Page 19 - 根管治療的美麗與哀愁 (轉、合篇)

࣬၍طᐕٙߕᘆၾۑฎ ( 轉、合篇 )

3. ጜ፯ٙୋɓ˕ᏚᏀʈՈd( ՉᏀᏚٜࠦࢰމत֛࣬၍̂෬ࣛdਗ਼Դ͜ՑٙᏚᏀʈՈଡ଼
ʕ௰୚٫ )dίʔึຠᙃՑ၍ኣٙઋرɨdЇˇࠅঐනлՑ༺൷ᕎஷ༸୞ᓃ̈ɹߒ
5~7mm ٙ࣬၍ଉܓ ( ྡ C5)d[ ޟЇ̙˸ε๟௪ɓ˕̙˸༺Ցᕎஷ༸୞ᓃ̈ɹߒ 3mm

ଉܓٙᏚᏀʈՈdࡡΪ݊຅ආБٜۧᇘ੗ᏚᏀਗЪdᏝਗ਼ա๝ᆠழʷٙ৵Ըᇭ᜗d
Σ࣬φᏀᏚՑ֛ᓃࣛd( у downpack ᏚᏀʈՈʊ຾ת༺൷ᕎஷ༸୞ᓃ̈ɹߒ 5~7mm
ٙ࣬၍ଉܓ )d߰݊ X Έ˪שᙲ̈Ըd೯ᙂϤՍ৵Ըᇭ᜗ٙ෬̂dᕎଣซ࣬̂ଉܓᆽ

ྼᒔࢨɓʃݬd݄ஔ٫ᒔซࠅྒྷ༊ঐ੄
ΎආɓӉഗʚᘱᚃΣɨᏀᏚࣛd˓ᗙᒔ
Ϟቇ֝ٙᏚᏀʈՈdঐ੄͜ԸᏀᏚա๝
ᆠழʷٙ৵Ըᇭ᜗d੻˸ᘱᚃΣ࣬φۃ ᔷ

ආ ]iຬɓ߰݊೯ତேೌجҬՑቇΥٙ ᇐ
( уʔึຠᙃՑ၍ኣd˲ᏀᏚٜࠦࢰԑ ྡ C5 ጜ፯̈ٙ
ୋɓ˕ᏚᏀʈՈd
੄ɽٙ ) ᏚᏀʈՈ̙ԶԴ͜dԟ฽Ϟ̙
˸ʔึຠᙃՑ၍ኣ
ঐ݊຅ڋ࿁࣬φݬ၍ഢஷ༸ٙͦᅺ፿ܓ ઋرɨdЇˇࠅঐ

ࡌҖ੻ᒔʔԑ੄iуԴΪत֛˫࣬ٙ၍ නл׳Ցᕎ࣬၍ஷ
༸୞ᓃ̈ɹߒ 5 ä
ኣࡡ͉ఱܘᑛࢮd̥ঐʪ஢ਂ፿ܓ༰ʃ 7mm ٙଉܓ
ٙ࣬φݬᓒ௴ࡌҖࣛdཫ΋಻༊˸ጜ፯
͜׵࣬̂ࣛٙᏚᏀʈՈଡ଼ٙ፯኿dɰ̀

඲፭ృۃࠑ݅Ϟٙࡡۆf
4. ጜ፯ٙୋɚ˕ᏚᏀʈՈdՉᏀᏚٜࠦࢰࠅԑ੄ɽdШ˸ʔঐຠᙃאᏀࠗՑᏀᏚཀ೻ʕ
ٙ၍ኣމࡡۆd˲ঐනлɨᏀՑˢࡡ΋፯͜ʘୋɓ˕ᏚᏀʈՈՑ༺ʘ࣬၍ଉܓ೹೵
( уֻڿਉৗ ) ߒ 3~4mm ٙЗໄ ( ྡ C6)f( ͵у൷ᕎஷ༸୞ᓃ̈ɹߒ 8~11mm)

5. ጜ፯ٙୋɧ˕ᏚᏀʈՈdਗ਼ԱϤᗳપfஷ੬݊ՉᏀᏚٜࠦࢰࠅԑ੄ɽdШ̙ჀᕦᏀᏚ
Ց࣬၍ɝɹ (canal orifice) ɨ˙ߒ 1~2mm у̙ ( ྡ C7)iʲা̴ٙᏀᏚٜࠦࢰࠅኋඎɽi
͵у߰ϞՇ˕ᏚᏀʈՈே̙׳ໄՑ༺޴Νண֛ٙ࣬၍ଉܓࣛdۆᏐ፯͜ᏀᏚٜࠦࢰ༰
ɽ ( ШɦʔึટᙃՑ၍ኣ ) ٫fவ͍λΫᏐཫ΋ጜ፯ቇΥٙᏚᏀʈՈdՉ͜จఱ݊Ҏ

ྡ C6 ጜ ፯ ̈ ٙ
ୋɚ˕ᏚᏀʈՈd ྡ C7 ԱϤᗳપd
ʥ˸ᏀᏚٜࠦࢰც ጜ፯̈ٙୋɧ˕Ꮪ
ԑ੄ɽdШʔঐຠ ᏀʈՈdՉᏀᏚࠦ
ᙃՑᏚᏀཀ೻ʕٙ ٜࢰცԑ੄ɽd䁻
၍ኣd˲ঐනлɨ ̙ჀᕦᏀᏚՑ࣬၍
ᏀՑ༰፯͜Ъމୋ ɝ ɹɨ ˙ߒ 1 ä
ɓ˕ᏚᏀʈՈ೹೵ 2mm ٙଉܓdШ
( уֻڿਉৗ ) ߒ ɦʔึຠᙃՑ၍ኣ
3 ä 4mm ٙЗໄ ٫

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