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Tashkent Medical Academy PULPIT to THERAPEUTIC STOMATOLOGY LECTURE 4 FOR STUDENT 4 COURSES 7 SEMESTERS STOMATOLOGICHESKOGO FACULTY The Subject: Mistakes.

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Presentation on theme: "Tashkent Medical Academy PULPIT to THERAPEUTIC STOMATOLOGY LECTURE 4 FOR STUDENT 4 COURSES 7 SEMESTERS STOMATOLOGICHESKOGO FACULTY The Subject: Mistakes."— Presentation transcript:

1 Tashkent Medical Academy PULPIT to THERAPEUTIC STOMATOLOGY LECTURE 4 FOR STUDENT 4 COURSES 7 SEMESTERS STOMATOLOGICHESKOGO FACULTY The Subject: Mistakes and complications at treatment sick with periodontitis. Chronic intoxicationand sepsis. the lecturer: professor Komilov H.P. Tashkent 2013 Tashkent Medical Academy PULPIT to THERAPEUTIC STOMATOLOGY LECTURE 4 FOR STUDENT 4 COURSES 7 SEMESTERS STOMATOLOGICHESKOGO FACULTY The Subject: Mistakes and complications at treatment sick with periodontitis. Chronic intoxication and sepsis. the lecturer: professor Komilov H.P. Tashkent 2013

2 The Purpose to lectures: Acquaint student with mistake and complications at treatment sick with periodontitis, chronic intoxication and sepsis Acquaint student with mistake and complications at treatment sick with periodontitis, chronic intoxication and sepsis

3 The Problems to lectures: Student must know mistakes and complications at treatment sick with periodontitis, chronic intoxication and sepsis Student must know mistakes and complications at treatment sick with periodontitis, chronic intoxication and sepsis

4 The Plan to lectures: General notion General notion Mistakes and complications, appearing in process of the stating the diagnosis of the Mistake and complications, appearing in process of the treatment Chronic intoxication Sepsis Findings Mistakes and complications, appearing in process of the stating the diagnosis of the Mistake and complications, appearing in process of the treatment Chronic intoxication Sepsis Findings

5 MISTAKES And COMPLICATIONS APPEARING AT TREATMENT of the DISEASE PERIODONTA Mistakes appearing when stating the diagnosis of the Mistake and complications appearing at anesthetization Mistakes appearing when stating the diagnosis of the Mistake and complications appearing at anesthetization 3. The Mistakes and complications appearing under mechanical processing the carious cavity. 3. The Mistakes and complications appearing under mechanical processing the carious cavity. 4. The Mistakes and complications appearing under mechanical and medical to processing channel. 4. The Mistakes and complications appearing under mechanical and medical to processing channel. 5. The Mistakes and complications appearing under sealing root channel. 5. The Mistakes and complications appearing under sealing root channel.

6 Mistakes and complications appearing at anesthetization Otlom needles allergic shock Gematoma Wrong introduction anesthetic Obmork Kollaps Paresteziya

7 First aid at swoon 1. Sick will add horizontal position 1. Sick will add horizontal position 2. Caffeine 10%-1.0 ml p\k 2. Caffeine 10%-1.0 ml p\k 3.Кордиамин 1.0 l p\k, v\m 3.Кордиамин 1.0 l p\k, v\m 4. Camphor 2%-2.0 ml p\k (in couched in type) 4. Camphor 2%-2.0 ml p\k (in couched in type) 5. Atropine 0.1%-0.5 ml p\k (when arising bradycardia) 5. Atropine 0.1%-0.5 ml p\k (when arising bradycardia ) 6. Hot tea, coffee, rest 6. Hot tea, coffee, rest

8 First aid under коллапсе Sick will add the horizontal position. Head place on side Poliglyukin400 ml v\v droplet Mezaton 1%-1.0 ml v\v, droplet with 5% 200 ml solution of the glucose Prednizalon mg ( on 1 kgs masses of the body 2-3 mg) or mg hydrocortisone or mg dexamethasone v\v Korglikon 0.06% ml v\v Calcium chloride 10%-10.0 ml solution since 10.0 ml- 0,89% solution sodium chloride v\v droplet Hospitalization patient in permanent establishment Sick will add the horizontal position. Head place on side Poliglyukin400 ml v\v droplet Mezaton 1%-1.0 ml v\v, droplet with 5% 200 ml solution of the glucose Prednizalon mg ( on 1 kgs masses of the body 2-3 mg) or mg hydrocortisone or mg dexamethasone v\v Korglikon 0.06% ml v\v Calcium chloride 10%-10.0 ml solution since 10.0 ml- 0,89% solution sodium chloride v\v droplet Hospitalization patient in permanent establishment

