Nyob rau hauv tsab xov xwm peb yuav xav txog kev kho mob hypertrophic gingivitis.
Qhov no yog kev hloov pauv hauv cov ntaub so ntswg ntawm cov pos hniav, uas yog nrog los ntawm lawv txoj kev loj hlob nrog kev tsim cov hnab tshos uas sib tshooj ntawm cov hniav hniav. Cov tsos mob ntawm gingivitis yog sawv cev los ntawm o, hyperemia, kub hnyiab thiab los ntshav ntawm cov pos hniav (thaum txhuam, kov, thaum noj), mob nyob rau hauv daim ntawv ntawm cov tshuaj tiv thaiv rau txias, kub los yog qaub zaub mov, unaesthetic tsos ntawm cov pos hniav. Kev kuaj mob ntawm tus kab mob no suav nrog palpation thiab kuaj xyuas, kev txiav txim siab ntawm kev kho hniav, thiab kev kuaj X-ray. Hauv kev kho gingivitis, cov txheej txheem tshuaj tiv thaiv hauv zos, sclerotherapy, gingivectomy, diathermocoagulation ntawm gingival papillae yog siv.
Kev piav qhia ntawm pathology
Hyperplastic (hypertrophic) gingivitis yog ib hom mob ntevgingivitis, uas tshwm sim nrog ib tug predominance ntawm proliferative txheej txheem nyob rau hauv cov pos hniav ntaub so ntswg. Hauv kev kho hniav, cov txheej txheem pathological no tau kuaj pom hauv 3-6% ntawm cov neeg uas muaj kab mob hauv lub cev. Qhov pib ntawm hypertrophic gingivitis feem ntau yog ua ntej los ntawm kev mob catarrhal ntev ntawm cov pos hniav (catarrhal gingivitis).
Daim ntawv no ntawm gingivitis tuaj yeem yog ib qho kev ywj pheej ntawm pathology lossis nrog cov tsos mob ntawm cov kab mob sib kis. Nyob rau hauv tus kab mob no, txawm hais tias ib tug tseem ceeb nce nyob rau hauv lub ntim ntawm cov pos hniav cov ntaub so ntswg, kev ncaj ncees ntawm lub dentoepithelial txuas tsis cuam tshuam, thiab cov kev hloov nyob rau hauv cov pob txha cov ntaub so ntswg ntawm lub alveoli kuj tsis pom. Ua ntej txiav txim siab txog kev kho mob hypertrophic gingivitis, cia peb tham txog qhov ua rau pathology.
Yog vim li cas
Cov xwm txheej dav dav thiab hauv zos tuaj yeem koom nrog hauv kev txhim kho cov txheej txheem pathological no.
Yog peb tham txog lub zos ua rau hypertrophic gingivitis ntawm cov pos hniav, qhov tseem ceeb tshwj xeeb yog rau:
- Hloov pauv tom (qhib lossis sib sib zog nqus tom).
- Tooth anomalies (crowding, twisting, supernumerary teeth).
- Kev tso nyiaj (plaque thiab calculus).
- Mechanical trauma rau cov pos hniav.
- Txoj kev txuas qis qis.
- Muab tso rau qhov tsis raug lossis haum cov hniav cuav.
- Kev tu lub qhov ncauj tsis txaus thaum siv cov khoom siv kho hniav, thiab lwm yam.
Lub etiology ntawm hypertrophic gingivitis yog qhov txaus siab rau ntau tus.
Kev cuam tshuam ntawm hormonalbackground
Ntawm cov laj thawj uas ua rau muaj qhov tshwm sim ntawm tus kab mob, lub luag haujlwm tseem ceeb ntawm cov tshuaj hormonal tsis zoo, yog li cov kab mob feem ntau tshwm sim thaum cev xeeb tub, cev xeeb tub, cev xeeb tub. Gingivitis ntawm cov poj niam cev xeeb tub thiab cov hluas gingivitis feem ntau hu ua cov ntaub ntawv ywj pheej ntawm tus kab mob hauv periodontology. Lwm yam ua rau hypertrophic gingivitis tuaj yeem yog endocrine pathologies (mob ntshav qab zib mellitus, kab mob thyroid), tshuaj (cov tshuaj tiv thaiv kab mob, calcium channel blockers, tshuaj tiv thaiv qhov ncauj, tshuaj tiv thaiv kab mob, thiab lwm yam), leukemia, hypovitaminosis.
