\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3061\u306a\u307f\u306b\u60a3\u8005\u3055\u3093\u306f\u5c0f\u5b663\u5e74\u751f\u306e\u5973\u5150\u3067\u3042\u308b\u3002<\/p>\n
\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u306f\u5e74\u306b\u6570\u4eba\u3001\u5b50\u4f9b\u304c\u6765\u308b\u3002<\/p>\n
\u5b50\u4f9b\u306e\u6cbb\u7642\u306f\u3001\u52e4\u52d9\u533b\u6642\u4ee3\u3068USC\u6642\u4ee3\u306b\u935b\u3048\u3089\u308c\u305f\u3002<\/p>\n
\u79c1\u306f\u5f97\u610f\u3067\u306f\u306a\u3044\u3068\u304b\u5f97\u610f\u3060\u3068\u304b\u305d\u3046\u306f\u8a00\u3048\u306a\u3044\u306e\u304c\u5f53\u6642\u306e\u72b6\u6cc1\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3042\u308c\u304b\u30898\u5e74\u3002<\/p>\n
\u79c1\u306f\u518d\u3073\u3001\u5b50\u4f9b\u3068\u5411\u304d\u5408\u3046\u3053\u3068\u306b\u306a\u308b\u3002<\/p>\n
\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\uff082023.11.29\uff09<\/strong><\/span><\/h1>\n#8 Cold+2\/2, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n
#9 Cold+1\/3, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n
#8\u3082\u4f9d\u983c\u3055\u308c\u305f#9\u3082Cold Test\u306b\u53cd\u5fdc\u3057\u3066\u3044\u308b\u3002<\/p>\n
\u305d\u306e\u3053\u3068\u304b\u3089\u3001<\/p>\n
\u795e\u7d4c\u3092\u53d6\u308b\u5fc5\u8981\u304c\u306a\u3044\u306e\u3067\u306f\u306a\u3044\u304b\uff1f\u3068\u3044\u3046\u610f\u898b\u304c\u51fa\u3066\u304f\u308b\u3060\u308d\u3046\u3002<\/p>\n
\u306a\u305c\u3053\u306e\u3088\u3046\u306a<\/p>\n
\u4e0d\u601d\u8b70\u306a\u73fe\u8c61\uff1f\u304c\u8d77\u304d\u308b\u306e\u3060\u308d\u3046\u304b\uff1f<\/strong><\/span><\/h1>\n\u305d\u308c\u306f\u5f8c\u307b\u3069\u8aac\u660e\u3057\u3088\u3046\u3002<\/p>\n
PA, CBCT\u3082\u64ae\u5f71\u3057\u305f\u3002<\/p>\n
PA\uff082023.11.29\uff09<\/strong><\/span><\/h1>\n![\"\"](\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/01\/yuzuha_toyooka_20231129_102850-e1704811004791.jpg\")
<\/h1>\n
![\"\"](\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/01\/yuzuha_toyooka_20231129_102850_1-e1704417057332.jpg\")
<\/p>\n
PA\u3067\u306f\u6b63\u76f4\u3001<\/p>\n
\uff1f\uff1f\uff1f<\/p>\n
\u3067\u3042\u308b\u3002<\/p>\n
\u3082\u306f\u3084PA\u306f\u305d\u306e\u5b58\u5728\u610f\u7fa9\u3092\u3042\u307e\u308a\u611f\u3058\u3055\u305b\u306a\u3044\u3082\u306e\u306b\u306a\u3063\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u3068\u8a00\u3063\u3066\u3044\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001CT\u3082\u64ae\u5f71\u3057\u305f\u3002<\/p>\n
CBCT\uff082023.11.29\uff09<\/strong><\/span><\/h1>\n#9<\/strong><\/em><\/span><\/h2>\n![\"\"](\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/01\/yuzuha_toyooka_20231129_100624.jpg\")
<\/h1>\n
\u3053\u308c\u3060\u3051\u898b\u3066\u3082\uff1f\uff1f\uff1f\u3060\u308d\u3046\u3002<\/p>\n
\u3053\u306e\u624b\u306e\u6cbb\u7642\u306f\u5fc5\u305a\u3001<\/p>\n
\u53cd\u5bfe\u5074\u540c\u540d\u6b6f<\/strong><\/span><\/h1>\n\u3082\u898b\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n
#8<\/strong><\/em><\/span><\/h2>\n![\"\"](\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/01\/8.-yuzuha_toyooka_20231129_100656.jpg\")
<\/p>\n
#8\u3068#9\u3092\u6bd4\u3079\u3066\u307f\u3088\u3046\u3002<\/p>\n
![\"\"](\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/01\/5f34299a44dae020fc5aff638010600d-1.png\")
<\/h2>\n
#9\u306f\u81ea\u50b7\u4e8b\u6545\u3067\u6b6f\u9ac4\u304c\u58ca\u6b7b\u3057\u305f\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002<\/p>\n
#8\u3068\u6bd4\u3079\u308b\u3068\u305d\u306e\u9055\u3044\u304c\u308f\u304b\u308b\u3060\u308d\u3046\u3002<\/p>\n
\u3067\u306f\u306a\u305c\u3001#9\u306fCold test\u306b\u53cd\u5fdc\u3059\u308b\u306e\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u3068\u3044\u3048\u3070\u305d\u308c\u306f\u30012\u3064\u539f\u56e0\u304c\u3042\u308b\u3002<\/p>\n
1\u3064\u306f\u3001<\/p>\n
\u5b66\u8853\u7684\u306b\u306fA\u2202\u7e4a\u7dad\uff08\u51b7\u305f\u3044\u3082\u306e\u3092\u51b7\u305f\u3044\u3067\u3059\u3088\u3001\u3068\u8133\u306b\u4f1d\u3048\u308b\u795e\u7d4c\u7e4a\u7dad\uff09\u304c\u9ac4\u89d2\u4ed8\u8fd1\u306b\u6b8b\u5b58\u3057\u3066\u3044\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002<\/p>\n
Cold\u3092\u4e2d\u67a2\u795e\u7d4c\u306b\u4f1d\u3048\u308b\u4e3b\u305f\u308b\u795e\u7d4c\u7e4a\u7dad\u3067\u3042\u308bA\u2202\u7e4a\u7dad\u306f\u9ac4\u89d2\u4ed8\u8fd1\u306b\u3042\u308b\u3002\u305d\u308c\u306f\u58ca\u6b7b\u3057\u3066\u3082\u6d88\u3048\u3066\u3044\u306a\u3044\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u306f\u2026Cold test\u306b\u53cd\u5fdc\u3059\u308b\u306e\u3060\u3002<\/p>\n
\u3053\u306e\u8a71\u306f\u3001\u307e\u3055\u306bBasic\u3067\u77e5\u3089\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u304c\u3001\u5b9f\u969b\u306fAdvanced\u7684\u306a\u5185\u5bb9\u3067\u3042\u308b\u3002<\/p>\n
\u5927\u5b66\u306e\u57fa\u790e\u7cfb\u306e\u6388\u696d\u3067\u7fd2\u3046\u5185\u5bb9\u306f\u5b9f\u306f\u5168\u3066Advanced\u7684\u306a\u5185\u5bb9\u3067\u3042\u308b\u3068\u3044\u3046\u4e8b\u5b9f\u3002<\/strong><\/span><\/h1>\n\u6b6f\u79d1\u533b\u7642\u306f\u7c21\u5358\u306a\u3088\u3046\u3067\u96e3\u3057\u3044\uff1f\u306e\u304b\uff1f\uff1f<\/p>\n
\u3055\u3066\u3082\u3046\u4e00\u3064\u306e\u7406\u7531\u306f\u3068\u3044\u3048\u3070\u3001<\/p>\n
\u60a3\u8005\uff08\u5c0f\u5b66\u751f\uff09\u306e\u51b7\u305f\u3044\u523a\u6fc0\u306b\u5bfe\u3059\u308b\u904e\u5ea6\u306a\u53cd\u5fdc<\/strong><\/span><\/h1>\n\u3067\u3042\u308b\u3002<\/p>\n
\u4f55\u3067\u3082\u624b\u304c\u4e0a\u304c\u308b\u3068\u3044\u3046\u3084\u3064\u3060\u3002<\/p>\n
AAE\u3082\u201c\u305d\u3053\u307e\u3067\u201d\u60f3\u5b9a\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u306f\u5bb9\u6613\u3060\u3002<\/strong><\/span><\/h1>\n\u3057\u304b\u3057\u3001\u81e8\u5e8a\u7684\u306b\u305d\u308c\u304c\u3069\u3061\u3089\u3067\u3042\u308c\u6cbb\u7642\u306f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u306f\u9593\u9055\u3044\u7121\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nPulp Dx: Pulp Necrosis<\/p>\n
Periapical Dx: Symptomatic apical periodontitis<\/p>\n
Recommended Tx: Regeneration<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u63a8\u5968\u3055\u308c\u308b\u6cbb\u7642\u306f\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u3060\u3002<\/p>\n
\u6b6f\u9ac4\u306e\u518d\u751f\u306f\u306a\u3044\u304c\u3001\u518d\u751f\u306b\u8fd1\u3044\u5f62\u3067\u30b4\u30fc\u30eb\u3092\u8fce\u3048\u308b\u3068\u3044\u3046\u3053\u306e\u6cbb\u7642\u306f\u904e\u53bb\uff08\u79c1\u306e\u5927\u5b66\u9662\u751f\u6642\u4ee3\uff09\u71b1\u3044\uff1f\u6cbb\u7642\u3067\u3042\u3063\u305f\u304c\u3001\u6700\u8fd1\u3067\u306f\u843d\u3061\u7740\u3044\u3066\u304d\u305f\u3060\u308d\u3046\u3002<\/p>\n
\u73fe\u72b6\u3001\u30a2\u30e1\u30ea\u30ab\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\uff08AAE\uff09\u306e\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u30b4\u30fc\u30eb\u306f\u4ee5\u4e0b\u306b\u3042\u308b\u901a\u308a\u3060\u3002<\/p>\n
AAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\nThe degree of success of Regenerative Endodontic Procedures is largely measured by the extent to which it is possible to attain primary, secondary, and tertiary goals:<\/p>\n
\u25b6\ufe0e Primary goal: The elimination of symptoms and the evidence of bony healing.<\/p>\n
\u25b6\ufe0e Secondary goal: Increased root wall thickness and\/or increased root length(desirable, but perhaps not essential)<\/p>\n
\u25b6\ufe0e Tertiary goal: Positive response to vitality testing (which if achieved, could indicate a more organized vital pulp tissue)<\/strong><\/span><\/h1>\n3\u3064\u76ee\u306e\u30b4\u30fc\u30eb\u3067\u3042\u308b\u3001<\/p>\n
Cold test\u306b\u53cd\u5fdc\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u304c\u3001\u3053\u3093\u306a\u3053\u3068\u306f\u6c7a\u3057\u3066\u8d77\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u3042\u308b\u3068\u3059\u308c\u3070\u3001\u6050\u6016\u304b\u3089\u624b\u304c\u4e0a\u304c\u308b\u304f\u3089\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u983c\u3080\u3088\u3001AAE\u2026<\/p>\n
\u3053\u308c\u3082\u524d\u8ff0\u3057\u305f\u5185\u5bb9\u306e\u901a\u308a\u3060\u3002<\/p>\n
\u3055\u3066\u3002<\/p>\n
\u8fd1\u5e74\u306f\u3001\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u30821\u56de\u6cd5\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n
\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n
\n\uff1cRegeneration 1\u56de\u6cd5\uff1e<\/strong><\/span><\/h1>\n![\"\"](\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/01\/5375bdadc250b2ca576b515847aae00f.png\")
<\/p>\n
\u30ab\u30f3\u30d4\u30fc\u30ca\u30b9\u5dde\u7acb\u5927\u5b66\uff08\u4ed6\u306e\u5dde\u7acb\u5927\u5b66\u3088\u308a\u3082\u6f64\u6ca2\u306a\u4e88\u7b97\u304c\u914d\u5206\u3055\u308c\u3066\u304a\u308a\u3001\u8d05\u6ca2\u306a\u8a2d\u5099\u3068\u6559\u6388\u9663\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002\u3053\u306e\u305f\u3081\u5165\u5b66\u5e0c\u671b\u8005\u306f\u591a\u304f\u3001\u30d6\u30e9\u30b8\u30eb\u3067\u6700\u3082\u5165\u5b66\u56f0\u96e3\u306a\u5927\u5b66\u3068\u3044\u308f\u308c\u3066\u3044\u308b\uff09\u306e\u3000\u304c\u3001\u4ee5\u4e0b\u306e\u8853\u5f0f\u30671\u56de\u6cd5\u30682\u56de\u6cd5\u306eRegeneration\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n
2\u56de\u6cd5<\/strong><\/span><\/em><\/h1>\n1\u56de\u76ee
\n\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\uff1d3Mix \u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (10\u4e07\u500d\u5e0c\u91c8\u30a8\u30d4\u30cd\u30d5\u30ea\u30f3\u542b\u67092%\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
10ml \u751f\u98df<\/p>\n
3ml 17% EDTA<\/p>\n
5ml \u751f\u98df<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u8db3\u5834\u3068\u3057\u3066\u306e\u8840\u9905<\/p>\n
\u30b3\u30e9\u30fc\u30b2\u30f3\u7e4a\u7dad<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c)<\/strong><\/span><\/h1>\nColtosol (\u6839\u7ba1\u53e3\u90e8\u4eee\u5c01)<\/p>\n
\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3 \u5145\u586b(\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3)<\/p>\n
\n\u9a5a\u304f\u3053\u3068\u306b\u30012\u56de\u76ee\u3082\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u9ebb\u9154\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n\u305d\u306e\u5fc3\u306f\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067\u3042\u308c\u3070\u9ebb\u9154\u304c\u3059\u3050\u5207\u308c\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3060\u3002<\/p>\n
\u79c1\u306f\u4e8b\u5b9f\u4e0a\u3001\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u306e\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3068\u8003\u3048\u308b\u3002<\/p>\n
\u305d\u308c\u3092\u3059\u308b\u304f\u3089\u3044\u306a\u3089\u30011\u56de\u6cd5\u3067\u7d42\u308f\u3063\u305f\u65b9\u304c\u30de\u30b7\u3060\u3068\u3082\u3044\u3048\u306a\u304f\u306a\u3044\u3002<\/p>\n
\u3061\u306a\u307f\u306b<\/p>\n
AAE\u306e\u63a8\u5968\u3059\u308bRegeneration\u306e\u8853\u5f0f\uff082021.5.18\u304c\u6700\u65b0\u7248\uff09<\/strong><\/a><\/h1>\n\u306f2\u56de\u6cd5\u3067\u4ee5\u4e0b\u3060\u3002<\/p>\n
\n1\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/p>\n
\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (3%\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8)<\/span><\/strong><\/h1>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
20ml 17% EDTA<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u30aa\u30fc\u30d0\u30fc\u30a4\u30f3\u30b9\u30c4\u30eb\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u51fa\u8840\u3055\u305b\u3066\u8840\u9905\u3092\u4f5c\u308b<\/p>\n
CollaPlug\u3001Collacote\u3001CollaTape\u306a\u3069\u306e\u5438\u53ce\u6027\u7269\u8cea\u3092\u9759\u7f6e<\/p>\n
\u5fc5\u8981\u3067\u3042\u308c\u3070MTA\u30bb\u30e1\u30f3\u30c8\u3092\u7559\u7f6e\uff08MTA\u306e\u4ee3\u308f\u308a\u306b\u3001BC putty\u3084Biodentine\u3092\u4f7f\u7528\u3057\u3066\u3082\u554f\u984c\u306a\u3044\uff09<\/p>\n
3~4mm\u306e\u6df1\u3055\u3092GIC\u306a\u3069\u3067\u5c01\u9396<\/p>\n
\n\u3042\u306a\u305f\u306f\u306a\u305c\u30012\u56de\u76ee\u304c\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u304b\u3054\u5b58\u77e5\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u5b9f\u306f\u3001\u975e\u5e38\u306b\u3057\u3087\u3046\u3082\u306a\u3044\u7406\u7531\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n\u30a8\u30d3\u30c7\u30f3\u30b9\u7684\u306b\u306fCase Report\u30ec\u30d9\u30eb\u306e\u5185\u5bb9\u3060\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u3067\u305d\u308c\u3092\u4f7f\u308f\u305b\u308b\u306e\u304b\uff1f\u7684\u306a\u5185\u5bb9\u3067\u9589\u53e3\u3057\u3066\u3057\u307e\u3046\u3002<\/strong><\/span><\/h1>\n\u304c\u3001\u3053\u306e\u6587\u732e\u3067\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u306f\u4ed5\u65b9\u304c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
IEJ\u3067\u306f\u306f\u3063\u304d\u308a\u3068\u306f\u8a00\u308f\u306a\u3044\u307e\u3067\u3082\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u3053\u3068\u306e\u96e3\u6613\u5ea6\u306e\u9ad8\u3055\uff08\u9ebb\u9154\u304c\u52b9\u304b\u306a\u3044\u3068\u3044\u3046\u9762\u306e\u6b20\u70b9\uff09\u3092\u53d6\u308a\u4e0a\u3052\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3082\u306f\u3084\u3001\u3053\u306e\u6cbb\u7642\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u884c\u3046\u3082\u306e\u3060\u3068\u3044\u3046\u8a8d\u8b58\u304c\u79c1\u306b\u306f\u3042\u308b\u3002<\/p>\n
\u305d\u306e\u969b\u306e\u6ce8\u610f\u70b9\u306f\u3001\u6cbb\u7642\u3092\u3055\u3063\u3055\u3068\u9032\u3081\u3066\u3044\u304f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n
\u305f\u3089\u305f\u3089\u6cbb\u7642\u3057\u3066\u3044\u3066\u306f\u6b62\u8840\u4f5c\u7528\u304c\u51fa\u3066\u3001\u306f\u3044\u307e\u305f\u6765\u3066\u304f\u3060\u3055\u3044\uff01\u306b\u306a\u308a\u304b\u306d\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
![\"\"](\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/01\/c4eb05a66793f71cfff12b8ba50ec6e1.png\")
<\/p>\n
![\"\"](\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/01\/3f0c0794fcf75482ba65cab3dff4a53b.png\")
<\/p>\n
![\"\"](\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/01\/d229f14cf954b4fc3b6709bf7da5d1aa.png\")
<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u30671\u56de\u6cd5\u3067\u30822\u56de\u6cd5\u3067\u3082\u7d50\u679c\u306b\u5dee\u304c\u306a\u3044\u3002<\/p>\n
\u304c\u3001<\/p>\n
\u3053\u306e1\u672c\u3057\u304b\u6587\u732e\u304c\u306a\u304f\u3001<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2\u306b\u3064\u3044\u3066\u306e\u8003\u5bdf\u304c\u5c11\u306a\u3044\uff08\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 \uff1d\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c\u3057\u305f\u3082\u306e\u3092\u4f7f\u7528\u3057\u3001MTA\u3084BC\u30d1\u30c6\u3001Biodentine\u3092\u5229\u7528\u3057\u306a\u3044\u7406\u7531\u304c\u4e0d\u660e\uff09\u3001<\/p>\n
n\u6570\u304c\u5c11\u306a\u304f\u3001\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3088\u308a\u3001\u512a\u4f4d\u306a\u5dee\u304c\u306a\u3044\u7a0b\u5ea6\u306e\u30b5\u30f3\u30d7\u30eb\u6570\u3057\u304b\u63c3\u3063\u3066\u3044\u306a\u3044\uff1f\u53ef\u80fd\u6027\u3001<\/p>\n
\u85ac\u6db2\u306a\u3069\u3092\u5909\u3048\u3066\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u306a\u3069\u3092\u884c\u3063\u3066\u7d50\u679c\u3092\u691c\u8a0e\u3059\u3079\u304d\u3001<\/p>\n
\u3067\u3042\u308b\u3082\u306e\u306e\u3001<\/p>\n
\u3082\u306f\u3084\u9ebb\u9154\u85ac\u306b\u3064\u3044\u3066\u306f\u8b70\u8ad6\u3059\u308b\u5fc5\u8981\u304c\u306a\u3055\u305d\u3046(\u6562\u3048\u3066\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3092\u4f7f\u3046\u7406\u7531\u304c\u306a\u3044)\u3001<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001<\/p>\n
1\u56de\u6cd5\u30682\u56de\u6cd5\u3067\u6cbb\u7642\u306e\u7d50\u679c\u306b\u5dee\u304c\u51fa\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/strong>\u3053\u308c\u306f\u3001\u304b\u3064\u3066\u306eApexification\u3068\u540c\u3058\u7d50\u679c\u3060\u3002<\/span><\/h1>\n\u6614\u3001MTA\u3067Apexification\u30921\u56de\u3067\u3084\u308b\uff01\u3068\u3044\u3046\u8003\u3048\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u73fe\u5728\u306f\u305d\u3061\u3089\u306e\u65b9\u304c\u652f\u914d\u7684\u3060\u308d\u3046\u3002<\/p>\n
\u305d\u3057\u3066\u3001Regeneration\u3092\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u3082OK\u306a\u3089\u3001\u3053\u306e\u6cbb\u7642\u304c\u3069\u308c\u3060\u3051\u697d\u304b\u2026<\/p>\n
\u3053\u308c\u3060\u3051\u3067\u3082Revolution\u3068\u8a00\u3048\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n
\u3055\u3066\u3001\u4ee5\u4e0a\u306e\u4e8b\u5b9f\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n
\u3059\u308b\u3068\u3001<\/p>\n
\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u88cf\u4ed8\u3051\u3055\u308c\u3066\u3044\u306a\u3044\u6cbb\u7642\u5185\u5bb9\u306b\u306f\u4e0d\u5b89\u304c\u6b8b\u308b\u306e\u3067\u30012\u56de\u6cd5\u3067\u304a\u9858\u3044\u3057\u307e\u3059<\/p>\n
\u3068\u3044\u3046\u56de\u7b54\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\u73cd\u3057\u304f2\u56de\u6cd5\u306e\u6cbb\u7642\u3068\u306a\u3063\u305f\u3002<\/p>\n
\n\u2b50\ufe0e\u3053\u306e\u5f8c\u3001\u81e8\u5e8a\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#9 Regeneration 1\u56de\u76ee\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nAAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\n\u306b\u3088\u308c\u3070\u30011\u56de\u76ee\u306e\u6cbb\u7642\u5185\u5bb9\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
First Appointment<\/p>\n
\u2460 Local anesthesia, dental dam isolation and access.<\/p>\n
\u2461 Copious, gentle irrigation with 20ml NaOCl<\/strong><\/span> using an irrigation system that minimizes the possibility of extrusion of irrigants into the periapical space (e.g., needle with closed end and side-vents, or EndoVac\u2122). Lower concentrations of NaOCl are advised [1.5%-3% NaOCl (20mL\/canal, 5 min) and then irrigated with saline or EDTA (20 mL\/canal, 5min)<\/strong><\/span>, with irrigating needle positioned about 1 mm from root end, to minimize cytotoxicity to stem cells in the apical tissues.<\/strong><\/span><\/p>\n\u2462 Dry canals with paper points.
