{"id":2645,"date":"2021-06-20T00:00:00","date_gmt":"2021-06-19T15:00:00","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=2645"},"modified":"2021-06-18T22:10:44","modified_gmt":"2021-06-18T13:10:44","slug":"%e3%81%82%e3%81%ae%e4%ba%ba%e3%81%af%e4%bb%8a%ef%bc%9f%e2%91%a2%e3%80%9c18-intentional-replantation%e3%81%8b%e3%82%894%e5%b9%b4%e7%b5%8c%e9%81%8e","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=2645","title":{"rendered":"\u3042\u306e\u4eba\u306f\u4eca\uff1f\u2462\u301c#18 Intentional replantation\u304b\u30894\u5e74\u7d4c\u904e"},"content":{"rendered":"\n

\u4ee5\u524d\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306e\u6cbb\u7642\u3002<\/p>\n\n\n\n

\u60a3\u8005\u3055\u3093\u306f50\u4ee3\u5973\u6027\u3002<\/p>\n\n\n\n

\u4ed6\u9662\u304b\u3089\u306e\u7d39\u4ecb\u306e\u60a3\u8005\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\u4e3b\u8a34\u306f\u9577\u3044\u3002\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

\n\n\n\n

\u6570\u5341\u5e74\u524d\u306b\u866b\u6b6f\u306e\u305f\u3081\u6b6f\u306e\u795e\u7d4c\u3092\u53d6\u3063\u305f\u3002\uff08\u5de6\u4e0b\u5965\u6b6f\uff09\u305d\u3053\u304c\u75db\u307f\u3001\u73fe\u5728\u25cb\u00d7\u5e02\u306b\u3042\u308b\u25b3\u25a1\u6b6f\u79d1\u306b\u901a\u9662\u4e2d\u3002<\/p>\n\n\n\n

\u305d\u306e\u6b6f\u79d1\u533b\u9662\u3067\u3082\u8272\u3005\u3057\u3066\u3082\u3089\u3063\u305f\u304c\u3001\u81bf\u304c\u6e9c\u307e\u3063\u3066\u3044\u308b\u3068\u306e\u3053\u3068\u3002<\/p>\n\n\n\n

\u6bce\u65e5\u3046\u305a\u304f\u3088\u3046\u306b\u75db\u304f\u3001\u3082\u306e\u3092\u98df\u3079\u305f\u308a\u4e0a\u306e\u6b6f\u3068\u565b\u307f\u5408\u308f\u305b\u305f\u308a\u3059\u308b\u3068\u75db\u3044\u3002<\/p>\n\n\n\n

\u73fe\u5728\u3082\u75db\u304f\u3066\u565b\u3081\u306a\u3044\u3002\uff087\/10\u7a0b\u5ea6\uff09<\/span><\/strong><\/h2>\n\n\n\n

\u6614\u306f\u3053\u308c\u304c\u3082\u3063\u3068\u3072\u3069\u304b\u3063\u305f\uff0810\/10\uff09\u3068\u306e\u3053\u3068\u3002<\/span><\/strong><\/p>\n\n\n\n

\n\n\n\n

\u7d39\u4ecb\u72b6\u3082\u3064\u3044\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

\u305d\u3053\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u6cbb\u7642\u3092\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u884c\u3063\u305f\u3068\u3044\u3046\u8a18\u9332\u304c\u66f8\u3044\u3066\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\n\n\n\n

2014.10.30 #18\u306e\u611f\u67d3\u6839\u7ba1\u6cbb\u7642\u958b\u59cb\u3000M,D\u3057\u304b\u898b\u3064\u3051\u3089\u308c\u305a\u30022\u6839\u7ba1\u3068\u601d\u3044\u6cbb\u7642\u958b\u59cb\u3002<\/p>\n\n\n\n

2014.11.4 EMR, \u6839\u7ba1\u5f62\u6210\u30fb\u62e1\u5927<\/p>\n\n\n\n

2014.11.13 \u6839\u7ba1\u5145\u586b\u3002\u305d\u306e\u5f8c\u3001\u652f\u53f0\u7bc9\u9020\u30fb\u30af\u30e9\u30a6\u30f3\u5f62\u6210\u307e\u3067\u884c\u3063\u305f\u304c\u30af\u30e9\u30a6\u30f3\u88c5\u7740\u6642\u306b\u75c7\u72b6\u3042\u308a\u3002\u4e88\u5f8c\u4e0d\u826f\u3068\u5224\u65ad\u3057\u3001\u610f\u56f3\u7684\u518d\u690d\u3092\u8a08\u753b\u3002<\/p>\n\n\n\n

