SU RNG: DIN BIN, NGUYN NHN, IU TR V D PHNG Rng b su khc vi cc b phn khc b tn thng, v y l b phn duy nht trong c th khng c kh nng t phc hi, phi cha tr. Thng thng su rng pht trin lin tc t lp nng n lp su ca rng theohnh th gii phu ca rng. Triu chng ban u l rng i mu mt vi vng trn mt nhai hoc k gia hai rng mt vi im trn b mt, lc ny ngi bnh cha cm thy au hay but, l su rng cha c v kch thch do thc n nng, lnh cha xy ra. Mt thi gian sau, nhng im ny bin i sc ti hn sang mu nu hoc mu en. L su rng xut hin c th nh nh u tm hoc to ton b mt nhai. Ngi bnh cm thy kh chu khi thc n git vo l su, cm thy but khi n thc n nng, lnh, au khi c thc n git vo. Nu l su tip tc b su th phn y l b bong calcium v mm ha, nhim vo tng su ca rng, lm cho bnh nng hn. Khi rng au ko di, hoc cng au gia tng th rt c th ty rng b vim. Khi b vim ty th phicha vim ty rngtn km hn v mt chi ph v thi gian, Nu khng cha ty th bnh s din bin nghim trng hn tr thnh bnh lvim chp chn rng cp hoc mn tnhv v ct thn rng, mt chc nng ca rng. Bn cnh , khi b su rng, hi th ca ngi bnh cn cmi hi ming.Nhng nguyn nhn gy su rng Ngi ta cho rng c 4 nhn t nh mt chui lin hon gy ra su rng l vi khun, thc n m c th l tinh bt,thi im chi rng v cng rng ca tng ngi Vi khun gy su rng l cc vi khun bm vo b mt rng, trn cc mng bm rng, trn mng sinh hc v c kh nng gy su rng bng cchcc vi khun ny bm vo rng v tng sn sinh hnh thnh cc m khun, dn dn cc m khun ny pht trin thnh mt s lng ln cc vi khun tn cng rng,chng sn sinh v tit ra cht hu c, polyore, enzyme, chuyn ha tinh bt thnh ng v ng thnh acid. Nhng cht ny c th ha tan cht hu c v phn hy cht v c trong kt cu men v ng rng to nn l thng trn thn rng gi l l su rng ( xem thmc ch gy su rng).

Chi rng ng cch, ng thi im nhm loi b ht ngun nguyn liu cho vi khun tng hp nn cc cht gy hi cho rng l cch tt nht trong vic phng v chng su rng Dng nc xc ming nhm mc ich dit v lm gim s lng vi khun lm ct chui lin hon gy su rng

Kh nng chng su ca rng ty thuc vo trng thi kt cu ca rng. Hm rng khng b st m, khng khim khuyt, mc thng hng, thng li, men rng trng bng, mc khong ha rng cao l nhng yu t quan trng chng li cc tc nhn gy su rng. Ngc li, cc yu t ny khng hon chnh th nguy c su rng l rt ln. S gy ra su rng ca thc n c nhc n nhiu nht l ng, l nguyn liu quan trng vi khun s dng dinh dng v thi ra sn phm chuyn ha l acid gy xi mn v to l thng trn men rng, c hi nht l thi quen n nhiu ng, n ngt, khng nh rng trc khi i ng. Cc gn thc n cn bm vo cc k rng, nu khng nh rng thng xuyn, hoc/v khng ly cao rng nh k cng s lm mi trng thun li cho vi khun gy su rng pht trin bi mt s lng ln vi khun thng xuyn c tr trong mng cao rng. Qu trnh t rng mi su n khi hnh thnh l su phi tri qua mt thi gian, nhanh hay chm ty thuc vo s v sinh, kh nng chng su ca tng ngi v cng ph thuc mc vi khun nhiu hay t. Ngi ta cho rng t lc xut hin cc m rng cho n khi hnh thnh l su c th n 1,5 nm, trong thi gian rt cn c iu tr kp thi.

iu tr rng su nh th no? Bin php ti khong phn b su, dng dung dch gm cc cht calcium, phosphate, fluorine trm vo ni rng b su. Phng php ny p dng cho trng hp rng chm su, c kh nng thu hp vng c mu trng vi hoc vng ngng pht trin. y l phng php ti khong n gin, hiu qu, khng au v an ton. Bin php no b phn rng b su, p dng cho mi l su rng, nht l l su rng, nhm ngn chn s pht trin tip theo ca rng su. Sau hn trm l su rngl phng php thng dng nht cha su rng. Khi hn s dng cht liu hn trm hn tht chc vo rng, trm y vo ch khuyt ca rng khng lu vi khun v thc n vo hc su rng nhm ngn chn hu su rng nng hn hoc hu qu ca su rng, khi phc tnh nng ca rng, nhm gi c thm m v chc nng cho hm rng.Hn rng bng Glass Ionomer Cement ( Cement thy tinh ) Sn phm thng mi l Fuji VII, Fuji IX

