{"id":783,"date":"2020-11-10T19:08:48","date_gmt":"2020-11-10T10:08:48","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=783"},"modified":"2020-11-11T00:37:04","modified_gmt":"2020-11-10T15:37:04","slug":"15-rct%e3%81%a0%e3%81%8c%e5%ae%9f%e9%9a%9b%e3%81%af%e8%a6%aa%e7%9f%a5%e3%82%89%e3%81%9a%e3%81%aerct%e3%81%ae%e3%82%88%e3%81%86%e3%81%a7","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=783","title":{"rendered":"#15 RCT\u2026\u3060\u304c\u5b9f\u969b\u306f\u89aa\u77e5\u3089\u305a\u306eRCT\u306e\u3088\u3046\u3067\u2026"},"content":{"rendered":"\n

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

\u60a3\u8005\u306f40\u4ee3\u5973\u6027\u3002<\/p>\n\n\n\n

\u60a3\u6b6f\u306f#15\uff08\u5de6\u4e0a7\uff09\u3067\u3042\u308a\u3001\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u306a\u691c\u67fb\u3067\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

Cold(+5\/3\u2192Cold\u306b\u6d78\u3057\u305f\u30ed\u30fc\u30eb\u30ef\u30c3\u30c6\u3092\u6b6f\u306b\u5f53\u3066\u30665\u79d2\u5f8c\u306b\u53cd\u5fdc\u3057\u3057\u307f\u308b\u72b6\u614b\u304c3\u79d2\u9593\u6301\u7d9a\u3057\u305f\u3068\u3044\u3046\u610f\u5473\uff09<\/p>\n\n\n\n

Perc.(-), Palpation(-), Bite(-), Perio probe(WNL), Mobility(WNL)<\/p>\n\n\n\n

\u3057\u305f\u304c\u3063\u3066\u75c5\u540d\u306f\u3069\u3046\u306a\u308b\u3060\u308d\u3046\u304b\uff1f\uff1f<\/p>\n\n\n\n

PA\u3067\u3042\u308b\u3002\uff08\u3053\u306e\u533b\u9662\u306f1\u679a\u3057\u304bPA\u3092\u53d6\u3089\u306a\u3044\u2026\uff09<\/p>\n\n\n\n

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

\u6b6f\u9ac4\u306fCold test\u3067\u53cd\u5fdc\u3057\u305f\u306e\u3067\u6b63\u5e38\u3067\u3042\u308d\u3046\u304b\uff1f<\/p>\n\n\n\n

\u3057\u304b\u3057\u306a\u304c\u3089\u6df1\u3044\u5145\u586b\u7269\u304c\u88c5\u7740\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

\uff13\u6839\u7ba1\u304b4\u6839\u7ba1\u306e\u4e2d\u3067\u3069\u3053\u304b\u304c\u6b7b\u3093\u3067\u3044\u3066\u3001\u3069\u3053\u304b\u304c\u751f\u304d\u3066\u3044\u308b\u306e\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n\n\n\n

\u3057\u304b\u3057\u305d\u308c\u306f\u8ab0\u306b\u3082\u308f\u304b\u3089\u306a\u3044\u3002\u3067\u3082\u6839\u5c16\u90e8\u306b\u6839\u5c16\u75c5\u5909\u304c\u3042\u308b\u306e\u3060\u3002<\/p>\n\n\n\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308c\u3070\u3001AAE\u306e\u4ee5\u4e0b\u306e\u8a3a\u65ad\u306e\u57fa\u6e96\u3092\u53c2\u8003\u306b\u3059\u308b\u3002<\/p>\n\n\n\n

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

\u751f\u6d3b\u6b6f\u9ac4\u304c\u708e\u75c7\u3092\u8d77\u3053\u3057\u3066\u5143\u306b\u623b\u3089\u306a\u3044\u72b6\u614b\u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u793a\u3059\u3001\u4e3b\u89b3\u7684\u307e\u305f\u306f\u5ba2\u89b3\u7684\u306a\u7279\u5fb4\u306b\u57fa\u3065\u304f\u81e8\u5e8a\u8a3a\u65ad\u3002\u307e\u305f\u81e8\u5e8a\u7684\u306b\u306f\u75c7\u72b6\u306f\u306a\u3044\u304c\u3001\u30ab\u30ea\u30a8\u30b9\u3084\u30ab\u30ea\u30a8\u30b9\u9664\u53bb\u3001\u5916\u50b7\u306b\u3088\u308a\u6b6f\u9ac4\u306b\u708e\u75c7\u304c\u751f\u3058\u3066\u3044\u308b\u3068\u601d\u308f\u308c\u308b\u72b6\u614b<\/span><\/strong><\/p>\n\n\n\n

