{"id":6583,"date":"2022-02-16T00:00:50","date_gmt":"2022-02-15T15:00:50","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=6583"},"modified":"2022-02-15T12:47:16","modified_gmt":"2022-02-15T03:47:16","slug":"akira-matsuura-3","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=6583","title":{"rendered":"Basic Course 2021 \u7b2c11\u56de\u301cVital Pulp Therapy"},"content":{"rendered":"

\u9031\u672b\u306e\u65e5\u66dc\u65e5\u306f\u535a\u591a\u99c5\u8fd1\u90ca\u4f1a\u8b70\u5ba4\u3067Basic Course 2021\u7b2c11\u56de\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n

\u30c6\u30fc\u30de\u306f\u524d\u56de\u3067\u304d\u306a\u304b\u3063\u305f\u751f\u6d3b\u6b6f\u9ac4\u7642\u6cd5\u3002<\/p>\n

\"\"<\/p>\n

GP\u306e\u5148\u751f\u304c\u597d\u304d\u306a\u6cbb\u7642\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n

\u3057\u304b\u3057\u3001\u79c1\u304c\u5927\u5b66\u9662\u306b\u3044\u308b\u3068\u304d\u306f\u307b\u3068\u3093\u3069\u884c\u308f\u306a\u3044\u6cbb\u7642\u3067\u3042\u3063\u305f\u3002<\/p>\n

\u305d\u308c\u306b\u306f\u3044\u304f\u3064\u304b\u7406\u7531\u304c\u3042\u308b\u304c\u3001\u3084\u306f\u308a\u3053\u308c\u306f\u53d7\u3051\u305f\u6559\u80b2\u306e\u9055\u3044\u3068\u8a00\u308f\u3056\u308b\u3092\u5f97\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n

\u79c1\u306e\u6559\u80b2\u306e\u30d0\u30c3\u30af\u30b0\u30e9\u30a6\u30f3\u30c9\u306b\u306a\u3063\u3066\u3044\u308b\u3082\u306e\u306f\u3001Dental Pulp\u3067\u3042\u308b\u3002<\/p>\n

USC\u3067\u82e5\u5e74\u8005\u306e\u6b6f\u9ac4\u3068\u5e74\u9577\u8005\u306b\u6b6f\u9ac4\u306e\u9055\u3044\u306b\u3064\u3044\u3066\u5b66\u3093\u3060\u6a5f\u4f1a\u306f\u3001\u4eca\u8003\u3048\u308b\u3068\u8cb4\u91cd\u306a\u3082\u306e\u3067\u3042\u3063\u305f\u3002<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u67af\u308c\u6728\u306b\u82b1\u306f\u54b2\u304b\u306a\u3044\u3068\u306f\u3088\u304f\u8a00\u3063\u305f\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n

\u305d\u306e\u901a\u308a\u3067\u3042\u308b\u3002<\/p>\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u904e\u5ea6\u306a\u671f\u5f85\u3092\u62b1\u304b\u306a\u3044\u3088\u3046\u306b\u6cbb\u7642\u3057\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u3002<\/p>\n

\u751f\u6d3b\u6b6f\u9ac4\u7642\u6cd5\u3092\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u5206\u985e\u3057\u3001\u8aac\u660e\u3057\u3066\u3044\u3063\u305f\u3002<\/p>\n

\"\"<\/p>\n

1. Indirect Pulp Capping<\/strong><\/span><\/h1>\n

Indirect Pulp Capping\u306e\u9069\u5fdc\u75c7\u3092\u6349\u3048\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n

\u3055\u3082\u306a\u304f\u3070\u3001\u4ee5\u4e0b\u306e\u5c0f\u5150\u306e\u60a3\u8005\u306e\u3088\u3046\u306b\u3072\u3069\u3044\u81ea\u767a\u75db\u3092\u62b1\u3048\u305f\u72b6\u6cc1\u306b\u306a\u308b\u3060\u308d\u3046\u2026<\/p>\n

\u5f53\u6b6f\u79d1\u533b\u9662\u306f\u5b50\u4f9b\u306e\u60a3\u8005\u3082\u591a\u304f\u6765\u308b\u3002<\/strong><\/span><\/h1>\n

\u6b6f\u5185\u7642\u6cd5\u5c02\u9580\u533b\u306f\u5b50\u4f9b\u306e\u6cbb\u7642\u3082\u3059\u308b\u306e\u3067\u3042\u308b\u3002<\/span><\/strong><\/h1>\n

\u5b50\u4f9b\u306f\u898b\u308c\u307e\u305b\u3093\u3001\u3067\u306f\u8a71\u306b\u306a\u3089\u306a\u3044\u3002<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u30ab\u30ea\u30a8\u30b9\u3092\u3069\u306e\u3088\u3046\u306b\u9664\u53bb\u3059\u308b\u304b\uff1f\u306f\u6614\u304b\u3089\u8b70\u8ad6\u304c\u5206\u304b\u308c\u308b\u3068\u3053\u308d\u3067\u3042\u308b\u3002<\/p>\n

