Tib neeg cov hniav xav tau kev saib xyuas tshwj xeeb thoob plaws lub neej. Tom qab tag nrho, kev noj qab haus huv ntawm peb cov kabmob hauv nruab nrog cev, tshwj xeeb tshaj yog cov hnyuv, nyob ntawm lawv tus mob. Lawv tuaj yeem tiv thaiv peb ntawm kev kis kab mob thiab ua chaw yug me nyuam rau nws. Ib tug hniav phem ua rau peb tsis xis nyob tshwj xeeb. Peb hnov mob me ntsis ntawm cov khoom noj txias los yog kub, qab zib los yog qab ntsev. Thaum mob hniav pib, koj yuav tsum hu rau tus kws kho hniav tam sim ntawd, vim tias cov tsos mob pom tseeb yuav qhia tau tias muaj theem ntawm tus kab mob hauv cov hniav. Nyob rau hauv cov ntaub ntawv no, tshwj xeeb txoj kev kho yog siv, ib tug ntawm uas yog endodontic kev kho mob.
Kev Kho Hniav - Endodontics
Endodontics yog ib qho kev taw qhia ntawm kev kho hniav kho hniav, tsom rau kev kho mob ntawm cov kab mob ntawm cov hniav thiab cov ntaub so ntswg nyob ib ncig ntawm cov hauv paus hniav - periodontium. Lo lus "endodontics" los ntawm ob lo lus: "endo" uas txhais tau hais tias "hauv" thiab "odont" uas txhais tau tias "tus hniav".
yog dab tsiKev cuam tshuam endodontic?
Endodontic kev kho mob yog ib qho nyuaj ntawm kev ua tiav ntawm kev kho mob txhawm rau khaws cov hniav. Nyob rau hauv cov ntaub ntawv ntawm xws li cov teeb meem ntawm caries li pulpitis los yog periodontitis, nws yog tsim nyog los ua hauj lwm ncaj qha rau hauv cov hniav. Qhov nyuaj ntawm qhov kev kho mob no yog nyob rau hauv qhov tseeb hais tias lub ntim sab hauv ntawm cov hniav tuaj yeem yog qhov me me, lub lumen ntawm cov kwj dej hauv paus feem ntau nqaim heev uas nws nyuaj txawm tias nws yooj yim los kuaj xyuas nws. Yog hais tias cov hauv paus hniav yog twisted, thiab cov hniav yog tilted, qhov qhib ntawm lub qhov ncauj yog txwv rau ib co yog vim li cas, endodontics ua lub acme ntawm niaj hnub kev kho hniav. Nws yuav tsum muaj kev paub dhau los thiab kev nkag siab zoo los ntawm kws kho hniav, muaj ntau yam kev siv thev naus laus zis ntawm kev kuaj mob thiab kev kho mob.
Endodontic kev kho mob - indications
Cov lus qhia rau kev kho mob yog:
- Txhua yam ntawm cov kab mob pulpitis tsis raug rau kev lom neeg, kev saib xyuas kev noj qab haus huv.
- mob thiab mob ntev.
- Yuav tsum tau rov qab los tom qab kev kho mob endodontic dhau los.
- Npaj cov hniav rau prosthetics nrog stump tabs.
- Kev npaj rau cov hniav nyiaj hniav kub uas yuav tsum tau muaj kev sib tsoo ntawm cov hniav tawv nqaij (xws li nrog ib qho tseem ceeb inclination los yog protrusion ntawm cov hniav ntawm lub puab tsaig).
- Endodontic kev kho mob kuj tau qhia thaum npaj cov hniav rau intracanal whitening.
- Kho cov hniav tawg ua rau raug mobpulp los yog nws tuag.
Puas muaj contraindications rau cov txheej txheem no?
Contraindications rau endodontic cag kwj dej kho tau muab faib ua ob pawg: kiag thiab txheeb ze.
