Page 52 - 根管治療的美麗與哀愁 (貳部曲)
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Ϋ᎘ܸͪпଣ࿁ሜח࣬̂ᇔኒٙኜҿ݄БᆎၾऊݭҏdԨഃࡉකሜחܸٙ
˿fಂගdΎ˸ʃቛ০ᆽႩ࣬၍ஷೌd್ܝҷ౬әݹ૰dԴ͜ QMixd( Όൖ
ࡈࣩԷʘ࣬၍dίஔۃʊቊաชݑܓٙᘌًࠠرdԸӔ֛݊щცࠅҷ౬әݹ૰-ίϤ
ྼ༑ɓ̩dεϤɓᑘdΌމӋһ̋ːτeאᜫ݄ஔ٫ІҢชᙂԄλ )dਗ਼ QMix ໄ౬ऍ
ᆗ˴࣬၍ഢʕdΎ˸൴ࠪتਗɢዧݺʷՉࣖঐiΎᆽႩ࣬၍ஷeΎݺʷዧiν
ϤᅰࡈԸΫܝd˸ॷ০і৻࣬၍˴ഢʕٙ๓૰dΝࣛආБ࣬̂ڗܓٙ௰ܝӔ֛ၾᆽႩ
(paper point test)fɨ༺ሜחᇔኒܸ˿dԨਗ਼ʊҷ౬͍ऍظৢၚʕݹٙ৵Ըᇭ০Ό
ᅰ՟̈dԨί৻ଋٙ६̺ɪd౾৻௪͜iਗ਼ʊண֛Ϟ܆෬ڗܓᅺাٙ৻ଋॷ০׳ɝ
၍ഢʕdԨІଫ൷ᕎஈ՟̈dίᆽ֛ॷ০ۃ၌dӚϞ̈ତА༦אب᐀Ιাࣛiࠠอ
ਗ਼༈ॷ০Ύ׳ɝ࣬၍dவΫࠅ˸ཫ௪܆෬ڗܓଫڗɓᓃଉɝ࣬φݬஷ༸d՟̈ܝdᝈ࿀
ॷ০ۃ၌ٙ৻᐀ʹึઋر ( Ϥуהፗٙॷ০༊d͜ԸᆽႩ௰ܝ͂ၑ࣬၍̂෬ٙͦᅺ
ᓃ )i͟ˢ࿁ܝdਗ਼௪ٙ͜˴ᇭ০׳ໄଉܓٙাЪቇܓሜfʘܝ˴ᇭ০ۃ၌
بɪሜחλᓂະቇܓٙ࣬̂ᇔኒdίᜑฆᗝпɨdᖢᖢή׳ආ࣬၍ɝɹdΎ࿔࿔ਗ਼Չ
પֻ࣬φdฏ࿔ฏλdɓԸᜫ၍ഢʕಞπٙ٤ंঐ͟ᐻქൺ̈dɚԸɰʔึɓɨɿ
ఱਗ਼ཀεٙᇔኒdᐛගપ̈࣬၍ஷ༸ɹʘ̮ (portal of exits)dɧԸᜫᇔኒϞԑٙࣛග
ѩʴί၍ኣձᇭ০ʘගi˴ᇭ০પת֛Зܝdй࣬၍̙Ύ˸ɓՑՇ˕ڝ᙮ᇭ
০dبɪˇᇔኒdɰ݊મ࿔࿔ήਗ̴਼ ( ࡁ ) ׳ɝʧ ( ʊί֛Зᓃٙ ) ˴ᇭ০ၾ၍ኣ
ʘගᐻʕdঐ׳ආεଉdఱආ̘εଉf( வ݊ڢ੬ІίٙࣛՍdձਉ˙܆෬ج-ცࠅ
Ԙeၡੵή׳ɝڝ᙮ᇭ০dᎇуආБਉ˙ᏀᏚٙːઋҁΌʔΝf)
Ϥܝd፭ృา˫ᇭٜۧᇘᏚᏀ˓جdආБ࿁ 45 ٙ࣬၍̂෬fɓක̋ᆠdԨ
Іഢʕʲᓙᚣ̈࣬၍ɝɹ̮ٙ৵Ըᇭ০໊d್ܝ͜፯֛ٙᏚᏀኜ (plugger)dჀჀᏀ
Ꮪש͂ ( Ϟᓃ྅෬ӌᄁࣛٙਗЪ )e̋ᆠeΎש͂ᏀᏚЗ࣬၍ɝɹஈٙ৵Ըᇭᅰ
ࡈΫΥfϤࣛdש͂ਗЪʘͦٙdʥ್Ҏૐર٤ᒔಞπ၍ഢʕٙ٤ंeԨᜫᇔኒ̙˸
ѩʴ၍ኣගeא˸ආɝᆗ̙ঐπίٙО࣬၍ஷ༸fᎇܝd̋ᆠழʷ৵Ըᇭ
dਗ਼ᏚᏀኜ࿁ࡘ࣬၍ɝɹdಃ࣬φ˙ΣdɨᏀԨתИ (hold) աᆠழʷٙ৵Ըᇭd
ԴՉʔึ࣬၍ɝɹஈֻഢ˙Σਗd̥ঐಃ࣬φֻɨ̬ஈݴਗ෬෦iΎ࿁ᇭ̋ᆠe
ಃ࣬φ˙ΣɨᏀԨΝࣛתИfஷ੬dவࡈዝઃ٫ਗ਼ึชᙂՑԬᆠձദദٙᏀɢชd
வ͍݊੬ٙˀᏐd݊࣬၍ӻ୕ʫٙ૰Ꮐݴਗ (hydrodynamic pressure)d͟ࡈஷ༸
̈ɹᙃʿ˫մᇫ͉ٙชᙂˀᏐdഃՑ˴ഢձהϞ࣬၍ஷ༸ேʊաᆠழʷٙᇭd
אᇔኒ ( ᏚᏀܝ ) ᇘή෬෦တədʔΎϞ૰ᏀݴਗٙઋҖࣛdઃ٫ఱʔึΎϞϤഃ
ദ೨ٙชᙂf( ߰ᛘ٫ซආɓӉᐝ༆݄ᅃ ᔼࢪዹӉΌଢٙ࣬̂˓جdሗ༉ԈᔷeΥ
Շᇐٙሞࠑf)
್Ͼdίவࡈ 45 ࣩԷʕdҢࡁᒔ̥݊ί࣬၍ɝɹஈdಃഹ࣬φ˙ΣЪᏀᏚתИ
ਗЪࣛdषʾఱڌͪʊϞܘɽٙദ೨Ꮐɢช̈ତd( Աεϋٙᑗґ᜕dᙂவܘʔర
੬ )d݊dᅲࣛ৾˟࿁ᇭΎЪଉᄴ̋ᆠழʷeΣɨᏚᏀתИٙਗЪfᎇуשᙲ࣬φ
X Έdᅂ྅ ( ྡ 28D) ᜑͪʊϞɓྠᇔኒ๐̈ᔃᔎٙ౻dଉவ݊щΪ 45 ˫࣬ʊϞ
ᐻϾяତdШ݊ᔷϾΫซdᐕɓකఱேίᜑฆᗝɨЪdІႩԨೌ̙Ԉٙ७d
ШΪ 45 ڿՉ̮̍ᔧഹନڿࢁi݊dΎ̋ש̤ɓԉܓ X Έ ( ྡ 28E)dˢ࿁Շᅂ྅d
36 ࣬၍طᐕఱ݊ίੂБ࿁࣬၍ӻ୕ٙชݑછՓ