Page 16 - 根管治療的美麗與哀愁 (轉、合篇)

In many places, garbage undergoes compaction after it's collected, so that it takes up
less space.

ஷ੬ί੬๝੬Ꮐɨٙ࣬၍෬̂ዝ೻d̥݊ਗ਼৵Ըᇭ᜗Ⴁிཀ೻ʕdࡡ͉πίՉʫ
௅ٙ٤ქd˸ʿ৵Ըᇭ᜗ၾ၍ኣʘගٙ٤ქરৰદdԨਂආɓӉٙᏀྼeᇘ੗ٙ෬෦
܆ௐ࣬၍ӻ୕dҁΌӚϞऒʿᇭ᜗ί޴Зeא౺ࣸɪٙᜊਗfΪϤd ݄ᅃᔼࢪʑ͜
Compaction ο൚dϾʔᗴจᚃ͜ Condensation Ը၈խவࡈत֛ٙ܆෬˓جf

ԫྼɪd݄ᅃᔼࢪίપਗՉዹतٙ˜ɧܓ٤ගา˫ᇭٜۧᇘ੗෬̂࣬၍ӻ୕™˓ج
ʘۃdಀ຾Ъəӻΐ׌ٙྼ᜕dԸᗇྼஹ௰ᔊఊٙ˥ʱɿί੬๝੬Ꮐɨdසቦ˓ɢ݊ೌ
جЪՑኑၳٙ Condensationd݊Ӛ፬جҷᜊՉ޴Зٙfᔼࢪ̥ঐቇ຅ή౛౥ᆠܓ̋መ׵
৵Ըᇭ᜗ (gutta-percha) ɪd༶͜ίՉ β-phase ᔷ୅Ї α-phase ٙዝ೻ʕd৵Ըᇭ᜗ʊ຾

Ո௪ə̙෧ݴਗ׌dШՉ౺ࣸ֠͊ҁΌҷᜊ ( ʥ್ၪܵί β-phase) ٙචݬd˸ཫ΋፯኿
λٙᏚᏀኜ૛ (plugger)d͜ഡɢٜۧಃ࣬φਂᏀᏚeΎ̋ᆠeΎᏀᏚഃਗЪd஼နਗ਼৵
Ըᇭ᜗׵Ⴁிཀ೻ʕdࡡ͉πίՉʫ௅ٙ٤ქd˸ʿ৵Ըᇭ᜗ၾ၍ኣʘගٙ٤ქɓɓર
ৰદd௰୞ఱঐ੻Ցҁ዆ୖྼɦᇘ੗ٙ࣬၍෬̂fίவࡈዝ೻̥݊ਗ਼৵Ըᇭ᜗͉Ԓeʿ

Չձ၍ኣʘගdਂආɓӉٙᏀྼeԨʚ˸һᇘ੗ٙ෬෦dҁΌӚϞऒʿᇭ᜗ί޴Зeא
౺ࣸɪٙᜊਗfה˸dҁϓ࣬̂ʘܝd຅৵Ըᇭ᜗ʫ௅ٙᆠܓdࠠอΫՑ ( Չהஈ˫
̮࣬௅ٙ ) ɛ᜗͍੬᜗๝ࣛdԨˡ඲ዄːึ೯͛ᇭ᜗ϗᐵd̈ତᐻქഃਪᕚfΪϤd
݄ᅃᔼࢪʑ͜ Compaction ο൚dϾʔᗴจᚃ͜ Condensation Ը၈խவࡈत֛ٙ܆෬˓

جfϤ̮dѥග̤Ϟ஢ε࣬၍෬̂˓جdɰ޴ᘱͷࣖ ݄ᅃᔼࢪ࿁৵Ըᇭ᜗̋ᆠdԨ݄˸
ٜۧᏀᏚ෬෦ٙਗЪd̥ʔཀΤ၈ᒔ݊ض͜ഹ vertical condensationiϾ˲dவԬ˓ج
࿁׵̋Ց৵Ըᇭ᜗ٙᆠܓdɰӚϞᘌᔫٙࠢՓdʔ྅ ݄ᅃᔼࢪ਺ܵᜫ৵Ըᇭ᜗ႅᆠՑߒ
ᙲˤ 45 ܓ (Celsius) ఱλdΪމίتɻ཭ɽኪӻΐ׌ٙ޼Ӻdᜑͪίᙲˤ 42 ä 49 ܓd

Ϥуա๝ᆠழʷeՈݴਗ̙෧׌ٙᇭ᜗ (warm gutta-percha)d͍ࠅ͟Չ β-phase ᔷ୅Ї
α-phase ٙཀ೻iΪϤdܔᙄ௰λਗ਼݄ᅃˤٙ࣬̂˓جतйᔕᙇϓ˜า˫ᇭ™dԸ੶ሜ
܆෬ཀ೻ʕ৵Ըᇭ᜗සա๝ᆠழʷdϾʔᏐ༈ў૿୕၈͜˜ᆠ˫ᇭ™Ըሞࠑ݄ᅃˤ࣬̂
˓جf

合宜的主馬來膠試尖是啟動緻密根管封填的第一步，也是完成艱辛根管

清創與修形的最後關卡
ШՑֵ࿁࣬၍ٙ૶௴ၾࡌҖࠅՑʡჿήӉkא݊νО੻ٝҢࡁԔ߮הЪٙ࣬၍૶

௴eࡌҖʊ຾ԑ੄eԨ˲ቇ຅əճkᛘ٫ٵ֛׼ͣ࿁࣬၍૶௴eࡌҖٙͦήd຅್ఱ݊
މəঐ੄੻Ցܝᚃୖྼٙ࣬၍෬̂f

而要能夠得到理想的根充

A. ୋɓӉఱ݊ࠅϞΥ֝ٙ˴৵Ըᇭ༊φ X Έᅂ྅f຅݄ஔ٫˓ᗙϞəɓ˕̙˸૩ೌڜ
ᖟdঐ੄׳Ց࣬၍܆෬ͦᅺڗܓٙ˴৵Ըᇭ০d[ ͦۃΌଢ௰౷ཁЪމ࣬၍෬̂ٙҿ
ࣘdᒔ݊ڢ˜৵Ըᇭ (gutta percha)™୽᙮ ]dԨ຾͟ X ΈᆽႩ

1. ̴ʊঐ׳Ցהፗٙ࣬၍ஷ༸୞ᓃ (canal terminus) ࣛd̥ʔཀڌͪ࿁Ϥ࣬၍ٙਿ͉ࡌ
Җʊ຾༺ᅺəi( ఱၑʊ຾੻Ցəவჿɓࡈ༊φᅂ྅ )dટɨԸ݄ஔ٫̀඲ࠅঐ੄кᓙd

4 νОੂБٜۧᇘ੗ᏚᏀ෬̂࣬၍ӻ୕