{"id":27979,"date":"2025-01-24T00:00:13","date_gmt":"2025-01-23T15:00:13","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=27979"},"modified":"2025-05-27T23:40:20","modified_gmt":"2025-05-27T14:40:20","slug":"30-re-rct-3","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=27979","title":{"rendered":"Sinus tract\u304c\u3042\u308b\u77f3\u7070\u5316\u304c\u4ea2\u9032\u3057\u305f\u6b6f\u7259\u306e\u518d\u6839\u7ba1\u6cbb\u7642\u301c#31 Re-RCT 1\u56de\u6cd5"},"content":{"rendered":"<p>\u30d0\u30a4\u30c8\u5148\u3067\u306e\u6cbb\u7642\u3002<\/p>\n<p>\u4e3b\u8a34\u306f<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u53f3\u4e0b\u5965\u6b6f\u306e\u9055\u548c\u611f\u304c\u3042\u308a\u3001\u6700\u8fd1\u6b6f\u830e\u3082\u816b\u308c\u3066\u304d\u305f\u2026<\/strong><\/span><\/h1>\n<p>\u3067\u3042\u3063\u305f\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\uff082023.12.20\uff09<\/strong><\/span><\/h1>\n<p>#31 Cold N\/A, <span style=\"color: #ff0000;\"><strong>Perc.(+)<\/strong><\/span>, Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL), <span style=\"color: #ff0000;\"><strong>Sinus tract(+)<\/strong><\/span><\/p>\n<p>#30 Cold+3\/3, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<h1><span style=\"color: #008000;\"><strong>PA\uff082023.12.20\uff09<\/strong><\/span><\/h1>\n<h1><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-27980 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/0933c5e26b84c65a54300bde8c5400ba.jpg\" alt=\"\" width=\"1336\" height=\"1016\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/0933c5e26b84c65a54300bde8c5400ba.jpg 1336w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/0933c5e26b84c65a54300bde8c5400ba-300x228.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/0933c5e26b84c65a54300bde8c5400ba-1024x779.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/0933c5e26b84c65a54300bde8c5400ba-768x584.jpg 768w\" sizes=\"auto, (max-width: 1336px) 100vw, 1336px\" \/><\/h1>\n<p>\u8fd1\u5fc3\u6839\u306b\u6839\u5c16\u75c5\u5909\u304c\u898b\u3048\u308b\u3002<\/p>\n<p>\u305d\u3057\u3066\u3001\u307b\u3068\u3093\u3069\u6839\u7ba1\u5f62\u6210\u306f\u306a\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u518d\u6839\u7ba1\u6cbb\u7642\u306b\u52dd\u6a5f\u306f\u3042\u308b\u3002<\/p>\n<p>\u304c\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>Sinus tract\u306e\u5b58\u5728\u304c\u3069\u3046\u5f71\u97ff\u3059\u308b\u304b\uff1f<\/strong><\/span><\/h1>\n<p>\u3060\u3002<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u6839\u7ba1\u306e\u4e2d\u306f\u30af\u30ea\u30fc\u30f3\u306b\u306a\u3063\u3066\u3082\u6b6f\u6839\u306e\u8868\u9762\u306b\u3064\u3044\u305f\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u306f\u99c6\u9010\u3067\u304d\u306a\u3044\u304b\u3089\u3060\u3002<\/strong><\/span><\/h1>\n<h1><span style=\"color: #008000;\"><strong>CBCT\uff082023.12.20\uff09<\/strong><\/span><\/h1>\n<h2><em><span style=\"color: #008000;\"><strong>MB <\/strong><\/span><\/em><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-27981\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/570bdec42b4b0b7e8624812878196cce-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/570bdec42b4b0b7e8624812878196cce-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/570bdec42b4b0b7e8624812878196cce-150x150.jpg 150w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/570bdec42b4b0b7e8624812878196cce.jpg 344w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-27982\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/1f3d02bd60c533f9fc7882cfc267dadd-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/1f3d02bd60c533f9fc7882cfc267dadd-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/1f3d02bd60c533f9fc7882cfc267dadd-150x150.jpg 150w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/1f3d02bd60c533f9fc7882cfc267dadd.jpg 344w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\u6839\u5207\u3059\u308b\u306b\u306f\u53b3\u3057\u3044\u4f4d\u7f6e\u306b#30\u306eM\u6839\u306eApex\u306f\u3042\u308b\u3002<\/p>\n<p>\u7a7f\u901a\u306f\u5fc5\u9808\u3067\u3042\u308b\u3002<\/p>\n<h2><em><span style=\"color: #008000;\"><strong>ML <\/strong><\/span><\/em><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-27983\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/40e04500dd60d552281dc9b8e695f783-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/40e04500dd60d552281dc9b8e695f783-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/40e04500dd60d552281dc9b8e695f783-150x150.jpg 