{"id":4201,"date":"2021-10-19T00:00:00","date_gmt":"2021-10-18T15:00:00","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=4201"},"modified":"2021-10-18T02:56:01","modified_gmt":"2021-10-17T17:56:01","slug":"30-hot-toothpulp-necrosis-symptomatic-apical-periodontitis%e3%81%aerctcore-build-up","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=4201","title":{"rendered":"#30 Hot Tooth(Pulp Necrosis, Symptomatic Apical Periodontitis)\u306eRCT+Core build up"},"content":{"rendered":"\n

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

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

\u4e3b\u8a34\u306f\u53f3\u4e0b\u5965\u6b6f\u306e\u75db\u307f\u3002<\/p>\n\n\n\n

\u51b7\u305f\u3044\u3082\u306e\u306f\u4e00\u5207\u98df\u3079\u308c\u306a\u3044\u305d\u3046\u3060\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u53f3\u4e0b\u306e\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u3068PA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n\n\n\n

\n\n\n\n

#29 Cold+3\/2, Perc.(-), Palp.(-), BT(-), Perio Pocket(WNL), Mobility(ML3, L 4, \u305d\u306e\u4ed6\u306e\u90e8\u4f4d\u306f\u4e0d\u9069\u5408\u4fee\u5fa9\u7269\u304c\u88c5\u7740\u3055\u308c\u3066\u304a\u308a\u6e2c\u5b9a\u3067\u304d\u305a\u3002)<\/p>\n\n\n\n

#30 Cold N\/A, Perc.(++)<\/span><\/strong>, Palp.(-), BT(+)<\/span><\/strong>, Perio Pocket(WNL), Mobility(MB3, \u305d\u306e\u4ed6\u306e\u90e8\u4f4d\u306f\u6b6f\u981a\u90e8\u306bCR\u304c\u5145\u586b\u3055\u308c\u3066\u304a\u308a\u305d\u308c\u304c\u90aa\u9b54\u3067\u6b63\u3057\u3044\u6e2c\u5b9a\u3067\u304d\u305a\u3002)<\/p>\n\n\n\n

#31 Cold+5\/4, Perc.(-), Palp.(-), BT(-), Perio Pocket(WNL), Mobility(DB, ML 4mm\u305d\u306e\u4ed6\u306e\u90e8\u4f4d\u306fWNL)<\/p>\n\n\n\n

\n\n\n\n

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

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

\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

#30 Pulp Dx: Pulp Necrosis, Periapical Dx: Symptomatic Apical Periodontitis<\/p>\n\n\n\n

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

\u3068\u3044\u3046\u3053\u3068\u3067\u305d\u306e\u65e5(2021.10.16)\u306b\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u306e\u3060\u304c\u2026<\/p>\n\n\n\n

\u9ebb\u9154\u304c\u5168\u304f\u52b9\u304b\u306a\u304b\u3063\u305f\u2026<\/span><\/strong><\/h2>\n\n\n\n

\u79c1\u304c\u3053\u306e\u65e5\u306b\u3057\u305f\u9ebb\u9154\u306e\u5de5\u7a0b\u8868\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

  1. IANB with 1:100,000 Epi Xylocaine+Long Buccal Injection 1CT<\/li>
  2. Intra-ligamentary Injection\u00d72\u56de<\/li>
  3. Intra-Osseous Injection\u00d72\u56de<\/li><\/ol>\n\n\n\n

    \u304c\u3001\u9ebb\u9154\u304c\u52b9\u304b\u306a\u304b\u3063\u305f\u2026<\/p>\n\n\n\n

    \u3068\u8a00\u3046\u3053\u3068\u3067\u79c1\u306f\u60a3\u8005\u3055\u3093\u306b\u4e88\u5b9a\u3092\u5909\u66f4\u3057\u3066\u30ea\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3059\u308b\u3053\u3068\u3092\u6c7a\u3081\u305f\u3002<\/p>\n\n\n\n

