xronicheskiy gangrenozniy pulpit

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slayd 1 kiut dentistry №5 xronicheskiy gangrenozniy i konkrementozniy pulpit kiut dentistry clinical endodontics 2 lektor: phd, dotsent xatamov ulugbek altibaevich. tashkent 2025 plan: 1.etiologicheskie faktori xronicheskogo pulpita 2.xronicheskiy gangrenozniy pulpit. klinika. diagnostika i sravnitelnaya diagnostika. kiut dentistry xronicheskiy gangrenozniy pulpit gangrenozniy pulpit - pozdnyaya stadiya xronicheskogo pulpita, xarakterizuyushayasya vospaleniem i gnilostnim raspadom pulpi. v stomatologii gangrenozniy pulpit yavlyaetsya vtoroy po chastote formoy pervichno xronicheskogo pulpita (posle fibroznogo) i obichno razvivaetsya vsled za nim. reje gangrenozniy pulpit slujit prodoljeniem perenesennogo ostrogo diffuznogo pulpita. gangrenozniy pulpit mojet vozniknut kak v zakritoy polosti zuba, tak i v otkritoy. chashe gangrenoznim pulpitom porajayutsya molyari nijney chelyusti, chto svyazano s naibolshey rasprostranennostyu porajeniya etix zubov kariesom. v 16-20% sluchaev pri gangrenoznom pulpite voznikayut izmeneniya so storoni apikalnogo periodonta. prichini gangrenoznogo pulpita etiologiya gangrenoznogo pulpita obuslovlena proniknoveniem v pulpovuyu kameru gnilostnoy, preimushestvenno anaerobnoy mikroflori. infitsirovanie pulpi mojet proisxodit pri vskritii polosti zuba v protsesse lecheniya …

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azdrajeniya pulpi i ee soprotivlyaemost, obshee sostoyanie organizma cheloveka, intensivnost kariesa, sostoyanie parodonta. xronicheskiy gangrenozniy pulpit xarakterizuetsya nekrozom kak koronkovoy, tak i kornevoy chasti pulpi. pri etom v kornevoy pulpe na opredelennom urovne voznikaet demarkatsionniy val, obrazovanniy granulyatsionnoy tkanyu, nije kotorogo otmechaetsya fibroznoe vospalenie pulpi s trombozom melkix ven, nekrozom melkix arteriy, sklerozom. vishe demarkatsionnogo vala pulpa nekrotizirovana i iz'yazvlena. xronicheskiy gangrenozniy pulpit (pulpitis chronica gangraenosa) razvivaetsya iz gnoynogo ili xronicheskogo fibroznogo pulpita pri popadanii v pulpu gnilostnix bakteriy. samoproizvolnaya bol otsutstvuet, kogda pulpit protekaet pri otkritoy polosti zuba. nepriyatnoe oshushenie rasshireniya v zube yavlyaetsya postoyannim priznakom gangrenoznogo pulpita klinika razvivaetsya iz gnoynogo ili xronicheskogo fibroznogo pulpita pri popadanii v pulpu gnilostnix bakteriy. samoproizvolnaya bol otsutstvuet, kogda pulpit protekaet pri otkritoy polosti zuba. nepriyatnoe oshushenie rasshireniya v zube yavlyaetsya postoyannim priznakom gangrenoznogo pulpita. bolevie yavleniya obichno medlenno voznikayut pod vliyaniem teplovix razdrajiteley, pri prieme goryachey pishi i prodoljayutsya nedolgo. samoproizvolnaya …

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eli i deformatsiyu ee. jalobi : chashe vsego otsutstvuyut, odnako mogut bit boli ot goryachego. nepriyatniy zapax iz zuba. ob'ektivno: polost zuba u bolshinstva bolnix otkrita i zapolnena produktami raspada pulpi s nepriyatnim zapaxom. tsvet zuba imeet serovatiy ottenok. polost zuba vskrita dostatochno shiroko. pri zondirovanie boleznenno tolko v glubokix sloyax koronkovoy pulpi ili v glubine kornevix kanalov. poverxnostnie sloi pulpi gryazno-serogo tsveta, ne krovotochat. perkussiya zuba bezboleznenna. na rentgenogramme v periapikalnix tkanyax chasto obnarujivaetsya rasshirenie periodontalnoy sheli ili rezorbtsiya kosti s nechetkimi konturami (pri glubokom nekroze pulpi). eod pulpi snijena 60-100 mka. xronicheskiy gangrenozniy pulpit neobxodimo differentsirovat s xronicheskim fibrinoznim pulpitom i xronicheskim verxushechnim periodontitom. xronicheskiy gangrenozniy pulpit (pulpitis chronica gangraenosa) osmotr: zub izmenen v tsvete, imeetsya glubokaya karioznaya polost, soobshayushayasya dovolno shiroko s polostyu zuba. zondirovanie poverxnostnix sloev pulpi bezboleznenno, pulpa ne krovotochit, tsvet ee gryazno-seriy. obnarujivaetsya gnilostniy zapax. pri zondirovanii bolee glubokix sloev koronkovoy pulpi ili ustev …

