{"id":1403,"date":"2025-02-12T00:00:33","date_gmt":"2025-02-11T15:00:33","guid":{"rendered":"http:\/\/www.fukuoka-endodontist.com\/?p=1403"},"modified":"2025-02-11T22:17:26","modified_gmt":"2025-02-11T13:17:26","slug":"%e5%85%a8%e9%83%a8%e6%96%ad%e9%ab%84%e3%81%97%e3%81%9f%e3%82%82%e3%81%ae%e3%81%ae%e6%a0%b9%e5%b0%96%e7%97%85%e5%a4%89%e3%81%8c%e3%81%a7%e3%81%8d%e3%81%9f%e6%ad%af%e7%89%99%e3%81%ae%e6%a0%b9%e7%ae%a1","status":"publish","type":"post","link":"http:\/\/www.fukuoka-endodontist.com\/?p=1403","title":{"rendered":"\u5168\u90e8\u65ad\u9ac4\u3057\u305f\u3082\u306e\u306e\u6839\u5c16\u75c5\u5909\u304c\u3067\u304d\u305f\u6b6f\u7259\u306e\u6839\u7ba1\u6cbb\u7642\u301c#14 RCT 1\u56de\u6cd5"},"content":{"rendered":"<p>\u7d39\u4ecb\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u3002<\/p>\n<p>\u4e3b\u8a34\u306f\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u4ed6\u9662\u3067\u6839\u7ba1\u6cbb\u7642\u306f\u3067\u304d\u306a\u3044\u3068\u8a00\u308f\u308c\u305f\u304c\u3001\u6b6f\u3092\u4fdd\u5b58\u3057\u305f\u3044\u3002\u6b8b\u305b\u306a\u3044\u3060\u308d\u3046\u304b\u2026\uff1f<\/strong><\/span><\/h1>\n<p>\u3067\u3042\u308b\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u691c\u67fb\uff082024.11.20\uff09<\/strong><\/span><\/h1>\n<p>#14 Cold NR\/20, <span style=\"color: #ff0000;\"><strong>Perc.(+)<\/strong><\/span>, Palp.(-), <span style=\"color: #ff0000;\"><strong>BT(+)<\/strong><\/span>, Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>#15 Cold+2\/2, Perc.(-), Palp.(-), BT(-), Perio Probe(WNL), Mobility(WNL)<\/p>\n<p>\u4eee\u5c01\u304c\u3057\u3066\u3042\u308b#14\u304c\u60a3\u6b6f\u3060\u308d\u3046\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>PA\uff082024.11.20\uff09<\/strong><\/span><\/h1>\n<h1><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28057\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/3510b89d555da1c1ebc2bc614b0e1432.jpg\" alt=\"\" width=\"1943\" height=\"1509\" \/><\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28058\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/1cbe935ca8f17581675c2ff45f9e3cf8.jpg\" alt=\"\" width=\"1943\" height=\"1494\" \/><\/p>\n<h1><span style=\"color: #008000;\"><strong>CBCT\uff082024.11.20\uff09<\/strong><\/span><\/h1>\n<h2><span style=\"color: #008000;\"><em>MB1 <\/em><\/span><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28060\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/14-MB1.-arisa_miyaishi_20241120_100824.jpg\" alt=\"\" width=\"1706\" height=\"941\" \/><\/h2>\n<p>MB1\u306e\u6839\u5c16\u90e8\u306b\u306f\u75c5\u5909\u304c\u3042\u308a\u3001\u7a7f\u901a\u304c\u5fc5\u9808\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u3002<\/p>\n<h2><span style=\"color: #008000;\"><em>MB2<\/em><\/span><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28064\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/14-MB2.-arisa_miyaishi_20241120_100254.jpg\" alt=\"\" width=\"1706\" height=\"941\" \/><\/h2>\n<p>MB2\u306f\u77f3\u7070\u5316\u304c\u4ea2\u9032\u3057\u3066\u3044\u308b\u611f\u3058\u306e\u5370\u8c61\u3092\u611f\u3058\u308b\u753b\u50cf\u3067\u3042\u308b\u3002<\/p>\n<p>MB1\u304bMB2\u3044\u305a\u308c\u304b\u306e\u7a7f\u901a\u306f\u5fc5\u9808\u3068\u8a00\u3048\u308b\u304c\u3001\u305d\u308c\u304c\u3069\u3061\u3089\u3067\u3069\u3046\u3059\u308b\u3079\u304d\u304b\uff1f\u307e\u3067\u306f\u306a\u3093\u3068\u3082\u8a00\u3044\u96e3\u3044\u3002<\/p>\n<p>\u307e\u305f\u4ee5\u4e