Cov Kev Kho Mob Rau Kev Mob Hniav
Kev lwj hniav yog ib qho mob uas cov qauv hniav tsis muaj zog vim yog kev puas tsuaj rau cov enamel (txheej sab nraud tshaj plaws ntawm cov hniav) thiab/lossis dentin (txheej hauv qab enamel). Lo lus " lwj" feem ntau siv los piav txog cov hniav uas khoob, tawg yooj yim, yooj yim rhiab, lossis zoo li lwj. Qhov mob no tsis yog tsuas yog zoo nkauj xwb, tab sis kuj tseem tuaj yeem cuam tshuam rau kev zom, ua rau mob, thiab ua rau muaj kev kis kab mob yog tias tsis kho kom zoo. Vim tias qhov ua rau thiab qhov hnyav ntawm kev lwj hniav tuaj yeem sib txawv, cov txheej txheem kho rau kev lwj hniav sib txawv - los ntawm cov txheej txheem yooj yim mus rau cov txheej txheem nyuaj dua.
Cov Ua Rau Hniav Poob
Ua ntej tham txog kev kho mob, nws yog ib qho tseem ceeb kom nkag siab txog cov ua rau. Qhov ua rau feem ntau yog cov hniav lwj : cov kab mob hauv qhov ncauj hloov cov suab thaj los ntawm cov khoom noj thiab dej haus mus rau hauv cov kua qaub uas ua rau cov enamel lwj. Qhov kev pheej hmoo nce ntxiv nrog kev tu cev tsis zoo ntawm qhov ncauj, kev noj cov khoom noj qab zib ntau, kev noj khoom txom ncauj ntau zaus, thiab kev kuaj xyuas hniav tsis tu ncua. Ntxiv nrog rau cov hniav lwj, cov hniav tuaj yeem ua rau muaj qhov vim yog cov kua qaub lwj (piv txwv li, los ntawm cov dej haus carbonated, cov kua qaub, lossis cov kua qaub hauv plab hauv GERD), kev sib txhuam (txhuam hniav hnyav dhau), thiab bruxism (kev sib tsoo hniav), uas ua rau cov kab nrib pleb me me thiab thaum kawg ua rau cov hniav tawg.
Cov Cim Qhia thiab Cov tsos mob uas yuav tsum tau ceev faj
Cov hniav lwj tsis yog ib txwm mob tam sim ntawd. Thaum ntxov, cov pob dawb tsis pom tseeb tshwm sim ntawm qhov chaw ntawm cov hniav, ib qho cim ntawm kev tshem tawm cov minerals. Thaum qhov kev puas tsuaj zuj zus, cov pob tuaj yeem hloov mus ua daj lossis xim av, thiab cov kab me me tuaj yeem tsim. Cov tsos mob feem ntau suav nrog mob thaum haus dej kub lossis txias, mob thaum zom, ua pa tsw phem , thiab txawm tias mob hnyav tas li yog tias cov hlab ntsha raug cuam tshuam. Yog tias cov pos hniav o, cov qhov me me (fistulas), lossis kub taub hau tshwm sim, qhov no tuaj yeem qhia txog kev kis kab mob uas xav tau kev kho mob tam sim ntawd.
Cov Kev Kho Mob Raws Li Qib Kev Puas Tsuaj
1) Kev kho dua tshiab thiab Fluoride rau theem pib
Yog tias qhov puas tsuaj tseem tsis tau muaj cov qhov loj, koj tus kws kho hniav yuav pom zoo kom kho cov hniav uas puas lawm. Cov txheej txheem suav nrog:
– Siv tshuaj fluoride pleev rau ntawm cov hniav (varnish/gel) hauv tsev kho mob kom cov hniav enamel khov kho.
– Siv cov tshuaj txhuam hniav uas muaj fluoride ntau npaum li cas (tej zaum koj tus kws kho mob yuav pom zoo kom siv ntau npaum li ntawd rau qee kis).
– Cov tshuaj ntxiv uas ua rau cov pob zeb hauv lub cev rov qab zoo li CPP-ACP (casein phosphopeptide-amorphous calcium phosphate) rau qee tus neeg mob.
Lub hom phiaj yog kom tiv thaiv cov txheej txheem lwj thiab kho cov hniav cuav uas tsis muaj zog. Kev kho mob no yuav ua tau zoo yog tias pib thaum ntxov thiab ua ke nrog kev hloov pauv hauv kev noj zaub mov thiab kev tu cev huv si.
