harxil turdagi pulpitlar klinik ko'rinishi, diagnostikasi va differentsial diagnostikasi

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powerpoint presentation tema:har xil turdagi pulpitlarning klinik ko'rinishi, diagnostikasi va differentsial diagnostikasi plan: vvedenie. pulpit klassifikatsiya pulpitov diagnostika dif. diagnostika ispolzovannie materiali i literaturi pulpit — eto vospalitelniy protsess, voznikayushiy v rezultate infitsirovaniya ili travmi i razvivayushiysya v sosudisto-nervnom puchke (pulpe), raspolojennom v kornevix kanalax i polosti zuba. klassifikatsiya pulpita zubov po mkb-10 k04.0 pulpit k04.00 nachalniy (giperemiya) k04.01 ostriy k04.02 gnoyniy (pulparniy abstsess) k04.03 xronicheskiy k04.04 xronicheskiy yazvenniy k04.05 xronicheskiy gipertroficheskiy (pulparniy polip) k04.08 drugoy utochnyonniy pulpit k04.09 pulpit neutochnyonniy k04.1 nekroz pulpi diagnostika: vneshniy osmotr perkussiya zondirovanie palpatsiya temperaturnie probi eod rentgendiagnostika vneshniy osmotr konfiguratsiya litsa pri pulpite ne izmenena. pri osmotre polosti rta nelzya aktsentirovat vnimanie tolko na tom zube na kotoriy ukazivaet patsient. nado pomnit, chto vozmojno irradiatsiya boli na sosednie zubi, zubi protivopolojnoy chelyusti, a tak je v uxo, visok, lob i drugie chasti golovi. neobxodimo osmotret vse polosti na dannoy storone, zubi pod plombami, …

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te zondirovanie po stenkam karioznoy polosti obichno bezboleznenno, poetomu plasti razmyagchennogo dentina nado udalyat, nalichiya so stenok karioznoy polosti. predvaritelno neobxodimo ubrat navisayushie kraya emali dlya rasshireniya polosti, chto toje ne doljna vizivat boleznennosti u patsienta. dlya postanovki diagnoza sleduet uchitivat razlichie bolevoy reaktsii zuba na zondirovanie stenok ili dna polosti v odnoy tochke ili po vsemu dnu. ochen vajno opredelit, est li soobshenie karioznoy polosti s polostyu zuba i vneshniy vid pulpi: rozovaya li ona, giperemirovannaya ili gryazno-serogo tsveta, krovotochit pri zondirovanii ili net. soobshenie s polostyu zuba chashe vsego udaetsya obnarujit v mestax naibolee blizkogo raspolojeniya rogov pulpi. pri zatyanuvshixsya formax pulpita dentin v etix uchastkax pigmentirovanniy, razmyagchenniy, perforatsionnoe otverstie udaetsya obnarujit posle udaleniya nekrodentina. 4. palpatsiya po perexodu skladke v oblasti pulpitnogo zuba boli ne vizivaet. 5. temperaturnie probi dopolnyayut svedeniya o sostoyanii pulpi. ix provodyat vneseniem v karioznuyu polost tampona, smochenogo v xolodnoy ili goryachey vode. …

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ferentsialnaya diagnostika ostrogo ochagovogo pulpita i glubokogo kariesa. obshee: 1). boli ot vsex vidov razdrajiteley, osobenno ot xolodnogo; 2). patsient tochno ukazivaet na bolnoy zub, irradiatsiya boley otsutstvuet; 3). imeetsya glubokaya karioznaya polost, polost zuba v oboix sluchayax ne vskrita. razlichiya: 1). pri ostrom ochagovom pulpite boli mogut voznikat ot bolee slabix razdrajiteley i ne proxodyat srazu posle ustraneniya prichini. chasto imeyut mesto samoproizvolnie boli s dlinnimi bezbolevimi promejutkami; 2). zondirovanie pri ostrom ochagovom pulpite rezko boleznenno v proektsii vospalennogo roga pulpi, a pri glubokom kariese menee intensivnaya boleznennost viyavlyaetsya po dentino-emalevoy granitse i vsemu dnu karioznoy polosti. differentsialnaya diagnostika ostrogo ochagovogo i ostrogo diffuznogo pulpita 1). pri ostrom ochagovom pulpite boli chashe voznikayut ot xolodnogo, a pri ostrom diffuznom pulpite pri perexode v gnoynuyu stadiyu boli poyavlyayutsya preimushestvenno ot goryachego. xolod bol uspokaivaetsya; 2). pri ostrom ochagovom pulpite bezbolevie promejutki gorazdo dlinnee bolevix, a pri ostrom diffuznom pulpite samoproizvolnie …

