Treatment echirwere periodontitis: Nzira

Chirwere periodontitis inzira kushoma ikabuda iri periapical munyama. Izvi zvokurwara periodontal nemarunda kunogona kuitika munguva rikwanise chimiro, kana akaratidza pasina yokuora zviratidzo. Release panzvimbo periodontal zvinyama utachiona vanogona kukonzera kuzvimba mumwe, kure kubva zino nyama uye nhengo dzomuviri. Naizvozvo, mishonga echirwere periodontitis zvinofanira yakatanga munguva kudzivisa mberi migumisiro uye matambudziko.

Zvinokonzera chisingaperi periodontitis

Huru zvinhu zvinogona kukonzera chirwere kuzvimba - munhu caries uye somugumisiro, ari pulp. Zvichienderana apo chokutsva ratanga, zvinokonzera zvinogona chokuita zvose zino kukuvara rwarisa pakusvibiswa.

Apical (aikalny) periodontitis anogona yemanyorero zvinokonzerwa noutachiona pamusoro pulp, iri shoma pamupendero kana kuzvimba kazhinji kunokonzerwa zvemaziso microtraumas (tsika kutsemuka nzungu, kuruma mudanga kana penzura, kukuvara zvishoma, kurohwa). Chikonzero chechitatu ingava kurapwa chinhu - kana kurapwa echirwere periodontitis chaiitirwa zvakarurama kana munhu sema pavakanzwa kwokubatsira, uyewo zino mumakomba.

In dentistry, maererano nenhamba, zvichiita rwarisa chisingaperi periodontitis, periapical lesion kunokonzerwa hemolytic uye nonhemolytic streptococci. Utachiona voga pulp zvine chepfu, ivo kupinda napakati mudzi yaNire, saka zvinoitika kuti utachiona anopinda kubudikidza node.

Pane yechipiri zvinokonzera kuti pave nezvirwere zvakadai chisingaperi periodontitis:

• The zvokuudzwa microflora akashatirwa nomwero.
• Malocclusion (occlusion) mazino.
• Metabolic nyonganyonga.
• Vhitamini kushaikwa, kusaenzana kwezvinhu chero zvinhu.
• Various nezvirwere.
• A nemavhairasi, zvirwere zvinotapukira.
• Zvokurwara of kwemakemikari anobudiswa hurongwa.
• Diabetes.
• Akaderedza kutapata basa.

zviratidzo

How ngozi chisingaperi muchimiro periodontitis? Chokwadi chokuti chirwere anomhanya zvachose asymptomatic, kuzvimba, zvachose haagoni akanzwa. Naizvozvo, mishonga echirwere periodontitis rinowanzoshandiswa kunonoka, varwere Kashoma kutsvaka nguva. Migumisiro vane nemafashamo uye kungaita kuti mangwanani mavende. Zvakakosha kuti kuteerera zviratidzo nyevero akadai marwadzo duku riri kuruma zvokudya zvikukutu. Zvichida kunzwa nezvenyaya kusanzwa kana akarova pasi zino, percussion. Chinonyanya pachena chiratidzo - mumwe fistula pamusoro matadza, riri kuumbwa kuti water drainage pamusoro Urume rinoungana panguva imwe chokutsva. Zvinosuruvarisa kana fistula aumbwa, kunze riri manyowa zvigadzirwa, ipapo zvose chirwere zviratidzo kuserera. Muzviitiko zvakadaro, varwere kashoma kurapwa kuti wemazino. Kushoma kuramba ichishanduka, rakakura exacerbation zvingaitika. chenjera / chisingaperi periodontitis treatment - rinofanirawo nechiyero.

Zviratidzo kuvimba mhando kuzvimba:

• Chirwere fibrotic periodontitis. A zvisingawanzoitiki chimiro, mauri zvakakanganisa periodontal zvinyama ne fibrous densified fibers. The vanoswerera chirwere, dzimwe nguva zvingava zvinopfuura, marwadzo pfupi.
• Chirwere granulating periodontitis. Rinooneka zvakawanda raidudzwa. Under mucous munyama vakaumba fistulas, akaparadza mapfupa ndiro kuwedzera granulation inotungamirwa. In paumbwe imwe fistula guru chete vanofanira kuona chiremba.
• Chirwere granulomatous periodontitis. Kuzvimba periodontal rinenge paumbwe imwe Kamudzira, iro wakazara granulomas. Iyi mhando ndiyo ngozi nekuti kistogranulema inokura kuti zvokuti zvaida kuvhiya kurapwa.

