{"id":713,"date":"2020-11-06T19:06:02","date_gmt":"2020-11-06T10:06:02","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=713"},"modified":"2021-01-22T14:13:38","modified_gmt":"2021-01-22T05:13:38","slug":"11-%e6%ad%af%e6%a0%b9%e7%ab%af%e5%88%87%e9%99%a4%e8%a1%93%ef%bc%88apicoectomy%ef%bc%89","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=713","title":{"rendered":"#11 \u6b6f\u6839\u7aef\u5207\u9664\u8853\u3068VRF\u3078\u306e\u5bfe\u5fdc"},"content":{"rendered":"\n

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

\u60a3\u8005\u306f30\u4ee3\u306b\u306a\u3063\u305f\u3070\u304b\u308a\u306e\u5973\u6027\u3002<\/p>\n\n\n\n

\u4e3b\u8a34\u306f\u5de6\u4e0a\u306e\u72ac\u6b6f\u306e\u816b\u8139\u3002<\/p>\n\n\n\n

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

\u3061\u306a\u307f\u306b\u3053\u306e\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u524d\u306e\u72b6\u614b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

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

\u3053\u306e\u5de6\u4e0a\uff13\u756a\u306b\u306f\u30d1\u30e9\u30ec\u30eb\u306e\u9577\u3044\u30dd\u30b9\u30c8\u30b3\u30a2\u304c\u88c5\u7740\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\u3053\u308c\u3092\u9664\u53bb\u3057\u3066\u518d\u6cbb\u7642\u3059\u308b\u306e\u306f\u304b\u306a\u308a\u96e3\u3057\u3044\u2026<\/p>\n\n\n\n

\u3057\u304b\u3057\u30d0\u30a4\u30c8\u5148\u306e\u5148\u751f\u306f\u305d\u308c\u3092\u3054\u81ea\u8eab\u3067\u884c\u308f\u308c\u305f\u3002(2018\u5e743\u67082\u65e5\u7d42\u4e86)<\/p>\n\n\n\n

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

\u305d\u306e\u5f8c\u88dc\u7db4\u6cbb\u7642\u30fb\u4fee\u5fa9\u6cbb\u7642\u3082\u9806\u8abf\u306b\u7d42\u308f\u308a\u3001\u305d\u308c\u304b\u30892\u5e74\u3067\u5de6\u4e0a\u306e\u72ac\u6b6f\u306bSinus Tract\u304c\u51fa\u73fe\u3057\u305f\u308f\u3051\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u30d1\u30ce\u30e9\u30de\u3001PA\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

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

#11\u306ePA\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

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

\u8853\u524d\u691c\u67fb\u3067\u306f<\/p>\n\n\n\n

Perc(-), Palp(\u00b1), Bite(-), Perio pocket(WNL), Mobility(WNL)<\/p>\n\n\n\n

\u3061\u306a\u307f\u306b#10\u306fCold(+)\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n

\u3048\u3063\uff1f\u30aa\u30fc\u30eb\u30bb\u30e9\u30df\u30c3\u30af\u30af\u30e9\u30a6\u30f3\u304c\u88c5\u7740\u3055\u308c\u3066\u3044\u308b\u6b6f\u3067\u3082Cold test\u3067\u304d\u308b\u306e\uff1f\u3068\u601d\u3063\u305f\u3042\u306a\u305f\u3001Cold test\u3067\u304d\u308b\u3093\u3067\u3059\u3002<\/span><\/strong><\/p>\n\n\n\n

\u8a73\u3057\u3044\u5185\u5bb9\u306fBasic Course\u3067\u306a\u305c\u304b\uff1f\u77e5\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/a><\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u8853\u524d\u306e\u8a3a\u65ad\u306f<\/p>\n\n\n\n

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

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

\u3055\u3066\u6cbb\u7642\u65b9\u6cd5\u306f\u3069\u3046\u306a\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\n\n\n\n

\u304a\u308c\u304c\u30de\u30a4\u30af\u30ed\u30b9\u30b3\u30fc\u30d7\u3092\u4f7f\u7528\u3057\u3066\u518d\u6cbb\u7642\u3059\u308c\u3070\u4f55\u3067\u3082\u6cbb\u3059\u3053\u3068\u304c\u3067\u304d\u308b\uff01\uff01\u3068\u3044\u3046\u5148\u751f\u306f\u518d\u6cbb\u7642\u3092\u9078\u629e\u3059\u308b\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

