Fissure caries yog suav tias yog ib qho ntawm cov kab mob feem ntau ntawm cov hniav puas. Nws yog qhov nyuaj heev rau kev kuaj mob raws sijhawm. Cov txheej txheem pathological tsis quav ntsej tuaj yeem ua rau cov hniav poob. Txhawm rau tiv thaiv qhov no tshwm sim, koj yuav tsum paub txog txoj hauv kev tiv thaiv kab mob thiab ua raws li lawv ib txwm.
Kev piav qhia tus kab mob
Ib tug hniav muaj lub hauv paus, caj dab thiab lub kaus mom. Ntawm nws qhov chaw zom zaub mov me me hu ua fissures. Lawv feem ntau muab faib ua ob hom:
- Qhib nrog qhov pom hauv qab zoo.
- Kaw, zoo li qhov zawj hauv cov duab nrog yuav luag cov phab ntsa.
Hom kab mob no raug pom tsis yog los ntawm cov neeg laus xwb, tab sis kuj yog cov menyuam yaus. Lawv cov hniav grooves tob heev uas cov khoom noj tas li tau daig hauv lawv. Yog li ntawd, plaque yog tsim. Nyob rau hauv tus txheej txheem ntawm zom zaub mov, cov seem ntawm cov zaub mov nyob rau hauv siab nyob twj ywm nyob rau hauv tubercles. Nyob ntawd lawv decompose, tsim ib qho chaw zoo rau kev tsim cov kab mob. Txawm yuav txhuam hniav kom zoo los yeej tsis lav tiv thaiv kab mob.
Ntauunderestimate fissure caries, ncua nws cov kev kho mob ntawm lub nraub qaum burner. Nyob rau tib lub sijhawm, ntau thiab ntau qhov chaw tshiab tau koom nrog hauv cov txheej txheem pathological. Feem ntau cov neeg mob tuaj rau tus kws kho hniav thaum caries tau ntes tsis tau tsuas yog saum npoo ntawm enamel, tab sis kuj yog lub pulp nws tus kheej. Nyob rau theem no ntawm kev loj hlob ntawm tus kab mob, throbbing mob nrog ib tug neeg tas li, txawm nyob rau hauv tsis muaj lwm yam stimuli. Feem ntau, cov tsos mob zoo li no qhia tias tshwm sim ntawm pulpitis lossis periodontitis.
Ua rau mob
Qhov laj thawj tseem ceeb rau kev loj hlob ntawm tus kab mob yog suav tias yog kev tu lub qhov ncauj tsis raug. Qhov tawg ntawm cov hniav yog qhov chaw tsis yooj yim uas cov khoom noj khoom haus khaws cia tas li. Tom qab ntawd, lawv pib rot thiab rhuav tshem cov enamel. Sij hawm dhau mus, cov txheej txheem pathological ua rau caries, uas maj mam kis mus rau thaj chaw tshiab ntawm cov hniav.
Ntawm lwm yam uas ua rau muaj qhov tshwm sim ntawm tus kabmob, cov kws kho mob txheeb xyuas cov hauv qab no:
- groove loj;
- qis enamel tsis kam;
- hloov pauv ntawm cov qaub ncaug vim muaj kab mob ntev;
- tsis khoom noj khoom haus nrog ntau cov zaub mov carbohydrate.
Nyob rau hauv lub xub ntiag ntawm cov xwm txheej no, caries tsis tas yuav tshwm sim, tab sis qhov tshwm sim ntawm qhov tshwm sim nce ntau zaus. Cov neeg uas muaj kev pheej hmoo yuav tsum tau kuaj xyuas los ntawm kws kho hniav ib ntus. Tsis tas li ntawd, yuav tsum tau saib xyuas ntau dua rau kev tu lub qhov ncauj.
Yuav ua li cas paub txog kab mob koj tus kheej?