150w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/40e04500dd60d552281dc9b8e695f783.jpg 344w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-27984\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/f761f076e71c3a356ca228bdb72f430e-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/f761f076e71c3a356ca228bdb72f430e-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/f761f076e71c3a356ca228bdb72f430e-150x150.jpg 150w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/f761f076e71c3a356ca228bdb72f430e.jpg 344w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>ML\u306b\u306f\u6839\u5c16\u75c5\u5909\u3068\u601d\u3057\u304d\u900f\u904e\u50cf\u304c\u305d\u308c\u307b\u3069\u9855\u8457\u3067\u306f\u306a\u3044\u304c\u82e5\u5e72\u898b\u3048\u308b\u3002<\/p>\n<p>\u305d\u3057\u3066\u3001\u751f\u6d3b\u6b6f\u9ac4\u7642\u6cd5\u306e\u8ca0\u306e\u907a\u7523\u304c\u3053\u306e\u6b6f\u7259\u306b\u306f\u767a\u751f\u3057\u3066\u3044\u308b\u3002<\/p>\n<p>\u305d\u3046\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u6839\u7ba1\u306e\u77f3\u7070\u5316<\/strong><\/span><\/h1>\n<p>\u3060\u3002<\/p>\n<p>\u305d\u306e\u6b6f\u306b\u6839\u5c16\u75c5\u5909\u304c\u3067\u304d\u3066\u3044\u308b\u3002<\/p>\n<p>\u305d\u3057\u3066\u3001Sinus tract\u3002<\/p>\n<p>\u3053\u306e\u6b6f\u3092\u6839\u5207\u3059\u308b\u3053\u3068\u306f\u5bb9\u6613\u3067\u3042\u308d\u3046\u304b\uff1f<\/p>\n<p>\u3068\u3044\u3048\u3070\u3001<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-27982\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/1f3d02bd60c533f9fc7882cfc267dadd-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/1f3d02bd60c533f9fc7882cfc267dadd-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/1f3d02bd60c533f9fc7882cfc267dadd-150x150.jpg 150w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/1f3d02bd60c533f9fc7882cfc267dadd.jpg 344w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\u3053\u306eCT\u753b\u50cf\u304c\u8a9e\u3063\u3066\u3044\u308b\u3053\u3068\u306f\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u982c\u5074\u306e\u76ae\u8cea\u9aa8\u306f\u76f8\u5f53\u539a\u3044\u3068\u3044\u3046\u81e8\u5e8a\u7684\u4e8b\u5b9f\u3060\u3002<\/strong><\/span><\/h1>\n<p>\u3067\u304d\u308c\u3070\u3001\u975e\u5916\u79d1\u7684\u306a\u6b6f\u5185\u7642\u6cd5\u3067\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u3057\u305f\u3044\u3002<\/p>\n<p>\u305d\u308c\u304c\u53ef\u80fd\u304b\u3069\u3046\u304b\uff1f\u306f\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u60a3\u8005\u3055\u3093\u306e\u514d\u75ab\u529b\u3068\u3001<\/strong><\/span><\/h1>\n<h1><span style=\"color: #ff0000;\"><strong>\u60a3\u8005\u3055\u3093\u304c\u6301\u3064\u7d30\u83cc\u306e\u6bd2\u6027\u3068\u3001<\/strong><\/span><\/h1>\n<h1><span style=\"color: #ff0000;\"><strong>\u60a3\u8005\u3055\u3093\u306e\u7d30\u83cc\u306b\u5bfe\u3059\u308b\u62b5\u6297\u529b<\/strong><\/span><\/h1>\n<p>\u7b49\u3067\u6c7a\u307e\u308b\u306e\u3067\u795e\u306b\u59d4\u306d\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n<h1><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18928835\/\"><strong>Siqueria 2008 Clinical implications and microbiology of bacterial persistence after treatment procedures<\/strong><\/a><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-25061\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/09\/675650d7604a5d52904fc36aa80c3d9d-1.png\" sizes=\"auto, (max-width: 2880px) 100vw, 2880px\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/09\/675650d7604a5d52904fc36aa80c3d9d-1.png 2880w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/09\/675650d7604a5d52904fc36aa80c3d9d-1-300x188.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/09\/675650d7604a5d52904fc36aa80c3d9d-1-1024x640.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/09\/675650d7604a5d52904fc36aa80c3d9d-1-768x480.