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opredelyaetsya demarkatsionniy val iz granulyatsionnoy tkani. nije granulyatsionnoy tkani kornevaya chast pulpi naxoditsya v sostoyanii fibroznogo xronicheskogo vospaleniya. odontoblasti distroficheski izmeneni, kletochniy sostav kornevoy pulpi beden, opredelyayutsya uchastki gialinoza perivaskulyarnoy tkani, distroficheskie izmeneniya kollagenovix volokon. xronicheskiy gangrenozniy pulpit. koronkovaya chast pulpi predstavlena besstrukturnoy massoy v vide zernistogo raspada i mikroorganizmov. xronicheskiy fibrozniy pulpit xronicheskiy verxushechniy periodontit xronicheskiy gangrenozniy pulpit xr. gangrenozniy pulpit xr. fibrozniy r v stadii obostrenii ost. diffuzniy r ost. verxushechniy rt na rentgenogramme mogut viyavlyatsya izmeneniya v vide rasshireniya periodontalnoy sheli ili rezorbtsii kostnoy tkani s nechetkimi konturami. rentgenografiya zuba pozvolyaet obnarujit izmeneniya periapikalnix tkaney: rasshirenie periodontalnoy sheli, inogda - nebolshoy ochag destruktsii v oblasti verxushki kornya. xronicheskiy gangrenozniy pulpit sleduet differentsirovat ot srednego i glubokogo kariesa, xronicheskogo fibroznogo pulpita i verxushechnogo periodontita. differentsialnaya diagnostika xronicheskogo gangrenoznogo pulpita i xronicheskogo verxushechnogo periodontita obshee: 1) inogda bessimptomnoe techenie (vne obostreniya); 2) jalobi na gnilostniy zapax iz karioznoy polosti; …

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a vrastayut v kanal, no v etom sluchae na turunde obnarujivaetsya yarko-alaya krov, chto ne xarakterno dlya gangrenoznogo pulpita; 5) granulyatsii pri zondirovanii menee boleznenni, chem soxranivshayasya pulpa v kanale pri gangrenoznom pulpite; 6) pokazateli eod bolee 100 mka. klinicheski diagnoz e priznaki xronicheskiy fibrozniy pulpit gipertroficheskiy pulpit gangrenozniy pulpit sostoyanie dna karioznoy polosti polost zuba mojet bit vskrita ili zakrita. dentin razmyagchen polost zuba otkritaya, znachitelnix razmerov, zapolnennaya razrosshimsya «polipom» pulpi karioznaya polost bolshix razmerov, polost zuba otkrita reaktsiya na zondirovanie boleznenno, osobennosti v oblasti vskritoy polosti zuba zondirovanie «polipa» malo boleznennoe, on krovotochit. pulpa v polosti zuba rezko boleznenna poverxnostnoe - bezboleznennoe, glubokoe -boleznennoe, pulpa mojet krovotochit reaktsiya na temperaturnie razdrajiteli medlenno narastayushaya bol ot goryachego ili xolodnogo, v osobennosti pri cheredovanii razdrajiteley ne postoyannaya. mojet bit ot goryachego razdrajitelya medlenno narastayushaya noyushaya bol na goryachiy temperaturniy razdrajitel, osobenno na cheredovanie xolodniy -goryachiy perkussiya bezboleznennaya bezboleznennaya, pri mexanicheskom …

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slayd 1 kiut dentistry №5 xronicheskiy gangrenozniy i konkrementozniy pulpit kiut dentistry clinical endodontics 2 lektor: phd, dotsent xatamov ulugbek altibaevich. tashkent 2025 plan: 1.etiologicheskie faktori xronicheskogo pulpita 2.xronicheskiy gangrenozniy pulpit. klinika. diagnostika i sravnitelnaya diagnostika. kiut dentistry xronicheskiy gangrenozniy pulpit gangrenozniy pulpit - pozdnyaya stadiya xronicheskogo pulpita, xarakterizuyushayasya vospaleniem i gnilostnim raspadom pulpi. v stomatologii gangrenozniy pulpit yavlyaetsya vtoroy po chastote formoy pervichno xronicheskogo pulpita (posle fibroznogo) i obichno razvivaetsya vsled za nim. reje gangrenozniy pulpit slujit prodoljeniem perenesennogo ostrogo diffuznogo pulpita. gangrenozniy pulpit mojet vozniknut kak v zakritoy polosti ...

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