Peb tseem xav txog qhov ua rau thiab cov tsos mob ntawm hypertrophic gingivitis.
Kev faib kab mob
Raws li qhov tshwm sim ntawm cov kab mob pathological, thaj chaw hauv cheeb tsam (hauv cheeb tsam ntawm 1-4 cov hniav) thiab cov kab mob gingivitis sib txawv. Feem ntau, cov hom kab mob hauv cheeb tsam ntawm tus kab mob no tau muab tso rau hauv ib qho kev sib cais - papillitis.
Nyob ntawm cov txheej txheem hyperplastic, gingivitis tuaj yeem tshwm sim hauv daim ntawv fibrous (granulating), thiab hauv daim ntawv edematous (inflammatory). Morphological hloov nyob rau hauv cov ntaub ntawv edematous ntawm cov txheej txheem pathological muaj xws li edema ntawm cov ntaub so ntswg ntawm cov fibers ntawm papillae ntawm cov pos hniav, lymphoplasmacytic infiltration, thiab vasodilation. Nyob rau hauv daim ntawv fibrous ntawm tus kab mob no, ib tug proliferation ntawm papillary fibers, nce nyob rau hauv collagen fibers, parakeratosis nrog tsawg pronounced o thiab inflammatory infiltration raug kuaj pom nyob rau hauv ib lub microscope.
Stages
Raws li kev loj hlob ntawm cov pos hniav, muaj peb theem ntawm tus mob catarrhal gingivitis. Cov tsos mob thiab kev kho mob tau tham hauv qab no.
- Yooj yim theem - hypertrophy ntawm papillae ntawm cov pos hniav ntawm lub hauv paus, thaum lub overgrown gingival margin npog cov hniav hniav los ntawm 1/3.
- Nruab nrab - kev loj hlob ntawm kev loj hlob thiab dome-shaped hloov hauv cov duab ntawm papillae ntawm cov pos hniav, uas cov pos hniav overgrown npog cov hniav hniav los ntawm ib nrab.
- Severe - ib qho kev loj hlob ntawm cov gingival papillae thiab cov pos hniav margins thaum lawv npog cov hniav hniav los ntawm ntau tshaj li ib nrab ntawm qhov siab.
Symptoms of disease
Nrog cov ntaub ntawv edematous ntawm gingivitis, cov neeg mob muaj kev kub nyhiab, mob thiab los ntshav ntawm cov pos hniav thaum noj, hypertrophy ntawm papillae, ci liab ntawm cov pos hniav. Thaum kuaj hniav, o thiab loj ntawm gingival papillae, gingival hyperemia nrog lub ntsej muag xiav, los ntshav thaum kuaj, thiab muaj cov hniav nyiaj hniav kub tau sau tseg. Feem ntau, qhov tsim ntawm cov hnab ris tsis muaj tseeb, uas muaj detritus. Kev ncaj ncees ntawm kev sib txuas dentogingival hauv cov txheej txheem pathological no tsis tawg.
Nrog fibrous gingivitis, kev tsis txaus siab txog qhov loj ntawm cov pos hniav tuaj ua ntej, rau qhov kov - lawv qhov ntom ntom, tsis zoo nkauj. Ib cov pos hniav overgrown feem ntau tiv thaiv tus neeg mob los ntawm kev zom zaub mov. Cov pos hniav muaj xim liab dawb, lawv tsis mob, nrog qhov tsis sib xws, ua pob, thiab tsis txhob los ntshav thaum kov. Kev tshuaj xyuas yuav qhia tau tias muaj cov tawv thiab mos subgingival deposits.
Nws yog ib qho tseem ceeb tshwj xeeb rau kev kho mob hypertrophic gingivitis hauv cov menyuam yaus.
