{"id":1569,"date":"2021-03-10T15:07:38","date_gmt":"2021-03-10T06:07:38","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=1569"},"modified":"2022-01-20T18:10:36","modified_gmt":"2022-01-20T09:10:36","slug":"3-apicoectomy%e5%a4%b1%e6%95%97%e2%9e%a1%ef%b8%8eintentional-replantation%e5%be%8c3%e5%b9%b4%e7%b5%8c%e9%81%8e","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=1569","title":{"rendered":"#3 Apicoectomy\u5931\u6557\u27a1\ufe0eIntentional Replantation\u5f8c3\u5e74\u7d4c\u904e"},"content":{"rendered":"\r\n

\u60a3\u8005\u306f\u4ee5\u524d\u306e\u5f53\u6b6f\u79d1\u533b\u9662\u306e\u60a3\u8005\u3055\u3093\u3002\u30d0\u30a4\u30c8\u5148\u3067\u306e\u7d4c\u904e\u89b3\u5bdf\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

50\u4ee3\u5973\u6027\u3002<\/p>\r\n\r\n\r\n\r\n

\u4ed6\u9662\u304b\u3089\u306e\u7d39\u4ecb\u6642\u3001\u65e2\u306b\u6839\u7ba1\u6cbb\u7642\u306f\u7d42\u4e86\u3055\u308c\u3066\u3044\u305f\u304c\u75db\u307f\u304c\u53d6\u308c\u306a\u3044\u3067\u3044\u305f\u3002(2017.12.14)<\/p>\r\n\r\n\r\n\r\n

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

#2 Cold+1\/6, Perc.(-), Palp.(-),BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\r\n\r\n\r\n\r\n

#3 Cold N\/A, Perc.(+)<\/span><\/strong><\/span>,Palp.(-), BT(+)<\/span><\/strong><\/span>, Perio Probe(WNL), Mobility(WNL)<\/p>\r\n\r\n\r\n\r\n

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

PA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

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

\u6839\u5c16\u75c5\u5909\u306f\u898b\u5f53\u305f\u3089\u306a\u3044\u3088\u3046\u306b\u601d\u308f\u308c\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

#3\u306e\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u75c5\u540d\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

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

Periapical Dx: Symptomatic apical periodontitis<\/p>\r\n\r\n\r\n\r\n

\u3057\u304b\u3057\u3001\u56f0\u3063\u305f\u3053\u3068\uff1f\u306b\u6839\u5c16\u75c5\u5909\u304c\u898b\u5f53\u305f\u3089\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

\u7d39\u4ecb\u5148\u306e\u6b6f\u79d1\u533b\u5e2b\u306b\u3069\u3046\u3044\u3046\u6cbb\u7642\u3092\u3057\u305f\u304b\uff1f\u805e\u304f\u3068\u3001<\/p>\r\n\r\n\r\n\r\n

\u201d\u5144\u304c\u629c\u9ac4\u3057\u3001\u79c1(\u5f1f\u5148\u751f)\u304c\u5f15\u304d\u7d99\u3044\u3067\u518d\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u306a\u3063\u305f\u201d \u3068\u8aac\u660e\u304c\u3042\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u5f1f\u5148\u751f\u306f\u304b\u3064\u3066\u79c1\u306e\u7814\u4fee\u4f1a\u306b\u3088\u304f\u9854\u3092\u51fa\u3057\u3066\u3044\u305f\u308a\u3001\u79c1\u306e\u6b6f\u79d1\u533b\u9662\u3067\u5916\u79d1\u306e\u4ecb\u52a9\u3092\u3057\u305f\u308a\u3068\u5354\u529b\u3057\u3066\u304f\u308c\u305f\u5148\u751f\u3060\u3063\u305f\u304c\u3001\u65b0\u3057\u304f\u52e4\u52d9\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u305d\u308c\u306f\u9014\u7d76\u3048\u3066\u3057\u307e\u3063\u305f\u3002<\/p>\r\n

\u3061\u306a\u307f\u306b\u3001\u5f7c\u306f\u518d\u6839\u7ba1\u6cbb\u7642\u306f\u30e9\u30d0\u30fc\u30c0\u30e0\u3057\u3066\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u304c\u3001\u5144\u306f\u30e9\u30d0\u30fc\u30c0\u30e0\u3092\u3057\u3066\u3044\u306a\u3044\u3001\u3068\u306e\u3053\u3068\u3067\u3042\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u629c\u9ac4\u3067\u306f\u30e9\u30d0\u30fc\u30c0\u30e0\u3092\u3057\u3066\u3044\u306a\u3044\u304c\u3001\u518d\u6839\u7ba1\u6cbb\u7642\u3067\u306f\u30e9\u30d0\u30fc\u30c0\u30e0\u3092\u3057\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