Fissure caries yog ib qho ntawm ob pebkab mob hniav, uas tuaj yeem kuaj tau yooj yim ntawm nws tus kheej. Nws yog tsim nyog hais tias peb tab tom tham txog ib hom qhib grooves. Thawj qhov tshwm sim ntawm cov txheej txheem pathological yog darkening ntawm enamel. Nyob rau tib lub sijhawm, qhov saum npoo ntawm cov hniav khaws nws txoj kev ncaj ncees. Cov tsos mob no yog ua tiav los ntawm bouts ntawm monotonous los yog throbbing mob. Maj mam, qhov rhiab heev ntawm cov hniav nyob rau hauv kev sib raug zoo rau sab nraud stimuli nce. Kev noj zaub mov kub los yog txias heev yeej ib txwm nrog kev tsis xis nyob.
Kaw cov hniav tawg yog qhov nyuaj dua. Tus kab mob tuaj yeem loj hlob mus ntev yam tsis muaj kev txhawj xeeb. Cov cim sab nraud ntawm cov txheej txheem pathological yuav luag ib txwm tsis tuaj. Nws tsis tuaj yeem paub tus kab mob ntawm koj tus kheej.
Txoj kev kuaj mob
Thaum thawj cov tsos mob ntawm cov txheej txheem carious tshwm sim, koj yuav tsum nrhiav kev pab los ntawm kws kho hniav. Tsis txhob ntshai thiab tso tseg mus ntsib kws kho mob. Tus kws kho mob sai sai txheeb xyuas cov kab mob pathology thiab pib kho nws, qhov tsawg dua nws yuav tsim teeb meem.
txhawm rau txheeb xyuas cov kab mob caries hauv kev kho hniav niaj hnub, cov kev siv hauv qab no yog siv:
- Kev kuaj pom pom nrog kev sojntsuam. Txoj kev no tsuas yog siv tau rau qhib fissures. Nrog nws, koj tuaj yeem tshuaj xyuas cov grooves thiab tshuaj xyuas qhov xwm txheej ntawm cov enamel.
- Hardware diagnostics. Cov txheej txheem tshawb fawb niaj hnub no tso cai rau koj txheeb xyuas qhov kaw thiab qhib fissures. Thaum lub sijhawm ua haujlwm, tus kws kho mob tshuaj xyuas tus neeg mob cov hniav nrog lub laser tshwj xeeb. Ib qhoLub chaw kho hniav ntiag tug tuaj yeem muab cov kev pabcuam zoo sib xws, tab sis cov chaw kho mob dawb tsis tuaj yeem.
- X-ray. Txoj kev no yog siv los kuaj xyuas cov fissures kaw thaum cov tsos mob tseem ceeb ntawm tus kab mob tsis tuaj. Lawv siv nws txoj kev pab yog tias tus neeg mob tsis txaus siab ntawm cov hniav rhiab heev.
- Fissurotomy. Rau cov txheej txheem, tus kws kho hniav siv cov mos mos tshwj xeeb uas tso cai rau koj qhib cov hniav groove los ntawm 0.6 hli. Feem ntau, qhov no txaus los kuaj pom pathology.
- Siv caries markers.
Thaum xav tias muaj kab mob caries, ntau txoj kev kuaj mob los ntawm cov teev saum toj no feem ntau yog siv ib txhij. Txawm li cas los xij, cov ntaub ntawv tshaj plaws yog txoj kev kho vajtse. Laser kho ntawm cov hniav cuam tshuam los ntawm fissure caries tsis siv. Cov cuab yeej siv rau kev kuaj mob nkaus xwb.
Thaum twg pib kho?
Cov kev xav ntawm kws kho hniav txog qhov teeb meem no txawv heev. Qee tus ntseeg tias qhov tsaus nti ntawm cov enamel tsis xav tau kev kho mob tshwj xeeb. Hauv qhov no, tus neeg mob tau txais cov lus pom zoo ntawm kev saib xyuas kom zoo ntawm qhov ncauj kab noj hniav txhawm rau ncua kev txhim kho ntxiv ntawm cov txheej txheem pathological thiab kev puas tsuaj ntawm cov hniav enamel. Tsuas yog tom qab tus kab mob nce mus txog qib tshiab, kev kho mob tuaj yeem pib.
