{"id":1783,"date":"2021-03-20T17:47:02","date_gmt":"2021-03-20T08:47:02","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=1783"},"modified":"2021-03-20T19:34:03","modified_gmt":"2021-03-20T10:34:03","slug":"22-%e6%a0%b9%e7%ae%a1%e5%85%85%e5%a1%ab%e7%9b%b4%e5%89%8d%e3%81%ab%e5%9e%82%e7%9b%b4%e6%80%a7%e6%ad%af%e6%a0%b9%e7%a0%b4%e6%8a%98%e3%81%8c%e7%99%ba%e8%a6%9a%e3%81%a7%e3%82%82%e6%82%a3","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=1783","title":{"rendered":"#22 \u6839\u7ba1\u5145\u586b\u76f4\u524d\u306b\u5782\u76f4\u6027\u6b6f\u6839\u7834\u6298\u304c\u767a\u899a\u2026\u3067\u3082\u60a3\u8005\u306f\u629c\u6b6f\u3057\u305f\u304f\u306a\u3044\u2026\u3055\u3066\u3069\u306e\u3088\u3046\u306b\u6cbb\u7642\u3059\u308b\u304b\uff1f"},"content":{"rendered":"\n<p>\u30d0\u30a4\u30c8\u5148\u3067\u306e\u6cbb\u7642\u3002<\/p>\n\n\n\n<p>\u60a3\u8005\u306f30\u4ee3\u5973\u6027\u3002<\/p>\n\n\n\n<p>\u4e3b\u8a34\u306f\u524d\u6b6f\u306e\u88cf\u304c\u816b\u308c\u305f\u3002<\/p>\n\n\n\n<p>\u5317\u9678\u306e\u67d0\u6709\u540d\u30b9\u30bf\u30c7\u30a3\u30af\u30e9\u30d6\u306e\u8b1b\u5e2b\uff08\u6b6f\u5185\u7642\u6cd5\u5c02\u9580\u533b\u3067\u306f\u306a\u3044\uff09\u304c\u518d\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<p>\u305d\u308c\u3082\u3042\u308b\u306e\u304b\uff1f\u305d\u306e\u524d\u306e\u6b6f\u79d1\u533b\u5e2b\u306e\u3084\u308a\u76f4\u3057\u3060\u304b\u3089\u4ed5\u65b9\u306a\u3044\u306e\u304b\uff1f\u3084\u305f\u3089\u3068\u6839\u7ba1\u4e0a\u90e8\u306e\u62e1\u5927\u304c\u5927\u304d\u3044\u3002<\/p>\n\n\n\n<p>\u5de6\u4e0b\u72ac\u6b6f\uff08#22\uff09\u306e\u88cf\u5074\u306b\u816b\u8139\u304c\u3042\u308a\u3001\u540c\u90e8\u306e\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u3092\u6e2c\u5b9a\u3059\u308b\u30688mm\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-red-color\">\u3053\u308c\u306f\u7834\u6298\u304b\u7a7f\u5b54\u306a\u3069\u3092\u60f3\u50cf\u3055\u305b\u308b\u2026\u5acc\u306a\u6cbb\u7642\u3060\u3002<\/span><\/strong><\/p>\n\n\n\n<p>\u3055\u3066\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n<p>#22\uff1aCold N\/A, Perc.(-), Palp.(+), BT(+), <strong><span class=\"has-inline-color has-vivid-red-color\">Perio probe 8mm\uff08\u820c\u5074\u4e2d\u592e\u3002\u305d\u306e\u4ed6\u306f\u5168\u3066\u5065\u5168\uff09<\/span><\/strong>, Mobility\uff08WNL\uff09<\/p>\n\n\n\n<p>PA\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308b\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"787\" height=\"1024\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI5-787x1024.jpg\" alt=\"\" class=\"wp-image-1784\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI5-787x1024.jpg 787w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI5-231x300.jpg 231w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI5-768x999.