Page 21 - 根管治療的美麗與哀愁 (轉、合篇)

࣬၍طᐕٙߕᘆၾۑฎ ( 轉、合篇 )

ೌڢே݄݊ஔ٫މӋһ̋τːeאҎૐ࿁ชݑ၍છΎεးᓃːɢٙЪجiԨڢ݊ʔ
੻ʔdאɓ֛̀ࠅ݄Бٙ೻ҏf

ྡ C9 QMix ݊ Dentsply መεਖ਼л
ਠۜʘɓdኽ၈ʔўҤ͛९ٙৣ
˙dШۍঐϞࣖ૶ৰ 99.99% ٙ
planktonic bacteriadܼ̍ᗭᚂٙ࣬
၍ߧषഽ Enterococcus faecalisiΝ ᔷ
ࣛɰঐ୅ৰ࣬၍ᓒ௴ཀ೻ʕdبڝ ᇐ
ί၍ኣɪٙ smear layerd͂ක˫͉
ሯʃ၍iϾ˲ऍᆗ၍ഢ̥ც 60 ä
90 ߆dఱঐ೯౨ɪࠑЪ͜

E. ॷ০಻༊ (paper point test)f͜ऊݭཀ৻ଋٙॷ০і৻࣬၍˴ഢʕٙ๓૰dΝࣛආБ

࣬̂ڗܓٙ௰ܝӔ֛ၾᆽႩf߰ൢගϞ˫߅˓ஔᜑฆᗝdԟჿίආБॷ০಻༊ʘۃd
ϤՍᏐ༈ࠅԸᏨൖ၍ഢʕٙәݹ૰݊щᒔϞᘔओᕏሯdאʥϞ஢εʃظظಪତf߰
Ϟdۆڌͪவࡈ࣬၍ஷ༸ᒔʔ੄ᆎଋdᒔცࠅ࿁Ϥ၍ഢ೹Ъ૶௴fࡊ߰dᝈ࿀Ցٙ
ே݊ओତ૶อٙ๓૰dԟჿఱ̙˸ਗ਼ʊண֛Ϟ܆෬ڗܓᅺা ( ϤɗਞϽΥ֝ٙ˴ᇭ০
༊φה੻ ) ٙ৻ଋॷ০׳ɝ၍ഢʕd( ੻ᆽ֛ʊі৻˴ഢʕɽ௅΅ٙ๓૰ʘܝ )dԨ

΋Іଫ೵൷ᕎஈ՟̈dᆽ֛ॷ০ۃ၌dӚϞ̈ତА༦אب᐀ٙΙাiࠠอਗ਼༈ॷ০
Ύ׳ɝ࣬၍dவΫࠅ˸ཫ௪܆෬ڗܓଫڗɓᓃdଉɝ࣬φஷ༸f՟̈ܝdᝈ࿀ॷ০
ۃ၌ٙ৻᐀ʹึઋرd( Ϥуהፗٙॷ০಻༊d̙͜ԸᆽႩ௰ܝ͂ၑ෬̂࣬၍ٙͦᅺ

୞ᓃ )fΎ՟̈ɓ˕৻ଋٙॷ০d˸࡝࡝৻᐀ʹึᓃЪމ಻༊ٙண֛ڗܓiɰ݊΋˸
೹ฆଫ೵׵הண֛ٙڗܓ׳ɝ၍ഢd՟̈ܝdᝈ࿀ॷ০ۃ၌݊щϞ΂Оب᐀ٙΙাi
್ܝdΎਗ਼ʘ׳ଉՑהண֛ʘڗܓd޶޶݊щʥϞओତ̙ԈٙΙাfνϤdˀᔧᅰϣd
຾͟˺୚ˢ࿁ܝdਗ਼͍ίऊݭ௪ٙ͜˴ᇭ০՟̈d˸Ъ̈̀ࠅ˲ቇܓٙࡌ਒ሜ዆f

F. ࿁пଣɨ༺ක֐ሜח࣬̂ᇔኒ (sealer) ܸٙ˿dԨ̝Ꮊ੻࿁ሜחኜՈேਂλ̀ࠅٙ

૶ᆎၾऊݭfΝࣛdਗ਼ʊҷ౬͍ऍظ׵ৢၚʕ૶ݹٙ৵Ըᇭ০Όᅰ՟̈dԨ቗௓ί
৻ଋٙ६̺ɪd౾৻௪͜iίتɻ཭ኪ୦˸݄ᅃˤ˓جආБ࣬၍̂෬ࣛdהภৣԴ
ٙ࣬̂͜ᇔኒ݊ Kerr sealerd̴ٙ˴ϓʱఱ݊ Zinc Oxidef
1. ᑗґɪ݄Б࣬၍̂෬ࣛdʔ̙ঐҁΌʔԴ͜ՑᇔኒfΪމуԴਂλə૶௴ၾࡌҖd၍
ഢʕ̬մٙ၍ኣdʥึϞ஢εʔ஝ۆٙή˙fر˲d৵Ըᇭ᜗͉Ԓʔ࢙׸ၾ၍ኣ੗Υ

੻ܘλdఱၑቇܓή˸๝ᆠழʷə৵Ըᇭ᜗dΈ݊ซ͜ᏚᏀʈՈਗ਼வԬՈ௪̙෧ၾݴ
ਗ׌ٙᇭ᜗̘Ъ቗௓dԨঐၾ၍ኣ੗܆൨Υdᒔॆ݊ʔ˄࢙׸fΪϤdᐼცࠅԴ͜ɓ
Ԭᇔኒ̘՘п܆෬d˸ಂ੗Υᇭ᜗ၾʔ஝ۆ၍ኣʘගٙʧࠦf

2. ࣬̂ࣛdҎૐᇔኒٙ͜ඎ൳ˇ൳λdϾ˲Չ͛ي޴࢙׌ࠅԑ੄λfϤ̮dЪމ࣬၍܆

9