Ukwahlukanisa caries kwamazinyo. Izinhlobo kanye nokubekwa ngezigaba caries zamazinyo izingane

Caries - isifo kuyaziswa kuwo wonke amakhona wonke, futhi kunzima ukuthola umuntu wayengeke ngabhekana nale nkinga okungenani kanye empilweni. Lesi sifo kwezicubu kanzima yamazinyo, thinned koqweqwe lwawo futhi ukungena izingqimba ezijulile dentin, ukudala kuzo umgodi. Ngokuvamile kulimaze zibukeke lubonakale ngaphandle umonakalo kunomkhawulo izingqimba ezijulile izicubu.

Izimbangela zesifo

Odokotela bamazinyo ezishisa kakhulu zikhipha izinhlayiyana eziningi mbono okuvela izilonda carious, kodwa umongo akukatjhuguluki:

• Abuse ukudla okunosawoti ngokweqile noma amnandi.
• Ububi yokudla carbohydrate namavithamini.
• Okuqukethwe ongaphakeme e sasekhaya okubuyisela koqweqwe lwawo kwamazinyo.
• I ukunganakwa inhlanzeko yomlomo.
• Izifo ezithathelwanayo.
• yofuzo.
• Properties of isakhiwo ngezinyo, khona phezu kobuso koqweqwe lwawo ka borozdochek yemvelo lapho ithola nezilwanyana ezincane ukungenwa abolile okwalandela.

Zonke zici ezingenhla, ngokwezinga elithile kuthinte acid-base ibhalansi emlonyeni, udala zamazinyo koqweqwe lwawo indawo evumayo sokuthuthukiswa namagciwane abangela izifo. Ngenxa yalokho we leaching kancane kancane-calcium kusukela izinyo koqweqwe lwawo izicubu libhujiswa kwakhiwa izimbotshana. Isimo sokunquma ku ogxile Ukwahlukaniswa caries zamazinyo, kunezindlela eziningi, futhi kube kufanele. ngezigaba enwetshiwe by nemingcele eziningana evumela ukubeka uphethwe othembeke kunabo bonke, ukucacisa degree lezinqubo ezisebenzayo kanye zokwelapha isifo.

Kusigaba Blake

Indlela esetshenziswa kakhulu Ukwahlukaniswa caries zamazinyo ngabantu abamnyama. Iveza hhayi kuphela indawo lapho kubhujiswa carious phezu, kodwa futhi sokwehluleka test ukujula. Amagama zinhlobo yokugcina zenzeka ngokusebenzisa amakilasi - ayanda ebangeni, ulise ukutjheja isifo:

1. Mina eklasini. Kokuqala esiteji - a caries enganamandla kakhulu abatheleleke occlusal ebusweni izinyo koqweqwe lwawo. Umonakalo bagxila ezindaweni anemifantu tapered we izinyo. Ehamba ukubhujiswa kancane kancane koqweqwe lwawo, dentin futhi kamuva. Ngempatho esifike nodokotela wamazinyo inqubo esiteji 1 kungenziwa wayeka futhi waphulukisa namazinyo ngokuphelele, ngaphandle kosizo sokuprakthiza.
2. Class II. izimbotshana Lokulingene kwakhiwa phezu ukuxhumana yasenhla nemithombo yasenzansi posterior amazinyo. Enamel kule ndawo kube lula, izingxenye ngokuvamile washintsha zifane onxantathu encane. ukulimala okunjalo afihliwe phakathi kwamazinyo aso, futhi ezimweni eziningi ngeke ibonakale ngisho abanolwazi.
3. Ikilasi III. Ngokusho lokhu ngokwahlukana njengendlela caries ngezigaba, lokhu ukunqotshwa ngokulinganisela, lapho ingaphakathi kwakhiwa phezu phambi amazinyo. Unqenqema ukusika yakamuva kulesigaba ihleli kahle. Ngokuvamile, lolu hlobo kwamazinyo kuthinta bantfu labahlukumeta emaswidi kuyaqabukela esetshenziswa Floss kwamazinyo.
4. Class IV. Sinzima kwamazinyo, okuyinto isinyathelo lesichubekako kokunqotshwa ekilasini III. Uma umonakalo ebusweni bezihlahla ingelashwa, siqala ukubhodloza phansi dentin we izinyo Ukuqhamuka.
5. isigaba V. degree ezinzima kakhulu. caries Ukwahlukanisa ephawula lolu hlobo ukulimala kanye endaweni gingival ukujula izinyo. Izimbotshana amafomu zokuphumula ezinjalo zibizwa ngokuthi wesibeletho, nguye eziyingozi kakhulu, njengoba ingaphakathi carious itholakala eduze ngokushesha izimpande. Ngesikhathi besanda kuqala, umngcele phakathi gum futhi umzimba izinyo embozwe cishe akukho imiphetho ebonakalayo emhlophe. Ngokuvamile, caries impande kuthinta izitho eziningana, ngezinye izikhathi afakwa konke. Ukuziba ekwelapheni "izimbotshana elimhlophe" wawubumba yezinkinga efomini foci ekubhujisweni carious. Kwezinye izimo, eziyingozi lesi sifo kungase kube umbuzo mayelana nokususwa izinyo lilimele.