Gingivitis hauv menyuam yaus
Hypertrophic gingivitis nyob rau hauv cov menyuam yaus yog ib qho kab mob pathology uas tshwm sim los ntawm kev mob ntawm cov pos hniav ntawm cov pos hniav ncaj qha rau ntawm caj dab ntawm cov hniav thiab interdental papillae. Hauv kev kho hniav menyuam yaus, gingivitis yog ib yam kab mob uas tshwm sim hauv 3% ntawm cov menyuam hnub nyoog 2-5 xyoos. Ntawm cov menyuam yaus, daim duab no yog qhov siab dua. Raws li kev kuaj kab mob sib kis, hom mob ntev tshaj plaws ntawm catarrhal gingivitis, uas yog provoked los ntawm cov quav hniav uas muaj cov kab mob pathogenic ntawm cov hniav.
Thaum Me Nyuam Yaus yog lub sijhawm ntawm cov txheej txheem lom neeg hauv cov ntaub so ntswg: kev hloov pauv morphological hauv cov pos hniav, teething, hauv paus tsim thiab tom tsim. Thaum lub sij hawm puberty, cov ntaub so ntswg nquag teb rau cov kev hloov pauv hormonal, uas ua rau kev tsim cov morphofunctional hauv paus rau kev tsim ntawm o.
Kev kuaj mob hypertrophic gingivitis
Lub hom phiaj tseem ceeb rau kev tshuaj xyuas tus neeg mob hypertrophic gingivitis suav nrog kev tsim lub sijhawm ntsuas lub sijhawm, ntsuas kev nyiam huv, papillary-marginal-alveolar index (PMA), Schiller-Pisarev kuaj, thiab, yog tias tsim nyog, kev tshawb fawb morphological ntawm cov pos hniav cov ntaub so ntswg thiab biopsy. Thaum ua x-ray (intraoral lossis panoramic x-ray, orthopantomography), raws li txoj cai, tsis muaj kev hloov pauv lossis (nrog rau lub sijhawm ntev.chav kawm ntawm hypertrophic gingivitis) osteoporosis ntawm lub apex ntawm interdental septum yog txiav txim siab.
Differential Diagnosis
Hauv kev kuaj mob sib txawv, nws yuav tsum tsis suav nrog cov pos hniav fibromatosis, epulis, cov pos hniav loj hlob hauv cov kab mob. Cov neeg mob hypertrophic gingivitis, nrog rau qee cov kab mob sib xyaw ua ke, yuav tsum tau sab laj los ntawm kws kho mob ntawm qhov tsim nyog: gynecologist, hematologist, endocrinologist, thiab lwm yam.
Kev kho mob hypertrophic gingivitis
Cov neeg mob uas muaj qhov tshwm sim pathological no xav tau kev pab los ntawm kws kho hniav, kws tu cev, tus kws kho mob orthopedist thiab periodontist. Kev kho mob ntawm cov kab mob gingivitis suav nrog kev tshem tawm cov hniav nyiaj hniav kub, kev kho mob ntawm qhov ncauj mucosa nrog tshuaj tua kab mob, da dej hauv qhov ncauj thiab yaug nrog tshuaj ntsuab decoctions, daim ntaub ntawv siv lub sijhawm, cov pos hniav massage, physiotherapy (electrophoresis, galvanization, ultrasound, darsonvalization, laser therapy).
Nrog rau qhov tsis muaj txiaj ntsig ntawm cov txheej txheem tshuaj tiv thaiv hauv zos hauv kev kho mob hypertrophic gingivitis ntawm daim ntawv edematous, tus neeg mob yuav raug muab tshuaj kho sclerosing - txhaj rau hauv papillae ntawm kev daws ntawm gluconate lossis calcium chloride, ethyl cawv lossis qabzib.. Qhov no feem ntau yog ua los ntawm tshuaj loog hauv zos.
Txhawm rau txo qhov o thiab qhov hnyav ntawm cov txheej txheem inflammatory hauv hypertrophic gingivitis, qee cov tshuaj hormonal yog rubbed rau hauv papillae ntawm cov pos hniav, lossis txhaj tshuaj steroid. Thaum khofibrous daim ntawv ntawm hypertrophic gingivitis, conservative txoj kev yog feem ntau siv. Nyob rau tib lub sijhawm, diathermocoagulation ntawm hypertrophied papillae lossis cryodestruction thiab gingivectomy los ua ntej - ib txoj kev ua haujlwm uas cov pos hniav overgrown raug tshem tawm.
