Kupatsanura pakati mazino caries. Types uye kupatsanura pakati mazino caries muvana

Caries - chirwere rizivikanwe pamakona ose apasi, uye zvakaoma kuwana munhu asingadi vakambosangana dambudziko iri kanenge kamwe muupenyu. The chirwere chinobata rakaoma mazino munyama, thinned enamel uye kupinda mumba chakadzama akaturikidzana ose dentin, rakasikwa muna kwavari mhango. Kakawanda kukanganisa nemaziso kuoneka kana kukuvara iri kungogumira zvakadzika akaturikidzana ose tishu.

Zvinokonzera chirwere

Vanachiremba vemazino emit yakawanda dzidziso, panowanikwa carious maronda, asi kuti makirisito chinoramba zvakafanana:

• Kushungurudza zvakanyanyisa wakawanda kana zvinozipa zvokudya.
• Zvakaipira zvokudya makabhohaidhiretsi uye mavhitaminzi.
• The pasi kugutsikana mune fluorine rokudzorera mazino enamel.
• Kuregeredza nomumukanwa utsanana.
• Zvirwere zvinotapuriranwa.
• Genetic kubatwa.
• Properties zviri zino mamiriro, kuvapo pamusoro pemvura enamel rwokuzvarwa borozdochek umo kuunganidza tusingaoneki kubatwa tevera kuorera mazviri.

Zvose pamusoro zvinhu, kusvika pamwero kunokubatsira asidhi-chawo pakuenzanisa muromo, pakusika munhu mazino enamel zvakanaka zvakatipoteredza kukura pathogenic mabhakitiriya. Somugumisiro zvishoma nezvishoma leaching calcium kubva zino enamel rinenge raparadzwa uye kuumbwa in. Nzira apo kunobva mashoko kupatsanura pakati mazino caries, kune vazhinji, uye ndizvo zvairi. Rakatanga kupatsanura kubudikidza parameters akawanda rinobvumira kuisa chakavimbika kupfuura nechirwere, kuona ukuru achimhanya pezvakaitwa uye kurapwa chirwere kusarudza.

Kupatsanura ne Blake

Chinonyanya kushandiswa ndiyo kupatsanura pakati mazino caries kubudikidza Black. Zvinoratidza kwete chete nzvimbo kuparadza carious pamusoro pechiso, asiwo kudzika bvunzo kukundikana. Mazita yokupedzisira howa kuitika kuburikidza makirasi - dzakanga mugiredhi, kuregeredza chirwere:

1. I kirasi. Initial Danho - simba chaizvo caries neutachiona occlusal pose zino enamel. Damage iri kusimbiswa mune nzvimbo tapered grooves ari zino. Achiperekedzwa nokuparadzwa zvishoma nezvishoma pamusoro enamel, dentin uye zvadaro. With nenguva kurapwa kuti wemazino ari nedanho pachikuva 1 anogona akamira uye akaporesa mazino zvachose, pasina rubatsiro chibooreso.
2. Class II. Mwero in akaumba nechepamusoro kunyorera okumusoro posterior mazino. Enamel panzvimbo ino kupenya, kazhinji achinja zvikamu akafanana zvokuridza diki. Kukuvara kwakadai zvakavigwa pakati pameno, uye kazhinji kacho haugoni kuzivikanwawo kunyange ruzivo.
3. Class III. Maererano kuparadzana ichi sezvo caries kupatsanura, ichi kukundwa mwero, sezvamakaropafadzwa mhango yakaumbwa pamberi pechiso kwemeno. The achicheka kumucheto azvino Panguva iyi inoramba yakabatana. Kakawanda, zviri mazino mhando ichi chinobata vanhu vanoshungurudza zvihwitsi uye kashoma kushandiswa mazino floss.
4. Class IV. Zvakakomba mazino, riri mberi danho iri kukundwa mukirasi III. Kana pamusoro zvakakanganisika vematombo untreated, anotanga kuputsa ari dentin pamusoro zino kucheka mucheto.
5. V kirasi. Kwazvo dhigirii. Kupatsanura caries chinoratidzwa kwakadai kuvadza zino kudzika achitevedza gingival nzvimbo. In dzakadaro siyana dzinonzi remuromo, ndiye kupfuura nengozi, sezvo carious mhango iri munguva pfupi pedyo kumidzi. Panguva kutanga kwekupwanyiwa, muganhu pakati chingamu uye zino muviri akafuka zvinenge hapana kumicheto zvinoonekwa chena. Kakawanda, mudzi caries zvakunoita akawanda zvomukati, dzimwe nguva chirwere zvose. Kusava nehanya pakurapa "in chena" akaumba yematambudziko ari muchimiro foci carious kuparadzwa. Mune zvimwe zviitiko, zvakakomba yematambudziko chirwere angava mubvunzo pamusoro kubviswa ukama zino.

