Nhazi ọkwa nke eze caries. Na ụdị na nhazi ọkwa nke eze caries na ụmụ

Caries - a ọrịa mara niile n'akụkụ nke ụwa, na ọ bụ ike ịchọta onye ga-agaghị ụdị nsogbu a dịkarịa ala otu ugboro ná ndụ. The ọrịa na-emetụta ike eze anụ ahụ, thinned Enamel ma banye n'ime n'ime miri n'ígwé dentin, eke na ha a oghere. Ọtụtụ mgbe imebi anya kwesiri ngosi ma ọ bụrụ na mmebi a na-ejedebeghị na miri n'ígwé nke anụ ahụ.

Na-akpata ọrịa

Ụlọ emit a otutu chepụtara, omume nke carious ọnya, ma isi na-anọgide n'otu:

• Mmetọ ókè nnu ma ọ bụ na-atọ ụtọ ihe oriri.
• Na mwepu nke na ihe oriri nke carbohydrates na vitamin.
• The ala ọdịnaya fluorine ume ọhụrụ eze Enamel.
• The na-eleghara anya onu ọcha na ịdị ọcha.
• Ọrịa.
• Genetic pụrụ ịrịa.
• Properties nke nha nha Ọdịdị, n'iru n'elu nke Enamel nke eke borozdochek na nke imubanye microorganisms susceptible ka ụdi rere ere.

All nke n'elu ihe, ruo n'ókè ụfọdụ, na-emetụta ndị acid-isi itule nke ọnụ, na-eke a eze Enamel mma gburugburu ebe obibi maka mmepe nke pathogenic bacteria. Dị ka a n'ihi nke gradual leaching nke calcium si eze Enamel anụ ahụ na-ebibi ma na kpụrụ cavities. Ibiere na nke dabeere na nhazi ọkwa nke eze caries, e nwere ọtụtụ, na n'ụzọ ziri ezi otú ahụ. Extended nhazi ọkwa site ọtụtụ afọ na-enye ohere na-etinye ihe ndị kasị pụrụ ịdabere na nchoputa, chọpụta ihe na-ogo-agba ọsọ usoro na ọrịa ọgwụgwọ nhọrọ.

Nhazi ọkwa site Blake

The kasị eji bụ nhazi ọkwa nke eze caries site Black. Ọ na-egosipụta ọ bụghị naanị na ọnọdụ nke carious mbibi n'elu, ma na-omimi nke ule ọdịda. Designations ikpeazụ umu ime site na klas - elu na ọkwa, na-eleghara anya nke ọrịa:

1. M na klas. Bidoro - a nnọọ ike caries oria occlusal elu nke nha nha Enamel. Mmebi a na-lekwasị ke ebe nke tapered grooves nke ezé. Esonyere ndị gradual mbibi nke Enamel, dentin na ekemende. Na-adọ ọgwụgwọ na dọkịta ezé na usoro nke ogbo 1 nwere ike kwụsịrị kpam gwọrọ ezé, na-enweghị enyemaka nke a malite ịgba.
2. Klas II. Agafeghị oke cavities kpụrụ n'elu ịkpọtụrụ elu na nke ala posterior ezé. Enamel n'ebe a dị mfe, na-gbanwere akụkụ yiri obere triangles. Dị otú ahụ unan na-ezo n'etiti ezé, na ọtụtụ ikpe ike ike mata ọbụna ahụmahụ.
3. Class III. Dị ka nke a nkewa dị ka caries nhazi ọkwa, a mmeri agafeghị oke, nke uji eze kpụrụ na n'ihu elu nke ezé. The ọnụ mbepụ nke ọhụrụ na a ogbo anọgide emebibeghị. Ọtụtụ mgbe, ụdị nha nha ire ere na-emetụta ndị na-eme ihe n'ụzọ na ato uto na adịkarịghị eji eze floss.
4. Class IV. Siri ike nha nha ire ere, nke bụ a na-aga n'ihu nzọụkwụ ke mmeri nke klas III. Ọ bụrụ na n'elu mmebi egbutusị untreated, na-amalite imebi ala na dentin nke eze ọnụ mbepụ.
5. V na klas. Oké ogo. Nhazi ọkwa caries e ji mara ụdị mmebi nke nha nha omimi tinyere gingival ebe. Cavities dị iche-iche na-akpọ cervical, ọ bụ ya bụ kasị dị ize ndụ, dị ka ndị carious oghere dị na ozugbo visiniti nke mgbọrọgwụ. Mgbe mbụ ogbo, ókè n'etiti chịngọm na eze ahụ kpuchie fọrọ nke nta ọ bụla anya na-acha ọcha n'ọnụ. Ọtụtụ mgbe, na-akpata caries emetụta ọtụtụ akụkụ, na-mgbe ụfọdụ oria ihe niile. Ileghara ọgwụgwọ nke "na-acha ọcha cavities" kpụrụ nsogbu n'ụdị foci carious mbibi. Mgbe ụfọdụ, oké njọ nsogbu nke ọrịa nwere ike a ajụjụ banyere mwepụ nke mebiri emebi ezé.

