{"id":9977,"date":"2022-09-08T00:00:43","date_gmt":"2022-09-07T15:00:43","guid":{"rendered":"https:\/\/fukuoka-endodontics.com\/?p=9977"},"modified":"2022-09-07T17:02:56","modified_gmt":"2022-09-07T08:02:56","slug":"%e6%ad%af%e3%81%8c%e7%97%9b%e3%81%8f%e3%81%a6%e6%ad%bb%e3%81%ab%e3%81%9d%e3%81%86%ef%bc%81%ef%bc%81%e5%a4%9c%e3%82%82%e7%9c%a0%e3%82%8c%e3%81%aa%e3%81%8431-%e5%a3%8a%e6%ad%bb%e6%ad%af","status":"publish","type":"post","link":"https:\/\/fukuoka-endodontics.com\/?p=9977","title":{"rendered":"\u6b6f\u304c\u75db\u304f\u3066\u6b7b\u306b\u305d\u3046\uff01\uff01\u591c\u3082\u7720\u308c\u306a\u3044\u2026#31 \u58ca\u6b7b\u6b6f\u9ac4\u306eRCT"},"content":{"rendered":"<p>\u7d39\u4ecb\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u3002<\/p>\n<p>\u4f4f\u5c45\u306f\u798f\u5ca1\u304b\u3089\u9060\u3044\u5834\u6240\u3067\u3042\u308b\u3002<\/p>\n<p>\u4e3b\u8a34\u306f<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u6b6f\u304c\u75db\u304f\u3066\u591c\u5bdd\u308c\u306a\u304b\u3063\u305f\u3002\u7269\u51c4\u304f\u75db\u3044\u3002\u75db\u307f\u6b62\u3081\u3082\u52b9\u304b\u306a\u3044<\/strong><\/span><\/h1>\n<p>\u3067\u3042\u3063\u305f\u3002<\/p>\n<p>\u8a71\u3092\u8a73\u3057\u304f\u805e\u304f\u3068\u53f3\u4e0b\u306e\u5965\u6b6f\u304c\u75db\u3080\u3068\u3044\u3046\u3002<\/p>\n<p>\u4eca\u306f\u75db\u307f\u304b\u3089\u54ac\u5408\u75db\u306b\u5909\u308f\u3063\u3066\u3044\u304d\u3064\u3064\u3042\u308b\u305d\u3046\u3060\u3002<\/p>\n<p>\u6307\u3067\u3055\u305b\u308b\u304b\uff1f\u805e\u3044\u305f\u3089#31\u3060\u3068\u3044\u3046\u3002<\/p>\n<p>#31\u3092\u4e2d\u5fc3\u306b\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\u3092\u884c\u3063\u305f\u3002<\/p>\n<p>#30 Cold+3\/3, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>#31 <span style=\"color: #ff0000;\"><strong>Cold++1\/30, Perc.(++), Palp.(-), BT(++)<\/strong><\/span>, Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>PA\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>RCT\u8853\u524dPA\uff082022.9.2\uff09<\/strong><\/span><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9978\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI35.jpg\" alt=\"\" width=\"1944\" height=\"1503\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI35.jpg 1944w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI35-300x232.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI35-1024x792.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI35-768x594.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI35-1536x1188.jpg 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI35-660x510.jpg 660w\" sizes=\"auto, (max-width: 1944px) 100vw, 1944px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9979\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI36.jpg\" alt=\"\" width=\"1944\" height=\"1490\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI36.jpg 1944w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI36-300x230.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI36-1024x785.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI36-768x589.