Page 48 - 根管治療的美麗與哀愁 (捌部曲)
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ᇔኒٙਗЪfԱྼਕ᜕d̀νϤЪʑˢ༰Ϟዚึঐ՟̈ྠٙᖹಗᇔኒ࣬̂يdщ
ۆ߰݊ɓකఱܢᙍήซ̘̈ʊໄ׳ί၍ഢʕεϋdϘʊᜊϓ݅৻eɦᕦٙᖹಗd
ԟਗ਼ึ˪ݬษຟவԬ૿̂يdˀࡀฏଣฏf՟̈ɓྠᖹಗᇔኒܝdԱ܆༶ਗ˓
جd࿔࿔ઞ॰၍ഢஷ༸ࢰ༩dᜫʃቛ০නැ̈࣬φ͋ஷ༸ܝdሜ௴ࡌҖʈ
ЪڗܓdΎӉਗ਼࣬φݬ၍༸ᓒ௴Ցཫணٙͦᅺܓf͟˓ᗙࣅՑӱɪ̹dΌଢ
͍ί˦ᆠપᄿٙͣЍ MTA (Mineral Trioxide Aggregate, white color)dϾ˲ڐ˚ʑɦ
ᛘՑνОආБΎ͛࣬၍طᐕ REPs (Regenerative Endodontic Procedures) ٙ˖ᘠႭ
( ሗਞቡݨϜࣩԷ )i݊dӔ֛ഐҼவϣٙൢᐕdᅲࣛྼ܆෬ڿ၊ݸ ( ྡ
85K)d͂ၑᆽႩהϞ݄ஔӉືܝdɨΫʑආБ࣬၍෬̂f
ྡ 85J Ϊတจ 22
ٙطᐕϓ؈dዧ೯ ྡ 85K නлৰ
षʾซɓོЪंd ݒeᔚᖹಗᇔ
ࠠอଣژࠦ˫ ኒ૿̂يd࿏ֵੂ
ٙ࣬ਿi12 ࣬၍ Б࣬၍௴ࡌҖ
ʫৰəϞݒ ܝdމΪᏐ࣬φі
eᔚᖹಗձࣛ ϗdϽᅇ˸ MTA
22 ٫Ч̮d࣬ ආБࣛ௰˦ᆠٙ
φλ྅Ϟіϗd ࣬၍෬̂ ( Ύ͛
˲̮ఖᅻ৶яତ ࣬၍طᐕ )dᅲࣛ
׳࢛ڜ࢛ᅂ྅ ෬ྼڿ၊ݸ
ཞdઃ٫ΫൢڌͪjɓʲேܘλdӚϞ̈ତʔቇאମًf݊dΣषʾႭ 12
˫࣬φ၌dλ྅ϞቊՑіϗٙ༦dᏝഗʚतࣿᖹيdҷഛᐑྤf՟ઃ٫Νจܝd
ഗʚቇඎٙ҅௦ቑء࢛d࿁ 12 τɪዖͤღdࠠอ͂ක࣬၍ஷ༸dԱۆ݄Б௴ࡌ
ҖdٜЇՑୌΥಂܙٙ˴ᇭ০༊φᅂ྅ ( ྡ 85L)f್ܝd˸Эዢܓϣಣაඒ๓૰ (less
than 1%) әݹܝdՍจછቛ০߈ཀ࣬φ͋ஷ༸dႡி࣬φ̈АiΎપᏚʃ෯ًٙ
ᇭऎၧ Gelfoam Ց࣬φ͋ஷ༸d
ɓᗙ݅Ъ˟Аdɓᗙɦ̙Ъᛖ༁ၣݖ
(scaffold)fᎇܝdҪሜחλٙ MTA ᇠ
ᇠήՑ࣬φஷ༸ଉஈdΎਗ਼༊φཀ
ٙ˴ᇭ০׳ໄՑ֛ᓃdᎇʘ˸า˫ᇭۧ
ٜᏚᏀҦجdੂБᇘή࣬၍෬̂d
ྼ෬ഢ၊ݸܝd՝ɨዖͤღdΎש ྡ85L νΝֻ݅d
ᙲ࣬φ X ΈdवЪˢ࿁ ( ྡ 85M)fሗઃ Ա܆༶ਗۆ݄Б
௴ࡌҖdٜЇՑ
٫Ҭ˴பᔼࢪ࿁ 12 ਂλ࣬ݒ੶ʷూҖ
ୌ Υ ಂ ܙ ٙ ˴ ᇭ ০
ܝdΫൢટա࿁ 11 ٙΎطᐕҏf ༊φᅂ྅
2003-05-27
36 ࠦ࿁ΎطᐕࣩԷdഒ࿁ʔঐܵఱʔཀΎЪɓϣٙː࿒