Jiyya na kullum periodontitis: Hanyar

Kullum periodontitis ne wani nau'i na kumburi tsari tasowa a cikin periapical kyallen takarda. Wannan Pathology periodontal jijiyoyin na iya faruwa a m tsari, ko bayyana ba tare da na asibiti bayyanar cututtuka. Saki a periodontal nama pathogens iya sa kumburi da sauran, m daga hakori tsokoki da kuma gabobin. Saboda haka, lura da kullum periodontitis ya kamata a fara a lokacin da za a hana m effects da kuma rikitarwa.

Sanadin kullum periodontitis

Babban abubuwan da za su iya haifar da kullum kumburi - a caries kuma a sakamakon, da ɓangaren litattafan almara. Ya danganta da inda kumburi ya fara, haddasawa za a iya alaka biyu, zuwa ga hakori rauni da kuma dauke da kwayar cutar samu.

Apical (aikalny) periodontitis iya yawanci iya lalacewa ta hanyar kamuwa da angaren litattafan almara, da m baki ko kumburi sau da yawa ya sa inji microtraumas (al'ada don crack kwayoyi, cizo alkalami ko fensir, kasa raunuka, shanyewar jiki). Dalili na uku na iya zama wani likita factor - a lokacin da magani na kullum periodontitis da aka gudanar daidai idan wani rashin lafiyan dauki ga gwamnati, kazalika da hakori fillings.

A Dentistry, bisa ga statistics, manyan cututtuka na kullum periodontitis, periapical rauni lalacewa ta hanyar hemolytic da nonhemolytic streptococci. Pathogens ware a cikin ɓangaren litattafan almara mai guba abubuwa, da suka shiga ta hanyar tushen canals, shi haka ya faru da cewa kamuwa da cuta ya shiga ta Lymph.

Akwai sakandare abubuwan da taimakawa ga ci gaban irin wannan cututtuka kamar na kullum periodontitis:

• The baka microflora an gaji da damuwa da sikẽli.
• Malocclusion (occlusion) hakora.
• Rayuwa cuta.
• Vitamin rashi, rashin daidaituwa daga kufan abubuwa.
• Daban-daban kullum cututtuka.
• A kwayar, cutar.
• Pathology na endocrine tsarin.
• Ciwon sukari.
• Rage rigakafi aiki.

cututtuka

Ta yaya hatsari kullum nau'i na periodontitis? Gaskiyar cewa cutar gudanar gaba daya asymptomatic, da ciwon kumburi, da cikakken ba za a iya ji. Saboda haka, lura da kullum periodontitis ne sau da yawa jinkiri, marasa lafiya da wuya nema lokaci. A sakamakon ne catastrophic da kuma zai iya haifar da farkon hakori hasãra. Wajibi ne a kula da irin alamun kashedi a matsayin karamin zafi a kan cizo na m abinci. Zai yiwu ji na kadan rashin jin daɗi a lokacin da fita ba a kan hakori, feat. Irfan. A mafi bayyananne alama - mai fitsari a kan gumis, shi ne kafa domin outflow na ruwa da cewa accumulates a wani kumburi. Abin baƙin ciki, a lokacin da wani fitsari aka kafa, zahiri located bazuwar kayayyakin, to, dukan cuta cututtuka subside. A irin haka ne, marasa lafiya suna da wuya bi da su da hakora. A kumburi tsari ya ci gaba da halittu farfadowa, da tsanani exacerbation na iya faruwa. m / kullum periodontitis magani - a zama dole gwargwado.