\u3057\u304b\u3057\u3053\u308c\u306f\u5e38\u8b58\u7684\u306b\u8003\u3048\u3066\u5916\u79d1\u6cbb\u7642\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u3067\u306f\u5916\u79d1\u6cbb\u7642\u3092\u884c\u3046\u3068\u3057\u3066\u3069\u306e\u3088\u3046\u306b\u3053\u308c\u3092\u653b\u3081\u308b\u3060\u308d\u3046\u304b\uff1f\uff1f<\/p>\n\n\n\n

\u79c1\u306a\u308a\u306b\u8853\u524d\u306b\u8003\u5bdf\u3057\u3001\u60a3\u8005\u3055\u3093\u306b\u8aac\u660e\u3057\u305f\u3002<\/p>\n\n\n\n

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

\u3061\u306a\u307f\u306b\u5de6\u4e0a2(#10)\u306bCold test\u3092\u884c\u3046\u3068\u53cd\u5fdc\u304c\u3042\u3063\u305f\u3002\u3057\u305f\u304c\u3063\u3066#10\u304b\u3089\u554f\u984c\u304c\u751f\u3058\u3066\u3044\u308b\u53ef\u80fd\u6027\u306f\u4f4e\u3044\u3068\u601d\u308f\u308c\u308b\u3002<\/p>\n\n\n\n

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

\u3068\u3044\u3046\u3053\u3068\u3067\u79c1\u306f\u60a3\u8005\u3055\u3093\u306b\u4ee5\u4e0b\u306e\u53ef\u80fd\u6027\u3092\u544a\u3052\u305f\u3002<\/p>\n\n\n\n

  1. \u6839\u5c16\u75c5\u5909\u304c\u5074\u65b9\u3078\u6ce2\u53ca<\/li>
  2. \u5074\u679d\u306e\u53ef\u80fd\u6027<\/li><\/ol>\n\n\n\n

    \u3057\u304b\u3057\u306a\u304c\u3089\u771f\u5b9f\u306f\u3053\u306e\u6642\u70b9\u3067\u306f\u308f\u304b\u3089\u306a\u3044\u3002\u5b9f\u969b\u306b\u5916\u79d1\u3067\u898b\u3066\u307f\u308b\u3057\u304b\u306a\u3044\u304b\u3089\u3060\u3002<\/p>\n\n\n\n

    \u3068\u3044\u3046\u308f\u3051\u3067\u5916\u79d1\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n\n\n\n

    \u3059\u308b\u3068\u2026<\/p>\n\n\n\n

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

    VRF(Vertical Root Fracture)<\/span><\/strong>\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

    VRF\u304c\u3053\u306e\u60a3\u8005\u306e\u6b6f\u830e\u304c\u816b\u8139\u3057\u3066\u3044\u305f\u554f\u984c\u3067\u3042\u3063\u305f\u306e\u3060\u3002<\/p>\n\n\n\n

    \u3057\u304b\u3057\u8853\u524d\u306e\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u306f\u6b63\u5e38\u3067\u3042\u3063\u305f\u306e\u3060\u304c\u2026<\/span><\/strong><\/p>\n\n\n\n

    \u305d\u3046\u6b63\u5e38\u3067\u3042\u3063\u305f\u90e8\u5206\u306e\u4e0b\u304b\u3089VRF\u304c\u767a\u751f\u3057\u3066\u3057\u307e\u3063\u305f\u306e\u3060\u3002<\/span><\/span><\/strong><\/p>\n\n\n\n

    \u3055\u3066\u3001\u3053\u306e\u3088\u3046\u306a\u72b6\u6cc1\u3067\u3042\u306a\u305f\u306f\u6cbb\u7642\u3092\u3069\u306e\u3088\u3046\u306b\u884c\u3046\u3067\u3042\u308d\u3046\u304b\uff1f\uff1f<\/p>\n\n\n\n

    \u30a2\u30e1\u30ea\u30ab\u3067\u3042\u308c\u3070\u898b\u305f\u77ac\u9593\u629c\u6b6f\u3067\u3042\u308b\u3002Compromized Tooth\u3060\u304b\u3089\u3060\u3002<\/p>\n\n\n\n

    \u3057\u304b\u3057\u3053\u3053\u306f\u65e5\u672c\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

    \u7c98\u308b\u3068\u3059\u308c\u3070\u3069\u306e\u3088\u3046\u306a\u65b9\u6cd5\u3060\u308d\u3046\u304b\uff1f<\/p>\n\n\n\n

