u3068\u8a00\u3048\u3070\u3001<\/p>\n

CBCT\u306f\u3082\u306f\u3084\u6b6f\u5185\u7642\u6cd5\u81e8\u5e8a\u306b\u306f\u306a\u304f\u3066\u306f\u306a\u3089\u306a\u3044\u3082\u306e<\/strong><\/span><\/h1>\n

\u3068\u3044\u3046\u4e8b\u5b9f\u3067\u3042\u308b\u3002<\/p>\n

\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082023.5.15\uff09<\/strong><\/span><\/h1>\n

Pulp Dx: Symptomatic apical periodontitis<\/p>\n

Periapical Dx: Chronic apical abscess<\/p>\n

Recommended Tx: RCT<\/p>\n

\u63a8\u5968\u3055\u308c\u308b\u6cbb\u7642\u306f\u6839\u7ba1\u6cbb\u7642\u3067\u3042\u308b\u3002<\/p>\n

\u5408\u6d41\u306a\u3069\u3092\u982d\u306b\u5165\u308c\u3066\u6839\u7ba1\u6cbb\u7642\u3057\u306a\u304f\u3066\u306f\u306a\u3089\u306a\u3044\u3002<\/p>\n

\u5225\u65e5\u306b\u6cbb\u7642\u3078\u79fb\u884c\u3057\u305f\u3002<\/p>\n

\n

\u2606\u6839\u7ba1\u6cbb\u7642\u306e\u52d5\u753b\u304c\u51fa\u3066\u304d\u307e\u3059\u3002\u4e0d\u5feb\u611f\u3092\u611f\u3058\u308b\u65b9\u306f\u8996\u8074\u3092Skip\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/strong><\/span><\/h1>\n
\n

#18 RCT\uff082023.6.2\uff09<\/strong><\/span><\/h1>\n

\u3053\u306e\u6cbb\u7642\u306e\u6700\u5927\u306e\u30dd\u30a4\u30f3\u30c8\u306f<\/p>\n

\u8fd1\u5fc3\u6839\u7ba1\u306e\u5408\u6d41<\/p>\n

\u3067\u3042\u308b\u3002<\/p>\n

\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u3057\u3066\u305d\u308c\u3092\u78ba\u8a8d\u3057\u305f\u3002<\/p>\n

\u2460ML\u3092\u5f53\u8a72\u30b5\u30a4\u30ba\uff08#40.04\uff09\u307e\u3067\u62e1\u5927\u5f62\u6210\u3059\u308b\u3002\uff08\u3053\u306e\u5834\u5408\u306fWL=RIL-0.5mm\u306718.5mm\uff09<\/strong><\/span><\/h1>\n

\u2461ML\u306b#35.04\u306eGutta Percha\u3092\u4f5c\u696d\u9577\u307e\u3067\u633f\u5165\u3059\u308b\u3002<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\u2462MB\u306bC+ File #10\u3092\u5165\u308c\u3066\u4f5c\u696d\u9577\u306e\u6e2c\u5b9a\u3092\u3059\u308b\u3002\uff08\u4f5c\u696d\u9577\u306f\u5b9f\u969b\u306b\u6e2c\u3089\u306a\u304f\u3066\u3082\u3044\u3044\u304c\u3001Root Zx\u306b\u3064\u3051\u3066\u30d5\u30a1\u30a4\u30eb\u3092\u6839\u7ba1\u306b\u5165\u308c\u305f\u65b9\u304c\u79c1\u306f\u3084\u308a\u3084\u3059\u3044\u3057\u3001Overextension\u3057\u305f\u969b\u306b\u628a\u63e1\u30fb\u7406\u89e3\u3057\u3084\u3059\u3044\u306e\u3067Root ZX\u306b\u3064\u3051\u306a\u304c\u3089\u6e2c\u5b9a\u3059\u308b\u3053\u3068\u3092\u304a\u52e7\u3081\u3059\u308b\uff09<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\u2463File\u3001Gutta Percha\u3092\u53d6\u308a\u51fa\u3059<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\u2464\u30de\u30a4\u30af\u30ed\u30b9\u30b3\u30fc\u30d7\u3067Gutta Percha\u306b\u50b7\u304c\u3064\u3044\u3066\u3044\u306a\u3044\u304b\uff1f\u78ba\u8a8d\u3059\u308b<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\u3059\u308b\u3068MB\u306e\u4f5c\u696d\u9577\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n

