Page 15 - 根管治療的美麗與哀愁 (捌部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( 捌部曲 )

捌部曲

ࠦ࿁˜Ύطᐕ™ࣩԷdഒ࿁ʔঐ׬ܵఱʔཀΎЪɓϣٙː࿒

ࣕ௅Ϝܿ፯ࣩٙԷ࢝ͪdɗމ༊ഹႭ׼ֵɨɧࡈᙄᕚj
1. Ͻᅇ݄Б˜Ύطᐕ™ࣛdৰəࠅ˸һ৷ٙطᐕᅺ๟̘Ꮠ࿁dԨਗ਼הϞٙطᐕ೻ҏࠠอ

Ъཀɓϣʘ̮d׵ஔۃձஔܝd࿁ࣩԷٙᏨൖ̀඲һ̋वจԬʡჿk
2. ɓϣҁϓٙ࣬၍طᐕ (one visit Endodontics)dϓ̌ٙཫܝঐ੄஗ཫಂ෗kࠦ࿁˜Ύط
ᐕ™ࣩٙԷd̀඲੻຾εϣ޶ൢʑঐҁϓطᐕ෗k

3. આႩΝ˫߅˓ஔᜑฆᗝ̥ʔཀ݊ࡈ৷၌ٙᔼᐕண௪ыkΪމ݄ஔ٫ʑ݊Όࠦ౛છࣩԷ
ٙ˴ԉd̥Ϟ੬ژΎطᐕ™ࣩԷٙᔼࢪʑცࠅᜑฆᗝ෗k

̀඲˸һ৷ٙൢᐕᅺ๟̘ࠦ࿁˜࣬၍Ύطᐕ™ࣩԷ

຅ઃ٫ซࠠอһ౬່኉ڿࣛdᆽྼ݊ࡈܘλٙࣛዚdනැ൙П༈˫ۃϣהЪʘ࣬၍
طᐕd݊щɰცΝӉһอ ( ˸༆Ӕא૶ৰۃϣطᐕ̰઻ٙਪᕚ )iא݊ࠠЪ ( ᐽԴೌجҁ
Ϝ ࣕ ௅
Ό༆Ӕۃϣطᐕ̰઻ٙਪᕚdШۍϞܘɽዚึdঐ੄ҷഛତϞٙʔቇᅄࡉ )fவλˢϞ
νႊλεϋٙ܊ɿdซࠅࠠอආБזͤeאༀࡌʈ೻ࣛdන༸ɰᏐ༈ਗ਼ʫ௅ᔚϞٙ˥e

ཥ၍༩૶ଣɓɨdޟЇც዆᜗ਗ਼ʘࠠอһ౬ɓᅵٙ༸ଣf್ϾdҢࡁᔼࢪࠦ࿁˜࣬၍Ύ
طᐕ™ࣩԷࣛd̀඲ᔫฐᏐ࿁f˜Ύ™طᐕʔഃΝ׵ο່ɪٙڌࠑj̥݊ਗ਼הϞٙطᐕ
೻ҏࠠอЪཀɓϣdνϤϾʊfࠦ࿁˜Ύ™طᐕࣩԷdҢࡁ̀඲˸һ৷ٙطᐕᅺ๟̘Ꮠ
࿁j̀඲ঐ੄ཫ΋кᓙ੻̈ۃϣطᐕ̰઻ٙࡡΪ̙ঐίࡳԬή˙k̈ତਪᕚٙ˴ࠅषΪ

ՑֵίОஈkΝࣛ຾͟ᄲൖІҢ݄ٙஔঐɢd˸ʿͦۃהኹϞٙண௪eձኜҿd݊щঐ
੄୅ৰ (post and core)e૶ৰ (old filling material; such as: hard paste, thermafiln)eҬ
Ց (locate the missed canal)eא༆ӔԨҷഛ (find the right pathway and execute thorough
disinfection) ۃࠑਪᕚiא٫ঐщ׵݄ஔ຅ʕᒒ੻ཀd( Աኽཀֻ຾᜕ ) މ༆Ӕɪࠑਪᕚd

ϾߧԴ̙ঐࠃ͛̈ٙ޴ᗫܝ፲स (perforation)dʔᜫ̴೯͛iא٫ॆٙʔֱd̈ତəซ
྅੻Ցٙd䁻ೌ̙ᒒеٙԻ೯स (separated instrument) ࣛd݊щϞঐɢ࣐હ˸ಯჀ̙ঐ
ிϓٙһɽෆ࢔f

࣬၍طᐕ݊щ̙˸ɓϣҁϓdᒔ݊ே੻ʱεϣҁϓ

ίীሞึఙɪ຾੬༾Ϟᛓ଺౤ਪj࣬၍طᐕɓϣҁϓձʱεϣҁϓdՇ၇طᐕᅼό
࿁षԷٙϓ઻eא࿁ཫܝഐ؈݊щϞהᅂᚤkޟЇϞԬᔼࢪਪٙһٜટjઆЪٙ࣬၍ط

ᐕ݊ɓϣఱЪҁeᒔ݊੻຾εˇൢϣʘܝΎආБ࣬၍̂෬dʑঐ̈ତҁߕഐ҅kஷ੬d
ഗ̈ٙഈᔧjɷᇐɓܛே݊ൖࣩԷઋرϾ֛fՉྼΫᓥطᐕ๟ۆd߰݊ঐ੄ଣ༆˜࣬၍
طᐕఱ݊ί࿁࣬၍ӻ୕݄Бชݑછ၍™dఱʊ຾ഗ̈࿁ۃࠑਪᕚ௰׼ᆽٙഈࣩəfɓ͇
݄ஔ٫Ⴉމ࿁˓ɪவࡈࣩԷٙ࣬၍ӻ୕d༈Ъλชછٙ΅ʫʈЪdேʊ຾ᆽྼਂλࣛd
( һٜͣɓᓃٙڌࠑdจу˜ঐЪe༈Ъe຅ЪՑ™ٙชݑછՓણ݄dேʊ຾ҁ௪ʘܝ )d

3