{"id":2705,"date":"2021-06-23T02:59:09","date_gmt":"2021-06-22T17:59:09","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=2705"},"modified":"2023-04-26T00:11:31","modified_gmt":"2023-04-25T15:11:31","slug":"implant%e6%8b%92%e7%b5%b6%e6%82%a3%e8%80%85%e3%81%8cimplant%e3%82%92%e5%9f%8b%e5%85%a5%e3%80%9c30-apicoectomy%e3%81%8b%e3%82%894%e5%b9%b43%e3%83%b6%e6%9c%88%e7%b5%8c%e9%81%8e","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=2705","title":{"rendered":"Implant\u62d2\u7d76\u3057\u305f\u60a3\u8005\u304c#31\u306bImplant\u3092\u57cb\u5165\u301c#30 Apicoectomy\u304b\u30894\u5e743\u30f6\u6708\u7d4c\u904e"},"content":{"rendered":"\n

\u30d0\u30a4\u30c8\u5148\u3067\u306e\u6cbb\u7642\u3002<\/p>\n\n\n\n

\u3053\u306e\u60a3\u8005\u3055\u3093\u306b\u306f\u6b74\u53f2\u304c\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\u8853\u524d(2015.8.24\uff09<\/p>\n\n\n\n

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

#31\u3092\u629c\u6b6f\u3057\u3066\u3044\u308b\u3002\u7406\u7531\u306f\u3001\u6b6f\u5185\u7642\u6cd5\u306e\u554f\u984c\u3060\u3002<\/p>\n\n\n\n

\u305f\u3060\u3053\u306e\u5f53\u6642\u306f\u79c1\u306f\u30a2\u30e1\u30ea\u30ab\u306b\u5728\u4f4f\u3057\u3066\u3044\u305f\u305f\u3081\u3001\u3053\u306e\u6b6f\u79d1\u533b\u9662\u306b\u306f\u901a\u3048\u305a\u306b\u3044\u305f\u3002<\/p>\n\n\n\n

\u305d\u306e\u969b\u3001#30\u306b\u3082#31\u3067\u767a\u751f\u3057\u305f\u3088\u3046\u306a\u75db\u307f\u304c\u51fa\u305f\u305f\u3081\u3001\u305d\u3053\u306e\u6b6f\u79d1\u533b\u9662\u306e\u5148\u751f\u306b\u3088\u3063\u3066\u518d\u6839\u7ba1\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002(2016.10.11\uff09<\/p>\n\n\n\n

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

\u518d\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u3044\u3001\u88dc\u7db4\u3082\u65b0\u88fd\u3057\u3066\u3044\u308b\u304c\u75db\u307f\u304c\u53d6\u308c\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n

\u306a\u305c\u3053\u306e\u5148\u751f\u304c\u518d\u6cbb\u7642\u3057\u305f\u304b\uff1f\u3068\u3044\u3048\u3070\u3001<\/span><\/strong><\/h2>\n\n\n\n

\u2460\u8853\u524d\u306e#30\u306e\u6839\u5145\u6642\u306e\u4f5c\u696d\u9577\u304cApex\u304b\u3089\u304b\u306a\u308a\u96e2\u308c\u3066\u3044\u308b<\/strong><\/mark><\/h2>\n\n\n\n

\u2461\u6839\u5c16\u90e8\u306e\u62e1\u5927\u53f7\u6570\u304c\u5c0f\u3055\u304f\u3001\u30c6\u30fc\u30d1\u30fc\u304c\u3064\u3044\u305f\u6839\u7ba1\u5f62\u6210\uff08\u5145\u586b\uff09\u3067\u306a\u3044<\/span><\/strong><\/h2>\n\n\n\n

\u2462\u524d\u533b\u304c\u30e9\u30d0\u30fc\u30c0\u30e0\u3057\u3066\u6cbb\u7642\u3057\u3066\u3044\u306a\u3044<\/span><\/strong><\/h2>\n\n\n\n

\u304b\u3089\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u306a\u306e\u3067\u518d\u6839\u7ba1\u6cbb\u7642\u3092\u9078\u629e\u3057\u305f\u3002<\/p>\n\n\n\n

\u304c\u3001\u305d\u306e\u6642\u70b9\u3067\u3082\u518d\u6cbb\u7642\u306e\u6210\u529f\u7387\u306f60%\u7a0b\u5ea6\u3067\u3042\u308b\u306e\u3067\u6cbb\u7642\u5185\u5bb9\u304b\u3089\u3057\u305f\u3089\u304b\u306a\u308a\u9811\u5f35\u3063\u305f\u65b9\u306b\u5165\u308b\u3002<\/p>\n\n\n\n