Alamun dogara ne a kan irin kumburi:

• Kullum fibrotic periodontitis. A rare tsari, inda ya shafa periodontal nama maye gurbinsu fibrous densified zaruruwa. Cutar lingering, wani lokacin kuma zai iya zama mai dõgẽwa, gajere zafi.
• Kullum granulating periodontitis. Yana bayyana more pronounced. Karkashin mucous kyallen takarda kafa fistulas, suka hallakar da kashi farantin proliferating granulation samuwar. A cikin samuwar wani fitsari manyan kawai bukatar ganin likita.
• Kullum granulomatous periodontitis. Kumburi periodontal nama, da samuwar wani takamaiman kwantena, wanda aka cika da granulomas. Wannan irin ne mai hadarin gaske saboda kistogranulema ke tsiro zuwa irin wannan har ake bukata m magani.

Exacerbation na kullum periodontitis magani

Jiyya na m exacerbation na kullum siffofin periodontitis na iya zama duka ra'ayin mazan jiya da kuma m. Babban aiki na Zahnärzte aka cupping kumburi da hankali readjustment kamuwa Madogararsa. Wajibi ne su hana kamuwa da cuta daga nan kusa kyallen takarda. Anti-mai kumburi far za a iya za'ayi a karkashin wadannan yanayi:

• Akidar canal patency.
• A kumburi tsari ya kamata a fili sarrafa.
• Mafi yawa daga cikin kashi dole ne a kiyaye su.
• Alamun mai tsanani, abin mãye da zafi dole ne mãsu fakowa ba.

A mataki na farko a lura da kullum periodontitis for machining wani hakori rami da tashar. An tsabtace daga caries expansions. Channels suna bi da musamman magungunan adana, yiwu rufe m hatimi. Tare da wani gagarumin jari na exudate, shi wajibi ne ya bayyana da obturated canal. Wucin gadi cika aka sanya a kan kwanaki 2-3, sa'an nan kuma sake sanya canal muhalli da kuma zama wani m hatimi.

Kumburi an cire antibacterial hakori kayan (pastes) ta amfani da Laser dabaru.

Jiyya na kullum periodontitis a cikin m mataki sau da yawa na bukatar tiyata. Wannan shi ne wani matsananci gwargwado, amma idan ya zama dole, yin amfani da daya daga cikin hanyoyin:

• Yanki na hakori tushen.
• Hemisection (jam'i shafewa Tushen).
• Excision.
• hakori hakar.
• Incision, magudanun ruwa na gumis.

Kullum fibrotic periodontitis

Mai neproyavlyaemy a asibiti ji na cikin irin periodontitis - fibrous. M fibrotic sauya periodontal fiber tsarin. A jarrabawa, akwai Prakiraan infiltrates dake dauke da lymphocytes. A tushen apical rami - gipertsementoz (shaida ciminti abubuwa), a kan periphery - rabo osteosclerosis. Periodontal rata fara fadada da kuma periodontium rasa aikin Properties. Tun fibrotic periodontitis kullum asymptomatic, kamu da kullum siffofin da damar kawai thermal gwaje-gwaje ko X-ray images.

Idan likita kamu kullum fibrotic periodontitis, magani na cutar da ake da yaushe za'ayi nasarar, kamar yadda shi ne mafi m nau'i na warkewa hankali. Ko akwai mai shãmakacẽwa tashoshi, babu bukatar bude shi, domin a cikin wannan harka da exudate ba tara. A kumburi tsari kara kawai ga periodontal jijiya, kusa da nama ba ya canzawa. Bayan readjustment na rami (primary ko sakandare) aka sanya dindindin cika.

Kullum granulating periodontitis

Kullum periodontitis a cikin nau'i na granulation ne daya daga cikin mafi aiki da siffofin da cutar. A sakamakon granulation hanyar rashin jin daɗi, haka marasa lafiya suna bi a dace hanya zuwa ga likitan hakori, samun da isasshen taimako. A m bulan na aiwatar da kafa wani fitsari, tara exudate therethrough sami fita nan da nan bayan haka exacerbation bice. Sai tsari na iya sake zama asymptomatic, indolent. Halin da kullum granulating periodontitis mai guba effects, kumburi kayayyakin da ake tunawa kai tsaye a cikin jini. Paradoxically, shi taimaka wajen rage maye fitsari, wanda damar exudate zuwa daga ƙarƙashinsu a cikin bakinka. Da zaran blockage na fitsari, m aiwatar fara kunna janar guba.