\n– Place calcium hydroxide<\/strong><\/span> or low concentration of triple antibiotic paste. If the triple antibiotic paste is used: 1) consider sealing pulp chamber with a dentin bonding agent [to minimize risk of staining] and 2) mix 1:1:1 ciprofloxacin: metronidazole: minocycline to a final concentration of 1-5 mg\/ml. Triple antibiotic paste has been associated with tooth discoloration. Double antibiotic paste without minocycline paste or substitution of minocycline for other antibiotic (e.g., clindamycin; amoxicillin; cefaclor) is another possible alternative as root canal disinfectant. Clinicians should be aware that studies have been done using higher concentrations of TAP\/DAP, but a recommendation to a higher concentration can\u2019t be made at this time due to limited studies.
\n– Deliver into canal system via syringe
\n– If triple antibiotic is used, ensure that it remains below CEJ (minimize crown staining).
\n– Seal with 3-4mm of a temporary restorative material such as Cavit\u2122, IRM\u2122, glass-
\nionomer or another temporary material. Dismiss patient for 1-4 weeks.<\/p>\n1\u56de\u76ee\u306e\u6cbb\u7642\u3092\u307e\u3068\u3081\u308b\u3068\u3001<\/p>\n
\u30d2\u30dd\u30af\u30ed20ml\u3068EDTA 20ml\u3067\u6d17\u6d44\u3057\u308d<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n
\u305d\u3057\u3066\u3001\u6d17\u6d44\u5f8c\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3067\u8cbc\u85ac\u3059\u308b\u3002<\/p>\n
\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u306f\u89e6\u308c\u305f\u90e8\u5206\u3057\u304b\u6bba\u83cc\u3067\u304d\u306a\u3044\u304c\u3001\u306a\u305c\u304b\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u5834\u5408\u306f\u3001\u6839\u7ba1\u5168\u4f53\u306b\u6d78\u3055\u305a\u306b\u6839\u7ba1\u306e\u534a\u5206\u7a0b\u5ea6\u3067\u3044\u3044\u3068\u3044\u3046\u610f\u898b\u304c\u591a\u3044\u3002<\/p>\n
\u5168\u304f\u7406\u89e3\u304c\u3067\u304d\u306a\u3044\u90e8\u5206\u3060\u3002<\/p>\n
Bose, Hargreaves 2009 \u00a0A Retrospective Evaluation of Radiographic Outcomes in Immature Teeth With Necrotic Root Canal Systems Treated With Regenerative Endodontic Procedures<\/strong><\/span><\/a><\/h1>\nWhen Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, it produced better results than when it was placed beyond the coronal half.<\/p>\n
When Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, the median percentage increase in dentinal wall thickness was 53.8%, as compared with a 3.3% increase when it was placed beyond coronal half (ie, into the apical half of the root canal system).<\/strong><\/em><\/span><\/h1>\n\u3068\u3044\u3046\u3053\u3068\u3067\u6839\u7ba1\u53e3\u306e\u534a\u5206\u4ee5\u4e0a\u306f\u8cbc\u85ac\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n
\u3053\u308c\u3092\u8003\u616e\u3057\u3066\u3001\u30d2\u30dd\u30af\u30ed\u3001EDTA\u3067\u6d17\u6d44\u3057\u3066\u8cbc\u85ac\u3057\u3001\u4e0a\u8ff0\u306e\u3088\u3046\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u7f6e\u3044\u3066\u7dbf\u7403\u3092\u5165\u308c\u3066Caviton\u3067\u4eee\u5c01\u3057\u305f\u3002<\/p>\n
\u305d\u308c\u306f\u5f8c\u307b\u3069\u8aac\u660e\u3057\u3088\u3046\u3002<\/p>\n
PA, CBCT\u3082\u64ae\u5f71\u3057\u305f\u3002<\/p>\n
PA\uff082023.11.29\uff09<\/strong><\/span><\/h1>\n<\/h1>\n
<\/p>\n
PA\u3067\u306f\u6b63\u76f4\u3001<\/p>\n
\uff1f\uff1f\uff1f<\/p>\n
\u3067\u3042\u308b\u3002<\/p>\n
\u3082\u306f\u3084PA\u306f\u305d\u306e\u5b58\u5728\u610f\u7fa9\u3092\u3042\u307e\u308a\u611f\u3058\u3055\u305b\u306a\u3044\u3082\u306e\u306b\u306a\u3063\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u3068\u8a00\u3063\u3066\u3044\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001CT\u3082\u64ae\u5f71\u3057\u305f\u3002<\/p>\n
CBCT\uff082023.11.29\uff09<\/strong><\/span><\/h1>\n#9<\/strong><\/em><\/span><\/h2>\n<\/h1>\n
\u3053\u308c\u3060\u3051\u898b\u3066\u3082\uff1f\uff1f\uff1f\u3060\u308d\u3046\u3002<\/p>\n
\u3053\u306e\u624b\u306e\u6cbb\u7642\u306f\u5fc5\u305a\u3001<\/p>\n
\u53cd\u5bfe\u5074\u540c\u540d\u6b6f<\/strong><\/span><\/h1>\n\u3082\u898b\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n
#8<\/strong><\/em><\/span><\/h2>\n<\/p>\n
#8\u3068#9\u3092\u6bd4\u3079\u3066\u307f\u3088\u3046\u3002<\/p>\n
<\/h2>\n
#9\u306f\u81ea\u50b7\u4e8b\u6545\u3067\u6b6f\u9ac4\u304c\u58ca\u6b7b\u3057\u305f\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002<\/p>\n
#8\u3068\u6bd4\u3079\u308b\u3068\u305d\u306e\u9055\u3044\u304c\u308f\u304b\u308b\u3060\u308d\u3046\u3002<\/p>\n
\u3067\u306f\u306a\u305c\u3001#9\u306fCold test\u306b\u53cd\u5fdc\u3059\u308b\u306e\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u3068\u3044\u3048\u3070\u305d\u308c\u306f\u30012\u3064\u539f\u56e0\u304c\u3042\u308b\u3002<\/p>\n
1\u3064\u306f\u3001<\/p>\n
\u5b66\u8853\u7684\u306b\u306fA\u2202\u7e4a\u7dad\uff08\u51b7\u305f\u3044\u3082\u306e\u3092\u51b7\u305f\u3044\u3067\u3059\u3088\u3001\u3068\u8133\u306b\u4f1d\u3048\u308b\u795e\u7d4c\u7e4a\u7dad\uff09\u304c\u9ac4\u89d2\u4ed8\u8fd1\u306b\u6b8b\u5b58\u3057\u3066\u3044\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002<\/p>\n
Cold\u3092\u4e2d\u67a2\u795e\u7d4c\u306b\u4f1d\u3048\u308b\u4e3b\u305f\u308b\u795e\u7d4c\u7e4a\u7dad\u3067\u3042\u308bA\u2202\u7e4a\u7dad\u306f\u9ac4\u89d2\u4ed8\u8fd1\u306b\u3042\u308b\u3002\u305d\u308c\u306f\u58ca\u6b7b\u3057\u3066\u3082\u6d88\u3048\u3066\u3044\u306a\u3044\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u306f\u2026Cold test\u306b\u53cd\u5fdc\u3059\u308b\u306e\u3060\u3002<\/p>\n
\u3053\u306e\u8a71\u306f\u3001\u307e\u3055\u306bBasic\u3067\u77e5\u3089\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u304c\u3001\u5b9f\u969b\u306fAdvanced\u7684\u306a\u5185\u5bb9\u3067\u3042\u308b\u3002<\/p>\n
\u5927\u5b66\u306e\u57fa\u790e\u7cfb\u306e\u6388\u696d\u3067\u7fd2\u3046\u5185\u5bb9\u306f\u5b9f\u306f\u5168\u3066Advanced\u7684\u306a\u5185\u5bb9\u3067\u3042\u308b\u3068\u3044\u3046\u4e8b\u5b9f\u3002<\/strong><\/span><\/h1>\n\u6b6f\u79d1\u533b\u7642\u306f\u7c21\u5358\u306a\u3088\u3046\u3067\u96e3\u3057\u3044\uff1f\u306e\u304b\uff1f\uff1f<\/p>\n
\u3055\u3066\u3082\u3046\u4e00\u3064\u306e\u7406\u7531\u306f\u3068\u3044\u3048\u3070\u3001<\/p>\n
\u60a3\u8005\uff08\u5c0f\u5b66\u751f\uff09\u306e\u51b7\u305f\u3044\u523a\u6fc0\u306b\u5bfe\u3059\u308b\u904e\u5ea6\u306a\u53cd\u5fdc<\/strong><\/span><\/h1>\n\u3067\u3042\u308b\u3002<\/p>\n
\u4f55\u3067\u3082\u624b\u304c\u4e0a\u304c\u308b\u3068\u3044\u3046\u3084\u3064\u3060\u3002<\/p>\n
AAE\u3082\u201c\u305d\u3053\u307e\u3067\u201d\u60f3\u5b9a\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u306f\u5bb9\u6613\u3060\u3002<\/strong><\/span><\/h1>\n\u3057\u304b\u3057\u3001\u81e8\u5e8a\u7684\u306b\u305d\u308c\u304c\u3069\u3061\u3089\u3067\u3042\u308c\u6cbb\u7642\u306f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u306f\u9593\u9055\u3044\u7121\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nPulp Dx: Pulp Necrosis<\/p>\n
Periapical Dx: Symptomatic apical periodontitis<\/p>\n
Recommended Tx: Regeneration<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u63a8\u5968\u3055\u308c\u308b\u6cbb\u7642\u306f\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u3060\u3002<\/p>\n
\u6b6f\u9ac4\u306e\u518d\u751f\u306f\u306a\u3044\u304c\u3001\u518d\u751f\u306b\u8fd1\u3044\u5f62\u3067\u30b4\u30fc\u30eb\u3092\u8fce\u3048\u308b\u3068\u3044\u3046\u3053\u306e\u6cbb\u7642\u306f\u904e\u53bb\uff08\u79c1\u306e\u5927\u5b66\u9662\u751f\u6642\u4ee3\uff09\u71b1\u3044\uff1f\u6cbb\u7642\u3067\u3042\u3063\u305f\u304c\u3001\u6700\u8fd1\u3067\u306f\u843d\u3061\u7740\u3044\u3066\u304d\u305f\u3060\u308d\u3046\u3002<\/p>\n
\u73fe\u72b6\u3001\u30a2\u30e1\u30ea\u30ab\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\uff08AAE\uff09\u306e\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u30b4\u30fc\u30eb\u306f\u4ee5\u4e0b\u306b\u3042\u308b\u901a\u308a\u3060\u3002<\/p>\n
AAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\nThe degree of success of Regenerative Endodontic Procedures is largely measured by the extent to which it is possible to attain primary, secondary, and tertiary goals:<\/p>\n
\u25b6\ufe0e Primary goal: The elimination of symptoms and the evidence of bony healing.<\/p>\n
\u25b6\ufe0e Secondary goal: Increased root wall thickness and\/or increased root length(desirable, but perhaps not essential)<\/p>\n
\u25b6\ufe0e Tertiary goal: Positive response to vitality testing (which if achieved, could indicate a more organized vital pulp tissue)<\/strong><\/span><\/h1>\n3\u3064\u76ee\u306e\u30b4\u30fc\u30eb\u3067\u3042\u308b\u3001<\/p>\n
Cold test\u306b\u53cd\u5fdc\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u304c\u3001\u3053\u3093\u306a\u3053\u3068\u306f\u6c7a\u3057\u3066\u8d77\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u3042\u308b\u3068\u3059\u308c\u3070\u3001\u6050\u6016\u304b\u3089\u624b\u304c\u4e0a\u304c\u308b\u304f\u3089\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u983c\u3080\u3088\u3001AAE\u2026<\/p>\n
\u3053\u308c\u3082\u524d\u8ff0\u3057\u305f\u5185\u5bb9\u306e\u901a\u308a\u3060\u3002<\/p>\n
\u3055\u3066\u3002<\/p>\n
\u8fd1\u5e74\u306f\u3001\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u30821\u56de\u6cd5\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n
\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n
\n\uff1cRegeneration 1\u56de\u6cd5\uff1e<\/strong><\/span><\/h1>\n<\/p>\n
\u30ab\u30f3\u30d4\u30fc\u30ca\u30b9\u5dde\u7acb\u5927\u5b66\uff08\u4ed6\u306e\u5dde\u7acb\u5927\u5b66\u3088\u308a\u3082\u6f64\u6ca2\u306a\u4e88\u7b97\u304c\u914d\u5206\u3055\u308c\u3066\u304a\u308a\u3001\u8d05\u6ca2\u306a\u8a2d\u5099\u3068\u6559\u6388\u9663\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002\u3053\u306e\u305f\u3081\u5165\u5b66\u5e0c\u671b\u8005\u306f\u591a\u304f\u3001\u30d6\u30e9\u30b8\u30eb\u3067\u6700\u3082\u5165\u5b66\u56f0\u96e3\u306a\u5927\u5b66\u3068\u3044\u308f\u308c\u3066\u3044\u308b\uff09\u306e\u3000\u304c\u3001\u4ee5\u4e0b\u306e\u8853\u5f0f\u30671\u56de\u6cd5\u30682\u56de\u6cd5\u306eRegeneration\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n
2\u56de\u6cd5<\/strong><\/span><\/em><\/h1>\n1\u56de\u76ee
\n\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\uff1d3Mix \u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (10\u4e07\u500d\u5e0c\u91c8\u30a8\u30d4\u30cd\u30d5\u30ea\u30f3\u542b\u67092%\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
10ml \u751f\u98df<\/p>\n
3ml 17% EDTA<\/p>\n
5ml \u751f\u98df<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u8db3\u5834\u3068\u3057\u3066\u306e\u8840\u9905<\/p>\n
\u30b3\u30e9\u30fc\u30b2\u30f3\u7e4a\u7dad<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c)<\/strong><\/span><\/h1>\nColtosol (\u6839\u7ba1\u53e3\u90e8\u4eee\u5c01)<\/p>\n
\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3 \u5145\u586b(\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3)<\/p>\n
\n\u9a5a\u304f\u3053\u3068\u306b\u30012\u56de\u76ee\u3082\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u9ebb\u9154\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n\u305d\u306e\u5fc3\u306f\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067\u3042\u308c\u3070\u9ebb\u9154\u304c\u3059\u3050\u5207\u308c\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3060\u3002<\/p>\n
\u79c1\u306f\u4e8b\u5b9f\u4e0a\u3001\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u306e\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3068\u8003\u3048\u308b\u3002<\/p>\n
\u305d\u308c\u3092\u3059\u308b\u304f\u3089\u3044\u306a\u3089\u30011\u56de\u6cd5\u3067\u7d42\u308f\u3063\u305f\u65b9\u304c\u30de\u30b7\u3060\u3068\u3082\u3044\u3048\u306a\u304f\u306a\u3044\u3002<\/p>\n
\u3061\u306a\u307f\u306b<\/p>\n
AAE\u306e\u63a8\u5968\u3059\u308bRegeneration\u306e\u8853\u5f0f\uff082021.5.18\u304c\u6700\u65b0\u7248\uff09<\/strong><\/a><\/h1>\n\u306f2\u56de\u6cd5\u3067\u4ee5\u4e0b\u3060\u3002<\/p>\n
\n1\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/p>\n
\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (3%\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8)<\/span><\/strong><\/h1>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
20ml 17% EDTA<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u30aa\u30fc\u30d0\u30fc\u30a4\u30f3\u30b9\u30c4\u30eb\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u51fa\u8840\u3055\u305b\u3066\u8840\u9905\u3092\u4f5c\u308b<\/p>\n
CollaPlug\u3001Collacote\u3001CollaTape\u306a\u3069\u306e\u5438\u53ce\u6027\u7269\u8cea\u3092\u9759\u7f6e<\/p>\n
\u5fc5\u8981\u3067\u3042\u308c\u3070MTA\u30bb\u30e1\u30f3\u30c8\u3092\u7559\u7f6e\uff08MTA\u306e\u4ee3\u308f\u308a\u306b\u3001BC putty\u3084Biodentine\u3092\u4f7f\u7528\u3057\u3066\u3082\u554f\u984c\u306a\u3044\uff09<\/p>\n
3~4mm\u306e\u6df1\u3055\u3092GIC\u306a\u3069\u3067\u5c01\u9396<\/p>\n
\n\u3042\u306a\u305f\u306f\u306a\u305c\u30012\u56de\u76ee\u304c\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u304b\u3054\u5b58\u77e5\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u5b9f\u306f\u3001\u975e\u5e38\u306b\u3057\u3087\u3046\u3082\u306a\u3044\u7406\u7531\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n\u30a8\u30d3\u30c7\u30f3\u30b9\u7684\u306b\u306fCase Report\u30ec\u30d9\u30eb\u306e\u5185\u5bb9\u3060\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u3067\u305d\u308c\u3092\u4f7f\u308f\u305b\u308b\u306e\u304b\uff1f\u7684\u306a\u5185\u5bb9\u3067\u9589\u53e3\u3057\u3066\u3057\u307e\u3046\u3002<\/strong><\/span><\/h1>\n\u304c\u3001\u3053\u306e\u6587\u732e\u3067\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u306f\u4ed5\u65b9\u304c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
IEJ\u3067\u306f\u306f\u3063\u304d\u308a\u3068\u306f\u8a00\u308f\u306a\u3044\u307e\u3067\u3082\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u3053\u3068\u306e\u96e3\u6613\u5ea6\u306e\u9ad8\u3055\uff08\u9ebb\u9154\u304c\u52b9\u304b\u306a\u3044\u3068\u3044\u3046\u9762\u306e\u6b20\u70b9\uff09\u3092\u53d6\u308a\u4e0a\u3052\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3082\u306f\u3084\u3001\u3053\u306e\u6cbb\u7642\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u884c\u3046\u3082\u306e\u3060\u3068\u3044\u3046\u8a8d\u8b58\u304c\u79c1\u306b\u306f\u3042\u308b\u3002<\/p>\n
\u305d\u306e\u969b\u306e\u6ce8\u610f\u70b9\u306f\u3001\u6cbb\u7642\u3092\u3055\u3063\u3055\u3068\u9032\u3081\u3066\u3044\u304f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n
\u305f\u3089\u305f\u3089\u6cbb\u7642\u3057\u3066\u3044\u3066\u306f\u6b62\u8840\u4f5c\u7528\u304c\u51fa\u3066\u3001\u306f\u3044\u307e\u305f\u6765\u3066\u304f\u3060\u3055\u3044\uff01\u306b\u306a\u308a\u304b\u306d\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
<\/p>\n
<\/p>\n
<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u30671\u56de\u6cd5\u3067\u30822\u56de\u6cd5\u3067\u3082\u7d50\u679c\u306b\u5dee\u304c\u306a\u3044\u3002<\/p>\n
\u304c\u3001<\/p>\n
\u3053\u306e1\u672c\u3057\u304b\u6587\u732e\u304c\u306a\u304f\u3001<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2\u306b\u3064\u3044\u3066\u306e\u8003\u5bdf\u304c\u5c11\u306a\u3044\uff08\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 \uff1d\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c\u3057\u305f\u3082\u306e\u3092\u4f7f\u7528\u3057\u3001MTA\u3084BC\u30d1\u30c6\u3001Biodentine\u3092\u5229\u7528\u3057\u306a\u3044\u7406\u7531\u304c\u4e0d\u660e\uff09\u3001<\/p>\n
n\u6570\u304c\u5c11\u306a\u304f\u3001\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3088\u308a\u3001\u512a\u4f4d\u306a\u5dee\u304c\u306a\u3044\u7a0b\u5ea6\u306e\u30b5\u30f3\u30d7\u30eb\u6570\u3057\u304b\u63c3\u3063\u3066\u3044\u306a\u3044\uff1f\u53ef\u80fd\u6027\u3001<\/p>\n
\u85ac\u6db2\u306a\u3069\u3092\u5909\u3048\u3066\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u306a\u3069\u3092\u884c\u3063\u3066\u7d50\u679c\u3092\u691c\u8a0e\u3059\u3079\u304d\u3001<\/p>\n
\u3067\u3042\u308b\u3082\u306e\u306e\u3001<\/p>\n
\u3082\u306f\u3084\u9ebb\u9154\u85ac\u306b\u3064\u3044\u3066\u306f\u8b70\u8ad6\u3059\u308b\u5fc5\u8981\u304c\u306a\u3055\u305d\u3046(\u6562\u3048\u3066\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3092\u4f7f\u3046\u7406\u7531\u304c\u306a\u3044)\u3001<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001<\/p>\n
1\u56de\u6cd5\u30682\u56de\u6cd5\u3067\u6cbb\u7642\u306e\u7d50\u679c\u306b\u5dee\u304c\u51fa\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/strong>\u3053\u308c\u306f\u3001\u304b\u3064\u3066\u306eApexification\u3068\u540c\u3058\u7d50\u679c\u3060\u3002<\/span><\/h1>\n\u6614\u3001MTA\u3067Apexification\u30921\u56de\u3067\u3084\u308b\uff01\u3068\u3044\u3046\u8003\u3048\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u73fe\u5728\u306f\u305d\u3061\u3089\u306e\u65b9\u304c\u652f\u914d\u7684\u3060\u308d\u3046\u3002<\/p>\n
\u305d\u3057\u3066\u3001Regeneration\u3092\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u3082OK\u306a\u3089\u3001\u3053\u306e\u6cbb\u7642\u304c\u3069\u308c\u3060\u3051\u697d\u304b\u2026<\/p>\n
\u3053\u308c\u3060\u3051\u3067\u3082Revolution\u3068\u8a00\u3048\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n
\u3055\u3066\u3001\u4ee5\u4e0a\u306e\u4e8b\u5b9f\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n
\u3059\u308b\u3068\u3001<\/p>\n
\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u88cf\u4ed8\u3051\u3055\u308c\u3066\u3044\u306a\u3044\u6cbb\u7642\u5185\u5bb9\u306b\u306f\u4e0d\u5b89\u304c\u6b8b\u308b\u306e\u3067\u30012\u56de\u6cd5\u3067\u304a\u9858\u3044\u3057\u307e\u3059<\/p>\n
\u3068\u3044\u3046\u56de\u7b54\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\u73cd\u3057\u304f2\u56de\u6cd5\u306e\u6cbb\u7642\u3068\u306a\u3063\u305f\u3002<\/p>\n
\n\u2b50\ufe0e\u3053\u306e\u5f8c\u3001\u81e8\u5e8a\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#9 Regeneration 1\u56de\u76ee\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nAAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\n\u306b\u3088\u308c\u3070\u30011\u56de\u76ee\u306e\u6cbb\u7642\u5185\u5bb9\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
First Appointment<\/p>\n
\u2460 Local anesthesia, dental dam isolation and access.<\/p>\n
\u2461 Copious, gentle irrigation with 20ml NaOCl<\/strong><\/span> using an irrigation system that minimizes the possibility of extrusion of irrigants into the periapical space (e.g., needle with closed end and side-vents, or EndoVac\u2122). Lower concentrations of NaOCl are advised [1.5%-3% NaOCl (20mL\/canal, 5 min) and then irrigated with saline or EDTA (20 mL\/canal, 5min)<\/strong><\/span>, with irrigating needle positioned about 1 mm from root end, to minimize cytotoxicity to stem cells in the apical tissues.<\/strong><\/span><\/p>\n\u2462 Dry canals with paper points.