Ukwahlukanisa WHO / ICD 10

Caries kusigaba yi -WHO (World Health Organisation) kusekelwe ukuhlonza endaweni ethize abathintekayo futhi zigqamise amaphuzu alandelayo ekhombisa amakhodi:

• K02.0. Ukuqala ukubhujiswa koqweqwe lwawo, uzwakalise ukwakheka kwamabala amhlophe phezu.
• K02.1. Ikhodi kubonisa ekubhujisweni step dentin - izicubu ngaphansi koqweqwe lwawo.
• K02.2. Kuqinise carious ukubhujiswa noma impande caries. Le khodi isetshenziswa ibonisa umonakalo impande izinyo.
• K02.3. Isikhundla isinyathelo lapho okwesikhashana ekubhujisweni carious.
• K02.4. Kuhlanganisa odontoklaziyu, izingane melanodentiyu melanodontoklaziyu.
• K02.8. Amanye akhula ezingenziwanga ezisohlwini zindima ezingenhla.

caries ngezigaba ICD (International Ukwahlukanisa Diseases) kubhekwa ethandwa kakhulu emkhakheni wokwelashwa kwamazinyo yesimanje. Kuyinto elula ngoba intuthuko ngesimo amaphuzu, wanikezela sokumisa isifo sakhe kanye nezinye izinhlobo.

Ukwahlukanisa isifo eyinhloko

caries zamazinyo batfola olwabiwa imvamisa nesenzakalo:

• Primary - hhayi ngaphambili echayeke ezifweni kwakhiwa izinyo caries, etiology, okuyinto zenzeka ngo ngezigaba kanye nokuhlaziywa ezihlobene isigaba esithile.
• Secondary noma lokubuya kwesifo - livela phezu komzimba, ngaphambilini ngaphansi uphawu. Kwenzeka ngenxa ukwephulwa lwezimpawu kufaneleka izinyo, kanjalo zakha isimiso igebe, engaphansi indawo evumayo sokuthuthukiswa namagciwane abangela izifo.

ngezigaba elicacisa ngesimo sendawo

Lokhu iziqu, izinhlobo oluhlukanisa caries izilonda, kuye ngezinga iziteshi. Kunjengoba evamile ekunqumeni uphethwe njengoba caries ngezigaba ICD 10. Nquma umonakalo elandelayo zinyathelo:

1. kumiswa indawo. Esigabeni sokuqala, okuyinto akufaki ukubhujiswa koqweqwe lwawo. Kulesi sigaba, phezu izinyo livela endaweni kukhanya noma kumnyama. Ukulimala isakhiwo koqweqwe lwawo akuyona - it is a bushelelezi, ubuhlungu akazihluphi. Ngalesi sikhathi, i-elula ukwelapha kwamazinyo, ngoba iza kokungenela bokugcina izicubu izinyo - ibala esuswa ebusweni, eyenziwe koqweqwe lwawo remineralization.
2. Surface caries. Lesi sinyathelo kuhilela kulimaze le engasekelwa igxile esifundeni ezijulile izinyo koqweqwe lwawo. It libhekene ubuhlungu gqwa yokusabela kuya ashisayo nabandayo. Ukwelashwa senzeka ngendlela efanayo esigabeni sokuqala.
3. caries Ephakathi. Inqubo usephendukele nangale kwemingcele koqweqwe lwawo futhi iqhubeka emkhakheni surface dentin ubuhlungu avele okukhulu ukuvama. Le nqubo ihlanganisa ngalo ingaphakathi ukwelashwa uhlanzekile ngcí ukufakwa.
4. caries Deep. umonakalo Tissue kuyingozi kakhulu, uginindela ivikela kuphela ungqimba ezondile dentin walondoloza, okuhlangenwe nakho nesineke sebuhlungwini obunzima. Uma isikhathi ongaqhubeki ukufakwa uphawu, lesi sifo kungathinta uginindela ukukhishwa izinyo kungagwenywa cha.