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI5-1181x1536.jpg 1181w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI5.jpg 1490w\" sizes=\"auto, (max-width: 787px) 100vw, 787px\" \/><\/figure>\n\n\n\n<p>Pulp Dx: Previously treated<\/p>\n\n\n\n<p>Periapical Dx: Symptomatic apical periodontitis<\/p>\n\n\n\n<p>Recommended Tx: Re-RCT<\/p>\n\n\n\n<p>\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u3001\u7834\u6298\u304b\u7a7f\u5b54\u306e\u53ef\u80fd\u6027\u3092\u79d8\u3081\u305f\u4e0d\u5b89\u5b9a\u306a\u518d\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u306a\u3046\u3053\u3068\u3068\u306a\u3063\u305f\u3002<\/p>\n\n\n\n<p>\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u30dd\u30a4\u30f3\u30c8\u3092\u9664\u53bb\u3057\u4f5c\u696d\u9577\u3092\u6e2c\u5b9a\u3059\u308b\u3002<\/p>\n\n\n\n<p>\u3057\u304b\u3057\u30d7\u30ec\u30d1\u30ec\u30fc\u30b7\u30e7\u30f3\u304c\u3067\u304b\u3044\u3002<\/p>\n\n\n\n<p>\u79c1\u304c\u30a2\u30e1\u30ea\u30ab\u306b\u884c\u304f\u524d\u306e\u3088\u3046\u306a\u30d7\u30ec\u30d1\u30ec\u30fc\u30b7\u30e7\u30f3\u3060\u3002<\/p>\n\n\n\n<p>\u4f5c\u696d\u9577\u306a\u3069\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n<p>RIL=27.0mm, MAF=#60.02(HyFlex EDM), Gutta Percha+BC sealer\u3067Single point\u6839\u5145<\/p>\n\n\n\n<p>\u6839\u5145\u3092\u3057\u3088\u3046\u3068\u6d17\u6d44\u3092\u7e70\u308a\u8fd4\u3057\u884c\u306a\u3063\u3066\u3044\u308b\u3068\u304d\u3060\u3063\u305f\u3002<\/p>\n\n\n\n<p><strong>\u79c1\u306f\u6839\u7ba1\u5185\u90e8\u306b\u5acc\u306a\u3082\u306e\u3092\u898b\u3066\u3057\u307e\u3063\u305f\u306e\u3067\u3042\u308b\u3002<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"572\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/eda8a3d353c8bab68d5db680024dd2c0-1-1024x572.png\" alt=\"\" class=\"wp-image-1786\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/eda8a3d353c8bab68d5db680024dd2c0-1-1024x572.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/eda8a3d353c8bab68d5db680024dd2c0-1-300x167.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/eda8a3d353c8bab68d5db680024dd2c0-1-768x429.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/eda8a3d353c8bab68d5db680024dd2c0-1-1536x857.png 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/eda8a3d353c8bab68d5db680024dd2c0-1.png 1734w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>VRF\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-red-color\">\u306a\u305cVRF\u304c\uff1f\u3068\u3044\u3048\u3070\u3084\u306f\u308a\u3053\u306e\u3067\u304b\u3059\u304e\u308b\u30d7\u30ec\u30d1\u30ec\u30fc\u30b7\u30e7\u30f3\u3068\u6839\u7ba1\u5145\u586b\u3060\u3002<\/span><\/strong><\/p>\n\n\n\n<p>\u6b6f\u3092\u4fdd\u5b58\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u7834\u58ca\u3057\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><span class=\"has-inline-color has-vivid-red-color\"><span style=\"text-decoration: underline;\">\u3067\u3082\u3053\u308c\u304c\u79c1\u304c\u7559\u5b66\u524d\u306e2014\u5e74\u304f\u3089\u3044\u306e\u65e5\u672c\u306e\u6b6f\u5185\u7642\u6cd5\u3060\u3063\u305f\u306e\u3060\u3002<\/span><\/span><\/strong><\/h2>\n\n\n\n<p>\u3053\u306e\u6642\u4ee3\u306f\u3044\u308f\u3086\u308bCWCT\u3092\u3057\u3088\u3046\u3068\u307f\u3093\u306a\u8e8d\u8d77\u306b\uff1f\u306a\u3063\u3066\u3044\u305f\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><span