    \u79c1\u306e\u63d0\u6848\u306f<\/p>\n\n\n\n

    1. \u7834\u6298\u3057\u3066\u3044\u308b\u90e8\u4f4d\u3092\u9664\u53bb\u3057\u3066Biodentine\u3067\u57cb\u3081\u308b<\/li>
    2. \u7834\u6298\u3057\u3066\u3044\u308b\u3068\u3053\u308d\u307e\u3067\u5207\u65ad\u3057\u3066\u52d5\u63fa\u5ea6\u3092\u898b\u3066\u307f\u3088\u3046\u3068\u63d0\u6848\u3057\u305f\u3002\u3082\u3057\u304b\u3059\u308b\u3068\u52d5\u63fa\u306f\u305d\u308c\u307b\u3069\u767a\u751f\u3057\u306a\u3044\u304b\u3082\u3057\u308c\u306a\u3044<\/li><\/ol>\n\n\n\n

      \u3057\u304b\u3057\u3053\u306e\u6b6f\u79d1\u533b\u9662\u306b\u306fBiodentine\u304c\u306a\u3044\u306e\u3067\u3001\u7d50\u679c\u7684\u306b\uff12\u3092\u884c\u3046\u3053\u3068\u3068\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

      \u3068\u3044\u3046\u3053\u3068\u3067\u3001\u7834\u6298\u3057\u3066\u3044\u308b\u90e8\u4f4d\u307e\u3067\u6b6f\u6839\u3092\u5207\u65ad\u3057\u305f\u3002<\/p>\n\n\n\n

      \u305d\u306e\u6642\u70b9\u3067\u3053\u306e\u6b6f\u306e\u52d5\u63fa\u5ea6\u306fWithin normal limit\u3067\u3042\u308a\u3001\u8853\u524d\u306e\u30dd\u30b1\u30c3\u30c8\u6e2c\u5b9a\u3067\u3082Normal\u306a\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u3067\u3042\u3063\u305f\u306e\u3067\u60a3\u8005\u3055\u3093\u3068\u5354\u8b70\u3057\u3001\u3053\u306e\u6b6f\u3092\u4fdd\u5b58\u3059\u308b\u3053\u3068\u3068\u3057\u305f\u3002<\/span><\/strong><\/p>\n\n\n\n

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

      \u9006\u6839\u7ba1\u5f62\u6210\u30fb\u9006\u6839\u7ba1\u5145\u586b\u3092\u884c\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

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

      \u6cbb\u7642\u5f8c\u306ePA\u3067\u3042\u308b\u3002\u6b6f\u6839\u306f\u304b\u306a\u308a\u77ed\u304f\u306a\u3063\u3066\u3057\u307e\u3063\u305f\u304c\u52d5\u63fa\u306f\u5168\u304f\u306a\u3044\u3002<\/p>\n\n\n\n

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

      \u3061\u306a\u307f\u306b\u6cbb\u7642\u5f8c\u306b\u7834\u6298\u3057\u305f\u6b6f\u3092\u89b3\u5bdf\u3057\u305f\u3002\u3059\u308b\u3068\u2026<\/p>\n\n\n\n

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

      VRF\u306f\u6b6f\u6839\u306e\u9014\u4e2d\u304b\u3089\u59cb\u307e\u3063\u3066\u3044\u305f\u3002<\/p>\n\n\n\n

      \u3044\u308f\u3086\u308bVRF\u306e\u4e0b\u56f3\u306e\u4e00\u756a\u5de6\u306e\u30d1\u30bf\u30fc\u30f3\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

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

      AAE\uff08\u7c73\u56fd\u6b6f\u5185\u7642\u6cd5\u5b66\u4f1a\uff09\u306b\u3088\u308c\u3070\u3001VRF\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u7279\u5fb4\u304c\u3042\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

      Vertical Root Fracture<\/strong><\/h2>\n\n\n\n

      Vertical root fractures are cracks that begin in the root of the tooth and extend toward the chewing surface.<\/span><\/strong> <\/p>\n\n\n\n

      \u6b6f\u6839\u304b\u3089\u59cb\u307e\u308a\u3001\u6b6f\u6839\u304b\u3089\u6b6f\u51a0\u90e8\u3078\u5411\u3051\u3066<\/span>\u7834\u6298\u7dda\u304c\u9032\u5c55\u3059\u308b\u3002<\/span><\/strong><\/p><\/blockquote>\n\n\n\n