Nhazi ọkwa nke WHO / ICD 10

Caries nhazi ọkwa site na WHO (Òtù Ahụ Ike Ụwa) dabeere na njirimara nke a kpọmkwem na-emetụta ebe na-egosi na-esonụ na-egosi Koodu:

• K02.0. Malite mbibi nke Enamel, kwupụtara na guzobere-acha ọcha tụrụ n'elu.
• K02.1. Usoro na-egosi mbibi nzọụkwụ ndị dentin - anụ ahụ n'okpuru Enamel.
• K02.2. Ciment carious mbibi ma ọ bụ mgbọrọgwụ caries. Nke a na koodu na-eji na-egosi na mmebi nke nha nha mgbọrọgwụ.
• K02.3. Aha nzọụkwụ nke kwụsịtụrụ carious mbibi.
• K02.4. Ọ na-agụnye odontoklaziyu, ụmụaka na melanodentiyu melanodontoklaziyu.
• K02.8. Ọzọ iche na-adịghị depụtara na nke bu ya ụzọ paragraf.

caries nhazi ọkwa ICD (International nhazi ọkwa nke Diseases) a na-ewere ndị kasị ewu ewu na-eme nke oge a na dentistry. Ọ bụ adaba n'ihi na o nwere a ukpụhọde ke ụdị ihe, raara kwụsịtụ ya ọrịa na ndị ọzọ na umu.

Nhazi ọkwa nke bụ isi ọrịa

Dental caries-aka-akọrọ site ugboro ole nke omume:

• Primary - mbụ gụrụ ọrịa kpụrụ eze caries, etiology, nke ime site nhazi ọkwa na analysis metụtara a akpan akpan Atiya.
• Secondary ma ọ bụ nlọghachi azụ - na-egosi na ahụ elu elu, na mbụ doro oru. Ọ na-adị n'ihi na nke iro kwesịrị ekwesị akàrà na eze, si otú na-akpụ a ọdịiche, nke dị n'okpuru a mma gburugburu ebe obibi maka mmepe nke pathogenic bacteria.

Topographic nhazi ọkwa

Nke a gụsịrị akwụkwọ, distinguishing ụdị caries ọnya dị ka ogo ọwa. Ọ bụ dị ka nkịtị na-ekpebi nchoputa ka caries nhazi ọkwa ICD 10. Kpebisie ike na mmebi na-esonụ:

1. ntụpọ guzobere. The mbụ ogbo, nke Ewezuga mbibi nke Enamel. Mgbe a na ogbo, na eze elu-egosi na-egbuke egbuke ma ọ bụ ọchịchịrị ntụpọ. Mmebi nke Enamel Ọdịdị bụghị - ọ bụ a ezigbo, mgbu adịghị ewute. N'oge a, ndị kacha iji gwọọ ezé ure, n'ihi na ọ na-abịa na di ntakiri aka na anụ ahụ nke ezé --ahụ ntụpọ a na-ewepụ si n'elu, mere nke Enamel remineralization.
2. N'elu caries. Nke a nzọụkwụ na-agụnye imebi n'ekwú nke na-adịghị anya region miri eze Enamel. Ọ ji oge mgbu na mmeghachi omume na-ekpo ọkụ na oyi na-atụ. Ọgwụgwọ-ewe ebe ahụ n'otu ụzọ ahụ dị ka na mbụ ogbo.
3. Middle caries. The usoro na-arahụ gabiga ókè nke Enamel na-aga n'ihu na ubi nke elu dentin mgbu apụta ọzọ ufiop na ihe ugboro ugboro. The usoro na-agụnye ọcha ọgwụgwọ oghere na akàrà echichi.
4. Deep caries. Anụ ahụ mmebi dị nnọọ oké njọ, pulp na-echebe naanị a mkpa oyi akwa nke dentin ẹnịm, ọrịa ahụmahụ n'oké ihe mgbu. Ọ bụrụ na oge na-adịghị anọgide na-akara echichi, ọrịa nwere ike isi metụta pulp, ezé mmịpụta apụghị izere.