\n– Place calcium hydroxide<\/strong><\/span> or low concentration of triple antibiotic paste. If the triple antibiotic paste is used: 1) consider sealing pulp chamber with a dentin bonding agent [to minimize risk of staining] and 2) mix 1:1:1 ciprofloxacin: metronidazole: minocycline to a final concentration of 1-5 mg\/ml. Triple antibiotic paste has been associated with tooth discoloration. Double antibiotic paste without minocycline paste or substitution of minocycline for other antibiotic (e.g., clindamycin; amoxicillin; cefaclor) is another possible alternative as root canal disinfectant. Clinicians should be aware that studies have been done using higher concentrations of TAP\/DAP, but a recommendation to a higher concentration can\u2019t be made at this time due to limited studies.
\n– Deliver into canal system via syringe
\n– If triple antibiotic is used, ensure that it remains below CEJ (minimize crown staining).
\n– Seal with 3-4mm of a temporary restorative material such as Cavit\u2122, IRM\u2122, glass-
\nionomer or another temporary material. Dismiss patient for 1-4 weeks.<\/p>\n1\u56de\u76ee\u306e\u6cbb\u7642\u3092\u307e\u3068\u3081\u308b\u3068\u3001<\/p>\n
\u30d2\u30dd\u30af\u30ed20ml\u3068EDTA 20ml\u3067\u6d17\u6d44\u3057\u308d<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n
\u305d\u3057\u3066\u3001\u6d17\u6d44\u5f8c\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3067\u8cbc\u85ac\u3059\u308b\u3002<\/p>\n
\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u306f\u89e6\u308c\u305f\u90e8\u5206\u3057\u304b\u6bba\u83cc\u3067\u304d\u306a\u3044\u304c\u3001\u306a\u305c\u304b\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u5834\u5408\u306f\u3001\u6839\u7ba1\u5168\u4f53\u306b\u6d78\u3055\u305a\u306b\u6839\u7ba1\u306e\u534a\u5206\u7a0b\u5ea6\u3067\u3044\u3044\u3068\u3044\u3046\u610f\u898b\u304c\u591a\u3044\u3002<\/p>\n
\u5168\u304f\u7406\u89e3\u304c\u3067\u304d\u306a\u3044\u90e8\u5206\u3060\u3002<\/p>\n
Bose, Hargreaves 2009 \u00a0A Retrospective Evaluation of Radiographic Outcomes in Immature Teeth With Necrotic Root Canal Systems Treated With Regenerative Endodontic Procedures<\/strong><\/span><\/a><\/h1>\nWhen Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, it produced better results than when it was placed beyond the coronal half.<\/p>\n
When Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, the median percentage increase in dentinal wall thickness was 53.8%, as compared with a 3.3% increase when it was placed beyond coronal half (ie, into the apical half of the root canal system).<\/strong><\/em><\/span><\/h1>\n\u3068\u3044\u3046\u3053\u3068\u3067\u6839\u7ba1\u53e3\u306e\u534a\u5206\u4ee5\u4e0a\u306f\u8cbc\u85ac\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n
\u3053\u308c\u3092\u8003\u616e\u3057\u3066\u3001\u30d2\u30dd\u30af\u30ed\u3001EDTA\u3067\u6d17\u6d44\u3057\u3066\u8cbc\u85ac\u3057\u3001\u4e0a\u8ff0\u306e\u3088\u3046\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u7f6e\u3044\u3066\u7dbf\u7403\u3092\u5165\u308c\u3066Caviton\u3067\u4eee\u5c01\u3057\u305f\u3002<\/p>\n
<\/h1>\n<\/p>\n#9<\/strong><\/em><\/span><\/h2>\n<\/h1>\n
\u3053\u308c\u3060\u3051\u898b\u3066\u3082\uff1f\uff1f\uff1f\u3060\u308d\u3046\u3002<\/p>\n
\u3053\u306e\u624b\u306e\u6cbb\u7642\u306f\u5fc5\u305a\u3001<\/p>\n
\u53cd\u5bfe\u5074\u540c\u540d\u6b6f<\/strong><\/span><\/h1>\n\u3082\u898b\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n
#8<\/strong><\/em><\/span><\/h2>\n<\/p>\n
#8\u3068#9\u3092\u6bd4\u3079\u3066\u307f\u3088\u3046\u3002<\/p>\n
<\/h2>\n
#9\u306f\u81ea\u50b7\u4e8b\u6545\u3067\u6b6f\u9ac4\u304c\u58ca\u6b7b\u3057\u305f\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002<\/p>\n
#8\u3068\u6bd4\u3079\u308b\u3068\u305d\u306e\u9055\u3044\u304c\u308f\u304b\u308b\u3060\u308d\u3046\u3002<\/p>\n
\u3067\u306f\u306a\u305c\u3001#9\u306fCold test\u306b\u53cd\u5fdc\u3059\u308b\u306e\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u3068\u3044\u3048\u3070\u305d\u308c\u306f\u30012\u3064\u539f\u56e0\u304c\u3042\u308b\u3002<\/p>\n
1\u3064\u306f\u3001<\/p>\n
\u5b66\u8853\u7684\u306b\u306fA\u2202\u7e4a\u7dad\uff08\u51b7\u305f\u3044\u3082\u306e\u3092\u51b7\u305f\u3044\u3067\u3059\u3088\u3001\u3068\u8133\u306b\u4f1d\u3048\u308b\u795e\u7d4c\u7e4a\u7dad\uff09\u304c\u9ac4\u89d2\u4ed8\u8fd1\u306b\u6b8b\u5b58\u3057\u3066\u3044\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002<\/p>\n
Cold\u3092\u4e2d\u67a2\u795e\u7d4c\u306b\u4f1d\u3048\u308b\u4e3b\u305f\u308b\u795e\u7d4c\u7e4a\u7dad\u3067\u3042\u308bA\u2202\u7e4a\u7dad\u306f\u9ac4\u89d2\u4ed8\u8fd1\u306b\u3042\u308b\u3002\u305d\u308c\u306f\u58ca\u6b7b\u3057\u3066\u3082\u6d88\u3048\u3066\u3044\u306a\u3044\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u306f\u2026Cold test\u306b\u53cd\u5fdc\u3059\u308b\u306e\u3060\u3002<\/p>\n
\u3053\u306e\u8a71\u306f\u3001\u307e\u3055\u306bBasic\u3067\u77e5\u3089\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u304c\u3001\u5b9f\u969b\u306fAdvanced\u7684\u306a\u5185\u5bb9\u3067\u3042\u308b\u3002<\/p>\n
\u5927\u5b66\u306e\u57fa\u790e\u7cfb\u306e\u6388\u696d\u3067\u7fd2\u3046\u5185\u5bb9\u306f\u5b9f\u306f\u5168\u3066Advanced\u7684\u306a\u5185\u5bb9\u3067\u3042\u308b\u3068\u3044\u3046\u4e8b\u5b9f\u3002<\/strong><\/span><\/h1>\n\u6b6f\u79d1\u533b\u7642\u306f\u7c21\u5358\u306a\u3088\u3046\u3067\u96e3\u3057\u3044\uff1f\u306e\u304b\uff1f\uff1f<\/p>\n
\u3055\u3066\u3082\u3046\u4e00\u3064\u306e\u7406\u7531\u306f\u3068\u3044\u3048\u3070\u3001<\/p>\n
\u60a3\u8005\uff08\u5c0f\u5b66\u751f\uff09\u306e\u51b7\u305f\u3044\u523a\u6fc0\u306b\u5bfe\u3059\u308b\u904e\u5ea6\u306a\u53cd\u5fdc<\/strong><\/span><\/h1>\n\u3067\u3042\u308b\u3002<\/p>\n
\u4f55\u3067\u3082\u624b\u304c\u4e0a\u304c\u308b\u3068\u3044\u3046\u3084\u3064\u3060\u3002<\/p>\n
AAE\u3082\u201c\u305d\u3053\u307e\u3067\u201d\u60f3\u5b9a\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u306f\u5bb9\u6613\u3060\u3002<\/strong><\/span><\/h1>\n\u3057\u304b\u3057\u3001\u81e8\u5e8a\u7684\u306b\u305d\u308c\u304c\u3069\u3061\u3089\u3067\u3042\u308c\u6cbb\u7642\u306f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u306f\u9593\u9055\u3044\u7121\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nPulp Dx: Pulp Necrosis<\/p>\n
Periapical Dx: Symptomatic apical periodontitis<\/p>\n
Recommended Tx: Regeneration<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u63a8\u5968\u3055\u308c\u308b\u6cbb\u7642\u306f\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u3060\u3002<\/p>\n
\u6b6f\u9ac4\u306e\u518d\u751f\u306f\u306a\u3044\u304c\u3001\u518d\u751f\u306b\u8fd1\u3044\u5f62\u3067\u30b4\u30fc\u30eb\u3092\u8fce\u3048\u308b\u3068\u3044\u3046\u3053\u306e\u6cbb\u7642\u306f\u904e\u53bb\uff08\u79c1\u306e\u5927\u5b66\u9662\u751f\u6642\u4ee3\uff09\u71b1\u3044\uff1f\u6cbb\u7642\u3067\u3042\u3063\u305f\u304c\u3001\u6700\u8fd1\u3067\u306f\u843d\u3061\u7740\u3044\u3066\u304d\u305f\u3060\u308d\u3046\u3002<\/p>\n
\u73fe\u72b6\u3001\u30a2\u30e1\u30ea\u30ab\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\uff08AAE\uff09\u306e\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u30b4\u30fc\u30eb\u306f\u4ee5\u4e0b\u306b\u3042\u308b\u901a\u308a\u3060\u3002<\/p>\n
AAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\nThe degree of success of Regenerative Endodontic Procedures is largely measured by the extent to which it is possible to attain primary, secondary, and tertiary goals:<\/p>\n
\u25b6\ufe0e Primary goal: The elimination of symptoms and the evidence of bony healing.<\/p>\n
\u25b6\ufe0e Secondary goal: Increased root wall thickness and\/or increased root length(desirable, but perhaps not essential)<\/p>\n
\u25b6\ufe0e Tertiary goal: Positive response to vitality testing (which if achieved, could indicate a more organized vital pulp tissue)<\/strong><\/span><\/h1>\n3\u3064\u76ee\u306e\u30b4\u30fc\u30eb\u3067\u3042\u308b\u3001<\/p>\n
Cold test\u306b\u53cd\u5fdc\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u304c\u3001\u3053\u3093\u306a\u3053\u3068\u306f\u6c7a\u3057\u3066\u8d77\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u3042\u308b\u3068\u3059\u308c\u3070\u3001\u6050\u6016\u304b\u3089\u624b\u304c\u4e0a\u304c\u308b\u304f\u3089\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u983c\u3080\u3088\u3001AAE\u2026<\/p>\n
\u3053\u308c\u3082\u524d\u8ff0\u3057\u305f\u5185\u5bb9\u306e\u901a\u308a\u3060\u3002<\/p>\n
\u3055\u3066\u3002<\/p>\n
\u8fd1\u5e74\u306f\u3001\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u30821\u56de\u6cd5\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n
\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n
\n\uff1cRegeneration 1\u56de\u6cd5\uff1e<\/strong><\/span><\/h1>\n<\/p>\n
\u30ab\u30f3\u30d4\u30fc\u30ca\u30b9\u5dde\u7acb\u5927\u5b66\uff08\u4ed6\u306e\u5dde\u7acb\u5927\u5b66\u3088\u308a\u3082\u6f64\u6ca2\u306a\u4e88\u7b97\u304c\u914d\u5206\u3055\u308c\u3066\u304a\u308a\u3001\u8d05\u6ca2\u306a\u8a2d\u5099\u3068\u6559\u6388\u9663\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002\u3053\u306e\u305f\u3081\u5165\u5b66\u5e0c\u671b\u8005\u306f\u591a\u304f\u3001\u30d6\u30e9\u30b8\u30eb\u3067\u6700\u3082\u5165\u5b66\u56f0\u96e3\u306a\u5927\u5b66\u3068\u3044\u308f\u308c\u3066\u3044\u308b\uff09\u306e\u3000\u304c\u3001\u4ee5\u4e0b\u306e\u8853\u5f0f\u30671\u56de\u6cd5\u30682\u56de\u6cd5\u306eRegeneration\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n
2\u56de\u6cd5<\/strong><\/span><\/em><\/h1>\n1\u56de\u76ee
\n\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\uff1d3Mix \u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (10\u4e07\u500d\u5e0c\u91c8\u30a8\u30d4\u30cd\u30d5\u30ea\u30f3\u542b\u67092%\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
10ml \u751f\u98df<\/p>\n
3ml 17% EDTA<\/p>\n
5ml \u751f\u98df<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u8db3\u5834\u3068\u3057\u3066\u306e\u8840\u9905<\/p>\n
\u30b3\u30e9\u30fc\u30b2\u30f3\u7e4a\u7dad<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c)<\/strong><\/span><\/h1>\nColtosol (\u6839\u7ba1\u53e3\u90e8\u4eee\u5c01)<\/p>\n
\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3 \u5145\u586b(\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3)<\/p>\n
\n\u9a5a\u304f\u3053\u3068\u306b\u30012\u56de\u76ee\u3082\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u9ebb\u9154\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n\u305d\u306e\u5fc3\u306f\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067\u3042\u308c\u3070\u9ebb\u9154\u304c\u3059\u3050\u5207\u308c\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3060\u3002<\/p>\n
\u79c1\u306f\u4e8b\u5b9f\u4e0a\u3001\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u306e\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3068\u8003\u3048\u308b\u3002<\/p>\n
\u305d\u308c\u3092\u3059\u308b\u304f\u3089\u3044\u306a\u3089\u30011\u56de\u6cd5\u3067\u7d42\u308f\u3063\u305f\u65b9\u304c\u30de\u30b7\u3060\u3068\u3082\u3044\u3048\u306a\u304f\u306a\u3044\u3002<\/p>\n
\u3061\u306a\u307f\u306b<\/p>\n
AAE\u306e\u63a8\u5968\u3059\u308bRegeneration\u306e\u8853\u5f0f\uff082021.5.18\u304c\u6700\u65b0\u7248\uff09<\/strong><\/a><\/h1>\n\u306f2\u56de\u6cd5\u3067\u4ee5\u4e0b\u3060\u3002<\/p>\n
\n1\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/p>\n
\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (3%\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8)<\/span><\/strong><\/h1>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
20ml 17% EDTA<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u30aa\u30fc\u30d0\u30fc\u30a4\u30f3\u30b9\u30c4\u30eb\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u51fa\u8840\u3055\u305b\u3066\u8840\u9905\u3092\u4f5c\u308b<\/p>\n
CollaPlug\u3001Collacote\u3001CollaTape\u306a\u3069\u306e\u5438\u53ce\u6027\u7269\u8cea\u3092\u9759\u7f6e<\/p>\n
\u5fc5\u8981\u3067\u3042\u308c\u3070MTA\u30bb\u30e1\u30f3\u30c8\u3092\u7559\u7f6e\uff08MTA\u306e\u4ee3\u308f\u308a\u306b\u3001BC putty\u3084Biodentine\u3092\u4f7f\u7528\u3057\u3066\u3082\u554f\u984c\u306a\u3044\uff09<\/p>\n
3~4mm\u306e\u6df1\u3055\u3092GIC\u306a\u3069\u3067\u5c01\u9396<\/p>\n
\n\u3042\u306a\u305f\u306f\u306a\u305c\u30012\u56de\u76ee\u304c\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u304b\u3054\u5b58\u77e5\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u5b9f\u306f\u3001\u975e\u5e38\u306b\u3057\u3087\u3046\u3082\u306a\u3044\u7406\u7531\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n\u30a8\u30d3\u30c7\u30f3\u30b9\u7684\u306b\u306fCase Report\u30ec\u30d9\u30eb\u306e\u5185\u5bb9\u3060\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u3067\u305d\u308c\u3092\u4f7f\u308f\u305b\u308b\u306e\u304b\uff1f\u7684\u306a\u5185\u5bb9\u3067\u9589\u53e3\u3057\u3066\u3057\u307e\u3046\u3002<\/strong><\/span><\/h1>\n\u304c\u3001\u3053\u306e\u6587\u732e\u3067\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u306f\u4ed5\u65b9\u304c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
IEJ\u3067\u306f\u306f\u3063\u304d\u308a\u3068\u306f\u8a00\u308f\u306a\u3044\u307e\u3067\u3082\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u3053\u3068\u306e\u96e3\u6613\u5ea6\u306e\u9ad8\u3055\uff08\u9ebb\u9154\u304c\u52b9\u304b\u306a\u3044\u3068\u3044\u3046\u9762\u306e\u6b20\u70b9\uff09\u3092\u53d6\u308a\u4e0a\u3052\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3082\u306f\u3084\u3001\u3053\u306e\u6cbb\u7642\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u884c\u3046\u3082\u306e\u3060\u3068\u3044\u3046\u8a8d\u8b58\u304c\u79c1\u306b\u306f\u3042\u308b\u3002<\/p>\n
\u305d\u306e\u969b\u306e\u6ce8\u610f\u70b9\u306f\u3001\u6cbb\u7642\u3092\u3055\u3063\u3055\u3068\u9032\u3081\u3066\u3044\u304f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n
\u305f\u3089\u305f\u3089\u6cbb\u7642\u3057\u3066\u3044\u3066\u306f\u6b62\u8840\u4f5c\u7528\u304c\u51fa\u3066\u3001\u306f\u3044\u307e\u305f\u6765\u3066\u304f\u3060\u3055\u3044\uff01\u306b\u306a\u308a\u304b\u306d\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
<\/p>\n
<\/p>\n
<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u30671\u56de\u6cd5\u3067\u30822\u56de\u6cd5\u3067\u3082\u7d50\u679c\u306b\u5dee\u304c\u306a\u3044\u3002<\/p>\n
\u304c\u3001<\/p>\n
\u3053\u306e1\u672c\u3057\u304b\u6587\u732e\u304c\u306a\u304f\u3001<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2\u306b\u3064\u3044\u3066\u306e\u8003\u5bdf\u304c\u5c11\u306a\u3044\uff08\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 \uff1d\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c\u3057\u305f\u3082\u306e\u3092\u4f7f\u7528\u3057\u3001MTA\u3084BC\u30d1\u30c6\u3001Biodentine\u3092\u5229\u7528\u3057\u306a\u3044\u7406\u7531\u304c\u4e0d\u660e\uff09\u3001<\/p>\n
n\u6570\u304c\u5c11\u306a\u304f\u3001\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3088\u308a\u3001\u512a\u4f4d\u306a\u5dee\u304c\u306a\u3044\u7a0b\u5ea6\u306e\u30b5\u30f3\u30d7\u30eb\u6570\u3057\u304b\u63c3\u3063\u3066\u3044\u306a\u3044\uff1f\u53ef\u80fd\u6027\u3001<\/p>\n
\u85ac\u6db2\u306a\u3069\u3092\u5909\u3048\u3066\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u306a\u3069\u3092\u884c\u3063\u3066\u7d50\u679c\u3092\u691c\u8a0e\u3059\u3079\u304d\u3001<\/p>\n
\u3067\u3042\u308b\u3082\u306e\u306e\u3001<\/p>\n
\u3082\u306f\u3084\u9ebb\u9154\u85ac\u306b\u3064\u3044\u3066\u306f\u8b70\u8ad6\u3059\u308b\u5fc5\u8981\u304c\u306a\u3055\u305d\u3046(\u6562\u3048\u3066\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3092\u4f7f\u3046\u7406\u7531\u304c\u306a\u3044)\u3001<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001<\/p>\n
1\u56de\u6cd5\u30682\u56de\u6cd5\u3067\u6cbb\u7642\u306e\u7d50\u679c\u306b\u5dee\u304c\u51fa\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/strong>\u3053\u308c\u306f\u3001\u304b\u3064\u3066\u306eApexification\u3068\u540c\u3058\u7d50\u679c\u3060\u3002<\/span><\/h1>\n\u6614\u3001MTA\u3067Apexification\u30921\u56de\u3067\u3084\u308b\uff01\u3068\u3044\u3046\u8003\u3048\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u73fe\u5728\u306f\u305d\u3061\u3089\u306e\u65b9\u304c\u652f\u914d\u7684\u3060\u308d\u3046\u3002<\/p>\n
\u305d\u3057\u3066\u3001Regeneration\u3092\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u3082OK\u306a\u3089\u3001\u3053\u306e\u6cbb\u7642\u304c\u3069\u308c\u3060\u3051\u697d\u304b\u2026<\/p>\n
\u3053\u308c\u3060\u3051\u3067\u3082Revolution\u3068\u8a00\u3048\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n
\u3055\u3066\u3001\u4ee5\u4e0a\u306e\u4e8b\u5b9f\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n
\u3059\u308b\u3068\u3001<\/p>\n
\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u88cf\u4ed8\u3051\u3055\u308c\u3066\u3044\u306a\u3044\u6cbb\u7642\u5185\u5bb9\u306b\u306f\u4e0d\u5b89\u304c\u6b8b\u308b\u306e\u3067\u30012\u56de\u6cd5\u3067\u304a\u9858\u3044\u3057\u307e\u3059<\/p>\n
\u3068\u3044\u3046\u56de\u7b54\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\u73cd\u3057\u304f2\u56de\u6cd5\u306e\u6cbb\u7642\u3068\u306a\u3063\u305f\u3002<\/p>\n
\n\u2b50\ufe0e\u3053\u306e\u5f8c\u3001\u81e8\u5e8a\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#9 Regeneration 1\u56de\u76ee\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nAAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\n\u306b\u3088\u308c\u3070\u30011\u56de\u76ee\u306e\u6cbb\u7642\u5185\u5bb9\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
First Appointment<\/p>\n
\u2460 Local anesthesia, dental dam isolation and access.<\/p>\n
\u2461 Copious, gentle irrigation with 20ml NaOCl<\/strong><\/span> using an irrigation system that minimizes the possibility of extrusion of irrigants into the periapical space (e.g., needle with closed end and side-vents, or EndoVac\u2122). Lower concentrations of NaOCl are advised [1.5%-3% NaOCl (20mL\/canal, 5 min) and then irrigated with saline or EDTA (20 mL\/canal, 5min)<\/strong><\/span>, with irrigating needle positioned about 1 mm from root end, to minimize cytotoxicity to stem cells in the apical tissues.<\/strong><\/span><\/p>\n\u2462 Dry canals with paper points.