\u5168\u3066\u53d6\u308b\u4eba\u3001\u9732\u9ac4\u3057\u306a\u3044\u3088\u3046\u306b\u6b8b\u3059\u4eba\u3001\u5168\u304f\u9664\u53bb\u3082\u3057\u306a\u3044\u4eba\u3002\u69d8\u3005\u3067\u3042\u308b\u3002<\/p>\n

\u305d\u3053\u306b\u7b54\u3048\u306f\u3042\u308b\u306e\u304b\uff1f\u3068\u3044\u3048\u3070\u4f55\u3082\u306a\u3044\u306e\u304c\u5b9f\u60c5\u3067\u3042\u308b\u3002<\/p>\n

\u9375\u306f\u81e8\u5e8a\u75c7\u72b6\u306e\u6709\u7121\u3068\u5e74\u9f62\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n

\u5e74\u9f62\u304c\u82e5\u3044\u3068\u3044\u3046\u306e\u306f\u3042\u3089\u3086\u308b\u610f\u5473\u3067\u6709\u5229\u3067\u3042\u308b\u3002<\/p>\n

\u5e74\u9f62\u306f\u8981check\u4e8b\u9805\u3067\u3042\u308b\u3002<\/p>\n

\u67af\u308c\u6728\u306b\u82b1\u306f\u54b2\u304b\u306a\u3044\u306e\u3067\u3042\u308b\u3002<\/p>\n

\u79d1\u5b66\u3092\u8d85\u3048\u305f\u5e74\u9f62\u3068\u3044\u3046\u30d5\u30a1\u30af\u30bf\u30fc\u304c\u6cbb\u7642\u306e\u4e88\u5f8c\u3092\u5de6\u53f3\u3059\u308b\u306e\u3060\u3002<\/strong><\/span><\/h1>\n

\u79c1\u306e\u8133\u8840\u7ba1\u3092\u898b\u3066\u3044\u308b\u3088\u3046\u3067\u3042\u308b\u30fb\u30fb\u30fb\u3002\u3002\u3002<\/p>\n

\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u75c7\u4f8b\u3067\u691c\u8a0e\u3057\u3066\u307f\u3088\u3046\u3002<\/p>\n

\u6c38\u4e45\u6b6f\u306e\u88c2\u5b54\u304c\u9ed2\u8272\u3057\u3066\u3044\u308b\u5834\u5408\u3001\u3042\u306a\u305f\u306f\u305d\u3053\u306b\u30b7\u30fc\u30e9\u30f3\u30c8\u3059\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u305d\u308c\u304c\u81e8\u5e8a\u306b\u3082\u305f\u3089\u3059\u7d50\u679c\u306f\u4f55\u3067\u3042\u3063\u305f\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u307e\u305f\u866b\u6b6f\u3092\u306e\u3053\u3057\u305f\u307e\u307e\u5145\u586b\u3059\u308b\u3068\u8d77\u3053\u308b\u4e0d\u90fd\u5408\u306f\u4f55\u3067\u3042\u3063\u305f\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u3082\u3046\u4e00\u5ea6\u3001PDF\u3092\u7e70\u308a\u8fd4\u3057\u898b\u3066\u307f\u3088\u3046\u3002<\/p>\n

\"\"<\/p>\n

2. Direct Pulp Capping<\/strong><\/span><\/h1>\n

\u9732\u9ac4\u3057\u305f\u6b6f\u9ac4\u3092\u76f4\u63a5\u85ac\u3067\u7d46\u5275\u818f\u3092\u8cbc\u308b\u884c\u70ba\u304cDirect Pulp Capping\u3067\u3042\u308b\u3002<\/p>\n

\u6700\u5927\u306e\u5f31\u70b9\u306f\u4ee5\u4e0b\u306e\u56f3\u3067\u8868\u3055\u308c\u3066\u3044\u308b\u901a\u308a\u3067\u3042\u308b\u3002<\/p>\n

\"\"<\/p>\n

\u3053\u306e\u56f3\u304c\u610f\u5473\u3059\u308b\u3068\u3053\u308d\u306f\u4f55\u3060\u3063\u305f\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u3042\u306a\u305f\u306f\u76f4\u63a5\u6b6f\u9ac4\u3092\u4fdd\u8b77\u3067\u304d\u308b\u3068\u65ad\u8a00\u3067\u304d\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u307e\u305f\u6b62\u8840\u306f\u3069\u3046\u3084\u3063\u3066\u884c\u3046\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u8ad6\u6587\u3092\u30ec\u30d3\u30e5\u30fc\u3059\u308b\u3068\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n

