Page 42 - 根管治療的美麗與哀愁(起承)2020-0422(01)

如何施行主馬來膠體試尖，完備根管的清創與修形

್݅੽˴৵Ըᇭ᜗ٙ༊φᅂ྅d̙˸͜ԸᏨൖ࿁၍ഢٙࡌҖ݊щʊ຾ԑ੄kԨঐӔ
֛݊щ̙˸ක֐ܝᚃٙ࣬၍̂෬Ӊ᜷kΪϤd༈νО፯኿eאӔ֛˸О၇ˉʂɽʃeא
፿ܓٙ˴৵Ըᇭ᜗ԸЪ༊φ (master cone fit check)( ሗਞቡࣩԷɚɤɞ ) kఱᜊϓЇᗫ

ࠠࠅfۃࠑಀ౤ʿdᒱ್ෂ୕ʔᙔ፻ቛ০ٙணࠇ݊˸ 0.02 ፿ܓЪމᅺ๟dШ݊Ңࡁӊɓ
З˫ᔼࢪேܘ૶ูdவԨڢڌͪӊࡈ࣬၍၍ഢࡡ֐ٙ፿ܓఱ݊ 0.02 ፿ܓٙfуԴdҢࡁ
ೌ੽੻ٝࡡϞ၍ഢٙ፿ܓՑֵϞεɽkШ̙˸ٵ֛ٙ݊຅ࡌҖᓒ࢝ཀٙ၍ഢ፿ܓdഒ࿁

ึˢ 0.02 ࠅɽɪ஢εf͟Ϥ̙ٝͷ๫ ISO ࿁ቛ০ண֛ܔᙄהႡϓٙ 0.02 ፿ܓٙ৵Ըᇭ
০dуהፗᅺ๟஝ࣸٙ৵Ըᇭ᜗ (standard GP)dԨʔቇΥ͜׵࣬̂f
ΪϤd݄ᅃ ᔼࢪܔᙄ͜Ъ༊φٙ˴৵Ըᇭ᜗dᏐ፯኿ԨԴ͜הፗ࿕ٙ͜אΥ֝ٙ
৵Ըᇭ০ (conventional type)fஷ੬dίᑗґɪึ๟௪Ϟ fine(F)efine-medium(FM)e
˸ʿ medium(M) ɧ၇ʔΝ፿ܓٙ৵Ըᇭ০iϾՉה᙮፿ܓdԱʔΝᅀਠႡ௪஝ࣸεˇ

ึଫϞʔΝdШԱҏߒމ (F)0.04~0.06e(FM)0.06~0.08e˸ʿ (M)0.08~0.10d˲ஷ੬
φ၌ேਂϓᗳЧ௢ᗳϻˣ҈၌הяତٙφ୚ً (feather tip)f͟׵݄Б࣬၍૶௴ၾࡌҖd
௰ܝת༺ᓒ࢝࣬φஷ༸୞ᓃٙ௰ܝɓ˕ቛ০ (last instrument)dֻֻேึࠅӋЇˇࠅՑ

ISO#25 ໮iɰఱ݊૶௴eࡌҖཀٙ၍ഢdՉ࣬φஷ༸͋၌ٜٙࢰЇˇࠅϞ 0.25mm ˸
ɪfΪމϞəவࡈࠅӋdΪϤ̙΋፯ɓࡈ፿ܓቇʕٙ৵Ըᇭ০ν FMdՉ፿ܓɽ฿݊
0.06d͟׵ՉՈφ୚ًٙφ၌dה˸̙ІՉφ၌΋਒દɓʃݬdλᜫவ˕˴৵Ըᇭ᜗φ
၌ʘዑʲٜࠦࢰdঐձה͜׵༈࣬၍૶௴eࡌҖٙ௰ܝɓ˕ቛ০ʘφ၌٫޴ڐf್ܝd
ΎჀݓήਗ਼ࡌ਒ཀφ၌ٙ˴৵Ըᇭ᜗ཫᛃܝ׳ආ࣬၍d޶޶̴݊щঐ੄නлՑ༺૧܆෬

ٙͦᅺଉܓfν؈d༊φཀ೻޴຅නлdϾ˲яତ̈Υ֝ٙΫזڜɢdΎ͟ X Έ༊φ
ᅂ྅ה੻ٙഐ؈dආɓӉࡌ਒ԟ˕Ъމ༊φٙ˴৵Ըᇭ᜗ٙφ၌dԴ዆ࡈ˴৵Ըᇭ᜗ٙ
ཫணڗܓd௰ৎᇁঐܘනлή׳ආՑ൷ᕎ܆෬ͦᅺଉܓ೵ߒ 0.5~1.0mm ٙЗໄfΪމ

Ϟəவݬ 0.5~1.0mm ٙ൷ᕎd݊މə౤Զቇ຅ٙ٤ගd˸˙کܝᚃ݄БٜۧᏚᏀਗЪ
ࣛdঐԴ͜ቇ຅ٙᏀᏚʈՈאኜ૛ଡ଼ (plugger set) ਗ਼ʊቇܓաᆠழʷeՈ̙෧ݴਗ׌ٙ
৵Ըᇭd࿔࿔પᏚᏀྼՑ༺຾ॷ০಻༊ (paper point test) ܝdהᏐ༈ת༺͍ٙᆽ܆෬ଉ
ܓЗໄfԫྼɪdவࡈ˴৵Ըᇭ
᜗༊φٙᏨൖਗЪί዆ࡈ࣬၍

طᐕ ཀ೻ʕd޴ ຅ࠠࠅf̴݊
ᆽႩ၍ഢஷ༸݊щʊ຾ࡌҖක
࢝ቇ຅d݊щ̙˸ഐҼ࣬၍૶

௴ၾࡌҖ೻ҏٙкᛘܸᅺfΪ ྡ B12 ߰ঐᐏ੻ɓ˕ୌΥ༊
Ϥd˴৵Ըᇭ᜗༊φ̙݅஗၈ਂ φცӋٙ˴৵Ըᇭ᜗dਗ਼݊ᆽ
ڭঐϞܝᚃ੗ྼ࣬၍෬̂ٙୋ
࣬၍૶௴ၾࡌҖཀ೻ٙ௰ܝɓ ɓӉdΝࣛא̙஗ൖމ݊ੂБ
Ӊ (the last step of cleaning and ࣬၍૶௴ࡌҖཀ೻ʕٙ௰ܝɓ
Ӊ
shaping procedure)iΝࣛdᐏ
੻ɓࡈଣซٙ˴৵Ըᇭ᜗༊φd

26 νО࿁࣬၍ӻ୕ੂБ૶௴ၾࡌҖ