Page 41 - 根管治療的美麗與哀愁 (貳部曲)
P. 41

࣬၍طᐕٙߕᘆၾۑฎ ( ൩௅Ϝ )















                                                                                                                     Ϝ ൩ ௅









                          ྡ 26B   ৵Ըᇭ͟ᘨ༸ɹЪ๑                         ྡ 26C   ૶౸̙Ԉ 31 ٙ˴࣬၍
                          ๕dᆽႩᑓ㺭ԸІ 31 ٙषᜊ
                                                                    ഢٜஷՑ࣬φdϤՍᒱೌجર
                                                                    ৰڿ௅သဍٙπίdא̙І່
                                                                    ኉ڿٜટᝤݸԸ݄Б࣬၍طᐕ

                 ᎇуd࿁ 31 τɪዖͤღཞᕎԣᚐdί͊ഗʚ΂О҅௅௦ቑɨdٜટ࿁່኉ࢁڿᝤ
            ݸdٜЇ᜖ഢ͂කdಂගषʾৰəग़ઋၡੵ˸̮dڌͪӚϞชᙂՑʔቇiϾ຅͜୚ቛ০

            නлආɝ˴࣬၍ഢdʑ೹Ъɓɨ܆଄༶ਗ [(envelope of motion, EOM)- ݄ᅃ ᔼࢪዹ௴ٙ
            ࣬၍૶௴eࡌҖ˓ج ( ሗਞቡ˜ৎeו™Շࡈᇐ௝ٙႭ׼ )]dఱԈՑᑓАʔᓙಪ̈fϤ
            ܝ፭ృ๟ۆd࿁˴࣬၍ڿ௅΋Ъᓒ௴ක࢝ (crown down)e஼Ӊଉ༺࣬φ၌d຅ 10 ໮ቛ
            ০නл๞̈࣬φ၌ஷ༸̈ɹ (peeking through the RT)eᆽႩ੻ՑΥ֝ٙ࣬၍૶௴ʈЪڗ
            ܓܝdԱృ஝ᇍd஼Ӊ݄Б࣬၍૶௴eၾࡌҖdٜЇ੻Ցቇ֝ٙ˴৵Ըᇭ༊φ (master

            gotta-percha cone fit check) ᅂ྅ܝ ( ྡ 26D)dʥܵᚃ˸൴ࠪتਗɢዧ᛻әݹ૰ (NaOCl)e
            ʔࣛһอәݹ૰eΎዧ᛻ݺʷәݹ૰dᄣ੶Չ̘ชݑeऊݭၾ૶ᆎঐɢᅰʱᙒi್ܝd
            ʑ˸ॷ০і৻әݹ૰dԨЪ܆෬ڗܓٙᆽႩ (paper point test)f຅ᝈ࿀ॷ০ίཫ֛܆෬

            ٙଉܓdேӚϞяତ̈ᛪАၾᓂະᑓ૰ٙ଱༦ܝdఱ˸า˫ᇭٜۧᇘ੗ᏚᏀ˓جҁϓ࣬
            ̂ ( ྡ 26E)fשᙲ X Έᅂ྅ ( ྡ 26F) ᆽ֛࣬φ੗܆Υ֝ܝdఱܲ๫ࠇྌ˸ޚᆨᜄၪ࣬
            ݒภৣᕐၳόልΥዓই੶ʷոЗ ( ྡ 26G)dΎᄴᄴ਼ᛌూҖ෬໾ 31 ٙ࣬၍ɝɹၾ᜖ഢ
            ၊ݸdᆽڭᐏ੻ቇ຅ٙڿ௅੗܆ ( ྡ 26H)f ՝ɨዖͤღdX Έᅂ྅ᜑཱིͪတ൴̂ٙᇔኒd

            ί࣬φ၌ක̈㹁㹁ͣʕ੭ͣٙʃͣڀdίίяତ 31 ʊ੻Ցᇘ੗ٙ࣬φ܆ௐ ( ྡ 26I)f
            ͟׵኉ᚹᑓ㺭πίʊɮdΪϤක̈ஈ˙ (Clindamycin 300mg #1 tid x 7 days)d౱ሗઃ٫
            ცܲࣛ؂͜f















                                                                                                              25
   36   37   38   39   40   41   42   43   44   45   46