Nhazi ọkwa nke osisi ike

Si ike nke oria nke na-edeghị ede oghere 2 bụ ndị dịpụrụ adịpụ ụdị ọrịa:

• A otu ezé ure - emetụta onye eze.
• Multi - ọrịa na-emetụta ọtụtụ ezé.

Otu n'ime ihe ndị ọrịa na multiple caries mgbe izute ndị na ọrịa nke obi usoro. Ọ bụrụ na ọrịa na-emetụta ndị na nwa ezé, dịcha, ọ rịara ọrịa na-acha uhie uhie ahụ ọkụ na tonsillitis. Berezhnaya mgbochi nke multiple cavities maka a nwa n'okpuru afọ atọ nke isi ezé bụ silver plated.

Nhazi ọkwa nke Education nsogbu

Igbu oge na ọgwụgwọ nke ọrịa na dọkịta ezé na eze ọrịa hụrụ ezi mgbe. Ọ bụghị ike na-eche na ihe bụ fraught na-eleghara nsogbu. N'ezie, taa, e nwere a caries nhazi ọkwa nsogbu. Dị ka ya, ya bụ:

• Mgbagwoju anya. The ọrịa so site mkpali Filiks onu oghere. A mgbanwe nke a agbanwe oge.
• -Adịghị mgbagwoju. caries nhazi ọkwa na-enye ohere anyị ka anyị ghọta na nke a bụ ọrịa, eru site na ot nzọụkwụ, tinyere ìhè, ọkara na miri emi.

Ọnụego nke mmepe nke caries usoro

Development nke ọrịa na-adị na onye ọ bụla na mgbanwe ike dabere na mpụga ihe na onye e ji mara nke organism. Ọtụtụ iche edemede nke caries:

1. Nkọ. Mgbaàmà nke ọrịa na-egosi nnọọ ngwa ngwa - n'ime otu izu abụọ.
2. -Adịghị ala ala. The ọrịa amalite ruo ogologo oge na e ji onye ahụ nke acha ma ọ bụ aja aja tụrụ na otụk n'elu Enamel.
3. Blooming. Progressive ụdị, nke e nwere na multiple Enamel mmebi ke a dịtụ mkpirikpi oge.

Njirimara nke ọrịa na ụmụ

Nhazi ọkwa nke caries na ụmụaka a rụrụ dị ka otu ibiere dị ka okenye. Na ụmụaka dentistry Oputakwara gradation na osisi ike, bụ isi ọrịa, ọnụnọ nke nsogbu, na na. D. The naanị ịmata mma bụ nkewa nke mmiri ara ehi na caries na-adịgide adịgide ezé.

Carious ọnya nke mammary akụkụ-eme ka obere erughị ala karịa a na-adịgide adịgide ọrịa. Na ụmụ, ezé ure na-achọta ọtụtụ ihe ndị ọzọ ugboro ugboro karịa ndị okenye, n'ihi ya, ọ dị mkpa ka anya dị ka o kwere omume na-akụziri a nwa kwesịrị ekwesị ọnụ na ịdị ọcha na-amachi ojiji nke-atọ ụtọ. Nyere na mmiri ara ehi ezé ka a nwa oge ọgwụgwọ atụmatụ nwere ike iche ubé site na ọgwụgwọ nke na-adịgide adịgide ezé.

Silvering isi ezé ụmụ

Modern ndị nne na nna na mgbochi dọkịta ezé ihu a okwu ndị dị otú ahụ dị ka ọlaọcha ezé na ụmụ. Nke a na usoro a rụrụ maka igbochi na ọgwụgwọ nke n'oge nkebi nke caries. N'ezie usoro bụ a "kefriza" nke ọrịa.

Enweghi mgbu usoro, n'oge ya dọkịta ezé ọkọkpọhi ka eze Enamel na a owu swab pụrụ iche mejupụtara nwere silver. Ezé kpụrụ na-echebe film, nke na-egbochi sedimentation na uto nke na-emerụ bacteria na Enamel n'elu.