Page 148 - 根管治療的美麗與哀愁 (陸部曲)

ː੻ၾഐႧ

຾੬ટᐏ஢εᔷൢࣩԷd˜Ҏૐঐ੄՘п֛ЗeאᏍώฤరඑʷ࣬၍™eא٫

˜ಂ޸ঐ੄୅ৰ̔၍ᓙ০eאરৰ၍༸ڜ෦dࠠอ͂ක࣬၍ஷ༸™eא٫˜రӋᇠ༆ஔ
ܝܵᚃٙชݑeၾ໕೨ʔቇ™eא٫˜ሗӋ൙П၍ኣ߈ˆe᜖ഢֵ௅ॎݸࡌూ̙ٙঐ
׌™fஷ੬dίவԬࣩԷʕdՉ኉࣬ʫίε̒Ԩڢ᙮׵ྼሯ׌එʷ࣬၍dˀࡀ੬݊Ϊމ

΋ۃฤర၍༸ٙ༩ࢰ˙Σ̈ତ਋ࢨiא݊ӚϞ፭ృ݄ᅃᔼࢪЀ౤ࠦնd࿁࣬၍૶௴ࡌ
Җࣛd̀඲ࣛՍ౛౥ٙ๟ۆj(let the canal takes instrument in, treat a canal, not make
a canal)fֻֻቛ০ɓ׳ආ࣬၍ɝɹdఱܢഹ༶Ъቛ০ಃ࣬φΣᓑઞdθซҞ஺ᐏ՟ʈ

ЪڗܓiΝࣛdί݄ஔ٫ːʕɰҁΌӚϞdცʔࣛਗ਼ʃ໮ቛ০dᔫฐ๞̈࣬φˆ̮d
Ъ಻༊ (peeking through)d˸ᆽႩ࣬φ၌၍༸݊щʥ್ၪܵஷ࿫ (apical patency) ٙ฿
ׂfΪϾdኬߧቛ০ʔ຅ήί၍༸ਉኣ௴ܔ̈ɓࡈ̨̻ (ledge formation)eא݊ቛ০ʔ

ᓙήਗ਼ቊՒৰeદໝ׵࣬၍ஷ༸ʕٙ၍ኣຟ࢜પᏚeጐᏀdϾੁИə࣬၍ࡡ͉ஷ࿫ٙ၍
༸༩ࢰ (blocked canal)dҖϓɓ၇˜৿׌එʷ࣬၍™ٙઋྤfޟЇdிϓቛ০จ̮ᓙᕎ

(separated instrument)d̔ί࣬၍ஷ༸iאΪܵᚃ፹Ⴌᓑ᝝dϾߧԴ၍ኣ೯͛ॎˆ (canal
perforation)eਗ਼࣬φˆମЗ (canal opening transportation)eאԴ੻࣬φஷ༸ΪϾ਋୅ᅣ
൓ (zipping, tearing)eෆʿ˫࣬մࣙഐ࿴eኬߧАݴʔ˟e୞Ͼˏ೯ஔܝ໕೨eאᘨഢ

ชݑnഃഃdΪᔼႬ׌הிϓٙʔֱԻ೯eאܝ፲सࡉf
ɪᔼ֝ԣઃष೯׵್͊d̥ࠅۡࡁᔼ٫݄ஔଣׂ͍ᆽdᆽྼঐ੄፭ృ͉ࣣɪ册˜ৎe

ו™Շᇐᆀ௝ٙᙕࠑd૶ู׼ͣ ݄ᅃᔼࢪה౤ͪ࿁࣬၍૶௴ၾࡌҖٙࠅჯձ˓جdஷ੬
ఱঐ੄ᒈΛᒒʰeеৰɪࠑመεᔼႬ׌จ̮ٙ೯͛f್Ͼd߰ॆٙʔֱ̈ତəۃࠑᔼႬ
ًرd༐ྼήࠦ࿁ਪᕚၾसًd༆Ӕʘ༸ՉྼɰӚϞซ྅ʕԟჿѢᗭfɓႧ༸ॎdԟఱ

݊˜ʔҙڋː™fცᔫা࣬၍طᐕ݄ٙஔࠅᓃdఱ݊਺ܵ࿁ልᕏٙ࣬၍ӻ୕ਂλชݑછ
၍dɰఱ݊࿏ֵ૶ৰʊ຾ආՑ၍༸ʕٙߧषഽeݭ९eאᔁيiΝࣛd࿁ʊɝڧ၍༸d
Ш׵૶௴ࡌҖࣛ͊ঐਗ਼ʘ๘ഒٙषഽd੽Ϥԣੁ̴ࡁΎ՟੻ᐄቮԶഗٙಬ༸eԨ˲ঐ੄

ڜኺ၍༸ʕd΂О̙ᜫݭ९ᇶַeᓒ౳ආՑ˫࣬մࣙிϓॎᕸٙዚึၾ̙ঐ׌dఱঐ੄
ϓ̌ࡌూᔼႬਪᕚၾसًfۡࡁᔼ٫̀඲׼ͣఊቦ΢ۨቛ০d݊ೌجຠᙃeאՒৰՑ၍
༸΢ࡈࠦΣd˸ʿ၍ኣɪٙהϞᓃࠦiΪϾd዁છቛ০̥݊ࠅਂՑቇܓή͂ක࣬၍ஷ༸

( Էνjண֛ཫ௪ᓒ௴࣬φݬஷ༸Ց፿ܓʬ )d್ܝഛ͜ʔΝዢܓٙϣಣაඒ๓૰dԴʘ
ऍᆗՑልᕏٙ၍༸ʕd̥ࠅ቗௓ԑ੄ඎٙ๓૰eԨऍظԑ੄ɮٙࣛගdఱঐϞࣖછ၍ɝ

ڧ࣬၍ஷ༸ٙߧषഽd( ʲাᐼึϞ৚୭๘ഒஷ૨ٙषഽΆྡˀᅝ )iΪϤᎇܝd̀඲Ύ
ீཀᇘ੗ٙ࣬φ܆ௐձڿ௅੗܆dආɓӉੁИ̙ঐชݑٙᓒ࢝f
ટɨԸ˜ᔷᇐ™ᆀ௝dఱਗ਼ࠅʧୗ ݄ᅃᔼࢪዹӉΌଢٙ࣬̂Ҧஔdઞী˜νО݄Б

ٜۧᇘ੗෬̂࣬၍ӻ୕™fˏኬᛘ٫ίቇ຅૶௴ࡌҖλ˴ࠅ၍ഢஷ༸ʘܝdνОঐ੄Ύ
࿁ልᕏٙ࣬၍ஷ༸ੂБᇘ੗ή෬̂dආɓӉਂλชݑછ၍f

60 ΂ምேʔᗴ೯͛ٙኴԫd༐ྼࠦ࿁݊ɪഄ