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI36-1536x1177.jpg 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI36-660x506.jpg 660w\" sizes=\"auto, (max-width: 1944px) 100vw, 1944px\" \/><\/p>\n<h1><span style=\"color: #ff0000;\"><strong>#31\u306f\u6b6f\u9ac4\u3092\u4fdd\u8b77\u3055\u305b\u308b\u305f\u3081\u306b\u4f55\u3089\u304b\u306e\u6750\u6599\u3092\u7f6e\u3044\u3066\u8986\u9ac4\u3057\u3066\u3044\u308b\u3002<\/strong><\/span><\/h1>\n<p>\u3053\u3046\u3057\u305f\u3053\u3068\u3092\u884c\u3046\u3068\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u77f3\u7070\u5316\u3068\u3044\u3046\u306e\u3061\u306b\u6839\u7ba1\u6cbb\u7642\u304c\u5fc5\u8981\u306b\u306a\u3063\u305f\u3068\u304d\u306e\u30ea\u30b9\u30af\u3092\u62b1\u3048\u308b\u3053\u3068\u306b\u306a\u308b\u4e8b\u8c61\u304c\u8d77\u3053\u308b<\/strong>\u306e\u3060\u304c\u524d\u533b\u306f\u3042\u307e\u308a\u305d\u3053\u307e\u3067\u8003\u3048\u304c\u53ca\u3070\u306a\u304b\u3063\u305f\u3088\u3046\u3060\u3002<\/span><\/h1>\n<p>\u5b9f\u969b\u3001\u8fd1\u5fc3\u6839\u306fPA\u3067\u306f\u307b\u3068\u3093\u3069\u898b\u3048\u306a\u3044\u3002<\/p>\n<p>\u5acc\u306a\u4e88\u611f\u304c\u3059\u308b\u6839\u7ba1\u3060\u3002<\/p>\n<p>\u6839\u7ba1\u5f62\u6210\u304c\u6240\u5b9a\u306e\u4f4d\u7f6e\uff08\u6211\u3005\u306e\u696d\u754c\u3067\u306fApical Foramen-0.5~1.0mm\u3068\u8a00\u308f\u308c\u308b\uff09\u307e\u3067\u3067\u304d\u308b\u3060\u308d\u3046\u304b\uff1f<\/p>\n<p>\u3061\u306a\u307f\u306b\u3053\u306e\u60a3\u8005\u3055\u3093\u306fCBCT\u3082\u64ae\u5f71\u3057\u3066\u3082\u3089\u3063\u3066\u3044\u305f\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u8853\u524d CBCT\uff082022.9.2\uff09<\/strong><\/span><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9983\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-O.png\" alt=\"\" width=\"299\" height=\"375\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-O.png 299w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-O-239x300.png 239w\" sizes=\"auto, (max-width: 299px) 100vw, 299px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9984\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-B.png\" alt=\"\" width=\"424\" height=\"268\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-B.png 424w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-B-300x190.png 300w\" sizes=\"auto, (max-width: 424px) 100vw, 424px\" \/><\/p>\n<p>\u9060\u5fc3\u306b\u306f\u6839\u5c16\u75c5\u5909\u304c\u898b\u3048\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9986\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-D.png\" alt=\"\" width=\"204\" height=\"298\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9985\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-M.png\" alt=\"\" width=\"212\" height=\"327\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-M.png 212w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-M-194x300.png 194w\" sizes=\"auto, (max-width: 212px) 100vw, 212px\" \/><\/p>\n<hr \/>\n<p>\u8a3a\u65ad\u306f\u4ee5\u4e0b\u306b\u306a\u308b\u3002<\/p>\n<p>#31<\/p>\n<p>Pulp Dx\uff1aSymptomatic Irreversible Pulpitis\uff08<span style=\"color: #008000;\"><strong>Partial Pulp Necrosis?<\/strong><\/span>\uff09<\/p>\n<p>Periapical Dx\uff1aSymptomatic apical periodontitis<\/p>\n<p>Recommended Tx\uff1aRCT+Core build up<\/p>\n<p>\u63a8\u5968\u3055\u308c\u308b\u6cbb\u7642\u306f\u6839\u7ba1\u6cbb\u7642\u3067\u3042\u308b\u3002<\/p>\n<p>\u30ed\u30ad\u30bd\u30cb\u30f3\uff0b\u30ab\u30ed\u30ca\u30fc\u30eb\u3092\u670d\u7528\u3057\u3066\u3044\u305f\u3060\u304d\u305d\u306e1\u6642\u9593\u5f8c\u306b\u4f1d\u9054\u9ebb\u9154\u3001\u982c\u5074\u306b\u901a\u5e38\u306e\u30ad\u30b7\u30ed\u30ab\u30a4\u30f3\u3092\u6253\u3061\u3001\u6cbb\u7642\u524d\u306bCold test\u3092\u884c\u3063\u305f\u3002<\/p>\n<p>\u6cbb\u7642\u524d\u306f<span style=\"color: #ff0000;\"><strong>Cold++1\/3\u3067\u3042\u3063\u305f\u304c\u3001\u9ebb\u9154\u5f8c\u306f\u7121\u53cd\u5fdc\u3067\u3042\u308b\u3002<\/strong><\/span><\/p>\n<p>\u79c1\u3068\u540c\u3058\u3088\u3046\u306b\u304a\u305d\u3089\u304f\u6b6f\u9ac4\u304c\u58ca\u6b7b\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u306e\u3060\u308d\u3046\u3002<\/p>\n<p>\u3044\u305a\u308c\u306b\u3057\u3066\u3082\u3001\u4eca\u304c\u6cbb\u7642\u306e\u30c1\u30e3\u30f3\u30b9\u3060\u3002<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u6839\u7ba1\u6cbb\u7642\u304c\u30b9\u30bf\u30fc\u30c8\u3057\u305f\u3002<\/p>\n<hr \/>\n<h1><span style=\"color: #008000;\"><strong>#31 RCT+Core build up with Fiber Post\uff082022.9.2\uff09<\/strong><\/span><\/h1>\n<h1><span style=\"color: #ff0000;\"><strong>\u2606\u3053\u306e\u5f8c\u3001\u6cbb\u7642\u52d5\u753b\u304c\u51fa\u3066\u304d\u307e\u3059\u306e\u3067\u4e0d\u5feb\u611f\u3092\u611f\u3058\u308b\u65b9\u306f\u3054\u8996\u8074\u3092\u304a\u63a7\u3048\u304f\u3060\u3055\u3044\u3002<\/strong><\/span><\/h1>\n<p>\u6839\u7ba1\u306f\u4ee5\u524d\u306e\u751f\u6d3b\u6b6f\u9ac4\u7642\u6cd5\u306e\u305f\u3081\u306b\u77f3\u7070\u5316\u304c\u9032\u3093\u3067\u3044\u305f\u3002<\/p>\n<p>\u6839\u7ba1\u53e3\u304c\u898b\u3064\u304b\u3089\u306a\u3044\u2026<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9982 size-full\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/9c5ffb66f6fd4238d00a6c87bd5d2c05.png\" alt=\"\" width=\"1024\" height=\"574\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/9c5ffb66f6fd4238d00a6c87bd5d2c05.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/9c5ffb66f6fd4238d00a6c87bd5d2c05-300x168.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/9c5ffb66f6fd4238d00a6c87bd5d2c05-768x431.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/9c5ffb66f6fd4238d00a6c87bd5d2c05-660x370.png 660w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p>CBCT\u3092\u4f7f\u7528\u3057\u3066\u8d85\u97f3\u6ce2\u3067C-shaped canal\u306e\u6839\u7ba1\u53e3\u3092\u63a2\u7d22\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9987\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-O-1.png\" alt=\"\" width=\"375\" height=\"299\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-O-1.png 375w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/31-O-1-300x239.png 300w\" sizes=\"auto, (max-width: 375px) 100vw, 375px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9988\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/38c145d2e02bff796b277e2ac72d2428.png\" alt=\"\" width=\"375\" height=\"299\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/38c145d2e02bff796b277e2ac72d2428.png 375w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/38c145d2e02bff796b277e2ac72d2428-300x239.png 300w\" sizes=\"auto, (max-width: 375px) 100vw, 375px\" \/><\/p>\n<p>\u9060\u5fc3\u6839\u3092\u307e\u305a\u767a\u898b\u3057\u305f\u3002<\/p>\n<p>\u3053\u308c\u306f\u5bb9\u6613\u3067\u3042\u308b\u3002<\/p>\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-9977-1\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/36d467e694268e0d03c244de169612f2.mp4?_=1\" \/><a href=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/36d467e694268e0d03c244de169612f2.mp4\">https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/36d467e694268e0d03c244de169612f2.mp4<\/a><\/video><\/div>\n<hr \/>\n<p>\u6b21\u304cML\u6839\u3067\u3042\u308b\u3002CBCT\u3092\u898b\u306a\u304c\u3089\u8d85\u97f3\u6ce2\u3068\u30a8\u30f3\u30c9\u7528\u306e\u77ed\u91dd\u3067\u63a2\u7d22\u3057\u305f\u3002<\/p>\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-9977-2\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/952753788a13ee83f8cdb1295b2f1a77.mp4?