9 First aid at анафилактическом shock The Cessation introduction allergenSick will add the horizontal position. IVL+MASSAZH heart cut awayplace аллергена 0.1% adrenaline with ml fiz. solution Introduction Tavegil 0.1%-2.0 ml or Suprastin 2%-2.0 ml or diphenhydramine1%-3-4 ml v\m or v\v Reopoliglyukin ml v\v droplet Prednizalon mg (on 1 masses of the body 2-3 mg) or mg hydrocortisone or mg dexamethasone v\v Warmhearted glycosideson evidence: Korglikon 0.06% ml v\v Export resuscitationcrews Hospitalization patient in permanent establishment The Cessation introduction allergen Sick will add the horizontal position. IVL+MASSAZH heart cut away place аллергена 0.1% adrenaline with ml fiz. solution Introduction Tavegil 0.1%-2.0 ml or Suprastin 2%-2.0 ml or diphenhydramine 1%-3-4 ml v\m or v\v Reopoliglyukin ml v\v droplet Prednizalon mg (on 1 masses of the body 2-3 mg) or mg hydrocortisone or mg dexamethasone v\v Warmhearted glycosides on evidence: Korglikon 0.06% ml v\v Export resuscitation crews Hospitalization patient in permanent establishment

10 MISTAKES And COMPLICATIONS APPEARING UNDER MECHANICAL PROCESSING the CARIOUS CAVITY

11 Perforation

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17 MISTAKES and ComplicationsAPPEARING UNDER MECHANICAL And MedicationPROCESSING the ROOT CHANNEL MISTAKES and Complications APPEARING UNDER MECHANICAL And Medication PROCESSING the ROOT CHANNEL

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19 Shaping to cavities of the teeth

20 Blocade of the bright spot of the channel dentinal sawdust The Reason. Premature use the instrument of the big size and non-observance of the rules of the return to file of the small size for checking the pass abilities of the channel all through. The Reason. Premature use the instrument of the big size and non-observance of the rules of the return to file of the small size for checking the pass abilities of the channel all through. To blocade of the bright spot also to bring incomplete removing the pulp and lack of irrigation channel during instrumental processing To blocade of the bright spot also to bring incomplete removing the pulp and lack of irrigation channel during instrumental processing

21 The formation of the apical (qanaqa kasallik qob ketgat apical+ot kelishi kerak) The Reason. Use under curved channel made someone look fat, inflexible, not curly channel on the form of the instrument. Under rough rotation of the instrument in channel him transferred form sand hours. The Reason. Use under curved channel made someone look fat, inflexible, not curly channel on the form of the instrument. Under rough rotation of the instrument in channel him transferred form sand hours.

22 Apical perforation of the wall of the root channel (via falsa) The Reason. The Reason. 1) pass the channel with exhibit of the big effort when blocking the bright spot dentinal sawdust; 1) pass the channel with exhibit of the big effort when blocking the bright spot dentinal sawdust; 2). Use the instrument with aggressive top; 2). Use the instrument with aggressive top; 3). Use machine instrument when processing curved channel. 3). Use machine instrument when processing curved channel. The Preventive maintenance. The Preventive maintenance. 1) When functioning (working) follows to use the technical methods directed on warning blocking the bright spot of the channel dentinal sawdust; 1) When functioning (working) follows to use the technical methods directed on warning blocking the bright spot of the channel dentinal sawdust; 2). Before introduction to channel instrument his (its) it is necessary curly on the form of the channel; 2). Before introduction to channel instrument his (its) it is necessary curly on the form of the channel; 3). At extension of the channel file follows make sawing motion, amount rotational motion must be minimum; 3). At extension of the channel file follows make sawing motion, amount rotational motion must be minimum; 4). The Preference is added instrument with nonaggressive by top (batt-tip). 4). The Preference is added instrument with nonaggressive by top (batt-tip).

23 Formation symptomvia falsa Formation symptom via falsa

24 Surplus expansion of the channel in average one third on internal curvature root ( stripping ) The Reason. The Underestimation of the curvature of the channel and work in curved channel it is not enough curly instrument. The Reason. The Underestimation of the curvature of the channel and work in curved channel it is not enough curly instrument. The Preventive maintenance. To avoid the surplus extension in small curvature, follows beforehand to bend the files in accordance with curvature of the channel, when processing to use anti perforation technology, when file snuggles to big curvature. The Preventive maintenance. To avoid the surplus extension in small curvature, follows beforehand to bend the files in accordance with curvature of the channel, when processing to use anti perforation technology, when file snuggles to big curvature. Avoid this complications under премениении gimlet Safety hedstroem and fine files possible. Avoid this complications under премениении gimlet Safety hedstroem and fine files possible. followUshould Anecessary Avoiding the surplus extension narrow, twisted channel: their follows expand not more on 2-4 sizes from initial width. followUshould Anecessary Avoiding the surplus extension narrow, twisted channel: their follows expand not more on 2-4 sizes from initial width.

25 excessive expansion apical holes ( breakup )

26 Under VWVbreak off instrument to channel their extract from channel by means of complex Masserana, ultrasonic scaler or special endodontic ferrule, for instance Sonic Air.

27 The Process of the work. 1) Otlomok instrument. 2) microwelding electrode; 3) removing fragment instrument; 3) expansion artificial crowns; 4) By means of microwelding of the removing fragment instrument.

