{"id":701,"date":"2020-11-01T02:46:21","date_gmt":"2020-10-31T17:46:21","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=701"},"modified":"2021-12-23T23:47:29","modified_gmt":"2021-12-23T14:47:29","slug":"19-re-rct","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=701","title":{"rendered":"\u518d\u6839\u7ba1\u6cbb\u7642\u3067\u30821\u56de\u3067\u7d42\u4e86\u3059\u308b\u301c#19 Re-RCT"},"content":{"rendered":"\r\n

\u60a3\u8005\u306f\u4e2d\u5e74\u306e\u7537\u6027\u3002<\/p>\r\n\r\n\r\n\r\n

\u4e3b\u8a34\u306f\u5de6\u4e0b\u5965\u6b6f\uff08\u30b4\u30fc\u30eb\u30c9\u30af\u30e9\u30a6\u30f3\u88c5\u7740\u6e08\u307f\uff09\u306b\u3067\u304d\u3082\u306e\u304c\u3067\u304d\u305f\u3001\u3068\u306e\u3053\u3068\u3002<\/p>\r\n\r\n\r\n\r\n

\u6cbb\u7642\u524d\u306e\u691c\u67fb\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

#19: Perc(-), Palp(-), Bite(-), Perio probe(WNL), Mobility(WNL). \u8981\u306f\u30da\u30ea\u30aa\u306e\u554f\u984c\u306f\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

\u307e\u305f\u3001\u3067\u304d\u3082\u306e\u304c\u3067\u304d\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u3063\u305f\u304c\u79c1\u304c\u691c\u67fb\u3057\u305f\u6642\u306f\u4f55\u3082\u306a\u304b\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u30a8\u30f3\u30c9\u306e\u8a3a\u65ad\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

Pulp Dx: Previously treated, Periapical Dx: Asymptomatic Apical Periodontitis<\/span><\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

\u75c5\u540d\u306b\u95a2\u3057\u3066\u306fAAE\u306e\u75c5\u540d<\/a>\u3092\u8a18\u61b6\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

\u65e5\u672c\u306e\u3001\u6025\u6027\u306a\u3093\u3068\u304b\u6027\u30ca\u30f3\u30c8\u30ab\u6027\u6b6f\u5468\u708e\uff1f\u3068\u304b\u3044\u3046\u75c5\u540d\u306f\u75c5\u7406\u75c5\u540d\u3067\u6b6f\u79d1\u6cbb\u7642\u306b\u9069\u3057\u3066\u3044\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\r\n\r\n\r\n\r\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u6cbb\u7642\u524d\u306bPA\u30922\u679a\u64ae\u5f71\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

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

\u8fd1\u5fc3\u6839\u3001\u9060\u5fc3\u6839\u306b\u6839\u5c16\u75c5\u5909\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u9060\u5fc3\u6839\u306f\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u30dd\u30a4\u30f3\u30c8\u304cApex\u3068\u540c\u4f4d\u7f6e\u306b\u3042\u308b\u3002\u3053\u308c\u306f\u6839\u7ba1\u5145\u586b\u304c\u30aa\u30fc\u30d0\u30fc\u306b\u306a\u3063\u3066\u3044\u308b\u53ef\u80fd\u6027\u3092\u793a\u5506\u3055\u305b\u308b\u304c\u2026<\/p>\r\n\r\n\r\n\r\n

\u3055\u3066\u3042\u306a\u305f\u306f\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u3092\u884c\u3044\u3001\u3069\u306e\u3088\u3046\u306a\u898b\u901a\u3057\u3092\u7acb\u3066\u3066\u6cbb\u7642\u3092\u884c\u3046\u3060\u308d\u3046\u304b\uff1f<\/p>\r\n\r\n\r\n\r\n

\u4e00\u822c\u7684\u306b\u518d\u6839\u7ba1\u6cbb\u7642\u306e\u6210\u529f\u73872~4\u5e74\u5f8c\u306e\u4e88\u5f8c\u306f70%\u7a0b\u5ea6\u3060\u3002\u305f\u3060\u30574~6\u5e74\u5f85\u3064\u3068\u305d\u306e\u6210\u529f\u7387\u306f80%\u306b\u306a\u308b\u3002(Torabinejad 2009)<\/p>\r\n\r\n\r\n\r\n

