Page 3 - 根管治療的美麗與哀愁 (轉、合篇)

自 序 ҏ І

̒ϋۃd຅˜࣬၍طᐕٙॆഛߕ - ɪ册™ΙႡ೯БܝdટՑ஢εۃቁᔼࢪԸཥ

ڌ༺ٵ֛ၾ᝔ሧf׵Ϥdซᔟ͉ࣣ€ɨ册˹૔ۃɼd࿁ӊɓЗқΝ༸Υdఃฌ࣬
၍طᐕٙᔼࢪλʾഗཀོٙᎸdڌͪᑽҝၾชࢸfတᕿഹவ΅޴ٝ޴઎ٙːׂd͍

݊ዧᎸ־ϤܵᚃҪࣩԷਂ੻һλeһߕeһҁഛٙਗɢfᑽᑽɽ࢕ٙ˕ܵf
қ̻ОՉϞֱঐ੄ᐏ੻˜݄ᅃˤ࣬၍طᐕ™ٙ̋ܵdኪՑա͜ɓ݄͛ٙஔܠ

ၪၾଣׂfɰΪϤ੻˸ԈᗇӊɓࣩԷٙϓ઻dᆽྼேձ݊щ਺ܵ፭ృ஝ᇍ๟ۆආ
Бطᐕdࢹࢹ޴ᗫf׵ɪɓ˰ߏ 20 ϋ˾d൷ʦߒɓϵϋۃdΪމ Focal infection

theory Ч݊ϾڢٙላᏘdᜫ࣬၍طᐕቊաՑۃה͊Ϟٙሯဲdኬߧೌᅰࡡ͉̙˸હ
пवπٙ኉᜗ೌ၌஗׳૝dஹ੭ʊ຾ҁϓطᐕٙ኉᜗ɰቊաՑϫ௡ʘݪdॸॸ஗ଘ
ଢ଼ϾנৰfఱၑՑə߅ኪ׹׼dɓʲᑺӺྼᗇᔼኪٙʦ˂dFocal infection theory

ٙቱݭʥίf஢εࡇᙄІ್ᐕجٙྠ᜗dԱᔚོєᏐ༈ࠅנદ̈ତ˫࣬մࣙषᜊٙ

኉᜗fӺՉࡡΪৰəᓥշልᕏεᜊٙ࣬၍ӻ୕dᆽྼ࢙׸ᔛਛߧषࡡdᗭ˸຾͟ط
ᐕਗ̴਼ࡁҁΌ૶ৰʘ̮dε̒ɰΪᔼࢪೌج਺ς፭ృ஝ᇍ๟ۆ݄ஔeאΪᔼࢪࡈɛ

ॹ˶ҁ዆ٙطᐕڦׂdϾᜫོєנ˫ٙ׉ሞdঐ੄ͭԑʔᄥf̋ɪί 80 ϋ˾ʘܝd
อጳٙಔ˫ҦஔϞνڠܝ݆ഉছήίΌଢ΢ήක،౳໢d೷݊੭Ըɓتتོਗנ˫

ٙࠬᆓfᎊԟගd࣬၍طᐕλ྅৖̰ίϥߡΝ༁dҬʔՑ̈༩fֱλd׵ 90 ϋ˾ʘ
ܝd࿁ᕃ⌹Υږٙ௴อၾᏐ͜dԴ੻ᐿိٙ࣬၍૶௴ࡌҖཀ೻dᜊϓ޴຅ᔊఊɦϞ

ࣖଟdᜫ˫ᔼࢪ݄ࠠܽБ࣬၍طᐕٙጳᇘfᎇܝdᜑฆ˓ஔᗝίൢගٙႾп༶ࠬ͜
БdഐΥ˸൴ࠪتਗɢ੶ʷϣಣაඒ๓૰૶ᆎၾऊݭ฿ׂٙપᄿdһᜫɹഢᔼࢪ࿁

࣬၍طᐕᄣ૴ೌˢڦːfఱίࣛҏ࡝࡝༨ආɚɤɓ˰ߏd฽Ո͛ي޴࢙ٙ MTA ટ
ഹ४ኈ೮ఙdீཀԸІ˰ޢ΢ήࣩٙԷజኬdʔᓙήᗇྼ MTA ঐ੄Ϟࣖࡌ໾᜖ഢֵ

௅eא݊Зίଉᄴ၍ኣٙॎݸdޟЇீཀᙃʿ኉ᅻ৶ٙอᒻА૰dᐛග MTA λЧᜊ
ϓəຬঐٙ̀ʗѶᖹd̙˸ᜫ࣬φ֠͊೯ԃҁΌٙ˫࣬ᘱᚃϓҖd˸ᗳ˫৶ሯഐ࿴

ௐΥ࣬φකɹeێྼ၍ኣ኉ሯnnഃഃfʔሞ˫࣬մࣙ݊щʊяତषᜊeאઃ٫ϋ
ᙧ๋ᅰɽʃd̥ࠅᗴจᎻ༊dீཀ˜Ύ͛׌࣬၍طᐕ™(Regenerative Endodontics)

೻ҏdఱঐᜫष࿒኉࣬࢝ତೌࠢ͛ዚfϾ௰ڐɤϋdһ͟׵˫͜፿ًҼཥ໘ᓙᄴ
(Dental cone beam computed tomography, CBCT) ண௪ٙ౷ʿd̋ɪ΢၇ৣࢁᝈൖ

ழ᜗೻όٙ޼೯dɓᑘ߉ॎෂ୕ X ΈᏨൖɪٙٛᓃdɓધཀ̘࿁ɚၪᅂ྅ٙመεଚ
ဲfᔟ͟ CBCTd˫ᔼࢪঐ੄ჀᕦІίήᔾ૶dԨ̂ʱ౛છ˫࣬մࣙषᜊeၾቌڐ

ഐ࿴ٙྼ౻ၾତرd੽Ͼঐ੄մ༉Υ֝ήՓ֛̈዆᜗஝ྌdһঐ੄ϞࣖҁഛήੂБ
λӊධطᐕ೻ҏf