Page 42 - 根管治療的美麗與哀愁 (玖部曲)

ࣩԷɘɤ̬ Ϟषᅄۍೌ׼ᜑसًdɓਗʔνɓ᎑dܵᚃᔫฐή৛ᔳषᅄٙ೯࢝d
ࡀɰ݊ࡈʔ፹ٙطᐕ፯ධ

̬ɤε๋Ӳ׌ઃ٫d݊ൢהࠋபᔼࢪٙፋગdΪڗϋί̮މԫุ͂ܳdώຣֆتf

Ցൢࣛ˴ൡjՉ 26 ٙ৿˫ࢁɪϞ൓ᐻd຾੬ึ̔И࠮يdІʉܘᗭ૶ଣdϤϣл͜Ϋ
ඊ;৿٤Ꮶdซࠅࠠอһ౬ɓࡈอ່ٙ኉ڿiШࠋபᔼࢪᏨൖཀ 26 ٙ X Έᅂ྅ܝd೯
ତί࣬φஈϞ௕ᅂdΪϤࠅ˼΋Ցൢፔ༔޶޶ίһ౬኉ڿࣛd݊щცࠅ΋࿁ 26 ࠠอЪ
ɓϣ࣬၍طᐕf༊ഹႰኬषʾΫኳ 26 ़ٙ೨ष̦dʿՉ޴ᗫൢᐕዝ೻fઃ٫ڌͪjɽ
ߒɤϋۃdΪટաəɓ΅ऎ̮ٙʈЪᒗߒd๟௪̈਷ᄵอࣛdतйሗൢהࠋபᔼࢪމ˼

ٙ˫኉Ъəɓϣ༉୚ٙᏨݟd຅ϋఱ೯ତ 26 ʊ຾Ϟࡈᝇɽٙᝁ႙iࠋபᔼࢪᎇуᔷሗ
ɓЗᔼࢪd΋Ꮝ˼ҁϓə࣬၍طᐕdᎇܝ͜əԟࣛൢה௰อᒅໄٙዚኜdɓึՅʈ˃ఱ
ࡌጋ̈ɓࡈቇΥ່ٙ኉ڿdᎇуਗ਼ʘո֛ᓂഹࢁί 26 ɪdཞ˂˼ఱ̈਷əfவԬϋԸd

੽ӚϞᙂ੻ 26 ϞО़೨אʔቇd̥݊௰ڐϼ݊ίΦཀ؇ГܝdఱึϞԬ࠮ಮ஗̔ί˫
ᐻ㛪dІʉܘᗭ૶̈ԸfɹഢᏨݟjᙃeϔൢ 26 ࣛdषʾڌͪชᙂேձቌڐ˫Зࢨʔεd
א஢ί 26 ೹ฆϞԬઽชdШʔཀఱɓᓃᓃ׉׉ٙϾʊi˫մᚾ஛಻༊ί 26 ձՉቌڐ˫
Зd̬մଉܓேί͍੬ᇍఖʫi26 ່኉ࢁჃːᕛਉᇝ (distopalatal margin) Ϟɓฆ୚൓
ᐻdቌࣙٙ኉ᚹଡ଼ᔌۆϞ༰׸̈АٙහΣfX ΈᏨݟ੽͍ԉܓ (right angle) ٙ࣬φᅂ྅

( ྡ 94A)dߒଫ̙˸޶Ցڐː᎔ਉ࣬၍ٙ܆෬dϞᓃ਋ᕎ዆ࡈ˫࣬ٙʕːЗໄdཫк
Ꮠ༈݊፲ဍəɓࡈ࣬၍ (MB2)d˲ఱίϤ˫࣬ٙʕݬ௅Зd܆෬ҿЧ˷ཀܓ਋ΣჃː
ࠦ [ у˫࣬ҋʱਜ (furcation)]dᕿဲ༈ஈʊϞ߈ˆ (perforation) ̙ٙঐdϾ˲ίՉ࣬φ

၌яତ׳࢛ீ࢛௕ᅂiˈՉίᕛਉ˫࣬ʘ࣬φ၌dՉீ࢛௕ᅂһ݊׼ᜑd[ ᒱ್Ϥ௕ᅂ
ၾɪቬᘨഢ (sinus) ᅂ྅޴ʝࠠᛌ ]iШ຾͟਋ԉܓ (off angle) ࣬φ˪ ( ྡ 94B)dఱঐ૶
ูήᝈ࿀Ց 26 ᕛਉ˫࣬ʘ࣬φ௅ЗdʊҁΌ޶ʔՑϞ኉ᅻ৶ؐ (lamina dura) ٙᐑᔎd
˲ڐː᎔ਉ˫࣬ʘ࣬φ၌dՉ༆࡚Җ࿒׼ᜑ݊ᛃΣჃːdШՉ࣬၍܆෬ҿίϤஈ䁻ӚϞ
ᎇഹᔷᛃdЧ˷Ϟ܆෬ཀ೵ (underfilling)dא̙ซ྅ۃϣ࣬၍ʘ૶௴ၾࡌҖdʊίϤஈ

ிϓ̨̻ (ledge)eޟЇʊ຾ҁΌੁИə (blockage) ಃჃːᛃϜٙஷ༸༩ࢰf

2016-02-18 2016-02-18

ྡ 94A ઃ٫˴ൡ৿˫ࢁʊϞ൓ᐻซʚ˸ ྡ 94B ਋ԉܓᅂ྅૶ูᜑͪ 26 ᕛਉ˫࣬
һ౬dϾ˴பᔼࢪ೯ତ 26 ࣬φϞषΊd ʘ࣬φʊೌ኉ᅻ৶ؐᐑᔎdϾڐː᎔ਉ࣬
Ҏૐ΋ࠠЪ࣬၍طᐕܝΎႭi͍ԉܓᅂ྅ ̂يԨ͊නഹ˫࣬ԐΣdᕿဲ༈ஈҖϓ̻
ཫкۃϣطᐕאϞ፲ဍ࣬၍e˫࣬߈ˆٙ ̨eאʊੁИ༈ಃჃːᛃϜٙஷ༸
༦൥

30 ͍ᆽٙൢᓙ̋ɪΌᆵٙطᐕ஝ྌdϓఱ̈௰Գٙ๫ᚐᅼό