Page 21 - 根管治療的美麗與哀愁 (陸部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( ௔部曲 )

Շࡈ݋ಂܝdԱԫۃߒ֛dኪࡰᔼࢪ੭ഹ͎ፋΫՑൢהd๟௪՟̈वထ 35 ၍ഢʕ
ٙᓙұቛ০fΝᅵѓٝઃ٫dਗ਼ʔഗʚ҅௅௦ቑء࢛d࿁ 35 τɪዖͤღdίᜑฆᗝ՘

пɨd૶ৰڿ௅ٙ෬໾d຅ᆽ֛̙ԈՑቛ০᎘၌ࣛd΋˸൴ࠪتᚨਗՈʲۂɢٙ୚০d
ၚ๟ήᔎഹቛ০᎘௅̬մdՏۂદ̍႟ഹ̴ٙ኉ሯdٜՑቛ০᎘၌ᚣ̈ 2 ä 3mm( ྡ
61C)f್ܝdҷ౬༶͜ʔՈʲۂɢٙ୚০dʥ˸൴ࠪتᚨਗd( ΣኪࡰᔼࢪႭ׼Ԩͪᇍ )d
Աˀࣛᙒ˙ΣdჀჀήՏຠቛ০ٙ᎘௅ ( ྡ 61D)dᅰࡈԸΫܝdԈቛ০ʊ຾ᕦਗdԨ˲
ʊଫฆ୭ᕎࡡЗdఱሗኪࡰᔼࢪટ˓dԱᅵᙃຠഹቛ০᎘၌dᜫ˼ፋІঐ੄༆ৰεϋԸ ௔ Ϝ ௅

ٙ٧໤f຅ቛ০༪୭ 35 ၍ഢʘܝdک࿁ኪࡰᔼࢪٜԊj੽੭Ըٙ X Έᅂ྅d޶੻̈࿁
34 ࣬φݬٙ૶௴eࡌҖၾ܆෬ٙ౛છdʥ್Ϟ஢εცࠅҷഛʘஈdОʔνʦ˂ఱίϤᘱ
ᚃ࿁ 35 ආБطᐕdλᜫҢ޶޶הჯࢻՑ݄ٙБ˓جՑֵ̈əʡჿਪᕚkኪࡰᔼࢪတᕿ

ชዧٙႭjԟॆ݊Ύλʔཀəf

ྡ 61C ོᎸኪࡰᔼࢪ΋˸ኪՑٙ ྡ 61D Ύၚ๟ή˸൴ࠪتᚨਗኜ૛d
˜݄ᅃˤ˓ج™ҁϓ࿁ 34 ٙطᐕܝd મˀࣛ০˙ΣჀՏeᙃຠᓙ০᎘၌d
੭ઃ٫ࠠΫ઺ԃʕːd༶͜ᜑฆᗝภ ፋІ༆ৰεϋԸٙ٧໤d՟̈वထ 35
ৣ൴ࠪتண௪dჀᕦ༆කڿਉ኉ሯ̍ ٙᓙұቛ০
႟dᚣ̈ᓙ০᎘၌ 2 ä 3mm

޶Ըڋኪ٫௰ɽٙਪᕚdᒔ݊סʔદࣅՑቛ০ܝdఱಃ࣬φ೷᝝ٙˣषdɓࣛᗭ˸
᜗ึ̈ ݄ᅃᔼࢪהԊ (let the canal takes the file in)i̥ࠅঐ΋ਗ਼၍༸ٙڿਉ௅З͂කd

୚ቛ০ఱึІʉ๞ɝՑ࣬၍ʕݬdԱҏΎਗ਼ʕݬ஼Ӊᓒ࢝ܝdቛ০І್ఱึΎદɝՑ༰
ଉٙ࣬φݬf຅၍ഢٙڿਉ௅Зேʊ຾ක࢝ܝdʃቛ০͜Ⴠݓٙɢඎఱ̙๞̈୞͋ஷ༸
̈ɹdΪϤdࠅ੻Ցɪஷɨ༺ٙ၍ഢஷ༸݊ܘІ್ٙཀ೻f͍Ⴍഹ˜܆଄༶ਗ™݄ٙБ
ࠅჯࣛdኪࡰᔼࢪ̈ᑊႭ༸jϼࢪdҢชᙂՑ 35 ࣬φ௰ܝɓݬd݊ࡈϞɽԉܓٙ฽ᛃ
ஷ༸d༈ܣჿ፬k̙΋ਗ਼୚ቛ০φ၌ٙɓʃືཫᛃϓڐٜԉdԴ̴ᜊϓމɓ˕฽Չઽቚ

˲ࡒՈᅁ׌ٙઞ০f್ܝίӚϞաՑڿਉ၍ኣҼጣٙઋرɨdਗ̴਼׳Ցཫк၍ഢ̈ତϞ
฽ᛃஷ༸ٙଉܓiჀჀપ৔̴dᜫቛ০ٙφ၌ίຠᙃՑ၍ኣΫᅁࣛd( φ၌ܸٙΣึ೹
ฆҷᜊಃΣ )dΎપ৔ቛ০dᜫʊ຾ҷᜊಃΣٙφ၌̘ຠᙃՑ၍ኣΎΫᅁiఱவჿ׵ᅁ

༪ගdቛ০φ၌І್ึฤ॰Ց͍ᆽٙᛃ༸ɝɹd຅̴ٙφ၌ආՑɝɹdΎપ৔ࣛdఱʔ
ึΫᅁdˀϾఱึනැۃආdϾϞ஗ᛃ༸၍ኣېИٙชᙂ ( ྡ 61E)fϤࣛdΎ೹ฆપ৔
̴ۃආd( ߰ቛ০ϤՍᆽྼ݊ί࿁ٙ༩ࢰࣛ )dІ್ήቛ০ఱึһଉɝᛃ༸i್ܝdਗ਼ʘ
ΎჀჀપ৔dٜՑቛ০ೌجΎ๞ਗۃආࣛiఱ̙ਗ̴਼ৗ̈ᛃ༸d( া੻ʔࠅЪ΂Оૅᔷe

9