\n– Place calcium hydroxide<\/strong><\/span> or low concentration of triple antibiotic paste. If the triple antibiotic paste is used: 1) consider sealing pulp chamber with a dentin bonding agent [to minimize risk of staining] and 2) mix 1:1:1 ciprofloxacin: metronidazole: minocycline to a final concentration of 1-5 mg\/ml. Triple antibiotic paste has been associated with tooth discoloration. Double antibiotic paste without minocycline paste or substitution of minocycline for other antibiotic (e.g., clindamycin; amoxicillin; cefaclor) is another possible alternative as root canal disinfectant. Clinicians should be aware that studies have been done using higher concentrations of TAP\/DAP, but a recommendation to a higher concentration can\u2019t be made at this time due to limited studies.
\n– Deliver into canal system via syringe
\n– If triple antibiotic is used, ensure that it remains below CEJ (minimize crown staining).
\n– Seal with 3-4mm of a temporary restorative material such as Cavit\u2122, IRM\u2122, glass-
\nionomer or another temporary material. Dismiss patient for 1-4 weeks.<\/p>\n1\u56de\u76ee\u306e\u6cbb\u7642\u3092\u307e\u3068\u3081\u308b\u3068\u3001<\/p>\n
\u30d2\u30dd\u30af\u30ed20ml\u3068EDTA 20ml\u3067\u6d17\u6d44\u3057\u308d<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n
\u305d\u3057\u3066\u3001\u6d17\u6d44\u5f8c\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3067\u8cbc\u85ac\u3059\u308b\u3002<\/p>\n
\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u306f\u89e6\u308c\u305f\u90e8\u5206\u3057\u304b\u6bba\u83cc\u3067\u304d\u306a\u3044\u304c\u3001\u306a\u305c\u304b\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u5834\u5408\u306f\u3001\u6839\u7ba1\u5168\u4f53\u306b\u6d78\u3055\u305a\u306b\u6839\u7ba1\u306e\u534a\u5206\u7a0b\u5ea6\u3067\u3044\u3044\u3068\u3044\u3046\u610f\u898b\u304c\u591a\u3044\u3002<\/p>\n
\u5168\u304f\u7406\u89e3\u304c\u3067\u304d\u306a\u3044\u90e8\u5206\u3060\u3002<\/p>\n
Bose, Hargreaves 2009 \u00a0A Retrospective Evaluation of Radiographic Outcomes in Immature Teeth With Necrotic Root Canal Systems Treated With Regenerative Endodontic Procedures<\/strong><\/span><\/a><\/h1>\nWhen Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, it produced better results than when it was placed beyond the coronal half.<\/p>\n
When Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, the median percentage increase in dentinal wall thickness was 53.8%, as compared with a 3.3% increase when it was placed beyond coronal half (ie, into the apical half of the root canal system).<\/strong><\/em><\/span><\/h1>\n\u3068\u3044\u3046\u3053\u3068\u3067\u6839\u7ba1\u53e3\u306e\u534a\u5206\u4ee5\u4e0a\u306f\u8cbc\u85ac\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n
\u3053\u308c\u3092\u8003\u616e\u3057\u3066\u3001\u30d2\u30dd\u30af\u30ed\u3001EDTA\u3067\u6d17\u6d44\u3057\u3066\u8cbc\u85ac\u3057\u3001\u4e0a\u8ff0\u306e\u3088\u3046\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u7f6e\u3044\u3066\u7dbf\u7403\u3092\u5165\u308c\u3066Caviton\u3067\u4eee\u5c01\u3057\u305f\u3002<\/p>\n
<\/h1>\n\u3082\u898b\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n
#8<\/strong><\/em><\/span><\/h2>\n<\/p>\n
#8\u3068#9\u3092\u6bd4\u3079\u3066\u307f\u3088\u3046\u3002<\/p>\n
<\/h2>\n
#9\u306f\u81ea\u50b7\u4e8b\u6545\u3067\u6b6f\u9ac4\u304c\u58ca\u6b7b\u3057\u305f\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002<\/p>\n
#8\u3068\u6bd4\u3079\u308b\u3068\u305d\u306e\u9055\u3044\u304c\u308f\u304b\u308b\u3060\u308d\u3046\u3002<\/p>\n
\u3067\u306f\u306a\u305c\u3001#9\u306fCold test\u306b\u53cd\u5fdc\u3059\u308b\u306e\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u3068\u3044\u3048\u3070\u305d\u308c\u306f\u30012\u3064\u539f\u56e0\u304c\u3042\u308b\u3002<\/p>\n
1\u3064\u306f\u3001<\/p>\n
\u5b66\u8853\u7684\u306b\u306fA\u2202\u7e4a\u7dad\uff08\u51b7\u305f\u3044\u3082\u306e\u3092\u51b7\u305f\u3044\u3067\u3059\u3088\u3001\u3068\u8133\u306b\u4f1d\u3048\u308b\u795e\u7d4c\u7e4a\u7dad\uff09\u304c\u9ac4\u89d2\u4ed8\u8fd1\u306b\u6b8b\u5b58\u3057\u3066\u3044\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002<\/p>\n
Cold\u3092\u4e2d\u67a2\u795e\u7d4c\u306b\u4f1d\u3048\u308b\u4e3b\u305f\u308b\u795e\u7d4c\u7e4a\u7dad\u3067\u3042\u308bA\u2202\u7e4a\u7dad\u306f\u9ac4\u89d2\u4ed8\u8fd1\u306b\u3042\u308b\u3002\u305d\u308c\u306f\u58ca\u6b7b\u3057\u3066\u3082\u6d88\u3048\u3066\u3044\u306a\u3044\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u306f\u2026Cold test\u306b\u53cd\u5fdc\u3059\u308b\u306e\u3060\u3002<\/p>\n
\u3053\u306e\u8a71\u306f\u3001\u307e\u3055\u306bBasic\u3067\u77e5\u3089\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u304c\u3001\u5b9f\u969b\u306fAdvanced\u7684\u306a\u5185\u5bb9\u3067\u3042\u308b\u3002<\/p>\n
\u5927\u5b66\u306e\u57fa\u790e\u7cfb\u306e\u6388\u696d\u3067\u7fd2\u3046\u5185\u5bb9\u306f\u5b9f\u306f\u5168\u3066Advanced\u7684\u306a\u5185\u5bb9\u3067\u3042\u308b\u3068\u3044\u3046\u4e8b\u5b9f\u3002<\/strong><\/span><\/h1>\n\u6b6f\u79d1\u533b\u7642\u306f\u7c21\u5358\u306a\u3088\u3046\u3067\u96e3\u3057\u3044\uff1f\u306e\u304b\uff1f\uff1f<\/p>\n
\u3055\u3066\u3082\u3046\u4e00\u3064\u306e\u7406\u7531\u306f\u3068\u3044\u3048\u3070\u3001<\/p>\n
\u60a3\u8005\uff08\u5c0f\u5b66\u751f\uff09\u306e\u51b7\u305f\u3044\u523a\u6fc0\u306b\u5bfe\u3059\u308b\u904e\u5ea6\u306a\u53cd\u5fdc<\/strong><\/span><\/h1>\n\u3067\u3042\u308b\u3002<\/p>\n
\u4f55\u3067\u3082\u624b\u304c\u4e0a\u304c\u308b\u3068\u3044\u3046\u3084\u3064\u3060\u3002<\/p>\n
AAE\u3082\u201c\u305d\u3053\u307e\u3067\u201d\u60f3\u5b9a\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u306f\u5bb9\u6613\u3060\u3002<\/strong><\/span><\/h1>\n\u3057\u304b\u3057\u3001\u81e8\u5e8a\u7684\u306b\u305d\u308c\u304c\u3069\u3061\u3089\u3067\u3042\u308c\u6cbb\u7642\u306f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u306f\u9593\u9055\u3044\u7121\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nPulp Dx: Pulp Necrosis<\/p>\n
Periapical Dx: Symptomatic apical periodontitis<\/p>\n
Recommended Tx: Regeneration<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u63a8\u5968\u3055\u308c\u308b\u6cbb\u7642\u306f\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u3060\u3002<\/p>\n
\u6b6f\u9ac4\u306e\u518d\u751f\u306f\u306a\u3044\u304c\u3001\u518d\u751f\u306b\u8fd1\u3044\u5f62\u3067\u30b4\u30fc\u30eb\u3092\u8fce\u3048\u308b\u3068\u3044\u3046\u3053\u306e\u6cbb\u7642\u306f\u904e\u53bb\uff08\u79c1\u306e\u5927\u5b66\u9662\u751f\u6642\u4ee3\uff09\u71b1\u3044\uff1f\u6cbb\u7642\u3067\u3042\u3063\u305f\u304c\u3001\u6700\u8fd1\u3067\u306f\u843d\u3061\u7740\u3044\u3066\u304d\u305f\u3060\u308d\u3046\u3002<\/p>\n
\u73fe\u72b6\u3001\u30a2\u30e1\u30ea\u30ab\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\uff08AAE\uff09\u306e\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u30b4\u30fc\u30eb\u306f\u4ee5\u4e0b\u306b\u3042\u308b\u901a\u308a\u3060\u3002<\/p>\n
AAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\nThe degree of success of Regenerative Endodontic Procedures is largely measured by the extent to which it is possible to attain primary, secondary, and tertiary goals:<\/p>\n
\u25b6\ufe0e Primary goal: The elimination of symptoms and the evidence of bony healing.<\/p>\n
\u25b6\ufe0e Secondary goal: Increased root wall thickness and\/or increased root length(desirable, but perhaps not essential)<\/p>\n
\u25b6\ufe0e Tertiary goal: Positive response to vitality testing (which if achieved, could indicate a more organized vital pulp tissue)<\/strong><\/span><\/h1>\n3\u3064\u76ee\u306e\u30b4\u30fc\u30eb\u3067\u3042\u308b\u3001<\/p>\n
Cold test\u306b\u53cd\u5fdc\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u304c\u3001\u3053\u3093\u306a\u3053\u3068\u306f\u6c7a\u3057\u3066\u8d77\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u3042\u308b\u3068\u3059\u308c\u3070\u3001\u6050\u6016\u304b\u3089\u624b\u304c\u4e0a\u304c\u308b\u304f\u3089\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u983c\u3080\u3088\u3001AAE\u2026<\/p>\n
\u3053\u308c\u3082\u524d\u8ff0\u3057\u305f\u5185\u5bb9\u306e\u901a\u308a\u3060\u3002<\/p>\n
\u3055\u3066\u3002<\/p>\n
\u8fd1\u5e74\u306f\u3001\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u30821\u56de\u6cd5\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n
\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n
\n\uff1cRegeneration 1\u56de\u6cd5\uff1e<\/strong><\/span><\/h1>\n<\/p>\n
\u30ab\u30f3\u30d4\u30fc\u30ca\u30b9\u5dde\u7acb\u5927\u5b66\uff08\u4ed6\u306e\u5dde\u7acb\u5927\u5b66\u3088\u308a\u3082\u6f64\u6ca2\u306a\u4e88\u7b97\u304c\u914d\u5206\u3055\u308c\u3066\u304a\u308a\u3001\u8d05\u6ca2\u306a\u8a2d\u5099\u3068\u6559\u6388\u9663\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002\u3053\u306e\u305f\u3081\u5165\u5b66\u5e0c\u671b\u8005\u306f\u591a\u304f\u3001\u30d6\u30e9\u30b8\u30eb\u3067\u6700\u3082\u5165\u5b66\u56f0\u96e3\u306a\u5927\u5b66\u3068\u3044\u308f\u308c\u3066\u3044\u308b\uff09\u306e\u3000\u304c\u3001\u4ee5\u4e0b\u306e\u8853\u5f0f\u30671\u56de\u6cd5\u30682\u56de\u6cd5\u306eRegeneration\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n
2\u56de\u6cd5<\/strong><\/span><\/em><\/h1>\n1\u56de\u76ee
\n\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\uff1d3Mix \u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (10\u4e07\u500d\u5e0c\u91c8\u30a8\u30d4\u30cd\u30d5\u30ea\u30f3\u542b\u67092%\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
10ml \u751f\u98df<\/p>\n
3ml 17% EDTA<\/p>\n
5ml \u751f\u98df<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u8db3\u5834\u3068\u3057\u3066\u306e\u8840\u9905<\/p>\n
\u30b3\u30e9\u30fc\u30b2\u30f3\u7e4a\u7dad<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c)<\/strong><\/span><\/h1>\nColtosol (\u6839\u7ba1\u53e3\u90e8\u4eee\u5c01)<\/p>\n
\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3 \u5145\u586b(\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3)<\/p>\n
\n\u9a5a\u304f\u3053\u3068\u306b\u30012\u56de\u76ee\u3082\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u9ebb\u9154\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n\u305d\u306e\u5fc3\u306f\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067\u3042\u308c\u3070\u9ebb\u9154\u304c\u3059\u3050\u5207\u308c\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3060\u3002<\/p>\n
\u79c1\u306f\u4e8b\u5b9f\u4e0a\u3001\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u306e\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3068\u8003\u3048\u308b\u3002<\/p>\n
\u305d\u308c\u3092\u3059\u308b\u304f\u3089\u3044\u306a\u3089\u30011\u56de\u6cd5\u3067\u7d42\u308f\u3063\u305f\u65b9\u304c\u30de\u30b7\u3060\u3068\u3082\u3044\u3048\u306a\u304f\u306a\u3044\u3002<\/p>\n
\u3061\u306a\u307f\u306b<\/p>\n
AAE\u306e\u63a8\u5968\u3059\u308bRegeneration\u306e\u8853\u5f0f\uff082021.5.18\u304c\u6700\u65b0\u7248\uff09<\/strong><\/a><\/h1>\n\u306f2\u56de\u6cd5\u3067\u4ee5\u4e0b\u3060\u3002<\/p>\n
\n1\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/p>\n
\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (3%\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8)<\/span><\/strong><\/h1>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
20ml 17% EDTA<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u30aa\u30fc\u30d0\u30fc\u30a4\u30f3\u30b9\u30c4\u30eb\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u51fa\u8840\u3055\u305b\u3066\u8840\u9905\u3092\u4f5c\u308b<\/p>\n
CollaPlug\u3001Collacote\u3001CollaTape\u306a\u3069\u306e\u5438\u53ce\u6027\u7269\u8cea\u3092\u9759\u7f6e<\/p>\n
\u5fc5\u8981\u3067\u3042\u308c\u3070MTA\u30bb\u30e1\u30f3\u30c8\u3092\u7559\u7f6e\uff08MTA\u306e\u4ee3\u308f\u308a\u306b\u3001BC putty\u3084Biodentine\u3092\u4f7f\u7528\u3057\u3066\u3082\u554f\u984c\u306a\u3044\uff09<\/p>\n
3~4mm\u306e\u6df1\u3055\u3092GIC\u306a\u3069\u3067\u5c01\u9396<\/p>\n
\n\u3042\u306a\u305f\u306f\u306a\u305c\u30012\u56de\u76ee\u304c\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u304b\u3054\u5b58\u77e5\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u5b9f\u306f\u3001\u975e\u5e38\u306b\u3057\u3087\u3046\u3082\u306a\u3044\u7406\u7531\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n\u30a8\u30d3\u30c7\u30f3\u30b9\u7684\u306b\u306fCase Report\u30ec\u30d9\u30eb\u306e\u5185\u5bb9\u3060\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u3067\u305d\u308c\u3092\u4f7f\u308f\u305b\u308b\u306e\u304b\uff1f\u7684\u306a\u5185\u5bb9\u3067\u9589\u53e3\u3057\u3066\u3057\u307e\u3046\u3002<\/strong><\/span><\/h1>\n\u304c\u3001\u3053\u306e\u6587\u732e\u3067\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u306f\u4ed5\u65b9\u304c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
IEJ\u3067\u306f\u306f\u3063\u304d\u308a\u3068\u306f\u8a00\u308f\u306a\u3044\u307e\u3067\u3082\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u3053\u3068\u306e\u96e3\u6613\u5ea6\u306e\u9ad8\u3055\uff08\u9ebb\u9154\u304c\u52b9\u304b\u306a\u3044\u3068\u3044\u3046\u9762\u306e\u6b20\u70b9\uff09\u3092\u53d6\u308a\u4e0a\u3052\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3082\u306f\u3084\u3001\u3053\u306e\u6cbb\u7642\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u884c\u3046\u3082\u306e\u3060\u3068\u3044\u3046\u8a8d\u8b58\u304c\u79c1\u306b\u306f\u3042\u308b\u3002<\/p>\n
\u305d\u306e\u969b\u306e\u6ce8\u610f\u70b9\u306f\u3001\u6cbb\u7642\u3092\u3055\u3063\u3055\u3068\u9032\u3081\u3066\u3044\u304f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n
\u305f\u3089\u305f\u3089\u6cbb\u7642\u3057\u3066\u3044\u3066\u306f\u6b62\u8840\u4f5c\u7528\u304c\u51fa\u3066\u3001\u306f\u3044\u307e\u305f\u6765\u3066\u304f\u3060\u3055\u3044\uff01\u306b\u306a\u308a\u304b\u306d\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
<\/p>\n
<\/p>\n
<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u30671\u56de\u6cd5\u3067\u30822\u56de\u6cd5\u3067\u3082\u7d50\u679c\u306b\u5dee\u304c\u306a\u3044\u3002<\/p>\n
\u304c\u3001<\/p>\n
\u3053\u306e1\u672c\u3057\u304b\u6587\u732e\u304c\u306a\u304f\u3001<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2\u306b\u3064\u3044\u3066\u306e\u8003\u5bdf\u304c\u5c11\u306a\u3044\uff08\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 \uff1d\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c\u3057\u305f\u3082\u306e\u3092\u4f7f\u7528\u3057\u3001MTA\u3084BC\u30d1\u30c6\u3001Biodentine\u3092\u5229\u7528\u3057\u306a\u3044\u7406\u7531\u304c\u4e0d\u660e\uff09\u3001<\/p>\n
n\u6570\u304c\u5c11\u306a\u304f\u3001\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3088\u308a\u3001\u512a\u4f4d\u306a\u5dee\u304c\u306a\u3044\u7a0b\u5ea6\u306e\u30b5\u30f3\u30d7\u30eb\u6570\u3057\u304b\u63c3\u3063\u3066\u3044\u306a\u3044\uff1f\u53ef\u80fd\u6027\u3001<\/p>\n
\u85ac\u6db2\u306a\u3069\u3092\u5909\u3048\u3066\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u306a\u3069\u3092\u884c\u3063\u3066\u7d50\u679c\u3092\u691c\u8a0e\u3059\u3079\u304d\u3001<\/p>\n
\u3067\u3042\u308b\u3082\u306e\u306e\u3001<\/p>\n
\u3082\u306f\u3084\u9ebb\u9154\u85ac\u306b\u3064\u3044\u3066\u306f\u8b70\u8ad6\u3059\u308b\u5fc5\u8981\u304c\u306a\u3055\u305d\u3046(\u6562\u3048\u3066\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3092\u4f7f\u3046\u7406\u7531\u304c\u306a\u3044)\u3001<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001<\/p>\n
1\u56de\u6cd5\u30682\u56de\u6cd5\u3067\u6cbb\u7642\u306e\u7d50\u679c\u306b\u5dee\u304c\u51fa\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/strong>\u3053\u308c\u306f\u3001\u304b\u3064\u3066\u306eApexification\u3068\u540c\u3058\u7d50\u679c\u3060\u3002<\/span><\/h1>\n\u6614\u3001MTA\u3067Apexification\u30921\u56de\u3067\u3084\u308b\uff01\u3068\u3044\u3046\u8003\u3048\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u73fe\u5728\u306f\u305d\u3061\u3089\u306e\u65b9\u304c\u652f\u914d\u7684\u3060\u308d\u3046\u3002<\/p>\n
\u305d\u3057\u3066\u3001Regeneration\u3092\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u3082OK\u306a\u3089\u3001\u3053\u306e\u6cbb\u7642\u304c\u3069\u308c\u3060\u3051\u697d\u304b\u2026<\/p>\n
\u3053\u308c\u3060\u3051\u3067\u3082Revolution\u3068\u8a00\u3048\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n
\u3055\u3066\u3001\u4ee5\u4e0a\u306e\u4e8b\u5b9f\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n
\u3059\u308b\u3068\u3001<\/p>\n
\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u88cf\u4ed8\u3051\u3055\u308c\u3066\u3044\u306a\u3044\u6cbb\u7642\u5185\u5bb9\u306b\u306f\u4e0d\u5b89\u304c\u6b8b\u308b\u306e\u3067\u30012\u56de\u6cd5\u3067\u304a\u9858\u3044\u3057\u307e\u3059<\/p>\n
\u3068\u3044\u3046\u56de\u7b54\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\u73cd\u3057\u304f2\u56de\u6cd5\u306e\u6cbb\u7642\u3068\u306a\u3063\u305f\u3002<\/p>\n
\n\u2b50\ufe0e\u3053\u306e\u5f8c\u3001\u81e8\u5e8a\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#9 Regeneration 1\u56de\u76ee\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nAAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\n\u306b\u3088\u308c\u3070\u30011\u56de\u76ee\u306e\u6cbb\u7642\u5185\u5bb9\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
First Appointment<\/p>\n
\u2460 Local anesthesia, dental dam isolation and access.<\/p>\n
\u2461 Copious, gentle irrigation with 20ml NaOCl<\/strong><\/span> using an irrigation system that minimizes the possibility of extrusion of irrigants into the periapical space (e.g., needle with closed end and side-vents, or EndoVac\u2122). Lower concentrations of NaOCl are advised [1.5%-3% NaOCl (20mL\/canal, 5 min) and then irrigated with saline or EDTA (20 mL\/canal, 5min)<\/strong><\/span>, with irrigating needle positioned about 1 mm from root end, to minimize cytotoxicity to stem cells in the apical tissues.<\/strong><\/span><\/p>\n\u2462 Dry canals with paper points.
\n– Place calcium hydroxide<\/strong><\/span> or low concentration of triple antibiotic paste. If the triple antibiotic paste is used: 1) consider sealing pulp chamber with a dentin bonding agent [to minimize risk of staining] and 2) mix 1:1:1 ciprofloxacin: metronidazole: minocycline to a final concentration of 1-5 mg\/ml. Triple antibiotic paste has been associated with tooth discoloration. Double antibiotic paste without minocycline paste or substitution of minocycline for other antibiotic (e.g., clindamycin; amoxicillin; cefaclor) is another possible alternative as root canal disinfectant. Clinicians should be aware that studies have been done using higher concentrations of TAP\/DAP, but a recommendation to a higher concentration can\u2019t be made at this time due to limited studies.
\n– Deliver into canal system via syringe
\n– If triple antibiotic is used, ensure that it remains below CEJ (minimize crown staining).
