{"id":8931,"date":"2022-07-06T00:00:34","date_gmt":"2022-07-05T15:00:34","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=8931"},"modified":"2022-07-05T23:46:30","modified_gmt":"2022-07-05T14:46:30","slug":"%e6%a0%b9%e7%ae%a1%e6%b2%bb%e7%99%82%e3%81%a7%e6%ad%af%e9%ab%84%e3%81%af%e5%85%a8%e3%81%a6%e9%99%a4%e5%8e%bb%e5%8f%af%e8%83%bd%e3%81%aa%e3%81%ae%e3%81%8b%ef%bc%9f%e3%80%9c31-rctcore-build-up","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=8931","title":{"rendered":"\u6839\u7ba1\u6cbb\u7642\u3067\u6b6f\u9ac4\u306f\u5168\u3066\u9664\u53bb\u53ef\u80fd\u306a\u306e\u304b\uff1f\u301c#31 RCT+Core Build up"},"content":{"rendered":"

\u7d39\u4ecb\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u3002<\/span><\/p>\n

\u4e3b\u8a34\u306f<\/span><\/p>\n

\u666e\u6bb5\u306f\u3069\u3046\u3082\u306a\u3044\u304c\u3001\u6839\u7ba1\u6cbb\u7642\u3092\u3059\u308b\u3068\u304d\u306b\u6b6f\u304c\u75db\u3044<\/strong><\/span><\/h1>\n

\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/span><\/p>\n

#30 Cold+3\/4, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n

#31 Cold N\/A, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n

\u4e3b\u8a34\u306f\u518d\u73fe\u3067\u304d\u306a\u304b\u3063\u305f\u304c\u60a3\u8005\u3055\u3093\u306e\u8a71\u3092\u3088\u304f\u805e\u304f\u3068<\/p>\n

\u524d\u533b\u306f\u7121\u9ebb\u9154\u3067\u6839\u7ba1\u6cbb\u7642\u3092\u3057\u3066\u3044\u305f<\/span><\/strong><\/h1>\n

\u3068\u3044\u3046\u3002<\/p>\n

\u305d\u3057\u3066<\/p>\n

\u30d5\u30a1\u30a4\u30eb\u3092\u6839\u7ba1\u306b\u5165\u308c\u308b\u305f\u3073\u306b\u6839\u5c16\u90e8\u3067\u75db\u307f\u304c\u51fa\u3066\u3044\u305f<\/strong><\/span><\/h1>\n

\u3068\u3044\u3046\u3002<\/p>\n

\u524d\u533b\u306f\u3082\u3046\u3069\u3046\u3057\u3066\u3044\u3044\u304b\u308f\u304b\u3089\u306a\u304b\u3063\u305f\uff1f\u306e\u3067\u3001\u6839\u7ba1\u306b\u30d3\u30bf\u30da\u30c3\u30af\u30b9\u3092\u5165\u308c\u3066\u7d4c\u904e\u3092\u307f\u3066\u3044\u305f\u3088\u3046\u3060\u3002<\/p>\n

\u305d\u306e\u307e\u307e\u7d39\u4ecb\u533b\u306e\u30af\u30ea\u30cb\u30c3\u30af\u306b\u304b\u304b\u308a\u5f53\u6b6f\u79d1\u533b\u9662\u306b\u7d39\u4ecb\u306b\u306a\u3063\u305f\u3002<\/p>\n

\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u3092\u884c\u3063\u305f\u3002<\/p>\n

#30 Cold+3\/3, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n

#31 Cold NR\/20, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n

#31\u306b\u306f\u60a3\u8005\u3055\u3093\u306e\u3044\u3046\u901a\u308a\u3044\u304b\u306a\u308b\u75db\u307f\u3082\u306a\u3044\u3002<\/p>\n

\u6b21\u306bPA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n

\u521d\u8a3a\u6642PA\uff082022.7.4\uff09<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u60a3\u8005\u304c\u75db\u307f\u3092\u8a34\u3048\u305f\u304b\u3089\u304b\uff1f\u6839\u5c16\u90e8\u306b\u306f\u30d3\u30bf\u30da\u30c3\u30af\u30b9\u306f\u5145\u586b\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n