    \u305d\u308c\u307e\u3067\u306f\u3001NSAIDS\u3092\u5185\u670d\u3057\u3066\u3082\u3089\u3044\u3001\u6cbb\u7642\u306b\u5411\u304b\u30461\u6642\u9593\u524d\u306b\u30ed\u30ad\u30bd\u30cb\u30f3\uff0b\u30ab\u30ed\u30ca\u30fc\u30eb\u3092\u670d\u7528\u3057\u3066\u3082\u3089\u3046\u3088\u3046\u306b\u6307\u793a\u3057\u305f\u3002<\/span><\/strong><\/h2>\n\n\n\n

    \u3068\u8a00\u3046\u3053\u3068\u3067\u3001\u5225\u65e5\u306b\u30ea\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3055\u308c\u305f\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u306e\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

    2021.10.17\uff08\u30ea\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u65e5\uff09<\/p>\n\n\n\n

    \u3053\u306e\u65e5\u306f\u9ebb\u9154\u3092\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u5de5\u7a0b\u3067\u884c\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

    1. IANB+Long Buccal<\/li>
    2. Intra-ligamentary<\/li>
    3. Cold test<\/li>
    4. \u5fc5\u8981\u3067\u3042\u308c\u3070Intra-ligamentary\u3092\u518d\u5ea6\u884c\u3046<\/li><\/ol>\n\n\n\n

      \u3068\u3044\u3046\u3053\u3068\u3067\u3001\u79c1\u306f\u4eca\u65e5\u306f\u4f1d\u9054\u9ebb\u9154\u3057\u306630\u5206\u6642\u9593\u3092\u7f6e\u3044\u3066\u307f\u305f\u3002<\/p>\n\n\n\n

      \u3059\u308b\u3068\u305d\u308c\u307b\u3069\u3044\u3044\u30ea\u30a2\u30af\u30b7\u30e7\u30f3\uff08\u5507\u306f\u75fa\u308c\u3066\u3044\u308b\u304c\u30d9\u30ed\u306f\u75fa\u308c\u3066\u3044\u306a\u3044\uff09\u3067\u306f\u306a\u304b\u3063\u305f\u305f\u3081\u3053\u306e\u65e5\u3082\u683c\u95d8\u3092\u899a\u609f\u3057\u305f\u304c\u2026<\/p>\n\n\n\n

      Cold test\u306b\u7121\u53cd\u5fdc\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

      \u3068\u306a\u308c\u3070\u6cbb\u7642\u306e\u30c1\u30e3\u30f3\u30b9\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

      \u3082\u306f\u3084\u7336\u4e88\u306f\u306a\u3044\u3002<\/p>\n\n\n\n

      \u4e00\u523b\u3082\u65e9\u304f\u6b6f\u9ac4\u3092\u9664\u53bb\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n\n\n\n

      \u30e9\u30d0\u30fc\u30c0\u30e0\u3092\u304b\u3051\u3066\u5929\u84cb\u3092\u9664\u53bb\u3057\u9732\u9ac4\u3055\u305b\u305f\u3002<\/p>\n\n\n\n

      \u3059\u308b\u3068\u3001ML\u304b\u3089\u306f\u6392\u81bf\u304c\u3042\u308a\u3001MB, D\u304b\u3089\u306f\u5927\u91cf\u51fa\u8840\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

      \u9014\u4e2d\u3001D\u3068MB\u3092\u89e6\u308c\u308b\u3068\u75db\u307f\u3092\u8a34\u3048\u305f\u305f\u3081\u3001\u9ac4\u8154\u5185\u306b\u9ebb\u9154\u3092\u3057\u305f\u304c\u5929\u84cb\u306f\u65e2\u306b\u9664\u53bb\u3057\u3066\u3044\u308b\u2026\u304c\u9ac4\u8154\u5185\u9ebb\u9154\u306f\u3067\u304d\u308b\u3002<\/p>\n\n\n\n

      \u5c11\u3057\u5de5\u592b\u3092\u3057\u3066\u3044\u308b\u306e\u3060\u3002<\/p>\n\n\n\n

      \u3053\u306e\u753b\u50cf\u3092\u898b\u3066\u308f\u304b\u308b\u4eba\u306f\u3001\u308f\u304b\u308b\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