A bayyanar cututtuka na wannan nau'i na periodontal cuta dogara a kan mataki na aiwatar (attenuation ko exacerbation):

• A cikin m lokaci bayyana zafi a latsa a kan wani hakori.
• Pain paroxysmal hali, inganta da biting wuya abinci.
• Kumbura gumis a kusa da hakori na haƙuri.
• Za ka iya gwada infiltration a cikin apical zone.
• Fitsari kau da zafi.
• Tare da karuwa a granulation nama za a iya ji a bakin karkashin mucous atypical hatimi.
• Reaction zuwa zafi a gafarta musu.
• Sau da yawa akwai cariogenic kogo. Lokacin da buga ta abinci barbashi bayyana zafi ya kwanta da cewa a lokacin da tsaftacewa da rami.

Kullum granulating periodontitis, magani na wanda - yawanci wani dogon tsari, sau da yawa ba ya warware gaba daya. Amma idan da barazana da kamuwa da cuta ne a lura, da tip na tushen da aka hallaka, shi yana iya zama dole causal hakori hakar.

Kullum granulomatous periodontitis

A da na asibiti manifestations granulomatous samar da mafi kasãla. Bunƙasa matsayin mai zaman kanta cuta, ko a matsayin sakamako na granulating tsari, lokacin da kafa fibrous kwantena, wanda ya wuce, a kistogranulemu. Kafa fibrous nama abubuwa a matsayin wani shãmaki, kuma ya hana cututtuka a shiga cikin jiki.

Kullum granulomatous periodontitis ne halin da dogon asymptomatic hanya. Ri ãyõyi hada granulomatous samuwar, wanda ya bayyana a cikin koli na tushen na hakori zone. Da cutar ta kasu iri uku:

• Simple granulomatous periodontitis.
• Epithelial.
• Kistogranulematozny.

Hanyar zalunta kullum granulomatous periodontitis siffofin dogara ne a kan irin cuta.

guda-kafe hakori magani ne da za'ayi a daya zaman, idan giciye-tashar ne mai kyau. Multiroot warkar raka'a mafi wuya, domin sau da yawa hana damar yin amfani da tashoshi, ko yana da wuya. Iya zama m tsari, wanda zai iya tsara da physiotherapy dabaru, anti-kumburi jamiái, aseptic rinses.

Jiyya na kullum granulated periodontitis

Kullum granulated periodontitis ba za a iya warke a daya ziyarar da likitan hakora. Wani lokaci yana bukatar watanni shida zuwa karshe jimre da cutar. Yana bukatar wani m na 4 ziyara.

A farko ya hada da:

• Ganewar asali.
• Maganin sa barci.
• Gano da Sanadin tashar.
• Dubagari.
• Ana cire remnants na necrotic ɓangaren litattafan almara barbashi.
• Rinsing da magunguna iri iri.
• A gabatarwar da anti-mai kumburi kwayoyi.
• Kafa wucin gadi fillings.
• Sayen magani na maganin rigakafi.

Wadannan hanyoyin suna da za'ayi a lokacin da na biyu ziyarar:

• Dubawa.
• Kau da wucin gadi like.
• Lavage, decontamination.
• Wani wucin gadi cika for 2-3 watanni da wani maganin antiseptik.

Uku ziyarar:

• Radiographic dubawa.
• Bude da kuma aiki tashar.
• Dindindin cika.

Fourth ziyarar:

• Control, kuma shaida na da tasiri na magani.
• Tabbatarwa da babu rikitarwa.

Lokacin da guje siffofin iya bukatar m magani na kullum periodontitis. A wasu lokuta, aka nuna su?