\u4ee5\u4e0b\u306eLi 2015 Direct Pulp Capping with Calcium Hydroxide or Mineral Trioxide Aggregate: A Meta-analysis<\/a>\u306fClassic literature\u306e\u4e2d\u306b\u5165\u308c\u3089\u308c\u3066\u3044\u308b\u6709\u540d\u306a\u8ad6\u6587\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u4ee5\u4e0a\u306eInclusion Criteria\u306b\u5408\u81f4\u3057\u305f\u8ad6\u6587\u306e\u4e2d\u3067\u3069\u306e\u3088\u3046\u306b\u6b62\u8840\u304c\u884c\u308f\u308c\u3066\u3044\u308b\u304b\uff1f\u30ec\u30d3\u30e5\u30fc\u3057\u3066\u307f\u305f\u3002<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u3059\u308b\u3068\u3001<\/p>\n

\u6ec5\u83cc\u7dbf\u7403+\u751f\u98df\u30fb\u30fb\u30fbAccorinte 2008, Accorinte 2008, Aeinehchi 2003, Iwamoto 2006, Min 2008, Nair 2008, Parolia 2008, Swarup 2014<\/p>\n

\u30d2\u30dd\u30af\u30ed\u30fb\u30fb\u30fbCho 2013, Eskandarizadeh 2011, Hilton 2013<\/p>\n

0.12% CHX\u30fb\u30fb\u30fbMente 2006, Mente 2014<\/p>\n

\u3068\u3044\u3046\u3053\u3068\u3067\u751f\u98df\u3067\u6b62\u8840\u3057\u3066\u3044\u308b\u30b1\u30fc\u30b9\u304c\u5727\u5012\u7684\u306b\u591a\u3044\u306e\u304c\u308f\u304b\u308b\u3002<\/strong><\/span><\/h1>\n

\u306a\u305c\u304b\uff1f\u3068\u8a00\u3048\u3070\u3001\u6b62\u8840\u3067\u304d\u308b\u306e\u3067\u3042\u308c\u3070\u308f\u3056\u308f\u3056\u30d2\u30dd\u30af\u30ed\u306e\u3088\u3046\u306a\u6750\u6599\u3092\u4f7f\u7528\u3059\u308b\u5fc5\u8981\u304c\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n

\u3057\u304b\u3057\u5b9f\u969b\u306f\u3001\u4e16\u754c\u7684\u306b\u3082\u6709\u540d\u306a\u67d0\u6b6f\u5185\u7642\u6cd5\u5c02\u9580\u533b\u306e\u52d5\u753b\u3067\u306e\u6a21\u69d8\u3092\u898b\u3066\u3044\u305f\u3060\u3044\u305f\u3088\u3046\u306b\u3001<\/p>\n

\u6b62\u8840\u3067\u304d\u3066\u3044\u308b\u304b\u3089MTA\u3092\u7f6e\u3044\u305f\u306a\u3069\u3068\u8a00\u3063\u3066\u3082\u307b\u3068\u3093\u3069\u3067\u304d\u3066\u3044\u306a\u3044<\/strong><\/span><\/h1>\n

\u3053\u3068\u304c\u624b\u306b\u53d6\u308b\u3088\u3046\u306b\u308f\u304b\u308b\u3060\u308d\u3046\u3002<\/p>\n

\uff1c2.5%\u30d2\u30dd\u30af\u30ed\u3067\u6b62\u8840\u76f4\u5f8c\u306e\u753b\u50cf\uff1e<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

<MTA\u30bb\u30e1\u30f3\u30c8\u5145\u586b\u76f4\u524d\u306e\u72b6\u6cc1\uff1e<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\u3067\u306f\u306a\u305c\u3053\u306e\u3088\u3046\u306a\u5f37\u786c\u7b56\u304c\u53d6\u3089\u308c\u3066\u3044\u308b\u306e\u304b\uff1f\u3068\u8a00\u3048\u3070\u3001\u3053\u306e\u60a3\u8005\u306e\u5e74\u9f62\u3067\u3042\u308b\u3002<\/p>\n

\u4ee5\u4e0b\u306ePA\u304c\u8853\u524d\u306e\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n

\u6839\u672a\u5b8c\u6210\u306e#30\u3067\u3042\u308a\u305d\u306e\u8fd1\u5fc3\u306b\u306f\u4e73\u6b6f\u3082\u6b8b\u5b58\u3057\u3066\u3044\u308b\u3002<\/p>\n

\"\"<\/p>\n

\u5bb9\u59ff\u3082\u898b\u308c\u3070\u5b8c\u5168\u306a\u5b50\u4f9b\u3060\u3002<\/p>\n