\u3084\u3084\u30a2\u30f3\u30c0\u30fc\u6c17\u5473\u306e\u4eee\u6839\u5145\u3060\u3002<\/strong><\/span><\/h1>\n

\u3055\u3066\u3053\u306e\u60a3\u8005\u3055\u3093\u306fCBCT\u3082\u7d39\u4ecb\u533b\u304b\u3089\u64ae\u5f71\u3055\u308c\u3066\u3044\u305f\u306e\u3067CBCT\u306e\u69d8\u5b50\u3082\u308f\u304b\u3063\u305f\u3002<\/p>\n

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

\u521d\u8a3a\u6642CBCT\uff082022.7.4\uff09<\/strong><\/span><\/h1>\n

\"\"<\/p>\n

\"\"<\/p>\n

M\u6839\u306b\u6839\u5c16\u75c5\u5909\u306f\u306a\u3044\u3002<\/strong><\/span><\/h1>\n

\u6b21\u304cD\u6839\u3067\u3042\u308b\u3002<\/p>\n

\"\"<\/p>\n

D\u6839\u306b\u3082\u6839\u5c16\u75c5\u5909\u306f\u306a\u3044\u3002<\/strong><\/span><\/h1>\n

\u524d\u533b\u306f\u6b8b\u9ac4\u3060\u6b8b\u9ac4\u3060\uff01\u3068\u4e00\u4eba\u3067\u9a12\u3044\u3067\u3044\u305f\u3089\u3057\u3044\u3002<\/p>\n

\u3068\u3044\u3046\u3053\u3068\u3067\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n

#31 Pulp Dx: Previously Initiated Therapy, Periodical Dx: Normal, Recommended Tx: RCT+Core build up<\/p>\n

\u3055\u3066\u3002<\/p>\n

\u6b8b\u968f\u3057\u3066\u3044\u308b\u304b\u3089\u6cbb\u7642\u304c\u7d42\u308f\u3089\u306a\u3044\u3068\u3044\u3046\u306e\u306f\u3069\u3046\u3044\u3046\u610f\u5473\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u524d\u533b\u306f\u629c\u9ac4\u3059\u308c\u3070\u5168\u3066\u306e\u6b6f\u9ac4\u304c\u9664\u53bb\u3067\u304d\u308b\u3068\u601d\u3063\u3066\u3044\u305f\u306e\u3067\u3042\u308d\u3046\u304b\uff1f<\/p>\n

\u307e\u3055\u304b\u3001<\/p>\n

\u629c\u9ac4\uff1d\u5168\u3066\u306e\u6b6f\u9ac4\u3092\u53d6\u308a\u9664\u304f\uff08\u53d6\u308a\u9664\u304b\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u3044\uff09\u3053\u3068\u3060\u3068\u601d\u3063\u3066\u3044\u308b\u3068\u3059\u308c\u3070\u3053\u308c\u307b\u3069\u4e0d\u5e78\u306a\u3053\u3068\u306f\u306a\u3044\u3002<\/strong><\/span><\/h1>\n

\u4ee5\u4e0b\u306e\u8ad6\u6587\u304c\u8457\u540d\u3067\u3042\u308b\u3002<\/p>\n

Nyborg, H. and Halling, A. 1963 \u00a0Amputation instruments for partial pulp extirpation. II. A comparison between the efficiency of the Anteos root canal reamer and the Hedstrom file with cut tip. Odontologisk Tidskrift, 71: 277-283.<\/strong><\/span><\/a><\/h1>\n

H File\u306f\u6839\u7ba1\u6cbb\u7642\u306e\u969b\u306b\u4f7f\u7528\u3059\u308b\u6b6f\u79d1\u7528\u5668\u5177\u3067\u3001\u4e3b\u306b\u4e0a\u4e0b\u306e\u624b\u52d5\u64cd\u4f5c\u306b\u3088\u308b\u6839\u7ba1\u306e\u62e1\u5927\u30fb\u5f62\u6210\u306b\u4f7f\u7528\u3059\u308b\u3002\u56de\u8ee2\u3055\u305b\u3066\u306f\u3044\u3051\u306a\u3044\u3068\u5b66\u751f\u6642\u4ee3\u306b\u6559\u308f\u3063\u305f\u8a18\u61b6\u304c\u3042\u308b\u3002<\/p>\n

