Nyob rau hauv tsab xov xwm peb yuav txheeb xyuas seb cov hniav puas kho mob caries.
Thib peb molars tseem hu ua cov hniav ntse, lossis "yim". Nyob rau hauv lub qhov ncauj kab noj hniav, lawv tshwm tom qab tshaj lwm cov hniav, lawv eruption tshwm sim nyob rau hauv nruab nrab ntawm 20-21st xyoo ntawm ib tug neeg lub neej. Nws tsis yog qhov txawv txav rau qhov pom ntawm cov kab mob masticatory nrog rau qhov mob hnyav lossis lwm yam teeb meem.
Vim qhov sib thooj ntawm cov hniav mus rau phab ntsa mandibular, o ntawm cov pos hniav feem ntau tshwm sim. Nrog rau qhov no, kev txawj ntse hniav lwj kuj tshwm sim. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias tsis yog txhua tus kws kho hniav ua kev kho mob ntawm yim. Raws li txoj cai, rho tawm cov hniav cuam tshuam yog siv.
Ua rau caries ntawm daim duab yim
Qhov laj thawj tseem ceeb ntawm kev txawj ntse hniav caries yog nws txoj hauj lwm loj hauv qhov hniav. Yog li ntawd, chav tsev yog qhov nyuaj rau kev nkag mus rau kev tu los ntawm cov khoom khib nyiab thiab cov quav hniav. Cov teeb meem tseem ceeb raug pom yog tias tus molar thib peb tsis tawg tag. ATNyob rau hauv tas li ntawd, ntxuav cov hniav yog nyuaj vim cov pos hniav dai rau nws.
Qee zaum, qhov tsis tiav ntawm cov hniav yog vim nws qhov chaw nruab nrab lossis qhov siab ntawm sab plhu. Tom qab ntawd muaj kev sib txuam ntawm cov quav hniav ntawm cov hniav, uas muaj cov kab mob cariogenic. Qhov no yog qhov ua rau muaj teeb meem nrog cov hniav, nws puas tsuaj.
Lwm yam carious pathology ntawm peb cov molar yog interdental caries. Nws insidiousness nyob rau hauv lub fact tias muaj ib txhij swb ntawm ob tug hniav - kev txawj ntse thiab nyob ib sab mus rau nws. Kev ntxuav qhov chaw nruab nrab ntawm cov hniav feem ntau yog qhov nyuaj, thiab yog tias qhov teeb meem pom tau lig, nws yuav tsum tau kho cov hniav uas nyob ib sab ib yam.
kev txawj ntse hniav lwj tshwm sim li cas?
daim duab kho mob
Zoo ib yam li cov xwm txheej, kev hloov pauv pathological hauv cov molar thib peb thaum pib pib ua yam tsis muaj tsos mob. Nws tsis yooj yim los kuaj xyuas qhov teeb meem ntawm koj tus kheej, txij li kev nkag mus rau cov hniav yog qhov nyuaj. Lub xub ntiag ntawm qhov mob carious yog tshwm sim los ntawm qhov mob thaum noj zaub mov qaub, txias, tais kub, khoom qab zib.
Mob ploj mus tom qab qhov khaus khaus tsis ua, tab sis dhau sij hawm, qhov mob yuav mus tas li. Tus kws kho hniav tuaj yeem kuaj pom caries yam tsis muaj teeb meem los ntawm kev tapping thiab siv cov tshuaj ntsuam xyuas. Kev txiav txim siab ntawm pathological kab noj hniav thiab kev sojntsuam tuaj yeem ua rau mob hauv thaj tsam ntawm enamel-dentin ciam teb. Qhov no yog tshwm sim los ntawm tsub zuj zuj ntawm cov kab mob nyob rau hauv lub pos hniav hood, tom qab nkag mus rau hauv cov hniav kab noj hniav. Raws liCov hniav uas txawj ntse, tus kws kho hniav txiav txim seb puas yuav kho lossis tshem tawm.
Diagnosis
Nyob rau hauv tus txheej txheem ntawm kev kuaj mob cov hniav caries, nws qhov txawv ntawm lwm cov kab mob hniav tsis muaj qhov tseem ceeb me me. Qhov sib txawv ntawm periodontitis nyob rau hauv cov kev hloov nyob rau hauv lub saum ntawm cov hniav, zoo percussion. Pulpitis ua rau mob ntev dua li caries. Ntxiv mus, kab noj hniav nrog pulpitis yog tob dua, thiab mob sib sau ua ke ntawm ib qho chaw.
Tsuas yog tus kws tshaj lij tuaj yeem txiav txim siab qhov kev kuaj mob. Tom qab kuaj tau tiav lawm, xaiv txoj kev kho kom zoo, uas tuaj yeem ua tiav tshwj xeeb hauv chaw kho hniav.
