Page 27 - 根管治療的美麗與哀愁 (玖部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( 玖部曲 )

ίʔଣซdϾ஽ʚװৰ贋ూ኉ڿ ( ྡ 92B)d๟௪ආБ࣬၍Ύطᐕf ͟׵षʾɮषϓԄᔼd
೯ᙂ༈ൢהԨӚϞ˫߅˓ஔᜑฆᗝdϾʚ˸ੈלi

ΝࣛdͭуซՑΫൢdҎૐҢࡁٙᔼᐕྠඟ̙˸
މՉҁϓ࿁ 26 ٙᜑฆ࣬၍ΎطᐕfɹഢᏨݟjᙃe
ϔ 26 ࣛdઃ٫Ա್ڌͪ೹Ϟઽชʔቇd˫մᚾ஛
಻༊׵޴ቌ˫Зdۆேί͍੬ᇍఖfˀᔧᎇዚ࿧

ϔdषʾே૶ูܸΣ݊ 26 ˫Зяତ̈ʔബ؂iᛡ
׵ᔚϞ贋ూ኉ڿʊ஗װৰdۃϣ࣬၍طᐕɦԨʔ
ҁ዆d̋ɪᔼઃʝਗԄഛe־Ϥʝڦٙਿᓾᖢոf
ί׼ᆽѓٝઃ٫dҢࡁਗ਼ึးΌɢίᜑฆᗝ՘п ྡ 92B ɧࡈ˜ܝdઃ٫ʊՑஞཀʔΝᔼ
ᐕ৫הdరӋ࿁ 26 ٙطᐕܔᙄiɓЗൢ
ɨdࠠอ࿁ 26 ٙ࣬၍ӻ୕࿏ֵή݄Б૶௴eࡌҖ הᔼࢪ˸ 26 ᕛਉ˫࣬ʘ࣬φʊ̈ତீ࢛
ၾᏨൖdШᗴॆ̙˸੽ϤҷഛՉʔቇᅄࡉdШʫ ௕ᅂe˲ۃϣ࣬̂ʔଣซd஽БװৰᔚϞ
ːۍೌɤԑҪ౥d( ΪމϤՍԱ್Ⴉ֛ 26 Ԩʔ྅ 贋ూ኉ڿd๟௪ഗʚ˜Ύطᐕ™dШΪʔ
Ոᜑฆᗝdቊषʾੈלiઃ٫஽ϾΫൢሗ
݊͟᜖ഢ࣬၍ਪᕚהˏ೯ٙʔቇ )f Ӌҁϓᜑฆ࣬၍Ύطᐕ

፭ృ๟ۆdί͊ഗʚ҅௅௦ቑɨdމ 26 τɪዖͤღd୅ৰᔚϞ˸ӌᄁ෬໾ٙڿː
᜗ (core)dࠠอ͂ක᜖ഢ ( ྡ 92C)dԨίᜑฆᗝ՘пɨdනл୅ৰࡡ෬෦ίڐː᎔ਉ࣬
၍ڿਉ௅Зd܆෬੻ԨʔၡྼٙᔚϞ෬̂يiΝࣛdί൴ࠪتภৣϣಣაඒәݹ૰ٙ૶

ଣɨdɰනл̘ৰ᜖ഢʕӐጐٙ᜖ͩ (pulp stone)dҬՑəڐː᎔ਉୋɓʿୋɚ࣬၍ٙ
ɝɹfԱృ܆଄༶ਗ˓جdਗ਼΢ࡈ࣬၍͟኉ڿ௅ֻ࣬φݬd஼ӉආБᓒ௴e૶ᆎၾࡌҖi
Ш຾ཀɓݬࣛගٙрɢe఻೦Ꮋ༊dʃ໮ቛ০ʥ್ӚϞ፬جනл๞̈࣬φ၌ٙ၍༸୞͋
කɹd੻Ցஷ࿫ٙ࣬၍༩ࢰ (canal patency)( ྡ 92D)f׵݊d΋ਗ਼ڿ௅᜖ഢ٤ගၡྼή

ᅲࣛ෬໾ৎԸfܔᙄઃ٫ਕ̀༉ྼাɨdהϞʔቇसࡉ׵ஔܝٙစᜊઋرfɓ඄ܝΫൢd
षʾڌͪjஔܝՇdɧ˂d26 ቌڐٙైദeӧᆠତ൥dᆽྼϞ׼ᜑήҷഛdШவ఻˂ࡡ ӯ Ϝ ௅
Ϟʔቇसࡉɦ௔ᚃࠠତf຅ᙃeϔൢί 26 ࣛdषʾᒔ݊ᙂ੻ึ༰ቌ˫ઽชԬiʔཀd
ઃ٫ɦڌͪjא஢ʊॆٙϞԬ஢ҷഛe͍ί஼နආӉ຅ʕfҎૐҢࡁঐމ 26 Ύ࿏ֵЪ

ɓϣ૶ଣd˸ᝈ࿀ʔቇᅄࡉ݊щঐܵᚃᜊλf

ྡ 92C ᒱ್Ⴉ֛ତϞʔቇसࡉdԨڢ๕ ྡ 92D ίᜑฆᗝձภৣ൴ࠪتༀໄٙ՘
І 26 ᜖ഢ࣬၍ชݑi್Ͼ஗݄ࠗБ˜Ύ пɨdනл̘ৰ 26 ٙ᜖ͩdҬՑ MB1e
طᐕ™dʥც፭ృ஝ᇍiᅂ྅ᜑͪනл୅ MB2 ɝɹdԱృ܆଄༶ਗ˓جd஼Ӊ݄Б
ৰڿː᜗dࠠอ͂ක᜖ഢ ࣬၍૶௴ࡌҖdۍ֐୞੻ʔՑஷ࿫ٙ࣬၍
༩ࢰ

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