Page 32 - 根管治療的美麗與哀愁 (捌部曲)

̙˸ආՑ෧ᇭࣨː༱Ոٙ࣬φݬf್ܝd˸࣬၍ઞ০ (DG-16)dίᜑฆᗝ՘пɨdᎻ༊
ᅡਗ༈෧ᇭࣨː༱Ոd޶޶̴̙஗ࣞਗٙઋرi຅ԈՑ෧ᇭ༱Ոʊ຾̙˸஗׼ᜑࣞਗd

ఱ̙˸ഹ˓๟௪՟̈዆˕ٙ෧ᇭࣨːݒ [ ൗ 1]f
ԱϤࠅჯd௔ᚃ՟̈ί΢ࡈ၍༸ʕ Thermafil ٙ෧ᇭࣨː༱Ոfί՟̈ཀ೻ʕdڌՠ
౤ਪj՟̈෧ᇭࣨːdމОࠅڀவჿεʈҏkʔ̙݊˸͜ૅᔷኜ૛ආ̘၍༸ਗ਼ Thermafil
ٙ༱Ոഏ̈෗kɓᗙΫഈ [ ൗ 2]dɓᗙܵᚃආБഹطᐕiਗ਼๓ኒءɝ΢ࡈ၍ഢஷ༸d፭

ృ࣬၍૶௴ࡌҖ˓جd૶ଣಞव׵၍༸ʕٙ৵ԸᇭdΝࣛɰᓒ௴ࡌҖʔ஝ۆ၍ኣi຅פ
ᕎቛ০d૶ᆎՉᑮ७٤ගd೯ᙂနೌ৵ԸᇭبڝՉɪࣛdҷ͜˸ 17% EDTA ๓૰әݹ
΢ࡈ၍ഢஷ༸dᘱᚃԱృ૶௴ࡌҖ˓جdɓᗙᓒ௴၍༸eɓᗙ૶ଣ̙ঐᒔبڝί၍ኣɪ
ٙᛪϮഐ࿴ (smear layer)f್ܝdΎ౬ϓ੬஝ٙΌዢܓϣಣაඒ๓૰ЪәݹiΝࣛdʔ

ࣛή˸൴ࠪتਗɢዧ᛻ݺʷ͍ऍظί᜖ഢ၊ݸe˸ʿ΢ࡈ၍ഢஷ༸ʕٙϣಣაඒ๓૰ʘ
૶ᆎၾऊݭࣖঐfϤࣛdίᜑฆᗝٙ՘пɨdਗ਼ 10 ໮ቛ০නлή׳ආۃϣطᐕה፲ဍ
ٙڐː᎔ਉୋɚ࣬၍ ( ྡ 83I)fԈՑϤ౻dڌՠɦᜓխjॆٙϞՇࡈ࣬၍ίڐː᎔ਉ˫
࣬dவᜑฆᗝɰ˄ग़փdɓɨɿఱᐜԈୋɚ࣬၍ٙɝɹf຾ཀәݹe൴ࠪتਗɢዧ᛻ݺ

ʷe࿏ֵή࿁΢ࡈ၍ഢஷ༸Ъ૶௴eࡌҖdٜՑ༺ϓ࿁ӊɓ࣬φݬཫ΋ண֛ٙͦᅺ፿ܓ
ܝdᅲࣛ੗ྼ෬໾ 16 ٙ᜖ഢ၊ݸd՝ɨዖͤღdשᙲ࣬φ X Έ˪fᅂ྅̙ԈίჃː᎔
ਉ࣬၍eձᕛਉ࣬၍ٙ࣬φݬdʥϞ௅ʱ৵Ըᇭ᜗بڝί၍ኣɪfΝࣛd຅૶ৰદᕛਉ
၍ഢʕᔚϞٙ࣬̂يʘܝd࣬φᅂ྅ఱ̙૶ูԈՑί኉࣬ҋʱਜʫٙ׳࢛ீ࢛௕ᅂ ( ྡ

83J)fϤࣛdڌՠɦ౤ਪjɨΫΥ༈νО૶ৰᒔبڝί࣬φݬ၍ኣɪٙಞव৵Ըᇭkˀ
ਪڌՠj౬ϓ݊આdਗ਼ึνОஈଣவԬ࣬φݬಞवٙ৵Ըᇭճkڌՠ˫ᔼࢪഈᔧjࡈɛ
ԨӚϞ˄ε࿁வ၇ࣩԷٙᑗґ຾᜕iʔཀdᏐ༈ึԴ͜һ୑e፿ܓһɽٙૅᔷቛ০dආ
ɓӉ̘ᓒ௴΢ࡈ࣬φݬٙ၍ኣd˸૶ৰவԬಞवٙ৵ԸᇭfίΫᏐ [ ൗ 3] ڌՠۃdʹܙ

ઃ٫͎ɿՇɛஔܝᏐءจԫධdԨߒ֛λɨΫൢᐕ˚ಂܝdᜫ͎ɿ࠼ɛ΋Бᕎකൢගf

ྡ 83I ቗௓ழʷ๓༆৵Ըᇭٙ๓ኒ ྡ 83J ຾ཀәݹe൴ࠪتዧ᛻ݺʷeԨ
(Eucalyptus oil) ׵᜖ഢ၊ݸd΋͜ڗݛՒ ࿏ֵή࿁΢ࡈ၍ഢஷ༸Ъλ૶௴eࡌҖ
ਚܱ̈ᔧႊ᜖ഢֵ௅ٙ܆෬ҿe˸ʿၵঔ ܝdᅲࣛ੗ྼ෬໾ 16 ٙ᜖ഢ၊ݸfᅂ྅
ಞπٙϞዚଡ଼ᔌiܵᚃһอ๓ኒdΎ˸୚ ̙ԈίჃː᎔ਉձᕛਉ࣬၍ٙ࣬φݬdʥ
ቛ০஼Ӊ૶ৰ΢ࡈ Thermafil ࣨː༱Ոմ Ϟ৵Ըᇭ᜗بڝfΝࣛd຅୅ৰᕛਉ၍ഢ
ᗙٙ৵Ըᇭሯd຅ᆽႩ༱Ոᕦਗܝdఱ̙ ʕɽ௅ʱٙ࣬̂يdఱ̙૶ู޶Ԉί኉࣬
නлѰ̈዆˕෧ᇭࣨːiᘱϾίᜑฆᗝ՘ ҋʱਜٙ׳࢛ீ࢛௕ᅂf
п֛Зɨd10 ໮ቛ০׳ආۃϣطᐕה፲ဍ
ٙڐː᎔ਉୋɚ࣬၍

20 ࠦ࿁˜Ύطᐕ™ࣩԷdഒ࿁ʔঐ׬ܵఱʔཀΎЪɓϣٙː࿒