Ukwahlukanisa umfutho

Kusukela ukushuba isifo ngalo ingaphakathi ngomlomo 2 iyisilwane yodwa endaweni engenabantu kulesi sifo:

• A olulodwa kwamazinyo - sithinta umuntu oyedwa izinyo.
• Multi - sifo namazinyo eziningana.

Phakathi kweziguli nge caries amaningi bavamile ukuhlangana nabantu nge yezifo yisimiso senhliziyo nemithambo yegazi. Uma lesi sifo sihlasela namazinyo yengane, cishe, wayekade egula enomkhuhlane ebomvu kanye namathansela. Berezhnaya nokuvinjelwa izimbotshana amaningi enganeni engaphansi kweminyaka emithathu amazinyo eyinhloko kungukuhlasela ngesiliva plated.

Ukwahlukanisa yezinkinga Ezemfundo

Ukwephuza nokwelashwa kweziguli ukuze udokotela wamazinyo nezifo zamazinyo waphawula kaningi. Akunzima ukuqagela ukuthi igcwele indiva inkinga. Yiqiniso, namuhla kukhona yezinkinga caries ngezigaba. Ngokusho kwakhe, uthi:

• Complicated. Lesi sifo ephelezelwa izinqubo ukuvuvukala kule ngalo ingaphakathi ngomlomo. Enye i-flux.
• Ezingeyona inkimbinkimbi. caries ngezigaba kusenza siqonde ukuthi lolu hlobo isifo, ugeleza ngokusebenzisa izinyathelo ezivamile, kuhlanganise ukukhanya, aphakathi nendawo kanye ngokujulile.

Izinga ukuthuthukiswa inqubo caries

Ukuthuthukiswa lesi sifo kwenzeka umuntu ngamunye nge okushiyashiyanayo ngamandla kuye izici zangaphandle kanye izici ngamunye umzimba. izigaba eziningana elikhethiwe caries:

1. Cijela. Izimpawu zesifo avele ngokushesha okukhulu - ngaphakathi amaviki amabili.
2. Okungalapheki. Lesi sifo eba phezu isikhathi eside futhi esibonakala ngokuqina ukubukeka izindawo aphuzi noma ensundu phezu abathintekayo we koqweqwe lwawo.
3. Ukuqhakaza. uhlobo Progressive, lapho kukhona umonakalo koqweqwe lwawo amaningi ngesikhathi esifushane.

Izimpawu zesifo ezinganeni

Ukwahlukanisa caries ezinganeni Kwenziwa ngokuvumelana nenqubo efanayo kwabadala. Amazinyo ezingane futhi kwenzeka ukushiyana kwezidalwa ngegalelo, isifo primary, khona izinkinga, nokunye. D. kuphela evelela sici ukwehlukana ubisi caries izinyo unomphela.

izilonda Carious kwezitho mammary hhayi ibakhathaze esingaphansi isifo unomphela. Ezinganeni, ukubola kwamazinyo kutholakala kakhulu kanengi ukudlula e abadala, ngakho-ke kuyadingeka ngokushesha ngangokunokwenzeka ukufundisa ingane nempilo efanele temlomo na ukuthi ukhawule ukusetshenziswa sweet. Njengoba sazi ukuthi ubisi amazinyo zisekhona ukwelashwa isu zesikhashana zingase ziyahluka kancane kuyi-ukwelashwa amazinyo unomphela.

Silvering amazinyo aphansi abantwana

abazali anamuhla at wamazinyo zokuvimbela ebhekene eside ezifana namazinyo esiliva ezinganeni. Le nqubo wenziwa ngenxa nokwelashwa kusaqalwa caries. Eqinisweni inqubo kuyinto "okokuqandisa" lesi sifo.

inqubo Buhlungu, ngesikhathi udokotela wamazinyo wakhe uthola koqweqwe lwawo izinyo nge ukotini swab Ukwakheka ekhethekile equkethe esiliva. Amazinyo kwakheka kwi ifilimu ovikelayo, okuyinto evimbela sedimentation kanye ukukhula kwamagciwane ayingozi phezu koqweqwe lwawo.