{"id":4459,"date":"2021-11-12T00:00:00","date_gmt":"2021-11-11T15:00:00","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=4459"},"modified":"2021-11-11T21:10:00","modified_gmt":"2021-11-11T12:10:00","slug":"rct%e3%82%88%e3%82%8a5%e5%b9%b4%e7%b5%8c%e9%81%8e%e3%80%9c14-rct-5%e5%b9%b4%e7%b5%8c%e9%81%8e%e7%97%87%e4%be%8b","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=4459","title":{"rendered":"RCT\u3088\u308a5\u5e74\u7d4c\u904e\u301c#14 RCT 5\u5e74\u7d4c\u904e\u75c7\u4f8b"},"content":{"rendered":"\n<p>5\u5e74\u524d\u3001\u79c1\u306f\u30a2\u30e1\u30ea\u30ab\u304b\u3089\u5e30\u56fd\u3057\u798f\u5ca1\u5e02\u5185\u306e\u50fb\u5730\u3067\u6b6f\u79d1\u533b\u9662\u3092\u7d4c\u55b6\u3057\u3066\u3044\u305f\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><span class=\"has-inline-color has-vivid-red-color\">\u305d\u306e\u5f8c\u3001\u5929\u795e\u306e\u8239\u8d8a\u5148\u751f\u304b\u3089\u9177\u8a55\u3055\u308c\u305f\u5834\u6240\u3060\u3002<\/span><\/strong><\/h2>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><span class=\"has-inline-color has-vivid-red-color\">\u4e5d\u5dde\u3067\u958b\u696d\u3057\u3066\u3044\u308b\u6b6f\u79d1\u533b\u5e2b\u306f\u535a\u591a\u304b\u5929\u795e\u306b\u3057\u304b\u60a3\u8005\u306f\u7d39\u4ecb\u3057\u306a\u3044\u3068\u8a00\u308f\u308c\u305f\u3001\u96e8\u304c\u964d\u308b\u3068\u5168\u304f\u30bf\u30af\u30b7\u30fc\u306e\u6355\u307e\u3089\u306a\u3044\u3001\u66f0\u304f\u4ed8\u304d\u306e\u5834\u6240\u3060\u3002<\/span><\/strong><\/h2>\n\n\n\n<p>\u601d\u3044\u51fa\u3059\u306e\u3082\u5fc3\u304c\u75db\u3044\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"764\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/9b4180b7cf9bc5b30e198e1f11a023f2-1024x764.png\" alt=\"\" class=\"wp-image-4460\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/9b4180b7cf9bc5b30e198e1f11a023f2-1024x764.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/9b4180b7cf9bc5b30e198e1f11a023f2-300x224.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/9b4180b7cf9bc5b30e198e1f11a023f2-768x573.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/9b4180b7cf9bc5b30e198e1f11a023f2.png 1061w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"765\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/842489366a0350feb7d772a9fb68b00d-1024x765.png\" alt=\"\" class=\"wp-image-4461\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/842489366a0350feb7d772a9fb68b00d-1024x765.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/842489366a0350feb7d772a9fb68b00d-300x224.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/842489366a0350feb7d772a9fb68b00d-768x574.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/842489366a0350feb7d772a9fb68b00d.png 1100w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"873\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/36a35a712fd1e30f62da777b6cb1a7ea.png\" alt=\"\" class=\"wp-image-4462\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/36a35a712fd1e30f62da777b6cb1a7ea.png 650w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/36a35a712fd1e30f62da777b6cb1a7ea-223x300.png 223w\" sizes=\"auto, (max-width: 650px) 100vw, 650px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"653\" height=\"876\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/90430add33a4d54a004940a6e60dca17.png\" alt=\"\" class=\"wp-image-4463\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/90430add33a4d54a004940a6e60dca17.png 653w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/90430add33a4d54a004940a6e60dca17-224x300.png 224w\" sizes=\"auto, (max-width: 653px) 100vw, 653px\" \/><\/figure>\n\n\n\n<p>\u3053\u306e\u5730\u306b\u3044\u3044\u601d\u3044\u51fa\u306f\u306a\u3044\u3002<\/p>\n\n\n\n<p>\u6b6f\u79d1\u533b\u9662\u306e\u5468\u308a\u306f\u30b7\u30b1\u30e2\u30af\u3060\u3089\u3051\u3002<\/p>\n\n\n\n<p>\u7247\u4ed8\u3051\u3066\u3082\u7247\u4ed8\u3051\u3066\u3082\u30bf\u30d0\u30b3\u3092\u6368\u3066\u3089\u308c\u308b\u3002<\/p>\n\n\n\n<p>\u79c1\u304c\u305d\u306e\u3053\u3068\u3092excuse\u3059\u308b\u3068\u3001<\/p>\n\n\n\n<p>\u65b0\u898f\u3067\u7acb\u3061\u5165\u308a\u691c\u67fb\u306b\u6765\u305f\u67d0\u533a\u306e\u8077\u54e1\u304c\u3001<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><span