Kev kho mob hauv cheeb tsam ntawm hypertrophic gingivitis yuav tsum suav nrog kev tshem tawm ntawm qhov kev raug mob ntawm nws txoj kev loj hlob: kho cov hniav, hloov cov ntim, tshem tawm cov khoom siv tsis zoo, sib tsoo ntawm qhov chaw occlusal, kho orthodontic, phais yas ntawm frenulum. tus nplaig thiab daim di ncauj, thiab lwm yam. Cov txheej txheem rau kev kho tus kab mob no yog qhov ploj ntawm cov kab mob gingival sab nraud thiab cov ntsiab lus tsis xis nyob, qhov normalization ntawm cov hniav index, qhov tsis muaj cov hnab ris hauv lub cev.
kev kho neeg zoo
Feem ntau cov zaub mov txawv rau kev kho mob gingivitis tau zoo heev, lawv yooj yim siv thiab npaj thiab tsis tas yuav siv nyiaj ntau. Txawm li cas los xij, cov txheej txheem no yuav tsum tau ua raws li kev saib xyuas thiab kev tso cai los ntawm kws kho mob.
Tshuaj ntsuab muaj zog tiv thaiv kab mob thiab ua kom cov txheej txheem kho kom zoo. Qhov nrov tshaj plaws ntawm lawv yog chamomile, yarrow, calendula, sage, Oak bark, aloe, celandine. Nrog hypertrophic gingivitis, koj tuaj yeem siv cov zaub mov nram qab no raws li cov tshuaj no:
- 1 tablespoon qhuav paj ntawm chamomile, yarrow thiab calendula yog nchuav rau hauv 300 ml ntawm dej kub thiab infused rau ib teev nyob rau hauv ib lub thermos. Yog lidecoction yuav tsum yaug koj lub qhov ncauj 3 zaug ib hnub twg.
- Sage muaj cov tshuaj tiv thaiv kab mob, txo qhov mob thiab mob. Boil 2 tablespoons ntawm qhuav nroj tsuag nyob rau hauv 200 ml ntawm dej thiab txias. Qhov ncauj yaug yog nqa tawm nrog dej sov 2 zaug hauv ib hnub.
- Oak bark thiab celandine muaj cov nyhuv astringent. Lawv txo cov ntshav thiab o ntawm cov pos hniav nrog gingivitis. Nyob rau hauv sib npaug zos proportions, koj yuav tsum sib tov ntoo qhib bark thiab celandine nyom, insist 4 tablespoons ntawm no sib tov nyob rau hauv ob khob dej nyob rau hauv ib lub thermos thiab yaug koj lub qhov ncauj txhua 5 teev.
Kev tiv thaiv kab mob gingivitis
Nrog hypertrophic juvenile gingivitis thiab cov kab mob no hauv cov poj niam cev xeeb tub, nws ua rau kev txiav txim siab siv cov kev kho mob tshwj xeeb, txij li tom qab kev ruaj khov ntawm cov tshuaj hormones thiab kev yug me nyuam, gingival hyperplasia txo qis lossis ploj tag. Qhov no pathological tshwm sim yog nquag rov tshwm sim, yog li nws yog ib qho tseem ceeb heev kom tshem tawm tag nrho cov provoking hauv zos thiab dav yam.
Kev tiv thaiv kab mob gingivitis los ntawm kev tsis suav nrog kev raug mob rau cov pos hniav, kev tu lub qhov ncauj tsis tu ncua hauv cov chaw kho mob, kev saib xyuas cov hniav thiab cov pos hniav kom raug, thiab tsis suav nrog cov teeb meem hniav ntawm tus neeg mob. Nws kuj xav tau kev kho mob rau endocrine pathologies, xaiv cov tshuaj zoo.
Peb tau tshuaj xyuas qhov ua rau thiab kev faib tawm ntawm hypertrophic gingivitis.
