{"id":32463,"date":"2025-08-26T00:00:27","date_gmt":"2025-08-25T15:00:27","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=32463"},"modified":"2025-08-26T11:53:45","modified_gmt":"2025-08-26T02:53:45","slug":"advanced-course-2025-%e7%ac%ac3%e5%9b%9e","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=32463","title":{"rendered":"Advanced Course 2025 \u7b2c3\u56de\u301cLocal Anesthesia for Endodontics"},"content":{"rendered":"<p>8\/24\uff08\u65e5\uff09\u306f\u307e\u3064\u3046\u3089\u6b6f\u79d1\u533b\u9662 \u6b6f\u5185\u7642\u6cd5\u5c02\u9580\u5ba4\u3067\u3001Advanced Course 2025 \u7b2c3\u56de\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32468\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/2255f9f450594c69962871c6f9a3710d-1.png\" alt=\"\" width=\"1280\" height=\"831\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/2255f9f450594c69962871c6f9a3710d-1.png 1280w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/2255f9f450594c69962871c6f9a3710d-1-300x195.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/2255f9f450594c69962871c6f9a3710d-1-1024x665.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/2255f9f450594c69962871c6f9a3710d-1-768x499.png 768w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<p>\u3053\u306e\u65e5\u306e\u30c6\u30fc\u30de\u306f\u9ebb\u9154\u3067\u3042\u308b\u3002<\/p>\n<p>\u73fe\u72b6\u3001\u65e5\u672c\u3067\u4f7f\u7528\u304c\u53ef\u80fd\u306a\u9ebb\u9154\u306f\u4ee5\u4e0b\u3060\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32470\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b749bca2ab383c7649f0184edbddb44d-1.png\" alt=\"\" width=\"1280\" height=\"831\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b749bca2ab383c7649f0184edbddb44d-1.png 1280w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b749bca2ab383c7649f0184edbddb44d-1-300x195.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b749bca2ab383c7649f0184edbddb44d-1-1024x665.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/b749bca2ab383c7649f0184edbddb44d-1-768x499.png 768w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<p>\u6700\u8fd1\u3001GC\u3055\u3093\u306e\u5c3d\u529b\u3067\u65e5\u672c\u3067\u3082\u30bb\u30d7\u30c8\u30ab\u30a4\u30f3\u304c\u4f7f\u7528\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n<p>\u79c1\u304cUSC\u306e\u6642\u4ee3\u306f\u3001Faculty\u306e\u8a31\u53ef\u304c\u51fa\u306a\u3044\u3068\u4f7f\u7528\u304c\u3067\u304d\u306a\u304b\u3063\u305f\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n<p>\u305d\u3046\u3002\u81ea\u7531\u306b\u4f7f\u7528\u3067\u304d\u306a\u304b\u3063\u305f\u306e\u3060\u3002<\/p>\n<p>\u305d\u306e\u7406\u7531\u306f\u4f1d\u9054\u9ebb\u9154\u306b\u3088\u308b\u8853\u5f8c\u306e\u9ebb\u75fa\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b\u304b\u3089\u3060\u3002<\/p>\n<p><a href=\"https:\/\/www.aae.org\/specialty\/wp-content\/uploads\/sites\/2\/2017\/07\/winter09ecfe.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32494\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7d40651cc427fd5e716c553e7bad6123.png\" alt=\"\" width=\"1802\" height=\"2102\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7d40651cc427fd5e716c553e7bad6123.png 1802w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7d40651cc427fd5e716c553e7bad6123-257x300.png 257w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7d40651cc427fd5e716c553e7bad6123-878x1024.png 878w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7d40651cc427fd5e716c553e7bad6123-768x896.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7d40651cc427fd5e716c553e7bad6123-1317x1536.png 1317w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/7d40651cc427fd5e716c553e7bad6123-1756x2048.png 1756w\" sizes=\"auto, (max-width: 1802px) 100vw, 1802px\" \/><\/a><\/p>\n<p>\u306b\u3088\u308c\u3070\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u8a18\u8ff0\u304c\u3042\u308b\u3002<\/p>\n<hr \/>\n<h2><span style=\"color: #0000ff;\"><em><strong>Articaine causes paresthesia and should not be used for nerve blocks.