Page 36 - 根管治療的美麗與哀愁 (陸部曲)
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peroxide) әݹ૰ໄ౬ڐː၍ഢʕٙϣಣაඒ๓૰d್ܝ˸ܓɽʃቇ֝ٙ৻ଋॷ০
(coarse)d׳ɝڐː၍ഢஷ༸͋၌ЪᏀࠗ˟Аfഃܙɓʱᙒܝdפ̈ॷ০dΎ౬ɪ̤
ɓ৻ଋ ( ܓɽʃΝٙ ) ॷ০dவΫ̥ίॷ০ ( ਗ਼׳ɝ࣬φΣʘ ) ɓ၌dіڝ 3% ٙᕐ
ः˥d࿔࿔ήਗ̴਼ໄɝՑڐː࣬၍࣬φݬЪऊݭe૨ഽʿ˟Аfɓʱᙒܝdפᕎ༈ॷ০d
ᆽ֛ڐː၍ഢஷ༸ʊʔΎϞသАତdΎ౬Ϋ˸Эዢܓ ( ˇ 1%) ϣಣაඒ๓૰dә
ݹ၍ഢஷ༸f್ܝd՟ܓቇٙ˴ᇭ০Ъ༊φdΫזڜɢяତਜe˸ʿ׳ɝ࣬φ
ݬଉܓேୌΥಂܙʘܝd࿁˴ᇭ০φ၌Ύε 1mmdจуਗ਼˴ᇭ০܆෬ڗܓண֛Ցd
ࠅˢ͂ၑ܆෬Ցٙͦᅺଉܓdߒ 1.5 ä 2.0mm ʘஈ ( ɓছᅺ̥ცߒ 0.5 ä 1.0mm)f
ᎇܝdఱԱృ݄ᅃˤ࣬̂˓جdҁϓ࿁ 48 ᇘٙ࣬φ܆ௐeၾΥٙڿ၊ݸ෬f
՝ɨዖͤღdשᙲʔΝԉܓٙ࣬φ X Έ˪dᅂ྅ᜑͪ࣬̂ഐ؈ᇘܓᒔʔ፹ ( ྡ
64G)dШ̮ҖձݴΣd߰ၾІה᙮˫࣬ٙҖ࿒࿁dۆࢨ੶ɛจ ( ྡ 64H)f˸࣬φ
ݬԸdჃː࣬၍ࡡ͉̔၍ٙᓙ০༰d್ϾՉ͋ஷ༸Ԩ͊ቊՑཀܓٙॎᕸdא݊
Ϊ 48 ˫ЗۃහdኬߧჃː࣬၍ஷ༸ᜊ࿁༰ٜdה˸ۃϣ݄Бطᐕٙᔼࢪ ( ί೯͛ቛ
০ᓙұۃ )d௴ࡌҖ˓جᒔӚϞਗ਼࣬φݬஷ༸ॎᕸאᓒ࢝˄ཀܓiˀᝈ࿁ڐː၍ഢ
ٙ࣬φݬஷ༸dۆΪ࣬၍࿁ᛃϜٙᗫڷdуԴ̔၍ٙᓙ০ᒱdШ௴ࡌҖ˓جʊਗ਼
࣬φ͋ஷ༸ཀܓdԴࡡԸٙ࣬φ̈ɹʊቊॎᕸeЗfϤࣩԷҁϓ 1999 ϋd
ࣛൢගᒔӚϞ MTAdΪϤd̥˸݄ᅃˤ࣬̂˓جආБ࣬φ܆ௐiщۆd༶͜ MTA
п࣬φ܆ௐdਗ਼ึ݊༰λٙ፯ ( ሗਞቡɪ册ࣩԷ̬ɤɧeɨ册ࣩԷʬɤɖ )f
Їdމ՟̈̔ί၍༸ʕٙᓙ০d࿁࣬၍ʕݬձڿਉЗ၍ኣٙঃฦᙼޒdᆽྼೌ̙ᒒ
еfΝᅵήdאɰΪ 48 ˫ЗٙۃහdᜫуԴवထٙᓙ০ЗίჃː࣬၍ٙ࣬φݬdШΪ
ᝈ࿀ൖձ൴ࠪتቤਗኜ̙ᒈڐԉܓٙ˙کdԴ՟̈ཀ࿁Ⴣː࣬၍ʕݬd˸ʿ
ڿਉЗٙ၍ኣӚϞঃฦ˄εd݊˸ࡈჃː˫࣬ٙێྼܓʥԑఘટա࣬ݒٙໄɝf್
Ͼd࿁ڐː˫࣬ϾԊdމ՟̈ᓙ০dуԴवထЗ̥ί˫࣬ʕݬdШΪᝈ࿀ൖձኜ
̙ٙᒈڐהცdʔʔঃฦεɓԬ၍ኣഐd˸ߧிϓ༈˫࣬ێྼܓਗ਼ʔΎቇו༱
࣬ݒٙໄɝd݊˸ѓٝ˴பટᚃطᐕٙ贋ూਖ਼߅ᔼࢪdʿ˚ܝ࿁ 48 ໄ׳࣬ݒٙܔᙄf
Ͼவɰ݊ྠඟΝطᐕˢ༰ঐԶ࿁षʾһΌࠦᚐٙመεᎴැʘɓf
ྡ 64G ཞᘱᚃрɢdනлࠠᐏჃː၍༸ ྡ 64H ҁϓ 48 ࣬̂ܝdᒱ್࣬̂يԸ
ஷܝd࿁ڐː࣬၍ۍΪ၍༸ᛃܓd௴ ᇘdШܓձ̮ҖݴΣdۍΪ՟̈
ࡌҖࣛdிϓ͋ஷ༸̈ɹٙЗe࣬φသ ̔০ཀdՏۂঃฦ၍ኣdϾяତ̈ཀε
Аiၡܢஈໄܝd˸݄ᅃˤ࣬̂˓جҁϓ ᎉ༦
࿁ 48 ٙ࣬φ܆ௐdձڿ၊ݸΥ෬
24 ምேʔᗴ೯͛ٙኴԫd༐ྼࠦ࿁݊ɪഄ