\u8981\u306f\u75c7\u72b6\u304c\u306a\u3051\u308c\u3070\u5f85\u6a5f\u304c\u3067\u304d\u3066\u6cbb\u7652\u3092\u898b\u8fbc\u3081\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\r\n\r\n\r\n\r\n

\u3057\u304b\u3057\u3053\u306e\u30b4\u30fc\u30eb\u30c9\u30af\u30e9\u30a6\u30f3\u306b\u306f\u30de\u30fc\u30b8\u30f3\u3068\u3044\u3046\u6982\u5ff5\u304c\u306a\u3044\u306e\u304b\u2026<\/p>\r\n\r\n\r\n\r\n

\u8fd1\u5fc3\u30fb\u9060\u5fc3\u3068\u3082\u306b\u30aa\u30fc\u30d0\u30fc\u30cf\u30f3\u30b0\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u3053\u308c\u3067\u306f\u30da\u30ea\u30aa\u306e\u554f\u984c\u304c\u8d77\u304d\u3066\u3057\u307e\u3046\u3060\u308d\u3046\u2026<\/p>\r\n\r\n\r\n\r\n

\u4e8b\u5b9fPocket Probe\u306f\u6b63\u5e38\u3067\u3042\u3063\u305f\u304c\u8fd1\u5fc3\u982c\u5074\u304a\u3088\u3073\u8fd1\u5fc3\u820c\u5074\u304b\u3089\u306f\u51fa\u8840\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u60a3\u8005\u3055\u3093\u306b\u306f\u77ed\u671f\u7684\u306a\u6210\u529f\u7387\u306f70%\u7a0b\u5ea6\u3001\uff16\u5e74\u7a0b\u5ea6\u5f85\u3064\u306880%\u7a0b\u5ea6\u306b\u4e0a\u304c\u308b\u3068\u4f1d\u3048\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u3059\u308b\u3068\u60a3\u8005\u3055\u3093\u306f\u3001\u88ab\u66dd\u3092\u6975\u7aef\u306b\u5acc\u3046\u60a3\u8005\u3055\u3093\u3067Re-RCT\u3057\u3066\u305d\u308c\u3067\u3082\u6cbb\u7652\u3057\u306a\u3051\u308c\u3070CBCT\u3092\u64ae\u5f71\u3059\u308b\u304f\u3089\u3044\u306a\u3089\u3001\u629c\u6b6f\u3092\u9078\u629e\u3059\u308b\u3068\u3044\u3046\u304a\u8a71\u3092\u3057\u3066\u3044\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u308c\u306f\u60a3\u8005\u3055\u3093\u306e\u6c7a\u5b9a\u3067\u3042\u308b\u306e\u3067\u79c1\u306f\u5c0a\u91cd\u3059\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u79c1\u305f\u3061\u306f\u3001\u79c1\u305f\u3061\u304c\u671b\u3080\u65b9\u5411\u306b\u6b6f\u79d1\u6cbb\u7642\u3092\u8a98\u5c0e\u3059\u3079\u304d\u3067\u306f\u306a\u3044\u3002<\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

\u305d\u306e\u5148\u306b\u5f85\u3064\u3082\u306e\u306f\u4e0d\u5e78\u3057\u304b\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\r\n\r\n\r\n\r\n

\u3068\u3044\u3046\u3053\u3068\u3067\u518d\u6cbb\u7642\u3092\u884c\u3044\u3001\uff15\u301c\uff16\u5e74\u7a0b\u5ea6\u7d4c\u904e\u89b3\u5bdf\u3059\u308b\u3053\u3068\u306b\u306a\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u51a0\u3092\u9664\u53bb\u3057\u3001\u3053\u306e\u75c7\u4f8b\u3067\u306f\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u304c\u786c\u5316\u3057\u3066\u3044\u305f\u305f\u3081\u6839\u7ba1\u5145\u586b\u5264\u3092\u30af\u30ed\u30ed\u30db\u30eb\u30e0\u3092\u4f7f\u7528\u3057\u306a\u304c\u3089\u6eb6\u304b\u3057\u306a\u304c\u3089\u9664\u53bb\u3057\u3066\u3044\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u30af\u30ed\u30ed\u30db\u30eb\u30e0\u306f\u65e5\u672c\u3067\u306f\u5fcc\u307f\u5acc\u308f\u308c\u3066\u3044\u308b\u304c\u3001USC\u3067\u306fC-solution\u3068\u3057\u3066\u611b\u597d\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u4ee5\u4e0b\u304c\u305d\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

