Iapaau ana o ka maʻi periodontitis: Nā Papahana

Maʻi periodontitis mea heʻano o ka hoʻoʻino kaʻina e hoʻomōhala ana i loko o ka periapical nā'aʻaʻa. Kēia pathology periodontal ligaments kānāwai i loko o huʻi palapala, a kaheaia me ka lapaʻau symptoms. Release ma periodontal'aʻaʻa pathogens hiki i li nui o ka 'ē aʻe, loihi mai ka niho nā'aʻaʻa a me nā loko. No laila, i ka iapaau ana o ka maʻi periodontitis E e hoʻomaka 'ana i ka manawa, e pale aku i ka holumua' ole a me nā complications.

Kumu o ka maʻi periodontitis

O ka papa kuhikuhi aʻe i hiki i maʻi li nui - ke caries, a me ka hopena, i kaʻiʻo pepa. Kaumaha ma muli o kahi o ka li nui i hoʻomaka, na kumu hiki e pili nā i ka poino niho a me ka infectious mea hoʻohaumia.

Apical (aikalny) periodontitis hiki nō kāu e kauoha aku ma ka maʻiʻaʻai o kaʻiʻo pepa, i ka marginal kaʻe a li nui pinepine, kena ae la ÿano microtraumas (maʻa e crack hua pisetakia, nahu peni a peni, emi nā palapū, hahau ana). A kolu kumu paha e ka 'inikua ololi - wā i hana maikaʻiʻole o ka maʻi periodontitis i mālama pono ina he allergic naoh i ka hooponopono, e like me ka pono me ka niho e hoʻopiha ana i.

Ma dentistry, e like me ka 'ikepili helu, e alakai infectious maʻi periodontitis, periapical lesion ke kumu ma ka hemolytic a me ka nonhemolytic streptococci. Pathogens kaʻawale ma kaʻiʻo pepaʻawahia waiwai, e komo iloko ma ke kumu Canal, ia pela ka hana ana o ka maʻiʻaʻai komo ma ka lymph.

Aia i kiʻekiʻe aʻe e hoʻonui ai i ka ulu ana o na maʻi like maʻi periodontitis:

• Ka moʻolelo microflora ua nee koena.
• Malocclusion (occlusion) niho.
• Metabolic kāna hana.
• Wikamina deficiency, imbalance o kumumea hehee wale.
• Ke Kula Kaiapuni 'maʻi maʻi.
• A mea hoʻomaʻi, infectious maʻi.
• Pathology o ka endocrine nenoaiu.
• Mimikō.
• Hoemiia e hoʻonele ha awina.

symptoms

Pehea pilikia maʻi ano o ka periodontitis? Ka mea i ka maʻi holo loa asymptomatic, li nui, loa hiki ole ke ikeia. No laila, i ka iapaau ana o ka maʻi periodontitis ua pinepine hoopanee, e hoomanawanui i kākaʻikahi manawa imi. Nā hopena e nalu, a ke alakai i kakahiaka niho me keia poho. He mea pono e hoʻolohe i ia nā hōʻailona he uuku eha ma nahu o paa ai me. Paha i ka manao o hōʻemi iki discomfort ka wā 'enehana hou ma luna o ka niho, percussion. I ka loa i hoikeia symptom - he fistula ma ka nui aʻe ana, ka mea, ua hanaʻia ia no ka outflow o ka loli e accumulates ma ka li nui. Eia naʻe, i ka wa a ka fistula ua hana, nae ko waho ke aupuni 'decomposition huahana, laila, a pau mai symptoms emi iho. Ma ia mau hoopii, e hoomanawanui i ka mea, kākaʻikahi ia i ka dentist. O hoʻoʻino kaʻina mau i Hawaiʻi, ka mea exacerbation ke kānāwai. huʻi / maʻi periodontitis lapaʻau - he pono ana.

Symptoms hilinaʻi ma luna o ka 'ano o ka li nui:

• Maʻi fibrotic periodontitis. A ke nānā palapala, ai ka loli ana o periodontal'aʻaʻa UAIAaIN e fibrous densified olona. Ka maʻi ia kaliʻana, i kekahi manawa ka mea, e ia he transient, pōkole-makahiki eha.
• Maʻi granulating periodontitis. Eia kahi mea akaka oi hai. Ma lalo o mucous nā'aʻaʻa hana fistulas, luku iwi papa proliferating granulation ho okumu. Ma ke kahua o ka fistula nui e pono e ike i ke kauka.
• Maʻi granulomatous periodontitis. Li nui o periodontal'aʻaʻa, i ke kahua o ka kekahi mea hōʻikeʻikeʻuʻuku, a ua piha i granulomas. Kēiaʻano He mea no ka kistogranulema ulu i ka poe he nui i koi 'iaʻoki lāʻau lapaʻau lapaau.