\u30ea\u30fc\u30de\u30fc\u3082\u6839\u7ba1\u6cbb\u7642\u306e\u969b\u306b\u4f7f\u7528\u3059\u308b\u6b6f\u79d1\u7528\u5668\u5177\u3067\u3001\u6b6f\u8cea\u3092\u524a\u308a\u53d6\u308b\u305f\u3081\u306e\u5668\u5177\u3067\u3042\u308b\u3002<\/p>\n

\u3053\u306eH File\u3068\u30ea\u30fc\u30de\u30fc\u3067\u6b6f\u9ac4\u9664\u53bb\u52b9\u7387\u306b\u95a2\u3057\u3066\u8abf\u3079\u3066\u307f\u305f\u3002<\/p>\n

\u3059\u308b\u3068\u7d50\u679c\u306f\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n

This sort of resection inevitably involves the compression, twisting, stretching, and tearing of apical soft tissues<\/strong><\/span>, including the afferent trigeminal sensory nerve fibers that will be preserved within the apical wound.<\/p>\n

\u6839\u5c16\u90e8\u306e\u6b6f\u9ac4\u7d44\u7e54\u3092\u62bc\u3057\u305f\u308a\u3001\u637b\u3063\u305f\u308a\u3001\u5f15\u3063\u5f35\u3063\u3066\u4f38\u3070\u3057\u305f\u308a\u3001\u5f15\u304d\u88c2\u3044\u305f\u308a\u3059\u308b\u3053\u3068\u306f\u907f\u3051\u3089\u308c\u306a\u3044<\/strong><\/span><\/h1>\n

\u3068\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n

\u6b6f\u9ac4\u3092\u5168\u3066\u304d\u3063\u3061\u308a\u9664\u53bb\u306f\u3067\u304d\u306a\u3044\u306e\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n

\uff08\u305d\u306e\u7d50\u679c\u304c\u4e0b\u306e\u5199\u771f\u3067\u3042\u308b\u3002\u3053\u306e\u624b\u306e\u8a71\u3067\u79c1\u304c\u5fc5\u305a\u601d\u3044\u51fa\u3059\u7d75\u304c\u3053\u308c\u3067\u3042\u308b\u3002\uff09<\/p>\n

\"\"<\/p>\n

\u3042\u306a\u305f\u304c\u6839\u7ba1\u6cbb\u7642\u306e\u6642\u306b\u75db\u307f\u3092\u611f\u3058\u308b\u306e\u306f\u3001\u8853\u8005\u304c\u9762\u5012\u304f\u3055\u304c\u3063\u3066\u9ebb\u9154\u3092\u3057\u306a\u3044\u304b\u3089\u3067\u3042\u308b\u3002<\/strong><\/span><\/h1>\n

\u305d\u308c\u306f\u30a2\u30e1\u30ea\u30ab\u3067\u306f\u62f7\u554f\u306b\u55a9\u3048\u3089\u308c\u308b\u884c\u70ba\u3060\u3002<\/p>\n

\u7d76\u5bfe\u306b\u9ebb\u9154\u3092\u3057\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u3044\u3002<\/p>\n

\u7121\u9ebb\u9154\u306e\u6839\u7ba1\u6cbb\u7642\u306f\u5927\u5b66\u304b\u3089\u7834\u9580\u306b\u3055\u308c\u308b\u6848\u4ef6\u3060\u3002<\/p>\n

\u3057\u304b\u3057\u3001\u65e5\u672c\u3067\u306f\u79c1\u3082\u304b\u3064\u3066\u4ee3\u8a3a\u533b\u3060\u3063\u305f\u6642\u306b\u4f55\u3067\u304a\u524d\u306f\u629c\u9ac4\u3057\u305f\u6b6f\u306b\u9ebb\u9154\u3092\u3057\u3066\u3044\u308b\u306e\u304b\uff01\u3068\u53f1\u8cac\uff08\u6ce8\u610f\uff1f\uff09\u3055\u308c\u305f\u3053\u3068\u304c\u3042\u308b\u3002<\/strong><\/span><\/h1>\n

