Hnub no, tej zaum, tsis muaj ib tug neeg uas yuav tsis nrhiav kev pab los ntawm kws kho hniav. Xws li ib tug pathology li cov hniav hauv paus hniav tshwm sim nrog cov teeb meem ntawm basal los yog ncauj tsev menyuam puas. Nws yog tus cwj pwm los ntawm kev puas tsuaj rau cov qauv nyob hauv qab cov pos hniav. Nws tsis tuaj yeem txiav txim siab hauv paus caries thaum kuaj pom. Yog hais tias cov kab mob pathogenic microflora nquag tsim nyob rau hauv tib neeg lub qhov ncauj kab noj hniav, cov pob txha cov ntaub so ntswg yuav poob ib tug loj npaum li cas ntawm cov mineral Cheebtsam: phosphorus, poov tshuaj thiab calcium. Yog li ntawd, thinning ntawm cov ntaub so ntswg npog lub caj dab ntawm incisor thiab cov hauv paus hniav yog pom. Nws yog cov khoom uas tuav lawv nyob rau hauv lub alveolar ridge.
Thaum cov cement puas lawm, kab mob ntawm lub ncauj tsev menyuam yuav tshwm sim. Yog tias kev kho mob ntawm cov hauv paus hniav caries tsis tau ua tiav raws sijhawm, tus kab mob tuaj yeem kis mus rau qhov chaw kaw ntawm cov hniav thiab mus rau hauv cov txheej txheem sib sib zog nqus ntawm cov pos hniav. Qhov no tuaj yeem ua rau cov txheej txheem mob hnyav hauv cov pos hniav thiab periosteum. Kev kuaj mob thiab sau ntawv raws li qhov xwm txheejkev kho mob uas tsim nyog tsuas yog ib tus kws kho hniav uas tsim nyog xwb. Yog tias qhov txhab nkag mus tob heev, cov hniav feem ntau yuav raug tshem tawm.
Factors
Vim li cas cov hniav lwj? Yog vim li cas, raws li rau lwm yam kab mob ntawm lub qhov ncauj kab noj hniav, yog heev txheem - tsis txaus tu cev rau lub qhov ncauj kab noj hniav. Thiab qhov no siv tsis tau tsuas yog rau kev tu yooj yim ntawm incisors. Nws tseem yog ib qho tseem ceeb uas yuav tau siv lwm yam khoom siv kho hniav - tshuaj txhuam hniav, tshuaj tiv thaiv balms thiab rinses. Kev tsis ua raws li cov cai ntawm kev nyiam huv ntawm tus kheej tuaj yeem ua rau muaj kab mob ntawm cov ntaub so ntswg noj qab haus huv. Qhov tshwm sim yog kev loj hlob ntawm caries. Ib qho tsis zoo uas ua rau pom tus kab mob no kuj yog kev siv lwm tus neeg cov txhuam hniav, phuam so tes thiab khoom siv.
Vim vim muaj cov khoom noj khib nyiab hauv lub qhov ncauj, ib puag ncig zoo rau cov kab mob pathogenic thiab microbes tsim. Yog li ntawd, tom qab txhua pluas noj, nws raug nquahu kom yaug koj lub qhov ncauj nrog dej los yog yaug. Kev cuam tshuam qhov xwm txheej yog qhov pom ntawm qhov sib txawv ntawm lub caj dab ntawm cov hniav thiab cov pos hniav. Cov khoom noj tuaj yeem daig hauv nws. Cov kws kho mob hu qhov sib txawv ntawm cov pos hniav. Feem ntau, yog tias tus neeg muaj tus kab mob no tsis tau mus ntsib kws kho mob ntev thiab tsis ua raws li cov txheej txheem xws li cov hauv paus caries txhaws, qhov no ua rau muaj kev puas tsuaj tob.
