Page 29 - 根管治療的美麗與哀愁 (肆部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( ໍ௅Ϝ )

׌शषdה˸ක̈ஈ˙ (Clindamycin 300mg bid)dሗ˼΋؂ᖹdཞ˂ʑක֐ੂБᜑฆ࣬
၍طᐕfΝࣛdཥ༑ѓٝઃ٫ٙ˫ᔼࢪdڌ׼षʾҎૐྒྷ༊΋वИவɧᒶۃ˫ٙӔ֛f

Ϝ ໍ ௅
ྡ 42B 41e31 ձ ྡ 42C 41e31 ձ
32 ˫᜗ጋঃᘌࠠd 32 ேϞ˫࣬մࣙष
˲ 41 ࡶਉ኉ᚹϞ ΊdϾ˲ 32 ˫࣬
ɓᘨ༸̈ɹ ڗൿහુ

ϣ˚d࿁ 41e31 ձ 32 ԱҏτɪዖͤღdԨʱйආБ͍஝ٙ࣬၍૶௴ၾࡌҖdಂග
तй͜ʃ໮ (ISO #10f and #08f) ٙቛ০dίཫкϞਉ˕࣬၍ஷ༸ஈd( ν 41 ˫࣬ʕݬ௅
Зಃࡶਉ )dྒྷ༊εЪᅰΫΥٙઞ॰ਗЪdΝࣛᔟ͟൴ࠪتਗɢႾпdԸ᛻ਗԨዧݺϣ

ಣაඒәݹ૰ٙऊݭၾ૶ᆎঐɢd( ˈՉࠦ࿁νΝ 32 ʘΎطᐕषԷࣛdһცνϤ )fϤ
̮dΪމ͉ࣩԷɢӋঐ੄ϓ̌ڭИவɧᒶۃ˫d˲षʾɰʊ຾ᐝ༆዆ࡈطᐕಂ೻ٙ஝ྌd
ה˸Ԩʔܢഹ˸ɓϣൢᐕҁϓ࣬̂ (one visit RCT)( ሗ༉Ԉ˜ࣕ௅Ϝ™ٙሞࠑ )fΪϾd
˸৻ଋٙʃಗଢ෬෦࣬၍ɝɹܝdમʔі৻әݹ૰ٙ˙όeਗ਼ϣಣაඒवЪطᐕಂග
(interappointment) ٙ࣬၍ʫ͜ᖹي ( ྡ 42D)fԨܔᙄઃ٫ᘱᚃ؂͜Ҥ͛९ (Clindamycin

300mg 1# bid for one week)fɓ඄ܝΫൢdषʾڌͪjܙൢಂගԨೌ׼ᜑʔቇfΎϣԱ
ҏʱй࿁ 41e31 ձ 32 τɪዖͤღ (No rubber dam, no endodontic treatment)d፭ృ๟
ۆ࿏ֵੂБ࣬၍૶௴eࡌҖཫ௪dৰəԷБԴٙ͜ϣಣაඒәݹ૰̮dϤࣩԷᒔतй͜

ə EDTA(17%) ˸ʿ QMixdԸ̋੶࿁΢ࡈ࣬၍ӻ୕ٙ૶ᆎၾऊݭfʘܝd຅್݊˸า
˫ᇭٜۧᇘ੗ᏚᏀ˓جҁϓ 41e31 ձ 32 ٙ࣬̂ ( ྡ 42E)iᎇܝdཥ༑ѓٝषʾٙ˫ᔼ

ྡ 42D ʱй࿁ ྡ 42E ҁϓ 41e
41e31 ձ 32 ݄ 31 ձ 32 ٙ࣬၍ط
Б࣬၍૶௴ၾࡌ ᐕd࣬၍૶௴ၾࡌ
Җܝdਗ਼әݹ૰ Җٙᓒ࢝షܓᏐ՟
(NaOCl) ᅲࣛवЪ Ӕ׵ה᙮˫࣬ٙێ
࣬၍ʫ͜ᖹي ྼܓ

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