Cov plaques yog cov tsub zuj zuj ntawm cov kab mob loj heev uas tau kho ntawm cov enamel ntawm ib lossis ob peb cov hniav ib zaug. Cov kab mob hauv lub qhov ncauj tuaj yeem ua rau acidic ib puag ncig. Nws yog nyob rau hauv qhov cuam tshuam ntawm cov yam tseem ceeb uas cov enamel pib puas thiab siv tsis tau nyob rau hauv ib lub sij hawm luv luv, uas ua rau ib nrab los yog ua tiav kev puas tsuaj ntawm cov hniav.
plaques zoo li cas?
Tsim cov plaques ntawm cov enamel yog sawv cev los ntawm cov quav hniav tsaus lossis lub teeb. Lawv cuam tshuam rau kev noj qab haus huv tag nrho ntawm cov hniav thiab tuaj yeem ua rau cov hniav poob.
Tus mob no feem ntau yog vim muaj cov kab mob loj heev ntawm cov kab mob thiab lawv cov khoom lag luam metabolic nyob hauv lub qhov ncauj thaum lub sijhawm ntawd.
Mechanism of plaque formation
Feem ntau, cov txheej txheem zoo li no tau tsim nyob rau sab nraub qaum ntawm cov hniav. Kev cuam tshuam tsis zoo raws li qhov tshwm sim ua rau demineralization thiab tsim cov caries.
Fissures thiab pits feem ntau cuam tshuam los ntawm cov quav hniav los ntawm cov hniav hniav. Plaque tuaj yeem kis tau ntawm qhov chaw du,uas, thaum lub sij hawm lub cev muaj zog ua si, tuaj rau hauv kev sib cuag nrog lub hauv paus nto. Cov kab mob loj heev tshwm sim feem ntau nyob rau hauv qhov chaw uas nws nyuaj rau kev tu tag nrho.
Kev sib xyaw ntawm cov quav hniav thiab cov yam ntxwv ntawm lawv cov qauv
Qhov tseeb tseem ceeb yog qhov kev tsim no tsis suav nrog cov khoom khib nyiab thiab rov ua dua tom qab ob peb teev tom qab txhuam koj cov hniav.
Plaque feem ntau yog tsim los ntawm cov kab mob microbes. Cov txheej tshiab muaj ntau tus ntawm lawv, thaum lawv tsim cov txheej mos, nplaum thiab pob tshab.
Cov kab mob ntawm cov quav hniav yog raws li hauv qab no: ib nrab ntawm tag nrho cov kab mob plaque yog streptococci, 30 feem pua yog cov kab mob diphtheroids, thiab 20 feem pua yog sib npaug ntawm cov kab mob, fusobacteria, vibrios, neisseria thiab veillonella.
Y Ua rau kab mob microflora
Qhov laj thawj tseem ceeb rau kev tsim cov kab mob pathogenic microflora hauv lub qhov ncauj kab noj hniav, qhov zoo rau kev tso cov quav hniav, suav nrog:
- txo qis hauv kev tiv thaiv tag nrho ntawm tib neeg lub cev, nrog rau cov yam ntxwv tshwj xeeb ntawm kev tiv thaiv;
- noj ntau qab zib, khoom qab zib thiab lwm yam khoom qab zib;
- txhuam hniav tsis tu ncua, thiab tsis ua raws li kev cai huv si;
- qaub ncaug ntau thiab nws cov khoom tsis raug.
Plaque tuaj yeem kis mus rau ib tus neeg cov hniav thiab mus rau tag nrho cov kab. Cov kab mob ntawm qhov xwm txheej no suav hais tias yog salivary. Plaques yog tsim los ntawm tsub zuj zuj ntawm ib cocov ntxhia. Lawv nkag rau hauv qhov ncauj nrog rau qaub ncaug thiab zaub mov.
Yog tias cov quav hniav npog tag nrho cov zom zom ntawm cov molar, ces nws cov xim hloov zoo heev, thiab cov qauv yog deformed raws li qhov tshwm sim.
Cov paib ntawm cov quav hniav yog dab tsi?
Koj tuaj yeem txiav txim siab qhov muaj cov tsos mob ntawm cov kab mob sib sau ua ke siv cov kev tshwm sim sab nraud. Nyob rau thawj theem ntawm nws txoj kev loj hlob, kev tsim cuam tshuam rau qhov chaw ntawm cov hniav saum cov pos hniav.
Feem ntau cov quav hniav yog pleev xim dawb lossis beige. Raws li nws qhov sib xws, nws tuaj yeem ua tau ob qho tib si yas thiab khoom. Cov xim ntawm cov quav hniav los ntawm cov quav hniav yuav ncaj qha nyob ntawm seb cov kas fes, tshuaj yej muaj zog, thiab haus luam yeeb.
