Mea Maluna ma Black cavities: ka hōʻike, ke degere o ka papa a me ka lapaʻau

Caries - he maʻi weliweli. Akā, na kumu i ulu ka efficient ala, e hana i kēia maʻi. He aha ka ka Mea Maluna o cavities ma Black? E hoomanao i keia ninau i hou au mamuli.

niho ka palaho

"Cavities" o Roma translates like "popoʻole". Kēia pohihihi pathological kaʻina sluggishly e kahe ana i loko o ka hana nā'aʻaʻa o ka niho. IeAUPIIe, IAa IO ka mea, e hoʻomōhala ana i aie i ka mea i hoʻohui pū hopena o nā palapala kūloko ma, a mawaho kumu.

Ma ka loiloi mua kahua o ka palaho ua nānā 'ia ma ka make ana o ka ke aloha mua o ka enamel a me ka demineralization mea nui kona'okanikaʻole hapa. Mua paakiki kahua niho'aʻaʻa palaho, i ka lua o ka dentin hōʻike. Inā ka hoʻomanawanui eʻaʻoleʻimi 'inikua kōkua no ka lōʻihi manawa, aole e e complications o ka hoʻoʻino periodontal a me kaʻiʻo pepa.

Ka mua mana

He aha ka ka Mea Maluna o Black? Kēia Hoʻohui 'ia carious me ka ho okumu i ka niho ili honua. Ua Ua hōʻike mai iā ia i loko o 1896, e hooholo i nā ana hoʻohālike o ka lapaau ana ma kela a me keia lapaʻau hihia.

He Mea Maluna nā elima papa, kela mea keia mea o ka a i ulu kona iho iie noaia a me ka makaukau o na niho. A iki ma hope, keia'ōnaehana i ua hoʻohuiʻia ai i ka ono o ka papa. I kēia lā, ka mea nana e like keia:

• Ka mua papa - fracture māwae caries, lua a me maoli cavities buccal, e kamaiʻilio ana a me ka palatine niho surfaces (māwae caries).
• Lua - hanaʻino i ka hui 'surfaces o na molars a me premolars.
• Ke kolu - ka papa 'ilikai caries canines a me incisors, mai hoopa aku i ka oki lua penei.
• Ha o ka papa - waiwai awi aku incisors a me canines, hana hewa au: āhua o ka ohi lihi.
• Elima - cervical caries. Ma keia hihia, no ka vestibular surfaces o ka niho pūʻulu ua luku.
• Ono o ka papa - poino, kauʻia ma luna o ka oki kihi o na canines a me incisors, premolars a me molars puu.

Ka lua o ka mana

Black Mea Maluna o caries IIeEeAIEUAA ua poe i loko o kekahi mau wale nō. Ka lua o nā loli Ua like penei:

• Ka mua papa kikowaena poino kokoke i ka māwae pōhaku (maoli sulci).
• ʻO ka lua - niho palaho, iʻikeʻia ma luna o ka Kekoa nui a me ka uuku molars.
• Ke kolu - ke anoe o ka hui 'maka o canines a me incisors me malamaia a oki lua penei.
• Eha - caries ai pili aku surfaces o incisors a me canines me ka pepe a oki lua penei.
• Elima nā cervical poino.

Ke kolu o ka mana

Mea Maluna ma Blake mea kaulana no kona kolu o ka mana. I kēia lā, ka mea, ua like penei:

• Ka mua papa kikowaena poino i loko o ka wahi o ka maoli lua a me ka māwae, o na niho.
• Ka lua - ke kaumahaʻikeʻia ma luna o ka papa i lalo ke alo o ka mea liilii, a me ka nui molars.
• Ke kolu o ka papa - lua kau ma luna o ka hui 'surfaces o na canines a me incisors (oki i ka lihi o ka i hoopa mai).
• Hā - notch e hōʻike 'ia ma ka huina Kekoa canines a me incisors (hoala oki i ka lihi o waho a me nā kihi).
• Elima - i ka lua i hanaʻia i loko o ka wahi o ka'ā'ī o nā niho o nā mea a pau waeʻano.
• Hope ka mea i hana i ka ono o ka papa, i i hoʻolaha like atypical 'ana o ka lehulehu: puʻu o kamaiʻilio ana, aʻoki kihi o ka mua niho.

MEA

No laila, ua loaʻa i ka mea o ka Mea Maluna o cavities ma Black. E kaumaha ana kona mau ano. ICD 10, ka mea nana e like keia:

• palaho o ka niho enamel;
• maoli ka pōʻino mai dentin;
• loa ia'na o ka lepo pipili;
• decomposition, i papani ai hoi i ka hopena o ka hopena i ka maluhia a me kou niho kau;
• odontoklaziya, kahi o ka nalowale ana o deciduous niho aa;
• kekahi decomposition;
• unadjusted popoʻole.