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/09\/675650d7604a5d52904fc36aa80c3d9d-1-1536x960.png 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/09\/675650d7604a5d52904fc36aa80c3d9d-1-2048x1280.png 2048w\" alt=\"\" width=\"2880\" height=\"1800\" \/><\/p>\n<p>\u305d\u3057\u3066\u81e8\u5e8a\u5bb6\u306f<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u3067\u304d\u308b\u3053\u3068\u3092\u5168\u3066\u3084\u308b<\/strong><\/span><\/h1>\n<p>\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n<p>\u3042\u306a\u305f\u306f\u305d\u308c\u304c\u4f55\u3060\u304b\uff1f\u308f\u304b\u308a\u307e\u3059\u304b\uff1f\uff1f<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u308f\u304b\u3089\u306a\u3051\u308c\u3070\u3001\u6b6f\u5185\u7642\u6cd5\u3068\u3044\u3046\u540d\u306e\u30ea\u30f3\u30b0\u306b\u306f\u7acb\u3066\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/strong><\/span><\/h1>\n<h1><span style=\"color: #ff0000;\"><strong>\u4e00\u751f\u3001\u6c34\u9178\u5316\u30ab\u30eb\u30b7\u30a6\u30e0\u3092\u8abf\u85ac\u3059\u308b\u4eba\u751f\u306b\u884c\u304f\u3057\u304b\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/strong><\/span><\/h1>\n<p>\u304c\u3001\u305d\u308c\u3067\u306f\u4f55\u3082\u8d77\u304d\u306a\u3044\u3053\u3068\u306f\u904e\u53bb\u304b\u3089\u69d8\u3005\u306a\u81e8\u5e8a\u5bb6\u304c\u8a3c\u660e\u3057\u3066\u3044\u308b\u3051\u308c\u3069\u3082\u3002<\/p>\n<h2><em><span style=\"color: #008000;\"><strong>D<\/strong><\/span><\/em><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-27985\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/b64960c9ce2dcccfca7394e21a66848e-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/b64960c9ce2dcccfca7394e21a66848e-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/b64960c9ce2dcccfca7394e21a66848e-150x150.jpg 150w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/b64960c9ce2dcccfca7394e21a66848e.jpg 344w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-27986\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/48ac42745f9bf0f77be96896f003d4fa-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/48ac42745f9bf0f77be96896f003d4fa-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/48ac42745f9bf0f77be96896f003d4fa-150x150.jpg 150w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/48ac42745f9bf0f77be96896f003d4fa.jpg 344w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\u9060\u5fc3\u6839\u306b\u306f\u307b\u307c\u75c5\u5909\u306f\u306a\u3044\u3088\u3046\u3060\u3002<\/p>\n<p>\u3053\u3053\u306f\u3001\u518d\u6839\u7ba1\u5f62\u6210\u306e\u307f\u3067\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u3067\u304d\u305d\u3046\u3067\u3042\u308b\u3002<\/p>\n<p>\u3053\u3053\u304c\u5916\u79d1\u306b\u306a\u308b\u3068\u2026<\/p>\n<p>\u982d\u304c\u304b\u306a\u308a\u75db\u3080\u3053\u3068\u3060\u3051\u306f\u9593\u9055\u3044\u304c\u306a\u3055\u305d\u3046\u3060\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082023.12.20\uff09<\/strong><\/span><\/h1>\n<p>Pulp Dx: Previously treated<\/p>\n<p>Periapical Dx: Chronic apical abscess<\/p>\n<p>Recommended Tx: Re-RCT<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u5225\u65e5\u306b\u6cbb\u7642\u306f\u884c\u308f\u308c\u305f\u3002<\/p>\n<hr \/>\n<h1><span style=\"color: #008000;\"><strong>#30 Re-RCT\uff082024.3.26\uff09<\/strong><\/span><\/h1>\n<p>\u8853\u5f8c\u306bPA, CBCT\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-27987 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/4858a697e9e36b92113eb056862541c5.jpg\" alt=\"\" width=\"1332\" height=\"1014\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/4858a697e9e36b92113eb056862541c5.jpg 1332w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/4858a697e9e36b92113eb056862541c5-300x228.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/4858a697e9e36b92113eb056862541c5-1024x780.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/4858a697e9e36b92113eb056862541c5-768x585.jpg 768w\" sizes=\"auto, (max-width: 1332px) 100vw, 1332px\" \/><\/p>\n<h2><span style=\"color: #008000;\"><em><strong>Post-op M<\/strong><\/em><\/span><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-27990\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/07d7a871d14b4d5f77f511cd995b9dc8-1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/07d7a871d14b4d5f77f511cd995b9dc8-1-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/07d7a871d14b4d5f77f511cd995b9dc8-1-150x150.jpg 150w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/07d7a871d14b4d5f77f511cd995b9dc8-1.jpg 344w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-27991\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/428df9a7af536b243d1488d845dbe600-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/428df9a7af536b243d1488d845dbe600-300x300.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/428df9a7af536b243d1488d845dbe600-150x150.jpg 150w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2024\/12\/428df9a7af536b243d1488d845dbe600.jpg 344w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" 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