\"\"<\/p>\n

\u305d\u3046\u3002<\/p>\n

15.5mm\uff08\u3053\u306e\u5834\u5408\u306fML\u3068\u306e\u5408\u6d41\u90e8\u304c15.5mm\u306a\u306e\u3067-0.5mm\u3072\u304b\u306a\u3044\u3053\u3068\u306b\u6ce8\u610f\u3059\u308b\uff09\u3067\u3042\u308b\u3002<\/p>\n

\u3057\u304b\u3082\u3001#40.04\u30921\u56de\u5165\u308c\u308c\u3070\u6839\u7ba1\u5f62\u6210\u306f\u7d42\u4e86\u3059\u308b\u3002<\/strong><\/span><\/h1>\n

\u3053\u308c\u3092<\/p>\n

\u6642\u77ed\u7684\u6839\u7ba1\u6cbb\u7642<\/strong><\/span><\/h1>\n

\u3068\u79c1\u306f\u52dd\u624b\u306b\u547c\u3093\u3067\u3044\u308b\u3002<\/p>\n

\u305d\u3057\u3066\u3001\u305d\u306e\u7aa9\u6d1e\u306b#35.04\u306eGutta Percha\u3092\u5165\u308c\u308c\u3070\u6839\u5145\u7d42\u4e86\u3060\u3002<\/p>\n

\u3053\u308c\u306e\u4f55\u304c\u96e3\u3057\u3044\u3060\u308d\u3046\u304b\uff1f<\/strong><\/span><\/h1>\n

Patency File\u3092\u3057\u3001\u6839\u7ba1\u5145\u586b\u3057PA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u8853\u5f8c\u306e\u504f\u9060\u5fc3\u5199\u771f\u304c\u6cbb\u7642\u306e\u6b63\u5f53\u6027\u3092\u793a\u3057\u3066\u3044\u308b\u3002<\/p>\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u304b\u304b\u308a\u3064\u3051\u533b\u306b\u30d7\u30ed\u30d3\u30b8\u30e7\u30ca\u30eb\u30ec\u30b9\u30c8\u30ec\u30fc\u30b7\u30e7\u30f3\u3092\u88c5\u7740\u3057\u3066\u3082\u3089\u3046\u3088\u3046\u306b\u4f9d\u983c\u3057\u3066\u7d42\u4e86\u3057\u305f\u3002<\/p>\n

\u3053\u306e\u6cbb\u7642\u3067\u96e3\u3057\u304b\u3063\u305f\u3053\u3068\u306f\u3001<\/p>\n

\u60a3\u8005\u3055\u3093\u306e\u53e3\u304c\u958b\u304b\u306a\u3044<\/p>\n

\u3068\u3044\u3046\u4e8b\u5b9f\u3067\u3042\u308b\u3002<\/p>\n

\"\"<\/p>\n

\u6050\u3089\u304f\u65e5\u672c\u4eba\u306f\u2026<\/p>\n

\u4e16\u754c\u3067\u4e00\u756a\u53e3\u304c\u958b\u304b\u306a\u3044\u6c11\u65cf\u3060\u308d\u3046\u3002<\/p>\n

USC\u306e\u6642\u306b\u3082\u65e5\u672c\u4eba\u304c\u6765\u305f\u3089\u307b\u307c\u5168\u3066\u79c1\u306b\u56de\u3055\u308c\u3066\u3044\u305f\u3002<\/p>\n

\u305d\u306e\u6642\u306e\u7406\u7531\u304c\u3001<\/p>\n

\u307e\u305f\u65e5\u672c\u4eba\u6765\u305f\u3088\u3002\u8a71\u306f\u9577\u3044\u3057\u3001\u53e3\u306f\u958b\u304b\u306a\u3044\u3057\u3001Akira\u4efb\u305b\u305f\uff01<\/span><\/strong><\/h1>\n

\u3067\u3042\u3063\u305f\u2026<\/p>\n

\u305d\u3057\u3066\u3082\u3046\u4e00\u3064\u306e\u6559\u8a13\u304c\u3001<\/p>\n

\u5927\u81fc\u6b6f\u306e\u6839\u7ba1\u6cbb\u7642\u306f\u5c02\u9580\u533b\u306b\u4efb\u305b\u305f\u65b9\u304c\u7121\u96e3<\/strong><\/span><\/h1>\n

\u3068\u3044\u3046\u30a2\u30e1\u30ea\u30ab\u306e\u683c\u8a00\u3067\u3042\u308b\u3002<\/p>\n

\u6b21\u56de\u306f\u3001#19\u306e\u6839\u7ba1\u6cbb\u7642\u3067\u3042\u308b\u3002<\/p>\n

\u307e\u305f\u7686\u3055\u3093\u306b\u3054\u5831\u544a\u3057\u305f\u3044\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

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