class=\"has-inline-color has-vivid-red-color\">\u3057\u304b\u3057\u3001\u30a2\u30e1\u30ea\u30ab\u306b\u884c\u304f\u3068\u5468\u308a\u306f\u5168\u54e1Single point\u6839\u5145\u3060\u3063\u305f\u306e\u3067\u3042\u308b\u3002<\/span><\/strong><\/h2>\n\n\n\n<p>USC\u3067\u306f\u30a2\u30d4\u30ab\u30eb\u30d7\u30e9\u30b0\u3092\u5148\u7aef\u306e\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u30dd\u30a4\u30f3\u30c8\u304b\u30897~9mm\u3067\u5207\u65ad\u3057\u3066\u4f5c\u308c\u3068\u6307\u5c0e\u3055\u308c\u3066\u3044\u305f\u3002<\/p>\n\n\n\n<p>\uff08\u6307\u5c0e\u3057\u3066\u3044\u305f\u306e\u306f\u3001AAE\u306e\u30dc\u30fc\u30c9\u5c02\u9580\u533b\u306e\u65e5\u7cfb\u4eba\u3067\u3042\u308b\u3002\uff09<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p><a href=\"https:\/\/fukuoka-endodontics.com\/?p=713\"><strong>VRF\u304c\u3042\u308b\u3068\u304d\u306f\u3069\u306e\u3088\u3046\u306a\u614b\u5ea6\u3067\u6cbb\u7642\u306b\u671b\u3081\u3070\u3044\u3044\u304b\uff1f\u899a\u3048\u3066\u3044\u308b\u3060\u308d\u3046\u304b\uff1f<\/strong><\/a><\/p>\n\n\n\n<p>Treatment may involve extraction of the tooth.<span class=\"has-inline-color has-vivid-red-color\">&nbsp;<strong>However, endodontic surgery is sometimes appropriate if a tooth can be saved by removal of the fractured portion.<\/strong><\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><em>\u6cbb\u7642\u306f\u629c\u6b6f\u3001\u307e\u305f\u306f<\/em><strong><em><span class=\"has-inline-color has-vivid-red-color\">\u7834\u6298\u3057\u305f\u90e8\u5206\u3092\u5916\u79d1\u7684\u306b\u53d6\u308a\u9664\u304f\u3053\u3068\u304c\u3067\u304d\u308b\u306e\u3067\u3042\u308c\u3070\u5916\u79d1\u6cbb\u7642\u304c\u6642\u3068\u3057\u3066\u9069\u5207\u3067\u3042\u308b<\/span><\/em><\/strong><em>\u3068\u601d\u308f\u308c\u308b\u3002<\/em><\/h2>\n\n\n\n<p>\u3053\u306e\u7834\u6298\u3057\u3066\u3044\u308b\u90e8\u4f4d\u307e\u3067\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u6839\u7ba1\u5185\u90e8\u306b\u3044\u308c\u3066\u30ad\u30e3\u30d3\u30c8\u30f3\u3067\u4eee\u5c01\u3057\u3066PA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3059\u308b\u3068\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"782\" height=\"1024\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI8-782x1024.jpg\" alt=\"\" class=\"wp-image-1787\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI8-782x1024.jpg 782w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI8-229x300.jpg 229w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI8-768x1006.