Exacerbation echirwere periodontitis kurapwa

Mabatirwo chenjera exacerbation echirwere siyana periodontitis ingava kuchinja uye zvomusejari. The chikuru Basa vanachiremba vemazino kuri cupping kuzvimba nokuda nokungwarira kururamiswa chirwere kunobva. Zvakakodzera hutachiwana munyama pedyo. Anti-anogumbura kurapa kunogona kuitwa pasi anotevera ezvinhu:

• Mudzi Canal patency.
• Kushoma anofanira vemunyika zvakajeka.
• Vazhinji pfupa zvinofanira kuchengetedzwa.
• Zviratidzo zvikuru kudhaka uye marwadzo zvinofanira vasipo.

In danho rokutanga pakurapa chirwere periodontitis kuti machine munhu mazino mhango uye chiteshi. Ko vakachenesa kubva caries expansions. Channels vabatwe chaizvo preservatives, zvichida kuvhara chisimbiso zvachose. With chinokosha kuunganidza exudate, zvakakodzera kuratidza obturated mugero. Temporary zvekupfakira anoiswa pamusoro mazuva 2-3 uye akabva apiwa akaita Canal utsanana uye kuva chisimbiso zvachose.

Kuzvimba chinobviswa antibacterial mazino zvinhu (pastes) kushandisa Laser unyanzvi.

Treatment echirwere periodontitis iri rikwanise Danho kazhinji zvinoda kuvhiyiwa. Ichi chinhu zvakanyanyisa nechiyero, asi kana zvakakodzera, uchishandisa imwe nzira:

• Kudimurwa of zino mudzi.
• Hemisection (muuzhinji deletion midzi).
• Excision.
• zino dzokubudisa.
• Incision, abudise of matadza.

Chisingaperi fibrotic periodontitis

Most neproyavlyaemy ari kurapwa pfungwa muchimiro periodontitis - fibrous. Rough fibrotic kuchiiswa periodontal internet mamiriro. On ongororo, pane patchy infiltrates kuti ane lymphocytes. The mudzi apical Buri - gipertsementoz (deposition simende okunze), pamusoro arikunze - migove osteosclerosis. Periodontal pakakoromoka anotanga chokuwedzera uye periodontium vakarasika dzichipfekeka ehupfumi. Sezvo fibrotic periodontitis kazhinji asymptomatic, akaonekwa ake chisingaperi siyana kubvumira chete nemiedzo chafariz kana X-ray mifananidzo.

Kana chiremba chirwere chisingaperi fibrotic periodontitis, pakurapa chirwere anogara kuitwa zvinobudirira, sezvazvakaita kupfuura zvakanaka chimiro kuchirapa pfungwa. Kunyange kana pane mhingaidzo migero, hapana chikonzero kurivhura, nokuti ichi kana exudate asingadi -wedzera. Kushoma kunosvika chete kune periodontal shwashwa, pedyo zvinyama haisi kukanganiswa. Pashure kururamiswa of mhango (chikuru kana yechipiri) anoiswa zvachose zvekupfakira.

Chisingaperi granulating periodontitis

Chirwere periodontitis muchimiro granulation ndechimwe chezvinhu vanoshingaira siyana chirwere. The zvichiguma granulation chikonzero kusanzwa, saka varwere vari kurapwa nenguva netsika kuna chiremba wemazino, kuwana pamwe rubatsiro zvakakwana. In chenjera maitikiro acho ose wezvamatongerwe fistula, akazviunganidzira exudate therethrough anowana panze pakarepo pashure exacerbation aserera. Ipapo muitiro unogona zvakare kuva asymptomatic, usimbe. Dzinoratidzwa chisingaperi granulating periodontitis chepfu zvinokonzerwa, kuzvimba zvigadzirwa vari raisangoita zvakananga kupinda muropa. Ndezvokuti, zvinobatsira kuderedza kudhaka fistula, izvo anobvumira exudate iyerere mumuromo. Pangosvika blockage ari fistula, rikwanise muitiro avamba kusashanda talk chepfu.

