{"id":2261,"date":"2021-05-14T00:00:00","date_gmt":"2021-05-13T15:00:00","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=2261"},"modified":"2021-05-13T19:47:41","modified_gmt":"2021-05-13T10:47:41","slug":"%e3%82%b3%e3%83%ad%e3%83%8a%e3%82%a6%e3%82%a3%e3%83%ab%e3%82%b9%e3%81%ab%e3%82%88%e3%82%8b%e6%b2%bb%e7%99%82%e3%81%ae%e5%bb%b6%e6%9c%9f%e2%86%9228-re-rct","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=2261","title":{"rendered":"\u30b3\u30ed\u30ca\u30a6\u30a3\u30eb\u30b9\u306b\u3088\u308b\u6cbb\u7642\u306e\u5ef6\u671f\u2192#28 Re-RCT"},"content":{"rendered":"\n

\u4eca\u9031\u306f\u4e45\u3005\u306b\u6839\u7ba1\u6cbb\u7642\u304c\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u306e\u3082\u3054\u5b58\u77e5\u306e\u3088\u3046\u306b\u4e16\u306e\u4e2d\u306f\u30b3\u30ed\u30ca\u30a6\u30a3\u30eb\u30b9\u306b\u7ffb\u5f04\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u79c1\u306e\u30d0\u30a4\u30c8\u5148\u3082\u30b3\u30ed\u30ca\u30a6\u30a3\u30eb\u30b9\u611f\u67d3\u3092\u5fcc\u307f\u5acc\u3046\u60a3\u8005\u304c\u591a\u3044\u306e\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

\u4e88\u5b9a\u306f\u6b21\u3005\u306b\u30ad\u30e3\u30f3\u30bb\u30eb\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

\u305d\u3057\u3066TV\u3084\u30cd\u30c3\u30c8\u3092\u898b\u308c\u3070\u30011\u65e5\u4f55\u767e\u4eba\u301c\u5343\u4eba\u3068\u3044\u3046\u611f\u67d3\u8005\u304c\u51fa\u3066\u3044\u308b\u6709\u69d8\u3060\u3002<\/p>\n\n\n\n

\u3053\u306e\u4e16\u3082\u7d42\u308f\u3063\u305f\u306a\u3068\u3044\u3046\u72b6\u6cc1\u306e\u4e2d\u3001\u4e00\u65b9\u3067\u30a2\u30e1\u30ea\u30ab\u306f\u3069\u3046\u3060\u308d\u3046\u304b\u3068\u8abf\u3079\u3066\u307f\u305f\u308a\u3001\u5927\u5b66\u9662\u9662\u6642\u4ee3\u306e\u7c73\u56fd\u306b\u5728\u4f4f\u3059\u308b\u53cb\u4eba\u306b\u805e\u3044\u3066\u307f\u308b\u3068\u3001\u3082\u3046\u30b3\u30ed\u30ca\u30a6\u30a3\u30eb\u30b9\u306e\u30ef\u30af\u30c1\u30f3\u30922\u56de\u6253\u3063\u305f\u3068\u304b\u3001\u6b21\u306e7\u6708\u30672\u56de\u76ee\u3060\u3068\u304b\u65e5\u672c\u3068\u306f\u304b\u306a\u308a\u306e\u5dee\u304c\u3042\u308b\u3002\u30ed\u30b9\u306b\u81f3\u3063\u3066\u306f\u96c6\u56e3\u514d\u75ab\u3092\u7372\u5f97\u3059\u308b\u3068\u3044\u3046\u3002<\/p>\n\n\n\n

\u7c73LA\u30017\u6708\u306b\u3082\u96c6\u56e3\u514d\u75ab\u3000\u3059\u3067\u306b6\u5272\u304c\u30ef\u30af\u30c1\u30f31\u56de\u63a5\u7a2e<\/a><\/strong><\/h2>\n\n\n\n

\u7c73\u30ed\u30b5\u30f3\u30bc\u30eb\u30b9\u30007\u6708\u4e2d\u306b\u3082\u96c6\u56e3\u514d\u75ab\u7372\u5f97\u306e\u898b\u901a\u3057<\/a><\/strong><\/h2>\n\n\n\n

\u7c73\u30ed\u30b5\u30f3\u30bc\u30eb\u30b9\u90e1\u3001\u5168\u3066\u306e\u533b\u7642\u5f93\u4e8b\u8005\u306b\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u958b\u59cb<\/a><\/strong><\/h2>\n\n\n\n