Exacerbation o ka maʻi periodontitis lapaau

Lapaʻau o huʻi exacerbation o ka maʻi ano o ka periodontitis hiki e nā makeʻe kulana, aʻoki lāʻau lapaʻau. O ka papa kuhikuhi hana o nā kauka niho ua cupping li nui e akahele readjustment maʻiʻaʻai kumu. He mea pono e pale maʻiʻaʻai ana i kokoke nā'aʻaʻa. Anati-hoʻoʻino Inc hiki e lawe mai ma lalo o ka ana ma lalo nei:

• Mole Canal patency.
• O hoʻoʻino kaʻina E e akaka IIeEeAIEUIeXAIIUE.
• Ka hapa nui o ka iwi pono e malamaia.
• pono hoi ma kahi ee Symptoms o loa intoxication a me kaʻeha.

Ma kaʻanuʻu mua i loko o ka iapaau ana o ka maʻi periodontitis no machining i kahua niho lua, a me ka moana. Ua ua holoiʻia mai caries? Ee. Auwai a ua malamaia lakou nei, me ka kūikawā preservatives, o hiki mai panina loa sila. Me ka nui hoʻomāhuahua o exudate, ia mea pono e hoike aku i ka obturated Canal. ? Aiaiiuie iie ua kau ma luna o ka 2-3 lā, a laila, hou-i Canal sanitation, a lilo i ka mau sila.

Aat i ua wehe antibacterial kahua niho mea (kāpili ma luna) me ka hoʻohana 'kukuna' ana i kūpono.

Iapaau ana o ka maʻi periodontitis i loko o ka huʻi ke kahua pinepine ponoʻoki kino. Kēia mea he lōʻihi ana, akā, inā i mea e pono ai, ka hoʻohana 'ana i kekahi o nā kiʻina hana:

• Amputation o ka niho kumu.
• Hemisection (Plural moʻolelo holoi aʻa).
• Excision.
• niho pōʻalo.
• Incision, nōkahea o ka nui aʻe ana.

Maʻi fibrotic periodontitis

Hapanui neproyavlyaemy i loko o ka lapaʻau ano o ka palapala o ke periodontitis - fibrous. Kuʻu Home I fibrotic hookomoia periodontal puluniu 'ole. Ma hookolokolo, eia Patchy infiltrates i loaʻa lymphocytes. Ka mole apical puka - gipertsementoz (palapala moʻopane lepo pipili hehee wale), ma ka periphery - haʻawina osteosclerosis. Periodontal nahā i hoʻomaka e hoÿonui ai a me ka periodontium lilo ooieoeiiaeuiuo waiwai. No fibrotic periodontitis nui asymptomatic, diagnosed i kona maʻi 'ano apau loa ae wale thermal ho'āʻo ma a X-Ray kiʻi.

Inā kekahi kauka diagnosed maʻi fibrotic periodontitis, ua mau loa ko oukou lawe mai lapaau o ka maʻi ana, e like me ka mea o ka loa i kūlike ano o ka pākōlea hoohalike. Oia hoi, ina he mea iaʻi auwai a, aole hoi he pono e wehe ia, no ka mea, i loko o kēia hihia o ka exudate aʻole i loaa. O hoʻoʻino kaʻina kŰlń ao wale i ka periodontal ligament, ua i loli pili'aʻaʻa. Ma hope o readjustment o ka lua (iniiaiie ole kiʻekiʻe) ua kau loa iie.

Maʻi granulating periodontitis

Maʻi periodontitis i loko o ka palapala o ka granulation o kekahi o ka K'lauea ano o ka maʻi. Ke kūpono granulation kumu discomfort, no laila, nā mea maʻi i malamaia lakou nei, i loko o ka 'eleu kūpono i ka dentist, kiʻi me ka mea e pono kōkua. Ma huʻi kūlana o ke kaʻina hana o ka ho okumu i ka fistula, hoʻonui exudate therethrough loaa mai koke ia hope exacerbation subsides. A laila, hiki hou lilo asymptomatic, palaualelo ke kaʻina. Wehewehe aku ma ka maʻi granulating periodontitisʻawahia loa, i ke kemu 'ana li nui nā huahana i loko o ke koko. Paradoxically, ka mea, e kokua i ka ho'ēmi i intoxication fistula, e leie aku exudate e kahe ana i loko o ka waha. A hiki i ka blockage o ka fistula, huʻi kaʻina hoʻomaka ho'ā 'mau kaʻapu kōheoheo.

