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B NH SÂU R NG

TS. Võ Tr ng Nh Ng cB Môn R ng Tr Em

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M c Tiêu H c T p

1. Trình bày c các nguyên nhân gây b nh sâu r ng2. Trình bày c tri u ch ng lâm sàng và CLS và

i u tr b nh sâu r ng3. Trình bày c cách d phòng b nh sâu r ng

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nh Ng h a

Sâu r ng là m t b nh c a t ch c canxi hoá c c tr ngb i s hu khoáng c a thành ph n vô c và phá hu thànhph n h u c c a mô c ng

Cá c nh ngh a khá c:

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B nh C n

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B nhC n

V t chC h t n n

Vi khu nTh i gian

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M n g Bám R n g- Vi K h u n

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M n g Bám R n g- Vi K h u n

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C á c Y u T N i Si nh

Hình th r ng

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N c B t

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Viet Nam 2003

ChÕ ®éChÕ ®é ¨̈n : tÇn sèn : tÇn sè

SS÷÷aa

§§-êng-êng

XylitolXylitol

ThøcThøc ¨̈nn

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Viet Nam 2003

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Hu K ho á n g

Saliva

Enamel

C a10(PO4)6OH2

[Ca] [PO4] [Ca] [PO4]Ca+stather in Ca+aPRP

CHO CHO CHO

[H+]

[H+]

[H+][H+]

[H+]

pH<

5.5

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T á i K ho á n g H o á

Saliva

Enamel

C

a10(PO4)6OH2

[Ca] [PO4] [Ca] [PO4]

stather in Ca+aPRPCHO

CHO

[HCO3]

[HCO3][HCO3]

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Mô B nh H c

Sâu men s m

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Sâu Me n

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Ti n Tri n Sâu R n g

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P h â n Lo i

http://www.dentsply.de/products/esthet_x/ http://www.dent.ucla.edu/ce/caries

- Phân lo i theo sâu- Sâu men: t n th ng ch men r ng- Sâu ngà nông: t n th ng ch a quá 1/ 2 chi u dày ngà- Sâu ngà sâu: t n th ng g n sát tu

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Sâu Me n M i C h m In cipie n t c a rie, i n i t ial c a rie

T n th ng tr ngB mt nguyên v nVùng d ib hu k hoáng

Sâu r ng có th c tá

i khoá

ng hoá

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Sâu Ngà

Sâu ngà nông

Sâu ngà sâu

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ChÈn ®o¸n

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C h n o á n

á nh giá nguy c

Ch n oán sâu r ng s m

C h n oá n l sâu

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C h n o á n

Ti n s b nh nhânTh m khám lâm sàng: nhìn, s (thám trâm), gõPhân tích ch n

Phân tích n c b tXQ và các ph ng ti n h tr khác

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C h n o á n S m

Nhìn : tr ng thái -ít, khô

Kính lúp

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Las er Hu nh Qu an g

Ánh sáng

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nh S á n g xuyê n s i (DIFOTI)h tt p://www.dif o t i.c o m

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QLF

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P h im C á nh C n

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§iÒu trÞ

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i u Tr D P hòn g

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Tr ám Bít H Rã nh

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i u Tr Sâu Me n M i C h m

F luor

K i m soát v sinh RM,các b pd p,TBHR,Tái k hám nh k

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i u Tr L Sâu

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G IC

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Xin Ch©nT hµnhC¶m ¥n !