      \u3059\u308b\u3068\u9ebb\u9154\u304c\u6cbb\u7642\u4e2d\u306b\u5207\u308c\u308b\u3053\u3068\u306f\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n

      \u30ed\u30ad\u30bd\u30cb\u30f3\uff0b\u30ab\u30ed\u30ca\u30fc\u30eb\u69d8\u69d8\u3067\u3042\u308b\u3002<\/span><\/strong><\/h2>\n\n\n\n

      \u6628\u65e5\u79c1\u306b\u3064\u3044\u3066\u3044\u305f\u6b6f\u79d1\u885b\u751f\u58eb\u3055\u3093\u3084\u6b6f\u79d1\u533b\u5e2b\u306e\u4eba\u306b\u3053\u306e\u6cbb\u7642\u306e\u69d8\u5b50\u3092\u898b\u305b\u305f\u304b\u3063\u305f\u304c\u2026\u3053\u3046\u8a00\u3046\u65e5\u306b\u306f\u3044\u306a\u3044\u3068\u8a00\u3046\u2026<\/span><\/strong><\/h2>\n\n\n\n

      \u79c1\u3089\u3057\u3044\u304b\u3002<\/p>\n\n\n\n

      \u3068\u8a00\u3046\u3053\u3068\u3067\u3001\u4f5c\u696d\u9577\u306a\u3069\u3092\u8a08\u6e2c\u3057\u305f\u3002<\/p>\n\n\n\n

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

      ML\u306f\u9589\u9396\u3055\u308c\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

      D, MB\u306f\u7a7f\u901a\u3057\u305f\u3002<\/p>\n\n\n\n

      \u305d\u308c\u305e\u308c\u306e\u5de5\u7a0b\u306f\u4e0a\u56f3\u306e\u8868\u3092\u53c2\u8003\u306b\u3057\u3066\u6b32\u3057\u3044\u3002<\/p>\n\n\n\n

      \u30dd\u30a4\u30f3\u30c8\u8a66\u9069\u3057\u305f\u3002<\/p>\n\n\n\n

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

      \u554f\u984c\u306a\u3044\u3068\u5224\u65ad\u3057\u3001\u6839\u7ba1\u5145\u586b\u3057\u652f\u53f0\u7bc9\u9020\u3057\u305f\u3002<\/p>\n\n\n\n

      \u3061\u306a\u307f\u306b\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u53e3\u304c\u307b\u3068\u3093\u3069\u958b\u304b\u306a\u3044\u2026<\/span><\/strong><\/h2>\n\n\n\n

      \u3053\u3046\u3044\u3046\u4eba\u304c\u6700\u8fd1\u3053\u306e\u30d0\u30a4\u30c8\u5148\u306f\u591a\u3044\u6c17\u304c\u3059\u308b\u3002\u3002\u3002<\/p>\n\n\n\n

      \u975e\u5e38\u306b\u6cbb\u7642\u304c\u3084\u308a\u306b\u304f\u304b\u3063\u305f\u3002<\/p>\n\n\n\n

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

      ML\u306f\u3053\u308c\u4ee5\u4e0a\u30d5\u30a1\u30a4\u30eb\u304c\u9032\u307e\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n

      \u504f\u5fc3\u64ae\u5f71\u3092\u3057\u305f\u3002<\/p>\n\n\n\n

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

      \u5408\u6d41\u307e\u3067\u3042\u3068\u5c11\u3057\u3060\u3063\u305f\u304c\u3001\u5408\u6d41\u306f\u3055\u305b\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n

      \u304c\u3001\u305d\u308c\u304c\u6cbb\u7642\u306e\u6210\u529f\u7387\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u304b\uff1f\u306f\u308f\u304b\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

      \u3068\u3044\u3046\u3053\u3068\u3067\u9577\u3044\u683c\u95d8\u304c\u7d42\u4e86\u3057\u305f\u3002<\/p>\n\n\n\n