Nā symptoms o keia palapala o periodontal maʻi hilinaʻi nui ma luna o ke kahua o ke kaʻina hana (attenuation ole exacerbation):

• Ma ka huʻi pae hoike eha ma ua e ma luna o ka niho.
• Pain paroxysmal ano, hoʻokāʻoi ma biting paakikiʻai.
• Pehu nui aʻe ana a puni o ka niho o ka hoʻomanawanui.
• Oe ke hoao i ka infiltration i loko o ka apical ciia.
• Fistula neutralizes eha.
• Me ka mahuahua ma ka granulation'aʻaʻa hiki ke manao i loko o ka waha ma lalo o ka mucous atypical wepa.
• Naoh i ka wela i loko o kala.
• Pinepine eia cariogenic lua. Ka wā ku ma ka ai (particles) e ala mai oe eha ka emi ana iloko o ka hoʻomaʻemaʻe o ka lua.

Maʻi granulating periodontitis, hana maikaʻiʻole o ka a - IeAUPIIe, IAa IO he lengthy kaʻina, pinepine i hooholo paa loa. Akā, inā i ka make māinoino o ka maʻiʻaʻai ua malama, i ke kihi o ke kumu ua luku, ka mea e pono ai e causal niho pōʻalo.

Maʻi granulomatous periodontitis

I kā lākou lapaʻau hoike ana granulomatous hana i ka loa sluggish. Hoʻomohala me he kuokoa maʻi, a me heʻilihune o ka granulating kaʻina hana, i ka wa a ka mea i hanaʻia fibrous mea hōʻikeʻikeʻuʻuku, a hele i loko o kistogranulemu. Hana fibrous'aʻaʻa hana like me ka ke'ākeʻakeʻa mai, a ua ālai 'nā mea palahēhē e komo i loko o ke kino.

Maʻi granulomatous periodontitis ua wehewehe aku ma ka lōʻihi asymptomatic papa. Tangible hoailona nā granulomatous ho okumu, a hōʻike ma ka apex o ke kumu o ka niho ciia. I ka maʻi ua hoʻolaha i ekolu hoailona ia mea:

• Simple granulomatous periodontitis.
• Epithelial.
• Kistogranulematozny.

Nā Papahana O Ka ana maʻi granulomatous periodontitis ano hilinaʻi ma luna o ke 'ano o ka maʻi.

hookahi-uhukiia niho lapaʻau ua lawe mai i loko o kekahi Ahaolelo, ina mea maikai ke kea-moana. Multiroot hoola huahelu hou pilikia, no ka mea, pinepine hōʻole komo ana i na auwai a, a me ia mea pilikia. Paha e huʻi kaʻina, a e hopu i ka physiotherapy i kūpono, Anati-hoʻoʻino konohiki, aseptic rinses.

Iapaau ana o ka maʻi granulated periodontitis

Maʻi granulated periodontitis hiki ole ke hoola iho la oia i kekahi kipa 'ana i ka dentist. I kekahi manawa ka mea, he pono i na malama eono, e eia ka mea hope Makuakane me ka maʻi. Ua pono ka palena iki o 4 kipa '.

Ka mua nā:

• ʻike.
• Anesthesia.
• E wehe aʻe i nā kumu o ka moana.
• Sanitation.
• Wehe i ke koena o kaʻiʻo pepa necrotic (particles).
• Holoiʻia ia me ka antiseptics.
• I ka hoike o Anati-hoʻoʻino ai '.
• Ka hoʻopaʻa '? Aiaiiuie e hoʻopiha ana i.
• Kuhikuhi o antibiotics.

ʻO kēia mau kaʻina hana i lawe mai i loko o ka lua [o ka hele:

• Nana.
• Removal o? Aiaiiuie wepa.
• Lavage, decontamination.
• Kekahi? Aiaiiuie iie no 2-3 mahina me ka antiseptic.

Akolu makaikai:

• Radiographic nana.
• E wehewehe ana a me ka aaioee Kanal.
• Loa iie.

Ha o ka makaikai.:

• Hooponopono a me ka hoike ana o ka laulā o ke lapaau.
• E hooiaio ai no ka wa e kaawale aku o complications.

I ka holo 'ano apau loa e koiʻoki lāʻau lapaʻau lapaʻau o ka maʻi periodontitis. Ma kekahi mau hihia, ka mea i hōʻike 'ia nei?

1. Hālawa mau poʻo,'āno'ē wahi o ka apex.
2. Iaʻi o ka moana, ka impossibility o kaʻimiʻana.
3. No ka hopena o ka makeʻe kulana lapaʻau no ka mahina.
4. E holumua ai li nui.

