Page 33 - 根管治療的美麗與哀愁(起承)2020-0422(01)

࣬၍طᐕٙߕᘆၾۑฎ ( ৎeוᇐ )

承 篇 樂 章

如何對根管系統執行清創與修形

ίᙕࠑ݄ᅃ ᔼࢪהෂબतϞٙ࣬၍૶௴ၾࡌҖ˓جʘۃd΋౤Շࡈί࣬၍طᐕჯਹ
༁dࣛ੬ึᛓՑٙ൚̩dλᜫᛘ٫૶ูٝ༸˜ɓЗ࣬၍طᐕኪޢ֚ٙࢪ™݊νО޶ܙԨ ו

࿁ʘЪ̈ሜ዆dΝࣛɰঐ੄׼݄ͣᅃ ᔼࢪމОᐼ݊ࠅӋژ͛ࡁ͜ὸ඲ࠅၚ๟ٙ༸ଣ
ᇐ
הίj

1. 髓腔開擴 對應 根管入口窩洞準備 Open chamber vs Access cavity preparation

ෂ୕ேස౤ʿ͂ක᜖ഢ open chamberdʘܝఱ༈ආБ࣬၍ᓒ௴i್Ͼd૵॥ٙ
᜖ഢԉᅳᚣ (pulp horn exposure)dɰୌΥο່ɪהፗٙ open chamberdШவԨೌج
ڌ༺̈ҁϓவཀ೻ٙจྤi݄ᅃ ᔼࢪબሙࣛd͜ access cavity preparation ՟˾ open

chamberdᚥΤܠ່ఱᜫኪ̙͛˸ଣ༆dԫྼɪࠅҁϓቇ຅ٙ࣬၍ɝɹ๟௪dਗ਼ึ݊
ɓࡈܵᚃආБٙ၊ݸක࢝ዝ೻dΌேމəλᜫɨɓӉঐ੄Ⴠᕦdא˙کήˏኬ΂Оኜ
ҿ ( νቛ০א৵Ըᇭ০nnഃ )d׳ආ᜖ഢ࣬၍ஷ༸༁᎘d̘ੂБܝᚃٙ૶௴א̂෬ഃ
ਗЪf

2. 器械擴創 對應 根管的清創與修形 Instrumentation vs Cleaning & Shaping

ೌሞ݊͜ Mechanical instrumentationeא Bio-mechanical instrumentationeא
Chemo-mechanical instrumentation Ըڌͪ˸΢ό΢ᅵٙኜҿʈՈd࿁၍ഢੂБᓒ௴ၾ
ක࢝dуԴ௔ᚃϞ̋ɝႾпڌ༺ᓒ௴ཀ೻ʕdᏐ༈ࠅୌΥ༈˫࣬І್ٙ͛يҖ࿒ (Bio-

)iאίኜ૛ආ̈၍ഢЪᓒ௴ٙΝࣛd̀඲ࠅภৣϞᏍпЪऊݭ૶ᆎٙʷኪ๓૰ (Chemo-)
ഃο଻̈ତiШʥᔚೌج྅݄ᅃ ᔼࢪהમٙ͜ Cleaning and Shaping Ը౜ࠑ࿁࣬၍ஷ
༸Ъᓒ࢝ٙ͜จԸ੻ၚ๟dૐ˖່͛ఱঐଣ༆ࠅЪλ࣬၍ٙ૶௴ၾࡌҖdͦٙఱ݊ࠅ

Ӌ̀඲୅ৰԨ૶ᆎ၍ഢஷ༸༁᎘ٙהϞᔛϮॶ۫dԨࠅঐਗ਼ʘቇܓක࢝eࡌҖ̈˙ک
ܝᚃੂБ࣬̂ٙ၍༸ૢ΁f

定義對根管之清創與修形 Cleaning and Shaping

清創 (Cleaning):

Ҫ࣬၍ӻ୕ʫ΂О̙ঐʊяତष࿒Шᒔλٙ (sick but normal tissues)eא݊ʔλٙ
(micro-organisms and pathogens) Ϟዚሯே૶ৰદf

修形 (Shaping):

௴ிɓࡈΥଣٙe̻๞ٙ၍ഢ٤ගdᜫ΂ОɓЗ˫ᔼࢪேܘ࢙׸̘݄Бܝᚃ࣬၍

܆෬ٙਗЪձ೻ҏf

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