Yog vim li cas
Cia peb saib kom ze rau qhov no. Ua ntej pib sib tham txog kev kho mob ntawm cov hniav caries, cov neeg mob tshuaj xyuas thiab lwm yam teeb meem, nws yog ib qho tsim nyog yuav tsum nkag siab txog cov laj thawj uas ua rau nws. Feem ntauFeem ntau cov kab mob ua rau cov kab mob carious yog cov kab mob pos hniav thiab cov txheej txheem sib kis hauv qhov ncauj kab noj hniav.
Cov kab mob caries tseem tuaj yeem ua rau cov kab mob ntawm cov hniav xws li mob plab, periostitis, periodontitis, gingivitis, osteomyelitis. Feem ntau o ntawm cov ntaub so ntswg ua rau exfoliation ntawm cov pos hniav ntawm cov pos hniav thiab tsim cov pos hniav. Qhov no yog qhov uas muaj kev loj hlob ntawm cov kab mob pathological pib.
Kev kho cov kab mob hauv paus hniav tuaj yeem sib txawv nyob ntawm nws qhov chaw. Kev kho mob yuav txawv heev.
Risk group
Leej twg yuav muaj feem yuav mob hniav? Muaj kev pheej hmoo yog cov neeg mob uas tsis mloog txaus rau kev tu lub qhov ncauj. Pathology tseem tuaj yeem tsim tawm tsam keeb kwm yav dhau los ntawm kev kho hniav, ntau yam kab mob latent. Txo kev tiv thaiv kab mob tom qab autoimmune lossis kab mob sib kis kuj ua rau muaj kev nkag mus sai ntawm cov kab mob mus rau hauv cov ntaub so ntswg ntawm cov hauv paus hniav. Lub cev nyob rau hauv cov ntaub ntawv no tsuas yog tsis muaj peev xwm tiv nrog cov kab mob thiab microbes ntawm nws tus kheej vim lub fact tias lub cev tsis muaj zog txaus. Yog li ntawd, nyob rau hauv lub qhov ncauj kab noj hniav ntawm tus neeg mob yuav yeej ib txwm muaj ib tug tsom ntawm tus kab mob. Kev ua txhaum me ntsis ntawm kev ncaj ncees ntawm cov hniav, cov pos hniav los yog caj dab ntawm cov hniav tuaj yeem ua rau muaj kev puas tsuaj loj rau cov hauv paus hniav lossis basal.
Qhov kev pheej hmoo ntawm kev tsim kab mob sib sib zog nqus ntawm cov neeg mob laus yog ntau dua 80%. Qhov no feem ntau yog vim qhov tseeb tias nrog lub hnub nyoog, cov pos hniav poob. Qhov no ua rau muaj qhov tshwm sim ntawm cov hauv paus hniav thiab qhov tsosPeriodontal hnab ris.
Cov kws kho hniav tseem xa mus rau pawg neeg pheej hmoo ntawm cov neeg muaj tus cwj pwm phem uas cuam tshuam rau cov kab mob ntawm cov hniav, xws li kev haus luam yeeb, kev tsim txom ntawm caffeine lossis cawv. Tsis tas li ntawd, cov neeg uas feem ntau ntsib qhov kev hloov pauv ntawm qhov kub thiab txias yog qhov tshwj xeeb tshaj yog rau qhov tshwm sim ntawm tus kab mob tsis kaj siab no. Cov uas feem ntau noj zaub mov uas ua rau cov pos hniav raug mob kuj muaj kev pheej hmoo. Yog vim li cas rau txoj kev loj hlob ntawm cov hauv paus hniav caries kuj yog cov kab mob uas muaj ib tug txo nyob rau hauv kev ua ntawm salivary secretion. Qhov tseeb yog tias qaub ncaug muaj lysozyme. Cov enzyme no pab txhawb kev puas tsuaj ntawm phab ntsa ntawm cov kab mob uas tiv thaiv kev tsim cov kab mob hauv lub qhov ncauj.