\"\"<\/p>\n

\u90e8\u5206\u65ad\u9ac4\u3092\u3057\u3066\u3044\u308b\u3002<\/p>\n

\"\"<\/p>\n

\u6cbb\u7642\u5f8c\u3001\u6b6f\u6839\u306f\u5b8c\u6210\u3057\u305f\u3002<\/p>\n

\"\"<\/p>\n

\u306a\u305c\u6b62\u8840\u304c\u7518\u3044\u306e\u306b\u3053\u306e\u8457\u8005\u306fMTA\u3067\u5145\u586b\u3059\u308b\u3053\u3068\u3092\u5f37\u884c\u3057\u305f\u306e\u304b\uff1f\u3068\u3044\u3048\u3070\u3001\u982d\u306e\u4e2d\u306b\u4e0a\u8a18\u306e\u82e5\u8005\u306e\u6b6f\u9ac4\u306e\u68ee\u306e\u3088\u3046\u306a\u5199\u771f\u304c\u982d\u306e\u4e2d\u306b\u3042\u3063\u305f\u3067\u3042\u308d\u3046\u3053\u3068\u306f\u5bb9\u6613\u306b\u60f3\u50cf\u304c\u3064\u304f\u3002<\/strong><\/span><\/h1>\n

\u3057\u304b\u3057\u305d\u308c\u306b\u3088\u3063\u3066\u6839\u5c16\u90e8\u304c\u9589\u9396\u3057\u3066\u3044\u308bPA\u3092\u51fa\u3055\u308c\u3066\u3057\u307e\u3063\u3066\u306f\u3082\u3046\u8ab0\u3082\u3053\u306e\u6cbb\u7642\u304c\u5426\u5b9a\u7684\u5074\u9762\u3092\u6301\u3064\u3082\u306e\u3067\u3042\u308b\u3068\u5f3e\u52be\u3067\u304d\u306a\u3044\u3067\u3042\u308d\u3046\u3002<\/strong><\/span><\/h1>\n

\u82e5\u3044\u3068\u3044\u3046\u306e\u306f\u6b6f\u9ac4\u4fdd\u8b77\u306b\u975e\u5e38\u306b\u6709\u5229\u306a\u306e\u3067\u3042\u308b\u3002<\/p>\n

3. Pulpotomy(Full\/Partial)<\/strong><\/span><\/h1>\n

USC\u6642\u4ee3\u3001\u79c1\u3082\u5c0f\u5150\u306e\u60a3\u8005\u306bPulpotomy\u3092\u3057\u3066\u3044\u305f\u3002<\/p>\n

Kids\uff08\u5c0f\u5b66\u751f\u4f4e\u5b66\u5e74\u306e\u5973\u5150\uff09\u306e\u6cbb\u7642\u3067\u3042\u3063\u305f\u3002<\/p>\n

\"\"<\/p>\n

\u30d2\u30dd\u30af\u30ed\u3067\u6b62\u8840\u3057\u3066\u3044\u308b\u306e\u3067\u7d2b\u8272\u306b\u6b6f\u9ac4\u306e\u8868\u9762\u304c\u5909\u8272\u3057\u3066\u3044\u308b\u306e\u304c\u308f\u304b\u308b\u3060\u308d\u3046\u3002<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\u305d\u308c\u304b\u3089\u5145\u586b\u3057\u305f\u3002<\/p>\n

\"\"<\/p>\n

\u534a\u5e74\u7d4c\u904e\u3092\u304a\u304f\u3068\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n

\"\"<\/p>\n

\u6839\u304c\u5b8c\u6210\u3057\u3066\u3044\u308b\u3002<\/p>\n

\u6cbb\u7642\u306f\u6210\u529f\u3057\u305f\u3068\u3044\u3048\u308b\u3002<\/p>\n

\u3055\u3042\u3053\u306e\u6cbb\u7642\u306e\u7279\u5fb4\u306f\u4f55\u3060\u3063\u305f\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u4ee5\u4e0b\u306e3\u3064\u306b\u5206\u985e\u3055\u308c\u308b\u3002<\/p>\n

\"\"<\/p>\n

1. Emergency Pulpotomy<\/strong><\/span><\/h1>\n

\u6b6f\u9ac4\u708e\u3067\u6b6f\u304c\u75db\u3044\u60a3\u8005\u304c\u6765\u305f\u6642\u306b\u3069\u306e\u3088\u3046\u306a\u85ac\u5264\u3092\u4f7f\u7528\u3059\u308c\u3070\u75db\u307f\u304c\u53d6\u308c\u308b\u304b\uff1f\u3092\u7814\u7a76\u3057\u305f\u8ad6\u6587\u304c\u4ee5\u4e0b\u306b\u3042\u308b\u3002<\/p>\n

\u3055\u3066\u3069\u306e\u6750\u6599\u3092\u4f7f\u7528\u3059\u308b\u3068\u75db\u307f\u304c\u53d6\u308c\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\"\"<\/p>\n

\u85ac\u5264\u306e\u529b\u306f\u5049\u5927\u3060\u3063\u305f\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u3053\u306e\u4e2d\u3067\u3042\u306a\u305f\u304c\u4eca\u4f7f\u7528\u3059\u308b\u3068\u3059\u308c\u3070\u3069\u306e\u3088\u3046\u306a\u85ac\u5264\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\"\"<\/p>\n

