Page 83 - 根管治療的美麗與哀愁 (柒部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( 柒部曲 )

心得與結語

ɚɤɓ˰ߏ˫߅ᑗґ˓ஔᜑฆᗝձ൴ࠪتༀໄٙ༶͜dਗ਼ତ˾࣬၍طᐕ̙ஈଣٙष
Էᗭܓd߉ॎəཀ̘ෂ୕݄ஔٙଧ᎕dᜊϓ̥ࠅᗴจટաطᐕdఱ̙˸஗ಂܙiϾ຅ɧ

ःᘤʷي (Mineral Trioxide Aggregate, MTA) ਪ˰ʘܝd݅຾ᑗґᏐ͜ᗇྼ̙˸Ϟࣖή
ڮԴ˫࣬մࣙڝஹଡ଼ᔌ (attachment apparatus) ᓹΥూࡡdԴ੻̥ࠅ຾ཀ͍஝ٙ࣬၍ط
ᐕd቗௓ MTA ʘܝdष೨኉᜗੻˸ϓ̌वπɨԸٙዚึdਗ਼ˌʷϓೌ̙ࠢٙঐfϾί
MTA աՑᄿعᏐ͜ʘۃdᑗґɪ࿁኉࣬֠͊೯ԃҁΌeא࣬φʥ್яତක׳ً࿒ٙष
೨˫኉dν؈͂ၑආБ࣬φϓҖeא࣬φௐΥ೻ҏࣛdஷ੬ఱ݊મ͜૫ःʷඑᅯኒfՉ

ྼϘಂ݄Б࣬၍طᐕࣛd૫ःʷඑ௰੬஗ᔼࢪ͜Ը຅Ъطᐕಂගٙ࣬၍ʫ͜ᖹيfΪމ
̴ٙ৷᜽׌ (pH:11~12.5)d̙˸Ϟࣖ૨ഽ ( ຅̴ঐ੄ٜટટᙃՑषഽࣛ )iԨ˲ঐ੄ࠥ
Э˫࣬մࣙଡ଼ᔌաՑಞवيٙՐዧdϾ̈ତف׌ˀᏐd[ Ϥɗᔟ̴͟ঐᜫ୚ഽ ( ʔሞϥ

ݺ )d୚ߤኣইεᒙٙইሯ̰̘ݺ׌dΪϾಯࢮ࿁ଡ଼ᔌٙՐዧ ]iΝ̴ࣛঐ੄˟Аeϗⶊ
ଡ଼ᔌ૰eڮආ˫͉ሯΎ͛d੽ϾᄣආᓹΥూࡡfΪϤdί MTA ਪ˰ۃdৰəत֛͜׵ Ϝ ௅ ݨ
࣬φ͛ϓeௐΥ̮dᑘɭЪމݺ᜖طᐕeԣ˟࣬၍ʫ̮іϗeࡌ໾၍ኣॎˆഃஔόdே
̙޶Ց૫ःʷඑᅯኒٙᏐ͜f್ϾdΪ̴׳ɝ࣬၍ஷ༸ʘܝdʔ׸஗૶ଣᆎଋiϾಞव
ί၍ኣɪٙ૫ःʷඑd( ኽ޼Ӻ೯ତ ) ɓݬࣛගཀܝdਗ਼ึ๓༆ॎᕸהᙃʿٙၣًᇭࡡ

ᜄၪ˕ݖd੽Ͼࢮʷə኉࣬ٙඑʷഐ࿴dϾԴʘ࢙׸೯͛ঌ൓fΎ٫d૫ःʷඑ޴࿁ˢ
༰࢙׸஗ଡ଼ᔌ૰іϗdϾ̰̘Ъ͜iމəၪܵቇ຅ᐕࣖd̀඲੻຾੬һอᅯኒd׵݊ઃ
٫ఱʔ੻ʔცᄣ̋஢ε޶ൢϣᅰfΪϤd຅ɧःᘤʷي (MTA) ׵ 1990 ϋ˾೯࢝eɪ̹d

( Ց 2001 ϋ ) ᄿعᏐ͜׵຅˾࣬၍طᐕʘܝd͟׵ MTA Ո௪əഒԳٙ͛ي޴࢙त׌d
˸ʿոʷܝʔ׸஗іϗdΝࣛኹϞଣซٙ੗܆तሯd̋ɪ৷᜽׌ٙҤഽঐɢeʿЭ๓༆
ܓdᑗґڌତே௷ཀ૫ःʷඑᅯኒdکɓᑘ՟Ͼ˾ʘ૫ःʷඑίۃࠑ࣬၍طᐕषԷɪٙ
Ꮠ͜f̥ʔཀdMTA ׵ɪ̹ڋಂdΪաՑਖ਼лᛆٙڭღdΝᗳҿሯਠۜί̹ఙɪԨӚ
Ϟ˄εٙ፯኿׌f̋ɪڋಂ MTA הცոʷٙࣛග༰ڗdϾոʷ੶ܓɦաՑ቗௓הίᐑ

ྤ ( νა׌eא᐀ܓ ) ٙᅂᚤხɽdҿሯ͉ԒᒔึϞிϓ኉᜗ᜊЍٙဲᅇdΪϾ዆᜗ط
ᐕٙϓࣖdֻֻաՑ݄ஔ٫዁ЪҦ̷ٙ㛮ᆞܓʔΝdϾяତ̈׼ᜑٙໝࢨf್Ͼd຅ਖ਼
лᛆڭღಂတʘܝdѥග΢ό΢ᅵ MTA ٙਠۜdϞνڠܝ݆ഉছήତԒfΝࣛdவԬ

MTA ਠۜᐼאεאˇҷഛəۃࠑהΐॹ̰iΪϾdೌҖʕɦਗ਼࣬၍طᐕ݄ٙஔϓࣖΎ
ϣપ࢝Ց̤ɓྤޢf
຾͉͟ϜͦٙመεࣩԷڌତd̙˸Ԉᗇ MTA ٙ቗௓ϓ؈dᜫהፗٙ˜Ύ͛׌࣬၍
طᐕ (Regenerative Endodontics)™݄ٙஔ࿁൥ʔΎڻࠢeא̥ঐ༶͜׵࣬φʥ್ක׳e
˫࣬֠͊ҁΌ೯ԃϓҖٙϋჀܩ˫fуԴࣩԷʕઃ٫ٙϋᙧΎɽe˫࣬մࣙषΊϓҖ

εࣛeޟЇ࣬၍ቊՑʫ̮іϗٙ೻ܓeא݊၍ኣ߈ˆe᜖ഢֵ௅ॎݸʊ຾ܘɽdλ྅
̥ࠅઃ٫ᗴจᎻ༊eٵഗष೨˫኉ΎɓϣवπٙዚึdΝ݄ࣛஔ٫ՈϞ੶डٙΆྡːe
˸ʿ৷൴ٙൢᐕҦஔdԨഛ׵Դ͜ MTAdఱϞ̙ঐ෥ྫྷϓॆfᎇഹࣛ˾ٙආӉd̋ɪ
ҿࣘ߅Ҧٙ௴อ޼೯dίᄳɨவݬ˖οٙϤࣛd͛يௗନ܆෬ҿ (BioCeramic Sealer)

׵຅ʦ࣬၍طᐕٙᏐ͜˙ጳ͊Ўe͍ίᇻۉ೯࢝ʕf( ߰ॱఱҿሯत׌ϾԊdMTA ਿ

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