Page 28 - 根管治療的美麗與哀愁 (轉、合篇)

ගટึաՑԬฆᅂᚤiуԴ༊ഹʔᜫઃ٫ٜટԈՑ˦Έd( ᙅνਗ਼˦๕Սจᓖໄ
Ցषʾ᎘ਉܝ˙ )dɰಀᛓၲϞจ̮ደՑઃ٫ቻകٙઋԫ೯͛fה˸Ϙಂᔼࢪ؃

ʾ੬ึႩމ݄ᅃˤ࣬̂ҦஔdՉྼ݊ɓࡈ޴຅ՈϞܿ኷׌ (technique sensitive) ٙ
዁Ъཀ೻f1994 ϋdίتɻ཭޼୦ࣛdʊϞᅀਠක೯̈ᙃછ̋ᆠༀໄ (Touch'n
Heat)fԴ͜ɪৰəঐ੄ٜટண֛ცࠅٙ๝ܓ̮d຅݄ஔ٫ซࠅഗʚᆠ๕ࣛd̥ࠅ
ჀჀᙃᏀᅁᔆdఱঐίኬᆠኜ૛ٙφ၌dԘ஺ପ͛΋ۃהண֛λٙᆠܓdᜫ݄ஔ

٫ঐ੄Іί዁છኬᆠኜ૛ɪٙᆠܓeձ૧̋መ׵৵Ըᇭ᜗ԴՉழʷٙЗໄeԨ˲
̙˸ҁΌછ၍ซ౤Զᆠ๕ഗʚ৵Ըᇭ᜗ٙࣛගڗ೵ ( ྡ D1)f

ྡ D1 ᙃછ̋ᆠༀໄ Touch'n HeatiჀჀ
ᙃᏀ̋ᆠᅁᔆd݄ஔ٫ఱঐІί዁છኬᆠ
ኜ૛φ၌dၚ๟ήਗ਼ʊண֛ᆠܓٙᆠ๕d
̋መՑ૧ழʷ৵Ըᇭ᜗ٙЗໄdΝࣛঐછ
၍ഗʚᆠ๕ࣛගٙڗ೵

B. ༶͜ʊཫ΋፯֛ཀᏚᏀٜࠦࢰٙʈՈdቇ຅ή࿁ա๝ᆠழʷٙᇭ᜗ЪᏀᏚeתИٙ
ਗЪ (press and hold)d݄݊ᅃˤ࣬̂˓جᗫᒟʘהίf຅ᏚᏀʈՈ (plugger) ί၍ഢ

ʕٙӊɓ௅ЗdЪٜۧಃ࣬φ˙ΣᏀᏚࣛdࠅ፯͜˸ʔᙃʿ၍ኣމࡡۆdϾί༈௅З
Ϟഹ௰ɽᏚᏀٜࠦࢰٙʈՈ ( ਞԈ˜ᔷᇐ™࿁ prefit plugger ٙሞࠑ )d̘ᏀᏚʊա๝
ᆠழʷٙ௰ɽඎᇭ᜗ (capture a maximum cushion of warm gutta-percha)dᔟՉՈϞ

̙෧ݴਗ׌ٙतሯd˸ԑ੄ɽᏚᏀٜࠦࢰٙʈՈ௟Иdʔᜫ̙ݴਗٙᇭ᜗ֻ᜖ഢΣ୅
ਗdආϾԴழʷٙᇭ᜗աࠗϾʔ੻ʔd̥ঐಃ࣬φ˙Σʘ̬մdᑘɭ༾Ϟஷ༸ʘ࣬၍
˴ഢeא༈௅ЗπίϞਉ˕ҋʱ࣬၍ஷ༸٫dɰఱֻ݊ڜɢ௰ʃஈ̘୅ਗeආɝ˸෬
෦வԬஷ༸٤ග ( ྡ D2)f

Push and Hold the Appropriate Plugger

This allows us to develop ྡ D2 ༶͜ʊཫ΋፯֛ᏀᏚٜࠦࢰΥ֝
hydraulic pressure and force the ٙᏚᏀʈՈdίत֛ٙ࣬၍ଉܓ࿁ա๝ᆠ
soften gutta percha which are ழʷٙᇭ᜗̘ЪᏀᏚeתИٙਗЪdԴʊ
moving and molding through Ո̙෧ݴਗ׌ٙᇭ᜗աࠗd̥ঐಃ࣬φΣ
all the accessory canals and ̬մڜɢ௰ʃஈ̘୅ਗe෬෦வԬஷ༸٤
down to the RT. ගd݄݊ᅃˤ࣬̂˓جٙᗫᒟהί

16 ݄ᅃˤ࣬̂Ҧஔd຾᜕ʱԮ