Yuav ua li cas thiaj paub tus kab mob?
qhov teeb meem no yuav tsum tau muab tshwj xeeb. Yuav kuaj xyuas cov kab mob caries li cas? Thaum kuaj pom, nws tsis tas yuav txheeb xyuas cov kab mob pathology. Qhov teeb meem yog qhov nyuaj ntxiv los ntawm qhov tseeb tias feem ntau, cov hauv paus hniav caries tshwm sim yam tsis muaj cov tsos mob pom. Tus neeg mob tsis qhia qhov tsis txaus siab. Nrhiav tus txheej txheem kab mob latent yuav luag tsis yooj yim sua.
Ib txoj hauv kev zoo tshaj plaws yog kev soj ntsuam nrog daim iav kho hniav. Txhawm rau txiav txim siab qhov kev puas tsuaj rau cov hauv paus hniav thiab paub meej tias qhov kev kuaj mob, tus kws kho mob kuj tuaj yeem sau x-ray ntawm lub puab tsaig hauv ib qho kev kwv yees. Qee zaum, ib txoj hauv kev niaj hnub hu ua orthopantomogram yog siv los kuaj xyuas cov hauv paus hniav caries. Txoj kev kuaj notso cai rau koj kom tau txais cov duab ntxaws ntxaws ntawm cov hniav thiab cov pob txha ntawm lub puab tsaig, nrog rau cov pob txha uas nyob ib sab.
Kuv puas tuaj yeem kuaj tus kheej?
Cia saib rau qhov teeb meem no kom ntxaws ntxiv. Nws yuav luag tsis yooj yim sua kom kuaj xyuas cov hniav hauv paus hniav hauv tsev. Cov duab ntawm cov mob ntawm tus kab mob yuav tsis pab koj nrog qhov no. Txawm tias tus kws kho hniav tsim nyog yuav tsis tuaj yeem kuaj xyuas tom qab kuaj pom. Nws yuav luag tsis tuaj yeem ua qhov kev ntsuam xyuas yam tsis muaj kev siv cov cuab yeej kho mob niaj hnub no. Txawm li cas los xij, muaj ntau cov cim qhia ntawm cov txheej txheem pathological nyob rau hauv lub ncauj tsev menyuam thiab hauv paus cheeb tsam, uas yuav luag ib txwm tshwm sim ib txhij nrog tob hauv paus caries.
Txiav txim siab qhov kev puas tsuaj ntawm cov cag cementum raws li hauv qab no. Ua ntej koj yuav tsum tau ua tib zoo ntxuav lub incisors. Tom qab ntawd, nrog ib tus txhuam hniav nyias, maj mam kos raws kab ntawm cov hniav thiab cov pos hniav, exerting me ntsis siab. Yog tias, thaum ua qhov kev txiav txim no, koj hnov mob hnyav lossis pom cov kab nrib pleb thiab daim tawv nqaij, koj yuav tsum hu rau koj tus kws kho hniav sai sai rau kev kuaj mob.
Yuav kho li cas?
Yog li koj yuav tsum paub dab tsi txog qhov no? Muaj kev xav tias qhov mob carious ntawm cov hauv paus hniav yog qhov qhia meej rau kev tshem tawm cov hniav, vim tias qhov no muaj kev pheej hmoo siab ntawm cov kab mob ntawm cov pos hniav thiab cov pos hniav. Txawm li cas los xij, cov thev naus laus zis niaj hnub thiab cov tshuaj tshiab pab tsis tau tsuas yog khaws cov incisor xwb, tab sis kuj tiv thaiv qhov tshwm sim ntawm ntau yam teeb meem.
Yuav ua li cas yog tias koj muaj cov hniav lwj? Kho lossis tshem tawm? Nyob ntawmthawj theem ntawm tus kab mob no feem ntau yog muab kev tu lub qhov ncauj kab noj hniav. Cov txheej txheem no tso cai rau koj kom tshem tawm tartar. Cov kab mob feem ntau yog nyob rau hauv ib txheej ntawm cov quav hniav. Nrog kev huv tsis txaus ntawm qhov chaw carious, rov kis kab mob thiab o tuaj yeem tshwm sim.