    \r\n
  1. McDonald 1992 JOE<\/a> \u2013 In vivo, Chloroform is safe for the dentist\/staff. Air vapor levels were well below OSHA mandated levels (2 ppm\/8 hrs).<\/li>\r\n
  2. Chutich 1998<\/a> JOE \u2013 In vitro, No health risk to the patient, amount of chloroform expelled thru the apex (0.32mg) is several orders of magnitude below the permissible toxic dose (49mg)<\/li>\r\n
  3. Rotstein 1999 OOO<\/a> \u2013 chloroform may cause a significant softening effect on both enamel and dentin. This softening is already apparent after 5 minutes of treatment.<\/li>\r\n
  4. Edgar\/Baumgartner 2006 JOE<\/a> \u2013 60% reduction in E. faecalis using Chloroform in Retx (11\/17 neg cultures Chloroform, 0\/17 neg cultures Saline)<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n

    C-solution\u306f\u6b6f\u8cea\u3092\u5f31\u3081\u308b\u53ef\u80fd\u6027\u306f\u3042\u308b\u304c\u3001\u5065\u5eb7\u306b\u5bb3\u304c\u306a\u304f\u6839\u5c16\u90e8\u304b\u3089\u9038\u51fa\u3057\u3066\u3082\u305d\u306e\u91cf\u304c\u591a\u304f\u306a\u3051\u308c\u3070\u5065\u5eb7\u88ab\u5bb3\u306f\u306a\u3044\u3068\u3055\u308c\u3066\u3044\u308b\u3002\u3057\u304b\u3082\u96e3\u6cbb\u6027\u306e\u7d30\u83cc\u3067\u3042\u308bE.feacalis\u3092\u6291\u5236\u3059\u308b<\/span><\/strong>\u4f5c\u7528\u3082\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

    \u4eca\u3067\u3082\u8a18\u61b6\u306b\u6b8b\u3063\u3066\u3044\u308b\u304c\u3001\u30af\u30ed\u30ed\u30db\u30eb\u30e0\u306f\u5065\u5eb7\u88ab\u5bb3\u304c\u3042\u308b\u304b\u3089\u65e5\u672c\u3067\u306f\u4f7f\u7528\u3057\u3066\u3044\u306a\u3044\u3068USC\u3067Case Presentation\u3067\u767a\u8868\u3059\u308b\u3068\u79c1\u306f\u30a8\u30f3\u30c9\u306e\u540c\u7d1a\u751f\uff06\u4e0a\u7d1a\u751f&\u307e\u305fFaculty\u304b\u3089\u3082\u7dcf\u653b\u6483\u3055\u308c\u3066\u888b\u53e9\u304d\u306b\u3042\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

    \u305d\u3093\u306a\u8ad6\u6587\u3042\u308b\u306a\u3089\u3082\u3063\u3066\u3053\u3044\uff01\u3068\u53f1\u3089\u308c\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

    \u3044\u3044\u601d\u3044\u51fa\u3067\u3042\u308b\u304c\u885d\u6483\u7684\u3060\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

    \u4eba\u306e\u4fa1\u5024\u89b3\u306f\u591a\u69d8\u3067\u3042\u308a\u3001\u69d8\u3005\u306a\u8003\u3048\u65b9\u304c\u3042\u308a\u3001\u305d\u308c\u3092\u8a31\u5bb9\u3067\u304d\u306a\u3051\u308c\u3070\u5b66\u554f\u3068\u306f\u8a00\u3048\u306a\u3044\u3060\u308d\u3046\u3002<\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

    \u7b54\u3048\u304c\u306a\u3044\u306e\u304c\u3001\u7b54\u3048\u3002<\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

    \u79c1\u306f\u305d\u308c\u3092\u30a2\u30e1\u30ea\u30ab\u3067\u5b66\u3093\u3060\u306e\u3060\u3002<\/span><\/strong><\/p>\r\n\r\n\r\n\r\n

    \u3068\u3044\u3046\u3053\u3068\u3067\u3042\u3089\u304b\u305f\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u30dd\u30a4\u30f3\u30c8\u3092\u6839\u7ba1\u304b\u3089\u9664\u53bb\u3057\u3066Root ZX\u3067\u6839\u7ba1\u9577\u3092\u8a08\u6e2c\u3059\u308b\u3068\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