CBCT\u3082\u64ae\u5f71\u3057\u305f\u304c\u6839\u5c16\u75c5\u5909\u3068\u304a\u307c\u3057\u304d\u3082\u306e\u306f\u82e5\u5e72MB\u6839\u306b\u3042\u308b\u304b\u306a\uff1f\u3068\u3044\u3046\u304f\u3089\u3044\u3067\u306f\u3063\u304d\u308a\u306f\u308f\u304b\u3089\u306a\u304b\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u304c\u3001\u79c1\u306f\u307e\u305aApicoectomy\u3092\u6cbb\u7642\u306e\u7b2c\uff11\u9078\u629e\u80a2\u3068\u3057\u3066\u63d0\u793a\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u60a3\u8005\u3055\u3093\u304c\u540c\u610f\u3057\u305f\u305f\u3081\u3001Apicoectomy\u3092MB\u6839\u306e\u307f\u306b\u884c\u306a\u3063\u305f\u3002(2017.12.29)<\/p>\r\n\r\n\r\n\r\n

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

\u3053\u306e\u72b6\u614b\u3067\u534a\u5e74\u9593\u7d4c\u904e\u89b3\u5bdf\u3092\u884c\u306a\u3063\u305f\u304c\u2026\u75c7\u72b6\u306f\u6539\u5584\u3057\u306a\u304b\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u72b6\u614b\u306b\u306a\u308c\u3070\u6700\u5f8c\u306e\u5207\u308a\u672d\u3092\u51fa\u3059\u3057\u304b\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

Intentional Replantation\u3060\u3002<\/p>\r\n\r\n\r\n\r\n

\u6cbb\u7642\u306b\u540c\u610f\u3057\u30012\u56de\u76ee\u306e\u5916\u79d1\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002\uff082018.5.25)<\/p>\r\n\r\n\r\n\r\n

\u3057\u304b\u3057\u3001\u3053\u3093\u306a3\u6839\u7ba1\u3042\u308b\u6b6f\u304c\u629c\u3051\u308b\u306e\u304b\uff1f\u3068\u8a00\u3048\u3070\u3001\u8131\u81fc\u3055\u305b\u306a\u3044\u9650\u308a\u629c\u6b6f\u3059\u308b\u3053\u3068\u306f\u4e0d\u53ef\u80fd\u3060\u308d\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

\u3053\u306e\u6642\u306f, Physics Forceps<\/a>\u3067\u629c\u6b6f\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

Physics Forceps\u306f\u9257\u5b50\u3067\u306f\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

\u6b6f\u7259\u3092\u8131\u81fc\u3055\u305b\u308b\u88c5\u7f6e\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u6b6f\u7259\u3092\u629c\u6b6f\u3057\u3001\u53e3\u8154\u5916\u3067\u6b6f\u6839\u7aef\u5207\u9664\u3001\u9006\u6839\u7ba1\u5f62\u6210\u3001\u9006\u6839\u7ba1\u5145\u586b\u3092\u884c\u306a\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

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

MTA\u3067\u9006\u6839\u7ba1\u5145\u586b\u3057\u3001\u629c\u6b6f\u7aa9\u3078\u623b\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

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

\u3053\u3053\u304b\u3089\u534a\u5e74\u304c\u7d4c\u904e\u3057\u305f\u3002(2018.12.25)<\/p>\r\n\r\n\r\n\r\n

\u304c\u3001\u3053\u306e\u671f\u9593\u4e2d\u306b\u4ee5\u4e0b\u306e\u51fa\u6765\u4e8b\u304c\u8d77\u304d\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

    \r\n
  1. \u6cbb\u7642\u524d\u306e\u75db\u307f\u304c\u6d88\u5931\uff08\u4e3b\u8a34\u304c\u6539\u5584\uff09<\/span><\/strong><\/li>\r\n
  2. \u6b6f\u5185\u7642\u6cd5\u306b\u8cbb\u7528\u3092\u4f7f\u3044\u3059\u304e\u305f\u306e\u3067\u4fdd\u967a\u306e\u88dc\u7db4\u306b\u3057\u3088\u3046\u3068\u3057\u305f\u3068\u3053\u308d\u3001\u62c5\u5f53\u533b\u304b\u3089\u96fb\u8a71\u304c\u3042\u308a\u305d\u308c\u3067\u306f\u5143\u3082\u5b50\u3082\u306a\u3044<\/a>\u3053\u3068\u3092\u518d\u5ea6\u8aac\u660e\u3057\u3001\u304d\u3061\u3093\u3068\u3057\u305f\u88dc\u7db4\u3092\u88c5\u7740\u3059\u308b\u3053\u3068\u306b\u540c\u610f\u3002<\/li>\r\n
  3. \u6700\u7d42\u88dc\u7db4\u6cbb\u7642\u3092\u304b\u304b\u308a\u3064\u3051\u533b\u3067\u884c\u3046\u3002<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n
    \"\"<\/figure>\r\n\r\n\r\n\r\n

    \u3053\u306e\u6642\u70b9\u3067\u4e3b\u8a34\u306e\u75db\u307f\u304c\u5168\u3066\u55aa\u5931\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

    \u60a3\u8005\u3055\u3093\u306f\u6cbb\u7642\u3057\u3066\u826f\u304b\u3063\u305f\uff01\u3068\u5927\u5909\u559c\u3093\u3067\u3044\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