      \u534a\u5e74\u5f8c\u306b\u7d4c\u904e\u89b3\u5bdf\u3057\u3066\u554f\u984c\u306a\u3051\u308c\u3070\u88dc\u7db4\u6cbb\u7642\u3068\u306a\u308b\u3002<\/p>\n\n\n\n

      \u554f\u984c\u304c\u3042\u308c\u3070\uff1f\u3082\u3061\u308d\u3093\u3001Apicoectomy\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

      \u304c\u3001\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u53e3\u304c\u958b\u304b\u306a\u3044\u3060\u3051\u3067\u306a\u304f\u3001\u53e3\u5507\u304c\u786c\u3044\u2026<\/p>\n\n\n\n

      \u3064\u307e\u308a\u30ea\u30c8\u30e9\u30af\u30c8\u304c\u3057\u306b\u304f\u3044\u60a3\u8005\u3055\u3093\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

      \u3046\u307e\u304f\u3044\u3051\u3070\u4f55\u3082\u306a\u3044\u3060\u308d\u3046\u304c\u3001Sinus tract\u306a\u3069\u304c\u3067\u304d\u308c\u3070Apicoectomy\u3068\u306a\u308b\u3002<\/p>\n\n\n\n

      \u534a\u5e74\u5f8c\u306e\u7d4c\u904e\u89b3\u5bdf\u3067\u518d\u3073\u5831\u544a\u3057\u3088\u3046\u3002<\/p>\n\n\n

      \"\"<\/figure>","protected":false},"excerpt":{"rendered":"

      \u30d0\u30a4\u30c8\u5148\u3067\u306e\u6cbb\u7642\u3002 \u60a3\u8005\u3055\u3093\u306f50\u4ee3\u5973\u6027\u3002 \u4e3b\u8a34\u306f\u53f3\u4e0b\u5965\u6b6f\u306e\u75db\u307f\u3002 \u51b7\u305f\u3044\u3082\u306e\u306f\u4e00\u5207\u98df\u3079\u308c\u306a\u3044\u305d\u3046\u3060\u3002 \u3068\u3044\u3046\u3053\u3068\u3067\u3001\u53f3\u4e0b\u306e\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u3068PA\u3092\u64ae\u5f71\u3057\u305f\u3002 #29 Cold+3\/2, Perc.(-), Palp.( […]<\/p>\n","protected":false},"author":1,"featured_media":4208,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[12,5,3],"tags":[],"class_list":["post-4201","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-initial-root-canal-treatment","category-5","category-3"],"yoast_head":"\n#30 Hot Tooth(Pulp Necrosis, Symptomatic Apical Periodontitis)\u306eRCT+Core build up - \u307e\u3064\u3046\u3089\u6b6f\u79d1\u533b\u9662 \u6b6f\u5185\u7642\u6cd5\u5c02\u9580\u5ba4<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fukuoka-endodontics.com\/?p=4201\" \/>\n<meta property=\"og:locale\" content=\"ja_JP\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"#30 Hot Tooth(Pulp Necrosis, Symptomatic Apical Periodontitis)\u306eRCT+Core build up - \u307e\u3064\u3046\u3089\u6b6f\u79d1\u533b\u9662 \u6b6f\u5185\u7642\u6cd5\u5c02\u9580\u5ba4\" \/>\n<meta property=\"og:description\" content=\"\u30d0\u30a4\u30c8\u5148\u3067\u306e\u6cbb\u7642\u3002 \u60a3\u8005\u3055\u3093\u306f50\u4ee3\u5973\u6027\u3002 \u4e3b\u8a34\u306f\u53f3\u4e0b\u5965\u6b6f\u306e\u75db\u307f\u3002 \u51b7\u305f\u3044\u3082\u306e\u306f\u4e00\u5207\u98df\u3079\u308c\u306a\u3044\u305d\u3046\u3060\u3002 \u3068\u3044\u3046\u3053\u3068\u3067\u3001\u53f3\u4e0b\u306e\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u3068PA\u3092\u64ae\u5f71\u3057\u305f\u3002 #29 Cold+3\/2, Perc.(-), Palp.( […]\" \/>\n<meta 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