Lapaʻau o granulomatous periodontitis

Iapaau ana o ka maʻi granulomatous periodontitis ua hana ka hoʻohana 'ana kekahi mau ki ina hana like. Ke koho ana o kekahiʻano hana hilinaʻi nui ma luna o ka palapala o ka li nui: granuloma a me cysts hiki i keʻano o ka nui like 'ole. A ma laila? Eaia - makeʻe kulana aʻoki lāʻau lapaʻau - ke kauka hoʻoholo.

pinepine Single-aa niho i malamaia lakou nei, i loko o ka hoʻokahi Ahaolelo. Inā he maikaʻi ia i ke kai permeability, ka mea, ua malamaia lakou nei,, sanitize, pana aku au i diathermocoagulation, pili sila.

Nunui-uhukiia niho (i hookuu i ka ai-i kapaia o ka naauao niho) IeAUPIIe, IAa IO Aʻole 'ae' sanitize auwai a, ka mea, ua malamaia lakou nei, pinepine impregnadionnymi ano (resorcinol, potasiuma iodide, silvering). Eia kekahi, e hiki e ia he antiseptic holoiʻia ia, physiotherapy. Full hoihoi hou ia ana mai o periodontal'aʻaʻa pinepine lawe ana o ka makahiki. Iapaau ana o keia palapala o periodontal maʻi -ʻano laborious kaʻina. E noho a scarring o ka'aʻaʻa pono e noke lāʻau me ka X-kukuna. Ma hope o ka mahina o ka lapaau, ina ke kauka, aole ia i ike 'oluʻoluʻano, ka mea hiki e hooponoponoia ia mea, i ka replantation, i ka niho resection.

ʻike, o ka maʻi periodontitis

Mua e hoʻomaka ana i ka iapaau ana o ka maʻi periodontitis, ia mea e pono ia e kaʻike,. Ua lawe ma luna o ka maʻamau noaia: ahonui ana, anamnesis, Ka Ikepili, loiloi 'ana o ke anamanaʻo i nā hualoaʻa. Ke ana manaʻo nā:

• Nana o ka moʻolelo o ka lua.
• Percussion.
• Palpation.
• Kaʻimiʻana i ke komoʻana o ke kumu Canal.
• Mahana ho'āʻo ma.
• Hoʻoholo 'ana o ka ka hoʻoneʻe pilikia niho.
• Ka hoʻohana o ka uilaʻiʻo pepa ho'āʻo a me ka radiovisiography. Kēia mau kiʻina hana ae mākou e Loiloi i kaʻiʻo pepa vitality.
• Radiography. Information mai ka X-Ray haawi i ka piha kiʻi. Hoohalike ana hoi, o ka mea hilinaʻi nui ma luna o ka hana o ka dentist, no ka mea, holo nōhie periodontitis mea i pololei ai hoike ana, kekahi mauʻano a wale (fibrous, granulating a me ka granulomatous).

Inā i kaʻike, o kekahi o na pepa 'akomi i (a ia lŘlŘ exacerbation o ka maʻi periodontitis) lapaʻau e hāʻawi aku kupono, palapala hōʻoia no dentist.

Kāohi

Ana e pale aku i ka ulu ana o ka maʻi, e kuhikuhi nona ma ka Kāohiʻana o nā caries a me pulpitis. ʻoki lāʻau lapaʻau lapaʻau o ka maʻi periodontitis ua hoʻohana 'ia i loko o loa ano o ka holo, e pale aku i kēia, ka mea i pono, e pili kāohi ana:

• Manao regular ku una ha malama.
• Limited hokii, o ka mea ala, sensible waha i ai ai.
• Maʻamau kipa i ka dentist. E hooholo ia o ka 'inikua ninaninau. Wale i ke kauka ke huai ae i kakahiaka nui na hoailona o ka maʻi, pakahi, i ka manawa e hoʻomaka lapaau. 'Eleu lapaau i ka dentist ka wā o ka mua symptoms e ae, e hāʻawi aku i ka pololei, pono ka hana o ka maʻi periodontitis.
• Hoʻokō 'ana i nā koi kaumaha ma ka dentist ma ka hookolokolo a me ka lapaau.

I ka lā, i kekahi palapala o ka periodontitis mea ma kekona wahi ma hope o caries i loko o ka papa inoa o nā kahua niho ka maʻi. Ka maʻi palapala Ua pilikia i kā lākou asymptomatic, e like me ka hiki, e iho mailoko o ke kino a pau. A kipa i ka dentist kela eono mahina, e hāʻawi iā 'oe me ka' eleu ka loaʻaʻana o nā pilikia a me nā pāʻoihana. E mālamaʻoukou i ka maka ma luna o kou ola.