Page 38 - 根管治療的美麗與哀愁 (參部曲)

Σઃ٫Ⴍ׼ટɨԸਗ਼ʔഗʚ҅௅௦ቑء࢛ٙࡡΪdɓԸᒒе০᎘ਗ਼ᑓ૰੭ֻଉᄴd
ிϓชݑٙᓒ࢝iɚԸ҅௅௦ቑᖹيೌجသீཀတတٙᑓ૰dቇ຅ٙ೯౨Ъ͜f̥ࠅτ

ɪዖͤღdʘܝኋඎಯЭٜટᝤݸࣛٙቤਗd޴ڦᏐ༈ʔึཀ׵ʔബ؂ٙfषʾᓃ᎘ڌ
ͪଣ༆fᎇу࿁ 46 τɪዖͤღd[ Ϊމ 46 ۃϣ࣬̂ܝdᔼࢪ݊˸ӌᄁ੗ྼ෬໾ڿ௅ഐ࿴d
މᒒеཀܓෆʿ᜖ഢֵ௅ (pulp floor)dཀ೻ʕ̀඲ᎇࣛ˸ᜑฆᗝᏨൖiΎ٫ɰʔᗴᜫᝤ
ݸࣛdᄝ౳ٙӌᄁຟ࢜ಞπ׵ɹഢdኬߧઃ٫ٙႬ࠮чɝ ]fԱృ๟ۆdනлήࠠอ͂
ක᜖ഢdҬՑ΢ࡈ࣬၍ٙɝɹfࡡ͉޼к՟̈ڐː࣬၍ٙᔚϞ̂෬يdఱ̙නлˏݴ̈

኉ᅻ৶ʫٙᑓАdքО˂ʔ੽ɛᗴd຅ᆽ֛ቛ০ʊঐ߈ཀڐː࣬၍ஷ༸୞ᓃ̈ɹdᑓА
ٙર̈Ԩʔ׼ᜑf଻Ԉषʾ฽ɢҜИʔቇeৣΥطᐕdܣ̙˿Չ̰ૐiࠠอ዆ଣІҢٙ
ઋၫৎͿe֛ɨːd஼Ӊ՟̈Ⴣː࣬၍ʫ௅ٙᔚϞ̂෬ҿd຅ቛ০߈ீՉ࣬၍ஷ༸୞ᓃd

ఱԈᑓАʔᓙݴ̈f຾ཀ˸೽ᙑཀٙϣಣაඒ๓૰ (<1%)dɽඎٙәݹ 46 ٙ᜖ഢ࣬၍d
ʥʔԈᑓА೹Ϟ๊৾ٙᅵɿdԱᔚᢸᢸήݴ̈f༔ਪषʾତرνОkᒱᐏڌͪʊ຾׼ᜑ
ชᙂՑബ؂஢εdШ͟׵ൢᐕࣛ೻ʊ຾ཀڗd༹Ӕ֛ʔආБڿ௅෬໾f՝ɨዖͤღdᜫ
᜖ഢ၊ݸၪܵක׳ً࿒dಂ޸ίषʾΫ࢕ܝdʥ್ঐ੄੽࣬၍ʫ௅ᘱᚃኬ̈኉ᅻ৶ʫٙ
ᑓАf༉୚ܸኬԨࠅӋषʾৣΥўဓਗЪdڭܵ᜖ഢ࣬၍ஷ༸ӚϞաՑମي෬෦dˈՉ

ӊ຅භ࠮ཀܝdһცࠅ᎖ᐿήўဓfᛡ׵ 46 ኉ᚹ໕ദʊ຾ऊৗʔˇeઃ٫ɰІᙂӚϞ
ԟჿʔബ؂ədఱѓൡषʾͦۃ֠ೌ؂͜ᖹيٙ̀ࠅdШՇeɧ˂ܝdɓ֛੻ࠅΫൢટ
աܝᚃ࿁ 46 ᜖ഢ࣬၍ٙΎϣ૶ଣd˸ʿ࿁ڿ௅၊ݸٙ෬໾Ըҁ௪࿁ชݑٙછ၍f

