Page 30 - 根管治療的美麗與哀愁(起承)2020-0422(01)

௪͜f͟׵dܝᚃуਗ਼༶݄͜ᅃ ᔼࢪዹӉΌଢٙ˜า˫ᇭٜۧᇘ੗ᏚᏀ෬̂࣬၍ӻ୕
ٙҦஔ™dੂБ࣬̂iΪϤd˴ᇭ০φ၌הת༺࣬φݬ၍ഢஷ༸ٙЗໄd̀඲ձ҈၌୞

ᓃ̈ɹʘගdཫवɓʃݬߒ 0.5 ä 1mm ٙ٤ගdλᜫੂБٜۧᏚᏀ܆෬ࣛdঐ੄ਗ਼ʊ
աᆠழʷՈ̙෧ݴਗ׌ٙᇭ᜗d຾͟෧Җ๞ਗdϾᇘ੗ή෬෦༈͋၌၍ഢஷ༸̬մʔԟ
ჿ͍෥̻๞ٙ၍ኣdԨ஼နաՑᏀྼ (compaction) ݴਗdٜՑҁߕή܆ௐИቌڐהϞπ
ίٙਉ˕ஷ༸d௰ܝᇔኒঐ੄ཱིတή๐̈΢ࡈஷ༸୞ᓃ̈ɹd෬෦הϞԉ፿ًਜਹ٤ග
apical foraminad( ್ܝί࣬̂ܝٙ X Έᅂ྅ʕ )dяତ̈㹁㹁ʃͣڀfЇ׵dᏐ༈νО

ࡌ਒אሜ዆˴ᇭφ༊φܝٙʈЪڗܓdሗਞԈܝᚃ˜ᔷeΥ™Շࡈᇐ௝ٙʧୗf

e. ௰୞܆෬ͦᅺٙʈЪڗܓ (final WL; fWL)
ɓੵኹϞҁߕή࣬̂ᅂ྅d͍̙˸ቇܓ࢝ତ݄̈ஔ٫Ԕ߮ήੂБ࣬၍૶௴ၾࡌҖ
ٙϓ؈fֻֻᄲൖ࣬̂ܝٙ X Έᅂ྅dɝ଻௰੬ءจٙఱ݊࣬̂ٙଉܓ݊щʊ຾Ց༺
዆ࡈ˫࣬ٙ௟၌dɰఱ݊Ⴍ௰୞ٙ܆෬ഐ؈݊щʊ຾༺ᅺkԱ๫ۃ˖౤ʿ࿁˫࣬φ၌༆

࡚Җ࿒ٙሞࠑdᑗґɪ࿁Оஈึ݊၍ഢஷ༸୞ᓃ̈ɹd΢ࡈʔΝٙ࣬၍طᐕኪݼேึϞ
΢Іٙ˴ੵၾ޶جf̋ɪ˸ෂ୕ɚϣʩٙ X Έ̻ࠦᅂ྅dԸሞࠑ௰୞܆෬ͦᅺᏐ༈ໝ
ίОஈdɰ֐୞ԈɛԈ౽i຅್d߰˸อڐٙཥ໘ᓙᄴɧϣʩᅂ྅ (CBCT)d̙݊˸׼

ᆽ֛ЗОஈਗ਼ึ݊࣬၍ஷ༸୞ᓃd̥ʔཀʔᏐ༈ᏺ͜ɧϣʩᅂ྅ЪᏨൖdఱ̥މəࠅᆽ
֛࣬̂݊щ༺ᅺfɚɤεϋۃdίتɻ཭ኪ୦݄ᅃˤ࣬̂˓جࣛdϞ˸ॷ০಻༊ (paper
point test) ٙഐ؈d( ሗਞԈܝᚃ˜ᔷeΥ™௝ືٙሞࠑ )dԸண֛௰୞܆෬ٙͦᅺЗໄf
ϾͦۃίᑗґɪҢԱ್ึਞϽॷ০಻༊ٙ৻᐀ʹึᓃd຾͟кᓙΎ࿁˴ᇭ০φ၌Ъආɓ
Ӊሜࡌʘܝdʑක֐ආБ࿁࣬φΣٜٙۧᏚᏀ෬̂ (down packing)fԨ˲d຅ᏀᏚʈՈ

(plugger) Աృ࣬̂๟ۆdת༺הண֛ٙЗໄࣛd( νᕎ୞ᓃͦᅺ 5 ä 7mm)dΝᅵึש
ᙲ X Έᅂ྅d್ܝൖ࣬̂ྼرdԸӔ֛݊щᘱᚃಃ࣬φΣ෬̂eא̙݊˸ක֐ආБΫ෬
೻ҏ (back packing)fν؈dவࡈ၍ഢཫ֛ࠅໄ׳࣬ݒdԟჿ̥ࠅЪλಃ࣬φΣٙ෬̂

Ӊ᜷ (down packing)dίᆽ֛৵Ըᇭ᜗ʊ຾ᇘ੗ήҁϓ࣬φ܆ௐeԨת༺௰୞הண֛ٙ
܆෬ଉܓdʘܝఱˡ඲ආБΫ෬ə (back packing)f

Dr. Schilder's Remark:
Time in endodontics is the biggest enemy.

14 νОӔ֛࣬၍طᐕٙʈЪڗܓ