Cov kauj ruam tom ntej yog kho nrog tshuaj tua kab mob thiab tshuaj. Hauv paus caries filling tej zaum yuav tsis txawm nqa tawm. Hauv kev xaus, tus neeg mob raug pom zoo kom mus rau hauv chav kawm ntawm kev kho kom rov zoo. Txoj kev kho no yog tsom rau kev tshem tawm cov xwm txheej uas cuam tshuam qhov tshwm sim ntawm caries.
Nws suav nrog cov txheej txheem hauv qab no:
- kev kho hniav;
- hloov cov kaus mom lossis cov hniav hniav thaum kawg ntawm lawv lub neej kev pabcuam;
- kho nrog tshuaj kho kom ntxiv dag zog rau cov mucous daim nyias nyias ntawm cov pos hniav thiab enamel.
Yog tias cov pos hniav nyob ib puag ncig cov hniav puas lawm, tus kws kho mob tuaj yeem muab tshuaj tua kab mob. Cov txheej txheem no yog ua los ntawm cov khoom siv tshwj xeeb. Qee zaum, kev tshem tawm ntawm cov pos hniav tuaj yeem ua tau. Thaum lub sijhawm txheej txheem no, cov npoo ntawm cov pos hniav uas dai ntawm cov hniav thiab tiv thaiv kev kho mob caries zoo raug kho. Thaum ua qhov haujlwm no, siv cov tshuaj txhuam hniav impregnated nrog cov tshuaj hemostatic tshwj xeeb. Tom qab ntawd cov kab noj hniav carious raug ntxuav, kho nrog tshuaj tua kab mob thiab muab ntim rau.
Yuav ua li cas?
Ntawm qhov teeb meem no nws tsim nyogNco ntsoov sab laj nrog koj tus kws kho hniav. Kev xaiv cov khoom siv rau kev tsim cov filling yog txiav txim siab los ntawm tus kheej tus yam ntxwv ntawm tus neeg mob, nrog rau qhov chaw ntawm thaj chaw cuam tshuam thiab peev nyiaj txiag ntawm tus neeg siv khoom.
Peb hom khoom siv feem ntau, uas yog:
- iav ionomer cement: suav tias yog ib qho zoo tshaj plaws rau kev sau cov chaw nyob hauv qab cov pos hniav. Nws muaj cov khoom nplaum zoo heev. Feem ntau, cov fluorides ntxiv rau qhov muaj pes tsawg leeg ntawm cov cement no. Lawv yog lub luag hauj lwm rau normalizing cov ntxhia qauv ntawm cov hniav.
- Amalgams: cov khoom siv nrog lub neej ua haujlwm ntev. Mercury compounds yog siv rau hauv nws cov khoom siv. Yog li ntawd, nws yog siv tsis tshua muaj heev: cov cuab yeej siv ntawm nws txoj kev siv yog qhov nyuaj thiab yuav tsum muaj kev tiv thaiv tshwj xeeb rau cov neeg mob thiab cov neeg ua haujlwm kho mob. Cov hauv paus sau rau hauv cov menyuam yaus nrog cov khoom no tsis yog nqa tawm.
- Comcomeric: Tej zaum yuav muaj kev cuam tshuam tsis zoo hauv qee kis. Raws li qhov tshwm sim, qhov ntim yuav poob tawm ntawm lub sijhawm tsis zoo tshaj plaws.
Kev siv lub laum tsuas yog ua tau yog tias qhov kev puas tsuaj yog qhov me me ntawm kev puas tsuaj. Yog tias tus kab mob cuam tshuam rau cov hauv paus hniav, qhov txhaws yuav tsis zoo.