\u75db\u3044\u304b\u3089\u9ebb\u9154\u3092\u3057\u3066\u3044\u308b\u306e\u3060\u304c\u3001\u65e5\u672c\u3067\u306f\u6c17\u5408\u3044\u3067\u6cbb\u7642\u3059\u308c\u3070\u75db\u307f\u3092\u4e0e\u3048\u306a\u3044\u3089\u3057\u3044\u3002<\/p>\n

\u30ca\u30f3\u30bb\u30f3\u30b9\u3060\u2026<\/p>\n

\u3053\u3046\u3044\u3046\u7d30\u304b\u3044\u3053\u3068\u304b\u3089\u3057\u3066\u65e5\u672c\u3068\u30a2\u30e1\u30ea\u30ab\u306e\u6b6f\u79d1\u533b\u7642\u306b\u306f\u5927\u304d\u306a\u5dee\u304c\u3042\u308b\u3068\u3057\u304b\u3044\u3048\u306a\u3044\u3002<\/strong><\/span><\/h1>\n

\u3068\u3044\u3046\u3053\u3068\u3067\u60a3\u8005\u3055\u3093\u306b\u306f\u9ebb\u9154\u3092\u3057\u3066\u6cbb\u7642\u3059\u308c\u3070\u75db\u307f\u306f\u6cbb\u7642\u4e2d\u306b\u306f\u4e0e\u3048\u306a\u3044\u3053\u3068\u3092\u8aac\u660e\u3057\u305f\u3002<\/p>\n

\u75db\u3051\u308c\u3070\u6211\u6162\u3057\u306a\u3044\u3067\u8a34\u3048\u3066\u3082\u3089\u3046\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n

\u306a\u305c\u304b\uff1f\u4e0d\u601d\u8b70\u306b\u601d\u3063\u305f\u3042\u306a\u305f\u306f\u3082\u3046\u4e00\u5ea6\u524d\u306e\u8ad6\u6587\u3092\u8aad\u3093\u3067\u307f\u3088\u3046\u3002<\/p>\n

Nyborg, H. and Halling, A. 1963 \u00a0Amputation instruments for partial pulp extirpation. II. A comparison between the efficiency of the Anteos root canal reamer and the Hedstrom file with cut tip. Odontologisk Tidskrift, 71: 277-283.<\/strong><\/span><\/a><\/h1>\n

This sort of resection inevitably involves the compression, twisting, stretching, and tearing of apical soft tissues, including the afferent trigeminal sensory nerve fibers that will be preserved within the apical wound.<\/strong><\/span><\/p>\n

\u6839\u7ba1\u6cbb\u7642\u3092\u3057\u305f\u6839\u5c16\u90e8\u306b\u306f\u3001\u6c42\u5fc3\u6027\u306e\u4e09\u53c9\u795e\u7d4c\u3092\u542b\u3093\u3067\u3044\u308b\u3001\u3068\u66f8\u304b\u308c\u3066\u3044\u308b\u3002<\/p>\n

\u7121\u7528\u306a\u75db\u307f\u3092\u4e0e\u3048\u308c\u3070\u305d\u306e\u523a\u6fc0\u3067\u975e\u6b6f\u539f\u6027\u75bc\u75db\u3092\u62db\u304f\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n

\u305d\u308c\u306f\u53ef\u53ca\u7684\u306b\u9632\u304c\u306a\u3044\u3068\u3044\u3051\u306a\u3044\u306e\u3067\u3042\u308b\u3002<\/p>\n

\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n

#31 Pulp Dx: Previously Initiated Therapy, Periapical Dx: Normal, Recommended Tx: RCT+Core build up<\/p>\n

\u6cbb\u7642\u81ea\u4f53\u306e\u6210\u529f\u7387\u306f\u304b\u306a\u308a\u9ad8\u3044\u3068\u3044\u3046\u3053\u3068\u3092\u60a3\u8005\u3055\u3093\u306b\u306f\u8aac\u660e\u3057\u3066\u6839\u7ba1\u6cbb\u7642\u306b\u79fb\u884c\u3057\u305f\u3002<\/p>\n