2) Kev Kho Hniav (Kev Kho Dua) rau Cov Qhov Me-Nruab Nrab
Yog tias muaj qhov khoob, kev kho mob feem ntau yog kev txhaws hniav. Tus kws kho hniav yuav ntxuav qhov puas ntawm cov hniav thiab tom qab ntawd txhaws nws nrog cov khoom siv daim ntawvCov hom ntaub ntawv siv ntau zaus:
– Cov tshuaj composite resin (cov khoom txhaws xim zoo li cov hniav): zoo nkauj, haum rau ob qho hniav pem hauv ntej thiab tom qab, tab sis xav tau cov txheej txheem teeb tsa zoo kom ruaj khov.
– Cov iav ionomer cement (GIC): tuaj yeem tso cov fluoride tawm, feem ntau siv rau qee thaj chaw lossis rau cov menyuam yaus, tab sis kev tiv thaiv kev hnav tuaj yeem qis dua li cov khoom sib xyaw.
– Amalgam: muaj zog rau cov hniav molars, tab sis nws siv tam sim no poob qis vim yog kev xav txog kev zoo nkauj thiab kev nyiam ntawm tus neeg mob.
Kev txhaws hniav zoo yuav ua rau cov hniav rov qab ua haujlwm tau zoo, txo qhov rhiab heev, thiab tiv thaiv cov kab mob kom tsis txhob nkag mus tob dua. Txawm li cas los xij, kev txhaws hniav tseem xav tau kev saib xyuas tsis tu ncua vim tias lawv tuaj yeem puas tsuaj lossis xau raws sijhawm.
3) Inlay/Onlay rau kev puas tsuaj ntau dua
Yog tias qhov kev puas tsuaj loj txaus ua rau kev txhaws hniav tas li tawg yooj yim, koj tus kws kho mob yuav pom zoo kom siv inlay lossis onlay. Cov no yog cov kev kho hniav "ib nrab-crown" uas tsim nyob rau hauv chav kuaj (lossis siv CAD/CAM thev naus laus zis) rau kev ua kom raug thiab muaj zog dua. Cov khoom siv siv tuaj yeem yog cov khoom sib xyaw tshwj xeeb lossis porcelain. Lawv cov txiaj ntsig suav nrog kev ruaj khov siab thiab cov duab ntawm cov hniav raug dua, ua rau koj yooj yim zom.
4) Kev Kho Mob Hauv Paus (RST) Yog tias cov hlab ntsha raug cuam tshuam
Yog tias lub qhov tob heev uas nws ncav cuag lub pulp (cov hlab ntsha hniav), feem ntau nrog mob hnyav, rhiab heev ntev, lossis mob throb. Hauv qhov mob no, kev kho mob hauv paus hniav yog qhov tsim nyog. Cov txheej txheem suav nrog:
1. Ntxuav cov hlab ntsha uas muaj kab mob/o.
2. Ua kom cov hauv paus hniav huv si.
3. Siv cov khoom tshwj xeeb los txhaws cov hauv paus hniav kom nruj.
4. Npog cov hniav nrog ib qho khoom txhaws tas mus li thiab feem ntau ua raws li kev kho lub kaus mom hniav.
Lub hom phiaj ntawm PSA yog khaws cov hniav kom tsis txhob raug rho tawm. Tom qab PSA, cov hniav yuav tawg yooj yim dua, yog li ntawd kev tiv thaiv ntxiv yog qhov tseem ceeb.
5) Kev Txhim Kho Cov Hniav Yas Kom Cov Hniav Uas Txhov Siab
Cov hniav uas lwj heev, tawg, lossis cov uas tom qab muaj tus kab mob psoriasis feem ntau xav tau lub kaus mom hniav los tiv thaiv cov hniav uas tseem tshuav. Lub kaus mom hniav npog tag nrho cov hniav, txo qhov kev pheej hmoo ntawm kev tawg thaum zom. Cov khoom siv kaus mom hniav sib txawv, suav nrog:
– Porcelain/ceramic: qhov zoo li ntuj tshaj plaws.
- Zirconia: muaj zog thiab zoo nkauj.
– PFM (porcelain sib xyaw nrog hlau): kev sib xyaw ua ke zoo nkauj thiab muaj zog, txawm hais tias qee tus neeg yuav muaj kab tsaus nti tshwm sim ntawm kab ntawm cov pos hniav.
Nrog lub kaus mom hlau, cov hniav uas yav tas los tsis khov kho tuaj yeem rov qab ua haujlwm tau zoo, tsuav yog tseem tu cev qhov ncauj kom huv si.