Dental Visit
Yuav tsum ua li cas thaum kuaj pom muaj kab mob xws li caries ntawm cov hauv paus hniav? Kev kho mob, cov duab ntawm cov hniav cuam tshuam - qhov no yog cov ntaub ntawv uas feem ntau txaus siab rau cov neeg mob. Puas muaj peev xwm tshem tau tus kab mob? Los yog yuav tsuas yog kev tshem tawm tag nrho? Yog rootcov hniav yog ntau tshaj li ib nrab puas, ces cov lus nug yuav tshwm sim txog qhov tsis tu ncua ntawm nws preservation. Tus kws kho mob tuaj yeem txiav txim siab txog qib ntawm cov kab mob caries, nrog rau muab kev ntsuas rau kev kho kom tiav, raws li cov txiaj ntsig ntawm kev kuaj pom thiab x-rays.
Qee zaum, txhawm rau txuag lub incisor, koj yuav tsum tau nruab ib lub kaus mom lossis lub tab tshwj xeeb. Txoj kev no yog qhov tseem ceeb ib yam ntawm cov khoom siv prosthetics. Tus kws kho hniav yog lub luag hauj lwm rau kev ua inlays. Nws yuav muaj peev xwm ua tau ib qho khoom tsim nyog, raws li tus kheej qhov loj thiab cov yam ntxwv ntawm cov hniav cuam tshuam. Lub inlay yog ib qho khoom siv sau ua los ntawm cov ntaub ntawv ceramic thiab hlau. Nws yog tsau nrog cov kua nplaum tshwj xeeb. Tag nrho cov txheej txheem installation yuav tsum tau ua raws li kev saib xyuas ntawm tus kws phais orthopedic. Nws feem ntau ua rau tsis muaj teeb meem.
Cov hniav, yog tias tsim nyog, yog kho nrog cov yas cuav. Nws zoo li lub kaus mom uas tiv thaiv lub cutter los ntawm kev puas tsuaj thiab kev raug mob. Txoj kev kho no tso cai rau koj kom tshem tau cov kab mob caries ntev ntev, thiab tseem yog ib qho kev tiv thaiv uas tiv thaiv qhov tshwm sim ntawm kev puas tsuaj rau cov hauv paus hniav ntawm cov hniav. Qhov tseem ceeb tshaj plaws yog ua raws li tag nrho cov kws kho mob cov lus pom zoo thiab ua tib zoo saib xyuas cov incisors.
Kev nyuaj siab
Vim li cas cov cag caries thiaj li txaus ntshai? Cov duab ntawm cov neeg mob siab heev ntawm tus kab mob pab kom tau txais lub tswv yim ntawm qhov ua kom zoo nkauj tsis txaus. Txawm li cas los xij, qhov no tsis yog qhov tseem ceeb tshaj plaws.
Cov hniav hauv paus hniav tuaj yeem ua rau muaj kev loj hlob ntawm cov teeb meem hauv qab no:
- Kab mob thiab suppuration ntawm cov pos hniav thiab cov ntaub so ntswg nyob ib ncig ntawm cov hniav. Lawv muaj lub luag haujlwm kho cov hniav hauvalveoli.
- Nkauj tawm tshiab.
- pob txha tawg.
- Purulent thiab inflammatory txheej txheem hauv pob txha pob txha.
Txhawm rau kom ntseeg tau tias qhov tshwm sim zoo li no tsis txhob kov koj, tom qab kev txhim kho lub kaus mom lossis lub tsho, koj yuav tsum ua tib zoo saib xyuas qhov ncauj. Qhov no yuav pab kom tsis txhob muaj kev txhim kho ntawm cov txheej txheem inflammatory. Tsis tas li ntawd, kev saib xyuas zoo li no yuav tsis tso cai rau cov kab mob nkag mus rau hauv lub qhov ncauj, kom cov ntaub so ntswg noj qab haus huv yuav tsis cuam tshuam. Ntawm qhov tsis txaus ntseeg me ntsis ntawm kev txhim kho cov kab mob caries lossis ua kom pom tseeb ntawm cov kab mob hauv cov pos hniav, koj yuav tsum sab laj nrog kws kho hniav. Tus kws kho mob yuav pab tiv thaiv kev loj hlob ntawm cov kab mob loj xws li purulent lymphadenitis lossis sepsis hauv lub sijhawm.