Cov kws tshaj lij muaj peev xwm txheeb xyuas qhov tseeb kev sib raug zoo - cov kab mob ntawm cov hniav ntawm lub teeb xim, raws li txoj cai, muaj qhov sib xws ntawm softer, thaum lawv tsim sai dua li cov tawv tawv, thiab tuaj yeem tsim ntau ntau.
Cov pob zeb tsaus tuaj yeem muab piv rau pob zeb hauv qhov ntom ntom, tab sis lawv tsim ntawm tib neeg cov hniav rau lub sijhawm ntev thiab ntim me me thaum piv rau cov teeb pom kev zoo.
Stages of formation
Lub sijhawm ntawm kev tsim cov hniav hniav tuaj yeem sib txawv thiab nyob ntawm qhov ua rau muaj qhov tshwm sim. Tus nqi ntawm cov tsos mob thiab localization ntawm cov quav hniav yuav ncaj qha nyob ntawm seb tus yam ntxwv ntawm tus neeg, nrog rau qhov zoo ntawm qhov ncauj huv si.
Cov theem ntawm kev tsim cov quav hniav yog raws li hauv qab no:
- Thaum pib pomtxoj kev loj hlob ntawm ib tug thawj pellicle, uas txuas mus rau tag nrho cov nto ntawm cov hniav los yog tsuas yog ib feem ntawm nws.
- theem ob - thawj microbiological kis kab mob.
- theem peb yog kho rau ntawm cov molars.
Txoj hauv kev txhawm rau kuaj mob tsis zoo
Tus kws kho hniav yuav tsum paub qhov txawv ntawm cov quav hniav los ntawm lwm hom tartar. Cov ntaub ntawv tseeb tuaj yeem tau txais nrog kev kuaj xyuas ntawm tus neeg mob lub qhov ncauj kab noj hniav, nrog rau kev txheeb xyuas tus kab mob etiotropic.
Kev ntsuas ntsuas tau ua hauv chav kuaj. Nws yog lawv cov uas pab kws kho mob ua qhov kev kuaj mob zaum kawg nrog qhov raug siab thiab txiav txim siab txog txoj kev kho mob zoo dua thiab kho cov kab noj hniav ntawm qhov ncauj.
Nyob rau hauv cov xwm txheej ntawm cov tshuaj niaj hnub no, txhawm rau kuaj xyuas cov txheej txheem inflammatory thiab kab mob hauv lub qhov ncauj, siv cov hauv qab no:
- ua tiav kev kuaj mob ntawm microflora;
- kev tshuaj xyuas lub xeev ntawm tib neeg kev tiv thaiv kab mob;
- tshuaj ntsuam biochemical;
- kuaj cytological.
Kev ua tau zoo ntawm kev kho hniav cov quav hniav yuav ncaj qha nyob ntawm seb qhov tseeb ntawm tus neeg sawv cev ntawm cov kab mob pathology. Qee zaum, hauv kev kuaj mob, cov tshuaj dyes tshwj xeeb yog siv los pab txiav txim qhov ua rau cov quav hniav thiab nws cov active kis mus rau saum npoo ntawm cov hniav.
Microscopy ntawm qhov ncauj kab noj hniav yuav tsum tau txiav txim siab qhov zoo ntawm microflora thiab tshawb nrhiav cov kab mob pathogenic. Txhawm rau ntsuam xyuas tag nrho cov plaque, yuav tsum siv cov qauv ntsuas microbiological.inoculation ntawm ib tug xaiv los yog tsis xaiv nruab nrab.
Tom qab ntawd, kev suav ncaj qha ntawm txhua qhov pom ntawm cov kab mob microbes hauv qhov ncauj tau ua tiav.
Cov quav hniav zoo li cas?
Thaum tshem cov quav hniav uas muaj nyob rau saum npoo ntawm cov hniav, cov kws kho hniav siv cov khoom siv kho hniav tshwj xeeb. Txawm hais tias kev tu kom zoo tuaj yeem ua tiav hauv tsev.
Kev tshem tawm hauv tsev kho mob
Kev tshem tawm cov quav hniav yog thawj zaug ntawm qhov chaw ntawm cov hniav. Tom qab ntawd, cov kws tshwj xeeb txav maj mam txav mus rau ntawm cov hniav hauv ntej.
Yog tias qhov kev tshem tawm tau ua tiav zoo, thiab tus neeg mob ua raws tag nrho cov lus qhia thiab cov cai ntawm tus kws kho mob tshwj xeeb, tom qab ntawd tsis ntev tag nrho cov plaques yuav dhau mus thiab cov microflora hauv qhov ncauj yuav rov zoo li qub.
