Page 79 - 根管治療的美麗與哀愁 (捌部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( 捌部曲 )

຅˜Ύطᐕ™ܝdᔫฐή̜ΫᏨൖdуԴცࠅ࣬φ˓ஔʧɝd˓ஔܝ 22 ˫࣬ί৶᎘ʫ
ٙڗܓᒔԑ੄˕ᅟ贋ూ኉ڿfΪϤdܔᙄ 22 ɰ̙˸Ͻᅇ˸࣬၍Ύطᐕ˙όආБi΋຾

͟၍ഢஷ༸૶ৰชݑߧषࡡܝdᜫ࣬φմࣙٙ৶ଡ଼ᔌॹฦঐ੄ІБᓹΥూࡡfຬɓ˚ܝ
22 ॆٙڭʔИədՉ኉ᅻ৶ٙ੗ྼܓʊژΎطᐕ™ҷഛʘܝdԑ˸וաಔ᜗אՉ˼ɹ
ഢూܔٙ೻ҏdˡ඲̤̮Ύഗʚ৶४໾੶ഐ࿴eא٫݄Бһᜫઃ٫աໆٙஔόʧɝfЇ
׵d˴பᔼࢪᗫː˜Ύطᐕ™ܝdცࠅεɮࣛගdʑঐ੄ᆽႩ 21e22 ̙˸஗वπɨԸd

Ԩ˲̙˸ක֐ආБᒯቇߕᐞ͍kԱཀֻ຾᜕dஷ੬ίʬ඄ܝdઃ٫طᐕ˫Չ࣬φմࣙٙ
৶ଡ଼ᔌdఱᏐ༈̙˸׼ᜑή޶ՑᓹΥూࡡٙᅂ྅̈ତfΪϤdܔᙄطᐕܝʬࡈ݋ಂΫൢd
຾שᙲ X Έ᜕ᗇܝdν؈࿁৶ॹฦٙᓹΥూࡡʊӚϞဲᅇdᆽ֛ˡცΎ຾࣬φ˓ஔʧ
ɝࣛdԟჿఱ̙˸ක֐ආБՉ˼ɹഢࠠܔʈ೻fϤࣛd˴பᔼࢪ౤ਪjவᒶ 22 ٙ࣬φ

ீ࢛௕ᅂdึʔึ̥݊Ϊ˫࣬͊ҁΌ೯ԃdఱટաə࣬၍طᐕdהवɨٙ࣬φɹௐΥʔ
ΌkҢۆഈᔧjᏐ༈ʔ݊வ၇ًرdΪމ޶ 22 ٙ၍ኣێྼܓၾቌڐ˫З٫dԨӚϞᜑ
ഹٙࢨମfஷ੬߰݊˫࣬೯ԃ͊ҁϓۃd኉᜖ଡ଼ᔌఱΪ݂஗࿜ৰא̰ݺdʔ˟࣬φ͊ঐ
ௐΥdஹ੭၍ኣٙێྼܓɰᏐ༈ึܘఊᑛʑ࿁f຅್வᅵٙ༆ᙑሞᓙɰʔ੄մַdΪމ

Ϟࣛۃϣ݄Бطᐕٙᔼࢪཀܓᓒ௴၍ኣdኬߧ˫࣬ێྼܓᜊ੻ఊᑛədఱึிϓႬкf
˴ࠅᒔ݊Ϊઃ٫࡝࡝ΫᏐ 22 ٙ࣬ݒໄ׳e˸ʿ贋ూ኉ڿٙৣᏖd݊ί࣬၍طᐕɓҁϓd
ࣕ Ϝ ௅
ᎇܝఱτༀɪ̘ٙi޶Չ኉ᚹձ贋ూ኉ڿ᎕ᇝٙЗໄdซԸ 22 Ꮠ༈ึ݊ίઃ٫ڡ݆ಂ
೯ԃҁϓdʘܝʑટա࣬၍طᐕٙfШ݊dೌሞ 22 ࣬φ၌ٙீ࢛௕ᅂd݊щΪ೯ԃ͊

ҁϓٙௐΥʔΌeᒔ݊Ϊܵᚃชݑॎᕸהிϓٙ˫࣬іϗd˜Ύطᐕ™݄ٙБ೻ҏேɓ
ᅵd̀඲΋૶ৰชݑߧषࡡܝdᐄி̈ቇ຅ٙᐑྤdʑঐ࿁ઃ˫ආБ˜Ύ͛׌࣬၍طᐕ™
(Regenerative Endodontics) ٙ೻ҏ ( ሗਞԈ༉ቡ˜ݨ௅Ϝ™ٙሞࠑ )f
Ϥࣛdषʾ̈ᑊڌͪj͟׵޴຅ڦ΂˴பᔼࢪdΪϾ޴ڦྠඟਗ਼ึഗ̈௰ቇΥٙ

طᐕ஝ྌf׵݊dѓٝઃ٫d͂ၑ΋੽ 21 ක֐݄Б˜࣬၍Ύطᐕ™dϾ˲ʔึഗʚ҅
௅௦ቑfઃ٫ບɽ଻ຒdਪ༸jॆٙe৿ٙkᎇܝd৵ɪΫग़ႭjλlԸыd޴ڦᔼࢪ
ʔึՍจซ዆ҢٙdఱሗуՍආБطᐕыl࿁ 21 τɪዖͤღd፭ృ஝ᇍ๟ۆdίᜑฆ
ᗝ՘пɨdආБ᜖ഢ၊ݸකᓒd஼Ӊ૶ৰۃϣ࣬̂يdԨί൴ࠪتਗɢ᎖ᐿήዧ᛻ݺʷ

әݹ૰ (NaOCl, EDTA) ٙઋرɨdਗ਼၍
ഢஷ༸ࠠЪቇܓٙ૶௴ၾࡌҖiʘܝd
ΎԱ ݄ᅃᔼࢪٙ࣬̂˓جࠅჯdҁϓୌ
Υಂܙٙ࣬φ܆ௐ ( ྡ 89D)fᎇуdԨ

˸ޚᆨᜄၪ˕ݖ຅Ъ࣬ݒdภৣልΥዓ
ই੗ྼή෬෦໾੶ڿ௅ഐ࿴dʘܝשᙲ
࣬φ X Έᅂ྅dवЪ˚ܝˢ࿁fΣઃ٫ ྡ89D ፭ృ๟ۆd
༉୚Ⴍ׼࣬̂͟ᅂ྅ٙഐ؈d˸ʿί࡝ ΋࿁21݄Б࣬၍Ύط
ᐕ d Ԩ Ա ృ ࣬ ̂ ࠅ
࡝ࠠอطᐕٙዝ೻ʕd຾͟ᜑฆᗝʔΝ ჯdҁϓୌΥಂܙٙ
ԉܓٙᏨൖהԈd޴ڦ࿁ 21 ࣬φ௅Зٙ ࣬φ܆ௐ
ชݑdʊ຾ЪՑəϞࣖٙછ၍dՉீ࢛
௕ᅂැ̀ึ஼နᓹΥూࡡ ( ྡ 89E)fʔ

67