Page 32 - 根管治療的美麗與哀愁 (轉、合篇)

ݴਗ׌f߰዆ࡈ࣬̂ཀ೻ঐ͜ኬᆠኜ૛φ၌d࿁ᇭ᜗ЪՑɖeɞϣ˸ɪٙʱݬ
̋ᆠdࣖ؈ٵ֛ึһλfɓ͇೯ᙂ߰Ϊ͜ኬᆠኜ૛φ၌̋ᆠࣛග˄ɮd( ϣϣɨ

௘Ցᇭ᜗˄ଉ )dிϓᏚᏀʈՈܘҞఱʊ຾̙˸ɨᏀՑ༺ᕎ࣬၍෬̂ʘͦᅺଉܓ
5~7mmdϤࣛdఱʔ֝Ύ͜ኬᆠኜ૛φ၌ਗ਼ᇭ᜗੭̈Ըd[ ܘϞ̙ঐ݊຅ڋ׳ආ
၍ഢʕٙᇭ᜗࢙ඎࡡ͉ఱʔԑ ( ν single-cone technique)]dΪމʊӚϞԑ੄ٙᇭ
᜗̙౤ԶաᆠԨЪᏀᏚfவࣛఱࠅਗ਼ኬᆠኜ૛̋ᆠ׵ᇭ᜗ٙਗЪdࡌ͍ϓܘ೵ᅲ

ٙ tagetagetagd( ϤɗܲᏀ Touch'n Heat ዚኜᙃછᅁᔆٙᑊᚤdڌͪഗʚ༈ஈ
ᇭ᜗dɧϣ฽މ೵ᅲٙ̋ᆠ )d್ܝᎇу͜Υ֝ٙᏚᏀʈՈ׵༈ᇭ᜗ɪЪᏀᏚձ
תИਗЪՇeɧΫ ( ྡ D9)f
9. ࣬φ௅Зٙᇭ᜗d( ІՉɪᄴක֐աᆠܝ )dʫ௅๝ܓٙᜊʷ݊နආٙf຅ᆠܓঐ

੄ɓٜႅጐՑ࣬φ௅Зٙᇭ᜗dԴՉʊ຾ঐ஗ᏀᏚϾ୅ਗࣛdᇭ᜗ʫ௅ٙ๝ܓɰ
̥ʔཀˢ᜗๝৷̈ 3~8 ܓ ℃) Ͼʊ ( ྡ D10)fν؈ϤܝʔίՍจή౤Զᕘ̮ٙ
ᆠඎdԟჿ஗ᏀᏚϾݴਗ̙෧ٙᇭ᜗dਗ਼ึܘϞࣖଟdԨ੻˸ܲ௅ఱफή੗܆И
הϞ၍ഢஷ༸̈ɹ (portals of exit, POEs)i௰ܝdաᆠٙᇭ᜗ίӚϞᘱᚃԶᆠٙ

ઋرɨdਗ਼ึܘҞήܨూՑձ˫̮࣬ఖٙ ( ɛ᜗ ) ๝ܓɓᅵf

Thermal Profile of Gutta-Percha at
the Apical Portion During Vertical Compaction

ྡ D9 ፭ృࠅჯd຅
Դ͜኿֛ཀٙ ᏚᏀʈ
Ոঐ੄නл࣎ආՑd
ᕎ࣬၍෬̂ʘ ͦᅺଉ
ܓߒ 5 ä 7mm ஈdࠠ
ልЪ̋ᆠeᏀᏚeת
ИՇeɧΫΥd዆ࡈ
࣬̂ٙࣖ؈௰λd( Ϥ
ɗ࣬ኽ ݄ᅃᔼࢪژ͛ ྡ D10 Νᅵɰ݊Աኽژ͛ࡁٙ޼Ӻᜑͪj
ࡁ޼Ӻྼ᜕ٙܔᙄ ) ί࣬φݬٙᇭ᜗dІɪᄴක֐աᆠܝdՉ
ʫ௅๝ܓٙᜊʷ݊နආٙd຅Ϥ௅Зٙᇭ
᜗ʊঐաᏀᏚϾ୅ਗ෧Җࣛd಻੻ᇭ᜗ʫ
௅ٙ๝ܓɽߒఱί 41 ä 44℃ ʘගdה
˸ ݄ᅃᔼࢪतਗ਼Ϥ࣬̂˓ج၈ʘމ warm
gutta-perchad݊˸Ꮠ͍Τމ˜า˫ᇭ™Ͼ
ڢ˜ᆠᇭ™܆෬ج

10. ΪϤd຅͜ᏚᏀʈՈɨᏀՑᕎ࣬၍෬̂ʘͦᅺଉܓɽߒ 5~7mm ஈdཫ௪ਂ௰ܝ
ɓϣᏀᏚࣛdஷ੬ึਗ਼ᏀᏚձתИٙਗЪՍจਂ੻೹ฆɮɓᓃdλᜫ዆ࡈ࣬φ

௅ЗٙהϞ̙ঐਉ˕ஷ༸dேঐ੄̂ʱή஗ᇭ᜗ձᇔኒה෬෦fΝࣛdʔΎટ
աᆠ๕ٙ࣬φݬᇭ᜗dঐΪϤ஼နࠥ๝dϾʔΎՈϞݴਗၾ̙෧׌d௰୞஼န
ᖢ֛ɨԸf

20 ݄ᅃˤ࣬̂Ҧஔd຾᜕ʱԮ