Qhov zoo ntawm kev kho mob yuav ncaj qha nyob ntawm tus kws kho hniav kws tshaj lij. Tag nrho cov txheej txheem tau muab faib ua cov kauj ruam hauv qab no:
- Kev tshem tawm. Ua tiav kev ntxuav ntawm cov hniav ntawm cov hniav los ntawm kev tsim cov tawv thiab mos sib xws uas tau sau rau hauv cov kab mob hauv lub cev thiab cov pos hniav.
- Kev ua haujlwm. Txhawm rau tiv thaiv kev rov tsim cov plaques, txhua qhov chaw huv thiab cov chaw so ntawm cov hniav yuav tsum tau them nrog tshwj xeeb tshuaj tua kab mob. Yog tias kev ntxuav hauv tsev kho mob ua tiav, ces tus kws kho hniav ua nws.
Kev kho tus kheej
Kev kho mob hauv tsev los ntxuav cov hniav ntawm cov hniav los ntawm cov quav hniav yog nqa tawm los ntawm kev yaug qhov ncauj nrog cov tshuaj kho hniav tshwj xeeb.
Tsis tas li, cov txiaj ntsig zoo tuaj yeem ua tiav thaum siv hydrogen peroxide thiab paj rwb compresses. Tab sis tib lub sijhawm, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov kev kho no tsis yog tsuas yog tshem tawm cov quav hniav xwb, tab sis kuj tuaj yeem ua rau enamel deformation thiab tsis muaj kev phom sij tsawg dua.
Yog tias kev kho tus kab mob hauv tsev tsis ua rau muaj txiaj ntsig zoo, nws tseem ceeb heev kom mus ntsib kws kho mob tam sim ntawd. Kev ncua sij hawm nyob rau hauv qhov xwm txheej yog txwv tsis pub, vim qhov no tsuas yog ua rau qhov xwm txheej hnyav zuj zus, thiab qhov no yog fraught nrog kev poob hniav.
Yuav muaj teeb meem hauv cov kab mob no
Plaque tsis yog ib qho teeb meem zoo nkauj xwb, tab sis kuj yog ib qho kab mob uas tuaj yeem ua rau muaj kab mob caries. Qhov no tuaj yeem yog qhov laj thawj tseem ceeb ntawm ib feem lossis ua tiav cov hniav deformation.
Tsis tas li, ib qho xwm txheej zoo sib xws ua rau muaj kev cuam tshuam ntawm cov kab mob hauv lub cev thiab lwm yam kab mob ntawm cov pos hniav. Raws li koj paub, qhov xwm txheej no feem ntau ua rau cov hniav tsis zoo.
Qhov no tuaj yeem piav qhia los ntawm qhov tseeb tias cov kab mob pathological seem nyem rau ntawm cov pos hniav, uas ua rau muaj kev txhim kho ntawm cov txheej txheem inflammatory. Cov teeb meem zoo li no feem ntau yog kho nrog kev phais thiab prosthetics.
Yuav ua li cas tiv thaiv kab mob?
Kev tiv thaiv yuav ua raws li cov cai ntawm kev tu lub qhov ncauj. Cov kws kho hniav hais tias nws yog kev tu lub qhov ncauj tas li tom qab noj mov uas dhau los ua ib txoj hauv kev txhim khu kev qha uas yuav pab txo qis kev pheej hmoo ntawm hom kab mob no. Nrog kev siv cov tshuaj txhuam hniav zoo thiab txhuam hniav, koj tuaj yeem ua tautshem tawm tag nrho cov quav hniav ua ntej nws muaj sijhawm tig mus ua cov quav hniav.
Txoj cai tu yooj yim uas yuav pab txo qis kev pheej hmoo ntawm cov teeb meem muaj xws li:
- Siv nruab nrab txhuam txhuam nrog lub taub hau me;
- siv tshuaj txhuam hniav uas muaj fluoride;
- ntxuav qhov ncauj kom huv si (ob zaug ib hnub rau tsib feeb);
- siv cov tshuaj balms tshwj xeeb los pab yaj cov quav hniav tsim;
- Siv cov ntaub qhwv kom tob huv qhov sib txawv ntawm cov hniav;
- Txoj txhuam yuav tsum tau hloov txhua ob mus rau peb lub hlis, vim tias tom qab lub sijhawm no cov yav dhau los siv tsis tau.
Rau cov menyuam yaus, nrog rau cov neeg uas muaj teeb meem ntawm caj npab, nws yog qhov zoo tshaj plaws los siv cov txhuam hniav fais fab. Lawv muaj lub tshuab ua kom tig thiab txav mus los uas muab kev ua haujlwm zoo thiab ua kom huv.
Plaque tsis yog cov plaque uas tuaj yeem tshem tawm thaum nruab hnub nrog txhuam yooj yim thiab tshuaj txhuam hniav. Qhov no yog ib yam kab mob txaus ntshai heev, uas ua rau muaj kab mob hauv qhov ncauj hnyav.
