Page 17 - 根管治療的美麗與哀愁 (陸部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( ௔部曲 )

ৰəცࠅءจሜ዆ዢܓʘ̮d࿁әݹ๓૰ٙ቗௓˙όd֝મ͜І್ݴރર׳ٙ˙ό
(ejection)dϾʔࠅ͜ଛɢҞ஺ء࢛ٙᅼό (injection)f຅್࿁ϤࠅჯdϞԬᅀਠί๓૰

ഗʚٙ০᎘ணࠇɨԑ̌˃dШேʔνۡࡁᔼࢪԴ͜әݹ૰ࣛdءจ຅˸౛ːપਗʘdϾ
ʔࠅ͜֍ܸ݄Ꮐء࢛dԸ੻һ̋ቇʲʿࠠࠅfᐕ೻ʕdʔසࠅঐᜫϣಣაඒ๓૰Ϟԑ੄
ٙඎऍᆗί࣬၍ӻ୕ʕdᒔࠅᜫ̴ऍظ׵၍ഢஷ༸ٙࣛග੄ɮdவਗ਼݊ᆽڭطᐕ੻˸ϓ
̌ٙᗫᒟiΪϤdቇࣛήภৣ൴ࠪتᚨਗʈՈdԸ՘пዧ᛻ݺʷ๓૰ٙ૶ᆎऊݭ̌ঐd
ֻֻһঐ੄੻Ցԫ̒̌࠴ٙпूfШνОഛ͜әݹ૰d˸ಂᜫ̴೯౨ᏐϞ̌ࣖdΝࣛᒒ Ϝ ௅ ௔

е̙ঐ̈ତܝ፲אԻ೯सࡉٙࠬᎈdۡࡁᔼࢪίطᐕࣛdءจՑɓeՇࡈ୦࿕ਗЪٙቮ
ϓ݊̀ࠅٙiᙅνjτɪዖͤღܝdᏨൖཞᕎԣ˜ဍ™ًرiഗʚәݹࣛd΋ᆽ֛০᎘
ঐ੄ί၍ഢʕ̻නήɪɨ୅ਗdʑᜫ๓૰І್ރݴર׳̈ԸdʲҚ຅০᎘ʊቊ၍ഢ̔И

ࣛdᒔࠅଛ್ਗ਼๓૰ءɝnnഃഃdֻֻఱঐԣ˟әݹ๓૰ᐛගɽඎڧɝଡ଼ᔌd੽ϾӁ
ഒદהࠃ͛ٙܝ፲אԻ೯सࡉf
࣬ݒໄ׳ٙଉܓe˸ʿ˙Σٙ਋ࢨdኬߧ࣬൓א၍ኣ߈ˆ (post perforation)

ஷ੬dცࠅ݄Б࣬၍طᐕٙ኉᜗dε̒ேϞᘌࠠٙᝁ႙אॹฦf຅ҁϓ࣬φ܆ௐʘ
ܝdމᆽڭঐ੄࿁࣬၍ӻ୕ልᕏᐑྤชݑછՓٙၪᖩdၡટഹ݄Ъ੗Υٙڿ௅෬໾݊ഒ
࿁̀ࠅٙiΎႭdҁϓ࣬၍طᐕٙ኉᜗d( ৰڢϞतࣿٙ͜จdνj̥މڭИ኉ᅻ৶৷ܓd
މಔ᜗๟௪ϾЪeאසცЪމ overdenture ٙ˕ݒ˫nnഃ )d߰ʔঐΫూՉ኉᜗ഐ࿴ٙ

̮Җdᜫ̴ঐ੄Ύϣ՘ΝʱዄէᘍېΥٙ̌ঐdԔ߮הЪٙ࣬၍طᐕఱ̰̘əจ່fЇ
׵dܨూ኉᜗ڿ௅ٙ෬໾d݊щϞცࠅภৣ૴̋࣬ݒԸЪ੶ʷూҖdԟఱ੻ൖࣩԷϾ֛f
ஷ੬d߰Աྠඟطᐕ՘ᙄdࠋப݄Б࣬၍طᐕٙᔼࢪdேึయࠠਗ਼Ըމطᐕ˫ৣᏖ贋ూ

኉ڿ˴பᔼࢪהЪٙ஝ྌi຅ҁϓ࣬φ܆ௐʘܝdɰ஢ఱանٜટ՘пτ׳࣬ݒdԨҁ
௪኉ڿ௅ЗٙూҖeא٫݊Աܸͪཫव̈ໄ׳࣬ݒٙ٤ගଉܓ௪͜f
Ϙಂෂ୕ίᝈׂɪאҿሯٙ፯኿ɪdேහΣԴ͜༰މ࡝೷ٙ࣬ݒd( ೌሞમ͜܄Ⴁ
ʷᛟிeאཫ΋ᒦிϓۨٙ )dϾอڐٙ฿ׂۆ਋λ፯݅͜੭ᓃݓழɦʔ̰਺දeΝࣛ
̙˸іϗ௅ʱېΥᏐɢٙޚᆨᜄၪ࣬ݒdԸЪމ࣬၍طᐕܝ኉᜗ٙ੶ʷూҖfೌሞ፯͜

ٙҿሯމОdԒމ࣬၍طᐕਖ਼߅ᔼࢪˢ༰ίจj຅ੂБ࣬ݒႡ௪ࣛdɷຬй࿁˫࣬኉ሯ
၍ኣЪ̈ཀܓٙঃฦiΝࣛd࣬ݒໄ׳ٙ˙Σd̙й਋ᕎ͍ᆽٙ࣬၍༩ࢰdΪϾிϓې
ΥᏐɢʔ຅਼ٙٙጐd( Ϊމ࣬ݒໄ׳͊ί˫࣬˴ൿɪ )eޟЇኬߧ၍ኣٙ߈ˆא࣬൓i

ৰϤd࣬ݒໄ׳ٙଉܓdۆცࠅϽᅇՑ˜ຬɓϞΎطᐕცӋࣛ™d݊щঐ੄՟̈࣬ݒd
אঐщਗ਼ʘጋ߈˸ҬΫࡡϞٙ࣬၍༩ࢰd( ஷ੬dΪޚᆨᜄၪ࣬ݒ݊ภৣልΥዓইᓂഹ
ί၍ኣɪdਿ͉݊ೌج஗൴ࠪتቤᕦ՟̈ٙdઓϞٜટጋ߈୅ৰ )dɓ͇׳ໄ˄ଉd˚
ܝӚϞቇ຅ٙ᝝᎘̙˸ਗ਼ʘᝤ߈୅ৰdא٫уԴίᜑฆᗝ՘пɨdʥϞൖ㝬ɪٙٛᓃࣛd
ԟჿ˿ምࠦ࿁νϤٙᗭᕚࣛdேึ᎘ͤ೯௦ٙf

ʔ຅൴̂eא৵Ըᇭ০ַٙФཀڗ̂෬ (gutta-percha overextention)

࿁׵൴̂ٙᙄᕚdಀ຾ίՉ˼Ϝͦ౤ʿf̀඲Ⴉॆ̘༆ؓՑֵ݊᙮׵ҁߕᇘ੗׌ٙ

ཀܓ̂෬ (overfilling)dᒔ݊᙮׵೽ଯeϞქᐻeڢ੗ྼ׌ַٙФཀڗ (overextention) i
຅್dவՇ٫࿁طᐕཫܝٙഐ؈dਗ਼ึϞהʔΝfᔊఊԸႭdՇ٫ί͉ሯɪ࿁࣬၍ӻ୕

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