Ton Thuong to Chuc Cung o Do Sau

8/7/2019 Ton Thuong to Chuc Cung o Do Sau

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TN THNG T CHC CNG

CA RNGKHNG DO SU RNG

TS. V Trng Nh Ngc


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1. Phu thut trong ming

2. Bnh l ming-phu thut hm mt

3. Nha chu

4. Cha rng v Ni nha

5. Phc hnh

6. Nha cng ng

7. Nn chnh rng-hm

8. Rng tr em

9. Nha c s: gii phu, m phi rng ming, khp cn, vt liu nhakhoa, php nha, k thut nha khoa

Ts V Trng Nh Ngc- B mnRng Tr Em


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Mc Tiu Hc Tp

1. Trnh by c nguyn nhn, c im lmsng v cch iu tr cc loi mn rng.

2. Lit k, phn bit c cc dng btthng cu trc rng

3. Trnh by c nguyn nhn, c imlm sng v cch iu tr cc loi nhim

mu rng4. Trnh by c nguyn nhn c im lmsng v cch iu tr bnh tiu chn rng



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Phn Loi

1. Mn rng Mn rng-rng

(attrition) Mi mn (abrasion) Mn ho hc

(erosion) Tiu c rng

(abfraction)2. Tn thng do ri lan

qu trnh pht trinrng

Cu trc rng btthng: to men, tong v to cementbt thng

Nhim mu

3. Nt v rng4. Tiu chn rng

- Tiu chn rng do cc kchthch trong thi gian ngn

- Tiu chn rng do cc kchthch trong thi gian di- Tiu c rng thm nhp- Ni tiu chn rng

Tiu vimTiu thay th



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Mn Rng- Rng



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Mn Rng- Rng



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Mn Rng- Rng

Nghin rngTs V Trng Nh Ngc- B mnRng Tr Em


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Mn Rng- Rng

Mn rng-rng v mi

mn



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Abrasion Mi MnN: mn rng bnh l do tc ng ca

cc lc ma st t cc tc nhn ngoi lai

Nguyn nhn:- Chi rng

- Kem nh rng

- Thi quen xu

- Mn ho hc

c im TT:

- V tr sang chn



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Mn Ho Hc (Erosion)

N: mn rng bnh l do ccho cht m khng c s tcng ca vi khun

C ch: pH thppH ti hn men rng?

pH ti hn ng rng?

Nguyn nhn:

-Hi chng tro ngc d dy thc qun

- Thi quen n ung: coca cola

- Ngh nghip Ts V Trng Nh Ngc- B mnRng Tr Em


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erosion

Mn Ho Hc (Erosion)



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Mn Ho Hc (Erosion)

Mn ho hc bnh nhn tiu th nhiu nc ung cha

Bicarbonate v c tin s tro ngc d dy-thc qunTs V Trng Nh Ngc- B mnRng Tr Em


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Mn Ho Hc (Erosion)

Hi chng tro ngc d dy-thc qun

Hm trn Hm di



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Mn Ho Hc (Erosion)

Mn ho hc c hc do hm diTs V Trng Nh Ngc- B mnRng Tr Em


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Mn Ho Hc (Erosion)

DP

h

ng Fluor : hn ch Thay i thnh phn nc ung: canxi

lactate, acid citric Coca cola: cch ung

Thi im nh rng

Nc sc ming Thi quen n ung



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Tiu C Rng (abfraction)

N L TT trn b mt rng trong qu trnh chu

lc un

Nguyn nhn:

Rng xoay trc

Cn tr cn sang bn



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KtHp



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Tn Thng Do Ri Lon Qu TrnhP

ht TrinBt thng cu trc- Sinh men bt ton

- Sinh ng bt ton

-

Sinh x mng bt thng

Nhim muFluorose

Nhim tetracycline



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Sinh Men Bt Ton

Thiu sn men

Km khong ho men rng

Men rng km trng thnh



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Thiu Sn Men Rng

Dng thiu sn c 7 phenotype; (phn loi ca Witkop)4 dng u di truyn theo NST th tri:

SMBT c men thiu sn vi cc chm SMBT v thiu sn cc b men rng SMBT vi thiu sn nhn SMBT vi men rng thiu sn sn si

2 phenotype tip theo di truyn theo NST thng ln:- SMBT vi men rng aplasique sn si- SMBT thiu sn khu tr

Loi cui cng lin quan n SMBT NST X v ditruyn theo NST thng tri: men thiu sn nhn



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Thiu Sn Men Rng



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Th thiu sn men

Men rng bnh thng, s lng khng bnh thng(khng ).

