{"id":909,"date":"2020-11-27T19:00:44","date_gmt":"2020-11-27T10:00:44","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=909"},"modified":"2023-06-24T12:45:59","modified_gmt":"2023-06-24T03:45:59","slug":"18-per%e6%80%a5%e7%99%ba%e3%81%a8%e6%84%8f%e5%9b%b3%e7%9a%84%e5%86%8d%e6%a4%8d%e8%a1%93","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=909","title":{"rendered":"#18 Per\u6025\u767a\u3068\u610f\u56f3\u7684\u518d\u690d\u8853"},"content":{"rendered":"\r\n

\u60a3\u8005\u306f30\u4ee3\u5973\u6027\u3002<\/p>\r\n\r\n\r\n\r\n

\u5de6\u4e0b\u5965\u6b6f\u304c\u75db\u304f\u3066\u591c\u3082\u5bdd\u308c\u306a\u3044\u307b\u3069\u3060\u3068\u3044\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

\u3044\u308f\u3086\u308b\u8fd1\u96a3\u306e\u6b6f\u79d1\u533b\u5e2b\u304b\u3089\u306e\u96fb\u8a71\u3067\u3053\u306e\u60a3\u8005\u306f\u305d\u306e\u533b\u9662\u306b\u7d39\u4ecb\u3055\u308c\u305f\u305d\u3046\u3060\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u306e\u6b6f\u306b\u306fCast Crown\uff0812%\u91d1\u30d1\u30e9\u5408\u91d1\uff09\u304c\u88c5\u7740\u3055\u308c\u3066\u3044\u305f\u304c\u6b6f\u8cea\u306f\u307e\u3060\u304b\u306a\u308a\u591a\u304f\u6b8b\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u4e88\u60f3\u3055\u308c\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u3055\u3066\u3053\u306e\u3088\u3046\u306a\u72b6\u614b\u3067\u6765\u9662\u3055\u308c\u305f\u3068\u3057\u3066\u3082\u3001\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u306f\u5fc5\u8981\u306b\u306a\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u60a3\u8005\u306b\u75db\u307f\u3092\u4e0e\u3048\u308b\u306e\u306f\u826f\u304f\u306a\u3044\u306a\u2026\u3068\u304b\u75db\u307f\u3092\u4e0e\u3048\u305f\u3089\u3046\u3061\u306e\u6b6f\u79d1\u533b\u9662\u306e\u8a55\u5224\u304c\u843d\u3061\u308b\u306a\u2026\u306a\u3069\u3068\u6c17\u306b\u3059\u308b\u6b6f\u79d1\u533b\u5e2b\u306f\u6b6f\u5185\u7642\u6cd5\u306a\u3069\u3059\u308b\u3079\u304d\u3067\u306a\u3044\u3060\u308d\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

#18,19\u306b\u5bfe\u3057\u3066\u691c\u67fb\u3092\u884c\u3063\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u53e3\u8154\u5185\u306b\u306f\u816b\u8139\u306f\u306a\u304b\u3063\u305f\u3002\u304c\u3001\u4f55\u3082\u3057\u3066\u3044\u306a\u304f\u3066\u3082\u75db\u307f\u304c\u3042\u308b\uff08\u7279\u306b\u54ac\u5408\u3057\u305f\u6642\uff09\u3068\u3044\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

#18: Cold N\/A, EPT N\/A, Perc.(++), BT(+), Palp.(+), Periodontal pocket(WNL), Mobility(WNL)<\/p>\r\n\r\n\r\n\r\n

#19: Cold 3\/4, EPT +12\/80, Perc.(-), BT(-), Palp.(-), Periodontal pocket(WNL), Mobility(WNL)<\/p>\r\n\r\n\r\n\r\n

\u3068\u3044\u3046\u3053\u3068\u3067PA\u3092\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

\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u306a\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

Pulp Dx: Previously treated<\/p>\r\n\r\n\r\n\r\n

Periapical Dx:Symptomatic apical periodontitis<\/p>\r\n\r\n\r\n\r\n

Recommended Treatment: Intentional Replantation<\/p>\r\n\r\n\r\n\r\n

\u6cbb\u7642\u306f\u610f\u56f3\u7684\u518d\u690d\u3092\u9078\u629e\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u306e\u7406\u7531\u306f\u69d8\u3005\u3042\u308b\u304c\u3001\u3053\u306e\u72b6\u6cc1\u4ee5\u4e0a\u306e\u30d7\u30ec\u30d1\u30ec\u30fc\u30b7\u30e7\u30f3\u3092\u3053\u306e\u72b6\u614b\u306e\u6b6f\u306b\u884c\u3046\u3053\u3068\u304c\u56f0\u96e3\u3067\u3042\u308b\u3068\u5224\u65ad\u3057\u305f\u304b\u3089\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

D\u306f\u3053\u308c\u4ee5\u4e0a\u306a\u3044\u304f\u3089\u3044\u62e1\u5927\u3055\u308c\u5c3d\u304f\u3057\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

ML\u306f\u30ec\u30c3\u30b8\u3092\u4f5c\u3063\u3066\u3057\u307e\u3063\u305f\u306e\u3060\u308d\u3046\u304b\uff1f\uff1f<\/p>\r\n\r\n\r\n\r\n

