Kupatsanura ne Black in: rondedzero, ukuru mukirasi uye kurapwa

Caries - chirwere chakaipisisa. Asi vanachiremba zvakagadzira chinhu vakarongeka nzira kubata nechirwere ichi. Chii kupatsanura pakati in ne Black? Funga mubvunzo uyu zvizere.

zino Rwakanga Ruchiparara

"In" ndiro Latin rinoshandurudza se "ora". Izvi oma pathological muitiro sluggishly inoyerera muna dzakaoma nyama yacho zino. Kazhinji inokudziridza nokuda yaisanganisa mugumisiro inokuvadza womukati uye kwokunze zvinokonzera.

Panguva kutanga kwekupwanyiwa kuora kunotemwa nokuparadzwa makemikari chizvaro pakati enamel uye demineralization zvatichiri yaro inorganic mugove. Older zvakaoma mazino zvinyama kuora, kuti mhango iri dentin kuonekwa. Kana murwere musingadi kurapwa kwenguva refu, pangava yematambudziko ari anogumbura periodontal uye pulp.

The Shanduro yokutanga

Chii kupatsanura reBlack? Izvi muzvikwata zvisina tsarukano carious idzodzo pamusoro zino pamusoro. It dzaitaurwa 1896 kuona mitemo mushonga mu sokuora nyaya imwe neimwe.

kupatsanura Izvi zvinosanganisira makirasi shanu, imwe neimwe kwakasimbiswa yayo zvekupfakira zano uye kugadzirira kwemeno. Papera chinguva, ino rakawedzerwa kuti mugiredhi rechitanhatu. Nhasi, zvinoita sokunge ichi:

• Kirasi yokutanga - nokutyora kutsemuka uku caries, gomba uye zviwanikwa in buccal, kutsenga uye palatine zino hukawanika (kutsemuka uku caries).
• Chechipiri - kukuvadza kubatana hukawanika ari molars uye premolars.
• The wechitatu - nokudyidzana pamusoro caries canines uye incisors, hamubati achicheka kumicheto.
• mugwaro rechina - dzakapfuma kuorera mazviri incisors uye canines, kugumbura ndima nokuveza mucheto.
• Chechishanu - remuromo caries. Panyaya iyi, iyo vestibular hukawanika mapoka mazino raparadzwa.
• mugiredhi rechitanhatu - zvakakanganisika, akaisa pamusoro achicheka micheto ari canines uye incisors, premolars uye molars zvikomo.

Chechipiri Version

Black kupatsanura pakati caries localization anomiririrwa mushanduro dzakawanda. The nadzurudzo wechipiri sezvinotevera:

• Kirasi yokutanga zvinosanganisira kukuvadzwa pedyo kutsemuka uku (dzinongoitika sulci).
• Chechipiri - zino kuora, yakabuda pamusoro ndege huru uye molars diki.
• The wechitatu - pakuwedzera kuonana zviso canines uye incisors pamwe zvichengeteke achicheka kumicheto.
• Chechina - caries unobatanidza hukawanika ose incisors uye canines pamwe wakaputsika achicheka kumicheto.
• Wechishanu zvinosanganisira remuromo kukuvara.

Wechitatu Version

Kupatsanura ne Blake Inozivikanwa pamusana wayo wechitatu Bhaibheri. Nhasi, zvinoita sezvinotevera:

• Kirasi yokutanga zvinosanganisira kukuvadzwa munharaunda dzinongoitika Makomba uye Kunetsana kwemeno.
• Wechipiri - kuora mwoyo akaonekwa kubatana zviso zviduku molars.
• Wechitatu Kirasi - mhango kuiswa kubatana hukawanika ari canines uye incisors (kutema unopinza iri isingatsiki).
• Wechina - notch kuonekwa panguva coupling ndege canines uye incisors (vanomutswa vachigera unopinza uye makona).
• Chechishanu - the mhango yakaumbwa munzvimbo dzakafanira mitsipa yavakapamba meno mhando dzose.
• Gare gare akasikwa mugiredhi rechitanhatu, dzakanga semhosva atypical kupambwa wevasungwa: pazvikomo kuti kutsenga uye vakatema micheto mberi kwemeno.

