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案例十八 執行定期有律的追蹤檢視可見證 Overextension / Overfilling 兩者預後將會
天差地別
ɧɤε๋ɾઃ٫dୋɚЗމՉൢᐕٙ˫ᔼࢪႩ֛d25 ࣬၍طᐕ܆෬ي̙ঐϞ
ཀܓַФא၈ཀڗ܆෬ (overextension) ٙତ ( ྡ 18A) ϾᔷൢfԱኽषʾ˴ൡՉषઋ
೯࢝ٝd 25 ટաཀ࣬၍طᐕʿݒၾ贋ూ˫ࢁٙႡЪʘܝdቌڐٙ˫ᚹʔࣛఱึ
໕̈ɓࡈᑓ㺭dϾ˲ӊէᘍېΥຠᙃࣛdᐼᙂʔ˄ബቇf͟މՉ݄Бطᐕٙ˫
ᔼࢪк֛ਪᕚ̙ঐ݊ԸІ 25 ቌڐ˫մ˙ࠦٙषᜊdΪϤɦආБəεϣ࿁˫մଡ଼ᔌଉ
ٙՒطf್ϾdՉᚹᑓ㺭ۍࣛλࣛᕸdէᘍʔቇชɰԱ್πίf͟ɮᔼʔطdʔ
௷Չᓔd݊Չრ႓પᑥՑୋɚЗ˫ᔼࢪԟ༁dซҬ̈ᚹᑓ㺭षΪٙॆ͍Ը๕d
˸Ӌ࿏ֵᐞطf༉ᏨൖܝdୋɚЗ˫ᔼࢪႩ֛༈˫̙ঐϞڢᇘַФཀڗ܆෬
(overextension) ٙତdҎૐषʾϽᅇਗ਼ҁϓٙ࣬ݒʿ贋ూ˫ࢁװৰdԨࠠอ݄Б
࣬၍ΎطᐕfषʾމᔫฐৎԈdҎૐঐЪΎɓϣٙᆽႩ (second opinion)fཀӻΐᏨ
ൖʘܝdҢࡁɰҎૐμঐႩॆٙϽᅇdࠠอਂɓϣ࿏ֵٙ࣬၍ΎطᐕfषʾΎɧϽᅇ
ܝdႩމ݅ʊπίٙਪᕚᒔ݊̀ࠅ࿏ֵٙ༆ӔdΪϤΝจਗ਼ႡЪλٙ贋ూ˫ࢁװৰf
װৰ່ڿܝd೯ତՉɨᒔϞɓࡈܘɽٙӌᄁᛟː (Amalgam Core) πίf
ྡ 18A 25 ᜑ࣬̂ʔԄd˲ࣛϞ໕೨ ྡ 18B ༉Ⴍषઋࡡ͟ʿତرd
ʿʔቇसًdШΪ່ڿʑτༀd̻ ѓٝ࣬φ˓ஔਗ਼ೌجᙃʿ 25 ˫࣬ʕݬ
ઃ٫࿁ܝᚃطᐕ፯ٙѢᓔ ЗಃჃːਉٙषΊdאΪ˫࣬ʫ̙̇ঐ
πίٙਉ࣬၍̈ɹਪᕚdઃ٫Νจװৰ
່ڿd፯ટա࣬၍Ύطᐕ
༾ϤdҢࡁ̀ਗ਼ᔚϞٙ෬يҁΌৰdɓԸ݊މəࠅᆽྼԣઃίܝᚃطᐕ
ࣛd೯͛О̙ঐٙڿਉသဍ (Coronal leakage)dɚԸɰซٝ༸ࡈڿਉሯഐॹฦ
ً࿒ϞεᘌࠠdλމකطᐕʘܝdО̙ঐ೯͛ٙڿਉသဍཫЪԣᚐ௪ ( ྡ 18B)f
ίᜑฆᗝٙᏍпɨdਗ਼הϞٙӌᄁᛟːৰܝdఱ೯ᙂՉɨᔚϞ෬෦ٙ৵Ըᇭၾ࣬
၍ኣʘගϞഹᜑٙ٤ქπίfϾৰ৵ԸᇭʘܝdఱϞɓٰᑓАනැર̈dྼყɪ
ᔚϞٙ৵Ըᇭί˴࣬၍ഢʕމᕦfཀ͍ٙ࣬၍Ύطᐕܝdஔܝ࣬̂ᅂ྅d
̙˸Ցί༈˫࣬၍ʕݬஈdϞމᜑٙᇘཀܓ܆෬ᅂ྅ (overfilling puffs) ̈ତ
( ྡ 18C)f͟ˢ࿁̙ᜑ̈ί༈˫࣬ʕݬٙਉ˕࣬၍ٙ၍ࢰd༰Չ࣬φЗٙ˴
၍ࢰԸٙɽdϾ˲ί˴࣬၍ٙ࣬φ၌̈ɹЗໄɪdɰᜑήՑϞͣʕ੭ͣٙᇘ܆෬
18 ፭ృᘌᔫ݄ٙஔଣׂၾᜌ፨ܠၪ