Hn rng bng Amangam ( Mt p kim gm Bc, ng, thy ngn v mt vi hp kim khc )

Hn rng bng Composite

Hn rng bng s c inlay

Hn rng bng Composite

Phng bnh su rngTrc ht phi v sinh rng ming sau khi n, trc khi i ng. Hn ch n thc n cha nhiu ng hocchi rng ng cch ngay sau khi nTr em trong thi k mc rng, thay rng cng phi c bit quan tm n hm rng, nh cho tr n cht to rng, nh rng v dy tr bit nh rng cho mnh. Dng kem nh rng c cha flourine, c th dng thm nc sc ming dit khun sau ba n. Nhng ph n mang thai cn b sung calcium tr sinh ra khng b thiu cht to rng. Mi ngi cng cn khm rng nh k 6 thng/ln kp thi pht hin nhng bin i ca rng, c cc bin php iu tr ph hp.Chia s thng tinGi bi vit ny cho bn bBn inCc bi vit khc

Bnh su rng: Triu chng v phng bnh

Bnh su rng: nguyn nhn v cch phng bnh

Su rng nhim trng ty rng, chn thng rng gy Vim chp chn rng-X-tr

C ch su rng

Hu qu x lch rng sau mt rng hm

Cch cha su rng n gin12-06-2014 09:21c xp vo danh sch nhng bnh l rng ming ph bin nht hin nay, bnh su rng v ang c xu hng gia tng nc ta. Theo mt s thng k cho thy, c ti 90 n 95% dn s Vit Nam gp phi nhng bnh lin quan n rng ming v ch yu l su rng. Su rng thng ko theo nhng cn au but, nhc rng v cng kh chu. Nu bn cha c thi gian ti nha s th c th tham kho mt s cch cha su rng n gin di y tm thi gim i cc triu chng au nhc rng kh chu.

Su rng l mt trong nhng bnh rng ming ph bin v c t l ngi mc cao nht hin nay.Cch cha su rng n gin.1. ChanhCha su rng bng chanh l cch cha su rng n gin t nguyn liu thin nhin, d thc hin, an ton v kh hiu qu. Bn hy dng nc ct chanh thoa trc tip ln rng su. Axit t nhin trong nc ct chanh s gip lm du cn au v ngn chn s ly lan rng hn ca vi khun gip bn gim au nhanh chng.

Sc ming bng nc mui gip bn ngn chn su rng v gim au do su rng hiu qu.2. MuiVi kh nng st trng v khng khun t nhin, mui l loi gia v rt hu dng gip bn gim au rng v st khun vng ming. Sc ming vi nc mui m mi ngy khng ch gip bn lm sch vm ming, ngn nga mt s bnh rng ming m cn lm gim cc triu chng au, nhc rng mt cch hiu qu.3. TiTi l mt trong nhng v thuc t nhin c cng dng st khun, khng vim rt tt. gim au nhc rng vi ti, bn c th dng ti gi nt vi vi ht mui tinh, cht ly dung dch nc p ti ri dng bng sch thm vo dung dch v chm ln nhng vng rng au.

Ti v gng l nhng v thuc t nhin gip bn khng vim, gim au do su rng.4. GngGng l v thuc ng y c tnh nng, c kh nng st khun, khng vim, gim sng. Do vy, chng ta hon ton c th s dng gng ti cha au v hn ch tnh trng sng, vim nu do su rng. Bn ch cn dng mt vi lt gng mng hoc nc p gng nh vo vng rng au, cc cn au ca bn s nhanh chng gim i gip bn cm thy d chu hn.Nhng cch cha su rng n gin trn c th gip bn tm thi gim i nhng cn au do su rng. Tuy nhin, chng ti vn khuyn bn nn sp xp thi gian ti gp nha s cng sm cng tt c thm khm c th v tm ra phng php iu tr hiu qu gip loi b cc bin chng nguy him do su rng.

Nn i khm nha s ngay khi pht hin cc vn v rng c s m bo tt nht cho sc khe rng ming ca bn.Khoa Rng hm mt - bnh vin Thu Cc l a ch uy tn; tin cy cho nhu cu khm v iu tr cc bnh l rng ming ca mi khch hng. Ti y, khch hng s c thm khm v t vn iu tr bi cc bc s - l nhng chuyn gia hng u v rng hm mt nh:Gio s, tin s Quang Trung: Nguyn Trng b mn Rng Hm Mt, i hc Y H Ni; chuyn gia u ngnh v Nha chu...v c s dng cc dch v y t cht lng cao cng cc phng php iu tr mi nht, mang li hiu qu v s hi lng tuyt i. bit thm thng tin chi tit v t lch thm khm xin vui lng lin h:Khoa Rng-Hm-Mt,Bnh vin a Khoa Quc t Thu Cc 286 Thy Khu, Qun Ty H, H Ni S in thoi: 84-04-383 55555 Fax: 84-04-383 55555 Email:contact@thucuchospital.vn Hotline: 0904.564.336 Su rng Bch khoa ton th m WikipediaDental caries