Lwm tus kws kho hniav muaj kev xav txawv. Lawv ntseeg tias qhov chaw tsaus yog qhov chaw zoo rau kev ua haujlwm tseem ceeb ntawm cov kab mob pathogenic. Tsis muaj sijhawmKev kho mob tuaj yeem ua rau kev puas tsuaj tag nrho cov hniav.
Kev kho tus kab mob yog ua tiav ob txoj hauv kev - nrog kev pab ntawm kev sau thiab siv cov tab tshwj xeeb. Txhua yam kev kho mob yog tsom rau tshem tawm cov ntaub so ntswg cuam tshuam los ntawm caries. Lawv txawv tsuas yog nyob rau hauv kev xaiv ntawm cov khoom thiab cov txheej txheem uas cov duab ntawm cov hniav yog rov qab.
Sau nrog cov khoom siv lub teeb-polymer
Kev kho cov hniav teeb meem pib nrog kev tshem tawm cov ntaub so ntswg carious. Rau qhov no, pob zeb diamond burs yog siv, qhov zaus ntawm kev sib hloov uas yog kwv yees li 30 txhiab revolutions ib ob. Xws li kev kub ceev thiab kev siv cov dej txias ua kom cov txheej txheem tsis mob. Pathological cov ntaub so ntswg raug tshem tawm mus rau theem ntawm cov qauv noj qab haus huv
Thaum kauj ruam tom ntej, tus kws kho hniav yuav etch lub kab noj hniav npaj. Cov txheej txheem no suav nrog kev kho mob hauv qab thiab phab ntsa ntawm cov hniav nrog phosphoric acid. Raws li qhov tshwm sim ntawm etching, micropores yog tsim rau tag nrho cov kab noj hniav.
Tom qab ntawd tus kws kho mob siv cov tshuaj tshwj xeeb - cov nplaum nplaum. Qhov no yog ib yam khoom nplaum uas sau tag nrho cov microcracks ntawm qhov chaw ntawm cov hniav. Tsis tas li, nws siv yog tsim nyog rau kev sib txuas zoo dua ntawm cov khoom ntim nrog cov ntaub so ntswg. Qhov no ua tiav theem kev npaj.
Tus kws kho hniav sau cov kab noj hniav ua ntej qhuav nrog cov khoom ntim. Cov duab ntawm tus hniav thiab nws txoj haujlwm yog rov qab los. Hauv kev kho hniav niaj hnub, qhov nrov tshaj plaws lub teeb filling, uas yog hu ua photopolymer. Nws yog characterized los ntawm siabtiv thaiv kev puas tsuaj, tsis muaj tshuaj lom rau lub cev.
theem kawg ntawm kev kho mob yog polishing ntawm cov ntsia thawv filling. Nrog kev pab los ntawm cov txhuam tshwj xeeb thiab cov hlua roj hmab, tus kws kho hniav smooths tawm tag nrho cov pob thiab roughness.
Kev kho mob nrog kho tabs
Cov txheej txheem rau kev ua haujlwm nrog cov hniav muaj kab mob yog qhov zoo ib yam li cov txheej txheem kho mob uas siv cov filling. Tus kws kho mob thawj zaug xyaum cov ntaub so ntswg carious nyob rau hauv kab noj hniav, npaj rau lub installation ntawm ib hom micro-prosthesis - ib tug kho tab. Tom qab ntawd siv cov nplaum nplaum kom tshem tawm cov microcracks.
Tom qab ntawd, qhov kev xav ntawm cov hniav yog ua, raws li cov kws tshaj lij hauv chav kuaj tshwj xeeb tuaj yeem ua daim ntawv qhia tseeb ntawm nws los ntawm plaster. Raws li tus qauv no, ib qho kev kho dua tshiab tau tsim. Nws tuaj yeem ua los ntawm ceramic, nyiaj lossis kev kho mob alloy ntawm semi-precious hlau. Qhov tshwm sim microprosthesis nyob rau hauv lub recesses ntawm zom ntawm cov hniav. Thaum kawg, tus kws kho hniav ua tib zoo muab nws rau ntawm cov cement tshwj xeeb.