WHO

Saka, takawana kuti kupatsanura pakati in vakadaro Black. WHO anopa yayo ndokumwewo. ICD 10, zvinoita sokunge ichi:

• kuora kuti zino enamel;
• hunenge dentin;
• kuparadzwa simende;
• manyowa, akamira somugumisiro matambudziko kuti kuchengeteka uye utsanana purogiramu;
• odontoklaziya, sezvamakaropafadzwa kunyangarika Deciduous meno nemidzi;
• mumwe manyowa;
• unadjusted ora.

Kudzika lesion

Kutaura zvazviri, zvinoenderana Black kuti kupatsanura awana chikumbiro chacho munyika. By mwero caries kuparadza akakamurwa anotevera:

• kutanga manyowa;
• dzinongobuda Kuvhiringidza;
• caries svikiro;
• kuora zvakadzama.

Panguva kutanga kwekupwanyiwa kukura caries pamusoro zino dzinongobuda ine rima kana chichena chidodzi. Zvisinei, enamel ane mvere penyika, sezvo kuparadzwa anatomical asi. Akazviratidza aizonyatsovachenesa akabvisa navanachiremba kuti mazino michina. Ivo remineralizing mazino, kuedza kudzivirira haizopereri kukura chirwere.

In danho rinotevera okumusoro akaturikidzana vanoparadzwa enamel anooneka norudaviro unopinza tembiricha kuchinja mvura uye chikafu, uye acidic uye Spicy chikafu. zino vava kuda kuva yakaoma. Panguva iyi, vanachiremba muchikuya zvakakanganisa nzvimbo uye ipapo ayo remineralization. Dzimwe nguva zvachero caries kubatwa kugadzirira uye zvinodiwa.

Bvumiranai kupatsanura pakati mazino zvakaoma zvinyama kuremara ne Black ndiyo yakanaka chishandiso vanachiremba vemazino. Uye chii chinonzi pakati caries? Kuyaruka, kuti enamel rukoko pamusoro zino ichaparadzwa zvokuti vamwe kurwadziwa zvachose kana inoratidza. Panyaya iyi, kuti manyowa Nzira ratosvika chapamusoro kuti dentin.

Hazvishamisi, mazino zvinoda rokumanikidzirwa zvokurapa kupindira, apo chiremba anobvisa njodzi nzvimbo uye kuidzosera tichibatsirwa ane chisimbiso zvokunyama.

Uye ikozvino tarira caries yakadzika. chirwere ichi kunoratidzwa kuparadzwa kunoshamisa mazino munyama, izvo zvakakanganisa zhinji dentin. Kana panguva ino kusateerera kurapwa, pulp inogona kuparadzwa. Somugumisiro, murwere anogona kuva pulpitis kana periodontitis.

Mhango gadziriro. kuburitsa

Kupatsanura kubudikidza Blake akaumba hwaro mazino kurapwa. gadziriro mhango rinoitwa mumatanho shanu. Tikadzidza dzinokosha mitemo muenzaniso vekirasi in yokutanga, zvinganaka chiremba akakurumbira.

Panguva kutanga kwekupwanyiwa voitakura kubva mhango yokutanga. gadziriro zino kunotanga nokubviswa podrytymi enamel micheto pasina pasi utano, batana dentine. Zvinoguma rusvingo mawere. Number excised zvinyama anosimbisa Pakusarudza manyowa mukamuri dentin. Panguva iyi, chiremba anofanira kupa kuwana yakanaka maonero mhango uye zvakare ayo kugadzira.

Doctors kuburitsa kubudisa idenderedzwa kana kutsemuka uku kutamba zvavo vachinamira tsine akagadzirwa nedhaimani kana atadze carbide. Chishandiso dhayamita unoenderana ukuru mazano aperture yacho rusesi. Nyanzvi vanoshandisa turbine mazano kutenderera pa kumhanya, uye mvura-mhepo kutonhora.

ekisitenjeni

Kupatsanura pakati in ne Black rinoshandiswa kwenguva refu uye rinobatsira chaizvo kune vanachiremba vemazino mubasa ravo. Chii kuwedzerwa chokudzivirira? Panguva iyi ichiri kuziva carious mhango. With mashandiro ichi, chiremba anoedza kudzivisa idzokororo zino kuora. rokunze nyanzvi inotaura kupera mhango chimiro.