0a\u306e\u753b\u50cf\u304b\u3089\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>MB2\u304c\u72ec\u7acb\u3057\u3066\u3044\u308b\u306e\u304b\uff1fMB1\u3068\u5408\u6d41\u3057\u3066\u3044\u308b\u306e\u304b\uff1f\u3068\u3044\u3046\u3053\u3068\u307e\u3067\u3082\u4e88\u60f3\u306f\u53b3\u3057\u3044<\/strong><\/span><\/h1>\n<p>\u3060\u308d\u3046\u3002<\/p>\n<p>\u5b9f\u969b\u306b\u6cbb\u7642\u3057\u306a\u3044\u3068\u308f\u304b\u3089\u306a\u3044\u3001\u3068\u3044\u3046\u3084\u3064\u3060\u3002<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u3053\u3053\u304cCBCT\u306e\u9650\u754c\u3060\u3002CBCT\u304c\u3042\u308c\u3070\u6839\u7ba1\u6cbb\u7642\u304c\u5168\u3066\u3067\u304d\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3002<\/strong><\/span><\/h1>\n<p>\u7279\u306b\u3001<\/p>\n<h1><span style=\"color: #ff0000;\"><strong>\u975e\u5916\u79d1\u7684\u306a\u6b6f\u5185\u7642\u6cd5\uff08Initial RCT\uff09\u306e\u5834\u5408\u306f<\/strong><\/span><\/h1>\n<p>\u3060\u3002<\/p>\n<p>\u3053\u3046\u3044\u3046\u5834\u5408\u306f\u3001\u89e3\u5256\u5b66\u7684\u306a\u77e5\u8b58\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n<p>\u591a\u304f\u306e\u5834\u5408\u3001MB2\u306fMB1\u3068\u5408\u6d41\u3059\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u3066\u3044\u308b\u306e\u3067\u3042\u308b\u304c\u3001<\/p>\n<h1><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/6595621\/\"><strong>Vertucci 1984 Root canal anatomy of the human permanent teeth<\/strong><\/a><\/h1>\n<p>\u81e8\u5e8a\u3067\u305d\u3046\u306a\u308b\u304b\u3069\u3046\u304b\uff1f\u307e\u3067\u306f\u308f\u304b\u3089\u306a\u3044\u3002<\/p>\n<p>\u3053\u3053\u304c\u81e8\u5e8a\u306e\u96e3\u3057\u3055\u3060\u308d\u3046\u3002<\/p>\n<h2><em><span style=\"color: #008000;\">DB <\/span><\/em><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28065\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/14-DB.-arisa_miyaishi_20241120_100855.jpg\" alt=\"\" width=\"1706\" height=\"941\" \/><\/h2>\n<p>DB\u306b\u3082\u82e5\u5e72\u3060\u304c\u3001\u75c5\u5909\u304c\u3042\u308b\u3002<\/p>\n<p>\u304c\u3001MB\u304b\u3089\u305d\u308c\u306f\u56de\u3063\u3066\u304d\u305f\u3082\u306e\u306a\u306e\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n<p>\u6839\u5c16\u75c5\u5909\u304c\u3069\u3053\u7531\u6765\u304b\uff1f\u307e\u3067\u306f\u81e8\u5e8a\u3067\u306f\u4e0d\u660e\u3067\u3042\u308b\u3002<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u307e\u305a\u3084\u308b\u3079\u304d\u3053\u3068\u306f\u975e\u5916\u79d1\u7684\u306a\u6839\u7ba1\u6cbb\u7642\u3067\u3042\u308a\u3001<\/p>\n<p>\u305d\u308c\u3067\u3082\u6cbb\u7652\u3057\u306a\u3051\u308c\u3070Apicoectomy\u3060\u3002<\/p>\n<p>\u8a71\u3092\u975e\u5916\u79d1\u7684\u306a\u6839\u7ba1\u6cbb\u7642\u306b\u623b\u305d\u3046\u3002<\/p>\n<p>\u6839\u7ba1\u53e3\u90e8\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u77f3\u7070\u5316\u3057\u3066\u3044\u308b\u3088\u3046\u306a\u5370\u8c61\u3092\u4e0e\u3048\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-28066\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/87aa3c0b47eb33ba74cb12569647e6a8-164x300.png\" alt=\"\" width=\"164\" height=\"300\" \/>\u3000<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-28067\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/af1137bd80fa7cd4f33266aabf3b3053-154x300.png\" alt=\"\" width=\"154\" height=\"300\" \/>\u3000<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-28068\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/7cde6cbdf6a0881b0be9502d9e65bf8c-212x300.png\" alt=\"\" width=\"212\" height=\"300\" \/><\/p>\n<p>\u6839\u7ba1\u53e3\u90e8\u3068\u601d\u3057\u304d\u5834\u6240\u304b\u30891.5mm~3.0mm\u304f\u3089\u3044\u306e\u4f4d\u7f6e\u306b\u6839\u7ba1\u306f\u3042\u308a\u305d\u3046\u3060\u3002<\/p>\n<p>Munce