Yog tias muaj kab mob caries thiab cov hniav txhab mob mob, qhia kev cuam tshuam sai.
Nyob qhov chaw carious
Caries ntawm cov molars thib peb yog subdivided zoo ib yam li pathology ntawm lwm cov units:
- Raws li qhov tob ntawm cov txheej txheem, caries tuaj yeem ua rau sab nrauv, nruab nrab, tob.
- Raws li qhov chaw anatomical: caries ntawm cementum, dentin, enamel nto.
- Raws li qhov chaw: interdental, fissure, cervical.
Lub peculiarities ntawm kev txawj ntse cov hniav caries suav nrog qhov tseeb tias nws yuav luag txhua zaus tsis muaj tsos mob. Vim qhov tsis tuaj yeem ntawm cov hniav, tus cwj pwm tsis txaus ntseeg ntawm nws tshwm sim, thiab yog li tus kab mob no tsuas yog kuaj pom nyob rau theem sib sib zog nqus.
txheej txheem ntawm kev ua
Cov hniav ntse, zoo li lwm cov zom zom, xav taukev kho mob raws sij hawm ntawm caries. Thaum txheeb xyuas cov tsos mob ntawm caries, nws yog ib qho tseem ceeb uas yuav tau sab laj nrog kws kho hniav. Thaum tos kev sib tham, nws yuav tsum tau yaug siv tshuaj tua kab mob, piv txwv li, Chlorhexidine, saline, dej qab zib daws, chamomile decoctions.
Nrog kev txhim kho ntawm qhov mob hnyav, kev siv tshuaj tua kab mob xws li Analgin, Ketanov tau tso cai.
Tus kws kho hniav yuav tshuaj xyuas thiab pib kho tus hniav cuam tshuam raws li hauv qab no:
- Tshem tawm cov ntaub so ntswg cuam tshuam nrog kev xyaum.
- ntxuav cov kab noj hniav uas tshwm sim nrog tshuaj tua kab mob.
- Npog cov kab noj hniav nrog tshwj xeeb insulating compound.
- Kev thov ntau txheej ntawm cov khoom ntim.
- Tau hniav sib tsoo kom muab nws cov duab uas xav tau, koom nrog kev kawm ntawm fissures sib haum rau cov hniav noj qab haus huv.
Kuv puas yuav tshem cov hniav hniav nrog kab mob?
Kev kho lossis tshem tawm?
Kev kho cov molars thib peb yog txheej txheem nyuaj heev, vim qhov tsis tuaj yeem ntawm cov hniav. Qee cov cuab yeej tsuas tuaj yeem tsis ncav cuag lub hom phiaj ntawm caries. Tsis tas li ntawd, kev kho mob tsis yog ib txwm ua rau kev nkag siab.
Muaj ntau yam laj thawj vim li cas kev rho tawm yog qhia yog tias cov hniav txhab loj hlob nrog caries:
- Cov hniav tsis zoo.
- Kev tsis tuaj yeem ntawm kev kho kom zoo vim kev nkag tsis tau, qhov yuav tshwm sim ntawm cov kab mob thib ob.
- Txoj kev kho mob yuag rau tus neeg mob liyuav tsum ua kom lub qhov ncauj qhib tau ntev.
Tus hniav hniav yuav tsum raug tshem tawm hauv cov xwm txheej hauv qab no:
- Nws tsis sib luag hauv qhov rooj hniav.
- Nkauj tawm tsam ploj, ua rau tsis xav tau hniav.
- Thaum teething, cov pos hniav ua rau mob.
- Nqe thib peb ua rau tus nplaig, sab plhu.
- Muaj cov kab mob orthodontic, piv txwv li, qhov tawg ntawm lub yim thib yim ua rau kev sib tw ntawm lwm cov units.
- Muaj kab mob siab heev, lub cev masticatory raug puas tsuaj loj.
- Retention, dystopia - kab rov tav, angular qhov chaw ntawm cov molar, nws qhov tawg tsis tiav.
- Lub xub ntiag ntawm lub zog gag reflex nyob rau hauv ib tus neeg, qhov tsis muaj peev xwm qhib qhov ncauj dav.
Extraction Benefits
Kev rho tawm ntawm cov molar thib peb muaj ntau qhov zoo: cov hniav uas nyob ib sab tau tso tawm los ntawm kev sib tw, hloov pauv, kev tsom mus rau kis tau raug tshem tawm ua ke nrog cov hniav cuam tshuam, mob ploj, rov kho dua tsis tas yuav.
Kev rho tawm yog kev zam tsis tau hauv cov xwm txheej hauv qab no:
- Txhim kho qhov system bracket.
- Cys.
- Trigeminal pinched.
- Pericoronitis.
- Khob mob hauv plab.
- lub puab tsaig tsis raug ua rau lwm cov hniav puas.
- Ntau kab mob.
