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Tashkent Medical Academy PULPIT to THERAPEUTIC STOMATOLOGY LECTURE 3 FOR STUDENT 4 COURSES 7 SEMESTERS STOMATOLOGICHESKOGO FACULTY The Subject: Chronic.

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Presentation on theme: "Tashkent Medical Academy PULPIT to THERAPEUTIC STOMATOLOGY LECTURE 3 FOR STUDENT 4 COURSES 7 SEMESTERS STOMATOLOGICHESKOGO FACULTY The Subject: Chronic."— Presentation transcript:

1 Tashkent Medical Academy PULPIT to THERAPEUTIC STOMATOLOGY LECTURE 3 FOR STUDENT 4 COURSES 7 SEMESTERS STOMATOLOGICHESKOGO FACULTY The Subject: Chronic and chronic in stage of the intensification periodontitis. The Clinic, diagnostics and treatment lecturer: professor Komilov H.P. Tashkent 201 3

2 The Purpose: Acquaint the student with chronic forms periodontitis. Their clinic, diagnostics and methods treatments. The Purpose: Acquaint the student with chronic forms periodontitis. Their clinic, diagnostics and methods treatments.

3 The Problems: Teach the student to diagnose the chronic forms an periodontitis, conduct the differential diagnostics with similar diseases, form the plan of the treatment sick with chronic forms periodontitisand methods of the treatment. The Problems: Teach the student to diagnose the chronic forms an periodontitis, conduct the differential diagnostics with similar diseases, form the plan of the treatment sick with chronic forms periodontitis and methods of the treatment.

4 Plan: 1. Clinic chronic and chronic in stage of the intensification periodontitis 2. Diagnostics of the clinical forms periodontitis 3. Methods of the treatment of the chronic forms periodontitis Plan: 1. Clinic chronic and chronic in stage of the intensification periodontitis 2. Diagnostics of the clinical forms periodontitis 3. Methods of the treatment of the chronic forms periodontitis

5 Chronic fiber periodontitis

6 Chronic fiber периодонтит Etiologiya: Etiologiya: 1.After treatments pulpitis 1.After treatments pulpitis 2. transformation granulating and granulomatouspulpitis in fiber form 2. transformation granulating and granulomatous pulpitis in fiber form 3.how upshot sharp apicalperiodontitis 3.how upshot sharp apical periodontitis 4. at overloading teeth 4. at overloading teeth

7 PERIVASKULYARNYE INFILITRATY. H 100

8 LEYKOCITARNAYA INFILITRACIYA. H 200

9 Early shaping the blood vessels. Newly educated capillaries are labeled asterisk. The Colouration hematoxylin and eosin, uv. 40x10 Early shaping the blood vessels. Newly educated capillaries are labeled asterisk. The Colouration hematoxylin and eosin, uv. 40x10

10 Gistologicheskaya picture Apikalinaya migration epithelium dentogingival of the groove. Infilitraciya under the epithelial fabrics hutch to inflammatory reaction with destruction collagen filaments. Gematoksilin- eosin, uv.h20

11 The Zone of the fiber fastening (F) to surfaces of the dentine (D) root teeth without shaping the new cement. Gematoksilin- eosin (on Caton, Greenstein 1994)

12 The Root damaged in normal periodontium : (but) - migration epithelium along root surface, apical enamel-cement border. Gematoksilin-eosin, uv. h10; (b) - an epithelium lines the surface a root and comes to light apical crest alveolar offshoot, showing that new connecting-woven fastening does not meet on surfaces root, damaged periodontitis though root and is in normal periodontium Gematoksilin-эозин, uv. h12.8 (on Poison, Caton 1982)

13 Chronicn granulomatous periodontitis

14 Chronic granulomatous periodontitis Fiber capsule develops In the field of tops root,surrounding granulation fabrics- granuloma Fiber capsule develops In the field of tops root,surrounding granulation fabrics- granuloma

15 Hroicheskiy granulating periodontitis

16 Chronic granulating periodontitis Weak pain of the sensation-gravity, Distension,awkwardness,small soreness under bite on teeth Weak pain of the sensation-gravity, Distension,awkwardness,small soreness under bite on teeth

17 Granulicionnaya fabrics

18 Rezorbciya cement and dentine

19 about apical granuloma: about apical granuloma : 1. simple 1. simple 2.complex epithelial 2.complex epithelial 3. Kistogranulemy 3. Kistogranulemy

20 Bone fabrics to jaws is not restored: 1. channel were filled not completely 1. channel were filled not completely 2. The increased pressure on teeth 2. The increased pressure on teeth 3.Аpical centre of the chronic inflammation communicates with periodontal by pocket 3.Аpical centre of the chronic inflammation communicates with periodontal by pocket 4.At cyst if in nearby teeth has occurred necrosis of the pulp,but treatment was not conducted 4.At cyst if in nearby teeth has occurred necrosis of the pulp,but treatment was not conducted 5. reduction general immunological reactivity 5. reduction general immunological reactivity

21 Using hlorfilipt at treatment destructive forms periodontitis The Methods of the study: The Methods of the study: Objective and subjective Rentgenology Mikrobiologicheskoe Objective and subjective Rentgenology Mikrobiologicheskoe

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26 The X-ray 6. D-z: hr. granulating periodontitis. Before treatment. The X-ray same sick through 1 after treatment крезодентом.