-Thng gp nht v di truyn

- Hay gp con gi hn con trai

-Ts V Trng Nh Ngc- B mn

Rng Tr Em


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Th Thiu Sn Men



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Sinh Men Bt Ton



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Thiu Sn Turner



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Thiu Sn Men Rng



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Thiu Sn Men Rng

Rng c cc m trng

B mt men khng u

cng men rng bnh thngTs V Trng Nh Ngc- B mn

Rng Tr Em


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Thiu Sn Men Rng



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Km Khong Ho Men Rng



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Km khong ho menrng



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Trc rng bnh thng

Trc rng Hutchinson



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Sinh Men Bt Ton TypeHypomaturation



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NG Bt

Sinh ngbt ton,trong sut



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Sinh Ng Bt Ton



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Sinh Ng Bt Ton

Shell teeth, type III



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Rng sa v rng vnh vin bnh nhn c tn thng DGI -II



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Sinh Ng Bt Ton

Sinh ng bt ton,cu trc ng hn n,

tu b tc



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Lon Sn Ng



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Lon sn rng tng vng



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Taurodontisme



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Qu pht x mng



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Fluorose

Nh

Trung bnh

Nng



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Fluorosis trung bnh

Nng

Ts V Trng Nh Ngc- B mn

Rng Tr Em


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Fluorose


Rng Tr Em


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Rng Nhim Mu

Nhim mu ni sinh

Nhim mu ngoi sinh

Nhim mu trc sinhNhim mu sau sinh


Rng Tr Em


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Tetracyclin


Rng Tr Em


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Rng Nhim Tetracycline


Rng Tr Em


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Tetracycline


Rng Tr Em


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Nh

Trung bnh

NngTs V Trng Nh Ngc- B mn

Rng Tr Em


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Nng


Rng Tr Em


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Tetracycline


Rng Tr Em


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i Mu Do Chy Mu Tu


Rng Tr Em


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Tiu Chn RngPhn Loi Heithersay

Tiu chn rng Tiu chn rng do cc kch thch trong

thi gian ngn

Tiu chn rng do cc kch thch trongthi gian di

Tiu c rng thm nhp

Ni tiu chn rng Tiu vim

Tiu thay th

Ngoi Tiu

Ni tiu


Rng Tr Em


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Rng Tr Em


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Ngoi Tiu Chn Rng B Mt


Rng Tr Em


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Tiu vim


Rng Tr Em


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Ngoi Tiu Do Vim

Tiu c rng 24 do

odontome

Ngoi tiu do u ht


Rng Tr Em


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Chn xa tiuthay th, chn Mtiu vim


Rng Tr Em


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Tiu thay th mt M doln rng


Rng Tr Em


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Tiu thay th


Rng Tr Em


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Rng Tr Em


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Rng Tr Em


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Ngoi Tiu Thay Th


Rng Tr Em


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Rng Tr Em


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Ni tiu ngrng

Ni tiu vi cc t bo khng l


Rng Tr Em


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Dnh rng


Rng Tr Em


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Rng sinh i


Rng Tr Em


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Rng Tr Em

N h (D i t )


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Nm ph (Dens evaginatus)


Rng Tr Em


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Rng Tr Em

R T R


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Rng Trong Rng


Rng Tr Em


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Rng Tr Em


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Dnh Rng (Fusion)


Rng Tr Em


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Rng Tr Em


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Rng Sinh i


Rng Tr Em


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Rng Tr Em


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Rng Tr Em


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Rng Tr Em


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Documents

Ton Thuong to Chuc Cung o Do Sau