\n– Seal with 3-4mm of a temporary restorative material such as Cavit\u2122, IRM\u2122, glass-
\nionomer or another temporary material. Dismiss patient for 1-4 weeks.<\/p>\n1\u56de\u76ee\u306e\u6cbb\u7642\u3092\u307e\u3068\u3081\u308b\u3068\u3001<\/p>\n
\u30d2\u30dd\u30af\u30ed20ml\u3068EDTA 20ml\u3067\u6d17\u6d44\u3057\u308d<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n
\u305d\u3057\u3066\u3001\u6d17\u6d44\u5f8c\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3067\u8cbc\u85ac\u3059\u308b\u3002<\/p>\n
\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u306f\u89e6\u308c\u305f\u90e8\u5206\u3057\u304b\u6bba\u83cc\u3067\u304d\u306a\u3044\u304c\u3001\u306a\u305c\u304b\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u5834\u5408\u306f\u3001\u6839\u7ba1\u5168\u4f53\u306b\u6d78\u3055\u305a\u306b\u6839\u7ba1\u306e\u534a\u5206\u7a0b\u5ea6\u3067\u3044\u3044\u3068\u3044\u3046\u610f\u898b\u304c\u591a\u3044\u3002<\/p>\n
\u5168\u304f\u7406\u89e3\u304c\u3067\u304d\u306a\u3044\u90e8\u5206\u3060\u3002<\/p>\n
Bose, Hargreaves 2009 \u00a0A Retrospective Evaluation of Radiographic Outcomes in Immature Teeth With Necrotic Root Canal Systems Treated With Regenerative Endodontic Procedures<\/strong><\/span><\/a><\/h1>\nWhen Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, it produced better results than when it was placed beyond the coronal half.<\/p>\n
When Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, the median percentage increase in dentinal wall thickness was 53.8%, as compared with a 3.3% increase when it was placed beyond coronal half (ie, into the apical half of the root canal system).<\/strong><\/em><\/span><\/h1>\n\u3068\u3044\u3046\u3053\u3068\u3067\u6839\u7ba1\u53e3\u306e\u534a\u5206\u4ee5\u4e0a\u306f\u8cbc\u85ac\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n
\u3053\u308c\u3092\u8003\u616e\u3057\u3066\u3001\u30d2\u30dd\u30af\u30ed\u3001EDTA\u3067\u6d17\u6d44\u3057\u3066\u8cbc\u85ac\u3057\u3001\u4e0a\u8ff0\u306e\u3088\u3046\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u7f6e\u3044\u3066\u7dbf\u7403\u3092\u5165\u308c\u3066Caviton\u3067\u4eee\u5c01\u3057\u305f\u3002<\/p>\n
<\/p>\n<\/h2>\n\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002<\/p>\n
Cold\u3092\u4e2d\u67a2\u795e\u7d4c\u306b\u4f1d\u3048\u308b\u4e3b\u305f\u308b\u795e\u7d4c\u7e4a\u7dad\u3067\u3042\u308bA\u2202\u7e4a\u7dad\u306f\u9ac4\u89d2\u4ed8\u8fd1\u306b\u3042\u308b\u3002\u305d\u308c\u306f\u58ca\u6b7b\u3057\u3066\u3082\u6d88\u3048\u3066\u3044\u306a\u3044\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u306f\u2026Cold test\u306b\u53cd\u5fdc\u3059\u308b\u306e\u3060\u3002<\/p>\n
\u3053\u306e\u8a71\u306f\u3001\u307e\u3055\u306bBasic\u3067\u77e5\u3089\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u304c\u3001\u5b9f\u969b\u306fAdvanced\u7684\u306a\u5185\u5bb9\u3067\u3042\u308b\u3002<\/p>\n
\u5927\u5b66\u306e\u57fa\u790e\u7cfb\u306e\u6388\u696d\u3067\u7fd2\u3046\u5185\u5bb9\u306f\u5b9f\u306f\u5168\u3066Advanced\u7684\u306a\u5185\u5bb9\u3067\u3042\u308b\u3068\u3044\u3046\u4e8b\u5b9f\u3002<\/strong><\/span><\/h1>\n\u6b6f\u79d1\u533b\u7642\u306f\u7c21\u5358\u306a\u3088\u3046\u3067\u96e3\u3057\u3044\uff1f\u306e\u304b\uff1f\uff1f<\/p>\n
\u3055\u3066\u3082\u3046\u4e00\u3064\u306e\u7406\u7531\u306f\u3068\u3044\u3048\u3070\u3001<\/p>\n
\u60a3\u8005\uff08\u5c0f\u5b66\u751f\uff09\u306e\u51b7\u305f\u3044\u523a\u6fc0\u306b\u5bfe\u3059\u308b\u904e\u5ea6\u306a\u53cd\u5fdc<\/strong><\/span><\/h1>\n\u3067\u3042\u308b\u3002<\/p>\n
\u4f55\u3067\u3082\u624b\u304c\u4e0a\u304c\u308b\u3068\u3044\u3046\u3084\u3064\u3060\u3002<\/p>\n
AAE\u3082\u201c\u305d\u3053\u307e\u3067\u201d\u60f3\u5b9a\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u306f\u5bb9\u6613\u3060\u3002<\/strong><\/span><\/h1>\n\u3057\u304b\u3057\u3001\u81e8\u5e8a\u7684\u306b\u305d\u308c\u304c\u3069\u3061\u3089\u3067\u3042\u308c\u6cbb\u7642\u306f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u306f\u9593\u9055\u3044\u7121\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nPulp Dx: Pulp Necrosis<\/p>\n
Periapical Dx: Symptomatic apical periodontitis<\/p>\n
Recommended Tx: Regeneration<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u63a8\u5968\u3055\u308c\u308b\u6cbb\u7642\u306f\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u3060\u3002<\/p>\n
\u6b6f\u9ac4\u306e\u518d\u751f\u306f\u306a\u3044\u304c\u3001\u518d\u751f\u306b\u8fd1\u3044\u5f62\u3067\u30b4\u30fc\u30eb\u3092\u8fce\u3048\u308b\u3068\u3044\u3046\u3053\u306e\u6cbb\u7642\u306f\u904e\u53bb\uff08\u79c1\u306e\u5927\u5b66\u9662\u751f\u6642\u4ee3\uff09\u71b1\u3044\uff1f\u6cbb\u7642\u3067\u3042\u3063\u305f\u304c\u3001\u6700\u8fd1\u3067\u306f\u843d\u3061\u7740\u3044\u3066\u304d\u305f\u3060\u308d\u3046\u3002<\/p>\n
\u73fe\u72b6\u3001\u30a2\u30e1\u30ea\u30ab\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\uff08AAE\uff09\u306e\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u30b4\u30fc\u30eb\u306f\u4ee5\u4e0b\u306b\u3042\u308b\u901a\u308a\u3060\u3002<\/p>\n
AAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\nThe degree of success of Regenerative Endodontic Procedures is largely measured by the extent to which it is possible to attain primary, secondary, and tertiary goals:<\/p>\n
\u25b6\ufe0e Primary goal: The elimination of symptoms and the evidence of bony healing.<\/p>\n
\u25b6\ufe0e Secondary goal: Increased root wall thickness and\/or increased root length(desirable, but perhaps not essential)<\/p>\n
\u25b6\ufe0e Tertiary goal: Positive response to vitality testing (which if achieved, could indicate a more organized vital pulp tissue)<\/strong><\/span><\/h1>\n3\u3064\u76ee\u306e\u30b4\u30fc\u30eb\u3067\u3042\u308b\u3001<\/p>\n
Cold test\u306b\u53cd\u5fdc\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u304c\u3001\u3053\u3093\u306a\u3053\u3068\u306f\u6c7a\u3057\u3066\u8d77\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u3042\u308b\u3068\u3059\u308c\u3070\u3001\u6050\u6016\u304b\u3089\u624b\u304c\u4e0a\u304c\u308b\u304f\u3089\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u983c\u3080\u3088\u3001AAE\u2026<\/p>\n
\u3053\u308c\u3082\u524d\u8ff0\u3057\u305f\u5185\u5bb9\u306e\u901a\u308a\u3060\u3002<\/p>\n
\u3055\u3066\u3002<\/p>\n
\u8fd1\u5e74\u306f\u3001\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u30821\u56de\u6cd5\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n
\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n
\n\uff1cRegeneration 1\u56de\u6cd5\uff1e<\/strong><\/span><\/h1>\n<\/p>\n
\u30ab\u30f3\u30d4\u30fc\u30ca\u30b9\u5dde\u7acb\u5927\u5b66\uff08\u4ed6\u306e\u5dde\u7acb\u5927\u5b66\u3088\u308a\u3082\u6f64\u6ca2\u306a\u4e88\u7b97\u304c\u914d\u5206\u3055\u308c\u3066\u304a\u308a\u3001\u8d05\u6ca2\u306a\u8a2d\u5099\u3068\u6559\u6388\u9663\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002\u3053\u306e\u305f\u3081\u5165\u5b66\u5e0c\u671b\u8005\u306f\u591a\u304f\u3001\u30d6\u30e9\u30b8\u30eb\u3067\u6700\u3082\u5165\u5b66\u56f0\u96e3\u306a\u5927\u5b66\u3068\u3044\u308f\u308c\u3066\u3044\u308b\uff09\u306e\u3000\u304c\u3001\u4ee5\u4e0b\u306e\u8853\u5f0f\u30671\u56de\u6cd5\u30682\u56de\u6cd5\u306eRegeneration\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n
2\u56de\u6cd5<\/strong><\/span><\/em><\/h1>\n1\u56de\u76ee
\n\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\uff1d3Mix \u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (10\u4e07\u500d\u5e0c\u91c8\u30a8\u30d4\u30cd\u30d5\u30ea\u30f3\u542b\u67092%\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
10ml \u751f\u98df<\/p>\n
3ml 17% EDTA<\/p>\n
5ml \u751f\u98df<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u8db3\u5834\u3068\u3057\u3066\u306e\u8840\u9905<\/p>\n
\u30b3\u30e9\u30fc\u30b2\u30f3\u7e4a\u7dad<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c)<\/strong><\/span><\/h1>\nColtosol (\u6839\u7ba1\u53e3\u90e8\u4eee\u5c01)<\/p>\n
\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3 \u5145\u586b(\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3)<\/p>\n
\n\u9a5a\u304f\u3053\u3068\u306b\u30012\u56de\u76ee\u3082\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u9ebb\u9154\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n\u305d\u306e\u5fc3\u306f\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067\u3042\u308c\u3070\u9ebb\u9154\u304c\u3059\u3050\u5207\u308c\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3060\u3002<\/p>\n
\u79c1\u306f\u4e8b\u5b9f\u4e0a\u3001\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u306e\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3068\u8003\u3048\u308b\u3002<\/p>\n
\u305d\u308c\u3092\u3059\u308b\u304f\u3089\u3044\u306a\u3089\u30011\u56de\u6cd5\u3067\u7d42\u308f\u3063\u305f\u65b9\u304c\u30de\u30b7\u3060\u3068\u3082\u3044\u3048\u306a\u304f\u306a\u3044\u3002<\/p>\n
\u3061\u306a\u307f\u306b<\/p>\n
AAE\u306e\u63a8\u5968\u3059\u308bRegeneration\u306e\u8853\u5f0f\uff082021.5.18\u304c\u6700\u65b0\u7248\uff09<\/strong><\/a><\/h1>\n\u306f2\u56de\u6cd5\u3067\u4ee5\u4e0b\u3060\u3002<\/p>\n
\n1\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/p>\n
\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (3%\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8)<\/span><\/strong><\/h1>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
20ml 17% EDTA<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u30aa\u30fc\u30d0\u30fc\u30a4\u30f3\u30b9\u30c4\u30eb\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u51fa\u8840\u3055\u305b\u3066\u8840\u9905\u3092\u4f5c\u308b<\/p>\n
CollaPlug\u3001Collacote\u3001CollaTape\u306a\u3069\u306e\u5438\u53ce\u6027\u7269\u8cea\u3092\u9759\u7f6e<\/p>\n
\u5fc5\u8981\u3067\u3042\u308c\u3070MTA\u30bb\u30e1\u30f3\u30c8\u3092\u7559\u7f6e\uff08MTA\u306e\u4ee3\u308f\u308a\u306b\u3001BC putty\u3084Biodentine\u3092\u4f7f\u7528\u3057\u3066\u3082\u554f\u984c\u306a\u3044\uff09<\/p>\n
3~4mm\u306e\u6df1\u3055\u3092GIC\u306a\u3069\u3067\u5c01\u9396<\/p>\n
\n\u3042\u306a\u305f\u306f\u306a\u305c\u30012\u56de\u76ee\u304c\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u304b\u3054\u5b58\u77e5\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u5b9f\u306f\u3001\u975e\u5e38\u306b\u3057\u3087\u3046\u3082\u306a\u3044\u7406\u7531\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n\u30a8\u30d3\u30c7\u30f3\u30b9\u7684\u306b\u306fCase Report\u30ec\u30d9\u30eb\u306e\u5185\u5bb9\u3060\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u3067\u305d\u308c\u3092\u4f7f\u308f\u305b\u308b\u306e\u304b\uff1f\u7684\u306a\u5185\u5bb9\u3067\u9589\u53e3\u3057\u3066\u3057\u307e\u3046\u3002<\/strong><\/span><\/h1>\n\u304c\u3001\u3053\u306e\u6587\u732e\u3067\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u306f\u4ed5\u65b9\u304c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
IEJ\u3067\u306f\u306f\u3063\u304d\u308a\u3068\u306f\u8a00\u308f\u306a\u3044\u307e\u3067\u3082\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u3053\u3068\u306e\u96e3\u6613\u5ea6\u306e\u9ad8\u3055\uff08\u9ebb\u9154\u304c\u52b9\u304b\u306a\u3044\u3068\u3044\u3046\u9762\u306e\u6b20\u70b9\uff09\u3092\u53d6\u308a\u4e0a\u3052\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3082\u306f\u3084\u3001\u3053\u306e\u6cbb\u7642\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u884c\u3046\u3082\u306e\u3060\u3068\u3044\u3046\u8a8d\u8b58\u304c\u79c1\u306b\u306f\u3042\u308b\u3002<\/p>\n
\u305d\u306e\u969b\u306e\u6ce8\u610f\u70b9\u306f\u3001\u6cbb\u7642\u3092\u3055\u3063\u3055\u3068\u9032\u3081\u3066\u3044\u304f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n
\u305f\u3089\u305f\u3089\u6cbb\u7642\u3057\u3066\u3044\u3066\u306f\u6b62\u8840\u4f5c\u7528\u304c\u51fa\u3066\u3001\u306f\u3044\u307e\u305f\u6765\u3066\u304f\u3060\u3055\u3044\uff01\u306b\u306a\u308a\u304b\u306d\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
<\/p>\n
<\/p>\n
<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u30671\u56de\u6cd5\u3067\u30822\u56de\u6cd5\u3067\u3082\u7d50\u679c\u306b\u5dee\u304c\u306a\u3044\u3002<\/p>\n
\u304c\u3001<\/p>\n
\u3053\u306e1\u672c\u3057\u304b\u6587\u732e\u304c\u306a\u304f\u3001<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2\u306b\u3064\u3044\u3066\u306e\u8003\u5bdf\u304c\u5c11\u306a\u3044\uff08\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 \uff1d\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c\u3057\u305f\u3082\u306e\u3092\u4f7f\u7528\u3057\u3001MTA\u3084BC\u30d1\u30c6\u3001Biodentine\u3092\u5229\u7528\u3057\u306a\u3044\u7406\u7531\u304c\u4e0d\u660e\uff09\u3001<\/p>\n
n\u6570\u304c\u5c11\u306a\u304f\u3001\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3088\u308a\u3001\u512a\u4f4d\u306a\u5dee\u304c\u306a\u3044\u7a0b\u5ea6\u306e\u30b5\u30f3\u30d7\u30eb\u6570\u3057\u304b\u63c3\u3063\u3066\u3044\u306a\u3044\uff1f\u53ef\u80fd\u6027\u3001<\/p>\n
\u85ac\u6db2\u306a\u3069\u3092\u5909\u3048\u3066\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u306a\u3069\u3092\u884c\u3063\u3066\u7d50\u679c\u3092\u691c\u8a0e\u3059\u3079\u304d\u3001<\/p>\n
\u3067\u3042\u308b\u3082\u306e\u306e\u3001<\/p>\n
\u3082\u306f\u3084\u9ebb\u9154\u85ac\u306b\u3064\u3044\u3066\u306f\u8b70\u8ad6\u3059\u308b\u5fc5\u8981\u304c\u306a\u3055\u305d\u3046(\u6562\u3048\u3066\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3092\u4f7f\u3046\u7406\u7531\u304c\u306a\u3044)\u3001<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001<\/p>\n
1\u56de\u6cd5\u30682\u56de\u6cd5\u3067\u6cbb\u7642\u306e\u7d50\u679c\u306b\u5dee\u304c\u51fa\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/strong>\u3053\u308c\u306f\u3001\u304b\u3064\u3066\u306eApexification\u3068\u540c\u3058\u7d50\u679c\u3060\u3002<\/span><\/h1>\n\u6614\u3001MTA\u3067Apexification\u30921\u56de\u3067\u3084\u308b\uff01\u3068\u3044\u3046\u8003\u3048\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u73fe\u5728\u306f\u305d\u3061\u3089\u306e\u65b9\u304c\u652f\u914d\u7684\u3060\u308d\u3046\u3002<\/p>\n
\u305d\u3057\u3066\u3001Regeneration\u3092\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u3082OK\u306a\u3089\u3001\u3053\u306e\u6cbb\u7642\u304c\u3069\u308c\u3060\u3051\u697d\u304b\u2026<\/p>\n
\u3053\u308c\u3060\u3051\u3067\u3082Revolution\u3068\u8a00\u3048\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n
\u3055\u3066\u3001\u4ee5\u4e0a\u306e\u4e8b\u5b9f\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n
\u3059\u308b\u3068\u3001<\/p>\n
\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u88cf\u4ed8\u3051\u3055\u308c\u3066\u3044\u306a\u3044\u6cbb\u7642\u5185\u5bb9\u306b\u306f\u4e0d\u5b89\u304c\u6b8b\u308b\u306e\u3067\u30012\u56de\u6cd5\u3067\u304a\u9858\u3044\u3057\u307e\u3059<\/p>\n
\u3068\u3044\u3046\u56de\u7b54\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\u73cd\u3057\u304f2\u56de\u6cd5\u306e\u6cbb\u7642\u3068\u306a\u3063\u305f\u3002<\/p>\n
\n\u2b50\ufe0e\u3053\u306e\u5f8c\u3001\u81e8\u5e8a\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#9 Regeneration 1\u56de\u76ee\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nAAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\n\u306b\u3088\u308c\u3070\u30011\u56de\u76ee\u306e\u6cbb\u7642\u5185\u5bb9\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
First Appointment<\/p>\n
\u2460 Local anesthesia, dental dam isolation and access.<\/p>\n
\u2461 Copious, gentle irrigation with 20ml NaOCl<\/strong><\/span> using an irrigation system that minimizes the possibility of extrusion of irrigants into the periapical space (e.g., needle with closed end and side-vents, or EndoVac\u2122). Lower concentrations of NaOCl are advised [1.5%-3% NaOCl (20mL\/canal, 5 min) and then irrigated with saline or EDTA (20 mL\/canal, 5min)<\/strong><\/span>, with irrigating needle positioned about 1 mm from root end, to minimize cytotoxicity to stem cells in the apical tissues.<\/strong><\/span><\/p>\n\u2462 Dry canals with paper points.
\n– Place calcium hydroxide<\/strong><\/span> or low concentration of triple antibiotic paste. If the triple antibiotic paste is used: 1) consider sealing pulp chamber with a dentin bonding agent [to minimize risk of staining] and 2) mix 1:1:1 ciprofloxacin: metronidazole: minocycline to a final concentration of 1-5 mg\/ml. Triple antibiotic paste has been associated with tooth discoloration. Double antibiotic paste without minocycline paste or substitution of minocycline for other antibiotic (e.g., clindamycin; amoxicillin; cefaclor) is another possible alternative as root canal disinfectant. Clinicians should be aware that studies have been done using higher concentrations of TAP\/DAP, but a recommendation to a higher concentration can\u2019t be made at this time due to limited studies.
\n– Deliver into canal system via syringe
\n– If triple antibiotic is used, ensure that it remains below CEJ (minimize crown staining).
