Page 45 - 根管治療的美麗與哀愁 (貳部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( ൩௅Ϝ )

৷dɰʔ࢙׸ੂБ࿏ֵٙ࣬၍૶௴ၾ̂෬d( ௰ڐᒱʊϞಂ̊೮༱jί CBCT ՘пɨd
ͷಔ˫˓ஔᅼؐ฿ׂd̙˸ႡЪኜՈdԸˏኬᔼࢪੂБ࿁࣬၍༩ࢰᝤݸٙ˙Σձଉܓd

ΪϾঐ੄е׵װৰ່኉ڿdఱঐࠠอ݄Б࣬၍ΎطᐕnnவࡈҦஔၾซجdᆽྼ࠽੻ܝ
ᚃᗫءՉ೯࢝ )iɧԸ࣬၍Ύطᐕܝd߰ঐഗʚዹ່ͭٙ኉ڿࢁڭᚐdɰ̙ಯჀΪ࿁ 46
ېΥ௴ෆٙՐዧdኬߧՉ҅௅˫մᇫᄣᄱତ൥ٙࡌూfषʾΎɧ༔ਪ݊щ 46 ᔚϞ່኉
ࢁڿڢװ༆ʔ̙k߰݊װৰə௰͋၌ٙɓᒶdਗ਼Ը݊щึᅂᚤՑ዆ર່኉ڿ዗ٙᖢ֛n
nഃഃkԨ౤ʿ˓ዚ༁πϞɓੵdۃ৬ɿΫ൳یࣛהࠅՑdɽߒίɤϋۃৣᏖɪeɨર ൩ Ϝ ௅

່኉ڿ዗ࣛٙ X Έ˪d݊щϞਞϽᄆ࠽k׵݊dሗઃ٫ਗ਼๫˪ɪෂՑൢהၣ१dΎᔷɝ
ՉࡈɛᏦࣩߏ፽༁वπ ( ྡ 27D)d˙ک˚ܝˢ࿁ʘ͜fԨΣषʾႭ׼வᒶ 46 ٙ࣬၍ӻ
୕༰ɪΫطᐕٙ 31( ਞԈࣩԷɚɤʬ ) ࠅልᕏ஢εdϾ˲षΪʔఊॱdॆٙ̀඲੻װৰ

່኉ࢁڿd˺୚Ꮸൖၾ࿏ֵطᐕd˙ঐଭՉ̌׵ɓҘfˈՉषʾԫุ೯࢝ʊ޴຅නлd
ʦܝ߰މ˫೨ਪᕚɓΎ঄ႬБ೻τરdฦ̰ਗ਼һɽfषʾᛓආܔԊd׵݊Νจװৰ 46
່኉ڿdટաᜑฆ࣬၍Ύطᐕf

ྡ 27D षʾ౤Զɤϋۃdί̈͛ήҁϓɪeɨஹર່኉ڿৣᏖܝٙɹഢΌ౻ᅂ྅

Ա್ί͊ഗʚ΂О҅௅௦ቑɨd࿁ʊװৰ່኉ࢁڿٙ 46 τɪዖͤღdࠠอᓒ࢝᜖
ഢ၊ݸdԨઞ॰΢ࡈ࣬၍ɝɹfනл୅ৰᔚϞٙ࣬၍෬̂يdΝࣛ˸ᜑฆᗝಃ΢ࡈԉܓ
ᏨൖdԨ͊೯ତ 46 ኉᜗ഐ࿴Ϟ΂О׼ᜑ൓଱iಂගԨεϣภৣ൴ࠪتᚨਗኜ૛dઞర
ڐː᎔ਉ࣬၍༩ࢰ͊؈d̥λ΋ਗ਼ᛃϜٙჃː࣬၍dձਬɓᙃʿ࣬φஷ༸̈ɹٙڐː
( Љ ) ਉ࣬၍ ( ྡ 27E)d΋Ա๟ۆҁϓ࣬၍ٙ૶௴ၾࡌҖ๟௪fᎇܝમБʔҁΌі৻ә

ݹ૰ (NaOCl)dਗ਼ʘवЪ࣬၍ʫ͜ᖹي (intracanal medication) ٙਂجd׵΢ࡈ࣬၍ɝ
ɹd׳ɪʃಗଢܝdΎ˸ᕐᄴϣᅲࣛ෬໾dၡ੗܆෬И᜖ഢ၊ݸ ( ྡ 27F)f՝ɨዖͤღ
ܝdѓٝઃ٫ͦۃطᐕආܓdतй੶ሜމəᒒе፲ဍ΂ОᔛϮॶ۫ஈdӚϞ૶ݹՑd46

੻ცࠅΎɓϣൢᐕࣛݬdʑঐආБ࣬၍෬̂dˢ༰Υ֝fषʾɮषϓԄᔼd˴ਗ༔ਪϤ
ϣ݊щɰ੻؂͜Ҥ͛९ഃᖹيkᎇуѓٝઃ٫dਿ׵வᒶ 46 ί࡝࡝ٙᐕ೻ʕdԨೌ׼
ᜑᑓ૰ݴ̈dϾ׵࣬၍૶௴݄ஔ຅ʕdʔᓙһอәݹ૰ഃཀ೻d͉ԸఱϞ̘ชݑٙ̌ࣖi

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