\u3092\u6307\u3059\u3002<\/p>\n\n\n\n

Key point\u306f\u6df1\u3044\u30ab\u30ea\u30a8\u30b9\u3060\u3002<\/p>\n\n\n\n

\u6df1\u3044\u30ab\u30ea\u30a8\u30b9\u304c\u30ec\u30b8\u30f3\u3067\u5145\u586b\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n

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

\u3068\u3044\u3046\u3053\u3068\u3067\u79c1\u306e\u8a3a\u65ad\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308b\u3002<\/p>\n\n\n\n

Pulp Dx: Asymptomatic irreversible pulpitis<\/span><\/strong><\/p>\n\n\n\n

Periapical Dx:Asymptomatic apical periodontitis<\/span><\/strong><\/p>\n\n\n\n

Recommended Tx: Root Canal Treatment<\/p>\n\n\n\n

\u6210\u529f\u306e\u898b\u8fbc\u307f\uff1a90%<\/p>\n\n\n\n

\u5931\u6557\u3057\u305f\u5834\u5408\uff1a\u610f\u56f3\u7684\u518d\u690d\u8853<\/p>\n\n\n\n

Order of TX\uff1aRCT\u21923\u30f6\u6708\u7d4c\u904e\u89b3\u5bdf\u2192\u30af\u30e9\u30a6\u30f3\u4fee\u5fa9\u6cbb\u7642\u2192\u554f\u984c\u304c\u3042\u308c\u3070\u610f\u56f3\u7684\u518d\u690d\u8853<\/p>\n\n\n\n

\u3053\u306e\u6cbb\u7642\u304c\u3046\u307e\u304f\u3044\u304f\u304b\uff1f\u3069\u3046\u304b\uff1f\u306f\u79c1\u306f\u795e\u69d8\u3067\u306a\u3044\u304b\u3089\u308f\u304b\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

\u3057\u304b\u3057\u308f\u304b\u3063\u3066\u3044\u308b\u3053\u3068\u306f\u3001\u6cbb\u7652\u3059\u308b\u53ef\u80fd\u6027\u306f\u304b\u306a\u308a\u9ad8\u3044\u3068\u3044\u3046\u3053\u3068\u3060\u3002<\/p>\n\n\n\n

\u3057\u304b\u3057\u3001\u554f\u984c\u306f\u3082\u3046\u4e00\u3064\u3042\u308b\u3002<\/p>\n\n\n\n

\u3053\u306e\u60a3\u8005\u306e\u53e3\u8154\u5185\u304c\u6975\u3081\u3066\u72ed\u3044\u3001\u5c0f\u3055\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u2026<\/p>\n\n\n\n

\u3053\u306e\uff17\u756a\u306f\uff17\u756a\u3060\u304c\u3001\u611f\u899a\u7684\u306b\u306f\u89aa\u77e5\u3089\u305a\u3092RCT\u3059\u308b\u611f\u3058\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u975e\u5e38\u306b\u6cbb\u7642\u304c\u3057\u306b\u304f\u3044\u60a3\u8005\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

\u8868\u9762\u9ebb\u9154\u3092\u3057\u3001\u6839\u5c16\u90e8\u306b\u6d78\u6f64\u9ebb\u9154\u3001\u305d\u3057\u3066\u3082\u3046\uff11\u672c\u4f1d\u9054\u9ebb\u9154\uff1dPSA\u3092\u884c\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

PSA\u306e\u6210\u529f\u306e\u30b3\u30c4\u306f\u3084\u308a\u3059\u304e\u306a\u3044\u3053\u3068\u3067\u3042\u308b\u3002\u3084\u308a\u3059\u304e\u308b\u3068\u8840\u816b\u304c\u767a\u751f\u3059\u308b\u3002<\/p>\n\n\n\n

\u6614\u3001\uff11\u4eba\u5973\u6027\u306e\u60a3\u8005\u304c\u8840\u816b\u306b\u306a\u3063\u3066\u3057\u307e\u3063\u305f\u3053\u3068\u304c\u3042\u308b\u3002<\/p>\n\n\n\n

\u5f7c\u5973\u306f\u305d\u306e\u5f8c\u5927\u5b66\u75c5\u9662\u3078\u884c\u304b\u308c\u305f\u304c\u4eca\u306f\u3069\u3046\u3057\u3066\u3044\u308b\u3060\u308d\u3046\u304b\u2026<\/p>\n\n\n\n