\n– Seal with 3-4mm of a temporary restorative material such as Cavit\u2122, IRM\u2122, glass-
\nionomer or another temporary material. Dismiss patient for 1-4 weeks.<\/p>\n1\u56de\u76ee\u306e\u6cbb\u7642\u3092\u307e\u3068\u3081\u308b\u3068\u3001<\/p>\n
\u30d2\u30dd\u30af\u30ed20ml\u3068EDTA 20ml\u3067\u6d17\u6d44\u3057\u308d<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n
\u305d\u3057\u3066\u3001\u6d17\u6d44\u5f8c\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3067\u8cbc\u85ac\u3059\u308b\u3002<\/p>\n
\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u306f\u89e6\u308c\u305f\u90e8\u5206\u3057\u304b\u6bba\u83cc\u3067\u304d\u306a\u3044\u304c\u3001\u306a\u305c\u304b\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u5834\u5408\u306f\u3001\u6839\u7ba1\u5168\u4f53\u306b\u6d78\u3055\u305a\u306b\u6839\u7ba1\u306e\u534a\u5206\u7a0b\u5ea6\u3067\u3044\u3044\u3068\u3044\u3046\u610f\u898b\u304c\u591a\u3044\u3002<\/p>\n
\u5168\u304f\u7406\u89e3\u304c\u3067\u304d\u306a\u3044\u90e8\u5206\u3060\u3002<\/p>\n
Bose, Hargreaves 2009 \u00a0A Retrospective Evaluation of Radiographic Outcomes in Immature Teeth With Necrotic Root Canal Systems Treated With Regenerative Endodontic Procedures<\/strong><\/span><\/a><\/h1>\nWhen Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, it produced better results than when it was placed beyond the coronal half.<\/p>\n
When Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, the median percentage increase in dentinal wall thickness was 53.8%, as compared with a 3.3% increase when it was placed beyond coronal half (ie, into the apical half of the root canal system).<\/strong><\/em><\/span><\/h1>\n\u3068\u3044\u3046\u3053\u3068\u3067\u6839\u7ba1\u53e3\u306e\u534a\u5206\u4ee5\u4e0a\u306f\u8cbc\u85ac\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n
\u3053\u308c\u3092\u8003\u616e\u3057\u3066\u3001\u30d2\u30dd\u30af\u30ed\u3001EDTA\u3067\u6d17\u6d44\u3057\u3066\u8cbc\u85ac\u3057\u3001\u4e0a\u8ff0\u306e\u3088\u3046\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u7f6e\u3044\u3066\u7dbf\u7403\u3092\u5165\u308c\u3066Caviton\u3067\u4eee\u5c01\u3057\u305f\u3002<\/p>\n
\u3067\u3042\u308b\u3002<\/p>\n
\u4f55\u3067\u3082\u624b\u304c\u4e0a\u304c\u308b\u3068\u3044\u3046\u3084\u3064\u3060\u3002<\/p>\n
AAE\u3082\u201c\u305d\u3053\u307e\u3067\u201d\u60f3\u5b9a\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u306f\u5bb9\u6613\u3060\u3002<\/strong><\/span><\/h1>\n\u3057\u304b\u3057\u3001\u81e8\u5e8a\u7684\u306b\u305d\u308c\u304c\u3069\u3061\u3089\u3067\u3042\u308c\u6cbb\u7642\u306f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u306f\u9593\u9055\u3044\u7121\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nPulp Dx: Pulp Necrosis<\/p>\n
Periapical Dx: Symptomatic apical periodontitis<\/p>\n
Recommended Tx: Regeneration<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u63a8\u5968\u3055\u308c\u308b\u6cbb\u7642\u306f\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u3060\u3002<\/p>\n
\u6b6f\u9ac4\u306e\u518d\u751f\u306f\u306a\u3044\u304c\u3001\u518d\u751f\u306b\u8fd1\u3044\u5f62\u3067\u30b4\u30fc\u30eb\u3092\u8fce\u3048\u308b\u3068\u3044\u3046\u3053\u306e\u6cbb\u7642\u306f\u904e\u53bb\uff08\u79c1\u306e\u5927\u5b66\u9662\u751f\u6642\u4ee3\uff09\u71b1\u3044\uff1f\u6cbb\u7642\u3067\u3042\u3063\u305f\u304c\u3001\u6700\u8fd1\u3067\u306f\u843d\u3061\u7740\u3044\u3066\u304d\u305f\u3060\u308d\u3046\u3002<\/p>\n
\u73fe\u72b6\u3001\u30a2\u30e1\u30ea\u30ab\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\uff08AAE\uff09\u306e\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u30b4\u30fc\u30eb\u306f\u4ee5\u4e0b\u306b\u3042\u308b\u901a\u308a\u3060\u3002<\/p>\n
AAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\nThe degree of success of Regenerative Endodontic Procedures is largely measured by the extent to which it is possible to attain primary, secondary, and tertiary goals:<\/p>\n
\u25b6\ufe0e Primary goal: The elimination of symptoms and the evidence of bony healing.<\/p>\n
\u25b6\ufe0e Secondary goal: Increased root wall thickness and\/or increased root length(desirable, but perhaps not essential)<\/p>\n
\u25b6\ufe0e Tertiary goal: Positive response to vitality testing (which if achieved, could indicate a more organized vital pulp tissue)<\/strong><\/span><\/h1>\n3\u3064\u76ee\u306e\u30b4\u30fc\u30eb\u3067\u3042\u308b\u3001<\/p>\n
Cold test\u306b\u53cd\u5fdc\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u304c\u3001\u3053\u3093\u306a\u3053\u3068\u306f\u6c7a\u3057\u3066\u8d77\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u3042\u308b\u3068\u3059\u308c\u3070\u3001\u6050\u6016\u304b\u3089\u624b\u304c\u4e0a\u304c\u308b\u304f\u3089\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u983c\u3080\u3088\u3001AAE\u2026<\/p>\n
\u3053\u308c\u3082\u524d\u8ff0\u3057\u305f\u5185\u5bb9\u306e\u901a\u308a\u3060\u3002<\/p>\n
\u3055\u3066\u3002<\/p>\n
\u8fd1\u5e74\u306f\u3001\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u30821\u56de\u6cd5\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n
\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n
\n\uff1cRegeneration 1\u56de\u6cd5\uff1e<\/strong><\/span><\/h1>\n<\/p>\n
\u30ab\u30f3\u30d4\u30fc\u30ca\u30b9\u5dde\u7acb\u5927\u5b66\uff08\u4ed6\u306e\u5dde\u7acb\u5927\u5b66\u3088\u308a\u3082\u6f64\u6ca2\u306a\u4e88\u7b97\u304c\u914d\u5206\u3055\u308c\u3066\u304a\u308a\u3001\u8d05\u6ca2\u306a\u8a2d\u5099\u3068\u6559\u6388\u9663\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002\u3053\u306e\u305f\u3081\u5165\u5b66\u5e0c\u671b\u8005\u306f\u591a\u304f\u3001\u30d6\u30e9\u30b8\u30eb\u3067\u6700\u3082\u5165\u5b66\u56f0\u96e3\u306a\u5927\u5b66\u3068\u3044\u308f\u308c\u3066\u3044\u308b\uff09\u306e\u3000\u304c\u3001\u4ee5\u4e0b\u306e\u8853\u5f0f\u30671\u56de\u6cd5\u30682\u56de\u6cd5\u306eRegeneration\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n
2\u56de\u6cd5<\/strong><\/span><\/em><\/h1>\n1\u56de\u76ee
\n\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\uff1d3Mix \u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (10\u4e07\u500d\u5e0c\u91c8\u30a8\u30d4\u30cd\u30d5\u30ea\u30f3\u542b\u67092%\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
10ml \u751f\u98df<\/p>\n
3ml 17% EDTA<\/p>\n
5ml \u751f\u98df<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u8db3\u5834\u3068\u3057\u3066\u306e\u8840\u9905<\/p>\n
\u30b3\u30e9\u30fc\u30b2\u30f3\u7e4a\u7dad<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c)<\/strong><\/span><\/h1>\nColtosol (\u6839\u7ba1\u53e3\u90e8\u4eee\u5c01)<\/p>\n
\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3 \u5145\u586b(\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3)<\/p>\n
\n\u9a5a\u304f\u3053\u3068\u306b\u30012\u56de\u76ee\u3082\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u9ebb\u9154\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n\u305d\u306e\u5fc3\u306f\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067\u3042\u308c\u3070\u9ebb\u9154\u304c\u3059\u3050\u5207\u308c\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3060\u3002<\/p>\n
\u79c1\u306f\u4e8b\u5b9f\u4e0a\u3001\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u306e\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3068\u8003\u3048\u308b\u3002<\/p>\n
\u305d\u308c\u3092\u3059\u308b\u304f\u3089\u3044\u306a\u3089\u30011\u56de\u6cd5\u3067\u7d42\u308f\u3063\u305f\u65b9\u304c\u30de\u30b7\u3060\u3068\u3082\u3044\u3048\u306a\u304f\u306a\u3044\u3002<\/p>\n
\u3061\u306a\u307f\u306b<\/p>\n
AAE\u306e\u63a8\u5968\u3059\u308bRegeneration\u306e\u8853\u5f0f\uff082021.5.18\u304c\u6700\u65b0\u7248\uff09<\/strong><\/a><\/h1>\n\u306f2\u56de\u6cd5\u3067\u4ee5\u4e0b\u3060\u3002<\/p>\n
\n1\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/p>\n
\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (3%\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8)<\/span><\/strong><\/h1>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
20ml 17% EDTA<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u30aa\u30fc\u30d0\u30fc\u30a4\u30f3\u30b9\u30c4\u30eb\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u51fa\u8840\u3055\u305b\u3066\u8840\u9905\u3092\u4f5c\u308b<\/p>\n
CollaPlug\u3001Collacote\u3001CollaTape\u306a\u3069\u306e\u5438\u53ce\u6027\u7269\u8cea\u3092\u9759\u7f6e<\/p>\n
\u5fc5\u8981\u3067\u3042\u308c\u3070MTA\u30bb\u30e1\u30f3\u30c8\u3092\u7559\u7f6e\uff08MTA\u306e\u4ee3\u308f\u308a\u306b\u3001BC putty\u3084Biodentine\u3092\u4f7f\u7528\u3057\u3066\u3082\u554f\u984c\u306a\u3044\uff09<\/p>\n
3~4mm\u306e\u6df1\u3055\u3092GIC\u306a\u3069\u3067\u5c01\u9396<\/p>\n
\n\u3042\u306a\u305f\u306f\u306a\u305c\u30012\u56de\u76ee\u304c\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u304b\u3054\u5b58\u77e5\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u5b9f\u306f\u3001\u975e\u5e38\u306b\u3057\u3087\u3046\u3082\u306a\u3044\u7406\u7531\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n\u30a8\u30d3\u30c7\u30f3\u30b9\u7684\u306b\u306fCase Report\u30ec\u30d9\u30eb\u306e\u5185\u5bb9\u3060\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u3067\u305d\u308c\u3092\u4f7f\u308f\u305b\u308b\u306e\u304b\uff1f\u7684\u306a\u5185\u5bb9\u3067\u9589\u53e3\u3057\u3066\u3057\u307e\u3046\u3002<\/strong><\/span><\/h1>\n\u304c\u3001\u3053\u306e\u6587\u732e\u3067\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u306f\u4ed5\u65b9\u304c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
IEJ\u3067\u306f\u306f\u3063\u304d\u308a\u3068\u306f\u8a00\u308f\u306a\u3044\u307e\u3067\u3082\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u3053\u3068\u306e\u96e3\u6613\u5ea6\u306e\u9ad8\u3055\uff08\u9ebb\u9154\u304c\u52b9\u304b\u306a\u3044\u3068\u3044\u3046\u9762\u306e\u6b20\u70b9\uff09\u3092\u53d6\u308a\u4e0a\u3052\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3082\u306f\u3084\u3001\u3053\u306e\u6cbb\u7642\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u884c\u3046\u3082\u306e\u3060\u3068\u3044\u3046\u8a8d\u8b58\u304c\u79c1\u306b\u306f\u3042\u308b\u3002<\/p>\n
\u305d\u306e\u969b\u306e\u6ce8\u610f\u70b9\u306f\u3001\u6cbb\u7642\u3092\u3055\u3063\u3055\u3068\u9032\u3081\u3066\u3044\u304f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n
\u305f\u3089\u305f\u3089\u6cbb\u7642\u3057\u3066\u3044\u3066\u306f\u6b62\u8840\u4f5c\u7528\u304c\u51fa\u3066\u3001\u306f\u3044\u307e\u305f\u6765\u3066\u304f\u3060\u3055\u3044\uff01\u306b\u306a\u308a\u304b\u306d\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
<\/p>\n
<\/p>\n
<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u30671\u56de\u6cd5\u3067\u30822\u56de\u6cd5\u3067\u3082\u7d50\u679c\u306b\u5dee\u304c\u306a\u3044\u3002<\/p>\n
\u304c\u3001<\/p>\n
\u3053\u306e1\u672c\u3057\u304b\u6587\u732e\u304c\u306a\u304f\u3001<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2\u306b\u3064\u3044\u3066\u306e\u8003\u5bdf\u304c\u5c11\u306a\u3044\uff08\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 \uff1d\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c\u3057\u305f\u3082\u306e\u3092\u4f7f\u7528\u3057\u3001MTA\u3084BC\u30d1\u30c6\u3001Biodentine\u3092\u5229\u7528\u3057\u306a\u3044\u7406\u7531\u304c\u4e0d\u660e\uff09\u3001<\/p>\n
n\u6570\u304c\u5c11\u306a\u304f\u3001\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3088\u308a\u3001\u512a\u4f4d\u306a\u5dee\u304c\u306a\u3044\u7a0b\u5ea6\u306e\u30b5\u30f3\u30d7\u30eb\u6570\u3057\u304b\u63c3\u3063\u3066\u3044\u306a\u3044\uff1f\u53ef\u80fd\u6027\u3001<\/p>\n
\u85ac\u6db2\u306a\u3069\u3092\u5909\u3048\u3066\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u306a\u3069\u3092\u884c\u3063\u3066\u7d50\u679c\u3092\u691c\u8a0e\u3059\u3079\u304d\u3001<\/p>\n
\u3067\u3042\u308b\u3082\u306e\u306e\u3001<\/p>\n
\u3082\u306f\u3084\u9ebb\u9154\u85ac\u306b\u3064\u3044\u3066\u306f\u8b70\u8ad6\u3059\u308b\u5fc5\u8981\u304c\u306a\u3055\u305d\u3046(\u6562\u3048\u3066\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3092\u4f7f\u3046\u7406\u7531\u304c\u306a\u3044)\u3001<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001<\/p>\n
1\u56de\u6cd5\u30682\u56de\u6cd5\u3067\u6cbb\u7642\u306e\u7d50\u679c\u306b\u5dee\u304c\u51fa\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/strong>\u3053\u308c\u306f\u3001\u304b\u3064\u3066\u306eApexification\u3068\u540c\u3058\u7d50\u679c\u3060\u3002<\/span><\/h1>\n\u6614\u3001MTA\u3067Apexification\u30921\u56de\u3067\u3084\u308b\uff01\u3068\u3044\u3046\u8003\u3048\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u73fe\u5728\u306f\u305d\u3061\u3089\u306e\u65b9\u304c\u652f\u914d\u7684\u3060\u308d\u3046\u3002<\/p>\n
\u305d\u3057\u3066\u3001Regeneration\u3092\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u3082OK\u306a\u3089\u3001\u3053\u306e\u6cbb\u7642\u304c\u3069\u308c\u3060\u3051\u697d\u304b\u2026<\/p>\n
\u3053\u308c\u3060\u3051\u3067\u3082Revolution\u3068\u8a00\u3048\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n
\u3055\u3066\u3001\u4ee5\u4e0a\u306e\u4e8b\u5b9f\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n
\u3059\u308b\u3068\u3001<\/p>\n
\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u88cf\u4ed8\u3051\u3055\u308c\u3066\u3044\u306a\u3044\u6cbb\u7642\u5185\u5bb9\u306b\u306f\u4e0d\u5b89\u304c\u6b8b\u308b\u306e\u3067\u30012\u56de\u6cd5\u3067\u304a\u9858\u3044\u3057\u307e\u3059<\/p>\n
\u3068\u3044\u3046\u56de\u7b54\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\u73cd\u3057\u304f2\u56de\u6cd5\u306e\u6cbb\u7642\u3068\u306a\u3063\u305f\u3002<\/p>\n
\n\u2b50\ufe0e\u3053\u306e\u5f8c\u3001\u81e8\u5e8a\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#9 Regeneration 1\u56de\u76ee\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nAAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\n\u306b\u3088\u308c\u3070\u30011\u56de\u76ee\u306e\u6cbb\u7642\u5185\u5bb9\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
First Appointment<\/p>\n
\u2460 Local anesthesia, dental dam isolation and access.<\/p>\n
\u2461 Copious, gentle irrigation with 20ml NaOCl<\/strong><\/span> using an irrigation system that minimizes the possibility of extrusion of irrigants into the periapical space (e.g., needle with closed end and side-vents, or EndoVac\u2122). Lower concentrations of NaOCl are advised [1.5%-3% NaOCl (20mL\/canal, 5 min) and then irrigated with saline or EDTA (20 mL\/canal, 5min)<\/strong><\/span>, with irrigating needle positioned about 1 mm from root end, to minimize cytotoxicity to stem cells in the apical tissues.<\/strong><\/span><\/p>\n\u2462 Dry canals with paper points.
\n– Place calcium hydroxide<\/strong><\/span> or low concentration of triple antibiotic paste. If the triple antibiotic paste is used: 1) consider sealing pulp chamber with a dentin bonding agent [to minimize risk of staining] and 2) mix 1:1:1 ciprofloxacin: metronidazole: minocycline to a final concentration of 1-5 mg\/ml. Triple antibiotic paste has been associated with tooth discoloration. Double antibiotic paste without minocycline paste or substitution of minocycline for other antibiotic (e.g., clindamycin; amoxicillin; cefaclor) is another possible alternative as root canal disinfectant. Clinicians should be aware that studies have been done using higher concentrations of TAP\/DAP, but a recommendation to a higher concentration can\u2019t be made at this time due to limited studies.
\n– Deliver into canal system via syringe
\n– If triple antibiotic is used, ensure that it remains below CEJ (minimize crown staining).
\n– Seal with 3-4mm of a temporary restorative material such as Cavit\u2122, IRM\u2122, glass-
\nionomer or another temporary material. Dismiss patient for 1-4 weeks.<\/p>\n1\u56de\u76ee\u306e\u6cbb\u7642\u3092\u307e\u3068\u3081\u308b\u3068\u3001<\/p>\n
\u30d2\u30dd\u30af\u30ed20ml\u3068EDTA 20ml\u3067\u6d17\u6d44\u3057\u308d<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n
\u305d\u3057\u3066\u3001\u6d17\u6d44\u5f8c\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3067\u8cbc\u85ac\u3059\u308b\u3002<\/p>\n
\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u306f\u89e6\u308c\u305f\u90e8\u5206\u3057\u304b\u6bba\u83cc\u3067\u304d\u306a\u3044\u304c\u3001\u306a\u305c\u304b\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u5834\u5408\u306f\u3001\u6839\u7ba1\u5168\u4f53\u306b\u6d78\u3055\u305a\u306b\u6839\u7ba1\u306e\u534a\u5206\u7a0b\u5ea6\u3067\u3044\u3044\u3068\u3044\u3046\u610f\u898b\u304c\u591a\u3044\u3002<\/p>\n
\u5168\u304f\u7406\u89e3\u304c\u3067\u304d\u306a\u3044\u90e8\u5206\u3060\u3002<\/p>\n
Bose, Hargreaves 2009 \u00a0A Retrospective Evaluation of Radiographic Outcomes in Immature Teeth With Necrotic Root Canal Systems Treated With Regenerative Endodontic Procedures<\/strong><\/span><\/a><\/h1>\nWhen Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, it produced better results than when it was placed beyond the coronal half.<\/p>\n
When Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, the median percentage increase in dentinal wall thickness was 53.8%, as compared with a 3.3% increase when it was placed beyond coronal half (ie, into the apical half of the root canal system).<\/strong><\/em><\/span><\/h1>\n\u3068\u3044\u3046\u3053\u3068\u3067\u6839\u7ba1\u53e3\u306e\u534a\u5206\u4ee5\u4e0a\u306f\u8cbc\u85ac\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n
\u3053\u308c\u3092\u8003\u616e\u3057\u3066\u3001\u30d2\u30dd\u30af\u30ed\u3001EDTA\u3067\u6d17\u6d44\u3057\u3066\u8cbc\u85ac\u3057\u3001\u4e0a\u8ff0\u306e\u3088\u3046\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u7f6e\u3044\u3066\u7dbf\u7403\u3092\u5165\u308c\u3066Caviton\u3067\u4eee\u5c01\u3057\u305f\u3002<\/p>\n
Pulp Dx: Pulp Necrosis<\/p>\n
Periapical Dx: Symptomatic apical periodontitis<\/p>\n
Recommended Tx: Regeneration<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u63a8\u5968\u3055\u308c\u308b\u6cbb\u7642\u306f\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u3060\u3002<\/p>\n
\u6b6f\u9ac4\u306e\u518d\u751f\u306f\u306a\u3044\u304c\u3001\u518d\u751f\u306b\u8fd1\u3044\u5f62\u3067\u30b4\u30fc\u30eb\u3092\u8fce\u3048\u308b\u3068\u3044\u3046\u3053\u306e\u6cbb\u7642\u306f\u904e\u53bb\uff08\u79c1\u306e\u5927\u5b66\u9662\u751f\u6642\u4ee3\uff09\u71b1\u3044\uff1f\u6cbb\u7642\u3067\u3042\u3063\u305f\u304c\u3001\u6700\u8fd1\u3067\u306f\u843d\u3061\u7740\u3044\u3066\u304d\u305f\u3060\u308d\u3046\u3002<\/p>\n
\u73fe\u72b6\u3001\u30a2\u30e1\u30ea\u30ab\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\uff08AAE\uff09\u306e\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u30b4\u30fc\u30eb\u306f\u4ee5\u4e0b\u306b\u3042\u308b\u901a\u308a\u3060\u3002<\/p>\n
AAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\nThe degree of success of Regenerative Endodontic Procedures is largely measured by the extent to which it is possible to attain primary, secondary, and tertiary goals:<\/p>\n
\u25b6\ufe0e Primary goal: The elimination of symptoms and the evidence of bony healing.<\/p>\n
\u25b6\ufe0e Secondary goal: Increased root wall thickness and\/or increased root length(desirable, but perhaps not essential)<\/p>\n
\u25b6\ufe0e Tertiary goal: Positive response to vitality testing (which if achieved, could indicate a more organized vital pulp tissue)<\/strong><\/span><\/h1>\n3\u3064\u76ee\u306e\u30b4\u30fc\u30eb\u3067\u3042\u308b\u3001<\/p>\n
Cold test\u306b\u53cd\u5fdc\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u304c\u3001\u3053\u3093\u306a\u3053\u3068\u306f\u6c7a\u3057\u3066\u8d77\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u3042\u308b\u3068\u3059\u308c\u3070\u3001\u6050\u6016\u304b\u3089\u624b\u304c\u4e0a\u304c\u308b\u304f\u3089\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u983c\u3080\u3088\u3001AAE\u2026<\/p>\n
\u3053\u308c\u3082\u524d\u8ff0\u3057\u305f\u5185\u5bb9\u306e\u901a\u308a\u3060\u3002<\/p>\n
\u3055\u3066\u3002<\/p>\n
\u8fd1\u5e74\u306f\u3001\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u30821\u56de\u6cd5\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n
\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n
\n\uff1cRegeneration 1\u56de\u6cd5\uff1e<\/strong><\/span><\/h1>\n<\/p>\n
\u30ab\u30f3\u30d4\u30fc\u30ca\u30b9\u5dde\u7acb\u5927\u5b66\uff08\u4ed6\u306e\u5dde\u7acb\u5927\u5b66\u3088\u308a\u3082\u6f64\u6ca2\u306a\u4e88\u7b97\u304c\u914d\u5206\u3055\u308c\u3066\u304a\u308a\u3001\u8d05\u6ca2\u306a\u8a2d\u5099\u3068\u6559\u6388\u9663\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002\u3053\u306e\u305f\u3081\u5165\u5b66\u5e0c\u671b\u8005\u306f\u591a\u304f\u3001\u30d6\u30e9\u30b8\u30eb\u3067\u6700\u3082\u5165\u5b66\u56f0\u96e3\u306a\u5927\u5b66\u3068\u3044\u308f\u308c\u3066\u3044\u308b\uff09\u306e\u3000\u304c\u3001\u4ee5\u4e0b\u306e\u8853\u5f0f\u30671\u56de\u6cd5\u30682\u56de\u6cd5\u306eRegeneration\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n
2\u56de\u6cd5<\/strong><\/span><\/em><\/h1>\n1\u56de\u76ee
\n\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\uff1d3Mix \u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (10\u4e07\u500d\u5e0c\u91c8\u30a8\u30d4\u30cd\u30d5\u30ea\u30f3\u542b\u67092%\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
10ml \u751f\u98df<\/p>\n
3ml 17% EDTA<\/p>\n
5ml \u751f\u98df<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u8db3\u5834\u3068\u3057\u3066\u306e\u8840\u9905<\/p>\n
\u30b3\u30e9\u30fc\u30b2\u30f3\u7e4a\u7dad<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c)<\/strong><\/span><\/h1>\nColtosol (\u6839\u7ba1\u53e3\u90e8\u4eee\u5c01)<\/p>\n
\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3 \u5145\u586b(\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3)<\/p>\n