class=\"has-inline-color has-vivid-red-color\">\u3042\u3042\u5927\u4e08\u592b\u3067\u3059\u3088\u3002\u3053\u3053\u306e\u4eba\u305f\u3061\u306f\u6c11\u5ea6\u304c\u4f4e\u3044\u3093\u3067\u3002<\/span><\/strong><\/p><\/blockquote>\n\n\n\n<p>\u3068\u9177\u8a55\u3057\u305f\u5834\u6240\u3060\u3002<\/p>\n\n\n\n<p>\u305d\u3093\u306a\u3072\u3069\u3044\u74b0\u5883\u306e\u4e2d\u3001\u79c1\u3092\u6c42\u3081\u3066\u6765\u3066\u304f\u308c\u305f\u540c\u696d\u8005\u304c\u3044\u305f\u3002<\/p>\n\n\n\n<p>\u4eca\u65e5\u306f\u305d\u306e\u8a71\u3092\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p>\u521d\u8a3a\u306f2017.1.28\u3002<\/p>\n\n\n\n<p>\u79c1\u304c\u65e2\u306b\u535a\u591a\u3078\u306e\u79fb\u8ee2\u3092\u5b9f\u884c\u3057\u3088\u3046\u3068\u3057\u3066\u3044\u305f\u6642\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<p>\u4e3b\u8a34\u306f<\/p>\n\n\n\n<p>#14\u306e\u54ac\u5408\u75db\u30fb\u6253\u8a3a\u75db\u304c\u6cbb\u3089\u306a\u3044<\/p>\n\n\n\n<p>\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n<p>\u77e5\u308a\u5408\u3044\u306e\u6b6f\u79d1\u533b\u5e2b\u306e\u5148\u751f\u306e\u5965\u3055\u3093\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<p>RCT\u3092\u884c\u3063\u305f\u304c\u3001\u305d\u306e\u6cbb\u7642\u7d99\u7d9a\u3092\u79c1\u306b\u4f9d\u983c\u3055\u308c\u305f\u3002<\/p>\n\n\n\n<p>\u6cbb\u7642\u3092\u884c\u3046\u3068\u75db\u307f\u304c\u767a\u751f\u3059\u308b\u3068\u3044\u3046\u3002<\/p>\n\n\n\n<p>\u7121\u9ebb\u9154\u3067\u6cbb\u7642\u3057\u3066\uff088\u56de\u6839\u7ba1\u6cbb\u7642\u3057\u305f\uff09\u3001\u305d\u306e\u5f8clingering pain\u304c\u767a\u751f\u3059\u308b\u3068\u8a00\u3046\u3002<\/p>\n\n\n\n<p>\u305d\u308c\u304c2016\u5e74\u306e\u590f\u306b\u672c\u683c\u7684\u306b\u75db\u307f\u306b\u5909\u308f\u3063\u305f\u305d\u3046\u3060\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u5f8c\u3001Sinus tract\u3082\u767a\u751f\u3057\u305f\u3068\u8a00\u3046\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u306f\u6b63\u76f4\u3084\u308a\u306b\u304f\u3044\u3002<\/p>\n\n\n\n<p>\u4e0b\u624b\u3059\u308b\u3068\u5916\u79d1\u6848\u4ef6\u3060\u3002<\/p>\n\n\n\n<p>\u304c\u3001\u3044\u305f\u3060\u3044\u305f\u4ed5\u4e8b\u3060\u3002\u5168\u529b\u3092\u5c3d\u304f\u305d\u3046\u3068\u8a00\u3046\u3053\u3068\u3067\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n\n\n\n<p>#13 Cold+2\/1, Perc.(-), Palp.(-), BT(-), Perio probe(WNL), Mobility(WNL)<\/p>\n\n\n\n<p>#14 Cold N\/A, <strong><span class=\"has-inline-color has-vivid-red-color\">Perc.(+), Palp.(+), BT(+)<\/span><\/strong>, Perio probe(WNL), Mobility(WNL)<\/p>\n\n\n\n<p>#15 Cold+1\/1, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n\n\n\n<p>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u3067\u4e3b\u8a34\u304c\u518d\u73fe\u3067\u304d\u305f\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u306f\u6cbb\u7642\u3067\u3046\u307e\u304f\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002<\/p>\n\n\n\n<p>Pain level\u306f7\/10\u3002<\/p>\n\n\n\n<p>\u54ac\u5408\u3059\u308b\u3068\u75db\u304f\u3001\u958b\u3051\u308b\u3068\u75db\u307f\u304c\u306a\u304f\u306a\u308b\u3068\u8a00\u3046\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u3060\u3051\u805e\u304f\u3068\u7834\u6298\u3092\u7591\u3046\u6848\u4ef6\u3060\u3002<\/p>\n\n\n\n<p>PA\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"616\" height=\"472\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/12.jpg\" alt=\"\" class=\"wp-image-4465\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/12.jpg 616w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/12-300x230.jpg 300w\" sizes=\"auto, (max-width: 616px) 100vw, 616px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"616\" height=\"470\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/11.jpg\" alt=\"\" class=\"wp-image-4464\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/11.jpg 616w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/11-300x229.jpg 300w\" sizes=\"auto, (max-width: 616px) 100vw, 