      \u7d75\u306b\u63cf\u3051\u3070\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u30a4\u30e1\u30fc\u30b8\u3067\u304d\u308b\u3002<\/p>\n\n\n\n

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

      They often show minimal signs and symptoms and may, therefore, go unnoticed for some time. <\/p>\n\n\n\n

      VRF\u306b\u306f\u75c7\u72b6\u304c\u307b\u3068\u3093\u3069\u306a\u3044\u3002\u305d\u308c\u3086\u3048\u4e00\u5b9a\u671f\u9593\u7121\u75c7\u72b6\u3067\u9032\u884c\u3059\u308b\u3002<\/span><\/strong><\/p><\/blockquote>\n\n\n\n

      Vertical root fractures are often discovered when the surrounding bone and gum become infected. <\/p>\n\n\n\n

      VRF\u306f\u5468\u56f2\u306e\u9aa8\u3084\u6b6f\u8089\u304c\u611f\u67d3\u3059\u308b\u3068\u767a\u898b\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3002<\/span><\/strong><\/p><\/blockquote>\n\n\n\n

      Treatment may involve extraction of the tooth. However, endodontic surgery is sometimes appropriate if a tooth can be saved by removal of the fractured portion.<\/span><\/strong><\/p>\n\n\n\n

      \u6cbb\u7642\u306f\u629c\u6b6f\u3001\u307e\u305f\u306f\u7834\u6298\u3057\u305f\u90e8\u5206\u3092\u5916\u79d1\u7684\u306b\u53d6\u308a\u9664\u304f\u3053\u3068\u304c\u3067\u304d\u308b\u306e\u3067\u3042\u308c\u3070\u5916\u79d1\u6cbb\u7642\u304c\u6642\u3068\u3057\u3066\u9069\u5207\u3067\u3042\u308b\u3068\u601d\u308f\u308c\u308b\u3002<\/em><\/span><\/span><\/strong><\/p><\/blockquote>\n\n\n\n

      \u3068\u3044\u3046\u3053\u3068\u3067\u3053\u306e\u30b1\u30fc\u30b9\u3067\u306f\u7834\u6298\u3057\u3066\u3044\u308b\u90e8\u5206\u3092\u5916\u79d1\u7684\u306b\u53d6\u308a\u9664\u304f\u3053\u3068\u306b\u6210\u529f\u3057\u305f\u306e\u3067\u3042\u308b\u610f\u5473\u9069\u5fdc\u75c7\u3068\u8003\u3048\u3089\u308c\u308b\u3002<\/span><\/span><\/strong><\/p>\n\n\n\n

      \u3055\u3066\u3053\u306e\u6b6f\u304c\u4f55\u5e74\u6301\u3064\u3060\u308d\u3046\u304b\uff1f\u305d\u308c\u306f\u6b8b\u5ff5\u306a\u304c\u3089\u8ab0\u306b\u3082\u308f\u304b\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

      \u3057\u304b\u3057\u79c1\u306f30\u6b73\u305d\u3053\u305d\u3053\u306e\u5973\u6027\u306e\u60a3\u8005\u3055\u3093\u306b\u3068\u3066\u3082\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u6cbb\u7642\u306a\u3069\u52e7\u3081\u308b\u3053\u3068\u306f\u3067\u304d\u306a\u3044\u3002<\/p>\n\n\n\n

      \u88dc\u7db4\u6cbb\u7642\u304c\u7d42\u4e86\u3057\u3066\u6b6f\u830e\u304c\u816b\u308c\u308b\u307e\u3067\u4e00\u5ea6\u3082\u3053\u306e\u6b6f\u79d1\u533b\u9662\u306b\u73fe\u308c\u3066\u3044\u306a\u3044\u306e\u3060\u3002<\/p>\n\n\n\n

      \u305d\u3093\u306a\u60a3\u8005\u3055\u3093\u306b\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u304c\u3067\u304d\u308b\u3060\u308d\u3046\u304b\uff1f\uff1f<\/p>\n\n\n\n

      \u3082\u3061\u308d\u3093\u3046\u307e\u304f\u884c\u304f\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3053\u306e\u59a5\u5354\u7684\u306a\u6cbb\u7642\u3067\u3082\u81e8\u5e8a\u7684\u306a\u554f\u984c\u304c\u8d77\u304d\u3066\u3044\u306a\u3044\u3002<\/p>\n\n\n\n

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