Page 34 - 根管治療的美麗與哀愁 (轉、合篇)

ۨ৵Ըᇭ᜗Ⴁۜdא஢዆᜗፿ܓ೹ϞʔΝiʔཀdஷ੬ᅺͪ FM ɽߒ݊яତ፿ܓʬՑɞܓi
Ͼ M จፗ݊፿ܓɞՑɤܓdF ۆ̬݊ՑʬܓfΪϤ຅ܿ፯̈ɓ˕࿕ۨ͜৵Ըᇭ ( ν Me
א FM)d[ ኿Չ፿ܓڐЧ༈࣬၍࣬φݬ၍ഢ׵૶௴ࡌҖܝٙ፿ܓ ]d್ܝਗ਼Չ feathered

φ၌ٜࢰˢ๫ last instrument ʘ tip ٜٙࢰЪ൒਒d( จу਒દ˴ᇭ᜗φ୚ًٙφ၌௅Зd
Դᇭ᜗Ϥࣛٙφ၌ٜࢰɽʃdࠅˢ͜׵௰ܝᓒ௴༈࣬၍୞͋ஷ༸ʘ last instrument ٙφ
၌ٜࢰd೹ฆɽɓᓃ )dΎԸ಻༊வ˕˴ᇭ᜗ (master cone) ݊щ࢙׸஗׳Ցᕎ RT ೵ߒ

0.5~1.0mm ٙЗໄf
ટɨԸᏨൖ˴ᇭ০༊φ (master GP cone fit check) ٙઋرfШ඲ءจ಻༊ࣛdԨʔ
݊ί኿֛ٙ˴ᇭ᜗ɪdԫ΋ඎλʈЪڗܓdЪɪা໮dʑਗ਼˴ᇭ᜗੶Б৔Їা໮ʕᅺͪ
༈ϞٙଉܓiϾ݊ࠅᜫ˴ᇭ᜗ІБٙ๞ɝd( νΝ݄Б࣬၍૶௴ࣛd݊ᜫ၍ഢஷ༸ˏჯ

ഹቛ০๞ɝٙ༸ଣɓᅵ )d̙ᔟഹڢ੬Ⴠݓٙש͂પ৔d޶޶வ˕኿֛Ԩ຾൒਒ཀٙ˴
ᇭ᜗d݊щঐනлή๞๠Ց༺͍ᆽٙЗໄfΝࣛdפᕎ಻༊݊щঐชաՑ˴ᇭ᜗Ϟ஗Ϋ
זٙڜɢ (tug-back sensation)d( ɰఱ݊ί࣬φ୞͋ஷ༸ڝڐd˴ᇭ᜗ࠅϞ஗ஷ༸၍ኣ
ҴИeҼጣИٙชᙂ )d߰ঐϞϤชաʑ݊ቇ຅ٙ༊φf৿ԴவࡈΫזڜɢٙชᙂd݊

̈ତί࣬φ୞͋ஷ༸ਜʘ̮d( Էν೯͛ί࣬၍ʕݬ௅З )dԟჿจፗ࣬၍૶௴ࡌҖਂٙ
ᒔʔ੄ଣซfઓϞ຅ᅂ྅ʕהᜑͪ̈༊φ಻༊ٙഐ؈d̙஗ટաࣛdʑ̙ၑ݊࿁வࡈ࣬
၍ٙ૶௴ࡌҖʈЪɽ̌ѓϓfᎇܝdک̙ਗ਼Ϥɓ኿֛ٙ˴ᇭ০פᕎ၍ഢdਗ਼ʘऍظ׵ϣ
ಣაඒ๓૰ʕdਂڌࠦऊݭஈଣdཫ௪ආБ࣬၍̂෬f

ᎇуd݄Бॷ০಻༊ (paper point test)f͜ऊݭཀ৻ଋٙॷ০і৻࣬၍˴ഢʕٙ
๓૰dΝࣛආБ࿁࣬̂ڗܓٙ௰ܝӔ֛ၾᆽႩfʘܝd࿁пଣɨ༺ක֐ሜח࣬̂ᇔኒ
(sealer) ܸٙ˿dԨ̝Ꮊ੻࿁ሜחኜՈேਂλ̀ࠅٙ૶ᆎၾऊݭfΝࣛdਗ਼ʊҷ౬͍ऍ
ظ׵ৢၚʕ૶ݹٙ৵Ըᇭ০Όᅰ՟̈dԨ቗௓ί৻ଋٙ६̺ɪd౾৻௪͜fၡટഹ˸ቇ

຅ٙ˙ό቗௓ᇔኒd್ܝΎ˸ᇠ࿔ᖢ຅ٙਗЪdਗ਼˴৵Ըᇭ᜗׳Ց༈࣬၍ʕཫ֛܆෬ٙ
ͦᅺଉܓf( ౤፴jίੂБ̋ᆠʲᓙᇭ᜗dක֐ٜۧᏀᏚආБ࣬̂܆෬ਗЪʘۃi௰λ
ᒔঐΎε׳ɓՑՇ˕ڝ᙮ᇭ০ආՑϤ࣬၍ʕd˸౤Զԑ੄ٙ৵Ըᇭ᜗dЪމܝᚃੂБୖ
ྼ࣬̂ٙਿͩ )fᎇʘd༶͜ۃ˖הʮකϞᗫ˜݄ᅃˤ࣬၍̂෬Ҧஔ™ٙ዁Ъ୚ືd஼

ϣࠠልή࿁ᇭ᜗̋ᆠdԨ˸኿՟ཀቇ຅ٜࢰɽʃٙᏚᏀʈՈଡ଼dʹಁ࿁ഹʊա๝ᆠழʷ
ٙᇭ᜗ಃ࣬φ˙ΣਂɨᏀdԨתИٙਗЪ (Press and Hold)dٜՑᏚᏀʈՈঐ੄ɨᏀᇭ
᜗Ցᕎ࣬၍෬̂ʘͦᅺଉܓɽߒ 5~7mm ஈdఱ̙שᙲ X ΈԸᏨൖ࡝࡝הਂٙ࣬၍෬̂
݊щΥ֝kԨӔ֛݊щϞცࠅਂΫ෬೻ҏk್ܝdഗʚ᜖ഢ၊ݸၡྼή෬໾dҁϓ࿁ط

ᐕ˫ٙڿ௅ూҖၾ੗܆೻ҏdഐҼ዆ࡈ࣬၍طᐕʈЪfሗ༉ቡᑗґྼԷί૶௴eࡌҖ˸
ʿ܆෬ཀ೻ʕٙ޲ܠၾሜ዆ ( ਞԈ˜ɪ册™ࣩԷɚɤɞ )f

Dr. Schilder's Remark:
Proper cleaning allows the tooth to heal, proper obturation allows it to stay healed.

22 ݄ᅃˤ࣬̂Ҧஔd຾᜕ʱԮ