Zviratidzo chimiro ichi periodontal chirwere kunoenderana padariro kwacho (attenuation kana exacerbation):

• Mugore chenjera kutotanga akaratidza marwadzo pane chinokutsimbirirai nezino.
• Marwadzo paroxysmal hunhu, dzinowedzerwa dzichiruma zvokudya zvakaoma.
• Kuzvimba matadza kunhivi zino murwere.
• Unogona kuedza infiltration iri apical mapazi.
• Fistula neutralizes marwadzo.
• With kuwedzera granulation rinenge kunogona akafunga pamuromo pasi mucous chisimbiso atypical.
• Zvakaitwa kukurova mu kanganwiro.
• Kazhinji pane cariogenic mhango. Kana kutsikwa nezvimedu zvokudya simuka marwadzo kuserera kuti panguva rokuchenesa pamusoro mhango.

Chirwere granulating periodontitis, kurapwa iyo - kazhinji yakareba muitiro, kazhinji haana kugadzirisa zvachose. Asi kana dambudziko chirwere ari kuchengetwa, muromo mudzi yaparadzwa, zvingava zvakakodzera causal zino dzokubudisa.

Chisingaperi granulomatous periodontitis

In zvavo kurapwa zvinozonzi granulomatous kuumba kupfuura usimbe. Zvakangonyuka yakazvimirira chirwere, kana sezvo migumisiro granulating kwacho, kana aumba fibrous Kamudzira, izvo zvinopfuura mu kistogranulemu. Kuvakwa fibrous zvinyama anoita somuganhu uye kunodzivisa zvirwere dawo kupinda mumuviri.

Chirwere granulomatous periodontitis kunoratidzwa yakareba asymptomatic kosi. Zvaioneka zviratidzo zvinosanganisira granulomatous inotungamirwa, iro rinowanikwa chakaderedzwa mutengo kubva pamudzi zino wongoramba. Maperembudzi Classified nhatu mhando:

• Simple granulomatous periodontitis.
• Epithelial.
• Kistogranulematozny.

Nzira kurapa chirwere granulomatous periodontitis siyana kuvimba Chirwere.

kuroora midzi zino kurapwa kuri kuitwa imwe, kana muchinjikwa chiteshi wakanaka. Multiroot kuporesa anokwana zviyero kuoma, nokuti kazhinji akaramba kuwana migero, kana zvakaoma. Angava chenjera chichiitwa, izvo zvinogona kusunga physiotherapy nzira, Anti-anogumbura vamiririri, aseptic rinses.

Treatment echirwere granulated periodontitis

Chirwere granulated periodontitis hazvigoni munguva imwe kushanya kune wemazino. Dzimwe nguva zvinoda mwedzi mitanhatu kuti pakupedzisira kukurira chirwere. Zvinoda kushoma of 4 kushanya.

Wokutanga zvinosanganisira:

• Kuongorora chirwere.
• Yokutindivadza.
• Nekuwana zvinokonzera chiteshi.
• Utsanana.
• Kubvisa vakasara necrotic pulp inoramba.
• Rinsing pamwe antiseptics.
• Pakatanga Anti-anogumbura zvinodhaka.
• Kuronga pfupi mumakomba.
• Mushonga inorwisa mabhakitiriya.

Maitiro anotevera vakatakudzwa kubva panguva yechipiri kushanya:

• Inspection.
• Kubviswa pfupi zvisimbiso.
• Lavage, decontamination.
• Chimwe pfupi zvekupfakira nokuda 2-3 mwedzi pamwe akambozvishandisa kuuraya utachiona.

Third kushanya:

• Radiographic kuongorora.
• Achizarura uye kugadzira gwara.
• Permanent zvekupfakira.

kushanya Chechina:

• Kuzvidzora uye uchapupu kubudirira kurapwa.
• Kusimbisa kusavapo yematambudziko.

Kana kumhanya mhando kungada kuvhiya kurapwa echirwere periodontitis. Mune zvimwe zviitiko, vari kuratidzwa?