\n

2. Full Pulpotomy<\/strong><\/span><\/h1>\n

Ful Pulpotomy\u306fUSC\u3067\u304a\u3053\u306a\u3063\u3066\u3044\u305f\u30022015\u5e74\u306e\u3053\u3068\u3067\u3042\u308b\u3002\u3042\u306e\u5c11\u5973\u3082\u4eca\u306f\u9ad8\u6821\u751f\u304f\u3089\u3044\u3060\u308d\u3046\u304b\u3002\u6642\u306f\u6d41\u308c\u3066\u3044\u304f\u3002<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u534a\u5e74\u3067\u6b6f\u6839\u304c\u5b8c\u6210\u3057\u3066\u3044\u308b\u3002<\/p>\n

\u3055\u3066\u3053\u306e\u3088\u3046\u306a\u5168\u90e8\u65ad\u9ac4\u306b\u76ca\u306f\u3042\u3063\u305f\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u3068\u3044\u3048\u3070\u3001\u8a72\u5f53\u3059\u308b\u8ad6\u6587\u304c\u6570\u672c\u3057\u304b\u306a\u3044\u3068\u3044\u3046\u6709\u69d8\u3067\u3042\u308b\u3002<\/p>\n

\u305d\u306e\u3046\u3061\u306e1\u672c\u76ee\u3002<\/p>\n

Eghbal 2009 \u00a0MTA pulpotomy of human permanent molars with irreversible pulpitis<\/strong><\/a><\/h1>\n

\u6210\u4eba(16~28\u6b73;\u5e73\u5747\u5e74\u9f6223\u6b73)\u3067\u8853\u524d\u306bIrreversible Pulpitis\u304c\u7591\u308f\u308c\u308b\u6b6f\u3092\u5168\u90e8\u65ad\u9ac4\u3057\u3066\u3044\u308b\u3002<\/p>\n

\u7d50\u679c\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u3068\u3044\u3046\u3053\u3068\u3067\u65ad\u9ac4\u306f\u7121\u6575\u306e\uff1f\u6cbb\u7642\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n

\u305f\u3060\u60a3\u8005\u306e\u5e74\u9f62\u304c\u82e5\u3044\u306e\u304c\u6c17\u306b\u306a\u308b\u3002<\/p>\n

\u3067\u306f\u6210\u4eba\u3067\u306f\u3069\u3046\u3060\u308d\u3046\u304b\uff1f<\/p>\n

Taha 2018 Outcome of full pulpotomy using Biodentine in adult patients with symptoms indicative of irreversible pulpitis<\/strong><\/a><\/h1>\n

\u5e73\u5747\u5e74\u9f6233\u6b73\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u8853\u524d\u306b\u6b6f\u9ac4\u708e\u304c\u7591\u308f\u308c\u308b<\/strong><\/span>\u30b0\u30eb\u30fc\u30d7\u306b\u5168\u90e8\u65ad\u9ac4\u3092\u884c\u3063\u3066\u3044\u308b\u3002<\/h1>\n

\u304c\u3001\u8ad6\u6587\u3092\u8aad\u307f\u9032\u3081\u308b\u3068<\/p>\n

Haemostasis was achieved<\/span> by the application of a pellet moistened with 2.5% NaOCl for 2 min with a dry pellet on top and repeated if required up to 6 min;<\/strong><\/h1>\n

\u3068\u3044\u30461\u6587\u306b\u51fa\u3042\u3046\u3002<\/p>\n

\u3053\u306e\u3053\u3068\u304c\u610f\u5473\u3059\u308b\u3053\u3068\u306f\u3001\u6b62\u8840\u304c\u3067\u304d\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n

\u6b62\u8840\u304c\u3067\u304d\u305f\u306e\u3067\u3042\u308c\u3070\u3001\u305d\u308c\u306fIrreversible Pulpitis\u3068\u306f\u547c\u3079\u306a\u3044\u3002<\/p>\n

\u8853\u524d\u306e\u8a3a\u65ad\u304c\u9593\u9055\u3044\u3067\u3042\u3063\u305f\u306e\u3060\u3002<\/p>\n

\u3067\u306f\u8853\u524d\u306b\u3069\u3046\u3044\u3046\u72b6\u614b\u3067\u3042\u3063\u305f\u304b\uff1f\u3068\u3044\u3048\u3070\u3001<\/p>\n

Patients who had a molar tooth with a vital pulp (detected by clinical signs\/symptoms) with a history of pain…indicative of symptomatic irreversible pulpitis<\/strong><\/span> according to AAE diagnostic terminology,\u2026Pain indicative of irreversible pulpitis was defined as spontaneous pain or pain exacerbated by cold stimuli and lasting for a few seconds to several hours<\/strong> <\/span>(interpreted as lingering pain<\/strong><\/span>) compared to control teeth.<\/h1>\n