Tsis muaj contraindications:
- kab mob periodontal tiv thaiv cov hniav;
- yog tias tus hniav yuav tsum tau muab tshem tawm rau lwm yam laj thawj (supernumerary, nrog qhov chaw tsis raug ntawm cov hniav thiab tsis raug rau kev kho hniav, nrog rau kev tshem tawm ntxov ntawm cov hniav rau kev qhia orthodontic, thiab lwm yam);
- ntev pob txha ntawm cov hauv paus hniav;
- muaj lub cyst tsis raug rau kev saib xyuas lossis phais kev kho mob, lossis lwm yam tsim hauv thaj chaw ntawm cov hauv paus hniav (osteomyelitis, oncology, thiab lwm yam);
- Tus mob hnyav ntawm tus neeg mob kuj yog ib qho kev txwv tsis pub siv xws li kev kho mob endodontic cag kwj dej.
txheeb ze contraindications:
- tseem ceeb hauv paus kwj dej curvature;
- kev cuam tshuam ntawm cov kwj dej hauv paus (tsis muaj lumen, muaj qhov nyuaj-rau-tshem tawm cov khoom ntim);
- muaj khoom txawv teb chaws nyob rau hauv lub lumen ntawm lub hauv paus kwj dej, xws li fragments ntawm instruments;
- perforations ntawm lub hauv paus phab ntsa;
- kev tsis sib haum xeeb ntawm tus neeg mob, nws tsis kam kho tus hniav.
Lub hom phiaj tau nrhiav los ntawm tus kws kho mob thaum lub sijhawm ua haujlwm no
Cov teeb meem uas tus kws kho hniav ntsib thaum kho cov kab mob endodontic hauv paus kwj dej tuaj yeem muab faib ua cov hauv qab nodestinations:
- Ua kom tsis muaj menyuam ntawm cov cuab yeej thiab cov khoom siv.
- Kev cais cov hniav uas muaj kab mob los ntawm qaub ncaug thaum ua haujlwm.
- Qhib ib nrab lossis ua tiav tshem tawm ntawm cov tawv nqaij tawv lossis ua tiav tshem tawm ntawm nws qhov lwj.
- Tawm tsam cov kab mob microflora hauv cov hniav thiab tom qab cov hauv paus hniav.
- Zoo thiab nyab xeeb nthuav dav ntawm cov hauv paus kwj dej.
- puv puv cov hauv paus kwj dej hauv lawv qhov ntim tag nrho, ib ntus lossis ruaj khov.
- Tswj kev kho kom zoo ntawm txhua theem.
Npaj rau qhov kev kho no
Nyob rau hauv kev npaj rau kev kho mob endodontic kwj dej, nws yog ib qho tsim nyog yuav tau ua ib qho kev ntsuam xyuas tag nrho: kuaj xyuas thiab npaj cov theem ntawm kev cuam tshuam yav tom ntej. Nws yog qhov yuav tsum tau kawm ua ntej x-ray. Cov ntaub ntawv tau txais yuav tsum tau hais meej meej rau tus neeg mob. Tom qab nws nkag siab tag nrho cov ntsiab lus tseem ceeb ntawm kev kho mob yav tom ntej, tus neeg mob kos npe rau daim ntawv tso cai pom zoo.
Nws tseem ceeb heev kom paub tseeb tias tus neeg mob tsis muaj contraindications rau ntau theem ntawm kev kho mob yav tom ntej, tshwj xeeb tshaj yog rau kev siv tshuaj loog. Thaum tsis muaj cov ntaub ntawv txhim khu kev qha txog qhov tsis muaj kev ua xua rau tshuaj loog, nws yog ib qho tsim nyog yuav tsum tau ua qhov kev ua xua los ntawm kev xa tus neeg mob mus rau tus neeg ua xua.
Kev kho mob endodontic ua li cas?
Kev kho mob hauv cov hniav yuav tsum tau uatsuas yog los ntawm cov kws kho mob uas tau txais kev cob qhia tshwj xeeb, tau lees paub los ntawm daim ntawv pov thawj tsim nyog. Thaum xaiv ib txoj kev tshuaj loog, tus kws kho mob yuav tsum xaiv cov tshuaj zoo tshaj plaws, suav nrog cov yam ntxwv ua tau ntawm tus neeg mob lub cev - muaj kev xeeb tub lossis kab mob ntawm cov hlab plawv, kev ua xua rau cov tshuaj tshwj xeeb, thiab lwm yam.
Nyob rau hauv kev kho mob, tus kws kho mob tsis tu ncua saib xyuas tus mob ntawm tus neeg mob, nws yuav tsum tau npaj txhij txhua lub sijhawm los cuam tshuam cov kev kho mob tseem ceeb rau kev kho mob xwm txheej ceev.
Nws yog ib qho tseem ceeb heev uas yuav tau siv cov kev kuaj mob ntxiv thiab kev kho thaum kho. Kev siv lub visiograph lossis apex locator ua rau nws tuaj yeem kho cov hauv paus kwj dej kom zoo, txo qhov kev pheej hmoo ntawm kev raug mob rau cov phab ntsa hauv paus thiab cov ntaub so ntswg nyob ib ncig ntawm cov lus qhia hauv paus, under- lossis overfilling ntawm kwj dej, thiab lwm yam.