࿁׵ʊ೯͛࣬φᑓဴ (apical abscess) ࣩٙԷd੬੬ᛓՑᑗґ຾᜕ᔮబٙᔼࢪึ࿁࡝
࡝ଭุٙอආᔼࢪܔᙄjIf you file the root canal, do not close the chamber; if you want
to close it, do not fileniՉͭจ̈೯ᓃᒱλdШԨڢ݊ҁΌ͍ᆽٙԈ༆dɰڢ͉ࣩ݊Է
຅ࣛЪމٙซجfஷ੬d࿁ɓࡈ࿔׌೯فٙशषd߰݊ʊ຾πί޴຅ɮٙɓݬࣛගd࿁
੖˴֝મ˜ɓਗʔνɓ᎑™ٙЪجiՉͭจ̈೯ᓃɗ׳ίɓࡈߧषࡡձ੖˴΍̻͛ፅٙ

ତ൥dɓ͇͂ॎѩැdϞ̙ঐึˏ೯һɽeһᄌडٙላᅜʘܝdʑঐΎܓࠠΫอ̻ٙፅ
ѩැf್ϾίੂБ࣬၍طᐕٙ΂ОචݬdேცׂধίধٙซՑνОЪλชݑછ၍dΪϤ
຅ʊ຾ˏݴ̈ᑓ૰eא຾૶௴ಯˇəߧषࡡܝdঐ੄ኋҞήԣੁɹഢ੬ታषഽٙᘱᚃڧ

ɝ࣬၍ӻ୕dʑ͉ࣩ݊Էॆ͍ᗫءٙࠠᓃf
ࠠΫઞী͉ࣩԷdɓϋεۃdൢה˴பᔼࢪఱʊ຾ᔷʧषʾՑൢટա˜࣬၍Ύطᐕ™
ٙፔ༔f຅ϋᏨݟࣛdषʾ̥݊׬ܤಀ຾ชᙂՑ 46 Ϟᓃദ೨dէᘍຠᙃࣛdਅဧᙂ੻
ึაழೌɢe׉׉ٙdνϤϾʊ ( ྡ 38B)f͟׵dषʾίɤϋεۃ୅֢ϤήܝdהϞɹ
ഢਪᕚఱ௔ᚃટաൢה˴பᔼࢪٙᔼᐕ๫ᚐd࿁ᔼࢪٙਖ਼ุ؂ਕdᏐ༈Ϟɓ֛ٙڦːf

քОᔕݟൢᐕߏ፽d೯ᙂ˴பᔼࢪܔᙄઃ٫ 46 ֝ኋҞટա˜Ύطᐕ™ЇʦʊϞɤϋʘ
ɮ ( ྡ 38C)f఻˷݊ί࠯ϣՑൢࣛఱ೯ତ 46 Ϟਪᕚd್ܝӊΫԷБᏨݟࣛdఱɦΎϣ
ൗা ( ྡ 38Ddྡ 38E)d੶ሜႼҞ੻ટաਖ਼߅طᐕፔਠfνϤڗٙࣛගઃ٫ே͊ঐɨ֛

Ӕːdߠܝɓ֛ϞՉ˼ʔމɛٝٙࡡ͟fνʦΪ 46 ٙषً׼ᜑd኉ᅻ৶ٙॎᕸᓒɽd
݊ਗ਼༉ઋٝึઃ٫ձՉፋڐ࢕᙮ٙࣛࡉəf׵݊๟௪λዝϋൢה࿁ 46 ٙ X ΈᏨݟהϞ
ᅂ྅ߏ፽dਗ਼׵ɨΫՑൢࣛdΣषʾձՉʃ܀Ъ༉ྼ࡚ٙؓၾႭ׼f

22 ഛးᔖபdІ஢ϓމष೨˫኉஗נৰۃٙ௰ܝςᚐ٫