\n

\u6839\u7ba1\u6cbb\u7642\uff082022.7.4\uff09<\/strong><\/span><\/h1>\n

\u2605\u4ee5\u4e0b\u3001\u6cbb\u7642\u306b\u95a2\u308f\u308b\u52d5\u753b\/\u753b\u50cf\u3092\u30a2\u30c3\u30d7\u3057\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u4e0d\u5feb\u611f\u3092\u611f\u3058\u308b\u65b9\u306f\u30da\u30fc\u30b8\u3092Skip\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/h1>\n

1. \u9694\u58c1\u5f62\u6210<\/strong><\/span><\/h2>\n

\u6839\u7ba1\u6cbb\u7642\u306b\u5148\u99c6\u3051\u3066\u4f1d\u9054\u9ebb\u9154\u3092\u884c\u3063\u305f\u304c\u3001\u30e9\u30d0\u30fc\u30c0\u30e0\u3092\u3059\u308b\u3068\u30af\u30e9\u30f3\u30d7\u304c\u30d1\u30ab\u30d1\u30ab\u3068\u5916\u308c\u3066\u3057\u307e\u3046\u306e\u3067\u9694\u58c1\u3092\u5f62\u6210\u3057\u305f\u3002<\/p>\n

https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/07\/78f881856de19e7baadefebe7b939ac5.mp4<\/a><\/video><\/div>\n

\u52d5\u753b\u3067\u3042\u308b\u3088\u3046\u306b\u79c1\u306f\u9694\u58c1\u3092\u7acb\u3066\u308b\u306e\u306b\u30e9\u30d0\u30fc\u30c0\u30e0\u306f\u4f7f\u7528\u3057\u3066\u3044\u306a\u3044\u3002<\/p>\n

\u306a\u305c\u304b\uff1f<\/p>\n

\u6839\u7ba1\u6cbb\u7642\u304c\u7d42\u4e86\u3059\u308c\u3070\u30af\u30e9\u30a6\u30f3\u5f62\u6210\u3067\u3042\u308b\u3002<\/p>\n

\u5f62\u6210\u3067\u9694\u58c1\u306f\u98db\u3070\u3055\u308c\u308b\u306e\u3067\u306a\u305c\u5f37\u56fa\u306a\u63a5\u7740\u3092\u9694\u58c1\u306b\u6c42\u3081\u308b\u5fc5\u8981\u304c\u3042\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\n

\u79c1\u306f\u6614\u304b\u3089\u610f\u5473\u304c\u308f\u304b\u3089\u306a\u3044\u3002<\/p>\n

\u9694\u58c1\u306f\u82f1\u8a9e\u3067<\/p>\n

Temporary Build Up<\/strong><\/span><\/h1>\n

\u3068\u547c\u3076\u3002<\/p>\n

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2. \u6839\u7ba1\u6cbb\u7642<\/strong><\/span><\/h2>\n

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\"\"<\/p>\n

\"\"<\/p>\n

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\u6cbb\u7642\u5185\u5bb9\u306f\u4ee5\u4e0b\u306b\u306a\u3063\u305f\u3002<\/p>\n

\"\"<\/p>\n

PA\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n

\"\"<\/p>\n

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3. \u6839\u7ba1\u5145\u586b<\/strong><\/span><\/h2>\n
https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/07\/6ebf85b0bd0915a29c1bacd298481a32.mp4<\/a><\/video><\/div>\n

BC sealer\u306e\u6b8b\u6e23\u306f\u52d5\u753b\u306b\u3042\u308b\u3088\u3046\u306b3way\u30b7\u30ea\u30f3\u30b8\u3067\u6d17\u3044\u6d41\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/p>\n

PA\u306f\u4ee5\u4e0b\u3067\u3042\u308b\u3002<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\u554f\u984c\u306a\u3044\u3068\u5224\u65ad\u3057\u652f\u53f0\u7bc9\u9020\u3057\u3066\u7d42\u4e86\u3057\u305f\u3002<\/p>\n

\u3053\u306e\u307e\u307e\u7d4c\u904e\u3092\u304a\u3044\u3066\uff08\u304a\u304b\u306a\u304f\u3066\u3082\u3044\u3044\u304c\uff09\u3001\u6b21\u56de\u306f\u534a\u5e74\u5f8c\u3067\u3042\u308b\u3002<\/p>\n

\u307e\u305f\u7d4c\u904e\u3092\u5831\u544a\u3057\u3088\u3046\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

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