\u8853\u524d\u306b\u306f\u4e0d\u53ef\u9006\u6027\u6b6f\u9ac4\u708e\u304c\u7591\u308f\u308c\u3066\u304a\u308a\u3001\u81ea\u767a\u75db\u3084lingering pain\u306e\u65e2\u5f80\u3082\u3042\u3063\u305f\u306e\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n

\u305d\u308c\u304c\u3001\u6b62\u8840\u3067\u304d\u305f\u306e\u3067\u8853\u524d\u306e\u8a3a\u65ad\u306f\u8aa4\u308a\u3067\u3042\u3063\u305f\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3002<\/p>\n

\u3053\u306e\u3088\u3046\u306b\u3001\u8853\u524d\u306e\u72b6\u614b\u304c\u3069\u3046\u3067\u3042\u308d\u3046\u3068\u3001\u5b9f\u969b\u306b\u6cbb\u7642\u3092\u3057\u3066\u307f\u3066\u3001\u6b62\u8840\u304c\u3067\u304d\u305f\u304b\u3069\u3046\u304b\uff1f\u3068\u3044\u3046\u306e\u304c\u5927\u4e8b\u3067\u3053\u306e\u624b\u306e\u6cbb\u7642\u306e\u6c7a\u3081\u624b\u306b\u306a\u3063\u3066\u3044\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u308b\u3060\u308d\u3046\u3002<\/strong><\/span><\/h1>\n

\u305d\u3046\u3002\u5e38\u306b\u5b9f\u969b\u306b\u3084\u3063\u3066\u307f\u306a\u3044\u3068\u308f\u304b\u3089\u306a\u3044\u306e\u3067\u3042\u308b\u3002<\/p>\n

\n

3. Cvek Pulpotomy(Partial Pulpotomy)<\/strong><\/span><\/h1>\n

Cvek Pulpotomy\u306fCvek\u304c1978\u5e74\u306b\u5c0f\u5150\uff087~16\u6b73)\u306e\u5916\u50b7\u306e\u6b6f\u306b\u5bfe\u3057\u3066\u90e8\u5206\u7684\u65ad\u9ac4\u3092\u304a\u3053\u306a\u3063\u305f\u6cbb\u7642\u306e\u3053\u3068\u3092\u6307\u3059\u3002<\/p>\n

\u6210\u529f\u7387\u306f96%\u3068\u9ad8\u3044\u3002<\/p>\n

\u3057\u304b\u3057\u3001\u5916\u50b7\u3067\u306e\u90e8\u5206\u65ad\u9ac4\u3088\u308a\u3082\u3046\u8755\u3088\u308b\u90e8\u5206\u65ad\u9ac4\u884c\u70ba\u306e\u65b9\u304c\u81e8\u5e8a\u5bb6\u306b\u3068\u3063\u3066\u306f\u8208\u5473\u304c\u6e67\u304f\u90e8\u5206\u3067\u3042\u308b\u3002<\/p>\n

2\u672c\u306e\u8ad6\u6587\u3092\u7d39\u4ecb\u3057\u305f\u3002<\/p>\n

Barrieshi-Nusair 2006 A prospective clinical study of mineral trioxide aggregate for partial pulpotomy in cariously exposed permanent teeth<\/strong><\/a><\/h1>\n

\u866b\u6b6f\u306b\u3088\u308b\u9732\u9ac4\uff0b\u5c0f\u5150(7.2 to 13.1 years with an average of 10 years)\uff0bCvek Pulpotomy\u306e\u4e88\u5f8c\u3092\u898b\u3066\u3044\u308b\u3002<\/p>\n

\u3068\u3053\u3053\u307e\u3067\u66f8\u3044\u3066\u3053\u306e\u5148\u3092\u8a18\u8f09\u3057\u306a\u304f\u3066\u3082\u4e88\u5f8c\u304c\u4e88\u60f3\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u3067\u3042\u308d\u3046\u304b\uff1f\uff1f<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u4e88\u60f3\u901a\u308a\u306e\u7d50\u679c\u3067\u3042\u308b\u3002<\/p>\n

\u3067\u306f\u3001\u6210\u4eba\u3067\u3042\u308c\u3070\u3069\u3046\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u6210\u4eba\uff0b\u866b\u6b6f\uff0b\u8853\u524d<\/b> \u6b6f\u9ac4\u708e\uff0b\u9732\u9ac4\uff0b\u90e8\u5206\u65ad\u9ac4\u306e\u6cbb\u7642\u306e\u6210\u529f\u7387\u3092\u6c42\u3081\u305f\u6587\u732e\u3092\u8abf\u3079\u3066\u307f\u305f\u3002<\/b><\/span><\/h1>\n