Ntau tus neeg ntseeg tias cov kab mob hauv cov menyuam yaus tsis tas yuav kho. Tag nrho tib yam, mis nyuj cov hniav, thaum lawv poob tawm, ib tug noj qab nyob zoo incisor yuav loj hlob nyob rau hauv lawv qhov chaw. Tej kev xav ntawd tsis yog lawm. Hauv paus caries tuaj yeem ua rau kev txhim kho ntawm qhov mob thiab kis kab mob ntawm cov pob txha. Txawm tias tom qab tus kab mob incisor ntog tawm, qhov tsom xam yuav nyob twj ywm. Feem ntau, cov hniav uas loj hlob hauv nws qhov chaw kuj yuav mob.
Yuav ua li cas yog tus neeg mob ntshai ntawm kws kho hniav? Hauv qhov no, tib txoj kev xaiv rau kev kho hniav yuav yog kev siv tshuaj loog sedative. Raws li hom tshuaj loog no, tus neeg mob tseem nco qab. Hauv qhov xwm txheej no, kev ua haujlwm ntawm qhov mob receptors nres kiag li. Hnub ua ntej, kom muaj txiaj ntsig zoo ntawm kev siv tshuaj loog, nws raug nquahu kom noj cov tshuaj sedatives, xws li valerian tincture.
Ntawm technologies
Tsis ntev los no hauv kev kho hniavntau txoj kev tshiab tau tshwm sim. Piv txwv li, cov hauv paus hniav caries (ICD code K021) tuaj yeem kho tau siv tshuab laser. Ntau tus neeg mob niaj hnub no nyiam txoj kev no, vim tias cov cuab yeej no, tsis zoo li boron, tsis muaj kev cuam tshuam rau cov chaw kho mob. Tsis tas li ntawd, lub laser beam yog yus muaj los ntawm high-frequency pulsation. Cov hlab ntsha xaus nyob rau hauv lub qhov ncauj kab noj hniav tsuas yog tsis muaj sij hawm los teb nrog qhov mob rau lub laser raug. Kev kub ntawm cov ntaub so ntswg kuj tseem raug cais tawm vim qhov txias txias ntawm thaj chaw kho mob los ntawm cov dej dav hlau muab.
Kev kho cov hniav hauv paus hniav nrog lub laser yog qhov ua tau zoo, kev siv thev naus laus zis, kev cuam tshuam tsawg kawg nkaus ntawm kev phais. Kev siv cov cuab yeej siv niaj hnub no hauv qee qhov ntawm kev puas tsuaj rau lub incisor tso cai rau koj kom tsis txhob muaj teeb meem kev loj hlob. Tsis tas li ntawd, txoj kev kho mob no txhawb nqa kev rov tsim dua tshiab ntawm cov ntaub so ntswg puas thiab txo qhov kev pheej hmoo ntawm kev rov qab los ntawm tus kab mob.
Zoo kawg
Cov hniav hauv paus hniav caries yog ib qho mob hnyav heev. Qhov tseem ceeb ntawm nws txoj kev loj hlob yog tsis ua raws li cov cai ntawm kev tu lub qhov ncauj. Tsis tas li, tus kab mob no tuaj yeem tsim tawm tsam keeb kwm yav dhau los ntawm lwm yam kab mob hauv lub cev. Yog tias koj tsis them sai sai rau qhov teeb meem thiab tsis txhob tiv tauj ib tus kws kho mob tshwj xeeb ntawm thawj theem ntawm kev loj hlob ntawm tus kab mob, muaj kev pheej hmoo ntawm kev poob hniav. Root caries yog qhov nyuaj rau kev kuaj mob. Ib qho kev kuaj pom yuav tsis txaus rau qhov no, tus kws kho mob yuav sau ntawv x-ray ntxiv. kev kho mob cariesnqa tawm ob qho tib si los ntawm kev phais thiab nrog kev pab ntawm cov tshuaj.