    MB: \u9589\u9396, Reference point:MB, IBF\uff1a\u306a\u3057<\/p>\r\n\r\n\r\n\r\n

    ML: 14.0mm, reference point:M, IBF:#15.02<\/p>\r\n\r\n\r\n\r\n

    D: 15.5mm, reference point:DB, IBF:#15.02<\/p>\r\n\r\n\r\n\r\n

    \u4f5c\u696d\u9577\u306f\u611f\u67d3\u6839\u7ba1\u3067\u3042\u308b\u3053\u3068\u3001\u4e0b\u6b6f\u69fd\u795e\u7d4c\u306fApex\u304b\u3089\u304b\u306a\u308a\u96e2\u308c\u305f\u4f4d\u7f6e\u306b\u3042\u308b\u3053\u3068\u304b\u3089WL=Apex-0.5mm\u3068\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

    \u305d\u3057\u3066\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u5f62\u6210\u3092\u884c\u306a\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

    MB: HyFlex EDM #40.04\u307e\u3067\u5f62\u6210\u3057\u3001#40.04\u306e\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u30dd\u30a4\u30f3\u30c8\u3092\u4f7f\u7528\uff08\u8a66\u9069\uff09<\/p>\r\n\r\n\r\n\r\n

    ML: WL=13.5mm\u3068\u3057\u3066HyFlex EDM #50.03\u307e\u3067\u5f62\u6210\u3057\u3001#40.04\u306e\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u30dd\u30a4\u30f3\u30c8\u3092\u4f7f\u7528\uff08\u8a66\u9069\uff09<\/p>\r\n\r\n\r\n\r\n

    D: WL=15.0mm\u3068\u3057\u3066HyFlex EDM #50.03\u307e\u3067\u5f62\u6210\u3057\u3001#40.04\u306e\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u30dd\u30a4\u30f3\u30c8\u3092\u4f7f\u7528\uff08\u8a66\u9069\uff09<\/p>\r\n\r\n\r\n\r\n

    \u30dd\u30a4\u30f3\u30c8\u8a66\u9069\u3057PA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

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

    \u30c7\u30f3\u30bf\u30eb\u306f\u5c0f\u81fc\u6b6f\u304c\u4e2d\u5fc3\u306b\u306a\u3063\u3066\u3057\u307e\u3063\u305f\u304c\u88ab\u66dd\u3092\u6c17\u306b\u3057\u3066\u3044\u308b\u60a3\u8005\u3067\u3042\u307e\u308aPA\u306e\u64ae\u5f71\u3082\u5e0c\u671b\u3057\u3066\u3044\u306a\u3044\u65b9\u3067\u3042\u3063\u305f\u305f\u3081\u3001\u3053\u306e\u307e\u307e\u826f\u3057\u3068\u3057\u305f\u3002\uff08\u5c11\u3057\u59a5\u5354\u7684\u306b\u306a\u3063\u305f\u304b\u3082\u3057\u308c\u306a\u3044\uff09<\/p>\r\n\r\n\r\n\r\n

    BC sealer\u3092\u7528\u3044\u3066Single point\u3067\u6839\u7ba1\u5145\u586b\u3057\u3001\u30ec\u30b8\u30f3\u30b3\u30a2\u3092\u7bc9\u9020\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

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

    \u8fd1\u5fc3\u820c\u5074\u306e\u6839\u7ba1\u5145\u586b\u5264\u306e\u4e0a\u90e8\u306b\u6c17\u6ce1\u304c\u5165\u3063\u3066\u3057\u307e\u3063\u305f\u2026<\/p>\r\n\r\n\r\n\r\n

    \u3055\u3066\u6b21\u56de\u306e\u30c1\u30a7\u30c3\u30af\u306f\u534a\u5e74\u5f8c\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

    \u534a\u5e74\u5f8c\u30c1\u30a7\u30c3\u30af\u3057\u3066\u554f\u984c\u304c\u306a\u3051\u308c\u3070\u7d4c\u904e\u89b3\u5bdf\u3092\u9577\u671f\u306b\u308f\u305f\u308a\u7d9a\u3051\u3066\u3044\u304f\u3002<\/p>\r\n\r\n\r\n\r\n

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    2\u56de\u4ee5\u4e0a\u304b\u304b\u308b\u5834\u5408\u306f\u4f55\u3089\u304b\u306e\u30c8\u30e9\u30d6\u30eb\u304c\u8d77\u304d\u305f\u3068\u8003\u3048\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

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