LA\u306f\u6628\u5e74\u306e12\u6708\u304b\u3089\u5168\u3066\u306e\u533b\u7642\u5f93\u4e8b\u8005\u306b\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u304c\u958b\u59cb\u3055\u308c\u3066\u3044\u308b\u3068\u3044\u3046\u3002<\/p>\n\n\n\n

\u65e5\u672c\u3068\u306f\u96f2\u6ce5\u306e\u5dee\u3060\u3002<\/p>\n\n\n\n

\u3053\u306e\u3088\u3046\u306a\u72b6\u6cc1\u3067\u6211\u304c\u56fd\u306f\u4f55\u3092\u3057\u3066\u3044\u308b\u306e\u304b\uff1f\u3068\u8a00\u3048\u3070\u3001\u672a\u3060\u6211\u3005\u533b\u7642\u5f93\u4e8b\u8005\u306b\u5bfe\u3059\u308b\u30ef\u30af\u30c1\u30f3\u3082\u78ba\u4fdd\u3055\u308c\u3066\u3044\u306a\u3044\u3057\u3001\u3044\u3064\u6ce8\u5c04\u3092\u6253\u3066\u308b\u306e\u304b\uff1f\u3082\u308f\u304b\u3089\u306a\u3044\uff08\u4e00\u8aac\u306b\u3088\u308c\u3070\u6765\u9031\u304b\uff1f\u518d\u6765\u9031\uff1f\u3089\u3057\u3044\u304c\u2026\uff09\u3002<\/p>\n\n\n\n

\u4f55\u3088\u308a\u7b4b\u8089\u6ce8\u5c04\u3092\u6253\u3066\u308b\u533b\u7642\u5f93\u4e8b\u8005\u304c\u3044\u306a\u3044\u3068\u3044\u3046\u3002<\/p>\n\n\n\n

\u3053\u308c\u3067\u5148\u9032\u56fd\u3068\u3044\u3048\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\n\n\n\n

\u533b\u7642\u5f93\u4e8b\u8005\u306f\u6570\u304c\u591a\u304f\u4e0d\u8981\u3060\u3068\u3044\u3046\u58f0\u304c\u304b\u3064\u3066\u3042\u3063\u305f\u304c\u3001\u672c\u5f53\u306b\u305d\u3046\u306a\u306e\u304b\uff1f<\/p>\n\n\n\n

\u3068\u8a00\u3048\u3070\u305d\u308c\u3082\u7591\u308f\u3057\u3044\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

\u5049\u3044\u4eba\u304c\u6c7a\u3081\u305f\u30eb\u30fc\u30eb\u306b\u6211\u3005\u6b6f\u79d1\u533b\u5e2b\u306f\u5f93\u308f\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

\u305d\u308c\u304c\u3069\u3093\u306a\u306b\u7406\u4e0d\u5c3d\u3067\u3082\u3001\u3060\u3002<\/a><\/strong><\/p>\n\n\n\n

\u79c1\u306e\u77e5\u308a\u5408\u3044\u306b\u770b\u8b77\u5e2b\u304c\u3044\u308b\u3002<\/p>\n\n\n\n

\u305d\u306e\u4eba\u306b\u8a71\u3092\u805e\u3044\u305f\u6642\u3001<\/p>\n\n\n\n

“\u3053\u306e\u4e16\u754c\u306b\u5165\u308b\u524d\u3068\u5165\u3063\u305f\u5f8c\u3067\u306f\u8a71\u304c\u9055\u3046\u3053\u3068\u304c\u591a\u3044\u3001\u7279\u306b\u5f85\u9047\u9762\u306b\u95a2\u3057\u3066\u306f\u201d<\/span><\/strong><\/h2>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\u8a00\u308f\u308c\u3066\u3044\u305f\u3088\u3046\u306a\u7d66\u6599\u3092\u3082\u3089\u3063\u3066\u3044\u308b\u533b\u7642\u5f93\u4e8b\u8005\u306f\u3044\u306a\u3044\u306e\u3060\u3068\u3044\u3046\u3002<\/p>\n\n\n\n

\u305d\u3057\u3066\u4eba\u304c\u3044\u308b\u3068\u3053\u308d\u306b\u306f\u96c6\u307e\u308b\u306a\uff01\u3068\u304a\u9858\u3044\u3057\u3066\u3044\u305f\u67d0\u56e3\u4f53\u306e\u4f1a\u9577\u3068\u305d\u306e\u5e79\u90e8\u304c\u5168\u54e1\u52e2\u305e\u308d\u3044\u3057\u3066\u96c6\u307e\u3063\u3066\u305f\u306e\u306f\u7686\u3055\u3093\u3082\u3054\u5b58\u77e5\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