Kupatsanura pakati WHO / ICD 10

Caries kupatsanura pedyo ari WHO (World Health Organization) inobva kuziva yakananga sei nzvimbo uye anosimbisa pfungwa dzinotevera zvinoratidza Codes:

• K02.0. Kutanga kuparadzwa enamel, vakaratidza inotungamirwa makwapa chena pamusoro pemvura.
• K02.1. Code chinoratidza kuparadza danho dentin - zvinyama pasi enamel.
• K02.2. Kuumba carious kuparadza kana mudzi caries. Bumbiro iri rinoshandiswa kuratidza kukuvadza ari zino mudzi.
• K02.3. Rokuti danho umo yakaturikwa kuparadzwa carious.
• K02.4. Unosanganisira odontoklaziyu, vana uye melanodentiyu melanodontoklaziyu.
• K02.8. Dzimwe mhando dzisina kunyorwa chakapfuura ndima.

caries kupatsanura ICD (International kupatsanura pakati Diseases) anonzi kupfuura zvakakurumbira tsika dentistry ano. Zviri nyore nokuti ane chakagadziridzwa muchimiro pfungwa, vakazvitsaurira kumbomira chirwere chake uye dzimwe mhuka.

Kupatsanura zvirwere chepuraimari

Dental caries nokusangana kuzowanikwawo kakawanda chiitiko:

• Primary - kwete kare vachibatwa nezvirwere kuumbwa zino caries, etiology, izvo chingozviitikira kupatsanura uye ongororo chokuita imwe woga.
• Yechipiri kana kuitazve - anozviratidza pamusoro muviri pamusoro, kare pasi Simbiso. It kunoitika nokuda nokuvhunika vadzidza zvisimbiso kuti zino, nokudaro wezvamatongerwe mukaha, riri pasi yakanaka zvakatipoteredza kukura pathogenic mabhakitiriya.

Topographic kupatsanura

chikoro ichi, chinosiyanisa marudzi caries maronda maererano mwero makwara. Zviri sezvo zvakajairika kuona chirwere sezvo caries kupatsanura ICD 10. Ziva kukuvadza anotevera:

1. gwapa inotungamirwa. The kwokutanga Danho, iyo inosiya kuparadzwa enamel. Panguva iyi, pamusoro zino pamusoro sokuti rakajeka kana rima panzvimbo. Kuvadza enamel mamiriro haisi - chiri kumeso, marwadzo hazvisi kunetsa. Panguva ino, nyore kurapa zino kuora, nokuti anouya shoma kupindira munyama of zino - gwapa yabviswa pachiso, akaitwa enamel remineralization.
2. Pemvura caries. danho iri kunosanganisira kukuvadza pachoto iyo haina rinotarisa nharaunda zvakadzama zino enamel. It dzinoratidzwa nguva nenguva marwadzo uye maitiro kukurova uye kuchitonhora. Treatment anotora nzvimbo sezvinoitwa ari kutanga kwekupwanyiwa.
3. Middle caries. The kwacho rabva mhiri miganhu enamel uye mberi mumunda pamusoro dentin marwadzo kuoneka zvikuru uye kakawanda. Kwacho kunosanganisira wokunatswa kurapwa mhango uye anodzivira installation.
4. Deep caries. kukuvara rinenge riri chakakomba zvikuru, pulp anodzivirira chete nhete paiva dentin akachengetedzwa, murwere zvakaitika kurwadziwa. Kana nguva haarambi chisimbiso kugadzwa, chirwere kunogona pulp uye zino dzokubudisa hazvingadziviswi.