1. Curved misoro, zvemamiriro nzvimbo yacho chakaderedzwa mutengo.
2. Mhingaidzo of mugero, hazvibviri vachifunga.
3. No matambudziko kuchinja kurapwa kwemwedzi.
4. Progressive kuzvimba.

Mabatirwo granulomatous periodontitis

Treatment echirwere granulomatous periodontitis rinoitwa nzira dzakawanda. The kusarudza nzira kunoenderana muchimiro kuzvimba: granuloma uye cysts inogona zvakasiyana siyana hukuru. Iyo dzisina kugamuchirwa - kuchinja kana zvomusejari - chiremba anosarudza.

mazino Single-mudzi kazhinji kurapwa panguva imwe chete. Kana channel permeability zvakanaka, zvinonzi zvakaipa, sanitize, vanopedza diathermocoagulation, pedyo chisimbiso.

Multi-midzi zino (kazhinji vanonzi uchenjeri mazino) kazhinji haibvumiri sanitize migero, chinowanzoonekwa kurapwa impregnadionnymi nzira (resorcinol, potassium iodide, silvering). Uyezve, anogona kupiwa akambozvishandisa kuuraya utachiona sukurudza, physiotherapy. Full kudzorerwa periodontal zvinyama kazhinji zvinotora rinenge gore. Mabatirwo chimiro ichi periodontal chirwere - asi rakaoma muitiro. Patsva uye scarring pamusoro zvinyama anofanira ichi- dzinodzorwa pamwe X-ray. Mushure mwedzi yokurapa, kana chiremba haaoni emuchina zvakanaka, anogona akasarudza replantation, kuti zino resection.

Chirwere echirwere periodontitis

Asati atanga pakurapa chirwere periodontitis, zvinokosha kuti chirwere. Iye akatakura pamusoro mureza zano: Murwere kuongorora, anamnesis, pachisara kunyatsoongorora zviri kuongorora zvabuda. The Ongororo zvinosanganisira:

• Inspection of nomumukanwa mhango.
• Percussion.
• Palpation.
• Achiona pasuo mudzi Canal.
• Temperature nemiedzo.
• Kutsunga of famba dambudziko zino.
• Kushandiswa yemagetsi pulp bvunzo uye radiovisiography. Nzira idzi unotipa rokuongorora pulp kugwinya.
• Radiography. Information kubva X-ray anopa mufananidzo wakakwana. Kudzidudzira kunoenderana Zvakaitika wemazino, nekuti vasingadi periodontitis haasi kunyanya kuratidzwa, zvakasiyana siyana chete (fibrous, granulating uye granulomatous).

Kana nechirwere mumwe siyana dzakaonekwa (kana kunoitika exacerbation echirwere periodontitis) kurapwa vanofanira basa nomazvo, vanokwanisa chiremba wemazino.

dziviriro

Matanho kuti kutadzisa kukura chirwere, zvikurukuru nechinangwa kudzivisa caries uye pulpitis. Kuvhiya mabatiro echirwere periodontitis rinoshandiswa zvakanyanyisa siyana kumhanya, kudzivisa ichi, zvinokosha kushandisa matanho:

• Careful dzose nomumukanwa hanya.
• Limited kudyiwa zvihwitsi, pfungwa kudya.
• Kugara uchishanyira vanhu wemazino. Kufamba ongororo yezvokurapa. chiremba chete anogona kuziva mangwanani zviratidzo chirwere ukuwo, nguva kutanga kurapwa. Panguva Chaiyo kurapwa kuti wemazino kana zviratidzo vokutanga kuchaita kuti kupa akarurama, anobudirira mishonga echirwere periodontitis.
• Implementation of kunenge sezvinoreva wemazino munguva kuongororwa uye kurapwa.

To musi, chero wechinhu periodontitis riri panzvimbo yechipiri pashure caries ari mazita mazino zvirwere. The chirwere fomu ngozi yavo asymptomatic, uyewo kukwanisa kukanganisa muviri wose. Kushanyira wemazino mwedzi mitanhatu ose achakupa nenguva vasabatwa matambudziko uye nzira dzokuagadzirisa nadzo. Rambai ziso utano hwako.