MB\u3082\u30ec\u30c3\u30b8\u304c\u3067\u304d\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u3053\u308c\u3092\u3059\u3063\u304d\u308a\u3068\u89e3\u6c7a\u3059\u308b\u306b\u306fIntentional Replantation\u304c\u6700\u9069\u3067\u3042\u308b\u3068\u5224\u65ad\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u3055\u3066\u3057\u304b\u3057\u3001\u60a3\u8005\u306f\u3053\u306e\u3088\u3046\u306a\u72b6\u6cc1\u3067\u75db\u307f\u304c\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u3055\u3066\u3042\u306a\u305f\u306f\u3069\u3046\u5bfe\u5fdc\u3059\u308b\u3060\u308d\u3046\u304b\uff1f\uff1f<\/p>\r\n\r\n\r\n\r\n

\u3059\u3054\u304f\u75db\u3044\u3068\u3044\u3046\u4e3b\u8a34\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u9ebb\u9154\u304c\u52b9\u304f\u3060\u308d\u3046\u304b\uff1f<\/p>\r\n\r\n\r\n\r\n

\u3084\u3063\u3066\u307f\u306a\u3051\u308c\u3070\u308f\u304b\u308a\u307e\u305b\u3093\u306d\u3001\u3067\u6cbb\u7642\u3057\u3066\u3057\u307e\u3063\u3066\u306f\u3042\u306a\u305f\u306e\u5a01\u4fe1\uff1f\u306b\u50b7\u304c\u3064\u304f\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u6cbb\u7642\u3059\u308b\u524d\u306b\u3069\u3046\u3044\u3046\u72b6\u6cc1\u306b\u306a\u308b\u306e\u304b\uff1f\u4e88\u60f3\u3057\u8aac\u660e\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u3060\u3002<\/p>\r\n\r\n\r\n\r\n

\u307e\u305a\u7d50\u8ad6\u304b\u3089\u8a00\u3046\u3068\u3053\u306e\u3088\u3046\u306a\u72b6\u6cc1\u306b\u306a\u308b\u3068\u6b6f\u79d1\u6cbb\u7642\u4e0a\u3001\u975e\u5e38\u306b\u4e0d\u5229\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u3053\u306e\u72b6\u6cc1\u304b\u3089\u8131\u3059\u308b\u6709\u52b9\u306a\u624b\u7acb\u3066\u306f\u307b\u307c\u306a\u3044\u3068\u8a00\u3063\u3066\u3044\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

\u708e\u75c7\u306f\u9ebb\u9154\u3067\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u308b\u304c\u611f\u67d3\u306f\u9ebb\u9154\u3067\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3059\u308b\u306e\u304c\u96e3\u3057\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u3053\u3067\u60a3\u8005\u3055\u3093\u306b\u306f\u75db\u307f\u6b62\u3081\uff08\u30ed\u30ad\u30bd\u30cb\u30f3\uff0b\u30ab\u30ed\u30ca\u30fc\u30eb\uff09\u3092\u591a\u3081\u306b\u51e6\u65b9\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u3057\u3066\uff11\u304b\u6708\u7d4c\u3063\u305f\u6cbb\u7642\u306e\u65e5\u3060\u304c\u2026\u75db\u307f\u306f\u6d88\u3048\u3066\u3044\u305f\u3002\u816b\u8139\u3082\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

\u3064\u307e\u308a\u6b6f\u79d1\u6cbb\u7642\u304c\u884c\u3048\u308b\u30c1\u30e3\u30f3\u30b9\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u3068\u3044\u3046\u3053\u3068\u3067\u4f1d\u9054\u9ebb\u9154\u30921\u672c\u3001\u305d\u3057\u3066\u6d78\u6f64\u9ebb\u9154\u30921\/2CT, \u6b6f\u8089\u6e9d\u5185\u9ebb\u9154\u30921\u5ea6\u884c\u3044\u75db\u307f\u304c\u51fa\u3066\u3044\u306a\u3044\u304b\uff1f\u78ba\u8a8d\u3057\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u3059\u308b\u3068\u3042\u306e\u6642\u3072\u3069\u304b\u3063\u305f\u75db\u307f\u306f\u3053\u306e\u6642\u70b9\u3067\u6d88\u5931\u3057\u3066\u3044\u305f\u2026<\/p>\r\n\r\n\r\n\r\n

\u3068\u8a00\u3046\u3053\u3068\u3067\u30e1\u30bf\u30eb\u30af\u30e9\u30a6\u30f3\u3092\u9664\u53bb\u3057\u30e9\u30af\u30b9\u30a8\u30fc\u30bf\u30fc<\/a>\u3067\u6b6f\u7259\u3092\u8131\u81fc\u3055\u305b\u3066\u629c\u6b6f\u3092\u884c\u3044\u3001\u30e1\u30c1\u30ec\u30f3\u30d6\u30eb\u30fc\u3067\u6b6f\u7259\u3092\u89b3\u5bdf\u3057\u305f\u3002\u7834\u6298\u3057\u3066\u3044\u308b\u3088\u3046\u306a\u6240\u898b\u306f\u7121\u304b\u3063\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
\"\"<\/figure>\r\n\r\n\r\n\r\n
\"\"<\/figure>\r\n\r\n\r\n\r\n