\u305d\u3057\u3066\u3001\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u65e5\u672c\u4eba\u3067\u306f\u304a\u306a\u3058\u307f\u306e\u3001<\/p>\n\n\n\n

\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8NG\u60a3\u8005\u3055\u3093<\/span><\/strong><\/h2>\n\n\n\n

\u3067\u3042\u3063\u305f\u306e\u3067#31\u306e\u4f4d\u7f6e\u306b\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u3092\u57cb\u5165\u3059\u308b\u3053\u3068\u3082\u3067\u304d\u306a\u304b\u3063\u305f\u305d\u3046\u3060\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u80cc\u666f\u306e\u4e2d\u3001\u79c1\u306b\u7d39\u4ecb\u304c\u56de\u3063\u3066\u304d\u305f\u3002<\/p>\n\n\n\n

\u3053\u306e\u6b6f\u3092\u4ee5\u4e0a\u306e\u3088\u3046\u306a\u80cc\u666f\u304c\u3042\u308b\u304c\u6b8b\u305b\u306a\u3044\u304b\uff1f\u6cbb\u7642\u304c\u3067\u304d\u306a\u3044\u306e\u304b\uff1f\u3068\u3044\u3046\u4f9d\u983c\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

#30\u3092\u691c\u67fb\u3059\u308b\u3068\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u7d50\u679c\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

Cold N\/A, Perc.(+), Palp.(+\u7279\u306bD\u6839\u6839\u5c16\u90e8\uff09, BT(+), Perio probe(WNL), Mobility(WNL)<\/p>\n\n\n\n

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

\u3053\u306e\u6b6f\u79d1\u533b\u9662\u3067\u306f\u5f53\u66421\u679a\u3057\u304bPA\u3092\u64ae\u5f71\u3057\u3066\u3044\u306a\u304b\u3063\u305f\u306e\u3067\u3053\u308c\u304c\u8853\u524d\u306e\u60c5\u5831\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

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

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

Recommended Tx: Apicoectomy<\/p>\n\n\n\n

\u6839\u7ba1\u6cbb\u7642\u3001\u518d\u6839\u7ba1\u6cbb\u7642\u3092\u3059\u3067\u306b\u884c\u306a\u3063\u3066\u3044\u308b\u306e\u3067\u884c\u3046\u3079\u304d\u6cbb\u7642\u306fApicoectomy\uff08\u6b6f\u6839\u7aef\u5207\u9664\u8853\uff09\u306e\u307f\u3068\u306a\u308b\u3002<\/p>\n\n\n\n

\u304c\u3001\u3053\u3053\u304c\u6700\u5927\u306e\u65e5\u672c\u306e\u554f\u984c\u3060\u3002<\/p>\n\n\n\n

\u6b6f\u6839\u7aef\u5207\u9664\u8853\u3092\u81ea\u5206\u3067\u3067\u304d\u308c\u3070\u3044\u3044\u304c\u3001\u901a\u5e38\u306f\u3067\u304d\u306a\u3044\u3002<\/p>\n\n\n\n

\u3060\u304b\u3089\u3069\u3046\u3059\u308b\u304b\uff1f<\/p>\n\n\n\n

\u518d\u5ea6\u3001\u4ffa\u306f\u4eca\u307e\u3067\u306e\u3084\u3064\u3089\u3068\u9055\u3046\u304b\u3089\uff01\u3068\u518d\u3005\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u3046\u306e\u3067\u3042\u308b\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u305d\u3046\u3044\u3046\u8981\u6c42\u3082\u60a3\u8005\u304b\u3089\u3042\u3063\u305f\u304c\u3001\u79c1\u306f\u6700\u65e9\u305d\u308c\u306f\u610f\u5473\u304c\u306a\u3044\u3068\u8aac\u660e\u3057\u305f\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u7406\u7531\u306f\u3001\u3059\u3067\u306b\u3053\u306e\u5148\u751f\u304c<\/p>\n\n\n\n

\u2460\u8853\u524d\u306e#30\u306e\u6839\u5145\u6642\u306e\u4f5c\u696d\u9577\u304cApex\u304b\u3089\u304b\u306a\u308a\u96e2\u308c\u3066\u3044\u308b<\/strong><\/mark><\/h2>\n\n\n\n

\u2461\u6839\u5c16\u90e8\u306e\u62e1\u5927\u53f7\u6570\u304c\u5c0f\u3055\u304f\u3001\u30c6\u30fc\u30d1\u30fc\u304c\u3064\u3044\u305f\u6839\u7ba1\u5f62\u6210\uff08\u5145\u586b\uff09\u3067\u306a\u3044<\/span><\/strong><\/h2>\n\n\n\n