1. Lankwasa fi, mahaukaci wuri na koli.
2. Toshewa da tashar, da rashin yiwuwar gabansa.
3. Babu tasiri na ra'ayin mazan jiya magani ga wata.
4. Progressive kumburi.

Jiyya na granulomatous periodontitis

Jiyya na kullum granulomatous periodontitis aka yi amfani da hanyoyin da dama. A zabi na wata dabara dogara a kan tsari na kumburi: granuloma da cysts iya samun wani iri-iri masu girma dabam. Wanne makõma liyafar - ra'ayin mazan jiya, ko m - likita yanke shawarar.

Single-tushen hakora sukan bi da a guda taro. Idan tashar permeability ne mai kyau, shi ne bi da, sanitize, ciyar diathermocoagulation, kusa da hatimi.

Multi-kafe hakori (yawanci ake kira hikima hakora) yawanci ba da damar sanitize tashoshi, shi ne sau da yawa a bi impregnadionnymi hanyoyin (resorcinol, potassium iodide, silvering). Bugu da ƙari, za a iya sanya wani antiseptic kurkura, physiotherapy. Maido da cikakken periodontal nama sau da yawa game da daukan wani shekara. Jiyya na wannan nau'i na periodontal cuta - wajen laborious tsari. Farfadowa da scarring na nama dole ne a ci gaba da sarrafawa da X-haskoki. Bayan wata guda, na magani, idan likita ba ga m kuzarin kawo cikas, shi iya yanke shawarar replantation, da hakori resection.

Ganewar asali na kullum periodontitis

Kafin fara lura da kullum periodontitis, shi wajibi ne don yin ganewar asali. Ta dauki a kan wani misali makirci: haƙuri binciken, anamnesis, analysis, kimantawa da binciken sakamakon. A binciken da ya hada da:

• Dubawa da na baka rami.
• Feat. Irfan.
• Palpation.
• Jin yadda babu kome a ƙofar tushen canal.
• Zafin jiki da gwaje-gwaje.
• Tabbatar da dalilin da motsi matsalar hakori.
• A amfani da wutar lantarki ɓangaren litattafan almara gwajin da radiovisiography. Wadannan hanyoyin da damar mu mu tantance ɓangaren litattafan almara lamarinsa.
• Radiography. Bayani daga X-ray bada cikakken hoto. Fassarar shi ya dogara da kwarewa da likitan hakora, saboda m periodontitis ba musamman manifestations, daban-daban siffofin kawai (fibrous, granulating da granulomatous).

Idan ganewar asali ne daya daga cikin siffofin gano (ko auku exacerbation na kullum periodontitis) magani ya kamata sanya m, m likitan hakori.

rigakafin

Matakan cewa hana cin gaban cuta, suna da farko da nufin rigakafin caries da pulpitis. M magani na kullum periodontitis da ake amfani a cikin matsananci siffofin Gudun, don kauce wa wannan, shi wajibi ne su yi amfani m matakan:

• Hankali yau da kullum na baka kula.
• Limited amfani da sweets, m cin abinci.
• Regular ziyara ga likitan hakori. Nassi na likita jarrabawa. Kawai wani likita zai iya gane alamun farko na cuta, bi da bi, da lokacin da za a fara jiyya. Dace magani ga likitan hakori a lokacin da na farko bayyanar cututtuka zai ba da damar sanya daidai, tasiri magani na kullum periodontitis.
• Aiwatar da shawarwari miƙa ta da likitan hakora a lokacin jarrabawa da kuma magani.

Don kwanan wata, wani nau'i na periodontitis ne a karo na biyu wuri bayan caries a cikin jerin hakori cututtuka. A kullum nau'i ne m ga asymptomatic, kazalika da ikon harba dukan jiki. A ziyarar da likitan hakora kowane watanni shida za su samar maka da dace ganewa na matsaloli da kuma mafita. Ka mai ido a kan kiwon lafiya.