<\/strong><\/em><\/span><\/h2>\n<h2><span style=\"color: #0000ff;\"><em><strong>\u2192Questionable. <\/strong><\/em><\/span><\/h2>\n<p>Two retrospective studies found a higher incidence of paresthesia with articaine and prilocaine (25,26).<\/p>\n<p>However, it was a clinically rare event (14 cases out of 11 million injections).<\/p>\n<p>Pogrel (27) evaluated patients referred with a diagnosis of damage to the inferior alveolar and\/or lingual nerve, which could only have resulted from an inferior alveolar<br \/>\nnerve block.<\/p>\n<p>He found 35% were caused by a lidocaine formulation and 30% were caused by an articaine formulation.<\/p>\n<p>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~<\/p>\n<p>He concluded there was not a disproportionate nerve involvement from articaine.<\/p>\n<p>25. Haas DA, Lennon D. A 21 year retrospective study of reports of paresthesia following local anesthetic administration. J Can Dent Assoc 1995;61:319-20.<\/p>\n<p>26. Miller P, Lennon D. Incidence of local anesthetic-induced neuropathies in Ontario from 1994-1998. J Dent Res 2000;Abstract (3869):627.<\/p>\n<p>27. Pogrel MA. Permanent nerve damage from inferior alveolar nerve blocks \u2013 an update including articaine. Calif Dent J 2007;35:217-3.<\/p>\n<p>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~<\/p>\n<p>\u3053\u308c\u304c\u30bb\u30d7\u30c8\u30ab\u30a4\u30f3\u306e\u6700\u5927\u306e\u554f\u984c\u3060\u3002<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u3060\u304c\u3001\u9ebb\u75fa\u78ba\u7387\u306f1,100\u4e07\u56de\u4f1d\u9054\u9ebb\u9154\u3057\u306614\u56de\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n<p>\u30d7\u30ea\u30ed\u30ab\u30a4\u30f3\u3068\u6bd4\u3079\u3066\u3082\u512a\u4f4d\u5dee\u306f\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3002<\/p>\n<p>\u3067\u306f\u3001\u306a\u305c\u9ebb\u75fa\u306f\u8d77\u3053\u308b\u306e\u3060\u308d\u3046\u304b\uff1f<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32495\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/55c22b709b4c90b6b9545850c399c904.png\" alt=\"\" width=\"1280\" height=\"720\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/55c22b709b4c90b6b9545850c399c904.png 1280w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/55c22b709b4c90b6b9545850c399c904-300x169.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/55c22b709b4c90b6b9545850c399c904-1024x576.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/55c22b709b4c90b6b9545850c399c904-768x432.png 768w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32496\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/05f57059aa12d735715b6dbcbd3f1f9e.png\" alt=\"\" width=\"1280\" height=\"720\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/05f57059aa12d735715b6dbcbd3f1f9e.png 1280w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/05f57059aa12d735715b6dbcbd3f1f9e-300x169.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/05f57059aa12d735715b6dbcbd3f1f9e-1024x576.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/05f57059aa12d735715b6dbcbd3f1f9e-768x432.png 768w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32497\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/650da8b6ba1f5a10568ff09c90929cd1.png\" alt=\"\" width=\"1280\" height=\"720\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/650da8b6ba1f5a10568ff09c90929cd1.png 1280w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/650da8b6ba1f5a10568ff09c90929cd1-300x169.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/650da8b6ba1f5a10568ff09c90929cd1-1024x576.