Page 34 - 根管治療的美麗與哀愁(起承)2020-0422(01)

適度的管腔修形有助於對複雜根管系統的清潔 (Shaping facilitates
Cleaning)

࿁၍ഢஷ༸ٙ૶ᆎၾऊݭdʔ༈ಂܙซ͜ቛ০א΂Оኜ૛d̘ᓒ௴אՒৰՑהϞ
ίஷ༸̬մٙ၍ኣdவ၇Ά޸ʔШʔྼყdɰʔ̙ঐਂ੻Ցf್Ͼdซഹቛ০್݅ೌ

جຠᙃՑהϞٙ၍ኣdΪϤఱʔ̘Ъቇܓٙ၍ഢࡌҖdᒱ್̙˸ᒒеܘεٙܝ፲स೯
͛dመνj᎖ᐿή዁Ъቛ০dߧԴቛ০ᓙұवထ၍ഢʕeאจ̮ிϓ၍ኣٙ߈ˆeא
ۂࢮə˫࣬ٙഐ࿴dிϓطᐕܝٙ˫኉࢙׸ঌ൓nnഃഃi̙݊dίᑗґɪҢࡁۍһ

੬ԈՑd݄ஔ٫࿁࣬φݬٙࡌҖʔ੄࿏ֵ (Anemic deep shape)( ྡ B1dྡ B2dྡ
B3)dϾԴ੻ԟݬࡡ͉ఱ݊௰މልᕏٙ၍ഢஷ༸dᐼΪ࿁Չ૶ᆎऊݭЪٙʔ੄ଣซd
ߧԴߧषࡡ੻˸৚ཀоᅰeԨΪϾঐ੄ᔛਛՉගdУዚЪ඾d௰୞ிϓઃ٫ஔܝٙʔ
ቇdאႭ࣬၍طᐕ̰઻ࣩٙԷdˢˢޫ݊f̤̮dɰ੬ԈՑΪ΢ό΢ᅵٙอۨૅᔷᕃ
⌹࣬၍ቛ০ٙਪ˰d੶ሜঐί೵ࣛගʫ ( νՇeɧʱᙒ )dఱঐ੄ҁϓ࿁࣬၍ஷ༸ٙ

ᓒ࢝ഃڮቖᄿѓiߧԴ˫ᔼࢪཀܓԱ፠வԬቚлೌˢٙቛ০dɰॆٙఱίܘ೵ٙࣛගd
ʲۂ̘ৰəᘒ൮ٙ၍ኣeࢮʷə˫࣬ഐ࿴ (Overshape)( ྡ B4dྡ B5)iΝࣛdɰ̙
ঐΪᑗґ຾᜕ʔԑdᐼ˸މ၍ഢ݅຾ᓒ࢝dఱ˾ڌʊ຾૶ଣᆎଋdࣿʔٝૅᔷቛ০ٜ

ટԸΫጋᏜᙃʿ၍ኣdཀ೻ʕהிϓٙಞ࢜ᏀᏚ਼ጐࣖᏐdʊ຾ੁ෦Иʔˇٙਉ˕࣬
၍ஷ༸dவৰəᜫߧषࡡϞəһεٙᔛਛ٤ගʘ̮dɰᜫ̴ࡁεəᄴτΌၣ (smear
layer) ٙڭᚐd੻˸༯ཀܝᚃәݹ૰ٙᅝ૨f

Anemic deep shape: Limitation of irrigant efficacy, Cone fit prematurities

ྡ B1 ࣬φݬٙ࣬၍ӻ୕௰ ྡ B2 ࿁၍ഢஷ༸ٙࡌҖᓒ ྡ B3 ߰࿁࣬φݬ˴ࠅ၍ഢٙ
މልᕏd߰ʔਗ਼࣬φݬ˴ࠅ၍ ࢝߰݊ʔԑdϣಣაඒ๓૰ਗ਼ ࡌҖ፿ܓʔՑЗd༊φࣛdਗ਼
ഢЪ̈ቇ຅ή૶௴ࡌҖdැ̀ ೌجऍᆗՑ༈ਜݬdϞࣖή೯ ೌجҬՑɓ˕̙˸૩ೌڜᖟ׳
፲ဍeא̰̘࿁஢εਉ˕ҋʱ ౨૶ᆎၾऊݭ̌ঐ ՑΥ֝܆෬ଉܓdԨяତቇ຅
ஷ༸૶ᆎऊݭٙዚึ Ϋזڜɢٙ˴ᇭ০

18 νО࿁࣬၍ӻ୕ੂБ૶௴ၾࡌҖ