Ka hohonu o ka lesion

I ka mea, e like me Black ka Mea Maluna Ua loaʻa kona palapala noi i loko o ke ao nei. By degere o ka caries luku māheleʻia i loko o ka kēia mau kapuwai.

• loiloi mua decomposition;
• 'ilikai hoʻohuikau;
• caries meakino;
• hohonu ka palaho.

Ma ka loiloi mua kahua o ka? Acaeoey o caries ma ka niho ili honua i ka pouli a me keʻokeʻo kohu. Eia naʻe, enamel mea he Kaulu, mai ka anatomical luku nae. Ikeia oia i hookohu aku i wehe 'ia e kauka o kahua niho lako a pan. Ka mea, remineralizing niho, imi e pale aku i ka hope kūpono 'ana o ka maʻi.

I ka hiki mua o ka luna papa e luku enamel i Konakele. Pane i ka pahikaua wela loli ana o ka wai a me ka ai, a meʻakika a me ka spicy ai. niho verge o ka lilo ana i ino. Ma keia wahi, kauka wili ae la i ka hoʻohuli ai i nā wahi a laila kona remineralization. I kekahi manawa, superficial caries ia me ka makaukau a me ka hoopiha.

E hoolaulea Mea Maluna o kahua niho paakiki'aʻaʻa mā ma Black mea he mea kökua ka maikaʻi no nā kauka niho. A ka mea i waena caries? Ma keia pae, ua luku ka enamel, ahu iho o ka niho no laila, i kekahi paʻa 'ole intermittent eha. Ma keia hihia, ke decomposition kaʻina i mua i ka luna, ahu iho o ka dentin.

'Aʻole surprisingly, na niho hoopai muli o' inikua 'uao, ma i ke kauka e lawe aku oe i ka hoʻohuli ai i nā wahi, a hoihoi aku ia i ke kōkua o ka hoailona iho la i mea.

A, ano, e nana hohonu caries. Kēia maʻi ua wehewehe aku kilakila loa ia'na o kahua niho nā'aʻaʻa, a i loli loa o ka dentin. Inā ma kēia kahua e kāpae'ōlelo lapaʻau,ʻiʻo pepa hiki ke lukuia. E like me ka hopena, i ka hoʻomanawanui i hoʻomōhala pulpitis paha periodontitis.

Lua hoʻomākaukau. ke kaikoeke

Mea Maluna ma Blake hoʻokumuʻia i ke kumu o ke kahua niho lapaau. Lua ko lakou hoomakaukau ana ua lawe mai i loko o elima kahua o ka hoʻonaʻauao. Mākou i hoʻopaʻa haʻawina ke kumu o rula ma luna o ka hana o ka papa mua o cavities, i kohoia i ke kauka kaulana.

Ma ka loiloi mua ke kahua ka mea, ua lawe mai o ka lua puka. niho hoomakaukau hoʻomaka me ka wehe podrytymi enamel lua penei ole ma lalo o ke ola, anuanu dentine. I ka hopena o ka pali pā pōhaku. Helu excised'aʻaʻa i hoʻokumu ma ka hoomaopopo ana i ka decomposition keena dentin. Ma keia kahua, pono i ke kahuna lapaau e pono ke kōkua o ke ka manao maikai o ka lua a me kona hou aaioee.

Kauka ke kaikoeke paka spherical paha māwae burs i ke daimana a me ka lepo pipili carbide. Hana 'Ōlelo anawaena hoʻopili like me ka nui o ka hoʻokomo o puka o ka recess. Poe akamai i hoʻohana i ka mīkini peahi uila kōkua kaʻapuni ma kiʻekiʻe wikiwiki, a me ka wai-ea anuanu maila '.

palena manawa

Mea Maluna o cavities e Black ua hoʻohana 'ia no ka lōʻihi manawa a me ka mea nui kōkua maikaʻi i nā kauka niho i loko o kā lākou hana. He aha ka i ka palena manawa o kāohi? Ma keia kahua ia mau e hōʻike carious lua. Me keia hana, ke kauka UOAN e pale aku recurrent niho ka palaho. Hoʻomalu pā outlines paa lua shape.

It E e kaulana ana, i kulike ai me ke ano o ka "liluwelo rationality" I. G. Lukomskogo, recesses i hoʻomākaukau keia anu u ua i hana.

