Page 41 - 根管治療的美麗與哀愁 (首部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( ࠯௅Ϝ )

Ϥ̮d࣬̂يί΢ࡈʔΝԉܓהש੻ٙ X Έᅂ྅ʕdՉяତ̈ٙݴΣeၾஹᚃ׌፿
ܓd࿁๫΢І˫̮࣬௅Җ࿒ே޴຅ѕΥe˲ՉࡒՈݓනІ್ٙߕชeၾ࢝ତѩፅϞܓٙ

၍ഢᓒ௴ϓ؈dɰேᜫɛೌˢؚᅌ ( ྡ 19F)f̥݊࿁ίӊɓ࣬၍ಃ˫࣬ҋʱஈٙ၍ኣe
א݊᜖ഢֵ௅ಃ࣬ҋਜdཫкᏐ༈ึ̈ତϞਉ˕࣬၍ஷ༸஗ᇘ੗෬̂̈Ըٙᅂ྅dவࡈ
ࡡ͉ٙಂ޸ໝ٤dϞᓃ̰ૐ ( ྡ 19G)f

࠯ Ϝ ௅

ྡ 19F ࣬̂يהяତ̈ٙݴΣၾஹᚃ׌ ྡ 19G ࿁ࡡ͉ಂ޸ಃ˫࣬ҋʱஈٙ၍
፿ܓdே޴຅ѕΥ΢І˫̮࣬ٙ௅Җ࿒i ኣeא݊᜖ഢֵ௅dᏐ༈ࠅ̈ତ஗ᇘ੗෬
ϾՉ࢝ͪݓනІ್ٙߕชeၾѩፅϞܓٙ ̂ٙਉ˕࣬၍ஷ༸dۍʔ੻ԈdϞᓃ̰ૐ
၍ഢᓒ௴ϓ؈d˿ɛೌˢؚᅌ

Ϋ᎘ΣषʾႭ׼Іʉʊ຾ڢ੬တจطᐕٙഐ؈dϾ˲Ա຾᜕кᓙ 36 ਗ਼ঐ੄නлή
஗ڭवɨԸdԨ੻˸ዄ຅˚ܝէᘍېΥూܔʈ೻ʕࠠࠅٙ˕ݒfषʾٙɾՅટഹ౤ਪj
ԟჿʦܝ͎ፋɹഢ዆ూطᐕٙ೻ҏਗ਼νО݄БkΫᏐjІʉਗ਼ึ֛ಂ̜Ϋઃ٫˸৛ᔳ
36 ˫࣬մࣙषΊٙᓹΥూࡡًرiЇ׵d˚ܝ࿁षʾɹഢېΥ዆ూٙʈЪdਗ਼։͟ष
ʾٙ࢕ࢬ˫ᔼࢪࠋபੂБfʔཀdІʉᆀ׵ਗ਼˸ֻ޴ЧࣩԷٙஈໄ຾᜕ЪʱԮdҎૐ

षʾ̙˸ᔷѓՉ࢕ࢬ˫ᔼࢪdϤܝɧ˙̙˸޴ʝၡ੗ή๖ஷeஹᖩd΍Νʹ౬ൢᐕৃ
ࢹၾจԈf
࣬̂Շ඄ܝdટᐏषʾ˫ᔼࢪٙཥ༑dѓٝϤՍषʾ͍ίՉൢהdΣՉڌͪطᐕܝ

36 ˫኉ᜊ੻޴຅ᖢոdΝࣛɰڌ༺ቌࣙᓂᇫ኉ᚹΎɰӚϞ໕೨ٙชᙂf˫ᔼࢪซމष
ʾ 36 ٙڿ௅෬໾dໄ౬ϓ࣬ݒڿː᜗ (post and core buildup)dԨৣᏖɪ 36-x-38 ٙڿ
዗ႡЪfҢۆΣ༈З࢕ࢬ˫ᔼࢪڌͪjయࠠઆٙɹഢ዆ూ஝ྌdઓΙ൥ʕা੻षʾ 38
˫ЗٙڗൿdЧ˷ϞᓃΣڐːහુd຾᜕ɪϤᒶ 38 ԨʔቇΥЪމո֛ڿ዗ʕٙ˕ݒਿ
ࢭiʔཀdϤ̥ࣛ߰݊ਗ਼ 36-x-38 ٙڿ዗d຅ЪމᑗࣛΫూषʾէᘍېΥٙཀನಂ̌ঐ

ணࠇdІʉഒ࿁ᗎϓiਗ਼Ըא஢̙ൖ 36 ˫࣬մࣙீ࢛षΊᓹΥూࡡٙઋرdΎ̤Ъ͂
ၑfଣซɪd̀඲੻΋ҧ͍ 38 ˫Зٙڗൿ (uprighting)dʑঐϽᅇৣᏖո֛ڿ዗ 36-x-
38fщۆʥᏐ˸ఊᒶዹͭٙ贋ూ኉ڿ̍ᔧ 36eΎЪɪಔ᜗˕ᅟٙఊᒶ贋ూ኉ڿ (single

implant)37 ༰މቇ຅fʔཀೌሞνО஝ྌषʾٙɹഢ዆ూʈ೻dҎૐ࢕ࢬ˫ᔼࢪঐ੄ί
ӊɓࡈطᐕ೻ҏܝdשᙲ޴ᗫ๫˪א X Έᅂ྅d˸౤ԶЪމ˚ܝٙˢ࿁ၾਞϽf࢕ࢬ˫
ᔼࢪतйᑽᑽ࡝࡝ה౤ԶٙܔᙄdԨڌ༺ਗ਼ึৣΥ޴ᗫᅂ྅ߏ፽ٙवπf

25