Page 3 - 根管治療的美麗與哀愁 (伍部曲)

自 序 ҏ І

қ̻ОՉϞֱঐ੄ᐏ੻˜݄ᅃˤ࣬၍طᐕ™ٙ̋ܵdኪՑա͜ɓ݄͛ٙஔܠ
ၪၾଣׂfɰΪϤ੻˸ԈᗇӊɓࣩԷٙϓ઻dᆽྼேձ݊щ਺ܵ፭ృ஝ᇍ๟ۆආ

Бطᐕdࢹࢹ޴ᗫf׵ɪɓ˰ߏ 20 ϋ˾d൷ʦߒɓϵϋۃdΪމ Focal infection

theory Ч݊ϾڢٙላᏘdᜫ࣬၍طᐕቊաՑۃה͊Ϟٙሯဲdኬߧೌᅰࡡ͉̙˸હ
пवπٙ኉᜗ೌ၌஗׳૝dஹ੭ʊ຾ҁϓطᐕٙ኉᜗ɰቊաՑϫ௡ʘݪdॸॸ஗ଘ
ଢ଼ϾנৰfఱၑՑə߅ኪ׹׼dɓʲᑺӺྼᗇᔼኪٙʦ˂dFocal infection theory

ٙቱݭʥίf஢εࡇᙄІ್ᐕجٙྠ᜗dԱᔚོєᏐ༈ࠅנદ̈ତ˫࣬մࣙषᜊٙ

኉᜗fӺՉࡡΪৰəᓥշልᕏεᜊٙ࣬၍ӻ୕dᆽྼ࢙׸ᔛਛߧषࡡdᗭ˸຾͟ط
ᐕਗ̴਼ࡁҁΌ૶ৰʘ̮dε̒ɰΪᔼࢪೌج਺ς፭ృ஝ᇍ๟ۆ݄ஔeאΪᔼࢪࡈɛ
ॹ˶ҁ዆ٙطᐕڦׂdϾᜫོєנ˫ٙ׉ሞdঐ੄ͭԑʔᄥf̋ɪί 80 ϋ˾ʘܝd

อጳٙಔ˫ҦஔϞνڠܝ݆ഉছήίΌଢ΢ήක،౳໢d೷݊੭Ըɓتتོਗנ˫

ٙࠬᆓfᎊԟගd࣬၍طᐕλ྅৖̰ίϥߡΝ༁dҬʔՑ̈༩fֱλd׵ 90 ϋ˾ʘ
ܝd࿁ᕃ⌹Υږٙ௴อၾᏐ͜dԴ੻ᐿိٙ࣬၍૶௴ࡌҖཀ೻dᜊϓ޴຅ᔊఊɦϞ
ࣖଟdᜫ˫ᔼࢪ݄ࠠܽБ࣬၍طᐕٙጳߧfᎇܝdᜑฆ˓ஔᗝίൢගٙႾп༶ࠬ͜

БdഐΥ˸൴ࠪتਗɢ੶ʷϣಣაඒ๓૰૶ᆎၾऊݭ฿ׂٙપᄿdһᜫɹഢᔼࢪ࿁

࣬၍طᐕᄣ૴ೌˢڦːfఱίࣛҏ࡝࡝༨ආɚɤɓ˰ߏd฽Ո͛ي޴࢙ٙ MTA ટ
ഹ४ኈ೮ఙdீཀԸІ˰ޢ΢ήࣩٙԷజኬdʔᓙήᗇྼ MTA ঐ੄Ϟࣖࡌ໾᜖ഢֵ
௅eא݊Зίଉᄴ၍ኣٙॎݸdޟЇீཀᙃʿ኉ᅻ৶ٙอᒻА૰dᐛග MTA λЧᜊ

ϓəຬঐٙ̀ʗѶᖹd̙˸ᜫ࣬φ֠͊೯ԃҁΌٙ˫࣬ᘱᚃϓҖd˸ᗳ˫৶ሯഐ࿴

ௐΥ࣬φකɹeێྼ၍ኣ኉ሯnnഃഃfʔሞ˫࣬մࣙ݊щʊяତषᜊeאઃ٫ϋ
ᙧ๋ᅰɽʃd̥ࠅᗴจᎻ༊dீཀ˜Ύ͛׌࣬၍طᐕ™(Regenerative Endodontics)
೻ҏdఱঐᜫष࿒኉࣬࢝ତೌࠢ͛ዚfϾ௰ڐɤϋdһ͟׵˫͜፿ًҼཥ໘ᓙᄴ

(Dental cone beam computed tomography, CBCT) ண௪ٙ౷ʿd̋ɪ΢၇ৣࢁᝈൖ

ழ᜗೻όٙ޼೯dɓᑘ߉ॎෂ୕ X ΈᏨൖɪٙٛᓃdɓધཀ̘࿁ɚၪᅂ྅ٙመεଚ
ဲfᔟ͟ CBCTd˫ᔼࢪঐ੄ჀᕦІίήᔾ૶dԨ̂ʱ౛છ˫࣬մࣙषᜊeၾቌڐ
ഐ࿴ٙྼ౻ၾତرd੽Ͼঐ੄մ༉Υ֝ήՓ֛̈዆᜗஝ྌdһঐ੄ϞࣖҁഛήੂБ

λӊධطᐕ೻ҏf

຾͟ CBCTeMTAeᜑฆᗝ̋ɪ൴ࠪتༀໄd˸ʿ࿁ᕃ⌹ኜҿٙܵᚃҷԄd୞
׵ᜫ࣬၍طᐕɦঐ੄㓩ߎৎԸdաՑ˫ᔼྠ᜗ٙᗫءdԨᆀจҳ༟ːɢ̘ኪ୦ၾʱ
Ԯfʔ̙ፐԊdவ຅ʕࠅ˸౷ᖯɽ଺࿁वπІ್኉᜗ٙจᗴᄣ੶d௰᙮ᗫᒟfϾۡ

ࡁ˫ᔼࢪ࿁࣬၍طᐕٙႩٝeၾ݄ஔҦঐٙ㛮ᆞၾщd˸ʿঐщ਺ςطᐕ஝ᇍၾ๟