Page 52 - 根管治療的美麗與哀愁 (首部曲)

心得與結語

݄ᅃ ᔼࢪ (Dr. Schilder) ᘌᔫٙطᐕࡪኪdί׵݄ஔۃd̀΋ᆽႩઃ٫ٙ˴ൡʔቇ
सًd˸ʿᏨൖ૧݄Бطᐕ˫ЗʘषᅄאषΊd݊щॆ᙮׵኉᜖๕׌ਪᕚiԨ׵ஔʕd
ঐ੄࿏ֵੂБ࿁࣬၍ӻ୕ٙชݑછՓၾԣੁiஔܝdһც֛ಂϞ஝ܛd˲ܵᚃή࿁ӊɓ

षԷਂ৛ᔳ̜ΫᏨൖd̀඲޶ՑࡡϞषΊҁΌᓹΥూࡡdٜЇ኉ᅻ৶ؐࠠତމ˟fຬɓ
Ϟ΂ОषΊdʔνཫಂছήᓹΥూࡡdאϞʔ༈̈ତʘषΊאʔቇ൴˷ཫಂήତԒࣛd
ԟჿఱࠅᄲฐϽᅇආБ̀ࠅٙܝᚃஈໄdν݄Б࣬φ˓ஔഃfШ݊d࣬φ˓ஔʔ֝ͭу

຅Ъۃϣ࣬̂ʔԄٙᐞط፯ධiν؈ᄲฐ൙ПତϞண௪˸ʿІҢঐɢܝd຅ᆽႩۃϣ࣬
၍طᐕ̰઻ࡡΪ̙஗ᐞطdԟჿ੻Ꮄ΋Ͻᅇ݄БΎطᐕd֝ਗ਼࣬φ˓ஔЪމɨɓචݬٙ
ஈໄ௪ࣩfࠦ࿁˜൴̂™d˫ᔼࢪࠅঐᛠйՇ٫ (overfilling vs overextension) ٙʔΝ i
͉ᇐ࢝ͪٙהϞࣩԷd௰୞ʔසࡡϞषΊᓹΥూࡡd኉ᅻ৶ؐɰேࠠତdԈᗇᇘ੗׌א
ҁߕٙ࣬၍ཀܓ܆෬ (overfilling) ̙݊஗ಂܙٙطᐕᅼόiΪމd࣬φ˓ஔ΂О৕̂ҿ

ί˫࣬φٙ෬໾dԫྼɪఱ݊ഃΝᇘ੗ཀܓ܆෬ٙ౻൥fίɘ○ϋ˾౷ཁԴٙ͜৕̂ҿ
ӌᄁ (Amalgam)dᒱ್͛ᔼҿࣘ޼೯ྠ᜗࿁Չ͛ي޴࢙׌ϞהဲᅇdШ݊˫ᔼࢪί݄ஔ
ࣛd̥ࠅਖ਼ءߧɢ׵૶ৰߧषࡡd਺ςชݑછՓ๟ۆdΝࣛᆽڭطᐕ˫ٙ࣬φ܆ௐၾڿ

ਉʘ੗܆׌ (Apical and Coronal Seal) ʔึաՑॎᕸၾܿ኷dఱঐ੻Ցɓࡈ̙஗ಂܙ˲
Ϟϓ̌ཫܝٙطᐕഐ؈f
ᆽྼ຅яତ̈ɓੵϞഹልᕏ࣬၍ӻ୕dҁߕ˲ᇘ੗ (Three Dimensional Apical Seal)
ٙ࣬̂˪dԨʔ್̀ఱঐڭᗇɓ֛݊ࡈϓ̌ٙ࣬၍طᐕfࡡΪৰəʊ຾౤ʿཀdஔۃ
̀඲ൢᓙ͍ᆽ̮dஔܝᒔ̀඲ঐ੄౤ԶͭуdϾ˲ঐܵᚃၪᚐ༈ᒶطᐕ˫ٙ኉ڿҁ዆

׌ (Coronal Seal)dʔึաՑܿ኷אڧ႙ٙЪމʑБfщۆdуԴΎҁߕᇘ੗ٙ࣬̂d
ɰᗭ˸תኺΪ኉ڿ௅ฆသဍ (Coronal Microleakage)dϾኬߧ࣬၍ӻ୕աՑΎϣٙชݑ
(Recontamination) ላᏘdߧԴ௰୞ೌجၪᚐИࡡ͉הಂ޸ٙطᐕϓ؈f

Dr. Schilder's Remark:
Any tooth can be treated successfully endodontically if it is periodontally sound (or
can be made so) and if its foramen or foramina can be sealed, with or without a surgical
approach.

ν؈આͦۃ࿁ɓᒶ኉ڿ௅ʊϞഹܘɽᝁ႙၊ݸdאՉቌڐ኉ᚹࣛ੬໕ദdޟЇʊ̈
ତᑓ㺭dא㹰၍eᘨ༸ٙष೨˫኉dʔ̴ٝ݊щঐ੄຾࣬͟၍طᐕ੻˸ਗ਼ՉڭИkא٫d
࿁̴༈νО̘ੂБeא፯኿ɓࡈˢ༰Υቇٙڿ௅੗ΥԣᚐЪމdʥ್Ϟהဲᅇٙ༑kห
ሗܵᚃᗫءɨɓϜͦٙစᖫf

36 ፭ృᘌᔫ݄ٙஔଣׂၾᜌ፨ܠၪ