6) Rho hniav thiab hloov hniav yog tias pab tsis tau
Yog tias qhov kev puas tsuaj loj heev—piv txwv li, tsis muaj hniav seem ntau, muaj kab mob rov tshwm sim, lossis hniav tawg mus txog rau hauv paus hniav—koj tus kws kho hniav yuav pom zoo kom rho hniav tawm. Tom qab rho hniav tawm lawm, zoo dua yog hloov nws kom nws ua haujlwm tau zoo thiab nyob ruaj khov. Cov kev xaiv hloov hniav suav nrog:
- Cov hniav cog rau hauv lub qhov ncauj: ze tshaj plaws rau cov hniav tiag vim tias lawv tau cog rau hauv lub puab tsaig.
- Choj: vam khom cov hniav sib ze ua kev txhawb nqa.
– Cov hniav cuav uas tshem tau: pheej yig dua, tab sis xav tau kev hloov kho thiab kev saib xyuas tshwj xeeb.
Qhov kev xaiv txoj kev kho mob nyob ntawm seb pob txha mob li cas, kev noj qab haus huv ntawm qhov ncauj, tus nqi, thiab tus neeg mob nyiam li cas.
Kev Saib Xyuas Txhawb Nqa: Cov Kev Cai Uas Txiav Txim Siab Rau Kev Ua Tau Zoo
Kev kho mob hauv tsev kho mob yuav tsis zoo yog tsis muaj kev hloov pauv hauv kev coj ua txhua hnub. Qee cov kauj ruam tseem ceeb:
1. Txhuam koj cov hniav ob zaug ib hnub nrog cov tshuaj txhuam hniav uas muaj fluoride, tshwj xeeb tshaj yog ua ntej yuav mus pw.
2. Siv cov xov hniav los yog txhuam hniav interdental los ntxuav cov hniav ntawm koj cov hniav.
3. Txwv tsis pub noj qab zib thiab noj khoom txom ncauj ntau dhau, vim tias qhov zaus noj qab zib muaj feem cuam tshuam ntau dua li qhov ntau npaum li cas.
4. Siv cov tshuaj yaug qhov ncauj tom qab noj cov khoom noj/dej qab uas muaj kua qaub, thiab tos li 30 feeb ua ntej txhuam koj cov hniav kom cov hniav cuav tsis lwj ntxiv lawm.
5. Haus dej kom pab txo cov kua qaub thiab ua kom cov qaub ncaug tawm.
6. Kho qhov ncauj qhuav, vim tias cov qaub ncaug ua lub luag haujlwm tiv thaiv cov hniav. Nug koj tus kws kho mob yog tias koj noj qee yam tshuaj uas ua rau qhov ncauj qhuav tas li.
7. Siv ib lub cuab yeej tiv thaiv hmo ntuj yog tias kev mob hniav yog qhov ua rau koj cov hniav tawg.
Thaum Twg Koj Yuav Tsum Mus Ntsib Kws Kho Hniav?
Nrhiav kev kho mob tam sim ntawd yog tias koj mob tas li, mob thaum tom, pom cov qhov lossis cov xim dub ntawm koj cov hniav, lossis cov pos hniav o. Qhov zoo tshaj plaws, kev kuaj xyuas tsis tu ncua txhua rau lub hlis yuav pab nrhiav pom kev puas tsuaj thaum ntxov, ua rau kev kho mob yooj yim dua thiab pheej yig dua.
Kev kaw
Cov kev kho mob rau cov hniav lwj feem ntau nyob ntawm seb qhov kev puas tsuaj loj npaum li cas: txij li kev ntxiv fluoride rau cov theem thaum ntxov, kev txhaws rau cov qhov me me mus rau nruab nrab, inlays/onlays rau cov hniav lwj loj, cov hauv paus hniav yog tias muaj cov hlab ntsha cuam tshuam, cov yas hniav kom txhawb cov hniav qaug zog, thiab rho tawm thiab hloov yog tias tus hniav tsis tuaj yeem cawm tau. Kev kuaj pom thaum ntxov thiab kev saib xyuas txhua hnub tas li yog qhov tseem ceeb. Yog tias muaj cov kauj ruam zoo, cov hniav lwj tsis tas yuav xaus rau kev rho tawm - ntau qhov xwm txheej tuaj yeem kho thiab tswj tau kom muaj kev noj qab haus huv thiab kev ua haujlwm mus sij hawm ntev.