616px\" \/><\/figure>\n\n\n\n<p>CBCT\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002\uff08\u7d39\u4ecb\u5143\u3067\u306e\u6cbb\u7642\u524d\u306eCBCT\uff09<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"341\" height=\"401\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/88164a23ab9bcecccc9ad45fef624c39.png\" alt=\"\" class=\"wp-image-4466\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/88164a23ab9bcecccc9ad45fef624c39.png 341w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/88164a23ab9bcecccc9ad45fef624c39-255x300.png 255w\" sizes=\"auto, (max-width: 341px) 100vw, 341px\" \/><\/figure>\n\n\n\n<p>\u9060\u5fc3\u6839\u306b\u6839\u5c16\u75c5\u5909\u304c\u898b\u3048\u308b\u3002<\/p>\n\n\n\n<p>\u5225\u306e\u753b\u50cf\u3060\u3068\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"286\" height=\"393\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/66ba6ad3d6885f27aa83af0cd4797131.png\" alt=\"\" class=\"wp-image-4467\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/66ba6ad3d6885f27aa83af0cd4797131.png 286w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/66ba6ad3d6885f27aa83af0cd4797131-218x300.png 218w\" sizes=\"auto, (max-width: 286px) 100vw, 286px\" \/><\/figure>\n\n\n\n<p>\u6cbb\u7642\u958b\u59cb\u6642\u306b\u65e2\u306b\u982c\u5074\u306e\u6b6f\u69fd\u9aa8\u306f\u7a7f\u5b54\u3057\u3066\u3044\u305f\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u304c\u3069\u308c\u3060\u3051\u6cbb\u7652\u3057\u3066\u3044\u304f\u3060\u308d\u3046\u304b\uff1f<\/p>\n\n\n\n<p>\u304c\u3001\u4f9d\u983c\u3055\u308c\u305f\u4ed5\u4e8b\u3067\u6cbb\u7642\u3082\u9014\u4e2d\u3067\u7d42\u4e86\u3057\u3066\u3044\u308b\u4ee5\u4e0a\u79c1\u304c\u30d0\u30c8\u30f3\u3092\u53d7\u3051\u7d99\u3050\u3057\u304b\u306a\u3044\u3002<\/p>\n\n\n\n<p>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n\n\n\n<p>#14<\/p>\n\n\n\n<p>Pulp Dx: Previously initiated therapy<\/p>\n\n\n\n<p>Periapical Dx: Symptomatic apical periodontitis<\/p>\n\n\n\n<p>Recommended Tx: RCT+Core build up<\/p>\n\n\n\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002(2017.1.28)<\/p>\n\n\n\n<p>\u6cbb\u7642\u306e\u5185\u5bb9\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u6642\u4ee3\u306fUSC\u304b\u3089\u5e30\u56fd\u3057\u3066\u9593\u3082\u306a\u3044\u9803\u3067ProTaper Gold\u3092\u611b\u7528\u3057\u3066\u3044\u305f\u6642\u4ee3\u3060\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"452\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/14ba925f73ded154fe20b2a554e8784f-1024x452.png\" alt=\"\" class=\"wp-image-4468\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/14ba925f73ded154fe20b2a554e8784f-1024x452.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/14ba925f73ded154fe20b2a554e8784f-300x132.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/14ba925f73ded154fe20b2a554e8784f-768x339.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/14ba925f73ded154fe20b2a554e8784f-1536x678.png 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/14ba925f73ded154fe20b2a554e8784f.png 1808w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>\u6839\u5c16\u75c5\u5909\u304c\u3042\u308bDB\u306f\u65e2\u306bK20\u3067\u7a7f\u901a\u3059\u308b\u3068\u3044\u3046\u72b6\u6cc1\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n<p>\u30dd\u30a4\u30f3\u30c8\u8a66\u9069\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"620\" height=\"470\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/13.jpg\" alt=\"\" class=\"wp-image-4469\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/13.jpg 620w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/13-300x227.jpg 300w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><\/figure>\n\n\n\n<p>\u6839\u7ba1\u5145\u586b\u3057\u3001\u652f\u53f0\u7bc9\u9020\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"624\" height=\"470\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/14.jpg\" alt=\"\" class=\"wp-image-4470\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/14.jpg 624w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/14-300x226.jpg 300w\" sizes=\"auto, (max-width: 624px) 100vw, 624px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"620\" height=\"470\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2021\/11\/16.jpg\" alt=\"\" class=\"wp-image-4471\" 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