28 Ledging equipmentin Portenko canada additional gouge Ledging equipment in Portenko canada additional gouge The Reason. The Underestimation of the curvature of the channel and work in curved channel it is not enough curly instrument. The Reason. The Underestimation of the curvature of the channel and work in curved channel it is not enough curly instrument.

29 Perforation of the bottom to cavities of the teeth and root channel The Ignorances topography to cavities of the teeth; The Ignorances topography to cavities of the teeth; The Insufficient expansion of the bottom to cavities of the teeth Wrong choice and using endodonticinstrument Insufficient expansion mouth of the root channel. The Insufficient expansion of the bottom to cavities of the teeth Wrong choice and using endodontic instrument Insufficient expansion mouth of the root channel. The Offset to axis of the teeth in cheek or lingualdirection. The Offset to axis of the teeth in cheek or lingual direction. Endodontictreatment of the teeth under artificialby crown. Endodontic treatment of the teeth under artificial by crown.

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37 Mistakes and complications at sealing channel

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40 Perforation of the channel under filling channel

41 Perforation of the channel under filling

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47 Pereplombirovka channel

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49 Stomatogennyy centre localized chronic inflammatory diseases organ and fabric cavity рта, thatcan be a reason of the internal organ or the other system diseases of the organism or aggravate their current. Stomatogennyy centre localized chronic inflammatory diseases organ and fabric cavity рта, that can be a reason of the internal organ or the other system diseases of the organism or aggravate their current.

50 To стоматогенным centre pertain: The Inflammation periodontium (periodontitis ). The Inflammation periodontium (periodontitis ). The Inflammation of the pulp ( pulpitis ). The Inflammation of the pulp ( pulpitis ). The Disease periodontal. The Disease periodontal. Chronic osteomyelitis jaws. Chronic osteomyelitis jaws. odontogenic subdermal granuloma Retinirovannye, Impacted and supernumerary teeths, complicated by chronic inflammation. odontogenic subdermal granuloma Retinirovannye, Impacted and supernumerary teeths, complicated by chronic inflammation. Chronic alveolitis. Chronic alveolitis. The Chronic inflammation of the salivary ferrics. The Chronic inflammation of the salivary ferrics. The Chronic inflammation paranasal sinuses of the nose (одонто- and rhinogenous ). The Chronic inflammation paranasal sinuses of the nose (одонто- and rhinogenous ). 10.Зубные prosthetic devices and seals from material, possessing allergenic action. 10.Зубные prosthetic devices and seals from material, possessing allergenic action.

51 odontogenic centre chronic inflammatory process, connected with teeth As such centre are considered apical periodontitis, cysts, chronic forms of the inflammation of the pulp, as well as periodontalpocket, osteomyelitis (G.D.OVRUCKIY, 1993). As such centre are considered apical periodontitis, cysts, chronic forms of the inflammation of the pulp, as well as periodontal pocket, osteomyelitis (G.D.OVRUCKIY, 1993).

52 The Septic centres on location are divided: 1. Odontogen sepsis. 1. Odontogen sepsis. 2.Отоген sepsis. 2.Отоген sepsis. 3. Tonzilar sepsis. 3. Tonzilar sepsis. 4. Urogen sepsis. 4. Urogen sepsis. 5.Киндик sepsises. 5.Киндик sepsises. 6. Parodontol sepsis 6. Parodontol sepsis

53 CONCLUSION Odontogennye, often hidden centres to infections melt in itself threat of the heavy influence on organism. About this follows to remember the physician of any profile and more so stomatologist, which must in obligatory order to conduct sanitation cavities рта, using different modern methods (therapeutic and surgical) of the treatment. Odontogennye, often hidden centres to infections melt in itself threat of the heavy influence on organism. About this follows to remember the physician of any profile and more so stomatologist, which must in obligatory order to conduct sanitation cavities рта, using different modern methods (therapeutic and surgical) of the treatment.

54 LITERATURE Summary: 1. Borovsky EV et al "dentistry".- M s. 2. Borovsky EV Barisheva YD, YM Maksimovskiy "Dentistry", Moscow Lutzky IK "Prakticheskeaya dentistry" Minsk: Belarusian Science, Nikolaev, AI, LM Tsepov "Practical preventive dentistry," Moscow: Inform MEDpress, With 548. MORE: 5. Dmitriev, LN etc. "dentistry." -M., Skorikova L. et al "Propedeutics dental diseases." Rostov n/d was 7. Lutzky, "Guide to Dentistry", Rostov-N / A: Phoenix, with. 8. DmitrienkoS.V Krayushkin A., Sapin M.R "Anatomy of human teeth", Moscow-Nizhny Novgorod: Med.kniga NSMA, Leus PA, Goreglyad AA, Chudakov Acting "Diseases of the teeth and mouth," Minsk High School s. mail.admiral.ru www. e-stomatology.ru

55 THANK YOU FOR ATTENTION!


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