\u65e5\u672c\u533b\u5e2b\u4f1a\u4f1a\u9577 \u30d1\u30fc\u30c6\u30a3\u30fc\u53c2\u52a0\u3067\u9673\u8b1d\u3001\u81ea\u6c11\u30fb\u81ea\u898b\u8b70\u54e1\u306f\u9673\u8b1d\u3082\u30fb\u30fb\u30fb<\/a><\/strong><\/h2>\n\n\n\n
\"\"<\/a><\/figure>\n\n\n\n

\u4e0a\u7d1a\u56fd\u6c11\u306f\u4f55\u3092\u3084\u3063\u3066\u3082\u8a31\u3055\u308c\u308b\u305d\u3046\u3060\u3002<\/p>\n\n\n\n

\u3053\u306e\u56fd\u306f\u5e73\u7b49\u3067\u306f\u306a\u3044\u3002<\/p>\n\n\n\n

\u304c\u3001\u4ed6\u56fd\u306b\u6bd4\u3079\u3066\u9032\u3093\u3067\u3044\u308b\u306e\u3060\u308d\u3046\uff1f\u3068\u601d\u3063\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

\u304c\u3001\u3069\u3046\u3082\u9055\u3063\u3066\u3044\u305f\u3088\u3046\u3060\u3002<\/p>\n\n\n\n

\u3053\u306e\u30b3\u30ed\u30ca\u306b\u5bfe\u3059\u308b\u5bfe\u5fdc\u4e00\u3064\u3068\u3063\u3066\u3082\u3001\u3053\u306e\u56fd\u306e\u6709\u69d8\u306f\u3072\u3069\u3044\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u3053\u306e\u56fd\u306f\u5148\u9032\u56fd\u3067\u306f\u306a\u304b\u3063\u305f\u306e\u3060\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u533b\u7642\u3082\u3001\u4eba\u3068\u3057\u3066\u306e\u77dc\u6301\u3082\u3001\u30d7\u30e9\u30a4\u30c9\u3082\u4f55\u3082\u306a\u3044\u3002<\/p>\n\n\n\n

\u65e5\u672c\u306e\u6b6f\u79d1\u533b\u7642\u306e\u3088\u3046\u3067\u3042\u308b\u3002<\/span><\/strong><\/h2>\n\n\n\n
\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u8a71\u306f\u30d0\u30a4\u30c8\u5148\u3067\u306e\u6cbb\u7642\u306b\u79fb\u308b\u3002<\/p>\n\n\n\n

\u60a3\u8005\u306f30\u4ee3\u7537\u6027\u3002<\/p>\n\n\n\n

\u53f3\u4e0b\u5c0f\u81fc\u6b6f\u90e8\u304c\u75db\u3080\u3068\u3044\u3046\u4e3b\u8a34\u3067\u3042\u3063\u305f\u304c\u3001\u521d\u8a3a\u6642\u306b\u305d\u306e\u75db\u307f\u306f\u306a\u304f\u306a\u3063\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

#27: Cold+3\/4, Perc.(-), Palp.(-), BT(-), Perio probe(WNL), Mobility(WNL)<\/p>\n\n\n\n

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

#29: Cold+4\/3, Perc.(-), Palp.(-), BT(-), Perio probe(WNL), Mobility(WNL)<\/p>\n\n\n\n

#30: Cold N\/A, Perc.(-), Palp.(-), BT(-), Perio probe(WNL), Mobility(WNL)<\/p>\n\n\n\n

PA\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

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

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

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

Recommended Tx: Re-RCT+Core build up<\/p>\n\n\n\n

\u51a0\u3068\u30dd\u30b9\u30c8\u30b3\u30a2\u3092\u9664\u53bb\u3057\u518d\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u6839\u5c16\u75c5\u5909\u304c\u3042\u308b\u306e\u3067\u6cbb\u7642\u306e\u6210\u529f\u7387\u306f\u7a7f\u901a\u304c\u3067\u304d\u308c\u307060~70%\u3068\u3044\u3046\u3068\u3053\u308d\u3060\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u518d\u6839\u7ba1\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n\n\n\n