Kupatsanura pakati umbirimi

Kubva kusimba utachiona kubva nomumukanwa mhango 2 ndiyo yoga mhando chirwere:

• A chete mazino - kunokanganisa zino mumwe.
• Multi - chirwere chinobata mazino akawanda.

Pakati varwere multiple caries kakawanda nevanhu vane zvirwere kumwoyo. Ungangove, kana hosha zvakunoita meno mwana wacho, akanga achirwara tsvuku nefivha uye tonsillitis. kudzivirirwa Berezhnaya siyana in mwana pasi makore matatu chikuru mazino ndiyo sirivha kuifukidza.

Kupatsanura of Education yematambudziko

Pokumbononotswa pakurapa varwere kuti wemazino pamwe mazino zvirwere vakachengeta kazhinji. Hazvina kuoma kuti zvokufungidzira chii hwakazara vachifuratira dambudziko. Chokwadi, nhasi pane caries kupatsanura matambudziko. Maererano naye, ndiko:

• Kuoma. The chirwere pamwe anogumbura pezvakaitwa nomumukanwa mhango. A kusiyana ane zvinoyerera.
• Nyore. caries kupatsanura kunotibatsira kunzwisisa kuti chirwere chakadai, ruchiyerera napakati kwakajairika matanho, kusanganisira chiedza, nomutoo uye zvakadzika.

Mwero kukura caries kwacho

Development chirwere rinowanikwa mune mumwe munhu ane zvakasiyana-siyana zvikuru zvichienderana kwokunze zvinhu uye munhu zvechadenga muviri. Several vakasiyana Mapoka ose caries:

1. Sharp. Zviratidzo zviri chirwere kuonekwa nokukurumidza - mukati munhu vhiki mbiri.
2. Chisingaperi. The chirwere kukura pamusoro refu uye kunoratidzwa chitarisiko yellowish kana shava makwapa njodzi pechiso enamel.
3. Blooming. Progressive mhando, umo mune vakawanda kukuvara enamel munguva pfupi.

Zvinoitwa chirwere muvana

Kupatsanura pakati caries muvana rinoitwa aaisitaura nzira sezvo nedzevakuru. In chiremba dentistry vo kunoitika gradation kuchinyanya, chirwere chikuru, kuvapo yematambudziko, uye zvichingodaro. D. The chete runoratidza ndiko kuparadzana mukaka uye caries zvechigarire zino.

Carious maronda ose mammary nhengo haana kukonzera zvishoma kusagadzikana pane imwe chirwere zvachose. In vana, zino kuora rinowanikwa zvikuru kakawanda kupfuura vanhu vakuru, saka zvinokosha nekukurumidza kudzidzisa mwana zvakakodzera dzaiita utsanana uye kushomeka kushandisa inonaka. Sezvo mazino mukaka dzichiri kwekanguva kurapwa nzira zvingasiyana zvishoma kubva kurapwa mazino zvachose.

Silvering meno chikuru mune vana

vabereki Modern vari chokudzivirira chiremba wemazino nemamiriro izwi dzakadai meno sirivha vana. nzira iyi rinoitwa kuti kudzivirirwa uye vabatwe tanga caries. Chokwadi izvi ndizvo "nechando" chirwere chacho.

Nyarara nzira, panguva yake chiremba wemazino zvikanzwika zino enamel ane donje swab sezvamunoita chinokosha chine sirivha. Meno akaumba pamusoro unodzivirira firimu, iro kunotadzisa sedimentation uye kukura mabhakitiriya anokuvadza pamusoro enamel pamusoro.