2014.12.20 \u610f\u56f3\u7684\u518d\u690d\uff08\u6839\u5c16\u90e8\u5207\u9664\u3002\u629c\u6b6f\u7aa9\u63bb\u722c\uff09<\/p>\n\n\n\n

2015.3.12 Metal Crown set<\/p>\n\n\n\n

2016.7.20 \u540c\u90e8\u306b\u920d\u75db\u3042\u308a\u3002\u518d\u767a\u3092\u7591\u3046\u3002CT\u64ae\u5f71\u3002ML\u306e\u898b\u843d\u3068\u3057\u306b\u6c17\u3065\u304f\u3002\u304c\u3001ML\u3092\u898b\u3064\u3051\u3089\u308c\u306a\u3044\u3002<\/p>\n\n\n\n

2016.9.5 \u75c7\u72b6\u304c\u843d\u3061\u7740\u3044\u3066\u304d\u305f\u3068\u306e\u3053\u3068\u3067\u518d\u5ea6\u652f\u53f0\u7bc9\u9020\u3002Tek\u3067\u7d4c\u904e\u89b3\u5bdf\u3059\u308b\u3002<\/p>\n\n\n\n

2017.2.10 \u75db\u307f\u304c\u51fa\u308b\u3002\u518d\u5ea6\u6839\u7ba1\u6cbb\u7642\u306b\u30c8\u30e9\u30a4\u3002\u3053\u3053\u3067ML\u767a\u898b\u3002\u4f5c\u696d\u957713.0mm\u3002#30.06\u307e\u3067\u62e1\u5927\u5f62\u6210\u3059\u308b\u3002\uff08Patency\u78ba\u4fdd\u6e08\u307f\uff09<\/p>\n\n\n\n

\u3068\u3053\u308d\u304c\u3001\u306a\u304b\u306a\u304b\u75db\u307f\u304c\u53d6\u308c\u305a\u30d5\u30ec\u30a2\u30a2\u30c3\u30d7\u3092\u8d77\u3053\u3057\u6392\u81bf\u3092\u7e70\u308a\u8fd4\u3057\u3066\u3044\u308b\u3002\u6d17\u6d44\u3002\u4eee\u5c01\u3002\u6295\u85ac\u3092\u7e70\u308a\u8fd4\u3059\u304c\u75c7\u72b6\u6539\u5584\u305b\u305a\u73fe\u5728\u306b\u81f3\u308b\u3002\u65e2\u306b\u96e3\u6cbb\u5316\u3057\u3066\u3044\u308b\u3068\u601d\u308f\u308c\u308b\u304c\u3001\u3053\u308c\u4ee5\u4e0a\u306e\u96e3\u6cbb\u5316\u3092\u9632\u3050\u305f\u3081\u306b2017.3.15\u306b\u30ad\u30e3\u30d3\u30c8\u30f3\u4eee\u5c01\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\n\n\n\n

\u60a3\u8005\u306b\u75db\u307f\u304c\u3042\u3063\u305f\u305f\u3081\u3001\u518d\u6cbb\u7642\u3092\u884c\u3063\u305f\u3002<\/p>\n\n\n\n

\u3057\u304b\u3057\u3001\u6839\u7ba1\u304c\u898b\u3064\u304b\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

\u305d\u3053\u3067\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u3092\u3057\u3066\u3044\u305f\u304c\u3053\u308c\u4ee5\u4e0a\u4f55\u304c\u3067\u304d\u308b\u3068\u3044\u3046\u306e\u304b\uff1f\u3068\u3044\u3046\u306e\u304c\u7d39\u4ecb\u533b\u5e2b\u306e\u5fc3\u306e\u5185\u3060\u3002<\/p>\n\n\n\n

\u3053\u306e\u3088\u3046\u306b\u3042\u308b\u3044\u306f\u3053\u306e\u3088\u3046\u306b\u4e01\u5be7\u306b\u7d39\u4ecb\u3055\u308c\u306a\u304f\u3066\u3082\u3001\u79c1\u306f\u7d39\u4ecb\u533b\u306e\u3053\u3068\u3092\u8cac\u3081\u306a\u3044\u3002<\/p>\n\n\n\n

\u8cac\u3081\u3066\u3082\u4ed5\u65b9\u304c\u306a\u3044\u3002<\/p>\n\n\n\n

\u306a\u305c\u304b\uff1f<\/p>\n\n\n\n

\u96e3\u3057\u3044\u6cbb\u7642\u3092\u81ea\u5206\u3067\u8acb\u3051\u8ca0\u3063\u3066\u3084\u3063\u3066\u3044\u308b\u304b\u3089\u3060\u3002<\/p>\n\n\n\n