\u61d0\u304b\u3057\u3044\u304c\u4e0b\u306e\u5199\u771f\u306e\u3088\u3046\u306a\u72b6\u614b\u306b\u306a\u308b\u3053\u3068\u304c\u5c11\u306a\u304b\u3089\u305a\u3042\u308b\u306e\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

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

\u3060\u304b\u3089\u9ebb\u9154\u306f\u3084\u3070\u3044\u3053\u3068\u304c\uff1f\u5fc5\u305a\u3064\u304d\u307e\u3068\u3046\u3002\u305d\u308c\u3068\u6211\u3005\u306f\u6226\u308f\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

\u3067\u306f\u3069\u3046\u3059\u308c\u3070\u8840\u816b\u304c\u9632\u3052\u308b\u306e\u304b\uff1f\u305d\u308c\u306fPSA\u306e\u56de\u6570\u3092\u3067\u304d\u308b\u3060\u3051\u5c11\u306a\u304f\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n\n\n\n

1\u56de\u3088\u308a\u30822\u56de\u30012\u56de\u3088\u308a\u30823\u56de\u306e\u65b9\u304cHematoma\uff08\u8840\u816b\uff09\u306e\u53ef\u80fd\u6027\u306f\u9ad8\u304f\u306a\u308b\u3002<\/p>\n\n\n\n

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

\u305d\u3057\u3066\u3082\u3057\u60a3\u8005\u304cHematoma\u306b\u306a\u3063\u305f\u3089\u4ee5\u4e0b\u306e\u3053\u3068\u306b\u95a2\u3057\u3066\u3088\u304f\u60a3\u8005\u306b\u8aac\u660e\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n\n\n\n

\u307e\u305a\u816b\u308c\u305f\u90e8\u5206\u306f\u6c37\u3067\u51b7\u3084\u3057\u305f\u65b9\u304c\u826f\u3044\u3002\u6c37\u3092\u816b\u308c\u305f\u90e8\u5206\u306b\u5f53\u3066\u3066\u3082\u3089\u3046\u3002<\/span><\/strong><\/p>\n\n\n\n

\u305d\u3057\u3066\u3001\u6b21\u304b\u3089\u304c\u91cd\u8981\u3067\u3042\u308b\u304c\u305d\u306e\u5f8c\u3069\u3046\u306a\u308b\u304b\u3060\uff1f<\/p>\n\n\n\n

  1. \u9593\u6b20\u7684\u306b\u6c37\u30926\u6642\u9593\u306f\u5f53\u3066\u308b<\/li>
  2. \u75db\u307f\u3092\u6291\u3048\u308b\u305f\u3081\u306b\u30a2\u30b9\u30d4\u30ea\u30f3\u3092\u98f2\u3080\u3053\u3068\u306f\u907f\u3051\u308b\uff08\u8840\u6db2\u30b5\u30e9\u30b5\u30e9\u52b9\u679c\u3067\u9854\u304c\u3055\u3089\u306b\u816b\u308c\u308b\uff09<\/li>
  3. \u9854\u9762\u306e\u5909\u8272\u304c\u8d77\u304d\u308b\u3053\u3068\u3092\u8aac\u660e\u3059\u308b<\/li>
  4. \u611f\u67d3\u306e\u5146\u5019\u3068\u75c7\u72b6\u3084\u958b\u53e3\u969c\u5bb3\u304c\u51fa\u305f\u5834\u5408\u306f\u304b\u304b\u308a\u3064\u3051\u533b\u306b\u7d20\u65e9\u304f\u9023\u7d61\u3055\u305b\u308b\u3002<\/li><\/ol>\n\n\n\n
    \"\"<\/figure>\n\n\n\n

    \u6297\u51dd\u56fa\u5264\u306a\u3069\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u60a3\u8005\u306e\u5834\u5408\u3001\u9ebb\u9154\u3092\u3059\u308b\u524d\u306b\u304b\u304b\u308a\u3064\u3051\u533b\u306b\u76f8\u8ac7\u3057\u5c40\u6240\u9ebb\u9154\u3092\u4f7f\u7528\u3057\u3066\u3044\u3044\u304b\u3069\u3046\u304b\u78ba\u304b\u3081\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n\n\n\n

    \u75c7\u72b6\u306e\u6539\u5584\u306b\u306f\u6570\u9031\u9593\u8981\u3059\u308b\u3002<\/p>\n\n\n\n

    \u3055\u3066\u9ebb\u9154\u5f8c\u306b\u30e9\u30d0\u30fc\u30c0\u30e0\u3092\u88c5\u7740\u3057\u6839\u7ba1\u6cbb\u7642\u304c\u59cb\u307e\u3063\u305f\u3002<\/p>\n\n\n\n

