Page 68 - 根管治療的美麗與哀愁 (貳部曲)

心得與結語

݄ᅃ ᔼࢪ (Dr. Schilder) ຾੬̝ᎺҢࡁj׵ஔۃձஔܝd࿁طᐕ˫኉ڿ௅੗Υҁ዆
׌ (Coronal Seal) ٙᗫءdഒʔ̙ԭ׵ίԔ݄߮ஔዝ೻ʕd࿁ልᕏ࣬၍ӻ୕࣬φ၌ᇘ੗
෬̂ (Apical Seal) ٙᑺӺၾࠠൖfν؈ष೨˫dՉ኉ڿ௅Зٙᝁ႙אॹฦd݅ɽɦଉࣛd

ৰə༶͜ᆞ઄ٙ˫ڿᄣڗ˓ஔ (crown lengthening procedure)eא਼෧৿ኣeאႡЪ൨
Υٙᑗࣛ˫ࢁeɰ̙˸ᔊکྼٙ͜ზᐑ੭dԸЪஔۃڿਉ௅Зٙ੗ΥԣᚐiщۆdΎҁ
ߕᇘ੗ٙ࣬̂dɰᗭ˸תኺΪ኉ڿ௅З೯͛ฆသဍ (Coronal Microleakage)dϾԴ࣬၍

ӻ୕ΎϣաՑชݑ (Recontamination)d௰୞ೌجၪᚐࡡ͉הಂ޸ٙطᐕϓ؈fࠦ࿁ʊϞ
኉ᚹᑓ㺭 (gumboil) א㹰၍ (fistula) ٙषԷdৰəԱృ࣬၍طᐕٙ஝ᇍ๟ۆ݄ஔ̮d׵
ஔۃ̀඲͜৵Ըᇭ০߈Ր኉ᚹᑓ㺭dضष๕༩ࢰԸฤరषᜊ˫ЗdԨतйܔᙄίʔഗʚ
҅௅௦ቑɨdٜટ຾͟᜖ഢකᓒהЪٙ၊ݸ಻༊ (Cavity test)dԸΎϣᆽႩ૧݄Бطᐕ
˫ٙ኉᜖ˀᏐfೌሞ݊፯͜ࡳɓ၇˓جԸੂБ࣬̂dᛠ׵৵Ըᇭ০ೌجቇܓ൨Υ࣬၍ኣd

Ңࡁே̀ც࠾пฆඎٙᇔኒ̘෬ྼவԬʧࠦiΪϤd੻፯͜ਗ਼Ը̙஗͛ي᜗ଡ଼ᔌהіϗ
ٙᇔኒdШՉ஗ଡ଼ᔌ૰೽ᙑdא๓༆іϗٙ஺ܓۍʔ̙˸˄Ҟd˸еԔ߮ᐏߧٙ࣬φ੗
Υࣖ؈dί࣬̂ܝd೵ࣛගʫఱΪᇔኒաՑ๓༆ॎᕸdԴ੻࣬φϞ೯͛ฆသဍٙဲᅇf

Ї׵d߰̈ତϞᇘ੗׌ཀܓ܆෬ (overfilling) ཱིတϾ๐̈࣬၍̈ɹ̮ٙᇔኒ ( ʃͣڀ )d
̴ࡁ੬݊ਉ˕࣬၍ஷ༸ܸٙᅺi̥ࠅ֛ಂϞܛٙᎇஞᏨൖd੬̙ԈᗇவԬ൴̂ٙᇔኒd
ึܵᚃήᜊʃ૱ʷd௰ܝ୞ਗ਼஗ଡ଼ᔌҁΌіϗdϾࡡϞ˫࣬մࣙٙ৶ଡ଼ᔌॹฦdɰேึ
ᓹΥూࡡdҁΌʔึաՑ൴̂ᇔኒٙڜᖟၾʍᓔf
ீཀʘۃ఻ࡈϜͦᙕᙑ݄ᅃˤ࣬၍طᐕ (Schilderian Endodontics) ݄ٙஔଣׂၾᜌ
፨ܠၪܝd޴ڦɽ࢕ேึձҢɓᅵd᝔ྖԨա౉ʚ຅˾࣬၍طᐕɓݼ֚ࢪ (Dr. Schilder)

ᘌᔫطᐕࡪኪ઼ٙ೯f׼ͣމО݄ᅃ ᔼࢪ౲І၈˼ٙ࣬၍طᐕҦஔ݊ɓࡈ̙ཫಂ˲ϓ̌
ٙஔό (predictably successful root canal treatment)iɰක֐ঐ੄᜗࿀ՑࢸࢪהԊj˜˸

षԷމࢪd਺ςܵᚃϞܛٙᎇஞᏨൖdԸ౤ʺІҢൢᐕҦ̷ၾᏐᜊঐɢ™ٙจ଄הίf

Dr. Schilder's Remark:
Coping with the root canal system is dependent upon two things:
Dentist's desire (skill) plus cooperative and understanding Patient.

ν؈આ͍๨ː׵༈νО̘ᛠй˫࣬մࣙषΊdՑֵ݊ԸІ˫մkא݊࣬၍᜖ഢٙष
ᜊkא٫࿁ɓᒶਗศ੻ܘᄒ࢔ٙष೨˫኉dʔٝ༸̴Ցֵ݊щᒔϞڭवٙᄆ࠽kא٫ซ
፭ృ݄ᅃ ᔼࢪٙ஝ᘉdމषʾՓ֛ɓࡈஔܝ֛ಂϞܛή৛ᔳ̜ΫᏨൖࠇྌdۍʔٝ༈ν
Оਂৎkหሗܵᚃ୩ᛓɨࡈϜͦүઋٙڌͣnn

52 ࣬၍طᐕఱ݊ίੂБ࿁࣬၍ӻ୕ٙชݑછՓ