Page 97 - 根管治療的美麗與哀愁 (玖部曲)

࣬၍طᐕٙߕᘆၾۑฎ ( 玖部曲 )

০ۃආ˙Σ̀඲तйवจʘஈd( ϤࣩԷٙൢᐕ݊ί 2002 ϋd຅ϋᑗґ࿁ CBCT ٙᏐ͜
ᒔ͊౷ʿ )fԷνjࡡᛟி࣬ݒ׳ໄٙ˙Σձᔚ࣬̂يٙԐΣЧ˷ଫฆʔΝiϾί࣬φ

ݬձ˫࣬ʕݬʹޢଉܓٙ၍ഢdಃڐːΣᏐ༈ึϞࡈҋʱٙ࣬၍ஷ༸nഃഃf
຅षʾࠠอΫՑൢᐕಉɪѬ֛dމ࡝࡝̰ٙ࿒ߧခiІʉːʕฮϏdՉྼॆ͍ٙܿ
኷ʑࠅක֐dۍ݂Ъᕄ֛ήΫᏐઃ٫jชᑽઆᒔ݊Ϋࢭəd͍ίዄːઆึʔึఱʔΎΫ
Ըəfࠠอ࿁ 21 τɪዖͤღdίᜑฆᗝ՘пɨd๟ᆽή֛ЗᔚϞ࣬̂يٙЗໄd࿁ʘ

቗௓๓ኒdԨ˸ቛ০ଡ଼ΥԱҏᔫฐή߈ཀழʷٙ৵Ըᇭ᜗dʹಁૅᔷΫזʘගd஼န૶
ৰᔚϞ࣬̂يd߉್ԈՑᑓАڽ̈d׵݊౬͜ EDTA ЪәݹdԨ˸൴ࠪتਗɢዧ᛻ݺʷf
ܙԈՑ၍༸๓૰ᜊ੻༰މ૶ယʘܝdҷϓЭዢܓٙ NaOCl ЪәݹऍظiԨཫᛃʃ໮ቛ০
ٙφ၌dԴʘረ׵ᅁ׌d׵પ৔ᅁ༪ʘගdනл๞̈࣬φ୞͋ஷ༸ (peeking through)f

ᎇܝdԱృ܆଄༶ਗ˓جd΋ਗ਼࣬φݬٙ၍༸٤ග஼နᓒ௴༺Ցཫ΋הண֛ٙͦᅺ፿ܓf
˸کঐᜫԑ੄ඎٙϣಣაඒ๓૰ऍظՑ࣬φݬ၍༸d຅್һʔࣛࠅഗʚ൴ࠪتਗɢЪዧ
᛻ݺʷfࠠอཫᛃʃ໮ቛ০ٙφ၌dಃഹڐːΣ၍ኣ๞ਗჀჀપ৔e຅ቛ০Ϋᅁʘܝe
ɦΎჀપeᜫ̴׵ᅁ༪ග̘ฤరҋʱ࣬၍ஷ༸ٙɝɹ ( ਞԈࣩԷʬɤɓ )f຅ΎϣჀપ

ࣛdชᙂቛ০φ၌Ϟቊ၍ኣېИdک೹ฆΎֻۃપ৔dٜՑʔঐۃආdમ೵షܓቛזܝd
ਗ਼ቛ০ҁΌৗ̈᜖ഢ̮f˸ NaOCl ࿏ֵәݹdԨภৣ൴ࠪتዧ᛻ɚeɧΫܝiࠠอཫ
ᛃφ၌dΝᅵ዁છቛ০ضഹڐː၍ኣ๞ਗჀપd( ຅ቛ০ಀ຾ආɝҋʱਉ˕ஷ༸ɝɹd
ֻֻఱˢ༰࢙׸Ύਗ̴਼৔ɝஷ༸ )dϾ˲ʔ̀ՍจԴɢd̴ఱঐ࿔࿔ଉɝஷ༸f຾ʃష

ܓቛזਗЪܝdᎇуdਗ਼ቛ০ৗ̈᜖ഢ၊ݸdϤܝdཫᛃɽɓࡈ໮ϣٙቛ০dԴʘԻર
ձࡡ΋ઞ੻ҋʱஷ༸ٙʃ໮ϣቛ০Ъˢ࿁f್ܝdਗ਼ʊሜ዆ϓՈ޴Νཫᛃషܓeʿᅺ֛
λڗܓٙɽɓ໮ϣቛ০d( уת༺༈ଉܓࣛdቛ০φ၌Ꮠึ๞ආҋʱ࣬၍ɝɹdνΝண
֛ʈЪڗܓٙ฿ׂ )dԱᅵಃഹڐːΣ၍ኣᇠᇠપ৔๞ਗdᜫʊ຾೹ฆ஗ᓒකٙҋʱ၍
༸කɹdঐ੄Іਗڎɝɽɓ໮ϣቛ০ٙφ၌i(Do not make a canal, let the canal takes ௅ Ϝ ӯ

file in)d຅ΎჀჀપ৔ቛ০dೌج࣎ආࣛdک˸ʃషܓቛזਗЪᓒ௴ҋʱஷ༸fԱϤʹ
ಁ༶͜d޴຅І್ήdʃ໮ቛ০ఱึһଉɝҋʱٙਉ˕ஷ༸dટഹϣɽɓ໮ϣቛ০ɰึ
ίၪܵࡡϞ၍༸ݴΣeࢰ༩ɨdჀᕦή๞̈ஷ༸୞͋̈ɹf͟׵d21 ٙ၍ഢᓙᓙᚃᚃᒔ

ϞᑓАသ̈dɰଉ׊ʦ˂ٙλ༶ंʊ຾͜ᑆdϾ˲ዄːطᐕࣛග׮ڗədிϓઃ٫᎘᎕
௅ٙʔቇfΪϤd͂ၑഐҼ͉ϣ
ᐕ೻fԱԷਗ਼৻ଋಗଢௐ෦᜖ഢ
࣬၍ɝɹd್ܝ˸ᕐᄴϣ෬໾ҿd

ၡྼή੗܆ 21 ٙڿ௅၊ݸf՝ɨ
ዖͤღdשᙲ 21 ࣬φ X Έवπˢ ྡ 100L ሗઃ٫΋؂͜ᖹيd
࿁ ( ྡ 100L)fΣઃ٫Ⴍ׼j࿁ 21 ɧ˂ܝdषʾԱߒΫൢdվԊ
จқɢʥ್ᑛࢮՑซ৚୭طᐕ
၍༸૶௴ࡌҖٙආ࢝ᒱ࿔dШڢ ೻ҏiהֱdவΫ՟̈ 21 ࣬

੬නлf͟׵Չ࣬φ௅ЗٙᑓА ݒڿːٙཀ೻޴຅නлdΝࣛ
ઞరཫкٙҋʱஷ༸dɰνᗴ
ᒔӚϞҁΌˏݴ̈Ըeરৰ৻ଋd ༺ᅺiᛠ׵၍ഢᒔࣛϞᑓАသ
Ҏૐঐ੄ৣΥ؂͜ᖹيɓࡈմಂd ̈dکʔܢ׵ɓϣҁϓطᐕ
ΎΫൢᘱᚃطᐕdШҎૐʔึΎ

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