Yuav ua li cas zoo dua: lub filling lossis rov kho tab?
Cov kws kho hniav feem ntau tawm tswv yim txog kev siv cov khoom siv kho hniav. Lawv piav lawv txoj kev xaiv yooj yim heev. Feem ntau caries extends tsis tau tsuas yog rau cov hniav nws tus kheej, tab sis kuj mus rau txhaws. Yog li ntawd, qhov sib txawv me me nyob twj ywm, uas tuaj yeem ua rau muaj kev loj hlob ntawm tus kab mob thib ob. Qhov teeb meem no tuaj yeem zam tau los ntawm kev siv tabs.
Micro prostheses muaj lub neej ua haujlwm ntev dua li kev sau. Ceramic inlays muaj qhov zoo nkauj zoo nkauj. Sij hawm dhau mus, cov khoom no yuav tsis ploj mus, tsis zoo li cov khoom ntim.
Hnub no, txhua qhov chaw kho hniav ntiag tug muaj kev pabcuam rau kev kho cov kab mob caries. Feem ntau, cov txheej txheem kho dua tshiab yog siv nyob rau theem ntawm kev kho dua tshiab. Txhawm rau kom paub tseeb qhov zoo ntawm qhov tshwm sim, koj tuaj yeem paub koj tus kheej nrog cov piv txwv ntawm kev ua haujlwm ntawm kws kho hniav. Yuav luag txhua lub tsev kho mob muaj qhov muag nrog cov duab ua ntej lossis tom qab kho. Ntxiv rau, cov kws tshaj lij yeej ib txwm muab kev lees paub rau kev ua haujlwm.
Tus nqi kho hniav pes tsawg?
Nws tsis tuaj yeem teb cov lus nug no tsis meej. Kev xaiv cov khoom siv ua lub luag haujlwm txiav txim siab hauv tus nqi kawg ntawm kev kho. Piv txwv li, rau kev kho mob ntawm caries nrog lub teeb txhaws, koj yuav tau siv los ntawm 3 mus rau 6 txhiab rubles. Tsis tas li ntawd, cov kws kho hniav tuaj yeem them nqi tshuaj loog.
Tus nqi kho hniav ntau npaum li cas? Hauv qhov teeb meem no, kev xaiv cov khoom siv kuj ua lub luag haujlwm ncaj qha. Lub microprosthesis ua los ntawm kev kho mob alloy yuav raug nqi ntau dua li nws cov ceramic counterpart. Txawm li cas los xij, tom kawg yog tus cwj pwm los ntawm ntau dua durability thiab hnav tsis kam. Nws kuj tseem yuav tsum tau nco ntsoov tias tus nqi kho mob yuav suav nrog kev ua haujlwm ntawm tus kws tshaj lij los ua qhov kev xav. Qhov nruab nrab, tus nqi kawg tuaj yeem sib txawv ntawm 10-20 txhiab rubles.
ntsuas kev tiv thaiv
Fissure caries yog ib yam kab mob uas tuaj yeem zam tau los ntawm kev ua raws li cov lus qhia tiv thaiv. Ntawm lawv:
- mus ntsib kws kho hniav tsis tu ncua. Thaum lub sij hawm teem tseg, tus kws kho mob yuav muaj peev xwm txheeb xyuas cov kab mob uas tshwm sim thiab tshem tawm nws tsis mob.
- Ua raws li cov cai ntawm kev tu lub qhov ncauj (siv cov tshuaj txhuam hniav, yaug).
- Tooth remineralization ib zaug txhua 6 lub hlis.
- Noj cov tshuaj calcium ntxiv. Nws tsim nyog sau cia tias tsuas yog tus kws kho mob tuaj yeem sau tshuaj txhua yam.
Rau cov neeg uas muaj cov txheej txheem nyuaj ntawm qhov tawg, thaum nws tsis tuaj yeem ntxuav cov grooves nrog cov khoom zoo, cov kws kho hniav pom zoo kom ua cov txheej txheem sib khi. Nws suav nrog kev siv cov gel tshwj xeeb rau thaj chaw teeb meem ntawm cov hniav.