Inā ke kauka ua alakaʻi ma ka enehana, kūlana palekana reaming Black, ia produces he'ano'ē excision o? Anoee susceptible e popoʻole, i ka'ōnaehana paleʻea pāhili. Ke anoe o caries Wa Mamua pela hana ai tapered māwae burs (carbide ole daimana). Ka poʻe hoʻohana wai-ea anuanu maila '.

niho Mea Maluna Blake hoʻolako kāohi iie, ma ka mea o ka i hoemiia ka poho o olakino niho 'ole i loko o ka occlusal pelane. Inā o ka wahi o ka carious lua ua wehe, a pau e amo'aʻaʻa excised ka māwae pōhaku wale nō i loko o ka enamel. I ka lalo o ka recess i loko o keia precedent mea nonclassic - ua hoʻokōʻia ai hehi.

Ma ka 'ikepili i ka māwae pōhaku i ke kauka, aole ia i wehe i ka nui nui o ka'aʻaʻa: ia mea nui e hooko i ka Groove hohonu o 1-1.5 mm o a me ka laula o ka 0.7-0.8 mm o, me ka haalele ana mai o ka enamel palena. Ua hoi hookaaokoa ae mai o ka mea i hanaia o ka pahikaua oi lua penei.

I ko kakou aupuni, e like me ka rula, no ka excision o ka māwae, (fissurotomii) hoʻohana ololi paukūʻolokaʻa burs. I kekahi manawa, i kēia hana ua lawe mai ka ihe a me ka plamevidnymi? Eou.

necrosectomy

I kekahi ke kahua o ka wehe 'ana o caries - necrectomy. Ke Kauka e lawe aku oe i ka hoopalupalu mai la i a me ka pigmented dentin caries o ka recess. Ciia ka luku a me ka demineralization me ka morphological wahi o ka hoomaopopo, keia anu u ua eliminated. Nā mokuna o nā recesses i hanaia i loko o ka wahi o ka undamaged aniani moakaka dentin.

ho okumu

Next, ke kahuna lapaau i hāʻawi mai i ka lua o ka kinona i ka poʻea pau i ike loea kona i hoopaa ia o ka wepa. Ka mea, e hoomakaukau i lawa ia'ku i ka niho hoola iho la ia a me ka ikaika ma ooieoeiiaeuiuo wahie. Ma keia ke kahua, o ka hope loa i hanaʻia ma loko, a ma waho contours o ka lua.

Ke recess hana i ka māwae pōhaku, plamevidnymi, na ohia-hoʻokino conical a me burs (carbide a me ka daimana) me ka koho ka wai-ea anuanu maila '. Ke hoʻomalu i mīkini peahi uila handpiece e ka ao ka ma kiʻekiʻe māmā. Ke makemake kinona o ka recess ua loaa ma ka nānaina o ka ia'ku a me ka mālama.

hoʻopau

Ma hope o aaioee carbide a daimana burs enamel recess palena loaʻa iā ia kekahi hālawa kinona, ka mea, ua hoʻonāwaliwaliʻia, ka mea prism nalowale hui 'ana me ka lalo lole. I ka wā e hiki mai ia e kōkua i ka hoʻololi 'ana i ka hōʻailona, ke haka pono maila, a me ka hooulu ana o putrefactive keʻano o ka hanaʻana. Mau nuances necessitate pau ai i ua - hope loa machining kihi o ka lua, e like me ka hopena o ka i pono e eliminated poino wahi o ka enamel.

E like me ka hopena, i ke kauka e kū ai i ka mea maikai a me ka ike loea AaOIeIOUIeXAOAaIN o ka pono ma waena o ka niho 'ole a me ka iie. Keia hana ua lawe mai 16 a me 32 māpala pau ai i ua burs a me ka ie-na hua liilii daimana poo.

Kahuna lapaau? Eou hana ma haʻahaʻa mämä holo me ka puʻe koi 'ia ka wai-ea anuanu maila'. Ka mea, i kekahi ia ia me ka recess maka trimmers gingival palena pau a me ka enamel pahi, wehe i ka lahilahi mawaho, ahu iho o ka niho, a waho aʻeo ka hiki hopena maikaʻi 'ole ma luna o ka mea overheating, kamakawiwo ole a me ka' ē aʻe.

E like me 'oe ke ike, kahua niho lapaʻau mea hala loa he pilikia kaʻina hana, akā, inā ma ka manawa, e ike i ke kauka no ke kōkua, ua hiki ke malama i Hollywood minoʻaka no ka makahiki e hiki mai ana.