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/650da8b6ba1f5a10568ff09c90929cd1-768x432.png 768w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<p>\u4f1d\u9054\u9ebb\u9154\u3067\u9ebb\u75fa\u304c\u8d77\u3053\u308b\u6a5f\u5e8f\u306f\u4e0d\u660e\u3067\u3042\u308b\u3002<\/p>\n<p>\u3082\u3057\u3001\u9ebb\u75fa\u304c\u51fa\u308c\u3070\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u5bfe\u5fdc\u304c\u5fc5\u8981\u3060\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32511\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8e15e7f0398a7216d0e2d183cae4e32f.jpg\" alt=\"\" width=\"854\" height=\"1332\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8e15e7f0398a7216d0e2d183cae4e32f.jpg 854w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8e15e7f0398a7216d0e2d183cae4e32f-192x300.jpg 192w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8e15e7f0398a7216d0e2d183cae4e32f-657x1024.jpg 657w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/8e15e7f0398a7216d0e2d183cae4e32f-768x1198.jpg 768w\" sizes=\"auto, (max-width: 854px) 100vw, 854px\" 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loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32498\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/bf4ff2e8e084de13bf473821411dad79.png\" alt=\"\" width=\"1280\" height=\"720\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/bf4ff2e8e084de13bf473821411dad79.png 1280w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/bf4ff2e8e084de13bf473821411dad79-300x169.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/bf4ff2e8e084de13bf473821411dad79-1024x576.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/bf4ff2e8e084de13bf473821411dad79-768x432.png 768w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" 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https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/4e4da551ac4ab74be688deb1fa05fec6-768x432.png 768w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<p>\u305d\u3046\u3002<\/p>\n<p>\u3053\u306e\u3053\u3068\u304b\u3089\u308f\u304b\u308b\u3053\u3068\u306f\u6b6f\u79d1\u533b\u7642\u3068\u306f\u305d\u3046\u3057\u305f\u30ea\u30b9\u30af\u304c\u6cbb\u7642\u306b\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n<p>\u305d\u308c\u3092\u3042\u306a\u305f\u306f\u7406\u89e3\u3057\u3066\u3044\u307e\u3059\u304b\uff1f<\/p>\n<p>\u3055\u3066\u3001\u3053\u306e\u65e5\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u5b9f\u7fd2\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32500\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/f3a72133c53b63b0846a3f97f52bdae8-1.png\" alt=\"\" width=\"1024\" height=\"800\" 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allow=\"clipboard-write\"><\/iframe><\/div><\/figure>\n<p>\u3053\u306e\u5b9f\u7fd2\u306b\u306f\u30b9\u30ab\u30eb\u306e\u5b58\u5728\u304c\u5fc5\u9808\u3060\u3002<\/p>\n<p><a href=\"https:\/\/www.amazon.com\/Evotech-Classic-Height-Medical-Quality\/dp\/B08MXSQQSD\/ref=sr_1_47?crid=GSUGRIDFJ7QT&amp;dib=eyJ2IjoiMSJ9.aWvnn4C338OPExuU-MurY8hjX-FC6y_GLeRWIVGq_vCXFCEJEveW64pljRd0JNbqBEU6SxBMKaddnA1du4BLuMzGrn4opo13M0a7GX7EwzXUASbRgTuSWVVIrnZpobsAYK3GPYMCXOZ_dd4KklCxSBU6LW696PYO5TRrDckCRFk2vg6kmMFHDu5Ievy3nfIUc6Q-mvuSXVQ2G8KGVoBKgLU7dQXW_6I1AJyrl98eRDPL_3qB-Lkh4-rw6uRFN6jLVNh6YD4Rn4SSqx2QrMA3XImTVJJ_4pA9S-cZo6v92q8.yvS_SLybIOG3cCHXt3TQBXv-Du87u2BPVQsqBecgrfc&amp;dib_tag=se&amp;keywords=skull&amp;qid=1756174022&amp;sprefix=skul%2Caps%2C407&amp;sr=8-47\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-32569\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/08\/ed748604e81d61202b1dbfacc796cc6c.png\" alt=\"\" width=\"1576\" height=\"1518\" 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class=\"wp-block-videopress-video wp-block-jetpack-videopress jetpack-videopress-player\"><div class=\"jetpack-videopress-player__wrapper\"><iframe title=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" aria-label=\"VideoPress \u52d5\u753b\u30d7\u30ec\u30fc\u30e4\u30fc\" src=\"https:\/\/videopress.com\/embed\/cyPYObPN?at=0&#038;controls=1&#038;preloadContent=metadata\" width=\"640\"height=\"360\" frameborder=\"0\" allowfullscreen data-resize-to-parent=\"true\" 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