\u3068\u3044\u3046\u3053\u3068\u3067\u6839\u5c16\u90e81\/3\u3092\u5207\u65ad\u3057\u3001\u30e1\u30c1\u30ec\u30f3\u30d6\u30eb\u30fc\u3067\u67d3\u3081\u3066\u307f\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

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

MB\u306b\u306f\u6839\u7ba1\u5145\u586b\u5264\u304c\u898b\u3048\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

ML\u306e\u6839\u7ba1\u5145\u586b\u5264\u306f\u898b\u3048\u306a\u304b\u3063\u305f\u3002\u6e05\u6383\u304c\u3067\u304d\u306a\u304b\u3063\u305f\u306e\u3060\u308d\u3046\u3002<\/p>\r\n\r\n\r\n\r\n

D\u306e\u30ac\u30c3\u30bf\u30d1\u30fc\u30c1\u30e3\u306f\u898b\u3048\u305f\u304c\u304a\u305d\u3089\u304f\u30c8\u30e9\u30f3\u30b9\u30dd\u30fc\u30c6\u30fc\u30b7\u30e7\u30f3\u3057\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u3068\u8a00\u3046\u3053\u3068\u30673\u6839\u7ba1\u5168\u3066\u6839\u7ba1\u5f62\u6210\u306b\u5931\u6557\u3057\u3066\u3044\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u305d\u308c\u304c\u5931\u6557\u306e\u539f\u56e0\u304b\uff1f\u306f\u5206\u304b\u3089\u306a\u3044\u304c\u5c11\u306a\u304f\u3068\u3082\u6cbb\u7642\u306e\u4e88\u5f8c\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u305f\u56e0\u5b50\u3067\u3042\u308b\u3053\u3068\u306f\u9593\u9055\u3044\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

\u9006\u6839\u7ba1\u5f62\u6210\u3092\u884c\u3044Gray\u306eMTA\u3067\u9006\u6839\u7ba1\u5145\u586b\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
\"\"<\/figure>\r\n\r\n\r\n\r\n
\"\"<\/figure>\r\n\r\n\r\n\r\n

\u305d\u306e\u5f8c\u3001\u54ac\u5408\u9762\u306e\u30ec\u30b8\u30f3\u3092\u9664\u53bb\u3057\u30b3\u30a2\u7528\u30ec\u30b8\u30f3\u3067\u652f\u53f0\u7bc9\u9020\u3057\u76f4\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

\u6b6f\u7259\u3092\u629c\u6b6f\u7aa9\u3078\u623b\u3057\u3066\u54ac\u5408\u8abf\u6574\u3057\u3001PA\u3092\u64ae\u5f71\u3057\u8853\u5f8c\u306e\u8aac\u660e\u3092\u884c\u3063\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

\u7d4c\u904e\u89b3\u5bdf\u306f\u3044\u3064\u3069\u306e\u3088\u3046\u306a\u30bf\u30a4\u30df\u30f3\u30b0\u3067\u884c\u3046\u306e\u3060\u308d\u3046\u304b\uff1f\uff1f<\/p>\r\n\r\n\r\n\r\n

\u6cbb\u7652\u306f\u52d5\u7269\u5b9f\u9a13\u3060\u3068\uff12\u30f6\u6708\u3067\u5b8c\u4e86\u3059\u308b\u3001\u3068\u3044\u3046\u8a71\u306f\u4ee5\u524d\u306e\u30d6\u30ed\u30b0\u306b\u8a18\u8f09\u3057\u305f\u901a\u308a\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

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

\u3053\u306e\u6cbb\u7642\u65e5\u304b\u30892\u304b\u6708\u3067\u6cbb\u7652\u3092\u5f97\u3089\u308c\u308b\u3068\u8003\u3048\u3089\u308c\u308b\u306e\u3067\u7d4c\u904e\u89b3\u5bdf\u306f1\u304b\u6708\u6bce\u3067\u3042\u308b\u3002<\/p>\r\n\r\n\r\n\r\n

\u6700\u5f8c\u306b\u54ac\u5408\u306e\u8abf\u6574\u3092\u884c\u3044\u3001\u8853\u5f8c\u306e\u6ce8\u610f\u3092\u4e0e\u3048\u305f\u3002<\/p>\r\n\r\n\r\n\r\n

\u56fa\u5b9a\u306f\u3057\u3063\u304b\u308a\u3057\u305f\u6b6f\u6839\u3067\u3042\u308b\u305f\u3081\u52d5\u63fa\u3082\u306a\u3044\u306e\u3067\u3057\u3066\u3044\u306a\u3044\u3002<\/p>\r\n\r\n\r\n\r\n

2\u304b\u6708\u5f8c\u306b\u307e\u305f\u5831\u544a\u3057\u305f\u3044\u3068\u601d\u3046\u3002<\/p>\r\n","protected":false},"excerpt":{"rendered":"

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