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dlya xronicheskogo fibroznogo pulpita, pri kotorom samoproizvolnaya bol mojet voznikat tolko pri obostrenii protsessa vospaleniya pulpi; 2). pri ostrom ochagovom pulpite (za isklyucheniem travmaticheskogo) net soobsheniya karioznoy polosti s pulparnoy kameroy. pri xronicheskom fibroznom pulpite posle provedennoy nekrektomii ono, kak pravilo, obnarujivaetsya; 3). pokazateli eod pri ostrom ochagovom pulpite- do 20mka, a pri xronicheskom fibroznom –do 35-40mka; 4). iz anamneza pri ostrom ochagovom pulpite ne viyavlyayutsya samoproizvolnie boli v proshlom, v otlichie ot xronicheskogo fibroznogo pulpita. 5). ostriy ochagoviy pulpit sushestvuet 1-2 sutok, a xronicheskiy fibrozniy-do neskolkix let. esli pulpit obnarujen pri profilakticheskom lechenii, to on, kak pravilo, yavlyaetsya xronicheskim. obshee: 1). dlitelnie boli, voznikayushie ot razdrajiteley, osobenno ot xolodnogo; 2). zondirovanie dna karioznoy polosti boleznennoe v odnoy tochke. differentsialnaya diagnostika ostrogo ochagovogo pulpita i papillita. ostriy ochagoviy pulpit neobxodimo differentsirovat s papillitom, pri kotorom vsegda viyavlyaetsya giperemirovanniy desnevoy sosochek, krovotochashiy pri legkom zondirovanii. pokazateli eod ryadom stoyashim zubov v …

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yutsya: differentsialnaya diagnostika ostrogo diffuznogo pulpita, ostrogo verxushechnogo periodontita i xronicheskogo verxushechnogo periodontita v stadii obostreniya. 1). pri ostrom diffuznom pulpite bol periodicheskaya, a pri ostrix formax verxushechnogo periodontita ona postoyannaya, narastayushaya vo vremeni, tak kak idet skoplenie ekssudata v zamknutom prostranstve periodontalnoy sheli, bez promejutkov; 2). pri ostrom diffuznom pulpite polost zuba obichno vskrita, a pri periodontite imeetsya soobshenie s pulpovoy kameroy, bezboleznennoe pri zondirovanii; 3). pri ostrom diffuznom pulpite palpatsiya po perexodnoy skladke v oblasti proektsii bolnogo zuba bezboleznenna, a pri ostrix formax periodontita-boleznenna; 4). pri ostrom diffuznom pulpite perkussiya mojet bit lish slaboboleznennoy, a pri ostrix formax periodontita do zuba bolno dotronutsya daje yazikom. 5). pri ostrom diffuznom pulpite patsient ne mojet tochno ukazat bolnoy zub iz-za irradiatsii boli, v otlichie ot ostrix form periodontita; 6). pri ostrom diffuznom pulpite temperaturnie razdrajiteli provotsiruyut bol, a pri ostrix formax periodontita bolevaya reaktsiya na temperaturnie razdrajiteli otsutstvuet; 7) pokazateli …

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powerpoint presentation tema:har xil turdagi pulpitlarning klinik ko'rinishi, diagnostikasi va differentsial diagnostikasi plan: vvedenie. pulpit klassifikatsiya pulpitov diagnostika dif. diagnostika ispolzovannie materiali i literaturi pulpit — eto vospalitelniy protsess, voznikayushiy v rezultate infitsirovaniya ili travmi i razvivayushiysya v sosudisto-nervnom puchke (pulpe), raspolojennom v kornevix kanalax i polosti zuba. klassifikatsiya pulpita zubov po mkb-10 k04.0 pulpit k04.00 nachalniy (giperemiya) k04.01 ostriy k04.02 gnoyniy (pulparniy abstsess) k04.03 xronicheskiy k04.04 xronicheskiy yazvenniy k04.05 xronicheskiy gipertroficheskiy (pulparniy polip) k04.08 drugoy utochnyonniy pulpit k04.09 pulpit neutochnyonniy k04.1 nekroz pulpi diagnostika: vneshniy osmotr perkussiya zondirov...

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