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI8-1172x1536.jpg 1172w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/CI8.jpg 1483w\" sizes=\"auto, (max-width: 782px) 100vw, 782px\" \/><\/figure>\n\n\n\n<p>\u60a3\u8005\u3055\u3093\u306f\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u7d76\u5bfeNG\u306e\u4eba\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<p>\u4f55\u304b\u6b8b\u3059\u65b9\u6cd5\u306f\u306a\u3044\u3067\u3059\u304b\uff1f\u3068\u8a00\u308f\u308c\u79c1\u304c\u63d0\u6848\u3057\u305f\u306e\u306f\u5782\u76f4\u6027\u6b6f\u6839\u7834\u6298\u3057\u3066\u3044\u308b\u90e8\u4f4d\u307e\u3067\u6b6f\u6839\u3092\u5207\u65ad\u3057\u3066\u6b8b\u308a\u306b\u5bfe\u3057\u3066\u6b6f\u6839\u7aef\u5207\u9664\u3092\u884c\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><span class=\"has-inline-color has-vivid-red-color\">\u982c\u5074\u306e\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u306f\u6cbb\u7642\u524d\u306bWNL(3mm\u672a\u6e80\uff09\u3060\u3063\u305f\u304b\u3089\u3060\u3002<\/span><\/strong><\/h2>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><span class=\"has-inline-color has-vivid-red-color\">\u5be9\u7f8e\u7684\u306a\u554f\u984c\u306f\u51fa\u306b\u304f\u3044\u3060\u308d\u3046\u3002<\/span><\/strong><\/h2>\n\n\n\n<p><strong><span class=\"has-inline-color has-vivid-red-color\">\u3057\u304b\u3057\u79c1\u306b\u306f\u3053\u306e\u6cbb\u7642\u306b\u95a2\u3057\u3066\u5acc\u306a\u601d\u3044\u51fa\u304c\u3042\u308a\uff08\u5f8c\u65e5\u63b2\u8f09\u4e88\u5b9a\uff09<\/span><\/strong>\u3001\u306a\u305c\u3060\u304b\u79c1\u304c\u7dcf\u653b\u6483\u3092\u53d7\u3051\u3066\u8b1d\u7f6a\u3092\u3055\u305b\u3089\u308c\u305f\u306e\u3067\u3001\u82e5\u5e72\uff1f\u30c8\u30e9\u30a6\u30de\u306b\u306a\u3063\u3066\u3044\u308b\u90e8\u5206\u304c\u3042\u308b\u304c\u3001\u60a3\u8005\u3055\u3093\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u6cbb\u7642\u65b9\u6cd5\u3092\u63d0\u6848\u3057\u305f\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>1. \u307e\u305a\u652f\u53f0\u7bc9\u9020\u3059\u308b<\/strong><\/h2>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>2. \u5782\u76f4\u6027\u6b6f\u6839\u7834\u6298\u3057\u3066\u3044\u308b\u90e8\u4f4d\u307e\u3067\u5168\u3066\u5207\u65ad\u3059\u308b<span class=\"has-inline-color has-luminous-vivid-orange-color\">\uff08PA\u306e\u30aa\u30ec\u30f3\u30b8\u306e\u90e8\u5206\u307e\u3067\u5207\u65ad\u3059\u308b\uff09<\/span><\/strong><\/h2>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. \u6b8b\u308a\u306b\u5bfe\u3057\u3066\u6b6f\u6839\u7aef\u5207\u9664\uff0b\u9006\u6839\u7ba1\u5145\u586b\u3059\u308b<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"782\" height=\"1024\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/720d61b95f42ee5d9c6bc84fcce7b464-782x1024.jpg\" alt=\"\" class=\"wp-image-1789\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/720d61b95f42ee5d9c6bc84fcce7b464-782x1024.jpg 782w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/720d61b95f42ee5d9c6bc84fcce7b464-229x300.jpg 229w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/720d61b95f42ee5d9c6bc84fcce7b464-768x1006.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/720d61b95f42ee5d9c6bc84fcce7b464-1172x1536.jpg 1172w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/03\/720d61b95f42ee5d9c6bc84fcce7b464.jpg 1483w\" sizes=\"auto, (max-width: 782px) 100vw, 782px\" \/><\/figure>\n\n\n\n<hr 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