Page 20 - 根管治療的美麗與哀愁(起承)2020-0422(01)
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֛ЗίΝɓ৷ܓɪfر˲̴ٙႩ֛̀ც͟ଡ଼ᔌʲ˪dʑ̈ԸՑֵࡳ༁݊ CDJd್
Ͼίᑗґɪdኯᔟ X Έ˪ʘᅂ྅͉࣬ೌجᓙ֛̈Оஈ݊ CDJdޟЇɰಀίଡ଼ᔌʲ˪ɪԈ
ཀ˫৶ሯึֻ࣬၍ஷ༸ʫఊਉӐጐଉ༺ 5~7mm ʘεfה˸dίᑗґɪซ˸ CDJ
வɓᓃЪඎ࣬၍ʈЪڗܓٙਞϽࢭᅺԨʔ࢙ɰʔ̙ঐf
2. Apical foramen
̴݊ɓࡈᛐ୕ٙ฿ׂd߰ঐ˸ɧܓ٤ගਗ਼࣬φீൖdApical foramen ݊ɓяତԉ
ًٙਜਹd௰॥ஈ (minor opening) ίהፗٙ Apical constrictiondϾ௰ᄱஈ (major
opening) ۆЗί˫࣬ࠦٙකɹfΪϤdՑֵίவࡈԉًٙਜਹʫd༈՟ࡳɓࡈໝᓃ
ԸЪމඎ࣬၍ʈЪڗܓٙਿᓃdഹྼ˿ɛѢfϤ̮dଡ଼ᔌᕸϥאቊৰܝd
( уԴ࣬၍طᐕdࡡϞٙ࣬φषΊҁΌᓹΥూࡡ )dίவࡈԉҖਜਹʫdɰʔึΎϞ
А၍ଡ଼ᔌٙᄣ͛ආታאπίfϾவ͍จፗഹ༈ਜਹʫd߰ʘۃఱϞᆑᔛٙषࡡdуԴ
˴ٙеޥ̌ঐΎλeӻ୕Ύ੶dɰೌج࿁̴ࡁϞОٙߒҼeאਗ਼ʘчአ๘ഒdઓϞ
̴ࡁމה૧މeʚ՟ʚӋf௰λٙઋرdɰ̥ঐΆ̴ࡁʔࠅጳࠬЪईdҎૐषࡡ
ձ˴־Ϥঐτೌԫe͛ɓቁɿəf
3. Apical constriction
ఱο່֛ࠦϾԊd̴݊၍ഢஷ༸ί࣬φݬ௰॥ᐵʘஈf್Ͼd̴Ցֵ݊ݔࡈᓃeא
݊ࡈਜਹdܘᗭࠑูf̴ί˫࣬φ͊ቊաՑॎᕸࣛdא̙ঐ݊πίٙiШν؈
˫࣬ʊіϗeא೯ԃ֠͊ҁϓd̴ٵ֛݊ӚϞٙfОرᑗґɪ࿁॥ᐵชٙࣅ㩦dӊ
ЗᔼࢪٙชᙂІϞהʔΝd߰ࠅ˸̴Ъމ࣬၍ʈЪڗܓඎɪٙԱኽאਞϽᓃdਗ਼ܘ
ᗭቇܓήᔷഗӊЗ݄ஔ٫ேஷ͜eאːჯग़ึf
4. Apex
̴ί༆࡚Җ࿒ɪܸٙఱ݊˫࣬φٙᓃf߰Ꮸൖ X Έᅂ྅d̴ఱЗ࣬φЗ௰̉
̈eא௰ོৎٙԟɓᓃɪf͟ʘۃཀ˫৶ሯٙӏጐdԨʔ࿁ഃѩʴdϾ˲˫৶ሯί
ɛɓ͛ʕேึʔᓙήίᄣڗdաՑ̮ɢזҰ ( νᐞ͍˫ )d˫৶ሯึіϗd
Ց֛ᓃܝɦึᄣڗfה˸dApex ݊яਗ࿒ᜊʷٙdՉЗໄίʔΝࣛගᏨൖࣛdԨڢո
֛אഒ࿁ٙf್ཀ̘ϞӺ୕ࠇܸ̈j߰І apex ஈdಯદ 0.5~1.0mm ݊הፗٙଣซ
࣬၍ʈЪڗܓٙਞϽܸᅺdԟࡈᓃε̒ఱ݊ໝί apical foramen ٙԉًਜਹ༁fШ݊d
࿁ӊɓዹतٙ˫࣬dேમ͜Νٙ୕ࠇ̻ѩ࠽dԸПၑʈЪڗܓdԨʔ݊ɓࡈ௰ԳٙЪ
جfה˸dɰʔܔᙄ͜வࡈଚٙПࠇ࠽dԸЪމඎ࣬၍ʈЪڗܓٙਞϽᓃf
底下將經由介紹施德氏根管清創和修形手法中,幾個重要的詞彙與概念,
逐步引導出施德 醫師是如何看待「根管工作長度」這個議題
A. to RT(Radiographic Terminus): Here the small file touch the PDL
ੂБ࣬၍௴ၾ෬̂ࣛd̀तйછӊɓ࣬၍ዹϞٙʈЪڗܓ (working length)d
ϾܓඎʈЪڗܓٙʫਞϽᓃ (internal reference point) ఱ݊ࠅՑ༺ RTfቛ০φ၌І
࣬၍ஷ༸̈Ցᙃʿ˫մද੭ (PDL) ࣛdೌሞ X ΈשᙲԉܓνОᜊʷdቛ০φ၌ᙃʿ
4 νОӔ֛࣬၍طᐕٙʈЪڗܓ