    \u9280\u6b6f\u3092\u9664\u53bb\u3057\u9694\u58c1\u306e\u5f62\u6210\u304c\u5fc5\u8981\u3068\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

    \u3057\u304b\u3057\u306a\u304c\u3089\u3053\u306e\u5f8c\u3001\u554f\u984c\u304c\u767a\u751f\u3057\u305f\u3002\u5668\u5177\u306e\u6839\u7ba1\u3078\u306e\u633f\u5165\u304c\u304b\u306a\u308a\u53b3\u3057\u3044\u3068\u3044\u3046\u3053\u3068\u3060\u2026<\/p>\n\n\n\n

    \u7279\u306bMB\u6839\u3078\u306eC+ File\u306e\u633f\u5165\u306b\u306f\u56f0\u96e3\u3092\u6975\u3081\u305f\u2026<\/p>\n\n\n\n

    \u3053\u3093\u306a\u6642\u306b\u77ed\u3044\u30d5\u30a1\u30a4\u30eb\u304c\u3042\u308c\u3070\u2026\u3068\u601d\u3063\u305f\u304c21.0mm\u306eK File\u306f\u7a7f\u901a\u3069\u3053\u308d\u304b\u4f55\u306e\u5f79\u306b\u3082\u7acb\u305f\u305a\u3001\u7d50\u5c40\u5f8c\u306e\u796d\u308a\u3060\u3063\u305f\u2026\u3002\u3002\u3002<\/p>\n\n\n\n

    \u4f5c\u696d\u9577\u306a\u3069\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n

    MB\uff1a\u9589\u9396\u3001Reference point:\u4e0d\u660e\u3001IBF\uff1a\u4e0d\u660e\u3001MAF:#50.03<\/p>\n\n\n\n

    DB\uff1a18.0mm\u3001Reference ponit:DB\u3001IBF:C+ File #08\u3001MAF:#40.04<\/p>\n\n\n\n

    P\uff1aRIL=20.0mm\u3001Reference point:P\u3001IBF:C+ File #06\u3001MAF:#50.03<\/p>\n\n\n\n

    MB\u306f\u7d50\u5c40\u7a7f\u901a\u3068\u3044\u3046\u304b\u305d\u3046\u3044\u3046\u8a71\u3067\u306f\u306a\u304f\u306a\u3063\u305f\u2026<\/p>\n\n\n\n

    \u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u30dd\u30a4\u30f3\u30c8\u3092\u8a66\u9069\u3057\u3001BC sealer\u3092\u7528\u3044\u3066\u6839\u7ba1\u5145\u586b\u3057\u305f\u3002<\/p>\n\n\n\n

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

    DB, P\u306f\u30b7\u30fc\u30e9\u30fc\u30d1\u30d5\u304c\u78ba\u8a8d\u3067\u304d\u308b\u304cMB\u306b\u306f\u78ba\u8a8d\u3067\u304d\u306a\u3044\u3002<\/p>\n\n\n\n

    \u3082\u30461\u679a\u306ePA\u306b\u3082MB\u304b\u3089\u30b7\u30fc\u30e9\u30fc\u30d1\u30d5\u306f\u78ba\u8a8d\u3067\u304d\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n

    \u3053\u306e\u75c7\u4f8b\u306f\u30d6\u30ed\u30b0\u306b\u51fa\u3059\u304b\u3069\u3046\u304b\u8ff7\u3063\u305f\u304c\u6562\u3048\u3066\u51fa\u3057\u3066\u307f\u305f\u3002<\/p>\n\n\n\n

    \u305d\u3057\u3066\u4e16\u9593\u304b\u3089\u3042\u3044\u3064\u306f\u4e0b\u624b\u3060\u3068\u304b\u4f55\u3068\u304b\u3060\u3068\u304b\u8272\u3005\u3068\u8a55\u4fa1\u304c\u79c1\u306b\u964d\u308b\u3060\u308d\u3046\u3002<\/p>\n\n\n\n

    \u6b6f\u5185\u7642\u6cd5\u5c02\u9580\u533b\u306f\u4eba\u304b\u3089\u8a55\u4fa1\u3055\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u3082\u306f\u3084\u307b\u307c\u306a\u3044\u3002<\/p>\n\n\n\n

    \u3042\u3068\u306f\u79c1\u306b\u3042\u308b\u4eba\u751f\u3067\u4ed6\u4eba\u304b\u3089\u8a55\u4fa1\u3055\u308c\u308b\u9053\u3068\u3044\u3046\u306e\u306f\u3001ABE\u306eOral Board\u304f\u3089\u3044\u3060\u3002<\/p>\n\n\n\n

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