    \u304c\u3001\u79c1\u304c\u5012\u308c\u305f\u305f\u3081\u4e88\u5f8c\u3092\u8ffd\u3048\u306a\u304f\u306a\u3063\u3066\u3057\u307e\u3063\u305f\u304c\u3001\u30d0\u30a4\u30c8\u5148\u3067\u62dd\u898b\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u305f\u3002(2020.12.8)<\/p>\r\n\r\n\r\n\r\n

    \u72b6\u6cc1\u306f\u5168\u304f\u5909\u308f\u3063\u3066\u306a\u3044\u3089\u3057\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

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

    \u4ee5\u4e0b\u3001\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u306b\u5bfe\u3059\u308b\u611f\u60f3\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n

    \r\n\r\n\r\n

    Intentional Replantation\u3092\u884c\u306a\u3063\u3066\u672c\u5f53\u306b\u826f\u304b\u3063\u305f\u3067\u3059\u3002<\/span><\/strong><\/span><\/h2>\r\n

    \r\n\r\n<\/span><\/p>\r\n

    \u81ea\u5206\u306e\u6b6f\u3092\u6b8b\u3059\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u2026\u4fe1\u3058\u3089\u308c\u307e\u305b\u3093\u304c\u3053\u306e\u6b8b\u3063\u305f\u6b6f\u3092\u5927\u5207\u306b\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/strong><\/span><\/h2>\r\n

    \r\n\r\n<\/span><\/p>\r\n

    \u672c\u5f53\u306b\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\u3002<\/span><\/strong><\/span><\/h2>\r\n\r\n\r\n\r\n

    \u3053\u306e\u79c1\u306b\u8d77\u304d\u305f\u51fa\u6765\u4e8b\u3092\u591a\u304f\u306e\u65b9\u306b\u77e5\u3063\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u306e\u3067HP\u306b\u51fa\u3057\u3066\u3082\u3089\u3063\u3066\u69cb\u3044\u307e\u305b\u3093\u3002\u4eca\u5f8c\u3068\u3082\u3088\u308d\u3057\u304f\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\r\n\r\n\r\n

    \r\n\r\n\r\n

    \u4eca\u3001\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u7d4c\u904e\u89b3\u5bdf\u30672\u30f6\u6708\u306b\uff11\u56de\u3001\u6b6f\u79d1\u533b\u9662\u306b\u901a\u9662\u3057\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

    #3\u5468\u56f2\u306e\u30e1\u30bf\u30eb\u4fee\u5fa9\u3082Bonding restoration\u306b\u5909\u66f4\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

    \u30ec\u30b8\u30f3\u3084\u30dd\u30fc\u30bb\u30ec\u30f3\u306f\u53e3\u8154\u5185\u304c\u5b89\u5b9a\u3057\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u306b\u3057\u304b\u88c5\u7740\u3067\u304d\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

    \u3053\u306e\u75c7\u4f8b\u304b\u3089\u308f\u304b\u308b\u3053\u3068\u306f\u4f55\u3060\u308d\u3046\u304b\uff1f<\/p>\r\n\r\n\r\n\r\n

    \u305d\u308c\u306f\u3001<\/p>\r\n\r\n\r\n\r\n

    \u6839\u5c16\u75c5\u5909\u304c\u306a\u304f\u3066\u3082\u6b6f\u306e\u75db\u307f\u306f\u767a\u73fe\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/span><\/strong><\/span><\/h2>\r\n\r\n\r\n\r\n

    \u305d\u3057\u3066\u305d\u308c\u3092\u53d6\u308a\u9664\u304f\u306b\u306f\u307e\u305a\u3001\u518d\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u308f\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

    \u305d\u3057\u3066\u3001\u305d\u308c\u3067\u3082\u75db\u307f\u304c\u53d6\u308c\u306a\u3051\u308c\u3070\u6b6f\u6839\u7aef\u5207\u9664\u8853\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

    \u305d\u3057\u3066\u3001\u305d\u308c\u3067\u3082\u307e\u3060\u75db\u307f\u304c\u53d6\u308c\u306a\u3044\u306e\u3067\u3042\u308c\u3070\u3001\u610f\u56f3\u7684\u518d\u690d\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

    \u3057\u304b\u3057\u3001\u305d\u3093\u306a\u3053\u3068\u306f\u6700\u521d\u304b\u3089\u304a\u4e92\u3044\u3084\u308a\u305f\u304f\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

    \u3067\u306f\u3001\u91cd\u8981\u306a\u3053\u3068\u306f\u4f55\u3060\u308d\u3046\u304b\uff1f<\/p>\r\n\r\n\r\n\r\n

    \u3068\u3044\u3048\u3070\u3001\u6700\u521d\u306b\u6839\u7ba1\u6cbb\u7642\u3059\u308b\u6642\u304c\u6700\u3082\u91cd\u8981\u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/span><\/strong><\/span><\/h2>\r\n\r\n\r\n\r\n

    \u3053\u306e\u6b6f\u79d1\u533b\u5e2b\u306e\u5144\u306f\u305d\u306e\u5730\u57df\u3067\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u3067\u8457\u540d\u306a\u5148\u751f\u3089\u3057\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

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