Taha 2017 Partial Pulpotomy in Mature Permanent Teeth with Clinical Signs Indicative of Irreversible Pulpitis: A Randomized Clinical Trial<\/strong><\/a><\/h1>\n

\u60a3\u8005\u306e\u5e73\u5747\u5e74\u9f62\u306f30\u6b73\u3067\u3001\u8853\u524d\u306bCold test\u3092\u884c\u3046\u3068severe\u306a\u81ea\u767a\u75db\uff08spontaneous lingering pain\uff09\u304c\u3042\u3063\u305f\u60a3\u8005\u3092\u5bfe\u8c61\u306b\u6cbb\u7642\u3057\u3066\u3044\u308b\u3002<\/p>\n

\u65ad\u9ac4\u3057\u30662.5% NaOCl\u3067\u6b62\u8840\u3057\u3066\u3044\u308b\u3002\uff08placing a cotton pellet soaked with 2.5% NaOCl over the pulpal wound for 2 to 3 minutes and repeated for another 2 to 3 minutes if required\uff09<\/p>\n

\u3053\u308c\u3067\u3082\u6b62\u8840\u3067\u304d\u306a\u3044\u75c7\u4f8b\u306f\u6839\u7ba1\u6cbb\u7642\u3078\u79fb\u884c\u3057\u3066\u3044\u308b\u3002<\/p>\n

\u305d\u306e\u5f8c\u6b62\u8840\u3067\u304d\u305f27\u672c\u306fWhite ProRoot MTA \u3067\u3001\u6b8b\u308a\u306e23\u672c\u306fDycal\u3067\u4fee\u5fa9\u3057\u3066\u3044\u308b\u3002<\/p>\n

\u8853\u5f8c\u534a\u5e74\u30011\u5e74\u5f8c\u30012\u5e74\u5f8c\u306e\u4e88\u5f8c\u3092\u8abf\u3079\u305f\u3053\u306e\u8ad6\u6587\u306e\u7d50\u679c\u306f\u3069\u3046\u306a\u3063\u305f\u3060\u308d\u3046\u304b<\/p>\n

1\u5e74\u5f8c MTA 83% Dycal 55%<\/p>\n

2\u5e74\u5f8c MTA 85% Dycal 43%<\/p>\n

\u3068\u306a\u308a\u3001Dycal\u3068\u6bd4\u3079\u3066\u4e88\u5f8c\u304c\u9ad8\u3044\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u308b\u3002<\/p>\n

\u3053\u306e\u7814\u7a76\u304b\u3089\u3001<\/p>\n

\u6210\u4eba\u306b\u304a\u3044\u3066\u3082\u6b62\u8840\u304c\u3067\u304d\u308c\u3070\uff08\u3068\u3044\u3046\u3088\u308a\u3053\u306e\u6642\u70b9\u3067\u8a3a\u65ad\u304c\u9593\u9055\u3063\u3066\u3044\u305f\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308b\uff09\u3001\u30ab\u30ea\u30a8\u30b9\u306b\u3088\u308bPartial Pulpotomy\u306fMTA\u3092\u7528\u3044\u305f\u5834\u5408\u3001\u305d\u306e2\u5e74\u4e88\u5f8c\u306f\u9ad8\u3044(85%)<\/strong><\/span><\/h1>\n

\u3053\u3068\u304c\u308f\u304b\u3063\u305f\u3002<\/p>\n

\u3067\u306f\u306a\u305c\u3053\u306e\u3088\u3046\u306b\u9ad8\u3044\u6210\u529f\u7387\u304c\u5f97\u3089\u308c\u308b\u6cbb\u7642\u3092\u6211\u3005\u3001\u6b6f\u5185\u7642\u6cd5\u5c02\u9580\u533b\u306f\u3057\u306a\u3044\u306e\u304b\uff1f\u3068\u8a00\u3048\u3070\u3001<\/p>\n

\u3053\u308c\u3089\u306e\u6cbb\u7642\u306e\u6210\u529f\u7387\u3088\u308a\u3082\u6839\u7ba1\u6cbb\u7642\u306e\u6210\u529f\u7387\u306e\u65b9\u304c\u9ad8\u3044<\/strong><\/span><\/h1>\n

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

\u307e\u305f\u751f\u6d3b\u6b6f\u9ac4\u7642\u6cd5\u306f\u5931\u6557\u3059\u308c\u3070\u6839\u7ba1\u304c\u77f3\u7070\u5316\u3057\u3066\u3057\u307e\u3046\u3002<\/p>\n

\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3089\u3001\u76ee\u3082\u5f53\u3066\u3089\u308c\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\n

\"\"<\/p>\n

\u6839\u7ba1\u304c\u77f3\u7070\u5316\u3059\u308b\u539f\u56e0\u306f\u3001\u5b8c\u5168\u306b\u306f\u308f\u304b\u3063\u3066\u3044\u306a\u3044\u3002<\/p>\n

