Page 18 - 根管治療的美麗與哀愁 (轉、合篇)

1. Չၚ᜖ί׵ආБ࣬̂ࣛdঐίୋɓࣛග౛છΪա๝ܓҷᜊdʊՈϞ̙෧ݴਗ׌ʘ௰ɽ
ඎ৵Ըᇭ᜗dԨ࿁ʘੂБᏀ෬ਗЪ ( ྡ C1)iຬɓᏚᏀʈՈ፯͜ʔቇ຅dνɓක֐ఱ

፯͜ɓ˕ᏀᏚٜࠦࢰ޴࿁ཀ׵॥ʃٙኜ૛d( ί࣬၍ٙڿਉ௅З ) ਂٜۧΣ࣬φᏚᏀ
෬෦ٙਗЪࣛdԟჿவ˕ᏀᏚٜࠦࢰ˄ʃٙʈՈdϤՍהආБٙᏚᏀਗЪd̂Չඎ̥
݊ί߈Րʊա๝ᆠழʷٙ৵ԸᇭdԨʔঐਗ਼ՈϞ̙෧ݴਗ׌ٙ৵Ըᇭ᜗Ъ̈Ϟࣖଟd
˲ঐਗ਼ʘᇘ੗෬෦Ꮐྼ (compaction) Ց࣬၍˴ഢʕאਉ˕ஷ༸༁᎘̘ ( ྡ C2)i್Ͼd

߰፯͜ɓ˕ᏀᏚٜࠦࢰ޴࿁ཀᄱٙʈՈd̴ఱϞ̙ঐึίಃɨᏚᏀࣛdΪʔ຅ટᙃՑ
၍ኣdϾிϓ̙׊ٙෆ࢔fה˸ίʔΝ࣬၍ଉܓආБٜۧᏚᏀਗЪࣛd፯኿Դ͜Υ֝
ᏚᏀટᙃٜࠦࢰٙኜ૛dʑঐᐏ੻௰Գٙ̂෬ࣖ؈f

ྡ C1 ࣬̂ࣛd
ί࣬၍ٙӊɓ௅З ྡ C2 ν ؈ ፯ ͜
፯͜ᏀᏚٜࠦࢰɽ əᏀᏚٜࠦࢰ޴࿁
ʃΥ֝ٙᏚᏀʈՈ ཀ׵॥ʃٙᏚᏀʈ
(plugger)d݄݊ᅃˤ Ոd̂Չඎ̥݊߈
܆෬˓جٙᗫᒟi߰ Րʊա๝ᆠழʷٙ
ঐ ν Ϥd ʔ ස ˡ ඲ ৵ԸᇭdԨೌجਗ਼
ዄːʔ຅ટᙃ၍ኣd ʘᇘ੗෬෦ᏀྼՑ
ி ϓ ̙ ׊ ٙ ෆ ࢔ d ࣬၍˴ഢאҋʱਉ
һঐϞࣖଟήҁϓ ˕ஷ༸༁᎘
௰Գٙ̂෬ഐ؈

2. ˸݄ᅃˤ˓جආБ࣬̂ࣛd੬ึ͜ɞՑɤɚ໮ٙᏚᏀʈՈ (Schilder's pluggers)j
#8e#8.5e#9e#9.5e#10e#10.5e#11e#11.5e#12iɞ໮ה࿁ᏐٙᏀᏚٜࠦࢰ (tip

diameter) ߒމ 0.4mmdԱϣ჈ᄣٜՑɤɚ໮މ 1.5mm ( ྡ C3)f̤̮dObtura ᅀ೐
ۆϞɓଡ଼ᅺൗɓ໮Ցʞ໮ٙᏚᏀʈՈɰᝇቇٙ͜ ( ྡ C4)fШʔ၍݊፯͜ࡳɓᅀ೐d
ᑗґɪ࿁ݔɓत֛࣬၍˸݄ᅃˤ˓جҁϓ࣬̂dஷ੬̥ࠅ፯኿ቇ຅ٙՇՑɧ˕ᏚᏀʈ

ՈආБ዁Ъу̙f

Schilder’s Plugger (No.) Tip diameter (mm) Obtura Plugger (No.) Tip diameter (mm)
8 0.4
8.5 0.5 1 0.45
9 0.6 2 0.63
9.5 0.7
10 0.8 3 0.80
10.5 0.9 4 1.00
11 1.0 5 1.17
11.5 1.2
12 1.5

ྡ C3 ݄ᅃᔼࢪהணࠇ͜׵࣬̂ٙᏚᏀʈ ྡ C4 Obtura ᅀ೐ணࠇ̈ɓଡ଼ʞ˕ٙᏚ
Ո (Schilder's Pluggers)dՉ໮ϣձ޴࿁Ꮠ ᏀʈՈdՉᏀᏚٜࠦࢰɽʃɰᝇΥቇٙ
ᏀᏚٜࠦٙࢰˉʂd४ߎЍɗᅺൗ̈༰੬
͜ՑٙᏚᏀʈՈ໮ϣ

6 νОੂБٜۧᇘ੗ᏚᏀ෬̂࣬၍ӻ୕