\u4f1d\u9054\u9ebb\u9154\u3092\u884c\u3044\u3001\u51a0\u3092\u9664\u53bb\u3057\u3001\u30e9\u30d0\u30fc\u30c0\u30e0\u3092\u88c5\u7740\u3057\u3001\u30dd\u30b9\u30c8\u30b3\u30a2\u3092\u9664\u53bb\u3057\u305f\u3002<\/p>\n\n\n\n

\u305d\u306e\u5f8c\u6839\u7ba1\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n\n\n\n

\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n\n\n\n

RIL=17.0mm, Reference Point=L, IBF=K File#35, MAF=ProTaper Gold F5<\/p>\n\n\n\n

MAF\u306fProTaper F5\u3067\u3042\u308b\u304c\u3001\u5b9f\u969b\u306fHyFlex EDM #40.04\u2192HyFlex EDM#50.03\u2192HyFlex EDM#60.02\u2192ProTaper Gold F5\u3068\u3044\u3046\u6d41\u308c\u3067\u3042\u308b\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u62e1\u5927\u53f7\u6570\u305d\u306e\u3082\u306e\u3068\u30c6\u30fc\u30d1\u30fc\u3092\u5411\u4e0a\u3055\u305b\u3066\u7d30\u83cc\u306eReduction\u3092\u56f3\u3063\u3066\u3044\u308b\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u304c\u3001\u305d\u308c\u3067\u6839\u5c16\u75c5\u5909\u304c\u6cbb\u7652\u3059\u308b\u304b\u306f\u3084\u3063\u3066\u307f\u306a\u3051\u308c\u3070\u308f\u304b\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

F5\u3092\u8a66\u9069\u3057\u3066PA\u3092\u64ae\u5f71\u3057\u305f\u3002\u304c\u3001\u3053\u306e\u60a3\u8005\u306f\u53e3\u8154\u5185\u304c\u975e\u5e38\u306b\u72ed\u304f\u8a66\u9069\u306ePA\u3092\u64ae\u5f71\u3059\u308b\u306e\u306b\u304b\u306a\u308a\u82e6\u52b4\u3057\u305f\u3002<\/p>\n\n\n\n

\u4ee5\u4e0b\u306ePA\u304c\u6700\u826f\u306ePA\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

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

\u30c7\u30f3\u30bf\u30eb\u306e\u30de\u30fc\u30af\u3068\u88ab\u3063\u3066\u3044\u308b\u304c\u307e\u3042\u898b\u5206\u3051\u3089\u308c\u306a\u304f\u306f\u306a\u3044\uff08\u6839\u7ba1\u5185\u306bGutta Percha\u304c\u3042\u308b\u3060\u308d\u3046\uff09\u306e\u3067\u3053\u308c\u3092\u6700\u826f\u3068\u3057\u3066\u6839\u7ba1\u5145\u586b\uff0b\u652f\u53f0\u7bc9\u9020\u51e6\u7f6e\u306b\u79fb\u884c\u3057\u305f\u3002<\/p>\n\n\n\n

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

\u307e\u305f\u3001\u3053\u306e\u60a3\u8005\u3055\u3093\u306b\u306f\u305d\u306e\u4ed6\u306e\u6b6f\u306b\u3082\u554f\u984c\u304c\u3042\u308b\u3068\u3053\u308d\u304c\u591a\u3044\u3002<\/p>\n\n\n\n

#30.<\/p>\n\n\n\n

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

#19<\/p>\n\n\n\n

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

#20,21<\/p>\n\n\n\n

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

#20,21\u306f\u88dc\u7db4\u7269\u3092\u518d\u88fd\u3059\u308b\u306e\u3067\u3042\u308c\u3070\u518d\u6cbb\u7642\u304c\u5fc5\u8981\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

\u3069\u306e\u3088\u3046\u306a\u6b6f\u79d1\u533b\u7642\u3092\u9078\u629e\u3059\u308b\u304b\u306f\u60a3\u8005\u3055\u3093\u6b21\u7b2c\u3067\u3042\u308b\u304c\u3001\u6c7a\u3057\u3066\u8996\u754c\u304c\u826f\u597d\u3068\u306f\u8a00\u3048\u306a\u3044\u3002<\/p>\n\n\n\n

\u5168\u984e\u7684\u306a\u6cbb\u7642\u304c\u5fc5\u8981\u306b\u306a\u308b\u53ef\u80fd\u6027\u3082\u9ad8\u3044\u3002<\/p>\n\n\n\n

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