\n\u9a5a\u304f\u3053\u3068\u306b\u30012\u56de\u76ee\u3082\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u9ebb\u9154\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n\u305d\u306e\u5fc3\u306f\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067\u3042\u308c\u3070\u9ebb\u9154\u304c\u3059\u3050\u5207\u308c\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3060\u3002<\/p>\n
\u79c1\u306f\u4e8b\u5b9f\u4e0a\u3001\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u306e\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3068\u8003\u3048\u308b\u3002<\/p>\n
\u305d\u308c\u3092\u3059\u308b\u304f\u3089\u3044\u306a\u3089\u30011\u56de\u6cd5\u3067\u7d42\u308f\u3063\u305f\u65b9\u304c\u30de\u30b7\u3060\u3068\u3082\u3044\u3048\u306a\u304f\u306a\u3044\u3002<\/p>\n
\u3061\u306a\u307f\u306b<\/p>\n
AAE\u306e\u63a8\u5968\u3059\u308bRegeneration\u306e\u8853\u5f0f\uff082021.5.18\u304c\u6700\u65b0\u7248\uff09<\/strong><\/a><\/h1>\n\u306f2\u56de\u6cd5\u3067\u4ee5\u4e0b\u3060\u3002<\/p>\n
\n1\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/p>\n
\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (3%\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8)<\/span><\/strong><\/h1>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
20ml 17% EDTA<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u30aa\u30fc\u30d0\u30fc\u30a4\u30f3\u30b9\u30c4\u30eb\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u51fa\u8840\u3055\u305b\u3066\u8840\u9905\u3092\u4f5c\u308b<\/p>\n
CollaPlug\u3001Collacote\u3001CollaTape\u306a\u3069\u306e\u5438\u53ce\u6027\u7269\u8cea\u3092\u9759\u7f6e<\/p>\n
\u5fc5\u8981\u3067\u3042\u308c\u3070MTA\u30bb\u30e1\u30f3\u30c8\u3092\u7559\u7f6e\uff08MTA\u306e\u4ee3\u308f\u308a\u306b\u3001BC putty\u3084Biodentine\u3092\u4f7f\u7528\u3057\u3066\u3082\u554f\u984c\u306a\u3044\uff09<\/p>\n
3~4mm\u306e\u6df1\u3055\u3092GIC\u306a\u3069\u3067\u5c01\u9396<\/p>\n
\n\u3042\u306a\u305f\u306f\u306a\u305c\u30012\u56de\u76ee\u304c\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u304b\u3054\u5b58\u77e5\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u5b9f\u306f\u3001\u975e\u5e38\u306b\u3057\u3087\u3046\u3082\u306a\u3044\u7406\u7531\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n\u30a8\u30d3\u30c7\u30f3\u30b9\u7684\u306b\u306fCase Report\u30ec\u30d9\u30eb\u306e\u5185\u5bb9\u3060\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u3067\u305d\u308c\u3092\u4f7f\u308f\u305b\u308b\u306e\u304b\uff1f\u7684\u306a\u5185\u5bb9\u3067\u9589\u53e3\u3057\u3066\u3057\u307e\u3046\u3002<\/strong><\/span><\/h1>\n\u304c\u3001\u3053\u306e\u6587\u732e\u3067\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u306f\u4ed5\u65b9\u304c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
IEJ\u3067\u306f\u306f\u3063\u304d\u308a\u3068\u306f\u8a00\u308f\u306a\u3044\u307e\u3067\u3082\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u3053\u3068\u306e\u96e3\u6613\u5ea6\u306e\u9ad8\u3055\uff08\u9ebb\u9154\u304c\u52b9\u304b\u306a\u3044\u3068\u3044\u3046\u9762\u306e\u6b20\u70b9\uff09\u3092\u53d6\u308a\u4e0a\u3052\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3082\u306f\u3084\u3001\u3053\u306e\u6cbb\u7642\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u884c\u3046\u3082\u306e\u3060\u3068\u3044\u3046\u8a8d\u8b58\u304c\u79c1\u306b\u306f\u3042\u308b\u3002<\/p>\n
\u305d\u306e\u969b\u306e\u6ce8\u610f\u70b9\u306f\u3001\u6cbb\u7642\u3092\u3055\u3063\u3055\u3068\u9032\u3081\u3066\u3044\u304f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n
\u305f\u3089\u305f\u3089\u6cbb\u7642\u3057\u3066\u3044\u3066\u306f\u6b62\u8840\u4f5c\u7528\u304c\u51fa\u3066\u3001\u306f\u3044\u307e\u305f\u6765\u3066\u304f\u3060\u3055\u3044\uff01\u306b\u306a\u308a\u304b\u306d\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
<\/p>\n
<\/p>\n
<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u30671\u56de\u6cd5\u3067\u30822\u56de\u6cd5\u3067\u3082\u7d50\u679c\u306b\u5dee\u304c\u306a\u3044\u3002<\/p>\n
\u304c\u3001<\/p>\n
\u3053\u306e1\u672c\u3057\u304b\u6587\u732e\u304c\u306a\u304f\u3001<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2\u306b\u3064\u3044\u3066\u306e\u8003\u5bdf\u304c\u5c11\u306a\u3044\uff08\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 \uff1d\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c\u3057\u305f\u3082\u306e\u3092\u4f7f\u7528\u3057\u3001MTA\u3084BC\u30d1\u30c6\u3001Biodentine\u3092\u5229\u7528\u3057\u306a\u3044\u7406\u7531\u304c\u4e0d\u660e\uff09\u3001<\/p>\n
n\u6570\u304c\u5c11\u306a\u304f\u3001\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3088\u308a\u3001\u512a\u4f4d\u306a\u5dee\u304c\u306a\u3044\u7a0b\u5ea6\u306e\u30b5\u30f3\u30d7\u30eb\u6570\u3057\u304b\u63c3\u3063\u3066\u3044\u306a\u3044\uff1f\u53ef\u80fd\u6027\u3001<\/p>\n
\u85ac\u6db2\u306a\u3069\u3092\u5909\u3048\u3066\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u306a\u3069\u3092\u884c\u3063\u3066\u7d50\u679c\u3092\u691c\u8a0e\u3059\u3079\u304d\u3001<\/p>\n
\u3067\u3042\u308b\u3082\u306e\u306e\u3001<\/p>\n
\u3082\u306f\u3084\u9ebb\u9154\u85ac\u306b\u3064\u3044\u3066\u306f\u8b70\u8ad6\u3059\u308b\u5fc5\u8981\u304c\u306a\u3055\u305d\u3046(\u6562\u3048\u3066\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3092\u4f7f\u3046\u7406\u7531\u304c\u306a\u3044)\u3001<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001<\/p>\n
1\u56de\u6cd5\u30682\u56de\u6cd5\u3067\u6cbb\u7642\u306e\u7d50\u679c\u306b\u5dee\u304c\u51fa\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/strong>\u3053\u308c\u306f\u3001\u304b\u3064\u3066\u306eApexification\u3068\u540c\u3058\u7d50\u679c\u3060\u3002<\/span><\/h1>\n\u6614\u3001MTA\u3067Apexification\u30921\u56de\u3067\u3084\u308b\uff01\u3068\u3044\u3046\u8003\u3048\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u73fe\u5728\u306f\u305d\u3061\u3089\u306e\u65b9\u304c\u652f\u914d\u7684\u3060\u308d\u3046\u3002<\/p>\n
\u305d\u3057\u3066\u3001Regeneration\u3092\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u3082OK\u306a\u3089\u3001\u3053\u306e\u6cbb\u7642\u304c\u3069\u308c\u3060\u3051\u697d\u304b\u2026<\/p>\n
\u3053\u308c\u3060\u3051\u3067\u3082Revolution\u3068\u8a00\u3048\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n
\u3055\u3066\u3001\u4ee5\u4e0a\u306e\u4e8b\u5b9f\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n
\u3059\u308b\u3068\u3001<\/p>\n
\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u88cf\u4ed8\u3051\u3055\u308c\u3066\u3044\u306a\u3044\u6cbb\u7642\u5185\u5bb9\u306b\u306f\u4e0d\u5b89\u304c\u6b8b\u308b\u306e\u3067\u30012\u56de\u6cd5\u3067\u304a\u9858\u3044\u3057\u307e\u3059<\/p>\n
\u3068\u3044\u3046\u56de\u7b54\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\u73cd\u3057\u304f2\u56de\u6cd5\u306e\u6cbb\u7642\u3068\u306a\u3063\u305f\u3002<\/p>\n
\n\u2b50\ufe0e\u3053\u306e\u5f8c\u3001\u81e8\u5e8a\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#9 Regeneration 1\u56de\u76ee\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nAAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\n\u306b\u3088\u308c\u3070\u30011\u56de\u76ee\u306e\u6cbb\u7642\u5185\u5bb9\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
First Appointment<\/p>\n
\u2460 Local anesthesia, dental dam isolation and access.<\/p>\n
\u2461 Copious, gentle irrigation with 20ml NaOCl<\/strong><\/span> using an irrigation system that minimizes the possibility of extrusion of irrigants into the periapical space (e.g., needle with closed end and side-vents, or EndoVac\u2122). Lower concentrations of NaOCl are advised [1.5%-3% NaOCl (20mL\/canal, 5 min) and then irrigated with saline or EDTA (20 mL\/canal, 5min)<\/strong><\/span>, with irrigating needle positioned about 1 mm from root end, to minimize cytotoxicity to stem cells in the apical tissues.<\/strong><\/span><\/p>\n\u2462 Dry canals with paper points.
\n– Place calcium hydroxide<\/strong><\/span> or low concentration of triple antibiotic paste. If the triple antibiotic paste is used: 1) consider sealing pulp chamber with a dentin bonding agent [to minimize risk of staining] and 2) mix 1:1:1 ciprofloxacin: metronidazole: minocycline to a final concentration of 1-5 mg\/ml. Triple antibiotic paste has been associated with tooth discoloration. Double antibiotic paste without minocycline paste or substitution of minocycline for other antibiotic (e.g., clindamycin; amoxicillin; cefaclor) is another possible alternative as root canal disinfectant. Clinicians should be aware that studies have been done using higher concentrations of TAP\/DAP, but a recommendation to a higher concentration can\u2019t be made at this time due to limited studies.
\n– Deliver into canal system via syringe
\n– If triple antibiotic is used, ensure that it remains below CEJ (minimize crown staining).
\n– Seal with 3-4mm of a temporary restorative material such as Cavit\u2122, IRM\u2122, glass-
\nionomer or another temporary material. Dismiss patient for 1-4 weeks.<\/p>\n1\u56de\u76ee\u306e\u6cbb\u7642\u3092\u307e\u3068\u3081\u308b\u3068\u3001<\/p>\n
\u30d2\u30dd\u30af\u30ed20ml\u3068EDTA 20ml\u3067\u6d17\u6d44\u3057\u308d<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n
\u305d\u3057\u3066\u3001\u6d17\u6d44\u5f8c\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3067\u8cbc\u85ac\u3059\u308b\u3002<\/p>\n
\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u306f\u89e6\u308c\u305f\u90e8\u5206\u3057\u304b\u6bba\u83cc\u3067\u304d\u306a\u3044\u304c\u3001\u306a\u305c\u304b\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u5834\u5408\u306f\u3001\u6839\u7ba1\u5168\u4f53\u306b\u6d78\u3055\u305a\u306b\u6839\u7ba1\u306e\u534a\u5206\u7a0b\u5ea6\u3067\u3044\u3044\u3068\u3044\u3046\u610f\u898b\u304c\u591a\u3044\u3002<\/p>\n
\u5168\u304f\u7406\u89e3\u304c\u3067\u304d\u306a\u3044\u90e8\u5206\u3060\u3002<\/p>\n
Bose, Hargreaves 2009 \u00a0A Retrospective Evaluation of Radiographic Outcomes in Immature Teeth With Necrotic Root Canal Systems Treated With Regenerative Endodontic Procedures<\/strong><\/span><\/a><\/h1>\nWhen Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, it produced better results than when it was placed beyond the coronal half.<\/p>\n
When Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, the median percentage increase in dentinal wall thickness was 53.8%, as compared with a 3.3% increase when it was placed beyond coronal half (ie, into the apical half of the root canal system).<\/strong><\/em><\/span><\/h1>\n\u3068\u3044\u3046\u3053\u3068\u3067\u6839\u7ba1\u53e3\u306e\u534a\u5206\u4ee5\u4e0a\u306f\u8cbc\u85ac\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n
\u3053\u308c\u3092\u8003\u616e\u3057\u3066\u3001\u30d2\u30dd\u30af\u30ed\u3001EDTA\u3067\u6d17\u6d44\u3057\u3066\u8cbc\u85ac\u3057\u3001\u4e0a\u8ff0\u306e\u3088\u3046\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u7f6e\u3044\u3066\u7dbf\u7403\u3092\u5165\u308c\u3066Caviton\u3067\u4eee\u5c01\u3057\u305f\u3002<\/p>\n
3\u3064\u76ee\u306e\u30b4\u30fc\u30eb\u3067\u3042\u308b\u3001<\/p>\n
Cold test\u306b\u53cd\u5fdc\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u304c\u3001\u3053\u3093\u306a\u3053\u3068\u306f\u6c7a\u3057\u3066\u8d77\u304d\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u3042\u308b\u3068\u3059\u308c\u3070\u3001\u6050\u6016\u304b\u3089\u624b\u304c\u4e0a\u304c\u308b\u304f\u3089\u3044\u3060\u308d\u3046\u3002<\/p>\n
\u983c\u3080\u3088\u3001AAE\u2026<\/p>\n
\u3053\u308c\u3082\u524d\u8ff0\u3057\u305f\u5185\u5bb9\u306e\u901a\u308a\u3060\u3002<\/p>\n
\u3055\u3066\u3002<\/p>\n
\u8fd1\u5e74\u306f\u3001\u518d\u751f\uff08\u7684\uff09\u7642\u6cd5\u30821\u56de\u6cd5\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n
\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n
\n
\uff1cRegeneration 1\u56de\u6cd5\uff1e<\/strong><\/span><\/h1>\n<\/p>\n
\u30ab\u30f3\u30d4\u30fc\u30ca\u30b9\u5dde\u7acb\u5927\u5b66\uff08\u4ed6\u306e\u5dde\u7acb\u5927\u5b66\u3088\u308a\u3082\u6f64\u6ca2\u306a\u4e88\u7b97\u304c\u914d\u5206\u3055\u308c\u3066\u304a\u308a\u3001\u8d05\u6ca2\u306a\u8a2d\u5099\u3068\u6559\u6388\u9663\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002\u3053\u306e\u305f\u3081\u5165\u5b66\u5e0c\u671b\u8005\u306f\u591a\u304f\u3001\u30d6\u30e9\u30b8\u30eb\u3067\u6700\u3082\u5165\u5b66\u56f0\u96e3\u306a\u5927\u5b66\u3068\u3044\u308f\u308c\u3066\u3044\u308b\uff09\u306e\u3000\u304c\u3001\u4ee5\u4e0b\u306e\u8853\u5f0f\u30671\u56de\u6cd5\u30682\u56de\u6cd5\u306eRegeneration\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n
2\u56de\u6cd5<\/strong><\/span><\/em><\/h1>\n1\u56de\u76ee
\n\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\uff1d3Mix \u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (10\u4e07\u500d\u5e0c\u91c8\u30a8\u30d4\u30cd\u30d5\u30ea\u30f3\u542b\u67092%\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3)<\/strong><\/span><\/em><\/p>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
10ml \u751f\u98df<\/p>\n
3ml 17% EDTA<\/p>\n
5ml \u751f\u98df<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u8db3\u5834\u3068\u3057\u3066\u306e\u8840\u9905<\/p>\n
\u30b3\u30e9\u30fc\u30b2\u30f3\u7e4a\u7dad<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c)<\/strong><\/span><\/h1>\nColtosol (\u6839\u7ba1\u53e3\u90e8\u4eee\u5c01)<\/p>\n
\u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3 \u5145\u586b(\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3)<\/p>\n
\n\u9a5a\u304f\u3053\u3068\u306b\u30012\u56de\u76ee\u3082\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u9ebb\u9154\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n\u305d\u306e\u5fc3\u306f\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067\u3042\u308c\u3070\u9ebb\u9154\u304c\u3059\u3050\u5207\u308c\u308b\u304b\u3089<\/strong><\/span><\/h1>\n\u3060\u3002<\/p>\n
\u79c1\u306f\u4e8b\u5b9f\u4e0a\u3001\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u306e\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3068\u8003\u3048\u308b\u3002<\/p>\n
\u305d\u308c\u3092\u3059\u308b\u304f\u3089\u3044\u306a\u3089\u30011\u56de\u6cd5\u3067\u7d42\u308f\u3063\u305f\u65b9\u304c\u30de\u30b7\u3060\u3068\u3082\u3044\u3048\u306a\u304f\u306a\u3044\u3002<\/p>\n
\u3061\u306a\u307f\u306b<\/p>\n
AAE\u306e\u63a8\u5968\u3059\u308bRegeneration\u306e\u8853\u5f0f\uff082021.5.18\u304c\u6700\u65b0\u7248\uff09<\/strong><\/a><\/h1>\n\u306f2\u56de\u6cd5\u3067\u4ee5\u4e0b\u3060\u3002<\/p>\n
\n1\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/p>\n
\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
\u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n
20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n
20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\u6df7\u548c)<\/p>\n
Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n
2\u56de\u76ee<\/p>\n
\u5c40\u6240\u9ebb\u9154 (3%\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8)<\/span><\/strong><\/h1>\n\u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n
\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n
20ml 17% EDTA<\/p>\n
\u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n
\u30aa\u30fc\u30d0\u30fc\u30a4\u30f3\u30b9\u30c4\u30eb\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u51fa\u8840\u3055\u305b\u3066\u8840\u9905\u3092\u4f5c\u308b<\/p>\n
CollaPlug\u3001Collacote\u3001CollaTape\u306a\u3069\u306e\u5438\u53ce\u6027\u7269\u8cea\u3092\u9759\u7f6e<\/p>\n
\u5fc5\u8981\u3067\u3042\u308c\u3070MTA\u30bb\u30e1\u30f3\u30c8\u3092\u7559\u7f6e\uff08MTA\u306e\u4ee3\u308f\u308a\u306b\u3001BC putty\u3084Biodentine\u3092\u4f7f\u7528\u3057\u3066\u3082\u554f\u984c\u306a\u3044\uff09<\/p>\n
3~4mm\u306e\u6df1\u3055\u3092GIC\u306a\u3069\u3067\u5c01\u9396<\/p>\n
\n\u3042\u306a\u305f\u306f\u306a\u305c\u30012\u56de\u76ee\u304c\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u304b\u3054\u5b58\u77e5\u3060\u308d\u3046\u304b\uff1f<\/p>\n
\u5b9f\u306f\u3001\u975e\u5e38\u306b\u3057\u3087\u3046\u3082\u306a\u3044\u7406\u7531\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n\u30a8\u30d3\u30c7\u30f3\u30b9\u7684\u306b\u306fCase Report\u30ec\u30d9\u30eb\u306e\u5185\u5bb9\u3060\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u3067\u305d\u308c\u3092\u4f7f\u308f\u305b\u308b\u306e\u304b\uff1f\u7684\u306a\u5185\u5bb9\u3067\u9589\u53e3\u3057\u3066\u3057\u307e\u3046\u3002<\/strong><\/span><\/h1>\n\u304c\u3001\u3053\u306e\u6587\u732e\u3067\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3053\u308c\u306f\u4ed5\u65b9\u304c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n
IEJ\u3067\u306f\u306f\u3063\u304d\u308a\u3068\u306f\u8a00\u308f\u306a\u3044\u307e\u3067\u3082\u3001<\/p>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u3053\u3068\u306e\u96e3\u6613\u5ea6\u306e\u9ad8\u3055\uff08\u9ebb\u9154\u304c\u52b9\u304b\u306a\u3044\u3068\u3044\u3046\u9762\u306e\u6b20\u70b9\uff09\u3092\u53d6\u308a\u4e0a\u3052\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n\u3082\u306f\u3084\u3001\u3053\u306e\u6cbb\u7642\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u884c\u3046\u3082\u306e\u3060\u3068\u3044\u3046\u8a8d\u8b58\u304c\u79c1\u306b\u306f\u3042\u308b\u3002<\/p>\n
\u305d\u306e\u969b\u306e\u6ce8\u610f\u70b9\u306f\u3001\u6cbb\u7642\u3092\u3055\u3063\u3055\u3068\u9032\u3081\u3066\u3044\u304f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n
\u305f\u3089\u305f\u3089\u6cbb\u7642\u3057\u3066\u3044\u3066\u306f\u6b62\u8840\u4f5c\u7528\u304c\u51fa\u3066\u3001\u306f\u3044\u307e\u305f\u6765\u3066\u304f\u3060\u3055\u3044\uff01\u306b\u306a\u308a\u304b\u306d\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
<\/p>\n
<\/p>\n
<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u30671\u56de\u6cd5\u3067\u30822\u56de\u6cd5\u3067\u3082\u7d50\u679c\u306b\u5dee\u304c\u306a\u3044\u3002<\/p>\n
\u304c\u3001<\/p>\n
\u3053\u306e1\u672c\u3057\u304b\u6587\u732e\u304c\u306a\u304f\u3001<\/p>\n
\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2\u306b\u3064\u3044\u3066\u306e\u8003\u5bdf\u304c\u5c11\u306a\u3044\uff08\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 \uff1d\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c\u3057\u305f\u3082\u306e\u3092\u4f7f\u7528\u3057\u3001MTA\u3084BC\u30d1\u30c6\u3001Biodentine\u3092\u5229\u7528\u3057\u306a\u3044\u7406\u7531\u304c\u4e0d\u660e\uff09\u3001<\/p>\n
n\u6570\u304c\u5c11\u306a\u304f\u3001\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3088\u308a\u3001\u512a\u4f4d\u306a\u5dee\u304c\u306a\u3044\u7a0b\u5ea6\u306e\u30b5\u30f3\u30d7\u30eb\u6570\u3057\u304b\u63c3\u3063\u3066\u3044\u306a\u3044\uff1f\u53ef\u80fd\u6027\u3001<\/p>\n
\u85ac\u6db2\u306a\u3069\u3092\u5909\u3048\u3066\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u306a\u3069\u3092\u884c\u3063\u3066\u7d50\u679c\u3092\u691c\u8a0e\u3059\u3079\u304d\u3001<\/p>\n
\u3067\u3042\u308b\u3082\u306e\u306e\u3001<\/p>\n
\u3082\u306f\u3084\u9ebb\u9154\u85ac\u306b\u3064\u3044\u3066\u306f\u8b70\u8ad6\u3059\u308b\u5fc5\u8981\u304c\u306a\u3055\u305d\u3046(\u6562\u3048\u3066\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3092\u4f7f\u3046\u7406\u7531\u304c\u306a\u3044)\u3001<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001<\/p>\n
1\u56de\u6cd5\u30682\u56de\u6cd5\u3067\u6cbb\u7642\u306e\u7d50\u679c\u306b\u5dee\u304c\u51fa\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/strong>\u3053\u308c\u306f\u3001\u304b\u3064\u3066\u306eApexification\u3068\u540c\u3058\u7d50\u679c\u3060\u3002<\/span><\/h1>\n\u6614\u3001MTA\u3067Apexification\u30921\u56de\u3067\u3084\u308b\uff01\u3068\u3044\u3046\u8003\u3048\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u73fe\u5728\u306f\u305d\u3061\u3089\u306e\u65b9\u304c\u652f\u914d\u7684\u3060\u308d\u3046\u3002<\/p>\n
\u305d\u3057\u3066\u3001Regeneration\u3092\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u3082OK\u306a\u3089\u3001\u3053\u306e\u6cbb\u7642\u304c\u3069\u308c\u3060\u3051\u697d\u304b\u2026<\/p>\n
\u3053\u308c\u3060\u3051\u3067\u3082Revolution\u3068\u8a00\u3048\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n
\u3055\u3066\u3001\u4ee5\u4e0a\u306e\u4e8b\u5b9f\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n
\u3059\u308b\u3068\u3001<\/p>\n
\u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u88cf\u4ed8\u3051\u3055\u308c\u3066\u3044\u306a\u3044\u6cbb\u7642\u5185\u5bb9\u306b\u306f\u4e0d\u5b89\u304c\u6b8b\u308b\u306e\u3067\u30012\u56de\u6cd5\u3067\u304a\u9858\u3044\u3057\u307e\u3059<\/p>\n
\u3068\u3044\u3046\u56de\u7b54\u3067\u3042\u3063\u305f\u3002<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\u73cd\u3057\u304f2\u56de\u6cd5\u306e\u6cbb\u7642\u3068\u306a\u3063\u305f\u3002<\/p>\n
\n\u2b50\ufe0e\u3053\u306e\u5f8c\u3001\u81e8\u5e8a\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#9 Regeneration 1\u56de\u76ee\uff082023.11.29\uff09<\/strong><\/span><\/h1>\nAAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\n\u306b\u3088\u308c\u3070\u30011\u56de\u76ee\u306e\u6cbb\u7642\u5185\u5bb9\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n
First Appointment<\/p>\n
\u2460 Local anesthesia, dental dam isolation and access.<\/p>\n
\u2461 Copious, gentle irrigation with 20ml NaOCl<\/strong><\/span> using an irrigation system that minimizes the possibility of extrusion of irrigants into the periapical space (e.g., needle with closed end and side-vents, or EndoVac\u2122). Lower concentrations of NaOCl are advised [1.5%-3% NaOCl (20mL\/canal, 5 min) and then irrigated with saline or EDTA (20 mL\/canal, 5min)<\/strong><\/span>, with irrigating needle positioned about 1 mm from root end, to minimize cytotoxicity to stem cells in the apical tissues.<\/strong><\/span><\/p>\n\u2462 Dry canals with paper points.