Phn loi v t liu bn ngoi

Mt ci rng b hng do su rng

ICD-10K02

ICD-9521.0

DiseasesDB29357

MedlinePlus001055

Su rngl mt bnh ph hoi cu trc carng.[1]Nu khng c cha tr, bnh ny c th dn naurng,rng rng,nhim trng, vt vongi vi nhng ca nng.[2]Bnh su rng c mt lch s di, vi cc cn c cho thy n xut hin tthi k ng, St,thi Trung C, v thm ch trc cthi k Mi.[3]Ngi ta lin h nhng t bnh su rng lan rng mnh nht vi cc thay i v ch n.[3][4]Ngy nay, bnh su rng vn l mt trong nhng bnh thng gp nht trn khp th gii. C nhiu cch phn loi cc dng su rng.[5]Tuy rng th hin c th khc nhau, cc nhn t ri ro v s tin trin ca cc dng su rng khc nhau vn hu nh l tng t nhau. Ban u, bnh c th th hin mt vng nh c xp (chalky), cui cng pht trin thnh mt l hng ln mu nu. Tuy i khi ngi ta c th trc tip nhn thy vng b su, nhngtia X quangthng c dng kim tra nhng vng rng kh nhn thy hn v nh gi mc tn thng ca rng. Bnh su rng do mt s loivi khuntoaxitgy ra (c th l cc loiLactobacillus,Streptococcus mutan, v cc loiActinomyces). Cc vi khun ny gy tn thng cho rng trong mi trng c cccarbohydrateln men c, v d nh cc loi ngsucrose,fructose, andglucose.[6][7][8] Ty theo mc tn thng ca rng, c nhiu phng php iu tr khc nhau khi phc tnh trng ca rng c c hnh dng, chc nng v thm m thch hp. Tuy nhin, hin ngi ta cha bit n mt phng php no c th ti sinh ng k cu trc rng. Thay vo , cc t chc sc khe nha khoa ku gi cc bin php phng nga trnh su rng, chng hn nh thng xuyn giv sinh rng mingv thay i ch n.[9]Cc bn nn nh phi nh rng khi n xong v th s lm cho rng trng v phng nga su rng v sc ncmui tiu dit mng bm v vi khun gy hi ming. Hu ht mi ngi u c nguy c mc bnh su rng, nhng i tng ph bin v thng gp nht vn l tr em, do cc b vn cha c thi quen. Bnh su rng s tr nn rt nguy him nu bn khng kp thi pht hin v c phng n iu tr kp thikhc phc bnh su rng. Su rng do u Nguyn nhn chnh gy su rng chnh l do thi quen v sinh rng ming. Mng bm trn thc n tha khng c v sinh sch s to iu kin l tng cho cc vi khun c sn trong khoang ming sinh si ny n, to ra nhng chm en li ti. chnh l nhng l su rng. Theo thi gian, nhng l su rng pht trin gy cm gic au nhc, kh khn khi n nhai. Nu khng c s can thip ca nha s, su rng khng ch gy cht ty rng m con gy nh hng n cc rng bn cnh. Cch cha su rng Nu bnh su rng ca bn c pht hin sm, cha xut hin nhiu l su trn b mt rng, cc nha s s chm mt t thuc kh trng ln b mt rng, iu ny gip hn ch s hot ng ca vi khun trn rng. y l gii php t tc ng n cu trc rng nht. Khi rng su nng hn, nha s s hn nhng l rng su li, ngn khng cho vi khun tip tc tn cng men rng v ty rng. Mt s vt liu hn rng thng c s dng l: nha tng hp, amanda, xi-mang silicat. Khi rng cht ty, gy hi ming, nh hng n thm m, bc s phi nh chic rng . Sau khi nh rng, bn nn trng li chic rng mi bng s m bo tnh thm m, s t tin khi giao tip v hn ch qu trnh tiu xng. Phng bnh su rng Trong mt s trng hp, bnh su rng c th l do cc yu t di truyn nh hng n kh nng chng su ca rng. Tuy nhin, cch phng chng bnh su rng mang li hiu qu cao nht vn l gi v sinh rng ming v thng xuyn kim tra sc khe rng ming nh k ti cc phng khm uy tn. Vi tr em, bn nn nhc b nh rng t nht 2 ln/ ngy v hn ch n ngt, ung nc c ga vo bui ti. Ngoi ra, mt s loi khng sinh c th gy thiu sn men rng, khin rng d b su v mn hn, bn cng nn ch . Vi ngi ln, sc khe rng ming cng khng th coi thng. Nhng cn au hay but bt ng khi nhai cng, ung nc lnh hoc nc nng bt ng cng c th l triu chng ca su rng. m bo sc khe rng ming cho chnh mnh, bn nn n khm nha s 6 thng/ ln sm pht hin cc bnh l lin quan n rng ming cng nh c nha s t vn cc cch chm sc v v sinh rng.