\u304c\u3001\u5916\u50b7\u3092\u8d77\u3053\u3057\u305f\u308a\u3001\u8131\u81fc\u3057\u3066\u518d\u690d\u3057\u305f\u6b6f\u3084\u3001<\/strong><\/span><\/h1>\n

\u904e\u5270\u306a\u6b6f\u8cea\u306e\u524a\u9664\u3092\u304a\u3053\u306a\u3063\u305f\u6b6f\u306b\u751f\u3058\u3084\u3059\u3044<\/strong><\/span><\/h1>\n

\u3068\u3055\u308c\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n

The Dental Trauma Guide<\/a>\u306b\u3088\u308c\u3070\u3001<\/strong><\/h1>\n

When revascularization is successful, these teeth will show an accelerated deposition of hard tissue along the pulp canal walls.<\/strong> <\/span><\/h1>\n

\u8840\u6db2\u5faa\u74b0\u304c\u623b\u3063\u305f\u306e\u3061\u306b\u77f3\u7070\u5316\u304c\u9032\u3080\u3068\u3044\u3046\u3002<\/p>\n

\u6b6f\u9ac4\u5168\u3066\u306e\u6b6f\u304c\u77f3\u7070\u5316\u3059\u308b\u306e\u306b1\u5e74\u306f\u304b\u304b\u308b\u3068\u3044\u3046\u3002<\/p>\n

\u5916\u50b7\u3084\u904e\u5ea6\u306a\u6b6f\u51a0\u5f62\u6210\u304c\u77f3\u7070\u5316\u306e\u539f\u56e0\u306b\u306a\u308b\u3088\u3046\u3060\u3002<\/strong><\/span><\/h1>\n

\u6b6f\u9ac4\u3092\u4fdd\u5b58\u3057\u3088\u3046\u3068\u6b6f\u51a0\u5f62\u6210\u3057\u305f\u884c\u70ba\u3082\u5341\u5206\u306b\u5916\u50b7\u3068\u8a00\u3048\u308b\u3060\u308d\u3046\u3002<\/p>\n

\u3068\u3044\u3046\u3053\u3068\u3067\u307e\u3068\u3081\u308c\u3070\u3001\u3053\u306e\u3088\u3046\u306b\u9762\u5012\u81ed\u3044\u3053\u3068\u304c\u5f8c\u3005\u8d77\u3053\u308b\u6cbb\u7642\u3092\u3042\u306a\u305f\u306f\u3084\u308b\u306e\u304b\uff1f\u3068\u3044\u3046\u554f\u3044\u3067\u3042\u308b\u3002<\/p>\n

\u629c\u9ac4\u3057\u3066\u6839\u7ba1\u6cbb\u7642\u3059\u308c\u3070\u3001\u6210\u529f\u7387\u306f90%\u4ee5\u4e0a\u3082\u3042\u308b\u306e\u306b\u3082\u95a2\u308f\u3089\u305a\u3060\u3002<\/strong><\/span><\/h1>\n

\u5931\u6d3b\u6b6f\u304c\u67af\u308c\u6728\u306e\u3088\u3046\u306b\u307d\u304d\u3093\u3068\u6298\u308c\u308b\u3068\u3044\u3046\u4e8b\u5b9f\u3082\u306a\u3044\u3002<\/p>\n

\u795e\u7d4c\u3092\u53d6\u3063\u3066\u3082\u6b6f\u304c\u8106\u304f\u306a\u3089\u306a\u3044\u3053\u3068\u306f\u591a\u304f\u306e\u8ad6\u6587\u3067\u8a3c\u660e\u3055\u308c\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n

\u307e\u305f\u3001\u3042\u306a\u305f\u304c\u6b6f\u9ac4\u3092\u4fdd\u5b58\u3057\u3066\u305d\u306e\u6cbb\u7642\u304c\u5931\u6557\u3059\u308c\u3070\u3001\u77f3\u7070\u5316\u304c\u8d77\u3053\u308a\u5916\u79d1\u6cbb\u7642\u3092\u4f59\u5100\u306a\u304f\u3055\u308c\u308b\u3002<\/p>\n

\u305d\u308c\u306f\u53d7\u3051\u5165\u308c\u3089\u308c\u308b\u3053\u3068\u3067\u3042\u308d\u3046\u304b\uff1f<\/p>\n

\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u6cbb\u7642\u304c\u3067\u304d\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u3044\u304b\u304c\u3060\u3063\u305f\u3067\u3042\u308d\u3046\u304b\uff1f<\/p>\n

\u6b6f\u9ac4\u3092\u6b8b\u3059\u3053\u3068\u304c\u5fc5\u305a\u3057\u3082\u6b63\u7fa9\u306b\u306a\u3089\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u304c\u308f\u304b\u3063\u305f\u3060\u308d\u3046\u3002<\/p>\n

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