Page 35 - 根管治療的美麗與哀愁 (肆部曲)
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࣬၍طᐕٙߕᘆၾۑฎ ( ໍ௅Ϝ )

            ྡͪdˏኬ݄ஔ٫ฤరՑ΢ࡈ࣬၍ɝɹ (road map to canal orifices)fʔɮdܘֱ༶ήҬ
            Ցۃϣطᐕࣛd፲ဍٙჃːЉਉ࣬၍ɝɹ ( ྡ 43C)i੽ᜑฆྡ྅̙ԈdჃːЉਉ࣬၍ॆ

            ͍ɝɹٙЗໄձۃϣطᐕࣛʘฤరஈ€ͣЍ෬໾يה߁ڢ੬ટڐ ( ྡ 43D)i̙Ԉᜑฆ
            ᗝٙ༶͜dᜫତ˾࣬၍طᐕٙϓ̌ଟɽష౤ʺə஢εf຅Աҏ૶̈΢ࡈ࣬၍ᔚϞٙ࣬̂
            يܝd೯ᙂ 46 ڐː˫࣬ٙՇࡈ࣬၍ί࣬φ၌ٙකɹேʊ޴຅ɽ ( ɹࢰѩ൴ཀ ISO size
            #100)dϾ˲Ϟᑓ૰ʔᓙڽ̈dˀࡀίჃː᎔ਉ࣬၍ٙ࣬φ၌̈ɹۆʊ஗ੁИd੻ʔՑ
            ͍੬ٙ࣬၍ஷ༸̈ɹ (patency)f                                                                                     Ϝ ௅ ໍ


            [ ίࢸࢪܸኬٙ࣬၍૶௴ːجʕd౤Ց຅ঐ੄ҬՑɓࡈ࣬၍ٙɝɹ (canal orifice)dν؈
            ᒔঐᜫʃ໮ٙ (ISO #10) ቛ০dනഹ˴࣬၍ഢ༩ࢰֻ࣬φઞ॰d߰ঐනлת༺Չ࣬φ၌

            ٙ̈ɹdԨঐ೹̋๞̈ (peeking through)d੻Ցவࡈ࣬၍ʊ຾ஷ࿫ (patency) ٙชᙂd
            ᆽ֛ɪஷɨ༺ədఱ˾ڌҢࡁঐ੄ϓ̌౛છவࡈ࣬၍dනлή࿁̴ҁϓቇ຅ٙ૶௴ၾࡌ
            ҖfሗਞԈ˜ৎ™e˜ו™Շࡈᇐ௝ʘሞࠑၾႭ׼ ]f





















                   ྡ 43C    ίᜑฆᗝ՘пɨdනлҬՑۃ                        ྡ 43D    ྡ྅ᜑͪۃϣฤరஈ ( ͣЍ෬
                   ϣطᐕה፲ဍٙჃːЉਉ࣬၍                                 ໾ي )dၾॆ͍࣬၍ɝɹڢ੬޴ڐdԈᗇ
                                                                 ༶͜ᜑฆᗝ̙ᜫڐ˾࣬၍طᐕϓ̌ଟ౤
                                                                 ৷ʔˇ



                 Ϊ 46 ڐː˫࣬ί࣬φ၌ဲЧʊቊՑ̮іϗ (external root resorption) ٙ༦൥dኬߧ
            ՉՇࡈ࣬၍ஷ༸dίϤஈٙɹࢰேʊ޴຅ɽdה
            ˸तйሜࠥԴٙ͜әݹ૰ዢܓϓމ 1% אһЭi຅
            ᆽ֛ᑓАʊʔΎІՇࡈڐː࣬၍ᢸᢸڽ̈ܝd˸

            ৻ଋॷ০೹ฆі৻΢ࡈ࣬၍ஷ༸ʫٙәݹ૰d( Ϥ
            ࣛఱʔ֝ਗ਼әݹ૰वໄ׵࣬၍ӻ୕dԸ̂຅طᐕ
            ಂග࣬၍ʫ௅͜ᖹdவձɓছࣩԷʘஈଣܔᙄʔ
            Ν )d׵᜖ഢֵ௅׳ɝଯᕦٙ৻ଋᖹಗdΎਗ਼዆ࡈ
            ɝɹ၊ݸᕐᄴϣᇘ੗ήᅲࣛ෬໾ৎԸ (Double seal

            - Cavit + composite resin)( ྡ 43E)fක̈ஈ˙ᖹي
                                                                       ྡ 43E    ࣬၍طᐕഹࠠชછၪᚐdࡉൢ
            (Clindamycin 300mg tid for 7days)dሗषʾܲࣛ؂                   ಂගʥცਗ਼᜖ഢɝɹ၊ݸʚ˸ᇘ੗ή෬
            ͜ɓ඄ܝΫൢf                                                    ໾


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