bur\u3084\u30ec\u30b8\u30f3\u3092\u524a\u308b\u8d85\u97f3\u6ce2\u30c1\u30c3\u30d7\u304c\u5fc5\u9808\u3068\u8a00\u3048\u308b\u3002<\/p>\n<h2><span style=\"color: #008000;\"><em>P<\/em><\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28059\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/14-P.-arisa_miyaishi_20241120_100402.jpg\" alt=\"\" width=\"1706\" height=\"941\" \/><\/p>\n<p>P\u306b\u306f\u6839\u5c16\u75c5\u5909\u304c\u306a\u3044\u3002<\/p>\n<p>\u901a\u5e38\u901a\u308a\u3001\u6839\u7ba1\u5f62\u6210\u3057\u6839\u7ba1\u5145\u586b\u3059\u308c\u3070\u3044\u3044\u3060\u308d\u3046\u3002<\/p>\n<h1><span style=\"color: #008000;\"><strong>\u6b6f\u5185\u7642\u6cd5\u5b66\u7684\u8a3a\u65ad\uff082024.11.20\uff09<\/strong><\/span><\/h1>\n<p>Pulp Dx: Previously initiated therapy<\/p>\n<p>Periapical Dx: Symptomatic apical periodontitis<\/p>\n<p>Recommended Tx: RCT<\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u5225\u65e5\u306b\u6cbb\u7642\u304c\u884c\u308f\u308c\u305f\u3002<\/p>\n<hr \/>\n<h1><span style=\"color: #008000;\"><strong>#14 RCT\uff082025.1.6\uff09<\/strong><\/span><\/h1>\n<p>DB\u304c\u77f3\u7070\u5316\u3057\u3066\u304a\u308a\u898b\u3064\u304b\u3089\u306a\u3044\u3002<\/p>\n<p>\u305d\u3053\u3067\u3001\u4eee\u5c01\u5f8c\u306bDB\u306e\u4f4d\u7f6e\u3092\u78ba\u304b\u3081\u308b\u3079\u304fCBCT\u3092\u64ae\u5f71\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28157\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/0e3b811b4c140de752a61beb4a29e786.jpg\" alt=\"\" width=\"1706\" height=\"941\" \/><\/p>\n<p>DB\u306f\u8fd1\u508d\u306b\u3042\u308b\u304c\u3001\u9ac4\u5e8a\u5e95\u3092\u7a7f\u5b54\u3055\u305b\u3066\u3044\u305f\u2026<\/p>\n<p>\u4fee\u6b63\u3057\u3001\u8853\u5f8c\u306bPA, CBCT\u3092\u64ae\u5f71\u3057\u305f\u304c\u3001DB\u306f\u77f3\u7070\u5316\u3057\u3066\u3044\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28150\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/016cc4a001aba53fdd56f1522157dcf1.jpg\" alt=\"\" width=\"1942\" height=\"1490\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28151\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/953d395a1855dccbe80cf59dc8e7a806.jpg\" alt=\"\" width=\"1943\" height=\"1489\" \/><\/p>\n<h2><em><strong><span style=\"color: #008000;\">MB1<\/span> <\/strong><\/em><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28152\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/14-Post-op-MB1-arisa_miyaishi_20250106_154714.jpg\" alt=\"\" width=\"1706\" height=\"941\" \/><\/h2>\n<h2><em><strong><span style=\"color: #008000;\">MB2<\/span> <\/strong><\/em><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28153\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/14-Post-op-MB2-arisa_miyaishi_20250106_154724.jpg\" alt=\"\" width=\"1706\" height=\"941\" \/><\/h2>\n<h2><em><strong><span style=\"color: #008000;\">DB<\/span> <\/strong><\/em><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28154\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/14-Post-op-DB-arisa_miyaishi_20250106_154645.jpg\" alt=\"\" width=\"1706\" height=\"941\" \/><\/h2>\n<h2><em><strong><span style=\"color: #008000;\">P<\/span> <\/strong><\/em><\/h2>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28155\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/Post-op-P.