Nws yog qhov yuav tsum tau ceeb toom tus neeg mob txog qhov muaj ntau yam teeb meem thiab tsis xis nyob tom qab kho. Nws yog qhov tsim nyog hais tias cov lus piav qhia no tau muab ua ntej tus txheej txheem, qhov no yuav pab tus neeg mob txiav txim siab qhov tsim nyog ntawm kev cuam tshuam thiab muab kev ntseeg siab ntxiv rau tus kws kho mob.
kev kho mob
Txhua theem ntawm kev kho mob endodontic tuaj yeem faib ua peb kauj ruam:
- Npaj nkag mus rau hauv paus kwj dej. Nyob rau theem no, kev siv tshuaj loog yog nqa tawm, tag nrho cov ntaub so ntswg uas tsis tuaj yeem siv tau ntawm cov kab noj hniav carious yog excised, thiab kev kho tshuaj tua kab mob tas li yog nqa tawm.
- Ua haujlwm hauv cov kwj dej hauv paus, npaj lawv rau kev sau mus tas li. Tus kws kho mob pom qhov nkag mus rau hauv paus kwj dej, tshem tawm lawv cov ntsiab lus,suav nrog cov kab mob los ntawm cov phab ntsa, ua rau kom cov lumen ntawm cov channel muaj peev xwm ua tau ntxiv. Qhov muaj qhov tsis tu ncua ntawm cov tshuaj tua kab mob hauv cov lumen ntawm cov kwj dej hauv paus thaum kho endodontic yog qhov tsim nyog!
- Tom qab tshem tawm qhov mob thiab ntxuav tawm ntawm ntau yam kab mob, cov hauv paus hniav raug kaw. Cov txheej txheem ntawm kev sau yog nyob ntawm qhov kev kuaj mob thiab kev tsim nyog ntawm tus kws kho mob. Tom qab ua tiav txoj haujlwm, yuav tsum tau ua x-ray. Kev xaiv ib txoj hauv kev rau kev kho dua tshiab ntawm sab nrauv ntawm tus hniav yog sib tham nrog tus neeg mob ntxiv.
Kev kho mob ntawm cov kab mob peritonitis
Endodontic kev kho mob ntawm periodontitis muaj ib theem ntxiv - kev kho mob tom qab apical. Tom qab npaj cov hauv paus kwj dej rau txhaws, cov tshuaj tau muab tso rau hauv lawv ib ntus, tshem tawm ib nrab ntawm qhov qhib apical, uas tuaj yeem tiv thaiv kab mob zoo. Feem ntau siv rau lub hom phiaj no yog npaj raws li calcium hydroxide.
Nyob rau hauv cov ntaub ntawv ntawm cov teeb meem ntawm periodontal o nrog tsim granulomas los yog hlwv, txhaj tshuaj tuaj yeem rov ua dua. Yog tias tsim nyog, ntxiv rau kev kho mob endodontic, kev phais tshem tawm ntawm apex ntawm cov hauv paus hniav thiab cov phab ntsa ntawm lub cyst yog nqa tawm.
Kev tsis sib haum xeeb thaum tswj hwm
Cov teeb meem feem ntau hauv kev kho mob endodontic yog:
- Fracture of instrument in the lumen of the cag kwj dej.
- Txoj hauv paus phab ntsa.
- Tsis pom ib lub hauv paus kwj dej ntxiv.
- Tsis txaustxoj hauv paus kwj dej.
- Underfilling ntawm lub hauv paus kwj dej los yog tshem tawm ntau dhau ntawm cov khoom filling tshaj lub hauv paus.
- Tsis ua tiav ntawm lub lumen ntawm cov kwj dej hauv paus, ua rau resorption ntawm cov hauv paus txhaws.
- Mob thiab / lossis o tom qab kho.
Yog tias muaj kev tsis txaus siab tshwm sim lossis pom pom muaj teeb meem, rov qab kho endodontic yog qhia. Thaum lub sij hawm warranty lub sij hawm teev nyob rau hauv daim ntawv cog lus, retreatment yog dawb xwb. Kev kho rov qab tuaj yeem ua tiav ob qho tag nrho thiab ib feem, nrog rau kev rov qab tsuas yog cov kwj dej uas pom qhov sib txawv ntawm cov qauv.