_=2\" \/><a href=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/952753788a13ee83f8cdb1295b2f1a77.mp4\">https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/952753788a13ee83f8cdb1295b2f1a77.mp4<\/a><\/video><\/div>\n<hr \/>\n<p>\u77f3\u7070\u5316\u3057\u305f\u6839\u7ba1\u306f\u3053\u306e\u3088\u3046\u306b\u92ed\u3044\u30a8\u30f3\u30c9\u7528\u306e\u77ed\u91dd\u3068CBCT\u3092\u7528\u3044\u3066\u6839\u7ba1\u53e3\u3092\u63a2\u3057\u3066\u3044\u304f\u3002<\/p>\n<p>ML\u6839\u304c\u898b\u3064\u304b\u3063\u305f\u3002<\/p>\n<p>\u3042\u3068\u306fMB\u6839\u3060\u3002<\/p>\n<p>\u8fd1\u5fc3\u6839\u3068\u9060\u5fc3\u6839\u306e\u9593\u306b\u305d\u308c\u306f\u3042\u308b\u306f\u305a\u3060\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9988\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/38c145d2e02bff796b277e2ac72d2428.png\" alt=\"\" width=\"375\" height=\"299\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/38c145d2e02bff796b277e2ac72d2428.png 375w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/38c145d2e02bff796b277e2ac72d2428-300x239.png 300w\" sizes=\"auto, (max-width: 375px) 100vw, 375px\" \/><\/p>\n<hr \/>\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-9977-3\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/21ad04fff4f7e5ec6697080c91be733e.mp4?_=3\" \/><a href=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/21ad04fff4f7e5ec6697080c91be733e.mp4\">https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/21ad04fff4f7e5ec6697080c91be733e.mp4<\/a><\/video><\/div>\n<p>MB\u6839\u3082\u767a\u898b\u3057\u305f\u3002<\/p>\n<p>ML\u6839\u306b\u5408\u6d41\u3057\u3066\u3044\u305f\u3002<\/p>\n<hr \/>\n<p>\u4f5c\u696d\u9577\u7b49\u3092\u8a08\u6e2c\u3057\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9992\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/a3e8c54ecd969df042b29dbe8d90dedc.png\" alt=\"\" width=\"4164\" height=\"1680\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/a3e8c54ecd969df042b29dbe8d90dedc.png 4164w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/a3e8c54ecd969df042b29dbe8d90dedc-300x121.png 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/a3e8c54ecd969df042b29dbe8d90dedc-1024x413.png 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/a3e8c54ecd969df042b29dbe8d90dedc-768x310.png 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/a3e8c54ecd969df042b29dbe8d90dedc-1536x620.png 1536w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/a3e8c54ecd969df042b29dbe8d90dedc-2048x826.png 2048w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/a3e8c54ecd969df042b29dbe8d90dedc-660x266.png 660w\" sizes=\"auto, (max-width: 4164px) 100vw, 4164px\" \/><\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9993\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI38.jpg\" alt=\"\" width=\"1941\" height=\"1489\" srcset=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI38.jpg 1941w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI38-300x230.jpg 300w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI38-1024x786.jpg 1024w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI38-768x589.jpg 768w, https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2022\/09\/CI38-1536x1178.jpg 1536w, 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