\u8ab0\u306b\u3082\u8cac\u4efb\u306f\u306a\u3044\u3002<\/p>\n\n\n\n

\u5c11\u306a\u304f\u3068\u3082\u81e8\u5e8a\u5bb6\u306b\u306f\u8cac\u4efb\u304c\u3042\u308b\u3068\u306f\u8a00\u3048\u306a\u3044\u3002<\/p>\n\n\n\n

\u306a\u305c\u304b\uff1f<\/p>\n\n\n\n

\u3053\u3046\u3044\u3046\u6cbb\u7642\u306f\u96e3\u3057\u3044\u306e\u3067\u3001\u5c02\u9580\u533b\u306b\u7d39\u4ecb\u3057\u307e\u3057\u3087\u3046\u3068\u3044\u3046\u6587\u5316\u304c\u65e5\u672c\u306b\u306f\u306a\u3044\u304b\u3089\u3060\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u306a\u306e\u3067\u3053\u306e\u5148\u751f\u3082\u3069\u3046\u3057\u3088\u3046\u3082\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

\u4eca\u5f8c\u306f\u3053\u306e\u3088\u3046\u306a\u6587\u5316\u3092\u4f5c\u3063\u3066\u3044\u304f\u3053\u3068\u304c\u671b\u307e\u308c\u308b\u304c\u3001\u307e\u3042\u305d\u308c\u306f\u65e5\u672c\u3067\u306f\u7121\u7406\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u5f53\u6b6f\u79d1\u533b\u9662\u3067\u691c\u67fb\u3092\u884c\u3063\u305f\u3002<\/p>\n\n\n\n

#18 Cold NR\/20, Perc.(++)<\/span><\/strong>, Palp.(-), BT(++)<\/strong><\/span>, Perio probe(L\u306e\u307f7mm<\/span><\/strong>), Mobility(WNL)<\/p>\n\n\n\n

#19 Cold NR\/20, Perc.(-), Palp.(-), BT(-), Perio probe(WNL), Mobility(WNL)<\/p>\n\n\n\n

#20 Cold NR\/20, Perc.(-), Palp.(-), BT(-), Perio probe(WNL), Mobility(WNL)<\/p>\n\n\n\n

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

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

Pulp Dx\uff1aPreviously treated<\/p>\n\n\n\n

Periapical Dx\uff1aSymptomatic apical periodontitis<\/p>\n\n\n\n

Recommended TX\uff1aIntentional replantation<\/p>\n\n\n\n

\n\n\n\n

\u7d39\u4ecb\u72b6\u306e\u8aac\u660e\u6587\u306b\u3082\u3042\u3063\u305f\u3088\u3046\u306b<\/p>\n\n\n\n

\u78ba\u304b\u306bML\u306f\u5f62\u6210\u306f\u3057\u3066\u3042\u308b\u3088\u3046\u3060\u304c\u3001\u6839\u7ba1\u5145\u586b\u3092\u3057\u3066\u3044\u306a\u3044\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u306a\u305c\u304b\uff1f<\/p>\n\n\n\n

\u60a3\u8005\u306b\u75db\u307f\u304c\u3042\u3063\u305f\u304b\u3089\u6839\u7ba1\u5145\u586b\u3057\u3066\u3044\u306a\u3044\u306e\u3060\u3002<\/p>\n\n\n\n

\u307e\u305f\u3001\u6839\u5207\u306f\u3057\u3066\u3042\u308b\u304c\u9006\u6839\u7ba1\u5f62\u6210\u30fb\u9006\u6839\u7ba1\u5145\u586b\u3092\u3057\u3066\u3044\u306a\u3044\u3002<\/p>\n\n\n\n

\u6b6f\u6839\u7aef\u5207\u9664\u3060\u3051\u884c\u3044\u3001\u9006\u6839\u7ba1\u5145\u586b\u3092\u3057\u306a\u3044\u5834\u5408\u306eApicoectomy\u306e\u4e88\u5f8c\u306f\u6975\u3081\u3066\u60aa\u3044\u3053\u3068\u306f\u8fd1\u5e74\u306e\u8ad6\u6587\u3067\u793a\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

Christiansen 2009 Randomized clinical trial of root-end resection followed by root-end filling with mineral trioxide aggregate or smoothing of the orthograde gutta-percha root filling–1-year follow-up<\/a><\/strong><\/p>\n\n\n\n