\u2462\u524d\u533b\u304c\u30e9\u30d0\u30fc\u30c0\u30e0\u3057\u3066\u6cbb\u7642\u3057\u3066\u3044\u306a\u3044<\/span><\/strong><\/h2>\n\n\n\n

\u304b\u3089\u518d\u6839\u7ba1\u6cbb\u7642\u3092\u884c\u306a\u3063\u305f\u306e\u3067\u3042\u308a\u3001\u305d\u308c\u306f\u5168\u3066\u518d\u6839\u7ba1\u6cbb\u7642\u3067\u6539\u5584\u3055\u308c\u3066\u3044\u308b\u3068\u3044\u3046\u8aac\u660e\u3092\u884c\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u305d\u308c\u3067\u3082\u7d50\u679c\u304c\u51fa\u306a\u304b\u3063\u305f\u306e\u3060\u3002<\/p>\n\n\n\n

\u305d\u308c\u306f\u306a\u305c\u304b\uff1f\u3068\u3044\u3048\u3070\u3001\u6839\u7ba1\u5f62\u6210\u3067\u304d\u306a\u3044\u90e8\u5206\u306b\u7d30\u83cc\u304c\u307e\u3060\u5927\u91cf\u306b\u6b8b\u5b58\u3057\u3066\u3044\u308b\u304b\u3089\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

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

\u305d\u308c\u3092\u9664\u53bb\uff08\u6e1b\u5c11\uff09\u3055\u305b\u308b\u306b\u306f\u3001\u305d\u306e\u90e8\u5206\u3092\u5207\u65ad\u3057\u7d30\u83cc\u3092\u6e1b\u5c11\u3055\u305b\u3001\u305d\u306e\u72b6\u614b\u3092\u6301\u7d9a\u3055\u305b\u3046\u308b\u74b0\u5883\u3092\u4f5c\u308b\u3057\u304b\u306a\u3044\u3068\u3044\u3046\u8aac\u660e\u3092\u3057\u3066\u3044\u308b\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u60a3\u8005\u3055\u3093\u306f\u6e0b\u3005\u7d0d\u5f97<\/span><\/strong>\u3057\u3001\u5916\u79d1\u6cbb\u7642\u3078\u3068\u79fb\u884c\u3057\u305f\u3002<\/p>\n\n\n\n

\u4ee5\u4e0b\u304c\u6b6f\u6839\u7aef\u5207\u9664\u3001\u9006\u6839\u7ba1\u5f62\u6210\u3001\u9006\u6839\u7ba1\u5145\u586b\u3057\u305f\u5f8c\u306ePA\u3067\u3042\u308b\u3002\uff082017.4.5\uff09<\/p>\n\n\n\n

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

\u3055\u3066\u3001\u3053\u306e\u5f8c\u3053\u306e\u60a3\u8005\u3055\u3093\u304b\u3089\u306f\u3053\u306e\u6b6f\u79d1\u533b\u9662\u306b<\/p>\n\n\n\n

\u201d\u75db\u307f\u304c\u5909\u308f\u3089\u306d\u3048\u3058\u3083\u306a\u3044\u304b\u3001\u3053\u306e\u91ce\u90ce\uff01\u201d\u3068\u3044\u3046\u6012\u308a\u306e\u3084\u308a\u3068\u308a\u304c\u3042\u3063\u305f\u3057\u3001<\/span><\/strong><\/h2>\n\n\n\n

\u305d\u306e\u6b6f\u79d1\u533b\u9662\u306e\u9662\u9577\u3082\u304a\u91d1\u3092\u8fd4\u91d1\u3057\u307e\u3057\u3087\u3046\u304b\u3001\u3068\u79c1\u306b\u63d0\u6848\u3057\u3066\u304d\u305f\u304c\u79c1\u306f\u3053\u308c\u3092\u65ad\u56fa\u62d2\u5426\u3057\u305f\u3002<\/p>\n\n\n\n

\u305d\u3046\u3044\u3046\u4e8b\u4f8b\u3092\u4f5c\u308c\u3070\u3001\u307e\u305f\u540c\u3058\u3053\u3068\u3092\u3057\u3066\u3057\u307e\u3046\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/p>\n\n\n\n