\n– Place calcium hydroxide<\/strong><\/span> or low concentration of triple antibiotic paste. If the triple antibiotic paste is used: 1) consider sealing pulp chamber with a dentin bonding agent [to minimize risk of staining] and 2) mix 1:1:1 ciprofloxacin: metronidazole: minocycline to a final concentration of 1-5 mg\/ml. Triple antibiotic paste has been associated with tooth discoloration. Double antibiotic paste without minocycline paste or substitution of minocycline for other antibiotic (e.g., clindamycin; amoxicillin; cefaclor) is another possible alternative as root canal disinfectant. Clinicians should be aware that studies have been done using higher concentrations of TAP\/DAP, but a recommendation to a higher concentration can\u2019t be made at this time due to limited studies.
\n– Deliver into canal system via syringe
\n– If triple antibiotic is used, ensure that it remains below CEJ (minimize crown staining).
\n– Seal with 3-4mm of a temporary restorative material such as Cavit\u2122, IRM\u2122, glass-
\nionomer or another temporary material. Dismiss patient for 1-4 weeks.<\/p>\n1\u56de\u76ee\u306e\u6cbb\u7642\u3092\u307e\u3068\u3081\u308b\u3068\u3001<\/p>\n
\u30d2\u30dd\u30af\u30ed20ml\u3068EDTA 20ml\u3067\u6d17\u6d44\u3057\u308d<\/p>\n
\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n
\u305d\u3057\u3066\u3001\u6d17\u6d44\u5f8c\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3067\u8cbc\u85ac\u3059\u308b\u3002<\/p>\n
\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u306f\u89e6\u308c\u305f\u90e8\u5206\u3057\u304b\u6bba\u83cc\u3067\u304d\u306a\u3044\u304c\u3001\u306a\u305c\u304b\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u5834\u5408\u306f\u3001\u6839\u7ba1\u5168\u4f53\u306b\u6d78\u3055\u305a\u306b\u6839\u7ba1\u306e\u534a\u5206\u7a0b\u5ea6\u3067\u3044\u3044\u3068\u3044\u3046\u610f\u898b\u304c\u591a\u3044\u3002<\/p>\n
\u5168\u304f\u7406\u89e3\u304c\u3067\u304d\u306a\u3044\u90e8\u5206\u3060\u3002<\/p>\n
Bose, Hargreaves 2009 \u00a0A Retrospective Evaluation of Radiographic Outcomes in Immature Teeth With Necrotic Root Canal Systems Treated With Regenerative Endodontic Procedures<\/strong><\/span><\/a><\/h1>\nWhen Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, it produced better results than when it was placed beyond the coronal half.<\/p>\n
When Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, the median percentage increase in dentinal wall thickness was 53.8%, as compared with a 3.3% increase when it was placed beyond coronal half (ie, into the apical half of the root canal system).<\/strong><\/em><\/span><\/h1>\n\u3068\u3044\u3046\u3053\u3068\u3067\u6839\u7ba1\u53e3\u306e\u534a\u5206\u4ee5\u4e0a\u306f\u8cbc\u85ac\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n
\u3053\u308c\u3092\u8003\u616e\u3057\u3066\u3001\u30d2\u30dd\u30af\u30ed\u3001EDTA\u3067\u6d17\u6d44\u3057\u3066\u8cbc\u85ac\u3057\u3001\u4e0a\u8ff0\u306e\u3088\u3046\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u7f6e\u3044\u3066\u7dbf\u7403\u3092\u5165\u308c\u3066Caviton\u3067\u4eee\u5c01\u3057\u305f\u3002<\/p>\n
<\/p>\n1\u56de\u76ee \u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n \u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n \u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n 20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n 20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n \u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n \u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\uff1d3Mix \u6df7\u548c)<\/p>\n Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n 2\u56de\u76ee<\/p>\n \u5c40\u6240\u9ebb\u9154 (10\u4e07\u500d\u5e0c\u91c8\u30a8\u30d4\u30cd\u30d5\u30ea\u30f3\u542b\u67092%\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3)<\/strong><\/span><\/em><\/p>\n \u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n \u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n \u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n 10ml \u751f\u98df<\/p>\n 3ml 17% EDTA<\/p>\n 5ml \u751f\u98df<\/p>\n \u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n \u8db3\u5834\u3068\u3057\u3066\u306e\u8840\u9905<\/p>\n \u30b3\u30e9\u30fc\u30b2\u30f3\u7e4a\u7dad<\/p>\n Coltosol (\u6839\u7ba1\u53e3\u90e8\u4eee\u5c01)<\/p>\n \u30b3\u30f3\u30dd\u30b8\u30c3\u30c8\u30ec\u30b8\u30f3 \u5145\u586b(\u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3)<\/p>\n \u305d\u306e\u5fc3\u306f\u3001<\/p>\n \u3060\u3002<\/p>\n \u79c1\u306f\u4e8b\u5b9f\u4e0a\u3001\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u306e\u306f\u4e0d\u53ef\u80fd\u3067\u3042\u308b\u3068\u8003\u3048\u308b\u3002<\/p>\n \u305d\u308c\u3092\u3059\u308b\u304f\u3089\u3044\u306a\u3089\u30011\u56de\u6cd5\u3067\u7d42\u308f\u3063\u305f\u65b9\u304c\u30de\u30b7\u3060\u3068\u3082\u3044\u3048\u306a\u304f\u306a\u3044\u3002<\/p>\n \u3061\u306a\u307f\u306b<\/p>\n \u306f2\u56de\u6cd5\u3067\u4ee5\u4e0b\u3060\u3002<\/p>\n 1\u56de\u76ee<\/p>\n \u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/p>\n \u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n \u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n \u4f5c\u696d\u9577\u6c7a\u5b9a<\/p>\n 20ml 1.5-3% \u30d2\u30dd\u30af\u30ed \/5\u5206(\u30b5\u30a4\u30c9\u30d9\u30f3\u30c8\u3082\u3057\u304f\u306fEndo Vac\u63a8\u5968)<\/p>\n 20ml \u751f\u98df\u3082\u3057\u304f\u306fEDTA \/5\u5206<\/p>\n \u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n \u6839\u7ba1\u5185\u8cbc\u85ac (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264 \u3082\u3057\u304f\u306f \u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u3001\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\u3001\u30df\u30ce\u30b5\u30a4\u30af\u30ea\u30f3\u306e3\u5264\u6df7\u548c)<\/p>\n Cavit\u3001IRM\u3001GIC\u306a\u3069\u3067\u4eee\u5c01<\/p>\n 2\u56de\u76ee<\/p>\n \u30e9\u30d0\u30fc\u30c0\u30e0\u9632\u6e7f<\/p>\n \u30a2\u30af\u30bb\u30b9\u30ad\u30e3\u30d3\u30c6\u30a3<\/p>\n 20ml 17% EDTA<\/p>\n \u30da\u30fc\u30d1\u30fc\u30dd\u30a4\u30f3\u30c8\u4e7e\u71e5<\/p>\n \u30aa\u30fc\u30d0\u30fc\u30a4\u30f3\u30b9\u30c4\u30eb\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3067\u51fa\u8840\u3055\u305b\u3066\u8840\u9905\u3092\u4f5c\u308b<\/p>\n CollaPlug\u3001Collacote\u3001CollaTape\u306a\u3069\u306e\u5438\u53ce\u6027\u7269\u8cea\u3092\u9759\u7f6e<\/p>\n \u5fc5\u8981\u3067\u3042\u308c\u3070MTA\u30bb\u30e1\u30f3\u30c8\u3092\u7559\u7f6e\uff08MTA\u306e\u4ee3\u308f\u308a\u306b\u3001BC putty\u3084Biodentine\u3092\u4f7f\u7528\u3057\u3066\u3082\u554f\u984c\u306a\u3044\uff09<\/p>\n 3~4mm\u306e\u6df1\u3055\u3092GIC\u306a\u3069\u3067\u5c01\u9396<\/p>\n \u3042\u306a\u305f\u306f\u306a\u305c\u30012\u56de\u76ee\u304c\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u304b\u3054\u5b58\u77e5\u3060\u308d\u3046\u304b\uff1f<\/p>\n \u3053\u308c\u306f\u4ed5\u65b9\u304c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n IEJ\u3067\u306f\u306f\u3063\u304d\u308a\u3068\u306f\u8a00\u308f\u306a\u3044\u307e\u3067\u3082\u3001<\/p>\n \u3082\u306f\u3084\u3001\u3053\u306e\u6cbb\u7642\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u884c\u3046\u3082\u306e\u3060\u3068\u3044\u3046\u8a8d\u8b58\u304c\u79c1\u306b\u306f\u3042\u308b\u3002<\/p>\n \u305d\u306e\u969b\u306e\u6ce8\u610f\u70b9\u306f\u3001\u6cbb\u7642\u3092\u3055\u3063\u3055\u3068\u9032\u3081\u3066\u3044\u304f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n \u305f\u3089\u305f\u3089\u6cbb\u7642\u3057\u3066\u3044\u3066\u306f\u6b62\u8840\u4f5c\u7528\u304c\u51fa\u3066\u3001\u306f\u3044\u307e\u305f\u6765\u3066\u304f\u3060\u3055\u3044\uff01\u306b\u306a\u308a\u304b\u306d\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n \u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u7814\u7a76\u306e\u7d50\u679c\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n \u3068\u3044\u3046\u3053\u3068\u30671\u56de\u6cd5\u3067\u30822\u56de\u6cd5\u3067\u3082\u7d50\u679c\u306b\u5dee\u304c\u306a\u3044\u3002<\/p>\n \u304c\u3001<\/p>\n \u3053\u306e1\u672c\u3057\u304b\u6587\u732e\u304c\u306a\u304f\u3001<\/p>\n \u6b6f\u981a\u90e8\u30d0\u30ea\u30a2\u306b\u3064\u3044\u3066\u306e\u8003\u5bdf\u304c\u5c11\u306a\u3044\uff08\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 \uff1d\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c\u3057\u305f\u3082\u306e\u3092\u4f7f\u7528\u3057\u3001MTA\u3084BC\u30d1\u30c6\u3001Biodentine\u3092\u5229\u7528\u3057\u306a\u3044\u7406\u7531\u304c\u4e0d\u660e\uff09\u3001<\/p>\n n\u6570\u304c\u5c11\u306a\u304f\u3001\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3088\u308a\u3001\u512a\u4f4d\u306a\u5dee\u304c\u306a\u3044\u7a0b\u5ea6\u306e\u30b5\u30f3\u30d7\u30eb\u6570\u3057\u304b\u63c3\u3063\u3066\u3044\u306a\u3044\uff1f\u53ef\u80fd\u6027\u3001<\/p>\n \u85ac\u6db2\u306a\u3069\u3092\u5909\u3048\u3066\u3001\u30e9\u30f3\u30c0\u30e0\u5316\u306a\u3069\u3092\u884c\u3063\u3066\u7d50\u679c\u3092\u691c\u8a0e\u3059\u3079\u304d\u3001<\/p>\n \u3067\u3042\u308b\u3082\u306e\u306e\u3001<\/p>\n \u3082\u306f\u3084\u9ebb\u9154\u85ac\u306b\u3064\u3044\u3066\u306f\u8b70\u8ad6\u3059\u308b\u5fc5\u8981\u304c\u306a\u3055\u305d\u3046(\u6562\u3048\u3066\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3092\u4f7f\u3046\u7406\u7531\u304c\u306a\u3044)\u3001<\/p>\n \u3068\u3044\u3046\u3053\u3068\u3067\u3001<\/p>\n \u6614\u3001MTA\u3067Apexification\u30921\u56de\u3067\u3084\u308b\uff01\u3068\u3044\u3046\u8003\u3048\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u73fe\u5728\u306f\u305d\u3061\u3089\u306e\u65b9\u304c\u652f\u914d\u7684\u3060\u308d\u3046\u3002<\/p>\n \u305d\u3057\u3066\u3001Regeneration\u3092\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u3082OK\u306a\u3089\u3001\u3053\u306e\u6cbb\u7642\u304c\u3069\u308c\u3060\u3051\u697d\u304b\u2026<\/p>\n \u3053\u308c\u3060\u3051\u3067\u3082Revolution\u3068\u8a00\u3048\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n \u3055\u3066\u3001\u4ee5\u4e0a\u306e\u4e8b\u5b9f\u3092\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n \u3059\u308b\u3068\u3001<\/p>\n \u5b66\u4f1a\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u88cf\u4ed8\u3051\u3055\u308c\u3066\u3044\u306a\u3044\u6cbb\u7642\u5185\u5bb9\u306b\u306f\u4e0d\u5b89\u304c\u6b8b\u308b\u306e\u3067\u30012\u56de\u6cd5\u3067\u304a\u9858\u3044\u3057\u307e\u3059<\/p>\n \u3068\u3044\u3046\u56de\u7b54\u3067\u3042\u3063\u305f\u3002<\/p>\n \u3068\u3044\u3046\u3053\u3068\u3067\u3001\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\u73cd\u3057\u304f2\u56de\u6cd5\u306e\u6cbb\u7642\u3068\u306a\u3063\u305f\u3002<\/p>\n \u306b\u3088\u308c\u3070\u30011\u56de\u76ee\u306e\u6cbb\u7642\u5185\u5bb9\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n First Appointment<\/p>\n \u2460 Local anesthesia, dental dam isolation and access.<\/p>\n \u2461 Copious, gentle irrigation with 20ml NaOCl<\/strong><\/span> using an irrigation system that minimizes the possibility of extrusion of irrigants into the periapical space (e.g., needle with closed end and side-vents, or EndoVac\u2122). Lower concentrations of NaOCl are advised [1.5%-3% NaOCl (20mL\/canal, 5 min) and then irrigated with saline or EDTA (20 mL\/canal, 5min)<\/strong><\/span>, with irrigating needle positioned about 1 mm from root end, to minimize cytotoxicity to stem cells in the apical tissues.<\/strong><\/span><\/p>\n \u2462 Dry canals with paper points. 1\u56de\u76ee\u306e\u6cbb\u7642\u3092\u307e\u3068\u3081\u308b\u3068\u3001<\/p>\n \u30d2\u30dd\u30af\u30ed20ml\u3068EDTA 20ml\u3067\u6d17\u6d44\u3057\u308d<\/p>\n \u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n \u305d\u3057\u3066\u3001\u6d17\u6d44\u5f8c\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3067\u8cbc\u85ac\u3059\u308b\u3002<\/p>\n \u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u306f\u89e6\u308c\u305f\u90e8\u5206\u3057\u304b\u6bba\u83cc\u3067\u304d\u306a\u3044\u304c\u3001\u306a\u305c\u304b\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u5834\u5408\u306f\u3001\u6839\u7ba1\u5168\u4f53\u306b\u6d78\u3055\u305a\u306b\u6839\u7ba1\u306e\u534a\u5206\u7a0b\u5ea6\u3067\u3044\u3044\u3068\u3044\u3046\u610f\u898b\u304c\u591a\u3044\u3002<\/p>\n \u5168\u304f\u7406\u89e3\u304c\u3067\u304d\u306a\u3044\u90e8\u5206\u3060\u3002<\/p>\n When Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, it produced better results than when it was placed beyond the coronal half.<\/p>\n \u3068\u3044\u3046\u3053\u3068\u3067\u6839\u7ba1\u53e3\u306e\u534a\u5206\u4ee5\u4e0a\u306f\u8cbc\u85ac\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n \u3053\u308c\u3092\u8003\u616e\u3057\u3066\u3001\u30d2\u30dd\u30af\u30ed\u3001EDTA\u3067\u6d17\u6d44\u3057\u3066\u8cbc\u85ac\u3057\u3001\u4e0a\u8ff0\u306e\u3088\u3046\u306b\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u7f6e\u3044\u3066\u7dbf\u7403\u3092\u5165\u308c\u3066Caviton\u3067\u4eee\u5c01\u3057\u305f\u3002<\/p>\n
\n\u5c40\u6240\u9ebb\u9154 (\u7279\u306b\u6307\u5b9a\u306a\u3057)<\/strong><\/span><\/em><\/p>\n\u6b6f\u981a\u90e8\u30d0\u30ea\u30a2 (\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u88fd\u5264\u30012%\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30b8\u30a7\u30eb\u3001\u9178\u5316\u4e9c\u925b\u3092\u6df7\u548c)<\/strong><\/span><\/h1>\n
\n\u9a5a\u304f\u3053\u3068\u306b\u30012\u56de\u76ee\u3082\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3067\u9ebb\u9154\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067\u3042\u308c\u3070\u9ebb\u9154\u304c\u3059\u3050\u5207\u308c\u308b\u304b\u3089<\/strong><\/span><\/h1>\n
AAE\u306e\u63a8\u5968\u3059\u308bRegeneration\u306e\u8853\u5f0f\uff082021.5.18\u304c\u6700\u65b0\u7248\uff09<\/strong><\/a><\/h1>\n
\n\u5c40\u6240\u9ebb\u9154 (3%\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8)<\/span><\/strong><\/h1>\n
\n\u5b9f\u306f\u3001\u975e\u5e38\u306b\u3057\u3087\u3046\u3082\u306a\u3044\u7406\u7531\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n
\u30a8\u30d3\u30c7\u30f3\u30b9\u7684\u306b\u306fCase Report\u30ec\u30d9\u30eb\u306e\u5185\u5bb9\u3060\u3002<\/strong><\/span><\/h1>\n
\u3053\u308c\u3067\u305d\u308c\u3092\u4f7f\u308f\u305b\u308b\u306e\u304b\uff1f\u7684\u306a\u5185\u5bb9\u3067\u9589\u53e3\u3057\u3066\u3057\u307e\u3046\u3002<\/strong><\/span><\/h1>\n
\u304c\u3001\u3053\u306e\u6587\u732e\u3067\u306f\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n
\u30b9\u30ad\u30e3\u30f3\u30c9\u30cd\u30b9\u30c8\u3067Regeneration\u3092\u884c\u3046\u3053\u3068\u306e\u96e3\u6613\u5ea6\u306e\u9ad8\u3055\uff08\u9ebb\u9154\u304c\u52b9\u304b\u306a\u3044\u3068\u3044\u3046\u9762\u306e\u6b20\u70b9\uff09\u3092\u53d6\u308a\u4e0a\u3052\u3066\u3044\u305f\u3002<\/strong><\/span><\/h1>\n
<\/p>\n<\/p>\n<\/p>\n1\u56de\u6cd5\u30682\u56de\u6cd5\u3067\u6cbb\u7642\u306e\u7d50\u679c\u306b\u5dee\u304c\u51fa\u3066\u3044\u306a\u304b\u3063\u305f\u3002<\/strong>\u3053\u308c\u306f\u3001\u304b\u3064\u3066\u306eApexification\u3068\u540c\u3058\u7d50\u679c\u3060\u3002<\/span><\/h1>\n
\n\u2b50\ufe0e\u3053\u306e\u5f8c\u3001\u81e8\u5e8a\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#9 Regeneration 1\u56de\u76ee\uff082023.11.29\uff09<\/strong><\/span><\/h1>\n
AAE Clinical Considerations for a Regenerative Procedure Revised 5\/18\/2021<\/strong><\/a><\/h1>\n
\n– Place calcium hydroxide<\/strong><\/span> or low concentration of triple antibiotic paste. If the triple antibiotic paste is used: 1) consider sealing pulp chamber with a dentin bonding agent [to minimize risk of staining] and 2) mix 1:1:1 ciprofloxacin: metronidazole: minocycline to a final concentration of 1-5 mg\/ml. Triple antibiotic paste has been associated with tooth discoloration. Double antibiotic paste without minocycline paste or substitution of minocycline for other antibiotic (e.g., clindamycin; amoxicillin; cefaclor) is another possible alternative as root canal disinfectant. Clinicians should be aware that studies have been done using higher concentrations of TAP\/DAP, but a recommendation to a higher concentration can\u2019t be made at this time due to limited studies.
\n– Deliver into canal system via syringe
\n– If triple antibiotic is used, ensure that it remains below CEJ (minimize crown staining).
\n– Seal with 3-4mm of a temporary restorative material such as Cavit\u2122, IRM\u2122, glass-
\nionomer or another temporary material. Dismiss patient for 1-4 weeks.<\/p>\nBose, Hargreaves 2009 \u00a0A Retrospective Evaluation of Radiographic Outcomes in Immature Teeth With Necrotic Root Canal Systems Treated With Regenerative Endodontic Procedures<\/strong><\/span><\/a><\/h1>\n
When Ca(OH)2 was radiographically restricted to the coronal half of the root canal system, the median percentage increase in dentinal wall thickness was 53.8%, as compared with a 3.3% increase when it was placed beyond coronal half (ie, into the apical half of the root canal system).<\/strong><\/em><\/span><\/h1>\n