Page 37 - 根管治療的美麗與哀愁(起承)2020-0422(01)
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࣬၍طᐕٙߕᘆၾۑฎ ( ৎeוᇐ )

            1.  ɓםਿ͉ਗЪjਗ਼ቛ০˸ 360 ܓɓᗙૅᔷ (rotation)eɓᗙֻڿਉאಃ࣬၍ɝɹஈΫ
               ৗόٙ୅ᔷ (translation)dۍ̙ᎇːה૧dˌʷϓ஢஢εε࿁၍ഢ૶௴ක࢝ٙםό

               (Simultaneous rotation and translation)f
            2. ૧׳ɝ࣬၍ਂ૶௴ਗЪٙቛ০ࠅ΋ཫᛃ (pre-curve)dνϤɓԸৰəᜫቛ০ٙᅁ׌ᄣ̋
               ̮dɰԴቛ০̳ԃ̈༶ਗٙঐඎf຅๞ɝ၍ഢʘܝdίೌڜɢᏀՓٙઋرɨdɓᗙૅ
               ᔷɓᗙΫৗdቛ০͉ԒІ್ఱึϞяତᗳЧဉಶًٙʲۂɢdΝࣛɰᜫऍᆗ׵၍ഢග
               ٙәݹ૰ପ͛̈ဉಶًٙᔎݴତ൥f                                                                                      ו

            3. ஷ੬຅ቛ০஗ཫᛃʘܝdՈʲۂɢٙ௅ЗఱίՉφ၌ձᛃϜʘϜࠦٙ̉ৎᓃɪd຅Ϥ
                                                                                                                     ᇐ
               Շᓃ஗ݺʷৎԸd׳ආ၍ഢʫ௅dɓᗙᔷɓᗙΫৗdᒱ್ɓٜࠠልਂΝᅵٙਗЪdШ
               ଭ௞ӊϣ׳ɝ၍ഢٙଉܓd˸ʿᔷਗٙ஺ܓdഒ࿁ேʔึɓᅵdஹΝ຾੬ʔᓙᜊ౬ቛ

               ০ϜᓃٙЗໄʔΝd( ɓছᆞᇖ݄ٙஔ٫ึவჿਂd၌ൖซʲۂٙ௅ЗdϾᜊ౬Ϝᓃ
               Зໄ ) d ఱίɓᗙૅᔷ (rotation)dɓᗙ୅ᔷ (translation) ٙཀ೻ʕd஗ݺʷՈʲۂɢ
               ٙவՇᓃdӊϣேʲۂഹʔΝٙਜਹd( ՒৰદίʔΝЗໄɪٙʔ஝ۆ၍ኣ irregular
               dentinal walls)dఱவᅵ༶͜մϾూ֐dІ್ପ͛ٙဉಶًʲۂཀ೻dІ್Ͼ್ήਗ਼
               ࡡԸʔ஝ۆٙ၍ኣdᐼ݊ঐίၪܵՉࡡϞٙݴΣ (flow) ɨd஼နᓒ࢝ϓɓࡈݓձҁߕ

               ٙϜᇞdவఱ݊܆଄༶ਗٙतᓃf
            4. ዆ࡈ EOM( ྡ B6) ٙਗЪdఱ݊ᜫ஗ཫᛃܝٙቛ০d˸̴஗ݺʷՈਗঐٙϜᓃdίӚ
               ϞաڜɢҼጣɨdනഹ͉ԒٙϜᇞֹܓdίɓᗙૅᔷɓᗙΫৗٙΝࣛd࠾ɢԴɢήਂ

               ̌ ( ˸ՒৰદᛃᛃϜϜ၍ഢʕٙʔ஝ۆ၍ኣ )f
                          ዁છቛ০ૅᔷ (rotation) ٙ஺ܓ +/- Ϋৗ (translation) ٙ஺ܓ
                          = ଡ଼Υˌʷ̈஢εʔΝٙဉಶʲۂᅼό
                a. If we want to enlarge the canal quickly, we need more rotary and less translation
                   movement of the instrument.

                   ߰࣬၍ݔɓ௅Зٙ၍ഢܘஷ࿫d( ν˫࣬ᝇٜٙӚϞཀܓٙᛃϜ )d˲༈ஈ၍ኣێ
                   ྼܓԑ੄dซࠅܘҞήਗ਼Ϥ௅Зᓒ࢝කԸd( ίӚϞࠬᎈٙᚥᅇɨ )dԟఱ̙˸ਗ਼
                   ቛ০ૅᔷ੻ҞɓᓃdΝࣛΫৗٙ஺ܓ׳࿔ɓᓃdɰఱ݊ίৗ࿔ɓᓃٙΝࣛεᔷ఻

                   ਸ਼f
                b. More rapid translations and less rotation of the instrument will slowly produces the
                   best shape of the individual canal.
                   ຅࣬၍˴ഢהஈٙ၍ኣܘᑛא˫࣬ܘᛃϜࣛd߰ซࠅၪܵՉࡡϞݴΣdԨ࿁ʘЪ
                   ቇܓٙᓒ௴dԟఱࠅਗ਼ቛ০ૅᔷٙ஺ܓ׳࿔ɓᓃdϾ˲ࠅΫৗҞɓᓃd఻఻˷ఱ

                   ྅݊ᗙૅᔷቛ০ٙΝࣛdٜટਗ਼ʘৗ̈Ըdᜫቛ০̥ʲۂՑ࣬၍ᛃϜஈۃܝ၍ኣ
                   ɓᓃᓃfШ຾ཀࠠል఻ϣΝᅵਗЪdՉᛃϜஈʔ஝ۆٙ၍ኣdІ್ఱึ஗ۂ࢝ක
                   ԸdνϤ૶௴஺ܓᒱ್ᇠ࿔dШЇˇ̙˸ၪܵ੻И࣬၍ࡡԸٙݴΣf

                c.  Ї׵ОࣛࠅૅᔷٙҞeΫৗࠅ࿔dא٫Оࣛࠅૅᔷٙ࿔eШΫৗࠅҞdே̀඲ࠅ
                   ൖዹत࣬၍ٙྼყઋرdၾ݄ஔ٫຅ࣛซ੻ՑٙЪމdԸɨӔ֛fᒱ್dᑗґ຾
                   ᜕ٙጐଢ଼ܘࠠࠅdШ̥ࠅ፭ృ EOM ٙ๟ۆdԟჿ΂ОဲᗭልᕏᛃϜٙ࣬၍ஷ༩d
                   ே̙˸஗༆੻කf


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