Zvinofanira kucherechedzwa kuti, sezvakarehwa nzira "zvoutachiona rationality" I. G. Lukomskogo, pakadzika pa mukugadzirira danho iri haisi akaita.

Kana chiremba anotungamirirwa zvigadzirwa, kuchengeteka reaming Black, inobereka yakakura excision nzvimbo kubatwa kuora, kuti zvirwere nzvimbo. Saka kuwedzera caries kudzamisa anoitwa kana tapered kutsemuka uku kutamba zvavo vachinamira tsine (carbide kana nedhaimani). Panguva imwe chete kushandiswa mvura-mhepo kutonhora.

mazino kupatsanura Blake inopa chokudzivirira zvekupfakira, hwaishandiswa akaderedza kurasikirwa utano zino mamiriro ari occlusal ndege. Kana nzvimbo yacho carious mhango yabviswa, zvose raderera zvinyama excised kutsemuka uku chete mukati enamel. Pasi pataimbozorora muenzaniso uyu nonclassic - vakagumisa kana yakatowedzera.

In kundizivisa kutsemuka uku chiremba hakubvisi yakawanda zvinyama Zvaringana kuuraya paburi kudzika 1-1.5 mm uye wakafara makubhiti 0.7-0.8 neMM, pasina kubva enamel pamuganhu. Rinotaurawo haambotauri pakusika unopinza micheto.

In nyika yedu, ave mutemo, nokuti excision pamusoro Kunetsana (fissurotomii) kushandisa rakamanikana cylindrical kutamba zvavo vachinamira tsine. Dzimwe nguva oparesheni ichi rinoitwa pfumo uye plamevidnymi drills.

necrosectomy

Inotevera Danho iri kubviswa caries - necrectomy. Chiremba anobvisa Kwakapomhodzwa uye pigmented dentin caries yacho rusesi. Zone kuparadza uye demineralization ane morphological nemaonero, danho iri panobviswa. Miganhu mukudzokera vakasikwa munzvimbo undamaged segirazi dentin.

inotungamirwa

Next, chiremba anopa mhango ane chimiro iyo chinowedzera zvakavimbika asunga yacho chisimbiso. Zvinofanira kupa zvakakwana kurwisa kuti zino aporeswa uye simba panguva dzichipfekeka zvinorema. Panguva iyi, chokupedzisira aumba womukati uye dzokunze contours yacho mhango.

The rusesi pave kutsemuka uku, plamevidnymi, peya serin'i conical uye kutamba zvavo vachinamira tsine (carbide uye nedhaimani) pamwe optioneel mvura-mhepo kutonhora. Mazvikokota anoita turbine handpiece kuti tenderera ari kumhanya. The zvandinenge Maumbirwe rusesi inotengwa tichifunga kurwisa uye chengetedzo.

kupedza

Pashure processing carbide kana yemadhayamondi kutamba zvavo vachinamira tsine enamel rusesi pamupendero anowana munyonga chimiro, zvinonzi simba, izvozvo prism kuzoonana navo jira ezasi. Mune ramangwana zvinogona kubatsira kushandura chisimbiso kutara uye kukura putrefactive kwendangariro. nuances izvi kutsvaka Kupedza - kwokupedzisira machine micheto ari mhango, somugumisiro zvinofanira kubviswa zvaparadzwa nzvimbo enamel.

Somugumisiro, chiremba kuti vabudirire akanakisisa uye rakavimbika kusakarongeka pakati vadzidza pakati zino marongerwo uye zvekupfakira. oparesheni ichi rinoitwa 16 uye 32 Granite okugadziridza kutamba zvavo vachinamira tsine kana yakanaka-grained nedhaimani misoro.

Varapi drills anoshanda yakaderera kumhanya pasina kumanikidzwa inodiwa mvura-mhepo kutonhora. Vanewo kurapwa aine rusesi unopinza dzemwenje gingival kumucheto uye enamel mapanga achibvisa dzakaonda rokunze rukoko pamusoro zino uye dzakakudzingai zvingangoitwa migumisiro pamusoro payo overheating, vibration uye zvimwewo.

Sezvaunogona kuona, mazino kurapa zvakasiyana chakaoma muitiro, asi kana nguva kuona chiremba rubatsiro, tinogona kuramba Hollywood uchinyemwerera kwemakore anouya.