Tshaj tawm, tus hniav tuaj yeem kho tau yog tias xav tau, tab sis tsuas yog tias nws tawg raug raug.
Kev txawj ntse hniav caries kho
Kev khaws cia ntawm cov molar thib peb yog pom zoo los ntawm kws kho mob nyob rau hauv cov ntaub ntawv uas nws tsim nyog rau prosthetics ntawm lwm cov hniav. Qhov tsis muaj ntawm 6 thiab 7th cov hniav yog ntau heev. Nyob rau hauv tas li ntawd, cov hniav txawj ntse yuav ua hauj lwm pab raws li ib tug kev txhawb nqa, ib tug clasp los yog choj zoo li prosthesis, los yog lwm yam orthopedic qauv, yuav raug kho rau nws. Cov lus qhia rau kev kho mob molar thib peb kuj suav nrog:
- kho qhov molar txoj hauj lwm, tsis muaj deviations.
- Nrhiav cov kab mob hauv thawj theem.
- Muaj molar rov los pab zom zaub mov.
- Kev xeeb tub. Hauv qhov xwm txheej zoo li no, kev rho tawm yog contraindicated, thiab kev tsom mus rau kis yuav tsum raug tshem tawm.
Qhov tsis zoo ntawm kev kho mob suav nrog qhov muaj feem ntawm kev tsim cov kab mob thib ob, kab mob ntawm lwm cov hniav.
Yog tias tau txiav txim siab kom khaws cov molar thib peb, tus kws kho hniav yuav pib kho siv ib txoj hauv qab no:
- Kev tshem tawm cov ntaub so ntswg puas, tshuaj tua kab mob ntawm cov kab noj hniav, kho cov hniav nto raws li nws lub cev.
- Txoj kev kho mob, uas tsis suav nrog kev siv lub laum. Enamel yog ntxuav nrog cov cuab yeej tshwj xeeb, rov qab los ntawm kev siv cov tshuaj ntxhia, kua roj vanish.
Yog cov hniav puas loj heev thiab tsis muaj qhov chaw rau qhov txhaws, tus kws kho hniav yuav nruab ib lub kaus mom. Tab sis nws tsim nyog sau cia tias txoj kev no tsis tshua muaj siv los kho cov molars.
Kev nyuaj siab
Thaum muaj kab mob siab heev, kis kab mob los ntawm cov hniavnkag mus rau hauv nws cov ntaub so ntswg sib sib zog nqus, cuam tshuam rau lub pulp. Raws li qhov tshwm sim, qhov mob ntawm cov hlab ntsha tshwm sim, thiab mob hnyav tshwm sim.
Yog tias tsis kho, kev txawj ntse tob tob tuaj yeem ua rau muaj teeb meem loj dua:
- Periodontitis, txoj kev kho uas nyuaj dua li caries. Nrog nws txoj kev loj hlob, tus hniav yuav raug rho tawm.
- YPeriostatitis. Nws kuj yog ib qho qhia rau kev tshem tawm cov hniav tam sim. Tsis tas li ntawd, qhov kev txiav yog ua rau tag nrho thaj chaw mob.
- Tsis kho peristatitis tuaj yeem ua rau osteomyelitis, uas yog kev txhim kho ntawm cov txheej txheem purulent-inflammatory hauv cov pob txha ntawm lub puab tsaig.
- Thaum caries tshwm sim ntawm lub puab tsaig thib peb ntawm lub puab tsaig sab, muaj kev pheej hmoo siab ntawm abscesses, phlegmon.
Tag nrho cov xwm txheej no txaus ntshai thiab yuav tsum tau mus pw hauv tsev kho mob tam sim ntawm tus neeg mob thiab kev phais.
Kev Tiv Thaiv Kab Mob
Tiv thaiv kev loj hlob ntawm caries yuav tso cai cov lus pom zoo hauv qab no:
- Koj yuav tsum txhuam koj cov hniav ob zaug ib hnub. Cov tshuaj uas muaj fluoride yuav tsum tau siv. Koj tuaj yeem ntxuav qhov chaw ntawm cov hniav nrog kev pab los ntawm cov xov tshwj xeeb. Nws yog ib qho tseem ceeb sib npaug los yaug qhov ncauj nrog tshuaj tua kab mob lossis tshuaj ntsuab decoctions.
- Mus ntsib koj tus kws kho hniav kom qhia txog yuav ua li cas txhuam koj cov hniav kom zoo.
- Txo cov zaub mov uas muaj carbohydrate. Tshem cov cwj pwm phem. Nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas kev tiv thaiv ob zaug hauv ib xyoos, ua tiavkev tu hniav kom tshem tawm cov quav hniav thiab tartar.
Yog tias koj ua raws li cov cai yooj yim no, koj tuaj yeem txo qis qhov tshwm sim ntawm caries.
Peb txiav txim siab seb cov hniav puas yuav tsum kho cov kab mob caries.