\u6b21\u306b\u307e\u305f\u3053\u3046\u3044\u3046\u554f\u984c\u304c\u8d77\u304d\u305f\u3089\u3042\u306a\u305f\u306f\u304a\u91d1\u3067\u89e3\u6c7a\u3059\u308b\u306e\u304b\uff1f\u3068\u3044\u3046\u8a71\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u305d\u306e\u6b6f\u79d1\u533b\u9662\u9662\u9577\u306b\u306f\u305d\u306e\u3053\u3068\u3092\u8aac\u660e\u3057\u3001\u79c1\u304c\u76f4\u63a5\u60a3\u8005\u3068\u8a71\u3059\u304b\u3089\u3068\u8aac\u5f97\u3057\u4e86\u89e3\u3092\u5f97\u3001<\/p>\n\n\n\n

\u79c1\u306f\u60a3\u8005\u3055\u3093\u306b\u76f4\u63a5<\/strong>\u3001<\/span><\/mark><\/h2>\n\n\n\n

\u7d50\u679c\u304c\u51fa\u308b\u307e\u3067\u5c11\u3057\uff08\uff12\u301c\uff13\u30f6\u6708\uff09\u5f85\u3063\u3066\u307b\u3057\u3044\u3001\u75db\u307f\u304c\u51fa\u308b\u3053\u3068\u306f\u8853\u5f8c\u3082\u3088\u304f\u3042\u308b\u304b\u3089<\/span><\/strong><\/h2>\n\n\n\n

\u3068\u4f1d\u3048\u305f\u3002<\/p>\n\n\n\n

\u60a3\u8005\u3055\u3093\u306f\u7d0d\u5f97\u3057\u3001\u3053\u3053\u304b\u30893\u30f6\u6708\u5f85\u3064\u3053\u3068\u3092\u6c7a\u5b9a\u3057\u305f\u3002<\/p>\n\n\n\n

\u8853\u5f8c3\u30f6\u6708\u3002PA\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002(2017.7.25\uff09<\/p>\n\n\n\n

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

\u3053\u306e\u6642\u304b\u3089\u60a3\u8005\u3055\u3093\u306e\u79c1\u306b\u5bfe\u3059\u308b\u614b\u5ea6\u304c\u6fc0\u5909\u3057\u305f\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u3042\u308c\u3060\u3051\u5c45\u4e08\u9ad8\uff1f\u306b\u4e0a\u304b\u3089\u76ee\u7dda\u3067\u79c1\u3092\u898b\u3066\u3044\u305f\u304c\u3001\u305d\u308c\u304c\u3053\u306e\u6642\u304b\u3089\u5909\u308f\u3063\u305f\u306e\u3060\u3002<\/p>\n\n\n\n

\u4e3b\u8a34\u306e\u75db\u307f\u306f\u3053\u306e\u6642\u3059\u3067\u306b\u7121\u304f\u306a\u3063\u3066\u3044\u305f\u306e\u3060\u3002<\/span><\/strong><\/h2>\n\n\n\n

\u4e3b\u8a34\u304c\u6539\u5584\u3055\u308c\u305f\u306e\u3060\u3002<\/p>\n\n\n\n

\u305d\u3057\u3066\u60a3\u8005\u3055\u3093\u306f\u79c1\u306b\u9a5a\u304f\u3079\u304d\u8cea\u554f\u3092\u3057\u3066\u304d\u305f\u3002<\/p>\n\n\n\n

\n\n\n\n

\u201d\u5148\u751f\u3001\u6cbb\u7642\u3057\u3066\u3044\u305f\u3060\u3044\u3066\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\u3002\u3068\u3053\u308d\u3067\u8cea\u554f\u306a\u306e\u3067\u3059\u304c\u3001\u3053\u306e\u6b6f\u306f\u3069\u308c\u304f\u3089\u3044\u6301\u3061\u307e\u3059\u304b\uff1f\u201d<\/p>\n\n\n\n

\u79c1\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u56de\u7b54\u3057\u305f\u3002<\/p>\n\n\n\n

\u201c\u305d\u3046\u3067\u3059\u306d\u2026\u3069\u308c\u304f\u3089\u3044\uff1f\u3068\u3044\u3046\u30c7\u30fc\u30bf\u306f\u3042\u307e\u308a\u306a\u3044\u3067\u3059\u304c\u3001<\/p>\n\n\n\n

\u3053\u306e\u6b6f\u306e\u5965\u306b\u3082\u3046\u4e00\u672c\u6b6f\u304c\u3042\u308c\u3070\u305d\u3053\u3067\u30b9\u30c8\u30c3\u30d7\u304c\u3067\u304d\u308b\u306e\u3067<\/span><\/strong><\/h2>\n\n\n\n

\u7834\u6298\u3059\u308b\u53ef\u80fd\u6027\u304c\u8efd\u6e1b\u3055\u308c\u308b\u3067\u3057\u3087\u3046\u306d\u3002”<\/p>\n\n\n\n

\n\n\n\n

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

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

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