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

\u6b6f\u6839\u7aef\u5207\u9664\u3057\u3066MTA\u3067\u9006\u6839\u5145\u3057\u305f\u5834\u5408\u3068\u30ab\u30c3\u30c8\u3057\u3066\u305d\u306e\u307e\u307e\u306b\u3057\u305f\u5834\u5408\u306e\u4e88\u5f8c\u306e\u6bd4\u8f03\u3092\u884c\u3063\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u305d\u308c\u306b\u3088\u308c\u3070\u7d50\u679c\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

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

MTA\u3092\u4f7f\u7528\u3057\u3066\u9006\u6839\u5145\u3057\u305f\u5834\u5408\u30011\u5e74\u4e88\u5f8c\u306f96%\u3067\u3042\u3063\u305f\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u306b\u5bfe\u3057\u3066\u3001<\/p>\n\n\n\n

\u6b6f\u6839\u7aef\u5207\u9664\u3057\u3066\u305d\u306e\u307e\u307e\uff08\u4f55\u3082\u5145\u586b\u3057\u306a\u3044\uff09\u5834\u5408\u30011\u5e74\u4e88\u5f8c\u306f52%\u3057\u304b\u306a\u3044\u3002<\/span><\/strong><\/h2>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n

\u3053\u3053\u304b\u3089\u8a00\u3048\u308b\u3053\u3068\u306f\u3001<\/p>\n\n\n\n

Apicoectomy\u306f\u6839\u5207\u3057\u305f\u3060\u3051\u3067\u306f\u3060\u3081\u3060\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n\n\n\n

\u6839\u5207\u3067\u30d0\u30af\u30c6\u30ea\u30a2\u306f\u6e1b\u308b\u304c\u3001\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u30dd\u30a4\u30f3\u30c8\u3067\u306f\u7d30\u83cc\u304c\u30ea\u30fc\u30af\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u3057\u305f\u304c\u3063\u3066\u3001<\/p>\n\n\n\n

MTA\u30bb\u30e1\u30f3\u30c8\u3067\u7d30\u83cc\u306e\u4fb5\u5165\u3092\u6291\u3048\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u3057\u305f\u304c\u3063\u3066\u3001\u4e0a\u8a18\u306e\u75c7\u4f8b\u3067\u306f\u5207\u65ad\u3057\u3066\u3044\u308b\u3060\u3051\u306a\u306e\u3067\u75db\u307f\u304c\u5fa9\u6d3b\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u9006\u6839\u7ba1\u5f62\u6210\u3068\u9006\u6839\u7ba1\u5145\u586b\u304c\u5fc5\u8981\u3060\u3063\u305f\u306e\u3060\u3002<\/p>\n\n\n\n

\u307e\u305f\u820c\u5074\u306b\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u304c7mm\u3082\u3042\u308b\u3002<\/p>\n\n\n\n

\u3057\u304b\u3082\u6a0b\u72b6\u6839\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u5207\u65ad\u306e\u91cf\u306f\u5236\u9650\u3055\u308c\u308b\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u6cbb\u7642\u306e\u30ea\u30b9\u30af\u3068\u4e88\u5f8c\u3001\u6cbb\u7642\u8cbb\u305d\u3057\u3066\u4f55\u3088\u308a\u3082\u75db\u307f\u304c\u3042\u308b\u306e\u3068\u3001\u9060\u65b9\uff08\u4e5d\u5dde\u306e\u9060\u65b9\uff09\u304b\u3089\u6765\u3089\u308c\u3066\u3044\u308b\u306e\u3067\u3001\u521d\u8a3a\u306e\u65e5\u3068\u540c\u65e5\u306b\u610f\u56f3\u7684\u518d\u690d\u3092\u884c\u3063\u305f\u3002<\/p>\n\n\n\n

2017.4.7\u306e\u3053\u3068\u3067\u3042\u308b\u3002\uff08ML\u306e\u6839\u7ba1\u5145\u586b\u306f\u7d39\u4ecb\u533b\u304c\u884c\u3046\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u3063\u305f\u306e\u3067\u79c1\u306f\u305d\u3053\u306f\u4f55\u3082\u3057\u3066\u3044\u306a\u3044\u3002\uff09<\/p>\n\n\n\n

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

\u51e6\u7f6e\u304b\u3089\u7d043\u30f6\u6708\u5f8c\u3002(2017.7.19\uff09\u75db\u307f\u306f\u6d88\u5931\u3057\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

\u307e\u305f\u6b6f\u7259\u306e\u52d5\u63fa\u3082\u306a\u3044\u3002<\/p>\n\n\n\n

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

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

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

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