-arisa_miyaishi_20250106_150221.jpg\" alt=\"\" width=\"1706\" height=\"941\" \/><\/h2>\n<h2><span style=\"color: #008000;\"><em><strong>Perforation site<\/strong><\/em><\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28156\" src=\"https:\/\/fukuoka-endodontics.com\/wp-content\/uploads\/2025\/01\/Post-op-Perforation-repaired-arisa_miyaishi_20250106_154656.jpg\" alt=\"\" width=\"1706\" height=\"941\" \/><\/p>\n<p>\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u6b21\u56de\u306f1\u5e74\u5f8c\u3067\u3042\u308b\u3002<\/p>\n<p>\u307e\u305f\u305d\u306e\u6a21\u69d8\u3092\u304a\u4f1d\u3048\u3057\u305f\u3044\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7d39\u4ecb\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u3002 \u4e3b\u8a34\u306f\u3001 \u4ed6\u9662<\/p>\n","protected":false},"author":1,"featured_media":1405,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[50],"tags":[],"class_list":["post-1403","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-previously-initiated-therapy"],"featured_image_urls":{"full":["http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714.jpg",1706,941,false],"thumbnail":["http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714-150x150.jpg",150,150,true],"medium":["http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714-300x165.jpg",300,165,true],"medium_large":["http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714-768x424.jpg",640,353,true],"large":["http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714-1024x565.jpg",640,353,true],"1536x1536":["http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714-1536x847.jpg",1536,847,true],"2048x2048":["http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714.jpg",1706,941,false],"morenews-featured":["http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714-1024x565.jpg",1024,565,true],"morenews-large":["http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714-825x575.jpg",825,575,true],"morenews-medium":["http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714-590x410.jpg",590,410,true]},"author_info":{"info":["Akira Matsuura, DDS"]},"category_info":"<a href=\"http:\/\/www.fukuoka-endodontist.com\/?cat=50\" rel=\"category\">Previously initiated therapy<\/a>","tag_info":"Previously initiated therapy","comment_count":"0","jetpack_featured_media_url":"http:\/\/www.fukuoka-endodontist.com\/wp-content\/uploads\/2025\/02\/14-Post-op-MB1-arisa_miyaishi_20250106_154714.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=\/wp\/v2\/posts\/1403","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1403"}],"version-history":[{"count":1,"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=\/wp\/v2\/posts\/1403\/revisions"}],"predecessor-version":[{"id":1404,"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=\/wp\/v2\/posts\/1403\/revisions\/1404"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=\/wp\/v2\/media\/1405"}],"wp:attachment":[{"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1403"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1403"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.fukuoka-endodontist.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1403"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}