27 Chronic granulomatous periodontitis 14 teeths. After depoforeza passed 12 mesyacev. treatments крезодентом

28 Chronic 46 teeths. Chronic granulomatous periodontitis 46 teeths. After крезодента passed 9 months.

29 Conservative-surgical methods Resection of the top root Koronoradikulyarnaya separation Gemisekciya and amputation root Replantaciya teeth Resection of the top root Koronoradikulyarnaya separation Gemisekciya and amputation root Replantaciya teeth

30 Depoforez hydroxide honeys-calcium can be used for treatment all gangrenous teeth, including at difficult available, partly obliteratedand/or powerfully twisted channel teeth, covered crown. The Teeths are after vital extirpationalso possible to cure the depoforezom, but after devitalization remainder pulps. This method is highlyand under the other type apical processes such as radicularof the cyst, osteolysis. Depoforez hydroxide honeys-calcium can be used for treatment all gangrenous teeth, including at difficult available, partly obliterated and/or powerfully twisted channel teeth, covered crown. The Teeths are after vital extirpation also possible to cure the depoforezom, but after devitalization remainder pulps. This method is highly and under the other type apical processes such as radicular of the cyst, osteolysis.

31 The Designed method depoforeza possesses beside solving advantage, which is conditioned by using new material: water suspension hydroxide honeys-calcium, possessing exclusive bactericidal characteristic. During treatment under the action of electric field from created in root channel railroad yard above named suspension ions HE- and possessing strong bactericidal action ions hydroxo cuprate [Su(ON)4] get into the whole canal system, including secondary and lateral channels, up to hole. The Designed method depoforeza possesses beside solving advantage, which is conditioned by using new material: water suspension hydroxide honeys-calcium, possessing exclusive bactericidal characteristic. During treatment under the action of electric field from created in root channel railroad yard above named suspension ions HE- and possessing strong bactericidal action ions hydroxo cuprate [Su(ON)4] get into the whole canal system, including secondary and lateral channels, up to hole.

32 1. Proteoliz residing in canal system remainder fabric. Forming herewith sterile oligopeptides and mycelium after leaving from canal system are included in processes of the assimilations. 1. Proteoliz residing in canal system remainder fabric. Forming herewith sterile oligopeptides and mycelium saponification after leaving from canal system are included in processes of the assimilations. 2. Destruction all microorganism to account of the taking away of the amino acid sulphur. 2. Destruction all microorganism to account of the taking away of the amino acid sulphur. 3. Vystilanie unfilled part of the root channel, as well as all microtubules by hydroxide honeys-calcium, which provides long sterility and, besides, stimulates formation bone fabrics in the field of micro holes. 3. Vystilanie unfilled part of the root channel, as well as all microtubules by hydroxide honeys-calcium, which provides long sterility and, besides, stimulates formation bone fabrics in the field of micro holes. 4. stimulation activities osteoblasts in periapical of the area as a result alkalinization. 4. stimulation activities osteoblasts in periapical of the area as a result alkalinization.

33 Instrument Original II

34 The Procedure is executed not in physiotherapy cabinet, but in easy chair of the physician. Negative wire dot electrode, bolted in ferrule, carry in channel on depth 4-8 mm. (Since session of the treatment lasts usually 2-5 minutes, bolt the electrode by sticky wax does not follow). The Positive electrode place for cheek. The Procedure is executed not in physiotherapy cabinet, but in easy chair of the physician. Negative wire dot electrode, bolted in ferrule, carry in channel on depth 4-8 mm. (Since session of the treatment lasts usually 2-5 minutes, bolt the electrode by sticky wax does not follow). The Positive electrode place for cheek.

35 Include the instrument and slowly enlarge the current, reaching, as a rule, from 1 before 2 mA. The Gross amount electricity, which necessary to process the channel, forms 15 mA h mines. The Treatment is conducted in three sessions usually so given during one session amount electricity forms at the average 5 mA h mines. As tab before the following session, which is conducted through 8-10 days usually, after drainage in channel enter become cool portion of the paste hydroxide honeys-calcium. For time between session of the treatment cavity is recommended leave open (or close the time seal with done in her hole) to prevent arising the pressure at outflow possible else formed exudate. Include the instrument and slowly enlarge the current, reaching, as a rule, from 1 before 2 mA. The Gross amount electricity, which necessary to process the channel, forms 15 mA h mines. The Treatment is conducted in three sessions usually so given during one session amount electricity forms at the average 5 mA h mines. As tab before the following session, which is conducted through 8-10 days usually, after drainage in channel enter become cool portion of the paste hydroxide honeys-calcium. For time between session of the treatment cavity is recommended leave open (or close the time seal with done in her hole) to prevent arising the pressure at outflow possible else formed exudate.

36 Rekontaminaciya is practically excluded because of powerful disinfecting activity hydroxide honeys- calcium. After the last procedure entry in channel fill атацамитом - a special alkaline cement, contain ions honeys (the maximum before 1/3 Apical of a part). Is Not required exacting "full filling the channel". Rekontaminaciya is practically excluded because of powerful disinfecting activity hydroxide honeys- calcium. After the last procedure entry in channel fill атацамитом - a special alkaline cement, contain ions honeys (the maximum before 1/3 Apical of a part). Is Not required exacting "full filling the channel". By means of proposed method possible to cure all gangrenous channels, including, obliterated. By means of proposed method possible to cure all gangrenous channels, including, obliterated. Under obliterirovate channel necessary to produce at least small expansion of the channel in higher part to contribute hydroxide honeys-calcium. Under obliterirovate channel necessary to produce at least small expansion of the channel in higher part to contribute hydroxide honeys-calcium.

37 Undertaking depoforeza can be recommended For treatment osteolysisby means of instrument for depoforezaor use galvanic pin tumblerelement for long depoforeza. The Methods is described in instructions to galvanic dowel (the production "Humanhemi"). Undertaking depoforeza can be recommended For treatment osteolysis by means of instrument for depoforeza or use galvanic pin tumbler element for long depoforeza. The Methods is described in instructions to galvanic dowel (the production "Humanhemi").

38 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

39 THANK YOU FOR ATTENTION! THANK YOU FOR ATTENTION!


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